2013-01-28T15:13:03-06:00 2011-12-31 113518842 MARKS PANETH & SHRON LLP 685 THIRD AVENUE NEW YORK NY 10017 990 2011-01-01 135669201 PUBLIC HEALTH SOLUTIONS PUBL 6466196400 40 WORTH STREET 5TH FLOOR NEW YORK NY 10013 STEVEN NEWMAN 6466196400 2013-01-28 1 ROBERT R LYONS P00227472 2125038800 2011 2016-02-25 16:41:14Z X ELLEN RAUTENBERG 40 WORTH STREET 5TH FLOOR NEW YORK NY 10013 220653258 0 X WWW.HEALTHSOLUTIONS.ORG X 1957 NY PUBLIC HEALTH SOLUTIONS IS ONE OF THE COUNTRY'S LARGEST PUBLIC HEALTH INSTITUTES (SEE SCHEDULE O). 25 25 912 0 0 0 212399069 210961523 10773304 9660928 20938 30807 0 0 223193311 220653258 0 0 0 0 41513960 44864749 32264 0 214853 181898041 178565813 223444265 223430562 -250954 -2777304 44666642 45474227 54950574 68527158 -10283932 -23052931 X PUBLIC HEALTH SOLUTIONS IS A NONPROFIT ORGANIZATION THAT DEVELOPS, IMPLEMENTS, AND ADVOCATES DYNAMIC SOLUTIONS TO PREVENT DISEASE AND IMPROVE COMMUNITY HEALTH. WE CONDUCT COMPREHENSIVE RESEARCH PROVIDING INSIGHT ON PUBLIC HEALTH ISSUES, CREATE AND MANAGE (SEE SCHEDULE O) 1 1 145649682 HIV CARE SERVICES: SINCE 1991, PUBLIC HEALTH SOLUTIONS' HIV CARE SERVICES PROGRAM ("HIVCS") HAS PARTNERED WITH THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE ("NYCDOHMH") TO ADMINISTER HIV/AIDS CARE, TREATMENT AND HIV PREVENTION FUNDING. IN 2011, HIVCS-ADMINISTERED CONTRACTS RECEIVED FEDERAL RYAN WHITE FUNDING (PART A AND MINORITY AIDS INITIATIVE), AS WELL AS FUNDING FROM THE CDC (HIV PREVENTION), HOPWA (A PROGRAM OF THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT), AND THE NEW YORK CITY COUNCIL. IN 2011, HIVCS MANAGED 285 CONTRACTS, COMPRISING (SEE SCHEDULE O) 25715224 PUBLIC HEALTH EMERGENCY RESPONSE ("PHER") AND PREPAREDNESS ("PHEP") GRANTS:PUBLIC HEALTH SOLUTIONS CONTINUES TO RECEIVE THE PHEP GRANT DIRECTLY AND TO ADMINISTER IT ON BEHALF OF AND AT THE DIRECTION OF NYCDOHMH. THE PHEP GRANT PROVIDES FUNDS FOR STATES AND DIRECTLY FUNDED CITIES TO PREPARE FOR AND RESPOND TO EMERGING PUBLIC HEALTH THREATS, INCLUDING ACTS OF BIOTERRORISM, AND SUPPORTS REGIONAL READINESS INITIATIVES. CDC PROVIDED A NO-COST EXTENSION FOR THE FINAL YEAR OF THE LAST FUNDING CYCLE, AND PHS NOW HAS UNTIL 8/9/13 TO SPEND DOWN THE $20 MILLION GRANT (SEE SCHEDULE O). 9970953 2161627 MIC WOMEN'S HEALTH SERVICES ("MIC"):IN 2011, MIC MADE A DIFFICULT FINANCIAL AND OPERATIONAL DECISION TO CEASE OPERATIONS OF SEVERAL HEALTH CENTERS. TWO OF THESE CENTERS, JAMAICA AND TREMONT, WERE SUCCESSFULLY TRANSFERRED TO THE COMMUNITY HEALTHCARE NETWORK ("CHN"), A FEDERALLY QUALIFIED HEALTH CENTER ("FQHC"), AND ONE CENTER, ASTORIA, WAS CLOSED, AND ALL PATIENTS REFERRED TO A NEARBY CHN CENTER. ALL NEW YORK STATE ARTICLE 28 REQUIREMENTS FOR CLOSURE AND TRANSFER WERE ACCOMPLISHED WITH ALL MIC PATIENTS BEING INFORMED IN AN APPROPRIATE AND TIMELY WAY, SUCH THAT NO PATIENT WOULD BE UNABLE TO RECEIVED NEEDED SERVICES. PUBLIC HEALTH SOLUTIONS CONTINUED TO PROVIDE SERVICES AT TWO SITES, (SEE SCHEDULE O) 33033937 7499301 WIC:WIC PROVIDES NUTRITION SERVICES TO WOMEN, INFANTS, AND CHILDREN. FOR THE 36TH YEAR, PUBLIC HEALTH SOLUTIONS HAS HELPED OVER 44,000 LOW-INCOME WOMEN, INFANTS, AND CHILDREN AT NUTRITIONAL RISK OBTAIN COUNSELING AND NUTRITIOUS FOODS AIMED AT REDUCING OR ELIMINATING THEIR NUTRITIONAL RISK. TO THIS END, PUBLIC HEALTH SOLUTIONS ALSO PROVIDES BREASTFEEDING EDUCATION AND SUPPORT, PHYSICAL FITNESS GUIDANCE, AND REFERRALS TO OTHER HEALTH AND HUMAN SERVICES RESOURCES.EARLY INTERVENTION SERVICE COORDINATION ("EISC"):THE EARLY INTERVENTION SERVICE COORDINATION PROGRAM SERVES FAMILIES WITH CHILDREN LESS THAN THREE YEARS OF AGE WHO ARE DEVELOPMENTALLY DELAYED, IN AN EFFORT TO MAXIMIZE IMPROVEMENT AND PREVENT FURTHER EXACERBATION OF THEIR CONDITIONS. IN ADDITION, THE PROGRAM WORKS CLOSELY WITH PARENTS TO HELP THEM DEVELOP EFFECTIVE COPING MECHANISMS AND THE ABILITY TO SUPPORT THEIR CHILDREN'S DEVELOPMENT. EACH YEAR, THE PROGRAM SERVES OVER 7,000 FAMILIES BY FACILITATING THE ELIGIBILITY DETERMINATION PROCESS, IDENTIFYING APPROPRIATE SERVICE PROVIDERS AND MONITORING THE TIMELY DELIVERY OF APPROVED SERVICES, KNOWN AS INITIAL AND ONGOING SERVICE COORDINATION. THE PROGRAM'S 80 MULTILINGUAL SERVICE COORDINATORS WORK WITH FAMILIES IN THEIR HOMES OR AT ANY OTHER LOCATION CONVENIENT TO THEM. THE TOTAL REVENUES AND EXPENSES ASSOCIATED WITH OTHER PROGRAM SERVICES ARE AS FOLLOWS: 33033937 7499301 214369796 1 1 0 1 0 0 0 0 0 0 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 1 0 0 0 0 0 0 0 0 0 0 1 109 0 912 1 0 0 0 0 0 0 0 0 0 0 X 25 25 