2020-07-24T10:31:09-05:00 2019-09-30 132781641 MITCHELL & TITUS LLP 80 PINE STREET 32 FL NEW YORK NY 10005 990 2018-10-01 050539199 FUND FOR PUBLIC HEALTH IN NEW YORK INC FUND 6467104860 22 CORTLANDT STREET NEW YORK NY 10007 SARA GARDNER MPH EXECUTIVE DIRECTOR 6467104860 2020-07-24 1 FREDERICK E DAVIS JR P00446023 2127094500 2020-07-24 108.41.217.245 2020-07-24 10:29:56 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 A344DD58239D8D08B4451429FA5BBA314E8BA6B5 2018 2020-09-23 17:36:50Z SARA GARDNER MPH 22 CORTLANDT STREET NEW YORK NY 10007 44958500 0 X WWW.FPHNY.ORG X 2002 NY FPHNY ADDRESSES PRESSING PUBLIC HEALTH NEEDS, FOSTERS PRIVATE SECTOR SUPPORT TO ENHANCE HEALTH AND HEALTHCARE, AND HELPS TO EDUCATE THE PUBLIC REGARDING THE PROTECTION OF INDIVIDUAL, FAMILY AND COMMUNITY HEALTH. 11 11 265 11 0 0 61313771 42340237 45208 0 80386 246847 12461 22771 61451826 42609855 0 0 0 0 17814371 17207392 0 0 0 30676919 23589782 48491290 40797174 12960536 1812681 44265041 45129428 6288480 5371565 37976561 39757863 X THE FUND FOR PUBLIC HEALTH IN NEW YORK, INC. (FPHNY) IS DEDICATED TO THE ADVANCEMENT OF THE HEALTH AND WELL-BEING OF ALL NEW YORK CITY RESIDENTS. TOWARDS THIS AIM, THE FUND IMPLEMENTS PROGRAMS TO ADDRESS PRESSING PUBLIC HEALTH NEEDS, DEVELOPS PRIVATE SECTOR SUPPORT FOR ENHANCING THE HEALTH OF NEW YORKERS, AND EDUCATES NEW YORKERS ABOUT THE ROLE THEY CAN PLAY IN PROTECTING THEIR OWN HEALTH AND THE HEALTH OF THEIR FAMILIES AND COMMUNITIES. 0 0 15425669 0 0 PURSUANT TO A NEGOTIATED ACQUISITION AGREEMENT, FPHNY PROVIDES SERVICES TO DOHMH ON A REQUIREMENTS BASIS TO DEVELOP AND IMPLEMENT COMMUNITY BASED PUBLIC HEALTH PROJECTS. TWO EXAMPLES OF PROJECTS INCLUDE: HARLEM HEALTH ADVOCACY PROJECT - TO REDUCE DISPARITIES IN CHRONIC DISEASE AMONG PUBLIC HOUSING RESIDENTS AND TO IMPROVE THEIR LONG-TERM HEALTH AND QUALITY-OF-LIFE BY TRAINING RESIDENTS TO SERVE AS COMMUNITY HEALTH WORKERS AND HEALTH ADVOCATES; AND THE STELLAR FARMERS MARKETS PROGRAM WHICH PROVIDES FREE, BILINGUAL NUTRITION EDUCATION AND COOKING DEMONSTRATIONS AT SELECT FARMERS MARKETS THROUGHOUT NYC. 2216345 0 0 THE FEDERAL FINANCIAL PARTICIPATION (FFP) 90/10 (EP2) GRANT PROVIDED BY THE NEW YORK STATE DEPARTMENT OF HEALTH (NYSDOH), IN CONNECTION WITH THE ELECTRONIC HEALTH RECORDS PROJECT, IS A CORE AND MILESTONE-BASED GRANT. ULTIMATELY, IT WAS FUNDED VIA PASS-THROUGH FUNDS PROVIDED TO NEW YORK STATE FROM THE FEDERAL GOVERNMENT (DHHS). THE GRANT PROVIDES CONTINUATION SERVICES FOR PROVIDERS NOT COVERED BY NYC REACH, I.E. OUT OF SCOPE PROVIDERS DEFINED AS PRIMARY CARE PROVIDERS AT LARGE PRACTICES WHO DO NOT MEET THE ELIGIBILITY REQUIREMENTS DEFINED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION