Attach to Form 990 or Form 990-EZ.
See separate instructions.| (i) Name of supported organization |
(ii) EIN |
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) |
(iv) Is the organization in col. (i) listed in your governing document? |
(v) Did you notify the organization in col. (i) of your support? |
(vi) Is the organization in col. (i) organized in the U.S.? |
(vii) Amount of support? |
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|---|---|---|---|---|---|---|---|---|---|
| Yes | No | Yes | No | Yes | No | ||||
| Total | |||||||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | 201,799,879 | 202,952,582 | 208,229,213 | 219,483,192 | 212,399,069 | 1,044,863,935 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 623,414 | 607,206 | 837,286 | 933,125 | 874,783 | 3,875,814 |
| 4 | Total. Add lines 1 through 3.. | 202,423,293 | 203,559,788 | 209,066,499 | 220,416,317 | 213,273,852 | 1,048,739,749 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public Support. Subtract line 5 from line 4. | 1,048,739,749 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 202,423,293 | 203,559,788 | 209,066,499 | 220,416,317 | 213,273,852 | 1,048,739,749 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 42,045 | 48,848 | 45,657 | 21,292 | 20,938 | 178,780 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets.. | ||||||
| 11 | Total support (Add lines 7 through 10). | 1,048,918,529 | |||||






| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public Support (Subtract line 7c from line 6.) | ||||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) | ||||||
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | ||||||




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
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| DESCRIPTION OF THE ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES: | PART I, LINE 1 | PUBLIC HEALTH SOLUTIONS IS ONE OF THE COUNTRY'S LARGEST PUBLIC HEALTH INSTITUTES. ITS MISSION IS TO INTEGRATE RESEARCH, POLICY, CAPACITY BUILDING, AND SERVICE TO IMPROVE THE HEALTH OF PEOPLE AND COMMUNITIES THROUGHOUT THE COUNTRY. ITS CORE PROGRAMS ADDRESS CRITICAL HEALTH NEEDS SUCH AS MATERNAL AND CHILD HEALTH, NUTRITION, ACCESS TO HEALTH INSURANCE, AND HIV PREVENTION & CARE. FOR MORE THAN 50 YEARS, PUBLIC HEALTH SOLUTIONS HAS LED THE QUEST FOR INNOVATION AND PROGRESS IN COMMUNITY HEALTH THROUGH ITS THREE MAIN AREAS OF WORK: BOTH DIRECT AND CONTRACTED SERVICES TO IMPROVE HEALTH, WITH A FOCUS ON DISPARITIES IN ACCESS AND OUTCOMES; CAPACITY- AND ORGANIZATION-BUILDING SUPPORT FOR THE NON-PROFIT AND GOVERNMENTAL SECTORS; AND CUTTING-EDGE RESEARCH