A Message From Our Leadership

The momentum keeps building. The last few years have brought a significant shift in the proliferation of age-friendly care. More providers adopted age-friendly practices in 2024. New partnerships were forged with advocates who influence care quality. And policymakers helped accelerate a nationwide movement toward age-friendly care.

This success is not due to a single tactic, grantee or partner. It’s happening because of the convergence of many efforts to fuel age-friendly care nationwide. We have always believed in the catalytic power of community and the importance of raising the voices of older adults and their caregivers. When the right people and groups come together to share insights, ideas and power, change happens.

In 2024, good practice and smart policy converged when the Centers for Medicare & Medicaid Services approved a first-ever Age-Friendly Hospital Measure. We are grateful to the American College of Surgeons, the American College of Emergency Physicians and the Institute for Healthcare Improvement for their partnership in this milestone achievement. We partnered with Age Wave and The Harris Poll to assess older adults’ dissatisfaction and desires for the health care system in a groundbreaking study. We also convened cross-sector partnerships with the Administration for Community Living, The SCAN Foundation and West Health to support the congressionally authorized National Plan on Aging and sponsored in-depth listening sessions with older adults.

All of our achievements in the last year would not be possible without the grantees, staff and board members who bring our mission and vision to life. These remarkable individuals are the mightiest point of convergence for our success, and we are deeply appreciative. In June of last year, we presented Kathy J. Greenlee, JD, senior director of Elder Justice Initiatives at ADvancing States and former administrator of the Administration for Community Living, with The John A. Hartford Foundation Trustees Award for her decades of government service and advocacy on behalf of older adults and people with disabilities, especially those who need long-term services and supports, are at risk of elder abuse, are LGBTQ+ and who live in rural America.

We also fondly remember the contributions of our cherished colleague Norman H. Volk, who passed away in 2024. Norman devoted decades of volunteer service to improving care for older adults by championing nursing and serving on our Board of Trustees for 36 years, 13 of which as Chair. The Foundation and its grantees are profoundly indebted to Norman for his generosity and leadership, and we know that his unwavering dedication to the organization’s mission will forever leave an imprint on nursing, geriatrics and health care.

We believe that foundations have a responsibility to respond nimbly and quickly to societal challenges in ways that other institutions simply cannot. As we look forward to 2025, we remain focused on our promise to unite the people, ideas and organizations that can ensure more older adults get the age-friendly care they need and deserve.

Because the momentum is real, the convergence continues. Thank you for always helping us move forward.

Terry Fulmer, PhD, RN, FAAN
President
John R. Mach, Jr., MD
Chair

 

When Evidence, Practice and Standards Converge

The CMS Age-Friendly Hospital Measure

The Centers for Medicare & Medicaid Services (CMS) approved a first-ever Age-Friendly Hospital Measure in 2024, incentivizing hospitals to make age-friendly care the nationwide norm. Meeting the measure requires hospitals to align care with the 4Ms, screen for social vulnerability and demonstrate hospital leaders’ support for these efforts. CMS’s approval sends a powerful signal that age-friendly care enhances outcomes for older adults.

When Public Opinion Converges

Health Care at the Crossroads Report

Our groundbreaking study with Age Wave and The Harris Poll surveyed more than 2,500 adults age 65+ and showed remarkable agreement that the health care system is not meeting the needs of older adults. They want clinicians to listen to what matters to them and offer age-friendly care. Media and thought leaders elevated the report findings and initiated conversations with new audiences who can help advocate for age-friendly care.

When People, Partners and Policymakers Converge

National and State Plans on Aging

Featured Milestones

The Teaching Nursing Home initiative releases a textbook to fuel partnerships between nursing homes and schools of nursing.

The New York Academy of Medicine and JAHF convene experts to strategize ways to address social isolation among older adults.

Best Programs for Caregiving launches a directory to help family and friend caregivers find support for dementia caregiving.

Grantmakers in Aging maps the caregiving landscape to help funders, policymakers, and advocates promote caregiver support strategies.

National Alliance for Caregiving and Act on RAISE outline priorities to increase caregiver support as part of the Older Americans Act.

Southern Alabama Regional Council on Aging receives the JAHF 2024 Business Innovation Award from USAging’s Aging and Disability Business Institute.

JAHF polling finds older adults overwhelmingly want government support for family caregiving and workforce benefits related to dementia care.

The Administration for Community Living reports to Congress and the public about progress on the National Strategy to Support Family Caregivers.

The National Rural Health Association compiles best practices to advance age-friendly care in rural areas.

