-
TIN:
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Go to
www.irs.gov/Form990PF
for instructions and the latest information.
OMB No. 1545-0052
20
19
Open to Public Inspection
For calendar year 2019, or tax year beginning
01-01-2019
, and ending
12-31-2019
Name of foundation
THE JOHN A HARTFORD FOUNDATION INC
Number and street (or P.O. box number if mail is not delivered to street address)
55 EAST 59TH STREET
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NEW YORK
,
NY
10022
A Employer identification number
13-1667057
B
Telephone number (see instructions)
(212) 832-7788
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here.............
2
. Foreign organizations meeting the 85%
test, check here and attach computation ...
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .......
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .......
I
Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)
$
603,088,117
J
Accounting method:
Cash
Accrual
Other (specify)
(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)
1
Contributions, gifts, grants, etc., received (attach schedule)
0
2
Check
.............
3
Interest on savings and temporary cash investments
322,993
322,993
4
Dividends and interest from securities
...
8,808,967
8,798,126
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
13,613,891
b
Gross sales price for all assets on line 6a
77,047,611
7
Capital gain net income (from Part IV, line 2)
...
13,651,243
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)
.......
194,710
0
12
Total.
Add lines 1 through 11
........
22,940,561
22,772,362
13
Compensation of officers, directors, trustees, etc.
1,341,980
142,569
1,199,411
14
Other employee salaries and wages
......
1,401,677
48,931
1,353,246
15
Pension plans, employee benefits
.......
1,000,856
77,178
915,402
16a
Legal fees (attach schedule)
.........
20,131
0
22,296
b
Accounting fees (attach schedule)
.......
35,000
17,500
17,500
c
Other professional fees (attach schedule)
....
2,316,363
2,145,624
172,395
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
185,420
0
0
19
Depreciation (attach schedule) and depletion
...
68,243
0
20
Occupancy
..............
224,294
13,458
217,874
21
Travel, conferences, and meetings
.......
410,446
25,730
430,048
22
Printing and publications
..........
82,875
0
83,153
23
Other expenses (attach schedule)
.......
1,244,561
17,162
1,229,936
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
8,331,846
2,488,152
5,641,261
25
Contributions, gifts, grants paid
.......
29,471,520
20,724,652
26
Total expenses and disbursements.
Add lines 24 and 25
37,803,366
2,488,152
26,365,913
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-14,862,805
b
Net investment income
(if negative, enter -0-)
20,284,210
c
Adjusted net income
(if negative, enter -0-)
...
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2019)
Form 990-PF (2019)
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
1
Cash—non-interest-bearing
.............
2
Savings and temporary cash investments
.........
20,249,503
17,790,748
17,790,748
3
Accounts receivable
Less: allowance for doubtful accounts
4
Pledges receivable
Less: allowance for doubtful accounts
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)
Less: allowance for doubtful accounts
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
74,715
121,829
121,829
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
353,607,459
417,075,467
417,075,467
c
Investments—corporate bonds (attach schedule)
.......
113,877,555
110,029,464
110,029,464
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
45,406,616
57,644,022
57,644,022
14
Land, buildings, and equipment: basis
5,498,957
Less: accumulated depreciation (attach schedule)
5,276,097
214,456
222,860
222,860
15
Other assets (describe
)
86,427
203,727
203,727
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
533,516,731
603,088,117
603,088,117
17
Accounts payable and accrued expenses
..........
632,922
655,378
18
Grants payable
.................
19,481,886
28,063,617
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
)
1,405,137
2,030,607
23
Total liabilities
(add lines 17 through 22)
.........
21,519,945
30,749,602
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
511,996,786
572,338,515
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
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)
.....
511,996,786
572,338,515
30
Total liabilities and net assets/fund balances
(see instructions)
.
533,516,731
603,088,117
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
511,996,786
2
Enter amount from Part I, line 27a
.....................
2
-14,862,805
3
Other increases not included in line 2 (itemize)
3
75,204,534
4
Add lines 1, 2, and 3
..........................
4
572,338,515
5
Decreases not included in line 2 (itemize)
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
572,338,515
Form
990-PF
(2019)
Form 990-PF (2019)
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
STOCKS & COMMINGLED FUNDS
P
b
FIXED INCOME FUNDS
P
c
PRIVATE EQUITY AND CREDIT FUNDS
P
d
REAL ESTATE
P
e
OTHER CLASS ACTION
P
SUBJECT TO UBIT
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
66,450,840
53,524,790
12,926,050
b
10,004,203
9,908,930
95,273
c
290,566
290,566
d
284,981
284,981
e
17,021
17,021
37,352
37,352
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
12,926,050
b
95,273
c
290,566
d
284,981
e
17,021
37,352
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
13,651,243
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
...................
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?
Yes
No
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))
2018
25,729,891
564,191,962
0.045605
2017
24,254,680
552,001,949
0.043939
2016
24,059,971
515,387,680
0.046683
2015
25,672,136
538,945,043
0.047634
2014
24,304,099
540,412,577
0.044973
2
Total
of line 1, column (d)
.....................
2
0.228834
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
0.045767
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
561,147,578
5
Multiply line 4 by line 3
......................
5
25,682,041
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
202,842
7
Add lines 5 and 6
........................
7
25,884,883
8
Enter qualifying distributions from Part XII, line 4
,.............
