America's Agenda Healthcare Education Fund

What it reported doing in 2024

The activities and accomplishments listed below provide examples of the range of health care economic research, policy development and educational work the america's agenda healthcare education fund ("aahef") undertook during 2024 to advance our mission of assuring access to affordable, high-quality health care for all americans: 1. Research & policy development - in 2024, aahef developed a comprehensive state public and private sector prescription drug affordability and market reform policy for the state of Colorado. Aahef presented leaders in the Colorado state legislature a proposed reform policy framework to address soaring prescription drug cost inflation and a range of published research and analysis to support its recommendation, aahef subsequently responded to legislators' requests to translate the proposed policy framework and recommendations into draft statutory language that, if adopted into law, would become the most far-reaching prescription drug affordability and market reform statute enacted, to date, by any state in the nation. In autimn 2024, sponsoring members of Colorado house of representative filed aahef-drafted prescription drug affordability recommendations in the form of a proposed prescription drug market reform bill and secured it as a priority for consideration in the 2025 session of the Colorado legislature. 2..public education - during 2024, aahef continued its program of raising public awareness of the causes of and solutions to america's health cost crisis by carrying out a communications strategy focused on amplifying high-impact aahef and 3rd party research coupled with personal stories of families and patients faced with health care affordability challenges. The aahef managing director has continued to engage in an ongoing nationwide media tour to raise local listener and viewer understanding, through radio and tv interviews across the country discussing what the drivers are of rapidly rising prescription drug costs and the kinds of policies solutions that actually offer promise to restore affordability to americans.3. Labor & employer healthcare transformation project ("lehtp") - aahef's labor & employer healthcare transformation project provides edication about aahef-developed public policy solutions and provides direct support to employer and labor union efforts to adopt common ground solutions for re-engineering health care delivery and benefits design with the purpose of substantially reducing health care costs for working families and employers, while improving health care outcomes. Lehtp provides educational materials about aahef-developed and 3rd party policy and program solutions, disseminating this information through various channels, including print publications, online videos, email message blasts. Aahef-designed social media messaging features links to the america's agenda and related websites that enable online readers to take deeper educational dives into health care reform issues. Lehtp educational work includes in-person presentations at conferences and business and union leadership meetings where aahef presents common-sense principles of effective health care reform and strategies for implementation by union and employer health plan sponsors. In 2024, one lehtp program reached a noteworthy milestone. For several years, lehtp has provided health trust plan sposors with recommendations for shifting from reliance on dialysis for treating plan participants diagnosed with end-stage renal disease (esrd) to a strategy that would expite kidney transplantation, where medically appropriate. Aahef educated self-funded health plan trustees about better health outcomes and prolongued life expectancy with transplantation and potential of capturing significant savings by reducing net cost of care with transplatntation compared to cost of prolonged patient reliance on dialysis. In 2024, aahef efforts through lehtp came to fruition when a New York state union and employer health trust that h

Financial Efficiency

• Mission deployment rate: 100%; rating input score 100
• Program expense ratio: 73.7%; rating input score 74
• Fundraising efficiency: $4.67 raised per $1 spent on fundraising; rating input score 21; 21st percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 64th percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 60%; rating input score 60; 17th percentile among comparable filings
• Governance controls: 3 of 9 controls in place; rating input score 33
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Fail
  • Document-retention policy: Fail
  • CEO compensation review process: Fail
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Missing
  • Independent financial-statement audit: Fail

Sustainability

• Operating margin: -149.8%; rating input score 1; 1st percentile among comparable filings
• Total-asset coverage ratio: 3.83; rating input score 74; 74th percentile among comparable filings
• Liabilities to assets ratio: 1.76; rating input score 2; 2nd percentile among comparable filings
• Officer compensation ratio: 27.1%; rating input score 13; 13th percentile among comparable filings

Growth

• Program expense growth: -2% per year; rating input score 0; 24th percentile among comparable filings
• Revenue growth: 1.3% per year; rating input score 100; 31st percentile among comparable filings
• Asset growth: 16.2% per year; rating input score 100; 79th percentile among comparable filings