2020-04-27T10:00:15-05:00 2019-12-31 510232475 Cover & Rossiter PA 2711 Centerville Road Suite 100 Wilmington DE 19808 990PF 2019-01-01 510349682 AstraZeneca HealthCare Foundation ASTR 3028863000 PO Box 15437 Wilmington DE 198505437 David E White Treasurer 3028863000 2020-04-07 1 Peter Kennedy P00571422 3026566632 2020-04-07 2019 2022-09-23 18:48:47Z X 6607802 X 2000000 145957 145957 0 1725000 0 2145957 145957 0 0 0 28026 0 25168 13500 0 13500 879363 63378 817588 1639 0 0 73089 628 70333 995617 64006 926589 774364 774364 1769981 64006 1700953 375976 81951 97491 83566 83566 6026139 6521958 6521958 3917 2278 2278 6127547 6607802 6607802 32912 62329 32912 62329 X 6089312 6540150 5323 5323 6094635 6545473 6127547 6607802 6094635 375976 74862 6545473 0 6545473 JP MORGAN MONEY MARKET FUND P 2018-12-31 2019-12-31 1725000 1725000 0 0 0 0 2012373 4572226 0.440130 1752560 5938729 0.295107 2644107 5829102 0.453605 2704717 8139484 0.332296 3305317 9533978 0.346688 1.867826 0.373565 5667851 2117311 820 2118131 1700953 1639 0 1639 0 1639 3917 0 0 3917 0 2278 2278 0 0 0 0 0 0 0 0 0 0 0 1 1 DE 1 0 0 0 0 1 See Part XV AstraZeneca HealthCare Foundation Inc 3028863000 1800 Concord Pike Wilmington DE 198505437 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 James W Blasetto MD MPH FACC C/O AZHCF PO Box 15437 Wilmington DE 198505437 Chairman / Trustee 3.00 0 0 0 Richard Buckley C/O AZHCF PO Box 15437 Wilmington DE 198505437 President / Trustee 2.00 0 0 0 Amy Ponpipom C/O AZHCF PO Box 15437 Wilmington DE 198505437 Secretary / Trustee 2.00 0 0 0 David E White C/O AZHCF PO Box 15437 Wilmington DE 198505437 Treasurer 2.00 0 0 0 Christine Bloomquist C/O AZHCF PO Box 15437 Wilmington DE 198505437 Trustee 2.00 0 0 0 Michael Miller MD FACC FAHA C/O AZHCF PO Box 15437 Wilmington DE 198505437 Trustee 2.00 0 0 0 Matthew Diggons C/O AZHCF PO Box 15437 Wilmington DE 198505437 Trustee 2.00 0 0 0 L Kristin Newby MD MHS C/O AZHCF PO Box 15437 Wilmington DE 198505437 Trustee 2.00 0 0 0 Howard Hutchinson MD FACC C/O AZHCF PO Box 15437 Wilmington DE 198505437 Trustee 2.00 0 0 0 Timothy J Gardner MD C/O AZHCF PO Box 15437 Wilmington DE 198505437 Trustee 2.00 0 0 0 Theresa Rogler C/O AZHCF PO Box 15437 Wilmington DE 198505437 Assistant Treasurer 2.00 0 0 0 Ms Joyce Jacobson C/O AZHCF PO Box 15437 Wilmington DE 198505437 Executive Director 34.00 0 0 0 NONE 0 Kelly Services Inc 999 West Big Beaver Road Troy MI 480844782 Staffing 496870 Public Communications Inc One East Wacker Drive Suite 2450 Chicago IL 60601 Public Relations 136914 MCVEIGH ASSOCIATES INC 209 W 40th St 201 New York NY 10018 Event services 84345 JEFFREY L OSGOOD JR CONSULTING LLC 201 E Gay St Apt 203 West Chester PA 19380 Evaluation 60095 R LORRAINE BERNOTSKY CONSULTING LLC 13 Lindenwood Drive Exton Chester PA 19341 Evaluation 55165 0 The AstraZeneca HealthCare Foundation is committed to providing grants and capacity building to US-based organizations working to improve heart health in the United States through its Connections for Cardiovascular Health (CCH) program for its Grant Awardees and other interested organizations. Evaluation services from our university partners provide the basis for understanding program outcomes and where capacity building needs to occur. Grant Awardees have access to Foundation staff and university partners to provide program assistance. Grant Awardees submit program reports three times throughout the program cycle, and receive evaluations at each point, which can include recommendations to address program challenges. At mid-year after receiving the evaluation, Grant Awardees may also be required to submit action plans to ensure they meet program goals by year-end. At the end of the year, all 11 funded programs met or exceeded their objectives based on their evaluations. 147880 In April, the Mentor-Mentee Learning Forum served to launch the Foundation's pilot mentorship program and foster peer-to-peer learning amongst six Grant Awardees. The mentorship program pairs newly-funded organizations with longstanding Grant Awardees to help them launch successful programs. The Learning Forum included activities such as evaluation consultations with our university partners as well as workshops on mentorship, communications, sustainability and evaluation and the opportunity to see the CCH Grant Awardee co-host's program in action. 289968 Capacity building and sustainability are key elements of the Foundation's CCH program. Activities supporting these focus areas included regular engagement calls to support Grant Awardee communications and social media activities, to further share information on their programs, lessons learned, and demonstrate their impact via program outcomes. The Foundation also supported sustainability through engaging with university consultants via a webinar to help the Grant Awardees develop program sustainability plans, culminating in an in-person workshop and consultations on the plans in November to mark the CCH program's 10th year anniversary. Grant Awardees had access to our university evaluation partners to further develop and complete their program sustainability plans. 