Form990
Click to see attachment
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)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2011
Open to Public Inspection
A For the calendar year, or tax year beginning 07-01-2011 and ending 06-30-2012
BCheck if applicable:
CName of organization
The Health Trust
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
3180 Newberry Dr Suite 200
 
Room/suite
City or town, state or country, and ZIP + 4
San Jose, CA95118
D Employer identification number

94-6050231
E Telephone number

G Gross receipts $ 60,889,842
F Name and address of principal officer:
Frederick Ferrer
3180 Newberry Dr Suite 200
San Jose,CA95118
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.healthtrust.org
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1996
M State of legal domicile: CA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: The mission of The Health Trust is to lead the Silicon Valley community to advance wellness. Our vision is to transform Silicon Valley into the healthiest region in America through three initiatives: Healthy Living, Healthy Aging and Healthy Communities.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a)..... 3 18
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 17
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ... 5 199
6 Total number of volunteers (estimate if necessary) .... 6 761
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 1,706,766
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b  
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 8,878,614 6,564,381
9 Program service revenue (Part VIII, line 2g) ......... 3,688,635 2,570,753
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 8,226,656 3,091,499
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 48,806 -49,747
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 20,842,711 12,176,886
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 2,968,390 2,947,920
14 Benefits paid to or for members (Part IX, column (A), line 4).....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 7,105,287 7,695,826
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 36,941 30,935
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet512,991    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 5,682,226 6,483,267
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 15,792,844 17,157,948
19 Revenue less expenses. Subtract line 18 from line 12....... 5,049,867 -4,981,062
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 119,926,984 109,956,037
21 Total liabilities (Part X, line 26)............. 5,273,438 3,574,015
22 Net assets or fund balances. Subtract line 21 from line 20..... 114,653,546 106,382,022
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
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid preparer use only
Print/type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name Right pointing arrowhead image

Firm's EIN Right pointing arrowhead image
Firm's address Right pointing arrowhead image



