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AIRnyc

Full company profile

uuid002bb7r

Namestring
AIRnyc
Legal namestring
AIRnyc
Websiteurl
air-nyc.org
Company typeenum
Private
Founded yearint
2009
Operating statusenum
Operating
Ownership categoryenum
Headcount rangeband
11–50
akta.pro rankint
HeadquartersBronx, United States
HQ citystring
Bronx
HQ countrystring
United States
HQ regionstring
North America
Markets served

Serves global market

Offices1 record

Each record includes

City, Country, Type, Description, Source

Keyword5 values
community health services, chronic disease management, medically tailored meals, maternal and child health, social determinants of health
Industry4 codes
PRIMARYHSABAIAM
Home & Community-Based Services (HCBS) Coordination & Case Management
Home & Personal Services/Elder Care & In-Home Care Services/Care Coordination & Geriatric Care Management
SECONDARYHSABACAI
Cardiac & Pulmonary Clinical Home Health (e.g., CHF/COPD)
Home & Personal Services/Elder Care & In-Home Care Services/Skilled Nursing & Clinical Home Health
SECONDARYHLAKAAAC
Asthma & Airway Disease Specialty Care
SECONDARYHSABACAJ
Diabetes Education & Insulin Management (Home-Based)
Home & Personal Services/Elder Care & In-Home Care Services/Skilled Nursing & Clinical Home Health
NAICS code2 codes
  • Services for the Elderly and Persons with Disabilities624120
  • Other Individual and Family Services62419
SIC code1 code
  • Services-Home Health Care Services8082
Product category
Community Health Services
GTM motion1 record

Each record includes

Type, Description, Source

Revenue model2 records
1Grants and Donations
TypeSubscription Recurring
Description

AIRnyc operates as a nonprofit 501(c)(3) organization. The organization received a $550,000 three-year grant from the Anthem Blue Cross and Blue Shield Foundation to fund community health programs. Additional funding comes from individual donations, corporate matching gifts, stock/securities donations, bequests, and foundation contributions through the Fund for the City of New York.

air-nyc.org
2Healthcare Payer Partnerships
TypeManaged Services
Description

Partnerships with commercial health plans, public insurers (Medicare, Medicaid) for program delivery and outcomes-based care

air-nyc.org
Marketing channels6 records

Each record includes

Title, Type, Stage, Description, Source

Distribution channels3 records

Each record includes

Title, Type, Scope, Target buyer, Description, Source

Cost components5 values
Personnel, Operations, Supply Chain, Technology or R&D, Marketing or Sales
GTM typeB2B
B2B
Offering typeServices
Services
Core offering1 text field

AIRnyc delivers in-home, Community Health Worker-driven programs that address chronic disease (asthma, diabetes, hypertension, COPD) and maternal/child health in underserved NYC neighborhoods. Core offerings include medically tailored home-delivered meals, health coaching, medication adherence support, doula/maternal support, and culturally tailored public health outreach, all funded via grants, donations, and payer partnerships rather than direct client billing.

Differentiator
Functional benefit
Problem solved
Quantifiable outcome1 of 5 values shown
  • 40% reduction in hospitalizations
+4 more records
Product overview1 text field

AIRnyc is a nonprofit 501(c)(3) community health organization that offers a community health worker-driven service model for chronic disease management and social determinants of health. The organization operates city-wide in New York, primarily serving the South Bronx, and focuses on Black and Latinx communities experiencing health disparities. The portfolio consists of five interconnected programs: Fighting Asthma (home-based interventions for pediatric asthma), Chronic Disease Interventions (diabetes, hypertension, COPD management), Maternal and Early Childhood Health Crisis (maternal support), Food as Medicine (medically tailored meals and nutrition guidance), and Public Health Outreach (vaccine access and health screenings). All programs are delivered through Community Health Workers who provide home visits, utilize app-based nutrition guidance, and follow co-design principles where clients help shape program development. The organization was founded in 2009 as a project of the Fund for the City of New York.

Product and service6 records
1Fighting Asthma Program
CategoryAsthma home-based intervention
Description

Home-based interventions to address severe, uncontrolled pediatric asthma, particularly in the South Bronx. Delivered by Community Health Workers and including proper inhaler usage instruction, asthma-friendly cleaning products, air filters, mattress and pillow covers, and medical appointment reminders for children and families.

