OFFICERS

Bruce Lai ChairErik D. Ramanathan Vice ChairKaren L. Angel TreasurerTeri A. Burley SecretaryMichael S. Ascher, MD Immediate Past Chair

MEMBERS

Patrick M. LibbeyPeter D. JacobsonSusan De SantiScott FilerEdward YipTamara JosephDelvecchio FinelyJean O’ConnorRobert Jenks

Public Health Foundation (PHFE) Board of Directors 2013-14

PHFE | ANNUAL REPORT www.phfe.org2

It is with great pride that I write this letter on behalf of PHFE.

I officially joined PHFE in May 2014, and since then, I have had the pleasure of witnessing the results of the great work accomplished by our staff and many partners during the fiscal year.

A major area of focus during the last year has been improving the level of service we provide to our client partners. In order to do this, we have enhanced our organizational structure and hired new staff members.

We have also continued the expansion of our Little by Little School Readiness Program. This program, addressing the key social determinants of health for low-income families, now serves over 60,000 children annually from ages 0-5. The feedback is tremendously positive and it is thrilling to see children running to staff members asking for their new book. More information on Little by Little is included in this annual report.

Our board of directors remains committed to PHFE’s vision of being the nation’s leader in providing program and support services for optimizing population health. It is truly a privilege to work with such a dedicated group of individuals.

I look forward to continued work with our dedicated staff and supportive board members. I hope you will partner with us in the next year as we continue to grow our services and serve an even greater community.

Blayne Cutler, MD, PHD

Blayne Cutler, MD, PhD Chief Executive Officer

Go to www.PHFE.org or simply scan this code

Mission:PHFE enables population health initiatives to improve the health and well-being of our communities.

Who we are:PHFE is the national leader in providing program and support services for optimizing population health. We offer a full range of personnel, financial and grant management support to researchers, consortia, government agencies and community nonprofits. PHFE leads the largest network of breastfeeding and nutrition services in the nation, reaching more than 250,000 low-income families each month.

A Message from the CEOAB

OUT

PHF

E

MAKING AN IMPACT pursuing healthier communities for nearly 50 years — TOGETHER!

www.phfe.org ANNUAL REPORT | PHFE 3

The California STD/HIV Prevention Training Center (CA PTC) is an integral part of a national network of training centers offering clinical interventions, behavioral interventions, partner services and program support courses designed to enhance the STD/HIV knowledge and skills of medical, health, and community professionals. The California Prevention Training Center (CA PTC) is a joint program of the University of California, San Francisco, and PHFE. CA PTC has been a partner program of PHFE since 2008. PHFE provides business process support, including contract and grant management, ensuring dollars spent are within the scope of work and budget specified by the funder.One of the most popular online courses is ‘HIV Today’: What Everyone Needs to Know, which has been accessed by nearly 4,000 students. Other popular courses and products include Delivery of the HIV Positive Test Result; Social Determinants of Health and HIV; and Implementing HIV Pre-Exposure Prophylaxis. Several video series are available such as: Living with HIV, which includes several topics pertinent to both providers and patients. Many CA PTC products offer CME and other continuing education units. CA PTC staff has developed expertise in working with health providers to address stigma and homophobia so they can work more effectively with MSM and transgender clients.In the spring of 2014, CA PTC initiated collaborative efforts with the Center for AIDS Prevention Studies and the Center of Excellence for Transgender Health to co-sponsor a one-day forum titled The Role of Pre-Exposure Prophylaxis in the Future of HIV Prevention. This forum explored emerging issues relating to pre-exposure prophylaxis, including implications for key stakeholders. Plenary speakers included Robert Grant, MD, MPH; Stephanie Cohen, MD, MPH; and Jim Pickett. The forum was attended by 200 people from a wide variety of programs.

Working under the umbrella of the San Francisco Department of Public Health, Bridge HIV conducts innovative research that is guiding global approaches in HIV prevention, such as HIV vaccines. This program strives to make a personal connection with community participants. Volunteering with Bridge HIV gives participants the opportunity to get involved and make an impact, both in their Bay Area community and across the globe. SFDPH Bridge HIV conducts HIV vaccine studies in partnership with the National Institutes of Health’s (NIH) HIV Vaccine Trials Network.The San Francisco Department of Public Health is governed by the San Francisco Health Commission and is mandated by the City & County Charter to manage and control the City and County hospitals, to monitor and regulate emergency medical services, and all matters pertaining to the preservation, promotion and protection of the lives, health and mental health of San Francisco residents. SFDPH Bridge HIV was formerly the HIV Research section of SF DPH and remains a leader in the study of HIV prevention. PHFE’s support enhances Bridge HIV’s work with Bay Area communities to discover effective prevention strategies that will reduce the impact of HIV/AIDS globally.

