UPPER ROOM AIDS MINISTRY INC ADULT DAY HEALTH CARE CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
UPPER ROOM AIDS MINISTRY INC ADULT DAY HEALTH CARE CENTER (EIN 13-3841701)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-07
IRS object ID
201331279349300968
Schema version
2011v1.5
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

FieldValueIRS element (for citing)
Timestamp2013-05-07T11:19:38-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN420714325EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MCGLADREY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11185 AVENUE OF THE AMERICASAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code100362602ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN133841701EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UPPER ROOM AIDS MINISTRY INC ADULTBusinessNameLine1
Business Name Line2DAY HEALTHCARE CENTERBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlUPPENameControl
Phone2125311300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1123-125 WEST 124TH STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10027ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWILLIAM MUILENBURGName
TitleCFOTitle
Phone2125311300Phone
Date Signed2013-05-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMARTIN GREIFName
PTINP00029738PTIN
Phone2123721000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKELSEY LOUIENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1123-125 WEST 124TH STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10027ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12127319GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HARLEMUNITED.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF THE UPPER ROOM AIDS MINISTRY, INC.: ADULT DAY HEALTHCARE CENTER SHALL BE TO PROVIDE 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees237TotalNbrEmployees
Total Nbr Volunteers8TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year855568ContributionsGrantsPriorYear
Contributions Grants Current Year1949077ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8610967ProgramServiceRevenuePriorYear
Program Service Revenue CY10160420ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year291OtherRevenuePriorYear
Other Revenue Current Year17822OtherRevenueCurrentYear
Total Revenue Prior Year9466826TotalRevenuePriorYear
Total Revenue Current Year12127319TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5683965SalariesEtcPriorYear
Salaries Etc Current Year5691688SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4583100OtherExpensePriorYear
Other Expenses Current Year5515355OtherExpensesCurrentYear
Total Expenses Prior Year10267065TotalExpensesPriorYear
Total Expenses Current Year11207043TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-800239RevenuesLessExpensesPriorYear
Revenues Less Expenses CY920276RevenuesLessExpensesCY
Total Assets BOY9166351TotalAssetsBOY
Total Assets EOY11452539TotalAssetsEOY
Total Liabilities BOY8633906TotalLiabilitiesBOY
Total Liabilities EOY9999729TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY532445NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1452810NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF THE UPPER ROOM AIDS MINISTRY, INC.: ADULT DAY HEALTHCARE CENTER SHALL BE TO PROVIDE 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense9808594Expense
Revenue10160420Revenue
DescriptionTHE 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.Description
Total Program Service Expense9808594TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees237NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1XAVIER CHANGBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2122223049TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1290 LENOX AVENUE 2ND FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10027ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
HENRIETTA LYLE - THRU 123111
CHAIR1.00XX000
DOUGLAS DUKEMAN
VICE CHAIR - (CHAIR FROM 1/23/12)1.00XX000
GILBERTO HINDS
VICE CHAIR1.00XX000
KARYN FABER
SECRETARY1.00XX000
STEVEN C BUSSEY
BOARD MEMBER1.00X000
BEVERLY FRAZIER
BOARD MEMBER1.00X000
JOYCE JONES
BOARD MEMBER1.00X000
KENTAY MILLER - THRU 62312
BOARD MEMBER1.00X000
MARY SINGLETON-CHRISTIANI
BOARD MEMBER - THRU 6/23/121.00X000
CARLISTLE ST MARTIN
BOARD MEMBER1.00X000
RAHSAAN HARRIS
TREASURER1.00XX000
HENRY WEAVER
BOARD MEMBER1.00X000
ANTHONY ODOEMENA - FROM 11612
CFO1.00X000
SARA GILLEN - THRU 122311
SENIOR VICE PRESIDENT7.00X384591538329066
KELSEY LOUIE - FROM 42312
EXECUTIVE DIRECTOR10.00X5273113182810247
STEPHANIE HOWZE - THRU 42012
COO10.00X5878414696213171
L JEANNINE BOOKHARDT-MURRAY
MEDICAL DIRECTOR25.00X139319557271528
FieldValueIRS element (for citing)
Total Reportable Comp From Org289293TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs488349TotalReportableCompFrmRltdOrgs
Total Other Compensation34012TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1WINSTON MEDICAL STAFFINGBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1122 EAST 42ND STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10168ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesMEDICAL STAFFING PROVIDERDescriptionOfServices
Compensation109535Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants1054802GovernmentGrants
All Other Contributions894275AllOtherContributions