2Chronic Disease Interventions
CategoryChronic disease management
Description

Programs helping individuals burdened by chronic diseases including asthma, COPD, diabetes, and hypertension. Services include support improving access to medical care, medication adherence training, medically tailored home-delivered meals, DASH diet coaching, and in-home cooking lessons.

3Maternal and Early Childhood Health Crisis Program
CategoryMaternal and child health
Description

Interventions to reduce maternal and child deaths and medical complications for high-risk Black and Latinx families. Includes hospital and at-home support, advocacy with doctors, insurance setup for babies, doula connections, housing help, food resources, and baby items assistance.

4Food as Medicine Program
CategoryNutrition and food as medicine
Description

Program using food as a formal component of patient care to address pre-diabetes, diabetes, and hypertension. Provides medically tailored home-delivered meals, food pantry connections, food stamps applications, in-home cooking lessons, DASH diet education, dietary tracking app, and physical activity coaching.

5Public Health Outreach
CategoryPublic health outreach
Description

Outreach responding to important public health issues in high-need NYC locations. Services include COVID-19 and flu vaccine outreach, high blood pressure screening, DASH diet education, food pantry connections, housing resource referrals, and diabetes self-management support.

6Community Health Worker (CHW) Service Model
CategoryCommunity health workforce delivery model
Description

AIRnyc's foundational delivery model: a team of Community Health Workers who serve as trusted sources bridging underserved communities and healthcare systems. CHWs meet clients in their homes to address whole-person and family needs, speak 10 languages, and operate in a model associated with a 65% reduction in hospital visits.

Scale indicator12 records

Each record includes

Type, Value, Description, Source

Partnership11 partners
Strategic tierCoreTypeStrategic or Co-development Partner
Description

FCNY serves as AIRnyc's fiduciary partner, providing financial and human resources management. AIRnyc is a program organization under FCNY, which affords access to professional financial and HR teams. Donations are made through FCNY's 501(c)(3) status (Tax ID# 13-2612524).

Strategic tierCoreTypeStrategic or Co-development Partner
Description

Hospitals partner with AIRnyc for community health worker services and referral programs for patients with chronic conditions.

3Commercial Health Plans and Public Insurers
Strategic tierCoreTypeStrategic or Co-development Partner
Description

Partnerships with commercial health plans, Medicare, and Medicaid for value-based care programs addressing social determinants of health.

air-nyc.org
4Research Departments in Universities
Strategic tierMinorTypeStrategic or Co-development Partner
Description

University research partnerships for evidence-based community health interventions and program evaluation.

air-nyc.org
Strategic tierMinorTypeStrategic or Co-development Partner
Description

Partnerships with food banks to address food insecurity and support the Food as Medicine program.

Strategic tierMinorTypeStrategic or Co-development Partner
Description

Government agency partnerships for public health outreach and community health programs.

Strategic tierMinorTypeStrategic or Co-development Partner
Description

Partnerships with other nonprofits and community organizations for coordinated service delivery.

Strategic tierCoreTypeStrategic or Co-development Partner
Description

City health department partnership for public health initiatives and disease control programs.

Strategic tierMinorTypeStrategic or Co-development Partner
Description

Hospital association partnership for healthcare system collaboration.

Strategic tierCoreTypeStrategic or Co-development Partner
Description

Integration into NYC Health + Hospitals' Electronic Medical Record system for asthma home-based environmental pilot program.

Strategic tierCoreTypeStrategic or Co-development Partner
Description

Parent company of Anthem Blue Cross and Blue Shield Foundation, supporting community health initiatives.

Recent move8 records

Each record includes

Date, Type, Title, Description, Source

Expansion highlight6 records

Each record includes

Type, Description

Peers10 records
TypeBroad incumbent
Description

Family-owned value-based primary care provider for Medicare-eligible seniors with chronic conditions. Comparable value-based care focus on underserved elderly populations with chronic disease management, though operates through clinic-based model at national scale rather than community health worker model.

TypeDirect peer
Description

Value-based care provider for Medicaid populations using community-based care teams and community health workers to address social determinants of health. Operates similar CHW-driven care coordination and chronic disease management model for underserved populations, directly comparable.