AND EVALUATION ACROSS ITS FIELDS. PUBLIC HEALTH SOLUTIONS' ROOTS ARE IN SCIENTIFIC RESEARCH. FOUNDED IN 1957 UNDER THE NAME MEDICAL AND HEALTH RESEARCH ASSOCIATION OF NEW YORK CITY TO ENABLE THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE AND OTHER ORGANIZATIONS CONDUCT HEALTH RESEARCH TO INFORM THEIR WORK, TODAY PUBLIC HEALTH SOLUTIONS USES 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, OVER 200,000 LOW-INCOME AND AT-RISK ADULTS AND CHILDREN BENEFIT FROM THE WORK OF PUBLIC HEALTH SOLUTIONS. |
| DESCRIPTION OF THE ORGANIZATION'S MISSION: | PART III, LINE 1: | PUBLIC HEALTH SOLUTIONS DEVELOPS, IMPLEMENTS AND MANAGES PUBLIC HEALTH AND RELATED PROGRAMS AND SERVICES DESIGNED TO IMPROVE THE HEALTH AND WELL-BEING OF AT-RISK INDIVIDUALS, FAMILIES AND COMMUNITIES, CONDUCTS RESEARCH AND EVALUATION STUDIES IN PUBLIC HEALTH, HEALTHCARE AND RELATED AREAS; OPERATES OUTPATIENT DIAGNOSTIC AND TREATMENT CENTERS TO PROVIDE DIRECT HEALTH SERVICES, AND PROVIDES TECHNICAL ASSISTANCE, CAPACITY BUILDING AND ADMINISTRATIVE SERVICES TO GOVERNMENT, NONPROFIT AND OTHER ENTITIES TO IMPROVE THEIR EFFECTIVENESS AND/OR EFFICIENCY. |
| NEW PROGRAM SERVICES | FORM 990, PART III, LINE 2 | HIGHLIGHTS FROM 2010 INCLUDED: REGIONAL CATASTROPHIC PREPAREDNESS GRANT PROGRAM (RCGP): THIS PROGRAM, FOR WHICH WE ARE 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. OUR MASTER CONTRACT WITH THE OFFICE OF EMERGENCY MANAGEMENT WAS RENEWED, EFFECTIVE SEPTEMBER 1, 2010. THE NO-COST RENEWAL EXTENDS THE ORIGINAL PROJECTS AND ADDS NEW PROJECTS FOR THE PERIOD ENDING AUGUST 31, 2011. THE FUNDING FOR THE NEW PROJECTS TOTALS APPROXIMATELY $7 MILLION. WE WILL HIRE AT LEAST NINE NEW STAFF MEMBERS FOR THE NEW PROJECTS AND WE WILL RETAIN MOST OF THE CURRENT 15 STAFF. WE 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. SCHOOL FOOD FOCUS: SCHOOL FOOD FOCUS IS THE NATION'S LEADING SCHOOL FOOD REFORM PROJECT. FOCUS IS UNIQUE IN ITS APPROACH TO LEVERAGING THE SCALE AND BREADTH OF MANY OF THE NATIONS'S LARGEST SCHOOL DISTRICTS TO CHANGE FOOD PROCUREMENT TO MORE HEALTHFUL, SUSTAINABLE, AND REGIONALLY-PRODUCED FOOD. IN ITS EARLY DISTRICT-LEVEL WORK, IT HAS REDUCED SUGAR IN FLAVORED MILK, INCREASED AVAILABILITY OF WHOLE WHEAT PRODUCTS, AND EXPANDED ACCESS TO LOCAL AND REGIONAL SUPPLIERS. LAUNCHED WITH SEED SUPPORT FROM THE W.K. KELLOGG FOUNDATION, THE PROGRAM HAS RECEIVED ADDITIONAL SUPPORT FROM THE KRESGE FOUNDATION AND OTHERS. IT IS EXPANDING ITS WORK TO ENCOMPASS MULTIPLE DISTRICTS AT THE REGIONAL LEVEL, WHICH IS ANTICIPATED TO CREATE A LEVEL OF SCALE AND PROCUREMENT VOLUME THAT CAN DRIVE EVEN LARGER, SUSTAINABLE