PROMESA RESIDENTIAL HEALTH CARE FACILITY INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- PROMESA RESIDENTIAL HEALTH CARE FACILITY INC (EIN 13-3676681)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-11
- IRS object ID
- 201713159349300236
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-11T19:21:18-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 131517563 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LOEB & TROPER LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 655 THIRD AVENUE 12TH FLOOR | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10017 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133676681 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROMESA RESIDENTIAL HEALTH CARE | BusinessNameLine1Txt |
| Business Name Line2 | FACILITY INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PROM | BusinessNameControlTxt |
| Phone | 7189607617 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 308 EAST 175TH STREET | AddressLine1Txt |
| City | BRONX | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10457 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MILTON DERIENZO | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7189607617 | PhoneNum |
| Signature | 2017-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AARON SHAPIRO | PreparerPersonNm |
| PTIN | P01333816 | PTIN |
| Phone | 2128674000 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 38.98.118.70 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-10 | IPDt |
| IP Tm | 12:23:23 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 225B73B148284D6C629F7CBF4AC09CDDFD7CF9F8 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 73A2BDB4DEE3E1301F7FB9DCBA9193E2BC5F7900 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2018-03-14 21:41:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MILTON DERIENZO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 308 EAST 175TH STREET | AddressLine1Txt |
| City | BRONX | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10457 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $19,538,485 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ACACIANETWORK.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1992 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | PROMESA RESIDENTIAL HEALTH CARE FACILITY (PROMESA RHCF) 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 149 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,709 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $17,137,135 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $17,208,599 | CYProgramServiceRevenueAmt |
| PY Investment Income | $275,007 | PYInvestmentIncomeAmt |
| CY Investment Income | -$451,035 | CYInvestmentIncomeAmt |
| PY Other Revenue | $81,156 | PYOtherRevenueAmt |
| CY Other Revenue | $48,231 | CYOtherRevenueAmt |
| PY Total Revenue | $17,494,298 | PYTotalRevenueAmt |
| CY Total Revenue | $16,811,504 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,549,935 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,673,456 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,277,089 | PYOtherExpensesAmt |
| CY Other Expenses | $6,967,212 | CYOtherExpensesAmt |
| PY Total Expenses | $16,827,024 | PYTotalExpensesAmt |
| CY Total Expenses | $16,640,668 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $667,274 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $170,836 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $42,742,376 | TotalAssetsBOYAmt |
| Total Assets EOY | $44,548,279 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $14,165,629 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $15,800,696 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $28,576,747 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $28,747,583 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $13,932,673 | ExpenseAmt |
| Revenue | $17,208,599 | RevenueAmt |
| Desc | 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 2016, THE FACILITY PROVIDED 36,449 DAYS OF SKILLED NURSING CARE. | Desc |
| Total Program Service Expenses | $13,932,673 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 5 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 149 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MILTON DERINZO CFO ACACIA NETWORK INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7189607617 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1776 CLAY AVENUE | AddressLine1Txt |