TypeDirect peer
Description

Tech-enabled CHW-led care model that partners with community organizations and primary care providers to deliver value-based care for Medicaid patients with chronic disease and unmet social needs. Directly comparable model in target population, CHW workforce, and payer contract structure.

4California Health Foundation
TypeOthers
Description

Foundations and community health intermediaries funding CHW programs and chronic disease interventions for underserved populations. Comparable as ecosystem funders and partners in the community health worker value-based care space.

TypeBroad incumbent
Description

Large value-based primary care company (acquired by CVS Health) serving Medicare beneficiaries and dually-eligible patients with chronic conditions. Operates a value-based care model targeting similar populations (low-income, chronic disease) but at national scale through a clinic-based rather than home-based CHW model.

TypeDirect peer
Description

National nonprofit that partners with healthcare organizations to screen patients for social needs and connect them to community resources through community resource specialists. Highly comparable model addressing social determinants of health in clinical settings for similar populations.

TypeDirect peer
Description

Value-based primary care company that employs community health workers to serve Medicaid and dually-eligible populations with chronic conditions and social needs. Operates a CHW-led model in NYC and other markets with similar target demographics (low-income, chronically ill, communities of color), making it a directly comparable CHW-driven peer.

TypeEmerging player
Description

CHW workforce and care navigation organization serving underserved communities similar to AIRnyc; provides community-based health interventions with cultural competence focus, partially comparable CHW model with smaller scale.

TypeRegional player
Description

Bronx-based multiservice nonprofit addressing poverty through housing, education, immigration, and health programs for residents in the same geographic market as AIRnyc. Comparable in serving chronically ill and underserved populations in the South Bronx with similar community-based interventions.

TypeOthers
Description

Global health and humanitarian nonprofit operating community health programs addressing chronic disease, maternal health, and health disparities. Comparable in nonprofit health mission and community health worker deployment model, though operates at significantly larger international scale.

Market position
Strengths4 records

Each record includes

Headline, Details, Source

Weaknesses4 records

Each record includes

Headline, Details, Source

Competitive moat6 records

Each record includes

Type, Details

Key risks5 records

Each record includes

Headline, Details, Source

Key highlights6 records

Each record includes

Headline, Details, Source

Customer concentration

Classification, Details

Named customers5 records

Each record includes

Name, Industry, Type, Use case, Source, UUID

Ideal customer profile3 records

Each record includes

Profile, Firmographic size, Sales motion, Sales cycle length, Buying structure, Purchase trigger, Buyer persona, Geography, Industry vertical, Primary use case, Description, Pain points, Evidence proof points, Target buyer

Technology focused
No
API detail
Has APIbool
No

Docs URL, Description

AI maturity
App detail

Has app

Feature3 records

Each record includes

Title, Differentiator, Description, Source

Core technology
Revenue estimate
Valuation estimate
Number of profiles
Profiles9 records

Each record includes

Name, Designation, Designation category, Overview, Profile commentary, Source

No data
No data
Funding overview

Funding stage, Last funding date, Total funding USD

Funding rounds1 record

Each record includes

Round, Amount USD, Date, Pre money valuation, Total investors, Investors, News

Investors1 record

Each record includes

Name, Type, Date of entry, Rounds participated, Website

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Each record includes

Name, Acquisition type, Announced date, Completed date, Status, Website, News

Investment

Each record includes

Name, Round, Announced date, Lead investor, Website, News

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

AIRnyc

Community Health Servicesair-nyc.org

AIRnyc firmographics

Firmographics
Name
AIRnyc
Legal name
AIRnyc
Website
https://air-nyc.org
Company type
Private
Founded year
2009
Operating status
Operating
Headcount range
11–50 employees
Ownership category
akta.pro rank

AIRnyc industry classification

Industry
Product category
Community Health Services
NAICS
Services for the Elderly and Persons with Disabilities (624120), Other Individual and Family Services (62419)
SIC
Services-Home Health Care Services (8082)
akta.pro industry
PRIMARYHSABAIAM
Home & Community-Based Services (HCBS) Coordination & Case Management
Home & Personal Services/Elder Care & In-Home Care Services/Care Coordination & Geriatric Care Management
SECONDARYHSABACAI
Cardiac & Pulmonary Clinical Home Health (e.g., CHF/COPD)
Home & Personal Services/Elder Care & In-Home Care Services/Skilled Nursing & Clinical Home Health
SECONDARYHLAKAAAC
Asthma & Airway Disease Specialty Care
SECONDARYHSABACAJ
Diabetes Education & Insulin Management (Home-Based)
Home & Personal Services/Elder Care & In-Home Care Services/Skilled Nursing & Clinical Home Health

