TY 2010 Form 990

- TIN:

Form990

Department of the Treasury
Internal Revenue Service

Return of Organization Exempt From Income Tax

Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

The organization may have to use a copy of this return to satisfy state reporting requirements.

OMB No. 1545-0047

2010

Open to Public Inspection

A For the calendar year, or tax year beginning 07-01-2010 and ending 06-30-2011

BCheck if applicable: Address change Name change Initial return Terminated Amended return Application pending

CName of organization
HEALTHCARE INITIATIVE FOUNDATION

Doing Business As

Number and street (or P.O. box if mail is not delivered to street address)
7910 WOODMONT AVENUE

Room/suite

City or town, state or country, and ZIP + 4
BETHESDA, MD20814

D Employer identification number

23-7324576

E Telephone number

G Gross receipts $ 14,087,770

F Name and address of principal officer:
ROBERT H MYERS JR-CHAIRMAN
7910 WOODMONT AVENUE STE 500
BETHESDA,MD20814

Tax-exempt status: 501(c)(3) 501(c) ( ) LeftBullet

(insert no.) 4947(a)(1) or 527

Website:

WWW.HIFMC.ORG

H(a)

Is this a group return for
affiliates? Yes No

H(b)

Are all affiliates included?

Yes No

If "No," attach a list. (see instructions)

H(c)

Group exemption number MediumBullet

0000

K Form of organization: Corporation Trust Association Other MediumBullet

L Year of formation: 1973

M State of legal domicile: MD

Part I

Summary

1	Briefly describe the organization’s mission or most significant activities: THE FOUNDATION SUPPORTS, THROUGH GRANTS, HEALTHCARE ORGANIZATIONS THAT OFFER SOLUTIONS TO IMPROVE THE QUALITY AND DELIVERY OF HEALTHCARE FOR RESIDENTS OF MONTGOMERY COUNTY, MARYLAND.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	5
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	5
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	1
6	Total number of volunteers (estimate if necessary) ....	6	6
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	0	0
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	390,591	-878,041
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	390,591	-878,041
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,694,800	2,222,008
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	141,060	151,806
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	187,516	274,692
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,023,376	2,648,506
19	Revenue less expenses. Subtract line 18 from line 12......	-1,632,785	-3,526,547
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	45,996,925	54,179,525
21	Total liabilities (Part X, line 26)............	798,739	1,029,097
22	Net assets or fund balances. Subtract line 21 from line 20 .....	45,198,186	53,150,428

Part II

Signature Block

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.

May the IRS discuss this return with the preparer shown above? (see instructions) ......... Yes No

For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.

Cat. No. 11282Y

Form 990 (2010)

Page 2

Part III

Statement of Program Service Accomplishments

Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .

Briefly describe the organization’s mission: THE FOUNDATION SUPPORTS, THROUGH GRANTS, HEALTHCARE ORGANIZATIONS THAT OFFER SOLUTIONS TO IMPROVE THE QUALITY AND DELIVERY OF HEALTHCARE FOR RESIDENTS OF MONTGOMERY COUNTY, MARYLAND.

Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .................... Yes No

If “Yes,” describe these new services on Schedule O.

Did the organization cease conducting, or make significant changes in how it conducts, any program services? .......................... Yes No

If “Yes,” describe these changes on Schedule O.

Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.


4a	(Code: ) (Expenses $ 2,222,008 including grants of $ 2,222,008 ) (Revenue $ )
	THE FOUNDATION GIVES GRANTS TO ORGANIZATIONS THAT SUPPORT IMPROVED HEALTHCARE FOR MONTGOMERY COUNTY, MARYLAND RESIDENTS.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services. (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 2,222,008

Form 990 (2010)

Page 3

Part IV

Checklist of Required Schedules

Yes

Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule A Click to see attachment

.....................

Yes

Is the organization required to complete Schedule B, Schedule of Contributors? ........

Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........

Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II.........................

Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................

Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part I Click to see attachment

.......................

Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part II Click to see attachment

...

Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment

....................

Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IV Click to see attachment

...................

Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part V Click to see attachment

Yes

If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:

Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI. Click to see attachment

11a

Yes

Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII. Click to see attachment

11b

Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII. Click to see attachment

11c

Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX. Click to see attachment

11d

Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X. Click to see attachment

11e

Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X. Click to see attachment

11f

Yes

12a

Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment

12a

Yes

Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment

12b

Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E

14a

Did the organization maintain an office, employees, or agents outside of the United States?....

