Form990-PF
Click to see attachment

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2020
Open to Public Inspection
For calendar year 2020, or tax year beginning 01-01-2020 , and ending 12-31-2020
Name of foundation
AstraZeneca HealthCare Foundation
 
Number and street (or P.O. box number if mail is not delivered to street address)PO Box 15437
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Wilmington, DE198505437
A Employer identification number

51-0349682
B Telephone number (see instructions)

(302) 886-3000
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$4,851,019
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 50
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 89,242 89,242  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 89,292 89,242  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 20,856 0   21,364
b Accounting fees (attach schedule)....... 15,488 0   15,488
c Other professional fees (attach schedule).... 703,534 53,743   669,739
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 493 0   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications.......... 123,464 0   113,469
23 Other expenses (attach schedule)....... 24,157 0   24,157
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 887,992 53,743   844,217
25 Contributions, gifts, grants paid....... 1,028,721 1,028,721
26 Total expenses and disbursements. Add lines 24 and 25 1,916,713 53,743   1,872,938
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -1,827,421
b Net investment income (if negative, enter -0-) 35,499
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2020)
Form 990-PF (2020)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 83,566 81,935 81,935
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 6,521,958 Click to see attachment4,767,299 4,767,299
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment2,278 Click to see attachment1,785 Click to see attachment1,785
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 6,607,802 4,851,019 4,851,019
Liabilities 17 Accounts payable and accrued expenses.......... 62,329 51,868
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 62,329 51,868
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions........... 6,540,150 4,794,196
25 Net assets with donor restrictions............ 5,323 4,955
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 6,545,473 4,799,151
30 Total liabilities and net assets/fund balances (see instructions). 6,607,802 4,851,019
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
6,545,473
2
Enter amount from Part I, line 27a .....................
2
-1,827,421
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
81,099
4
Add lines 1, 2, and 3 ..........................
4
4,799,151
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
4,799,151
Form 990-PF (2020)
Form 990-PF (2020)
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.)
1a
b
c
d
e
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2  
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ...................
Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
SECTION 4940(e) REPEALED ON DECEMBER 20, 2019 - DO NOT COMPLETE
1 Reserved
(a)
Reserved
(b)
Reserved
(c)
Reserved
(d)
Reserved
2
Reserved...........................
2
3
Reserved...........................
3
4
Reserved...........................
4
5
Reserved...........................
5
6
Reserved...........................
6
7
Reserved...........................
7
8
Reserved,..........................
8
Form 990-PF (2020)
Form 990-PF (2020)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Reserved................................ 1 493
c All other domestic foundations enter 1.39% 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........................... 3 493
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- ..... 5 493
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 2,278
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 2,278
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 1,785
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet1,785 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletDE
    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 2020 or the taxable year beginning in 2020? 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 (2020)
    Form 990-PF (2020)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletSee Part XV
    14
    The books are in care ofbulletAstraZeneca HealthCare Foundation Inc Telephone no.bullet (302) 886-3000

