2020-11-16T14:32:13-06:00 2019-12-31 BKD LLP 1155 Avenue of the Americas 1200 New York NY 10036 990 2019-01-01 133676681 Promesa Residential Health Care Facility Inc % STEVE KADIN SVP PROM 7182991100 308 East 175th Street Bronx NY 10457 STEVE KADIN SVP 7182991100 2020-07-15 true Aaron Shapiro P01333816 2128674000 167.68.126.162 26511920203215000018 2020-11-16 P 319FC87BD1330F796E4035663441B3D0185919B5 6EF7E506F0EB9D8B772D1A3D38FBD5C32131A5DB 2019 2021-01-29 14:40:06Z Casa Promesa RAUL RUSSI 300 EAST 175TH STREET BRONX NY 10457 15176700 false X WWW.ACACIANETWORK.ORG X 1992 NY SEE SCHEDULE O 7 7 131 15 0 3466 0 16330978 14915598 148761 105449 533781 46653 17016986 15067700 0 0 0 0 10368489 10278125 0 0 0 6570218 6411890 16938707 16690015 78279 -1622315 37413625 35191861 14542733 13943284 22870892 21248577 X PROMESA RESIDENTIAL HEALTH CARE FACILITY OPERATES A 108 BED LONG TERM CARE FACILITY THAT PROVIDES COMPREHENSIVE, HOLISTIC, CULTURALLY AND LINGUISTICALLY COMPETENT SERVICES TO INDIVIDUALS LIVING WITH ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS) OR OTHER HIV RELATED ILLNESSES. false false 13942323 14915598 PROMESA RHCF PROVIDES HEALTH CARE AND RESIDENTIAL CARE FOR ADULTS WHO TEST POSITIVE FOR THE HUMAN IMMUNODEFICIENCY VIRUS (HIV) AND ARE DIAGNOSED AS HAVING ACQUIRED IMMUNE DEFICIENCY SYNDROME (AIDS). TOTAL CAPACITY FOR THE FACILITY IS 108 BEDS. DURING 2019, THE FACILITY PROVIDED 35,426 DAYS OF SKILLED NURSING CARE. 13942323 true false false true false false false false true false true false false true true false true false false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 3 0 131 true false false false false false false false false false false false false X 7 7 false false false false false false false true true false false true true true true true true true true false NY X STEVE KADIN SVP 7182991100 311 EAST 175 STREET BRONX NY 10457 RAUL RUSSI CEO AND PRESIDENT 2.51 32.49 X 0 795035 70147 LYMARIS ALBORS CHIEF OF STAFF /COO 3.03 31.97 X 0 430827 9755 JOSE A RODRIGUEZ CLO 1.85 33.15 X 0 400931 39618 MILTON DERIENZO CFO 2.0 33.0 X 0 400743 14571 PAMELA MATTEL COO (THROUGH 6/30/18) 1.0 34.0 X 0 360451 186 RALPH DECLET VP 1.0 35.0 X 0 289366 39060 MARIA DEL CARMEN ARROY SVP OPERATIONS 2.68 32.32 X 0 285243 39780 DAVID COLLYMORE MD CMO 1.0 34.0 X 0 291650 14571 STEVE KADIN SVP 3.09 31.91 X 0 259442 24896 MEKONNEN ABEBE MEDICAL DIRECTOR 35.0 0.0 X 233856 0 9865 HON HECTOR DIAZ PRESIDENT (THROUGH 1/19) 2.28 17.72 X 0 155694 0 EDUARDO ALAYON CHAIR 1.0 0.0 X X 0 0 0 IRIS W RAMIREZ VICE CHAIR 1.0 0.0 X X 0 0 0 FRANK QUILES TREASURER 1.0 0.0 X X 0 0 0 DENNIS SEPULVEDA SECRETARY 1.0 0.0 X X 0 0 0 WAYNE MCKENZIE BOARD MEMBER 1.0 0.0 X 0 0 0 JOEL SOCARRAS-ROSA PH BOARD MEMBER 1.0 0.0 X 0 0 0 CYBTHIA ISAALES ESQ BOARD MEMBER 1.0 0.0 X 0 0 0 233856 3669382 262449 1 true true false 0 0 MEDICAID AND MEDICARE -INPATIENT 623000 14915598 14915598 14915598 105449 105449 0 0 109000 109000 0 0 0 0 0 0 0 0 0 0 0 0 0 EMPLOYEE PARKING FEES 812930 29579 29579 MISCELLANEOUS 900099 17074 17074 46653 15067700 14915598 152102 0 0 0 0 243721 231287 12434 0 7078197 6717071 361126 