2018-05-14T13:23:52-05:00 2017-06-30 221478099 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 990 2016-07-01 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 2018-05-11 1 THOMAS LANNING P00851654 2122970400 2018-05-08 2016 2022-09-23 18:48:47Z tamisha mcpherson 306 LENOX AVENUE NEW YORK NY 10027 22530788 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. 9 9 124 9 0 0 3679745 3637819 14975622 18824223 801 638 72238 68108 18728406 22530788 0 0 0 0 8206327 9432682 0 0 0 10985466 13861876 19191793 23294558 -463387 -763770 15757237 15490845 15553147 16048531 204090 -557686 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 23294558 18892331 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. 23294558 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 0 124 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 0 0 0 0 0 NY X BTQ Financial LLC 2129012500 80 broad street 15th fl new york NY 10004 Awilda Bourdoin Client Representative 1.00 X 0 0 0 Brian West Client Representative 1.00 X 0 0 0 Douglas Dukeman Chair 1.00 X X 0 0 0 Gilberto Hinds Vice Chair 1.00 1.00 X X 0 0 0 Glyn Singleton Client Representative 1.00 1.00 X 0 0 0 Jonathan Bodrick Member 1.00 X 0 0 0 Rebekah Burford Member 1.00 X 0 0 0 Tamara Green Outgoing Director 1.00 X 0 0 0 TEsmerelna Atsbeha member 1.00 X 0 0 0 Vincent James Cocito Outgoing Treasurer 1.00 X X 0 0 0 William Smith-Rivera Client Representative 1.00 X 0 0 0 Alan Zuckerman Chief Financial Officer 5.00 30.00 X 0 175290 44360 Charles Carroll Chief Operating Officer 5.00 30.00 X 197339 0 42598 Jacquelyn Kilmer Chief Executive Officer 5.00 30.00 X 0 237528 20837 Tamisha McPherson EXCUTIVE DIRECTOR 25.00 10.00 X 182799 0 35916 Jonathan keith joseph Chief Medical Director 35.00 X 216214 0 35946 Kareem Merrick Dental Director 35.00 X 140163 0 37488 Michelle Witter Dentist 35.00 X 119173 0 24797 Seung H Kang Medical Doctor 35.00 X 142540 0 25953 Vera Antonios Medical Director 35.00 X 187523 0 42516 1185751 412818 310411 11 0 1 0 0 2796872 840947 3637819 Medicaid Primary Care 621300 9354853 9354853 340B Pharmacy Revenue 621300 7796579 7796579 UNCOMPENSATED CARE 621300 542269 542269 self-pay 621300 399870 399870 medicare 621300 322789 322789 407863 407863 18824223 638 638 ptar - insurance program 900099 60558 60558 OTHER Income 900099 7550 7550 68108 22530788 18892331 0 638 474976 474976 7133394 7133394 96120 96120 989310 989310 738882 738882 2304655 2304655 39508 39508 71512 71512 537381 537381 314987 314987 83682 83682 521395 521395 342219 342219 6890 6890 423148 423148 705247 705247 276225 276225 program supplies 4800574 4800574 medical expense 1279923 1279923 Bad debts 967920 967920 food 627223 627223 559387 559387 23294558 23294558 0 0 85679 85222 95724 0 159685 530472 2092470 2439625 8519 6215 19190011 7113602 12942996 12076409 9268 11826 362896 341076 15757237 15490845 306999 830957 27552 8321 11173331 10767296 4045265 4441957 15553147 16048531 X 204090 -557686 204090 -557686 15757237 15490845 -763770 1994 0 X X 0 1 X 1 1 1 X 2159616 2012396 3123135 3679745 3637819 14612711 10104292 10468289 12688411 14975622 18824223 67060837 12263908 12480685 15811546 18655367 22462042 81673548 0 0 0 81673548 4843 13012 1379 801 574 20609 4843 13012 1379 801 574 20609 27101 113103 72238 68108 280550 12295852 12606800 15812925 18728406 22530724 81974707 0.99630 0.99650 0.00030 0.00030 X Schedule A, Part III, Line 12, Explanation of Other Income: other - 2013 Amount: $ 3,716. 2015 Amount: $ 18,734. 2016 Amount: $ 7,550. adult day care - 2013 Amount: $ 109,387. medicaid managed care - 2012 Amount: $ 27,101. ptar - insurance program - 2015 Amount: $ 53,504. 2016 Amount: $ 60,558. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 960000 960000 11793105 4573679 7219426 4000393 1523128 2477265 1891281 608034 1283247 545232 408761 136471 12076409 due to related parties 4441957 4441957 X 53066114 30535900 30535900 22530214 574 574 22530788 55052473 32725835 32725835 22326638 967920 967920 23294558 Part X, Line 2: Management has evaluated the Companies' tax positions and concluded that the Companies have taken no uncertain tax positions that require adjustments to the consolidated financial statements. Generally, the Companies are no longer subject to income tax examinations by Federal, state and local tax authorities for years before 2014. Part XI, Line 2d - Other Adjustments: provision for Bad Debt Expense -967,920. related organization revenue 34,515,753. related organization eliminations -3,011,933. Part XI, Line 4b - Other Adjustments: INVESTMENT REVENUE FROM HARLEM UNITED HCH LLC 574. Part XII, Line 2d - Other Adjustments: related organization expense 35,737,768. related organization eliminations -3,011,933. Part XII, Line 4b - Other Adjustments: provision for Bad Debt Expense 967,920. 0 0 0 0 0 0 0 0 0 Alan Zuckerman Chief Financial Officer 0 174894 0 0 0 396 0 7770 0 36590 0 219650 0 0 Charles Carroll Chief Operating Officer 197279 0 0 0 60 0 8558 0 34040 0 239937 0 0 0 Jacquelyn Kilmer Chief Executive Officer 0 237270 0 0 0 258 0 9637 0 11200 0 258365 0 0 Tamisha McPherson EXCUTIVE DIRECTOR 182729 0 0 0 70 0 7755 0 28161 0 218715 0 0 0 Jonathan keith joseph Chief Medical Director 216124 0 0 0 90 0 9603 0 26343 0 252160 0 0 0 Kareem Merrick Dental Director 140115 0 0 0 48 0 6008 0 31480 0 177651 0 0 0 Seung H Kang Medical Doctor 142486 0 0 0 54 0 5811 0 20142 0 168493 0 0 0 Vera Antonios Medical Director 187463 0 0 0 60 0 7639 0 34877 0 230039 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 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 990 IS PREPARED BY AN INDEPENDENT ACCOUNTANT AND IS REVIEWED BY THE CFO, CEO, COMPLIANCE OFFICER AND SHARED WITH THE FULL BOARD PRIOR TO FILING WITH THE IRS. Form 990, Part VI, Section A, line 8b A limited number of committees did not document the meetings THEY held throughout the year. Form 990, Part VI, Section B, line 11b THE 990 IS PREPARED BY AN INDEPENDENT ACCOUNTANT AND IS REVIEWED BY THE CFO, 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 C, line 19 THE DOCUMENTS ARE AVAILABLE UPON REQUEST. form 990, part xii, line 2c: the process has not changed from the prior year. 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 3151 70046 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 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 harlem united hch llc A 574 fmv