CITY HEALTH WORKS: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- CITY HEALTH WORKS (EIN 45-5450887)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-10-14
- IRS object ID
- 202012889349301901
- Schema version
- 2019v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-10-14T15:01:41-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390974031 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEGNER CPAS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 230 PARK AVE FL 3 | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 101690005 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 455450887 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY HEALTH WORKS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CITY | BusinessNameControlTxt |
| Phone | 6466844601 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 127 W 127TH ST NO 207 | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 100273723 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MANMEET KAUR | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 6466844601 | PhoneNum |
| Signature | 2020-10-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | YIGIT UCTUM CPA | PreparerPersonNm |
| PTIN | P01269549 | PTIN |
| Phone | 2125511724 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 66.222.124.178 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-10-14 | IPDt |
| IP Tm | 12:33:28 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | BAF93092400A7665F4A65B16EBECF5E5B591AC5F | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 74B0C536FBDEA54BE69F712409E5EA3D5A3AE8D3 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MANMEET KAUR | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 127 W 127TH ST NO 207 | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 100273723 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $616,220 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CITYHEALTHWORKS.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | CITY HEALTH WORKS BRIDGES THE GAP BETWEEN THE DOCTOR'S OFFICE AND THE EVERYDAY LIVES OF PATIENTS DIAGNOSED WITH LIFE-THREATENING CHRONIC ILLNESSES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 4 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,430,862 | PYContributionsGrantsAmt |
| CY Contributions Grants | $8,062 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $382,136 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $602,228 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,113 | CYInvestmentIncomeAmt |
| PY Other Revenue | $501 | PYOtherRevenueAmt |
| CY Other Revenue | $2,817 | CYOtherRevenueAmt |
| PY Total Revenue | $2,813,504 | PYTotalRevenueAmt |
| CY Total Revenue | $616,220 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,196,142 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,282,549 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $122,972 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $628,964 | PYOtherExpensesAmt |
| CY Other Expenses | $652,504 | CYOtherExpensesAmt |
| PY Total Expenses | $1,825,106 | PYTotalExpensesAmt |
| CY Total Expenses | $1,935,053 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $988,398 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,318,833 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,529,306 | TotalAssetsBOYAmt |
| Total Assets EOY | $225,730 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $129,449 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $350,686 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,399,857 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$124,956 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CITY HEALTH WORKS EXTENDS THE REACH OF OVERBURDENED CLINICS BY SERVING AS VITAL EYES AND EARS TO CLINICIANS AND PROVIDING SUPPORT TO PATIENTS FACING COMPLEX MEDICAL, SOCIO-ECONOMIC AND CULTURAL BARRIERS. THROUGH MOTIVATIONAL HEALTH COACHING AND ONGOING CARE COORDINATION, WE EQUIP PATIENTS WITH THE KNOWLEDGE, CAPABILITIES, AND CONFIDENCE TO ATTAIN AND MAINTAIN BETTER HEALTH AND AVERT CRISES. WE EMPOWER CLINICIANS WITH CRITICAL INSIGHTS INTO THE ASPIRATIONS AND INDIVIDUAL BARRIERS FACED BY THEIR PATIENTS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $1,402,739 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $602,228 | RevenueAmt |