Phone no.
May the IRS discuss this return with the preparer shown above? See instructions .........bullet
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2011)
Form 990 (2011)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III .........
1
Briefly describe the organization’s mission: The mission of The Health Trust is to lead the Silicon Valley community to advance wellness. Our vision is to transform Silicon Valley into the healthiest region in America through three initiatives:Healthy Living - focuses on reducing the rates of overweight and obesity through healthy nutrition and physical activity Healthy Aging - focuses on supporting the health of our aging population so they can spend more years in good health and be engaged as vital members of their communities Healthy Communities - focuses on reducing and eliminating health disparities These initiatives will make a positive impact across all of the levels of influence that affect health - from individual behaviors to broader environmental issues such as neighborhood conditions and public policies. The work of the initiatives encompasses direct client services, community and environmental change strategies, advocacy and policy strategies, and grantmaking strategies.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured 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 $ 6,905,867 including grants of $ 1,565,470 ) (Revenue $   )
4a. The Healthy Communities Initiative pursues a variety of strategies aimed at reducing health disparities including (1) Addressing the Root Causes of Health Disparities, (2) Chronic Disease Prevention and Management, (3) Oral Health, and (4) Health Care Linkages. The program accomplishments and outcomes for each of these strategies are listed below.Addressing the Root Causes of Health Disparities. This strategy includes raising awareness about the root causes of health disparities and partnering in our community to address health through a focus on the Social Determinants of Health. We address root causes through the Learning Together Initiative funded by SCC FIRST 5. In partnership with Catholic Charities of SCC and San Juan Batista Child Development Centers, we provide a variety of child and family development services in County Supervisorial Districts #3 and #4 to 776 parents and 729 children from low income communities. These services are focused on ensuring children enter kindergarten healthy and ready to learn and to promote healthy households. Stable housing is a critical social determinant of health. To provide support to ending homelessness in the county, The Health Trust agreed to serve as fiscal sponsor of Destination Home (DH). This program's mission is to end chronic homelessness in Santa Clara County and during FY 2012, DH launched the "Housing 1,000" campaign. During FY 2012, THT also provided Medical Social Work services to DH clients who are medically fragile.Disruptive Innovation Grants Program. To effect greater change in the social services sector, THT awarded five Disruptive Innovation grants totaling $427,722 to Silicon Valley nonprofits in October of 2012. Inspired by the Disruptive Innovation Theory of Harvard Business School Professor, Clayton Christensen,THT's goals with this grants program is to disrupt how the social services sector serves the community in a way that is simpler and less expensive than traditionally has been done. THT awarded two grants to Catholic Charities of Santa Clara County (CCSSC). The first grant in the amount of $100,000 is for the Step Up Silicon Valley initiative to explore a venture capital approach to funding nonprofits based on performance that saves taxpayers money. The second grant to CCSSC in the amount of $50,000 is to train low-income Latina women to set up their own physical activity and nutrition instructor businesses, that will be more affordable, accessible and culturally tailored than traditional health clubs. Additionally, $127,722 was awarded to the Community Technology Alliance to explore the feasibility of providing basic mobile phone services to homeless and extremely low-income persons. The intention is to provide seamless access to health care, employment and housing for low-income persons via cell phones. $50,000 was awarded to the Law Foundation of Silicon Valley, Health Legal Services, to explore ways to provide legal advice and basic legal services on the web for those who cannot afford an attorney. $100,000 was awarded to the Greenbelt Alliance to develop a new system to engage neighborhoods in community land use issues using web and mobile devices.In order to qualify for funding, these agencies had to be more than innovative. Simply doing what they do better or more efficiently was not enough. They had to show that their innovations would be 'disruptive', meaning they would serve an untapped market at a reduced cost and provide "good enough" service that would improve the wellbeing of low-income individuals and communities.Chronic Disease Prevention and Management. This strategy has three main components: Community-based Chronic Disease Prevention, Chronic Disease Self-Management (aka Better Choices Better Health) Classes, and AIDS Services. During FY 2012, over 2,500 individuals received Chronic Disease Prevention and or self-management services through home- and community-based health education, resulting in increased knowledge about screening for and prevention of chronic diseases. Key CDSM outcomes include an increase in behaviors that help manage disease such as physical activity and healthy eating, reduction in disease symptoms, increased self-efficacy for disease management, and reduction in hospitalizations. Another important aspect of the prevention of chronic disease involves targeting communities with higher rates of obesity and certain chronic conditions. THT continues to work closely with the local Mexican Consulate. A number of services are provided with funding through the Ventanilla De Salud program, most focused on reducing obesity. The Health Trust, in partnership with Second Harvest Food Bank and the Mexican Consulate, provides fresh and healthy produce to eligible families through a monthly Produce Mobile. By bringing the produce to Tropicana Shopping Center, a central location for the surrounding community, the Produce Mobile increases access and affordability of fresh fruits and vegetables, and in turn, combats the obesity trend and all of the associated health risks among residents of the county. In fiscal year 2012, over 130,000 lbs of fresh produce was distributed to individuals through this program. Within the AIDS Services program, The Health Trust offers Social Work Case Management Services, Level 1 Case Management, Nursing Case Management, Transportation Assistance, Food Support, Home Health, Housing Assistance, and Emergency Funds. Key outcomes of AIDS Services included improved medication adherence, and utilization of routine medical care. Additional outcomes achieved included increased capacity to remain in stable, affordable and permanent housing and improved nutrition. The Health Trust also used Ryan White Transitional Housing Services funds to provide housing assistance to HIV+ clients in Santa Clara County in the form of short term emergency housing (such as motels for homeless who cannot stay in a shelter for medical reasons), short term emergency rental assistance, and short term subsidy assistance for up to two years. Supportive services are also provided in the form of Housing Specialists to assist with housing placement and advocacy, and a Self-Sufficiency Coordinator to assist clients in transitioning to more permanent housing placement.Oral Health. The Healthy Communities Initiative seeks to ensure access to oral health services, including home- and community-based oral health education, as well as clinical services for children. During FY 2012 The Health Trust provided almost 28,000 preventive and restorative visits to over 11,000 low-income children through its Children's Dental Center. To address the needs of families in the northern part of the County, The Health Trust opened a second dental clinic, again in partnership with the Children's Dental Group, in Sunnyvale CA in June of 2011 and has continued its oral health education campaign in this area. Additionally, the Health Trust continued its campaign to bring fluoride to the water supply in Santa Clara County. In November 2011, a major milestone was reached when the Santa Clara Valley Water District Board passed a policy vote to fluoridate their water system. Health Care Linkages. The Health Trust's Family Health Insurance program (FHI) provides assistance to families looking to enroll children in Medi-Cal, Healthy Families, Healthy Kids, and Kaiser Child Health Plan. Children are eligible if they are under age 19, currently uninsured, a resident of Santa Clara County and if their family income is equal to, or below, 300% of the federal poverty level. Parents do not need to have immigration documentation in order to enroll their children, and undocumented children are also eligible for some programs. In addition to enrolling children, Health Trust staff follows up with families to ensure that they choose a medical and dental home, and also to assist with re-enrollment requirements. For parents of enrolled children, staff suggest resources and referrals to health education opportunities such as chronic disease self management classes and free or low-cost clinics. In fiscal year 2012, The Health Trust assisted in the enrollment or re-enrollment of 5746 children in health insurance programs. We also provide services at the Mexican Consulate, where we assist Mexican citizens with pre-registration, or pre-affiliation, for Seguro Popular, the Mexican health program for residents of Mexico.
4b (Code:   ) (Expenses $ 2,495,258 including grants of $ 255,952 ) (Revenue $   )
The Healthy Aging Initiative was launched in January 2008 and strikes a balance between primary prevention for promoting the health and wellness of older adults and approaches that acknowledge the unique service needs of an aging society. The initiative pursues a variety of strategies including (1) Leadership & Coordination through the Aging Services Collaborative, (2) Health Promotion Program Expansion, (3) Social Connection and Nutrition, (4) Caregiver Capacity Building and (5) Community Engagement of older adults. Specific accomplishments and outcomes for each of these strategies are listed below."Leadership & Coordination: Aging Services Collaborative. The Health Trust coordinates and provides leadership to the Aging Services Collaborative (ASC), a "consortium of organizations and individuals working together to provide leadership and build community-wide capacity to support, maintain, and promote the well-being of older adults and their caregivers in Santa Clara County." During FY 2012, 122 professionals and senior advocates, representing 87 organizations, participated in the ASC by attending professional development presentations, leading advocacy efforts to sustain safety net programs for seniors, engaging in community planning efforts for aging and by hosting two conferences. The ASC also developed and adopted a Policy Agenda."Health Promotion Program Expansion. This strategy focuses on increasing the capacity of organizations to provide best practice health promotion programs to older adults including physical activity, disease management and falls prevention. During FY 2012, 16,000 copies of Healthy Steps; an award winning health & wellness guide were distributed through workshops and presentations in partnership with 200+ organizations serving seniors."Social Connection and Nutrition. The Health Trust operates a Meals on Wheels (MOW) program that provides home-delivered meals to seniors and people with disabilities. In FY 2012, 67,137 meals were delivered to a total of 508 unduplicated individuals. Ninety-one percent of the MOW recipients reported that the MOW services are good or excellent. Ninety-nine percent reported that the MOW services were "somewhat or extremely important" in helping them to remain in their homes. 232 deliveries of groceries were also provided to our clients. "Caregiver Capacity Building. The Caregiver strategy was carried out in association with the Aging Services Collaborative (see above). During FY 2012, a Caregiver's Count conference was held with 120 attendees in multiple languages. In addition, a grant was made to research and analyze caregiver demographics and resources in Santa Clara County and for the preparation of a blueprint for action. "Community Engagement We continued to operate the AGEnts for Change program, engaging between 25 and 50 seniors in education and the development and implementation of a Social Action Plan. In addition, the Senior Peer Advocate program supported and trained a corps of 20 senior volunteers that provide information and assistance to seniors at 9 sites in the county.
4c (Code:   ) (Expenses $ 2,340,120 including grants of $ 1,126,498 ) (Revenue $   )
The Healthy Living Initiative focuses on increasing access to physical activity and nutrition through changing environments. This environmental change approach relies on leadership, partnerships, advocacy and policy development. Currently, two strategies have been prioritized within the initiative (1) Healthy Food Resources, and (2) Creating Healthy Places (formerly referred to as two separate strategies, Organizational Wellness and General Plan). Specific accomplishments and outcomes for each of the Healthy Living Initiative strategies are listed below.Healthy Food Resources: This strategy focuses on promoting and supporting community and school gardens, farmers markets, community supported agriculture, and mobile produce vending. The goals of the Healthy Food Resources strategy are to ensure that residents have access to affordable locally grown produce within mile of their neighborhood, and that residents meet the Healthy People 2020 objectives for daily fruit and vegetable consumption. In 2012, The Health Trust made 4 grants in this strategy, totaling $257,274. A grant of $50,000 was made to Ag Innovations to support the Santa Clara County Food System Alliance, an Alliance charged with identifying and implementing specific local policy and advocacy efforts and building greater local leadership and support. A grant of $100,000 was also provided to Our City Forest, to develop and bring to scale a fruit tree stewardship program for low-income residents. Two additional grants were made to support the planning and evaluation of the Healthy Food Resources strategy including a $57,274 grant to Karp Resources, to create a program design and business plan for Fresh Carts, a mobile produce vending program, and a $50,000 grant to The Food Trust to evaluate the FY 2011 cohort of Healthy Food Resources grantees. During 2012, The Health Trust also launched Campaign for Healthy Food San Jose, an effort to change city policies that make it costly and time-intensive to bring new healthy food resources into San Jose. Additionally, during 2012, The Health Trust began the 1st year of its second three-year AmeriCorps grant that annually will place up to 24 full-time AmeriCorps members with 11 partner garden organizations with the goal of increasing access to and consumption of fruits and vegetables in low-income neighborhoods. Evaluation results for this project show increased availability of fresh fruit and vegetables, increased knowledge about healthy eating, and increases in fruit and vegetable consumption among children and youth. Creating Healthy Places: During 2012, The Health Trust provided 13 new grants in aggregate amount of $772,600. 4 grants, totaling $285,000, were made to California WALKS, Greenbelt Alliance, Mt. Madonna, a branch of YMCA of Silicon Valley, and TransForm, to support efforts to change policies and create systems to increase neighborhood walkability and transportation. 4 grants, totaling $213,500, were made to address policy and systems barriers to increasing access to healthy food in low-income communities. These grants included grants to Children's Discovery Museum, My Three Squares, Valley Medical Center Foundation, and Working Partnerships USA. 3 grants were made to San Benito County, totaling $191,500, to create new opportunities for youth to access healthy food and physical activity, as well as build the capacity of youth to promote and make policy and environmental changes in their community. In addition, a grant of $75,000 was made to Generations Community Wellness to change faith-based organizational practice and policies to promote healthy eating and active living, and a grant of $7,600 was made to Change Lab Solutions, to provide technical assistance on model Farmers' Market policies, as part of Campaign for Healthy Food San Jose.
4d Other program services (Describe in Schedule O.)
(Expenses $ 1,668,139 including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 13,409,384
Form 990 (2011)
Form 990 (2011)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
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 IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
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 IIIClick to see attachment........................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which 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 IClick to see attachment....................
6
Yes
 
7
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 IIClick to see attachment...
7
 
No
8
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....................
8
 
No
9
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 IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
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:
a
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
 
b
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
Yes
 
c
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
 
No
d
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
 
No
e
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
Yes
 
f
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
 
b
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
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Part I......... Click to see attachment
14b
Yes
 