8
26,442,560
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
(2019)
Form 990-PF (2019)
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
and enter “N/A" on line 1.
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
202,842
here
and 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
202,842
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
202,842
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
265,000
b
Exempt foreign organizations—tax withheld at source
......
6b
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
265,000
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
472
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
61,686
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
61,686
Refunded
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.
$
0
(2)
On foundation managers.
$
0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
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
Yes
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
Yes
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)
NY
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 2019 or the taxable year beginning in 2019? 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.
...............................
10
No
Form
990-PF
(2019)
Form 990-PF (2019)
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
Yes
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
WWW.JOHNAHARTFORD.ORG
14
The books are in care of
EVA CHENG
Telephone no.
(212) 832-7788
Located at
55 EAST 59TH STREET
NEW YORK
NY
ZIP+4
10022
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
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
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?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(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)?
...............
Yes
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.)
.......
Yes
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
Organizations relying on a current notice regarding disaster assistance check here
........
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 2019?
.............
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 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
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.
20
,
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?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 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 2019.)
..................
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 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
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))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
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?
.....
Yes
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
Organizations relying on a current notice regarding disaster assistance check here
.........
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?
..........
Yes
No
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?
.....................
Yes
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?
Yes
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?
.................
Yes
No
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
JOHN H ALLEN
TRUSTEE
1.40
15,000
0
0
55 E 59TH STREET
NY
,
NY
10022
HUA EVA CHENG
VICE PRESIDENT, FINANCE &
40.00
235,800
33,012
0
55 E 59TH STREET
NY
,
NY
10022
TERESA T FULMER
PRESIDENT
40.00
589,380
39,200
0
55 E 59TH STREET
NY
,
NY
10022
CHRISTOPHER TH PELL
VICE CHAIR
1.70
16,000
0
0
55 E 59TH STREET
NY
,
NY
10022
JENNIFER PHILLIPS
CORPORATE SECRETARY & EXEC
40.00
100,800
14,112
0
55 E 59TH STREET
NY
,
NY
10022
MARGARET L WOLFF
CHAIR
2.70
16,000
0
0
55 E 59TH STREET
NY
,
NY
10022
NIRAV R SHAH
TRUSTEE
1.40
14,000
0
0
55 E 59TH STREET
NY
,
NY
10022
LIAM DONOHUE
TRUSTEE (NEW)
0.70
7,000
0
0
55 E 59TH STREET
NY
,
NY
10022
AUDREY A MCNIFF
TRUSTEE
1.20
14,000
0
0
55 E 59TH STREET
NY
,
NY
10022
JOHN R MACH JR MD
TRUSTEE
1.60
16,000
0
0
55 E 59TH STREET
NY
,
NY
10022
ELIZABETH A PALMER
TRUSTEE
1.50
16,000
0
0
55 E 59TH STREET
NY
,
NY
10022
EARL A SAMSON III
VICE CHAIR
1.60
16,000
0
0
55 E 59TH STREET
NY
,
NY
10022
CHARLES M FARKAS
TRUSTEE
1.30
14,000
0
0
55 E 59TH STREET
NY
,
NY
10022
RANI E SNYDER
VICE PRESIDENT, PROGRAM
40.00
258,000
35,700
0
55 E 59TH STREET
NY
,
NY
10022
DAVID DI MARTINO
TRUSTEE
1.30
14,000
0
0
55 E 59TH STREET
NY
,
NY
10022
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
AMY BERMAN
SENIOR PROGRAM OFFIC
40.00
192,800
26,992
0
55 E 59TH STREET
NY
,
NY
10022
MARCUS ESCOBEDO
SENIOR PROGRAM OFFIC
40.00
177,160
24,864
0
55 E 59TH STREET
NY
,
NY
10022
JANE CARMODY
PROGRAM OFFICER
40.00
160,700
22,498
0
55 E 59TH STREET
NY
,
NY
10022
MARK BARREIRO
SENIOR GRANTS OFFICE
40.00
129,400
18,116
0
55 E 59TH STREET
NY
,
NY
10022
SCOTT BANE
PROGRAM OFFICER
40.00
125,000
17,500
0
55 E 59TH STREET
NY
,
NY
10022
Total
number of other employees paid over $50,000
...................
6
Form
990-PF
(2019)
Form 990-PF (2019)
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
GOLDMAN SACHS & COMPANY
INVESTMENT ADVISOR & MANAGERS
1,572,325
200 WEST STREET
NEW YORK
,
NY
10282
NON-US EQUITY MANAGERS PORTFOLIO 4
INVESTMENT MANAGER
243,746
200 WEST STREET
NEW YORK
,
NY
10282
EAGLE DYNAMIC
INVESTMENT MANAGER
199,760
499 PARK AVE 17TH FL
NEW YORK
,
NY
10022
MCDONALD DYNAMIC EQUITY
INVESTMENT MANAGER
190,849
200 WEST STREET
NEW YORK
,
NY
10282
EATON VANCE
INVESTMENT MANAGER
145,875
TWO INTERNATIONAL PLACE
BOSTON
,
MA
02110
Total
number of others receiving over $50,000 for professional services
.............
25
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
AGING AND HEALTH - COMMUNICATION & DISSEMINATION INITIATIVE RENEWAL
874,876
2
AGING AND HEALTH MEETINGS - TO IDENTIFY COMMON INTERESTS AND ISSUES AMONG GRANTEES
99,220
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
.........................
