2020-10-27T12:34:09-05:00 2019-12-31 113518842 MARKS PANETH LLP 685 THIRD AVENUE NEW YORK NY 10017 990 2019-01-01 133666994 CARE FOR THE HOMELESS CARE 2123664459 30 EAST 33RD STREET 5TH FLOOR NEW YORK NY 10016 WILLIAM HERL CHIEF FINANCIAL OFFICER 2123664459 2020-10-21 1 MAGDALENA M CZERNIAWSKI P00535099 2125038800 2020-10-21 100.1.21.12 2020-10-21 18:17:02 ED P 86324AA6648A884C06306129ED8808CB1BD1A3DC E99CEA45C307B5E011B655275064C3D25F8033D4 2019 2021-01-29 14:40:06Z GEORGE NASHAK 30 EAST 33RD STREET 5TH FLOOR NEW YORK NY 10016 18752769 0 X WWW.CAREFORTHEHOMELESS.ORG X 1992 NY DEVELOPING & IMPLEMENTING HEALTH & SHELTER PROGRAMS THAT SERVICE HOMELESS MEN, WOMEN, & CHILDREN. 17 17 162 17 0 0 8062987 12639573 3948870 5260040 -62329 65642 575247 488101 12524775 18453356 0 0 0 0 7722218 9252520 0 0 370912 6218854 10163402 13941072 19415922 -1416297 -962566 6260417 9887913 2383855 6738101 3876562 3149812 CARE FOR THE HOMELESS (CFH) FIGTHS HOMELESSNESS BY PROVIDING HIGH-QUALIFY AND CLIENT-CENTERED HEALTH CARE, HUMAN SERVICES, AND SHELTER TO HOMELESS INDIVIDUALS AND FAMILIES AND BY ADVOCATING FOR POLICIES THAT AMELIORATE, PREVENT AND END HOMELESSNESS. 0 0 14956419 5748141 IN 2019, CFH PROVIDED SERVICES TO MORE THAN 7,000 HOMELESS MEN, WOMEN AND CHILDREN WITH COMPREHENSIVE, HIGH QUALITY HEALTH CARE, SOCIAL SERVICES AND HEALTH EDUCATION. THERE WERE MORE THAN 36,000 ENCOUNTERS AT 24 SITES, INCLUDING HOMELESS FAMILY RESIDENCES, SINGLE ADULT SHELTERS, SOUP KITCHENS, AND DROP-IN CENTERS. OUR CORE SERVICES INCLUDE: PRIMARY CARE, MENTAL HEALTH, SUBSTANCE ABUSE TREATMENT, DENTAL, AND PODIATRY. IN 2018 SERVICES WERE EXPANDED TO INCLUDE VISION SCREENINGS FOR HOMELESS CHILDREN AND FAMILIES. CFH ALSO ACTIVELY ADVOCATES FOR POSITIVE CHANGE IN HEALTH CARE AND HOUSING POLICIES TO ADDRESS THE BARRIERS TO CARE AND TO ACQUIRING ADEQUATE HOUSING, WHICH ULTIMATELY REDUCES THE COST AND IMPACT OF HOMELESSNESS IN NYC. 14956419 1 1 0 1 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 1 0 0 0 1 69 0 1 162 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X WILLIAM HERL CFO 2123664459 30 EAST 33RD STREET 5TH FLOOR NEW YORK NY 10016 ALBERT ARTERBURN BOARD MEMBER 2.00 X 0 0 0 ALTHEA THOMAS SECRETARY 2.00 1.00 X X 0 0 0 DANIEL BALDWIN BOARD MEMBER 2.00 X 0 0 0 DELISE DUPONT BLENMAN CHAIR 2.00 X X 0 0 0 DEREK VAN STRAATEN BOARD MEMBER 2.00 X 0 0 0 HARRY THOMAS BOARD MEMBER 2.00 X 0 0 0 JANE PARKER BOARD MEMBER 2.00 X 0 0 0 LLOYD BAILEY BOARD MEMBER 2.00 1.00 X 0 0 0 MARIYA KAMENETSKAYA BOARD MEMBER 2.00 X 0 0 0 MARYVONNE CARNEY BOARD MEMBER 2.00 X 0 0 0 PAMELA RILEY BOARD MEMBER 2.00 X 0 0 0 PHILIP MALEBRANCHE BOARD MEMBER 2.00 X 0 0 0 RHONDA R WILLIAM BOARD MEMBER 2.00 X 0 0 0 ROBERT HECKART BOARD MEMBER 2.00 X 0 0 0 STACY JAFFEE GROPACK BOARD MEMBER 2.00 X 0 0 0 SURJIT CHANA VICE CHAIR 2.00 1.00 X X 0 0 0 TIMOTHY KARCHER TREASURER 2.00 1.00 X X 0 0 0 GOERGE NASHAK PRESIDENT AND CEO 35.00 1.00 X 