TY 2013 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) DEBORAH M SALE........................................................................ CHAIRPERSON	3.00 .......................	X	X
(2) JO IVEY BOUFFORD........................................................................ VICE CHAIR	1.00 .......................	X	X
(3) WILLIAM J HIBSHER........................................................................ VICE CHAIR	2.00 .......................	X	X
(4) SUSANA MORALES........................................................................ SECRETARY	1.00 .......................	X	X
(5) RAYMOND P JONES SR........................................................................ TREASURER	2.00 .......................	X	X
(6) ALAN AVILES........................................................................ BOARD MEMBER	1.00 .......................	X
(7) GERRARD P BUSHELL........................................................................ BOARD MEMBER	2.00 .......................	X
(8) CHRISTINA CHANG........................................................................ BOARD MEMBER	1.00 .......................	X
(9) EMME LEVIN DELAND........................................................................ BOARD MEMBER	1.00 .......................	X
(10) THOMAS A FARLEY........................................................................ BOARD MEMBER	1.00 .......................	X
(11) RAYMOND FINK........................................................................ BOARD MEMBER	2.00 .......................	X
(12) LINDA FRIED........................................................................ BOARD MEMBER	1.00 .......................	X
(13) FLORENCE FRUCHER........................................................................ BOARD MEMBER	1.00 .......................	X
(14) GEORGE GARFUNKEL........................................................................ BOARD MEMBER	1.00 .......................	X
(15) BARBARA A GREEN........................................................................ BOARD MEMBER	2.00 .......................	X
(16) DAVID HANSELL........................................................................ BOARD MEMBER	1.00 .......................	X
(17) DAVID HARRIS........................................................................ BOARD MEMBER	1.00 .......................	X

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(18) PHYLLIS HARRISON-ROSS........................................................................ BOARD MEMBER	1.00 .......................	X			0	0
(19) JACQUES JIHA........................................................................ BOARD MEMBER	1.00 .......................	X			0	0
(20) ROBERT KAUFMAN........................................................................ BOARD MEMBER	2.00 .......................	X			0	0
(21) WILLIAM KELLER........................................................................ BOARD MEMBER	1.00 .......................	X			0	0
(22) JOAN M LEIMAN........................................................................ BOARD MEMBER	2.00 .......................	X			0	0
(23) CHRISTOPHER SHYER........................................................................ BOARD MEMBER	1.00 .......................	X			0	0
(24) STEPHEN SIMCOCK........................................................................ BOARD MEMBER	1.00 .......................	X			0	0
(25) SHOSHANNA SOFAER........................................................................ BOARD MEMBER	1.00 .......................	X			0	0
(26) ANDREW WEISENFELD........................................................................ BOARD MEMBER	1.00 .......................	X			0	0
(27) ELLEN RAUTENBERG........................................................................ PRESIDENT & CEO	35.00 .......................		X		285,567	31,575
(28) STEVEN NEWMAN........................................................................ EXECUTIVE VP & COO	35.00 .......................		X		231,340	24,328
(29) LOUISE COHEN........................................................................ VP - PUBLIC HEALTH PROGRAMS	35.00 .......................		X		205,096	20,814
(30) JOSEPH TRAPANI........................................................................ DEPUTY TREASURER/CFO	35.00 .......................		X		175,489	18,693
(31) MARY ANN CHIASSON........................................................................ VP - RESEARCH & EVALUATION	35.00 .......................		X		171,794	32,855
(32) RACHEL MILLER........................................................................ VP - HIV PROGRAMS/SPECIAL INITIATIVES	35.00 .......................		X		174,444	39,660
(33) JANE LEVINE........................................................................ VP - LEGAL AFFAIRS/GENERAL COUNSEL	35.00 .......................		X		173,576	18,450
(34) DESIREE BUNCH........................................................................ VP - HUMAN RESOURCES	35.00 .......................		X		164,462	18,289
(35) BENJAMIN KIM........................................................................ VP - STRATEGIC DEVELOPMENT	35.00 .......................		X		166,173	24,501
(36) PETER JENSEN........................................................................ CHIEF INFORMATION OFFICER	35.00 .......................		X		137,019	21,781
(37) TONI LIQUORI........................................................................ EXEC. DIR. - SCHOOL FOOD FOCUS	35.00 .......................			X	144,950	23,982
(38) KATHLEEN FITZPATRICK........................................................................ DEPUTY COMPTROLLER	28.00 .......................			X	131,400	25,530
(39) SANDRA WILLIAMS........................................................................ DIRECTOR OF OPERATIONS	35.00 .......................			X	130,750	12,800
(40) EARL BROWN........................................................................ E.D. - PART. FOR A HEALTHIER NYC	35.00 .......................			X	124,198	7,267
(41) KATHY LAWRENCE........................................................................ DIR. STRAT. DEV. - SCHOOL FOOD FOCUS	35.00 .......................			X	122,176	17,548

(A) Name and business address	(B) Description of services	(C) Compensation
STARLIMS CORPORATION319 BROADWAYNEW YORKNY10013	LAB SYSTEM/COMPUTER MAINTENANCE	614,442
ICF INCORPORATEDPO BOX 536259PHILADELPHIAPA15253	PROFESSIONAL SERVICES AND TECH SOLUTIONS	578,751
RDE SYSTEM SUPPORT GROUP44 CEDAR CLIFF DRIVEWAYNENJ07470	PROGRAM DEVELOPMENT/MAINTENANCE	526,667
HN MEDIA275 MADISON AVE SUITE 2200NEW YORKNY11016	MEDIA PLANNING	526,105
NAGARRO226 AIRPORT PARKWAY SUITE 390SAN JOSECA95110	SOFTWARE DEVELOPMENT	381,016
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 30

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	2,135,908	504,679	1,524,434	106,795
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	35,081,907	32,612,507	2,406,153	63,247
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	2,042,251	1,948,212	93,861	178
9	Other employee benefits .......	3,980,838	3,587,646	380,377	12,815
10	Payroll taxes ...........	2,697,619	2,413,148	273,136	11,335
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	87,441		87,441
c	Accounting ...........	165,140		165,140
d	Lobbying ...........	30,339		30,339
e	Professional fundraising services. See Part IV, line 17	10,600			10,600
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	17,703,699	17,513,252	108,435	82,012
12	Advertising and promotion ....	1,438,521	1,438,521
13	Office expenses .......	5,195,521	4,866,985	302,941	25,595
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	6,399,005	5,654,747	744,258
17	Travel ............	452,873	426,206	26,509	158
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....
20	Interest ...........	96,940	88,491	4,409	4,040
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	190,478	170,364	20,114
23	Insurance ..............	282,188	222,713	59,475
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	SUBCONTRACTOR PAYMENTS	118,148,962	118,148,962
b	MAINTENANCE AND REPAIRS	2,054,883	1,972,206	81,181	1,496
c	RECRUITING AND TRAINING	564,059	477,547	85,515	997
d	SUNDRY	340,026	299,764	38,513	1,749
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	199,099,198	192,345,950	6,432,231	321,017
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............		1
2	Savings and temporary cash investments .........	24,401,973	2	31,222,422
3	Pledges and grants receivable, net ...........	17,693,788	3	13,299,084
4	Accounts receivable, net .............	2,300,934	4	1,328,724
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	68,837	8	81,465
9	Prepaid expenses and deferred charges ..........		9
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	4,819,554
b	Less: accumulated depreciation .....	10b	4,486,057	482,925	10c	333,497
11	Investments—publicly traded securities ..........		11
12	Investments—other securities. See Part IV, line 11 .....		12
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............		14
15	Other assets. See Part IV, line 11 ...........	703,519	15	1,737,416
16	Total assets. Add lines 1 through 15 (must equal line 34)......	45,651,976	16	48,002,608
	17	Accounts payable and accrued expenses .........	38,043,261	17	27,118,921
18	Grants payable .................		18
19	Deferred revenue ................		19
20	Tax-exempt bond liabilities .............		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	3,010,000	23	1,810,000
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	32,304,767	25	35,581,746
26	Total liabilities. Add lines 17 through 25.........	73,358,028	26	64,510,667
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	-27,965,310	27	-17,633,143
28	Temporarily restricted net assets ...........	259,258	28	1,125,084
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	-27,706,052	33	-16,508,059
34	Total liabilities and net assets/fund balances ........	45,651,976	34	48,002,608

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

PUBLIC HEALTH SOLUTIONS

Employer identification number

13-5669201

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(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 monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2013

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....	219,483,192	212,399,069	210,961,523	196,756,633	194,246,808	1,033,847,225
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..	933,125	874,783	877,132	593,412	615,982	3,894,434
4	Total. Add lines 1 through 3	220,416,317	213,273,852	211,838,655	197,350,045	194,862,790	1,037,741,659
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.						1,037,741,659

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
7	Amounts from line 4..	220,416,317	213,273,852	211,838,655	197,350,045	194,862,790	1,037,741,659
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	21,292	20,938	30,807	19,189	13,676	105,902
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).						1,037,847,561

Gross receipts from related activities, etc. (see instructions) ..................

48,402,016

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)) .........

99.990 %

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

99.990 %

16a

33 1/3% support test—2013. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2012. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2012. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 4

Part IV

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Name of the organization

PUBLIC HEALTH SOLUTIONS

Employer identification number

13-5669201

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 2

Name of organization PUBLIC HEALTH SOLUTIONS

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTEDRESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 3

Name of organization PUBLIC HEALTH SOLUTIONS

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 4

Name of organization
PUBLIC HEALTH SOLUTIONS

Employer identification number

13-5669201

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

See separate instructions. SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

PUBLIC HEALTH SOLUTIONS

Employer identification number

13-5669201

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2013

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2013

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

30,339

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Total. Add lines 1c through 1i ...............................