| City | BRONX | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10457 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| MILAGROS BAEZ-O'TOOLE | ||||||||
| SECRETARY(LEFT 09/2016) | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| IRIS W RAMIREZ | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| WILFRED RENTA | ||||||||
| CHAIR(LEFT 09/2016) | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| PEDRO FALCON | ||||||||
| VICE CHAIR(LEFT 09/2016) | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| INGLE STEPHENS | ||||||||
| MEMBER(LEFT 09/2016) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| EDEL BORRERO | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARIA RIVERA | ||||||||
| MEMBER(LEFT 09/2016) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| EDUARDO ALAYON | ||||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KALEB H SANCHEZ | ||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| FRANK QUILES | ||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARIO RODRIGUEZ | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ERICA Y MARTINEZ | ||||||||
| MEMBER(LEFT 09/2016) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| HON HECTOR DIAZ | ||||||||
| PRESIDENT | 4.23 | Yes (X) | $48,536 | $192,443 | $11,124 | 16.77 | ||
| RAUL RUSSI | ||||||||
| CEO | 6.97 | Yes (X) | $118,401 | $476,154 | $22,425 | 28.03 | ||
| PAMELA MATTEL | ||||||||
| COO | 7.12 | Yes (X) | $69,692 | $272,890 | $60,500 | 27.88 | ||
| MILTON DERIENZO | ||||||||
| CFO | 7.03 | Yes (X) | $26,706 | $106,162 | $0 | 27.97 | ||
| TOMAS DEL RIO | ||||||||
| CFO(LEFT 5/31/2016) | 7.11 | Yes (X) | $62,321 | $244,342 | $36,808 | 27.89 | ||
| ADRIENE ROSELL | ||||||||
| SENIOR ADMINISTRATOR | 31.50 | $203,613 | $22,623 | $36,448 | 3.50 | Yes (X) | ||
| DR SAROJ BAKSHI | ||||||||
| MEDICAL DIRECTOR | 35.00 | $217,556 | $0 | $21,534 | Yes (X) | |||
| DAVID GLASEL | ||||||||
| DIRECTOR OF LEGAL AFFAIRS | 7.04 | $87,269 | $346,862 | $19,251 | 27.96 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $834,094 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,661,476 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $208,090 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SERA SECURITY SERVICES LLC | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2804A 3RD AVE | AddressLine1Txt |
| City | BRONX | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10455 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | SECURITY | ServicesDesc |
| Compensation | $155,835 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $5,709 | AllOtherContributionsAmt |
| Total Contributions | $5,709 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICAID AND MEDICARE -INPATIENT | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $17,208,599 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,208,599 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $17,208,599 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $236,620 | TotalRevenueColumnAmt |
| Exclusion | $236,620 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $109,000 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $109,000 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,930,326 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,617,981 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$687,655 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$687,655 | TotalRevenueColumnAmt |
| Exclusion | -$687,655 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| EMPLOYEE PARKING FEES | 812930 | $29,951 | $29,951 |
| PURCHASE DISCOUNTS | 900099 | $12,321 | $12,321 |
| MISCELLANEOUS REVENUE | 900099 | $5,959 | $5,959 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $48,231 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,811,504 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,208,599 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$402,804 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $352,150 | TotalAmt |
| Program Services | $331,543 | ProgramServicesAmt |
| Management And General | $20,607 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,497,215 | TotalAmt |
| Program Services | $6,117,014 | ProgramServicesAmt |
| Management And General | $380,201 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $294,566 | TotalAmt |
