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.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2018
Open to Public Inspection
For calendar year 2018, or tax year beginning 07-01-2018 , and ending 06-30-2019
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. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... 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$35,137,565J 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) 76,320
2 Check bullet.............
3 Interest on savings and temporary cash investments 426 426  
4 Dividends and interest from securities... 826,794 826,794  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 1,579,803
b Gross sales price for all assets on line 6a 6,056,902
7 Capital gain net income (from Part IV, line 2)... 1,579,803
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........ 2,483,343 2,407,023 0
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 177,650 1,537 0 173,348
14 Other employee salaries and wages...... 72,120 0 0 66,846
15 Pension plans, employee benefits....... 43,329 313 0 43,329
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 88,180 5,047 0 83,833
c Other professional fees (attach schedule).... Click to see attachment 22,425 0 0 22,425
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 42,260 0 0 0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy.............. 21,875 0 0 21,875
21 Travel, conferences, and meetings....... 16,772 226 0 18,394
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 61,808 48 0 61,504
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 546,419 7,171 0 491,554
25 Contributions, gifts, grants paid....... 1,018,594 1,121,095
26 Total expenses and disbursements. Add lines 24 and 25 1,565,013 7,171 0 1,612,649
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 918,330
b Net investment income (if negative, enter -0-) 2,399,852
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2018)
Form 990-PF (2018)
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............. 241,496 43,074 43,074
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet   6,652    
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.......... 5,105 15,107 15,107
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).......... 29,340,728 Click to see attachment30,396,324 34,934,564
14 Land, buildings, and equipment: basis bullet4,115
Less: accumulated depreciation (attach schedule) bullet4,115      
15 Other assets (describe bullet) Click to see attachment76,579 Click to see attachment76,579 Click to see attachment144,820
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 29,670,560 30,531,084 35,137,565
Liabilities 17 Accounts payable and accrued expenses.......... 42,759 48,193
18 Grants payable................. 348,001 270,500
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 attachment96,502 Click to see attachment110,763
23 Total liabilities (add lines 17 through 22)......... 487,262 429,456
Net Assets or Fund Balances Foundations that follow SFAS 117, check here bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................. 29,106,719 30,101,628
25 Temporarily restricted............... 76,579 0
26 Permanently restricted...............    
Foundations that do not follow SFAS 117, check here 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)..... 29,183,298 30,101,628
31 Total liabilities and net assets/fund balances (see instructions). 29,670,560 30,531,084
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
29,183,298
2
Enter amount from Part I, line 27a .....................
2
918,330
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
30,101,628
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
30,101,628
Form 990-PF (2018)
Form 990-PF (2018)
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 6,056,902   4,477,099 1,579,803
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       1,579,803
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 1,579,803
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  
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))
2017 1,893,601 34,525,072 0.054847
2016 1,854,851 32,225,029 0.057559
2015 1,815,694 31,242,736 0.058116
2014 1,574,370 33,333,374 0.047231
2013 953,642 32,037,442 0.029766
2
Total of line 1, column (d) .....................
2
0.247519
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5.0, or by the number of years the foundation has been in existence if less than 5 years ......
3
0.049504
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
33,751,719
5
Multiply line 4 by line 3......................
5
1,670,845
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
23,999
7
Add lines 5 and 6........................
7
1,694,844
8
Enter qualifying distributions from Part XII, line 4,.............
8
1,612,649
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 (2018)
Form 990-PF (2018)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket includes lines 1a and 1b
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Domestic foundations that meet the section 4940(e) requirements in Part V, check 1 47,997
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 47,997
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 47,997
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 28,000
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 19,998
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 47,998
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
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 1
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet1 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 2018 or the taxable year beginning in 2018? See the 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. Click to see attachment...............................
    10
    Yes
     
