BANK OF AMERICA, N.A, TRUSTEE Fanny Holt Ames & Edna Louise Holt Fund

1. 2013 Grant Guidelines and Review Process | for grants beginning January 1 to June 30, 2014 BANK OF AMERICA, N.A, TRUSTEEFanny Holt Ames &Edna Louise Holt Fund June 17, 2013Bellows Falls, Vermont

2. History of the Holt Fund • Miss Holt’s sister Fanny Holt Ames died in a car accident in 1983. As a result of the car accident and the injuries she sustained, Miss Holt amended her estate plan in 1987. Her new plan created a perpetual charitable fund at her death, the Fanny Holt Ames and Edna Louise Holt Fund, with the Bank as the sole trustee. • Miss Holt died in 1998. • Due to the estate settlement process, full funding of the Fund was not completed until 2000. Fanny Holt Ames & Edna Louise Holt Fund

3. Miss Holt’s Instructions • Miss Holt instructed the Trustee of her Fund to pay income as follows: • “to meet the medical needs of the Grafton, Vermont community and surrounding towns” • “to give primary consideration to Grace Cottage Hospital, so long as the Trustee of the Fund, in its discretion, determines that the said hospital continues to provide health care for the community” Fanny Holt Ames & Edna Louise Holt Fund

4. The Task of the Trustee • Make sure that Miss Holt’s wishes are carried out and that our fiduciary duties are met • Solicit input from the community • Obtain an extensive and unbiased understanding of the medical needs of the local community • Develop and adopt a mission statement for the Fund • Create grantmaking guidelines and a process for proposal acceptance and review Fanny Holt Ames & Edna Louise Holt Fund

5. Actions Taken by the Trustee • Enlisted the services of Health Resources in Action to: • To conduct a community participatory assessment to inform the Trustee of the health related needs in the area, in 2000 and 2011 • To provide technical assistance during the grant making process • Developed and adopted a mission statement: “Focuses its resources on meeting the medical needs of individuals including, although not limited to, those with limited accessto health care” Fanny Holt Ames & Edna Louise Holt Fund

6. Actions Taken by the Trustee, continued • Established guidelines and a process for funding: • Identified a geographic area of service • Identified key focus areas for funding • Determined and utilized guiding principles • Established requirements for eligibility • Created grant making categories • Established the Distribution Review Committee • Invested over $10 million in 44 organizations for 140 programs • Remained flexible and responsive to community input Fanny Holt Ames & Edna Louise Holt Fund

7. The Holt Catchment Area • Windham County • Athens • Brookline • Grafton • Jamaica • Londonderry • Rockingham • Townshend • Westminster • Windham • Windsor County • Andover • Chester • Springfield • Weston Fanny Holt Ames & Edna Louise Holt Fund

8. Guiding Principles The Holt Fund : • Awards grants on a competitive basis to not-for-profit 501 (C) 3 organizations • Makes grant decisions based upon the needs of the communities, recognizing that those needs may change over time • Focuses its resources on areas that will have a positive and lasting impact on the largest number of people • Gives primary consideration in its grant making process to Grace Cottage Hospital Fanny Holt Ames & Edna Louise Holt Fund

9. Guiding Principles, continued • Seeks to support programs that recognize and emphasize the importance of prevention, health education, intervention, treatment, evaluation and a personalized approach to care as critical to improving health status • Supports programs that have the ability to become self-sustaining • Operates, when possible, to leverage additional resources for the community • Encourages collaborative approaches whenever feasible and appropriate Fanny Holt Ames & Edna Louise Holt Fund

10. Community Investments, 2001-2013 Fanny Holt Ames & Edna Louise Holt Fund

11. Grant Guidelines & Review Process Six Month Transition Awards:January 1, 2014 to June 30, 2014 “New” Holt Grant Year, beginning July 2014: July 1 to June 30

12. Available Funds for Program Year 2013 $279,618 Funds available for 6-Month Transition Grants Previous commitments for multi-year grants for 2013 $320,382 Estimated total funds for distribution December 2013 $600,000 Fanny Holt Ames & Edna Louise Holt Fund

13. Program Overview Grants are awarded on an annual basis to support programs and organizations that: • seek to address health disparities within the Holt catchment area; • improve access to care, particularly for vulnerable populations; • focus on prevention, health education, intervention, treatment, evaluation and a personalized approach to care; and • build the organizational capacity of individual agencies or collaboratives to better provide health and medical services within the Holt catchment area. Fanny Holt Ames & Edna Louise Holt Fund

14. Collaboration • Process of participation through which individuals, groups and organizations work together to achieve desired results • Shared vision and resources • Responsibility to jointly plan, implement and evaluation the program/project. Fanny Holt Ames & Edna Louise Holt Fund

