Form990-PF
Click to see attachment
Click to see attachmentClick 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. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 07-01-2021 , and ending 06-30-2022
Name of foundation
HEALTHSPARK FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)2506 N BROAD ST 206
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
COLMAR, PA18915
A Employer identification number

23-1352175
B Telephone number (see instructions)

(215) 716-5400
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$42,966,406
J 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) 12,523
2 Check bullet.............
3 Interest on savings and temporary cash investments 157 157  
4 Dividends and interest from securities... 266,184 857,214  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 2,513,583
b Gross sales price for all assets on line 6a 26,630,546
7 Capital gain net income (from Part IV, line 2)... 4,031,669
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)....... 408,008 404,243 361,585
12 Total. Add lines 1 through 11........ 3,200,455 5,293,283 361,585
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 210,000 0 0 235,214
14 Other employee salaries and wages...... 367,479 0 0 364,146
15 Pension plans, employee benefits....... 156,959 0 0 165,857
16a Legal fees (attach schedule)......... 81,879 0 0 84,045
b Accounting fees (attach schedule)....... 32,208 0 0 33,683
c Other professional fees (attach schedule).... 345,701 141,566 0 211,510
17 Interest............... 110,673 110,673 110,673 0
18 Taxes (attach schedule) (see instructions)...   35,202    
19 Depreciation (attach schedule) and depletion... 216,046 216,046 216,046
20 Occupancy.............. 132,704 132,704 34,866 90,426
21 Travel, conferences, and meetings....... 4,892 0 0 3,483
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 84,631 65,965 0 71,362
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 1,743,172 702,156 361,585 1,259,726
25 Contributions, gifts, grants paid....... 611,100 791,100
26 Total expenses and disbursements. Add lines 24 and 25 2,354,272 702,156 361,585 2,050,826
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 846,183
b Net investment income (if negative, enter -0-) 4,591,127
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
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............. 54,895 83,280 83,280
2 Savings and temporary cash investments......... 863,615 1,222,145 1,222,145
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
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.......... 334,203 88,768 88,768
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 3,110,305 Click to see attachment1,488,171 1,488,171
c Investments—corporate bonds (attach schedule)....... 4,622,627 Click to see attachment2,022,000 2,022,000
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 34,471,073 Click to see attachment31,811,792 31,811,792
14 Land, buildings, and equipment: basis bullet8,594,399
Less: accumulated depreciation (attach schedule) bullet3,543,976 5,156,555 Click to see attachment5,050,423 5,050,423
15 Other assets (describe bullet) Click to see attachment1,349,880 Click to see attachment1,199,827 Click to see attachment1,199,827
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 49,963,153 42,966,406 42,966,406
Liabilities 17 Accounts payable and accrued expenses.......... 125,100 98,561
18 Grants payable................. 355,000 175,000
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)...... 3,053,012 2,934,555
22 Other liabilities (describe bullet) Click to see attachment893,872 Click to see attachment554,800
23 Total liabilities (add lines 17 through 22)......... 4,426,984 3,762,916
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions........... 43,922,114 37,739,488
25 Net assets with donor restrictions............ 1,614,055 1,464,002
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 45,536,169 39,203,490
30 Total liabilities and net assets/fund balances (see instructions). 49,963,153 42,966,406
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 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
45,536,169
2
Enter amount from Part I, line 27a .....................
2
846,183
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
178,833
4
Add lines 1, 2, and 3 ..........................
4
46,561,185
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
7,357,695
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
39,203,490
Form 990-PF (2021)
Form 990-PF (2021)
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 LP 85-2758350 P    
c LP 26-3416056 P    
d LP 81-2947111 P    
e LP 04-6832069 P    
LP 75-6661332 P    
LP 04-6809840 P    
LP 04-3393595 P    
LP 45-6268981 P    
LP 04-6928341 P    
LP 04-6903137 P    
LP 47-5599419 P    
LP 85-3749025 P    
(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 26,630,546   25,697,951 932,595
b 289,603     289,603
c 48,602     48,602
d 1,059,790     1,059,790
e 170,442     170,442
73,196     73,196
155,237     155,237
499,909     499,909
48,496     48,496
119,168     119,168
177,803     177,803
456,936     456,936
    108 -108
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       932,595
b       289,603
c       48,602
d       1,059,790
e       170,442
      73,196
      155,237
      499,909
      48,496
      119,168
      177,803
      456,936
      -108
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 4,031,669
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  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
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 for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) 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 63,817
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 63,817
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 91,551
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 91,551
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 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 27,734
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet27,734 RefundedBullet 11 0
Part VI-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 the instructions
for the 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 XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletPA
    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 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    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 (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-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.HEALTHSPARK.ORG
    14
    The books are in care ofbulletEMMA HERTZ PRESIDENT CEO Telephone no.bullet (215) 716-5400