    Form 990-PF (2018)
    Form 990-PF (2018)
    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 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2018, 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 the instructions for exceptions and filing requirements for FinCEN Form 114. 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 2018?.............
    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 2018, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2018?.............
    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 2018 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 2018.)..................
    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 2018?
    4b
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    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:
    Yes
    No
    (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
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    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 CHAIR
    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
    GEORGE DINES 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
    BENJAMIN GIULIANI TRUSTEE
    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
    CRYSTAL TOWNSEND PRESIDENT & CEO
    40.00     		177,650 24,350 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
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    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
    COUNCILOR BUCHANAN & MITCHELL ACCOUNTING 66,000
    7910 WOODMONT AVE SUITE 500
    BETHESDA,MD20814
    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 (2018)
    Form 990-PF (2018)
    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
    34,032,489
    b
    Average of monthly cash balances.......................
    1b
    233,216
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    34,265,705
    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
    34,265,705
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    513,986
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    33,751,719
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    1,687,586
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    1,687,586
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    47,997
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    47,997
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,639,589
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    25,000
    5
    Add lines 3 and 4............................
    5
    1,664,589
    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
    1,664,589
    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
    1,612,649
    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
    1,612,649
    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
    1,612,649
    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 (2018)
    Form 990-PF (2018)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2017     		(c)
    2017     		(d)
    2018
    1 Distributable amount for 2018 from Part XI, line 7 1,664,589
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2018:
    a From 2013......  
    b From 2014......  
    c From 2015...... 276,878
    d From 2016...... 276,344
    e From 2017...... 157,491
    fTotal of lines 3a through e........ 710,713
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 1,612,649
    a Applied to 2017, 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 2018 distributable amount..... 1,612,649
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2018. 51,940 51,940
    (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 5 658,773
    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 2017. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2018. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2019 ..........     		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
    8 Excess distributions carryover from 2013 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......     		658,773
    10 Analysis of line 9:
    a Excess from 2014....  
    b Excess from 2015.... 224,938
    c Excess from 2016.... 276,344
    d Excess from 2017.... 157,491
    e Excess from 2018....  
    Form 990-PF (2018)
    Form 990-PF (2018)
    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 2018, 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) 2018 (b) 2017 (c) 2016 (d) 2015
             