47015 The Foundation developed its Effective Program Practices Guide as an educational resource designed to help organizations develop their own community health programs. The Guide includes general guidelines for building an effective community health program and six innovative program approaches commonly used by CCH Grant Awardees for other organizations to adopt or modify. The Foundation shared lessons learned through dissemination activities such as: a webinar presentation through the Society for Public Health Education, social media, e-mail distribution to the Foundation's mailing list of over 2,000 interested parties, and additional email outreach through partner organizations. Dissemination efforts focused on helping to build capacity for eight Grant Awardees to submit abstracts to the American Public Health Association 2019 Annual Meeting & Expo. Six Grant Awardee abstracts were accepted for presentations (2 poster, 5 oral), and the Foundation's oral presentation, and 2 short films. 307813 0 5657459 96704 0 5754163 0 0 5754163 86312 5667851 283393 283393 1639 1639 281754 0 281754 0 281754 1700953 0 1700953 0 1700953 281754 0 0 2830414 2253511 2352722 1417411 1785030 10639088 1700953 0 0 0 281754 1419199 0 0 12058287 0 0 0 0 0 0 2830414 9227873 2253511 2352722 1417411 1785030 1419199 X Asian Health Coalition 180 W Washington 1000 Chicago IL 60602 None 509(a)(1) Program support - CARDIO ("Cardiovascular Awareness Recognizing Diet and Integration of Exercise Options" 125000 Catherine's Health Center 1211 Lafayette Grand Rapids MI 49505 None 509(a)(1) Program support - Healthy Heart Team 50000 Chesapeake Charities Inc 101 LOG CANOE CIRCLE Stevensville MD 21666 None 509(a)(1) Program support - Partnering for Youth Cardio-Fit Project 50000 Mallory Community Health Center 17280 Highway 17 South Lexington MS 390950479 None 509(a)(1) Program support - Take Control of Your Health 50000 Mercy Hospital Foundation Inc 144 GENESEE STREET Buffalo NY 14203 None 509(a)(1) Program support - Heart Smart for Life 50000 Sankofa Community Development Corporation 5200 Dauphine Street New Orleans LA 70117 None 509(a)(1) Program support - Healthy HeartBeats 50000 Sisseton Wahpeton Oyate of the Lake Traverse Reservation PO Box 509 Agency Village SD 57262 None 509(a)(1) Program support - Sisseton-Wahpeton Oyate Connections for Cardiovascular Health - Heart of the Nation (HON) 125000 St Mary's Health Wagon PO Box 7070 Wise VA 24293 None 509(a)(1) Program support - Expansion of Heart Health 1, 2, 3 Comprehensive Cardiovascular Disease Initiative for Diabetes Mellitus, Metabolic Syndrome, and Obesity 50000 University of Mississippi PO Box 1848 University MS 386771848 None 509(a)(1) Program support - Healthy Hearts in the Heart of the City 125000 West Virginia Health Right Inc 1520 Washington Street Charleston WV 25311 None 509(a)(1) Program support - SCALE ("Sustainable Changes and Lifestyle Enhancement") 50000 Westminster Free Clinic 5560 NAPOLEON AVENUE Oak Park CA 91377 None 509(a)(1) Program support - Corazones Sanos (Healthy Hearts) Program 50000 Return unused grant funds from Drexel University & Mid Valley Family YMCA C/O PO Box 15437 Wilmington DE 198505437 None Return of unused grant funds from Drexel University and Mid Valley Family YMCA -636 774364 0 14 145957 0 145957 0 145957 0 0 0 0 0 0 0 0 0 0 X X 1 AstraZeneca Pharmaceuticals LP PO BOX 15437 WILMINGTON DE 198505437 2000000 X Accounting Fees 13500 0 13500 2019 Connections for Cardiovascular HealthSM Criteria: Part XV, Line 2d 2019 Connections for Cardiovascular HealthSM 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 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. Grant applicants must be invited to apply 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 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 done.5. Demonstrate a clear plan for long-term program sustainability, to further improve cardiovascular health after Foundation grants are expended.Foundation 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). o Government Entities3. 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 intention of 2019 CCH Program Grant funding is two-fold: to support a limited number of previously-funded programs that demonstrate positive outcomes and to work towards program sustainability beyond CCH funding.The Foundation will only accept one application per organization for a single year of funding. There is no guarantee of funding:1. Organizations that received their first year of CCH funding in November 2018 may apply for funding up to $125,000 in support of their previously CCH-funded program and to work towards program sustainability beyond CCH-funding.2. Organizations that have received more than one year of previous CCH funding may apply for funding up to $50,000 in support of their previously-funded CCH program and to work towards program sustainability beyond CCH-funding.