The Center to Advance Palliative Care rates states on their palliative care capacity in its Serious Illness Scorecard.

KFF Health News’ Judith Graham and older adults share hopes, fears, challenges and strategies for living alone.

JAHF educates policymakers and advocates about concrete policies to support family caregivers.

Grants

We funded a robust roster of 11 new grants totaling $12,806,894 to improve the care of older adults. The Foundation made $24,290,662 in payments to existing grants in 2024.

11

New Grants

$12.8

Million

View Grants Awarded by Quarter

First Quarter 2024

ADvancing States

State Learning Collaborative on Integrating Direct Care Workforce and Family Caregiving Policies

$99,286

National Committee for Quality Assurance

Supporting Age-Friendly Health Systems: Expanding the Person-Centered Outcome Measures to Payers to Drive Value-Based Care

$425,000

Second Quarter 2024

LeadingAge

Moving Forward Nursing Home Quality Coalition, Phase II

$1,694,526

National Rural Health Association

National Rural Age-Friendly Initiative: Implementation Grant

$1,856,353

Third Quarter 2024

American College of Surgeons

Geriatrics Surgery Verification (GSV) Phase III: Age-Friendly Surgery, A Delirium-Focused Entry to GSV

$1,859,623

National Rural Health Association

National Collaboratory to Address Elder Mistreatment Phase IV: Integrating Elder Mistreatment Prevention and Intervention in Mainstream Health and Social Care

$1,824,210

Fourth Quarter 2024

American Society on Aging

ASA RISE: Advancing Equity in Aging

$409,591

Diverse Elders Coalition

Supporting Diverse Family Caregivers: Training Curriculum and Advocacy

$241,440

Education Development Center

Expanding Evidence-Based Comprehensive Dementia Care

$1,345,414

National Alliance for Caregiving

Act on RAISE Campaign

$1,800,000

University of California, Los Angeles

Expanding Evidence-Based Comprehensive Dementia Care

$1,251,451

Financials

The Foundation’s investment portfolio was valued at approximately $718 million at year-end 2024, reflecting an increase of approximately $82 million before disbursement for grants, administrative expenses and taxes totaling $33 million during the year.

 

The U.S. stock market had another exceptional year in 2024, with the S&P 500 rising 25%, marking a second consecutive year of gains exceeding 20%. The rally was fueled by a resilient economy, strong corporate earnings and advancements in artificial intelligence. International equities, represented by the MSCI ACWI ex U.S. Index GD index, recorded a modest gain of 6% during the same period. Meanwhile, the U.S. fixed-income market, measured by the Bloomberg US Aggregate Index, returned a slight gain of about 1%, while high-yield bonds demonstrated resilience, reporting an 8% gain in 2024. Despite the overall strong market gains, volatility remained elevated throughout the year due to central bank policies, geopolitical tensions and inflation concerns, underscoring the importance of diversification, strategic asset allocation and active risk management in investment portfolios.

The Foundation’s total portfolio, well-diversified across various asset classes, delivered a solid return of 12.4% in 2024, following a robust 14.1% return in 2023. Its one-year return ranked in the top 20th percentile, while its three-year return placed in the top 9th percentile within Northern Trust’s Foundation and Endowment (F&E) universe. The portfolio also outperformed the median return of this peer group over the 5-, 7-, and 10-year periods. Additionally, it surpassed the Reference Benchmark (60% MSCI All Country World ND Index / 40% Barclays U.S. Aggregate) across the 1-, 3-, 5-, 7-, and 10-year timeframes.

Throughout 2024, the Foundation regularly rebalanced its investments to align with its long-term target asset allocation, making adjustments within each asset class based on market conditions and spending needs. At year-end, the portfolio’s asset mix consisted of 45% long-only equities, 17% fixed income, 2% cash, 13% hedge funds and 23% private assets. This allocation was closely in line with the strategic asset composition, which included 44% long-only equities, 18% fixed income, 2% cash, 12% hedge funds and 24% private assets.

The Foundation’s investment objective remains focused on achieving maximum long-term total return to support a strong grants program while ensuring consistent asset growth that outpaces inflation. Since Goldman began guiding the Foundation in August 2012, our disciplined and prudent investment approach has paid off. Despite exceptionally high inflation in 2021 and 2022, the Foundation’s portfolio has recorded an annualized net investment return of 7.8% since the end of 2012, surpassing the average inflation rate of 2.7% and spending rate of 4.7%, totaling 7.4% per year during this period.