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA CT FL IL MI MN NJ NY WI X X JOSEPH TRAPANI 6466196408 40 WORTH STREET 5TH FLOOR NEW YORK NY 10013 DEBORAH M SALE 3.00 X X 0 0 0 JO IVEY BOUFFORD 1.00 X X 0 0 0 WILLIAM J HIBSHER ESQ 1.00 X X 0 0 0 RAYMOND P JONES SR 2.00 X X 0 0 0 SUSAN MORALES MD 1.00 X X 0 0 0 ALAN AVILES 1.00 X 0 0 0 GREGORY BAIRD 1.00 X 0 0 0 ADAM BERGER 1.00 X 0 0 0 GERARD P BUSHELL PHD 2.00 X 0 0 0 EMME LEVIN DELAND 1.00 X 0 0 0 THOMAS A FARLEY MD MP 1.00 X 0 0 0 RAYMOND FINK PHD 2.00 X 0 0 0 LINDA FRIED MD MPH 1.00 X 0 0 0 FLORENCE H FRUCHER 2.00 X 0 0 0 BARBARA A GREEN PHD 2.00 X 0 0 0 DAVID HARRIS MD MPH 1.00 X 0 0 0 PHYLLIS A HARRISONROSS 1.00 X 0 0 0 CHARLES A HIRSCH MD 1.00 X 0 0 0 ROBERT M KAUFMAN ESQ 2.00 X 0 0 0 WILLIAM KELLER 2.00 X 0 0 0 JOAN M LEIMAN PHD 2.00 X 0 0 0 TIMOTHY MCINERNEY 1.00 X 0 0 0 CHRISTOPHER SHYER 1.00 X 0 0 0 VICTOR SIDEL MD 1.00 X 0 0 0 SHOSHANNA SOFAER DRPH 1.00 X 0 0 0 STEVEN NEWMAN 35.00 X 244708 0 73413 ELLEN RAUTENBERG 35.00 X 292697 0 87809 DESIREE BUNCH 35.00 X 166869 0 50061 MARY ANN CHIASSON 35.00 X 175776 0 52732 HOLLIS COHEN 35.00 X 58384 0 17515 PETER JENSEN 35.00 X 140039 0 42012 JANE LEVINE 35.00 X 178379 0 53514 KATHRYN MILLER 35.00 X 194169 0 58250 RACHEL MILLER 35.00 X 173760 0 52128 CLAIRE THEROUX OLIVER 35.00 X 97525 0 29258 JOSEPH TRAPANI 35.00 X 179574 0 53873 BENJAMIN KIM 35.00 X 107884 0 32365 LOUISE COHEN 35.00 X 84615 0 25385 DAVID WHITLINGER 35.00 X 342000 0 102600 NICHOLAS VAN DUYNE 35.00 X 175000 0 52500 PAUL WILDER 35.00 X 163846 0 49154 ANUJ DESAI 35.00 X 155000 0 46500 GRACE MOON 35.00 X 147692 0 44308 3077917 0 923377 45 0 1 0 GOGORILLA MEDIA 1160 WEST HOUSTON STREET NEW YORK NY 10012 DISTRIBUTION SERVICES 288833 BANDUJO ADVERTISING AND DESIGN 22 WEST 21ST STREET NEW YORK NY 10010 ADVERTISING 255936 WANK ADAMS SLAVIN ASSOCIATES 740 BROADWAY NEW YORK NY 10003 ARCHITECTURE/ENGINEERING 227200 MARKS PANETH & SHRON LLP 622 THIRD AVENUE NEW YORK NY 10017 AUDIT 179050 TIMELINE FILMS AND VIDEO 213 WEST 80TH STREET NEW YORK NY 10024 FILM PRODUCTION 142894 11 203777874 7183649 210961523 THIRD PARTY SUPPORT 624100 7077331 7077331 MEDICAID/THIRD PARTY S 624000 1456082 1456082 OTHER REVENUE 900099 1032157 1032157 THIRD PARTY SUPPORT 900099 95358 95358 9660928 30807 30807 220653258 9660928 0 30807 2722694 589605 2025016 108073 33508217 30041247 3440808 26162 1926315 1708522 215245 2548 4086567 3862227 224340 2620956 2249912 362559 8485 24141 24141 183100 183100 15820620 15673568 132601 14451 1920115 1920115 8274021 7920363 347849 5809 7680124 6432167 1247957 544972 466820 33651 44501 113926 104935 7820 1171 361496 146082 215414 518897 447539 71358 SUBCONTRACTOR PAYMENTS 140434395 140434395 MAINTENANCE AND REPAIRS 1328663 1137652 191011 RECRUITING AND TRAINING 990027 896411 91615 2001 SUNDRY 371316 338236 31428 1652 223430562 214369796 8845913 214853 16966579 24994657 20474082 16337602 3331820 2396338 106811 46271 5137940 4460310 1039126 677630 2748224 1021729 44666642 45474227 29302702 31930868 1450000 1360000 24197872 35236290 54950574 68527158 X -10483270 -23234405 199338 181474 -10283932 -23052931 44666642 45474227 X -2777304 -9991695 X X 0 1 1 X 1 1 X 202952582 208229213 219483192 212399069 210961523 1054025579 607206 837286 933125 874783 877132 4129532 203559788 209066499 220416317 213273852 211838655 1058155111 1058155111 48848 45657 21292 20938 30807 167542 1058322653 67192377 0.99980 0.99980 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 24065 0 0 24065 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: TO MONITOR AND INFORM PUBLIC HEALTH SOLUTIONS OF THE INTRODUCTION AND PROCESS OF BILLS OF INTEREST, ESPECIALLY IN THE HEALTH AND HUMAN SERVICES FIELD. TO ACT AS AN INTERFACE BETWEEN PUBLIC HEALTH SOLUTIONS AND STATE GOVERNMENT, IN GENERAL, PARTICULARLY THE HEALTH DEPARTMENT, THE OFFICE OF CHILDREN AND FAMILY SERVICES, AND THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HEALTH, NEW YORK CITY COUNCIL AND HUMAN RESOURCES ADMINISTRATION, AND THE DEPARTMENT OF SOCIAL SERVICES AS REQUESTED FROM TIME TO TIME. 3604024 3013379 590645 1533916 1446931 86985 677630 ADVANCES FROM GOVERNMENT AND OTHER 13368431 PENSION LIABILITY 21503694 CAPITAL LEASE OBLIGATIONS 364165 35236290 220653258 223430562 -2777304 -9991695 -9991695 -12768999 221530390 877132 877132 220653258 0 220653258 224307694 877132 877132 223430562 0 223430562 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: PUBLIC HEALTH SOLUTIONS HAD NO UNCERTAIN INCOME TAX POSITIONS AS OF DECEMBER 31, 2011 AND 2010 IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION ("ASC") TOPIC 740 ("INCOME TAXES"), WHICH PROVIDES STANDARDS FOR ESTABLISHING AND CLASSIFYING ANY TAX PROVISIONS FOR UNCERTAIN TAX POSITIONS. PUBLIC HEALTH SOLUTIONS IS NO LONGER SUBJECT TO FEDERAL OR STATE AND LOCAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS ENDED BEFORE 2008. PART XI, LINE 8 - OTHER ADJUSTMENTS: PENSION LIABILITY ADJUSTMENT -9,991,695. X X X X X X 0 0 0 0 0 0 0 0 0 STEVEN NEWMAN 244708 0 0 0 0 0 5938 0 67475 0 318121 0 0 0 ELLEN RAUTENBERG 292697 0 0 0 0 0 14798 0 73011 0 380506 0 0 0 DESIREE BUNCH 166869 0 0 0 0 0 6030 0 44031 0 216930 0 0 0 MARY ANN CHIASSON 175776 0 0 0 0 0 8328 0 44404 0 228508 0 0 0 PETER JENSEN 140039 0 0 0 0 0 5270 0 36742 0 182051 0 0 0 JANE LEVINE 178379 0 0 0 0 0 4150 0 49364 0 231893 0 0 0 KATHRYN MILLER 194169 0 0 0 0 0 5474 0 52776 0 252419 0 0 0 RACHEL MILLER 173760 0 0 0 0 0 6907 0 45221 0 225888 0 0 0 JOSEPH TRAPANI 179574 0 0 0 0 0 5938 0 47935 0 233447 0 0 0 DAVID WHITLINGER 342000 0 0 0 0 0 12177 0 90423 0 444600 0 0 0 NICHOLAS VAN DUYNE 175000 0 0 0 0 0 5115 0 47385 0 227500 0 0 0 PAUL WILDER 163846 0 0 0 0 0 5863 0 43291 0 213000 0 0 0 ANUJ DESAI 155000 0 0 0 0 0 4650 0 41850 0 201500 0 0 0 GRACE MOON 147692 0 0 0 0 0 3831 0 40477 0 192000 0 0 0 SUPPLEMENTAL INFORMATION PART III SCHEDULE J, PART II - OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES: AS NOTED IN FORM 990, PART III, LINE 1 (PAGE 1), A LARGE LINE OF WORK FOR PUBLIC HEALTH SOLUTIONS IS THE PROVISION OF MANAGEMENT/ADMINISTRATION SERVICES TO GOVERNMENT AGENCIES, NONPROFIT ORGANIZATIONS, AND OTHERS, TO ENHANCE THEIR EFFECTIVENESS AND STRENGTHEN THEIR CAPACITY TO HAVE AN IMPACT AND EFFICIENTLY MANAGE FUNDS. PUBLIC HEALTH SOLUTIONS PROVIDES THESE SERVICES TO NYEC, AND ALTHOUGH SEVERAL OF THEIR STAFF ARE REFLECTED IN PUBLIC HEALTH SOLUTIONS' SCHEDULE J (RELEVANT STAFF ARE FOOTNOTED IN FORM 990, PART VII), NYEC IS AN INDEPENDENT ORGANIZATION THAT FILES A SEPARATE 990. THE NYEC STAFF REFLECTED IN PUBLIC HEALTH SOLUTIONS' SCHEDULE J ARE AS FOLLOWS: DAVID WHITLINGER NICHOLAS VAN DUYNE PAUL WILDER ANUJ DESAI GRACE MOON THOMAS A FARLEY MD MP BOARD MEMBER 165437404 NYCDHMH COMMISSIONER - SEE BELOW 0 ALAN AVILES BOARD MEMBER 328949 HHC EXECUTIVE DIRECTOR - SEE BELOW 0 JOAN M LEIMAN PHD BOARD MEMBER 329004 NY PRESBYTERIAN'S CHIEF OF STAFF - SEE BELOW 0 EMME LEVIN DELAND BOARD MEMBER 329004 NY PRESBYTERIAN'S SVP OF STRATEGY - SEE BELOW 0 LINDA FRIED MD MPH BOARD MEMBER 124600 DEAN OF JOSEPH L. MAILMAN SCHOOL OF PUBLIC HEALTH OF COLUMBIA - SEE BELOW 0 ROBERT M KAUFMAN ESQ BOARD MEMBER 20471 PARTNER OF PROSKAUER ROSE LLP WHICH PROVIDES LEGAL SERVICES TO PUBLIC HEALTH SOLUTIONS 0 SCHEDULE L, PART IV: BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: AS A MAJOR STAKEHOLDER IN NEW YORK CITY'S PUBLIC HEALTH ARENA, PUBLIC HEALTH SOLUTIONS SEEKS AND OBTAINS DIRECTOR CANDIDATES FROM A WIDE RANGE OF HOSPITALS, UNIVERSITIES, CIVIC ORGANIZATIONS AND OTHER ORGANIZATIONS IN NEW YORK CITY THAT ARE IN THE HEALTH FIELD OR ARE OTHERWISE CONNECTED TO PUBLIC HEALTH. IN ADDITION, ARTICLE 1, SECTIONS 2 AND 4 OF PUBLIC HEALTH SOLUTIONS' BY-LAWS MANDATE THE APPOINTMENT OF THREE LOCAL PUBLIC HEALTH OFFICIALS AS EX-OFFICIO DIRECTORS: THE COMMISSIONER OF THE NEW YORK CITY DEPARTMENT OF HEALTH, THE PRESIDENT OF THE NEW YORK CITY HEALTH AND HOSPITALS CORPORATION AND THE CHIEF MEDICAL EXAMINER OF THE CITY OF NEW YORK. ALL THESE INDIVIDUALS BRING INDISPENSABLE SKILLS AND EXPERTISE TO PUBLIC HEALTH SOLUTIONS' BOARD OF DIRECTORS. HOWEVER, DUE TO THE BROAD SCOPE OF SERVICE PUBLIC HEALTH SOLUTIONS PROVIDES, PUBLIC HEALTH SOLUTIONS HAS BUSINESS ARRANGEMENTS WITH CERTAIN PUBLIC AGENCIES AND PRIVATE ORGANIZATIONS WHERE THE EX-OFFICIO DIRECTORS AND CERTAIN OTHER DIRECTORS ARE AGENCY HEADS OR KEY EMPLOYEES. THE TOTAL AMOUNT CONTRACTED WITH SUCH AGENCIES AND ORGANIZATIONS APPROXIMATED $165 MILLION AND $167 MILLION IN 2011 AND 2010, RESPECTIVELY. CONTRACTS WITH LOCAL GOVERNMENT AGENCIES ARE AWARDED IN ACCORDANCE WITH RIGOROUS GOVERNMENT PROCUREMENT REGULATIONS. THE AWARD OF CONTRACTS TO DIRECTOR AND EX-OFFICIO DIRECTOR-AFFILIATED ORGANIZATIONS COMPLY WITH PUBLIC HEALTH SOLUTIONS' PURCHASING PROCEDURES; DIRECTORS AND EX-OFFICIO DIRECTORS PLAY NO ROLE IN THE PROCESS IN EITHER THEIR ORGANIZATIONAL OR DIRECTORSHIP CAPACITIES. MANAGEMENT BELIEVES THAT PUBLIC HEALTH SOLUTIONS IS IN FULL COMPLIANCE WITH ITS COMPREHENSIVE CONFLICT OF INTEREST POLICY. DESCRIPTION OF THE ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES: PART I, LINE 1 PUBLIC