2014-11-04T10:37:04-06:00 2013-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2013-01-01 133590465 RIVINGTON HOUSE HEALTH CARE FACILITY RIVI 2123375600 120 BROADWAY NO 2840 NEW YORK NY 10271 RACHEL AMALFITANO CHIEF FINANCIAL OFFICER 2123375600 2014-10-29 1 ISRAEL TANNENBAUM P01589203 2128674000 2013 2015-11-30 17:44:51Z RACHEL AMALFITANO 120 BROADWAY NO 2840 NEW YORK NY 10271 60945582 0 X WWW.VILLAGECARE.ORG X 1990 NY TO PROVIDE NURSING HOME CARE TO AIDS PATIENTS. 16 15 304 96 0 0 13255 4066 35987447 34214089 753722 1543411 561511 4915311 37315935 40676877 0 0 0 0 20150772 18027230 0 0 0 15630596 16336320 35781368 34363550 1534567 6313327 77356013 62472986 39689243 18320549 37666770 44152437 SKILLED NURSING FACILITY - PROVIDED OVER 60,000 DAYS OF QUALITY CAREAND REHABILITATION SERVICES TO APPROXIMATELY 500 AIDS RESIDENTS IN ASKILLED NURSING FACILITY IN 2013. 0 0 26079139 32407278 SKILLED NURSING FACILITY - PROVIDED OVER 60,000 DAYS OF QUALITY CAREAND REHABILITATION SERVICES TO APPROXIMATELY 500 AIDS RESIDENTS IN ASKILLED NURSING FACILITY IN 2013. 2267751 1806811 DAY TREATMENT PROGRAM - PROVIDED DAY TREATMENT SERVICES TO OVER 160 AIDS PATIENTS WITH OVER 11,000 VISITS IN 2013. 28346890 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 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 39 0 304 1 0 0 0 0 0 0 0 0 0 0 X 16 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X RACHEL AMALFITANO 2123375816 120 BROADWAY SUITE 2840 NEW YORK NY 10014 DAVID H SIDWELL CHAIR OF BOARD 1.00 8.20 X X 0 0 0 DANIEL M FOX VICE CHAIR / SECRETARY 1.00 5.10 X X 0 0 0 PATRICIA M OWENS TREASURER 1.00 8.00 X X 0 0 0 ELENOR S APPLEWHAITE DIRECTOR 1.00 6.00 X 0 0 0 ELIZABETH BUTSON DIRECTOR 1.00 3.00 X 0 0 0 JOHN W BEHRE DIRECTOR 1.00 3.00 X 0 0 0 JAMES J GARDINER DIRECTOR 1.00 5.00 X 0 0 0 PETER M GOTTLIEB DIRECTOR 1.00 4.10 X 0 0 0 JESSIE C GRUMAN DIRECTOR 1.00 3.00 X 0 0 0 MARY CARACAPPA DIRECTOR 1.00 3.00 X 0 0 0 GAIL DONOVAN DIRECTOR 1.00 3.00 X 0 0 0 BETTY LIM DIRECTOR 1.00 3.00 X 0 0 0 GLENNA R MICHAELS DIRECTOR 1.00 3.00 X 0 0 0 YUISA MONTANEZ DIRECTOR 1.00 4.00 X 0 0 0 FRANK J OLDHAM DIRECTOR 1.00 5.00 X 0 0 0 LEROY SHARER MD DIRECTOR 1.00 5.00 X 0 0 0 RICHARD WALLGREN DIRECTOR 1.00 4.00 X 0 0 0 EMMA DEVITO PRESIDENT & CEO 8.60 41.40 X 98859 479070 46460 RACHEL AMALFITANO CHIEF FINANCIAL OFFICER 8.60 41.40 X 51853 251281 21009 NANETTE ALEXANDER-THOMAS MEDICAL DIRECTOR 37.50 X 251951 0 45623 ANTONIO MARTINEZ ASST MEDICAL DIRECTOR 37.50 X 195053 0 27020 SAJJAD MOHAMMAD PRIMARY CARE PHYSICIAN 37.50 X 182720 0 20688 SANDY FREELAND ADMINISTRATOR RH 37.50 X 145013 0 24447 DAHLIA PHILIPS-RODRIGUEZ PRIMARY CARE PHYSICIAN 37.50 X 139703 0 20098 GRACE EMPERIO RESIDENT CARE COORDINATOR 37.50 X 139427 0 10400 1204579 730351 215745 22 0 1 0 THERADYNAMICS PHYSICAL REHAB PC 610 WEST 150TH STREET NEW YORK NY 10031 REHABILITATION 836849 MED WORLD ACQUISITION CORP 80 RED SCHOOLHOUSE RD STE 226 CHESTNUT RIDGE NY 10977 MEDICARE SUPPLIER 540415 6N SYSTEMSINC 2 MOUNTAIN LEDGE DRIVE SUITE 2 WILTON NY 12831 COMP. SYSTEMS CONTR. 