    Located atbullet2506 N BROAD STREET SUITE 206COLMARPA ZIP+4bullet18915
    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 2021, 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 VI-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? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
    Yes
     
    (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)? ......................
    1a(5)
     
    No
    (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.) ...............
    1a(6)
     
    No
    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
     
    No
    c
    ........bullet
    d
    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 2021? .............
    1d
     
    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 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    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? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 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 2021.) .....................
    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 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-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))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    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
     
     
    c
    .........bullet
    d
    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? .................
    5d
     
     
    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? .............................
    6a
     
    No
    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?
    7a
     
    No
    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? .........................
    8
     
    No
    Part VII
    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
    RUSSELL JOHNSON PRESIDENT/CEO/MANAGER
    37.50
    210,000 33,145 6,000
    2506 N BROAD STREET SUITE 206
    COLMAR,PA18915
    JOEL JOHNSON CHAIRPERSON/DIRECTOR
    2.00
    0 0 0
    2506 N BROAD STREET SUITE 206
    COLMAR,PA18915
    NATASHA PATTERSON VICE CHAIR/DIRECTOR
    1.00
    0 0 0
    2506 N BROAD STREET SUITE 206
    COLMAR,PA18915
    NATHANIEL WILLIAMS SECRETARY/DIRECTOR
    2.00
    0 0 0
    2506 N BROAD STREET SUITE 206
    COLMAR,PA18915
    RAYMAN SOLOMON TREASURER/DIRECTOR
    1.00
    0 0 0
    2506 N BROAD STREET SUITE 206
    COLMAR,PA18915
    KAREEM AFZAL DIRECTOR
    1.00
    0 0 0
    2506 N BROAD STREET SUITE 206
    COLMAR,PA18915
    AMY GIANFICARO DIRECTOR
    1.00
    0 0 0
    2506 N BROAD STREET SUITE 206
    COLMAR,PA18915
    WARREN HILTON DIRECTOR
    1.00
    0 0 0
    2506 N BROAD STREET SUITE 206
    COLMAR,PA18915
    JOHN KEPNER DIRECTOR
    1.00
    0 0 0
    2506 N BROAD STREET SUITE 206
    COLMAR,PA18915
    COURTNEY MCCORMICK DIRECTOR
    1.00
    0 0 0
    2506 N BROAD STREET SUITE 206
    COLMAR,PA18915
    JOYCE MILLER DIRECTOR
    1.00
    0 0 0
    2506 N BROAD STREET SUITE 206
    COLMAR,PA18915
    DAVID SHERMAN DIRECTOR
    1.00
    0 0 0
    2506 N BROAD STREET SUITE 206
    COLMAR,PA18915
    ANN ST CLAIR DIRECTOR
    1.00
    0 0 0
    2506 N BROAD STREET SUITE 206
    COLMAR,PA18915
    KEN AMEY MANAGER
    1.00
    0 0 0
    2506 N BROAD STREET SUITE 206
    COLMAR,PA18915
    CHRISTINE HUNSBERGER MANAGER
    1.00
    0 0 0
    2506 N BROAD STREET SUITE 206
    COLMAR,PA18915
    MARIA MACALUSO MANAGER
    1.00
    0 0 0
    2506 N BROAD STREET SUITE 206
    COLMAR,PA18915
    ALFREDO DE LA PENA MANAGER TO MAR 2022
    1.00
    0 0 0
    2506 N BROAD STREET SUITE 206
    COLMAR,PA18915
    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
    CHINWE ONYEKERE DIRECTOR OF EQUITY A
    37.50
    140,000 21,438 0