228736 0 8346 REGINA OLASIN CHIEF MEDICAL OFFICER 35.00 1.00 X 248133 0 28273 RONALD LAWSON CHIEF OPERATING OFFICER 35.00 1.00 X 172351 0 51580 WILLIAM HERL CHIEF FINANCIAL OFFICER 35.00 1.00 X 185457 0 42860 BRIAN WHITE PHYSICIAN 35.00 X 185520 0 6218 MARK MAKILING DENTIST 35.00 X 148147 0 16622 NICKISHA BERLUS PHYSICIAN 35.00 X 168891 0 5852 RICHARD LEE PHYSICIAN 35.00 X 162653 0 17566 STEPHEN RODGERS NURSE PRACTITIONER 35.00 X 203799 0 8512 1703687 0 185829 18 0 1 0 THE INSTITUTE FOR FAMILY HEALTH 2006 MADISON AVENUE 5TH FLOOR NEW YORK NY 10035 MEDICAL SERVICES 961449 DEEPTECH NYC LLC 151 WEST 25TH STREET 4TH FLOOR NEW YORK NY 10005 IT SERVICES 288488 JOHN BAUMGARTEN ARCHITECT PC 366 NORTH BROADWAY SUITE 207 JERICHO NY 11753 ARCHITECTURAL SERVICES 243129 TURF OFFICE 1088 BEDFORD AVE BROOKLYN NY 11216 FURNITURE AND SUPPLIES 145845 YUAN-FANG CHEN MD 79 GILMAR LANE ROSLYN HEIGHTS NY 11577 MEDICAL SERVICES 139040 6 11710152 929421 12639573 NET PATIENT SERVICES REVENUES 623000 4677732 4677732 340B INCOME 900099 539808 539808 MEANINGFUL USE INCENTIVES 900099 42500 42500 5260040 65055 65055 300000 299413 587 587 587 MANAGEMENT FEES 900099 483250 483250 MISCELLANEOUS REVENUE 900099 4851 4851 488101 18453356 5748141 0 65642 965735 665364 271289 29082 6845558 4716391 1923018 206149 116304 80130 32671 3503 588334 405345 165272 17717 736589 507488 206919 22182 46201 46201 108457 108457 42000 42000 17480 17480 1861266 1457787 396229 7250 189898 96059 93839 743756 531713 185341 26702 160760 113882 46315 563 2064546 1827209 218671 18666 84418 56351 27736 331 72923 49028 19166 4729 158493 87710 70783 294743 249706 39787 5250 PROGRAM SUPPLIES 1892346 1892346 MEDICAL PROVIDER EXP. 1491406 1491406 EQUIPMENT 485192 365893 104535 14764 MAINTENANCE AND REPAIRS 275779 252184 21739 1856 173738 110427 51143 12168 19415922 14956419 4088591 370912 93564 544845 214416 469155 580888 2595249 1044953 1223559 10000 65425 31239 4522523 1396512 1246359 3126011 2134105 1826346 870707 71509 6260417 9887913 2203537 3243185 103812 102197 2016 76506 3390703 2383855 6738101 X 3385785 2425933 490777 723879 3876562 3149812 6260417 9887913 -962566 235816 0 X X 0 1 X 1 1 1 X 8577234 7500485 8043280 8062987 12639573 44823559 8577234 7500485 8043280 8062987 12639573 44823559 44823559 3834 60491 71388 65055 200768 331614 373830 469081 626352 488101 2288978 47313305 19572981 0.94740 0.94940 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FUNDRAISING INCOME - 2015 AMOUNT: $ 11,132. 2016 AMOUNT: $ 13,959. 2017 AMOUNT: $ 55,612. 2018 AMOUNT: $ 106,096. 2019 AMOUNT: $ 0. MANAGEMENT FEES - 2015 AMOUNT: $ 320,482. 2016 AMOUNT: $ 359,871. 2017 AMOUNT: $ 383,452. 2018 AMOUNT: $ 520,256. 2019 AMOUNT: $ 483,250. MISC REVENUE - 2015 AMOUNT: $ 0. 2016 AMOUNT: $ 0. 2017 AMOUNT: $ 30,017. 2018 AMOUNT: $ 0. 2019 AMOUNT: $ 4,851. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 42000 1 0 42000 0 PART II-B, LINE 1: OUR STAFF, INCLUDING OUR DIRECTOR OF POLICY, MEET WITH GOVERNMENT OFFICIALS, INCLUDING OCCASIONALLY WITH ELECTED OFFICIALS. CLIENTS ACCOMPANY US TO ALBANY TO MEET WITH ELECTED OFFICIALS ABOUT GENERAL HOMELESS ISSUES, INCLUDING THE NEED TO MAINTAIN RENTAL SUBSIDY PROGRAMS FOR HOMELESS FAMILIES AND INDIVIDUALS LEAVING THE SHELTER SYSTEM FOR APARTMENTS. OUR DISCUSSIONS WITH THE GOVERNMENT OFFICIALS OF EXECUTIVE AGENCIES INVOLVED REGULATIONS AROUND THE IMPLEMENTATION BY THE NYS DEPARTMENT OF HEALTH OF MEDICAID MANAGED CARE FOR HOMELESS PEOPLE. SCHEDULE C PART II-B, LINE 1G: CFH CONTRACTED WITH A GOVERNMENT RELATIONS FIRM TO ASSIST THEM IN REPRESENTING THE INTEREST OF HOMELESS PEOPLE BEFORE STATE AND LOCAL GOVERNMENT, PARTICULARLY IN THE AREAS OF HOMELESS HOUSING POLICIES AND THE HEALTHCARE NEEDS OF HOMELESS PEOPLE. 500712 45512 455200 1542426 1351000 191426 2479385 2479385 3126011 DEFERRED RENT 861383 REFUNDABLE ADVANCES FROM GRANTORS 2529320 3390703 X 27477921 235816 8806229 9042045 18435876 17480 17480 18453356 26484126 7085684 7085684 19398442 17480 17480 19415922 PART X, LINE 2: THE ORGANIZATION BELIEVES IT HAS NO UNCERTAIN INCOME TAX POSITIONS AS OF DECEMBER 31, 2019 AND 2018 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: RELATED ENTITIES REVENUE 9,289,479. CONSOLIDATING ELIMINATIONS -483,250. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ENTITIES EXPENSES 7,568,934. CONSOLIDATING ELIMINATIONS -483,250. X X X 0 0 0 0 0 0 0 1 0 GOERGE NASHAK PRESIDENT AND CEO 202932 0 25000 0 804 0 6882 0 1464 0 237082 0 0 0 REGINA OLASIN CHIEF MEDICAL OFFICER 203405 0 42354 0 2374 0 7599 0 20674 0 276406 0 0 0 RONALD LAWSON CHIEF OPERATING OFFICER 140170 0 29807 0 2374 0 5454 0 46126 0 223931 0 0 0 WILLIAM HERL CHIEF FINANCIAL OFFICER 149656 0 33515 0 2286 0 5881 0 36979 0 228317 0 0 0 BRIAN WHITE PHYSICIAN 184332 0 0 0 1188 0 5550 0 668 0 191738 0 0 0 MARK MAKILING DENTIST 148003 0 0 0 144 0 4500 0 12122 0 164769 0 0 0 NICKISHA BERLUS PHYSICIAN 168764 0 0 0 127 0 0 0 5852 0 174743 0 0 0 RICHARD LEE PHYSICIAN 162509 0 0 0 144 0 4950 0 12616 0 180219 0 0 0 STEPHEN RODGERS NURSE PRACTITIONER 200502 0 0 0 3297 0 6088 0 2424 0 212311 0 0 0 PART I, LINE 7 BONUSES FOR THE PRESIDENT AND CEO, AND OTHER EMPLOYEES ARE APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTANT. A COPY OF THE FORM 990 IS REVIEWED EXTENSIVELY BY THE CFO WHO DISCUSSES THE 990 INFORMATION WITH THE PREPARER UNTIL ALL QUESTIONS AND CONCERNS ARE ADDRESSED. THE FORM 990, AFTER APPROVAL BY THE CFO, SUBSEQUENT TO ANY CHANGES BASED ON DISCUSSIONS WITH THE PREPARERS, IS SENT TO ALL BOARD MEMBERS BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C PRIOR TO ELECTION TO THE BOARD OF DIRECTORS (BOARD) OR AS AN OFFICER, AND ANNUALLY THEREAFTER, ALL DIRECTORS AND OFFICERS SHALL DISCLOSE IN WRITING, TO THE BEST OF THEIR KNOWLEDGE, ANY INTEREST INVOLVING ANY INDIVIDUAL OR ENTITY THAT PROVIDES ANY GOODS OR SERVICES