    Located atbullet1800 Concord PikeWilmingtonDE ZIP+4bullet198505437
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2020, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2020?.............
    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 2020, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2020?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2020 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 2020.)..................
    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 2020?
    4b
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    James W Blasetto MD MPH FACC Chairman / Trustee
    3.00
    0 0 0
    C/O AZHCF PO Box 15437
    Wilmington,DE198505437
    Richard Buckley President / Trustee
    2.00
    0 0 0
    C/O AZHCF PO Box 15437
    Wilmington,DE198505437
    Amy Ponpipom Secretary / Trustee
    2.00
    0 0 0
    C/O AZHCF PO Box 15437
    Wilmington,DE198505437
    David E White Treasurer
    2.00
    0 0 0
    C/O AZHCF PO Box 15437
    Wilmington,DE198505437
    Christine Bloomquist Vice President / Trustee
    2.00
    0 0 0
    C/O AZHCF PO Box 15437
    Wilmington,DE198505437
    Michael Miller MD FACC FAHA Trustee
    2.00
    0 0 0
    C/O AZHCF PO Box 15437
    Wilmington,DE198505437
    Matthew Diggons Trustee
    2.00
    0 0 0
    C/O AZHCF PO Box 15437
    Wilmington,DE198505437
    L Kristin Newby MD MHS Trustee
    2.00
    0 0 0
    C/O AZHCF PO Box 15437
    Wilmington,DE198505437
    Gayle Porter PsyD Trustee
    2.00
    0 0 0
    C/O AZHCF PO Box 15437
    Wilmington,DE198505437
    Timothy J Gardner MD Trustee
    2.00
    0 0 0
    C/O AZHCF PO Box 15437
    Wilmington,DE198505437
    Theresa Rogler Asst. Treasurer
    2.00
    0 0 0
    C/O AZHCF PO Box 15437
    Wilmington,DE198505437
    Kevin Durning Asst. Treasurer
    2.00
    0 0 0
    C/O AZHCF PO Box 15437
    Wilmington,DE198505437
    Keith Burns Asst. Treasurer
    2.00
    0 0 0
    C/O AZHCF PO Box 15437
    Wilmington,DE198505437
    Ms Joyce Jacobson Exec Dir Through 12/23/20
    37.00
    0 0 0
    C/O AZHCF PO Box 15437
    Wilmington,DE198505437
    Martha Orzechowski Exec Dir Starting 12/24/20
    4.00
    0 0 0
    C/O AZHCF PO Box 15437
    Wilmington,DE198505437
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    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
    Kelly Services Inc Staffing 525,633
    999 West Big Beaver Road
    Troy,MI480844782
    Public Communications Inc Public Relations 105,796
    One East Wacker Drive Suite 2450
    Chicago,IL60601
    R LORRAINE BERNOTSKY CONSULTING LLC Evaluation 71,060
    13 Lindenwood Drive
    Exton,PA19341
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 The Foundation is committed to providing grants & capacity building to U.S.-based organizations working to improve heart health in the U.S. through its Connections for Cardiovascular Health (CCH) / CCH Next Generation program for its Grant Awardees ("Awardees") and other interested parties. Evaluation services from university partners provide basis for understanding program outcomes & where capacity building needs to occur. Awardees submit program reports 3 times throughout the program cycle, & receive evaluations at each point, including recommendations for mid-course corrections to address program challenges. At mid-year, Awardees may also submit action plans to ensure they meet program goals by year-end. Awardees have access to Foundation staff & university partners to provide program assistance & collaboration for use of innovation & technology. At year-end, all 11 CCH-funded programs met or exceeded their objectives based on evaluations assessed in light of pandemic restrictions. 182,690
    2 The Learning Series & Mentorship program are 2 segments that provide additional capacity building & learning opportunities to Awardees. For the Learning Series, the Foundation held an Orientation Webinar for CCH Next Generation Awardees in August with a focus on program reporting, evaluation & communications, a Virtual Awards Recognition & Roundtable Event in September bringing together current & previous Awardees to learn from one another, & a Storytelling & Communications Webinar in November to help Awardees bring awareness to their programs. The Mentorship program has evolved out of 10 years of lessons learned & the successful launch of a pilot mentorship program in 2019. Peer-to-peer learning is fostered through pairing newly-funded organizations with longstanding Awardees to help them launch successful programs & work through implementation barriers through regular engagements & leveraging a curriculum developed by the Foundation, its university evaluation partners & the mentors. 172,048
    3 The Foundation held an open call for applications for our CCH Next Generation program, which leverages 10 years of learnings from the CCH program to support applicants in developing programs for potential funding through its Effective Program Practices Guide. As part of this, the Foundation held an informational webinar to support capacity building for potential applicants and to help them prepare an evidence-based program for the online application. The Foundation's Effective Program Practice Guide was shared as part of the application process and informational webinar. 30,005
    4 The Foundation shared its lessons learned through dissemination and communications activities such as social media, e-mail distribution to the Foundation's mailing list of over 2,000 individuals, and two presentations at the American Public Health Association 2020 Annual Meeting & Expo. The Foundation also released a 10-year Special Report, which can be found on our website, that reflects on 10 years of lessons learned from the CCH program. 303,280
