Alliance to Fight for Healthcare (AFH)




Tax ID:


Tax-Exempt Status:


Budget (2017):

Revenue: $953,750
Expenses: $861,825
Assets: $244,767




Coalition Advocacy Organization


James Klein

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Alliance to Fight for Healthcare (AFH) (formerly known as Alliance to Fight the Forty) is a coalition of nonprofit organizations, labor unions, for-profit companies, and other entities which are aligned in opposition of the “Cadillac Tax,” a provision of Obamacare which would tax companies 40% on employer-provided healthcare plans costing more than $11,200 annually for individual policies and $30,150 for family plans. 1 The coalition of organizations, while principally consisting of labor unions, includes a number of major companies including American Airlines, AT&T, and Pfizer. 2


AFH was formed in 2015 as “Alliance to Fight the Forty.” The organization originally aimed to repeal the Cadillac Tax, which was originally introduced as part of President Barack Obama’s Patient Protection and Affordable Care Act, colloquially known as Obamacare. The legislation was set to take effect in 2018 but has since been pushed back to begin in 2022 due in part to backlash from and advocacy efforts of organizations like AFH. 3

Alliance to Fight the Forty has since changed its name to Alliance to Alliance to Fight for Healthcare. The organization has switched gears from advocating solely against the Cadillac Tax to advocating for more lenient legislation regarding employer-provided health coverage. The coalition switched its focus in part due to the COVID-19 outbreak of 2020, arguing that insurance companies should make exceptions for families affected by the virus. 4

Member Organizations

AFH is made up of 47 labor unions, charitable organizations, and for-profit companies.

For-profit Companies

A number of large for-profit organizations are listed as members of the Alliance to Fight for Healthcare. Among them are Pfizer, one of the largest pharmaceutical companies in the world; Visa Inc., one of the largest financial services companies in the world; the Blue Cross Blue Shield Association, a Detroit-based coalition of insurance companies which together insure over 100 million Americans; and Cigna, another large health insurance provider. 5

Labor Unions and Business Leagues

Alliance to Fight for Healthcare lists a number of labor unions and business leagues as members of its coalition. Some of these organizations are Unite Here, Laborers’ International Union of North America (LIUNA), , and the United Brotherhood of Carpenters and Joiners of America. The National Association of Health Underwriters, and National Rural Electric Cooperative Association (NRECA), both business leagues, are also members. 6

Charitable Organizations

Most notable on the list of charitable organizations that are members of Alliance to Fight for Healthcare are the American Cancer Society Action Network, the National Electrical Contractors Association, National League of Cities, World at Work, and the National Association of Counties. 7


Yvette Pena-O’Sullivan is a member of the executive committee for Alliance to Fight for Healthcare. She also works as the executive director for Laborers International Union of North America, a member of the AFL-CIO and member of AFH. She previously worked as a deputy director for Blue Green Alliance, a left-of-center organizations which pushes labor union and environmentalist issues. 8

Timothy Barnes is a member of the executive committee for AFH. He also works as a legislative representative for Unite Here. Barnes also works as an executive board member for the Illinois branch of the AFL-CIO. 9


The member organizations of AFH pay membership dues which are the primary source of income for the organization. Occasionally, the organization receives grants from member organizations on top of their regular membership dues. The organization made $953,750 in 2017, primarily from membership dues and a $20,000 grant made by the American Benefits Council on top of its $60,000 in membership dues. 10


  1. “’Cadillac Tax’ on Generous Health Plans May Be Headed for Repeal.” Accessed March 27, 2020.
  2. “Coalition Members.” Alliance to Fight the Forty. Accessed March 27, 2020.
  3. “What is the Cadillac Tax?” Tax Policy Center. Accessed March 27, 2020.
  4. “About Alliance to Fight for Healthcare.” Alliance to Fight for Healthcare. Accessed March 27, 2020.
  5. “Coalition Members.” Alliance to Fight the Forty. Accessed March 27, 2020.
  6. “Coalition Members.” Alliance to Fight the Forty. Accessed March 27, 2020.
  7. “Coalition Members.” Alliance to Fight the Forty. Accessed March 27, 2020.
  8. “User Profile: Yvette Pena-O’Sullivan.” Accessed March 28, 2020.
  9. “Timothy Barnes Business Profile.” Accessed March 27, 2020.
  10. 2017 IRS Form 990 Return of Organization Exempt from Income Tax: Alliance to Fight the Forty. Part I: Summary.
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Nonprofit Information

  • Accounting Period: December - November
  • Tax Exemption Received: May 1, 2016

  • Available Filings

    Period Form Type Total revenue Total functional expenses Total assets (EOY) Total liabilities (EOY) Unrelated business income? Total contributions Program service revenue Investment income Comp. of current officers, directors, etc. Form 990
    2017 Dec Form 990 $953,750 $861,825 $244,767 $0 N $0 $953,750 $0 $0 PDF
    2016 Dec Form 990 $603,000 $645,799 $152,842 $0 N $0 $603,000 $0 $0 PDF
    2015 Dec Form 990 $541,000 $345,359 $195,641 $0 N $541,000 $0 $0 $0 PDF

    Alliance to Fight for Healthcare (AFH)