0
Form
990-PF
(2019)
Form 990-PF (2019)
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
569,692,973
b
Average of monthly cash balances
.......................
1b
0
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
569,692,973
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
569,692,973
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
8,545,395
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
561,147,578
6
Minimum investment return.
Enter 5% of line 5
..................
6
28,057,379
Part XI
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
28,057,379
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
202,842
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
202,842
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
27,854,537
4
Recoveries of amounts treated as qualifying distributions
................
4
29,574
5
Add lines 3 and 4
............................
5
27,884,111
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
27,884,111
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
26,365,913
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
76,647
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
26,442,560
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
202,842
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
26,239,718
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
(2019)
Form 990-PF (2019)
Page
9
Part XIII
Undistributed Income
(see instructions)
(a)
Corpus
(b)
Years prior to 2018
(c)
2018
(d)
2019
1
Distributable amount for 2019 from Part XI, line 7
27,884,111
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
22,501,269
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
b
From 2015
......
c
From 2016
......
d
From 2017
......
e
From 2018
......
f
Total
of lines 3a through e
........
0
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
26,442,560
a
Applied to 2018, but not more than line 2a
22,501,269
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 2019 distributable amount
.....
3,941,291
e
Remaining amount distributed out of corpus
0
5
Excess distributions carryover applied to 2019.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
0
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 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
23,942,820
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 2014 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
0
10
Analysis of line 9:
a
Excess from 2015
....
b
Excess from 2016
....
c
Excess from 2017
....
d
Excess from 2018
....
e
Excess from 2019
....
Form
990-PF
(2019)
Form 990-PF (2019)
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 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
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)
2019
(b)
2018
(c)
2017
(d)
2016
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.)
1
Information Regarding Foundation Managers:
a
List 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).)
b
List 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.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
PRESIDENT THE JOHN A HARTFORD FOUND
55 EAST 59TH STREET
NEW YORK
,
NY
10022
(212) 832-7788
b
The form in which applications should be submitted and information and materials they should include:
APPLICATIONS SHOULD BE MAILED TO THE PRESIDENT OF THE FOUNDATION AT THE ABOVE ADDRESS.
c
Any submission deadlines:
NO DEADLINES
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
GRANTS ONLY TO EXEMPT ORGANIZATIONS UNDER 501 (C)(3) OF THE IRS CODE, AND THAT ARE NOT PRIVATE FOUNDATIONS WITHIN THE MEANING OF SECTION 509 (A) OR A STATE OR POLITICAL SUBDIVISION THEREOF. NO GRANTS TO INDIVIDUALS. OUR PROGRAMMATIC AREAS OF EMPHASIS INCLUDE AGE-FRIENDLY HEALTH SYSTEM, FAMILY CAREGIVER SUPPORT AND SERIOUS ILLNESS/END OF LIFE.
Form
990-PF
(2019)
Form 990-PF (2019)
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)
a
Paid during the year
AARP Foundation
601 E Street NW
Washington
,
DC
20049
PC
Supporting Family Caregivers Providing Complex Care: Bridging the Gap between Expectations and Execution
381,518
AcademyHealth
1666 K Street NW Suite 1100
Washington
,
DC
20006
PC
2019 Annual Membership Support
2,000
American Academy of Home Care Medicine Inc
2700 Lighthouse Point East Suite
220
Baltimore
,
MD
21224
PC
Moving and Scaling Home-Based Primary Care Phase II: Quality, Training and Advocacy
146,500
American Academy of Home Care Medicine Inc
2700 Lighthouse Point East Suite
220
Baltimore
,
MD
21224
PC
2019 Annual Meeting Sponsorship
3,500
American College of Surgeons
633 N Saint Clair Street
Chicago
,
IL
60611
PC
Geriatric Surgery Verification and Quality Improvement Program
708,922
American Federation for Aging Research Inc
55 West 39th Street 16th Floor
New York
,
NY
10018
PC
Paul B. Beeson Career Development Awards in Aging Research Partnership Renewal
557,922
American Geriatrics Society Inc
40 Fulton Street 18th Floor
New York
,
NY
10038
PC
Geriatrics Workforce Enhancement Program (GWEP) Coordinating Center, Phase II