15
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.. Click to see attachment
15
 
No
16
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.. Click to see attachment
16
 
No
17
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 IClick to see attachment
17
Yes
 
18
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.......... Click to see attachment
18
Yes
 
19
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................... Click to see attachment
19
 
No
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H.....
20a
 
No
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statement to this return? Note. All Form 990 filers that operated one or more hospitals must attach audited financial statements.
20b
 
 
Form 990 (2011)
Form 990 (2011)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
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
22
 
No
23
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................ Click to see attachment
23
Yes
 
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
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
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
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
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...... Click to see attachment
25a
 
No
b
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................ Click to see attachment
25b
 
No
26
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......................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III......... Click to see attachment
27
 
No
28
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
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
Yes
 
c
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.. Click to see attachment
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule MClick to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............ Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
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........
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1.....................
34
 
No
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, 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...
35b
 
No
36
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...........
36
 
No
37
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
37
 
No
38
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. ............
38
Yes
 
Form 990 (2011)
Form 990 (2011)
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
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
171
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
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 .....................
2a
199
b
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)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
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)?.......................
4a
 
No
b
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.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
No
6a
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?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
No
7
Organizations that may receive deductible contributions under section 170(c).
a
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?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
No
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
0
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
No
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
No
8
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?................
8
 
No
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
No
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
No
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
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
 
No
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
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
 
No
b
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
 
c
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
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
No
Form 990 (2011)
Form 990 (2011)
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
No
1a
Enter the number of voting members of the governing body at the end of the tax year
If the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
1a
18
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
17
2
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? .................
2
 
No
3
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? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? .................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ............
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ..........
8b
Yes
 
9
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 .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? ....
10b
 
No
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done ....................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
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?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes," to line 15a or 15b, 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
 
No
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
No
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
CA
18
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 made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
Ira Holtzman
3180 Newberry Dr Suite 200
San Jose,CA95118
(408) 513-8700
Form 990 (2011)
Form 990 (2011)
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.

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

RoundBullet 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.

RoundBullet 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 (do not check more than one box, unless person is both an officer and a director/trustee) 		(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
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) Cindy Chavez
Board Member
 2.00 X           0 0 0
(2) Roberta Robins
Board Member
 2.00 X           0 0 0
(3) Monique Lambert
Board Member
 2.00 X           0 0 0
(4) William Rewack
Board Member
 2.00 X           0 0 0
(5) Emily Lam
Board Member
 2.00 X           0 0 0
(6) Michael Celio
Board Member
 2.00 X           0 0 0
(7) Darren Cde Baca
Board Member
 2.00 X           0 0 0
(8) David Katz
Board Member
 2.00 X           0 0 0
(9) Kathy McCarthy
Board Member
 2.00 X           0 0 0
(10) Marianne Jackson
Board Member
 2.00 X           0 0 0
(11) Charles Bullock
Board Member
 2.00 X           0 0 0
(12) Juan Benitez
Board Member
 2.00 X           0 0 0
(13) Cindy Ruby
Board member
 2.00 X           0 0 0
(14) Martin Fishman MD
Board Member
 2.00 X           0 0 0
(15) Ruma Kumar MD
Board member
 2.00 X           0 0 0
(16) Karen Danna
Board Member
 2.00 X           0 0 0
(17) Frederick Ferrer
CEO
 40.00 X   X       250,702 0 34,802
Form 990 (2011)
Form 990 (2011)
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 (do not check more than one box, unless person is both an officer and a director/trustee) 		(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
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) Richard Triolo
Board member
 2.00 X           0 0 0
(19) Michael Barsanti
Board member
 2.00 X           0 0 0
(20) Ira Holtzman
CFO
 40.00     X       208,842 0 20,113
(21) Todd Hansen
COO
 40.00     X       215,973 0 34,889
(22) Paul Hepfer
VP Programs
 40.00         X   118,551 0 7,187
(23) Jennifer Loving
DH, Exec Dir
 40.00         X   132,420 0 18,523
(24) Vandana Pant
Fund Dev Dir
 40.00         X   128,768 0 15,921
(25) Steve Rice
Controller
 40.00         X   101,903 0 9,625










1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 1,157,159   141,060
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet7
Yes
No
3
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 .............
3
 
No
4
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...........................
4
Yes
 
5
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 .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
Mac-Palmetto GBA
PO Box 1332
Augusta,GA30903 		Consulting 261,087
Cobe Construction
2470 Winchester Blvd Ste D
Campbell,CA95008 		Construction 229,200
City of Morgan Hill
495 Alkire Ave
Morgan Hill,CA95037 		Consulting 119,961
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet3
Form 990 (2011)
Form 990 (2011)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e 4,942,424
f All other contributions, gifts, grants, and
similar amounts not included above1f 		1,621,957
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 6,564,381
Program Service Revenue Business Code
2a Nonprofit Support   1,706,766   1,706,766  
b Health Trust Programs   732,046 732,046    
c Discontinued Ops   131,941 131,941    
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 2,570,753
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 1,402,082     1,402,082
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties............MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 90,000  
b Less: rental expenses 175,100  
c Rental income or (loss) -85,100  
d Net rental income or (loss).......MediumBullet -85,100     -85,100
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 50,207,889  
b Less: cost or other basis and sales expenses 48,518,472  
c Gain or (loss) 1,689,417  
d Net gain or (loss)..........MediumBullet 1,689,417     1,689,417
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a 54,737
b Less: direct expenses ...b 19,384
c Net income or (loss) from fundraising events..MediumBullet 35,353   35,353
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...MediumBullet 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..MediumBullet 0      
Miscellaneous Revenue Business Code
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 0
12 Total revenue. See Instructions....MediumBullet 12,176,886 863,987 1,706,766 3,041,752
Form 990 (2011)
Form 990 (2011)
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).
Check if Schedule O contains a response to any question in this Part IX. .........
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 United States. See Part IV, line 21 2,947,920 2,947,920
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 0  
3 Grants and other assistance to governments, organizations, and individuals outside the United States. 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 .... 675,215 138,009 470,770 66,436
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 4,701,365 3,816,455 686,935 197,975
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 326,478 236,260 75,972 14,246
9 Other employee benefits ....... 1,548,308 1,120,453 360,294 67,561
10 Payroll taxes ........... 444,460 342,203 82,721 19,536
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 49,514   49,514  
c Accounting ........... 70,622   70,622  
d Lobbying ........... 0      
e Professional fundraising. See Part IV, line 17.. 30,935 30,935
f Investment management fees ...... 976,662   976,662  
g Other .......... 497,885 464,534 33,351  
12 Advertising and promotion .... 8,875 6,393 1,815 667
13 Office expenses ....... 788,252 708,509 57,341 22,402
14 Information technology ...... 0      
15 Royalties .. 0      
16 Occupancy ........... 1,524,599 1,274,083 167,751 82,765
17 Travel ............ 122,002 87,877 24,951 9,174
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 0      
20 Interest ........... 0      
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 495,551 456,154 32,940 6,457
23 Insurance .............. 86,328 22,206 64,122  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a In-kind rent & services -307,025 -257,290 -32,851 -16,884
b Offsets to revenue -19,384     -19,384
c Other 147,209 106,033 30,106 11,070
d Purchased services 2,042,177 1,939,585 82,557 20,035
e
f All other expenses 0      
25 Total functional expenses. Add lines 1 through 24f 17,157,948 13,409,384 3,235,573 512,991
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2011)
Form 990 (2011)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ..........   1 0
2 Savings and temporary cash investments ....... 3,854,799 2 3,115,228
3 Pledges and grants receivable, net .........   3 0
4 Accounts receivable, net ......... 3,382,695 4 1,376,478
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5 0
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 0
7 Notes and loans receivable, net .............   7 0
8 Inventories for sale or use ..............   8 0
9 Prepaid expenses and deferred charges ............ 188,976 9 306,484
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 11,789,032
b Less: accumulated depreciation. ..... 10b 2,466,710 8,750,026 10c 9,322,322
11 Investments—publicly traded securities .......... 78,131,300 11 73,932,993
12 Investments—other securities. See Part IV, line 11 ...... 23,187,523 12 19,499,104
13 Investments—program-related. See Part IV, line 11 ..   13 0
14 Intangible assets .........   14 0
15 Other assets. See Part IV, line 11 ........... 2,431,665 15 2,403,428
16 Total assets. Add lines 1 through 15 (must equal line 34)... 119,926,984 16 109,956,037
Liabilities 17 Accounts payable and accrued expenses . 2,256,331 17 1,740,065
18 Grants payable .......... 2,427,949 18 1,609,919
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 (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D..... 589,158 25 224,031
26 Total liabilities. Add lines 17 through 25..... 5,273,438 26 3,574,015
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 109,690,102 27 102,097,262
28 Temporarily restricted net assets ..... 4,605,025 28 3,923,771
29 Permanently restricted net assets ..... 358,419 29 360,989
Organizations that do not follow SFAS 117, check here MediumBullet 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 ..... 114,653,546 33 106,382,022
34 Total liabilities and net assets/fund balances ..... 119,926,984 34 109,956,037
Form 990 (2011)
Form 990 (2011)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI .........
1
Total revenue (must equal Part VIII, column (A), line 12) ...
1
12,176,886
2
Total expenses (must equal Part IX, column (A), line 25) ....
2
17,157,948
3
Revenue less expenses. Subtract line 2 from line 1 ...
3
-4,981,062
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
114,653,546
5
Other changes in net assets or fund balances (explain in Schedule O) ...
5
-3,290,462
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) ....
6
106,382,022
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII .........
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?....
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
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. ...........................
2c
Yes
 