Keywords

  • Community health services
  • Chronic disease management
  • Medically tailored meals
  • Maternal and child health
  • Social determinants of health

Where AIRnyc is headquartered

Location

Headquarters

HQ city
Bronx
HQ country
United States
HQ region
North America

Offices1 record

Markets served

AIRnyc business model

Business model
GTM type
B2B
Offering type
Services
Cost components
Personnel, Operations, Supply Chain, Technology or R&D, Marketing or Sales

Revenue model

  1. Grants and Donations: AIRnyc operates as a nonprofit 501(c)(3) organization. The organization received a $550,000 three-year grant from the Anthem Blue Cross and Blue Shield Foundation to fund community health programs. Additional funding comes from individual donations, corporate matching gifts, stock/securities donations, bequests, and foundation contributions through the Fund for the City of New York.
  2. Healthcare Payer Partnerships: Partnerships with commercial health plans, public insurers (Medicare, Medicaid) for program delivery and outcomes-based care

Go-to-market motion1 record

Distribution channels3 records

Marketing channels6 records

AIRnyc product offering

Product offering

Core offering

AIRnyc delivers in-home, Community Health Worker-driven programs that address chronic disease (asthma, diabetes, hypertension, COPD) and maternal/child health in underserved NYC neighborhoods. Core offerings include medically tailored home-delivered meals, health coaching, medication adherence support, doula/maternal support, and culturally tailored public health outreach, all funded via grants, donations, and payer partnerships rather than direct client billing.

Product overview

AIRnyc is a nonprofit 501(c)(3) community health organization that offers a community health worker-driven service model for chronic disease management and social determinants of health. The organization operates city-wide in New York, primarily serving the South Bronx, and focuses on Black and Latinx communities experiencing health disparities. The portfolio consists of five interconnected programs: Fighting Asthma (home-based interventions for pediatric asthma), Chronic Disease Interventions (diabetes, hypertension, COPD management), Maternal and Early Childhood Health Crisis (maternal support), Food as Medicine (medically tailored meals and nutrition guidance), and Public Health Outreach (vaccine access and health screenings). All programs are delivered through Community Health Workers who provide home visits, utilize app-based nutrition guidance, and follow co-design principles where clients help shape program development. The organization was founded in 2009 as a project of the Fund for the City of New York.

Differentiator

Problem solved

Functional benefit

Products and services

  • Fighting Asthma Program Home-based interventions to address severe, uncontrolled pediatric asthma, particularly in the South Bronx. Delivered by Community Health Workers and including proper inhaler usage instruction, asthma-friendly cleaning products, air filters, mattress and pillow covers, and medical appointment reminders for children and families.
  • Chronic Disease Interventions Programs helping individuals burdened by chronic diseases including asthma, COPD, diabetes, and hypertension. Services include support improving access to medical care, medication adherence training, medically tailored home-delivered meals, DASH diet coaching, and in-home cooking lessons.
  • Maternal and Early Childhood Health Crisis Program Interventions to reduce maternal and child deaths and medical complications for high-risk Black and Latinx families. Includes hospital and at-home support, advocacy with doctors, insurance setup for babies, doula connections, housing help, food resources, and baby items assistance.
  • Food as Medicine Program Program using food as a formal component of patient care to address pre-diabetes, diabetes, and hypertension. Provides medically tailored home-delivered meals, food pantry connections, food stamps applications, in-home cooking lessons, DASH diet education, dietary tracking app, and physical activity coaching.
  • Public Health Outreach Outreach responding to important public health issues in high-need NYC locations. Services include COVID-19 and flu vaccine outreach, high blood pressure screening, DASH diet education, food pantry connections, housing resource referrals, and diabetes self-management support.
  • Community Health Worker (CHW) Service Model AIRnyc's foundational delivery model: a team of Community Health Workers who serve as trusted sources bridging underserved communities and healthcare systems. CHWs meet clients in their homes to address whole-person and family needs, speak 10 languages, and operate in a model associated with a 65% reduction in hospital visits.