Total Contributions1949077TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID9000991010022410100224
PROGRAM RENTAL INCOME9000996019660196
FieldValueIRS element (for citing)
Total Program Service Revenue10160420TotalProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column17822TotalRevenueColumn
Exclusion$17,822ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue17822TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12127319TotalRevenueColumn
Related Or Exempt Function Income10160420RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$17,822ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total285367Total
Program Services247585ProgramServices
Management And General37782ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4444117Total
Program Services3855723ProgramServices
Management And General588394ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total95908Total
Program Services83210ProgramServices
Management And General12698ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total449093Total
Program Services389633ProgramServices
Management And General59460ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total417203Total
Program Services361966ProgramServices
Management And General55237ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1463579Total
Program Services1269803ProgramServices
Management And General193776ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total18450Total
Management And General18450ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total33222Total
Management And General33222ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total235016Total
Program Services235016ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total740001Total
Program Services642026ProgramServices
Management And General97975ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total469202Total
Program Services407080ProgramServices
Management And General62122ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total257202Total
Program Services223149ProgramServices
Management And General34053ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total10122Total
Program Services8782ProgramServices
Management And General1340ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total340997Total
Program Services295850ProgramServices
Management And General45147ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total417825Total
Program Services362506ProgramServices
Management And General55319ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total51579Total
Program Services44750ProgramServices
Management And General6829ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT852268852268
REPAIR & MAINTENANCE28190624458237324
MISCELLANEOUS EXPENSES165628165628
BANK FEES4115741157

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total137201Total
Program Services119037ProgramServices
Management And General18164ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11207043Total
Program Services9808594ProgramServices
Management And General1398449ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY12354BOY
EOY7565EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY896259BOY
EOY896349EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY414644BOY
EOY1084312EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2060429BOY
EOY3504119EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4524BOY
EOY6791EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis9644531LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4022765LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5405899BOY
EOY5621766EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY372242BOY
EOY331637EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9166351BOY
EOY11452539EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY313699BOY
EOY128103EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY27552BOY
EOY27552EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY6369965BOY
EOY5582884EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1922690BOY
EOY4261190EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8633906BOY
EOY9999729EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY532445BOY
EOY1452810EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY532445BOY
EOY1452810EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9166351BOY
EOY11452539EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses920276ReconcilationRevenueExpenses
Reconcilation Other Changes89ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years96472CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2370CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years618446CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year855568CurrentTaxYearMinus1Year
Current Tax Year1949077CurrentTaxYear
Total3521933Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years96472CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2370CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years618446CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year855568CurrentTaxYearMinus1Year
Current Tax Year1949077CurrentTaxYear
Total3521933Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total83564AmountsSubstContributorsTotal
Public Support Total1703438369PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years17960CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6247CurrentTaxYearMinus2Years
