2013-11-12T09:51:30-06:00 2012-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2012-01-01 133590465 RIVINGTON HOUSE HEALTH CARE FACILITY RIVI 2123375600 120 BROADWAY NO 2840 NEW YORK NY 10271 RACHEL AMALFITANO 2123375600 2013-11-06 1 FREDERICK H ROTHMAN P01275277 2128674000 2012 2016-02-24 21:20:13Z X RACHEL AMALFITANO 120 BROADWAY NO 2840 NEW YORK NY 10271 50838993 0 X WWW.VILLAGECARE.ORG X 1990 NY TO PROVIDE NURSING HOME CARE TO AIDS PATIENTS. 15 15 274 119 0 0 7948 13255 38711578 35987447 853612 753722 582416 561511 40155554 37315935 0 0 0 0 21095271 20150772 0 0 0 17129564 15630596 38224835 35781368 1930719 1534567 76636275 77356013 41278446 39689243 35357829 37666770 X RIVINGTON HOUSE HEALTH CARE FACILITY (RH) OPERATES A 206-BED SKILLED NURSING FACILITY DEVOTED TO THE TREATMENT AND CARE OF AIDS PATIENTS, AND IN ADDITION, 13 BEDS FOR NON-AIDS PATIENTS. RH IS ALSO LICENSED TO PROVIDE DAY TREATMENT SERVICES. RH IS FUNDED PRIMARILY BY PATIENT SERVICE FEES PAID BY MEDICAID, MEDICARE AND PRIVATE INSURANCE. 0 0 28565863 33872035 SKILLED NURSING FACILITY - PROVIDED OVER 64,000 DAYS OF QUALITY CARE AND REHABILITATION SERVICES TO APPROXIMATELY 500 AIDS RESIDENTS IN A SKILLED NURSING FACILITY IN 2012. 2243796 2115412 DAY TREATMENT PROGRAM - PROVIDED DAY TREATMENT SERVICES TO OVER 160 AIDS PATIENTS WITH OVER 11,000 VISITS IN 2012. 30809659 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 37 0 274 1 0 0 0 0 0 0 0 0 0 0 X 15 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 1.00 7.20 X X 0 0 0 DANIEL M FOX 1.00 6.10 X X 0 0 0 PATRICIA M OWENS 1.00 7.00 X X 0 0 0 ELENOR S APPLEWHAITE 1.00 5.00 X 0 0 0 ELIZABETH BUSTON 1.00 2.00 X 0 0 0 JOHN W BEHRE 1.00 2.00 X 0 0 0 JAMES J GARDINER 1.00 6.00 X 0 0 0 PETER M GOTTLIEB 1.00 3.10 X 0 0 0 JESSIE C GRUMAN 1.00 2.00 X 0 0 0 LAMBERT N KING 1.00 2.00 X 0 0 0 MICHAEL MAZIER 1.00 4.00 X 0 0 0 MANUEL O MENDEZ 1.00 2.00 X 0 0 0 GLENNA R MICHAELS 1.00 2.00 X 0 0 0 YUISA MONTANEZ 1.00 3.00 X 0 0 0 FRANK J OLDHAM 1.00 4.00 X 0 0 0 CHARLES B PERSELL 1.00 2.00 X 0 0 0 LEROY SHARER MD 1.00 4.00 X 0 0 0 RICHARD WALLGREN 1.00 3.00 X 0 0 0 EMMA DEVITO 13.30 36.70 X 147268 405532 48315 SANJAY DUTT 13.30 36.70 X 59429 163647 18636 RACHEL AMALFITANO 13.30 36.70 X 12296 33858 0 NANETTE ALEXANDER-THOMAS 37.50 X 240948 0 32231 ANDREA PENNYCOOKE 37.50 X 160290 0 0 ANTONIO MARTINEZ 37.50 X 192038 0 28613 GRACE EMPERIO 37.50 X 160622 0 0 DAHLIA PHILIPS-RODRIGUEZ 37.50 X 181592 0 4913 SAJJAD MOHAMMAD 37.50 X 180692 0 9035 1335175 603037 141743 28 0 1 0 THERADYNAMICS PHYSICAL REHAB PC 610 WEST 150TH STREET NEW YORK NY 10031 REHABILITATION 795936 GROUP-S LLC DBA EN-POWER GROUP 16 FRANCES DRIVE KATONAH NY 10536 CONSTRUCTION/ENGINEERING 311930 6N SYSTEMSINC 2 MOUNTAIN LEDGE DRIVE SUITE 2 WILTON NY 12831 COMP. SYSTEMS CONTR. 