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      <Desc>In 2018, 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; hosted policy convenings and 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 2018:TFAH launched the Age-Friendly Public Health Learning and Action Network in Florida, in partnership with the Florida Departments of Health and Elder Affairs and with support from The John A. Hartford Foundation. The Learning and Action Network aims to expand public healths role in improving the health and well-being of older adults. The Learning and Action Network includes teams representing 37 of Floridas 67 county health departments.TFAH planned and hosted a four-part national webinar series, Taking Action to Promote Health Equity Using the Lessons from Cutting-Edge Practices to Improve Health and Well Being. The series was supported by The California Endowment, the Robert Wood Johnson Foundation, and the W.K. Kellogg Foundation. It informed a broad national audience about compelling and replicable health equity initiatives, and each webinar was highly attended with participants from all 50 states and the District of Columbia. TFAH released its first-ever report on Promoting Health and Cost Control in States: How States Can Improve Community Health &amp; Well-being Through Policy Change. The new report analyzed state action on 13 policies outside the healthcare sector that have a long-term impact on health and an evidence base showing their effectiveness. Economic and health outcomes evidence was examined to identify policies with both promising health outcomes and economic data. Furthermore, each policy was assessed for evidence of its impact on the reduction of health disparities and the promotion of health equity. In response to the growing need for a primary prevention strategy on substance misuse and suicide, TFAH formed and is leading the Well Being Working Group, a coalition of 25 organizations representing public health, substance misuse, mental health, suicide prevention, social services, and community-based organizations. The Working Group supports population-level strategies to prevent the initial onset of mental health and addiction challenges by improving the social, physical, and economic conditions in communities and by promoting greater attention to primary prevention and health equity. TFAH published and disseminated a series of reports and issue briefs, including:1.The State of Obesity 2018: Better Policies for a Healthier America: This 15th annual report by TFAH and the Robert Wood Johnson Foundation summarized national and state level obesity trends and documented that states with high adult obesity rates are increasing and that there is an urgent need to increase evidence-based obesity prevention programs.2.A Funding Crisis for Public Health and Safety: State-by-State Public Health Funding and Key Health Facts, 2018: This report summarized public health funding at both the national and state level and key health facts in states and includes recommendations for ways in which public health funding needs to be increased.3.Pain in the Nation Update Brief on the Drug, Alcohol, and Suicide Crises: This issue brief examined the most recent data of drug overdose deaths, alcohol-related deaths, and suicides and concluded that such deaths had reached the highest level ever recorded. Furthermore, for a second year in a row, these deaths also increased at a record pace. The issue brief highlights promising practices and evidence-based policies and interventions for prevention, early identification, and treatment.4.Pain in the Nation Education Brief: This issue brief reviewed how the education sector can help address the alcohol, drug and suicide crises.5.Pain in the Nation Healthcare Systems Brief: This issue brief reviewed how healthcare systems can help address the drug, alcohol and suicide crises.6.Racial Healing and Achieving Health Equity in the United States Issue Brief: This issue brief highlighted and acknowledged health inequities, the factors that influence them, and highlighted policy recommendations that can help the nation achieve health equity. The brief was released in conjunction with The Truth, Racial Healing &amp; Transformations second annual National Day of Racial Healing.</Desc>
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      <FactsAndCircumstancesTestTxt>Current Year Facts and Circumstances: 2018 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 21.16% 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 2018, TFAH received funding from new sources, including the Conrad N. Hilton Foundation and Kaiser Permanente, and ongoing funding support from The California Endowment, the John A. Hartford Foundation, the Dawn Hill Fund, the Robert Wood Johnson Foundation, the W.K. Kellogg Foundation, the Kresge 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 2018 reports, which were distributed widely to policymakers, the media, and the public, included:1)The State of Obesity 2018: Better Policies for a Healthier America2)A Funding Crisis for Public Health and Safety: State-by-State Public Health Funding and Key Health Facts, 20183)Pain in the Nation Update Brief on the Drug, Alcohol, and Suicide Crises4)Pain in the Nation Education Brief5)Pain in the Nation Healthcare Systems Brief6)Racial Healing and Achieving Health Equity in the United States Issue Brief</FactsAndCircumstancesTestTxt>
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        <PersonNm>J Nadine Gracia MD MSCE</PersonNm>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
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        <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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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
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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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