15. Eligibility • 501 (c) 3 organizations • Located in, or provide the majority of their services to, individuals in one or more towns in the catchment area • Applicants may include: community-based organizations, healthcare providers, local governments, school systems, faith communities, and other not-for-profit organizations Fanny Holt Ames & Edna Louise Holt Fund

16. Six Month Transition Grants • Transitioning its funding from a January 1 start to a July 1 start. • Short-term awards to be used between January 1, 2014 and June 30, 2014. • Recipients may apply in January 2014 for a single or multiyear grant that builds upon the Six Month Transition Grant. Fanny Holt Ames & Edna Louise Holt Fund

17. Six Month Transition Grants, continued • Grants in the range of $10,000 to $50,000 • Requests may be used to support: • new programs or existing programs with demonstrated progress toward clear, measurable outcomes • general operations budget items necessary for the accomplishment of organizational outcomes, for organizations with annual operating budgets of $1million or less • projects that build the organizational capacity of the individual organization to better provide health and medical services Fanny Holt Ames & Edna Louise Holt Fund

18. Use of Grant Funds Grant funds may be used for: • staff salaries • consultant fees • operating expenses • indirect costs (indirect costs may not exceed 20% of the direct expenses) • equipment, if it is determined essential to the operation of the proposed program Fanny Holt Ames & Edna Louise Holt Fund

19. Use of Grant Funds, continued • Grant funds may not be used to: • build endowments • fund operating deficits • initiate or influence legislation • Requests will not be considered for construction of new facilities, substantial renovation of existing facilities, or to support capital campaigns. • Under certain circumstances, the Holt Fund monies may be used as “matching funds” for projects. Fanny Holt Ames & Edna Louise Holt Fund

20. Special Note • Organizations may not have more than one award from the Holt Fund that supports the same program or project in any given year. • If multiple applications are submitted, the sponsoring organization must prioritize the applications for funding. Applicants may not submit multiple applications for a single program or project. Fanny Holt Ames & Edna Louise Holt Fund

21. Application Process • Cover Sheet • Use form provided • Proposal Narrative • Answer all five questions within the seven page limit. • Budget Forms • Use forms provided • Required Attachments • Provide 5 copies of all 5 attachments Fanny Holt Ames & Edna Louise Holt Fund

22. Proposal Narrative • Provide a brief summary of your organization’s history, mission and experience • Describe the target population and the need(s) that the proposed program will address. Identify what sources you used to determine those needs. • Briefly describe the proposed activities and timeline. If this is a collaborative program, identify all collaborators. Fanny Holt Ames & Edna Louise Holt Fund

23. Identify the outcome measures for the target population. Attach a program logic model. • Briefly describe how you will measure if this program/project is effective. Fanny Holt Ames & Edna Louise Holt Fund

24. Overview of 2013 Grantmaking Timeline Fanny Holt Ames & Edna Louise Holt Fund

25. Technical Assistance • Technical assistance is available in the following areas: • Clarification of Holt Fund guidelines • Conceptual framework for grants • Referrals for potential collaborators • Outcome measurement and the development of program logic models • The development of communication plans • Contact: Abby Atkins at 617-279-2240 x354 aatkins@hria.org Fanny Holt Ames & Edna Louise Holt Fund

26. Training Development of Program Logic Models and Outcome MeasuresAugust 20, 2013 11:00 a.m. to 1:00 p.m.Webinar will cover the development of program logic models and the identification of outcome measures relevant to the program. Tips for a Successful Application to the Holt FundAugust 22, 2013 9:00 a.m. to 10:00 a.m.Webinar will review the required elements of the application and identify areas most closely looked at by reviewers. SPEAK UP: Promoting Health through Effective CommunicationsSeptember 18, 2013 1:00 p.m. to 2:00 p.m.Webinar will discuss the development of communication plans. Fanny Holt Ames & Edna Louise Holt Fund

27. Overview of 2014-2015 Grantmaking Timeline Fanny Holt Ames & Edna Louise Holt Fund

28. Technical Assistance and Grantmaking Process • Technical assistance provided via • Phone: 617-279-2240 ext. 354 • E-mail: aatkins@hria.org • Completed proposals delivered to: Health Resources in Action/Holt Fund 95 Berkeley Street, 2nd Floor Boston, MA 02116 Fanny Holt Ames & Edna Louise Holt Fund

29. Health Resources in Action/Holt Fund 95 Berkeley Street, 2ndFloor Boston, MA 02116 Tel: 617-279-2240 ext. 354 | Email: Holt@hria.org www.hria.org Fanny Holt Ames & Edna Louise Holt Fund