d
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:
3a
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? ................
3a
Yes
 
b
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. ..
3b
Yes
 
Form 990 (2011)
Additional Data


Software ID: 11000144
Software Version: 2011v1.5
Form 990, Special Condition Description:
Special Condition Description
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.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
The Health Trust
 
Employer identification number

94-6050231
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
f
g
(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 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
(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?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (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) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (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).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . 5,005,306 5,244,339 5,058,140 8,878,614 6,564,381 30,750,780
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...... 1,222,020 1,778,487 1,770,908 3,688,635 2,570,753 11,030,803
3 Gross receipts from activities that are not an unrelated trade or business under section 513..           0
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...           0
5 The value of services or facilities furnished by a governmental unit to the organization without charge..           0
6 Total. Add lines 1 through 5. 6,227,326 7,022,826 6,829,048 12,567,249 9,135,134 41,781,583
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...           0
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.           0
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)           41,781,583
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
9 Amounts from line 6... 6,227,326 7,022,826 6,829,048 12,567,249 9,135,134 41,781,583
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 2,241,668 3,504,430 2,263,771 1,506,883 1,402,082 10,918,834
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.           0
c Add lines 10a and 10b. 2,241,668 3,504,430 2,263,771 1,506,883 1,402,082 10,918,834
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.           0
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)           0
13 Total support (Add lines 9, 10c, 11 and 12.). 8,468,994 10,527,256 9,092,819 14,074,132 10,537,216 52,700,417
14
Section C. Computation of Public Support Percentage
15
15
79.280 %
16
16
76.930 %
Section D. Computation of Investment Income Percentage
17
17
20.720 %
18
18
23.070 %
19a
b
20
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
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
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2011

Additional Data


Software ID: 11000144
Software Version: 2011v1.5
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2011
Name of organization
The Health Trust
 
Employer identification number

94-6050231
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2, of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 2
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
The Health Trust
  		Employer identification number

94-6050231
Part I
Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 3
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
The Health Trust
  		Employer identification number

94-6050231
Part II
Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 4
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
The Health Trust
  		Employer identification number

94-6050231
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
Use duplicate copies of Part III if additional space is needed
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Additional Data


Software ID: 11000144
Software Version: 2011v1.5
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public
Inspection
If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
The Health Trust
 
Employer identification number

94-6050231
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2011

Schedule C (Form 990 or 990-EZ) 2011
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check expenses, and share of excess lobbying expenditures).
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ....... 3,109  
c Total lobbying expenditures (add lines 1a and 1b) ................... 3,109  
d Other exempt purpose expenditures ........................ 17,174,223  
e Total exempt purpose expenditures (add lines 1c and 1d) ............... 17,177,332  
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		 1,000,000  
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) ................. 250,000  
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) Total
             
2a Lobbying non-taxable amount 946,375 967,474 946,764 1,000,000 3,860,613
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		        5,790,920
             
c Total lobbying expenditures 5,745 16,000 650 3,109 25,504
             
d Grassroots nontaxable amount 236,594 241,869 236,691 250,000 965,154
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		         1,447,731
             
f Grassroots lobbying expenditures 5,200 11,200     16,400
Schedule C (Form 990 or 990-EZ) 2011


Schedule C (Form 990 or 990-EZ) 2011
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
 
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
 
 
i
Other activities? ..........................
 
 
 
j
Total. Add lines 1c through 1i ...............................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2 are answered “No” OR (b) Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, Part II-A; line 5; and Part ll-B, line 1.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
Schedule C (Form 990 or 990EZ) 2011

Additional Data


Software ID: 11000144
Software Version: 2011v1.5

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
The Health Trust
 
Employer identification number

94-6050231
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 ....... 1  
2 Aggregate contributions to (during year) ... 1,670  
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year ....... 192,508  
5
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? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can 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? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the 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, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
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)? ....................................
9
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.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), 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.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), 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 $  
2
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 (ASC 958), relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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) 2011

Schedule D (Form 990) 2011
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
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?........
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
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 (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 4,963,544 1,712,668 2,954,254  
b Contributions ........ 1,206,636 4,297,637 1,058,862  
c Net investment earnings, gains, and losses ... -17,759 216,155 326,451  
d Grants or scholarships .....        
e Other expenditures for facilities
and programs ........ 		1,867,661 1,263,016 2,626,899  
f Administrative expenses ....        
g End of year balance ...... 4,284,760 4,963,444 1,712,668  
2
Provide the estimated percentage of the year end balance (line 1g) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet8.400 %
c
Temporarily restricted endowment SchDMd Bullet91.600 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
No
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land ................. 7,022,250   7,022,250
b Buildings ................ 370,000   342,250 27,750
c Leasehold improvements ............   2,526,336 961,485 1,564,851
d Equipment ................   1,870,446 1,162,975 707,471
e Other .................        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 9,322,322
Schedule D (Form 990) 2011

Schedule D (Form 990) 2011
Page 3
Part VII
Investments—Other 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) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 19,499,104
Part VIII
Investments—Program 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) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Book value
Federal Income Taxes  
Accrued expense--discontinued operations 224,031








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 224,031
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) 2011

