Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
HEALTH CARE WITHOUT HARM
Employer identification number
52-2358837
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
4,119,650
3,887,577
3,949,858
3,455,985
4,109,561
19,522,631
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
4,119,650
3,887,577
3,949,858
3,455,985
4,109,561
19,522,631
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)..
7,018,273
6
Public support. Subtract line 5 from line 4.
12,504,358
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
4,119,650
3,887,577
3,949,858
3,455,985
4,109,561
19,522,631
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
40,035
51,656
7,752
7,781
3,601
110,825
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
12,753
11,840
13,662
12,994
4,150
55,399
11
Total support (Add lines 7 through 10).
19,688,855
12
Gross receipts from related activities, etc. (see instructions)
..................
12
2,804,664
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
63.510 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
66.980 %
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2012.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
HEALTH CARE WITHOUT HARM
Employer identification number
52-2358837
Return Reference
Explanation
FORM 990, PART III, LINE 3
THE CLEANMED CONFERENCE & EXHIBITION IS THE PREMIER ANNUAL CONFERENCE FOR SUSTAINABILITY IN THE HEALTH CARE SECTOR. CLEANMED IS NOW CONDUCTED THROUGH PRACTICE GREENHEALTH, A RELATED ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11
HCWH'S FEDERAL FORM 990 IS REVIEWED BY THE CONTROLLER, THE CHIEF ADMINISTRATIVE OFFICER, AND THE EXECUTIVE DIRECTOR. SUCH REVIEW TAKES PLACE UPON RECEIPT OF THE DRAFT FORM 990 RECEIVED FROM THE INDEPENDENT PUBLIC ACCOUNTING FIRM WHO CONDUCTS THE FINANCIAL STATEMENT AUDIT OF HCWH. THE REVIEW INVOLVES COMPARISON OF FINANCIAL DATA IN THE DRAFT FORM 990 WITH THE AUDITED FINANCIAL STATEMENTS AND THE BOOKS AND RECORDS OF HCWH AND REVIEW OF ALL NARRATIVE INFORMATION FOR ACCURACY AND COMPLETENESS. ADDITIONALLY, THE TREASURER OF THE BOARD OF DIRECTORS REVIEWS A COPY OF THE RETURN FOR ACCURACY. PRIOR TO FILING THE FEDERAL FORM 990 WITH THE INTERNAL REVENUE SERVICE, A COMPLETE COPY IS PROVIDED TO ALL VOTING MEMBERS OF HCWH'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12C
THE BOARD OF DIRECTORS CONFLICT OF INTEREST POLICY PROVIDES THE FOLLOWING PROCEDURES FOR ADDRESSING POTENTIAL CONFLICTS OF INTEREST THAT MAY REQUIRE BOARD OR COMMITTEE ACTION: 1) THE INTERESTED PERSON MUST DISCLOSE ALL FACTS MATERIAL TO THE CONFLICT OF INTEREST AND SUCH DISCLOSURE MUST BE REFLECTED IN THE MINUTES OF THE MEETING WHERE SUCH MATTER IS BEING REVIEWED; 2) THE INTERESTED PERSON IS PROHIBITED FROM PARTICIPATING IN DISCUSSIONS EXCEPT TO DISCLOSE MATERIAL FACTS AND RESPOND TO QUESTIONS; 3) SUCH PERSON SHALL NOT ATTEMPT TO EXERT HIS OR HER PERSONAL INFLUENCE WITH RESPECT TO THE MATTER EITHER AT OR OUTSIDE OF THE MEETING; 4) SUCH PERSON MAY NOT BE PRESENT TO HEAR THE BOARD OF DIRECTORS OR COMMITTEE DISCUSSIONS ON THE MATTER; 5) SUCH INTERESTED PERSON IS PRECLUDED FROM VOTING ON THE MATTER AND SUCH PERSON'S PRESENCE MAY NOT BE COUNTED IN DETERMINING THE PRESENCE OF A QUORUM FOR PURPOSES OF THE VOTE AT THE MEETING; 6) SUCH PERSON MAY NOT BE PRESENT DURING THE VOTE UNLESS THE VOTE IS BY SECRET BALLOT; AND 7) SUCH PERSON'S INELIGIBILITY TO VOTE SHOULD BE REFLECTED IN THE MINUTES. ADDITIONALLY, THE EMPLOYEE CODE OF CONDUCT APPLIES TO ALL EMPLOYEES; AND ALL EMPLOYEES RECEIVE A COPY OF THE CODE OF CONDUCT AND RETURN AN ACKNOWLEDGEMENT TO THE HR DEPARTMENT THAT THEY UNDERSTAND AND WILL COMPLY WITH THE CODE OF CONDUCT. SECTION 28 OF THE PERSONNEL POLICIES SETS FORTH THE CONFLICT OF INTEREST RULES APPLICABLE TO ALL EMPLOYEES. HCWH/PGH EMPLOYEES ARE PROHIBITED FROM PARTICIPATING IN ACTIVITIES THAT CONFLICT WITH HCWH/PGH'S ACTIVITIES OR INTERESTS. IT IS IMPOSSIBLE