Form990-PF
Click to see attachment

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2015
Open to Public Inspection
For calendar year 2015, or tax year beginning 07-01-2015 , and ending 06-30-2016
Name of foundation
HEALTHCARE INITIATIVE FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)7910 WOODMONT AVENUE SUITE 500
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BETHESDA, MD20814
A Employer identification number

23-7324576
B Telephone number (see instructions)

(301) 907-9144
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$31,575,958J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 1,122,643 1,122,643  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 64,184
b Gross sales price for all assets on line 6a 2,050,451
7 Capital gain net income (from Part IV, line 2)... 64,184
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 1,186,827 1,186,827 0
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 165,732 4,143 0 152,649
14 Other employee salaries and wages...... 4,565 0 0 4,565
15 Pension plans, employee benefits....... 32,886 945 0 32,072
16a Legal fees (attach schedule)......... Click to see attachment 5,100 0 0 5,100
b Accounting fees (attach schedule)....... Click to see attachment 86,992 5,612 0 80,480
c Other professional fees (attach schedule).... Click to see attachment 2,145 0 0 3,835
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 1,697 0 0 0
19 Depreciation (attach schedule) and depletion... Click to see attachment 330 0 0
20 Occupancy.............. 6,819 0 0 6,819
21 Travel, conferences, and meetings....... 5,379 155 0 5,926
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 46,742 0 0 43,326
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 358,387 10,855 0 334,772
25 Contributions, gifts, grants paid....... 1,414,732 1,480,724
26 Total expenses and disbursements. Add lines 24 and 25 1,773,119 10,855 0 1,815,496
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -586,292
b Net investment income (if negative, enter -0-) 1,175,972
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2015)
Form 990-PF (2015)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 160,638 38,381 38,381
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet6,481
Less: allowance for doubtful accounts bullet   63,109 6,481 6,481
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges.......... 5,756 5,078 5,078
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 30,897,745 Click to see attachment30,414,572 31,342,875
14 Land, buildings, and equipment: basis bullet4,115
Less: accumulated depreciation (attach schedule) bullet3,496 948 Click to see attachment619 619
15 Other assets (describe bullet) Click to see attachment104,128 Click to see attachment104,128 Click to see attachment182,524
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 31,232,324 30,569,259 31,575,958
Liabilities 17 Accounts payable and accrued expenses.......... 24,126 35,168
18 Grants payable.................. 469,789 403,797
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet) Click to see attachment40,389 Click to see attachment18,566
23 Total liabilities (add lines 17 through 22)......... 534,304 457,531
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................. 30,593,892 30,035,149
25 Temporarily restricted............... 104,128 76,579
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see instructions)..... 30,698,020 30,111,728
31 Total liabilities and net assets/fund balances (see instructions). 31,232,324 30,569,259
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
30,698,020
2
Enter amount from Part I, line 27a .....................
2
-586,292
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
30,111,728
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
30,111,728
Form 990-PF (2015)
Form 990-PF (2015)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.) 		(b) How acquired
P—Purchase
D—Donation 		(c) Date acquired
(mo., day, yr.) 		(d) Date sold
(mo., day, yr.)
1 a PUBLICLY-TRADED SECURITIES      
b
c
d
e
(e) Gross sales price (f) Depreciation allowed
(or allowable) 		(g) Cost or other basis
plus expense of sale 		(h) Gain or (loss)
(e) plus (f) minus (g)
a 2,050,451   1,986,267 64,184
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69 		(k) Excess of col. (i)
over col. (j), if any
a       64,184
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 64,184
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3 0
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in) 		(b)
Adjusted qualifying distributions 		(c)
Net value of noncharitable-use assets 		(d)
Distribution ratio
(col. (b) divided by col. (c))
2014 1,574,370 33,333,374 0.047231
2013 953,642 32,037,442 0.029766
2012 26,414,387 35,268,663 0.748948
2011      
2010      
2
Total of line 1, column (d) .....................
20.825945
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years . . .
3
0.275315
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
31,242,736
5
Multiply line 4 by line 3......................
5
8,601,594
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
11,760
7
Add lines 5 and 6........................
7
8,613,354
8
Enter qualifying distributions from Part XII, line 4.............
8
1,815,496
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form 990-PF (2015)
Form 990-PF (2015)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bullet and enter “N/A" on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 23,519
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 23,519
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 23,519
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 30,000
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 30,000
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 6,481
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet6,481 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletMD
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2015 or the taxable year beginning in 2015 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletWWW.HIFMC.ORG
    14
    The books are in care ofbulletCOUNCILORBUCHANAN & MITCHELL Telephone no.bullet (301) 986-0600

