NHFCA, Annual Report 2010

National HeAnnu

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2010

National Health FoundationAnnual Report

Chronic Disease Prevention and Management continued...

NHF � 2010 Annual Report

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TABLE OF CONTENTS

A Letter to the Community ....................................................................................................

2010 Health Reform: NHF’s Work Dovetails with Sweeping Legislation .............................

Update on Our Washington, DC Activities .............................................................................

An Update on Our Strategic Initiatives .................................................................................

Chronic Disease Prevention and Management .....................................................

Healthcare Delivery Systems ..................................................................................

Underserved Children and Families .......................................................................

Charting our Future ..............................................................................................................

Major Funders .......................................................................................................................

Events .....................................................................................................................................

Statement of Activities...........................................................................................................

Statement of Financial Position ............................................................................................

Board of Directors .................................................................................................................

OUR MISSION National Health Foundation is an independent, tax-exempt 501(c)(3) public charity dedicated to improving and enhancing the healthcare of the underserved by developing and supporting innovative programs that 1) can become independently viable, 2) provide systemic solutions to gaps in healthcare access and delivery, and 3) have the potential to be replicated nationally.

OUR VISION National Health Foundation has a vision that every individual, regardless of who they are or where they live, can achieve the highest level of health through a comprehensive and compassionate system of care.

This report covers the April 1, 2009 through March 31, 2010 fiscal year.

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Dear friends:

What a remarkable year for NHF and for the country! Decades in the making, sweeping health reform headlines this year’s annual report. Inside you will find our feature article “Health Reform 2010,” which discusses some aspects of the legislation, along with descriptions of several of NHF’s programs, many of which address key areas covered by the Act.

NHF also found satisfaction in a tremendous year of accomplishments, expanding existing programs and initiating new ones. NHF continued to strengthen its Washington, DC presence, increasing our capacity to bring tested programs and unique expertise to a national audience. These accomplishments and more are discussed in greater detail in this report.

NHF would also like to take this opportunity to thank our generous supporters, who make it possible for us to take on innovative projects designed to improve healthcare for children, teens, and families in need. Furthermore, our talented and committed community partners have significantly contributed to our success and have our heartfelt gratitude.

As we look forward to the 2010-11 fiscal year and ramp up for the prospects ahead, we remain passionately committed to addressing the most pertinent healthcare issues and to serving the underserved. In particular, NHF seeks the resources to replicate its successful demonstration programs to combat chronic disease and humanely serve the recovery needs of homeless patients. As we assist in the launch of a collaborative facility to serve disabled youth and veterans, NHF will need resources to test and evaluate its effectiveness.

It is with your guidance and generosity that we continue on our mission of improving the quality of and access to healthcare for everyone. Please check us out on our new website www.nationalhealthfoundation.org; although you can still access our site at www.nhfca.org. Thank you for your ongoing support and we look forward to sharing even more success in the coming year.

Michael Stephens

Chairman of the Board J. Eugene Grigsby, III

President and CEO

LETTER TO THE COMMUNITY



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FEATURE ARTICLE: 2010 HEALTH REFORM

The prospect of near universal coverage seemed unfathomable even a year ago, but the passage of the Patient Protection and Affordable Care Act signals a significant change in our national healthcare system. By 2016, it is estimated that 92% of nonelderly Americans will have access to healthcare coverage.

On March 23, 2010, following an unprecedented effort of legislators, stakeholders and communities, President Obama signed into law The Patient Protection and Affordable Care Act (Affordable Care Act) which implements sweeping health insurance reforms designed to:

�� Ensure accountable and affordable healthcare �� Provide increased choice �� Enhance the quality of healthcare for all Americans.

The Affordable Care Act creates:

A National Prevention and Wellness Council - composed of senior government officials to elevate and coordinate prevention activities and design a focused strategy across departments to promote the nation’s health.

A Prevention and Public Health Fund - designed to expand and sustain the infrastructure to prevent disease, detect it early, and manage conditions before they become severe. Funding will support federal, state and community initiatives to use evidence-based and community-based interventions to strengthen prevention strategies, reduce chronic disease rates and address health disparities. The priority issues include: increase levels of physical activity, improve nutrition, decrease obesity rates, and decrease smoking.

The National Prevention and Health Promotion Strategy - the first ever national effort of this scale designed to spread the prevention message.