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2020)
    Form 990-PF (2020)
    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
    5,715,525
    b
    Average of monthly cash balances.......................
    1b
    80,845
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    5,796,370
    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
    5,796,370
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    86,946
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    5,709,424
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    285,471
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    285,471
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    493
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    493
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    284,978
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    284,978
    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
    284,978
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    1,872,938
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    1,872,938
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b. See instructions.................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    1,872,938
    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 (2020)
    Form 990-PF (2020)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2019
    (c)
    2019
    (d)
    2020
    1 Distributable amount for 2020 from Part XI, line 7 284,978
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2020:
    a From 2015...... 2,253,511
    b From 2016...... 2,352,722
    c From 2017...... 1,417,411
    d From 2018...... 1,785,030
    e From 2019...... 1,419,199
    fTotal of lines 3a through e........ 9,227,873
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 1,872,938
    a Applied to 2019, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
    0
    c Treated as distributions out of corpus (Election
    required—see instructions)........
    0
    d Applied to 2020 distributable amount..... 284,978
    e Remaining amount distributed out of corpus 1,587,960
    5 Excess distributions carryover applied to 2020. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 10,815,833
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2020. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2021 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2015 not
    applied on line 5 or line 7 (see instructions) ...
    2,253,511
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......
    8,562,322
    10 Analysis of line 9:
    a Excess from 2016.... 2,352,722
    b Excess from 2017.... 1,417,411
    c Excess from 2018.... 1,785,030
    d Excess from 2019.... 1,419,199
    e Excess from 2020.... 1,587,960
    Form 990-PF (2020)
    Form 990-PF (2020)
    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 2020, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2020 (b) 2019 (c) 2018 (d) 2017
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    Submit via website
    N/A
    Wilmington,DE19850
    (302) 886-3000
    bThe form in which applications should be submitted and information and materials they should include:
    Applications are only accepted on the Foundation's website; www.astrazeneca-us.com/responsibility/astrazeneca-healthcare-foundation
    cAny submission deadlines:
    See statement 14
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    See statement 14
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    Asian Health Coalition
    180 W Washington 1000
    Chicago,IL60602
    None 509(a)(1) Program support - Connections for Cardiovascular Health- Next Generation Program 30,000
    Catherine's Health Center
    1211 Lafayette
    Grand Rapids,MI49505
    None 509(a)(1) Program support - Connections for Cardiovascular Health - Mentor Program 64,998
    Camino Community Development Corp Inc
    133 Stetson Drive
    Charlotte,NC28262
    None 509(a)(2) Program support - Connections for Cardiovascular Health- Next Generation Program 150,000
    Charitable Pharmacy of Central Ohio
    200 E Livingston Ave
    Columbus,OH43215
    None 509(a)(1) Program support - Connections for Cardiovascular Health- Next Generation Program 149,444
    Good News Clinics Inc
    PO Box 2683
    Gainesville,GA30503
    None 509(a)(1) Program support - Connections for Cardiovascular Health- Next Generation Program 150,000
    Healthvisions Midwest Inc
    3700 179th Street
    Hammond,IN46323
    None 509(a)(1) Program support - Connections for Cardiovascular Health- Next Generation Program 149,573
    Montgomery Area Community Wellness Coalition
    3060 Mobile Highway
    Montgomery,AL36108
    None 509(a)(1) Program support - Connections for Cardiovascular Health- Next Generation Program 149,288
    Oklahoma City Indian Clinic
    4913 W Reno
    Oklahoma City,OK73127
    None 509(a)(1) Program support - Connections for Cardiovascular Health- Next Generation Program 150,000
    Individuals
    C/O AZHCF PO Box 15437
    Wilmington,DE198505437
    None N/A Disaster Relief Program 418
    West Virginia Health Right Inc
    1520 Washington Street
    Charleston,WV25311
    None 509(a)(1) Program support - Connections for Cardiovascular Health - Mentor Program 35,000
    Total .................................bullet 3a 1,028,721
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........
             