    Located atbullet7910 WOODMONT AVE SUITE 500BETHESDAMD ZIP+4bullet208143048
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2015 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2015.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? (see instructions)................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    ROBERT H MYERS JR CHAIRMAN
    1.00     		0 0 0
    7910 WOODMONT AVENUE SUITE 500
    BETHESDA,MD20814
    DAVID KRESSLER VICE CHAIR
    2.00     		0 0 0
    7910 WOODMONT AVENUE SUITE 500
    BETHESDA,MD20814
    BENJAMIN GIULIANI TREASURER
    2.00     		0 0 0
    7910 WOODMONT AVENUE SUITE 500
    BETHESDA,MD20814
    DEBORAH FISHER SECRETARY
    1.00     		0 0 0
    7910 WOODMONT AVENUE SUITE 500
    BETHESDA,MD20814
    MIKE KNAPP TRUSTEE
    1.00     		0 0 0
    7910 WOODMONT AVENUE SUITE 500
    BETHESDA,MD20814
    MARTA BRITO PEREZ TRUSTEE
    1.00     		0 0 0
    7910 WOODMONT AVENUE SUITE 500
    BETHESDA,MD20814
    STEPHEN C EASTHAM RESIGNED 123115 SECRETARY
    1.00     		0 0 0
    7910 WOODMONT AVENUE SUITE 500
    BETHESDA,MD20814
    CRYSTAL TOWNSEND PRESIDENT
    40.00     		165,732 22,320 0
    7910 WOODMONT AVENUE SUITE 500
    BETHESDA,MD20814
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    31,345,440
    b
    Average of monthly cash balances.......................
    1b
    178,372
    c
    Fair market value of all other assets (see instructions)................
    1c
    194,702
    d
    Total (add lines 1a, b, and c).........................
    1d
    31,718,514
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    31,718,514
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    475,778
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    31,242,736
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    1,562,137
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    1,562,137
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    23,519
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    23,519
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,538,618
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    1,538,618
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    1,538,618
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    1,815,496
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    1,815,496
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    1,815,496
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2014     		(c)
    2014     		(d)
    2015
    1 Distributable amount for 2015 from Part XI, line 7 1,538,618
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 0
    b Total for prior years:2013, 2012, 2011 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010......  
    b From 2011......  
    c From 2012...... 24,153,322
    d From 2013......  
    e From 2014......  
    fTotal of lines 3a through e........ 24,153,322
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 1,815,496
    a Applied to 2014, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2015 distributable amount..... 1,538,618
    e Remaining amount distributed out of corpus 276,878
    5 Excess distributions carryover applied to 2015. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 24,430,200
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		24,430,200
    10 Analysis of line 9:
    a Excess from 2011....  
    b Excess from 2012.... 24,153,322
    c Excess from 2013....  
    d Excess from 2014....  
    e Excess from 2015.... 276,878
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2015 (b) 2014 (c) 2013 (d) 2012
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    CRYSTAL CARR TOWNSEND
    7910 WOODMONT AVENUE SUITE 500
    BETHESDA,MD20814
    (301) 907-9144
    bThe form in which applications should be submitted and information and materials they should include:
    THE FOUNDATION DOES NOT ACCEPT APPLICATION BY MAIL, EMAIL OR FAX, BUT VIA ITS GRANT INTERFACE WEB-BASED SYSTEM (WWW.GRANTINTERFACE.COM/HEALTHCAREINITIATIVE/COMMON/LOGIN.ASPX) GRANT APPLICATIONS AND REPORTS MUST BE SUBMITTED VIA HIF'S ONLINE SYSTEM (SEE ABOVE LINK). GRANT APPLICATIONS ARE AVAILABLE ONLINE APPROXIMATELY SIX WEEKS BEFORE THEY ARE DUE. GRANT APPLICATION ROUNDS (E.G., MULTI-YEAR STRATEGIC SUSTAINABILITY, GENERAL OPERATING SUPPORT, CAPACITY BUILDING, AND SMALL GRANT ROUNDS) ARE ADVERTISED ON THE FOUNDATION'S WEBSITE ALONG WITH THE GRANT CALENDAR. THE FOUNDATION ALSO REVIEW EMERGING NEEDS APPLICATIONS ON A ROLLING BASIS. THESE REQUESTS ARE SUBMITTED VIA THE FOUNDATION'S ONLINE SYSTEM AS WELL.