HEALTH SOLUTIONS ("PHS") IS ONE OF THE COUNTRY'S LARGEST PUBLIC HEALTH INSTITUTES. ITS MISSION IS TO IMPROVE THE HEALTH OF THE PUBLIC THROUGH SERVICE DELIVERY, RESEARCH, CAPACITY BUILDING, AND POLICY ANALYSIS. CORE PROGRAMS ADDRESS CRITICAL HEALTH NEEDS SUCH AS MATERNAL AND CHILD HEALTH, FOOD AND NUTRITION, ACCESS TO HEALTH INSURANCE, SMOKING PREVENTION AND CESSATION, AND HIV PREVENTION & CARE. FOR MORE THAN 50 YEARS, PHS HAS LED THE QUEST FOR INNOVATION AND PROGRESS IN COMMUNITY HEALTH THROUGH DIRECT AND CONTRACTED SERVICES TO IMPROVE HEALTH, WITH A FOCUS ON DISPARITIES IN ACCESS AND OUTCOMES; CAPACITY- AND ORGANIZATION-BUILDING SUPPORT FOR THE NONPROFIT AND GOVERNMENTAL SECTORS; AND CUTTING-EDGE RESEARCH AND EVALUATION ACROSS ITS FIELDS. FOUNDED IN 1957 TO ENABLE THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE AND OTHER ORGANIZATIONS TO CONDUCT HEALTH RESEARCH TO INFORM THEIR WORK, OVER THE YEARS PUBLIC HEALTH SOLUTIONS SAW AN OPPORTUNITY AND A NEED TO BUILD UPON ITS FOUNDATION OF RIGOROUS SCIENTIFIC RESEARCH AND PRACTICE IN DYNAMIC WAYS TO IMPROVE THE HEALTH OF COMMUNITIES. TODAY, PHS USES ITS RESEARCH TO HELP ILLUMINATE CRITICAL PUBLIC HEALTH ISSUES AND TO DESIGN, IMPLEMENT AND ASSESS EFFECTIVE METHODS FOR PREVENTING DISEASE AND IMPROVING HEALTH IN NEW YORK CITY AND BEYOND. ANNUALLY, PHS PROGRAMS DIRECTLY BENEFIT OVER 200,000 LOW-INCOME AND AT-RISK NEW YORKERS AND MORE THAN FOUR MILLION SCHOOL CHILDREN NATIONWIDE. DESCRIPTION OF THE ORGANIZATION'S MISSION: PART III, LINE 1: PUBLIC HEALTH SOLUTIONS IS A NONPROFIT ORGANIZATION THAT DEVELOPS, IMPLEMENTS, AND ADVOCATES DYNAMIC SOLUTIONS TO PREVENT DISEASE AND IMPROVE COMMUNITY HEALTH. WE CONDUCT COMPREHENSIVE RESEARCH PROVIDING INSIGHT ON PUBLIC HEALTH ISSUES, CREATE AND MANAGE COMMUNITY HEALTH PROGRAMS, AND PROVIDE SERVICES TO OTHER ORGANIZATIONS TO IMPROVE THEIR ABILITY TO ADDRESS PUBLIC HEALTH ISSUES. FOR GOVERNMENT AGENCIES, NONPROFIT ORGANIZATIONS AND OTHERS, WE PROVIDE MANAGEMENT/ADMINISTRATION SERVICES TO ENABLE THEM TO ENHANCE THEIR EFFECTIVENESS, STRENGTHEN THEIR CAPACITY TO HAVE AN IMPACT AND EFFICIENTLY MANAGE FUNDS. THESE SERVICES INCLUDE ADMINISTRATIVE AND FISCAL MANAGEMENT, CONTRACTING, RECRUITMENT, GRANT WRITING, HUMAN RESOURCES, PURCHASING, IT, DEVELOPMENT AND SPACE. PUBLIC HEALTH SOLUTIONS HAS SERVICE LOCATIONS THROUGHOUT NEW YORK CITY, HAS APPROXIMATELY 660 EMPLOYEES, AND STRIVES FOR EXCELLENCE IN THE PROVISION OF SERVICES. NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 HIGHLIGHTS FROM 2011 INCLUDED: REGIONAL CATASTROPHIC PREPAREDNESS GRANT PROGRAM ("RCGP"): THIS PROGRAM, FOR WHICH PUBLIC HEALTH SOLUTIONS IS PROVIDING PERSONNEL, FISCAL, PURCHASING AND PROCUREMENT MANAGEMENT SUPPORT TO THE NYC OFFICE OF EMERGENCY MANAGEMENT ("OEM"), IS A PLANNING COLLABORATION OF SEVERAL STATES, INCLUDING NEW YORK, CONNECTICUT, PENNSYLVANIA AND NEW JERSEY THAT IS COORDINATED BY OEM. THE SOURCE OF FUNDING IS THE US DEPARTMENT OF HOMELAND SECURITY. PHS' MASTER CONTRACT WITH OEM WAS RENEWED, EFFECTIVE SEPTEMBER 1, 2011. THE NO-COST RENEWAL EXTENDS THE ORIGINAL PROJECTS AND ADDS NEW PROJECTS FOR THE PERIOD ENDING JULY 31, 2013. THE TOTAL FUNDING BALANCE TO BE ADMINISTERED IS $10 MILLION. FUNDING FOR THE NEW PROJECTS TOTALS APPROXIMATELY $7 MILLION. PHS WILL CONTINUE TO RELEASE COMPETITIVE TASK ORDER REQUESTS TO VENDORS TO PROVIDE CRITICAL SERVICES IN SUPPORT OF REGIONAL CATASTROPHIC PLANNING, PROCURE GOODS AND SERVICES, AND MONITOR THE BUDGET. IN LATE 2012, STAFF FUNDED BY THE RCGP TOOK PART IN RESPONSE ACTIVITIES TO HURRICANE SANDY, INCLUDING ASSISTING OEM WITH SHELTER OPERATIONS AND WORKING ON-SITE WITH THE NJ OFFICE OF HOMELAND SECURITY AND PREPAREDNESS. SCHOOL FOOD FOCUS ("FOCUS"): LAUNCHED IN 2008, FOCUS IS THE COUNTRY'S LEADING SCHOOL FOOD REFORM PROJECT. A NATIONAL COLLABORATIVE NETWORK, FOCUS IS UNIQUE IN ITS APPROACH TO LEVERAGING THE KNOWLEDGE AND PROCUREMENT POWER OF LARGE SCHOOL DISTRICTS TO MAKE SCHOOL MEALS MORE HEALTHFUL, REGIONALLY SOURCED, AND SUSTAINABLY PRODUCED. FOCUS AIMS TO TRANSFORM FOOD SYSTEMS TO SUPPORT STUDENTS' ACADEMIC ACHIEVEMENT AND LIFELONG HEALTH, WHILE DIRECTLY BENEFITING REGIONAL ECONOMIES, FOOD SYSTEM WORKERS, AND THE ENVIRONMENT. FOCUS' SIGNATURE LEARNING LAB MODEL ENGAGES LARGE SCHOOL DISTRICTS TO REDIRECT PROCUREMENT PRACTICES TOWARD MORE WHOLESOME FOOD. THE MODEL CONNECTS SCHOOL FOOD SERVICE PROFESSIONALS AND THEIR PARTNERS WITH RESEARCH AND TECHNICAL SUPPORT TO DEVELOP SPECIFIC PROCUREMENT CHANGE PRIORITIES, AND THUS CREATE REAL CHANGE IN THE HEALTH