14a

Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........

14b

Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..

Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..

Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I

Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........

Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................

Form 990 (2010)

Page 4

Part IV

Checklist of Required Schedules (continued)

20a

Did the organization operate one or more hospitals? If “Yes,” complete Schedule H.....

20a

Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....

20b

Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment

Yes

Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment

Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................

24a

Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................

24a

Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...

24b

Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................

24c

Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...

24d

25a

Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I......

25a

Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................

25b

Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II...........................

Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III...............

Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):

A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .........................

28a

A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV...................

28b

An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV..

28c

Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M

Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............

Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................

Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................

Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment

Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment

Yes

Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....

Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment

YesNo

Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment

Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VI Click to see attachment

Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............

Yes

Form 990 (2010)

Page 5

Part V

Statements Regarding Other IRS Filings and Tax Compliance

Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .

Yes

Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......

Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.

Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................

Yes

Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................

If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)

Yes

Did the organization have unrelated business gross income of $1,000 or more during the year?.............................

If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....

At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................

If "Yes," enter the name of the foreign country: MediumBullet

See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.

Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..

Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?

If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........

Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........

If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................

Organizations that may receive deductible contributions under section 170(c).

Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................

If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....

Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................

If “Yes,” indicate the number of Forms 8282 filed during the year ....

Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................

Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..

If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................

If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............

Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................

Sponsoring organizations maintaining donor advised funds.

Did the organization make any taxable distributions under section 4966?.........

Did the organization make a distribution to a donor, donor advisor, or related person?......

Section 501(c)(7) organizations. Enter:

Initiation fees and capital contributions included on Part VIII, line 12 ...

10a

Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities

10b

Section 501(c)(12) organizations. Enter:

Gross income from members or shareholders .........

11a

Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........

11b

12a

Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?

12a

If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.

12b

Section 501(c)(29) qualified nonprofit health insurance issuers.

Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.

13a

Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.

13b

Enter the aggregate amount of reserves on hand.

13c

14a

Did the organization receive any payments for indoor tanning services during the tax year?.....

14a

If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..

14b

Form 990 (2010)

Page 6

Part VI

Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.

Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .

Section A. Governing Body and Management

Yes

Enter the number of voting members of the governing body at the end of the tax year ..............

Enter the number of voting members included in line 1a, above, who are independent .................

Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................

Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..

Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?

Did the organization become aware during the year of a significant diversion of the organization’s assets? .

Does the organization have members or stockholders? ................

Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................

Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..

Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:

The governing body? .........................

Yes

Each committee with authority to act on behalf of the governing body? ............

Yes

Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....

Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)

Yes

10a

Does the organization have local chapters, branches, or affiliates? ............

10a

If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....

10b

11a

Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?

11a

Yes

Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....

12a

Does the organization have a written conflict of interest policy? If “No,” go to line 13.......

12a

Yes

Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................

12b

Yes

Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................

12c

Yes

Does the organization have a written whistleblower policy? ...............

Yes

Does the organization have a written document retention and destruction policy? .........

Yes

Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?

The organization’s CEO, Executive Director, or top management official ...........

15a

Yes

Other officers or key employees of the organization ................

15b

If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)

16a

Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................

16a

If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............

16b

Section C. Disclosure

List the States with which a copy of this Form 990 is required to be filed MediumBullet

Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.

Own website Another's website Upon request

Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.

State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet

COUNCILORBUCHANAN MITCHELL
7910 WOODMONT AVE SUITE 500
BETHESDA,MD208143048
(301) 986-0600

Form 990 (2010)

Page 7

Part VII

Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors

Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees

1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet

List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

List all of the organization’s current key employees, if any. See instructions for definition of "key employee."

List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.

Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)			(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(1) ROBERT H MYERS JR CHAIRMAN	3.0	X	X		0	0	0
(2) DAVID J KRESSLER VICE CHAIRMAN	4.0	X	X		0	0	0
(3) CLAIR A PARSONS TREASURER (UNTIL DEC. 2010)	4.0	X	X		0	0	0
(4) BENJAMIN GUILIANI - SECRETARY UNTIL DEC.'10; TREASURER EFF. JAN'11	4.0	X	X		0	0	0
(5) STEPHEN C EASTHAM TRUSTEE	3.0	X			0	0	0
(6) KENNETH W NICHOLLS SECRETARY EFFECTIVE JAN. 2011	1.0	X	X		0	0	0
(7) KAREN GREEN PRESIDENT	36.0		X	X	110,627	0	17,440

Form 990 (2010)

Page 8

Part VII

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)						(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	110,627	0	17,440

Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organization MediumBullet

Yes

Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............