    4 Dividends and interest from securities....     14 89,242  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8 Gain or (loss) from sales of assets other than
    inventory ............
             
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 89,242 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    89,242
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


    Phone no.
    Form 990-PF (2020)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2020 AccountingFeesSchedule
    Name:
    AstraZeneca HealthCare Foundation
    EIN:
    51-0349682
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Accounting Fees 15,488 0   15,488

    TY 2020 GeneralExplanationAttachment
    Name:
    AstraZeneca HealthCare Foundation
    EIN:
    51-0349682
    Identifier Return Reference Explanation
    2020 Connections for Cardiovascular HealthSM Next Generation Criteria: Part XV, Line 2d 2020 Connections for Cardiovascular HealthSM Next Generation Criteria:The AstraZeneca HealthCare Foundation's Connections for Cardiovascular HealthSM (CCH) program awards Foundation grants annually to U.S.-based, nonprofit 501(c)(3) organizations or similar nonprofit organizations working to improve cardiovascular health in their communities.The 2020 open call for applications for CCH Next Generation maintains its original mission to improve cardiovascular health in the U.S. and focus on sharing nearly 10 years of Foundation and Grant Awardee learnings from the field. New applicants have the opportunity to modify or adapt these learnings highlighted in the Effective Program Practices Guide when designing and implementing their own innovative, community-based heart health programs.The intent of the grants is to support innovative initiatives or programs at the community level to help improve cardiovascular health in the community during the grant year and beyond. Our aim is for funded programs to maximize the benefit to participants and to work toward sustainability beyond our funding.To qualify for a Foundation grant, an organization is required to be a U.S.-based, nonprofit organization with a 501(c) designation or a public school, government entity or municipal institution that is eligible to accept tax-deductible, charitable contributions. Organizations that are 501(c)(3) and also have an IRS designation as a 509(a)(3) are ineligible for funding.The nonprofit organization must be engaged in charitable work at the community level or otherwise. The program must address the Foundation's Connections for Cardiovascular HealthSM Next Generation mission and meet five key criteria:1. Address patient cardiovascular health issues within the United States and its territories2. Recognize and work to address an unmet need related to cardiovascular health in the community3. Respond to the urgency around addressing cardiovascular health issues, including cardiovascular disease or conditions contributing to cardiovascular disease4. Improve the quality of participants and non-professional caregivers' lives in connection with the services provided and work done5. Demonstrate a clear plan for long-term program sustainability, to further improve cardiovascular health after Foundation grants are expendedFoundation grant applications that meet the criteria and describe innovative initiatives with clearly defined outcomes, measurable results and processes will be considered for funding.Organizational Criteria:1. The organization and its program must be based in the United States and its territories.2. The Foundation provides grants to organizations that are: o Nonprofits with a 501(c) designation. (Organizations that have a 509(a)(3) designation are ineligible for funding.) o Public schools o Municipal institutions (e.g., city health department, municipal hospital or county board of health).3. Applying organizations will be required to provide 1) a copy of their current IRS 990 form or documents that establish eligibility to receive charitable donations and 2) audited financials for the past fiscal year. (If audited financials are not available, unaudited financial statements may be submitted. The CCH program preference is to provide funding to organizations that have both a current audited financial statement and IRS Form 990 available.)4. After submitting the application, organizations cannot make substantive changes to their tax status. Once selected for a grant award, organizations cannot reassign, transfer or credit their grant to another entity, including any related entity, without prior written approval by the Foundation. Any changes in an organization's tax status after submitting the application or being selected for a grant award must be reported immediately and may impact the organization's eligibility to receive the grant.Funding Criteria:The Foundation's preference is to support new organizations with innovative programs to expand the reach of the Connections for Cardiovascular HealthSM Next Generation program. In addition, the Foundation maintains our commitment to support sustainability by providing reduced funding to support a limited number of previously-funded organizations with programs that demonstrate positive outcomes. The Foundation will only accept one application per organization for a single year of funding. There is no guarantee of funding. Applicants who are approved for a Foundation grant award must meet program objectives. 1. The CCH Next Generation open call for applications will provide program grant funding to organizations that have never been funded before by the Foundation's Connections for Cardiovascular HealthSM program. CCH Next Generation may provide limited grant funding to previously-funded organizations on an invitation basis to support dissemination, sustainability and/or mentorship activities.2. Through evaluating results from community-based programs from Connections for Cardiovascular HealthSM, the AstraZeneca HealthCare Foundation and its evaluation partners have identified six innovative approaches commonly used to improve cardiovascular health at the community level. Applying organizations will need to align with one of six innovative approaches as the basis of their Connections for Cardiovascular HealthSM Next Generation program or identify their own innovative approach. The six innovative approaches include: 1. Leveraging access for uninsured and underserved participants to improve cardiovascular knowledge and health 2. Bringing programs to participants 3. Educating children to serve as heart health ambassadors 4. Improving cardiovascular health through food-based programs 5. Using health coaches/promotors to improve cardiovascular health 6. Providing culturally sensitive program interventions to maximize participant outcomes 3. Applicants are encouraged to consult the AstraZeneca HealthCare Foundation's Effective Program Practices Guide as a means of informing the proposed program's design relative to the selected innovative approach. 