AND WELL-BEING OF THEIR STUDENTS AS WELL AS ACROSS THE SUPPLY CHAINS OF THE SCHOOL FOOD SYSTEM. IN 2011, FOCUS BEGAN THE DEVELOPMENT OF ITS UPPER MIDWEST REGIONAL LEARNING LAB - THE NATION'S FIRST SUCH MULTI-DISTRICT, LARGE-SCALE EFFORT. THE UPPER MIDWEST REGIONAL LEARNING LAB WILL BRING VALUABLE LESSONS LEARNED AND PROGRESS GAINED THROUGH ITS SINGLE-DISTRICT LEARNING LABS TO A MULTI-STATE, REGIONAL LEVEL. WITH APPROXIMATELY 9 MILLION STUDENTS IN THE STATES OF ILLINOIS, INDIANA, IOWA, MICHIGAN, MINNESOTA, NEBRASKA, OHIO AND WISCONSIN, A LARGE NUMBER OF CHILDREN WILL BE POSITIVELY AFFECTED BY IMPROVED SCHOOL FOOD. THE LEARNING LAB'S CHANGE MODEL WILL BE ACCELERATED AND SCALED UP AS DISTRICTS IN THESE EIGHT STATES LEVERAGE THEIR COMBINED BUYING POWER WITH SUPPLIERS TO BRING HEALTHIER, MORE SUSTAINABLE FOOD OPTIONS IN ALL DISTRICTS IN THE REGION COMMITTED TO CHANGING THE FOOD IN SCHOOL MEALS. IMPLEMENTATION OF THE FOCUS UPPER MIDWEST REGIONAL LEARNING LAB WILL UNFOLD OVER A THREE-YEAR PERIOD, LEAVING IN PLACE A SUSTAINABLE POST-LAB FRAMEWORK AND INFRASTRUCTURE. NEW YORK EHEALTH COLLABORATIVE ("NYEC"): THE NYEC IS A PUBLIC-PRIVATE STATEWIDE PARTNERSHIP DEDICATED TO ENSURING SUCCESSFUL STATEWIDE IMPLEMENTATION OF HEALTH INFORMATION TECHNOLOGY ("HIT"). NYEC WORKS TO BUILD CONSENSUS ON STATE HIT POLICY PRIORITIES, AND COLLABORATION ON STATE AND REGIONAL HIT IMPLEMENTATION THROUGH ASSISTING PROVIDERS TO CONVERT THEIR PRACTICES FROM PAPER TO ELECTRONIC HEALTH RECORDS, AS WELL AS WORKING WITH MULTIPLE STAKEHOLDERS TO DEVELOP A STATE-WIDE HEALTH INFORMATION EXCHANGE SYSTEM. PUBLIC HEALTH SOLUTIONS PROVIDES ADMINISTRATIVE SUPPORT SERVICES TO NYEC, WHICH HAS AN ANNUAL BUDGET OF APPROXIMATELY $40 MILLION. PHS SERVICES INCLUDE FISCAL MANAGEMENT, CONTRACTING, GRANTS MANAGEMENT, HUMAN RESOURCES, PURCHASING, IT, DEVELOPMENT AND SPACE. IN ADDITION TO THOSE CORE SERVICES, PHS ALSO ASSISTS NYEC IN DEVELOPING POLICIES AND PROCEDURES TO REFLECT THE ORGANIZATION'S BUSINESS MODELS. CHANGES IN PROGRAM SERVICES FORM 990, PART III, LINE 3 NEIGHBORHOOD WIC PROGRAM ("WIC"): EACH YEAR, PUBLIC HEALTH SOLUTIONS' TEN NEIGHBORHOOD WIC CENTERS SERVE APPROXIMATELY 44,000 PREGNANT WOMEN, NURSING MOTHERS, AND INFANTS AND YOUNG CHILDREN UP TO AGE FIVE WHO ARE AT NUTRITIONAL RISK. THE PROGRAM PROVIDES THESE FAMILIES WITH SPECIAL SUPPLEMENTAL FOODS, NUTRITION EDUCATION, AND COUNSELING ABOUT DIET AND PHYSICAL FITNESS. WIC STAFF ENCOURAGES NEW MOTHERS TO BREASTFEED, MONITORS PARTICIPANTS' HEIGHT AND WEIGHT; CHILDREN'S IMMUNIZATION STATUS; AND REFERS THEM AS NEEDED TO MEDICAL AND SOCIAL SERVICES. ACCESS TO HEALTH AND FOOD BENEFITS: FORMERLY KNOWN AS THE HEALTH INSURANCE ENROLLMENT PROGRAM ("HIEP"), PUBLIC HEALTH SOLUTIONS' ACCESS TO HEALTH AND FOOD BENEFITS PROGRAM HELPS INDIVIDUALS AND FAMILIES OBTAIN PUBLIC HEALTH INSURANCE COVERAGE SUCH AS MEDICAID, CHILD HEALTH PLUS, AND FAMILY HEALTH PLUS. IT ALSO ASSISTS THOSE IN NEED OF ADEQUATE FOOD TO APPLY FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM ("SNAP") BENEFITS, ALSO KNOWN AS FOOD STAMPS. PHS ENROLLMENT FACILITATORS AND FOOD BENEFITS COUNSELORS ARE ETHNICALLY DIVERSE AND CAN HELP CLIENTS IN MANY LANGUAGES TO NAVIGATE THROUGH WHAT FOR MANY IS A COMPLICATED AND CONFUSING APPLICATIONS PROCESS. IN 2011, PHS ENROLLED 10,698 NEW YORK CITY FAMILIES INTO PUBLIC HEALTH INSURANCE, AND ASSISTED 3,066 NEW YORK CITY HOUSEHOLDS WITH THEIR APPLICATIONS FOR FOOD STAMPS THROUGH SNAP. MIC WOMEN'S HEALTH SERVICES ("MIC"): MIC HAS BEEN ONE OF THE LEADING PRENATAL AND TITLE X FAMILY PLANNING PROVIDERS IN THE REGION, OFFERING COMPREHENSIVE, HIGH-QUALITY FAMILY PLANNING TO WOMEN, MANY OF WHOM ARE AMONG THE MOST VULNERABLE POPULATIONS IN THE CITY. MIC BECAME A LEADER IN THE FIELD BY BUILDING A COMPREHENSIVE CARE MODEL BY PROVIDING KEY SERVICES INCLUDING HEALTH EDUCATION, SOCIAL WORK, SMOKING CESSATION, MENTAL HEALTH, HIV AND STD COUNSELING AND TESTING, PREGNANCY TESTING, A FULL RANGE OF CONTRACEPTION OPTIONS AND PRESUMPTIVE MEDICAID CERTIFICATION. BECAUSE A NUMBER OF FACTORS, INCLUDING FUNDING SHIFTS AT THE FEDERAL AND STATE LEVELS, HAD GREATLY ACCELERATED PRESSURE ON TRADITIONAL WOMEN'S HEALTH/FAMILY PLANNING CENTERS, SUCH AS MIC, IN 2011 PHS MADE A DIFFICULT BUT PRUDENT FINANCIAL AND OPERATIONAL DECISION TO CEASE OPERATIONS OF SEVERAL MIC CENTERS. TWO OF THESE CENTERS, JAMAICA AND TREMONT, WERE SUCCESSFULLY TRANSFERRED TO THE COMMUNITY HEALTHCARE NETWORK ("CHN"), A FEDERALLY QUALIFIED HEALTH CENTER ("FQHC"), AND ONE CENTER, ASTORIA, WAS CLOSED. ALL ASTORIA MIC