2019-08-15T08:44:35-05:00 2018-12-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP ONE PENN PLAZA SUITE 3000 NEW YORK NY 10119 990 2018-01-01 465489816 ADVANCE CARE ALLIANCE OF NY INC ADVA 2128270660 500 7TH AVE 8TH FLOOR NEW YORK NY 10018 STEVEN VERNIKOFF PRESIDENT 2128270660 2019-08-13 1 PATRICK YU CPA P00675982 2126976900 X 148.75.192.64 2019-08-13 12:58:32 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 45D50D8E3994CEF8BF8842BFE43A81B55B26F885 2018 2019-02-21 02:37:17Z X STEVEN VERNIKOFF 500 7TH AVE 8TH FLOOR NEW YORK NY 10018 52769196 0 X WWW.ADVANCECAREALLIANCE.ORG X 2014 NY PROVIDING THE SUPPORT AND SERVICES YOU OR YOUR LOVED ONE WITH AN INTELLECTUAL OR DEVELOPMENTAL DISABILITY NEED TO LEAD AN ACTIVE, HEALTHY, AND FULFILLING LIFE. 9 9 366 12 0 17136 3309829 0 0 52768900 92 276 9345 20 3319266 52769196 0 0 0 0 86069 6157717 0 0 0 3278533 38004189 3364602 44161906 -45336 8607290 1424853 17814991 1361493 9144341 63360 8670650 X ADVANCE CARE ALLIANCE OF NEW YORK, INC. (ACANY) IS DEDICATED TO PROVIDING THE SUPPORT AND SERVICES FOR YOU OR YOUR LOVED ONE WITH AN INTELLECTUAL OR DEVELOPMENTAL DISABILITY NEED TO LEAD AN ACTIVE, HEALTHY, AND FULFILLING LIFE. ACANY WAS FORMED BY THREE PROVIDER NETWORKS- ALLIANCE CARE NETWORK, ADVANCE OF GREATER NEW YORK, AND LONG ISLAND ALLIANCE- WHO TOGETHER REPRESENT MORE THAN 100 WELL-ESTABLISHED, NOT-FOR-PROFIT AGENCIES OPERATING IN NEW YORK CITY, LONG ISLAND, AND THE HUDSON VALLEY. ACANY'S AGENCIES PROVIDE HIGH-QUALITY SERVICES TO OVER 25,000 PEOPLE WITH INTELLECTUAL AND/OR DEVELOPMENTAL DISABILITIES AND THEIR FAMILIES, FUNDED AND OVERSEEN BY NEW YORK STATE'S OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES (OPWDD). 1 0 41874511 52768900 ACANY IS A CARE COORDINATION ORGANIZATION/HEALTH HOME, WHICH IS A TYPE OF HEALTHCARE PROVIDER RESPONSIBLE FOR COORDINATING THE SERVICES AND SUPPORTS THAT INDIVIDUALS WITH INTELLECTUAL AND/OR DEVELOPMENTAL DISABILITIES MIGHT NEED TO LIVE IN THE COMMUNITY. ACANY WORKS WITH INDIVIDUALS AND THEIR FAMILIES TO DEVELOP AN INTEGRATED, COMPREHENSIVE CARE PLAN THAT ENCOMPASSES HEALTHCARE, BEHAVIORAL HEALTH SERVICES, COMMUNITY AND SOCIAL SUPPORTS WHILE ENSURING ALIGNMENT OF OBJECTIVES ACROSS HEALTHCARE AND DEVELOPMENTAL DISABILITIES SERVICE PROVIDERS. ACANY ASSISTS INDIVIDUALS AND FAMILIES WITH ACCESSING THE SUPPORTS AND SERVICES THAT PROMOTE WELL-ROUNDED AND FULFILLING LIVES. 41874511 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 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 1 20 0 1 366 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X KATHY LINTEN CPA CO BTQ FINANCIA 2129012500 80 BROAD ST 15TH FLOOR NEW YORK NY 10004 STEVEN VERNIKOFF PRESIDENT 5.00 0.00 X X 0 0 0 JILL GENTILE VICE PRESIDENT 5.00 0.00 X X 0 0 0 WALTER W STOCKTON SECRETARY/TREASURER 5.00 0.00 X X 0 0 0 SCOTT L BARKIN PHD DIRECTOR 1.00 0.00 X 0 0 0 ARTHUR PALEVSKY DIRECTOR 1.00 0.00 X 0 0 0 DAVID MANDEL DIRECTOR 1.00 0.00 X 0 0 0 ELLIOT BROWNSTEIN DIRECTOR 1.00 0.00 X 0 0 0 ROBERT C GOLDSMITH DIRECTOR 1.00 0.00 X 0 0 0 LEWIS GROSSMAN DIRECTOR 1.00 0.00 X 0 0 0 JAY NAGY CEO 35.00 0.00 X 249760 0 4746 MATHEW SMITH CHIEF OPERATING OFFICER 35.00 0.00 X 137436 0 6041 DAVID WALLACH CHIEF INFORMATION OFFICER 35.00 0.00 X 109615 0 6030 KIMBERLY JAYNES VP CARE MANAGEMENT 35.00 0.00 X 101250 0 7934 DIANNA MUSCA VP OF QUALITY & COMPLIANCE 35.00 0.00 X 103948 0 3597 702009 0 28348 5 0 1 0 MEDISKED LLC 850 UNIVERSITY AVENUE ROCHESTER NY 14607 PROJ MGMT & CONSULTING FOR MEDICAL SERVI 1620689 REGUS MANAGEMENT GROUP LLC PO BOX 842456 DALLAS TX 752842456 CONSULTING SERVICES 379730 BURCHMAN TERRIO QUIST LLC DBA BTQ FINA 80 BROAD ST 15TH FL NEW YORK NY 10004 OUTSOURCED FISCAL SERVICES 233573 NIXON PEABODY LLP PO