Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 299,500 | 522,606 | 326,625 | 357,555 | 337,500 | 1,843,786 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | 0 | |||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 4 | Total. Add lines 1 through 3 | 299,500 | 522,606 | 326,625 | 357,555 | 337,500 | 1,843,786 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | 1,180,968 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 662,818 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 299,500 | 522,606 | 326,625 | 357,555 | 337,500 | 1,843,786 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 372 | 669 | 388 | 421 | 1,030 | 2,880 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | 0 | |||||
| 11 | Total support. Add lines 7 through 10 | 1,846,666 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2018 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2018 |
(iii) Distributable Amount for 2018 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2018 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2018: | ||||
| a From 2013....... | ||||
| b From 2014....... | ||||
| c From 2015....... | ||||
| d From 2016....... | ||||
| e From 2017....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2018 distributable amount | ||||
|
i
Carryover from 2013 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2018 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2018 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2019. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2014...... | ||||
| b Excess from 2015..... | ||||
| c Excess from 2016..... | ||||
| d Excess from 2017..... | ||||
| e Excess from 2018..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | 18007218 |
| Software Version: | 2018v3.1 |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990, Part VI, Line 11b: Form 990 Review Process | Form 990 is available to the officers and board members prior to filing. They are able to review the Form. The Treasurer, Chairman and Managing Director of the Organization perform a detailed review prior to filing. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | No conflicts of interest have arisen. However, in the case of potential conflicts of interest, it has been agreed under America's Agenda policy that interested parties will disclose the existence of potential conflicts, and recuse themselves from participation in the decision-making process, as outlined in the organization's conflict of interest policy. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | The Organization has no paid employees. Americas' Agenda: HealthCare for All , a section 501(c)(4) organization, pays the employees as common paymaster. Compensation is reviewed by the board of that organization. The Organization reimburses America's Agenda: HealthCare for All for 50% of the payroll costs for services provided to the Organization by the employees. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | The Organization will make appropriate governing documents, policies and financial statements available upon request. |
| Form 990 Part III Exempt Purpose Achievements | In 2018, the America's Agenda Healthcare Education Fund (AAHEF or the Fund) continued our brisk pace of educational, research, analysis, and policy development program activities. The program activities are aimed at advancing the Funds ongoing mission in the evolving environment over eight years since enactment of the Affordable Care Act. The mission of the Fund has had renewed relevance during this period in which, despite expansion in health insurance coverage that resulted from the ACA, persistently rapid growth in health costs continues to impede access to health care, despite expansion of insurance coverage, through shifting of the growing cost burden from health plan sponsors to patients, who frequently manage costs by forgoing care they need.Detailed program activities:1. Research, Analysis & Policy DevelopmentHigh-Value Primary Care Transformation During 2018, the Fund has continued its foundational work in examining the health cost drivers rooted in a fragmented care delivery system that often incorporates provider and patient incentives that are misaligned with one another, and therefore fail to produce optimal healthcare quality and cost outcomes. Within this analytic framework, the Fund has developed principles of high-value health care delivery design and disseminated this guidance to public and private sector audiences ranging from patient State policy-makers, self-funded health plan trustees and beneficiaries, commercial health plan managers, patient advocates, and to the extent possible, to the general public. In the public sector, for example, the Fund has worked closely on a non-partisan basis over several years with the New Jersey State legislature, State Administrations, and the States public employee representatives to design a high-performance primary care delivery alternative to the costly fee-for-service network model in which primary care delivery is atrophying and resulting overall health costs are rising at a rate that poses severe fiscal challenges to the State. Over the course of 2018, the Fund has continued to build on this work with a special emphasis on meeting the challenge of scaling voluntary enrollment in the AAHEF-designed Direct Primary Care Medical Home (or DPCMH) to achieve a significant enough level of patient participation to support a statistically significant empirical analysis of the programs impact on health outcomes and overall health costs. Over the course of 2018, the Fund conducted extensive discussions with State Administration officers, employee representatives, and DPCMH leaders to assess the impediments to more robust voluntary patient enrollment growth in the program and determine how current enrollment growth can be accelerated. As a result of our analysis, AAHEF has issued recommendations for overcoming obstacles to employee education and understanding of the program. We have been gratified that enrollment in the program grew several fold over 2018 and