| Desc | CITY HEALTH WORKS CONTINUED DELIVERY OF HEALTH COACHING AND EXPANDED SERVICES ACROSS UPPER MANHATTAN WITH THE LAUNCH OF OUR FIRST SITE OF OPERATION IN A NEW GEOGRAPHY - IN SCHENECTADY, NY FOR PATIENTS WITH DIABTES, HYPERTENSION, AND ASTHMA. WE HAVE CONTINUED DELIVERY OF SERVICES FOR PATIENT WITH POORLY CONTROLLED DIABETES, HYPERTENSION AND ASTHMA ACROSS HARLEM WITH ADDITIONAL FUNDING SUPPORT THROUGH THE MOUNT SINAI DSRIP PROGRAM FOR PATIENTS REFERRED FROM CLINICS ACROSS HARLEM. CITY HEALTH WORKS CONTINUED TO STRENGTHEN ITS OPERATIONAL SYSTEMS. IT COMPLETED THE VENDOR APPROVAL PROCESS FOR HEALTHFIRST BY ACHIEVING THE REGULATORY REQUIREMENTS FOR HIPAA REQUIRED OF COVERED ENTITIES. OUR SOFTWARE CONTINUED TO UNDERGO SEVERAL ADVANCEMENTS, PARTICULARLY IN THE AREAS OF TOOLS FOR HEALTH COACH SUPERVISORS AND FEATURES TO SUPPORT ADDITION OF A NEW GEOGRAPHIC SITE. IN ADDITION TO CONTINUED WORK ON VARIOUS RESEARCH PROJECTS, CITY HEALTH WORKS RECEIVED PRESS COVERAGE AND PRESENTED AT SEVERAL EVENTS. | Desc |
| Total Program Service Expenses | $1,402,739 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 10 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 4 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MANMEET KAUR | PersonNm |
| Phone | 6466844601 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 127 W 127TH ST STE 207 | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 100273723 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| MANMEET KAUR | |||||||
| EXECUTIVE DIRECTOR | 50.00 | Yes (X) | Yes (X) | $84,746 | $0 | $78,756 | |
| JOSH WEISBROD | |||||||
| CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| STEPHANIE SCHREIBER | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BHAVDEEP SINGH | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RICH PARK | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LINDA GREEN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BRYAN SIVAK | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMILLAH HOY-ROSAS | |||||||
| CHIEF HEALTH OFFICER | 50.00 | $137,312 | $0 | $18,421 | Yes (X) | ||
| SIMRAN SINGH | |||||||
| TECHNOLOGY - DATA LEAD | 50.00 | $100,646 | $0 | $15,644 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $322,704 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $112,821 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRINET GROUP INC | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 PARK PLACE SUITE 600 | AddressLine1Txt |
| City | DUBLIN | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94568 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | PROFESSIONAL EMPLOYMENT SERVICES | ServicesDesc |
| Compensation | $1,294,184 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $8,062 | AllOtherContributionsAmt |
| Total Contributions | $8,062 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROGRAM SERVICE REVENU | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $602,228 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $602,228 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $602,228 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,113 | TotalRevenueColumnAmt |
| Exclusion | $3,113 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $2,817 | TotalRevenueColumnAmt |
| Exclusion | $2,817 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,817 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $616,220 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $602,228 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,930 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,502 | TotalAmt |
| Program Services | $65,401 | ProgramServicesAmt |
| Management And General | $65,401 | ManagementAndGeneralAmt |
| Fundraising | $32,700 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $910,666 | TotalAmt |
| Program Services | $814,438 | ProgramServicesAmt |
| Management And General | $33,661 | ManagementAndGeneralAmt |
| Fundraising | $62,567 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,728 | TotalAmt |
| Program Services | $111,345 | ProgramServicesAmt |
| Management And General | $12,598 | ManagementAndGeneralAmt |
| Fundraising | $1,785 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,653 | TotalAmt |
| Program Services | $67,511 | ProgramServicesAmt |
| Management And General | $9,447 | ManagementAndGeneralAmt |
| Fundraising | $5,695 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,080 | TotalAmt |
| Management And General | $34,080 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,658 | TotalAmt |
| Management And General | $99,658 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $274,742 | TotalAmt |
| Program Services | $138,668 | ProgramServicesAmt |
| Management And General | $124,634 | ManagementAndGeneralAmt |
| Fundraising | $11,440 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,152 | TotalAmt |