CHANGES. NEW YORK EHEALTH COLLABORATIVE: THROUGH ITS NONPROFIT CONSULTING SERVICES PROGRAM, PUBLIC HEALTH SOLUTIONS PROVIDES BACK-OFFICE SUPPORT SERVICES TO NYEC, A 501(C)(3) ORGANIZATION, WITH A COMPATIBLE MISSION. SERVICES PROVIDED BY PUBLIC HEALTH SOLUTIONS INCLUDE ADMINISTRATIVE AND FISCAL MANAGEMENT, CONTRACTING, GRANTS MANAGEMENT, RECRUITMENT, GRANT WRITING, HUMAN RESOURCES, PURCHASING, IT SUPPORT, DEVELOPMENT AND SPACE. THE NEW YORK EHEALTH COLLABORATIVE (NYEC) IS A PUBLIC-PRIVATE STATEWIDE PARTNERSHIP THAT WORKS TO ENSURE ITS MISSION OF STATEWIDE HIT IMPLEMENTATION IS SUCCESSFUL THROUGH A SPECIFIC FOCUS ON FOUR KEY AREAS: EDUCATION, PUBLIC AND PRIVATE COLLABORATION, THE CONSTRUCTION OF A STATEWIDE HEALTH INFORMATION NETWORK FOR NEW YORK (SHIN-NY), AND TECHNICAL AND ADOPTION SERVICES TO HELP PROVIDERS ADOPT ELECTRONIC HEALTH RECORDS IN THEIR PRACTICES. PUBLIC HEALTH SOLUTIONS IS ASSISTING THIS START-UP ORGANIZATION GROW FROM AN ANNUAL BUDGET OF AROUND $3 MILLION TO OVER $30 MILLION. FIRST STEPS TO HEALTHY LIVING: EVALUATION OF NEW YORK STATE EARLY CHILDHOOD OBESITY PREVENTION PROGRAMS: THIS IS A 4.5 YEAR PROJECT FUNDED BY THE ROBERT WOOD JOHNSON FOUNDATION AND THE NYS HEALTH FOUNDATION WITH SALLY FINDLEY, COLUMBIA UNIVERSITY, PI, MARY ANN CHIASSON, CO-PI, AND JACKSON SEKHOBO, PHD, NEW YORK STATE DEPARTMENT OF HEALTH, CO-I. THE PRIMARY GOAL OF THE PROJECT IS TO ASSESS THE IMPACT OF THE NEW WIC FOOD PACKAGE IMPLEMENTED ON JANUARY 5, 2009 ON FRUIT, VEGETABLE, WHOLE GRAIN, AND LOW FAT MILK CONSUMPTION, INITIATION AND DURATION OF BREASTFEEDING, AND CHILD WEIGHT/HEIGHT AMONG WIC PARTICIPANTS. DATA COLLECTED FROM WIC VENDORS, STAFF AND PARTICIPANTS ON THE FIRST YEAR POST-IMPLEMENTATION WAS PRESENTED AT THE WIC FOOD PACKAGE EVALUATION SYMPOSIUM SPONSORED BY ALTARUM IN WASHINGTON, DC ON NOVEMBER 30, 2010. EARLY CHILDHOOD OBESITY PREVENTION INITIATIVE: DURING CALENDAR YEAR 2010 A FOURTH, MULTICULTURAL INFANT FEEDING EDUCATIONAL VIDEO WAS PRODUCED. ENTITLED "IT'S NEVER TOO EARLY: FEEDING OUR BABIES WELL," THE VIDEO IS AIMED AT ENGLISH-SPEAKING MOTHERS, FATHERS, AND OTHER CAREGIVERS OF CHILDREN 0-2 YEARS OLD. IT CONTAINS FOOTAGE FROM THE THREE BILINGUAL INFANT FEEDING VIDEOS (ENGLISH/SPANISH, ENGLISH/MANDARIN, AND ENGLISH/FRENCH/FRENCH CREOLE) PRODUCED EARLIER BY THE UNIT, AS WELL AS NEW FOOTAGE WITH NEW FAMILIES. DURING 2010, 6,400 VIDEOS IN DVD FORMAT WERE DISTRIBUTED TO FAMILIES PARTICIPATING IN THE PUBLIC HEALTH SOLUTIONS' WIC PROGRAM AND AN ADDITIONAL 14,625 DVDS WERE DISTRIBUTED TO WIC PROGRAMS AND CHILD HEALTH PROGRAMS THROUGHOUT THE US. HIV IS STILL A BIG DEAL: WE RECEIVED