2018-06-28T13:39:48-05:00 2017-09-30 132781641 Mitchell & Titus LLP One Battery Park Plaza New York NY 10004 990 2016-10-01 050539199 Fund for Public Health in New York Inc FUND 6467104860 22 CORTLANDT STREET new york NY 10007 SARA GARDNER MPH Executive Director 6467104860 2018-06-28 1 Frederick E Davis Jr P00446023 2127094500 2016 2022-09-23 18:48:47Z Sara Gardner MPH 22 CORTLANDT STREET new york NY 10007 47857177 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. 12 12 298 12 0 0 43582880 47602032 1098328 189575 71589 52146 18195 13424 44770992 47857177 0 0 0 0 18306212 18839807 0 0 0 21983646 31257198 40289858 50097005 4481134 -2239828 35266719 32263412 8011198 7247719 27255521 25015693 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 14968880 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. 4067890 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. 3240052 0 0 To achieve maximum impact while also reducing health disparities, Partnerships to Improve Community Health (PICH) Program will reach all 8.4 million City residents, with program implementation focused on three priority areas (1.5 million residents). The Community Action Plan (CAP) contains evidence-based activities to address identified local health needs. CAP implementation will lead to improved long-term health outcomes by providing New Yorkers with increased access to: tobacco-free environments in multi-unit housing, hospitals, and the community; healthy food and beverage options through community organizational policy change; promotion of fruits and vegetables; breastfeeding systems change in hospitals; and physical activity opportunities in schools, childcare settings, and surrounding communities. During Year 1, Health Department staff have worked with partners across New York City (NYC) to directly support the implementation of smoke-free policies at dozens of properties. The Smoke Free Housing Manager estimates that close to 800 units will go smoke-free in upcoming months, as a result of these efforts. The properties that currently demonstrate the greatest promise for adopting a smoke-free housing policy are located in Manhattan. In March 2015, the Active Design Toolkit for Schools publication was released digitally and print copies were disseminated across New York City for use by schools and their communities. Health Department staff coordinated with partners and key stakeholders (i.e., school officials, community members) to brainstorm and select systems-level, citywide school practices that, once implemented, will increase opportunities for physical activity in K-12 schools. 24132606 0 202999 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. 24132606 0 202999 46409428 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 0 0 0 0 0 0 0 0 0 1 307 0 1 298 1 0 0 0 0 0 0 0 0 0 0 X 12 12 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 Mary T Bassett MD MPH President & Chair 1.00 0.00 X X 0 0 0 Chris Stern Hyman JD Secretary 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 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 Karen Kochevar 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 Sara W Gardner Executive Director 35.00 0.00 X 206538 0 37134 Donna Fishman Deputy Director 35.00 0.00 X 202356 0 13961 Amy Dixon Dir. of Finance & Operations 35.00 0.00 X 171275 0 28204 Aviva Goldstein Director of Development 35.00 0.00 X 143625 0 39455 Alvin C Lin Sr. Managing Dir. of Strategy 35.00 0.00 X 144548 0 34505 Martha Iwamoto Zika Media Specialist 35.00 0.00 X 129968 0 38636 Hang Pham-Singer Sr Director, Quality Improvement 35.00 0.00 X 129300 0 25591 Hector Pina Ibarra Director of Implementation 35.00 0.00 X 121324 0 25112 1248934 0 242598 15 0 1 0 NYC Department of Health & Mental Hygien 42-09 28th Street long island city NY 11101 Provide various program services 3753964 Montefiore Medical Center 111 E 210th St bronx NY 10467 See Schedule O 1414452 GCOM Software Inc 24 Madison Avenue Ext 4 albany NY 12203 Provides software & technical support 628658 New York Academy Of Medicine 1216 5th Ave new york NY 10029 See Schedule O 457919 SCO Family of Services Inc 154 Lawrence Street brooklyn NY 11201 see Schedule O 382240 31 39817922 7784110 709963 47602032 program fee 900099 189575 189575 189575 52146 52146 honoraria 900099 13424 13424 13424 47857177 202999 0 52146 X 577850 65069 512781 14119056 12524645 1594411 559674 479957 79717 2368602 2031232 337370 1214625 1041621 173004 4051273 4040349 10924 133 133 113420 113420 21506041 21291066 214975 917361 834303 83058 1741018 1645129 95889 364684 2941 361743 163838 159051 4787 191996 178674 13322 27734 27734 34231 34231 staff expense 1117649 1097508 20141 Contributed goods 709963 709963 0 license & permit 126502 125727 775 191355 182193 9162 50097005 46409428 3687577 0 14259869 10902779 3915420 6958197 16655725 14200309 250349 44505 375263 276671 126326 98592 59030 59030 35266719 32263412 6980817 6222396 867547 867547 162834 157776 8011198 7247719 X 12420263 8596692 14835258 16419001 27255521 25015693 35266719 32263412 -2239828 0 X 0 1 X 1 1 1 X 55224839 41070476 36477577 43582880 47602032 223957804 55224839 41070476 36477577 43582880 47602032 223957804 4108039 219849765 68180 20293 8184 71589 52146 220392 38117 48805 17799 18195 13424 136340 224314536 3308579 0.98010 0.98390 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 887106 2931 890037 884563 2543 887106 883830 733 884563 881395 2435 883830 936385 3559 58549 881395 1.00000 1 0 48429 16055 32374 115908 110181 5727 210926 150435 60491 98592 DEFERRED RENT 47030 OTHER LIABILITIES 110746 157776 X 48433689 576512 576512 47857177 0 47857177 50673517 576512 576512 50097005 0 50097005 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 2014, 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 Director 202356 0 0 0 0 0 12141 0 1820 0 216317 0 0 0 Amy Dixon Dir. of Finance & Operations 171275 0 0 0 0 0 10277 0 17927 0 199479 0 0 0 Aviva Goldstein Director of Development 143625 0 0 0 0 0 8618 0 30837 0 183080 0 0 0 Alvin C Lin Sr. Managing Dir. of Strategy 141792 0 2756 0 0 0 8508 0 25997 0 179053 0 0 0 Martha Iwamoto Zika Media Specialist 129968 0 0 0 0 0 7798 0 30838 0 168604 0 0 0 Hang Pham-Singer Sr Director, Quality Improvement 129300 0 0 0 0 0 7758 0 17833 0 154891 0 0 0 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. Montefiore Medical Center - to provide Tobacco free hospital campaign and other various program services; 2. New York Academy Of Medicine - to provides technical assistance to support DOHMH and its Neighborhood Health Initiative Planning Partners in implementing and evaluating neighborhood health action strategies; 3. SCO Family of Services, Inc - to provides case management service to pregrant, postpartum, and interconceptional women and their infants and families. Form 990, Part IX, line 11g Contracted program services: Program service expenses 12,209,021. Management and general expenses 0. Fundraising expenses 0. Total expenses 12,209,021. Other services: Program service expenses 9,082,045. Management and general expenses 214,975. Fundraising expenses 0. Total expenses 9,297,020.