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      <Desc>In 2019, Trust for Americas Health (TFAH) continued to advance its mission to promote optimal health for every person and community and make the prevention of illness and injury a national priority. As a nonprofit, nonpartisan public health policy, research, and advocacy organization, TFAH envisions a nation that values the health and well-being of all and where prevention and health equity are foundational to policymaking at all levels of society. Across the range of public health issues TFAH addressed, including obesity, substance misuse and suicide, public health emergency preparedness, health equity, prevention and public health policy, public health funding, chronic disease, and infectious disease, TFAH promoted public health policies that affect the entire nation, with an emphasis on how public health policies and programs can promote healthy individuals and communities regardless of geography.TFAH maintains and enhances its work with traditional and new partners on high-impact health issues. Throughout its efforts, TFAH is also committed to advancing health equity and addressing the social determinants of health which are the conditions in which people are born, grow, work, live, and age, including through collaborative, multisectoral approaches. TFAHs work is guided by values of equity, independence, evidence-based, trust, partnerships, innovation, and financial stewardship.TFAHs projects focused on advancing an evidence-based public health system that is ready to meet the challenges of the 21st century. TFAH successfully published evidence-based reports; developed and advanced effective policy recommendations and approaches; convened learning collaboratives; spearheaded targeted initiatives and outreach; collaborated with partners at the national, state, and local levels; and produced educational resources.Among TFAHs accomplishments in 2019:TFAH continued to partner with The John A. Hartford Foundation to facilitate a pilot in Florida demonstrating the feasibility of the Age-Friendly Public Health Systems (AFPHS) framework designed to guide and inform the expansion of public health roles in aging through Floridas county health system. This effort has included creating and supporting collaborations between the public health and aging sectors, collecting and disseminating data on the states older adult population, and ensuring all planning and programming is done with an aging lens. This successful pilot validates the importance of public healths engagement in promoting the health of older adults, and, importantly, proves it is possible to garner the support of elected and appointed officials and community-based organizations, establishing the potential for sustainability and more widespread adoption.TFAH continued to co-lead the Healthy Students, Promising Futures Learning Collaborative, which includes 15 states. The Learning Collaborative brings together state departments of education, state Medicaid agencies, and local school districts to improve equity in health and educational outcomes by increasing access to Medicaid services in schools and by promoting safe and supportive school environments. The Healthy Students, Promising Futures website was launched during the year as a hub of resources for education and public health agencies, educators, the social services sector, and other stakeholders nationwide.TFAH planned and hosted national webinars, including: o Promoting Health and Cost Control in States: Exploring the Health and Economic Impacts of Tobacco Pricing Strategies. The webinar highlighted the current legal landscape of tobacco pricing strategies, the health impacts of tobacco pricing strategies, and how advocates are working at the local and state levels to reduce tobacco use. o State of Obesity 2019: Better Policies for a Healthier America. The webinar addressed the latest national and state obesity trends and rates, highlighted promising approaches localities have used to ensure healthy communities, and offered policy recommendations that incorporate innovative approaches that help Americans lead healthier lives. Through a joint project between TFAHs Promoting Health and Cost Control in States (PHACCS) Initiative and the Center for Public Health Law Research at Temple Universitys Beasley School of Law, TFAH completed and released state-by-state legal analysis datasets on two of the PHACCS reports recommended policies: tobacco pricing and syringe service programs.TFAH published and disseminated a series of reports and issue briefs, including:1.Pain in the Nation: Addressing a Crisis: Cross-Sector Strategies to Prevent Adolescent Substance Use and Suicide: The report finds that while progress has been made in reducing some risky behaviors, adolescent suicide and substance misuse rates remain high and in some cases are climbing. The report calls for the expansion of evidence-based and cross-sector strategies in order to save lives. 2.The State of Obesity 2019: Better Policies for a Healthier America: This 16th annual report summarizes national and state level obesity trends and documented that obesity rates among adults are at historic highs and that there is an urgent need to increase evidence-based obesity prevention programs. The report includes a special feature on racial and ethnic disparities in obesity and advancing health equity.3.Pain in the Nation: Alcohol and Drug Misuse and Suicide and the Millennial Generation: This report focuses on young adults, ages 20 to 34, and finds that since the late 1990s, deaths from alcohol and drug misuse and suicide have been steadily on the rise for all age groups, including millennials. The report calls for new and specific interventions aimed at reducing these deaths of despair amongst young adults.4.The Impact of Chronic Underfunding on Americas Public Health System: This report examines federal, state, and