30,339

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
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.

Return Reference

Explanation

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.

Schedule C (Form 990 or 990EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

PUBLIC HEALTH SOLUTIONS

Employer identification number

13-5669201

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2013

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................
b	Buildings ................
c	Leasehold improvements ............	3,609,274	3,323,494	285,780
d	Equipment ................	1,210,280	1,162,563	47,717
e	Other .................
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				333,497

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
ADVANCES FROM GOVERNMENT AND OTHER AGENCIES		18,890,565
PENSION LIABILITY		16,673,497
CAPITAL LEASE OBLIGATIONS		17,684






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		35,581,746
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................

Schedule D (Form 990) 2013

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	202,589,528
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b	615,982
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................			2e	615,982
3	Subtract line 2e from line 1.....................			3	201,973,546
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	201,973,546

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	199,715,180
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a	615,982
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................			2e	615,982
3	Subtract line 2e from line 1.....................			3	199,099,198
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................			4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	199,099,198

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART X, LINE 2:	PUBLIC HEALTH SOLUTIONS HAD NO UNCERTAIN INCOME TAX POSITIONS AS OF DECEMBER 31, 2013 AND 2012 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 2010.

Return Reference

Explanation

PART X, LINE 2:

PUBLIC HEALTH SOLUTIONS HAD NO UNCERTAIN INCOME TAX POSITIONS AS OF DECEMBER 31, 2013 AND 2012 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 2010.

Schedule D (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization
PUBLIC HEALTH SOLUTIONS

Employer identification number

13-5669201

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

Yes

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total .................

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2013

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 PROJECT #496 (event type)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . .	377,057	377,057
2	Less: Contributions . .	268,516	268,516
3	Gross income (line 1 minus line 2) . . .	108,541	108,541
4	Cash prizes . . .
5	Noncash prizes . .
6	Rent/facility costs . .	10,477	10,477
7	Food and beverages .	38,750	38,750
8	Entertainment . . .	23,784	23,784
9	Other direct expenses .	35,530	35,530
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........		108,541
11	Net income summary. Subtract line 10 from line 3, column (d)...........		0

Part III

Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (add col.(a) through col.(c))

Gross revenue . . . .

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow

Enter the state(s) in which the organization operates gaming activities:

Is the organization licensed to operate gaming activities in each of these states? ............

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2013

Page 3

Does the organization operate gaming activities with nonmembers? .................

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? ..........................

YesNo

Indicate the percentage of gaming activity operated in:

The organization's facility ......................

13a

An outside facility ........................

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

PUBLIC HEALTH SOLUTIONS

Employer identification number

13-5669201

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2013

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)ELLEN RAUTENBERGPRESIDENT & CEO	(i) (ii)	285,567 0	0 0	0 0	23,294 0	8,281 0	317,142 0	0 0
(2)STEVEN NEWMANEXECUTIVE VP & COO	(i) (ii)	231,340 0	0 0	0 0	23,291 0	1,037 0	255,668 0	0 0
(3)LOUISE COHENVP - PUBLIC HEALTH PROGRAMS	(i) (ii)	205,096 0	0 0	0 0	20,004 0	810 0	225,910 0	0 0
(4)JOSEPH TRAPANIDEPUTY TREASURER/CFO	(i) (ii)	175,489 0	0 0	0 0	17,839 0	854 0	194,182 0	0 0
(5)MARY ANN CHIASSONVP - RESEARCH & EVALUATION	(i) (ii)	171,794 0	0 0	0 0	17,462 0	15,393 0	204,649 0	0 0
(6)RACHEL MILLERVP - HIV PROGRAMS/SPECIAL INITIATIVE	(i) (ii)	174,444 0	0 0	0 0	17,079 0	22,581 0	214,104 0	0 0
(7)JANE LEVINEVP - LEGAL AFFAIRS/GENERAL COUNSEL	(i) (ii)	173,576 0	0 0	0 0	16,953 0	1,497 0	192,026 0	0 0
(8)DESIREE BUNCHVP - HUMAN RESOURCES	(i) (ii)	164,462 0	0 0	0 0	16,577 0	1,712 0	182,751 0	0 0
(9)BENJAMIN KIMVP - STRATEGIC DEVELOPMENT	(i) (ii)	166,173 0	0 0	0 0	16,479 0	8,022 0	190,674 0	0 0
(10)PETER JENSENCHIEF INFORMATION OFFICER	(i) (ii)	137,019 0	0 0	0 0	13,911 0	7,870 0	158,800 0	0 0
(11)TONI LIQUORIEXEC. DIR. - SCHOOL FOOD FOCUS	(i) (ii)	144,950 0	0 0	0 0	13,421 0	10,561 0	168,932 0	0 0
(12)KATHLEEN FITZPATRICKDEPUTY COMPTROLLER	(i) (ii)	131,400 0	0 0	0 0	3,299 0	22,231 0	156,930 0	0 0

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference	Explanation

Schedule J (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

PUBLIC HEALTH SOLUTIONS

Employer identification number

13-5669201

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2013

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) THOMAS A FARLEY	BOARD MEMBER	138,980,908	SEE PART V		No
(2) ALAN AVILES	BOARD MEMBER	641,637	SEE PART V		No
(3) BARBARA A GREEN	BOARD MEMBER	137,000	SEE PART V		No
(4) EMME LEVIN DELAND	BOARD MEMBER	505,000	SEE PART V		No
(5) CHRISTINA CHANG	BOARD MEMBER	752,766	SEE PART V		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference

Explanation

SCHEDULE L, PART IV:

THOMAS A. FARLEY - EX-OFFICIO BOARD MEMBER AND COMMISSIONER OF THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE ALAN AVILES - EX-OFFICIO BOARD MEMBER AND EXECUTIVE DIRECTOR OF THE NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONEMME L. DELAND - BOARD MEMBER AND SVP OF STRATEGY NEW YORK PRESBYTERIAN HOSPITALBARBARA GREEN - BOARD MEMBER AND SVP OF HEALTH BUSINESS CATALYST OF GREATER NEW YORK HOSPITAL ASSOCIATIONCHRISTINA CHANG - BOARD MEMBER AND VICE PRESIDENT OF PUBLIC AFFAIRS OF PLANNED PARENTHOOD OF NEW YORK CITY, INC.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 $141 MILLION AND $160 MILLION IN 2013 AND 2012, 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.