Schedule D (Form 990) 2011
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 12,176,886
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 17,157,948
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 -4,981,062
4 Net unrealized gains (losses) on investments .......................... 4 -3,290,462
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV.) ................................. 8  
9 Total adjustments (net). Add lines 4 through 8 ......................... 9 -3,290,462
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 -8,271,524
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 7,897,120
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a -3,290,462
b Donated services and use of facilities ......... 2b 307,025
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV.) ............ 2d 19,384
e Add lines 2a through 2d ..................... 2e -2,964,053
3 Subtract line 2e from line 1..................... 3 10,861,173
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 976,661
b Other (Describe in Part XIV.) ........... 4b 339,052
c Add lines 4a and 4b....................... 4c 1,315,713
5 Total Revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 12,176,886
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 16,168,644
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a 307,025
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV.) ............ 2d 19,384
e Add lines 2a through 2d...................... 2e 326,409
3 Subtract line 2e from line 1..................... 3 15,842,235
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 976,661
b Other (Describe in Part XIV.) ............ 4b 339,052
c Add lines 4a and 4b....................... 4c 1,315,713
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 17,157,948
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
Part X Part X : FIN48 Footnote Generally accepted accounting principles provide accounting and disclosure guidance about positions taken by an organization in its tax returns that might be uncertain. Management has considered its tax positions and believes that it has appropriate support for its tax positions taken on its unrelated business taxable income relating to its Financial and Administration Support Services program and that all of the positions taken by the Organization in its federal and state exempt organization tax returns are more likely than not to be sustained upon examination.
Part XIII, Line 4b Part XIII, Line 4b: Other revenue amounts included on 990 but not included in F/S Reclass invest inc offset $339052
Part XIII, Line 2d Part XIII, Line 2d: Other expenses and losses per audited F/S Special event expense $19384 Rental expense $0
Part XII, Line 4b Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Reclass from investment income $339052
Part XII, Line 2d Part XII, Line 2d: Other revenue amounts included in F/S but not included on form 990 Special event expense $19384
Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Adoption of FASB ASC 820-10 $ -0
Part V, Line 4 Part V, Line 4: Intended uses of the endowment fund. Permanently restricted net assets consist of endowment fund investments to be held indefinitely, the income from which is used to support various programs.
Schedule D (Form 990) 2011

Additional Data


Software ID: 11000144
Software Version: 2011v1.5




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
The Health Trust
 
Employer identification number

94-6050231
Part I
General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants
and other assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? ..............................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other
assistance outside the United States.
3
Activites per Region. (Use Part V if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees or agents in region or independent contractors (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total
expenditures for region/investments
in region
Central Amer-Caribbean 0 0 Investment Investment 15,700,000
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .....     15,700,000
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)     15,700,000
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2011
Schedule F (Form 990) 2011
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet
Use Part V if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount of
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .....MediumBullet
 
3
Enter total number of other organizations or entities ........................MediumBullet
 
Schedule F (Form 990) 2011
Schedule F (Form 990) 2011Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Part V if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2011
Schedule F (Form 990) 2011
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................
2 Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................
Schedule F (Form 990) 2011
Schedule F (Form 990) 2011
Page 5
Part V
Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
Identifier ReturnReference Explanation
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2011
Additional Data


Software ID: 11000144
Software Version: 2011v1.5



SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,or if the organization entered more than $15,000 on Form 990-EZ, line 6a.right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
The Health Trust
 
Employer identification number

94-6050231
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
P Harris
3828 solstice A
 
Merced, CA95348 		Grant writer   No 40,000 5,275 34,725
Netherland
PO Box 5338
 
Berkeley, CA94705 		Grant writer   No 391,199 20,375 370,824
Total .................right arrow 431,199 25,650 405,549
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2011
Schedule G (Form 990 or 990-EZ) 2011
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

Dine for Life
(event type) 		(b) Event #2

 
(event type) 		(c) Other Events

  
(total number) 		(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 54,737     54,737
2 Less: Charitable
contributions . . . 		       
3 Gross income (line 1
minus line 2) . . . 		54,737     54,737
VerticalDirectExpenses 4 Cash prizes . . .        
5 Non-cash prizes . .        
6 Rent/facility costs . .        
7 Food and beverages . .        
8 Entertainment . . .        
9 Other direct expenses . 19,384     19,384
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 19,384
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow 35,353
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ..........................
Schedule G (Form 990 or 990-EZ) 2011
Schedule G (Form 990 or 990-EZ) 2011
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2011
Additional Data


Software ID: 11000144
Software Version: 2011v1.5
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
2011
Open to Public
Inspection
Name of the organization
The Health Trust
 
Employer identification number
94-6050231
Part I
General Information on Grants and Assistance
1
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? ....................................
2
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 (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) Youth Alliance310 Fourth Street Suite 101
Hollister,CA95023 		77-0377245 501(c)(3) 75,000 0     See schedule O
(2) YMCA of Silicon Valley1922 The Alameda 3rd Fl
San Jose,CA95126 		94-1156318 501(c)(3) 60,000 0     See schedule O
(3) YMCA of San Benito351 Tres Pinos Road A-201
Hollister,CA95023 		77-0202335 501(c)(3) 55,000 0     See schedule O
(4) Working Partnership USA2102 Almaden Road Suite 107
San Jose,CA95125 		77-0387535 501(c)(3) 91,900 0     See schedule O
(5) Valley Medical Ctr Fdn2400 Moorpark Ave Ste 207
San Jose,CA95128 		77-0187890 501(c)(3) 57,500 0     See schedule O
(6) TransForm436 14th Street Suite 600
Oakland,CA94612 		72-1521579 501(c)(3) 60,000 0     See schedule O
(7) The Food Trust1617 John F Kennedy Blvd
Philadelphia,PA19103 		23-2678383 501(c)(3) 50,000 0     See schedule O
(8) Sutherland-Edwards1204 Preservation Park Way
Oakland,CA94612 		20-5975676   30,000 0     See schedule O
(9) Sta Cla Cty Health System828 South Bascom 280
San Jose,CA95128 		94-6000533 115 25,000 0     See schedule O
(10) School Health Clinics5671 Santa Teresa Blvd Ste 105
San Jose,CA95123 		77-0031679 501(c)(3) 191,151 0     See schedule O
(11) Santa Clara University500 El Camino Real
Santa Clara,CA95053 		94-1156617 501(c)(3) 9,000 0     See schedule O
(12) San Benito County481 Fourth Streeet
Hollister,CA95023 		94-6000530 115 61,500 0     See schedule O
(13) Public Health Law & Policy2201 Broadway Suite 502
Oakland,CA94612 		26-3710746 501(C)(3) 7,600 0     See schedule O
(14) Public Health Institute555 12th Street
Oakland,CA94607 		94-1646278 501(C)(3) 264,973 0     See schedule O
(15) Our City Forest1590 Las Plumas Ave
San Jose,CA95133 		77-0371911 501(c)(3) 100,000 0     See schedule O
(16) New Directions thru Hlthcare1215 K St 730
Sacramento,CA95814 		86-1174825 501(c)(3) 25,000 0     See schedule O
(17) My Three Squares3150 18th St 315
San Francisco,CA94110 		45-3059509 501(c)(3) 50,000 0     See schedule O
(18) Karp ResourcesPO Box 515
Southold,NY11971 		11-3021350   57,274 0     See schedule O
(19) InnVision1900 The Alameda Suite 400
San Jose,CA95126 		77-0033628 501(c)(3) 30,000 0     See schedule O
(20) Heart of the Valley ServicesPO Box 418
Ssnta Clara,CA95052 		77-0154535 501(c)(3) 76,250 0     See schedule O
(21) Healthcare Fdn of Nor CA1215 K St 730
Sacramento,CA95814 		86-1174825 501(c)(3) 57,000 0     See schedule O
(22) Health Legal Service152 N Third St 3rd Fl
San Jose,CA95112 		52-1014754 501(c)(3) 50,000 0     See schedule O
(23) Greenbelt Alliance312 Sutter St Suite 510
San Francisco,CA94108 		94-1676747 501(c)(3) 165,000 0     See schedule O
(24) Grantmakers in Health1100 Connecticut Ave NW 1200
Washington,DC20036 		13-3206571 501(c)(3) 6,675 0     See schedule O
(25) Generations Comm Wellness1250 Oakmead Parkway 109
Sunnyvale,CA94085 		20-0737711 501(c)(3) 75,000 0     See schedule O
(26) Gardner Famly Care Cor160 East Virginia St
San Jose,CA95112 		94-1743078 501(c)(3) 100,000 0     See schedule O
(27) Family Caregiver Alliance785 Market Street Suite 750
San Francisco,CA94103 		94-2687079 501(c)(3) 20,000 0     See schedule O
(28) EHC Life Builders507 Valley Way
Milpitas,CA95035 		94-2684272 501(c)(3) 196,250 0     See schedule O
(29) Downtown Streets Team480 Lytton Ave Suite 2A
Palo Alto,CA94301 		20-5242330 501(c)(3) 75,000 0     See schedule O
(30) Council on Aging Silicon Valley2115 The Alameda
San Jose,CA95126 		94-2256503 501(c)(3) 25,000 0     See schedule O
(31) Community Tech Alliance1671 The Alameda 300
San Jose,CA95126 		77-0286926 501(c)(3) 154,222 0     See schedule O
(32) City of San Jose200 E Santa Clara St
San Jose,CA95113 		94-6000419 115 5,500 0     See schedule O
(33) Childrens Discovery Museum180 Woz Way
San Jose,CA95110 		94-2870828 501(c)(3) 38,500 0     See schedule O
(34) Catholic Charities2625 Zanker Road
San Jose,CA95134 		94-2762269 501(c)(3) 155,000 0     See schedule O
(35) California WALKS1904 Franklin Street 709
Oakland,CA94612 		81-0618523 501(c)(3) 100,000 0     See schedule O
(36) California Dental Assn Fdn1201 K St Ste 1511
Sacramento,CA95814 		68-0411536 501(c)(3) 135,000 0     See schedule O
(37) Asian Americans for Community2400 Moorpark Ave Ste 300
San Jose,CA95128 		99-2292491 501(c)(3) 175,000 0     See schedule O
(38) AG Innovations Network101 Morris St 212
Sebastopol,CA95472 		68-0462304 501(c)(3) 50,000 0     See schedule O
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
35
3
Enter total number of other organizations listed in the line 1 table ......................... . Bullet Image
3
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2011