Quantifiable outcome

  • 40% reduction in hospitalizations
  • +4 more outcomes

Companies that use AIRnyc

Customer profile

Named customers5 records

Ideal customer profiles3 records

AIRnyc technology and API

Technology

Technology focussed No

API detail

Has API
No
API docs
API detail

Core technology

AI maturity

App detail

Feature3 records

AIRnyc partnerships and signals

Strategic signal

Partnerships

Eleven partnerships are on record, tiered core and minor.

  • Fund for the City of New York (FCNY)coreStrategic or Co-development PartnerFCNY serves as AIRnyc's fiduciary partner, providing financial and human resources management. AIRnyc is a program organization under FCNY, which affords access to professional financial and HR teams. Donations are made through FCNY's 501(c)(3) status (Tax ID# 13-2612524).
  • Hospitals (NYC area)coreStrategic or Co-development PartnerHospitals partner with AIRnyc for community health worker services and referral programs for patients with chronic conditions.
  • Commercial Health Plans and Public InsurerscoreStrategic or Co-development PartnerPartnerships with commercial health plans, Medicare, and Medicaid for value-based care programs addressing social determinants of health.
  • Research Departments in UniversitiesminorStrategic or Co-development PartnerUniversity research partnerships for evidence-based community health interventions and program evaluation.
  • Food BanksminorStrategic or Co-development PartnerPartnerships with food banks to address food insecurity and support the Food as Medicine program.
  • City, State and Federal AgenciesminorStrategic or Co-development PartnerGovernment agency partnerships for public health outreach and community health programs.
  • Nonprofits and Community OrganizationsminorStrategic or Co-development PartnerPartnerships with other nonprofits and community organizations for coordinated service delivery.
  • NYC Department of Health & Mental HygienecoreStrategic or Co-development PartnerCity health department partnership for public health initiatives and disease control programs.
  • Greater New York Hospital Association (GNYHA)minorStrategic or Co-development PartnerHospital association partnership for healthcare system collaboration.
  • NYC Health + HospitalscoreStrategic or Co-development PartnerIntegration into NYC Health + Hospitals' Electronic Medical Record system for asthma home-based environmental pilot program.
  • Elevance Health (formerly Anthem)coreStrategic or Co-development PartnerParent company of Anthem Blue Cross and Blue Shield Foundation, supporting community health initiatives.

Scale indicators12 records

Recent moves8 records

Expansion highlights6 records

AIRnyc competitors and assessment

Company assessment

Broad incumbents

  • ChenMed: Family-owned value-based primary care provider for Medicare-eligible seniors with chronic conditions. Comparable value-based care focus on underserved elderly populations with chronic disease management, though operates through clinic-based model at national scale rather than community health worker model.
  • Oak Street Health: Large value-based primary care company (acquired by CVS Health) serving Medicare beneficiaries and dually-eligible patients with chronic conditions. Operates a value-based care model targeting similar populations (low-income, chronic disease) but at national scale through a clinic-based rather than home-based CHW model.

Direct peers

  • Waymark: Value-based care provider for Medicaid populations using community-based care teams and community health workers to address social determinants of health. Operates similar CHW-driven care coordination and chronic disease management model for underserved populations, directly comparable.
  • Pair Team: Tech-enabled CHW-led care model that partners with community organizations and primary care providers to deliver value-based care for Medicaid patients with chronic disease and unmet social needs. Directly comparable model in target population, CHW workforce, and payer contract structure.
  • Health Leads: National nonprofit that partners with healthcare organizations to screen patients for social needs and connect them to community resources through community resource specialists. Highly comparable model addressing social determinants of health in clinical settings for similar populations.
  • Cityblock Health: Value-based primary care company that employs community health workers to serve Medicaid and dually-eligible populations with chronic conditions and social needs. Operates a CHW-led model in NYC and other markets with similar target demographics (low-income, chronically ill, communities of color), making it a directly comparable CHW-driven peer.