| Program Services | $2,764 | ProgramServicesAmt |
| Fundraising | $1,388 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,626 | TotalAmt |
| Program Services | $7,392 | ProgramServicesAmt |
| Management And General | $8,658 | ManagementAndGeneralAmt |
| Fundraising | $576 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,869 | TotalAmt |
| Program Services | $14,979 | ProgramServicesAmt |
| Management And General | $9,890 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,920 | TotalAmt |
| Program Services | $31,905 | ProgramServicesAmt |
| Management And General | $4,336 | ManagementAndGeneralAmt |
| Fundraising | $3,679 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,760 | TotalAmt |
| Program Services | $3,982 | ProgramServicesAmt |
| Management And General | $2,778 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,715 | TotalAmt |
| Program Services | $26,715 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,560 | TotalAmt |
| Program Services | $47,062 | ProgramServicesAmt |
| Management And General | $498 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,219 | TotalAmt |
| Program Services | $32,374 | ProgramServicesAmt |
| Management And General | $3,703 | ManagementAndGeneralAmt |
| Fundraising | $3,142 | FundraisingAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FIELD VISIT COSTS | Desc |
| Total | $38,203 | TotalAmt |
| Program Services | $38,203 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,935,053 | TotalAmt |
| Program Services | $1,402,739 | ProgramServicesAmt |
| Management And General | $409,342 | ManagementAndGeneralAmt |
| Fundraising | $122,972 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,053,913 | BOYAmt |
| EOY | $69,365 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,753 | BOYAmt |
| EOY | $25,330 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $205,980 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $183,502 | BOYAmt |
| EOY | $85,462 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,440 | BOYAmt |
| EOY | $5,023 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $390,814 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $350,264 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,718 | BOYAmt |
| EOY | $40,550 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,529,306 | BOYAmt |
| EOY | $225,730 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,449 | BOYAmt |
| EOY | $204,403 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $146,283 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,449 | BOYAmt |
| EOY | $350,686 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $223,225 | BOYAmt |
| EOY | -$124,956 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,176,632 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,399,857 | BOYAmt |
| EOY | -$124,956 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,529,306 | BOYAmt |
| EOY | $225,730 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,318,833 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$205,980 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,737,895 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $561,669 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $423,820 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,430,862 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,062 | CurrentTaxYearAmt |
| Total | $5,162,308 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,737,895 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $561,669 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $423,820 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,430,862 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,062 | CurrentTaxYearAmt |
| Total | $5,162,308 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $3,321,202 | SubstantialContributorsTotAmt |
| Public Support Total170 | $1,841,106 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $6 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,113 | CurrentTaxYearAmt |
| Total | $3,129 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $5,337 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $798 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $501 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,817 | CurrentTaxYearAmt |
| Total | $9,453 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $5,174,890 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $1,428,152 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.35580 | PublicSupportCY170Pct |
| Public Support PY170 | 0.38330 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $35,026 | OtherCostOrOtherBasisAmt |
