2011-11-15T07:45:06-06:00 2010-12-31 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2010-01-01 133676681 PROMESA RESIDENTIAL HEALTH CARE FACILITY INC PROM 7182991100 308 EAST 175TH STREET BRONX NY 10457 TOMAS DEL RIO 7182991100 2011-11-11 1 FREDERICK H ROTHMAN 2128674000 2010 2016-02-24 21:20:13Z TOMAS DEL RIO 308 EAST 175TH STREET BRONX NY 10457 23134805 0 X WWW.PROMESA.ORG X 1992 NY PROMESA RESIDENTIAL HEALTH CARE FACILITY OPERATES A 108 BED LONG TERM CARE FACILITY AS WELL AS AN ADULT DAY CARE PROGRAM THAT PROVIDES COMPREHENSIVE, HOLISTIC, CULTURALLY AND LINGUISTICALLY COMPETENT SERVICES TO INDIVIDUALS LIVING WITH ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS) OR OTHER HIV RELATED ILLNESSES. 7 7 178 0 0 0 0 0 20399473 22148970 200741 184606 29876 692229 20630090 23025805 0 0 0 0 9784511 9211684 0 0 0 10470231 9513472 20254742 18725156 375348 4300649 39792093 42625977 19445786 17979021 20346307 24646956 X A BRONX BASED HEALTH, HUMAN SERVICES, AND COMMUNITY DEVELOPMENT ORGANIZATION WHOSE MISSION IS TO ENABLE NEW YORK CITY RESIDENTS TO BECOME SELF-SUFFICIENT CITIZENS WHO CONTRIBUTE TO THE QUALITY OF LIFE OF THEIR COMMUNITIES. PROMESA RHCF WORKS TO ACCOMPLISH THIS BY BEING A LEADER IN THE HEALTH AND HUMAN SERVICES ARENA; ADDRESSING THE UNDER-SERVED IN HEALTH, EDUCATION, EMPLOYMENT, ECONOMIC, COMMUNITY DEVELOPMENT ACTIVITIES AND HOUSING. 0 0 14559563 19500604 PROMESA RESIDENTIAL HEALTH CARE FACILITY PROVIDES HEALTH CARE AND RESIDENTIAL CARE FOR ADULTS WHO TEST POSITIVE FOR THE HUMAN IMMUNODEFICIENCY VIRUS (HIV) AND ARE DIAGNOSED AS HAVING ACQUIRED IMMUNE DEFICIENCY SYNDROME (AIDS). TOTAL CAPACITY FOR THE FACILITY IS 108 BEDS. DURING 2010, THE FACILITY PROVIDED 38,461 DAYS OF SKILLED NURSING CARE. 1197477 2648366 PROMESA OPERATES AN OUTPATIENT ADULT DAY CARE PROGRAM FOR HIV PATIENTS IN THE COMMUNITY. THE PROGRAM SERVES 60 CLIENTS PER DAY. TOTAL VISITS FOR 2010 WAS 10,288. 15757040 1 0 0 1 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 1 56 0 1 178 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X CFO PROMESA SYSTEMS INC 7182991100 1776 CLAY AVENUE BRONX NY 10457 X SANDRA M PALLEJA MD 1.00 X X 0 0 0 MILAGROS BAEZ-O'TOOLE 1.00 X X 0 0 0 MAURICE LABONNE 1.00 X 0 0 0 DR JOSE WILEY 1.00 X 0 0 0 WILFRED RENTA 1.00 X 0 0 0 INGLE STEPHENS 1.00 X 0 0 0 PEDRO FALCON 1.00 X 0 0 0 HON HECTOR DIAZ 8.00 X 28718 101820 0 RAUL RUSSI 8.00 X 88560 323541 24249 PAMELA MATTEL 8.00 X 51211 187088 11711 TOMAS DEL-RIO 11.00 X 74494 158300 26356 ADRIENNE ROSELL 35.00 X 187470 0 17341 DR SAROJ BAKSHI 35.00 X 186032 0 15966 RALPH DECLET 1.00 X 0 180775 8250 DR DANIEL ROSA 1.00 X 0 169516 14629 DR OCTAVIO LIRIANO 35.00 X 162197 0 26124 778682 1121040 144626 30 0 1 0 RC CONSULTING SOLUTIONS LLC 2 CLUB LANE ELMSFORD NY 10523 MANAGEMENT CONSULTING SERVICES 316800 LOEB & TROPER LLP 655 3RD AVENUE NEW YORK NY 10017 ACCOUNTING/ CONSULTING 119644 2 MEDICAID AND MEDICARE 623000 22148970 22148970 22148970 184606 