New opportunities for health promotion and wellness in the workplace - starting in 2011, grants will be made available to small employers to establish wellness programs, obtain technical assistance and evaluate efforts.

NHF’s Work Dovetails with Sweeping Legislation

What does healthcare reform mean for Americans and our healthcare system?

What are NHF’s challenges and opportunities as we work on the forefront of research, education and transformation?

design a focused strategy across departments to

What does healthcare reform mean for Americans and our healthcare system?

What are NHF’s challenges and opportunities as we work on the forefront of research, education and transformation? What does healthcare reform mean for Americans and our healthcare system?


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Investment in Prevention and Wellness

The American Reinvestment and Recovery Act (ARRA), the First Lady’s Let’s Move Campaign, and the White House Task Force on Childhood Obesity (designed to work in concert with the Let’s Move Campaign) all build upon the momentum of the Affordable Care Act. They too invest in prevention and wellness and strive to promote access, quality and transparency in the healthcare system.

In February, the Task Force offered recommendations towards a coordinated strategy to end the problem of childhood obesity within a generation.

Alignment with NHF Goals

National Health Foundation has been addressing the healthcare issues of the underserved for more than 35 years. Prior to the recent passage of healthcare reform, NHF adopted a three year strategy focused on chronic disease prevention and management and improving efficiency and quality in healthcare delivery.

Implementation of national healthcare reform legislation will bring broad attention to critical issues long addressed by NHF.

We welcome the national spotlight on healthcare and embrace this timely opportunity to strengthen and enhance our program offerings. By developing, piloting and evaluating programs which address significant gaps and problems in our healthcare system, NHF provides tested models for systems change. Through this important work, NHF will play an even more central role in reaching the underserved and strengthening our healthcare system.

NHF’s Healthy Eating Lifestyles Program (HELP) resonates with several

of the White House Task Force on

Childhood Obesity recommendations.

This family-focused and community-

based pediatric obesity intervention

program brings together behavior and

health assessment tools, workshops on

nutrition and exercise, and

opportunities to promote physical

activity.

The program is ready to be replicated immediately to begin building long-term, systemic change.

2010 HEALTH REFORM continued



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Intersection with NHF Programs

An essential aspect of the Affordable Care Act is enhancing the quality of healthcare. With an imperative to improve health outcomes, increase efficiencies and control costs, programs should be based on research evidence, utilize best practices, and be outcome driven. The nation’s renewed attention to and investment in prevention and wellness is aligned with NHF’s work in chronic disease management and prevention.

Healthcare legislation supports comparative effectiveness research; coordination and integration of healthcare services for low-income uninsured and underinsured populations; development of a national quality improvement strategy to measurably improve delivery of healthcare services, patient health outcomes and population health; financial incentives for providers; widespread use of technology, and increased transparency for consumers.

The current emphasis on using research evidence to create better healthcare is not new to NHF. Data collection and assessment have always been integral to our work.

In the coming years of healthcare reform implementation, NHF will position itself as a leader, educator, and facilitator locally and in the national arena. Our Washington DC office has been instrumental in establishing a national presence. We will continue to use our newest outpost as a base for building relationships with other national organizations and policymakers, and growing our network of partners and supporters.

NHF’s commitment to delivering innovative, high-quality programs to prevent and manage chronic disease, improve healthcare delivery systems, and bridge the gap in healthcare for underserved children and families is illustrated in the following pages.

The HOPE for Health program works with providers to improve the health of patients and communities by providing access to needed chronic disease prevention education, care and services—specifically addressing childhood obesity and type II diabetes—through implementation of data-driven programs that have been proven to reduce the incidence of chronic disease.

HOPE for Health, not only relies on data and technology to benchmark and measure its program outcomes, it provides excellent curricula for worksite wellness programs.

of healthcare With an imperati e to impro e


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Although National Health Foundation is based in California, the health programs and strategies that we develop and evaluate have much wider, national implications.

Given the political spotlight on healthcare reform, we felt the time was right to establish a presence in our nation’s capital. In late 2008, NHF opened its Washington, DC office. After almost two years, we are off to a strong start with several key accomplishments:

NHF has crafted an advocacy agenda and is taking a stand on issues affecting health, especially for the underserved.

�� NHF is positioning itself as a resource and policy informant on chronic disease prevention and management.

�� NHF is developing a Washington DC-based network of colleagues, elected officials and prospective collaborators.