A GRANT FROM THE NEW YORK CITY AIDS FUND, A SPECIAL PROJECT OF THE NEW YORK COMMUNITY TRUST, FOR $75,000 FOR A NEW VIDEO PREVENTION PROJECT. THE GOAL OF THE PROJECT IS TO CONTRIBUTE FURTHER TO THE REDUCTION OF HIV TRANSMISSION AMONG MSM, INCLUDING BLACK AND LATINO MSM, BY DEVELOPING AND DISSEMINATING A FOURTH PREVENTION VIDEO, "ASK ME, TELL ME," IN THE HIV BIG DEAL SERIES THAT DEMONSTRATES THE MANY WAYS MEN CAN DISCLOSE THEIR HIV STATUS TO SEXUAL PARTNERS, AND ASK PARTNERS ABOUT THEIR OWN HIV STATUS, BEFORE THEY HAVE SEX. VIDEO PRODUCTION WAS COMPLETED IN 2011. THE FOLLOWING ARTICLE WAS PUBLISHED IN THE DECEMBER 2010 ISSUE OF THE JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES SUPPLEMENT, "THE HIV EPIDEMIC IN THE UNITED STATES: A TIME FOR ACTION." * CHIASSON MA, HIRSHFIELD S, RIETMEIJER C. "HIV PREVENTION AND CARE IN THE DIGITAL AGE." J ACQUIR DEFIC SYNDR 2010; 55:S94-S97. * HIRSHFIELD S, CHIASSON MA, WAGMILLER JR. RL, REMIEN RH, HUMBERSTONE M, SCHEINMANN R, GROV C. "SEXUAL DYSFUNCTION IN AN INTERNET SAMPLE OF U.S. MEN WHO HAVE SEX WITH MEN." JOURNAL OF SEXUAL MEDICINE. 2010; 7:3104-3114. IMPROVING CONTRACEPTIVE CHOICE WITH A SELF-ADMINISTERED COMPUTER MODULE (ICC) PROJECT: THIS PROGRAM SEEKS TO IMPROVE THE CHOICE AND CONTINUATION OF EFFECTIVE AND ACCEPTABLE METHODS OF CONTRACEPTION THROUGH THE USE OF A COMPUTER-BASED CONTRACEPTIVE COUNSELING MODULE WHICH DETERMINES WHICH BIRTH CONTROL METHODS ARE RECOMMENDED BASED ON INDIVIDUAL PATIENT CHARACTERISTICS. A RECENTLY-COMPLETED RANDOMIZED CONTROLLED TRIAL INCLUDED MORE THAN 2,000 FAMILY PLANNING PATIENTS. THE FINDINGS OF THE TRIAL HAVE BEEN PRESENTED AT NUMEROUS LOCAL AND NATIONAL CONFERENCES, INCLUDING THE INTERNATIONAL CONFERENCE ON URBAN HEALTH (OCTOBER 2010); THE TITLE X REGION II ANNUAL MEETING (OCTOBER 2010); AND THE SYMPOSIUM ON HEALTH CARE SERVICES IN NEW YORK CITY (NOVEMBER 2010). IMPROVING CONTRACEPTIVE CHOICE: INTEGRATION OF A COMPUTERIZED COUNSELING MODULE INTO THE CLINICAL SETTING: AS A RESULT OF THE SUCCESS OF THE STUDY DESCRIBED ABOVE IN IMPROVING CONTRACEPTIVE METHOD CHOICE AMONG FAMILY PLANNING CLIENTS, PUBLIC HEALTH SOLUTIONS RECEIVED THREE YEARS OF FUNDING TO CONTINUE AND EXPAND THE PROJECT. THE NEW COMPONENTS OF THE PROJECT INCLUDE: EXPANSION OF THE COUNSELING MODULE WITHIN A CLINICAL NETWORK; AN OUTCOME EVALUATION OF REPRODUCTIVE HEALTH INDICATORS WITHIN THE NETWORK; DEVELOPMENT OF AN IMPLEMENTATION PACKAGE OF THE COUNSELING MODULE FOR BROAD DISSEMINATION TO TITLE X AND OTHER REPRODUCTIVE HEALTH CARE PROVIDERS NATIONALLY; AND AN ANALYSIS OF THE COST-EFFECTIVENESS OF THE COUNSELING MODULE IN PREVENTING