You can find more information about SFDPH

Bridge HIV research at:

www.sfisready.org/about-hiv research-section

California STD/HIV Prevention Training Center

San Francisco Department of Public Health (SFDPH) Bridge HIV

CA S

TD/H

IV P

REV

& BR

IDG

E HI

V

Please visit the CA PTC to learn more about this and

other resources at:

www.stdhivtraining.org

WIC participants served are:

Across the

NATION

25%

25%

infants

women

50% Children Ages 1 - 5

Breastfeeding and Nutrition Counseling Services at PHFE WICThe PHFE WIC program is the largest local agency WIC program in the country. WIC (the Special Supplemental Nutrition Program for Women, Infants and Children) is a USDA-funded food and nutrition education program for pregnant, breastfeeding, and postpartum women, infants and children, under the age of five, who are low income and at nutritional risk. PHFE WIC has been providing high-quality WIC direct service delivery in Los Angeles County for over 35-years and in Orange County for 17- years.

PHFE WIC has recently expanded to provide services in San Bernardino County. Today, it continues to go beyond the scope of regular WIC services in order to better serve the needs of local low-income families with young children. The PHFE WIC Program is nationally recognized as a leader and innovator in nutrition education, breastfeeding support, staff training, customer service and outreach to community providers.

In the last decade, PHFE WIC has successfully implemented a number of public/private enhancements to core WIC service, including parenting education and support groups as well as early literacy interventions. Other innovative enhancements by PHFE WIC include research involving childhood obesity, WIC food package changes, nutrition as well as prenatal alcohol prevention and inter-conception care protocols.

Visit the PHFE website to contribute atwww.phfe.org

PHFE | ANNUAL REPORT 4

I am a single mother and struggle to buy my kids toys and books. Thanks to the Little by Little School Readiness program, my children will now have the same opportunity as the rest of the kids.

Martha L. ” “

MAKING AN IMPACT pursuing healthier communities for nearly 50 years — TOGETHER!

The Little by Little School Readiness Program (LBL) was conceived out of the recognition that in California, 73 percent of fourth graders are not proficient in reading and that share rises to 85 percent in high-poverty schools.

A continuing struggle with reading can lead to a lifetime of difficulties impacting adulthood, such as difficulty finding a job, participating in society and reduction in quality of life.

Since PHFE launched LBL in 2012, the program has expanded to 10 WIC sites in L.A. County and has served over 100,000 participants, forging lasting home literacy habits within families.

LBL provides early literacy skills and improves a child’s language development while also preparing children to make a greater contribution to local communities. For approximately $50 per child annually, LBL provides age-appropriate handouts focused on reading, books and safety items. LBL serves low-income families assisted by WIC at selected partnering sites. WIC is an ideal platform for early literacy as it serves approximately 60 percent of all children under five in Los Angeles County. In addition, LBL staff provides parental guidance tied to child development milestones and connections to community services, such as, childcare and preschool.

LBL is currently operating with generous funding from First 5 LA and other donors. Help us reach the goal of making every child a success story! Philanthropic support is a key to securing LBL’s long-term future. Please consider supporting the Little by Little School Readiness Program by donating now.

PHFE Little by Little School Readiness Program

Visit the LBL website for more info: www.lblreaders.org

ANNUAL REPORT | PHFE 5

Early Literacy. Lifelong Success.

PHFE CLIENTS

MAKING AN IMPACT pursuing healthier communities for nearly 50 years — TOGETHER!

PHFE | ANNUAL REPORT www.phfe.org6

California is the most populous state in the U.S. with over 38 million people and a land mass of 163,707 square miles. Protecting the health of California residents is a high priority for the state and the nation. The Prevention and Public Health Fund (PPHF) is the United States’ largest investment in prevention, funded by the Affordable Care Act (ACA) with additional funding under a cooperative agreement with the U.S. Centers for Disease Control and Prevention (CDC). In California, PPHF supports both the Epidemiology and Laboratory Capacity (ELC) and Emerging Infections Program (EIP). CEIP is one of ten federally funded Emerging Infections Program (EIP) sites. CEIP has been a program of PHFE since 1998. PHFE provides a range of business process support services including grant and contract management, budget analysis, accounts payable and human resources. As part of the EIP network, the CEIP has been an invaluable national resource for surveillance, prevention, and control of emerging infectious diseases. CEIP was initiated in 1994 with Co-Directors Duc Vugia, MD, MPH, Arthur Reingold, MD and Health Program Manager Gretchen Rothrock, MPH. The California Emerging Infections Program (CEIP), in partnership with the CDC and as part of the EIP network, has been an invaluable national resource for surveillance, prevention, and control of emerging infectious diseases since 1994. You can find out more about this program at the PHFE website (www.phfe.org) or visit the CDPH CEIP website directly at http://ceip.us.