Schedule L (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

PUBLIC HEALTH SOLUTIONS

Employer identification number

13-5669201

Return Reference	Explanation
PART I, LINE 1:	DESCRIPTION OF THE ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES: THE MISSION OF PUBLIC HEALTH SOLUTIONS (PHS) IS TO IMPROVE THE HEALTH OF THE PUBLIC IN NEW YORK CITY AND BEYOND THROUGH SERVICE DELIVERY, RESEARCH, CAPACITY-BUILDING AND POLICY ANALYSIS. ONE OF THE LARGEST NONPROFITS IN NEW YORK CITY, PHS ADDRESSES CRITICAL PUBLIC HEALTH NEEDS SUCH AS FOOD SECURITY AND NUTRITION; WOMEN'S REPRODUCTIVE HEALTH; HIV PREVENTION AND CARE; HEALTHCARE ACCESS AND QUALITY; CHILD DEVELOPMENT; AND TOBACCO CONTROL. A NATIONALLY RECOGNIZED PUBLIC HEALTH INSTITUTE, PHS HAS A LONG HISTORY OF POLICY, RESEARCH, PROGRAMMATIC, AND INFRASTRUCTURE SUCCESSES THAT HAVE RESULTED IN IMPROVED HEALTH OUTCOMES ACROSS A RANGE OF PUBLIC HEALTH AREAS. ITS SERVICE DELIVERY PROGRAMS ANNUALLY SERVE CLOSE TO 80,000 LOW-INCOME AND AT-RISK INDIVIDUALS AND FAMILIES IN NEW YORK AND MORE THAN FOUR MILLION SCHOOL CHILDREN NATIONWIDE. FOR MORE THAN 50 YEARS, PHS HAS LED THE QUEST FOR INNOVATION AND PROGRESS IN COMMUNITY HEALTH THROUGH DIRECT AND CONTRACTED SERVICES TO IMPROVE POPULATION 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 A RANGE OF PUBLIC HEALTH AREAS.
PART III, LINE 1:	DESCRIPTION OF THE ORGANIZATION'S MISSION: PUBLIC HEALTH SOLUTIONS IS A LEADER IN THE FIELDS OF PUBLIC HEALTH AND SOCIAL SERVICES, MERGING RESEARCH AND ACTION AND FOCUSING ON CREATING INNOVATIVE AND SCALABLE SOLUTIONS TO SIGNIFICANT PUBLIC HEALTH PROBLEMS. AS ONE OF NEW YORK CITY'S LARGEST NONPROFITS, PHS COLLABORATES WITH CITY, STATE, AND FEDERAL AGENCIES AS WELL AS CHARITABLE FOUNDATIONS IN THE DEVELOPMENT AND IMPLEMENTATION OF PROGRAMS, AND IN THE EVALUATION OF THOSE PROGRAMS TO ENSURE THEIR CONTINUED EFFECTIVENESS. PHS ALSO PROVIDES TECHNICAL, FISCAL AND MANAGEMENT ASSISTANCE TO COMMUNITY-BASED ORGANIZATIONS, CITY GOVERNMENT AGENCIES AND NONPROFIT START-UPS, ENABLING THEM TO ENHANCE THEIR EFFECTIVENESS AND EFFICIENTLY MANAGE FUNDS. THE SERVICES PHS PROVIDES TO GOVERNMENT AGENCIES, NONPROFIT ORGANIZATIONS AND OTHERS INCLUDE ADMINISTRATIVE AND FISCAL MANAGEMENT, CONTRACTING, RECRUITMENT, GRANTS MANAGEMENT, HUMAN RESOURCES, PURCHASING, INFORMATION TECHNOLOGY, AND OFFICE SPACE.
FORM 990, PART III, LINE 2	ACCESS TO HEALTH AND FOOD BENEFITS: PUBLIC HEALTH SOLUTIONS' ACCESS TO HEALTH AND FOOD BENEFITS PROGRAM HELPS INDIVIDUALS AND FAMILIES OBTAIN HEALTH INSURANCE COVERAGE, INCLUDING MEDICAID AND CHILD HEALTH PLUS, AS WELL AS PRIVATE COVERAGE THROUGH THE HEALTH INSURANCE MARKETPLACE. IT ALSO ASSISTS THOSE IN NEED OF ADEQUATE FOOD TO APPLY FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS, FORMERLY KNOWN AS FOOD STAMPS. FROM 2001 TO 2013, AS A NEW YORK STATE-FUNDED FACILITATED ENROLLMENT AGENCY, PHS WAS SUCCESSFUL IN ENROLLING OVER 80,000 INDIVIDUALS IN PUBLIC HEALTH INSURANCE. IN 2013, PHS LEVERAGED AND BUILT UPON THIS INFRASTRUCTURE AND EXPERIENCE TO SUCCESSFULLY TRANSITION TO A HEALTH INSURANCE NAVIGATOR PROGRAM AS PART OF THE IMPLEMENTATION OF THE AFFORDABLE CARE ACT. PHS SECURED NEW FUNDING FROM THE NEW YORK STATE DEPARTMENT OF HEALTH, THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES - CENTERS FOR MEDICARE AND MEDICAID SERVICES, AND THE NATIONAL FAMILY PLANNING AND REPRODUCTIVE HEALTH ASSOCIATION TO EXPAND ITS NAVIGATOR PROGRAM THROUGHOUT NEW YORK CITY AND LONG ISLAND, AS WELL AS TO HUDSON AND ESSEX COUNTIES IN NEW JERSEY. PHS'30 NAVIGATORS AND SNAP BENEFITS COUNSELORS ARE ETHNICALLY DIVERSE, CAN ASSIST CLIENTS IN MORE THAN 10 LANGUAGES, AND HELP CLIENTS TO NAVIGATE THROUGH WHAT FOR MANY IS A COMPLICATED AND CONFUSING APPLICATIONS PROCESS. SCHOOL FOOD FOCUS: FOCUS IS THE COUNTRY'S LEADING SCHOOL FOOD REFORM PROGRAM. 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. ITS 36 MEMBER DISTRICTS SERVE MORE THAN FOUR MILLION STUDENTS ACROSS THE NATION. 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 LAUNCHED TWO MULTI-YEAR, MULTI-DISTRICT PROCUREMENT CHANGE EFFORTS IN 2013: SOUTHERN REGIONAL LEARNING LAB: THE SOUTHERN REGIONAL LEARNING LAB (SRLL) IS DESIGNED TO LEVERAGE EXPERTISE AND PURCHASING POWER TO BRING PROCUREMENT CHANGE TO A RANGE OF DISTRICT PARTICIPANTS IN FIVE SOUTHERN STATES. WITH AN EMPHASIS ON LARGE SCHOOL DISTRICTS AND DRAWING ON THE LESSONS OF FOCUS' INITIAL SINGLE-DISTRICT LEARNING LABS (IN CHICAGO, DENVER AND ST. PAUL) AND THE CURRENT SEVEN-DISTRICT UPPER MIDWEST REGIONAL LEARNING LAB, THE WORK OF THE SRLL IS EXPECTED TO IMPACT MORE THAN A HALF MILLION STUDENTS. THE SRLL WILL WORK WITH THE PARTICIPATING SCHOOL DISTRICTS AND THEIR PARTNERS TO HELP SECURE THE CHANGES THEY WANT TO SEE IN FOODS THEY PRIORITIZE FOR PURCHASE. RATHER THAN TAILORING THE CHANGES TO EACH DISTRICT (AND SENDING MULTIPLE MESSAGES INTO THE MARKETPLACE), THE AIM IS TO BRING THE SRLL DISTRICTS TO CONSENSUS ABOUT THE CHANGES TO LEVERAGE THEIR COMBINED PURCHASING POWER ON A SELECT NUMBER OF FOODS. IN THIS WAY, SRLL STAFF AND PARTICIPANTS WILL BE ABLE TO APPROACH THE SUPPLIERS IN A MUCH STRONGER POSITION TO EXPLORE WHICH FOODS - IN MORE HEALTHFUL, REGIONAL AND SUSTAINABLE FORMS - COULD ACTUALLY BE AVAILABLE TO SCHOOLS AT A PRICE THAT THEY CAN AFFORD. THIS COOPERATIVE MULTI-DISTRICT APPROACH TO PROCUREMENT ALTERS THE REGIONAL SUPPLY CHAIN, CONCENTRATING ON WHAT THE DISTRICTS CAN DO TOGETHER THAT THEY CANNOT ACCOMPLISH ALONE. CALIFORNIA SUPPLY CHAIN DISCOVERY: THE SCHOOL FOOD FOCUS NATIONAL PROCUREMENT INITIATIVE (NPI) IS A COLLABORATIVE EFFORT AMONG 15 SCHOOL DISTRICTS WORKING TO SHIFT LARGE-SCALE NATIONAL SUPPLY CHAINS TOWARDS MORE HEALTHFUL, REGIONAL, AND SUSTAINABLE PROCUREMENT. COLLECTIVELY, THESE DISTRICTS SERVE NEARLY TWO MILLION CHILDREN NATIONWIDE. WORKING AT BOTH THE NATIONAL AND REGIONAL LEVEL, THE NPI IS WORKING TO SHIFT PROCUREMENT OF CHICKEN (THE LEADING SCHOOL FOOD "CENTER OF THE PLATE" PROTEIN) TO SOURCES THAT ARE HEALTHIER ON THE PLATE AND THE ENVIRONMENT. IN CALIFORNIA, THREE NPI DISTRICTS HAVE COME TOGETHER TO EXPLORE OPPORTUNITIES AT THE REGIONAL LEVEL. TOGETHER, OAKLAND UNIFIED (OUSD), SAN DIEGO UNIFIED (SDUSD), AND RIVERSIDE UNIFIED (RUSD) SCHOOL DISTRICTS SERVE OVER 200,000 STUDENTS AND SPEND $2.3 MILLION ON CHICKEN PROCUREMENT EVERY SCHOOL YEAR. DURING 2013, FOCUS CONDUCTED SUPPLY CHAIN DISCOVERY OF CALIFORNIA CHICKEN PRODUCTION. THE GOAL OF THE DISCOVERY PROCESS WAS TO FIND OPPORTUNITIES IN HEALTHFUL AND SUSTAINABLE CHICKEN PROCUREMENT WITHIN CALIFORNIA.