TECHNOLOGY (HHS ONC), AS WELL AS SPECIALISTS THAT ARE ELIGIBLE FOR MEDICAID MEANINGFUL USE INCENTIVES. PRIMARY CARE PROVIDERS ARE OUT OF SCOPE BASED UPON SITE CAP LIMITATIONS DETERMINED BY HHS ONC.ACTIVITIES INCLUDING CORE WORK IS DONE WHICH SERVES THE ENTIRE POPULATION SERVED IN THE AREAS OF (1) OUTREACH AND RECRUITMENT AND (2) EDUCATION. OUTREACH AND RECRUITMENT ARE DEFINED AS THE IDENTIFICATION AND RECRUITMENT OF ELIGIBLE PROVIDERS THROUGH EXISTING COMMUNITY HEALTH INFORMATION TECHNOLOGY NETWORKS AND OTHER MEMBERSHIP AND ADVOCACY ORGANIZATIONS, SUCH AS HOSTING MINI-CONFERENCES AND WEBINARS, AND LEVERAGING SOCIAL MEDIA TO COMMUNICATE TO SPECIFIC STAKEHOLDER GROUPS. EDUCATION ARE PROGRAMS DELIVERED EITHER ONSITE, OR BY WEBINAR WHICH FOCUS ON PROVIDER ADOPTION OF EHR TECHNOLOGY, HEALTH INFORMATION EXCHANGE AND ADVANCEMENT OF CARE COORDINATION THROUGH THE USE OF TECHNOLOGY, SUCH AS CONDUCTING TRAINING ON MEANINGFUL USE (MU) ELIGIBILITY, APPLICATION, ATTESTATION PROCESSES AND TOOLS AND MATERIALS ON PRIVACY AND SECURITY, AND PATIENT CENTERED MEDICAL HOMES.IN ADDITION, THE PROGRAM INCLUDES TWO DIFFERENT MILESTONES (1) IMPLEMENTATION OF EHR AND (2) ATTESTATION TO ADOPTION, IMPLEMENTATION AND UPGRADE (AIU) OF CERTIFIED EHR. FOR IMPLEMENTATION OF EHR, STAFF PROVIDES ASSISTANCE TO THE PROVIDERS IN THE IMPLEMENTATION OF THE NEW TECHNOLOGIES. IMPLEMENTATION SUPPORT INCLUDES (BUT IS NOT LIMITED TO), DETERMINATION OF READINESS, ASSISTANCE IN VENDOR SELECTION, PROJECT MANAGEMENT, AND DESIGN OF WORKFLOW TO BE ADAPTED FOR THESE NEW TECHNOLOGIES. ATTESTATION TO ADOPTION, IMPLEMENTATION AND UPGRADE (AIU) OF CERTIFIED EHR ACTIVITIES INCLUDES GUIDANCE ON HIPPA, ASSISTANCE IN ACHIEVEMENT OF AND SUCCESSFUL ATTESTATION TO MU STAGE 1 AND CLINICAL QUALITY MEASURES. 1704748 0 0 MANY RISK FACTORS FOR CARDIOVASCULAR DISEASE (CVD) AND DIABETES MELLITUS (DM), INCLUDING OBESITY, HIGH BLOOD PRESSURE (HBP), AND HIGH BLOOD CHOLESTEROL (HBC), DISPROPORTIONATELY AFFECT NEW YORK CITY'S (NYC) LOW-INCOME RESIDENTS AND PEOPLE OF COLOR. DISPARITIES BY GEOGRAPHY ARE ALSO STARK, OFFERING COMPELLING EVIDENCE FOR CONCENTRATING RESOURCES AND SERVICES IN AREAS OF HIGHEST NEED. THE TAKE ACTION ABCD PROJECT IS AN INITIATIVE TO IMPROVE A1C CONTROL, BLOOD PRESSURE CONTROL, CHOLESTEROL MANAGEMENT AND DIABETES PREVENTION FOR ADULT RESIDENTS OF NYC. THROUGH A SUITE OF COMPLEMENTARY STRATEGIES, TAKE ACTION AIMS TO IMPACT A LARGE NUMBER OF ADULTS ACROSS THE CITY IN 24 NEIGHBORHOODS WHERE DM AND CVD IS HIGHER THAN CITY AVERAGES AND TO SUPPLEMENT ACTIVITIES IN A SUBSET OF EIGHT NEIGHBORHOODS TO REDUCE BARRIERS AND DISPARITIES IN HEALTH FOR A PRIORITY POPULATION UNDULY