UNINTENDED PREGNANCY. BEHIND THE COUNTER EMERGENCY CONTRACEPTION: EXPLORING AN OPPORTUNITY FOR CHLAMYDIA AND GONORRHEA SCREENING IN THE PHARMACY SETTING: WE HAVE BEEN FUNDED BY THE DIVISION OF STD PREVENTION AT THE CENTERS FOR DISEASE CONTROL AND PREVENTION THROUGH THE NATIONAL NETWORK OF PUBLIC HEALTH INSTITUTES TO CONDUCT A PILOT STUDY ASSESSING THE VIABILITY OF USING PHARMACIES TO SCREEN FOR SEXUALLY TRANSMITTED DISEASES (STDS) AMONG MEN AND WOMEN WHO PURCHASE EMERGENCY CONTRACEPTION (EC). BECAUSE EC USERS DO NOT SEEK MEDICAL ATTENTION DESPITE THEIR HIGH RISK PROFILE, THEY REPRESENT A MISSED OPPORTUNITY FOR STD COUNSELING AND SCREENING. DURING THE STUDY PERIOD, ALL EC PURCHASERS AT SELECTED PHARMACIES WITH ONSITE WALK-IN MEDICAL CLINICS WILL BE OFFERED FREE ONSITE STD SCREENING. WE WILL ASSESS FREQUENCY OF SCREENING ACCEPTANCE AND PREVALENCE OF STDS. |
| CHANGES IN PROGRAM SERVICES | FORM 990, PART III, LINE 3 | NEIGHBORHOOD WIC PROGRAM: EACH YEAR, THE STAFF OF PUBLIC HEALTH SOLUTIONS' TEN NEIGHBORHOOD WIC CENTERS SERVE MORE THAN 46,000 PREGNANT WOMEN, NURSING MOTHERS, AND INFANTS AND YOUNG CHILDREN WHO ARE AT NUTRITIONAL RISK. THESE FAMILIES RECEIVE COUNSELING ABOUT DIET AND PHYSICAL FITNESS, AS WELL AS VOUCHERS REDEEMABLE FOR SPECIFIC NUTRITIOUS FOODS. WIC PROVIDES NUTRITION SERVICES TO WOMEN, INFANTS, AND CHILDREN. ANNUALLY, PUBLIC HEALTH SOLUTIONS HELPS OVER 46,000 LOW-INCOME WOMEN, INFANTS, AND CHILDREN AT NUTRITIONAL RISK OBTAIN COUNSELING AND NUTRITIOUS FOODS TO REDUCE OR ELIMINATE THEIR RISK EXPOSURE. TO THIS END, PUBLIC HEALTH SOLUTIONS ALSO PROVIDES BREASTFEEDING EDUCATION AND SUPPORT, PHYSICAL ACTIVITY SUPPORT, AND REFERRALS TO OTHER HEALTH AND HUMAN SERVICES RESOURCES. THIS YEAR WIC HAS WORKED CLOSELY WITH COMMUNITY, CITY AND FEDERAL PARTNERS TO HELP FAMILIES INCREASE THEIR PURCHASE OF FRESH FRUITS AND VEGETABLES. WIC STAFF HAVE PROVIDED ADDITIONAL NUTRITION EDUCATION, AND PROVIDED VOUCHERS FOR USE AT LOCAL FARMERS MARKETS. WIC STAFF HAVE ALSO BEEN INSTRUMENTAL IN BRINGING NEW FARMERS MARKETS TO LOCAL COMMUNITIES SERVED BY WIC. HUNGER FREE COMMUNITY CONSORTIUM: PUBLIC HEALTH SOLUTIONS IS A PART OF THE HUNGER FREE COMMUNITY CONSORTIUM (HFCC), A COLLABORATIVE OF NEW YORK CITY'S LEADING NON-PROFIT AND GOVERNMENTAL PUBLIC ANTI-HUNGER, NUTRITION, AND AGING ORGANIZATIONS. THE HFCC HAS BEEN GRANTED $2 MILLION BY THE USDA TO IMPLEMENT A SET OF STRATEGIES SPANNING THE NEXT TWO YEARS TO SIGNIFICANTLY REDUCE HUNGER AND IMPROVE NUTRITION THROUGHOUT THE CITY, INCLUDING THE FORMATION OF A NEW YORK CITY FOOD POLICY COUNCIL TO CONNECT THE NON-PROFIT, PUBLIC, AND PRIVATE SECTORS. THE