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The Fund is one of the major philanthropic foundations in the United States and one of the few established by a woman. It has given support over the years to Medical Schools , to the building of Hospitals and clinics in rural areas. In New York City , it was the Commonwealth Fund that was the major contributor to Columbia University for the building of a new Columbia-Presbyterian Medical Center of the College Of Physicians And Surgeons and Presbyterian Hospital in 1922.

The Fund administered a number of fellowships including the ''Commonwealth Fund Fellowship'' later renamed the ''Harkness Fellowship'', which allowed academics and artists from outside the United States to travel and study there for two years.


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