2019-07-01T10:09:14-05:00 2018-09-30 132781641 MITCHELL & TITUS LLP ONE BATTERY PARK PLAZA NEW YORK NY 10004 990 2017-10-01 050539199 FUND FOR PUBLIC HEALTH IN NEW YORK INC FUND 6467104860 22 CORTLANDT STREET NEW YORK NY 10007 SARA GARDNER MPH EXECUTIVE DIRECTOR 6467104860 2019-07-01 1 FREDERICK E DAVIS JR P00446023 2127094500 207.86.186.154 2019-07-01 10:06:22 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 0E4E5A1CADF2B0C08C629D57D211587C2FE3CCF3 2017 2019-02-21 02:37:17Z SARA GARDNER MPH 22 CORTLANDT STREET NEW YORK NY 10007 64281925 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 11 286 11 0 181464 47602032 61313771 189575 45208 52146 80386 13424 12461 47857177 61451826 0 0 0 0 18839807 17814371 0 0 0 31257198 30676919 50097005 48491290 -2239828 12960536 32263412 44265041 7247719 6288480 25015693 37976561 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 17352052 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. 3552054 0 0 THE BEHAVIORAL HEALTH IT (BHIT) PROJECT IS WORKING TO BUILD THE HEALTH INFORMATION TECHNOLOGY CAPACITY OF ORGANIZATIONS PROVIDING HOME AND COMMUNITY BASED SERVICES (HCBS) SO THESE PROVIDERS CAN COORDINATE CARE FOR ADULTS WITH SEVERE MENTAL ILLNESS AND SUBSTANCE USE DISORDERS AND BILL MEDICAID FOR THEIR SERVICES. THIS INCREASED CAPACITY WILL ENABLE PROVIDERS TO RECEIVE MORE ACCURATE, UP-TO-DATE, AND COMPLETE INFORMATION AT THE POINT OF CARE AND, ULTIMATELY, IMPROVE QUALITY OF CARE FOR THOUSANDS OF NEW YORKERS. IN YEAR OF 2 OF THE PROJECT, ELECTRONIC HEALTH RECORD (EHR) SOFTWARE VENDORS IDENTIFIED AS HAVING AN EXISTING FOOTPRINT WITHIN THE NEW YORK CITY HCBS PROVIDER COMMUNITY WERE CONTRACTED TO UPGRADE THEIR PRODUCTS TO INCORPORATE A STANDARD SET OF HCBS FUNCTIONALITIES AND MAKE THESE FUNCTIONALITIES AVAILABLE TO ALL CURRENT AND FUTURE CLIENTS. EHR SYSTEMS NEEDED TO BE ADAPTED TO MEET THE HCBS REQUIREMENTS FOR NEW BILLING CODES, MODIFIERS AND RATES, CASE DOCUMENTATION, CAPITATION RULES, SYSTEM ALERTS AND EXCHANGE CAPABILITIES WITH NEW YORK STATE DESIGNATED HEALTH HOMES AND MANAGED CARE ORGANIZATIONS. THE PROGRAM ALSO ASSISTED 88 NYC-BASED SERVICE PROVIDERS TO SELECT, ADOPT, AND IMPLEMENT A NEW ELECTRONIC HEALTH RECORD SYSTEM OR TO UPGRADE THEIR CURRENT SYSTEM TO MEET HCBS REQUIREMENTS. THIS INCLUDED PROVIDING FINANCIAL AND CUSTOMIZED TECHNICAL SUPPORT TO ENSURE COMPLIANCE WITH HCBS REQUIREMENTS IN TERMS OF QUALITY CASE DOCUMENTATION, CORRECT USE OF BILLING SOFTWARE, AND MINIMIZATION OF MEDICAID REJECTIONS. 