For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................

Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....

Section B. Independent Contractors

Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 0

Form 990 (2010)

Page 9

Part VIII

Statement of Revenue

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			0
			Business Code
2a
b
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			0
3	Investment income (including dividends, interest
	and other similar amounts).....			1,455,835			1,455,835
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties............			0
		(i) Real	(ii) Personal
6a	Gross Rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	12,631,935
b	Less: cost or other basis and sales expenses	14,965,811
c	Gain or (loss)	-2,333,876
d	Net gain or (loss)..........			-2,333,876			-2,333,876
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			0
12	Total revenue. See Instructions....			-878,041			-878,041

Form 990 (2010)

Page 10

Part IX

Statement of Functional Expenses

Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.		(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21	2,222,008	2,222,008
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	123,366	0	123,366	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	0
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	12,299		12,299
9	Other employee benefits .......	6,655		6,655
10	Payroll taxes ...........	9,486		9,486
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	77,300		77,300
c	Accounting ...........	60,269		60,269
d	Lobbying ...........	0
e	Professional fundraising. See Part IV, line 17..	0
f	Investment management fees ......	90,890		90,890
g	Other ..........	600		600
12	Advertising and promotion ....	0
13	Office expenses .......	9,652		9,652
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	0
17	Travel ............	0
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	4,475		4,475
20	Interest ...........	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	657		657
23	Insurance ..............	12,279		12,279
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	MEMBERSHIP DUES	13,475		13,475
b	PAYROLL ADMINISTRATION	2,170		2,170
c	PENSION ADMINISTRATION	2,925		2,925
d
e
f	All other expenses
25	Total functional expenses. Add lines 1 through 24f	2,648,506	2,222,008	426,498	0
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Form 990 (2010)

Page 11


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			54,151	1	250,724
2	Savings and temporary cash investments .......				2
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........				4
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............				8
9	Prepaid expenses and deferred charges ............				9	5,833
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	3,990
b	Less: accumulated depreciation. .....	10b	2,573	2,074	10c	1,417
11	Investments—publicly traded securities ..........			45,762,119	11	53,743,764
12	Investments—other securities. See Part IV, line 11 ......				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			178,581	15	177,787
16	Total assets. Add lines 1 through 15 (must equal line 34)...			45,996,925	16	54,179,525
17	Accounts payable and accrued expenses .			2,014	17	29,995
18	Grants payable ..........			796,725	18	999,102
19	Deferred revenue ..........				19
20	Tax-exempt bond liabilities ..........				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....				25
26	Total liabilities. Add lines 17 through 25.....			798,739	26	1,029,097
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....				27
28	Temporarily restricted net assets .....			39,587,352	28	47,539,594
29	Permanently restricted net assets .....			5,610,834	29	5,610,834
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			45,198,186	33	53,150,428
34	Total liabilities and net assets/fund balances .....			45,996,925	34	54,179,525

Form 990 (2010)

Page 12

Part XI

Reconcilliation of Net Assets

Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .

Total revenue (must equal Part VIII, column (A), line 12) . . .

-878,041

Total expenses (must equal Part IX, column (A), line 25) . . . . .

2,648,506

Revenue less expenses. Subtract line 2 from line 1 . . . .

-3,526,547

Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .

45,198,186

Other changes in net assets or fund balances (explain in Schedule O) . . . .

11,478,789

Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .

53,150,428

Part XII

Financial Statements and Reporting

Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .

Yes

Accounting method used to prepare the Form 990: Cash Accrual Other
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.

Were the organization’s financial statements compiled or reviewed by an independent accountant?..

Were the organization’s financial statements audited by an independent accountant?........

Yes

If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................

Yes

If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separated basis

As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................

If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..