898,782
American Geriatrics Society Inc
40 Fulton Street 18th Floor
New York
,
NY
10038
PC
Catalyzing Emergency Department Enhancements for Older Adults: Geriatric Emergency Department Collaborative (GEDC 2.0), Phase 2
386,096
American Geriatrics Society Inc
40 Fulton Street 18th Floor
New York
,
NY
10038
PC
CoCare-Geriatric Orthopedic Hip-Fracture Co-management Implementation
493,858
American Geriatrics Society Inc
40 Fulton Street 18th Floor
New York
,
NY
10038
PC
Geriatrics Workforce Enhancement Program (GWEP) Coordinating Center
572,569
American Geriatrics Society Inc
40 Fulton Street 18th Floor
New York
,
NY
10038
PC
Geriatrics for Specialists Initiative (GSI): Phase V
81,528
Benjamin Rose Institute on Aging
11890 Fairhill Road
Cleveland
,
OH
44120
PC
Online Resource for Comparing Evidence-Based Dementia Caregiving Programs
211,433
Brandeis University
415 South Street MS 085
Waltham
,
MA
02543
PC
Council on Health Care Economics and Policy, 2019 Princeton Conference
20,000
Camden Coalition of Healthcare Providers
800 Cooper Street 7th Floor
Camden
,
NJ
08102
PC
Conference Sponsorship
10,000
Case Western Reserve University
10900 Euclid Avenue
Cleveland
,
OH
441067015
PC
Age-Friendly Health Systems Ambulatory Care Continuum
100,000
Center for Health Care Strategies Inc
200 American Metro Blvd Suite 119
Hamilton
,
NJ
08619
PC
Helping States Support Families Caring for an Aging America
105,391
Center for Health Policy DevelopmentNational Academy for State Health Poli
2 Monument Square Suite 910
Portland
,
ME
20036
PC
The RAISE Act Family Caregiver Resource and Dissemination Center
849,919
Center for Health Policy DevelopmentNational Academy for State Health Poli
2 Monument Square Suite 910
Portland
,
ME
20036
PC
Supporting the Continuum of Palliative Care: A Resource Hub for State Policymakers
212,916
Center for Medicare Advocacy Inc
PO Box 350
Willimantic
,
CT
06226
PC
Medicare Education & Outreach: Opening Doors to Quality Care for Older Adults with Long-term and Serious Illnesses
307,500
Columbia University
100 Haven Avenue Suite 6A
New York
,
NY
10001
PC
Identifying Drivers of State-based Differences in the Status of Older Persons in the US
39,000
Conference of Non-Governmental Organizations Foundation Inc
PO Box 1854
New York
,
NY
101631854
PC
Integrate Ageing in United Nations Policies and Programs
500
Emergency Medicine Foundation
4950 West Royal Lane
Irving
,
TX
750632524
PC
Catalyzing Emergency Department Enhancements for Older Adults: Geriatric Emergency Department Accreditation (GEDA)
320,399
Foundation for the National Institutes of Health Inc
11400 Rockville Pike Suite 600
North Bethesda
,
MD
20852
PC
2019 Alzheimer's Disease-Related Dementia Summit - Silver Sponsorship
5,000
Gerontological Society of America
1220 L Street NW Suite 901
Washington
,
DC
20005
PC
Sustaining the Reframing Aging Initiative
200,000
Gerontological Society of America
1220 L Street NW Suite 901
Washington
,
DC
20005
PC
Annual Scientific Meeting Sponsorship
15,000
Grantmakers in Aging CO CliftonLarsonAllen LLP
901 North Glebe Road Suite 200
Arlington
,
VA
22203
PC
Core Support Renewal
80,383
Grantmakers in Aging CO CliftonLarsonAllen LLP
901 North Glebe Road Suite 200
Arlington
,
VA
22203
PC
2019 GIA Annual Conference Sponsorship Local Host
40,000
Grantmakers in Aging CO CliftonLarsonAllen LLP
901 North Glebe Road Suite 200
Arlington
,
VA
22203
PC
Annual Membership Support
7,500
Grantmakers in Health
1100 Connecticut Avenue NW Suite
1200
Washington
,
DC
20036
PC
Annual Support
14,950
Health Care For All Inc
One Federal Plaza 5th Floor
Boston
,
MA
20110
PC
Support for Together for the People: An Evening Honoring Rob Restuccia to Benefit Community Catalyst and Health Care For All
500
Health Research and Educational Trust
155 North Wacker Suite 400
Chicago
,
IL
60606
PC
Next Generation Leaders Transformation Institute: 1) Developing Age-Friendly Health Systems Leadership; 2) Transforming HRETs HIIN Hospitals to Become More Age-Friendly
1,182,478
Hebrew Home for the Aged at Riverdale Foundation
5901 Palisade Avenue
Riverdale
,
NY
10471
PC
The Art of Aging 102nd Annual Gala
12,400
Henry J Kaiser Family Foundation
185 Berry Street Suite 2000
San Francisco
,
CA
94107
PC
Highlighting Aging & Health: The Older Adult Reporting Project
200,673
Henry J Kaiser Family Foundation
185 Berry Street Suite 2000
San Francisco
,
CA
94107
PC
Kaiser Health News: The Late Life and Geriatric Care Reporting Project
627,083
Hispanics in Philanthropy
414 13th Street Suite 200
Oakland
,
CA
94612
PC
Membership Annual Support
5,000
Home Centered Care Institute
1900 East Golf Road Suite 480
Schaumburg
,
IL
60173
PC
Moving and Scaling Home-Based Primary Care, Phase II: Quality, Training and Advocacy
82,500
Home Centered Care Institute
1900 East Golf Road Suite 480
Schaumburg
,
IL
60173
PC
Moving and Scaling Home-Based Primary Care into the Mainstream of US Health Care formerly National Home Care Medicine Education & Expansion Initiative