TO DESCRIBE ALL OF THE SITUATIONS THAT MIGHT CAUSE OR GIVE RISE TO A CONFLICT OF INTEREST. HOWEVER, IN GENERAL EMPLOYEES SHOULD NOT ENGAGE IN ANY ACTIVITY WHERE THERE IS THE POTENTIAL FOR THEIR PROFESSIONAL, FINANCIAL, OR OTHER PERSONAL INTERESTS TO BE OPPOSED TO THE INTERESTS OF HCWH/PGH OR WHERE THEIR OUTSIDE AND PERSONAL INTERESTS MIGHT ADVERSELY INFLUENCE THEIR ACTIONS AND JUDGMENTS ON BEHALF OF HCWH/PGH OR INTERFERE WITH THEIR ABILITY TO ACT IN THE BEST INTERESTS OF HCWH/PGH. IN ADDITION, EMPLOYEES MAY NOT USE THEIR POSITIONS AT HCWH/PGH FOR PERSONAL BENEFIT, FOR THE BENEFIT OF FRIENDS OR RELATIVES, OR TO FURTHER ANY OUTSIDE INTERESTS OR PERSONAL AGENDA. HCWH/PGH EMPLOYEES MAY ENGAGE IN OUTSIDE WORK AS LONG AS IT DOES NOT CONFLICT WITH THE SATISFACTORY PERFORMANCE OF THEIR WORK FOR OR CONFLICT OR COMPETE WITH THE ACTIVITIES AND PURPOSES OF HCWH/PGH. EMPLOYEES MAY NOT EARN PROFIT FROM OUTSIDE EMPLOYMENT, CONSULTING, SPEAKING, WRITING, RESEARCHING OR BUSINESS INTERESTS WHICH IS BEING PAID FOR AS PART OF THEIR JOB AT HCWH/PGH. HONORARIA DERIVED FROM HCWH/PGH WORK AND PERFORMED BY A HCWH/PGH EMPLOYEE SHOULD BE MADE PAYABLE TO HCWH/PGH. ALL OUTSIDE WORK ACTIVITIES MUST BE PERFORMED ON EMPLOYEES' OWN TIME AND CANNOT INVOLVE USE OF ORGANIZATIONAL RESOURCES UNLESS DISCUSSED WITH AND APPROVED BY THE EXECUTIVE DIRECTOR. ALL EMPLOYEES MUST FULLY DISCLOSE TO THE EXECUTIVE DIRECTOR AND THE EXECUTIVE DIRECTOR MUST FULLY DISCLOSE TO THE BOARD CHAIR ANY SITUATION IN WHICH A CONFLICT OR POTENTIAL CONFLICT EXISTS OR COULD ARISE. EMPLOYEES MUST NOTIFY THE EXECUTIVE DIRECTOR AND THE EXECUTIVE DIRECTOR MUST NOTIFY THE BOARD CHAIR OF ANY OUTSIDE ACTIVITY FOR WHICH COMPENSATION IS RECEIVED SO THAT CONFLICTS OF INTEREST CAN BE AVOIDED. EMPLOYEES WHO HAVE ANY QUESTION AS TO WHETHER AN ACTIVITY THEY WANT TO PARTICIPATE IN CONFLICTS WITH HCWH/PGH'S ACTIVITIES OR INTERESTS SHOULD DISCUSS THE ISSUE IN ADVANCE WITH THE EXECUTIVE DIRECTOR.
FORM 990, PART VI, SECTION B, LINE 15A
BOARD MEMBERS SHALL NOT BE COMPENSATED FOR SERVING ON THE BOARD, BUT MAY BE REIMBURSED FOR ACTUAL EXPENSES INCURRED ON BEHALF OF THE ORGANIZATION. BOARD MEMBERS MAY ALSO AUTHORIZE PAYMENT FOR SERVICES RENDERED IN A CAPACITY OTHER THAN AS A DIRECTOR, WITH PRIOR BOARD APPROVAL. ALL BOARD MEMBER COMPENSATION WILL BE APPROVED BY THE BOARD IN ACCORDANCE WITH THE REQUIREMENTS OF THE ARTICLES. A BOARD COMMITTEE, WILL BE ESTABLISHED TO SET AND MANAGE APPROPRIATE COMPENSATION LEVELS FOR THE PRESIDENT AND EXECUTIVE DIRECTOR. THIS COMMITTEE WILL ALSO REVIEW ON AN ANNUAL BASIS THE LEVELS OF REIMBURSEMENT FOR BOARD TRAVEL AND OTHER EXPENSES AND ANY OTHER PAYMENTS TO DIRECTORS FOR SERVICES. IN ESTABLISHING APPROPRIATE COMPENSATION LEVELS, WHETHER AS EMPLOYEES OR UNDER CONTRACTUAL ARRANGEMENTS, FOR AN INDIVIDUAL WHO IS A DIRECTOR, OFFICER, MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS, OR ANYONE ELSE EXERCISING SUBSTANTIAL INFLUENCE OVER THE CORPORATION, IN ADDITION TO COMPLYING WITH THE OTHER PROVISIONS OF THE CONFLICT OF INTEREST POLICY SET FORTH IN THE ARTICLES, THE BOARD OR COMMITTEE SHALL: A) RECUSE/EXCLUDE MEMBERS WHO RECEIVE DIRECTLY OR INDIRECTLY A SUBSTANTIAL PORTION OF THEIR INCOME FROM THE CORPORATION; B) RELY ON APPROPRIATE COMPARATIVE DATA, INCLUDING COMPARABLE AGREEMENTS IN SIMILAR ORGANIZATIONS; COMPENSATION LEVELS FOR SIMILAR POSITIONS IN BOTH EXEMPT AND TAXABLE ORGANIZATIONS; AND REGIONAL ECONOMIC DATA; AND C) DOCUMENT THE BASIS UPON WHICH IT RELIES FOR ITS COMPENSATION DETERMINATIONS.
FORM 990, PART VI, SECTION C, LINE 19
HCWH MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FEDERAL FORM 990, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G
OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,497,343. MANAGEMENT AND GENERAL EXPENSES 48,045. FUNDRAISING EXPENSES 23,136. TOTAL EXPENSES 1,568,524.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.