PATIENTS WERE REFERRED TO A NEARBY CHN CENTER. ALL NEW YORK STATE ARTICLE 28 REQUIREMENTS FOR CLOSURE AND TRANSFER WERE ACCOMPLISHED WITH ALL MIC PATIENTS BEING INFORMED IN AN APPROPRIATE AND TIMELY WAY, SUCH THAT NO PATIENT WOULD BE UNABLE TO RECEIVE NEEDED SERVICES. PUBLIC HEALTH SOLUTIONS CONTINUED TO PROVIDE SERVICES AT TWO SITES, FT GREENE, AND EASTERN PARKWAY, AND HAD A MANAGEMENT CONTRACT WITH WOODHULL HOSPITAL AND MENTAL HEALTH CENTER THROUGH MID-2012. THIS RESTRUCTURING HAD THE IMPACT OF ENSURING ESSENTIAL PATIENT ACCESS AND SERVICES AT THREE KEY SITES, WHILE CONTINUING TO DIRECTLY OPERATE TWO SITES. DESCRIPTION OF HIV CARE SERVICES PROGRAM: PART III, LINE 4A: HIV CARE SERVICES: SINCE 1991, PUBLIC HEALTH SOLUTIONS' HIV CARE SERVICES PROGRAM ("HIVCS") HAS PARTNERED WITH THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE ("NYCDOHMH") TO ADMINISTER HIV/AIDS CARE, TREATMENT AND HIV PREVENTION FUNDING. IN 2011, HIVCS-ADMINISTERED CONTRACTS RECEIVED FEDERAL RYAN WHITE FUNDING (PART A AND MINORITY AIDS INITIATIVE), AS WELL AS FUNDING FROM THE CDC (HIV PREVENTION), HOPWA (A PROGRAM OF THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT), AND THE NEW YORK CITY COUNCIL. IN 2011, HIVCS MANAGED 285 CONTRACTS, COMPRISING 314 SEPARATE AWARDS, ON BEHALF OF NYCDOHMH. SERVICES INCLUDED MENTAL HEALTH SERVICES, PRIMARY CARE AND MEDICATIONS, HIV TESTING, HOUSING SERVICES, LEGAL SERVICES, FOOD AND NUTRITION, HARM REDUCTION AND SUBSTANCE ABUSE TREATMENT, ANTI-STIGMA CAMPAIGNS, BEHAVIORAL PREVENTION INTERVENTIONS, CONDOM DISTRIBUTION, MEDICAL CASE MANAGEMENT, HOME CARE AND FAITH-BASED PROGRAMS. HIVCS ISSUED A REQUEST FOR PROPOSALS ("RFP") IN 2011 FOR APPROXIMATELY $12 MILLION IN CDC- AND RYAN WHITE-FUNDED HIV TESTING PROGRAMS ($6 MILLION EACH), RESULTING IN AWARDS TO 56 NEW PROGRAMS THAT PROVIDE RAPID HIV TESTS TO PERSONS OF UNKNOWN HIV STATUS, AND LINKAGE TO PRIMARY CARE FOR THOSE WHO TEST POSITIVE. TO COMPLY WITH SPENDING REQUIREMENTS INTRODUCED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION ("HRSA"), THE ADMINISTRATOR OF THE RYAN WHITE HIV/AIDS TREATMENT MODERNIZATION ACT, HIVCS ACTIVELY MANAGED THE SPENDING OF RYAN WHITE SUBCONTRACTS, REDUCING THE AWARDS OF LOW-SPENDING CONTRACTORS AND PROVIDING ENHANCEMENT FUNDING TO STRONG-PERFORMING CONTRACTORS. THE FUNDING YEAR ENDING FEBRUARY 28, 2012 HAD SPENDING OF 99.4% FOR THE RYAN WHITE BASE GRANT AND 96.1% FOR THE MINORITY AIDS INITIATIVE GRANT, FROM A TOTAL AWARD OF MORE THAN $120 MILLION, WELL ABOVE MINIMUM SPENDING LEVELS REQUIRED TO AVOID PENALTY. HIVCS' PORTFOLIO OF PERFORMANCE-BASED CONTRACTS IS NOW MATURE AND OPERATING AT FULL CAPACITY. BETWEEN 2011 AND 2012, THE JURISDICTION IS TRANSITIONING TO A NEW DATA REPORTING SYSTEM ("ESHARE"), WHOSE GOAL IS TO PROVIDE ACCURATE DATA FOR PAYMENT, MONITORING AND ANALYSIS. 2011 WAS THE FIFTH YEAR OF PERFORMANCE-BASED (FEE-FOR-SERVICE) REIMBURSEMENT FOR THE RYAN WHITE AND PREVENTION PORTFOLIOS, WHICH IS INTENDED TO ENHANCE ACCOUNTABILITY, AS PAYMENTS ARE ALIGNED WITH THE DELIVERY OF CONTRACTUALLY-REQUIRED SERVICES. PERFORMANCE-BASED PAYMENTS REIMBURSE CONTRACTORS FOR REPORTED SERVICES, ACCORDING TO A NEGOTIATED FEE SCHEDULE RATHER THAN REPORTED EXPENDITURES OR FOR PROJECT DELIVERABLES. IN PERFORMANCE-BASED CONTRACTING, HIVCS STAFF DOES NOT MONITOR EXPENDITURES, BUT DOES AUDIT DOCUMENTATION OF SERVICES OR DELIVERABLES TO INSURE COMPLIANCE WITH PROGRAMMATIC AND DOCUMENTATION REQUIREMENTS. FUNDS MAY BE RECOUPED FOR SERVICES WHICH LACK APPROPRIATE DOCUMENTATION OR WHOSE DOCUMENTATION DISCLOSED NONCOMPLIANCE WITH CONTRACTUAL RULES. CARE COORDINATION CONTRACTS, AT $25 MILLION ARE THE LARGEST LOCAL SERVICE INITIATIVE, WERE PAID IN 2011 ON A PER-MEMBER, PER-DAY BASIS, WITH DAILY REIMBURSEMENT FOR CLIENTS ENROLLED IN PROGRAM TRACKS OF VARYING SERVICE INTENSITIES. EACH DAY IS AUTOMATICALLY ASSESSED BY HIVCS INFORMATION SYSTEMS FOR QUALIFYING SERVICES; DAYS THAT SATISFY THE PROGRAM'S REQUIREMENTS ARE PAYABLE, WHILE DAYS FALLING SHORT ARE NOT. DESCRIPTION OF PUBLIC HEALTH EMERGENCY RESPONSE AND PREPAREDNESS PROGRAM: PART III, LINE 4B: PUBLIC HEALTH EMERGENCY RESPONSE ("PHER") AND PREPAREDNESS ("PHEP") GRANTS: PUBLIC HEALTH SOLUTIONS CONTINUES TO RECEIVE THE PHEP GRANT DIRECTLY AND TO ADMINISTER IT ON BEHALF OF AND AT THE DIRECTION OF NYCDOHMH. THE PHEP GRANT PROVIDES FUNDS FOR STATES AND DIRECTLY FUNDED CITIES TO PREPARE FOR AND RESPOND TO EMERGING PUBLIC HEALTH THREATS, INCLUDING ACTS OF BIOTERRORISM, AND SUPPORTS REGIONAL READINESS INITIATIVES. CDC PROVIDED A NO-COST