AFFECTED BY DM AND CVD.FOR LARGE POPULATION IMPACT, DOHMH PARTNERS WITH HEALTH CARE SITES AND INDEPENDENTLY OWNED PHARMACIES TO PROMOTE PROACTIVE HEALTH CARE TEAMS WHERE PROVIDERS HAVE INCREASED KNOWLEDGE, SKILLS AND TOOLS TO INCORPORATE TRACKING AND MONITORING OF CLINICAL MEASURES; PRACTICES ADOPT TEAM-BASED CARE, WITH NON-PHYSICIAN AND PHYSICIAN TEAM MEMBERS COORDINATING AND COLLABORATING TO DELIVER PATIENT-CENTERED CARE; MORE PROVIDERS USE ELECTRONIC INFORMATION SYSTEMS AND SHARE INFORMATION AMONG TEAM MEMBERS, PATIENTS, OUTSIDE PROVIDERS, AND OTHER SETTINGS; MORE PROVIDERS USE EVIDENCE-BASED TOOLS AND QUALITY IMPROVEMENT APPROACHES FOR PREVENTION, ASSESSMENT AND MANAGEMENT; AND HEALTH CARE IS COORDINATED ACROSS THE CONTINUUM OF CARE ACROSS CLINICAL AND COMMUNITY SETTINGS. 17077085 0 22771 VARIOUS ACTIVITIES AND GRANTS SUPPORTING THE ADVANCEMENT OF THE HEALTH AND WELL-BEING OF ALL NEW YORK CITY RESIDENTS AND IN SUPPORT OF THE NEW YORK CITY DEPARTMENT OF HEALTH'S PROGRAMS AND ACTIVITIES. 17077085 0 22771 36423847 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 311 0 1 265 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X X RICHARD RAY 6467104851 CONTROLLER 22 CORTLANDT ST STE 802 NEW YORK NY 10007 X OXIRIS BARBOT MD BOARD PRESIDENT & CHAIR 1.00 0.00 X X 0 0 0 CHRIS STERN HYMAN JD BOARD SECRETARY 1.00 0.00 X X 0 0 0 DEREK FLANZRAICH BOARD MEMBER 1.00 0.00 X 0 0 0 PAMELA S BRIER MPH EX-OFFICIO 1.00 0.00 X 0 0 0 JESSICA BOROWICK JD BOARD MEMBER 1.00 0.00 X 0 0 0 MICHAEL GARGANO JD BOARD MEMBER 1.00 0.00 X 0 0 0 PAUL J MADDON MD PHD BOARD MEMBER 1.00 0.00 X 0 0 0 PASCALINE SERVAN-SCHREIBER MBA BOARD MEMBER 1.00 0.00 X 0 0 0 BUNNY ELLERIN MBA BOARD MEMBER 1.00 0.00 X 0 0 0 AMIT BANSAL MBA TREASURER 1.00 0.00 X X 0 0 0 FATIMA ASHRAF MPH BOARD MEMBER 1.00 0.00 X 0 0 0 GARY S BELKIN MD PHD MPH EX-OFFICIO 1.00 0.00 X 0 0 0 KAREN KOCHEVAR BOARD MEMBER 1.00 0.00 X 0 0 0 SARA W GARDNER EXECUTIVE DIRECTOR 35.00 0.00 X 211150 0 35413 DONNA FISHMAN DEPUTY DIRECTOR 35.00 0.00 X 216875 0 14531 AVIVA GOLDSTEIN SENIOR DIRECTOR, DEVELOPMENT/ADVISOR 35.00 0.00 X 155659 0 36296 HANG PHAM-SINGER SENIOR DIRECTOR, QUALITY IMPROVEMENT 35.00 0.00 X 143523 0 25066 HECTOR PINA IBARRA DIR OF BEHAVIORAL HEALTH INTEGRATION 35.00 0.00 X 128604 0 24170 VIRAL SHAH ASST. DIR, HEALTHCARE INFORMATICS 35.00 0.00 X 125243 0 26007 VITALIY SHTUTIN SENIOR CLINICAL QUALITY MANAGER 35.00 0.00 X 119982 0 31195 1101036 0 192678 14 0 1 0 NYC DEPARTMENT OF HEALTH & MENTAL HYGIEN 42-09 28TH STREET LONG ISLAND CITY NY 11101 PROVIDE VARIOUS PROGRAM SERVICES 4250598 NDRI-USA INC 71 W 23RD STREET NEW YORK NY 10010 SEE SCHEDULE O 698712 GCOM SOFTWARE LLC 24 MADISON AVENUE