193322 LOEB & TROPER 655 3RD AVENUE NEW YORK NY 10017 AUDIT & HEALTH CARE CONS. 154219 FAVORITE NURSES 330 W 38TH ST RM 807 NEW YORK NY 10018 HEALTHCARE STAFFING 128426 5 4066 4066 SKILLED NURSING FACILITY 623000 32407278 32407278 DAY TREATMENT PROGRAM 621400 1806811 1806811 34214089 438884 438884 21373232 20268705 1104527 1104527 1104527 INTEREST ABATEMENT 561000 3923303 3923303 EXPENSE RECOVERY 561000 877488 877488 114520 114520 4915311 40676877 34214089 0 6458722 459826 436835 22991 11943357 11394888 548469 1180411 1126164 54247 2883601 2750903 132698 1560035 1488187 71848 3210802 3210802 5290 5290 87608 7000 80608 59046 59046 156511 156511 3316560 2097480 1219080 2225 2225 2388102 2071920 316182 561738 480051 81687 3795 3795 96647 88610 8037 461056 414443 46613 3823096 3822770 326 224037 224037 NY TAX ASSESSMENT 1939807 1939807 34363550 28346890 6016660 0 6050256 6442347 12164006 10960559 5744799 4532684 42027 134138 103407 80319791 66207567 15491751 14112224 16545651 10074754 3659058 1183951 17524327 15063060 77356013 62472986 3292836 3909688 8360000 5380000 28036407 9030861 39689243 18320549 X 37666770 44152437 37666770 44152437 77356013 62472986 6313327 172340 0 X X 0 1 X 1 0 X 40422 36000 7948 13255 4066 101691 41833124 40688187 38711578 35987447 34214089 191434425 41873546 40724187 38719526 36000702 34218155 191536116 0 0 0 191536116 679899 722167 795253 753722 438884 3389925 679899 722167 795253 753722 438884 3389925 847780 657042 582416 561511 4915311 7564060 43401225 42103396 40097195 37315935 39572350 202490101 0.94590 0.96290 0.01670 0.02000 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: RECOVERY OF EXPENSE OTHER NON-OPERATING REVENUES MISC ADMINISTRATIVE FEES OTHER REVENUE RELATED TO DEPRECIATION DIETARY MEALS INTEREST ABATEMENT 0 0 0 0 0 0 1 55849 0 1 3197 59046 0 PART II-B, LINE 1: PORTION OF MEMBERSHIP DUES ASSOCIATED WITH LOBBYING ACTIVITIES. 1550000 1550000 38358837 29483300 8875537 1961358 1571411 389947 38449596 35152856 3296740 14112224 DUE FROM RELATED ENTITIES 14884356 SECURITY DEPOSITS 59241 INVENTORY 119463 15063060 RESIDENT FUNDS 62593 DUE TO THIRD PARTIES 7263951 CAPITAL LEASE PAYABLE 1704317 9030861 X 40692706 172340 172340 40520366 156511 156511 40676877 34207039 0 34207039 156511 156511 34363550 PART X, LINE 2: THE FACILITY ADOPTED THE PROVISION PERTAINING TO UNCERTAIN TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2010 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. 0 0 0 0 0 0 0 0 0 EMMA DEVITO PRESIDENT & CEO 98682 478215 0 0 177 855 3934 19066 4013 19447 106806 517583 0 0 RACHEL AMALFITANO CHIEF FINANCIAL OFFICER 51817 251105 0 0 36 176 2993 14507 600 2909 55446 268697 0 0 NANETTE ALEXANDER-THOMAS MEDICAL DIRECTOR 251951 0 0 0 0 0 22769 0 22854 0 297574 0 0 0 ANTONIO MARTINEZ ASST MEDICAL DIRECTOR 193469 0 0 0 1584 0 7800 0 19220 0 222073 0 0 0 SAJJAD MOHAMMAD PRIMARY CARE PHYSICIAN 182665 0 0 0 55 0 17500 0 3188 0 203408 0 0 0 SANDY FREELAND ADMINISTRATOR RH 144653 0 0 0 360 0 4300 0 20147 0 169460 0 0 0 DAHLIA PHILIPS-RODRIGUEZ PRIMARY CARE PHYSICIAN 139545 0 0 0 158 0 6495 0 13603 0 159801 0 0 0 PART I, LINE 3 THE SALARIES FOR THE EXECUTIVES ARE DETERMINED BY VILLAGE CARE OF NEW YORK, A RELATED ORGANIZATION. THE METHODS UTILIZED INCLUDE A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANTS, REVIEW