184606 109000 109000 0 0 DOH FORGIVENESS OF PEN 900099 631027 631027 VENDOR REBATES 900099 61202 61202 692229 23025805 22148970 0 876835 279906 279906 6629988 6131249 498739 260435 240844 19591 1435852 1327840 108012 605503 559954 45549 968959 264841 704118 222331 15000 207331 60000 60000 43650 43650 2307050 1718662 588388 6313 6313 1689539 1357385 332154 1341895 1317309 24586 135723 122179 13544 25144 11096 14048 14400 14112 288 857093 839951 17142 237835 233078 4757 NYS DEPT. OF HEALTH ASS 1262418 1262418 BAD DEBTS 341122 341122 18725156 15757040 2968116 0 6210054 9428407 8274536 8371653 1996334 2541675 807372 547575 27562530 12226246 15937206 15336284 222869 222869 6343722 6177514 39792093 42625977 1527688 1496335 6220000 5565000 6544525 6427417 5153573 4490269 19445786 17979021 X 20346307 24646956 20346307 24646956 39792093 42625977 4300649 0 X X 0 1 1 X 0 X 92402 92402 19370917 21092879 20146414 20399473 22148970 103158653 19370917 21185281 20146414 20399473 22148970 103251055 0 0 0 103251055 405811 409052 358437 309741 293606 1776647 405811 409052 358437 309741 293606 1776647 159636 24639 574517 29876 692229 1480897 19936364 21618972 21079368 20739090 23134805 106508599 0.96940 0.97610 0.01670 0.01620 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISC. PARKING INCOME INSURANCE RECOVERY REFUNDS FROM VENDORS FORGIVENESS OF PENALTIES AND INTEREST 0 0 0 0 0 0 0 0 1 43650 43650 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: PROMESA CONTRACTS WITH VARIOUS THIRD PARTY LOBBYING CONSULTANTS TO DEVELOP AND IMPLEMENT A COMPREHENSIVE STRATEGY ON ISSUES RELATED TO PROMESA AND OBTAIN SUPPORT FOR SUCH ISSUES FROM KEY STATE LEGISLATORS. IN ADDITION, A SMALL PERCENTAGE OF DUES PAID TO ASSOCIATIONS ON MATTERS RELATED TO REIMBURSEMENT AND OTHER HEALTH CARE NEEDS. 114311 114311 4360000 20374897 9755485 14979412 2713322 2470761 242561 15336284 SECURITY DEPOSITS 300000 DUE FROM AFFILIATED ENTITIES 3357871 ESTIMATED RETROACTIVE ADJUSTMENTS-THIRD PARTY PAYORS 1378761 DUE FROM DORMITORY AUTHORITY OF THE STATE OF NY 937765 DEFERRED MORTGAGE COSTS 203117 6177514 DUE TO THIRD PARTIES 4454653 DUE TO RESIDENTS 35616 4490269 23025805 18725156 4300649 0 4300649 23025805 0 23025805 0 23025805 18725156 0 18725156 0 18725156 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: RHCF HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. TAX RETURNS FOR THE YEARS DECEMBER 31, 2007 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. X X X 0 0 0 0 0 0 0 1 0 RAUL RUSSI 80158 292842 6446 23554 1956 7145 4781 17468 430 1570 93771 342579 0 0 PAMELA MATTEL 44269 161731 5266 19234 1676 6123 2517 9194 0 0 53728 196282 0 0 TOMAS DEL-RIO 65234 138622 6400 13600 2860 6078 3859 8201 4575 9721 82928 176222 0 0 ADRIENNE ROSELL 187200 0 0 0 270 0 0 0 17341 0 204811 0 0 0 DR SAROJ BAKSHI 182325 0 0 0 3707 0 9505 0 6461 0 201998 0 0 0 RALPH DECLET 0 152211 0 20000 0 8564 0 8250 0 0 0 189025 0 0 DR DANIEL ROSA 0 159102 0 