    cAny submission deadlines:
    THE FOUNDATION HAD THREE GRANT ROUNDS: 1) GENERAL OPERATING SUPPORT ROUND - WAS DUE ON 9/11/2015
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    THE FOUNDATION CONSIDERS GRANTS TO 501 (C) (3) HEALTHCARE NONPROFITS THAT ARE BASED IN MONTGOMERY COUNTY, MARYLAND, OR TO NONPROFITS THAT HAVE COUNTY-BASED HEALTH PROGRAMS OR ACTIVITIES. WITHIN ITS GEOGRAPHIC AND FOCUS AREA, IT CONSIDERS EFFORTS TO: -IMPROVE THE QUALITY AND DELIVERY OF HEALTHCARE; -EXPAND THE AVAILABILITY OF COMPREHENSIVE HEALTHCARE; -BUILD APPROPRIATE CAPACITY IN THE HEALTHCARE NETWORK; AND -GROW THE HEALTHCARE WORKFORCE. THE FOUNDATION GENERALLY CONSIDERS NEW GRANTS AFTER THE FOUNDATION'S REPRESENTATIVE MAKES A SITE VISIT. TO BE CONSIDERED FOR A POSSIBLE SITE VISIT, A NONPROFIT ORGANIZATION SENDS A BRIEF, INFORMAL EMAIL (4 PARAGRAPHS OR LESS) ABOUT ITS ORGANIZATION, MISSION, PROGRAMS, AND CLIENTELE TO: CRYSTAL.TOWNSEND@HIFMC.ORG.
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    ANA A BRITO FOUNDATION INC
    9008 ROSEMONT DR
    GAITHERSBURG,MD20877     		NONE PC SUPPORT HEALTH & WELL BEING SERVICES FOR LIMITED ENGLISH PROFICIENT RESIDENTS 10,000
    ASPIRE COUNSELING INC
    16220 FREDERICK RD STE 502
    GAITHERSBURG,MD20877     		NONE PC SUPPORT AND EXPAND HEALTHCARE WORKFORCE CAPACITY 27,438
    CHEER (COMMUNITY HEALTH AND EMPOWERMENT THROUGH EDUCATION AND RESEARCH
    8545 PINEY BRANCH RD STE B
    SILVER SPRING,MD20901     		NONE PC LONG BRANCH OUTREACHAND PRIMARY CARE REFERRAL AND GENERAL SUPPORT. 70,000
    CHI CENTERS INC
    10501 NEW HAMPSHIRE AVE
    SILVER SPRING,MD20903     		NONE PC SUPPORT "IMPROVE QUALITY FOR HEALTHCARE" FOR INDIVIDUAL WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. 121,649
    CIRCLE OF HOPE THERAPEUTIC RIDING INC
    22500 W HARRIS RD
    BARNESVILLE,MD20838     		NONE PC GENERAL OPERATING SUPPORT 5,000
    COLUMBIA LIGHTHOUSE FOR THE BLIND
    8720 GEORGIA AVENUE SUITE 1011
    SILVER SPRING,MD20910     		NONE PC SUPPORT "HOMELESS RESOURCE DAY" EYE EXAM, GENERAL SUPPORT, AND VISION SCREENING FOR DALY ELEMENTARY SCHOOL IN CONNECTION WITH THRIVING GERMANTOWN PILOT. 59,750
    COMMUNITY CLINIC INC
    8630 FENTON STREET STE 1204
    SILVER SPRING,MD20910     		NONE PC SUPPORT LEADERSHIP INFRASTRUCTURE TRANSFORMATION 32,500
    COMMUNITY FOUNDATION NAT'L CAPITAL REGION
    1201 15TH ST NW
    WASHINGTON,DC20005     		NONE PC SUPPORT 1,000 VOICES CAMPAIGN REPORT. 5,000
    COMMUNITY MINISTRIES OF ROCKVILLE INC
    1010 GRANDIN AVENUE STE A
    ROCKVILLE,MD20851     		NONE PC BUILD ORGANIZATIONAL CAPACITY & EXPAND MEDICAID CAPACITY 50,000
    CONSUMER HEALTH FOUNDATION
    1400 16TH STREET NW STE 710
    WASHINGTON,DC20036     		NONE PF GENERAL OPERATING SUPPORT 17,000
    CORNERSTONE MONTGOMERY
    6040 SOUTHPORT DRIVE
    BETHESDA,MD20814     		NONE PC SUPPORT NURSING CARE INTERNSHIP COLLABORATIVE PROJECT 30,000
    GERMANTOWN HELP INC
    PO BOX 608
    GERMANTOWN,MD20875     		NONE PC SUPPORT PRESCRIPTION CO-PAYS AND DEDUCTIBLES SERVICES FOR THEIR CLIENTS. 3,334
    GRANTMAKERS IN HEALTH
    1100 CONNECTICUT AVE NW SUITE 1200
    WASHINGTON,DC20036     		NONE PC GENERAL OPERATING SUPPORT 5,175
    HOPE CONNECTIONS FOR CANCER SUPPORT
    9650 ROCKVILLE PIKE
    BETHESDA,MD20814     		NONE PC SUPPORT CREATION OF SUPPORT GROUP FOR CAREGIVERS WHOSE PRIMARY LANGUAGE IS SPANISH. 5,000
    INSTITUTE FOR PUBLIC HEALTH INNOVATION
    1301 CONNECTICUT AVENUE NW SUITE
    200
    WASHINGTON,DC20036     		NONE PC SUPPORT OF "TRANSFORMING COMMUNITIES INITIATIVE" SERVING GERMANTOWN 5,000
    JEWISH COUNCIL FOR THE AGING
    1801 E JEFFERSON STREET
    ROCKVILLE,MD20852     		NONE PC BUILD ORGANIZATIONAL CAPACITY AND EXPAND HEALTH SERVICES FOR SENIORS. 50,000
    LEADERSHIP MONTGOMERY
    5910 EXECUTIVE BLVD 200
    ROCKVILLE,MD20852     		NONE PC PRESENT "HEALTHY COMMUNITIES" MESSAGE TO COUNTY LEADERS AND RECRUIT USG SCHOLAR MENTORS. 5,000
    MARY'S CENTER FOR MATERNAL & CHILD CARE
    2333 ONTARIO ROAD NW
    WASHINGTON,DC20009     		NONE PC SUPPORT EXPANSION OF SERVICES. 50,000
    MENTAL HEALTH ASSOC OF MONTGOMERY CO
    1000 TWINBROOK PKWY
    ROCKVILLE,MD20851     		NONE PC BUILD MENTAL HEALTH WORKFORCE CAPACITY BY SUPPORTING TRAINING AND UTILIZATION OF INTERNS. 50,000
    MERCY HEALTH CLINIC INC
    7 METROPOLITAN CT STE 1