    2506 N BROAD STREET SUITE 206
    COLMAR,PA18915
    JOHN RAMIREZ JR CONTROLLER
    37.50
    79,649 24,946 0
    2506 N BROAD STREET SUITE 206
    COLMAR,PA18915
    CLARE STRENGER OFFICE MANAGER
    37.50
    57,666 25,773 0
    2506 N BROAD STREET SUITE 206
    COLMAR,PA18915
    EMMA HERTZ DIRECTOR OF EXTERNAL
    37.50
    65,423 10,280 0
    2506 N BROAD STREET SUITE 206
    COLMAR,PA18915
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    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
    MEKETA INVESTMENT GROUP INVESTMENT MANAGEMENT 119,066
    100 LOWDERBROOK DRIVE SUITE 1100
    WESTWOOD,MA02090
    LAMB MCERLANE PC LEGAL 69,827
    24 E MARKET ST BOX 565
    WEST CHESTER,PA19381
    CAPACITY FOR CHANGE LLC PROGRAM DEVELOPMENT 65,000
    911 GENERAL WAYNE DRIVE
    WEST CHESTER,PA19382
    CRITERION SEARCH GROUP RECRUITING 50,000
    PO BOX 147
    BRYN MAWR,PA19010
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part VIII-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 COMMUNITY PARTNERS CENTER: THROUGH THE SUBSIDIARY 2506 LLC, THE FOUNDATION OPERATES AND IS LOCATED IN A NONPROFIT CENTER, COMMUNITY PARTNERS CENTER (WWW.COMMUNITYPARTNERSCENTER.ORG). A BOARD OF MANAGERS GOVERNS 2506 LLC, APPOINTED BY THE FOUNDATION, COMPRISED OF 5 INDIVIDUALS (3 TENANT REPRESENTATIVES). 2506 LLC OWNS AN ADJACENT RESIDENTIAL UNIT, MASTER LEASED TO A NONPROFIT TO SUBLET IN ACCORDANCE WITH A MORTGAGE AGREEMENT BETWEEN 2506 LLC AND THE MONTGOMERY COUNTY DEPARTMENT OF HOUSING & COMMUNITY DEVELOPMENT. THE CENTER OFFERS NONPROFITS FREE USE OF MEETING ROOMS. NONPROFITS RECOGNIZE THIS VALUE. UNFORTUNATELY, USE WAS MINIMAL IN FYE JUNE 30, 2022, DUE TO COVID-19. 454,523
    2 MONTGOMERY COUNTY SAFETY NET RESILIENCE INITIATIVE: HEALTHSPARK LAUNCHED THIS 10-YEAR, COMMUNITY-DRIVEN AND COLLABORATIVE INITIATIVE TO IMPROVE THE FINANCIAL RESILIENCY OF MONTGOMERY COUNTY'S HEALTH & HUMAN SERVICES SAFETY NET SYSTEM. KEY STRATEGIES INCLUDE GRANTMAKING, RESEARCH, SYSTEM LEADERSHIP CAPACITY BUILDING, COMMUNICATIONS, REFLECTIVE LEARNING SESSIONS, AND ADVOCACY. POLICYMAKERS, SAFETY NET SYSTEM NONPROFIT LEADERS, BUSINESS REPRESENTATIVES, CONSUMERS AND ADJACENT SECTOR LEADERS ARE INVITED TO COMMUNITY OF PRACTICE MEETINGS WHERE THE FOUNDATION UPDATES THE BROADER COMMUNITY ON THE INITIATIVE'S PROGRESS AND GATHERS FEEDBACK AND RECOMMENDATIONS FOR FUTURE CONSIDERATION. 140,237
    3  
    4  
    Part VIII-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 (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    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
    41,001,613
    b
    Average of monthly cash balances.......................
    1b
    1,050,027
    c
    Fair market value of all other assets (see instructions)................
    1c
    1,199,827
    d
    Total (add lines 1a, b, and c).........................
    1d
    43,251,467
    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
    43,251,467
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    648,772
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    42,602,695
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    2,130,135
    Part X
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part IX, line 6..................
    1
    2,130,135
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    63,817
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    63,817
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    2,066,318
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    2,066,318
    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 XII, line 1 ...
    7
    2,066,318
    Part XI
    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
     
