2022-09-14T17:07:41-07:00 2021-12-31 990 2021-01-01 814498882 MONITOR MY HEALTH INC MONI 8009459479 157 CHURCH ST STE 1900 NEW HAVEN CT 06510 Dana Wade CEO 2036709308 2022-09-13 1 11 0 AAL2 2021 2023-04-26 12:10:37Z X X DANA P WADE 157 CHURCH ST STE 1900 NEW HAVEN CT 06510 364524 0 X WWW.MONITORMYHEALTH.ORG X 2016 CT ESTABLISHED TO PREVENT TYPE 2 DIABETES, HEART DISEASE, AND OBESITY AMONG INDIVIDUALS AT INCREASED RISK FOR THOSE CONDITIONS BY PROVIDING EVIDENCE-BASED INTERVENTION SERVICES AND ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH. 5 3 5 5 0 0 201735 305631 296053 58893 0 0 0 0 497788 364524 4890 1147 0 0 33689 153455 0 0 0 267746 71204 306325 225806 191463 138718 470141 360728 73101 4464 397040 356264 ESTABLISHED TO PREVENT TYPE 2 DIABETES, HEART DISEASE, AND OBESITY AMONG INDIVIDUALS AT INCREASED RISK FOR THOSE CONDITIONS BY PROVIDING EVIDENCE-BASED INTERVENTION SERVICES AND ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH. 0 0 179969 0 58893 INDIVIDUALS AT INCREASED RISK FOR TYPE 2 DIABETES AND HEART DISEASE RECEIVED EVIDENCE-BASED CDC-RECOGNIZED DIABETES PREVENTION PROGRAM HEALTH SUPPORT SERVICES. THEY LOST AN AVERAGE OF 5% OF THEIR INITIAL BODY WEIGHT, ACHIEVED 150 MINUTES OF PHYSICAL ACTIVITY PER WEEK, AND LOWERED THEIR HBA1C VALUES BY 0.2 - 1.2 %. THE PROGRAM INCLUDED 26 SESSIONS OF A CDC-APPROVED LIFESTYLE CHANGE PROGRAM, 6 INDIVIDUAL SUPPORT SESSIONS WITH REGISTERED DIETITIANS, AND AEROBIC EXERCISE SESSIONS. ADDITIONALLY, THE SOCIAL DETERMINANTS OF HEALTH WAS ADDRESSED THROUGH PROVIDING DIGITAL DEVICES / INTERNET SUBSCRIPTIONS / HEALTHY FOOD / PERSONAL PROTECTIVE EQUIPMENT / ACCESS TO TRANSPORTATION / REFERRAL FOR ADDITIONAL SUPPORT SERVICES. 0 0 0 179969 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 15 0 1 5 1 0 0 0 0 1 1 0 0 0 X 5 3 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 CA CT MS NY X DANA PARIS WADE 2036709308 157 CHURCH ST STE 1900 NEW HAVEN CT 06510 DANA P WADE CEO / MEDICAL DIRECTOR 20 20 X X X 5702 14600 0 ELEONORE M HERSCHBERGER PRESIDENT 2.00 0 X 5000 0 0 JOHN KIRKLEY BOARD MEMBER 1 0 X 0 0 0 ANN GRIFFIN BOARD MEMBER 1 0 X 0 0 0 ARTHUR MCADAMS BOARD MEMBER 1 0 X 0 0 0 10702 14600 0 0 0 0 0 0 0 0 1362 0 111686 192583 0 305631 58893 58893 0 0 58893 0 0 0 0 1362 0 364524 58893 0 0 0 0 1147 1147 0 0 0 0 9702 9702 0 0 0 0 0 0 139466 102176 37290 0 0 0 0 0 0 0 0 0 4287 3217 1070 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6702 6702 0 0 14369 12213 2156 0 3678 2726 952 0 0 0 0 0 14604 11854 2750 0 6057 4794 1263 0 0 0 0 0 4348 4348 0 0 1756 1756 0 0 0 0 0 0 0 0 0 0 2222 2222 0 0 Subscribtions 1679 1323 356 0 Training & Certifications 10532 10532 0 0 Supplies 5257 5257 0 0 225806 179969 45837 0 239290 207128 25892 0 83680 45114 44892 101625 0 5800 12786 25173 937 12871 5924 19757 0 0 0 0 0 470141 360728 42891 4464 30210 73101 4464 X 305715 186221 0 0 91325 170043 397040 356264 470141 360728 138718 0 -139494 0 -40000 0 X 1 X 1 1 0 X 33141 100002 179808 201735 229545 744231 10673 51213 238783 296053 58593 655315 43814 151215 418591 497788 288138 1399546 2312 3817 6000 8000 0 20129 5032 7150 16310 0 0 28492 7344 10967 