Schedule I (Form 990) 2011
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
Grantmaker's Description of How Grants are Used   Once grant contracts are signed by all parties and grants payments are issued, the grantee provides The Health Trust with:-Interim narrative report and budget of funds spent to-date at the mid-point of the grant period-Final narrative report and budget of funds spent during the grant periodPer the contract, the final report shall indicate the objectives of the Grant as outlined in the Proposal, the outputs and outcomes achieved, and any problems or obstacles encountered in the effort to achieve the Grant purposes. The financial report shall be prepared in accordance with regular accounting standards consistently applied for all periods during which Grant funds are received and shall show actual expenditures against the approved line item budget. Such reports shall be retained in the Grantee's files for a period of not less than four (4) years after expiration of the Grant period.Expenditures of the Grant funds must adhere to the specific line items in the budget included in the Proposal. Transfers among line items (increases and decreases) are permitted if they do not in the aggregate exceed 10% of any line item. Budget variances in excess of 10% of any line item require prior written Trust and shall not, in the aggregate, result in an increase to the total budget for the Grant. If any of the Grant funds have not been expended during the budget period of the Grant, the unspent funds shall be promptly returned to the Trust within thirty days of the expiration of that period unless otherwise agreed in writing by the Trust. The Grantee shall identify and account for the Grant separately on its general ledger. A systematic record shall be kept by the Grantee of the receipt and disbursement of funds and expenditures incurred under the terms of the Grant, and substantiating documents such as bills, invoices, canceled checks, and receipts, shall be retained in the Grantee's files for a period of not less than four (4) years after expiration of the Grant period. In FY11, substantially all of The Health Trust grants went to 501(C)3 or governmental entities. The Health Trust exercised expenditure responsibility for non-501(c)(3) grantees.
Schedule I (Form 990) 2011


Additional Data


Software ID: 11000144
Software Version: 2011v1.5


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
The Health Trust
 
Employer identification number

94-6050231
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
No
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2011

Schedule J (Form 990) 2011
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) Todd Hansen (i)
(ii)		 215,800
  		 
  		173
  		 
  		34,889
  		250,862
  		 
 
(2) Jennifer Loving (i)
(ii)		 132,420
  		 
  		 
  		 
  		18,523
  		150,943
  		 
 
(3) Ira Holtzman (i)
(ii)		 189,052
  		19,661
  		129
  		 
  		20,113
  		228,955
  		 
 
(4) Frederick Ferrer (i)
(ii)		 250,702
  		 
  		 
  		 
  		34,802
  		285,504
  		 
 












Schedule J (Form 990) 2011

Schedule J (Form 990) 2011
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
Schedule J (Form 990) 2011

Additional Data


Software ID: 11000144
Software Version: 2011v1.5
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
The Health Trust
 
Employer identification number

94-6050231
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2011
Schedule L (Form 990 or 990-EZ) 2011
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) David Holtzman Family member 61,132 Employee   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
    The son of one of the officers was employed as a CPA by the organization. The amount reflected above represents calendar year 2010 Form W-2 income. Employment of the individual was approved by the CEO and Chairman of the Board. The organization has implemented a process by which the individual does not report directly to the officer.
Schedule L (Form 990 or 990-EZ) 2011

Additional Data


Software ID: 11000144
Software Version: 2011v1.5




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
NonCash Contributions
Right pointing arrow large imageComplete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
The Health Trust
 
Employer identification number

94-6050231
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of Contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ... X 16 358,278  
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( Supplies ) X 13 5,098  
26 Other Right pointing arrow large image( )
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ............................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) 2011
Schedule M (Form 990) 2011
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33 and whether the organization is reporting in Part I, column (b) the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Identifier Return Reference Explanation
Schedule M (Form 990) 2011
Additional Data


Software ID: 11000144
Software Version: 2011v1.5
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
2011
Open to Public
Inspection
Name of the organization
The Health Trust
 