| Program Services | $277,329 | ProgramServicesAmt |
| Management And General | $17,237 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,981,188 | TotalAmt |
| Program Services | $1,865,253 | ProgramServicesAmt |
| Management And General | $115,935 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $548,337 | TotalAmt |
| Program Services | $516,250 | ProgramServicesAmt |
| Management And General | $32,087 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,787,827 | TotalAmt |
| Program Services | $409,252 | ProgramServicesAmt |
| Management And General | $1,378,575 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,819 | TotalAmt |
| Management And General | $62,819 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,647 | TotalAmt |
| Management And General | $71,647 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,428 | TotalAmt |
| Management And General | $27,428 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,247,928 | TotalAmt |
| Program Services | $1,023,515 | ProgramServicesAmt |
| Management And General | $224,413 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,106 | TotalAmt |
| Management And General | $35,106 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,647,897 | TotalAmt |
| Program Services | $1,337,262 | ProgramServicesAmt |
| Management And General | $310,635 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,447 | TotalAmt |
| Program Services | $123,553 | ProgramServicesAmt |
| Management And General | $1,894 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,316 | TotalAmt |
| Program Services | $3,338 | ProgramServicesAmt |
| Management And General | $8,978 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,672 | TotalAmt |
| Program Services | $146,679 | ProgramServicesAmt |
| Management And General | $2,993 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $714,161 | TotalAmt |
| Program Services | $700,519 | ProgramServicesAmt |
| Management And General | $13,642 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $189,915 | TotalAmt |
| Program Services | $186,117 | ProgramServicesAmt |
| Management And General | $3,798 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NYS DEPT. OF HEALTH ASS | Desc |
| Total | $895,049 | TotalAmt |
| Program Services | $895,049 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,640,668 | TotalAmt |
| Program Services | $13,932,673 | ProgramServicesAmt |
| Management And General | $2,707,995 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,106,673 | BOYAmt |
| EOY | $3,188,905 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,868,358 | BOYAmt |
| EOY | $3,406,782 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,686,295 | BOYAmt |
| EOY | $2,924,493 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,376,464 | BOYAmt |
| EOY | $2,790,449 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $223,003 | BOYAmt |
| EOY | $267,016 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $27,220,014 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $14,896,351 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,277,844 | BOYAmt |
| EOY | $12,323,663 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $222,869 | BOYAmt |
| EOY | $222,869 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,980,870 | BOYAmt |
| EOY | $19,424,102 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,742,376 | BOYAmt |
| EOY | $44,548,279 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,970,617 | BOYAmt |
| EOY | $2,207,034 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,510,000 | BOYAmt |
| EOY | $635,000 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,097 | BOYAmt |
| EOY | $35,207 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,302,796 | BOYAmt |
| EOY | $11,115,949 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,332,119 | BOYAmt |
| EOY | $1,807,506 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,165,629 | BOYAmt |
| EOY | $15,800,696 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,576,747 | BOYAmt |
| EOY | $28,747,583 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,576,747 | BOYAmt |
| EOY | $28,747,583 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,742,376 | BOYAmt |
| EOY | $44,548,279 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $170,836 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $1,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,709 | CurrentTaxYearAmt |