    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 foundation 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 REVIEWS EMERGING NEEDS APPLICATIONS ON A ROLLING BASIS. THESE REQUESTS ARE SUBMITTED VIA THE FOUNDATION'S ONLINE SYSTEM AS WELL.
    cAny submission deadlines:
    FY19 CAPACITY BUILDING GRANTS: MARCH 2018 TO MARCH 2019 FY19 SMALL GRANTS: JUNE 2018 TO JUNE 2019
    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.
    Form 990-PF (2018)
    Form 990-PF (2018)
    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
    AMERICAN DIVERSITY GROUP
    8815 CENTRE PARK DRIVE SUITE 430
    COLUMBIA,MD21045     		NONE PC TO SUPPORT HEALTHY SMILE PROGRAM AND TO SUPPORT DENTAL SCREENINGS 25,000
    AYUDA
    1413 K STREET NW FIFTH FLOOR
    WASHINGTON,DC20005     		NONE PC TO SUPPORT EXPANDING ACCESS TO BEHAVIORAL HEALTH SERVICES 5,000
    BOYS & GIRLS CLUBS OF GREATER WASHINGTON
    4103 BENNING ROAD NE
    WASHINGTON,DC20019     		NONE PC TO SUPPORT GERMANTOWN PROGRAMS 5,000
    BOYS TOWN WASHINGTON DC
    4801 SARGENT ROAD NE
    WASHINGTON,DC20017     		NONE PC TO SUPPORT BOYS TOWN WASHINGTON DC BEHAVIORAL HEALTH CLINIC 7,500
    CARINGMATTERS
    518 SOUTH FREDERICK AVENUE
    GAITHERSBURG,MD20877     		NONE PC TO SUPPORT INTEGRATING END-OF-LIFE AND GRIEF SUPPORTS INTO THRIVING GERMANTOWN 5,000
    COLUMBIA LIGHTHOUSE FOR THE BLIND
    8757 GEORGIA AVENUE SUITE 805
    SILVER SPRING,MD20910     		NONE PC TO SUPPORT DIABETIC RETINOPATHY SCREENING PROJECT AND TO SUPPORT GAITHERSBURG ELEMENTARY SCHOOL SCREENING/HOMELESS RESOURCE DAY PROJECT 37,000
    COMMUNITY HEALTH AND EMPOWERMENT THROUGH EDUCATION AND RESEARCH
    7724 MAPLE AVENUE APT 13
    TAKOMA PARK,MD20912     		NONE PC TO SUPPORT HEALTHY FOOD ACCESS FOOD DELIVERY TO SOUTHEAST MONTGOMERY COUNTY 2,500
    CONSUMER HEALTH FIRST INC
    PO BOX 237
    DAMASCUS,MD20872     		NONE PC TO SUPPORT HEALTHCARE ACCESS AND ENROLLMENT TRAINING/MARKETING 7,000
    CRITTENTON SERVICES OF GREATER WASHINGTON
    815 SILVER SPRING AVENUE
    SILVER SPRING,MD20910     		NONE PC TO SUPPORT ADDRESSING THE EMERGING NEEDS OF IMMIGRANT TEEN GIRLS IN CLARKSBURG AND GAITHERSBURG 30,000
    EVERYMIND (FORMERLY MHA OF MOCO)
    1000 TWINBROOK PARKWAY
    ROCKVILLE,MD20851     		NONE PC TO SUPPORT EXPANDING ACCESS TO MENTAL HEALTH SERVICES 40,000
    FAMILY SERVICES INC
    610 E DIAMOND AVENUE
    GAITHERSBURG,MD20877     		NONE PC TO SUPPORT THRIVING GERMANTOWN AND TO SUPPORT GAITHERSBURG ELEMENTARY SCHOOL FAMILY TRAUMA TRAINING (GESFTT) 215,000
    GAITHERSBURG HELP
    301 MUDDY BRANCH ROAD
    GAITHERSBURG,MD20878     		NONE PC TO SUPPORT GAITHERSBURG HELP RX FUNDING ASSISTANCE 1,000
    GENERATION HOPE
    415 MICHIGAN AVENUE NE SUITE 430
    WASHINGTON,DC20017     		NONE PC TO SUPPORT GENERATION HOPE - EXPANDING OPPORTUNITY FOR SCHOLARS PURSUING HEALTHCARE CAREERS 2,500
    GERMANTOWN HELP INC
    PO BOX 608
    GERMANTOWN,MD20875     		NONE PC TO SUPPORT FOOD PURCHASES 1,250
    GRANTMAKERS IN HEALTH
    1100 CONNECTICUT AVENUE NW
    WASHINGTON,DC20036     		NONE PC TO SUPPORT GIH FUNDING PARTNER CONTRIBUTION 2,875
    HEARTS AND HOMES FOR YOUTH
    3919 NATIONAL DRIVE SUITE 400
    BURTONSVILLE,MD20866     		NONE PC TO SUPPORT PSYCHIATRIST AND PSYCHIATRIC NURSE 10,000
    IDENTITY INC
    414 E DIAMOND AVENUE
    GAITHERSBURG,MD20877     		NONE PC TO SUPPORT JOVENES DE MANANA (YOUTH OF TOMORROW) AT CAPT. JAMES E. DALY ELEMENTARY SCHOOL 25,000
    INSTITUTE FOR PUBLIC HEALTH INNOVATION
    1301 CONNECTICUT AVENUE NW
    WASHINGTON,DC20036     		NONE PC TO SUPPORT COMMONHEALTH ACTION'S EQUITY, DIVERSITY, INCLUSION TRAINING AND TO SUPPORT BUILDING THE CAPACITY OF LOCAL SCHOOL WELLNESS COUNCILS 37,828