Form 990 (2010)

Additional Data

Software ID:
Software Version:

Form 990, Special Condition Description:

Special Condition Description

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

HEALTHCARE INITIATIVE FOUNDATION

Employer identification number

23-7324576

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN		Yes	No	Yes	No	Yes	No	(vii) Amount of support?
(1) MONTGOMERY HOSPICE SOCIETY	521114719	07		No	Yes		Yes		1,029,905
(2) SPANISH CATHOLIC CENTER	520980905	09		No		No	Yes		150,000
(3) THRESHOLD SERVICES	521231698	0		No		No	Yes		109,000
(4) THE SUBURBAN HOSPITAL	520610545	03		No	Yes		Yes		184,008
(5) WORKFORCE SOLUTIONS GROUP	522550602	07		No		No	Yes		99,500
(6) COMMUNITY MINISTRIES OF ROCKVILLE	520910334	01		No		No	Yes		70,000
(7) MENTAL HEALTH ASSOCIATION OF MONTGOMERY COUNTY	520681147	0		No		No	Yes		64,595
(8) CHILD CENTER AND ADULT SERVICES	521120638	0		No		No	Yes		45,000
(9) PRIMARY CARE COALITION	521847976	07		No		No	Yes		40,000
(10) CHINESE AMERICAN SENIOR SERVICES ASSOCIATION	743143079	09		No		No	Yes		37,500
(11) HOLY CROSS HOSPITAL FOUNDATION	208428450	0		No		No	Yes		30,000
(12) MARY'S CENTER (MONTGOMERY COUNTY)	521594116	07		No		No	Yes		30,000
(13) MERCY HEALTH CLINIC INC	522230932	09		No		No	Yes		30,000
(14) MOBILE MEDICAL CARE INC	237022588	03		No		No	Yes		30,000
(15) MUSLIM COMMUNITY CENTER	521072792	01		No		No	Yes		30,000
(16) PROYECTO SALUD	311591753	07		No		No	Yes		30,000
(17) SHADY GROVE ADVENTIST HOSPITAL FOUNDATION	521532556	03		No		No	Yes		30,000
(18) TEEN AND YOUNG ADULT HEALTH CONNECTION	522257336	03		No		No	Yes		30,000
(19) UNIVERSITY SYSTEM OF MARYLAND FOUNDATION	521125663	05		No		No	Yes		30,000
(20) COMMUNITY FOUNDATION FOR THE NATIONAL CAPITAL REGION	237343119	07		No		No	Yes		25,000
(21) COMMUNITY CLINIC INC	520988386	03		No		No	Yes		15,000
(22) TAPFOUND INC	912162645	07		No		No	Yes		15,000
(23) ST LUKE'S HOUSE INC	520937199	07		No		No	Yes		12,500
Total									2,167,008

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation
ALTHOUGH NOT SPECIFICALLY LISTED IN THE TRUST DOCUMENTS, THE ORGANIZATIONS LISTED IN PART I LINE 11H ARE MEMBERS OF AN UNDESIGNATED CLASS OF PUBLIC CHARITIES, SIMILAR IN PURPOSE AND FUNCTION TO THE SUBURBAN HOSPITAL AND MONTGOMERY HOSPICE SOCIETY WHICH HAVE A HISTORIC AND CONTINUOUS RELATIONSHIP WITH THE FOUNDATION. THE IRS APPROVED THIS STRUCTURE BY LETTER DATED JANUARY 23 2004.

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

HEALTHCARE INITIATIVE FOUNDATION

Employer identification number

23-7324576

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back
1a	Beginning of year balance ....	44,999,757	40,868,739	53,369,154
b	Contributions ........
c	Investment earnings or losses ...	10,479,885	6,069,594	-11,189,802
d	Grants or scholarships .....	2,138,000	1,689,800	1,091,840
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....	335,608	248,776	218,773
g	End of year balance ......	53,006,034	44,999,757	40,868,739

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

10.585 %

Term endowment: SchDMd Bullet

89.415 %

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................
b	Buildings ................
c	Leasehold improvements ............
d	Equipment ................	1,524	1,194	330
e	Other .................	2,466	1,379	1,087
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				1,417

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes		0









Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		0
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1	-878,041
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2	2,648,506
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3	-3,526,547
4	Net unrealized gains (losses) on investments ..........................	4	11,455,954
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8	22,835
9	Total adjustments (net). Add lines 4 - 8 .............................	9	11,478,789
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10	7,952,242

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......			1	10,509,858
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a	11,455,954
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d	22,835
e	Add lines 2a through 2d .....................			2e	11,478,789
3	Subtract line 2e from line 1.....................			3	-968,931
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a	90,890
b	Other (Describe in Part XIV): ...........	4b
c	Add lines 4a and 4b.......................			4c	90,890
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......			5	-878,041