PARTNERSHIP INCLUDES THE AARP FOUNDATION, CITY HARVEST, THE COUNCIL OF SENIOR CENTERS AND SERVICES OF NEW YORK CITY, FOOD BANK FOR NYC, THE METROPOLITAN COUNCIL ON JEWISH POVERTY, THE NEW YORK CITY COALITION AGAINST HUNGER, THE CITY DEPARTMENT FOR THE AGING, AND THROUGH THE UNITED WAY OF NEW YORK CITY. MIC: MIC WOMEN'S HEALTH SERVICES PROGRAM PROVIDED 57,425 PRENATAL AND FAMILY PLANNING VISITS TO 18,050 LOW-INCOME WOMEN IN SIX NYS-LICENSED HEALTH CENTERS IN 2010. OF THESE VISITS, 21,605 (37.6%) 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. 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'S CLINICS RECEIVE SUBSTANTIAL STATE AND FEDERAL GRANTS AWARDED COMPETITIVELY TO ASSIST WITH COVERING THE COST OF CARE FOR FAMILY PLANNING SERVICES PROVIDED TO UNINSURED WOMEN. THE PROGRAM HAS SUFFERED FROM BOTH THE CHANGING DEMOGRAPHICS OF ITS NEIGHBORHOODS/CLIENT BASE, MOVEMENT OF INCREASING NUMBERS OF MEDICAID PATIENTS TO MANAGED CARE AND THE UNFAVORABLE REIMBURSEMENT STRUCTURE EXTANT IN NEW YORK STATE FOR HOLDERS OF FREE STANDING DIAGNOSTIC AND TREATMENT CENTER ARTICLE 28 OPERATING CERTIFICATES. OF PARTICULAR SIGNIFICANCE ARE NEW YORK STATE REIMBURSEMENT RATES FOR PRENATAL CARE PATIENT VISITS THAT DO NOT COVER COSTS, THE FAST-RISING PROPORTION OF NON-PAYING FAMILY PLANNING CLIENTS AND GRANT FUNDS TO COVER UNINSURED PATIENTS, BOTH FEDERAL AND STATE, THAT ARE NOT GROWING PROPORTIONATELY. IT HAS BECOME EVIDENT THAT THE ENVIRONMENT, HAVING GROWN INCREASINGLY INHOSPITABLE IN RECENT YEARS, HAS REACHED A POINT WHERE IT WAS NO LONGER FEASIBLE TO BELIEVE THAT THE PROGRAM COULD BE OPERATED AS IT WAS CURRENTLY CONFIGURED ON A BREAK-EVEN BASIS UNDER ANY REALISTIC ASSUMPTIONS. IN OCTOBER 2010, THE MIC BUSHWICK CENTER'S ACTIVITIES WERE TAKEN OVER BY WOODHULL HOSPITAL UNDER AN AFFILIATION AGREEMENT LEAVING MIC WITH FIVE CENTERS AT YEAR-END. IN 2011, PHS CEASED OPERATIONS AT MIC'S ASTORIA SERVICE CENTER BY TRANSFERRING THE CENTER'S CLIENTS TO THE NEARBY SERVICE CENTER OF ANOTHER NON-PROFIT ORGANIZATION, A FEDERALLY QUALIFIED HEALTH CENTER (FQHC). SERVICES WERE ALSO SCALED BACK AT THE MIC EASTERN PARKWAY CENTER. MANAGEMENT PLANS TO TRANSFER THE TREMONT AND JAMAICA SERVICE CENTERS TO THE SAME FQHC. THIS WILL LEAVE PUBLIC HEALTH SOLUTIONS OPERATING THREE CENTERS IN BROOKLYN. |
