2023-05-11T16:39:03-05:00 2022-06-30 221478099 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 990 2021-07-01 133841701 UPPER ROOM AIDS MINISTRY INC ADULT DAY HEALTH CARE CENTER UPPE 2125311300 123-125 WEST 124TH STREET NEW YORK NY 10027 TAMISHA MCPHERSON EXECUTIVE DIRECTOR 2125311300 2023-05-11 1 TAMISHA MCPHERSON 999009999 LORI ROTHE YOKOBOSKY CPA P01273422 2122970400 2023-05-10 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z TAMISHA MCPHERSON 306 LENOX AVENUE NEW YORK NY 10027 17075880 0 X WWW.HARLEMUNITED.ORG X 1995 NY THE MISSION OF THE UPPER ROOM AIDS MINISTRY, INC: ADULT DAY HEALTHCARE CENTER SHALL BE TO PROVIDE ADULT DAY HEALTH CARE SERVICES, PRIMARY CARE SERVICES AND SUBSTANCE ABUSE SERVICES TO A MEDICALLY UNDERSERVED POPULATION, CONSISTING OF HOMELESS INDIVIDUALS IN THE EAST AND CENTRAL HARLEM NEIGHBORHOODS OF MANHATTAN AND THE SURROUNDING AREAS. 21 21 125 21 0 0 6754959 6368331 11663263 10627062 0 0 14516 80487 18432738 17075880 0 0 0 0 8224983 8987898 0 0 0 8688949 8260603 16913932 17248501 1518806 -172621 12030689 11223568 5736160 5101660 6294529 6121908 X THE MISSION OFTHE UPPER ROOM AIDS MINISTRY, INC ADULT DAY HEALTHCARE CENTER SHALL BE TO PROVIDE ADULT DAY HEALTH CARE SERVICES, PRIMARY CARE SERVICES AND SUBSTANCE ABUSE SERVICES TO A MEDICALLY UNDERSERVED POPULATION CONSISTING OF HOMELESS INDIVIDUALS IN THE EAST AND CENTRAL HARLEM NEIGHBORHOODS OF MANHATTAN AND THE SURROUNDING AREAS. 0 0 17248501 10707549 THE CENTER PROVIDES PRIMARY CARE, DENTAL, ADULT DAY HEALTH CARE, AND MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO THE MEDICALLY UNDERSERVED POPULATION TARGETING PEOPLE LIVING WITH AIDS, AND HOMELESS INDIVIDUALS IN HARLEM, NEW YORK. 17248501 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 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 1 0 0 0 1 0 0 125 0 0 0 0 0 0 0 0 0 0 0 0 0 X 21 21 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 0 0 0 1 0 NY X BTQ FINANCIAL LLC 2129012500 115 BROADWAY 19TH FLOOR NEW YORK NY 10006 ANTHONY RANDOLPH CONSUMER REPRESENTATIVE 1.00 X 0 0 0 BRIAN WEST CONSUMER REPRESENTATIVE 1.00 X 0 0 0 CHRISHAUM HENDERSON CONSUMER REPRESENTATIVE 1.00 X 0 0 0 DAVE WHITE MEMBER 1.00 X 0 0 0 DOUGLAS J DUKEMAN CHAIR 1.00 1.00 X X 0 0 0 DR MICHAEL PEREZ MEMBER 1.00 X 0 0 0 EDWIN ALAMEDA CONSUMER REPRESENTATIVE 1.00 X 0 0 0 GINA THOMAS MEMBER 1.00 X 0 0 0 GLYNN SINGLETON CONSUMER REPRESENTATIVE 1.00 X 0 0 0 JACQUELYN KILLMER CHIEF EXECUTIVE DIRECTOR 15.00 20.00 X 0 256913 19387 JAMES JONES MEMBER 1.00 X 0 0 0 JONATHAN KITT MEMBER 1.00 X 0 0 0 JONATHAN OLIVER MEMBER 1.00 X 0 0 0 LAWRENCE HINES CO-CHAIR 1.00 X X 0 0 0 MATHEW HARVEY MEMBER 1.00 X 0 0 0 RAYMOND VERREY TREASURER 1.00 X X 0 0 0 RHAMANA COSTA MEMBER 1.00 X 0 0 0 SHAKIRA STEVENS MEMBER 1.00 X 0 0 0 SHINAIKA PHILIP CONSUMER REPRESENTATIVE 1.00 X 0 0 0 TRAVON J SIMMONS MEMBER 1.00 X 0 0 0 TREVOR LOPES MEMBER 1.00 X 0 0 0 WILLIAM SMITH-RIVERA CONSUMER REPRESENTATIVE 1.00 X 0 0 0 TAMISHA MCPHERSON EXECUTIVE DIRECTOR 25.00 10.00 X 215135 0 30734 ALEXANDRA E FRANKEL DENTAL DIRECTOR 35.00 X 150087 0 31003 ORIN DOUGLAS FAMILY PHYSICIAN 35.00 X 215704 0 19105 STEPHANIE YOUNG-GEYE