4. Program Grant funding requests must be between $125,000 and $150,000. 5. CCH Next Generation welcomes applications from every state in the nation and has a preference for funding applications from the top 20 states by cardiovascular disease mortality (Alabama, Arkansas, Georgia, Iowa, Indiana, Kentucky, Louisiana, Maryland, Michigan, Missouri, Mississippi, Nevada, New York, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, West Virginia). 6. Additional preference will be given to applications from states where the Foundation has never previously funded a program (Alabama, Arkansas, Iowa, Indiana, Nevada, Ohio, Oklahoma).7. Programs should be designed with funding for equipment less than 30% of the total budget for equipment that is integral to the specific program design and not for equipment that might support other ongoing, routine programs run by the organization. Equipment costs over 30% of the total funding request will not be considered. Incidental equipment and costs necessary to complete or sustain a project are allowed. 8. The Foundation will not fund vehicle purchases. 9. Costs over 10% in the budget category "Other" will not be considered.10. Any budget expenses allocated for healthcare provider compensation must only support a portion of each healthcare provider's annual salary for their work on the program and cannot be in addition to the healthcare provider's annual salary for the 16-month grant timeframe paid for by the applying organization. Program Design: 1. Exclusions. The Foundation does NOT fund programs that focus exclusively on the following: o Capital investments and unsolicited capital campaigns o Media/awareness campaigns o Hospital software systems, hospital in-patient programs or enhancement of existing hospital services o Professional education and/or training for healthcare professionals that is more than incidental to the program o Research or clinical trials o Healthcare provider/cardiologist salaries o Faith-based programs that are NOT open to the community-at-large2. The Foundation does NOT support: o Cardiovascular initiatives outside the United States or its territories o Individuals o For-profit organizations o Endowments o Journals or advertising o Political causes, lobbying, fraternal or social organizations o Religious organizations whose activities are not open to the general public o Nonprofit organizations that discriminate on the basis of age, race, color, religion, national origin, gender identity, sexual orientation, marital status, military service, veteran status or disability.3. The Foundation seeks programs that are focused on measurable results. The program should demonstrate clear, defined and designated outcomes, measurements and processes, and include clinical outcome goals or outcome goals for standardized testing (e.g., Progressive Aerobic Cardiovascular Endurance Run test, etc.). To support these efforts, it is recommended the organization utilize: a) Healthcare providers, or trained community health workers/health coaches as appropriate, to collect clinical metrics. b) An outside evaluator to analyze and evaluate data, which may include staff who are internal to the organization with the necessary expertise but who are not involved in the program's operations, management or delivery. c) Provide an innovative approach. The program should find innovative ways relevant to the program, population and goals to maximize benefits for the participants and impact to the community. d) Demonstrate sustainability. Programs should be able to continue beyond the potential grant period and potential AstraZeneca HealthCare Foundation funding. e) Measurable Outcomes and Participant goals. Grant applicants will need to: o Collect and measure program outcomes. o Be designed to reach at least 400 unduplicated participants by year-end. o Be designed to track at least 200 unduplicated participants by year-end. o Demonstrate measurement outcomes at both the mid-year (March 2021) and year-end (November 30, 2021) time frames following the grant award. o Report on program outcomes for approximately half of the planned unduplicated tracked participants by March 2021.Program Execution:1. Prior written approval from the Foundation is required from Grant Awardees prior to making a major change in program objectives, budget or scope. Some examples include, but are not limited to, program location, target audience, number of participants reached and tracked, and behavioral and/or clinical measures.2. Award recipients will be required to submit regular program reports and other requirements to the Foundation according to deadlines and processes set forth in the Letter of Agreement. These requirements include: o Three-month progress report submitted in late October 2020 (covers progress from August 2020 through October 2020) o Mid-year progress report, sustainability efforts and program outcomes submitted in April 2021 (covers progress from August 2020 through March 2021) o Comprehensive year-end report, sustainability efforts and program outcomes submitted by early December 2021 (covers progress from August 2020 through November 30, 2021)Note: Criteria for assessing applications may be changed or updated by the AstraZeneca HealthCare Foundation from year to year. Application cycles are planned on a year-by-year basis.* * * * * * * * * * * * * * * The AstraZeneca HealthCare Foundation's Connections for Cardiovascular HealthSM (CCH) Mentor Grants are by invitation only to provide funding to previous Grant Awardee(s) to 1) serve as a mentor to organizations that are receiving their first year of CCH Next Generation funding, 2) focus on sustaining their CCH-funded program, and/or 3) share lessons learned from their program and mentorship experiences through dissemination activities. Organizational Criteria:Invited organizations need to maintain their status as a U.S.