UPPER ROOM AIDS MINISTRY INC ADULT DAY HEALTH CARE CENTER: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- UPPER ROOM AIDS MINISTRY INC ADULT DAY HEALTH CARE CENTER (EIN 13-3841701)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-14
- IRS object ID
- 201521349349306462
- Schema version
- 2013v4.0
- 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 | 2015-05-14T14:53:16-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 221478099 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COHNREZNICK LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1212 AVENUE OF THE AMERICAS | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10036 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133841701 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UPPER ROOM AIDS MINISTRY INC ADULT | BusinessNameLine1 |
| Business Name Line2 | DAY HEALTH CARE CENTER | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UPPE | BusinessNameControlTxt |
| Phone | 2125311300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 123-125 WEST 124TH STREET | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10027 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TAMISHA MCPHERSON | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 2128032850 | PhoneNum |
| Signature | 2015-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS LANNING | PreparerPersonNm |
| PTIN | P00851654 | PTIN |
| Phone | 2122970400 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TAMISHA MCPHERSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 306 LENOX AVE | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10027 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $12,606,800 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HARLEMUNITED.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | 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 | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 136 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,159,616 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,012,396 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,061,353 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,468,289 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,843 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,382 | CYInvestmentIncomeAmt |
| PY Other Revenue | $70,040 | PYOtherRevenueAmt |
| CY Other Revenue | $121,733 | CYOtherRevenueAmt |
| PY Total Revenue | $12,295,852 | PYTotalRevenueAmt |
| CY Total Revenue | $12,606,800 | 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 | $6,400,530 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,262,506 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,645,055 | PYOtherExpensesAmt |
| CY Other Expenses | $5,077,826 | CYOtherExpensesAmt |
| PY Total Expenses | $14,045,585 | PYTotalExpensesAmt |
| CY Total Expenses | $11,340,332 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,749,733 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,266,468 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $21,002,541 | TotalAssetsBOYAmt |
| Total Assets EOY | $17,807,145 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $21,300,355 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $16,838,491 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$297,814 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $968,654 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $11,206,888 | ExpenseAmt |
| Revenue | $10,581,392 | RevenueAmt |
| Desc | 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. | Desc |
| Total Program Service Expenses | $11,206,888 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | 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 | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | 0 | TaxExemptBondsInd |
| 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 | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 136 | 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 | 7 | 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 | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicyInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALAN ZUCKERMAN CHIEF FINANCIAL OFFICER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2128032850 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 306 LENOX AVE | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10027 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| BEVERLY FRAZIER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CARLISLE ST MARTIN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | ||
| DOUGLAS DUKEMAN | ||||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | Yes (X) | |
| GILBERTO HINDS | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | Yes (X) | |
| HENRY WEAVER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOYCE JONES | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | 2.00 | ||
| KARYN FABER | ||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| RAHSAAN HARRIS | ||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | Yes (X) | |
| STEVEN C BUSSEY | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | 37.00 | ||
| ALAN ZUCKERMAN | ||||||||
| CFO | 1.00 | $0 | $0 | $0 | 37.00 | Yes (X) | ||
| CHARLES CARROLL | ||||||||
| SENIOR VICE PRESIDENT | 25.00 | $128,335 | $0 | $25,800 | 10.00 | Yes (X) | ||
| KELSEY LOUIE | ||||||||
| CHIEF OPERATING OFFICER | 26.00 | $0 | $186,369 | $17,828 | 10.00 | Yes (X) | ||
| LOIS J BOOKHARDT MURRAY | ||||||||
| CHIEF MEDICAL OFFICER | 25.00 | $176,575 | $0 | $8,825 | 10.00 | Yes (X) | ||
| WILLIAM MUILENBURG | ||||||||
| CFO | 1.00 | $0 | $166,167 | $27,678 | 37.00 | Yes (X) | ||
| DERRICK WALKER | ||||||||
| MEDICAL DOCTOR | 35.00 | $194,201 | $0 | $24,397 | Yes (X) | |||
| KAREEM MERRICK | ||||||||
| DENTIST | 35.00 | $112,578 | $0 | $12,958 | Yes (X) | |||
| SARA GILLEN | ||||||||
| VICE PRESIDENT | 35.00 | $121,881 | $0 | $13,170 | Yes (X) | |||
| TAMISHA MCPHERSON | ||||||||
| VICE PRESIDENT | 35.00 | $118,257 | $0 | $19,353 | Yes (X) | |||
| VERA ANTONIOS | ||||||||
| MEDICAL DOCTOR | 35.00 | $157,301 | $0 | $6,794 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,009,128 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $352,536 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $156,803 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,911,163 | GovernmentGrantsAmt |
| All Other Contributions | $101,233 | AllOtherContributionsAmt |
| Total Contributions | $2,012,396 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID ADHC | 621300 | $6,974,617 | $6,974,617 |
| MEDICAID PRIMARY CARE | 621300 | $2,790,521 | $2,790,521 |
| SELF-PAY | 621300 | $382,630 | $382,630 |