NHF has developed a multifaceted partnership with The HSC Foundation, a Washington DC-based organization.

�� The HSC Foundation, NHF and the MayaTech Corporation collaborated to identify and address common issues faced by caregivers across the nation.

�� NHF was awarded a grant from The HSC Foundation to help develop a new National Youth Transitions Center for youth with disabilities and returning veterans that will be housed in a state-of-the-art green building in the heart of Washington, DC. NHF is developing an administrative and programmatic infrastructure for the collaborative learning community.

UPDATE ON OUR WASHINGTON, DC ACTIVITIES

Getting Involved in the National Scene



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UPDATE ON STRATEGIC INITIATIVES

It is no coincidence that the healthcare priorities identified in new healthcare legislation are very similar to the strategic initiatives embraced by NHF. With healthcare as its only focus for over 35 years, NHF is uniquely positioned to understand the healthcare environment, anticipate needs, and in response, develop new studies and programs.

NHF is committed to developing innovative, high-quality programs in these areas and just as importantly, gathering and analyzing program data and distributing the findings. Data collection among the ethnically and socioeconomically diverse communities served by our programs helps in the identification and reduction of health disparities. NHF’s three strategic initiatives are:

�� Chronic Disease Prevention and Management: Heart disease, stroke, diabetes, and asthma are among the most common, costly, and preventable of all health problems. Chronic disease shortens lives, reduces quality of life, creates a considerable burden for caregivers and costs our economy millions of dollars in lost earnings and medical expenses.

�� Healthcare Delivery Systems: Delivery system reform is central to improving our country’s healthcare system. We must systemically address issues such as quality, efficiency, patient satisfaction, and cost effectiveness in order to provide all Americans with the very best healthcare.

�� Underserved Children and Families: Among the underserved, inadequate access to health resources such as education and insurance is one of the biggest challenges facing our nation. The Census Bureau estimates there are up to 45 million underinsured or uninsured Americans.

For detailed information on projects within each area, please visit our website at www.nationalhealthfoundation.org.

“Police probe alleged homeless dumping.” 1

“Homeless dumping: a new trend in healthcare?” 2

Sometime NHF’s work aligns with hot button issues ripped from the headlines. One such example is recuperative care. Though the headlines are sensationalized, the problem is very real. There is a heightened awareness of the challenges facing Southern California hospitals when discharging homeless patients who still need to recover from an acute illness or injury.

Recuperative care, a post-hospitalization healthcare service, has been identified as the best way to address this issue. NHF has successfully developed a multi-county effort to respond to the need for additional recuperative care beds, serving as the facilitator and evaluator of this three year project.

NHF will measure the effectiveness of recuperative care in response to a serious healthcare need of one of society’s most vulnerable populations.

1. MSNBC.com Feb 9, 2007

2. Associated Content (Yahoo News) Feb 12, 2007

It is no coincidence that the healthcare priori


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Chronic diseases are the leading causes of death in the U.S.

Over the next 10 years, deaths due to chronic disease are projected to increase by 17 percent. In California, 14 million adults (38%) live with at least one chronic condition (i.e. diabetes, heart disease, obesity, etc.) and more than half have multiple chronic conditions. In Los Angeles County, 80% of preventable disability and death is associated with chronic disease.

Several NHF programs in partnership with the Los Angeles Chronic Disease Management Consortium (California Hospital Medical Center, Huntington Memorial Hospital, Good Samaritan, Children’s Hospital of Los Angeles, Harbor-UCLA Medical Center) provide excellent examples of how the problem of chronic disease can be creatively addressed. Examples include the Healthy Eating Lifestyle Program (HELP), the Type II Diabetes Program and Heart HELP (a cardiovascular disease program).

In 2010 NHF launched the Hospitals Offering Prevention for Everyone (HOPE for Health Campaign) in collaboration with the Hospital Association of Southern California and seven partner hospitals, united around a shared vision of improving patient health by emphasizing preventive care.

HELP was the first program rolled out through the HOPE campaign. HELP is a family oriented pediatric obesity program targeting overweight and obese children ages 5-12. The goal of HELP is to support healthy behaviors, habits and lifestyles through education about healthy eating and the importance of physical activity.

NHF developed a web-based data collection system for hospitals to use for monitoring and tracking program progress. The cumulative data will be used by NHF to evaluate the program for effectiveness and possible replication.

