2015-11-16T12:00:00-06:00 2014-12-31 221478099 COHNREZNICK LLP 1212 AVENUE OF THE AMERICAS NEW YORK NY 10036 990 2014-01-01 133464470 HELP PSI INC HELP 7186818700 1401 UNIVERSITY AVENUE BRONX NY 10452 EVAN ZUCKERMAN CFO 7186818700 2015-11-14 1 THOMAS LANNING P00851654 2122970400 2014 2016-02-25 16:41:14Z PAUL VITALE 1401 UNIVERSITY AVENUE BRONX NY 10452 38298155 0 X WWW.BRIGHTPOINTHEALTH.ORG X 1988 NY HELP/PSI DELIVERS HIGH QUALITY CARE TO ITS PATIENTS INFECTED OR AT RISK FOR HIV. PATIENTS ARE TREATED WITH DIGNITY AND RESPECT AND FOSTER CONTINUITY OF CARE BETWEEN THE PATIENT AND PROVIDER. 14 14 751 20 0 0 433740 482510 34330095 37493681 4397 5259 392758 316705 35160990 38298155 0 28879 0 0 17952234 22519293 0 0 36810 17917044 18737219 35869278 41285391 -708288 -2987236 29253189 26919996 15382867 17264800 13870322 9655196 HELP/PSI IS A MULTI-FACETED HEALTH CARE ORGANIZATION SPECIALIZING IN HIV/AIDS AND SUBSTANCE ABUSE. 0 0 34479873 37797602 THE FACILITY PROVIDES CARE FOR PEOPLE WITH THE VIRUS THAT CAUSES AIDS. THE CARE INCLUDES MEDICAL AND SOCIAL SERVICE CARE. THE FACILITY PROVIDES RESIDENTIAL HEALTHCARE AND CARE COORDINATION AS WELL AS AIDS ADULT DAY CARE SERVICES 34479873 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 122 0 1 751 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 0 0 NY X EVAN ZUCKERMAN CFO 7186818700 1401 UNIVERSITY AVENUE BRONX NY 10452 CAROLYN ABERNATHY BOARD MEMBER 1.00 X 0 0 0 CHARLENE BUTTERFIELD SECRETARY 1.00 1.00 X X 0 0 0 CHARLES MILLER BOARD MEMBER 1.00 1.00 X 0 0 0 DREW CARTER BOARD MEMBER 1.00 1.00 X 0 0 0 ERIKA STEVENS BOARD MEMBER 1.00 1.00 X 0 0 0 FRANCINE COURNOS BOARD MEMBER 1.00 1.00 X 0 0 0 JAMES CAMERON TREASURER 1.00 1.00 X X 0 0 0 JOHN RUSSELL BOARD CHAIR 1.00 1.00 X X 0 0 0 LISA GAYE-ROBINSON VICE CHAIRPERSON 1.00 1.00 X X 0 0 0 LOUIS LEMEIX BOARD MEMBER 1.00 1.00 X 0 0 0 MARGIE ELLIOT BOARD MEMBER 1.00 1.00 X 0 0 0 MARIA CUOMO-COLE BOARD MEMBER 1.00 X 0 0 0 SHELDON KUPPER BOARD MEMBER 1.00 1.00 X 0 0 0 THOMAS KENNEDY BOARD MEMBER 1.00 1.00 X 0 0 0 YOLANDA RUDICH BOARD MEMBER 1.00 X 0 0 0 CAROL MURPHY CHIEF OPERATING OFFICER 28.10 9.40 X 322674 0 21300 EVAN ZUCKERMAN CHIEF FINANCIAL OFFICER 28.10 9.40 X 301981 0 43837 PAUL D VITALE PRESIDENT AND CEO 28.10 9.40 X 670347 0 36449 BARBARA ZELLER CHIEF MEDICAL OFFICER 28.10 9.40 X 317756 0 34673 ALAN D ZUCKERMAN SVP, RHCF ADMINISTRATOR 37.50 0.00 X 166493 0 18779 JESSICA DIAMOND SVP, ORG CULTURE AND QUALITY 28.13 9.38 X 172629 0 40464 JONATHAN ZELLAN REGIONAL MEDICAL DIRECTOR 12.38 25.13 X 208310 0 39669 PHILP GRAY VP, BUSINESS DEVELOPMENT 28.13 9.38 X 202478 0 27236 VICTORIA OZOIGBO REGISTERED NURSE 37.50 X 171956 0 0 2534624 0 262407 18 0 1 0 MCDERMOTT WILL AND EMERY POBOX 6403 CHICAGO IL 60680 LEGAL SERVICES 281515 MANATT PHELPS & PHILLIPS LLP 7 TIMES SQUARE NEW YORK NY 10036 LEGAL SERVICES 210935 CB TECH CONSULTING 28 FOX ROUND LANE READING MA 08167 RECURITMENT 196478 SEQUEL STUDIO LLC 12 WEST 27TH STREET NEW YORK NY 10001 CONSULTING 194292 COHNREZNICK LLP 1212 AVE OF THE AMERICAS NEW YORK NY 10036 ACCOUNTING/AUDITING 137500 7 482510 482510 MEDICAID 621110 27511470 27511470 MEDICAID MANAGED CARE 