    b
    Program-related investments—total from Part VIII-B..................
    1b
     
    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 XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2020
    (c)
    2020
    (d)
    2021
    1 Distributable amount for 2021 from Part X, line 7 2,066,318
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016......  
    b From 2017......  
    c From 2018...... 107,981
    d From 2019......  
    e From 2020......  
    f Total of lines 3a through e ........ 107,981
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 2,050,826
    a Applied to 2020, 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 2021 distributable amount..... 2,050,826
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2021. 15,492 15,492
    (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 92,489
    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 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........
    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 2016 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    92,489
    10 Analysis of line 9:
    a Excess from 2017....  
    b Excess from 2018.... 92,489
    c Excess from 2019....  
    d Excess from 2020....  
    e Excess from 2021....  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-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 2021, 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) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    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 IX, 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 XIV
    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:
    EMMA HERTZ
    2506 N BROAD STREET SUITE 206
    COLMAR,PA18915
    (215) 716-5400
    bThe form in which applications should be submitted and information and materials they should include:
    THE FOUNDATIONS'S CURRENT GRANTMAKING PROCESS IS MULTI-FACETED. SOMETIMES WE INVITE SPECIFIC ORGANIZATIONS TO APPLY FOR A PARTICULAR GRANT OPPORTUNITY. AT OTHER TIMES WE ISSUE REQUESTS FOR PROPOSALS AND ALLOW ORGANIZATIONS TO RESPOND WITH THEIR IDEAS. STILL OTHER TIMES WE CREATE GRANT PROGRAMS OR INITIATIVES TARGETING A DEFINED CHALLENGE OR COMMUNITY NEED AND ALLOW ANY INTERESTED ORGANIZATION WORKING WITHIN THE COUNTY TO APPLY. VISIT THE FOUNDATION'S WEBSITE WWW.HEALTHSPARK.ORG FOR CURRENT GRANT OPPORTUNITIES.
    cAny submission deadlines:
    PROPOSAL SUBMISSION DEADLINES ARE POSTED ON THE FOUNDATION'S WEBSITE WWW.HEALTHSPARK.ORG.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    TO BE ELIGIBLE FOR GRANT SUPPORT, AN ORGANIZATION MUST PROVIDE A SERVICE OR PROGRAM THAT BENEFITS THE RESIDENTS OF ONE OR MORE OF MONTGOMERY COUNTY PENNSYLVANIA COMMUNITIES. ORGANIZATIONS DO NOT NEED TO BE PHYSICALLY LOCATED IN THE COUNTY IN ORDER TO BE ELIGIBLE TO RECEIVE GRANT SUPPORT. GUIDELINES AND ADDITIONAL RESTRICTIONS CAN BE FOUND ON THE FOUNDATION'S WEBSITE WWW.HEALTHSPARK.ORG.
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    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
    ACCESS SERVICES INC