90,387
Icahn School of Medicine at Mount Sinai
One Gustave L Levy Place
New York
,
NY
10029
PC
Scaling and Dissemination of Hospital at Home
243,806
Icahn School of Medicine at Mount Sinai
One Gustave L Levy Place
New York
,
NY
10029
PC
Implementation of Rehabilitation at Home
289,676
Icahn School of Medicine at Mount Sinai
One Gustave L Levy Place
New York
,
NY
10029
PC
The Center to Advance Palliative Care (CAPC): Improving Access to Quality Palliative Care
673,719
Icahn School of Medicine at Mount Sinai
One Gustave L Levy Place
New York
,
NY
10029
PC
The Center to Advance Palliative Care (CAPC): Transformation Business Plan
204,016
Icahn School of Medicine at Mount Sinai
One Gustave L Levy Place
New York
,
NY
10029
PC
Mobile Acute Care Team Services: Outcomes and Dissemination of Hospital at Home in Fee-for-Service Medicare and Beyond
186,170
Institute for Accountable Care
601 13th Street NW Suite 900 South
Washington
,
DC
20005
PC
Collaboration Plan for the Institute for Accountable Care and Camden Coalition
20,000
Institute for Healthcare Improvement
53 State Street 19th Floor
Boston
,
MA
02109
PC
Age-Friendly Health Systems Initiative, Phase II
1,194,386
Institute for Healthcare Improvement
53 State Street 19th Floor
Boston
,
MA
02109
PC
Continued Development of the Better Care Playbook (Phase 4)
95,184
Institute for Healthcare Improvement
53 State Street 19th Floor
Boston
,
MA
02109
PC
Age-Friendly Health Systems
1,245,077
Institute for Healthcare Improvement
53 State Street 19th Floor
Boston
,
MA
02109
PC
Learning and Action Network for Medicare Advantage Plans (AKA Learning Community)
65,178
Institute for Healthcare Improvement
53 State Street 19th Floor
Boston
,
MA
02109
PC
Support for a charging station at IHIs 2019 Forum
15,000
Johns Hopkins University
Bloomberg School of Public Health
Baltimore
,
MD
21205
PC
Moving and Scaling Home-Based Primary Care into the Mainstream of US Health Care formerly Implementation of a National Learning Collaborative to Enhance the Quality of Home-Based Primary Care
416,856
Joint Commission on Accreditation of Healthcare Organizations
One Renaissance Boulevard
Oakbrook Terrace
,
IL
60181
PC
Travel Expenses for the Age-Friendly Health Systems Technical Expert Panel
24,700
Massachusetts General Hospital
55 Fruit Street
Boston
,
MA
02114
PC
Moving and Scaling Home-Based Primary Care, Phase II: Quality, Training and Advocacy
331,053
Medicare Rights Center Inc
266 West 37th Street 3rd Floor
New York
,
NY
10018
PC
MRC Annual Awards Dinner
1,000
Milken Institute
1250 Fourth Street 2nd Floor
Santa Monica
,
CA
90401
PC
Support for The Center for the Future of Agings report, "Reducing the Price and Risk of Dementia: Recommendations to Improve Brain Health and Reduce Disparities
5,000
National Academy of Sciences
500 Fifth Street NW
Washington
,
DC
20001
PC
Roundtable on Quality Care for People with Serious Illness, Phase II
83,333
National Academy of Sciences
500 Fifth Street NW
Washington
,
DC
20001
PC
Roundtable on Quality of Care for People with Advanced Illness
35,243
National Academy of Sciences
500 Fifth Street NW
Washington
,
DC
20001
PC
Decadal Survey of Behavioral and Social Science Research on Alzheimer's Disease and Alzheimer's Disease-Related Dementias
2,000
National Academy of Sciences
500 Fifth Street NW
Washington
,
DC
20001
PC
2019 Annual Sponsorship of the National Academies of Sciences, Engineering and Medicine Forum on Aging, Disability and Independence
25,000
National Academy of Sciences
500 Fifth Street NW
Washington
,
DC
20001
PC
Phase II of the Decadal Survey of Behavioral and Social Science Research on Alzheimer's Disease and Alzheimer's Disease-Related Dementias
10,000
National Academy of Sciences
500 Fifth Street NW
Washington
,
DC
20001
PC
Global Roadmap for Healthy Longevity Initiative (aka Longevity Grand Challenge) Year Two of a two year committment, first grant of $50,000 awarded in 2018 (Grant 2018-0073)
50,000
National Alliance for Caregiving
1730 Rhode Island Avenue NW Suite
812
Washington
,
DC
20036
PC
Caregving in the US 2020 - A Research Study
10,000
National Association of Area Agencies on Aging Inc
1100 New Jersey Avenue SE Suite 350
Washington
,
DC
20003
PC
Aging and Disability Business Institute, Phase 2: Advancing Integration, Partnerships and Payment Models Between Social Services and Health Systems
1,044,686
National Association of Area Agencies on Aging Inc
1100 New Jersey Avenue SE Suite 350
Washington
,
DC
20003
PC
Building the Capacity of the Aging and Disability Networks to Ensure the Delivery of Quality Integrated Care
177,885
National Committee for Quality Assurance
1100 13th Street NW 3rd Floor
Washington
,
DC
20005
PC
Demonstration of Person-Driven Outcome Measures for an Age-Friendly Health System
512,396
National Investment Center for Seniors Housing & Care Inc
1997 Annapolis Exchange Parkway
Suite 480
Annapolis
,
MD
21401
PC
Co-sponsor NIC's Washington, DC Health Affairs policy briefing on The Forgotten Middle.