| MEDICARE | 621300 | $290,308 | $290,308 |
| RENTAL INCOME | 532000 | $30,213 | $30,213 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,468,289 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,382 | TotalRevenueColumnAmt |
| Exclusion | $4,382 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| ADULT DAY CARE | 623990 | $109,387 | $109,387 | |
| INVESTMENT IN HCH LLC | 900099 | $8,630 | $8,630 | |
| OTHER | 900099 | $3,716 | $3,716 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $121,733 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,606,800 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,581,392 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $13,012 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $375,270 | TotalAmt |
| Program Services | $371,104 | ProgramServicesAmt |
| Management And General | $4,166 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,853,071 | TotalAmt |
| Program Services | $4,853,071 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,465 | TotalAmt |
| Program Services | $88,626 | ProgramServicesAmt |
| Management And General | $11,839 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $611,035 | TotalAmt |
| Program Services | $539,026 | ProgramServicesAmt |
| Management And General | $72,009 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322,665 | TotalAmt |
| Program Services | $284,640 | ProgramServicesAmt |
| Management And General | $38,025 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,124 | TotalAmt |
| Program Services | $45,706 | ProgramServicesAmt |
| Management And General | $418 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,380 | TotalAmt |
| Program Services | $1,380 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,665 | TotalAmt |
| Program Services | $96,665 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $546,137 | TotalAmt |
| Program Services | $546,137 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $749,130 | TotalAmt |
| Program Services | $749,120 | ProgramServicesAmt |
| Management And General | $10 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $391,668 | TotalAmt |
| Program Services | $384,691 | ProgramServicesAmt |
| Management And General | $6,977 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $351,990 | TotalAmt |
| Program Services | $351,990 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $269,623 | TotalAmt |
| Program Services | $269,623 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $462,658 | TotalAmt |
| Program Services | $462,658 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,923 | TotalAmt |
| Program Services | $98,923 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| BAD DEBT | $1,518,197 | $1,518,197 |
| REPAIRS & MAINTENANCE | $414,954 | $414,954 |
| STAFF TRAINING | $54,514 | $54,514 |
| CLIENT STIPEND | $31,580 | $31,580 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,283 | TotalAmt |
| Program Services | $44,283 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,340,332 | TotalAmt |
| Program Services | $11,206,888 | ProgramServicesAmt |
| Management And General | $133,444 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $266 | BOYAmt |
| EOY | $13,085 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,710,011 | BOYAmt |
| EOY | $2,564,829 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $520,838 | BOYAmt |
| EOY | $235,157 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,198,213 | BOYAmt |
| EOY | $2,055,603 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,069 | BOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $17,633,405 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,948,029 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,251,095 | BOYAmt |
| EOY | $12,685,376 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16 | BOYAmt |
| EOY | $8,646 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $291,033 | BOYAmt |
| EOY | $244,449 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,002,541 | BOYAmt |
| EOY | $17,807,145 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $184,447 | BOYAmt |
| EOY | $295,374 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,552 | BOYAmt |
| EOY | $27,552 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,176,628 | BOYAmt |
| EOY | $13,173,732 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,911,728 | BOYAmt |
| EOY | $3,341,833 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,300,355 | BOYAmt |
| EOY | $16,838,491 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$297,814 | BOYAmt |
| EOY | $968,654 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$297,814 | BOYAmt |
| EOY | $968,654 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,002,541 | BOYAmt |
| EOY | $17,807,145 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,266,468 | 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
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 Minus4 Years | $618,446 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $855,568 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,949,077 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,159,616 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,012,396 | CurrentTaxYearAmt |
| Total | $7,595,103 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,346,372 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,610,967 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,160,420 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,104,292 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,468,289 | CurrentTaxYearAmt |
| Total | $48,690,340 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,964,818 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,466,535 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,109,497 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,263,908 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,480,685 | CurrentTaxYearAmt |
| Total | $56,285,443 | 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 | $56,285,443 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,247 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus1 Year | $4,843 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,382 | CurrentTaxYearAmt |
| Total | $15,472 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,247 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus1 Year | $4,843 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,382 | CurrentTaxYearAmt |
| Total | $15,472 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $274 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $291 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,822 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $27,101 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $121,733 | CurrentTaxYearAmt |