PART III, LINE 4A:	DESCRIPTION OF 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 PREVENTION FUNDING. THIS WORK IS PERFORMED UNDER A "MASTER CONTRACT" WITH NYCDOHMH THAT HAS BEEN AWARDED TO PHS/ HIVCS THROUGH REPEATED RE-COMPETITIONS. IN 2013, HIVCS-ADMINISTERED CONTRACTS RECEIVED FEDERAL RYAN WHITE FUNDING (PART A AND MINORITY AIDS INITIATIVE, ADMINISTERED BY THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES' HEALTH RESOURCES AND SERVICES ADMINISTRATION, OR HRSA), AS WELL AS FUNDING FROM THE FEDERAL CENTERS FOR DISEASE CONTROL (FOR HIV PREVENTION), AND FROM THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT'S HOUSING OPPORTUNITIES FOR PEOPLE WITH AIDS (HOPWA) PROGRAM. ADDITIONAL FUNDING IS PROVIDED BY THE CITY OF NEW YORK FOR HIV/AIDS PREVENTION INITIATIVES TARGETING INJECTION DRUG USERS, FAITH-BASED INSTITUTIONS AND COMMUNITIES OF COLOR. ON BEHALF OF NYCDOHMH, HIVCS MANAGES THE ISSUANCE OF REQUESTS FOR PROPOSALS AND SUBCONTRACT AWARDS, DRIVES NEGOTIATIONS AND PAYMENTS, AND MONITORS COMPLIANCE WITH CONTRACT TERMS AND CONDITIONS, INCLUDING PERFORMANCE AGAINST DELIVERABLES. A RIGOROUS CONTINUOUS QUALITY IMPROVEMENT APPROACH, UNDERGIRDED BY STATE-OF-THE-ART INFORMATION SYSTEMS, ENABLES HIVCS TO MEASURE AND ENHANCE ITS OWN WORK USING A VARIETY OF PERFORMANCE METRICS. IN 2013, HIVCS MANAGED 320 CONTRACTS ON BEHALF OF NYCDOHMH. ACTIVITIES COVERED BY THESE CONTRACTS INCLUDE MENTAL HEALTH SERVICES, PRIMARY CARE AND MEDICATIONS, HIV TESTING, HOUSING SERVICES, LEGAL SERVICES, FOOD AND NUTRITION, HARM REDUCTION AND SUBSTANCE ABUSE TREATMENT, SEXUAL AND BEHAVIORAL HEALTH INTERVENTIONS, STRUCTURAL AND SYSTEM-LEVEL INTERVENTIONS FOR HIV PREVENTION, CONDOM DISTRIBUTION, MEDICAL CASE MANAGEMENT, HOME CARE, AND FAITH-BASED PROGRAMS. HIVCS RECEIVED A BUDGET REDUCTION OF MORE THAN 15% IN 2013, DUE PRIMARILY TO CUTS IN THE CITY'S FEDERAL RYAN WHITE GRANT AND REDUCTIONS IN CERTAIN HIV PREVENTION INITIATIVES. THE RYAN WHITE REDUCTION WAS DUE TO FEDERAL BUDGET SEQUESTRATION MEASURES AS WELL AS A CORRECTION FOR AN ERROR HRSA IDENTIFIED IN ITS OWN COMPUTATION OF OUR AWARD IN THE THREE PREVIOUS FISCAL YEARS. HIVCS AND NYCDOHMH TRACKED THE IMPACT OF BUDGET CUTS ON SUBCONTRACTORS, WHERE REDUCED SERVICES AND LAYOFFS WERE THE MOST COMMON EFFECTS. HIVCS ISSUED A REQUEST FOR PROPOSALS (RFP) IN 2013 FOR APPROXIMATELY $9.95 MILLION IN RYAN WHITE-FUNDED HOUSING PROGRAMS WITH MARCH 2014 START DATES. HOUSING PROGRAMS INCLUDE SHORT-TERM RENTAL ASSISTANCE, TRANSITIONAL AND EMERGENCY HOUSING AND HOUSING PLACEMENT ASSISTANCE. ALL AWARDEES ARE NEW YORK CITY NONPROFIT ORGANIZATIONS. IN 2013, HIVCS' PLANNING AND INFORMATICS TEAM EXPANDED ITS PROGRAMMING TO IMPORT DATA FROM AN EXTRACT OF DATA FROM THE CITY'S E-SHARE DATA SYSTEM. HIVCS USES THE DATA FOR THE PURPOSES OF CONTRACT PAYMENT, MONITORING AND ANALYSIS. HIVCS CONTINUES TO EXPAND AND FORTIFY ITS STATE-OF-THE-ART INFORMATION SYSTEMS FOR ADDITIONAL FUNCTIONALITY AND ROBUSTNESS. HIVCS REIMBURSES RYAN WHITE AND PREVENTION CONTRACTORS USING A CUTTING-EDGE APPROACH TO PERFORMANCE EVALUATION, ALIGNING PAYMENT WITH THE DELIVERY OF CONTRACTUALLY-REQUIRED SERVICES. UNLIKE MOST RYAN WHITE PAYERS, HIVCS' PERFORMANCE-BASED PAYMENT SYSTEM REIMBURSES CONTRACTORS FOR REPORTED SERVICES OR ENROLLMENTS, ACCORDING TO A NEGOTIATED FEE SCHEDULE RATHER THAN REPORTED EXPENDITURES. USING A COMBINATION OF AUTOMATED AND IN-PERSON REVIEWS, HIVCS ANALYZES REPORTED DATA TO DETERMINE ALLOWABLE PAYMENT, PRODUCING DETAILED EXPLANATORY REPORTS FOR CONTRACTORS. IN PERFORMANCE-BASED CONTRACTING, HIVCS STAFF DOES NOT MONITOR ADHERENCE TO APPROVED BUDGET OR EXPENDITURES, BUT DOES AUDIT DOCUMENTATION OF SERVICES OR DELIVERABLES 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 REQUIREMENTS. IN ADDITION, HIVCS REVIEWS CONTRACTOR BUDGETS TO ENSURE ADHERENCE TO FEDERAL AND FUNDING SOURCE-SPECIFIC COST ALLOWABILITY REGULATIONS. A MID-YEAR REVIEW -- SOON TO BE YEAR-END, IN RESPONSE TO COMMENTS FROM FEDERAL AND INTERNAL AUDITORS -- OF CONTRACTORS' EXPENDITURE REPORTS PROVIDES FURTHER ASSURANCE OF COMPLIANCE WITH THESE RULES AS WELL AS ALIGNMENT OF REIMBURSEMENT RATES WITH ACTUAL COSTS. IN ADDITION, HIVCS REVIEWS AND ANALYZES CONTRACTORS' AUDITED FINANCIAL STATEMENTS TO ENSURE THAT FUNDED ORGANIZATIONS ARE CAPABLE OF RESPONSIBLY MANAGING FEDERAL FUNDS. HIVCS MANAGES ITS HIV/AIDS FUNDS AGGRESSIVELY TO MAXIMIZE SPENDING ON BUDGETED SERVICES. SEVERAL TIMES A YEAR, CONTRACTOR SPENDING IS ANALYZED, WITH THE RESULT THAT AWARDS OF UNDER-PERFORMERS ARE REDUCED AND FUNDS ARE REDIRECTED TO STRONGER PERFORMERS, WHO ARE ABLE TO SPEND MORE DURING THE YEAR. THIS APPROACH HAS LED TO SPENDING LEVELS OF NEARLY 100% IN THE PAST THREE YEARS, WINNING PRAISE FROM FEDERAL FUNDERS AND COMMUNITY PLANNERS AND AVOIDING STEEP FUNDING PENALTIES. IN 2013, HIVCS CONDUCTED A CUSTOMER SATISFACTION SURVEY. RESPONDENTS REPORTED HIGH RATES OF SATISFACTION, WITH 88% REPORTING THAT HIVCS HAD MET OR EXCEEDED THEIR EXPECTATIONS. PARTICULAR AREAS OF SATISFACTION INCLUDED STAFF RESPONSIVENESS, SITE VISITS, MONTHLY REPORTING AND ASSISTANCE WITH OUTLINING AND IMPLEMENTING CORRECTIVE ACTION. THE NYCDOHMH BUREAU OF INTERNAL AUDIT CONDUCTED A COMPREHENSIVE REVIEW OF HIVCS FISCAL POLICIES AND PROCEDURES IN 2013. THE NEARLY YEAR-LONG REVIEW DETERMINED THAT PAYMENTS WERE MADE IN ACCORDANCE WITH ESTABLISHED HIVCS POLICIES AND PROCEDURES, AND THERE WERE ADEQUATE INTERNAL CONTROLS AND RECORDING OF PAYMENTS. HIVCS CONTINUES TO SERVE AS A RESOURCE FOR HIV/AIDS FUNDERS AND SERVICE PROVIDERS. AS MASTER CONTRACTOR FOR THE LARGEST HIV/AIDS RYAN WHITE GRANTS IN THE U.S., HIVCS' EXPERIENCE CARRIES CONSIDERABLE INFLUENCE NATIONALLY. STAFF OFTEN PRESENT AT CONFERENCES AND PUBLISH ARTICLES ON HIVCS PAYMENT AND DATA MODELS. HIVCS IS UNIQUELY QUALIFIED TO PROVIDE PROGRAMMATIC AND FINANCIAL INFORMATION TO THE COMMUNITY PLANNING BODY THAT SETS PRIORITIES AND BUDGETS FOR RYAN WHITE FUNDING, AND NYCDOHMH LOOKS TO PHS/HIVCS FOR AGILE CONTRACTING OPERATIONS AS WELL AS COMPREHENSIVE ANALYSIS AND REPORTING.
PART III, LINE 4B:	DESCRIPTION OF PUBLIC HEALTH EMERGENCY PREPARDNESS PROGRAM: PUBLIC HEALTH SOLUTIONS IS THE FISCAL AND ADMINISTRATIVE AGENT FOR THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE (NYC DOHMH) FOR THE ALIGNED PUBLIC HEALTH EMERGENCY PREPAREDNESS HOSPITAL PREPAREDNESS PROGRAM (PHEP-HPP) COOPERATIVE AGREEMENTS. THE SECOND BUDGET PERIOD OF THE CURRENT FIVE-YEAR PROJECT PERIOD (7/1/12 -- 6/30/17) BEGAN ON 7/1/13 WITH A SLIGHT DECREASE IN THE TOTAL FUNDING AMOUNT FOR THE PERIOD. PHEP PROVIDES FUNDS FOR STATES AND DIRECTLY-FUNDED CITIES TO PREPARE FOR AND RESPOND TO EMERGING PUBLIC HEALTH THREATS, INCLUDING ACTS OF BIOTERRORISM, AND TO SUPPORT REGIONAL READINESS INITIATIVES. HPP SUPPORTS IMPROVEMENT OF SURGE CAPACITY AND ENHANCEMENT OF COMMUNITY AND HOSPITAL PREPAREDNESS FOR PUBLIC HEALTH EMERGENCIES. FISCAL AND ADMINISTRATIVE MANAGEMENT SERVICES PROVIDED BY PHS 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 THE U.S. CENTERS FOR DISEASE CONTROL AND PREVENTION