PHFE has partnered with the California Department of Public Health (CDPH) on the Epidemiology and Laboratory Capacity (ELC) program since 2012. PHFE provides business process support services including grant and contract management, budget analysis, accounts payable and human resources.

CDPH ELC played an important role in the surveillance and analysis of several California infectious diseases outbreaks in 2013/2014 which included:

Previous accomplishments of this CDPH program include the development of a comprehensive database for participating jurisdictions in the California Reportable Disease Information Exchange or CalREDIE. PPHF funding supported development of this real-time data analysis method improving identification and response times to increase prevention and limit the spread of foodborne diseases.

CEIP

& E

LC

CDPH–California Emerging Infections Program (CEIP)

CDPH–California Epidemiology and Laboratory Capacity (ELC)

Angels Childcare Food Program

Aztecs RisingCA Department

of Public Health (CDPH)CA Health and Human

Services AgencyCarolyn Kordich Family

Resource CenterCCHS Senior

Nutrition ProgramCDPH Biologics

& ImmunoserlogyCDPH California Emerging

Infections ProgramCDPH California STD/HIV

Prevention Training CenterCDPH California Youth

Advocacy NetworkCDPH Center for Chronic

Disease Prevention and Health Promotion

CDPH Center for Environmental Health

CDPH Center for Family Health

CDPH Center for Health Care Quality

CDPH Center for Infectious Diseases

CDPH Chronic Disease and Injury Control

CDPH Communicable Disease Control

CDPH Emergency Preparedness Office

CDPH Emergency Response Branch

CDPH Environmental Microbial Section

CDPH Food, Drug and Radiation Safety

CDPH Genetic Disease Screening Program

CDPH Health Information and Strategic Planing

CDPH Healthcare Associated Infections Program

CDPH Immunization Branch

CDPH Infant Botulism Treatment and Prevention

CDPH Infectious Disease Branch

CDPH Microbial Disease Laboratory

CDPH Public Health Policy and Research Branch

CDPH Refugee Health Program

CDPH- Saving Our Legacy (SOL) Project

CDPH STD Control BranchCDPH Tobacco

Control ProgramCDPH Vector Borne

Disease Section

CDPH Viral and Rickettsial Disease Laboratory

CDPH Women, Infants & Children

Children and Families Commission of Orange County

City and County of San Francisco

City of Philadelphia Department of Public Health (COPDPH)

CMV Workshop FundCoffective, LLCCongenital

Cytomegalovirus (CMV) Foundation

Contra Costa Health Services (CCHS)

County of Contra CostaCounty of Los AngelesCounty of Los Angeles

MASTER AGREEMENTCounty of OrangeCounty of San DiegoCounty of San Diego

Public Health LaboratoryCycle for Heart

and Climb for HeartDavid Geffen School

of MedicineEastern Los Angeles

Regional Family Resource Center

Gladstone InstituteHealth Consortium

of Greater San Gabriel Valley

Health Disparities Research Group

Health Officers Association of California

Heartfelt Cardiac ProjectsInDependentLACDHS LAC-USC

Healthcare NetworkLACDHS LAC-USC

Medical CenterLACDPH Childhood Lead

Poisoning Prevention Program

LACDPH Environmental Health Division

LACDPH Maternal Child and Adolescent Health Programs

LACHP/ CNNLos Angeles County

Department of Health Services (LACDHS)

Los Angeles County Department of Public Health (LACDPH)

Los Angeles Family AIDS Network

Los Angeles Network for Enhanced Services (LANES)

Los Angeles Partnership for Special Needs Children

Los Angeles Unified School District

OCDE Alternative Education

Orange County Department of Education (OCDE)

Partnership to Accelerate Clinical Trials (PACT)

PHFE Direct ServicesPHFE WICRancho Santiago

Community College District (RSCCD)

REPAIRRTI InternationalRTI San Francisco

Regional OfficeSan Francisco Department

of Public Health (SFDPH)SFDPH Applied Research,

Community Health Epidemiology, and Surviellance (ARCHES)