3045236 0 0 JOIN THE BEAT IS A MULTI-BUREAU PUBLIC HEALTH COLLABORATION JOINING EFFORTS IN BEING ACTIVE, EATING HEALTHY, ACTING ON CARDIOVASCULAR RISKS, AND TAKING MEDICATIONS, BY BRINGING TOGETHER ENVIRONMENTAL STRATEGIES AND COMMUNITY-CLINICAL LINKAGES TO REDUCE DISPARITIES IN PREVENTING DIABETES AND HELPING PEOPLE WITH HYPERTENSION CONTROL THEIR BLOOD PRESSURE. SPECIAL EMPHASIS IS PLACED ON COMMUNITY-CLINICAL LINKAGE TO ENGENDER CHANGES THAT ARE MUTUALLY REINFORCING AND CREATE SEAMLESS, COORDINATED SUPPORT TO IMPROVE HEALTH AND HEALTHFUL BEHAVIORS. INTERVENTIONS ARE TARGETED IN FOUR PRIORITY NEIGHBORHOODS THAT HAVE HIGHER THAN CITYWIDE PREVALENCE FOR OBESITY, DIABETES, AND HYPERTENSION. TARGETED COMMUNITY, EVIDENCE-BASED PROGRAMS, LIKE THE DIABETES PREVENTION PROGRAM (DPP) HAVE BEEN IMPLEMENTED, COUPLED WITH WHOLE POPULATION PROGRAMS, LIKE ENHANCED ACCESS TO HEALTHY ENVIRONMENTAL SETTINGS.THE PROJECT ACTIVITIES ARE FOCUSED ON THE FOLLOWING KEY AREAS: POPULATION-LEVEL INTERVENTIONS, MANY OF WHICH ARE ALIGNED AROUND CURRENT DOHMH/ CITY PROGRAMS; COALITION BUILDING TO SUPPORT DPP SCALE-UP FOR THE PREVENTION OF DIABETES; PRACTICE FACILITATION FOCUSED AROUND USING HEALTH IT TO DRIVE IMPROVEMENTS IN DISEASE MANAGEMENT AND EARLY DIAGNOSIS; AND PROMOTION OF COMMUNITY-CLINICAL LINKAGE STRATEGIES FOR DISEASE PREVENTION. 20480173 0 57669 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. 20480173 0 57669 44429515 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 1 307 0 1 286 1 1 1 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 MARY T BASSETT MD MPH PRESIDENT & CHAIR 1.00 0.00 X 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 206538 0 37134 DONNA FISHMAN DEPUTY EXECUTIVE DIRECTOR 35.00 0.00 X 202356 0 13961 AMY DIXON DIRECTOR OF FINANCE AND OPERATIONS 35.00 0.00 X 171275 0 28205 AVIVA GOLDSTEIN DIRECTOR OF DEVELOPMENT 35.00 0.00 X 143625 0 39456 ALVIN C LIN SENIOR MANAGING DIRECTOR OF STRATEGY 35.00 0.00 X 145805 0 34505 MARTHA IWAMOTO ZIKA MEDICAL SPECIALIST 35.00 0.00 X 129968 0 38636 HANG PHAM-SINGER SENIOR DIRECTOR, QUALITY IMPROVEMENT 35.00 0.00 X 129300 0 25591 HECTOR PINA IBARRA DIRECTOR OF BEHAVIORAL HEALTH INTEGRATION 35.00 0.00 X 121324 0 25112 1250191 0 242600 17 0 1 0 NYC DEPARTMENT OF HEALTH & MENTAL HYGIEN 42-09 28TH STREET LONG ISLAND CITY NY 11101 PROVIDE VARIOUS PROGRAM SERVICES 5620154 SPRUCE TECHNOLOGY INC 1149 BLOOMFIELD AVE CLIFTON NJ 07012 PROVIDE TECHNICAL SUPPORTS 1475074 TAKE ME TO THE WATER AQUATICS INC 120 E 88TH ST NEW YORK NY 10128 SEE SCHEDULE O 448000 SCO FAMILY SERVICES 1 ALEXANDER PLACE GLEN COVE NY 11542 SEE SCHEDULE O 379352 CARAHSOFT TECHNOLOGY CORPORATION 1860 MICHAEL FARADAY DR STE 100 RESTON VA 20190 SEE SCHEDULE O 378671 19 46376705 14937066 749449 61313771 PROGRAM FEES 900099 45208 45208 45208 119485 119485 2791000 2830099 -39099 -39099 -39099 HONORARIA 900099 12461 12461 12461 61451826 57669 0 80386 X 651974 651974 13291337 11538168 1753169 586048 511958 