-based, nonprofit organization with a 501(c) designation or a public school, government entity or municipal institution that is eligible to accept tax-deductible, charitable contributions. Organizations that are a 501(c)(3) and also have an IRS designation as a 509(a)(3) are ineligible for funding. Funding Criteria:One way the Foundation maintains our commitment to program sustainability and sharing lessons learned is by providing mentorship grants. These grants support a limited number of previously-funded organizations with programs that consistently demonstrated positive outcomes so they can help newly-funded organizations launch their programs.Organizations must be invited to apply for a single year of funding to support program, mentorship, and/or sustainability and dissemination activities. There is no guarantee of funding.1. Mentor Grants up to $65,000 are comprised of up to three elements: o Support for the continuation of their CCH-funded program, o Support to serve as a mentor to newly funded organizations and engage regularly with mentees, the Foundation and other mentors to share lessons learned to help support newly-funded programs based on learnings from the field, and o Support to share lessons learned from their program and mentorship experiences through the development of resources, publications and/or webinars/presentations among other activities. 2. Organizations that are awarded Mentor Grants in 2020 (Year One) may be eligible for a second year of continued funding in 2021 (Year Two), based on performance at the mid-year mark, availability of funds and Board approval. 3. Programs should be designed with funding for equipment less than 30% of the total budget for equipment that is integral to the specific program design and not for equipment that might support other ongoing, routine programs run by the organization. Equipment costs over 30% of the total funding request will not be considered. Incidental equipment and costs necessary to complete or sustain a project are allowed. 4. The Foundation will not fund vehicle purchases. 5. Costs over 10% in the budget category "Other" will not be considered. 6. Any budget expenses allocated for healthcare provider compensation must only support a portion of each healthcare provider's annual salary for their work on the program and cannot be in addition to the healthcare provider's annual salary for the 16-month grant timeframe paid for by the applying organization. Program Design:1. Program Design. Invited organizations applying for program funding will need to apply with the same program they were previously awarded funding for in 2019.*2. Measurable Outcomes and Participant Goals. The Foundation requires that all programs: o Collect and measure program outcomes. o Maintain or exceed their 2019 CCH Program Grant reached and tracked participant goals. o Maintain or exceed their 2019 CCH Program Grant programmatic goals that are connected to a community cardiovascular health need(s). o Demonstrate measurement outcomes at both the mid-year (March 2021) and year-end (November 30, 2021) time frames following the grant award. o Report on program outcomes for approximately half of the planned unduplicated tracked participants by March 2021. Program Execution: 1. Grant Awardees need to ask the Foundation's consideration and approval prior to making a major change in program objectives, budget or scope. Some examples include, but are not limited to, program location, target audience, number of participants reached and tracked, and behavioral and/or clinical measures. 2. Award recipients will be required to submit regular program reports and other requirements to the Foundation according to deadlines and processes set forth in the Letter of Agreement. Note: Criteria for assessing applications is subject to change and may be updated by the AstraZeneca HealthCare Foundation from year to year. Application cycles are planned on a year-by-year basis.*Unless prior approval received from the AstraZeneca HealthCare Foundation for program design and/or outcomes revisions.
      Part XV, Line 3a The AstraZeneca HealthCare Foundation's (AZHCF) overall mission is to promote public awareness and education of healthcare issues and support nonprofit organizations consistent with its charitable purpose. AZHCF's signature program, Connections for Cardiovascular Health (CCH), was launched in 2010 to provide grants and capacity building to nonprofit and other tax-exempt organizations working in innovative ways to help improve cardiovascular health in communities across the United States. The Connections for Cardiovascular HealthSM Next Generation program launched in 2020, building on ten years of lessons learned and aims to expand to areas of the country with the greatest need and where our funding has not previously reached.In 2020, the CCH program marked its 11th year of grantmaking with the launch of its next iteration of the program, CCH Next Generation. Since the inception, CCH and CCH Next Generation funded programs have collectively reached over 1.7 million individuals and tracked over 67,000 participants for progress. Eleven organizations that received funding in the third quarter of 2019 and implemented their programs through the fourth quarter of 2010 reached over 11,000 individuals and tracked over 2,000 new participants for progress toward improved cardiovascular health.The AZHCF is also committed to sharing lessons learned for CCH Grant Awardees. Sharing key learnings is pivotal so that other organizations can use these insights in designing and implementing their own, innovative community-based cardiovascular health programs. AZHCF's Special Report, released in 2020, highlights the first decade of the CCH program through stories of the organizations and programs we have funded. The Foundation presented with longstanding CCH Grant Awardee, Catherine's Health Center (Grand Rapids, MI), on best practices for program sustainability and the benefits of health coaching models during two sessions at the American Public Health Association's 2020 Virtual Annual Meeting: o Sustainability of Cardiovascular Health Programs: Making Community Programs Tick After Funding Disappears o Health Coaches/Promotors: An Asset for Enhancing Retention and Recruitment and Facilitating the Feedback Loop Between Program Participants and ProvidersVisit our website's "Lessons Learned" section for more information: www.astrazeneca-us.com/foundation. The Foundation's Grant Awardees also have the opportunity to receive ongoing educational support with a virtual Learning Forum webinar series that aims to help organizations further build capacity as they implement their programs. Sessions in 2020 included: o An Orientation Webinar with a focus on reporting and evaluation to demonstrate program impact and communications to share program stories o A Virtual Awards Recognition and Roundtable on World Heart Day to bring together current and previous Grant Awardees to learn from one another, elevate awareness of cardiovascular disease and share ways to address it at the community level. Also included were two Learning Forums with sessions focused on reporting and evaluation, communications, sustainability and mentorship.