    GAITHERSBURG,MD20878     		NONE PC BUILD CAPACITY FOR MONTGOMERY CARES 2.0.BUILD ORGANIZATIONAL CAPACITY & EXPAND MEDICAID CAPACITY. 75,000
    MOBILE MEDICAL CARE INC
    9309 OLD GEORGETOWN ROAD
    BETHESDA,MD20814     		NONE PC SUPPORT AND EXPAND HEALTHCARE WORKFORCE CAPACITY. 100,000
    MONTGOMERY COLLEGE FOUNDATION
    40 WEST GUDE DR STE 110
    ROCKVILLE,MD20850     		NONE PF SUPPORT "HEALTHCARE CAREER PATHWAYS" FROM MONTGOMERY COLLEGE TO USG. 40,692
    MONTGOMERY HOSPICE
    1355 PICCARD DRIVE SUITE 100
    ROCKVILLE,MD20850     		NONE PC SUPPORT "SILVER TEAM" NURSING CARE. 50,000
    MUSLIM COMMUNITY CENTER MEDICAL CLINIC
    15200 NEW HAMPSHIRE AVENUE
    SILVER SPRING,MD20905     		NONE PC BUILD CAPACITY FOR MUSLIM COMMUNITY CENTER MEDICAL CLINIC. 25,000
    NONPROFIT MONTGOMERY
    12320 PARKLAWN DRIVE
    ROCKVILLE,MD20852     		NONE PC GENERAL SUPPORT; BUILD CAPACITY & SUPPORT TRANSITION; BUILD HEALTHCARE WORKFORCE; SUPPORT "MONTGOMERY MOVING FORWARD" QUALITY CHILDCARE PROGRAM. 43,333
    PRIMARY CARE COALITION OF MONTGOMERY COUNTY INC
    8757 GEORGIA AVENUE 10TH FLOOR
    SILVER SPRING,MD20910     		NONE PC SUPPORT DEVELOPMENT OF MEDICAID SERVICES AND CAPACITY; SUPPORT BUSINESS MODEL TRANSFORMATION, CLINICSUSTAINABILITY, AND CLINIC NETWORK CAPACITY. 216,405
    PROYECTO SALUD
    2424 REEDIE DRIVE STE 121
    WHEATON,MD20902     		NONE PC SUPPORT PHASE II OF BUSINESS MODEL DEVELOPMENT. 37,000
    SPIRIT CLUB FOUNDATIONS INC
    10408 MONTGOMERY AVE
    KENSINGTON,MD20895     		NONE PF SUPPORT EXERCISE & FITNESS PROGRAM SCHOLARSHIPS, EQUIPMENT, AND OPERATING COSTS FOR LOW INCOME AND DISABLED INDIVIDUALS. 5,000
    THE UNIVERSITIES AT SHADY GROVE
    9636 GUDELSKY DRIVE
    ROCKVILLE,MD20850     		NONE PC HEALTHCARE WORKFORCE DEVELOPMENT; SUPPORT "HEALTHCARE CAREER PATHWAYS" FROM MONTGOMERY COLLEGE TO USG. 264,890
    UNIVERSITY OF MARYLAND AT SHADY GROVE
    9630 GUDELSKY DR
    ROCKVILLE,MD20850     		NONE PC SUPPORTS HIF MENTORING PROGRAM WITH UNIV'S AT SHADY GROVE (USG) SCHOLARS 3,225
    VIETNAMESE AMERICAN SERVICES
    11528 COLT TER
    SILVER SPRING,MD20902     		NONE PC GENERAL OPERATING SUPPPORT. 5,000
    WARRIOR CANINE CONNECTION
    23222 GEORGIA AVE BROOKEVILLE
    BROOKEVILLE,MD20833     		NONE PC GENERAL OPERATING SUPPORT 5,000
    WOMEN WHO CARE MINISTRIES
    19642 CLUB HOUSE RD STE 620
    MONTGOMERY VILLAGE,MD20886     		NONE PC SUPPORT "HELPING KIDS EAT BACKPACK WEEKEND MEAL" PROGRAM AT DALY ELEMENTARY SCHOOL. 5,000
    YMCA YOUTH & FAMILY SERVICES
    9601 COLESVILLE RD
    SILVER SPRING,MD20901     		NONE PC SUPPORT "HEALTHY KIDS DAY" EVENT 3,333
    Total .................................bullet 3a 1,480,724
    bApproved for future payment
    COMMUNITY CLINIC
    8630 FENTON STREET STE 1204
    SILVER SPRING,MD20910     		NONE PC EMERGING NEEDS 96,925
    MARY'S CENTER FOR MATERNAL & CHILD CARE
    2333 ONTARIO ROAD NW
    WASHINGTON,DC20009     		NONE PC STRATEGIC SUSTAINABILITY GRANT 50,000
    MONTGOMERY COLLEGE FOUNDATION
    40 WEST GUDE DR STE 110
    ROCKVILLE,MD20850     		NONE PF STRATEGIC SUSTANABILITY GRANT 40,692
    PRIMARY CARE COALITION
    8757 GEORGIA AVENUE 10TH FLOOR
    SILVER SPRING,MD20910     		NONE PC BUSINESS MODEL TRANSFORMATION 118,159
    PROYECTO SALUD
    2424 REEDIE DRIVE STE 121
    WHEATON,MD20902     		NONE PC CARE COORDINATION & RECERTIFICATION 8,131
    THE UNIVERSITIES AT SHADY GROVE
    9636 GUDELSKY DRIVE
    ROCKVILLE,MD20850     		NONE PC CAPACITY BUILDING ACES AND STRATEGIC SUSTAINABILITY GRANT 89,890
    Total .................................bullet 3b 403,797
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........     		         
    4 Dividends and interest from securities....     14 1,122,643  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property     		         
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory ............     		    18 64,184  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 1,186,827 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    131,186,827
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    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 taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2015)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2015 AccountingFeesSchedule
    Name:
    HEALTHCARE INITIATIVE FOUNDATION
    EIN:
    23-7324576
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 86,992 5,612 0 80,480