PART III, LINE 4C:	DESCRIPTION OF NEIGHBORHOOD WIC PROGRAM (WIC): ESTABLISHED NEARLY 40 YEARS AGO, PUBLIC HEALTH SOLUTIONS' WIC PROGRAM, THE LARGEST WIC PROGRAM IN NYS, PROVIDES SUPPLEMENTAL FOODS, NUTRITION EDUCATION, BREASTFEEDING SUPPORT, AND COUNSELING ABOUT DIET AND EXERCISE TO OVER 48,000 LOW-INCOME PREGNANT WOMEN, INFANTS AND CHILDREN (UP TO AGE 5) AT NINE WIC CENTERS THROUGHOUT NEW YORK CITY EVERY YEAR. WIC STAFF MONITORS PARTICIPANTS' HEIGHT AND WEIGHT; CHILDREN'S IMMUNIZATION STATUS; AND REFERS THEM AS NEEDED FOR OTHER SOCIAL AND HEALTHCARE SERVICES. HEALTH INSURANCE FACILITATED ENROLLERS AND FOOD BENEFITS COUNSELORS ARE EMBEDDED AT A NUMBER OF PHS' WIC CENTERS TO PROVIDE ACCESS TO PUBLIC HEALTH INSURANCE AND FOOD STAMPS BENEFITS AND OTHER RESOURCES FOR THE FAMILIES SERVED BY THE PROGRAM. IN ADDITION, PUBLIC HEALTH SOLUTIONS DISTRIBUTES WIC CASH VOUCHERS ON BEHALF OF THE NYS DEPARTMENT OF HEALTH. THE VOUCHERS, WHICH ARE REDEEMED TO PURCHASE USDA-APPROVED FOOD ITEMS AT GROCERY STORES, CORNER STORES, AND PHARMACIES, BENEFIT THE LOCAL ECONOMY AS WELL AS WIC FAMILIES. IN 2013, PHS DISTRIBUTED APPROXIMATELY $52 MILLION IN FOOD BENEFITS TO CLIENTS AT ITS NEIGHBORHOOD WIC CENTERS. BECAUSE WIC VENDOR MANAGEMENT IS ALSO A PHS PROGRAM, PUBLIC HEALTH SOLUTIONS HAS A UNIQUE HANDLE ON THE CLIENT ("DEMAND") SIDE AS WELL AS THE VENDOR ("SUPPLY") SIDE OF WIC-RELATED ISSUES. (SEE PART III, LINE 4D -- OTHER PROGRAM SERVICES -- FOR A DESCRIPTION OF THE WIC VENDOR MANAGEMENT PROGRAM.) SPECIAL INITIATIVES OVERSEEN BY PHS' WIC PROGRAM INCLUDE COOKING MATTERS AT THE STORE (CMATS); AN INNOVATIVE, COMMUNITY-BASED APPROACH TO PROVIDING INDIVIDUALS AND FAMILIES IN HIGH-NEED, FOOD-INSECURE COMMUNITIES THROUGHOUT NEW YORK CITY WITH THE SKILLS AND TOOLS TO SHOP, COOK, AND EAT HEALTHY ON A BUDGET. CMATS WAS IMPLEMENTED AT APPROXIMATELY NINE SUPERMARKETS WITHIN WALKING DISTANCE OF THE NINE PHS NEIGHBORHOOD WIC SITES IN 2013. FUNDED BY SHARE OUR STRENGTH, CMATS PROVIDED GROCERY STORE TOURS AND NUTRITION EDUCATION FOR APPROXIMATELY 1500 FAMILIES, INCLUDING BOTH NEIGHBORHOOD WIC PARTICIPANTS AND OTHER WIC-ELIGIBLE NYC RESIDENTS IN 2013.
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 & COMPLIANCE COMMITTEE FOR THEIR REVIEW AND APPROVAL FOR PRESENTATION TO THE GOVERNING BOARD OF DIRECTORS. IT IS THEN DISTRIBUTED TO THE ENTIRE BOARD.
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.
FORM 990, PART XI, LINE 9:	PENSION LIABILITY ADJUSTMENT 8,323,645.
PART XII, LINE 2C:	COMMITTEE THAT ASSUMES OVERSIGHT OF THE INDEPENDENT ACCOUNTANT AND AUDIT: PUBLIC HEALTH SOLUTIONS' AUDIT & COMPLIANCE COMMITTEE ASSUMES THE RESPONSIBILITY OF THE OVERSIGHT OF THE INDEPENDENT ACCOUNTANT AND THE AUDIT, AND THE REVIEW OF THE 990.
FORM 990, PART III,LINE 4D:	DESCRIPTION OF OTHER PROGRAM SERVICES: COALITION FOR A SMOKE-FREE CITY: THE COALITION FOR A SMOKE-FREE CITY IS A HEALTH EDUCATION AND ADVOCACY PROGRAM THAT WORKS TO INCREASE AWARENESS OF TOBACCO CONTROL ISSUES AMONG COMMUNITY MEMBERS AND POLICYMAKERS. THE COALITION AND ITS LOCAL BOROUGH PARTNERSHIPS USE A COLLABORATIVE APPROACH TO PARTNER WITH COMMUNITY-BASED ORGANIZATIONS, POLICYMAKERS, HEALTH ADVOCATES, AND OTHER STAKEHOLDERS TO FACILITATE NEIGHBORHOOD-BASED EFFORTS THAT PROMOTE HEALTHIER COMMUNITIES WITH THE GOALS OF: REDUCING YOUTH EXPOSURE TO TOBACCO MARKETING; INCREASING THE NUMBER OF SMOKE-FREE OUTDOOR SPACES; INCREASING THE NUMBER OF APARTMENT BUILDINGS, CO-OPS AND CONDOS THAT ARE 100% SMOKE-FREE; AND ENGAGING COMMUNITY PARTNERS TO BUILD SUPPORT FOR POLICY CAMPAIGNS. IN 2013, THE COALITION LAUNCHED A FOCUSED ASIAN AMERICAN INITIATIVE THAT SEEKS TO RAISE AWARENESS ABOUT TOBACCO CONTROL ISSUES, PROVIDE CULTURALLY AND LINGUISTICALLY APPROPRIATE OUTREACH AND EDUCATION, AND ULTIMATELY REDUCE DISPARITIES IN TOBACCO-RELATED MORBIDITY AND MORTALITY AMONG ASIAN AMERICANS IN NEW YORK CITY. MATERNAL AND CHILD HEALTH SERVICES: PUBLIC HEALTH SOLUTIONS' NURSE-FAMILY PARTNERSHIP PROGRAM, BASED IN THE HIGH-NEED COMMUNITY OF CORONA, QUEENS, IS A NATIONALLY RECOGNIZED, EVIDENCE-BASED NURSE HOME-VISITING PROGRAM FOR LOW-INCOME, FIRST-TIME MOTHERS, WHICH HAS BEEN SERVING WOMEN AND FAMILIES SINCE 2008. TO DATE, THE PROGRAM HAS REACHED OVER 920 FAMILIES. PHS' BUSHWICK BRIGHT START (BBS), A HEALTHY FAMILIES NEW YORK HOME-VISITING PROGRAM, HAS BEEN SERVING WOMEN AND FAMILIES IN THE BUSHWICK COMMUNITY IN BROOKLYN FOR 13 YEARS. BBS UTILIZES COMMUNITY-BASED PARAPROFESSIONALS TO PROVIDE INTENSIVE, EVIDENCE-BASED HOME-VISITING SERVICES TO PREGNANT AND PARENTING WOMEN AND BABIES THROUGH WEEKLY HOME VISITS. SINCE ITS INCEPTION IN 2001, BBS HAS SERVED OVER 730 FAMILIES. BOTH PROGRAMS HAVE BEEN SHOWN TO MEASURABLY IMPROVE HEALTH OUTCOMES FOR MOTHERS AND THEIR CHILDREN. 2013 ALSO MARKED THE LAUNCH OF PHS' QUEENS MATERNAL INFANT COMMUNITY HEALTH COLLABORATIVE; A 5-YEAR $2.5 MILLION NYSDOH-FUNDED PROJECT IN NORTHERN QUEENS TO CONVENE AND LEAD A DIVERSE GROUP OF LOCAL STAKEHOLDERS AND DEPLOY A TEAM OF COMMUNITY HEALTH WORKERS WITH THE GOAL OF IMPROVING FEMALE RESIDENTS' REPRODUCTIVE HEALTH ACROSS THE LIFE COURSE. MIC HEALTH CENTERS: PHS' ARTICLE 28-LICENSED MIC HEALTH CENTERS HAVE BEEN PROVIDING COMPREHENSIVE FAMILY PLANNING AND PRENATAL CARE TO NYC'S MOST MEDICALLY UNDERSERVED NEIGHBORHOODS FOR OVER 40 YEARS, SERVING MORE THAN 4,500 WOMEN ANNUALLY AT ITS TWO LOCATIONS IN BROOKLYN. HIGH-QUALITY REPRODUCTIVE HEALTHCARE SERVICES, INCLUDING A RANGE OF EFFECTIVE CONTRACEPTIVE METHODS, ARE PROVIDED TO ALL WHO NEED THEM, REGARDLESS OF AGE, IMMIGRATION STATUS, OR ABILITY TO PAY. PHS REPRODUCTIVE HEALTH SERVICES PROGRAM: A RECOGNIZED LEADER IN THE AREAS OF FAMILY PLANNING, ADOLESCENT AND WOMEN'S HEALTH, PHS HAS A LONG HISTORY OF IDENTIFYING AND ADDRESSING EMERGING FAMILY PLANNING CLINICAL AND ADMINISTRATIVE ISSUES, AS WELL AS CONTRIBUTING TO LONGSTANDING PARTNERSHIPS THROUGH STATE- AND CITY-WIDE COALITIONS AND INITIATIVES THAT STRIVE TO IMPROVE CARE AND POLICIES IN NEW YORK CITY THROUGH EDUCATION, COLLABORATION, AND ADVOCACY. PHS HAS BEEN THE NON-GOVERNMENTAL TITLE X FAMILY PLANNING SERVICES GRANTEE FOR NEW YORK STATE FOR OVER 30 YEARS; TITLE X IS THE FEDERAL GRANT PROGRAM THAT FUNDS COMPREHENSIVE FAMILY PLANNING AND OTHER RELATED PREVENTIVE HEALTH SERVICES TO INDIVIDUALS WITH A SPECIAL FOCUS ON THE NEEDS OF LOW-INCOME FAMILIES OR UNINSURED PEOPLE (INCLUDING THOSE NOT ELIGIBLE FOR MEDICAID) WHO MIGHT NOT OTHERWISE HAVE ACCESS TO THESE SERVICES. PHS ADMINISTERS FUNDING TO SEVEN SUB-RECIPIENT COMMUNITY HEALTH CENTERS ON BEHALF OF THE OFFICE OF POPULATION AFFAIRS (OPA) WITHIN THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (DHHS), INCLUDING OUR OWN ARTICLE 28 MIC WOMEN'S HEALTH CENTERS. PHS PROVIDES ONGOING DATA MONITORING AND PROGRAMMATIC AND ADMINISTRATIVE REVIEW FOR SUB-RECIPIENTS TO ENSURE THEY SET AND ACHIEVE WORK PLAN GOALS AND OBJECTIVES AND ADHERENCE TO TITLE X GUIDELINES. SUDDEN INFANT AND CHILD DEATH RESOURCE CENTER (SICD): SICD SEEKS TO ELIMINATE SUDDEN UNEXPECTED DEATHS IN INFANTS AND CHILDREN. THIS PROGRAM IS ONE OF FIVE REGIONAL OFFICES FUNDED BY THE NEW YORK STATE CENTER FOR SUDDEN INFANT DEATH. SICD WORKS WITH A WIDE RANGE OF HEALTH AND SOCIAL SERVICE PROFESSIONALS AND COMMUNITY LEADERS TO INCREASE PUBLIC AWARENESS THROUGH EDUCATIONAL PROGRAMS ABOUT SUDDEN UNEXPECTED INFANT/CHILD DEATH, SAFE SLEEP PRACTICES, AND INFANT MORTALITY RISK REDUCTION AND TO PROVIDE BEREAVEMENT SUPPORT TO FAMILIES THAT HAVE EXPERIENCED THE LOSS OF AN INFANT/CHILD THROUGH INDIVIDUAL CONSULTATIONS AND SUPPORT GROUPS. EARLY INTERVENTION SERVICE COORDINATION (EISC): PUBLIC HEALTH SOLUTIONS' EARLY INTERVENTION SERVICE COORDINATION PROGRAM PROVIDES CASE MANAGEMENT FOR FAMILIES WITH INFANTS AND TODDLERS WITH KNOWN OR SUSPECTED DEVELOPMENTAL DELAYS OR DISABILITIES. SERVICE COORDINATORS WORK WITH PROFESSIONAL EVALUATORS, SERVICE PROVIDERS, AND FAMILIES TO DEVELOP INDIVIDUAL FAMILY SERVICE PLANS AND ASSURE THE ONGOING DELIVERY OF THERAPEUTIC SERVICES FOR INFANTS AND CHILDREN. 