Market volatility has intensified as we move into 2025. We remain vigilant to a wide range of risks, including escalating trade tensions, particularly between United States and China, the potential for higher inflation due to tariffs, ongoing Israel-Hamas conflicts and North Korea’s missile testing. In this uncertain environment, where equity valuations have been largely driven by a handful of leading technology stocks, we are confident that our customized strategic asset allocation—designed to navigate volatility and geopolitical disruptions—will continue to optimize risk-adjusted returns in 2025 and beyond.

The Finance Committee and the Board of Trustees meet regularly with Goldman Sachs to review asset allocation, investment strategy and the performance of the underlying investments. Northern Trust Corporation is the custodian for all the Foundation’s securities. A complete listing of investments is available for review at the Foundation’s offices. Audited financial statements were not completed in time for this publishing but will be available on the Foundation’s website in the summer.

 

Eva Cheng, CPA
Vice President, Finance and Chief Financial Officer

Trustees & Staff

Board of Trustees

  • John R. Mach, Jr., Chair
  • Elizabeth A. Palmer, Co-Vice Chair
  • Earl A. Samson, III, Co-Vice Chair
  • John H. Allen
  • Ginna Baik
  • David Di Martino
  • Liam Donohue
  • Charles M. Farkas
  • Phyllis D. Meadows
  • Tripler Pell
  • Nirav R. Shah
  • Margaret L. Wolff
  • John R. Mach, Jr., Chair
  • Elizabeth A. Palmer, Co-Vice Chair
  • Earl A. Samson, III, Co-Vice Chair
  • John H. Allen
  • Ginna Baik
  • David Di Martino
  • Liam Donohue
  • Charles M. Farkas
  • Phyllis D. Meadows
  • Tripler Pell
  • Nirav R. Shah
  • Margaret L. Wolff

Staff

  • Terry Fulmer, President
  • Eva Cheng, Vice President, Finance & Chief Financial Officer
  • Marcus Escobedo, Vice President, Communications & Senior Program Officer
  • Rani E. Snyder, Vice President, Program
  • Sarah Alaimo, Office Administrator
  • Scott Bane, Senior Program Officer
  • Amy Berman, Senior Program Officer
  • Jane Carmody, Senior Program Officer
  • JiHo Chang, Program Officer & Senior Technology Advisor
  • Clare Churchouse, Senior Communications Associate
  • Barline Dambreville, Administrative Assistant
  • Ximena Gallego, Communications Associate
  • Melida Galvez, Senior Accountant & Assistant Grants Manager
  • Rutuma Gandhi, Assistant Controller
  • Abby Maglich, Program Associate
  • Julianne McLean, Program Administrator/Travel Coordinator
  • Jon Miller, Grants Manager
  • Cheryl Phillips, Senior Program Consultant
  • Menda Tenzing, Executive Assistant
  • Nancy Wexler, Program Officer

Interns
Tanmayi Amanchi, Aanchal Chandwani, Catelyn Edwards, Alyssa Gilbert, Grace Hu, Amalia Korniyenko, Sara Kunkel, Junyue Liao, Kiran Raja, Roslyn Roelofsen

As of December 2024

  • Terry Fulmer, President
  • Eva Cheng, Vice President, Finance & CFO
  • Marcus Escobedo, Vice President, Communications & Senior Program Officer
  • Rani E. Snyder, Vice President, Program
  • Sarah Alaimo, Office Administrator
  • Scott Bane, Senior Program Officer
  • Amy Berman, Senior Program Officer
  • Jane Carmody, Senior Program Officer
  • JiHo Chang, Program Officer & Senior Technology Advisor
  • Clare Churchouse, Senior Communications Associate
  • Barline Dambreville, Administrative Assistant
  • Ximena Gallego, Communications Associate
  • Melida Galvez, Senior Accountant & Assistant Grants Manager
  • Rutuma Gandhi, Assistant Controller
  • Abby Maglich, Program Associate
  • Julianne McLean, Program Administrator/Travel Coordinator
  • Jon Miller, Grants Manager
  • Cheryl Phillips, Senior Program Consultant
  • Menda Tenzing, Executive Assistant
  • Nancy Wexler, Program Officer

Interns
Tanmayi Amanchi, Aanchal Chandwani, Catelyn Edwards, Alyssa Gilbert, Grace Hu, Amalia Korniyenko, Sara Kunkel, Junyue Liao, Kiran Raja, Roslyn Roelofsen

As of December 2024

2024 ANNUAL REPORT