    JEWISH COUNCIL FOR THE AGING OF GREATER WASHINGTON
    12320 PARKLAWN DRIVE
    ROCKVILLE,MD20852     		NONE PC TO SUPPORT CAPACITY BUILDING TO SUPPORT EARLY-STAGE MEMORY LOSS 15,000
    JSSA (JEWISH SOCIAL SERVICE AGENCY)
    200 WOOD HILL ROAD
    ROCKVILLE,MD20850     		NONE PC TO SUPPORT JSSA/PREMIER HOMECARE: PARTNERS IN CARE (PIC) 18,000
    LEADERSHIP MONTGOMERY
    5910 EXECUTIVE BOULEVARD SUITE 200
    ROCKVILLE,MD20852     		NONE PC TO SUPPORT REAL INCLUSION PROGRAM AND TO SUPPORT CORE (CONNECTING OUR REGION'S EXEC'S) PROGRAM (LEADERSHIP PARTNERSHIP PROGRAM) 20,000
    MANNA FOOD CENTER
    9311 GAITHER ROAD
    GAITHERSBURG,MD20877     		NONE PC TO SUPPORT IMPROVE FOOD ACCESS FOR SENIORS VIA FEDERAL SNAP BENEFITS AND DIRECT COMMUNITY FOOD ASSISTANCE 25,000
    MARY'S CENTER FOR MATERNAL AND CHILD CARE INC
    2333 ONTARIO ROAD NW
    WASHINGTON,DC20009     		NONE PC TO SUPPORT THE PROMISE OF TOMORROW DENTAL EXPANSION 15,000
    MERCY HEALTH CLINIC
    7 METROPOLITAN COURT SUITE 1
    GAITHERSBURG,MD20878     		NONE PC TO SUPPORT MERCY HEALTH CLINIC CAPACITY BUILDING PROJECT 8,000
    MONTGOMERY COALITION FOR ADULT ENGLISH LITERACY
    9210 CORPORATE BOULEVARD SUITE 480
    ROCKVILLE,MD20850     		NONE PC TO SUPPORT ADULT ESOL CLASSES AT THE WORKPLACE AND TO SUPPORT HEALTHY WORKFORCE 10,000
    MONTGOMERY COLLEGE FOUNDATION
    9221 CORPORATE BOULEVARD 3RD FLOOR
    ROCKVILLE,MD20850     		NONE PC TO SUPPORT BUILDING HEALTHCARE CAREER PATHWAYS FROM MONTGOMERY COLLEGE TO THE UNIVERSITIES AT SHADY GROVE 51,944
    NONPROFIT MONTGOMERY
    6010 EXECUTIVE BOULEVARD SUITE 200
    ROCKVILLE,MD20852     		NONE PC TO SUPPORT SUPPORTING A THRIVING MONTGOMERY COUNTY BY BUILDING A STRONG NONPROFIT SECTOR 5,000
    PEOPLE ANIMALS LOVE
    731 8TH STREET SE SUITE 202
    WASHINGTON,DC20003     		NONE PC TO SUPPORT PET VISITS IN MONTGOMERY COUNTY MD 5,000
    PRIMARY CARE COALITION OF MONTGOMERY COUNTY INC
    8757 GEORGIA AVENUE 10TH FLOOR
    SILVER SPRING,MD20910     		NONE PC TO SUPPORT BUSINESS MODEL TRANSFORMATION: CLINIC SUSTAINABILITY & PCC CLINIC NETWORK SUPPORT CAPACITY 99,958
    REGIONAL PRIMARY CARE COALITIONCONSUMER HEALTH FOUNDATION
    1400 16TH STREET NW SUITE 710
    WASHINGTON,DC20036     		NONE PC TO SUPPORT REGIONAL PRIMARY CARE COALITION 22,000
    SHARED HORIZONS INC
    4301 CONNECTICUT AVENUE NW
    WASHINGTON,DC20008     		NONE PC TO SUPPORT SHARED HORIZONS, INC. CHARITABLE FUND 2,000
    THE TREE HOUSE CHILD ADVOCACY CENTER OF MONTGOMERY COUNTY MD INC
    7300 CALHOUN PLACE
    ROCKVILLE,MD20855     		NONE PC TO SUPPORT ENSURING ACCESSIBLE, QUALITY AND COMPREHENSIVE SERVICES FOR FAMILIES AFFECTED BY MALTREATMENT 25,000
    THE UNIVERSITIES AT SHADY GROVE
    9636 GUDELSKY DRIVE
    ROCKVILLE,MD20850     		NONE PC TO SUPPORT ACHIEVING COLLEGIATE EXCELLENCE AND SUCCESS, TO SUPPORT EARN BACHELOR OF SCIENCE NURSING (BSN) WORKFORCE PIPELINE, AND TO SUPPORT BUILDING HEALTHCARE CAREER PATHWAYS FROM MONTGOMERY COLLEGE TO THE UNIVERSITIES AT SHADY GROVE 283,490
    UNIVERSIDAD ANA G MENDEZ - CAPITAL AREA CAMPUS
    11006 VEIRS MILL ROAD
    WHEATON,MD20902     		NONE PC TO SUPPORT EXTERNSHIP SUPPORT FOR UAGM-CAC HISPANIC NURSING STUDENTS AT JOHNS HOPKINS BAYVIEW MEDICAL CENTER 1,250
    VIETNAMESE AMERICANS SERVICES INC
    11528 COLT TERRACE
    SILVER SPRING,MD20902     		NONE PC TO SUPPORT COMPREHENSIVE HEALTHCARE FOR VIETNAMESE AMERICAN COMMUNITY 20,000
    VIKARA VILLAGE
    15800 CRABBS BRANCH WAY
    ROCKVILLE,MD20855     		NONE PC TO SUPPORT BODY LOVE YOGA FOR MIDDLE SCHOOL GIRLS 5,000