15,000
NEHI Inc
133 Federal Plaza
Boston
,
MA
02110
PC
Funding multi-stakeholder meetings for A State of Emergency in Patient Safety: Galvanizing Activists to Demand Excellence Project
15,000
New York Academy of Medicine
1216 Fifth Avenue
New York
,
NY
100295293
PC
2019 Annual Gala
9,150
Philanthropy New York Inc
320 East 43rd Street
New York
,
NY
10017
PC
2019 Annual Support
19,750
Project HOPE - The People-to-People Health Foundation Inc
7500 Old Georgetown Road Suite 600
Bethesda
,
MD
20814
PC
Health Affairs: Publishing and Disseminating Lessons on Innovative Health Care Models for an Aging Population Renewal
258,970
RAND Corporation
1776 Main Street PO Box 2138
Santa Monica
,
CA
904072138
PC
Building Capacity for Future Impact Assessments
174,999
Regents of the University of California San Francisco
550 16th Street 7th Floor
San Francisco
,
CA
94143
PC
Building an Acute Care for Elders (ACE) Unit National Database
40,000
Research Foundation for Mental Hygiene Inc
Riverview Center 150 Broadway Suite
301
Menands
,
NY
12204
PC
Health and Aging Policy Fellows Program
597,320
Research Foundation for Mental Hygiene Inc
Riverview Center 150 Broadway Suite
301
Menands
,
NY
12204
PC
Health and Aging Policy Fellows Program
569,977
Research Foundation for Mental Hygiene Inc
Riverview Center 150 Broadway Suite
301
Menands
,
NY
12204
PC
Support for a reception at GSA Annual Scientific Meeting to serve as platform for aging policy experts and Health and Aging Policy Fellows (HAPF) alumni to network and promote this program.
10,000
Research Foundation of State
University of New York
Albany
,
NY
12246
PC
TeleHealth and Distance Leaning Geriatric Mental Health Collaborative -- A Program for Outreach to Interdisciplinary Services and Education in Medically Underserved Areas
48,478
Services & Advocacy for Gay Lesbian Bisexual & Transgender Elders Inc (SA
305 Seventh Avenue 15th Floor
New York
,
NY
10001
PC
Annual Support
5,000
Southern Maine Agency on Aging
136 US Route One
Scarborough
,
ME
04074
PC
Laurence W. Gross Retirement Tribute Book
300
Tides Center
1012 Torney Avenue
San Francisco
,
CA
94129
PC
Eldercare Workforce Alliance Renewal
100,000
Trust for America's Health
1730 M Street NW Suite 900
Washington
,
DC
20036
PC
Advancing an Age-Friendly Public Health System
184,980
Twin Cities Public Television Inc
172 East 4th Street
Saint Paul
,
MN
55101
PC
Television Documentary Production and Distribution: "Fast Forward"
48,555
United Hospital Fund of New York
1411 Broadway 12th Floor
New York
,
NY
10018
PC
Gala Sponsor
800
United Hospital Fund of New York
1411 Broadway 12th Floor
New York
,
NY
10018
PC
Tribute to Excellence in Health Care Recognizing Quality Improvement Champions
500
University of California Los Angeles
10920 Wilshire Boulevard 5th Floor
Los Angeles
,
CA
90024
PC
Dissemination of the UCLA Alzheimers and Dementia Care Program
500,226
University of Washington
Grant and Contract Services 3935
University Way NE
Seattle
,
WA
98104
PC
Building Public Engagement and Access to Palliative & End-of-Life Care for Persons Living with Serious Illness
932,371
Various Matching Grants
55 East 59th Street
New York
,
NY
10022
PC
General Support
733,259
Various Discretionary Grants
55 East 59th Street
New York
,
NY
10022
PC
General Support
56,000
Wake Forest University Health Sciences School of Medicine
Medical Center Boulevard
WinstonSalem
,
NC
27157
PC
Integrating Geriatrics into the Specialties of Internal Medicine Renewal:Capitalizing on Forward Momentum
85,992
Yale University
155 Whitney Avenue PO Box 208250
New Haven
,
CT
06520
PC
Patient Priorities Care (formerly known as CareAlign Implementation)
382,554
Total
.................................