| Depreciation | $31,194 | DepreciationAmt |
| Book Value | $3,832 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $355,788 | OtherCostOrOtherBasisAmt |
| Depreciation | $319,070 | DepreciationAmt |
| Book Value | $36,718 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $40,550 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $622,220 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $6,000 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $6,000 | RevenueNotReportedAmt |
| Revenue Subtotal | $616,220 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $616,220 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,941,053 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $6,000 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $6,000 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,935,053 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,935,053 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MANMEET KAUR | ||||||||||||||
| EXECUTIVE DIRECTOR | $84,746 | $0 | $0 | $0 | $0 | $0 | $60,583 | $0 | $18,173 | $0 | $163,502 | $0 | $0 | $0 |
| JAMILLAH HOY-ROSAS | ||||||||||||||
| CHIEF HEALTH OFFICER | $137,312 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $18,421 | $0 | $155,733 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 5 AND FORM 990, PART V, LINE 2A: | CITY HEALTH WORKS LEASES EMPLOYEES FROM TRINET, A PROFESSIONAL EMPLOYMENT ORGANIZATION. CITY HEALTH WORK'S EMPLOYEES ARE CONSIDERED COMMON LAW EMPLOYEES OF CITY HEALTH WORKS, HOWEVER, TRINET IS THE EMPLOYER OF RECORD AND AS SUCH, CITH HEALTH WORK'S EMPLOYEES RECEIVE THEIR W2S FROM TRINET. |
| FORM 990, PART III, LINE 3 | CHW WAS FOUNDED IN 2012 WITH THE OBJECTIVE OF PROVING THE BUSINESS CASE FOR ITS EVIDENCE-BASED APPROACH TO CHRONIC CARE COACHING. WITH THE COMPLETION OF EXTERNAL STUDIES THAT EVALUATED CHWS ABILITY TO SUBSTANTIALLY IMPROVE OUTCOMES AND REDUCE COSTS FOR VULNERABLE PATIENTS, CHW MET THE OBJECTIVES OF ITS NON-PROFIT PHASE AND THE PURPOSE OF THE USE OF PHILANTHROPIC FUNDS. THUS, CHW PREPARED IN 2019 TO WIND DOWN OPERATIONS AS A 501(C)(3). DURING THIS PERIOD, IT SUBMITTED A PETITION TO THE NYS ATTORNEY GENERAL'S OFFICE TO TRANSFER THE ASSETS OF THE 501(C)(3), CONSISTING OF THE 501(C)(3)'S "KNOW-HOW", AT FAIR MARKET VALUE TO A NEWLY FORMED C-CORP. GIVEN THE NATURE OF THIS TRANSITION, THE 501(C)(3) DID NOT SEEK ANY NEW PHILANTHROPIC OR RESEARCH FUNDING IN 2019. IT BEGAN TO GROW ITS EARNED REVENUE DURING 2017-2019 THROUGH SELLING ITS VALIDATED HEALTH COACHING SERVICES TO HEALTHCARE SYSTEMS. DURING 2019, CHW OBTAINED TWO INDEPENDENT ESTIMATES OF THE FAIR VALUE OF THE NET ASSETS TO BE TRANSFERRED. THE ESTIMATES RECEIVED RESULTED IN A FAIR VALUE THAT RANGED FROM $300,000 TO $1,000,000. |
| FORM 990, PART VI, SECTION A, LINE 8B | THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE PREPARED FORM 990 IS REVIEWED BY THE ORGANIZATION'S OUTSOURCED ACCOUNTANT, EXECUTIVE DIRECTOR, AND MEMBERS OF THE GOVERNING BODY BEFORE THE RETURN IS FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY ALL DIRECTORS AND OFFICERS COMPLETE AND SIGN A STATEMENT THAT PROVIDES INFORMATION REGARDING THEIR INTERESTS AND THOSE OF THEIR FAMILY MEMBERS THAT COULD GIVE RISE TO CONFLICTS. THE MEMBERS OF THE GOVERNING BODY MAKE DETERMINATIONS OF WHETHER A CONFLICT EXISTS AND REVIEW ACTUAL CONFLICTS. ANY PERSON WITH A CONFLICT IS PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS IN THE TRANSACTION. |
| FORM 990, PART VI, SECTION B, LINE 15A | AFTER REVIEWING DATA ON COMPENSATION PAID BY COMPARABLE ORGANIZATIONS FOR SIMILAR POSITIONS, THE COMPENSATION FOR THE ORGANIZATION'S EXECUTIVE DIRECTOR IS REVIEWED AND APPROVED BY THE MEMBERS OF THE GOVERNING BODY. APPROVED COMPENSATION IS DOCUMENTED IN THE MINUTES OF THE MEETING OF THE GOVERNING BODY. THE ORGANIZATION DOES NOT HAVE ANY OTHER COMPENSATED OFFICERS OR KEY EMPLOYEES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MADE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PAYROLL SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 35,997. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,997. PROFESSIONAL PROGRAM CONSULTING FEES: PROGRAM SERVICE EXPENSES 138,668. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 138,668. PROFEESIONAL IT ADMINISTRATION AND FINANCE ADVISORY SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 88,637. FUNDRAISING EXPENSES 11,440. TOTAL EXPENSES 100,077. |
| FORM 990, PART XI, LINE 9: | LOSS ON UNCOLLECTED PROMISE TO GIVE -205,980. |
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