    TY 2020 InvestmentsOtherSchedule2
    Name:
    AstraZeneca HealthCare Foundation
    EIN:
    51-0349682
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    Short-Term Bond Funds FMV 4,767,299 4,767,299

    TY 2020 LegalFeesSchedule
    Name:
    AstraZeneca HealthCare Foundation
    EIN:
    51-0349682
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Legal Fees 20,856 0   21,364


    TY 2020 OtherAssetsSchedule
    Name:
    AstraZeneca HealthCare Foundation
    EIN:
    51-0349682
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    Prepaid Excise Tax 2,278 1,785 1,785


    TY 2020 OtherExpensesSchedule
    Name:
    AstraZeneca HealthCare Foundation
    EIN:
    51-0349682
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Professional Membership Fees 13,650 0   13,650
    Insurance 950 0   950
    Printing, Video & Event Production 9,500 0   9,500
    Office Expense - MISC 57 0   57


    TY 2020 OtherIncreasesSchedule
    Name:
    AstraZeneca HealthCare Foundation
    EIN:
    51-0349682
    Description Amount
    Unrealized Gain on Investments 81,099


    TY 2020 OtherProfessionalFeesSchedule
    Name:
    AstraZeneca HealthCare Foundation
    EIN:
    51-0349682
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Contractor Expenses 537,432 53,743   471,920
    Grant Awardee Educational Conferences 0 0   30,112
    IT Consulting Fees 35,000 0   35,000
    Evaluation Service Fees 119,680 0   119,680
    Consultants 0 0   0
    Dissemination Services 11,422 0   13,027


    TY 2020 TaxesSchedule
    Name:
    AstraZeneca HealthCare Foundation
    EIN:
    51-0349682
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    990 PF Excise Tax 493 0   0