621110 7755232 7755232 RECOVERY OF BAD DEBTS 621110 2226979 2226979 37493681 5259 5259 264576 0 264576 264576 264576 OTHER INCOME 900099 39345 39345 AMERCIAN EXPRESS CASH BACK 900099 12784 12784 52129 38298155 37797602 0 18043 28879 28879 1749017 1490609 258408 15996686 13633263 2363423 747372 636952 110420 1854304 1580341 273963 2171914 1851026 320888 498179 97588 400591 152500 29873 122627 12065 12065 3737862 3223047 514815 917422 736077 181345 191746 37561 154185 2625224 2087981 537243 604262 604262 528503 450419 78084 567434 542251 25183 1963876 1676747 287129 510280 435674 74606 CONSUMABLE SUPPLIES 1091599 930320 161279 PROGRAM FEE 1081846 1081846 REPAIR AND MAINTENANCE 736613 628916 107697 HEALTH HOME MGMT FEES 595433 595433 2922375 2100808 784757 36810 41285391 34479873 6768708 36810 146506 413964 7897979 1923610 4291391 3958562 364904 1309771 27442856 12558428 14110894 14884428 281995 281995 756400 702877 1403120 3444789 29253189 26919996 4193737 3819781 462696 462696 9291680 9390679 1434754 3591644 15382867 17264800 X 13870322 9655196 13870322 9655196 29253189 26919996 -2987236 -1227890 0 X X 0 1 X 1 0 X 238065 467976 479629 433740 482510 2101920 27317761 28569938 26962949 34330095 37493681 154674424 27555826 29037914 27442578 34763835 37976191 156776344 0 0 0 156776344 4367 3706 3158 307673 269835 588739 4367 3706 3158 307673 269835 588739 5610 10857 88054 89482 52129 246132 27565803 29052477 27533790 35160990 38298155 157611215 0.99470 0.99630 0.00370 0.00230 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2012 AMOUNT: $ 79,114. 2014 AMOUNT: $ 39,345. AMERICAN EXPRESS CASH BACK - 2014 AMOUNT: $ 12,784. FUNDRAISING - 2010 AMOUNT: $ 5,610. 2011 AMOUNT: $ 10,857. 2012 AMOUNT: $ 8,940. INSURANCE CLAIM - 2013 AMOUNT: $ 89,482. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 420967 420967 17929816 8337672 9592144 4956988 1691509 3265479 4128210 2529247 1598963 6875 6875 14884428 SECURITY DEPOSITS 408639 DUE FROM RELATED PARTY 2752473 OTHER ASSETS 283677 3444789 DUE TO THIRD PARTY 964705 DEFERRED RENT 932188 DUE TO RETIREMENT SAVINGS PLAN 1694751 3591644 X 60734259 22436104 22436104 38298155 0 38298155 58125557 16840166 16840166 41285391 0 41285391 PART X, LINE 2: MANAGEMENT HAS EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE CONSOLIDATED FINANCIAL STATEMENTS. GENERALLY, THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY FEDERAL, STATE AND LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2011. IF APPLICABLE, THE CENTER RECOGNIZES INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS IN MANAGEMENT AND GENERAL EXPENSES AND INCLUDES ACCRUED INTEREST AND PENALTIES IN ACCRUED EXPENSES IN THE CONSOLIDATED STATEMENT OF FINANCIAL POSITION. PART XI, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION REVENUES 22,752,944. INTERCOMPANY ELIMINATION -316,840. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION EXPENSES 17,157,006. INTERCOMPANY ELIMINATION -316,840. X X X 1 1 0 0 0 0 0 1 0 CAROL MURPHY CHIEF OPERATING OFFICER 286798 0 30000 0 5876 0 18720 0 2580 0 343974 0 0 0 EVAN ZUCKERMAN CHIEF FINANCIAL OFFICER 268788 0 25000 0 8193 0 18720 0 25117 0 345818 0 0 0 PAUL D VITALE PRESIDENT AND CEO 512984 0 152500 0 4863 0 18720 0 17729 0 706796 0 0 0 BARBARA ZELLER CHIEF MEDICAL OFFICER 285233 0 25000 0 7523 0 23920 0 10753 0 352429 0 0 0 ALAN D ZUCKERMAN SVP, RHCF ADMINISTRATOR 105485 0 0 0 61008 0 8915 0 9864 0 185272 0 0 0 JESSICA DIAMOND SVP, ORG CULTURE AND QUALITY 157524 0 15000 0 105 0 11663 0 28801 0 213093 0 0 0 JONATHAN ZELLAN REGIONAL MEDICAL DIRECTOR 200623 0 7500 0 187 0 14510 0 25159 0 247979 0 0 0 PHILP GRAY VP, BUSINESS DEVELOPMENT 169163 0 25000 0 8315 0 13956 0 13280 0 229714 0 0 0 VICTORIA OZOIGBO REGISTERED NURSE 171956 0 0 0 0 0 0 0 0 0 171956 0 0 0 PART I, LINES 4A-B INCLUDED IN COLUMN B(III) IS 60,802 REPRESENTING SEVERANE PAYMENTS FOR ALAN SUCKERMAN. CERTAIN INDIVIDUALS PARTICIPATE IN A 457(B) PLAN. PART I, LINE 7 CERTAIN INDIVIDUALS RECEIVED BONUSES BASED ON PERFORMANCE WHICH WERE VOTED ON BY THE BOARD OF DIRECTORS. THESE AMOUNTS WERE INCLUDED IN THE INDIVIDUALS W-2'S, AND ARE SHOWN ON SCH J, PART II, COLUMN B(II). A NEW YORK CITY INDUSTRIAL DEVELOPMENT AGENCY 132906040 64971C7F5 2006-01-25 11872915 REFINANCING 0 0 0 A 11872915 237458 11635457 2006 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 FORM 990, PART IV, QUESTION 20A: 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 THIS DEFINITION. FORM 990, PART VI, SECTION A, LINE 6 HELP PSI SERVICE CORP IS THE SOLE MEMEBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A AS THE SOLE MEMBER HELP PSI SERVICE CORP SHALL HAVE THE POWER TO APPOINT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 THE INDEPENDENT ACCOUNTING FIRM PREPARES THE FORM 990 AND PRESENTS IT TO THE FINANCE COMMITTEE PRIOR TO FILING FOR REVIEW. ALL FINANCE COMMITTEE MEMBERS LED BY THE CHAIRMAN REVIEW THE DATA AND MAKE ANY NECESSARY CHANGES. COPIES ARE THEN DISTRIBUTED TO THE FULL BOARD FOR COMMENTS AND EDITS BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED WITH THE BOARD ANNUALLY BY HELP/PSI SERVICE CORPS COUNSEL BOARD MEMBERS AND OFFICERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT THERE IS A COMPLIANCE PROGRAM THAT MEETS STANDARDS ESTABLISHED BY THE NEW YORK STATE DEPARTMENT OF HEALTH AND COMPLIANCE OFFICER THAT MONITORS ADHERENCE COUNSEL REVIEWS ANY POTENTIAL CONFLICTS OF INTEREST PERSONS WITH CONFLICT ARE EXCUSED FROM THE DISCUSSION. FORM 990, PART VI, SECTION B, LINE 15A AN INDEPENDENT CONSULTANT WAS ENGAGED TO REVIEW THE COMPENSATION OF THE CEO. THE EXECUTIVE COMMITTEE REVIEWED THE REPORT AND SUBMITTED THEIR RECOMMENDATIONS TO THE BOARD. THIS WAS LAST COMPLETED IN 2014 FOR HELP/PSI INC. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE AVAILABLE BY REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART VII: HIGHEST COMPENSATED INDIVIDUALS VICTORIA OZOIGBO, JONATHAN ZELLAN, JESSICA DIAMOND, PHILIP GRAY, AND ALAN ZUCKERMAN ARE COMPENSATED FOR WORK PREFORMED FOR HELP/PSI SERVICE CORPORATION (A RELATED NOT FOR PROFIT ENTITY). HOWEVER, THEIR W-2'S ARE FILED UNDER THE HELP/PSI INC, EMPLOYER IDENTIFICATION NUMBER. HELPPSI SERVICE CORP 1401 UNIVERSITY AVENUE BRONX NY 10452 134118387 HEALTHCARE NY 501(C)(3) LINE 11A, I N/A 0 0 0 0 1 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0