    500 OFFICE CENTER DRIVE SUITE 100
    FORT WASHINGTON,PA190343234
      PC SCALE STREET MEDICINE PROGRAM 85,000
    ARCADIA UNIVERSITY
    450 S EASTON ROAD
    GLENSIDE,PA19038
      PC OPERATING SUPPORT 500
    ARDMORE AVENUE COMMUNITY CENTER
    122 ARDMORE AVENUE PO BOX 324
    ARDMORE,PA19003
      PC SUSTAINING THE ARDMORE AVENUE COMMUNITY CENTER 15,000
    BUCKS MONT COLLABORATIVE
    PO BOX 66
    HARLEYSVILLE,PA19438
      PC RACIAL EQUITY LEARNING COMMUNITY - TCN FISCAL SPONSOR; STRATEGIC PLANNING PROCESS 70,000
    COALITION FOR RACIAL EQUITY AND SOCIAL JUSTICE
    301 VINE STREET
    LANSDALE,PA19446
      PC COALITION4JUSTICE YOUTHBUILD DIVERSITY AMBASSADOR PROGRAM: EDUCATE, COMMUNICATE, EMPOWER 15,000
    COLLEGIATE BRIDGE INC
    3801 SKIPPACK PIKE 406
    SKIPPACK,PA19474
      PC COLLEGE READINESS PARENT INSTITUTE 15,000
    ECONOMY LEAGUE OF PIHLADELPHIA GPLEX
    1800 JFK BOULEVARD SUITE 460
    PHILADELPHIA,PA19103
      PC FUND UP TO 10 SCHOLARSHIPS FOR GREATER PHILADELPHIA LEADERSHIP EXCHANGE (GPLEX) 2021 5,000
    FIRST BAPTIST CHURCH OF HUNTINGDON VALLEY
    2451 MURRAY AVENUE
    HUNTINGDON VALLEY,PA19006
      PC MIRACLES AROUND MURRAY AVE, BLACK HISTORICAL AND MONUMENTAL STORIES IN THE HUNTINGDON VALLEY AREA 10,000
    GWYNEDD-MERCY UNIVERSITY
    1325 SUMNEYTOWN PIKE PO BOX 901
    GWYNEDD VALLEY,PA19437
      PC OPERATING SUPPORT 2,000
    IMAGINE DIFFERENT CO THE PEAL CENTER
    2325 EAST CARSON STREET SUITE 100A
    PITTSBURGH,PA15203
      PC IMAGINE DIFFERENTACHIEVE DIFFERENT: SHARING/CARING PARTNER FAMILIES FOR CHILDREN WITH DEVELOPMENTAL DISABILITIES IN MONTGOMERY COUNTY - PLANNING 5,000
    INTERAGENCY COUNCIL OF NORRISTOWN
    PO BOX 697
    NORRISTOWN,PA19404
      PC STRATEGIC PLANNING PROCESS 10,000
    INTER-FAITH HOUSING ALLIANCE
    31 SOUTH SPRING GARDEN STREET
    AMBLER,PA19002
      PC OPERATING SUPPORT 500
    INTERNEWS (VOICES FOR CHANGE)
    876 7TH STREET
    ARCATA,CA95521
      PC INFORMATION NEEDS ASSESSMENT 50,000
    LITERACY COUNCIL OF NORRISTOWN FOR GREATER NORRISTOWN NAACP
    113 E AIRY STREET
    NORRISTOWN,PA19401
      PC ONE BOOK ONE NORRISTOWN 15,000
    MANNA ON MAIN STREET
    606 E MAIN STREET PO BOX 763
    LANSDALE,PA19446
      PC OPERATING SUPPORT 1,500
    MATERNITY CARE COALITION
    2000 HAMILTON STREET SUITE 205
    PHILADELPHIA,PA19130
      PC MONTCO MAMAS: HOPE FOR ALL, LIFE FOR ALL 60,000
    MISSION FIRST HOUSING
    2042-48 ARCH STREET 2ND FLOOR
    PHILADELPHIA,PA19103
      PC OPERATING SUPPORT 500
    MONTCO ANTI-HUNGER NETWORK
    606 E MAIN STREET
    LANSDALE,PA19446
      PC BBB: THE EMERGENCY FOOD SYSTEM; EXECUTIVE RECRUITMENT, RELOCATION, AND BUSINESS/STRATEGIC PLANNING; OPERATING SUPPORT 83,000
    MONTGOMERY COUNTY OIC
    1101 ARCH STREET
    NORRISTOWN,PA19401
      PC PRE-DEVELOPMENT ACTIVITIES, SULLIVAN HOUSE 10,000
    NEIGHBORS HELPING NEIGHBORS ON THE MAIN LINE
    50 RITTENHOUSE PLACE
    ARDMORE,PA19003
      PC INNOVATIVE INCLUSION 15,000
    PA YOUTH VOTE
    1207 CHESTNUT STREET SUITE 700
    PHILADELPHIA,PA19107
      PC PA YOUTH VOTE (PYV) 15,000