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, TO SUPPORT THEM TO UNDERSTAND THIS COMPLEX PROGRAM, AND TO APPROPRIATELY ACCESS NEEDED SERVICES. WIC VENDOR MANAGEMENT PROGRAM: PUBLIC HEALTH SOLUTIONS IS ONE OF TWO WIC VENDOR MANAGEMENT AGENCIES (VMA) IN NEW YORK CITY. SINCE 1974, ON BEHALF OF THE NYS HEALTH DEPARTMENT, VMA HAS ENSURED THAT GROCERY STORES, CORNER STORES, SUPERMARKETS AND PHARMACIES THAT ACCEPT WIC CHECKS ARE APPROPRIATELY STOCKED AND PRODUCTS ARE FAIRLY PRICED. THE PROGRAM WORKS WITH CLOSE TO 2,000 STORES IN QUEENS, BROOKLYN AND STATEN ISLAND, AS WELL AS IN NASSAU AND SUFFOLK COUNTIES, FACILITATING THE PROCESSING OF WIC VENDOR APPLICATIONS, PROVIDING TRAINING TO WIC VENDORS, CONDUCTING PERIODIC SITE INSPECTIONS AND MONITORING VISITS, AND RESOLVING DISPUTES BETWEEN PARTICIPANTS AND VENDORS. RESEARCH & EVALUATION PROGRAMS: PUBLIC HEALTH SOLUTIONS USES ITS OWN RESEARCH TO HELP ILLUMINATE CRITICAL PUBLIC HEALTH ISSUES AND TO DESIGN, IMPLEMENT AND ASSESS EFFECTIVE METHODS FOR PREVENTING DISEASE AND IMPROVING HEALTH. PHS' INNOVATIVE RESEARCH PROGRAMS INCLUDE: WHICHMETHOD.COM: A WEB-APP TO IMPROVE CONTRACEPTIVE CHOICE: NEARLY HALF OF ALL PREGNANCIES IN THE U.S. ARE UNINTENDED; AMONG TEENAGERS, THE PERCENTAGE IS EVEN HIGHER - MORE THAN 80% OF PREGNANCIES IN WOMEN 19 OR UNDER ARE UNPLANNED. BECOMING A TEEN PARENT HAS A SIGNIFICANT EFFECT ON BOTH THE PARENT AND CHILD: TEEN MOTHERS ARE MORE LIKELY TO LIVE IN POVERTY AND LESS LIKELY TO COMPLETE THEIR EDUCATION THAN OTHER TEENAGERS, AND THEIR CHILDREN ARE MORE LIKELY TO HAVE DEVELOPMENTAL DELAYS OR BEHAVIORAL ISSUES AND LESS LIKELY TO GRADUATE FROM HIGH SCHOOL. MANY WOMEN ARE AT INCREASED RISK OF UNINTENDED PREGNANCY DUE TO CONTRACEPTIVE NON-USE, PARTICULARLY TEENAGERS AND LOW-INCOME WOMEN. WITH A LONG-TERM GOAL OF REDUCING THE BURDEN OF UNINTENDED PREGNANCY, PHS HAS DEVELOPED AND FIELD-TESTED A USER-FRIENDLY CONTRACEPTIVE ASSESSMENT APP TO HELP WOMEN WHO DO NOT CURRENTLY WANT TO BECOME PREGNANT CHOOSE CONTRACEPTIVE METHODS THAT ARE EFFECTIVE AND ACCEPTABLE. THERE ARE TWO KEY PROGRAM ELEMENTS: AN INTERACTIVE APP AND TAILORED INFORMATIONAL MATERIAL. THE INTERACTIVE CONTRACEPTIVE ASSESSMENT APP, AVAILABLE IN BOTH SPANISH AND ENGLISH, INCLUDES APPROXIMATELY 50 QUESTIONS ON CONTRACEPTIVE HISTORY, PREFERENCES AND PRIORITIES, SEXUAL RISK FACTORS, AND MEDICAL HISTORY. RESPONSES TO THE QUESTIONS GUIDE AN UNDERLYING ALGORITHM (DEVELOPED IN COLLABORATION WITH PHYSICIANS AT EMORY UNIVERSITY), WHICH INCORPORATES THE CDC'S MEDICAL ELIGIBILITY CRITERIA AS WELL AS A WOMAN'S INDIVIDUAL PREFERENCES AND PRIORITIES (SUCH AS WHEN SHE WANTS TO BECOME PREGNANT, OR WHETHER THE USER NEEDS TO KEEP HER METHOD PRIVATE FROM HER FAMILY AND/OR PARTNER) AND MAKES MORE THAN 500 RANKING DECISIONS FOR 19 DIFFERENT CONTRACEPTIVE METHODS. USERS RECEIVE INDIVIDUALLY-TAILORED RECOMMENDATIONS ABOUT CONTRACEPTIVE METHODS THAT ARE EFFECTIVE, MEDICALLY APPROPRIATE AND IN LINE WITH INDIVIDUAL PREFERENCES GIVEN THEIR RESPONSES. THE APP WAS TESTED IN A LARGE-SCALE (N=2,000) RANDOMIZED CONTROL TRIAL CONDUCTED AT TWO FEDERALLY-FUNDED FAMILY PLANNING CENTERS FROM 2009-2011. THE TRIAL PROVIDED SIGNIFICANT EVIDENCE OF THE APP'S EFFICACY IN INCREASING THE LIKELIHOOD THAT A WOMAN CHOOSES AN EFFECTIVE CONTRACEPTIVE METHOD AND USES IT CONSISTENTLY.
FORM 990, PART III,LINE 4D:	NATIONAL COORDINATING CENTER, HEALTHY WEIGHT IN LESBIAN AND BISEXUAL WOMEN INITIATIVE: PUBLIC HEALTH SOLUTIONS, UNDER SUBCONTRACT FROM THE CDM GROUP, SERVES AS THE COORDINATING CENTER FOR THE DEPARTMENT OF HEALTH AND HUMAN SERVICES OFFICE OF WOMEN'S HEALTH (OWH)-FUNDED EFFORTS OF FIVE DIFFERENT SITES IMPLEMENTING INTERVENTIONS TO PROMOTE HEALTHY WEIGHT AMONG LESBIANS AND BISEXUAL WOMEN, AGE 40 AND OVER, WHO ARE OVERWEIGHT OR OBESE. COORDINATING CENTER STAFF WORK WITH INVESTIGATORS FROM THE FUNDED SITES --WASHINGTON DC (GWU/WHITMAN-WALKER CLINIC/MAUTNER PROJECT); ST. LOUIS (SAGE/NORC); AND SAN FRANCISCO (LGBT COMMUNITY CENTER/IMPAQ INTERNATIONAL & LYON-MARTIN/RTI) -- TO FACILITATE CROSS-SITE COMMUNICATION AND COLLABORATION, MANAGE AND ANALYZE QUALITATIVE AND QUANTITATIVE DATA, AND DISSEMINATE FINDINGS THROUGH NATIONAL MEETINGS AND PEER-REVIEW PUBLICATIONS. FIRST STEPS TO HEALTHY LIVING: EVALUATION OF NEW YORK STATE EARLY CHILDHOOD OBESITY PREVENTION PROGRAMS: THE FEDERALLY-FUNDED WIC PROGRAM PROMOTES GOOD NUTRITION AND HEALTHY WEIGHT GAIN FOR LOW-INCOME PREGNANT, POST-PARTUM, AND BREASTFEEDING WOMEN, AS WELL AS INFANTS AND CHILDREN UP TO THE AGE OF FIVE. IN JANUARY 2009, NEW YORK BECAME THE FIRST STATE IN THE NATION TO IMPLEMENT THE USDA-MANDATED REVISION OF THE WIC FOOD PACKAGE, WHICH OFFERED A MORE BALANCED SET OF FOODS REFLECTING DIETARY RECOMMENDATIONS TO CONSUME LESS FAT AND SWEETENED BEVERAGES, TO EAT MORE FIBER AND FRUITS AND VEGETABLES, AND LIMITED CHILDREN 2-4 YEARS OF AGE TO LOW- (1%) OR NONFAT MILK. PUBLIC HEALTH SOLUTIONS RESEARCHERS -- ALONG WITH COLLEAGUES FROM COLUMBIA UNIVERSITY AND THE NYS DEPARTMENT OF HEALTH - HAVE BEEN PARTICIPATING IN FIRST STEPS TO HEALTHY LIVING, A 4.5-YEAR PROJECT FUNDED BY THE ROBERT WOOD JOHNSON FOUNDATION AND THE NEW YORK STATE HEALTH FOUNDATION, AS PART OF A COMPREHENSIVE EVALUATION OF INNOVATIVE NYS WIC PROGRAM OBESITY PREVENTION POLICIES AND IMPLEMENTATION OF THE NEW WIC FOOD PACKAGE. ALTHOUGH THE WIC PROGRAM SERVES ALMOST HALF THE CHILDREN BORN IN NEW YORK STATE, AND THE PROGRAM IS UNIQUELY POSITIONED TO REDUCING OVERWEIGHT AMONG CHILDREN UNDER AGE FIVE THROUGHOUT THE ENTIRE STATE, STUDIES OF OBESITY PREVENTION PROGRAMS TARGETING CHILDREN ENROLLED IN NYS WIC HAVE BEEN LIMITED IN THE PAST. FIRST STEPS TO HEALTHY LIVING THUS PRESENTED AN EXCITING RESEARCH OPPORTUNITY, FOR WHICH PUBLIC HEALTH SOLUTIONS WAS PARTICULARLY WELL-SUITED. THE PRIMARY GOAL OF FIRST STEPS TO HEALTHY LIVING HAS BEEN TO ASSESS THE IMPACT OF THE NEW WIC FOOD PACKAGE ON FRUIT, VEGETABLE, WHOLE GRAIN, AND LOW-FAT MILK CONSUMPTION, INITIATION AND DURATION OF BREASTFEEDING, AND WEIGHT/HEIGHT AMONG CHILDREN ENROLLED IN NYS WIC. PROJECT RESEARCHERS ANALYZED 3.5 MILLION ACTIVE NYS WIC RECORDS FROM BEFORE AND AFTER IMPLEMENTATION OF THE NEW FOOD PACKAGE. THEY DETERMINED THAT, TWO YEARS AFTER IMPLEMENTATION OF THE NEW NYS WIC FOOD PACKAGES, INFANTS WERE MORE LIKELY TO BE BREASTFED, AND CHILDREN WERE MORE LIKELY TO HAVE INCREASED CONSUMPTION OF HEALTHY FOODS, INCLUDING LOW/NONFAT MILK. THE PROJECT IS NOW MOVING INTO THE FINAL DATA ANALYSIS PHASE. THE MANUSCRIPT, "CHANGING WIC CHANGES WHAT CHILDREN EAT," WHICH DESCRIBED THE INITIAL EVALUATION FINDINGS, WAS PUBLISHED IN THE JOURNAL OBESITY IN MAY 2013. PROFILES OF PARTICIPATION IN WIC AND OTHER HEALTHY LIVING PROGRAMS FOR PRE-SCHOOLERS IN NEW YORK IS A ONE-YEAR RENEWAL GRANT AWARDED BY THE ROBERT WOOD JOHNSON FOUNDATION IN DECEMBER 2013. THIS GRANT WILL FUND 1) A STUDY OF LIFETIME PARTICIPATION AND EXPERIENCES IN WIC, FACTORS ASSOCIATED WITH VARIATIONS IN