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............			1	2,557,616
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d......................			2e
3	Subtract line 2e from line 1.....................			3	2,557,616
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a	90,890
b	Other (Describe in Part XIV): ............	4b
c	Add lines 4a and 4b.......................			4c	90,890
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......			5	2,648,506

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
Intended Uses of the Foundation's Endowment Funds	Part V, Line 4	The term endowments are maintained to provide a source of income for the Foundation. Both the principal and income generated can be used upon release of restrictions by the Board of Trustees. The permanent endowments are maintained to provide a permanent source of income while keeping the principal intact in perpetuity. Only the income generated can be used by the Foundation.
Other Reconciling Item to Change in Net Assets	Part XI, Line 8	The "Other" reconciling item represents the change in value of remainder trusts.
Other Revenue Included in Audited Financial Statements But Not on Form 990	Part XII, Line 2d	The "Other" reconciling item represents the change in value of remainder trusts.
FIN 48 Footnote	PART X, LINE 2	The Internal Revenue Service (IRS) has determined the Foundation to be a tax-exempt support organization under Section 501(c)(3) and 509(a)(3) of the Internal Revenue Code. The Foundation is exempt from income taxes except for income taxes on unrelated business income. There were no unrelated business income activities during the years ended June 30, 2011 and 2010. Management believes it has no material uncertain tax positions and, accordingly, it will not recognize any liability for unrecognized tax liabilities. The Foundation files its Form 990 in the U.S. federal jurisdiction. The Foundation is generally no longer subject to examination by the IRS for years before 2007.

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
HEALTHCARE INITIATIVE FOUNDATION