OF THE FORM 990 OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEYS OR STUDIES AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11 THE AUDIT AND FINANCE COMMITTEE REVIEW AND APPROVE THE COMPLETED 990. THE FORM 990 WILL BE DISTRIBUTED TO THE FULL BOARD PRIOR TO THE SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS ADOPTED VILLAGE CARE OF NEW YORK'S CONFLICT OF INTEREST POLICY. EACH BOARD MEMBER, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD DELEGATING POWER SHALL ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT. THE STATEMENT WOULD BE DISCLOSED TO VCNY AND SUBSIDIARIES' CORPORATE COMPLIANCE OFFICER WHOM WOULD REPORT THE FINDINGS TO THE VCNY BOARD EXECUTIVE COMMITTEE. IF A CONFLICT WERE TO BE FOUND THE CONFLICTED PERSON WOULD BE RECUSED FROM MATTERS RELATING TO HIS/HER POSSIBLE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 VCNY, A RELATED ORGANIZATION, HIRES ON AN ANNUAL BASIS AN INDEPENDENT CONTRACTOR THAT PROVIDES VCNY WITH A SALARY SURVEY WHICH IS REVIEWED AND APPROVED BY THE BOARD ON AN ANNUAL BASIS. THIS PROCESS WAS LAST PERFORMED IN 2013. FORM 990, PART VI, SECTION C, LINE 19 RIVINGTON HOUSE HEALTH CARE FACILITY (RHHCF) MAKES AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIALS STATEMENTS TO THE PUBLIC - UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. VILLAGE CARE OF NEW YORK 154 CHRISTOPHER STREET NEW YORK NY 10014 133854754 MANAGEMENT COMPANY NY 501(C)(3) 11B N/A 0 VILLAGE CENTER FOR CARE 154 CHRISTOPHER STREET NEW YORK NY 10014 132911059 SNF, HOME CARE, DTP, CASE MGMT NY 501(C)(3) 9 VILLAGE CARE OF NEW YORK 0 VILLAGE CENTER FOR CARE FUND 154 CHRISTOPHER STREET NEW YORK NY 10014 133471553 FUNDRAISING NY 501(C)(3) 7 VILLAGE CARE OF NEW YORK 0 MULTITASKING SYSTEMS INC 154 CHRISTOPHER STREET NEW YORK NY 10014 133346371 TRAINING NY 501(C)(3) 9 VILLAGE CARE OF NEW YORK 0 VILLAGE DIAGNOSTIC & TREATMENT CENTER 154 CHRISTOPHER STREET NEW YORK NY 10014 134215186 PRIMARY HEALTH CARE NY 501(C)(3) 3 VILLAGE CARE OF NEW YORK 0 MOMENTUM PROJECT INC 154 CHRISTOPHER STREET NEW YORK NY 10014 133556768 NUTRITION AND SOCIAL SERVICES NY 501(C)(3) 9 VILLAGE CARE OF NEW YORK 0 VILLAGE HOUSING DEVELOPMENT CORPORATION 154 CHRISTOPHER STREET NEW YORK NY 10014 131619096 OPERATES A 85 UNIT HOUSING FACILITY NY 501(C)(3) 9 VILLAGE CARE OF NEW YORK 0 VILLAGE SERVICES CORP 154 CHRISTOPHER STREET NEW YORK NY 10014 134188104 HEALTH CARE SERVICE NY 501(C)(3) PF VILLAGE CARE OF NEW YORK 0 VILLAGE SENIOR SERVICES CORP 154 CHRISTOPHER STREET NEW YORK NY 10014 262006545 MANAGE LONG-TERM CARE PLAN NY 501(C)(3) 9 VILLAGE CARE OF NEW YORK 0 VILLAGE CARE HOLDING 154 CHRISTOPHER STREET NEW YORK NY 10014 134161623 HOLDING COMPANY NY N/A C 0 VILLAGE CARENET INC 154 CHRISTOPHER STREET NEW YORK NY 10014 134161626 OWN 6N NY N/A C 0 VILLAGE CARE PLUS INC 154 CHRISTOPHER STREET NEW YORK NY 10014 133959371 HEALTH CARE SERVICE AGENCY NY N/A C 0 6N SYSTEMS INC 154 CHRISTOPHER STREET NEW YORK NY 10014 143959371 SOFTWARE RETAILER NY N/A C 0 VILLAGE HOME AND COMMUNITY SERVICES 154 CHRISTOPHER STREET NEW YORK NY 10014 262534779 HOME CARE SERVICE NY N/A C 0 0 0 0 1 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0