Facilitated by NHF, the Los Angeles Chronic Disease Management Consortium provides patients with the education and tools they need to learn about and manage their particular chronic disease. The culturally sensitive outreach is coordinated through hospitals and communities.

Current projects address type II diabetes, cardiovascular disease and childhood obesity. Successful replication and evaluation of these projects will address the growing need for effective prevention and wellness programs.

Chronic Disease Prevention and Management

UPDATE ON STRATEGIC INITIATIVES continued



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In 1997, NHF and HASC formed the Southern California Patient Safety Collaborative (SCPSC) to improve clinical outcomes and reduce the number of avoidable medical errors and hospital acquired infections at Southern California hospitals through a collaborative learning process. We collected data from participating hospitals and established benchmarks to measure program success such as lives saved and cost reductions. NHF served as the facilitator and evaluator of this two-year project. Its success ultimately led to a partnership with Anthem Blue Cross in 2010 and their six million dollar commitment to support patient safety.

Improving patient safety is really about creating culture changes at hospitals.

Recuperative care bridges a critical healthcare service gap by providing homeless patients who are transitioning out of an acute care hospital with basic medical oversight in a clean, safe environment. This service allows patients to continue their recovery and receive treatment for any additional minor illnesses, thereby reducing the chances of relapse and costly re-hospitalization.

�� In 2007, NHF, along with several community leaders, nearly doubled the number of recuperative care beds available in Los Angeles.

�� In January of 2010, NHF, along with the Hospital Association of Southern California and a local group of community leaders, successfully developed and launched the Orange County Recuperative Care Program with eighteen participating hospitals.

�� Since the Orange County program’s launch, 89% of the patients referred by hospitals have been admitted into the program and 69% of these patients were linked to temporary or permanent housing at the conclusion of the recuperative care period.

In 2010, in a partnership with Anthem Blue Cross, the SCPSC became a part of “Patient Safety First … A California Partnership for Health,” the largest patient safety initiative in the nation.

Through this historic partnership, Anthem Blue Cross has committed six million dollars over three years to support NHF, the Hospital Association of Southern California, the Hospital Association of San Diego & Imperial Counties, and the Hospital Association of Northern and Central California in a coordinated effort to improve patient safety.

Healthcare Delivery Systems


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UPDATE ON STRATEGIC INITIATIVES continued

Despite numerous public and private outreach efforts to enroll eligible, uninsured children into publicly and privately financed health insurance programs, in Los Angeles County 115,000 eligible children remain uninsured.

NHF is committed to ensuring that all children and their families have access to healthcare education and coverage. Two NHF programs, Pregnant Teen and Parenting Support Program, and the Children’s Health Access & Medical Program (CHAMP) are specifically designed to improve access to healthcare for children and families in California.

The Harold Cares about Your Future: Pregnant Teen and Parenting Support Program, funded by the Harold Edelstein Foundation, is a collaboration between the Los Angeles Unified School District, local service providers, and NHF, that helps parenting teens postpone subsequent pregnancy and remain in school through graduation.

�� One third of female dropouts say that pregnancy or becoming a parent affected their decision to leave school.

�� High school dropouts experience higher rates of unemployment, lower earnings, poorer health, and higher reliance on public support.

Teens in the program receive services like employment counseling and parenting classes. Additionally, they learn how to utilize healthcare resources for themselves and their children.

The Children’s Health Access & Medical Program (CHAMP) presents a comprehensive approach to assuring children have access to healthcare services by providing programs that focus on information dissemination, education and technical assistance.

The complexity of enrollment and renewal procedures prevents many families from applying for, maintaining, and utilizing healthcare coverage or causes them to turn to local Application Assistors for help. The CHAMP program provides up-to-date Application Assistor training and helps maintain a pool of qualified Application Assistors at agencies and offices in Los Angeles County and other counties by request.

NHF launched a web-based data collection and reporting system in order to track teen parents, provide them with ongoing resources, and monitor program outcomes.

When contacted six months after completion of the program, all of the students were still in school or had graduated and 94% of participants had avoided a subsequent pregnancy.

Underserved Children and Families

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We foresee that healthcare reform will ultimately result in healthier communities at lower costs. A key challenge for National Health Foundation is how to work with other organizations to make this vision a reality sooner rather than later.