Employer identification number
23-7324576

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) MONTGOMERY HOSPICE SOCIETY1355 PICCARD DRIVE SUITE 100 ROCKVILLE,MD20850	52-1114719	501(c)(3)	1,029,905	IT INFRASTRUCTURE, HARPS, AND NURSING CARE
(2) SPANISH CATHOLIC CENTER1618 MONROE STREET NW WASHINGTON,DC20010	52-0980905	501(c)(3)	150,000	CLINIC GENERAL SUPPORT
(3) THRESHOLD SERVICES1398 LAMBERTON DRIVE SILVER SPRING,MD20902	52-1231698	501(c)(3)	109,000	GENERAL SUPPORT AND COLLABORATIVE HCLC
(4) THE SUBURBAN HOSPITAL8600 OLD GEORGETOWN ROAD BETHESDA,MD20814	52-0610545	501(c)(3)	184,008	GENERAL SUPPORT AND NURSING AWARDS
(5) WORKFORCE SOLUTIONS GROUP11002 VEIRS MILL ROAD SUITE 510 WHEATON,MD20902	52-2550602	501(c)(3)	99,500	HEALTHCARE WORKFORCE PIPELINE AND WELCOME BACK CENTER
(6) COMMUNITY MINISTRIES OF ROCKVILLE1010 GRANDIN AVE SUITE A-1 ROCKVILLE,MD20851	52-0910334	501(c)(3)	70,000	GENERAL SUPPORT AND PLANNING FOR HEALTH CENTER LEADERS
(7) MENTAL HEALTH ASSOCIATION OF MONTGOMERY COUNTY1000 TWINBROOK PARKWAY ROCKVILLE,MD20851	52-0681147	501(c)(3)	64,595	PLAN FOR SUSTAINABLE BUSINESS MODEL AND TROOPS MENTAL HEALTH
(8) CHILD CENTER AND ADULT SERVICES16220 FREDERICK ROAD SUITE 501 GAITHERSBURG,MD20877	52-1120638	501(c)(3)	45,000	PROJECT SUPPORT FOR MENTAL HEALTH CARE FOR UNINSURED
(9) PRIMARY CARE COALITION8757 GEORGIA AVENUE SILVER SPRING,MD20910	52-1847976	501(c)(3)	40,000	BRIDGE GRANT
(10) CHINESE AMERICAN SENIOR SERVICES ASSOCIATION12320 PARKLAWN DRIVE 238 ROCKVILLE,MD20852	74-3143079	501(c)(3)	37,500	GENERAL SUPPORT FOR HEALTHCARE SERVICES
(11) HOLY CROSS HOSPITAL FOUNDATION11801 TECH ROAD SILVER SPRING,MD20904	20-8428450	501(c)(3)	30,000	GENERAL SUPPORT FOR HEALTHCARE SERVICES
(12) MARY'S CENTER (MONTGOMERY COUNTY)8709 FLOWER AVENUE SILVER SPRING,MD20901	52-1594116	501(c)(3)	30,000	GENERAL SUPPORT FOR HEALTHCARE SERVICES
(13) MERCY HEALTH CLINIC INC7 METROPOLITAN CT STE 1 GAITHERSBURG,MD20878	52-2230932	501(c)(3)	30,000	GENERAL SUPPORT FOR HEALTHCARE SERVICES
(14) MOBILE MEDICAL CARE INC9309 OLD GEORGETOWN BETHESDA,MD20814	23-7022588	501(c)(3)	30,000	GENERAL SUPPORT FOR HEALTHCARE SERVICES
(15) MUSLIM COMMUNITY CENTER15200 NEW HAMPSHIRE AVENUE SILVER SPRING,MD20905	52-1072792	501(c)(3)	30,000	GENERAL SUPPORT FOR HEALTHCARE SERVICES
(16) PROYECTO SALUD2424 REEDIE DRIVE WHEATON,MD20902	31-1591753	501(c)(3)	30,000	GENERAL SUPPORT FOR HEALTHCARE SERVICES
(17) SHADY GROVE ADVENTIST HOSPITAL FOUNDATION14955 SHADY GROVE ROAD SUITE 165 ROCKVILLE,MD20850	52-1532556	501(c)(3)	30,000	PROJECT SUPPORT - LIFE BEYOND CANCER
(18) TEEN AND YOUNG ADULT HEALTH CONNECTION1400 SPRING ST SUITE 200 SILVER SPRING,MD20910	52-2257336	501(c)(3)	30,000	GENERAL SUPPORT
(19) UNIVERSITY SYSTEM OF MARYLAND FOUNDATION9636 GUDELSKY DR ROCKVILLE,MD20850	52-1125663	501(c)(3)	30,000	SCHOLARSHIP FOR STUDENTS IN HEALTHCARE DISCIPLINES
(20) COMMUNITY FDN FOR THE NATIONAL CAPITAL REGI1201 15TH STREET NW SUITE 420 WASHINGTON,DC20005	23-7343119	501(c)(3)	25,000	HEALTHCARE WORKFORCE IN MONTGOMERY COUNTY
(21) COMMUNITY CLINIC INC15850 CRABBS BRANCH WAY SUITE 350 ROCKVILLE,MD20855	52-0988386	501(c)(3)	15,000	PROJECT SUPPORT - FINANCIAL CAPACITY BUILDING
(22) TAPFOUND INC1612 K STREET NW SUITE 505 WASHINGTON,DC20006	92-2162645	501(c)(3)	15,000	TECHNICAL ASSISTANCE
(23) ST LUKE'S HOUSE INC6040 SOUTHPORT DRIVE NORTH BETHESDA,MD20814	52-0937199	501(c)(3)	12,500	PROJECT SUPPORT - PREPPING FOR SOMATIC HEALTHCASE IN BH CLINIC
(24) ALS ASSOCIATION DCMDVA CHAPTER7507 STANDISH PLACE ROCKVILLE,MD20855	52-1749047	501(c)(3)	10,000	SUPPORT TO THOSE LIVING WITH ALS
(25) MONTGOMERY HOSPICE SOCIETY1355 PICCARD DRIVE SUITE 100 ROCKVILLE,MD20814	52-1114719	501(c)(3)	6,500	CASEY HOUSE OPERATIONS
(26) THE WELLNESS COMMUNITY-GREATER WASHINGTON DC5430 GROSVENOR LANE SUITE 100 BETHESDA,MD20814	20-3792198	501(c)(3)	6,000	SUPPORT FOR THOSE AFFECTED BY CANCER

Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image

Enter total number of other organizations ................................ . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2010

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
GRANT MONITORING	PART I, LINE 2	THE FOUNDATION MONITORS ITS GRANTS TO ENSURE THAT SUCH GRANTS ARE USED FOR PROPER PURPOSES AND ARE NOT OTHERWISE DIVERTED FROM THE INTENDED USE. MONITORING INCLUDES GRANTEE REPORTING, FOUNDATION STAFF MONITORING, A REQUIREMENT THAT ANY EXCESS FUNDS REVERT TO THE FOUNDATION, AND A REQUIREMENT THAT PERMISSION MUST BE SOUGHT TO USE FUNDS IN WAYS OTHER THAN THOSE INITIALLY APPROVED BY THE FOUNDATION BOARD. MORE FUNDAMENTALLY, THE FOUNDATION WILL NOT ACCEPT AN APPLICATION FROM A POTENTIAL GRANTEE PRIOR TO THE PRESIDENT CONDUCTING A SITE VISIT TO THE ORGANIZATION TO ASCERTAIN ITS CAPACITY TO FULFILL ITS MISSION AND CARRY OUT ITS PROJECTS.