EXTENSION FOR THE FINAL YEAR OF THE LAST FUNDING CYCLE, AND PHS NOW HAS UNTIL 8/9/13 TO SPEND DOWN THE $20 MILLION GRANT. THE PURPOSE OF HPP IS TO PROVIDE LEADERSHIP AND FUNDING THROUGH GRANTS AND COOPERATIVE AGREEMENTS TO STATES, TERRITORIES, AND ELIGIBLE MUNICIPALITIES TO IMPROVE SURGE CAPACITY AND ENHANCE COMMUNITY AND HOSPITAL PREPAREDNESS FOR PUBLIC HEALTH EMERGENCIES. IN 2012, THE DEPARTMENT OF HEALTH AND HUMAN SERVICES ALIGNED THE PHEP GRANT WITH THE HOSPITAL PREPAREDNESS PROGRAM ("HPP") GRANT, WHICH FORMERLY HAD BEEN ADMINISTERED BY ANOTHER ENTITY (NOT PHS) FOR NYCDOHMH. NYCDOHMH SELECTED PHS TO BE ITS FISCAL AND ADMINISTRATIVE AGENT FOR THE NEWLY ALIGNED PHEP-HPP GRANT, WHICH HAS A PROJECT PERIOD OF 7/1/12 TO 6/30/17. THE TOTAL AMOUNT OF THE GRANT AWARD FOR BUDGET PERIOD ONE (7/1/12 - 6/30/12) IS $27 MILLION. PUBLIC HEALTH SOLUTIONS CONTINUES TO PROVIDE A FULL RANGE OF SERVICES TO NYCDOHMH FOR THE PHEP GRANT AND NOW THE HPP GRANT. SERVICES INCLUDE RECRUITMENT AND HIRING, CONTRACTS ADMINISTRATION AND MANAGEMENT, PROCUREMENT OF GOODS AND SERVICES, BUDGET MANAGEMENT AND ANALYSIS, AND DEVELOPMENT AND SUBMISSION OF ALL ADMINISTRATIVE AND FISCAL REPORTING DOCUMENTATION REQUIRED BY CDC. DESCRIPTION OF MIC WOMEN'S HEALTH SERVICES PROGRAM: PART III, LINE 4C: MIC WOMEN'S HEALTH SERVICES ("MIC"): IN 2011, MIC MADE A DIFFICULT FINANCIAL AND OPERATIONAL DECISION TO CEASE OPERATIONS OF SEVERAL HEALTH CENTERS. TWO OF THESE CENTERS, JAMAICA AND TREMONT, WERE SUCCESSFULLY TRANSFERRED TO THE COMMUNITY HEALTHCARE NETWORK ("CHN"), A FEDERALLY QUALIFIED HEALTH CENTER ("FQHC"), AND ONE CENTER, ASTORIA, WAS CLOSED, AND ALL PATIENTS REFERRED TO A NEARBY CHN CENTER. ALL NEW YORK STATE ARTICLE 28 REQUIREMENTS FOR CLOSURE AND TRANSFER WERE ACCOMPLISHED WITH ALL MIC PATIENTS BEING INFORMED IN AN APPROPRIATE AND TIMELY WAY, SUCH THAT NO PATIENT WOULD BE UNABLE TO RECEIVED NEEDED SERVICES. PUBLIC HEALTH SOLUTIONS CONTINUED TO PROVIDE SERVICES AT TWO SITES, FT GREENE, AND EASTERN PARKWAY, AND HAD A MANAGEMENT CONTRACT WITH WOODHULL HOSPITAL AND MENTAL HEALTH CENTER UNTIL MID-2012. THE MIC WOMEN'S HEALTH SERVICES PROGRAM PROVIDED 43,350 PRENATAL AND FAMILY PLANNING VISITS FOR 12,621 LOW-INCOME WOMEN IN SIX NYS-LICENSED HEALTH CENTERS IN 2011. OF THESE VISITS, 16,145 (36%) WERE MADE BY UNINSURED WOMEN WHO PAID FROM $0/VISIT TO A MAXIMUM OF $169/VISIT; THEIR FEE LEVEL WAS SET ON A SLIDING-FEE SCALE BASED ON THEIR INCOME LEVEL AND FAMILY SIZE CATEGORIZATION ON THE FEDERAL POVERTY SCALE AT THE TIME OF THE VISIT. MIC'S SITES PROVIDE EXTENSIVE COMMUNITY OUTREACH AND HEALTH EDUCATION IN LOW-INCOME, MINORITY COMMUNITIES, INCLUDING EDUCATION ABOUT THE SERVICES AND HOW THEY CAN BE ACCESSED. MIC RECEIVES SUBSTANTIAL STATE AND FEDERAL GRANTS AWARDED COMPETITIVELY TO ASSIST WITH COVERING THE COST OF CARE FOR FAMILY PLANNING SERVICES PROVIDED TO UNINSURED WOMEN. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS PREPARED JOINTLY BY PUBLIC HEALTH SOLUTIONS' INDEPENDENT AUDITOR BASED ON THE INFORMATION GATHERED AS A RESULT OF THE YEAR-END AUDIT AND INFORMATION PROVIDED BY THE FISCAL DEPARTMENT WITH THE ASSISTANCE OF SENIOR MANAGERS FROM RELEVANT DEPARTMENTS, WHERE NECESSARY. A COMPLETE DRAFT IS THEN REVIEWED BY PUBLIC HEALTH SOLUTIONS' EXECUTIVE MANAGEMENT. THE DRAFT IS THEN PROVIDED TO THE AUDIT COMMITTEE FOR THEIR REVIEW AND APPROVAL FOR PRESENTATION TO THE GOVERNING BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO SIGN THE CONFLICT OF INTEREST STATEMENT AND MANAGEMENT MAINTAINS A RECORD OF ALL BOARD AFFILIATIONS. CONFLICT OF INTEREST SITUATIONS ARE PRECLUDED BY THE ADMINISTRATIVE PROCESSES IN PLACE AT PUBLIC HEALTH SOLUTIONS FOR ENTERING INTO CONTRACTS AND PURCHASING NON-CONTRACTED GOODS AND SERVICES. ALL CONTRACTING AND PURCHASING IS HANDLED BY APPROPRIATE PUBLIC HEALTH SOLUTIONS' STAFF IN ACCORDANCE WITH CORPORATE POLICIES AND PROCEDURES THAT REQUIRE COMPETITION AND INTERNAL APPROVALS AT VARIOUS LEVELS WITHIN THE ORGANIZATION. BOARD APPROVAL IS NOT REQUIRED TO ENTER INTO A CONTRACT OR MAKE A PURCHASE. FORM 990, PART VI, SECTION B, LINE 15 ANNUALLY THE EXECUTIVE OFFICERS' SALARIES ARE REVIEWED BY THE COMPENSATION COMMITTEE ALONG WITH THE INTERNAL AND EXTERNAL COMPARABILITY DATA. A COMPENSATION CONSULTANT PERIODICALLY PROVIDES INDEPENDENT EXPERTISE TO THE COMMITTEE. BASED ON THE COMPENSATION COMMITTEE'S RECOMMENDATIONS, THE BOARD THEN MAKES A SALARY RECOMMENDATION FOR ITS OFFICERS. PUBLIC HEALTH SOLUTIONS SERVES A PREDOMINANTLY LOW-INCOME, IMMIGRANT AND AT-RISK POPULATION IN THE NEW YORK