| DESCRIPTION OF HIV CARE SERVICES PROGRAM: | PART III, LINE 4A: | IN 2010, HIV CARE SERVICES (HIVCS) MANAGED 286 (153 RYAN WHITE AND 133 HIV/AIDS PREVENTION) CONTRACTS ON BEHALF OF THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE (NYCDOHMH). SERVICES INCLUDED MENTAL HEALTH SERVICES, PRIMARY CARE, HIV TESTING, HOUSING SERVICES, LEGAL SERVICES, FOOD AND NUTRITION, HARM REDUCTION AND SUBSTANCE ABUSE TREATMENT, ANTI-STIGMA CAMPAIGNS, BEHAVIORAL PREVENTION INTERVENTIONS, CONDOM DISTRIBUTION, PROGRAM EVALUATION, COMMUNITIES OF COLOR (COC) ACCESS TO AND MAINTENANCE IN CARE, AND FAITH-BASED PROGRAMS. IN 2010, NINE FOOD AND NUTRITION, SIX OUTREACH TO HOMELESS YOUTH AND FOUR TRANSITIONAL CARE COORDINATION PROGRAMS WERE FUNDED. 2010 SAW THE BEGINNING OF A NEW MASTER CONTRACT WITH NYCDOHMH, WITH A SLIGHTLY MODIFIED SCOPE OF SERVICES AND REIMBURSEMENT SCHEDULE. THE NEW MASTER CONTRACT BEGAN ON SEPTEMBER 1, 2010; AN EXTENSION OF THE PREVIOUS CONTRACT RAN FROM MARCH 1 THROUGH AUGUST 31, 2010. THE NEW YORK RYAN WHITE JURISDICTION RECEIVED $10.5 MILLION IN NEW FUNDING IN 2010. TO COMPLY WITH SPENDING REQUIREMENTS INTRODUCED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA), THE ADMINISTRATOR OF THE RYAN WHITE HIV/AIDS TREATMENT EXTENSION ACT, HIVCS ACTIVELY MANAGED THE SPENDING OF RYAN WHITE SUBCONTRACTS, DISTRIBUTING NEW FUNDING PURSUANT TO APPROVED SPENDING PLANS; REDUCING THE AWARDS OF LOW-SPENDING CONTRACTORS; AND PROVIDING ENHANCEMENT FUNDING TO STRONG- PERFORMING CONTRACTORS. THE FUNDING YEAR ENDING FEBRUARY 29, 2011 HAD SPENDING OF 100%, IN AN AWARD OF MORE THAN $120 MILLION. 2010 WAS THE FOURTH YEAR OF PERFORMANCE-BASED REIMBURSEMENT FOR THE RYAN WHITE AND PREVENTION PORTFOLIOS. PERFORMANCE-BASED (FEE-FOR-SERVICE) REIMBURSEMENT 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. IN PERFORMANCE-BASED CONTRACTING, HIVCS STAFF DOES NOT MONITOR EXPENDITURES, BUT DOES AUDIT DOCUMENTATION OF SERVICES TO INSURE COMPLIANCE WITH PROGRAMMATIC AND DOCUMENTATION REQUIREMENTS. FUNDS MAY BE RECOUPED FOR SERVICES THAT LACK APPROPRIATE DOCUMENTATION OR WHOSE DOCUMENTATION DISCLOSED NONCOMPLIANCE WITH CONTRACTUAL RULES. IN DECEMBER 2009, HIVCS AWARDED MORE THAN $24 MILLION IN FUNDING FOR CARE COORDINATION CONTRACTS FUNDED BY RYAN WHITE. FROM THAT TIME THROUGH FEBRUARY 2011, THOSE CONTRACTS WERE PAID ON THE BASIS OF COMPLETION OF PROJECT DELIVERABLES PRESCRIBED BY DOHMH, INCLUDING A VARIETY OF PERFORMANCE-RELATED MILESTONES SUCH AS CLIENT ENROLLMENTS. DOHMH MONITORED ADHERENCE TO DOHMH'S CARE COORDINATION PROTOCOL AND HIVCS VERIFIED DOCUMENTATION OF ALL PAID DELIVERABLES. IN 2010, AT THE DIRECTION OF NYCDOHMH AND THE NYC CITY COUNCIL, HIVCS RENEWED THE COMMUNITIES OF COLOR CONTRACTS FUNDED BY THE CITY COUNCIL. ONE ORGANIZATION DECLINED ITS AWARD, LEAVING 42 FUNDED SUBCONTRACTS FOR THE PERIOD JULY 1, 2010 THROUGH JUNE 30, 2011. IN 2010, HIVCS INITIATED A WEB-BASED DIRECT DATA ENTRY PROCESS FOR CONTRACTORS TO SUBMIT MONTHLY PROGRAM NARRATIVE REPORTS (EPNR), A CONTRACTUAL REQUIREMENT WHICH STRUCTURES REPORTING ON SIGNIFICANT PROGRAMMATIC DEVELOPMENTS. HIVCS STAFF CONDUCTED WEB-CONFERENCE TRAININGS FOR CONTRACTORS ON HOW TO ENTER THE DATA. |