235551 LOEB & TROPER 655 3RD AVENUE NEW YORK NY 10017 AUDIT & HEALTH CARE CONS. 118942 4 13255 13255 SKILLED NURSING FACILITY 623000 33872035 33872035 DAY TREATMENT PROGRAM 621400 2115412 2115412 35987447 753722 753722 13523058 13523058 0 EXPENSE RECOVERY 561000 561511 561511 561511 37315935 35987447 0 1315233 510008 480304 29704 14130193 13307223 822970 1058725 997063 61662 2944055 2772585 171470 1507791 1419974 87817 2948629 2948629 4570 4570 76160 6800 69360 2389 2389 176716 176716 2701421 2327934 373487 297 297 2053256 1966831 86425 647311 563228 84083 76560 76400 160 12871 6728 6143 1384695 1338868 45827 3237397 3237397 261566 261566 NY TAX ASSESSMENT 2046758 2046758 35781368 30809659 4971709 0 6414053 6050256 14242184 12164006 6209953 5744799 61318 42027 169645 134138 83189023 67697272 16264540 15491751 15443049 16545651 3510386 3659058 14321147 17524327 76636275 77356013 3675991 3292836 10870000 8360000 26732455 28036407 41278446 39689243 X 35357829 37666770 35357829 37666770 76636275 77356013 1534567 774374 0 X X 0 1 X 1 0 X 10189 40422 36000 7948 13255 107814 44067568 41833124 40688187 38711578 35987447 201287904 44077757 41873546 40724187 38719526 36000702 201395718 0 0 0 201395718 1233103 679899 722167 795253 753722 4184144 1233103 679899 722167 795253 753722 4184144 924964 847780 657042 582416 561511 3573713 46235824 43401225 42103396 40097195 37315935 209153575 0.96290 0.96070 0.02000 0.02160 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 0 0 0 0 0 0 0 0 1 2389 2389 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: PORTION OF MEMBERSHIP DUES ASSOCIATED WITH LOBBYING ACTIVITIES. 1550000 1550000 57484938 48064997 9419941 1961358 1884931 76427 22192727 17747344 4445383 15491751 DUE FROM RELATED ENTITIES 17489967 SECURITY DEPOSITS 34360 17524327 RESIDENT FUNDS 61124 DUE TO THIRD PARTIES 27186707 CAPITAL LEASE PAYABLE 788576 28036407 X 37913593 774374 774374 37139219 176716 176716 37315935 35604652 0 35604652 176716 176716 35781368 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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, 2009 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. 0 0 0 0 0 0 0 0 0 EMMA DEVITO 146993 404775 0 0 275 757 6660 18340 6211 17104 160139 440976 0 0 SANJAY DUTT 59355 163445 0 0 74 202 4765 13121 200 550 64394 177318 0 0 NANETTE ALEXANDER-THOMAS 240948 0 0 0 0 0 10096 0 22135 0 273179 0 0 0 ANDREA PENNYCOOKE 160290 0 0 0 0 0 0 0 0 0 160290 0 0 0 ANTONIO MARTINEZ 192038 0 0 0 0 0 9750 0 18863 0 220651 0 0 0 GRACE EMPERIO 160622 0 0 0 0 0 0 0 0 0 160622 0 0 0 DAHLIA PHILIPS-RODRIGUEZ 181592 0 0 0 0 0 3462 0 1451 0 186505 0 0 0 SAJJAD MOHAMMAD 180692 0 0 0 0 0 9035 0 0 0 189727 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 2012. 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