    WARRIOR CANINE CONNECTION
    14934 SCHAEFFER ROAD
    BOYDS,MD20841     		NONE PC TO SUPPORT FY2019 WARRIOR CANINE CONNECTION MBTR PROGRAM 5,000
    WOMEN WHO CARE MINISTRIES
    19642 CLUB HOUSE ROAD SUITE 620
    MONTGOMERY VILLAGE,MD20886     		NONE PC TO SUPPORT HELPING KIDS EAT AND TO SUPPORT BACKPACK WEEKEND MEAL PROGRAM 10,000
    YMCA YOUTH & FAMILY SERVICES
    9601 COLESVILLE ROAD
    SILVER SPRING,MD20901     		NONE PC TO SUPPORT MAKING Y OPERATIONS TRAUMA INFORMED 15,000
    Total .................................bullet 3a 1,121,095
    bApproved for future payment
    COLUMBIA LIGHTHOUSE FOR THE BLIND
    8757 GEORGIA AVENUE SUITE 805
    SILVER SPRING,MD20910     		NONE PC TO SUPPORT DIABETIC RETINOPATHY SCREENING PROJECT 25,000
    EVERYMIND (FORMERLY MHA OF MOCO)
    1000 TWINBROOK PARKWAY
    ROCKVILLE,MD20851     		NONE PC TO SUPPORT EXPANDING ACCESS TO MENTAL HEALTH SERVICES 20,000
    FAMILY SERVICES INC
    610 E DIAMOND AVENUE
    GAITHERSBURG,MD20877     		NONE PC TO SUPPORT THRIVING GERMANTOWN 76,000
    HEARTS AND HOMES FOR YOUTH
    3919 NATIONAL DRIVE SUITE 400
    BURTONSVILLE,MD20866     		NONE PC TO SUPPORT PSYCHIATRIST AND PSYCHIATRIC NURSE 10,000
    IDENTITY INC
    414 E DIAMOND AVENUE
    GAITHERSBURG,MD20877     		NONE PC TO SUPPORT JOVENES DE MANANA (YOUTH OF TOMORROW) AT CAPT. JAMES E. DALY ELEMENTARY SCHOOL 25,000
    INSTITUTE FOR PUBLIC HEALTH INNOVATION
    1301 CONNECTICUT AVENUE NW
    WASHINGTON,DC20036     		NONE PC TO SUPPORT BUILDING THE CAPACITY OF LOCAL SCHOOL WELLNESS COUNCILS 10,000
    JEWISH COUNCIL FOR THE AGING OF GREATER WASHINGTON
    12320 PARKLAWN DRIVE
    ROCKVILLE,MD20852     		NONE PC TO SUPPORT CAPACITY BUILDING TO SUPPORT EARLY-STAGE MEMORY LOSS 15,000
    JSSA (JEWISH SOCIAL SERVICE AGENCY)
    200 WOOD HILL ROAD
    ROCKVILLE,MD20850     		NONE PC TO SUPPORT JSSA/PREMIER HOMECARE: PARTNERS IN CARE (PIC) 17,000
    LEADERSHIP MONTGOMERY
    5910 EXECUTIVE BOULEVARD SUITE 200
    ROCKVILLE,MD20852     		NONE PC TO SUPPORT REAL INCLUSION PROGRAM 10,000
    MANNA FOOD CENTER
    9311 GAITHER ROAD
    GAITHERSBURG,MD20877     		NONE PC TO SUPPORT IMPROVE FOOD ACCESS FOR SENIORS VIA FEDERAL SNAP BENEFITS AND DIRECT COMMUNITY FOOD ASSISTANCE 25,000
    THE TREE HOUSE CHILD ADVOCACY CENTER OF MONTGOMERY COUNTY MD INC
    7300 CALHOUN PLACE
    ROCKVILLE,MD20855     		NONE PC TO SUPPORT ENSURING ACCESSIBLE, QUALITY AND COMPREHENSIVE SERVICES FOR FAMILIES AFFECTED BY MALTREATMENT 25,000
    THE UNIVERSITIES AT SHADY GROVE
    9636 GUDELSKY DRIVE
    ROCKVILLE,MD20850     		NONE PC TO SUPPORT ACHIEVING COLLEGIATE EXCELLENCE AND SUCCESS 12,500
    Total .................................bullet 3b 270,500
    Form 990-PF (2018)
    Form 990-PF (2018)
    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 ...........     		    14 426  
    4 Dividends and interest from securities....     14 826,794  
    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 1,579,803  
    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 2,407,023 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    2,407,023
    (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 (2018)
    Form 990-PF (2018)
    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) (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) (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 (2018)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    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.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2018
    Name of the organization
    HEALTHCARE INITIATIVE FOUNDATION
     