SFDPH Bridge HIVSFDPH Center for

Learning and InnovationSFDPH Center for

Public Health ResearchSFDPH Community Health

Equity and PromotionSFDPH Population

Health DivisionSFDPH Public Health

Emergency Preparedness and Response

SFDPH Public Health Laboratory

Shoo the FluShoreline Center for Eating

Disorder TreatmentThe Tauri Group, LLCUniversity of California

Los AngelesViolence Prevention

Coalition of Orange County

Wilson High School Alumni Foundation

SFDPH Disease Prevention and Control

• Hantavirus in Yosemite Park• West Nile Virus• Salmonella Heidelberg

associated with chicken • Hepatitis A associated with

frozen berries

• Pertussis epidemic• Other outbreaks: measles,

meningitis, influenza, extensively drug resistant tuberculosis, and increases in sexually transmitted diseases

2014 2013Assets

cash and cash equivalents $ 4,822,594 $ 7,770,933 contracts receivable, net allowance for

doubtful accounts of $137,660 $ 13,725,999 $ 11,111,154 deposits and prepaid expenses $ 1,209,768 $ 1,080,681

property and equipment, net $ 1,559,241 $ 1,191,547 Total assets $ 21,317,602 $ 21,154,315

Liabilitiesaccounts payable and accrued expenses $ 5,355,132 $ 4,706,632

accrued payroll and related liabilities $ 4,531,136 $ 5,328,026 agency and other funds payable $ 1,852,517 $ 2,100,016

advance on grantor payments $ 1,995,237 $ 2,128,893 accountability for program assets $ 998,715 $ 927,790

deferred rent $ 327,656 $ 295,892 capital release obiligations $ 300,399 $ 437,392

deferred revenue $ 119,100 $ 86,211 Total liabilities $ 15,479,892 $ 16,010,852

Net Assetsunrestricted $ 5,392,016 $ 4,541,076

Board designated operating reserve $ 445,694 $ 445,694 temporarily restricted assets - $ 156,693

Total Net Assets $ 5,837,710 $ 5,143,463 Total liabilities and net assets $ 21,317,602 $ 21,154,315

UnrestrictedTemporarily Restricted Total

Revenues and gainsGovernmental service contracts $ 87,955,298 - $ 87,955,298

Private contracts $ 1,725,021 - $ 1,725,021 Management fees $ 7,831,504 - $ 7,831,504

Other income $ 45,042 - $ 45,042 Contributions $ 5,685 - $ 5,985

Restrictions released $ 156,693 $ (156,693) -Total revenue, support and restrictions

released $ 97,719,243 $ (156,693) $ 97,562,550

ExpensesProgram Expenses $ 88,832,677 - $ 88,832,677

Support services $ 8,035,626 - $ 8,035,626

Total Expenses $ 96,868,303 - $ 96,868,303

Change in net assets $ 850,940 $ (156,693) $ 694,247 Net assets, beginning of year $ 4,986,770 $ 156,693 $ 5,143,463 Net assets, end of year $ 5,837,710 - $ 5,837,710

Statements of Financial Position* June 30, 2014 and 2013

Statement of Activities* For the year ended June 30, 2014

ContribuGons

Total

Expenses

PHFE 2013-14 Revenues and

Gains

ContribuGons

PHFE 2013-14 Expenses

PHFE2013-14Revenue& Gains

PHFE 2013-14Expenses

Governmental service contractsPrivate contractsManagement feesOther incomeContributions

Program expensesSupport services

Other income

Contributions

PHFE FY 14

Revenue& Gains

PHFE FY 14

Expenses

THANK YOU TO OUR MAJOR FUNDERSAltarum InstituteAssociation of Public

Health LabsCal eConnectCalifornia Community

FoundationCenters for Disease ControlCepheidChinese Community

Health AssociationCity of Los AngelesCity of PhiladelphiaCounty of Contra CostaCounty of Los AngelesCounty of OrangeDHHS -Health Resources

& Service AdministrationDHHS - Office of the

SecretaryFamily Health InstituteFirst 5 Los AngelesFred Hutchinson

Cancer ResearchFresno Healthy

Community Access

Gilead Sciences Inc.GRYD FoundationHealth Officers

Association of CaliforniaLA Care Health PlanMAC AIDS FundNational Association

of County & City Public Health Officials

National Institutes of HealthOrthopedic HospitalPopulation AffairsPrivate Funders Public Health InstituteRTI InternationalSan Francisco Department

of Public HealthSanofi Pasteur PharmaceuticalSoledad Enrichment

Action Inc.State of CaliforniaThe California EndowmentThe Tauri Group LLCUnited Healthcare, Inc.

University of AlabamaUniversity of California, DavisUniversity of California,

San DiegoUniversity of California,

San FranciscoUniversity of Colorado, DenverUniversity of MiamiUS Department of International

Park Service

12801 Crossroads Parkway South, Suite 200City of Industry, CA 91746

(800) 201-7320 Fax: (562) 692-6950info@phfe.org

www.phfe.org Go to www.PHFE.org or simply scan this code

091015v10