BOX 28012 NEW YORK NY 100878012 LEGAL SERVICES 183234 BART LOUWAIE 4 ELEANOR DRIVE HOLMES NY 12531 IT CONSULTING 132298 6 CARE COORDINATION REVENUE 623990 52768900 52768900 52768900 276 276 MISCELLANEOUS INCOME 900099 20 20 20 52769196 52768900 0 296 397983 397983 4867450 4269677 597773 364000 311511 52489 528284 427910 100374 286895 286895 86267 86267 875284 498910 376374 39589 39589 323217 256551 66666 1173326 1143650 29676 689764 549849 139915 49096 46547 2549 24065 24065 101896 101896 58807 19640 39167 PURCH/OTHER PROVIDER SR 33408324 33408324 BAD DEBT 343158 343158 STAFF DEV AND EDUCATION 298650 283146 15504 RECRUITING 139503 113299 26204 106348 100443 5905 44161906 41874511 2287395 0 109454 10054259 1158853 6012355 3507 787210 651810 134862 153039 516948 0 444219 1424853 17814991 1311493 6126116 50000 150000 0 2868225 1361493 9144341 X 63360 8670650 63360 8670650 1424853 17814991 8607290 0 X 0 1 X 1 0 X 105739 2667585 3011891 3309829 52768900 61863944 105739 2667585 3011891 3309829 52768900 61863944 61863944 231 156 92 276 755 125 9345 20 9490 61874189 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2016 AMOUNT: $ 125. 2017 AMOUNT: $ 9,345. 2018 AMOUNT: $ 20. 651810 134862 516948 516948 DUE TO GOVERNMENTAL AGENCY 876561 REFUNDABLE ADVANCES 1991664 2868225 X 52769196 0 52769196 0 52769196 44161906 0 44161906 0 44161906 PART X, LINE 2: MANAGEMENT HAS EVALUATED ACANY'S TAX POSITIONS AND CONCLUDED THAT ACANY HAS NOT TAKEN ANY UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF ACCOUNTING STANDARDS CODIFICATION 740. X 0 0 0 0 0 0 0 0 0 JAY NAGY CEO 249760 0 0 0 0 0 0 0 4746 0 254506 0 0 0 FORM 990, PART III, LINE 2 ACANY STARTED COORDINATING SERVICES AND SUPPORT THAT INDIVIDUALS WITH INTELLECTUAL AND/OR DEVELOPMENTAL DISABILITIES MIGHT NEED TO LIVE IN THE COMMUNITY. ACANY WORKS WITH INDIVIDUALS AND THEIR FAMILIES TO DEVELOP AN INTEGRATED, COMPREHENSIVE CARE PLAN THAT ENCOMPASSES HEALTHCARE, BEHAVIORAL HEALTH SERVICES, COMMUNITY AND SOCIAL SUPPORTS WHILE ENSURING ALIGNMENT OF OBJECTIVES ACROSS HEALTHCARE AND DEVELOPMENTAL DISABILITIES SERVICE PROVIDERS. ACANY ASSISTS INDIVIDUALS AND FAMILIES WITH ACCESSING THE SUPPORTS AND SERVICES THAT PROMOTE WELL-ROUNDED AND FULFILLING LIVES. FORM 990, PART VI, SECTION A, LINE 6 ACANY MEMBERS INCLUDE THE INDIVIDUAL MEMBER AGENCIES OF ALLIANCE CARE NETWORK ("ACN"), ADVANCE OF GREATER NEW YORK ("AGNY"), AND LONG ISLAND ALLIANCE ("LIA"). FORM 990, PART VI, SECTION A, LINE 7A THERE ARE 3 CLASSES OF MEMBERS: CLASS A MEMBER(S)-ACN, CLASS B MEMBER(S) - AGNY, & CLASS C MEMBER(S) - LIA. EACH CLASS OF MEMBERS SHALL ELECT 3 INDIVIDUALS TO SERVE AS DIRECTORS. IN ADDITION TO THE INDIVIDUALS ELECTED BY EACH OF THE CLASS A, B AND C MEMBERS, THE CORPORATE MEMBERS MAY, AT THE ANNUAL MEETING OF THE CORPORATE MEMBERS, ELECT UP TO FOUR (4) AT LARGE DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED IN ACCORDANCE WITH THE ORGANIZATIONAL STRUCTURE, BY-LAWS, FINANCIAL ACTIVITY FOR THE YEAR, AND CONSIDERATION IS GIVEN TO ANY CHANGES IN THE ORGANIZATION FROM PRIOR YEAR THAT MAY AFFECT THE RESPONSES TO THE CURRENT RETURN. THIS PROCESS IS DONE PRIOR TO CIRCULATION TO THE BOARD. THE 990 IS FILED WITH THE IRS AFTER IT IS CIRCULATED TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED YEARLY TO ALL MEMBERS OF THE BOARD AND REQUIRES ANY MEMBER OF THE BOARD THAT MAY POSSIBLY HAVE A CONFLICT OF INTEREST IN FACT OR APPEARANCE TO REPORT IT IMMEDIATELY. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD APPROVES THE SALARY OF THE CEO. FORM 990, PART VI, SECTION C, LINE 19 ACANY MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. IN THE FUTURE, IT MAY POST SOME OF ITS GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ON ITS WEBSITE.