    Employer identification number

    23-7324576
    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 isn't covered by the General Rule and/or the Special Rules doesn't 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 its Form 990PF, Part I, line 2, to certify that it doesn't 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) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2
    Name of organization
    HEALTHCARE INITIATIVE FOUNDATION
          		Employer identification number
    23-7324576
    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
    1
    WORKSOURCE MONTGOMERY
     
    1801 ROCKVILLE PIKE SUITE 320
     
    ROCKVILLE, MD20852

    		$ 76,320


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

    		$  


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

    		$  


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

    		$  


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

    		$  


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

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Page 3
    Name of organization
    HEALTHCARE INITIATIVE FOUNDATION
          		Employer identification number

    23-7324576
    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) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Page 4
    Name of organization
    HEALTHCARE INITIATIVE FOUNDATION
          		Employer identification number

    23-7324576
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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) (2018)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2018 AccountingFeesSchedule
    Name:
    HEALTHCARE INITIATIVE FOUNDATION
    EIN:
    23-7324576
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 88,180 5,047 0 83,833

    TY 2018 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 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 POLITICAL 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 2018 InvestmentsOtherSchedule2
    Name:
    HEALTHCARE INITIATIVE FOUNDATION
    EIN:
    23-7324576
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    VANGUARD TOTAL BOND MKT INDEX FUND AT COST 7,166,832 7,279,159
    VANGUARD TOTAL INTERNATIONAL BOND INDEX AT COST 2,988,220 3,143,971
    VANGUARD TOTAL STOCK MKT INDEX AT COST 8,679,327 12,266,641
    VANGUARD TOTAL INTERNATIONAL STOCK INDEX AT COST 11,356,587 12,039,435
    VANGUARD MONEY MARKET AT COST 205,358 205,358

    TY 2018 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 TRUST 76,579 76,579 144,820


    TY 2018 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 26,732 0 0 26,592
    MEMBERSHIP DUES 16,315 0 0 16,315
    INSURANCE 11,840 0 0 11,840
    PAYROLL ADMINISTRATION 5,208 34 0 5,058
    PENSION ADMINISTRATION EXPENSE 1,713 14 0 1,699


    TY 2018 OtherLiabilitiesSchedule
    Name:
    HEALTHCARE INITIATIVE FOUNDATION
    EIN:
    23-7324576
    Description Beginning of Year - Book Value End of Year - Book Value
    FEDERAL EXCISE TAX PAYABLE 0 19,998
    DEFERRED FEDERAL EXCISE TAX LIABILITY 96,502 90,765


    TY 2018 OtherProfessionalFeesSchedule
    Name:
    HEALTHCARE INITIATIVE FOUNDATION
    EIN:
    23-7324576
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER PROFESSIONAL FEES 22,425 0 0 22,425


    TY 2018 SubstantialContributorsSch
    Name:
    HEALTHCARE INITIATIVE FOUNDATION
    EIN:
    23-7324576
    Name Address
    WORKSOURCE MONTGOMERY
          		1801 ROCKVILLE PIKE SUITE 320
    ROCKVILLE,MD20852


    TY 2018 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 42,260 0 0 0