74090 2128686 1791995 336691 1156326 953503 202823 3473652 3448378 25274 3828 3828 156363 156363 21956124 21908142 47982 139081 91711 47370 1434745 1355181 79564 534620 440291 94329 385591 7088 378503 174116 170842 3274 184303 181488 2815 28095 28095 28048 28048 DONATED HEALTHBUCKS 749449 749449 STAFF EXPENSE 653050 618513 34537 LICENSE & PERMIT 171386 170611 775 UBIT - PRE-TAX TRANSIT 42118 42118 562350 492197 70153 48491290 44429515 4061775 0 10902779 15050163 6958197 7027730 14200309 22007182 44505 44925 380777 304766 98592 76011 59030 59030 32263412 44265041 6222396 5257498 867547 867547 157776 163435 7247719 6288480 X 8596692 3550907 16419001 34425654 25015693 37976561 32263412 44265041 12960536 332 0 X 0 1 X 1 1 1 X 41070476 36477577 43582880 47602032 61313771 230046736 41070476 36477577 43582880 47602032 61313771 230046736 5478828 224567908 20293 8184 71589 52146 119485 271697 48805 17799 18195 13424 12461 110684 230429117 3048722 0.97460 0.98010 X 890038 8518 898556 887106 2932 890038 884563 2543 887106 883830 733 884563 881395 2435 883830 1.00000 1 0 48429 21605 26824 115908 113453 2455 216440 169708 46732 76011 DEFERRED RENT 52689 OTHER LIABILITIES 110746 163435 X 62019215 332 567057 567389 61451826 0 61451826 49058347 567057 567057 48491290 0 48491290 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 2015, 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 206538 0 0 0 0 0 12392 0 24742 0 243672 0 0 0 DONNA FISHMAN DEPUTY EXECUTIVE DIRECTOR 202356 0 0 0 0 0 12141 0 1820 0 216317 0 0 0 AMY DIXON DIRECTOR OF FINANCE AND OPERATIONS 171275 0 0 0 0 0 10277 0 17928 0 199480 0 0 0 AVIVA GOLDSTEIN DIRECTOR OF DEVELOPMENT 143625 0 0 0 0 0 8618 0 30838 0 183081 0 0 0 ALVIN C LIN SENIOR MANAGING DIRECTOR OF STRATEGY 141792 0 4013 0 0 0 8508 0 25997 0 180310 0 0 0 MARTHA IWAMOTO ZIKA MEDICAL SPECIALIST 129968 0 0 0 0 0 7798 0 30838 0 168604 0 0 0 HANG PHAM-SINGER SENIOR DIRECTOR, QUALITY IMPROVEMENT 129300 0 0 0 0 0 7758 0 17833 0 154891 0 0 0 X HEALTHBUCKS 1085481 749449 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. TAKE ME TO THE WATER AQUATICS, INC. - TO PROVIDE FREE WATER SAFETY AND SWIM INSTRUCTION TO YOUNG PEOPLE. 2. SCO FAMILY SERVICES - TO PROVIDE CASE MANAGEMENT SERVICE TO PREGNANT, POSTPARTUM, AND INTERCONCEPTIONAL WOMEN AND THEIR INFANTS AND FAMILIES. 3. CARAHSOFT TECHNOLOGY CORPORATION - TO CONTRACT WITH SALESFORCE TO TRACK DIFFERENT PROGRAM ACTIVITIES. FORM 990, PART IX, LINE 11G CONTRACTED PROGRAM SERVICES: PROGRAM SERVICE EXPENSES 15,467,301. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,467,301. OTHER SERVICES: PROGRAM SERVICE EXPENSES 6,440,841. MANAGEMENT AND GENERAL EXPENSES 47,982. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,488,823.