Employer identification number

94-6050231
Identifier Return Reference Explanation
  HEALTHY AGING INITIATIVE HEALTH PARTNERSHIP GRANTS: HEALTHY AGING INITIATIVECaregiver Support Family Caregiver AllianceInformal Caregivers: Blueprint for Action in Santa Clara County - $20,000 over 12 months to increase advocacy capacity of Santa Clara County stakeholders concerned about caregivers of older adults. Grant funds will support the production of a Santa Clara County Caregiver Report and recommendations for a caregiver policy agenda, service integration and education programs to be implemented by Aging Services Collaborative, AGEnts for Change volunteers, policymakers, and other stakeholders.Gardner Family Health Network - Adult Day Health Center - $25,000 To sustain community-based services for older adults and their caregivers by re-opening an Adult Day Health Center in East San Jose to provide culturally and linguistically appropriate services to frail older adults.Heart of the ValleyCommunity Volunteer Network- Silicon Valley (CVN-SV) - $76,250 over 18 months to create a formal collaborative to facilitate the coordination of volunteer programs in Santa Clara County among its nine members and to develop and pilot a model for an on-call volunteer program.Older Adult Nutrition and Social Connection Strategy Council on AgingSanta Clara County Senior Nutrition Task Force - $25,000 over 12 months to re-convene a Senior Nutrition Task Force to inform the development of a new county Request For Proposal for congregate meal programs for older adults.
  HEALTH PARTNERSHIP-HEALTHY COMMUNITIES HEALTH PARTNERSHIP GRANTS-HEALTHY COMMUNITIES INITIATIVEAddressing Root Causes of Health Disparities / Disruptive Innovation GrantsCatholic Charities Santa Clara County Public/Private Bond Financing Mechanisms in Santa Clara County - $100,000 over 12 months for a seed grant to study the feasibility of "social impact bonds" as a financing mechanism to improve health outcomes for Santa Clara County residents living in poverty.Catholic Charities Santa Clara County Cultivando Salud/Cultivating Health - $50,000 over 12 months for a seed grant to design and pilot a micro-enterprise model that trains community residents to serve their community as Community Zumba Instructors to improve health outcomes for low-income residents in San Jose.Community Technology Alliance ConnectSCC - $127,722 over 12 months for a seed grant to research feasible options and develop an implementation plan for reliable mobile phone service to homeless and extremely low-income individuals to increase access to health care, employment and housing resources and improve overall wellbeing. Greenbelt Alliance Our Backyard - $100,000 over 6 months for a seed grant to research and design an engagement model facilitated by mobile and web technology to encourage community stakeholders in a bottom-up approach to land-use activism to achieve health, environmental sustainability and social equity.Law Foundation of Silicon Valley Health Law Connect - $50,000 over 12 months for a seed grant to research and design a low-touch, legal services delivery model using technology to increase access to legal services and information for patients of Santa Clara Valley Medical Center and its clinic network to resolve issues related to the social and economic determinants of health.Chronic Disease Prevention and Management Strategy Asian Americans for Community InvolvementSilicon Valley Mpowerment Project - $170,000 over 24 months to prevent chronic disease by piloting Silicon Valley Mpowerment, a Center for Disease Control and Prevention approved HIV prevention intervention model that engages young, gay and bisexual men through personal networks and social activities and encourages personal and community empowerment.Oral Health and Community Water Fluoridation California Dental Association FoundationSanta Clara County Fluoridation - Year 4 - $135,000 over 12 months to continue to provide consultation and project management for the Santa Clara County Fluoridation Initiative.Working Partnerships USAImplementing Water Fluoridation in Santa Clara County - $16,900 over three months to fund a consultant to conduct an audit of Santa Clara Valley Water District to determine if the District has unallocated capital funds to support the installation of water fluoridation systems. Supporting Health Care Linkages StrategyGardner Family Health CenterThe Downtown Clinic - $75,000 over 12 months to increase access of low-income Santa Clara County residents to culturally appropriate primary care and wellness services. Grant funds will support startup expenses for a new community clinic on the site of the former San Jose Medical Center in downtown San Jose in partnership with the Santa Clara Valley Health & Hospital System. School Health Clinic of Santa Clara County - Matching Funds Support - $90,151To provide matching support for the establishment of a functional endowment that will provide long-term sustainability of School Health Clinic programs. School Health Clinics of Santa Clara County* (Legacy Grant)Core Operating Support - $100,000 over 12 months to increase access for low-income children and adolescents to age-appropriate preventive and primary care. This grant was made through the Lucile Packard Children's Hospital. Cross Cutting InitiativePublic Health Institute Public Health Professional Development Program - $264,973 over 12 months to implement a Public Health Professional Development Program and place three fellows at The Health Trust to support the work of The Health Trust Initiatives.
  HEALTH PARTNERSHIP GRANTS-HEALTHY LIVING HEALTH PARTNERSHIP GRANTS: HEALTHY LIVING INITIATIVEHealthy Food Resources Strategy Ag InnovationsSanta Clara County Food System Alliance - $50,000 over 24 months to provide facilitation and technical assistance support to the newly formed Santa Clara County Food System Alliance as it identifies and implements specific local policy and advocacy efforts and builds greater local leadership and support.Karp ResourcesFresh Carts Silicon Valley Business Planning - $57,274 over 12 months to research and recommend new or modified mobile vending policies to promote the implementation of the Fresh Carts model in the City of San Jose and create a program design and business plan for Fresh Carts Silicon Valley vendors.Our City Forest FruitWorks! - $100,000 over 24 months to increase the production, availability and consumption of healthy foods by developing and bringing to scale a fruit tree stewardship program and engaging and training low-income residents to plant and care for fruit trees.The Food TrustEvaluation of Healthy Food Resource Grantees - $50,000 over 24 months to evaluate the second cohort of Healthy Food Resources grantees.
  HEALTH PARTNERSHIP GRANTS-HEALTH LIVING HEALTH PARTNERSHIP GRANTS: HEALTHY LIVING INITIATIVE -Creating Healthy Places Strategy California WALKS STEPS: Sustainable Transportation Engagement for Pedestrian Safety - $100,000 over 24 months to partner with Catholic Charities of Santa Clara County to promote physical activity and active transportation (walking and biking) for residents of all ages by engaging residents to promote policy and land use changes to improve pedestrian safety and walkability in three East San Jose neighborhoods.Change Lab Solutions (formerly Public Health Law and Policy)Technical Assistance Grant to Communities Putting Prevention to Work - $7,600 over six months to increase access to healthy food resources by providing technical assistance to The Health Trust-led Campaign for Healthy Food San Jose on model policies, practices and programs.Children's Discovery MuseumFamily Foodways Caf Project - $38,500 over 12 months for consultation support to identify profitable solutions for operation of its food service to serve exclusively healthy foods to a customer base of children and families from diverse cultural and economic backgrounds.Generations Community WellnessCreating Healthy Faith-Based Places - $75,000 over 24 months to change faith-based organizational practice and policies to promote healthy eating and active living among members. Grant funds will support technical assistance to faith-based leaders and wellness committee members to develop and implement Healthy Food and Beverage Wellness Policies.Greenbelt Alliance Creating Healthy Places: A Model for Neighborhood-Level Planning - $65,000 over 24 months to implement health promoting policies from the revised San Jose general plan in the West San Carlos/Bascom neighborhood and to support the passage of the Mountain View General Plan with strong health promoting language.Mt. Madonna branch of YMCA of Silicon Valley South County Livable Community Project - $60,000 over 24 months to reduce transportation barriers to health promotion programs by changing transportation policy and practices to benefit both older adults and youth.My Three Squares SNAP Partners for Health - $50,000 over 24 months to increase affordability and consumption of healthy food by increasing Supplemental Nutrition Assistance Program (food stamp) enrollment by promoting SNAP outreach and healthy food retail at two grocery stores in the Washington neighborhood in San Jose.San Benito CountyCreating Healthy Places: Community Parks, Recreation, and Cultural Resources District - $61,500 over 12 months to protect and promote parks and recreational space to support physical activity in San Benito County by conducting a feasibility study to establish a special district to manage the operation of parks, recreation, and cultural resources.TransFormCreating Healthy Places in West San Carlos/Bascom and the Stevens Creek Corridor - $60,000 over 24 months to increase active transportation of Santa Clara County residents in West San Carlos/Bascom neighborhood and along the Stevens Creek Corridor through policy advocacy and community engagement.Valley Medical Center Foundation Farmers' Market at Valley Medical Center - $50,000, with another $100,000 to be awarded in FY13, upon the achievement of agreed upon objectives, to increase the availability of healthy food on County facilities through the development of policies and practices to allow for onsite operation of a farmers market and other healthy food resources, as well as a model for integrating those healthy food resources into County services and programs.Working Partnerships USA Healthy Eating Strategies - $75,000, with another $75,000 to be awarded in FY 13 upon the achievement of agreed upon objectives, to increase the availability of healthy foods at small retail outlets (i.e. corner stores) in high poverty census tracts through the adoption of a County Healthy Corner Store Policy.Youth Alliance Youth Advocates for Health - $75,000, with another $25,000 to be awarded in FY 13 upon the achievement of agreed upon objectives, to build advocacy capacity of youth to promote and make policy and environmental changes to support healthy eating and physical activity. YMCA of San Benito CountyCreating Healthy Youth: School Wellness Plan - $55,000 over 24 months to increase the availability and consumption of fruits and vegetables for students in the Hollister School District through a partnership between the school district, the Health and Human Services agency, County Park and Recreation and the local food bank.