NHF has achieved success working with hospitals and community groups in the Los Angeles metropolitan area developing and implementing prevention programs focused on reducing cardiovascular disease and childhood obesity, both of which are major contributors to the rise in chronic disease.

�� NHF seeks to replicate its success in chronic disease management programs throughout the nation.

The outcomes of our innovative recuperative care program are truly impressive. It is estimated that in 2008 nearly 1,000 homeless patients ready for discharge from Orange County hospitals were kept up to four extra days at an approximate cost of over $6 million dollars because no recuperative care beds were available.1 In 2009, the NHF recuperative care program accepted 89% of the homeless patients referred by Orange County hospitals. After an average stay of only 10 days in recuperative care, 69% of these homeless patients were referred to temporary or permanent housing.

�� NHF is ready to partner with hospitals that seek to adopt a more humane and cost effective way to serve the homeless population.

Given the economic downtown, leaders in every sector – business, government, education, are asking, “How can we achieve better results using fewer resources? “ With the 2012 opening of a new National Youth Transition Center for disabled youth and veterans in Washington DC, NHF will support The HSC Foundation and other community partners in demonstrating how to create a collaborative environment between organizations serving the same target populations.

�� NHF needs resources to test the Center’s effectiveness in helping disabled youth and veterans transition into productive citizens.

We invite hospitals, foundations, business and government leaders to partner with NHF in the imperative of shaping our national healthcare system.

1. Trends in Uninsured Hospital Stays – 1997-2006, by Chaya T. Merrill, M.P.H, Carol Stocks, R.N., M.H.S.A., Elizabeth Stranges, M.S., February 2009, for Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project (HCUP).

CHARTING OUR FUTURE

1. Trends in Uninsured Hospital Stays – 1997-2006,Agency for Healthcare Research and Quality, Heal

1. Trends in Uninsured Hospital Stays – 1997-2006, by Chaya T. Merrill, M.P.H, Carol Stocks, R.N., M.H.S.A., Elizabeth Stranges, M.S., February 2009, for Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project (HCUP).


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MAJOR FUNDERS

NHF would like to take this opportunity to thank our generous grantors and major supporters. With their support it is possible to continue our mission to improve the quality of and access to healthcare.

�� Anthem Blue Cross

�� The Archstone Foundation

�� The California Wellness Foundation

�� Community Health Councils

�� County of Los Angeles Children’s Health Outreach Initiative

�� County of Los Angeles Department of Public Health

�� Eisai Pharmaceuticals

�� The Fletcher Jones Foundation

�� George Hoag Family Foundation

�� Good Hope Medical Foundation

�� The Harold Edelstein Foundation

�� Hospital Association of Southern California

�� The HSC Foundation

�� Jewish Community Foundation

�� St. Francis Medical Center

�� Watts Health Foundation

NHF would also like to thank the following organizations for their generous in-kind donations to The Harold Cares about Your Future: Pregnant Teen and Parenting Support Program.

�� Rockin' Baby Sling

�� Trader Joe's

�� Carter's

�� L.A. Diaper Drive

�� L.A. Kids Consignment

�� Shelter Partnership

�� Baby2Baby

�� First 5 LA

�� Safeway

�� Ralphs

MAJOR FUNDERS

�� Shelter Partnership

�� Baby2Baby

�� First 5 LA

�� Safeway

�� Ralphs



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FY2009-2010 EVENTS

Hospital Heroes Luncheon raised $133,000 for NHF!

NHF has a unique and mutually beneficial relationship with the Hospital Association of Southern California (HASC). Over the past several years, HASC has hosted a series of events whose proceeds were donated to NHF. During the 2009-2010 fiscal year, the following events were hosted by HASC and benefitted the ongoing work conducted by NHF. NHF thanks you HASC!

Annual Golf Tournament raised $50,500 for NHF!