| DESCRIPTION OF PUBLIC HEALTH EMERGENCY RESPONSE AND PREPAREDNESS PROGRAM: | PART III, LINE 4B: | THE PHER GRANT RELATED TO H1N1 ENDED ON 7/30/11. WE WILL PREPARE THE REQUIRED FISCAL CLOSE-OUT DOCUMENTS, WHICH ARE DUE TO CDC BY 10/30/11. BEGINNING IN 2002, PUBLIC HEALTH SOLUTIONS BEGAN TO RECEIVE DIRECTLY THE PHEP GRANT TO ADMINISTER IT ON BEHALF 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. PUBLIC HEALTH SOLUTIONS PROVIDES A FULL RANGE OF SERVICES TO NYCDOHMH FOR THE PHEP GRANT, INCLUDING 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. AUGUST 9, 2011 MARKED THE END OF A FIVE-YEAR FUNDING CYCLE. WE WILL PREPARE THE REQUIRED FISCAL CLOSE-OUT DOCUMENTS, WHICH ARE DUE TO CDC BY 11/9/11. WE WERE AWARDED, ON BEHALF OF DOHMH, $18 MILLION FOR THE NEW FISCAL YEAR. |
| DESCRIPTION OF MIC WOMEN'S HEALTH SERVICES PROGRAM: | PART III, LINE 4C: | MIC WOMEN'S HEALTH SERVICES PROGRAM PROVIDED 57,425 PRENATAL AND FAMILY PLANNING VISITS TO 18,050 LOW-INCOME WOMEN IN SIX NYS-LICENSED HEALTH CENTERS IN 2010, ENDING THE YEAR WITH FIVE CENTERS DUE TO THE PARTNERSHIP WITH WOODHULL HOSPITAL AT MIC BUSHWICK IMPLEMENTED IN OCTOBER 2010. OF THESE VISITS, 21,605 (37.6%) 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. 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'S CLINICS RECEIVE 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' INDEPENDENT AUDITOR WITH EXECUTIVE MANAGEMENT. THE DRAFT IS THEN PROVIDED TO THE AUDIT COMMITTEE FOR THEIR REVIEW AND APPROVAL FOR PRESENTATION TO THE GOVERNING BOARD OF DIRECTORS FOR ITS REVIEW PRIOR TO ISSUANCE. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD OF DIRECTORS MEMBERS 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 DATA PREPARED. A COMPENSATION CONSULTANT PERIODICALLY PROVIDES INDEPENDENT EXPERTISE TO THE COMMITTEE. THE COMPENSATION COMMITTEE MAKES SALARY ACTION RECOMMENDATIONS WHICH ARE SUBJECT TO APPROVAL BY THE BOARD. 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 US IN SYNC WITH THE GOAL OF INTERNAL AND EXTERNAL EQUITY. THEY REEXAMINE JOB DESCRIPTIONS AND PERFORM MARKET JOB ANALYSIS, WHICH INFORM 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 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 -527,441. TOTAL TO FORM 990, PART XI, LINE 5: -527,441. |
| 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. |
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