    PENNSYLVANIA HEALTH ACCESS NETWORK (PHAN)
    1501 CHERRY STREET
    PHILADELPHIA,PA19102
      PC CREATION OF AN ADVOCACY COALITION AND PUBLIC EDUCATION CAMPAIGN 150,000
    PHILIP JAISOHN MEMORIAL FOUNDATION
    6705 OLD YORK ROAD
    PHILADELPHIA,PA191262841
      PC CONTINUED COMMUNITY BUILDING NETWORK FOR ASIAN AMERICAN COALITION AND DEVELOPING HUMAN SERVICE CAPABILITY AS IT RELATES TO SAFETY NET; OPERATING SUPPORT 30,500
    REALITY SPEAKING INC
    PO BOX 781
    NORRISTOWN,PA19404
      PC THE CRIMINAL JUSTICE ADVOCACY PROJECT 15,000
    RESOURCES FOR HUMAN DEVELOPMENT
    4700 WISSAHICKON AVENUE
    PHILADELPHIA,PA19144
      PC PRE-DEVELOPMENT ACTIVITIES, RELOCATION OF THE SINGLE ADULT HOMELESS SHELTER 10,000
    SEACHANGE CAPITAL
    1385 BROADWAY 23RD FLOOR
    NEW YORK,NY10018
      PC GREATER PHILADELPHIA NONPROFIT REPOSITIONING FUND 25,000
    TRI COUNTY COMMUNITY NETWORK COLLABORATIVE TCN
    724 N ADAMS STREET SUITE 203
    POTTSTOWN,PA19464
      PC STRATEGIC PLANNING PROCESS 30,000
    TRICOUNTY COMMUNITY NETWORK
    724 N ADAMS STREET SUITE 203
    POTTSTOWN,PA19464
      PC POTTSTOWN COMMUNITY ACTION POWER BUILDING & ENGAGEMENT; POTTSTOWN FIRE VICTIMS FUND (TCN) 21,100
    YOUR WAY HOME (MONTGOMERY COUNTY FOUNDATION)
    340 DEKALB PIKE
    BLUE BELL,PA19422
      PC OPERATING SUPPORT 1,500
    YOUR WAY HOME (TRICOUNTY COMMUNITY NETWORK)
    724 N ADAMS STREET SUITE 203
    POTTSTOWN,PA19464
      PC FORGE A MORE INCLUSIVE, JUST AND EQUITY HOUSING/HOMELESS SYSTEM IN MONTGOMERY COUNTY 25,000
    Total .................................bullet 3a 791,100
    bApproved for future payment
    SEACHANGE CAPITAL
    1385 BROADWAY 23RD FLOOR
    NEW YORK,NY10018
      PC GREATER PHILADELPHIA NONPROFIT REPOSITIONING FUND 50,000
    Total .................................bullet 3b 50,000
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-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 ...........
        14 157  
    4 Dividends and interest from securities ....          
    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 2,513,583  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aRENTAL INCOME
            361,585
    bEXCISE TAX CREDIT     01 46,073  
    cOTHER INCOME     01 350  
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 0 2,826,347 361,585
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    3,187,932
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-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 XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    11A RENTAL INCOME FROM NON-PROFIT CENTER WHICH HOUSES THE FOUNDATION AND FIVE UNRELATED HEALTH & HUMAN SERVICE AGENCIES SERVING MONTGOMERY COUNTY.
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    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 instructions.
    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 (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990)
    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
    2021
    Name of the organization
    HEALTHSPARK FOUNDATION
     