Total24207Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years43458CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years52910CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years274CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year291CurrentTaxYearMinus1Year
Current Tax Year17822CurrentTaxYear
Total114755Total
FieldValueIRS element (for citing)
Total Support3660895TotalSupport
Gross Receipts From Admissions Etc42016980GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.93920PublicSupportPertcentage170
Public Support Pertcent Prior Year0.89090PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHERGeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis960000OtherCostOrOtherBasis
Book Value960000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3131970OtherCostOrOtherBasis
Depreciation1917537Depreciation
Book Value1214433BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4000018OtherCostOrOtherBasis
Depreciation1449292Depreciation
Book Value2550726BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1072626OtherCostOrOtherBasis
Depreciation655936Depreciation
Book Value416690BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis479917OtherCostOrOtherBasis
Book Value479917BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5621766TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO RELATED PARTY 501(C)(3)Description
Amount$4,261,190Amount
FieldValueIRS element (for citing)
Total Of Amounts4261190TotalOfAmounts
Total Revenue12127319TotalRevenue
Total Expenses11207043TotalExpenses
Excess Or Deficit For Year920276ExcessOrDeficitForYear
Net Unrealized GL On Investments89NetUnrealizedGLOnInvestments
Total Adjustments89TotalAdjustments
Excess Or Deficit Per FS920365ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt42363945TotRevenueEtcAuditedFinclStmt
Other Revenues30236626OtherRevenues
Revenue Not Rptd F99030236626RevenueNotRptdF990
Revenue Subtotal12127319RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99012127319TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt41785523TotExpensesEtcAuditedFinclStmt
Other Expenses Included30578480OtherExpensesIncluded
Expenses Not Rptd F99030578480ExpensesNotRptdF990
Expenses Subtotal11207043ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99011207043TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:UPPER ROOM AIDS MINISTRY, INC.: ADULT DAY HEALTHCARE CENTER, INC. ("URAM") WAS INCORPORATED AS NOT-FOR-PROFIT UNDER THE LAWS OF THE STATE OF NEW YORK AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE"). IN ADDITION, URAM IS NOT CLASSIFIED AS PRIVATE FOUNDATION. MANAGEMENT HAS EVALUATED THE URAM'S TAX POSITION AND CONCLUDED THAT URAM HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENT. GENERALLY, URAM IS NO LONGER SUBJECT TO INCOME TAX EXAMINATION BY U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2009.
PART XII, LINE 2D - OTHER ADJUSTMENTS:HARLEM UNITED COMMUNITY AIDS CENTER, INC. 23,839,953. HARLEM UNITED SUPPORTIVE HOUSING DEVELOPMENT FUND CORPORATION, INC. 265,921. THE FOUNDATION FOR RESEARCH ON SEXUALLY TRANSMITTED DISEASES, INC. 5,057,284. NORTH GENERAL AIDS HOUSING DEVELOPMENT FUND CORPORATION 1,073,468.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:HARLEM UNITED COMMUNITY AIDS CENTER, INC. 23,953,993. HARLEM UNITED SUPPORTIVE HOUSING DEVELOPMENT FUND CORPORATION, INC. 523,191. THE FOUNDATION FOR RESEARCH ON SEXUALLY TRANSMITTED DISEASES, INC. 4,905,796. NORTH GENERAL AIDS HOUSING DEVELOPMENT FUND CORPORATION 1,204,253. CONSOLIDATING ENTRIES -8,753.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
SARA GILLEN - THRU 122311
30908123629755130203001124449768927564027216108500
KELSEY LOUIE - FROM 42312
4194410486110787269670015013751142735685565913914700
STEPHANIE HOWZE - THRU 42012
4656911642312215305390018314576193348316254815636900
L JEANNINE BOOKHARDT-MURRAY
1393195572700000010914371404105616400

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FILING OF EMPLOYMENT TAX RETURNSFORM 990, PART V, LINE 2BTHE TAXPAYER HAS A RELATIONSHIP WITH COMMON PAYMASTER, HARLEM UNITED COMMUNITY AIDS CENTER, INC. (TAX ID #13-3461695) AND THE FOUNDATION FOR RESEARCH ON SEXUALLY TRANSMITTED DISEASES, INC. (TAX ID #13-3387630) WHO FILED 133 OF THE 237 FORM W-2'S AND PAYROLL TAX RETURNS FORM 941'S.
FORM 990, PART VI, SECTION B, LINE 11THE 990 IS REVIEWED BY THE CEO, CFO, COMPLIANCE OFFICER AND THEN BY THE FULL BOARD PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CIT IS THE POLICY OF THE ORGANIZATION THAT ALL POTENTIAL INTERESTS ARE TO BE FULLY DISCLOSED, AS THEY ARISE, BY ANY INDIVIDUAL REGARDLESS OF WHETHER A CONFLICT OF INTEREST IS DETERMINED TO EXIST. ON AN ANNUAL BASIS, OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO SIGN CONFLICT OF INTEREST DISCLOSURE STATEMENTS. IF A POTENTIONAL CONFLICT ARISES THE SUPERVISOR AND/OR HUMAN RESOURCES WILL RESOLVE THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15ON AN ANNUAL BASIS, THE COMPENSATION COMMITTEE PROVIDES SALARY RECOMMENDATIONS FOR CEO, OFFICERS AND OTHER KEY EMPLOYEES TO THE BOARD OF DIRECTORS. THE MEMBERS OF THE COMMITTEE ARE INDEPENDENT FROM MANAGEMENT. THE COMMITTEE'S RECOMMENDATION IS BASED ON READILY AVAILABLE COMPENSATION DATA.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 89.
