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. See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
HEALTH ENHANCEMENT RESEARCH ORGANIZATION INC
Employer identification number
63-1141480
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.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
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.)
10
11
e
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).
f
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
..................................................
g
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
No
and (iii) below, the governing body of 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)
h
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 monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
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........................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2012.
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
.......................
b
33 1/3% support test—2011.
If the organization did not check a 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
.....................
17a
10%-facts-and-circumstances test—2012.
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
.....................................................
b
10%-facts-and-circumstances test—2011.
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
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
150,897
235,000
215,000
600,897
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......
652,770
432,847
364,578
507,444
620,549
2,578,188
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.
652,770
432,847
515,475
742,444
835,549
3,179,085
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
80,000
140,000
127,000
342,000
689,000
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..
80,000
140,000
127,000
342,000
689,000
8
Public support (Subtract line 7c from line 6.)
2,490,085
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
9
Amounts from line 6...
652,770
432,847
515,475
742,444
835,549
3,179,085
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
4,466
1,218
551
1,274
498
8,007
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
4,466
1,218
551
1,274
498
8,007
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.)..
657,236
434,065
516,026
743,718
836,047
3,187,092
14
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.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
78.130 %
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
93.630 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
0 %
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2012.
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
........
b
33 1/3% support tests—2011.
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
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information.
Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2012
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.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
HEALTH ENHANCEMENT RESEARCH ORGANIZATION INC
Employer identification number
63-1141480
Identifier
Return Reference
Explanation
ALL OTHER ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4D
THE HERO EMPLOYEE HEALTH MANAGEMENT BEST PRACTICES SCORECARD IN COLLABORATION WITH MERCER IS A FREE TOOL ACCESSIBLE ON THE HERO WEBSITE FOR EMPLOYERS TO USE TO BENCHMARK THEIR EMPLOYEE WELLNESS PROGRAM AGAINST OVER 1,000 OTHER ORGANIZATIONS THAT HAVE DONE LIKEWISE. THIS TOOL WAS CREATED BY OUR MEMBERS AND IS IN ITS THIRD EDITION. DURING THIS FISCAL YEAR, THE NUMBER OF COMPANIES COMPLETING THE SCORECARD GREW FROM APPROXIMATELY 500 TO 1,000 RESPONDENTS. WHILE THE SCORECARD IS FREE, HERO DOES MAKE AVAILABLE DETAILED BENCHMARKING REPORTS FOR A FEE. AND, IN ADDITION, HERO HAS CREATED A SERVICE TO ORGANIZATIONS THAT HAVE MULTIPLE CLIENTS USING THE SCORECARD THAT AGGREGATES THE SCORECARD RESPONSES FOR THE CLIENTS INTO A DATABASE MODULE FOR THAT ORGANIZATION. QUARTERLY REPORTS OF THEIR CLIENTS' RESPONSES AND COMPARATIVE DATA FOR THE ENTIRE DATABASE ARE PROVIDED TO THESE ORGANIZATIONS QUARTERLY. THIS PROGRAM, THE PREFERRED PROVIDERS PROGRAM, CARRIES AN ANNUAL LICENSE FEE FOR THOSE ORGANIZATIONS PARTICIPATING. THE NUMBER OF PREFERRED PROVIDERS GREW FROM THREE TO ELEVEN DURING FY2012.
DOCUMENTATION BY COMMITTEE
FORM 990, PAGE 6, PART VI, LINE 8B
THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WHICH HAVE THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
FORM 990 IS REVIEWED BY THE HERO BOARD OF DIRECTOR'S FINANCE COMMITTEE AND THEN BY THE FULL BOARD OF DIRECTORS PRIOR TO ITS SUBMISSION. BOARD MEMBERS HAVE THE OPPORTUNITY TO ASK QUESTIONS AND SUGGEST EDITS TO THE REPORT AS A REVIEW PROCESS.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY IN FEBRUARY AS PART OF THE HERO GOVERNANCE PROCESS. HERO RELIES ON THE GOOD CHARACTER AND ETHICS OF ITS BOARD MEMBERS AND OFFICERS TO BRING FORWARD ANY SITUATIONS THAT MIGHT BE DEEMED A CONFLICT OF INTEREST. SHOULD APPARENT CONFLICTS OF INTEREST ARISE (CONCERING OFFICERS, DIRECTORS OR KEY EMPLOYEES) THE CEO DISCUSSES THE SITUATION WITH THE INDIVIDUAL AND DETERMINES WHETHER THERE MAY BE A CONFLICT AND, IF SO, BRINGS IT TO THE BOARD FOR DISCUSSION AND POSSIBLE ACTION. IN THE CASE OF EMPLOYEES, THE CEO DEALS DIRECTLY WITH THE INDIVIDUAL ON ANY ISSUE.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
THE ORGANIZATION WILL MAKE AVAILABLE ITS GOVERNING DOCUMENTS TO THE PUBLIC UPON REQUEST.
OTHER FEES FOR SERVICES
FORM 990, PART IX, LINE 11G
CONSULTANTS FOR SCOREBOARD 14,100 0 0 WEBSITE/MEDIA 4,812 14,600 3,650 RESEARCH PROJECTS 68,765 0 0 MISCELLANEOUS 3,000 0 0
OTHER CHANGES IN NET ASSETS EXPLANATION
FORM 990, PART XI, LINE 9
DEFERRED MEMBER DUES FROM PRIOR YEARS 150,067 THE ORGANIZATION HAD NOT PROPERLY ACCOUNTED FOR DEFERRED MEMBER DUES PRIOR TO THE YEAR ENDED MARCH 31, 2013. THE AMOUNT OF DEFERRED MEMBER DUES AT MARCH 31, 2012 WAS 150,067 AND HAS BEEN RECORDED IN THIS TAX RETURN AS AN ADJUSTMENT TO THE OPENING BALANCE OF NET ASSETS.
CHANGE IN ACCOUNTING METHOD EXPLANATION
FORM 990, PAGE 12, PART XII, LINE 1
THE ORGANIZATION PROPERLY ACCOUNTED FOR DEFERRED MEMBER DUES DURING THE YEAR ENDED MARCH 31, 2013. THIS HAD NOT BEEN PREVIOULY CALCULATED. THE AMOUNT OF DEFERRED MEMBER DUES AT MARCH 31, 2012 WAS 150,067 AND HAS BEEN RECORDED IN THIS TAX RETURN AS A PRIOR PERIOD ADJUSTMENT.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.