2015-05-14T14:53:16-05:00 2014-06-30 221478099 COHNREZNICK LLP 1212 AVENUE OF THE AMERICAS NEW YORK NY 10036 990 2013-07-01 133841701 UPPER ROOM AIDS MINISTRY INC ADULT DAY HEALTH CARE CENTER UPPE 2125311300 123-125 WEST 124TH STREET NEW YORK NY 10027 TAMISHA MCPHERSON EXECUTIVE DIRECTOR 2128032850 2015-05-14 1 THOMAS LANNING P00851654 2122970400 2013 2016-03-07 17:11:31Z TAMISHA MCPHERSON 306 LENOX AVE NEW YORK NY 10027 12606800 0 X WWW.HARLEMUNITED.ORG X 1995 NY THE MISSION OF THE UPPER ROOM AIDS MINISTRY, INC : ADULT DAY HEALTHCARE CENTER SHALL BE TO PROVIDE ADULT DAY HEALTH CARE SERVICES, PRIMARY CARE SERVICES AND SUBSTANCE ABUSE SERVICES TO A MEDICALLY UNDERSERVED POPULATION, CONSISTING OF HOMELESS INDIVIDUALS IN THE EAST AND CENTRAL HARLEM NEIGHBORHOODS OF MANHATTAN AND THE SURROUNDING AREAS 7 6 136 0 0 0 2159616 2012396 10061353 10468289 4843 4382 70040 121733 12295852 12606800 0 0 0 0 6400530 6262506 0 0 0 7645055 5077826 14045585 11340332 -1749733 1266468 21002541 17807145 21300355 16838491 -297814 968654 X THE MISSION OFTHE UPPER ROOM AIDS MINISTRY, INC ADULT DAY HEALTHCARE CENTER SHALL BE TO PROVIDE ADULT DAY HEALTH CARE SERVICES, PRIMARY CARE SERVICES AND SUBSTANCE ABUSE SERVICES TO A MEDICALLY UNDERSERVED POPULATION CONSISTING OF HOMELESS INDIVIDUALS IN THE EAST AND CENTRAL HARLEM NEIGHBORHOODS OF MANHATTAN AND THE SURROUNDING AREAS. 0 0 11206888 10581392 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. 11206888 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 136 1 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 NY X ALAN ZUCKERMAN CHIEF FINANCIAL OFFICER 2128032850 306 LENOX AVE NEW YORK NY 10027 BEVERLY FRAZIER DIRECTOR 1.00 X 0 0 0 CARLISLE ST MARTIN DIRECTOR 1.00 1.00 X 0 0 0 DOUGLAS DUKEMAN CHAIR 1.00 1.00 X X 0 0 0 GILBERTO HINDS VICE CHAIR 1.00 1.00 X X 0 0 0 HENRY WEAVER DIRECTOR 1.00 X 0 0 0 JOYCE JONES DIRECTOR 1.00 2.00 X 0 0 0 KARYN FABER SECRETARY 1.00 X X 0 0 0 RAHSAAN HARRIS TREASURER 1.00 1.00 X X 0 0 0 STEVEN C BUSSEY DIRECTOR 1.00 37.00 X 0 0 0 ALAN ZUCKERMAN CFO 1.00 37.00 X 0 0 0 CHARLES CARROLL SENIOR VICE PRESIDENT 25.00 10.00 X 128335 0 25800 KELSEY LOUIE CHIEF OPERATING OFFICER 26.00 10.00 X 0 186369 17828 LOIS J BOOKHARDT MURRAY CHIEF MEDICAL OFFICER 25.00 10.00 X 176575 0 8825 WILLIAM MUILENBURG CFO 1.00 37.00 X 0 166167 27678 DERRICK WALKER MEDICAL DOCTOR 35.00 X 194201 0 24397 KAREEM MERRICK DENTIST 35.00 X 112578 0 12958 SARA GILLEN VICE PRESIDENT 35.00 X 121881 0 13170 TAMISHA MCPHERSON VICE PRESIDENT 35.00 X 118257 0 19353 VERA ANTONIOS MEDICAL DOCTOR 35.00 X 157301 0 6794 1009128 352536 156803 8 0 1 0 0 1911163 101233 2012396 MEDICAID ADHC 621300 6974617 6974617 MEDICAID PRIMARY CARE 621300 2790521 2790521 SELF-PAY 621300 382630 382630 MEDICARE 621300 290308 290308 RENTAL INCOME 532000 30213 30213 10468289 4382 4382 ADULT DAY CARE 623990 109387 109387 INVESTMENT IN HCH LLC 900099 8630 8630 OTHER 900099 3716 3716 121733 12606800 10581392 0 13012 375270 371104 4166 4853071 4853071 100465 88626 11839 611035 539026 72009 322665 284640 38025 46124 45706 418 1380 1380 96665 96665 546137 546137 749130 749120 10 391668 384691 6977 351990 351990 269623 269623 462658 462658 98923 98923 BAD DEBT 1518197 1518197 REPAIRS & MAINTENANCE 414954 414954 STAFF TRAINING 54514 54514 CLIENT STIPEND 31580 31580 44283 44283 11340332 11206888 133444 0 266 13085 7710011 2564829 520838 235157 4198213 2055603 31069 17633405 4948029 8251095 12685376 16 8646 291033 244449 21002541 17807145 184447 295374 27552 27552 14176628 13173732 6911728 3341833 21300355 16838491 X -297814 968654 -297814 968654 21002541 17807145 1266468 0 X X 0 1 X 1 1 1 X 618446 855568 1949077 2159616 2012396 7595103 9346372 8610967 10160420 10104292 10468289 48690340 9964818 9466535 12109497 12263908 12480685 56285443 0 0 0 56285443 6247 4843 4382 15472 6247 4843 4382 15472 274 291 17822 27101 121733 167221 9971339 9466826 12127319 12295852 12606800 56468136 0.99680 0.99750 0.00030 0.00060 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 960000 960000 3131970 2218092 913878 4000019 1840140 2159879 1648149 889797 758352 7893267 7893267 12685376 DUE TO RELATED PARTIES 3341833 3341833 X 39918196 27320026 27320026 12598170 8630 8630 12606800 41886111 32063976 32063976 9822135 1518197 1518197 11340332 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. 0 0 0 0 0 0 0 0 0 CHARLES CARROLL SENIOR VICE PRESIDENT 128275 0 0 0 60 0 6000 0 19800 0 154135 0 0 0 KELSEY LOUIE CHIEF OPERATING OFFICER 0 186315 0 0 0 54 0 9000 0 8828 0 204197 0 0 LOIS J BOOKHARDT MURRAY CHIEF MEDICAL OFFICER 176575 0 0 0 0 0 7200 0 1625 0 185400 0 0 0 WILLIAM MUILENBURG CFO 0 166167 0 0 0 0 0 12941 0 14737 0 193845 0 0 DERRICK WALKER MEDICAL DOCTOR 194201 0 0 0 0 0 4992 0 19405 0 218598 0 0 0 VERA ANTONIOS MEDICAL DOCTOR 157301 0 0 0 0 0 6400 0 394 0 164095 0 0 0 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. 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 HARLEM UNITED COMMUNITY AIDS CENTER INC 0 HARLEM UNITED SUPPORTIVE HOUSING DEVELOPMENT FUND CORPORATION 306 LENOX AVENUE NEW YORK NY 10027 450496248 RENTAL REAL ESTATE NY 501(C)(3) LINE 9 HARLEM UNITED COMMUNITY AIDS CENTER INC 0 NORTH GENERAL AIDS HOUSING DVELOPMENT FUND CORP INC 306 LENOX AVENUE NEW YORK NY 10027 133737001 HOUSING NY 501(C)(3) LINE 7 HARLEM UNITED COMMUNITY AIDS CENTER INC 0 HARLEM UNITED HCH LLC 306 LENOX AVENUE NEW YORK NY 10027 455252111 SPECIAL PURPOSE ENTITY NY HARLEM UNITED COMMUNITY AIDS CENTER INTEREST 3151 72323 0 0 0.01000 HU 124TH STREET SUPPORTIVE HOUSING INC 306 LENOX AVENUE 3RD FLOOR NEW YORK NY 10027 371514269 HOUSING NY N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0