| Total | $167,221 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,971,339 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,466,826 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,127,319 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,295,852 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,606,800 | CurrentTaxYearAmt |
| Total | $56,468,136 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99680 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99750 | PublicSupportPY509Pct |
| Investment Income CY | 0.00030 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00060 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part IV Form990ScheduleAPartIVGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER - 2009 AMOUNT: $ 274. 2010 AMOUNT: $ 291. 2011 AMOUNT: $ 17,822. 2013 AMOUNT: $ 3,716. ADULT DAY CARE - 2013 AMOUNT: $ 109,387. MEDICAID MANAGED CARE - 2012 AMOUNT: $ 27,101. INVESTMENT IN HCH LLC - 2013 AMOUNT: $ 8,630. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $960,000 | OtherCostOrOtherBasisAmt |
| Book Value | $960,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,131,970 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,218,092 | DepreciationAmt |
| Book Value | $913,878 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,000,019 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,840,140 | DepreciationAmt |
| Book Value | $2,159,879 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,648,149 | OtherCostOrOtherBasisAmt |
| Depreciation | $889,797 | DepreciationAmt |
| Book Value | $758,352 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,893,267 | OtherCostOrOtherBasisAmt |
| Book Value | $7,893,267 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,685,376 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO RELATED PARTIES | Desc |
| Amt | $3,341,833 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,341,833 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $39,918,196 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $27,320,026 | OtherRevenueAmt |
| Revenue Not Reported | $27,320,026 | RevenueNotReportedAmt |
| Revenue Subtotal | $12,598,170 | RevenueSubtotalAmt |
| Other Revenues Not Included | $8,630 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $8,630 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $12,606,800 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $41,886,111 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $32,063,976 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $32,063,976 | ExpensesNotReportedAmt |
| Expenses Subtotal | $9,822,135 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,518,197 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,518,197 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $11,340,332 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 2011. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RELATED PARTIES REVENUE 28,838,223. BAD DEBT EXPENSE -1,518,197. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | INVESTMENT INCOME FROM HCH LLC 8,630. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RELATED PARTIES EXPENSE 32,063,976. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 1,518,197. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHARLES CARROLL | ||||||||||||||
| SENIOR VICE PRESIDENT | $128,275 | $0 | $0 | $0 | $60 | $0 | $6,000 | $0 | $19,800 | $0 | $154,135 | $0 | $0 | $0 |
| KELSEY LOUIE | ||||||||||||||
| CHIEF OPERATING OFFICER | $0 | $186,315 | $0 | $0 | $0 | $54 | $0 | $9,000 | $0 | $8,828 | $0 | $204,197 | $0 | $0 |
| LOIS J BOOKHARDT MURRAY | ||||||||||||||
| CHIEF MEDICAL OFFICER | $176,575 | $0 | $0 | $0 | $0 | $0 | $7,200 | $0 | $1,625 | $0 | $185,400 | $0 | $0 | $0 |
| WILLIAM MUILENBURG | ||||||||||||||
| CFO | $0 | $166,167 | $0 | $0 | $0 | $0 | $0 | $12,941 | $0 | $14,737 | $0 | $193,845 | $0 | $0 |
| DERRICK WALKER | ||||||||||||||
| MEDICAL DOCTOR | $194,201 | $0 | $0 | $0 | $0 | $0 | $4,992 | $0 | $19,405 | $0 | $218,598 | $0 | $0 | $0 |
| VERA ANTONIOS | ||||||||||||||
| MEDICAL DOCTOR | $157,301 | $0 | $0 | $0 | $0 | $0 | $6,400 | $0 | $394 | $0 | $164,095 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 11 | THE 990 IS PREPARED BY AN INDEPENDENT ACCOUNTANT AND IS REVIEWED BY THE CEO, CFO, COMPLIANCE OFFICER AND SHARED WITH THE FULL BOARD PRIOR TO FILING WITH THE IRS. |
| 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 VI, SECTION B, 12A, 12B, 12C, 13, 14: | THE ORGANIZATION FOLLOWS THE POLICIES OF ITS PARENT COMPANY HARLEM UNITED, BUT HAS NOT FORMALLY ADOPTED THEM AS ITS OWN POLICIES. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 INTO SEXUALLY TRANSMITTED DISEASES | |||||||||||
| 306 LENOX AVENUE | NEW YORK | NY | 10027 | 133387630 | HEALTHCARE | NY | 501(C)(3) | LINE 7 | 0 | HARLEM UNITED COMMUNITY AIDS CENTER INC | |
| HARLEM UNITED SUPPORTIVE HOUSING DEVELOPMENT FUND CORPORATION | |||||||||||
| 306 LENOX AVENUE | NEW YORK | NY | 10027 | 450496248 | RENTAL REAL ESTATE | NY | 501(C)(3) | LINE 9 | 0 | HARLEM UNITED COMMUNITY AIDS CENTER INC | |
| NORTH GENERAL AIDS HOUSING DVELOPMENT FUND CORP INC | |||||||||||
| 306 LENOX AVENUE | NEW YORK | NY | 10027 | 133737001 | HOUSING | NY | 501(C)(3) | LINE 7 | 0 | HARLEM UNITED COMMUNITY AIDS CENTER INC | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARLEM UNITED HCH LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 306 LENOX AVENUE | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10027 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 455252111 | EIN |
| Primary Activities | SPECIAL PURPOSE ENTITY | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARLEM UNITED COMMUNITY AIDS CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | INTEREST | PredominantIncomeTypeTxt |
| Share Of Total Income | $3,151 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $72,323 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.01000 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HU 124TH STREET SUPPORTIVE HOUSING INC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 306 LENOX AVENUE 3RD FLOOR | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10027 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371514269 | EIN |
| Primary Activities | HOUSING | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| 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 | 0 | 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 | 0 | 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 |
Comments