  GRANT SUMMARY Health Partnership GrantsCurrent year total $2,365,870Adjustments to prior year grants_____ $110,067 Net Health Partnership Grants $2,255,803 Good Samaritan GrantsCurrent year total $128,728Adjustments to prior year grants___ $5,001 Net Good Samaritan Grants $123,727
  GRANT DETAIL - SUMMARY The Health Trust awarded a total of $3,104,163 in grants in fiscal year 2012. The Health Trust awarded 33 Health Partnership Grants totaling $2,365,870; 48 Good Samaritan Grants totaling $128,728; and 14 grants totaling $609,565 to support the work of Destination:Home, a program of The Health Trust. Health Partnership grants are made for medically-related purposes through our hospital sponsor, the Health & Hospital System of Santa Clara County (facilitated by its fund development entity, Valley Medical Center Foundation) unless noted with an asterisk. Good Samaritan grants support community events and projects such as health fairs, sponsored walks, or community convenings that directly support The Health Trust's Initiatives.
  GRANT DETAIL - GOOD SAMARITAN GRANTS GOOD SAMARITAN GRANTSAmerican Diabetes Association - $500 Feria De Salud 2011 on September 10, 2011American Diabetes Association - $500 One Week Camp from July 16-July 20, 2012American Leadership Forum- $5,000 Silicon Valley 2012 Exemplarary Leader Luncheon on May 3, 2012Andrew Hill High School - $200 7th Annual Sue Alves Memorial Gold Tournament on April 27, 2012Asian Americans for Community Involvement of Santa Clara County - $5,000 AACI Annual Fundraising Luncheon on April 26, 2012Bay Area Sports Organizing Committee - $1,000 2012 Bay Area Senior Games from March 10 - April 7, 2012Bay Area Women's Sports Initiative - $5,000 2012 BAWSI Sportsapolooza on May 23, 2012Breast Cancer Connections - $1,500 8th Annual Breast Cancer Conference on November 5, 2011Catholic Charities of Santa Clara County - $5,000 3rd Annual Caregivers Count Conference on March 17, 2012City of San Jose - $5,000 Lake Cunningham Regional Skate ParkCity of San Jose - $500 City of San Jose's 14th Annual Walk to End Domestic Violence on October 14, 2011Community Health Partnership - $3,200 Healthy Communities Training from July 8-18, 2012Community Technology Alliance - $1,500 Evening of Celebration on May 10, 2012Congregation Shir Hadash - $2,500 Healthy Living Health Fair 2012 on April 29, 2012Escuela Popular del Pueblo - $1,500 Escuela Popular and Stanford's Day of Service on May 12, 2012Gilroy Unified School District - $500 Challenge Day: Unifying High School Effect on March 7, 2012Grantmakers in Health - $6,675 General Operating SupportGuadalupe River Parks and Gardens - $500 Pumpkins in the Park on October 8, 2011Los Altos Rotary Endowment Fund - $500 Encore! Investigate Your Passion and Get Involved! On March 24, 2012Momentum for Mental Health - $1,250 Shining Stars Event on November 17, 2011Mountain View Police Activities League - $2,500 Kick, Lead, Dream Soccer Camp on June 18-July 2, 2012Office of Community Health, Stanford University School of Medicine - $500 Community Health Symposium on October 27, 2011On Lok Senior Health Services - $2,653 Bay Area Senior Health Policy Forum on Nov 30, 2011People Acting in Community Together - $5,000 PACT 2011 Leadership Luncheon on November 3, 2011Pioneer High School Service Learning - $250 Earth Day on April 20, 2012PlaneTree Library - $500 AWE*some Film Festival on April 28, 2012Planned Parenthood Mar Monte - $500 Santa Clara County Fifth Annual Children's Summit on January 27, 2012RotaCare Bay Area, Inc - $1,500 RotaCare Bay Area Gala on November 10, 2011San Benito High School District - $1,000 7th Annual Gifted Games on May 18, 2012San Jose Foothill Family Community Clinic - $1,000 IHS and Community Partners Grand Opening of Comprehensive School Based Health Center on November 29, 2011Santa Clara County Office of Women's Policy - $500 State of Women and Girls in SCC Santa Clara County Parks and Recreation Dept - $1,000 6th Annual Festival in the Park - Where Wellness Meets Fun on June 23, 2012Santa Clara University - $9,000 Strategic Planning Support Saratoga Area Senior Coordinating Council - $500 Saratoga Area Senior Coordinating Council Health Fair and Flu Shot Event on October 21, 2011School Health Clinics of Santa Clara County - $1,000 25th Anniversary Celebration on May 17, 2012Senior Housing Solutions - $5,000 Senior Housing Wellness Curriculum Pilot from September 18-November 8, 2011Silicon Valley Council of Nonprofits - $2,500 Be Our Guest 2011 Event on October 27, 2011Somos Mayfair - $500 Gracias A La Vida 2011 Luncheon on September 8, 2011South County Collaborative - $1,000 Bi-national Health Week Conference on October 6, 2011South Valley Community Church - $500 Get Up, Get Active & Get Healthy on May 16, 2012Sunday Friends - $500Nutrition Day Education on September 25, 2011Sutherland~Edwards, Consultants to Philanthropy - $30,000Organizational Capacity Building for Healthy Food Resources Grantees The Tower Foundation of San Jose State University - $500 Global Aging: Opportunities and Challenges in a Multicultural Society on April 18, 2012Valley Medical Center Foundation - $5,000 Laugh*Sing*Dance*Care on March 6, 2012Valley Medical Center Foundation - $2,500 Soiree Under the Stars on September 17, 2011YMCA of Silicon Valley - $5,000 YMCA Campo de los Ninos on August 7-13, 2011Yu-Ai Kai/Japanese American Community Senior Service of San Jose - $500 Yu-Ai Kai Health Living Series: March 10; June 9; Sept 22; Nov 17Yu-Ai Kai/Japanese American Community Senior Service of San Jose - $500Yu-Ai Kai Health Fair on April 29, 2012
  DESTINATION HOME GRANTS Destination: Home Grants Community Technology Alliance for Programmatic Support: $25,000Downtown Streets Team for Programmatic Support: $30,000Downtown Streets Team for Programmatic Support: $25,000Downtown Streets Team for Programmatic Support: $20,000EHC Life Builders for Programmatic Support: $71,250EHC Life Builders for Programmatic Support: $125,000Gilroy Compassion Center for Programmatic Support: $2,500Healthcare Foundation of Northern CA for Programmatic Support: $57,000InnVision, The Way Home for Programmatic Support: $30,000Milpitas Food Pantry for Programmatic Support: $2,500New Directions through Healthcare Foundation of Northern CA for Programmatic Support: $25,000Santa Clara County Health and Hospital System, Mental Health Department for Programmatic Support: $25,000The Health Trust for Programmatic Support: $100,000Expense Prepaid Grants for Programmatic Support: $71,315Current year total $609,565Adjustments to prior year grants ___ _____ $41,175 Net Destination: Home Grants $568,390Total Grants, less prior year: $2,947,920
Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The governing documents and conflict of interest policy are available for inspection upon request. Audited financial statements are posted on The Health Trust's website.
Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees The compensation of the CEO, COO and CFO is reviewed by the compensation committee of the board. Members of the compensation committee are independent with respect to the CEO, COO and CFO. The Health Trust regularly engages an outside compensation consultant to arrive at reasonable compensation. The outside consultant reviews comparability data from compensation studies and other sources in arriving at a range of reasonable compensation. The compensation committee reviews the report and data provided by the outside consultant and documents its compensation decisions on a contemporaneous basis. The board of directors reviews and approves the decisions of the compensation committee.
Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts A copy of the conflict of interest policy is reviewed and executed by each director and officer upon appointment or election, and then annually thereafter. By executing the policy the individual acknowledes the policy and agrees to comply with it. The executed acknowledgements are retained in the principal office of the Corporation.
Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process The Form 990 is reviewed by the Chief Financial Officer and by the Audit Commitee of the board of directors. A copy of the Form 990 is provided to the full board prior to filing.
Form 990, Part III, Line 4d Form 990, Part III, Line 4d : Other Program Services Description OTHER PROGRAM SERVICES 4: Financial Accounting and Support Services ($1,586,377) and tax reclassifications ($81,762)
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2011

Additional Data


Software ID: 11000144
Software Version: 2011v1.5