TO THE CORPORATION FOR A FEE OR OTHER COMPENSATION. A COPY OF EACH DISCLOSURE STATEMENT SHALL BE AVAILABLE TO ANY DIRECTOR OF CARE FOR THE HOMELESS ON REQUEST. THE DISCLOSURE STATEMENT SHALL BE A FORM THAT HAS BEEN PREVIOUSLY APPROVED BY THE BOARD. IF, AT ANY TIME DURING HIS OR HER TERM OF SERVICE, A DIRECTOR OR OFFICER HAS ANY INTEREST THAT MAY POSE A CONFLICT OF INTEREST, OR MAY OTHERWISE RELATE TO A POTENTIAL TRANSACTION OR ARRANGEMENT OF CARE FOR THE HOMELESS, THE DIRECTOR OF OFFICER SHALL PROMPTLY DISCLOSE THE MATERIAL FACTS OF THAT INTEREST IN WRITING TO THE EXECUTIVE COMMITTEE OF CARE FOR THE HOMELESS. WHEN ANY MATTER IN WHICH A DIRECTOR OF OFFICER HAS AN INTEREST COMES BEFORE THE BOARD OR A COMMITTEE OF THE BOARD IN ANY MANNER, OR WHEN CARE FOR THE HOMELESS PROPOSES TO CONSIDER A POTENTIAL TRANSACTION OR ARRANGEMENT WITH AN ENTITY IN WHICH A DIRECTOR OR OFFICER HAS AN INTEREST, THEN THE DIRECTOR OR OFFICER SHALL IMMEDIATELY DISCLOSE THE INTEREST TO THE BOARD OF TO THE APPLICABLE COMMITTEE. SUBJECT TO THE BYLAWS OF CARE FOR THE HOMELESS AND TO APPLICABLE LAW, NO DIRECTOR SHALL VOTE ON ANY MATTER IN WHICH HE OR SHE HAS AN INTEREST; PROVIDED THAT THE FOREGOING SHALL NOT PROHIBIT THE DIRECTOR FROM BEING COUNTED IN DETERMINING THE PRESENCE OF A QUORUM AT ANY MEETING IN WHICH SUCH A VOTE OCCURS. A DIRECTOR OR OFFICER WHO HAS AN INTEREST IN A MATTER MAY NOT BE PRESENT IN THE ROOM DURING, OR PARTICIPATE IN, DISCUSSIONS OF THE BOARD OR OF A COMMITTEE REGARDING SUCH MATTER. NOTWITHSTANDING THE FOREGOING OR ANY OTHER PROVISION OF THIS CONFLICT OF INTEREST POLICY, THE BOARD OF THE APPLICABLE COMMITTEE, BY MAJORITY VOTE, AND AFTER FULL DISCLOSURE OF THE NATURE OF THE INTEREST BY THE DIRECTOR OR OFFICER, MAY PERMIT SUCH PRESENCE AND PARTICIPATION BY THE INTERESTED DIRECTOR OR OFFICER; PROVIDED, HOWEVER, THAT THE INTERESTED DIRECTOR OR OFFICER SHALL HAVE NO RIGHT TO BE PRESENT AT, OR TO PARTICIPATE IN, DISCUSSIONS OR VOTING BY THE BOARD OF COMMITTEE RELATING TO SUCH PERMISSION. FORM 990, PART VI, SECTION B, LINE 15A THE CHAIR OF THE BOARD AND THE EXECUTIVE COMMITTEE REVIEW THE EXECUTIVE DIRECTOR'S PERFORMANCE, SALARY, AND ANY INCREASE BASED ON COMPARATIVE SALARY DATA OF SIMILAR ORGANIZATIONS. THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS REVIEWED ON AN ANNUAL BASIS UTILIZING COMPARABLE DATA AND OTHER MARKET ANALYSIS, BY THE DIRECTOR OF HUMAN RESOURCES, CFO AND EXECUTIVE DIRECTOR, AS APPROPRIATE. THIS PROCESS WAS LAST DONE IN 2018. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS ARE AVAILABEL TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR. JEROME AVE CARE FOR THE HOMELESS HDFC 30 EAST 33RD ST 5TH FLOOR NEW YORK NY 10016 201377483 WOMEN'S SHELTER NY 501(C)(3) LINE 7 CFH JEROME INC 0 CFH JEROME INC 30 EAST 33RD STREET 5TH FLOOR NEW YORK NY 10016 562293633 REAL ESTATE NY CARE FOR THE HOMELESS C 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0