| Total | $6,709 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,471,957 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,999,079 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,581,866 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,137,135 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,208,599 | CurrentTaxYearAmt |
| Total | $88,398,636 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,471,957 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,999,079 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,581,866 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,138,135 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,214,308 | CurrentTaxYearAmt |
| Total | $88,405,345 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $88,405,345 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $203,216 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $192,688 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $326,327 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $384,007 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $345,620 | CurrentTaxYearAmt |
| Total | $1,451,858 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $203,216 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $192,688 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $326,327 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $384,007 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $345,620 | CurrentTaxYearAmt |
| Total | $1,451,858 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $31,139 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $142,674 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $112,701 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $81,156 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $48,231 | CurrentTaxYearAmt |
| Total | $415,901 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,706,312 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,334,441 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,020,894 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,603,298 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,608,159 | CurrentTaxYearAmt |
| Total | $90,273,104 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.97930 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98060 | PublicSupportPY509Pct |
| Investment Income CY | 0.01610 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01490 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | MISC PARKING INCOME INSURANCE RECOVERY REFUNDS FROM VENDORS | ExplanationTxt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $27,428 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $27,428 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PROMESA RHCF CONTRACTS WITH VARIOUS THIRD PARTY LOBBYING CONSULTANTS TO DEVELOP AND IMPLEMENT A COMPREHENSIVE STRATEGY ON ISSUES RELATED TO PROMESA RHCF AND OBTAIN SUPPORT FOR SUCH ISSUES FROM KEY STATE LEGISLATORS. IN ADDITION, A SMALL PERCENTAGE OF DUES PAID TO ASSOCIATIONS ON MATTERS RELATED TO REIMBURSEMENT AND OTHER HEALTH CARE NEEDS. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $114,311 | OtherCostOrOtherBasisAmt |
| Book Value | $114,311 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,426,308 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,966,102 | DepreciationAmt |
| Book Value | $11,460,206 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,294,543 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,556,087 | DepreciationAmt |
| Book Value | $738,456 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $384,852 | OtherCostOrOtherBasisAmt |
| Depreciation | $374,162 | DepreciationAmt |
| Book Value | $10,690 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,323,663 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATED ENTITIES | $13,630,445 |
| ACCRUED INTEREST RECEIVABLE | $246,450 |
| INVESTMENT IN REAL ESTATE | $5,547,207 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $19,424,102 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO THIRD PARTIES | Desc |
| Amt | $1,807,506 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,807,506 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $16,920,504 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $109,000 | OtherRevenueAmt |