NURSE PRACTITIONER 35.00 X 147529 0 13814 THOMAS MARINO CHIEF TRANSFORMATION OFFICER 35.00 X 216537 0 17928 VERA ANTONIO CHIEF MEDICAL DIRECTOR 35.00 X 220634 0 30956 1165626 256913 162927 9 0 1 0 0 5642058 726273 6368331 MEDICAID 621300 4935852 4935852 340B PHARMACY 621300 4669369 4669369 MEDICARE 621300 370593 370593 OTHER THIRD-PARTY 621300 310936 310936 SELF-PAY 621300 265116 265116 75196 75196 10627062 80487 80487 80487 17075880 10707549 0 0 250054 250054 6744345 6744345 104931 104931 884372 884372 1004196 1004196 1395328 1395328 2588 2588 60493 60493 457956 457956 58437 58437 149218 149218 210839 210839 118444 118444 13271 13271 590742 590742 261217 261217 PHARMACY COST 3374578 3374578 PROGRAM EXPENSE 970344 970344 CLIENT STIPENDS & REIMB 156509 156509 LABORATORY 126512 126512 314127 314127 17248501 17248501 0 0 19367 383831 665792 319895 1586009 1502013 19344148 10326319 9608562 9017829 150959 0 12030689 11223568 552268 539717 199136 463429 4521327 4561943 5736160 5101660 X 6288529 6069908 6000 52000 6294529 6121908 12030689 11223568 -172621 0 X 0 1 X 1 1 1 X 4019581 42784557 4485014 6754959 6368331 64412442 12702976 11813267 11939391 11663263 10627062 58745959 16722557 54597824 16424405 18418222 16995393 123158401 0 0 0 123158401 62365 56716 8970000 14516 80487 9184084 16784922 54654540 25394405 18432738 17075880 132342485 0.93060 0.93340 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER - 2017 AMOUNT: $ 2,783. 2018 AMOUNT: $ 759. 2020 AMOUNT: $ 14,516. 2021 AMOUNT: $ 80,487. PTAR - INSURANCE PROGRAM - 2017 AMOUNT: $ 59,582. 2018 AMOUNT: $ 55,957. NMTC SETTLEMENT - 2019 AMOUNT: $ 8,970,000. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 960000 960000 11839983 5001125 6838858 4038901 2846134 1192767 2505264 2479060 26204 9017829 DUE TO RELATED PARTIES 4561943 4561943 X 47925222 30849342 30849342 17075880 0 17075880 50481653 33233152 33233152 17248501 0 17248501 PART X, LINE 2: MANAGEMENT HAS EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE CONSOLIDATED FINANCIAL STATEMENTS. GENERALLY, THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY FEDERAL, STATE AND LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2019. PART XI, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION REVENUE 32,685,898. RELATED ORGANIZATION ELIMINATIONS -1,836,556. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION EXPENSE 35,069,708. RELATED ORGANIZATION ELIMINATIONS -1,836,556. X X X X 0 0 0 0 0 0 0 0 0 JACQUELYN KILLMER CHIEF EXECUTIVE DIRECTOR 0 256517 0 0 0 396 0 12037 0 7350 0 276300 0 0 VERA ANTONIO CHIEF MEDICAL DIRECTOR 220537 0 0 0 97 0 7540 0 23416 0 251590 0 0 0 TAMISHA MCPHERSON EXECUTIVE DIRECTOR 215042 0 0 0 93 0 9235 0 21499 0 245869 0 0 0 ORIN DOUGLAS FAMILY PHYSICIAN 215566 0 0 0 138 0 8928 0 10177 0 234809 0 0 0 THOMAS MARINO CHIEF TRANSFORMATION OFFICER 216477 0 0 0 60 0 9046 0 8882 0 234465 0 0 0 ALEXANDRA E FRANKEL DENTAL DIRECTOR 150037 0 0 0 50 0 6630 0 24373 0 181090 0 0 0 STEPHANIE YOUNG-GEYE NURSE PRACTITIONER 147271 0 0 0 258 0 6023 0 7791 0 161343 0 0 0 FORM 990, PART IV: THE ORGANIZATION IS LICENSED UNDER ARTICLE 28 OF NEW YORK STATE PUBLIC HEALTH LAW. HOWEVER, SUBSECTION 10 OF ARTICLE 28 EXCLUDES CERTAIN HEALTHCARE FACILITIES FROM THE DEFINITION OF GENERAL HOSPITAL. THEREFORE, THE ORGANIZATION IS NOT INCLUDING SCHEDULE H IN THE CURRENT YEAR FORM 990, AS THEY DO NOT MEET THE DEFINITION. FORM 990, PART VI, SECTION A, LINE 3 ORGANIZATION OUTSOURCED ALL ITS FISCAL AND ACCOUNTING SERVICES. BTQ IS HANDLING ALL THE FISCAL AND ACCOUNTING SERVICES INCLUDING THE CFO ROLE. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE MEMBER, HARLEM UNITED COMMUNITY AIDS CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS ONE MEMBER, HARLEM UNITED COMMUNITY AIDS CENTER, INC., WHICH HAS THE RIGHT TO ELECT DIRECTORS TO/FROM THE ORGANIZATION'S BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION HAS ONE MEMBER, HARLEM UNITED COMMUNITY AIDS CENTER, INC., WHICH HAS THE RIGHT TO ELECT DIRECTORS TO/FROM THE ORGANIZATION'S BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PREPARED BY AN INDEPENDENT ACCOUNTANT AND IS REVIEWED BY THE CEO, COMPLIANCE OFFICER AND SHARED WITH THE FULL BOARD PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C IT IS THE POLICY OF THE ORGANIZATION THAT ALL POTENTIAL INTERESTS ARE TO BE FULLY DISCLOSED AS THEY ARISE, BY ANY INDIVIDUAL REGARDLESS OF WHETHER A CONFLICT OF INTEREST IS DETERMINATED TO EXIST. ON AN ANNUAL BASIS, OFFICERS AND DIRECTORS ARE REQUIRED TO SIGN CONFLICT OF INTEREST DISCLOSURE STATEMENTS. IF A POTENTIAL CONFLICT ARISES THE SUPERVISOR AND/OR HUMAN RESOURCES WILL RESOLVE THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15B ON AN ANNUAL BASIS, THE COMPENSATION COMMITTEE PROVIDES SALARY RECOMMENDATIONS FOR EXECUTIVE DIRECTOR TO THE BOARD OF DIRECTORS. THE MEMBERS OF THE COMMITTEE ARE INDEPENDENT FROM MANAGEMENT. THE COMMITTEE'S RECOMMENDATION IS BASED ON READILY AVAILABLE COMPENSATION DATA. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII: PLEASE NOTE THAT THE HOURS FOR PART VII ARE PAYROLL HOURS. ACTUAL HOURS WORKED FOR VARIOUS ENTITIES ARE HIGHER THAN PAYROLL HOURS. FORM 990, PART VI, SECTION B, LINES 13, 14: THE ORGANIZATION FOLLOWS THE POLICIES OF ITS PARENT COMPANY HARLEM UNITED, AND HAS NOT FORMALLY ADOPTED THEM AS THEIR OWN POLICIES. HARLEM UNITED COMMUNITY AIDS CENTER INC 306 LENOX AVENUE NEW YORK NY 10027 133461695 HEALTHCARE NY 501(C)(3) LINE 7 N/A 0 THE FOUNDATION FOR RESEARCH ON SEXUALLY TRANSMITTED DISEASES 306 LENOX AVENUE NEW YORK NY 10027 133387630 HEALTHCARE NY 501(C)(3) LINE 7 HARLEM UNITED COMMUNITY AIDS CENTER INC 0 HARLEM UNITED SUPPORTIVE HOUSING DEVELOPMENT FUND CORPORATION 306 LENOX AVENUE NEW YORK NY 10027 450496248 RENTAL REAL ESTATE NY 501(C)(3) LINE 10 HARLEM UNITED COMMUNITY AIDS CENTER INC 0 NORTH GENERAL AIDS HOUSING DEVELOPMENT FUND CORP INC 306 LENOX AVENUE NEW YORK NY 10027 133737001 HOUSING NY 501(C)(3) LINE 7 HARLEM UNITED COMMUNITY AIDS CENTER INC 0 HARLEM UNITED HCH LLC 306 LENOX AVENUE NEW YORK NY 10027 455252111 SPECIAL PURPOSE ENTITY NY HARLEM UNITED COMMUNITY AIDS CENTER EXCLUDED 0 0 0.01000 HU 124TH STREET SUPPORTIVE HOUSING INC 306 LENOX AVENUE 3RD FLOOR NEW YORK NY 10027 371514269 HOUSING NY N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0