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STATEMENT OF ACTIVITIES 2010

Unrestricted Temporarily Restricted

Permanently Restricted Total 2009

Revenue, gains and other support Contributions and grants $ 1,693,120 $ 1,097,845 $ - $ 2,790,965 $ 2,505,520

Special event revenue 133,000 - - 133,000 139,375 Cost of direct benefits to donors (16,284) - - (16,284) (14,519) Net revenue from special events 116,716 - - 116,716 124,856 Net investment income (loss) 609,718 - - 609,718 (659,723) Net assets released from restrictions 1,236,273 (1,236,273) - - -

Total revenues, gains and other support 3,655,827 (138,428) - 3,517,399 1,970,653

Expenses Program expenses 3,003,386 - - 3,003,386 2,647,995

General and administrative 343,867 - - 343,867 326,735 Fundraising 81,454 - - 81,454 112,177 Total expenses 3,428,707 - - 3,428,707 3,086,907 Change in net assets 227,120 (138,428) - 88,692 (1,116,254) Net assets - beginning of year 1,702,206 258,485 1,308,165 3,268,856 4,385,110 Net assets - end of year $ 1,929,326 $ 120,057 $ 1,308,165 $ 3,357,548 $ 3,268,856

For the year ended March 31, 2010



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STATEMENT OF FINANCIAL POSITION

ASSETS 2010 2009 Cash and cash equivalents $ 773,401 $ 316,120

Grants and other receivables 256,538 216,627 Investments 3,359,614 3,221,091

Furniture and equipment, net 11,501 13,303 Other assets 6,552 5,770 Total assets $ 5,322,225 $ 3,772,911

LIABILITIES AND NET ASSETS Liabilities Accounts payable and accrued liabilities $ 303,220 $ 197,812

Deferred revenue 1,607,859 257,020 Deferred rent 32,846 35,904 Deferred compensation 20,752 13,319 Total liabilities 1,964,677 504,055

Net Assets Unrestricted: General - -

Board-designated 1,929,326 1,702,206 Temporarily restricted 120,057 258,485 Permanently restricted 1,308,165 1,308,165 Total net assets 3,357,548 3,268,856 Total liabilities and net assets $ 5,322,225 $ 3,772,911

For the year ended March 31, 2010

Prepaid expense 914,619

Expense Breakdown

Funding Sources *based on NHF’s audited financials

Program expenses

88%

General and administrative

10%

Fundraising2%


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BOARD OF DIRECTORS

Michael D. Stephens Chair of the Board Former President Hoag Memorial Hospital Presbyterian Jess Womack Vice Chair of the Board Former Deputy General Counsel LAUSD James D. Barber Vice Chair Ex Officio President &CEO Hospital Association of Southern California Joseph Salzillo Treasurer of the Board Principal Mercer Gwen Edwards Secretary of the Board Management Consultant GCE

Theodore Bradpiece Principal Polaris Enterprises John Cochran President Cochran Consulting Casey Condron General Manager Wittler Young Co. Inc. Kathy Feeny Senior Vice President Health Compare Lyndee Knox, Ph.D. Executive Director LA Net Linda McGoldrick Consultant Financial Health Associates International

Kieran Nolan General Manager AT&T, Inc. Azhar Qureshi, M.D. Senior Vice President Saint Joseph Health System Norman Ross Vice President of Operations EW Moon Inc. Jacque J. Sokolov, M.D. Chairman & Senior Partner Sokolov, Sokolov, Burgess Robert Splawn, M.D. Director PricewaterhouseCoopers Gerald J. Sullivan President The Sullivan Group

Officers and Directors during the 2009-2010 Fiscal Year



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NHF TEAM

J. Eugene Grigsby, III President/CEO Kelly Bruno VP, Programs Heather Kun VP, Research & Evaluation Darrielle Ehrheart VP, Administration Danielle Cameron Director of National Development Elizabeth Yang Director of OC Recuperative Care Program Andrew Barnes Sr. Research Analyst Mia Arias Program Manager

Brooke Fox Program Manager Alessandra Tanoue IT Coordinator Dalila Flores Research Assistant Danjela Ali Web Developer Johana Alvarado Program & Education Specialist Nabihah Basrai Sr. Program & Education Specialist Jeanette Peña Program & Education Specialist Marilyn Ventura Program & Education Specialist

Carlyne Ervin Office Manager Mary Espinoza Assistant to the President Tricia Fitzgerald Training Coordinator

Staff Members during the 2009-2010 Fiscal Year

National Health Foundation

515 S. Figueroa St., Suite 1300 Los Angeles, CA 90071 (213) 538-0700 / phone

(213) 629-4272 / fax

Ben Franklin Station PO Box 14132

Washington, DC 20044

www.nationalhealthfoundation.org

For ways you can help support NHF, please visit our website at:

www.nationalhealthfoundation.org/contributions.aspx

Documents

NHFCA, Annual Report 2010