EXT 4 ALBANY NY 12203 PROVIDES SOFTWARE & TECHNICAL SUPPORT 527297 TAKE ME TO THE WATER AQUATICS INC 120 E 88TH ST NEW YORK NY 10128 SEE SCHEDULE O 468920 INTERACTION INSTITUTE FOR SOCIAL CHANGE 89 SOUTH ST BOSTON MA 02111 SEE SCHEDULE O 339381 24 32479173 9861064 648287 42340237 155492 155492 2440000 2348645 91355 91355 91355 HONORARIA 900099 19765 19765 3006 3006 22771 42609855 22771 0 246847 X 478004 478004 13065733 11094941 1970792 551729 467531 84198 2009590 1647101 362489 1102336 892588 209748 291417 235195 56222 375 375 96035 96035 19454054 19160730 293324 61446 29833 31613 845035 737310 107725 177544 56112 121432 390132 2027 388105 157287 156209 1078 175561 164415 11146 27672 27672 28783 28783 LICENCES & PERMIT 650544 649769 775 DONATED HEALTHBUCKS 648287 648287 STAFF EXPENSES 268040 209659 58381 UBIT ON PRE-TAX TRANSIT 45430 45430 272140 272140 40797174 36423847 4373327 0 15050163 21423755 7027730 8012617 22007182 15524801 44925 48614 380777 332438 76011 48339 59030 71302 44265041 45129428 5257498 4350310 14263 14263 1016719 1006992 6288480 5371565 X 3550907 4707797 34425654 35050066 37976561 39757863 44265041 45129428 1812681 -31379 0 X 0 1 X 1 1 1 X 36477577 43582880 47602032 61313771 42340237 231316497 36477577 43582880 47602032 61313771 42340237 231316497 8253839 223062658 8184 71589 52146 119485 155492 406896 17799 18195 13424 12461 22771 84650 231808043 2554687 0.96230 0.97460 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 898556 18355 916911 890038 8518 898556 887106 2932 890038 884563 2543 887106 883830 733 884563 1.00000 1 0 48429 27155 21274 115908 115908 0 216440 189375 27065 48339 DEFERRED RENT 42962 REFUNDABLE GRANT 96483 ENDOWMENT ADVANCE 867547 1006992 X 42875585 -31379 297109 265730 42609855 0 42609855 41094283 297109 297109 40797174 0 40797174 PART V, LINE 4: THE ORGANIZATION RECEIVED FUNDS FROM A CERTAIN DONOR TO ESTABLISH AN ENDOWMENT FUND. THE FUNDS ARE HELD AND MANAGED BY FJC, A FOUNDATION OF PHILANTHROPIC FUNDS, AS AN FJC EARMARKED FUND ACCOUNT, WHICH EARNS INTEREST QUARTERLY. UNDER THE TERMS OF THE AGREEMENT, THE ORGANIZATION MAY SPEND 5% OF THE NET ASSET VALUE OF THE FUND ANNUALLY FOR GENERAL SUPPORT. THE DONOR RESERVES THE RIGHT TO DESIGNATE ANOTHER SECTION 501(C)(3) ORGANIZATION TO RECEIVE THIS ENDOWMENT FUND IF THERE ARE CHANGES IN THE STATUS, STRUCTURE, OR PROGRAMMATIC DIRECTION OF THE ORGANIZATION THAT IS NOT SATISFACTORY TO THE DONOR. AS SUCH, THE AMOUNT OF THE BENEFICIAL INTEREST IS ALSO REPORTED AS A LIABILITY (ENDOWMENT ADVANCE) IN THE STATEMENTS OF FINANCIAL POSITION. PART X, LINE 2: MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2016, WHICH IS THE STANDARD STATUTE OF LIMITATIONS