Others

  • California Health Foundation: Foundations and community health intermediaries funding CHW programs and chronic disease interventions for underserved populations. Comparable as ecosystem funders and partners in the community health worker value-based care space.
  • Project HOPE: Global health and humanitarian nonprofit operating community health programs addressing chronic disease, maternal health, and health disparities. Comparable in nonprofit health mission and community health worker deployment model, though operates at significantly larger international scale.

Emerging players

  • Salud Revenue Partners: CHW workforce and care navigation organization serving underserved communities similar to AIRnyc; provides community-based health interventions with cultural competence focus, partially comparable CHW model with smaller scale.

Regional players

  • BronxWorks: Bronx-based multiservice nonprofit addressing poverty through housing, education, immigration, and health programs for residents in the same geographic market as AIRnyc. Comparable in serving chronically ill and underserved populations in the South Bronx with similar community-based interventions.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat6 records

Key risks5 records

Key highlights6 records

Customer concentration

AIRnyc social profiles

Digital presence

AIRnyc financial estimates

Financial estimate

Revenue estimate

Valuation estimate

AIRnyc leadership team

Management profile

Number of profiles

Profiles9 records

AIRnyc funding detail

Funding detail

Funding overview

Funding rounds1 record

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

AIRnyc M&A and investment

M&A and investment

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about AIRnyc

What does AIRnyc do?

AIRnyc delivers in-home, Community Health Worker-driven programs that address chronic disease (asthma, diabetes, hypertension, COPD) and maternal/child health in underserved NYC neighborhoods. Core offerings include medically tailored home-delivered meals, health coaching, medication adherence support, doula/maternal support, and culturally tailored public health outreach, all funded via grants, donations, and payer partnerships rather than direct client billing.

Is AIRnyc a public or private company?

AIRnyc is a private company. It is classified as nonprofit foundation owned and is currently operating.

When was AIRnyc founded?

AIRnyc was founded in 2009. It employs 11 to 50 people.

Where is AIRnyc based?

AIRnyc is headquartered in Bronx, United States, in the North America region.

How does AIRnyc make money?

Two revenue lines are on record. Grants and Donations are the primary driver. The others are healthcare Payer Partnerships.

Who are AIRnyc's main competitors?

Broad incumbents on record are ChenMed and Oak Street Health. Direct peers are Waymark, Pair Team, Health Leads and Cityblock Health. Others are California Health Foundation and Project HOPE. Salud Revenue Partners is listed as an emerging player. BronxWorks is listed as a regional player.

Does AIRnyc have an API?

No public API is recorded for AIRnyc.

What industry is AIRnyc in?

AIRnyc's product category is Community Health Services. Its primary akta.pro industry code is HSABAIAM, Home & Community-Based Services (HCBS) Coordination & Case Management, with a secondary code of HSABACAI, Cardiac & Pulmonary Clinical Home Health (e.g., CHF/COPD). Its NAICS code is 624120 and its SIC code is 8082.

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Live signals
Business Wire BlogAnthem Foundation $550,000 Grant to AIRnyc Leads to Improved Clinical Outcomes for Blood Pressure and A1C ControlThe Anthem Blue Cross and Blue Shield Foundation awarded a three-year, $550,000 grant to AIRnyc to fund a community-based program helping families manage hypertension and diabetes through community health worker coaching, culturally tailored meals, and app-based nutrition guidance. Early results from the program show measurable improvements in blood pressure and A1C levels among 121 participants in New York City, primarily in the South Bronx. The program, which enrolled 164 residents facing food insecurity and chronic conditions, demonstrates a model for addressing heart disease outside traditional clinical settings.MorningstarAnthem Foundation $550,000 Grant to AIRnyc Leads to Improved Clinical Outcomes for Blood Pressure and A1C ControlThe Anthem Blue Cross and Blue Shield Foundation awarded a $550,000 three-year grant to AIRnyc to fund a community-rooted program helping families manage hypertension and diabetes in New York City, particularly the South Bronx. The program combines community health worker coaching, culturally tailored meals, and app-based nutrition guidance, resulting in measurable improvements in blood pressure and A1C levels among 121 participants who completed the program. The initiative, which enrolled 164 residents facing food insecurity and chronic conditions, is cited as an innovative approach to addressing heart disease risk factors outside traditional clinical settings.