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.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. Program Design. Invited organizations will need to apply with the same program they applied for, and were awarded funding for, in 2018. The program design will need to remain consistent with their approved and funded 2018 CCH Program Grant application, unless they received prior approval from the AstraZeneca HealthCare Foundation to revise their program design and/or outcomes.4. The Foundation seeks programs that: o 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. o 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. o Demonstrate sustainability. Programs should be able to continue beyond the potential grant period and potential AstraZeneca HealthCare Foundation funding. o Measurable Outcomes and Participant goals. Grant applicants will need to: a) Collect and measure program outcomes. b) Maintain or exceed their 2018 CCH Program Grant reached and tracked participant goals. c) Maintain or exceed their 2018 CCH Program Grant programmatic goals that are connected to a community cardiovascular health need(s). d) Demonstrate measurement outcomes at both the mid-year (May 2020) and year-end (November 2020) time frames following the grant award. e) Report on program outcomes for approximately half of the planned unduplicated tracked participants by May 2020. f) Demonstrate quality and robustness in measurement and evaluation efforts.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 Addendum to the Letter of Agreement. These requirements include: o Three-month progress report submitted by January 24, 2020 (covers progress from November 2019 through January 2020) o Mid-year progress report, sustainability efforts and program outcomes submitted by May 29, 2020 (covers progress from November 2019 through May 2020) o Comprehensive year-end report, sustainability efforts and program outcomes submitted by November 13, 2020 (covers progress from November 2019 through October 31, 2020)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. 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. In 2019, the CCH program marked its 10th year of grantmaking. Since the inception, CCH-funded programs have collectively reached over 1.7 million individuals and tracked over 65,000 participants for progress. Eleven organizations that received funding in the third quarter of 2018 and implemented their programs through the fourth quarter of 2019 reached over 18,500 individuals and tracked over 5,500 new participants for progress toward improved cardiovascular health. The AZHCF is also committed to sharing lessons learned for CCH Grant Awardees and other interested organizations. Grant funding dedicated for dissemination activities in 2019 resulted in CCH Grant Awardees presenting at 10 state and national conferences. This includes seven organizations who presented at the American Public Health Association (APHA) 2019 Annual Meeting & Expo, through oral presentations, poster sessions and the Global Public Health Film Festival.Additional efforts to support capacity building for CCH Grant Awardees included two Learning Forums, with sessions focused on reporting and evaluation, communications, sustainability and mentorship. Mentorship was a new component this year with a mentorship pilot program, where three newly-funded organizations were paired with several longstanding CCH Grant Awardees, to help them get their programs off to successful starts and provide guidance along the way.The AZHCF shared its own lessons learned through the development and distribution of the Effective Program Practices Guide, a webinar with the Society for Public Health Education, and our own presentation and short film highlighted at the APHA 2019 Annual Meeting & Expo alongside our Grant Awardees. Visit our website's "Lessons Learned" section for more information: www.astrazeneca-us.com/foundation. Short-Term Bond Funds FMV 6521958 6521958 Legal Fees 28026 0 25168 Prepaid Excise Tax 3917 2278 2278 Professional Membership Fees 14778 0 14928 Insurance 1256 628 628 Printing, Video & Event Production 56882 0 54604 Office Expense - MISC 173 0 173 Unrealized Gain on Investments 74862 Contractor Expenses 496870 49687 443691 Grant Awardee Educational Conferences 98672 0 98672 IT Consulting Fees 18000 0 28200 Evaluation Service Fees 115260 0 115260 Consultants 136914 13691 119723 Dissemination Services 13647 0 12042 990 PF Excise Tax 1639 0 0