LOOK-BACK PERIOD. X 0 0 0 0 0 0 0 0 0 SARA W GARDNER EXECUTIVE DIRECTOR 211150 0 0 0 0 0 12669 0 22744 0 246563 0 0 0 DONNA FISHMAN DEPUTY DIRECTOR 211875 0 5000 0 0 0 12713 0 1818 0 231406 0 0 0 AVIVA GOLDSTEIN SENIOR DIRECTOR, DEVELOPMENT/ADVISOR 155659 0 0 0 0 0 9340 0 26956 0 191955 0 0 0 HANG PHAM-SINGER SENIOR DIRECTOR, QUALITY IMPROVEMENT 143523 0 0 0 0 0 8611 0 16455 0 168589 0 0 0 HECTOR PINA IBARRA DIR OF BEHAVIORAL HEALTH INTEGRATION 128604 0 0 0 0 0 7716 0 16454 0 152774 0 0 0 VIRAL SHAH ASST. DIR, HEALTHCARE INFORMATICS 125243 0 0 0 0 0 7515 0 18492 0 151250 0 0 0 VITALIY SHTUTIN SENIOR CLINICAL QUALITY MANAGER 119982 0 0 0 0 0 7199 0 23996 0 151177 0 0 0 X HEALTHBUCKS 676592 648287 FAIR MARKET VALUE 0 1 0 PART I, COLUMN (B): CONTRIBUTED GOODS WERE IN THE FORM OF "HEALTHBUCKS" TO BE USED AT FARMER MARKETS. THE FAIR MARKET VALUE OF THE "HEALTHBUCKS" WERE DETERMINED BASED ON CONSIDERATION OF CASH PAYMENTS TYPICALLY MADE BY BUYERS RECEIVING SIMILAR GOODS. FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT AND AUDIT CHAIR WILL REVIEW THE FORM 990 PRIOR TO THE FORM BEING DISTRIBUTED TO THE ENTIRE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EVERY YEAR THE BOARD AND OFFICERS ARE REQUIRED TO FILE WITH IN-HOUSE COUNSEL NEW CONFLICT OF INTEREST DISCLOSURES, WHICH ARE ALSO REVIEWED BY THE AUDITORS. FORM 990, PART VI, SECTION B, LINE 15A IN ACCORDANCE WITH FPHNY'S CORPORATE POLICY ON EXECUTIVE DIRECTOR ("ED") COMPENSATION, THE PRESIDENT OF THE BOARD CREATED AN ED REVIEW COMMITTEE WHICH INCLUDED HIM AS WELL AS TWO ADDITIONAL INDEPENDENT BOARD MEMBERS WHO CONDUCTED A REVIEW OF THE ED'S PERFORMANCE, REVIEWED AND UPDATED HER EMPLOYMENT AGREEMENT (INCLUDING COMPENSATION), AND REPORTED THE FINDINGS AND RECOMMENDATION TO THE FULL BOARD IN EXECUTIVE SESSION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND 990 ARE MADE AVAILABLE UPON REQUEST. ADDITIONALLY, OUR 990 IS PUBLICLY AVAILABLE ON GUIDESTAR.ORG AND FPHNY.ORG. FORM 990, PART VII, SECTION B - INDEPENDENT CONTRACTORS DESCRIPTION OF SERVICES: 1. NDRI-USA, INC - TO DISTRIBUTE NALOXONE KITS TO AT RISK INDIVIDUAL OF OPIOID OVERDOSE; 2. TAKE ME TO THE WATER AQUATICS, INC. - TO PROVIDE FREE WATER SAFETY AND SWIM INSTRUCTIONS TO YOUNG PEOPLE. 2. INTERACTION INSTITUTE FOR SOCIAL CHANGE - TO TRAIN STAFF AND LEADERSHIP IN CORE CONCEPTS OF RACIAL EQUITY AND SOCIAL JUSTICE. FORM 990, PART IX, LINE 11G CONTRACTED PROGRAM SERVICES: PROGRAM SERVICE EXPENSES 15,007,452. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,007,452. OTHER SERVICES: PROGRAM SERVICE EXPENSES 4,153,278. MANAGEMENT AND GENERAL EXPENSES 293,324. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,446,602.