    Employer identification number

    23-1352175
    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) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    HEALTHSPARK FOUNDATION
     
    Employer identification number
    23-1352175
    Part I
    Contributors
    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
    MARY SPIERS TRUST CO WELLS FARGO WEALTH MGT
     
    ONE WEST FOURTH ST D4000-0062
     
    WINSTONSALEM, NC27101

    $ 9,200


    (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) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    HEALTHSPARK FOUNDATION
     
    Employer identification number

    23-1352175
    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) (2021)
    Schedule B (Form 990) (2021)
    Page 4
    Name of organization
    HEALTHSPARK FOUNDATION
     
    Employer identification number

    23-1352175
    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) (2021)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2021 AccountingFeesSchedule
    Name:
    HEALTHSPARK FOUNDATION
    EIN:
    23-1352175
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING/AUDIT EXPENSE 32,208 0 0 33,683

    TY 2021 GeneralExplanationAttachment
    Name:
    HEALTHSPARK FOUNDATION
    EIN:
    23-1352175
    Identifier Return Reference Explanation
    LIST OF OFFICERS, DIRECTORS, TRUSTEES, AND FOUNDATION MANAGERS FORM 990-PF, PART VIII: THE INDIVIDUALS NOTED AS FOUNDATION MANAGERS IN THE ATTACHED FORM 990-PF, PART VIII ALSO SERVE ON THE BOARD OF MANAGERS, THE GOVERNING BODY OF 2506, LLC.

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    HEALTHSPARK FOUNDATION
    EIN:
    23-1352175
    Name of Bond End of Year Book Value End of Year Fair Market Value
    AMERICAN CENTURY HIGH INCOME FUND, 41,969.079 SH 336,592 336,592
    PAYDEN EMERGING MARKET BOND INS, 34,118.501 SH 335,385 335,385
    PI FLOATING RATE INCOME I, 40,643.261 SH 369,854 369,854
    VANGUARD SHORT TERM INFLATION, 39,000.375 SH 980,169 980,169

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    HEALTHSPARK FOUNDATION
    EIN:
    23-1352175
    Name of Stock End of Year Book Value End of Year Fair Market Value
    KOPERNIK GLOBAL ALL-CAP FUND, LTD, 97,646.177 SH 1,168,825 1,168,825
    VANGUARD BALANCED INDEX FUND, 319,346.000 SH 319,346 319,346

    TY 2021 InvestmentsOtherSchedule2
    Name:
    HEALTHSPARK FOUNDATION
    EIN:
    23-1352175
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    AB GLOBAL CORE EQUITY DEBT, 69,885.163 SH FMV 1,855,353 1,855,353
    BHDG SYSTEMATIC TRADING FUND, 5,686.069 SH FMV 913,898 913,898
    FIRST EAGLE GLOBAL VALUE FUND, 1,007.293 SH FMV 2,875,883 2,875,883
    FIRST EAGLE INSTITUTIONAL GOLD FUND LP, 1,000.550 SH FMV 950,929 950,929
    KKR DIVERSIFIED CORE INFRA A SR, 599,713 SH FMV 599,713 599,713
    KOHINOOR SERIES (CAYMAN) FUND, 872.905 SH FMV 880,334 880,334
    NORTH PENN HOSPITAL DEFERRED COMPENSATION PLAN FMV 442,677 442,677
    SCULPTOR CREDIT OPP OVERSEAS FUND LP, 700,000.000 SH FMV 896,232 896,232
    SSGA LARGE MID-CAP NATIONAL RESOURCE, 80,402.516 SH FMV 986,378 986,378
    SSGA MSCI EAFE NI, 186,554.542 SH FMV 3,937,047 3,937,047
    SSGA MSCI EMG MKTS INDEX, 70,717.471 SH FMV 2,042,320 2,042,320
    SSGA REIT INDEX COMMON TRUST, 25,750.722 SH FMV 1,323,407 1,323,407
    SSGA RUSSELL 1000 VALUE INDEX, 34,131.893 SH FMV 1,995,965 1,995,965
    SSGA RUSSELL 3000 INDEX, 222,577.203 SH FMV 7,713,413 7,713,413
    SSGA US AGGREGATE BOND INDEX, 132,353.337 SH FMV 2,158,021 2,158,021
    WCM GLOBAL GROWTH FUND, 860,400.000 SH FMV 2,240,222 2,240,222