| Revenue Not Reported | $109,000 | RevenueNotReportedAmt |
| Revenue Subtotal | $16,811,504 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $16,811,504 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $16,749,668 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $109,000 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $109,000 | ExpensesNotReportedAmt |
| Expenses Subtotal | $16,640,668 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $16,640,668 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | RESIDENT TRUST FUNDS ARE MAINTAINED IN BANK ACCOUNTS SEPARATE FROM PROMESA RHCF'S ACCOUNTS. |
| PART X, LINE 2: | PROMESA RHCF HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. TAX RETURNS FOR THE YEARS DECEMBER 31, 2013 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 109,000. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | LOSS ON DISPOSAL |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 109,000. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HON HECTOR DIAZ | ||||||||||||||
| PRESIDENT | $41,737 | $165,487 | $5,985 | $23,729 | $814 | $3,227 | $2,240 | $8,884 | $0 | $0 | $50,776 | $201,327 | $0 | $0 |
| RAUL RUSSI | ||||||||||||||
| CEO | $101,576 | $408,493 | $14,285 | $57,446 | $2,540 | $10,215 | $3,958 | $15,917 | $508 | $2,042 | $122,867 | $494,113 | $0 | $0 |
| PAMELA MATTEL | ||||||||||||||
| COO | $59,021 | $231,106 | $9,009 | $35,278 | $1,662 | $6,506 | $4,043 | $15,832 | $8,264 | $32,361 | $81,999 | $321,083 | $0 | $0 |
| TOMAS DEL RIO | ||||||||||||||
| CFO(LEFT 5/31/2016) | $60,581 | $237,518 | $0 | $0 | $1,740 | $6,824 | $2,693 | $10,557 | $4,788 | $18,770 | $69,802 | $273,669 | $0 | $0 |
| ADRIENE ROSELL | ||||||||||||||
| SENIOR ADMINISTRATOR | $203,226 | $22,580 | $0 | $0 | $387 | $43 | $9,796 | $1,088 | $23,008 | $2,556 | $236,417 | $26,267 | $0 | $0 |
| DR SAROJ BAKSHI | ||||||||||||||
| MEDICAL DIRECTOR | $208,206 | $0 | $5,000 | $0 | $4,350 | $0 | $10,769 | $0 | $10,765 | $0 | $239,090 | $0 | $0 | $0 |
| DAVID GLASEL | ||||||||||||||
| DIRECTOR OF LEGAL AFFAIRS | $79,351 | $315,392 | $7,134 | $28,356 | $784 | $3,114 | $1,717 | $6,825 | $2,153 | $8,556 | $91,139 | $362,243 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | IN ADDITION TO THE BASE SALARY, MANAGEMENT SHALL BE ELIGIBLE TO RECEIVE, AT THE EMPLOYER'S DISCRETION, AN ANNUAL INCENTIVE BONUS IN AN AMOUNT NOT GREATER THAN TEN PERCENT OF THE EXECUTIVE'S BASE SALARY, AS ADJUSTED FROM TIME TO TIME AS DETERMINED BY THE BOARD OF DIRECTORS BASED UPON THE ACCOMPLISHMENT OF SPECIFIC PERFORMANCE GOALS AND CRITERIA ESTABLISHED ANNUALLY BY THE BOARD AND COMMUNICATED IN WRITING TO THE EXECUTIVE PRIOR TO JANUARY 31ST OF EACH YEAR. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DORMITORY AUTHORITY OF THE STATE OF NEW YORK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 146000293 | BondIssuerEIN |
| CUSIP | 64983QDG1 | CUSIPNum |
| Bond Issued | 2005-04-13 | BondIssuedDt |
| Issue Price | $8,500,402 | IssuePriceAmt |
| Purpose | REFUND PRIOR ISSUE (7/15/93) | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $8,500,793 | TotalProceedsAmt |
| In Reserve Fund | $476,992 | InReserveFundAmt |
| Issuance Costs From Proceeds | $167,980 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $8,014,797 | OtherSpentProceedsAmt |
| Substantial Completion | 1995 | SubstantialCompletionYr |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | Yes (1) | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K, PART IV, ARBITRAGE, LINE 2C | FormAndLineReferenceDesc |
| Explanation | (A) ISSUER NAME: DORMITORY AUTORITY - STATE OF NEW YORK DATE THE REBATE COMPUTATION WAS PERFORMED: 12/31/2014 PART II, LINE 3 - THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. PART II, LINE 3 - THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINES 4 - 12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 WAS REVIEWED BY ALL MEMBERS OF THE BOARD PRIOR TO BEING FILED THEY FORWARDED ANY COMMENTS THAT THEY HAVE BACK TO THE CHIEF FINANCIAL OFFICER. |
