2020-10-14T15:01:41-05:00 2019-12-31 390974031 WEGNER CPAS LLP 230 PARK AVE FL 3 NEW YORK NY 101690005 990 2019-01-01 455450887 CITY HEALTH WORKS CITY 6466844601 127 W 127TH ST NO 207 NEW YORK NY 100273723 MANMEET KAUR EXECUTIVE DIRECTOR 6466844601 2020-10-14 1 YIGIT UCTUM CPA P01269549 2125511724 66.222.124.178 2020-10-14 12:33:28 CD P BAF93092400A7665F4A65B16EBECF5E5B591AC5F 74B0C536FBDEA54BE69F712409E5EA3D5A3AE8D3 2019 2021-01-29 14:40:06Z MANMEET KAUR 127 W 127TH ST NO 207 NEW YORK NY 100273723 616220 0 X WWW.CITYHEALTHWORKS.COM X 2012 NY CITY HEALTH WORKS BRIDGES THE GAP BETWEEN THE DOCTOR'S OFFICE AND THE EVERYDAY LIVES OF PATIENTS DIAGNOSED WITH LIFE-THREATENING CHRONIC ILLNESSES. 4 3 0 6 0 0 2430862 8062 382136 602228 5 3113 501 2817 2813504 616220 0 0 0 0 1196142 1282549 0 0 122972 628964 652504 1825106 1935053 988398 -1318833 1529306 225730 129449 350686 1399857 -124956 X 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. 0 1 1402739 0 602228 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. 1402739 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 3 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 0 0 NY X MANMEET KAUR 6466844601 127 W 127TH ST STE 207 NEW YORK NY 100273723 MANMEET KAUR EXECUTIVE DIRECTOR 50.00 X X 84746 0 78756 JOSH WEISBROD CHAIR 2.00 X X 0 0 0 STEPHANIE SCHREIBER TREASURER 1.00 X X 0 0 0 BHAVDEEP SINGH DIRECTOR 1.00 X 0 0 0 RICH PARK DIRECTOR 1.00 X 0 0 0 LINDA GREEN DIRECTOR 1.00 X 0 0 0 BRYAN SIVAK DIRECTOR 1.00 X 0 0 0 JAMILLAH HOY-ROSAS CHIEF HEALTH OFFICER 50.00 X 137312 0 18421 SIMRAN SINGH TECHNOLOGY - DATA LEAD 50.00 X 100646 0 15644 322704 0 112821 2 0 1 0 TRINET GROUP INC 1 PARK PLACE SUITE 600 DUBLIN CA 94568 PROFESSIONAL EMPLOYMENT SERVICES 1294184 1 8062 8062 PROGRAM SERVICE REVENU 621610 602228 602228 602228 3113 3113 MISCELLANEOUS REVENUE 900099 2817 2817 2817 616220 602228 0 5930 X 163502 65401 65401 32700 910666 814438 33661 62567 125728 111345 12598 1785 82653 67511 9447 5695 34080 34080 99658 99658 274742 138668 124634 11440 4152 2764 1388 16626 7392 8658 576 24869 14979 9890 39920 31905 4336 3679 6760 3982 2778 26715 26715 47560 47062 498 39219 32374 3703 3142 FIELD VISIT COSTS 38203 38203 1935053 1402739 409342 122972 1053913 69365 20753 25330 205980 183502 85462 9440 5023 390814 350264 55718 40550 1529306 225730 129449 204403 146283 129449 350686 X 223225 -124956 1176632 0 1399857 -124956 1529306 225730 X -1318833 -205980 X 0 1 X 1 0 X 1737895 561669 423820 2430862 8062 5162308 1737895 561669 423820 2430862 8062 5162308 3321202 1841106 6 5 5 3113 3129 5337 798 501 2817 9453 5174890 1428152 0.35580 0.38330 X 35026 31194 3832 355788 319070 36718 40550 622220 6000 6000 616220 0 616220 1941053 6000 6000 1935053 0 1935053 X X 0 0 0 0 0 0 0 0 0 MANMEET KAUR EXECUTIVE DIRECTOR 84746 0 0 0 0 0 60583 0 18173 0 163502 0 0 0 JAMILLAH HOY-ROSAS CHIEF HEALTH OFFICER 137312 0 0 0 0 0 0 0 18421 0 155733 0 0 0 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.