    TY 2021 LandEtcSchedule2
    Name:
    HEALTHSPARK FOUNDATION
    EIN:
    23-1352175
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    LAND 1,906,479 0 1,906,479 1,906,479
    LAND IMPROVEMENTS 712,599 575,884 136,715 136,715
    BUILDING 4,559,162 1,668,603 2,890,559 2,890,559
    LEASEHOLD IMPROVEMENTS 919,181 919,181 0  
    FURNITURE, FIXTURES AND EQUIPMENT 496,978 380,308 116,670 116,670


    TY 2021 LegalFeesSchedule
    Name:
    HEALTHSPARK FOUNDATION
    EIN:
    23-1352175
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL EXPENSES 81,879 0 0 84,045


    TY 2021 OtherAssetsSchedule
    Name:
    HEALTHSPARK FOUNDATION
    EIN:
    23-1352175
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    BENEFICIAL INTEREST IN PERPETUAL TRUSTS 1,111,365 1,005,414 1,005,414
    BENEFICIAL INTEREST IN REMAINDER TRUSTS 238,515 194,413 194,413


    TY 2021 OtherDecreasesSchedule
    Name:
    HEALTHSPARK FOUNDATION
    EIN:
    23-1352175
    Description Amount
    UNREALIZED GAIN ON SECURITIES 7,207,642
    CHANGE IN BENEFICIAL INTEREST IN REMAINDER TRUST 105,951
    CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 44,102


    TY 2021 OtherExpensesSchedule
    Name:
    HEALTHSPARK FOUNDATION
    EIN:
    23-1352175
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OFFICE SUPPLIES & COMPUTER MAINTENANCE 13,870 0 0 1,220
    TELEPHONE & COMMUNICATIONS 31,072 0 0 30,453
    INSURANCE 22,213 0 0 22,213
    DUES & SUBSCRIPTIONS 16,893 0 0 16,893
    MISCELLANEOUS 583 0 0 583
    PARTNERSHIP EXPENSES 0 65,965 0 0


    TY 2021 OtherIncomeSchedule2
    Name:
    HEALTHSPARK FOUNDATION
    EIN:
    23-1352175
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    LP 85-2758350   4,750  
    LP 26-3416056   14,751  
    LP 81-2947111   -1,240  
    LP 04-6832069   437  
    LP 75-6661332   992  
    LP 04-6809840   2,087  
    LP 04-3393595   19,307  
    LP 45-6268981   -557  
    LP 04-6903137   1,725  
    LP 47-5599419   445  
    LP 85-3749025   -28  
    LESS, LP 04-6832069 UBI   -11  
    RENTAL INCOME 361,585 361,585 361,585
    EXCISE TAX CREDIT 46,073 0 0
    OTHER INCOME 350 0 0


    TY 2021 OtherIncreasesSchedule
    Name:
    HEALTHSPARK FOUNDATION
    EIN:
    23-1352175
    Description Amount
    CHANGE IN VALUE OF INTEREST RATE SWAP 178,833


    TY 2021 OtherLiabilitiesSchedule
    Name:
    HEALTHSPARK FOUNDATION
    EIN:
    23-1352175
    Description Beginning of Year - Book Value End of Year - Book Value
    LIABILITIES IN RELATION TO NORTH PENN HOSPITAL 502,756 442,677
    INTEREST RATE SWAP 244,897 66,064
    TENANT SECURITY DEPOSITS 13,530 13,530
    DEFERRED TAX LIABILITY 132,689 32,529


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    HEALTHSPARK FOUNDATION
    EIN:
    23-1352175
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PROGRAMMATIC/BOARD/OTHER CONSULTING 226,635 22,500 0 211,510
    INVESTMENT FEES 119,066 119,066 0 0