2018-05-15T08:16:10-05:00 2017-12-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP ONE PENN PLAZA SUITE 3000 NEW YORK NY 10119 990 2017-01-01 465489816 ADVANCE CARE ALLIANCE OF NY INC ADVA 2128270660 60 E 42ND STREET NO 1762 NEW YORK NY 10165 JAY NAGY CEO 2128270660 2018-05-11 1 PATRICK YU CPA P00675982 2126976900 X 2017 2022-09-23 18:48:47Z JAY NAGY 60 E 42ND STREET NO 1762 NEW YORK NY 10165 3319266 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. 3 3 1 3 0 0 3011891 3309829 0 0 156 92 125 9345 3012172 3319266 0 0 0 0 0 86069 0 0 0 2915433 3278533 2915433 3364602 96739 -45336 1081709 1424853 973013 1361493 108696 63360 X ADVANCE CARE ALLIANCE OF NEW YORK, INC. (ACANY) IS DEDICATED TO PROVIDING THE SUPPORT AND SERVICES YOU OR YOUR LOVED ONE WITH AND 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). 0 0 2024445 STATE'S DEPARTMENT OF HEALTH- ACCESSIBLE HOME BASED MEDICAL AND BEHAVIORAL URGENT CARE SERVICES IN BROOKLYN AND SUFFOLK COUNTY. THE TARGET POPULATION ARE INDIVIDUALS WITH INTELLECTUAL OR DEVELOPMENTAL DISABILITIES WHO LIVE IN THE COMMUNITY WITH FAMILIES OR CAREGIVERS. 1243752 OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES- SUPPORT THE TRANSITION TO MANAGED CARE FOR INDIVIDUALS WITH INTELLECTUAL OR DEVELOPMENTAL DISABILITIES THROUGH THE DEVELOPMENT OF A CAREMANAGEMENT MODEL THAT PROMOTES THE EXPANSION OF AND ACCESS TO SERVICES AND SUPPORTS INDIVIDUALS TO SUCCESSFULLY REMAIN IN THE COMMUNITY. 3268197 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 6 0 1 1 0 0 0 0 0 0 0 0 0 0 X 3 3 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X GENTIAN HAXHILLARI CO BTQ FINANCIA 2129012512 80 BROAD STREET 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 STOCKTON SECRETARY/TREASURER 5.00 0.00 X X 0 0 0 SCOTT BARKIN ALTERNATE DIRECTOR-NONVOTING 1.00 0.00 X 0 0 0 DAVID MANDEL ALTERNATE DIRECTOR-NONVOTING 1.00 0.00 X 0 0 0 BOB GOLDSMITH ALTERNATE DIRECTOR-NONVOTING 1.00 0.00 X 0 0 0 JAY NAGY CEO AS OF 9/11/17 40.00 0.00 X 60938 0 2463 60938 0 2463 0 0 0 0 MEDISKED LLC 850 UNIVERSITY AVENUE ROCHESTER NY 14607 PROJ MGMT & CONSULTING FOR MEDICAL SERVI 250000 PETER PIERRI 200 EAST 27TH STREET APT 2R NEW YORK NY 10016 CONSULTING SERVICES 116571 2 3309829 3309829 92 92 MISCELLANEOUS INCOME 900099 9345 9345 9345 3319266 9345 0 92 79372 16045 63327 6697 1554 5143 14998 13948 1050 25150 16325 8825 74352 72210 2142 6908 6264 644 3989 2422 1567 712 712 28034 28034 9871 7240 2631 SPECIFIC ASSISTANCE TO 2094963 2094963 SOFTWARE LICENSING AND 1000231 1000231 MISCELLANEOUS 11226 150 11076 TRAINING 8099 8099 3364602 3268197 96405 0 9468 109454 979304 1158853 3545 3507 186005 32966 89392 153039 1081709 1424853 462696 1311493 510317 0 0 50000 973013 1361493 X 108696 63360 108696 63360 1081709 1424853 -45336 0 X 0 1 X 1 1 1 X 105739 2667585 3011891 3309829 9095044 105739 2667585 3011891 3309829 9095044 9095044 231 156 92 479 125 9345 9470 9104993 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2016 AMOUNT: $ 125. 2017 AMOUNT: $ 9,345. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 186005 32966 153039 153039 X 3319266 0 3319266 0 3319266 3364602 0 3364602 0 3364602 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. FORM 990, PART VI, SECTION B, LINE 11B ONCE THE DRAFT OF THE FORM 990 HAS BEEN COMPLETED BY THE INDEPENDENT CPA FIRM (BAKER TILY VIRCHOW KRAUSE, LLP) THE ACANY BOARD REVIEWED AND APPROVED THE FORM BEFORE FILING. 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 DISCUSSED AND APPROVED THE HIRING AND SALARY OF THE CEO BEFORE EXTENDING THE OFFER TO JAY. 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.