Schedule I (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

HEALTHCARE INITIATIVE FOUNDATION

Employer identification number

23-7324576

Identifier	Return Reference	Explanation
Review of Form 990	Part VI Line 11A	The Treasurer and the President review and approve the IRS Form 990 annual tax filing prior to submission and ensure that tax payments and other government-mandated payments and filings are completed in a timely manner. The full Board of Trustees receives a copy of the IRS Form 990 prior to submission and is given an opportunity to comment. The Chairman of the Board signs the IRS Form 990 and certifies that it is accurate and complete.
Monitoring and Enforcing Compliance with Conflict of Interest Policy	Part VI Line 12c	Trustees, officers, committee members, and staff members file a conflict of interest statement with the Chair of the Foundation at the beginning of each year of service disclosing existing, anticipated or possible conflict situations. This statement includes current participation, affiliation, or other involvement with any healthcare nonprofit organization and with any organization providing goods or services to the Foundation in which an affiliated person or an immediate family has an interest. Trustees, officers, committee members, and staff members are under a continuing obligation to report any potential conflicts of interest. If, in the course of a term of service, a new or potential conflict of situation arises, it is incumbent upon the Trustees, officers, committee members, and staff members to amend his or her disclosure statement.
Public Accountability	Part VI Line 19	The Foundation's governing documents, conflict of interest policy and financial statements are available to the general public. These are all available upon request.
Compensation Review Process	Part VI Line 15a	The President's salary is based on educational level, experience, economic strength of the organization and comparable salary scales. Comparable salary data for Foundation executives is available from such sources as the Council on Foundations, Guidestar and executive search firms. In conjuction with the annual salary review, performance appraisals are conducted. The Board meets in an executive session to review a self-evaluation. The appraisal focuses on the employee's areas of strength, needed improvement and opportunities for professional development in light of the position's responsibilities. Salary adjustment, if any, is approved by the Board. A discussion between the Chair and the President follows the Board's executive session within two weeks. The appraisal will then be summarized in writing. The Trustees are all independent with respect to the determination of the compensation of the employee.
Documentation of Meetings Held by Governing Body and Committees	Part VI Lines 8A and 8B	The Foundation documents all meetings contemporaneously. For board meetings, an individual is paid to take the minutes. That individual refines the rough minutes in a day or two after the meeting and submits the rough draft to the President for revision. At the next board meeting, the entire board has the oppportunity to review or make changes to the minutes at which point they are adopted by the Board and signed by the Secretary. For committee meetings, the President takes the minutes, submits them to the committee meembers for comments at which point they are finalized.
OTHER CHANGES IN NET ASSETS	FORM 990, PART XI, LINE 5	THE OTHER CHANGES IN NET ASSETS INCLUDE: NET UNREALIZED GAINS ON INVESTMENTS $11,455,954 CHANGE IN VALUE OF ASSETS HELD IN CHARITABLE TRUST $22,835 NET CHANGES $11,478,789