WIC PARTICIPATION, AND REASONS FOR NON-PARTICIPATION BY THOSE ELIGIBLE; AND 2) HOW MOTHERS COMBINE WIC PARTICIPATION WITH OTHER RESOURCES TO SUPPORT HEALTHY DIETS AND ACTIVITIES FOR THEIR PRE-SCHOOLERS AND OTHER YOUNG CHILDREN. AN ONLINE RANDOMIZED CONTROLLED TRIAL EVALUATING HIV PREVENTION DIGITAL MEDIA INTERVENTIONS FOR MEN WHO HAVE SEX WITH MEN: THIRTY YEARS AFTER HIV/AIDS WAS FIRST IDENTIFIED, THE DISEASE CONTINUES TO SPREAD DRAMATICALLY AMONG MANY POPULATIONS, WITH MOST NEW HIV INFECTIONS IN THE U.S. OCCURRING IN MEN WHO HAVE SEX WITH MEN (MSM). IN RESPONSE TO THIS HEALTH CRISIS, PUBLIC HEALTH SOLUTIONS, IN COLLABORATION WITH THE NYU STEINHARDT SCHOOL, DEVELOPED THE GROUNDBREAKING HIV IS STILL A BIG DEAL SHORT FILM SERIES IN 2008. THE HIV BIG DEAL VIDEOS WERE DESIGNED TO PROMOTE CRITICAL THINKING ABOUT HIV DISCLOSURE, HIV TESTING, SUBSTANCE ABUSE AND CONDOM USE. THESE KINDS OF ONLINE INTERVENTIONS ARE PARTICULARLY IMPORTANT SINCE INCREASES IN HIV INFECTION IN MSM HAVE BEEN ATTRIBUTED, IN PART, TO EVER-EXPANDING INTERNET HOOK-UP SITES THAT GIVE MSM FAR WIDER AND EASIER ACCESS TO SEX PARTNERS ABOUT WHOM THEY KNOW LITTLE. NUMEROUS STUDIES HAVE FOUND THE DRAMATIC APPROACH OF THE HIV BIG DEAL VIDEOS PUTS VIEWERS IN A PROBLEM-SOLVING FRAME OF MIND, PROMOTING CRITICAL THINKING AND ULTIMATELY RESULTING IN GREATER BEHAVIOR CHANGE THAN OTHER KINDS OF PRESENTATIONS. THEY ARE THE ONLY SCRIPTED, DRAMATIC HIV PREVENTION VIDEOS THAT HAVE BEEN EVALUATED AND SHOWN TO REDUCE HIGH-RISK BEHAVIOR FOR GAY AND BISEXUAL MEN. PHS RECENTLY CONDUCTED A CDC-FUNDED RANDOMIZED CONTROLLED TRIAL (RCT) AMONG MSM RECRUITED FROM SEVERAL GAY SEXUAL NETWORKING WEBSITES. AN ONLINE RANDOMIZED CONTROLLED TRIAL EVALUATING HIV PREVENTION DIGITAL MEDIA INTERVENTIONS FOR MEN WHO HAVE SEX WITH MEN ASSESSED THE IMPACT OF TWO HIV BIG DEAL VIDEOS (THE MORNING AFTER AND TALKING ABOUT HIV) AND AN HIV PREVENTION WEBPAGE, COMPARED TO A CONTROL CONDITION FOR THE STUDY OUTCOMES: HIV TESTING, SEROSTATUS DISCLOSURE, AND UNPROTECTED ANAL INTERCOURSE (UAI) AT 60-DAY FOLLOW-UP. THE STUDY FINDING OF DECREASED SEXUAL RISK AMONG MSM RECRUITED ONLINE FOR AN INTERVENTION SUGGESTS THAT A LOW-COST, BRIEF DIGITAL MEDIA INTERVENTION DESIGNED TO ENGAGE CRITICAL THINKING CAN INCREASE HIV DISCLOSURE TO SEXUAL PARTNERS AND DECREASE SEXUAL RISK. EFFECTIVE, BRIEF HIV PREVENTION INTERVENTIONS FEATURING DIGITAL MEDIA THAT ARE MADE WIDELY AVAILABLE MAY SERVE AS A COMPLEMENTARY PART OF AN OVERALL BEHAVIORAL AND BIOMEDICAL STRATEGY FOR REDUCING SEXUAL RISK BY ADDRESSING THE SPECIFIC NEEDS AND CIRCUMSTANCES OF THE TARGET POPULATION, AND BY CHANGING INDIVIDUAL KNOWLEDGE, MOTIVATIONS, AND COMMUNITY NORMS. USING TECHNOLOGY TO MATCH YOUNG BLACK MSM TO HIV TESTING OPTIONS: THIS IS AN NIH GRANT LED BY THE NEW YORK BLOOD CENTER WITH PHS AS A SUBCONTRACTOR. THE AIMS OF THE GRANT ARE: 1) TO DEVELOP A BRIEF INTERNET-BASED INTERVENTION FOR YOUNG, HIV-NEGATIVE OR NEVER-TESTED BLACK MSM AND TRANSGENDER WOMEN, OPTIMIZED FOR MOBILE DEVICES (E.G., SMART PHONES, TABLETS) TO INCREASE HIV TESTING. THE INTERVENTION WILL USE AN ASSESSMENT AND ALGORITHM TO PROVIDE MEN WITH A TAILORED RECOMMENDATION OF THEIR OPTIMAL HIV TESTING APPROACH; AND 2) TO PILOT TEST THE INTERVENTION USING A THREE-ARM RANDOMIZED STUDY DESIGN TO ESTIMATE ITS POTENTIAL EFFICACY COMPARED TO CONTROL CONDITIONS IN INCREASING THE PROPORTION OF YOUNG BLACK MSM OR TRANSGENDER WOMEN WHO TEST OVER SIX MONTHS. STAPHYLOCOCCAL SKIN AND SOFT TISSUE INFECTIONS IN MSM: AN INTERNET-BASED QUANTITATIVE AND QUALITATIVE INVESTIGATION AND US-WIDE MOLECULAR EPIDEMIOLOGY: PHS IS A SUBCONTRACTOR ON THIS COLUMBIA UNIVERSITY-FUNDED PILOT. COMMUNITY-ASSOCIATED METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS (CA-MRSA) OR "STAPH" IS A MAJOR CAUSE OF SKIN AND SOFT TISSUE INFECTIONS (SSTIS) AND IS A SERIOUS PUBLIC HEALTH ISSUE. THESE INFECTIONS DISPROPORTIONATELY AFFECT MEN WHO HAVE SEX WITH MEN (MSM); HOWEVER, THIS PHENOMENON IS NOT WELL UNDERSTOOD AND IS UNDERSTUDIED. THIS STUDY IS BEING PERFORMED TO INFORM THE DESIGN OF AN EFFECTIVE ONLINE PREVENTION STRATEGY. TO DO SO, MSM WILL BE RECRUITED ONLINE (FOR A SURVEY, WITH SUB-STUDIES INCLUDING ONLINE FOCUS GROUPS, PHONE INTERVIEWS, AND SELF-SWABBING) TO: 1) IDENTIFY RISK FACTORS FOR STAPH INFECTIONS, 2) LEARN WHAT MSM KNOW ABOUT THESE INFECTIONS, WHERE THEY OBTAIN THEIR HEALTH INFORMATION AND DETERMINE WHICH INTERVENTIONS WOULD BE ACCEPTABLE, 3) EXPLORE MEN'S ATTITUDES TOWARDS AND EXPERIENCES WITH STAPH, AND 4) DESCRIBE THE STRAINS OF STAPH AND THEIR RESISTANCE TO ANTIBIOTICS THAT COLONIZE THE NOSE, GROIN, AND PERIANAL AREAS OF THE STUDY PARTICIPANTS.
FORM 990, PART III,LINE 4D:	REACHING HARD-TO-REACH YOUTH WITH THE GYT CAMPAIGN: THE PROJECT ADAPTED THE GET YOURSELF TESTED (GYT) CAMPAIGN, A SOCIAL MARKETING CAMPAIGN PROMOTING STD TESTING, TO REACH ETHNICALLY DIVERSE LGBTQ YOUTH (UNDER AGE 25) AT RISK OF HIV AND STDS WHO ARE HOMELESS, UNSTABLY HOUSED, OR STREET-ORIENTED (INCLUDING RUNAWAYS, SEX WORKERS, OR SQUATTERS). ACTIVITIES INCLUDED FORMATIVE RESEARCH, CAMPAIGN ADAPTATION AND IMPLEMENTATION, PROCESS EVALUATION OF CAMPAIGN ACTIVITIES, AND AN OUTCOME EVALUATION OF THE IMPACT ON STD/HIV TESTING AT COMMUNITY PARTNERS. DURING THE FORMATIVE RESEARCH PHASE, PUBLIC HEALTH SOLUTIONS STAFF CONDUCTED A SERIES OF THREE FOCUS GROUPS WITH SEXUAL AND GENDER MINORITY YOUTH, AND CONDUCTED ANALYSES OF THE RESULTING QUALITATIVE DATA. PROJECT STAFF ALSO CONVENED AN ADVISORY BOARD TO GUIDE THE DEVELOPMENT OF CAMPAIGN MATERIALS AND MESSAGES. AS PART OF A ROBUST EVALUATION PHASE, PROJECT STAFF CONDUCTED TWO SETS OF VENUE-BASED CROSS-SECTIONAL SURVEYS OF 152 SEXUAL AND GENDER MINORITY YOUTH TO GAUGE STD TESTING KNOWLEDGE, ATTITUDES, AND BEHAVIOR. MORE THAN 10,000 YOUTH WERE REACHED WITH THE CAMPAIGN MATERIALS.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: THE MISSION OF PHS IS TO IMPROVE THE HEALTH OF THE PUBLIC IN NYC AND BEYOND (SEE SCHEDULE O).
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	26
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	21
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	869
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	196,756,633	194,246,808
9	Program service revenue (Part VIII, line 2g) .........	7,765,299	7,713,062
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	19,189	13,676
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	204,541,121	201,973,546
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	41,299,165	45,938,523
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	36,790	10,600
b	Total fundraising expenses (Part IX, column (D), line 25) 321,017
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	161,573,126	153,150,075
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	202,909,081	199,099,198
19	Revenue less expenses. Subtract line 18 from line 12.......	1,632,040	2,874,348
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	45,651,976	48,002,608
21	Total liabilities (Part X, line 26).............	73,358,028	64,510,667
22	Net assets or fund balances. Subtract line 21 from line 20.....	-27,706,052	-16,508,059