that patient satisfaction with the program has been extremely high, but work needs to continue to improve employee awareness and understanding of the program and drive enrollment growth to levels that can yield empirically valid outcomes measures that will have policy value to New Jersey and other states.In the private sector, the Fund carried forward our active support for self-funded employer and jointly-governed, multi-employer health plans seeking to reduce health costs through high-value care delivery design. For example, the Fund worked extensively over the course of 2018 with the United Auto Workers and General Motors presenting and discussing AAHEF-developed principles of high-value care delivery transformation. In response to a joint request from the United Auto Workers and General Motors, the Fund analyzed aggregated medical claims data provided by General Motors. The Fund evaluated and ranked auto production plants and employee groups for which high-value direct primary care transformation held the highest promise of generating significant overall health cost savings.Reduction in the Growth in Cost of Prescription Medicines - The growth in cost for prescription medicines is the most rapidly growing portion of overall costs for Americans health care. As a result of adopting an AAHEF-designed strategy for transforming an opaque and uncompetitive market for prescription drug benefits into a transparent, dynamically competitive marketplace, the State of New Jersey netted a projected 3-year 18.5% or $1.6 billion in prescription drug savings to State government and taxpayers without cutting public employee benefits. But early in 2018, the New Jersey Appellate Court held, in response to a suit brought against the State by its former prescription benefits manager Express Scipt International, that, while conduct of the reverse auction process adopted by the State to select its pharmacy benefit manager in 2017 was perfectly legal, the States subsequent contracting with the reverse auction winner, Optum Rx, was executed unlawfully. Subsequently, AAHEF accepted a request from the New Jersey State legislative leadership to evaluate prospective savings to the State if the rebidding of the pharmacy benefit contract ordered by the Appelate Court were undertaken, again, applying the same AAHEF-designed strategy that the State had executed with bipartisan support of the Governor and State legislature in 2017. Americas Agenda undertook the requested savings analysis and shared our conclusions with State Treasury officers and legislative leaders. Following review of the AAHEF analysis (and the Governors validation that the first AAHEF process had exceeded projected savings; see https://nj.gov/governor/news/news/562018/approved/20180917a.shtml ), the State Administration, with unanimous bi-partisan support from the State legislature, opted to reapply the AAHEF-designed strategy for selection of a successor high-value prescription drug pricing plan. The State re-implemented the AAHEF-designed strategy, including adoption of AAHEF-recommended technology specifications and re-conduct of the pharmacy benefits plan reverse auction. The net result was extension of a historically high rate of State prescription drug savings from the original three years to a cumulative period of five years from 2017 through 2021.Additional High-Value Research, Analysis, and Policy Design Activity -- The Funds record of work in the areas described, above, contributed to New Jersey Governor Murphys 2018 appointment of AAHEF Managing Director Mark Blum to serve as a member of the State Task Force on Health Benefits Quality and Value. The Fund worked to support his contributions to the Task Force during the course of the year on a range of high-value health care delivery transformation issues, including, but not limited to, strengthening of the DPCMH Pilot Program, measurement of care quality and cost outcomes; strengthening of public employee ASO network behavioral health programs, beginning with the most at-risk populations; improved State access to HIPAA-compliant medical claims data from private insurance carriers; and third-party review of medical claims billing. (Please see NJ State Taskforce interim 2018 recommendations: https://nj.gov/governor/news/adminreports/docs/20181220_TaskForceInterimReport.pdf .) 2. Public EducationOver the course of 2018, the Fund has continued our activities through the Labor & Employer Healthcare Transformation and Education Project, or "LEHTEP" with a very active program of education, training, and advisement to unions and employers, both public and private sector, who are seeking to transform health care delivery in ways that can reduce overall costs and improve quality of care. This work is routed in the premise that public and private sector, self-funded health plans have both the flexibility and incentive to become first adopters of innovative high-value care delivery models that can serve as templates for broader adoption throughout US healthcare. The Fund prioritizes projects with self-funded pubic employee health plans like the New Jerseys State Employees Health Benefits Plan and the State Education Employees Health Benefits Plan, because they provide opportunities for developing the most promising care delivery prototypes for analysis and, where successful, for broader implementation through adoption as public policy.The Funds work in support of the NJ State Taskforce on Health Benefit Quality and Value presented an opportunity, not simply to develop innovative, high-value health care policy design, but also to educate the public through public listening and conversations held across the State and coverage of that work in earned media. Please see, for example, the following examples of publically accessible media coverage of our work: https://www.insidernj.com/press-release/governors-task-force-recommends-innovative-short-term-solutions-improve-quality-health-benefits-boost-accountability-oversight/ and https://www.nj |
| Software ID: | 18007218 |
| Software Version: | 2018v3.1 |