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

HEALTHCARE INITIATIVE FOUNDATION

Employer identification number

23-7324576

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) MONTGOMERY HOSPICE SOCIETY 1355 PICCARD DRIVE SUITE 100 ROCKVILLE,MD20850 52-1114719	HOSPICE CARE	MD	501(c)(3)	7	NA
(2) SPANISH CATHOLIC CENTER 1618 MONROE STREET NW WASHINGTON,DC20010 52-0980905	SOCIAL SERVIC	DC	501(c)(3)	9	NA
(3) THRESHOLD SERVICES 1398 LAMBERTON DRIVE SILVER SPRING,MD20902 52-1231698	BEHAVIORAL HE	MD	501(c)(3)	11	NA
(4) THE SUBURBAN HOSPITAL 8600 OLD GEORGETOWN ROAD BETHESDA,MD20814 52-0610545	HOSPITAL CARE	MD	501(c)(3)	3	NA
(5) WORKFORCE SOLUTIONS GROUP 11002 VEIRS MILL ROAD SUITE 510 WHEATON,MD20902 52-2550602	EMPLOYMENT AN	MD	501(c)(3)	7	NA
(6) COMMUNITY MINISTRIES OF ROCKVILLE 1010 GRANDIN AVE SUITE A-1 SILVER SPRING,MD20851 52-0910334	SOCIAL SERVIC	MD	501(c)(3)	1	NA
(7) MENTAL HEALTH ASSOCIATION OF MONTGOMERY 1000 TWINBROOK PARKWAY ROCKVILLE,MD20851 52-0681147	BEHAVIORAL HE	MD	501(c)(3)	9	NA
(8) CHILD CENTER AND ADULT SERVICES 16220 FREDERICK ROAD SUITE 501 GAITHERSBURG,MD20877 52-1120638	BEHAVIORAL HE	MD	501(c)(3)	9	NA
(9) PRIMARY CARE COALITION 8757 GEORGIA AVENUE SILVER SPRING,MD20910 52-1847976	HEALTH SYSTEM	MD	501(c)(3)	7	NA
(10) CHINESE AMERICAN SENIOR SERVICES ASSOCIA 12320 PARKLAWN DRIVE 238 ROCKVILLE,MD20852 74-3143079	SOCIAL SERVIC	MD	501(c)(3)	9	NA
(11) HOLY CROSS HOSPITAL FOUNDATION 11801 TECH ROAD SILVER SPRING,MD20904 20-8428450	SUPPORT HOLY	MD	501(c)(3)	11	HOLY CROSS
(12) MARY'S CENTER (MONTGOMERY COUNTY) 8709 FLOWER AVENUE SILVER SPRING,MD20901 52-1594116	HEALTHCARE FO	MD	501(c)(3)	7	NA
(13) MERCY HEALTH CLINIC INC 7 METROPOLITAN CT STE 1 GAITHERSBURG,MD20878 52-2230932	HEALTHCARE FO	MD	501(c)(3)	9	NA
(14) MOBILE MEDICAL CARE INC 9309 OLD GEORGETOWN ROAD BETHESDA,MD20814 23-7022588	HEALTHCARE FO	MD	501(c)(3)	3	NA
(15) MUSLIM COMMUNITY CENTER 15200 NEW HAMPSHIRE AVENUE SILVER SPRING,MD20905 52-1072792	SOCIAL SERVIC	MD	501(c)(3)	1	MCC
(16) PROYECTO SALUD 2424 REEDIE DRIVE WHEATON,MD20902 31-1591753	HEALTHCARE FO	MD	501(c)(3)	7	NA
(17) SHADY GROVE ADVENTIST HOSPITAL FOUNDATIO 14955 SHADY GROVE ROAD SUITE 165 ROCKVILLE,MD20850 52-1532556	HOSPITAL CARE	MD	501(c)(3)	3	SHADY GROVE
(18) TEEN AND YOUNG ADULT HEALTH CONNECTION 1400 SPRING ST SUITE 200 SILVER SPRING,MD20910 52-2257336	HEALTHCARE FO	DC	501(c)(3)	3	NA
(19) UNIVERSITY SYSTEM OF MARYLAND FOUNDATION 9636 GUDELSKY DRIVE ROCKVILLE,MD20850 52-1125663	TERTIARY EDUC	MD	501(c)(3)	5	NA
(20) COMMUNITY FOUNDATION FOR THE NATIONAL CA 1201 15TH STREET NW SUITE 420 WASHINGTON,DC20005 23-7343119	CHARITABLE GI	DC	501(c)(3)	7	NA
(21) COMMUNITY CLINIC INC 15850 CRABBS BRANCH WAY SUITE 350 ROCKVILLE,MD20855 52-0988386	HEALTH CLINIC	MD	501(c)(3)	3	NA
(22) TAPFOUND INC 1612 K STREET NW SUITE 505 WASHINGTON,DC20006 91-2162645	PRO BONO SERV	CA	501(c)(3)	7	NA
(23) ST LUKE'S HOUSE INC 6040 SOUTHPORT DRIVE NORTH BETHESDA,MD20814 52-0937199	BEHAVIORAL HE	MD	501(c)(3)	7	NA

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) NO CONTROLLED ENTITIES
(1)
(2)
(3)
(4)
(5)
(6)

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version: