2014-05-15T14:19:54-05:00 2013-06-30 221478099 COHNREZNICK LLP 1212 AVENUE OF THE AMERICAS NEW YORK NY 10036 990 2012-07-01 133841701 UPPER ROOM AIDS MINISTRY INC ADULT DAY HEALTH CARE CENTER UPPE 2125311300 123-125 WEST 124TH STREET NEW YORK NY 10027 KELSEY LOUIE 2122223049 2014-05-15 1 THOMAS LANNING P00851654 2122970400 2012 2015-11-30 17:44:51Z KELSEY LOUIE 306 LENOX AVE NEW YORK NY 10027 12295852 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 9 7 119 10 0 0 1949077 2159616 10160420 10061353 0 4843 17822 70040 12127319 12295852 0 0 0 0 5691688 6400530 0 0 0 5515355 7645055 11207043 14045585 920276 -1749733 11452539 21002541 9999729 21300355 1452810 -297814 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 13981112 10061353 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. 13981112 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 1 0 0 0 0 1 0 0 0 1 0 0 119 1 0 0 0 0 0 0 0 0 0 0 X 9 7 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 NY X ALAN ZUCKERMAN CFO 2128032850 306 LENOX AVE NEW YORK NY 10027 X BEVERLY FRAZIER 1.00 X 0 0 0 CARLISLE ST MARTIN 1.00 1.00 X 0 0 0 DOUGLAS DUKEMAN 1.00 1.00 X X 0 0 0 GILBERTO HINDS 1.00 1.00 X X 0 0 0 HENRY WEAVER 1.00 X 0 0 0 JOYCE JONES 1.00 2.00 X 0 0 0 KARYN FABER 1.00 X X 0 0 0 RAHSAAN HARRIS 1.00 1.00 X X 0 0 0 STEVEN C BUSSEY 1.00 37.00 X 0 0 0 ANTHONY ODOEMENA 1.00 37.00 X 0 94653 7792 KELSEY LOUIE 10.00 26.00 X 0 174585 15392 L JEANNINE BOOKHARDT MURRAY 25.00 10.00 X 177129 0 7784 WILLIAM MUILENBURG 1.00 37.00 X 0 0 0 CHARLIE CARROLL 25.00 10.00 X 110475 0 24245 DERRICK WALKER 35.00 X 173752 0 19405 ITHA HAREWOOD 35.00 X 143943 0 19405 TAMISHA MCPHERSON 35.00 X 120641 0 19301 VERA ANTONIOS 35.00 X 149147 0 0 875087 269238 113324 6 0 1 0 0 1499616 660000 46522 2159616 MEDICAID 621300 9548586 9548586 MEDICARE 621300 512767 512767 10061353 4843 4843 42939 0 42939 42939 42939 MEDICAID MANAGED CARE 623990 27101 27101 27101 12295852 10131393 0 4843 184913 184913 5131155 5066682 64473 129664 129664 489144 489144 465654 465654 2713361 2713361 24941 24941 77696 77696 272455 272455 197875 197875 64834 64834 465501 465501 344078 344078 14115 14115 340952 340952 462603 462603 76922 76922 BAD DEBT 1402463 1402463 FOOD 412797 412797 PROGRAM EXPENSES 244298 244298 MEDICAL EXPENSE 197282 197282 332882 332882 14045585 13981112 64473 0 7565 266 896349 7710011 1084312 520838 3504119 4198213 6791 31069 12736465 4485370 5621766 8251095 16 331637 291033 11452539 21002541 128103 184447 27552 27552 5582884 14176628 4261190 6911728 9999729 21300355 X 1452810 -297814 1452810 -297814 11452539 21002541 -1749733 -891 0 X X 0 1 X 1 1 1 X 2370 618446 855568 1949077 2159616 5585077 7258604 9346372 8610967 10160420 10204292 45580655 7260974 9964818 9466535 12109497 12363908 51165732 0 0 0 51165732 17960 6247 4843 29050 17960 6247 4843 29050 52910 274 291 17822 27101 98398 7331844 9971339 9466826 12127319 12395852 51293180 0.99750 0.99690 0.00060 0.00060 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 960000 960000 3131970 2049330 1082640 4000018 1645217 2354801 1642649 790823 851826 3001828 3001828 8251095 DUE TO THIRD PARTY 520727 DUE TO RELATED PARTIES 6391001 6911728 X 41044717 -891 28749762 28748871 12295846 6 6 12295852 42370845 29727723 29727723 12643122 1402463 1402463 14045585 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE CENTER, UPPER ROOM AIDS MINISTRY (URAM), WAS INCORPORATED AS A NOT-FOR-PROFIT ENTITY UNDER THE LAWS OF THE STATE OF NEW YORK AND IS EXEMPT FROM INCOME TAXES UNDER THE PROVISIONS OF THE INTERNAL REVENUE CODE SECTION 501(C)(3). IN ADDITION, THE COMPANYY IS NOT CLASSIFIED AS A PRIVATE FOUNDATION. MANAGEMENT HAS EVALUATED THE COMPANY'S TAX POSITIONS AND CONCLUDED THAT THE COMPANY HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE CONSOLIDATED FINANCIAL STATEMENTS. GENERALLY, THE COMPANY IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY FEDERAL, STATE AND LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2010. PART XI, LINE 2D - OTHER ADJUSTMENTS: RELATED PARTIES REVENUE 31,825,819. INTERCOMPANY ELIMINATION -1,673,594. BAD DEBT EXPENSE -1,402,463. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT INCOME FROM HCH LLC 6. PART XII, LINE 2D - OTHER ADJUSTMENTS: INTERCOMPANY ELIMINATION -1,673,594. RELATED PARTIES EXPENSE 31,401,317. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 1,402,463. 0 0 0 0 0 0 0 0 0 KELSEY LOUIE 0 174531 0 0 0 54 0 7600 0 7792 0 189977 0 0 L JEANNINE BOOKHARDT MURRAY 177129 0 0 0 0 0 7200 0 584 0 184913 0 0 0 DERRICK WALKER 173752 0 0 0 0 0 0 0 19405 0 193157 0 0 0 ITHA HAREWOOD 143889 0 0 0 54 0 0 0 19405 0 163348 0 0 0 X 1 46522 FAIR MARKET VALUE 0 0 0 METHOD FOR DETERMINING NUMBER OF CONTRIBUTIONS: PART I, COLUMN (B): COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS. 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 DUE TO TIME CONSTRAINTS IT WILL NOT BE SHARED WITH THE FULL BOARD PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE AVAILABLE BY REQUEST. FORM 990, PART VII: PLEASE NOTE THAT THE HOURS FOR PART VII ARE PAYROLL HOURS. ACUTAL HOURS WORKED FOR VARIOUS ENTITIES ARE HIGHER THAN PAYROLL HOURS. 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. PART VI, SECTION A, LINE 1A: STEVEN C. BUSSEY IS PAID BY AN OUTSIDE MANAGEMENT COMPANY TO SERVE AS THE CEO OF HARLEM UNITED COMMUNITY AIDS CENTER INC. THEREFORE, WHILE HE IS NOT PAID DIRECTLY BY THE ORGANIZATION, HE IS NOT CONSIDERED INDEPENDENT. 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 1059 70444 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