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2015 DepreciationSchedule
    Name:
    HEALTHCARE INITIATIVE FOUNDATION
    EIN:
    23-7324576
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    FURNITURE 2007-08-22 2,466 2,465 SL 7.000000000000 0 0 0  
    COMPUTER EQUIPMENT 2013-04-22 1,649 701 SL 5.000000000000 330 0 0  

    TY 2015 GeneralExplanationAttachment
    Name:
    HEALTHCARE INITIATIVE FOUNDATION
    EIN:
    23-7324576
    Identifier Return Reference Explanation
    GRANT APPLICATION SUBMISSION INFORMATION FORM 990-PF, PART XV, LINES 2A THROUGH 2D CONTINUATION OF STATEMENTS 12 THROUGH 13990-PF PART XV SUBMISSION DEADLINES2) STRATEGIC SUSTAINABILITY ROUND - DUE ON 12/18/2015; AND3) SMALL GRANT ROUND - DUE ON 3/31/2016.990-PF PART XV RESTRICTIONS OR LIMITATIONS ON AWARDSTHE FOUNDATION MAKES GRANTS THAT:-START OR GROW WELL-CONCEIVED PROGRAMS/ORGANIZATIONS;-OFFER INNOVATIVE SOLUTIONS TO IMPROVE THE QUALITY, ACCESSIBILITY AND/OR DELIVERY OF HEALTHCARE;-REPLICATE SUCCESSFUL (EVIDENCED-BASED) PROGRAMS FROM THE FOUNDATION'S OR OTHER JURISDICTIONS;-BUILD ORGANIZATIONAL CAPACITY TO ENHANCE SUSTAINABILITY AND/ OR IMPROVE SERVICE DELIVERY (E.G., PLANNING, MANAGEMENT, FINANCE, FUNDRAISING, COMMUNICATIONS, ETC.); AND-LEVERAGE RESOURCES, WHETHER HUMAN OR FINANCIAL (E.G., PARTNERSHIPS, MATCHING OR CHALLENGE FUNDS).THE FOUNDATION DOES NOT:-GIVE TO ENDOWMENT FUNDS OR ANNUAL CAMPAIGNS;-FUND LOBBYING OR POLICITICAL ACTIVITIES;-MAKE GRANTS TO INDIVIDUALS;-PROVIDE FUNDS TO PRIVATE FOUNDATIONS UNLESS FOR A PARTICULAR GRANT PURPOSE;-FUND A NONPROFIT SYSTEM OR ORGANIZATION, INCLUDING ITS AFFILIATE(S) THAT OWNS OR OPERATES AN ACUTE CARE HOSPITAL IN MONTGOMERY COUNTY, MARYLAND;-PROVIDE FUNDS TO COVER BRICK AND MORTAR CAPITAL EXPENSES;-REPLACE GOVERNMENT FUNDING; OR-FUND RELIGIOUS ACTIVITIES, ALTHOUGH SECULAR HEALTH PROGRAMS PROVIDED BY A RELIGIOUS INSTITUTION OR ITS AFFILIATE(S) MAY QUALIFY.