CITY AREA, WITH PROGRAMS THAT ADDRESS SOME OF THE MOST SERIOUS AND URGENT PUBLIC HEALTH CHALLENGES FACING THE CITY AND THE NATION: CHILDREN AT RISK OF DEVELOPMENTAL DISABILITIES AND CHRONIC HEALTH PROBLEMS, SUCH AS CHILDHOOD OBESITY; WOMEN WITH LITTLE OR NO ACCESS TO HEALTH CARE, PRENATAL SERVICES, AND FAMILY PLANNING; FAMILIES IN NEED OF FOOD AND NUTRITIONAL GUIDANCE; AND PEOPLE WITH HIV/AIDS, AS WELL AS THOSE AT HIGH RISK OF BECOMING INFECTED WHO NEED PREVENTIVE EDUCATION. IN ADDITION TO ITS MANY SERVICE PROGRAMS, PUBLIC HEALTH SOLUTIONS ADVOCATES FOR HEALTHCARE SYSTEM CHANGE TO BENEFIT ITS CLIENTS; PROVIDES TRAINING AND TECHNICAL ASSISTANCE TO COMMUNITY-BASED ORGANIZATIONS; CONDUCTS RESEARCH ON EMERGING AND EXISTING PUBLIC HEALTH CHALLENGES; AND ASSISTS GOVERNMENT AGENCIES TO ALLOCATE PUBLIC FUNDING THROUGH CONTRACTS WITH OTHER NONPROFITS. TO ACCOMPLISH THESE GOALS AND CHALLENGES, PUBLIC HEALTH SOLUTIONS REQUIRES A WORKFORCE CONSISTING OF DIVERSIFIED EDUCATIONAL AND TECHNICAL BACKGROUNDS IN THE AREAS OF CONCERN ADDRESSED BY PUBLIC HEALTH SOLUTIONS. TO FACILITATE THE ENGAGEMENT OF A LARGE AND DIVERSIFIED WORKFORCE IN ITS FOCUS AREAS, PUBLIC HEALTH SOLUTIONS EMPLOYS A COMPENSATION PHILOSOPHY THAT ENCOURAGES INTERNAL FAIRNESS OF ITS PAY PROGRAM AND EXTERNAL COMPETITIVENESS IN THE VARIOUS MARKET PLACES FOR WHICH IT HIRES EMPLOYEES. THE OVERALL GOAL OF THE PUBLIC HEALTH SOLUTIONS COMPENSATION PHILOSOPHY IS TO ATTRACT HIGH-QUALITY EMPLOYEES AT VARIOUS LEVELS IN THE ORGANIZATION AND TO RETAIN THESE EMPLOYEES WITH A COMPREHENSIVE SALARY AND BENEFITS PLAN THAT IS COMPETITIVE IN THE MARKET PLACES FOR WHICH IT COMPETES FOR EMPLOYEES. AN ADDITIONAL GOAL IS TO CREATE CAREER LONGEVITY BY ADHERING TO THE PHILOSOPHY OF INTERNAL EQUITY, EXTERNAL COMPETITIVENESS, AND PERFORMANCE MANAGEMENT. PERIODICALLY, PUBLIC HEALTH SOLUTIONS SEEKS COUNSEL AND ADVICE FROM A COMPENSATION CONSULTANT TO KEEP THE ORGANIZATION ALIGNED WITH THE GOAL OF INTERNAL AND EXTERNAL EQUITY. THEY RE-EXAMINE JOB DESCRIPTIONS AND PERFORM MARKET JOB ANALYSIS, WHICH INFORMS THE PAY GRADE STRUCTURE OF PUBLIC HEALTH SOLUTIONS. WE AIM TO PAY ALL OUR EMPLOYEES, INCLUDING OFFICERS AND HIGHLY COMPENSATED EMPLOYEES, WITHIN THE MEDIAN OF THE MARKET(S) IN WHICH WE COMPETE FOR TALENT. PUBLIC HEALTH SOLUTIONS PLANS TO CONTINUE ITS PAY PHILOSOPHY FOR THE FUTURE AND WILL MONITOR THE MARKETPLACE FOR TALENT ON A REGULAR BASIS. FORM 990, PART VI, SECTION C, LINE 19 PUBLIC HEALTH SOLUTIONS' FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC ON GUIDESTAR. THEY ARE ALSO AVAILABLE FROM THE NYS ATTORNEY GENERAL'S OFFICE. PUBLIC HEALTH SOLUTIONS IS UPGRADING ITS WEBSITE TO ENABLE THE VIEWING OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: PENSION LIABILITY ADJUSTMENT -9,991,695. TOTAL TO FORM 990, PART XI, LINE 5: -9,991,695. COMMITTEE THAT ASSUMES OVERSIGHT OF THE INDEPENDENT ACCOUNTANT AND AUDIT: PART XII, LINE 2C: PUBLIC HEALTH SOLUTIONS' AUDIT AND COMPLIANCE COMMITTEE ASSUMES THE RESPONSIBILITY OF THE OVERSIGHT OF THE INDEPENDENT ACCOUNTANT AND THE AUDIT, AND THE REVIEW OF THE 990. DESCRIPTION OF PENSION LIABILITY ADJUSTMENT: FORM 990, PART XI, LINE 5: IN 2011, PHS WAS FORCED TO RECORD A NEGATIVE PENSION LIABILITY ADJUSTMENT OF $9,991,695 RELATED TO ITS FROZEN DEFINED BENEFIT PENSION PLAN. THE PENSION LIABILITY ADJUSTMENT REPRESENTS THE AMOUNT BY WHICH THE PLAN UNDERPERFORMED ITS ACTUARIALLY DETERMINED FINANCIAL AND DEMOGRAPHIC PROJECTIONS DURING THE REPORTING YEAR. U.S. GAAP REQUIRES THAT THIS NON-REALIZED LOSS BE REPORTED ON THE INCOME STATEMENT. ALL REPORTED PENSION ADJUSTMENTS AND LIABILITIES ARE COMPUTED BY REGISTERED ACTUARIES EMPLOYED BY PHS AND REVIEWED BY OUR INDEPENDENT AUDITORS. THE 2011 ADJUSTMENT STEMS PRIMARILY FROM LOWER THAN EXPECTED DISCOUNT RATES WHICH INCREASED THE PLAN'S LIABILITIES, AND BECAUSE PLAN ASSETS RETURNED LESS ON INVESTMENTS THAN EXPECTED. BECAUSE THE DISCOUNT RATE ENVIRONMENT STEMS DIRECTLY FROM THE FEDERAL RESERVE'S LOW INTEREST RATE POLICY AND PREVAILING CONDITIONS IN THE FIXED INCOME SECURITY MARKETS, THIS IS NOT A PROBLEM THAT IS EXCLUSIVE TO PHS. NOT-FOR-PROFIT AND FOR-PROFIT CORPORATIONS ACROSS THE NATION ARE EXPERIENCING THE SAME DIFFICULTIES. IN RESPONSE TO CONCERN RAISED BY BUSINESS ENTITIES NATIONWIDE, IN SUMMER 2012, CONGRESS PASSED PENSION RELIEF LEGISLATION THAT ALLOWS ACTUARIES TO USE HIGHER DISCOUNT RATE ASSUMPTIONS WHEN THEY COMPUTE PENSION LIABILITIES AND REQUIRED CORPORATE PENSION CONTRIBUTIONS. THE BENEFIT IS GREATEST IN 2012 AND PHASES OUT OVER SEVERAL YEARS.