| 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 DIRECTORS AND OFFICERS' 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 15 | COMPENSATION OF THE CEO, CFO, AND COO ARE REVIEWED AND APPROVED ANNUALLY BY THE FINANCE COMMITTEE OF PROMESA ADMINISTRATIVE SERVICES ORGANIZATION,INC'S BOARD OF DIRECTORS. PERIODICALLY, THAT BOARD WILL ENGAGE AN INDEPENDENT COMPENSATION CONSULTANT TO DETERMINE THE APPROPRIATENESS OF THE COMPENSATION PACKAGES OFFERED TO THE OFFICERS AND KEY EMPLOYEES OF PROMESA RHCF. THIS PROCESS INCLUDES UTILIZATION OF A COMPARATIVE SALARY ANALYSIS WITH EXECUTIVES OF COMPARABLE ORGANIZATIONS. THIS PROCESS WAS LAST UNDERTAKEN IN 2016. |
| 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 XII, LINE 2C | THE PROCESS HAS NOT CHANGED FROM THAT OF THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (20 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ACACIA NETWORK INC | |||||||||||
| 1776 CLAY AVENUE | BRONX | NY | 10457 | 134014082 | PARENT ORG OF THE PROMESA CONTINUUM OF HEALTH CARE, EDUCATION, HOUSING ETC. | NY | 501(C)(3) | LINE 12A, I | N/A | 0 | |
| PROMESA ADMINISTRATIVE SERVICES ORGANIZATIONINC | |||||||||||
| 1776 CLAY AVENUE | BRONX | NY | 10457 | 133653276 | MANAGEMENT CO, FOR ACACIA NETWORK, INC. | NY | 501(C)(3) | LINE 12A, I | 0 | ACACIA NETWORK INC | |
| PROMESA INC | |||||||||||
| 311 EAST 175TH STREET | BRONX | NY | 10457 | 132663328 | PROVIDES HEALTH, EDUCATIONAL, SOCIAL AND DAY CARE | NY | 501(C)(3) | LINE 10 | 0 | ACACIA NETWORK INC | |
| PROMESA FOUNDATION INC | |||||||||||
| 1776 CLAY AVENUE | BRONX | NY | 10457 | 133411787 | DEVELOPMENT ARM FOR ACACIA NETWORK, INC. | NY | 501(C)(3) | LINE 12A, I | 0 | ACACIA NETWORK INC | |
| PROMESA HOUSING DEVELOPMENT FUND CORPORATION INC | |||||||||||
| 1776 CLAY AVENUE | BRONX | NY | 10457 | 133608906 | HOUSING COMPANY | NY | 501(C)(3) | LINE 7 | 0 | ACACIA NETWORK INC | |
| EAST HARLEM COUNCIL FOR COMMUNITY IMPROVEMENT INC | |||||||||||
| 1776 CLAY AVENUE | BRONX | NY | 10035 | 132969933 | SUPERVISED HOUSING SERVICES | NY | 501(C)(3) | LINE 7 | 0 | ACACIA NETWORK INC | |
| CORPORATION FOR YOUTH ENERGY CORPS | |||||||||||
| 1776 CLAY AVENUE | BRONX | NY | 10457 | 133072640 | YOUTH CORP PROGRAM | NY | 501(C)(3) | LINE 7 | 0 | ACACIA NETWORK INC | |
| BRONX ADDICTION SERVICES INTEGRATED CONCEPTS SYSTEMS INC | |||||||||||
| 1064 FRANKLIN AVENUE | BRONX | NY | 10456 | 133244626 | DRUG ADDICTION REHABILITATION SERVI | NY | 501(C)(3) | LINE 7 | 0 | ACACIA NETWORK INC | |
| GENERAL DEVELOPMENT AND ORIENTATION COUNCIL INC | |||||||||||
| 717SOUTHERN BOULEVARD | BRONX | NY | 10455 | 133333051 | SUPPORTED HOUSING & PSYCHOSOCIAL CL | NY | 501(C)(3) | LINE 7 | 0 | ACACIA NETWORK INC | |
| THE JULIO A MARTINEZ MEMORIAL FUND | |||||||||||
| 1064 FRANKLIN AVENUE | BRONX | NY | 10456 | 810623501 | DEVELOPMENT ARM FOR BASICS | NY | 501(C)(3) | LINE 7 | 0 | ACACIA NETWORK INC | |
| CAPITAL DISTRICT LATINOS INC | |||||||||||
| 1776 CLAY AVENUE | BRONX | NY | 10457 | 453647494 | HOUSING | NY | PENDING | PENDING | 0 | ACACIA NETWORK INC | |
| LA RAMA | |||||||||||
| 300 EAST 175TH STREET | BRONX | NY | 10457 | 454797184 | HOUSING | NY | PENDING | PENDING | 0 | ACACIA NETWORK INC | |
| BUFFALO HISPANIC MANAGEMENT COMPANY INC | |||||||||||
| 254 VIRGINIA STREET | BUFFALO | NY | 14201 | 223035890 | MANAGEMENT | NY | 501(C)(2) | 0 | ACACIA NETWORK INC | ||
| HISPANOS UNIDOS DE BUFFALO INC | |||||||||||
| 254 VIRGINIA STREET | BUFFALO | NY | 14201 | 161243094 | SOCIAL SERVICES | NY | 501(C)(3) | LINE 7 | 0 | ACACIA NETWORK INC | |
| LOISAIDA INC | |||||||||||
| 300 EAST 175TH STREET | BRONX | NY | 10457 | 133023183 | ANNUAL FAIR | NY | 501(C)(3) | LINE 10 | 0 | ACACIA NETWORK INC | |
| AUDOBON PARTNERSHIP FOR ECONOMIC DEVELOPMENT | |||||||||||
| 300 EAST 175TH STREET | BRONX | NY | 10457 | 133927797 | ECONOMIC DEVELOPMENT | NY | 501(C)(3) | LINE 7 | 0 | ACACIA NETWORK INC | |
| 1068 FRANKLIN HOUSING DEVELOPMENT | |||||||||||
| 1776 CLAY AVENUE | BRONX | NY | 10457 | 208317595 | HOUSING | NY | 501(C)(4) | 0 | ACACIA NETWORK INC | ||
| ACDP INC | |||||||||||
| 3940 BROADWAY | NEW YORK | NY | 10032 | 133266145 | SOCIAL SERVICES | NY | 501(C)(3) | LINE 7 | 0 | ACACIA NETWORK INC | |
| PALACIO DORADO MANAGEMENT CORP | |||||||||||
| 300 EAST 175TH STREET | BRONX | NY | 10457 | 464966129 | HOUSING | NY | 501(C)(3) | PENDING | 0 | ACACIA NETWORK INC | |
| EL REGRESO INC | |||||||||||
| 141 SOUTH THIRD STREET | BROOKLYN | NY | 11211 | 061179595 | HEALTH SERVICES | NY | 501(C)(3) | LINE 7 | 0 | ACACIA NETWORK INC | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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