    TY 2015 InvestmentsOtherSchedule2
    Name:
    HEALTHCARE INITIATIVE FOUNDATION
    EIN:
    23-7324576
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    TOTAL INTL STOCK IX ADMIRAL AT COST 558,501 461,661
    TOTAL BOND MKT INDEX INST AT COST 5,538,960 5,838,231
    TOTAL STOCK MKT IDX INST AT COST 10,039,196 10,721,819
    RUSSELL GLOBAL EQUITY FND S AT COST 1,566,597 1,558,500
    RUSSELL US CORE EQUITY I AT COST 1,319,509 1,329,358
    RUSSELL U.S. SMALL CAP EQUITY I AT COST 902,045 1,026,364
    RUSSELL INTERNATIONAL DEVEL MKTS 1 AT COST 3,360,136 3,398,938
    RUSSELL STRATEGIC BOND FD 1 AT COST 3,437,529 3,611,235
    RUSSELL EMERGING MARKETS AT COST 1,227,526 1,014,696
    RUSSELL GLOBAL REAL ESTATE SEC AT COST 382,910 407,052
    RUSSELL US DEFENSIVE UQTY I AT COST 384,088 539,685
    RUSSELL GLOBAL OPPORTUNISTIC CRED S AT COST 574,437 522,691
    RUSSELL GLOBAL INFRASTRUCTURE S AT COST 401,339 415,688
    RUSSELL COMMODITY STRATEGIES F AT COST 721,799 496,957