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 117,555,329 including grants of $ ) (Revenue $ )
	HIV CARE SERVICES - (SEE SCHEDULE O FOR MORE INFORMATION.)

4b	(Code: ) (Expenses $ 29,316,389 including grants of $ ) (Revenue $ )
	PUBLIC HEALTH EMERGENCY PREPAREDNESS AND HOSPITAL PREPAREDNESS PROGRAM - (SEE SCHEDULE O FOR MORE INFORMATION.)

4c	(Code: ) (Expenses $ 10,164,284 including grants of $ ) (Revenue $ )
	NEIGHBORHOOD WIC PROGRAM - (SEE SCHEDULE O FOR MORE INFORMATION.)

	(Code: ) (Expenses $ 35,309,948 including grants of $ ) (Revenue $ 7,713,062 )


4d	Other program services (Describe in Schedule O.)
	(Expenses $ 35,309,948 including grants of $ ) (Revenue $ 7,713,062 )
4e	Total program service expenses192,345,950

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	2,538,434	0	338,073

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c		268,516
d	Related organizations...1d
e	Government grants (contributions)1e		174,068,078

f	All other contributions, gifts, grants, and similar amounts not included above1f		19,910,214

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			194,246,808
			Business Code
2a	THIRD PARTY SUPPORT		624100	6,167,393	6,167,393
b	MEDICAID/THIRD PARTY		624000	1,062,064	1,062,064
c	OTHER REVENUE		900099	414,360	414,360
d	THIRD PARTY SUPPORT		900099	69,245	69,245
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			7,713,062
3	Investment income (including dividends, interest, and other similar amounts).......			13,676			13,676
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)
d	Net gain or (loss)..........
8a	Gross income from fundraising events (not including $ 268,516 of contributions reported on line 1c). See Part IV, line 18 ..
	a		108,541
b	Less: direct expenses ...b		108,541
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions......			201,973,546	7,713,062	0	13,676


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............				1
2	Savings and temporary cash investments .........			24,401,973	2	31,222,422
3	Pledges and grants receivable, net ...........			17,693,788	3	13,299,084
4	Accounts receivable, net .............			2,300,934	4	1,328,724
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			68,837	8	81,465
9	Prepaid expenses and deferred charges ..........				9
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	4,819,554
b	Less: accumulated depreciation .....	10b	4,486,057	482,925	10c	333,497
11	Investments—publicly traded securities ..........				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			703,519	15	1,737,416
16	Total assets. Add lines 1 through 15 (must equal line 34)......			45,651,976	16	48,002,608
17	Accounts payable and accrued expenses .........			38,043,261	17	27,118,921
18	Grants payable .................				18
19	Deferred revenue ................				19
20	Tax-exempt bond liabilities .............				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			3,010,000	23	1,810,000
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			32,304,767	25	35,581,746
26	Total liabilities. Add lines 17 through 25.........			73,358,028	26	64,510,667
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			-27,965,310	27	-17,633,143
28	Temporarily restricted net assets ...........			259,258	28	1,125,084
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			-27,706,052	33	-16,508,059
34	Total liabilities and net assets/fund balances ........			45,651,976	34	48,002,608