local public health funding trends and recommends needed investments and policy actions to prioritize prevention and effectively address 21st century health threats. It documents the chronic underfunding of the nations public health infrastructure.5.Pain in the Nation Update Brief on the Drug, Alcohol, and Suicide Crises: This issue brief examines the most recent data of drug overdose deaths, alcohol-related deaths, and suicides and concludes that such deaths have reached the highest level ever recorded. The report recommends several policy actions to prevent deaths from alcohol, drugs, and suicide.6.Promoting Health and Cost Control in States: This report recommends 13 evidence-based policies to inform state policymakers and public health advocates of effective state policies to improve health and control costs in a relatively short period of time. The report provides detailed information on each of the 13 recommended evidence-based policies, including descriptions of the policies, summaries of health and economic evidence, case examples, and considerations for implementation.7.Ready or Not 2019: Protecting the Publics Health from Diseases, Disasters, and Bioterrorism: This report provides an annual assessment of states public health and emergency readiness. It documents that all states have made progress in preparedness since 9/11, but also highlights pressing needs for additional action, particularly as weather-related and other public health emergencies become more frequent.</Desc>
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      <FactsAndCircumstancesTestTxt>Current Year Facts and Circumstances: 2019 Narrative for Facts and Circumstances Explanation for IRS Form 990Trust for Americas HealthTrust for Americas HealthEIN: 52-2257066Trust for Americas Health (TFAH) qualifies as publicly supported because it meets the 10% plus facts and circumstances test under Treas. Reg. 1.170A-9(e)(3) in the following respects:10% of Support Limitation. TFAHs public support fraction of 23.76% exceeds the 10% threshold.Attraction of Public Support. TFAH is organized and operated to attract new and additional public support on a continuous basis. During fiscal year 2019, TFAH received funding from new sources, including the Bloomberg American Health Initiative at Johns Hopkins University, the Kresge Foundation, and the Michigan Public Health Institute, and ongoing funding support from The California Endowment, the John A. Hartford Foundation, the Dawn Hill Fund, the Conrad N. Hilton Foundation, Kaiser Permanente, the Robert Wood Johnson Foundation, the W.K. Kellogg Foundation, and Well Being Trust. Sources of Support. TFAHs funding comes from diverse sources of support, including a representative number of private foundations and other organizations and individuals that wish to support its mission and programs. Representative Governing Body. TFAHs activities are governed by a Board of Directors, reflecting a broad range of individuals with experience and expertise in managing and operating a nonprofit educational organization focused on public health issues. TFAHs governing body includes individuals with significant experience in areas such as government, academia, the non-profit sector, public health, and health care. Furthermore, members of the Board have served, or currently serve, on the governing bodies of corporations, charitable foundations, and other section 501(c)(3) organizations. Availability of Public Facilities or Services; Public Participation in Programs or Policies.TFAHs work toward improving the nations public health capacity includes non-partisan research and analysis, policy development, publication of numerous science-based reports, and outreach and educational activities about the need for a robust, effective public health system that is prepared to respond to a wide range of health threats. TFAHs 2019 reports, which were distributed widely to policymakers, the media, and the public, included:1)Pain in the Nation: Addressing a Crisis: Cross-Sector Strategies to Prevent Adolescent Substance Use and Suicide 2)The State of Obesity 2019: Better Policies for a Healthier America3)Pain in the Nation: Alcohol and Drug Misuse and Suicide and the Millennial Generation4)The Impact of Chronic Underfunding on Americas Public Health System5)Pain in the Nation Update Brief on the Drug, Alcohol, and Suicide Crises6)Promoting Health and Cost Control in States7)Ready or Not 2019: Protecting the Publics Health from Diseases, Disasters, and Bioterrorism</FactsAndCircumstancesTestTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>Trust for America's Health requires that each board member and officer annually (1) review the Corporation's Conflict of Interest Policy; (2) disclose any possible personal, familial, or business relationship that reasonably could give rise to a conflict of interest or the appearance of a conflict of interest; and (3) acknowledge by his or her signature that he or she is acting in accordance with the letter and spirit of such Conflict of Interest Policy. Completed questionnaires are available for inspection by any board member and may be reviewed by the Corporation's legal counsel.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation for the President and CEO is determined by the Board of Directors. For all other staff, including senior management, the President and CEO submits to TFAHs Finance, Audit and Compensation Committee recommendations for compensation adjustments for TFAH staff. The Board of Directors then reviews the recommendations and makes final determinations of any salary adjustments.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>Trust for America's Health makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Any expenses related to mail or providing this information to the public is borne by the organization.</ExplanationTxt>
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</Return>