    TY 2015 LandEtcSchedule2
    Name:
    HEALTHCARE INITIATIVE FOUNDATION
    EIN:
    23-7324576
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    FURNITURE 2,466 2,465 1  
    COMPUTER EQUIPMENT 1,649 1,031 618  


    TY 2015 LegalFeesSchedule
    Name:
    HEALTHCARE INITIATIVE FOUNDATION
    EIN:
    23-7324576
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 5,100 0 0 5,100


    TY 2015 OtherAssetsSchedule
    Name:
    HEALTHCARE INITIATIVE FOUNDATION
    EIN:
    23-7324576
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    ASSETS HELD IN CHARITABLE REMAINDER TRUSTS 104,128 76,579 141,657
    OTHER RECEIVABLE   27,549 40,867


    TY 2015 OtherExpensesSchedule
    Name:
    HEALTHCARE INITIATIVE FOUNDATION
    EIN:
    23-7324576
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OFFICE EXPENSES 15,361 0 0 12,076
    MEMBERSHIP DUES 14,311 0 0 14,311
    INSURANCE 11,831 0 0 11,831
    PENSION ADMINISTRATION EXPENSE 1,050 0 0 1,024
    PAYROLL ADMINISTRATION 4,189 0 0 4,084


    TY 2015 OtherLiabilitiesSchedule
    Name:
    HEALTHCARE INITIATIVE FOUNDATION
    EIN:
    23-7324576
    Description Beginning of Year - Book Value End of Year - Book Value
    DEFERRED FEDERAL EXCISE TAXES 40,389 18,566


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    HEALTHCARE INITIATIVE FOUNDATION
    EIN:
    23-7324576
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER PROFESSIONAL FEES 2,145 0 0 3,835


    TY 2015 TaxesSchedule
    Name:
    HEALTHCARE INITIATIVE FOUNDATION
    EIN:
    23-7324576
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXCISE TAX ON NET INVESTMENT INCOME 1,697 0 0 0