22310 8000 0 48621 1350925 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43814 151215 418591 497788 288138 1399546 0.96526 0 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 364524 0 0 0 0 0 364524 0 0 0 364524 225806 0 0 0 0 0 225806 0 0 0 225806 Form 990, Part VI, Section B, Line 11b PROCESS FOR REVIEW OF FORM 990 THE ORGANIZATION USES ITS AUDIT COMMITTEE OF THE BOARD OF DIRECTORS TO REVIEW THE FORM 990 RETURN. THE AUDIT COMMITTEE HAS BEEN DELEGATED THIS AUTHORITY BY THE BOARD OF DIRECTORS IN ITS AUDIT COMMITTEE CHARTER. THE ORGANIZATION'S FINANCIAL MANAGEMENT GROUP IS RESPONSIBLE FOR GATHERING THE KEY COMPONENTS AND SUPPORTING SCHEDULE INFORMATION FOR THE FORM 990. THE ORGANIZATION'S AUDIT FIRM OF INDEPENDENT PUBLIC ACCOUNTANTS ASSISTS IN THE PREPARATION OF FORM 990 AND THEN IT GOES THROUGH A REVIEW PROCESS TO ENSURE IT IS COMPLETED ACCURATELY. THE FINAL DRAFT OF FORM 990 IS RETURNED TO THE ORGANIZATION WHERE SENIOR EXECUTIVE MANAGEMENT AND MEMBERS OF THE FINANCIAL TEAM REVIEW THE DOCUMENT. THE AUDIT COMMITTEE RECEIVES A COPY OF THE DRAFT RETURN IN ADVANCE OF A MEETING SCHEDULED FOR ITS FORMAL REVIEW. THE AUDIT COMMITTEE MEETS AND APPROVES THE FORM 990. PRIOR TO FILING, THE APPROVED DRAFT RETURN IS CIRCULATED TO THE BOARD OF DIRECTORS. THE AUDIT FIRM THEN ELECTRONICALLY FILES THE FINAL INFORMATIONAL RETURN WITH THE IRS. THE FINAL FORM 990 IS ALSO PUBLICLY FREELY AVAILABLE IN ELECTRONIC OR PAPER FORMAT TO THE PUBLIC UPON REQUEST. Form 990, Part VI, Section B, Line 12c CONFLICT OF INTEREST POLICY IS THE RESPONSIBILITY OF ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THE ORGANIZATION TO FAMILIARIZE THEMSELVES WITH THE POLICY AND TO COMPLY AND TO COMPLY AND ENSURE COMPLIANCE OF RELATED PARTIES WITH IT. IN ADDITION TO THE DISCLOSURES REQUIRED BY THIS POLICY, ANNUALLY EACH DIRECTOR, OFFICER, AND EMPLOYEE WILL BE PROVIDED WITH A STATEMENT TO COMPLETE AND RETURN INDICATING THAT THEY HAVE READ, UNDERSTAND, AND ARE IN COMPLIANCE WITH THIS POLICY. FOR DIRECTORS OFFICERS, AND EMPLOYEES THERE IS A PROCESS WHERE THE ANNUAL STATEMENT OF COMPLIANCE MAY BE EFFECTED AND TRANSMITTED VIA E-MAIL OR OTHER ELECTRONIC MEANS. THE CHAIR OF THE BOARD OF TRUSTEES WILL REPORT TO THE BOARD AND THE CHAIR OF THE AUDIT COMMITTEE WILL REPORT TO THE AUDIT COMMITTEE OF THE BOARD AT LEAST ONCE ANNUALLY CONCERNING ANY DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST MADE TO THEM, AND ANY OTHER CONFLICTS OF INTERESTS, WHICH HAVE OCCURRED. DIRECTORS AND OFFICERS WHO KNOWINGLY OR UNKNOWINGLY VIOLATE THIS POLICY ARE SUBJECT TO CENSURE OR REMOVAL, AT THE DISCRETION OF THE BOARD. EMPLOYEES WHO KNOWINGLY OR UNKNOWINGLY VIOLATE THIS POLICY WILL BE SUBJECT TO DISCIPLINARY ACTION, INCLUDING POSSIBLE DISMISSAL. Form 990, Part VI, Section C, Line 19 ARTICLES OF INCORPORATION AND BYLAWS MAY BE FOUND ON OUR OWN WEBSITE, AND OUR 990, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. WHETHER THE REQUEST IS MADE IN PERSON OR IN WRITING, THE COPIES ARE MAILED OR EMAILED WITHIN 2 WEEKS. OUR ACCOUNTANT PASSED AWAY AFTER CONTRACTING COVID-19 HENCE ADDITIONAL TIME WAS REQUESTED TO FIND A NEW ACCOUNTANT.