3a
20,724,652
b
Approved for future payment
AcademyHealth
1666 K Street NW Suite 1100
Washington
,
DC
20006
PC
2019 Annual Membership Support
2,000
American Academy of Home Care Medicine Inc
2700 Lighthouse Point East Suite
220
Baltimore
,
MD
21224
PC
Moving and Scaling Home-Based Primary Care Phase II: Quality, Training and Advocacy
340,000
American Academy of Home Care Medicine Inc
2700 Lighthouse Point East Suite
220
Baltimore
,
MD
21224
PC
2019 Annual Meeting Sponsorship
3,500
American Geriatrics Society Inc
40 Fulton Street 18th Floor
New York
,
NY
10038
PC
Geriatrics Workforce Enhancement Program (GWEP) Coordinating Center, Phase II
2,631,930
Benjamin Rose Institute on Aging
11890 Fairhill Road
Cleveland
,
OH
44120
PC
Dissemination of Best Practice Caregiving: Guiding Organizations to Dementia Programs for Family Caregivers
300,000
Brandeis University
415 South Street MS 085
Waltham
,
MA
02543
PC
Council on Health Care Economics and Policy, 2019 Princeton Conference
20,000
Camden Coalition of Healthcare Providers
800 Cooper Street 7th Floor
Camden
,
NJ
08102
PC
Conference Sponsorship
10,000
Center for Health Care Strategies Inc
200 American Metro Boulevard
Suite119
Hamilton
,
NJ
08619
PC
Development of the Better Care Playbook, Phase V
204,547
Center for Health Policy DevelopmentNational Academy for State Health Poli
2 Monument Square Suite 910
Portland
,
ME
20036
PC
The RAISE Act Family Caregiver Resource and Dissemination Center
2,547,867
Columbia University
100 Haven Avenue Suite 6A
New York
,
NY
10001
PC
Identifying Drivers of State-based Differences in the Status of Older Persons in the US
39,000
Conference of Non-Governmental Organizations Foundation Inc
PO Box 1854
New York
,
NY
101631854
PC
Integrate Ageing in United Nations Policies and Programs
500
Diverse Elders Coalition (Fiscal Sponsor SAGE)
305 Seventh Avenue 15th Floor
New York
,
NY
10001
PC
Addressing Unmet Family Caregiving Needs in Diverse Older Communities
1,199,763
Foundation for the National Institutes of Health Inc
11400 Rockville Pike Suite 600
North Bethesda
,
MD
20852
PC
2019 Alzheimer's Disease-Related Dementia Summit - Silver Sponsorship
5,000
Gerontological Society of America
1220 L Street NW Suite 901
Washington
,
DC
20005
PC
Sustaining the Reframing Aging Initiative
600,000
Gerontological Society of America
1220 L Street NW Suite 901
Washington
,
DC
20005
PC
Annual Scientific Meeting Sponsorship
15,000
Grantmakers in Aging CO CliftonLarsonAllen LLP
901 North Glebe Road Suite 200
Arlington
,
VA
22203
PC
2019 GIA Annual Conference Sponsorship Local Host
40,000
Grantmakers in Aging CO CliftonLarsonAllen LLP
901 North Glebe Road Suite 200
Arlington
,
VA
22203
PC
Annual Membership Support
7,500
Grantmakers in Health
1100 Connecticut Avenue NW Suite
1200
Washington
,
DC
20036
PC
Annual Support
14,950
Health Care For All Inc
One Federal Plaza 5th Floor
Boston
,
MA
20110
PC
Support for Together for the People: An Evening Honoring Rob Restuccia to Benefit Community Catalyst and Health Care For All
500
Health Research and Educational Trust
155 North Wacker Suite 400
Chicago
,
IL
60606
PC
Next Generation Leaders Transformation Institute: 1) Developing Age-Friendly Health Systems Leadership; 2) Transforming HRETs HIIN Hospitals to Become More Age-Friendly
1,957,990
Hebrew Home for the Aged at Riverdale Foundation
5901 Palisade Avenue
Riverdale
,
NY
10471
PC
The Art of Aging 102nd Annual Gala
12,400
Hebrew Home for the Aged at Riverdale Foundation
5901 Palisade Avenue
Riverdale
,
NY
10471
PC
Evaluation of the Weinberg Center for Elder Justices Shelter Model
175,000
Henry J Kaiser Family Foundation
185 Berry Street Suite 2000
San Francisco
,
CA
94107
PC
Highlighting Aging & Health: The Older Adult Reporting Project
2,594,330
Hispanics in Philanthropy
414 13th Street Suite 200
Oakland
,
CA
94612
PC
Membership Annual Support
5,000
Home Centered Care Institute
1900 East Golf Road Suite 480
Schaumburg
,
IL
60173
PC
Moving and Scaling Home-Based Primary Care, Phase II: Quality, Training and Advocacy
385,000
Icahn School of Medicine at Mount Sinai
One Gustave L Levy Place
New York
,
NY
10029
PC
The Center to Advance Palliative Care (CAPC): Improving Access to Quality Palliative Care
1,925,742
Institute for Accountable Care
601 13th Street NW Suite 900 South
Washington
,
DC
20005
PC
Collaboration Plan for the Institute for Accountable Care and Camden Coalition
20,000
Institute for Healthcare Improvement
53 State Street 19th Floor
Boston
,
MA
02109
PC
Age-Friendly Health Systems Initiative, Phase II
6,026,760
Institute for Healthcare Improvement
53 State Street 19th Floor
Boston
,
MA
02109
PC
Support for a charging station at IHIs 2019 Forum
15,000
Johns Hopkins University
Bloomberg School of Public Health
Baltimore
,
MD
212051996
PC
Engaging Family Caregivers through Shared Access to the Electronic Health Record: Planning for Transformational Change
364,656
Joint Commission on Accreditation of Healthcare Organizations
One Renaissance Boulevard
Oakbrook Terrace
,
IL
60181
PC
Travel Expenses for the Age-Friendly Health Systems Technical Expert Panel
24,700
Massachusetts General Hospital
55 Fruit Street
Boston
,
MA
02114
PC
Moving and Scaling Home-Based Primary Care, Phase II: Quality, Training and Advocacy
331,053
Medicare Rights Center Inc
266 West 37th Street 3rd Floor
New York
,
NY
10018
PC
MRC Annual Awards Dinner
1,000
Milken Institute
1250 Fourth Street 2nd Floor
Santa Monica
,
CA
90401
PC