338802 321517 17285 2031697 1928041 103656 585708 555826 29882 1322492 643846 678646 12491 12491 81493 81493 9172 9172 0 0 2307045 1176704 1130341 6809 6809 60862 29630 31232 0 0 0 566337 439991 126346 25020 12181 12839 0 0 137873 47091 90782 0 786769 771034 15735 107657 80234 27423 NYS DEPT. OF HEALTH ASSESSMEN 987870 987870 16690015 13942323 2747692 0 756881 702300 4249635 5958874 0 0 2677994 2572875 0 0 0 0 2790450 1750458 0 0 400280 242834 28839946 17424414 12056643 11415532 0 0 222869 222869 0 0 0 0 14258873 12326119 37413625 35191861 2441729 2224555 0 0 0 0 0 0 78764 79308 0 0 11024053 10573370 0 0 998187 1066051 14542733 13943284 X 22870892 21248577 0 0 22870892 21248577 37413625 35191861 -1622315 X false true X true false X 1000 5709 5194 3466 0 15369 17137135 17208599 16407358 16330978 14915598 81999668 0 0 0 17138135 17214308 16412552 16334444 14915598 82015037 0 0 0 82015037 384007 345620 265501 148761 214449 1358338 0 384007 345620 265501 148761 214449 1358338 0 81156 48231 259003 533781 46653 968824 17603298 17608159 16937056 17016986 15176700 84342199 0.97241 0.97127 0.01611 0.01686 X false false false false false false false false true 9172 9172 false false true X 114311 114311 25304057 14291506 11012551 3421578 3132908 288670 11415532 DUE FROM AFFILIATED ENTITIES 6365208 ACCRUED INTEREST RECEIVABLE 603541 INVESTMENT IN REAL ESTATE 5301108 DUE FROM THIRD PARTY PAYORS 56262 12326119 0 DUE TO THIRD PARTIES 1066051 1066051 15176700 109000 109000 15067700 15067700 16799015 109000 109000 16690015 16690015 SCHEDULE D, PART IV, LINE 2B RESIDENT TRUST FUNDS ARE MAINTAINED AND ADMINISTERED BY THE FACILITY ON BEHALF OF THE RESIDENTS Schedule D, Part XI, Line 2D Rental expense $109,000. Schedule D, Part XII, Line 2D Rental expense $109,000. X X X X X X true false false false false false false true false HON HECTOR DIAZ PRESIDENT (THROUGH 1/19) 0 148418 0 5755 0 1521 0 0 0 0 0 155694 RAUL RUSSI CEO AND PRESIDENT 0 601621 0 181414 0 12000 0 21000 0 49147 0 865182 PAMELA MATTEL COO (THROUGH 6/30/18) 0 0 0 0 0 360451 0 0 0 186 0 360637 MILTON DERIENZO CFO 0 344922 0 33571 0 22250 0 14000 0 571 0 415314 LYMARIS ALBORS CHIEF OF STAFF /COO 0 353127 0 67500 0 10200 0 9184 0 571 0 440582 RALPH DECLET VP 0 277385 0 0 0 11981 0 14000 0 25060 0 328426 JOSE A RODRIGUEZ CLO 0 315581 0 59600 0 25750 0 14000 0 25618 0 440549 DAVID COLLYMORE MD CMO 0 283250 0 0 0 8400 0 14000 0 571 0 306221 MARIA DEL CARMEN ARROYO SVP OPERATIONS 0 251275 0 25468 0 8500 0 14000 0 25780 0 325023 STEVE KADIN SVP 0 259115 0 0 0 327 0 13200 0 11696 0 284338 MEKONNEN ABEBE MEDICAL DIRECTOR 231087 0 0 0 2769 0 9865 0 0 0 243721 0 Schedule J, Part 1, Line 3 Pursuant to the Organization's bylaws, the Organization delegates to its parent entity the hiring of the CEO and President. The compensation of the executives is approved by the Parent entity, who hires a consultant to conduct a study. A standing compensation committee of the Parent entity reviews a compensation study and votes on how to proceed. Schedule J, Part I, Line 4a PAMELA MATTEL RECEIVED SEPARATION PAY. THE AMOUNT IS INCLUDED IN PART II, COLUMN B(III). Schedule J, Part I, Line 7 THE BONUSES FOR THE CEO AND PRESIDENT ARE APPROVED BY THE BOARD OF THE PARENT ENTITY. THE REMAINING EXECUTIVE BONUSES ARE APPROVED BY THE CEO. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING. THEY FORWARDED ANY COMMENTS THAT THEY HAD BACK TO THE SENIOR VICE PRESIDENT. FORM 990, PART VI, SECTION B, LINE 12C PROMESA RHCF HAS POLICIES AND PROCEDURES TO ENSURE THAT THERE ARE NO CONFLICTS OF INTEREST BETWEEN THE FACILITY AND DIRECTORS AND OFFICERS. THESE POLICIES INCLUDE THAT THE OFFICERS AND DIRECTORS ARE CHARGED WITH A DUTY TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST THAT MAY ARISE DUE TO A FINANCIAL TRANSACTION OR ARRANGEMENTS BETWEEN THEMSELVES AND PROMESA RHCF. FAILURE TO DISCLOSE MAY LEAD TO DISCIPLINARY ACTION. ALL ACTIONS REGARDING DISCLOSURE WILL BE DOCUMENTED AND RECORDED IN THE MINUTES OF THE GOVERNING BOARD. A FORM AFFIRMING THE DIRECTORSOFFICERS' ACCEPTANCE, UNDERSTANDING, AND COMPLIANCE WITH PROMESA RHCF'S CONFLICT OF INTEREST POLICY IS FILLED OUT ANNUALLY. PERIODIC REVIEWS ARE DONE TO ENSURE THAT THERE IS COMPLETE COMPLIANCE WITH THESE POLICIES. IN THE EVENT OF A CONFLICT, THE CONFLICT IS REPORTED TO THE QUALITY ASSURANCE OFFICER. THE INDIVIDUAL IS REQUIRED TO RECUSE HIMSELF OR HERSELF AND NOT PARTICIPATE IN DECISIONS RELATED TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION OF THE EXECUTIVES IS APPROVED BY THE PARENT ENTITY, WHO HIRES A CONSULTANT TO CONDUCT A STUDY. A STANDING COMPENSATION COMMITTEE OF THE PARENT ENTITY REVIEWS A COMPENSATION STUDY AND VOTES ON HOW TO PROCEED. THIS WAS LAST COMPLETED IN 2019. FORM 990, PART VI, SECTION B, LINE 15B THE COMPENSATION OF THE OFFICERS AND KEY EMPLOYEES ARE APPROVED BY THE PARENT ENTITY, WHO HIRES A CONSULTANT TO CONDUCT A STUDY. A STANDING COMPENSATION COMMITTEE OF THE PARENT ENTITY REVIEWS A COMPENSATION STUDY AND VOTES ON HOW TO PROCEED. THIS WAS LAST COMPLETED IN 2019. FORM 990, PART VI, SECTION C, LINE 19 PROMESA RHCF'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR INSPECTION UPON REQUEST. FORM 990 PART IX LINE 11G DESCRIPTION:NURSING TOTAL FEES:410662 FORM 990 PART IX LINE 11G DESCRIPTION:DENTAL TOTAL FEES:77809 FORM 990 PART IX LINE 11G DESCRIPTION:SECURITY TOTAL FEES:261503 FORM 990 PART IX LINE 11G DESCRIPTION:PLANT MAINTENANCE TOTAL FEES:244600 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER CONTRACTED SERVICES TOTAL FEES:1312471 1068 FRANKLIN AVENUE HOUSING DEVELOPMENT 300 E 175TH STREET BRONX NY 10457 208317595 HOUSING NY 501(C)(4) N/A ACACIA false 414-418 EAST 119TH STREET GREENHOPE HOUS 300 E 175TH STREET BRONX NY 10457 133391215 HOUSING NY 501(C)(3) 7 ACACIA false ACACIA FLORIDA INC 300 E 175TH STREET BRONX NY 10457 810941278 DEVELOPMENT NY 501(C)(3) N/A ACACIA false ACACIA NETWORK HOUSING INC 300 E 175TH STREET BRONX NY 10457 260076866 HOUSING NY 501(C)(3) 10 ACACIA false ACACIA REAL ESTATE DEVELOPMENT INC 300 E 175TH STREET BRONX NY 10457 823595330 DEVELOPMENT NY 501(C)(3) N/A ACACIA false AUDUBON PARTNERSHIP FOR ECONOMIC DEVELOP 300 E 175TH STREET BRONX NY 10457 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