ESTIMATED NUMBER OF HOURS WORKED PER WEEK FOR RELATED ORGANIZATIONSFORM 990, PART VIISTEPHANE HOWZE (THRU 4/20/12): WORKED 25 HOURS FOR HARLEM COMMUNITY AIDS CENTER, INC. WORKED 10 HOURS FOR UPPER ROOM AIDS MINISTRY, INC.: ADULT DAY HEALTHCARE CENTER SARA GILLEN (THRU 12/23/11): WORKED 21 HOURS FOR HARLEM COMMUNITY AIDS CENTER, INC. WORKED 7 HOURS FOR THE FOUNDATION FOR RESEARCH ON SEXUALLY TRANSMITTED DISEASES, INC. (FROST'D) WORKED 7 HOURS FOR UPPER ROOM AIDS MINISTRY, INC.: ADULT DAY HEALTHCARE CENTER KELSEY LOUIE: WORKED 20 HOURS FOR HARLEM COMMUNITY AIDS CENTER, INC. WORKED 5 HOURS FOR THE FOUNDATION FOR RESEARCH ON SEXUALLY TRANSMITTED DISEASES, INC. (FROST'D) WORKED 10 HOURS FOR UPPER ROOM AIDS MINISTRY, INC.: ADULT DAY HEALTHCARE CENTER L. JEANNINE BOOKHARDT-MURRAY: WORKED 10 HOURS FOR HARLEM COMMUNITY AIDS CENTER, INC. WORKED 25 HOURS FOR UPPER ROOM AIDS MINISTRY, INC.: ADULT DAY HEALTHCARE CENTER THE ORGANIZATION HOURS NOTED ABOVE ARE BASED ON INDUSTRY STANDARD PAYROLL HOURS, ACTUAL HOURS ARE SUBSTANTIALLY HIGHER.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
HARLEM UNITED COMMUNITY AIDS CENTER INC
306 LENOX AVENUENEW YORKNY10027133461695HEALTHCARENY501(C)(3)LINE 7N/A0
HARLEM UNITED SUPPORTIVE HOUSING DEVELOPMENT FUND CORPORATION
306 LENOX AVENUENEW YORKNY10027450496248REAL ESTATENY501(C)(3)LINE 70HARLEM UNITED COMMUNITY AIDS CENTER INC
THE FOUNDATION FOR RESEARCH ON SEXUALLY TRANSMITTED DISEASES
306 LENOX AVENUENEW YORKNY10027133387630HEALTHCARENY501(C)(3)LINE 70HARLEM UNITED COMMUNITY AIDS CENTER INC
NORTH GENERAL AIDS HOUSING DEVELOPMENT FUND CORP INC
306 LENOX AVENUENEW YORKNY10027133737001HOUSINGNY501(C)(3)LINE 70HARLEM UNITED COMMUNITY AIDS CENTER INC

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNADisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
HUSH 124TH STREET LP
306 LENOX AVENEW YORKNY10027204408727HOUSINGNYN/A00
HARLEM UNITED HCH LLC HCH LLC
306 LENOX AVENEW YORKNY10027455252111SPECIAL PURPOSE ENTITYNYN/A010.01000

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1HU 124TH STREET SUPPORTIVE HOUSING INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1306 LENOX AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10027ZIPCode
FieldValueIRS element (for citing)
EIN371514269EIN
Primary ActivityHOUSINGPrimaryActivity
Legal Domicile StateNYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HUSH DEVEL FUND CORPBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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