Support for The Center for the Future of Agings report, "Reducing the Price and Risk of Dementia: Recommendations to Improve Brain Health and Reduce Disparities
5,000
Various Matching Grants
55 East 59th Street
New York
,
NY
10022
PC
General Support
733,259
Various Discretionary Grants
55 East 59th Street
New York
,
NY
10022
PC
General Support
56,000
National Academy of Sciences
500 Fifth Street NW
Washington
,
DC
20001
PC
Roundtable on Quality Care for People with Serious Illness, Phase II
250,000
National Academy of Sciences
500 Fifth Street NW
Washington
,
DC
20001
PC
Decadal Survey of Behavioral and Social Science Research on Alzheimer's Disease and Alzheimer's Disease-Related Dementias
2,000
National Academy of Sciences
500 Fifth Street NW
Washington
,
DC
20001
PC
2019 Annual Sponsorship of the National Academies of Sciences, Engineering and Medicine Forum on Aging, Disability and Independence
25,000
National Academy of Sciences
500 Fifth Street NW
Washington
,
DC
20001
PC
Phase II of the Decadal Survey of Behavioral and Social Science Research on Alzheimer's Disease and Alzheimer's Disease-Related Dementias
10,000
National Academy of Sciences
500 Fifth Street NW
Washington
,
DC
20001
PC
Global Roadmap for Healthy Longevity Initiative (aka Longevity Grand Challenge) Year Two of a two year committment, first grant of $50,000 awarded in 2018 (Grant 2018-0073)
50,000
National Alliance for Caregiving
1730 Rhode Island Avenue NW Suite
812
Washington
,
DC
20036
PC
Caregving in the US 2020 - A Research Study
10,000
National Association of Area Agencies on Aging Inc
1100 New Jersey Avenue SE Suite 350
Washington
,
DC
20003
PC
Aging and Disability Business Institute, Phase 2: Advancing Integration, Partnerships and Payment Models Between Social Services and Health Systems
2,973,335
National Investment Center for Seniors Housing & Care Inc
1997 Annapolis Exchange Parkway
Suite 480
Annapolis
,
MD
21401
PC
Co-sponsor NIC's Washington, DC Health Affairs policy briefing on The Forgotten Middle.
15,000
NEHI Inc
133 Federal Plaza
Boston
,
MA
02110
PC
Funding multi-stakeholder meetings for A State of Emergency in Patient Safety: Galvanizing Activists to Demand Excellence Project
15,000
New York Academy of Medicine
1216 Fifth Avenue
New York
,
NY
100295293
PC
2019 Annual Gala
9,150
Philanthropy New York Inc
320 East 43rd Street
New York
,
NY
10017
PC
2019 Annual Support
19,750
RAND Corporation
1776 Main Street PO Box 2138
Santa Monica
,
CA
904072138
PC
Building Capacity for Future Impact Assessments
174,999
Regents of the University of California San Francisco
550 16th Street 7th Floor
San Francisco
,
CA
94143
PC
Building an Acute Care for Elders (ACE) Unit National Database
40,000
Research Foundation for Mental Hygiene Inc
Riverview Center 150 Broadway Suite
301
Menands
,
NY
12204
PC
Support for a reception at GSA Annual Scientific Meeting to serve as platform for aging policy experts and Health and Aging Policy Fellows (HAPF) alumni to network and promote this program.
10,000
Research Foundation of State
University of New York
Albany
,
NY
12246
PC
TeleHealth and Distance Leaning Geriatric Mental Health Collaborative -- A Program for Outreach to Interdisciplinary Services and Education in Medically Underserved Areas
48,478
Services & Advocacy for Gay Lesbian Bisexual & Transgender Elders Inc (SA
305 Seventh Avenue 15th Floor
New York
,
NY
10001
PC
Annual Support
5,000
Southern Maine Agency on Aging
136 US Route One
Scarborough
,
ME
04074
PC
Laurence W. Gross Retirement Tribute Book
300
United Hospital Fund of New York
1411 Broadway 12th Floor
New York
,
NY
100183496
PC
Tribute to Excellence in Health Care Recognizing Quality Improvement Champions
800
United Hospital Fund of New York
1411 Broadway 12th Floor
New York
,
NY
100183496
PC
Tribute to Excellence in Health Care Recognizing Quality Improvement Champions
500
University of Washington
Grant and Contract Services 3935
University Way NE
Seattle
,
WA
981046613
PC
Building Public Engagement and Access to Palliative & End-of-Life Care for Persons Living with Serious Illness
3,447,029
Total
.................................
3b
29,721,288
Form
990-PF
(2019)
Form 990-PF (2019)
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.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
14
322,993
4
Dividends and interest from securities
....
525990
10,841
14
8,798,126
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not 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
............
525990
-37,352
18
13,651,243
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
GRANT REFUNDS
29,574
b
GRANT CANCELLATIONS
165,136
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
-26,511
22,772,362
194,710
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
22,940,561
(See worksheet in line 13 instructions to verify calculations.)
Part XVI-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
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.)
11
GRANT REFUNDS/CANCELLATIONS
Form
990-PF
(2019)
Form 990-PF (2019)
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?
...........
Yes
No
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.
May the IRS discuss this return
with the preparer shown below
(see instr.)
Yes
No
Signature of officer or trustee
Date
Title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's Signature
Date
Check if self-
employed
PTIN
Firm's name
Firm's EIN
Firm's address
Phone no.
Form
990-PF
(2019)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description