10000 0 414 0 7643 0 6986 0 184145 0 0 DR OCTAVIO LIRIANO 161783 0 0 0 414 0 8682 0 17442 0 188321 0 0 0 PART I, LINE 7 BONUSES ARE APPROVED BY THE BOARD OF DIRECTORS AS PART OF THE OVERALL COMPENSATION PACKAGE ON AN ANNUAL BASIS. THE CEO AND PRESIDENT'S BONUSES WERE BASED ON A SALARY SURVEY CONDUCTED BY A COMPENSATION CONSULTANT. THE COO AND CFO HAVE SALARY CONTRACTS, WHICH WERE BASED ON THE GUIDE STAR COMPENSATION BENCHMARKS. DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64983QDG1 2005-04-13 8500402 REFUND PRIOR ISSUE (7/15/93) 0 0 0 2760000 8504094 500261 167980 8014797 1995 1 0 1 1 0 0 0 0 0 0 0 0 0 1 1 CARLOS D NAZARIO JR AND RUBEN A MEDINA FORMER BOARD MEMBERS 316800 INDEPENDENT CONTRACTOR ARRANGEMENT 0 FORM 990, PART VI, SECTION B, LINE 11 ALL MEMBERS OF THE BOARD OF DIRECTORS AND FINANCE DEPARTMENT STAFF INCLUDING THE CFO, CORPORATE CONTROLLER, AND ASSISTANT CONTROLLER HAVE RECEIVED COPIES OF THE DRAFT 990 AND COMPARED THEM TO THE FINANCIAL STATEMENTS AND REVIEWED THEM FOR TECHNICAL ACCURACY IN SUBSTANCE AND FORM. FORM 990, PART VI, SECTION B, LINE 12C PROMESA RHCF HAS POLICIES AND PROCEDURES TO ENSURE THAT THERE ARE NO CONFLICTS OF INTEREST BETWEEN THE FACILITY AND DIRECTORS AND PRINCIPAL OFFICERS. THESE POLICIES INCLUDE THAT THE OFFICERS AND DIRECTORS ARE CHARGED WITH A DUTY TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST THAT MAY ARISE DUE TO A FINANCIAL TRANSACTION OR ARRANGEMENTS BETWEEN THEMSELVES AND THE FACILITY. FAILURE TO DISCLOSE MAY LEAD TO DISCIPLINARY ACTION. ALL ACTIONS REGARDING DISCLOSURE WILL BE DOCUMENTED AND RECORDED IN THE MINUTES OF THE GOVERNING BOARD. A FORM AFFIRMING THE DIRECTORS' AND OFFICERS' ACCEPTANCE, UNDERSTANDING, AND COMPLIANCE WITH THE FACILITY'S CONFLICT OF INTEREST POLICY IS FILLED OUT ANNUALLY. PERIODIC REVIEWS ARE DONE TO ENSURE THAT THERE IS COMPLETE COMPLIANCE WITH THESE POLICIES. IN THE EVENT OF A CONFLICT, THE CONFLICT IS REPORTED TO THE QUALITY ASSURANCE OFFICER. THE MEMBER IS REQUIRED TO RECUSE HIMSELF OR HERSELF AND NOT PARTICIPATE IN DECISIONS RELATED TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE CEO, CFO, AND COO ARE REVIEWED AND APPROVED ANNUALLY BY THE FINANCE COMMITTEE OF PROMESA ADMINISTRATIVE SERVICES ORGANIZATION,INC'S BOARD OF DIRECTORS. PERIODICALLY, THE BOARD WILL ENGAGE AN INDEPENDENT COMPENSATION CONSULTANT TO DETERMINE THE APPROPRIATENESS OF THE COMPENSATION PACKAGES OFFERED TO THE EXECUTIVES OF PROMESA RHCF. THIS PROCESS INCLUDES UTILIZATION OF A COMPARATIVE SALARY ANALYSIS WITH EXECUTIVES OF COMPARABLE ORGANIZATIONS. THIS PROCESS WAS LAST UNDERTAKEN IN 2010. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR INSPECTION UPON REQUEST. FORM 990, PART VII, COLUMN (B) HECTOR DIAZ DEVOTED 27 HOURS PER WEEK FOR RELATED ORGANIZATIONS. RAUL RUSSI DEVOTED 27 HOURS PER WEEK FOR RELATED ORGANIZATIONS. PAMELA MATTEL DEVOTED 27 HOURS PER WEEK FOR RELATED ORGANIZATIONS. TOMAS DEL RIO DEVOTED 24 HOURS PER WEEK FOR RELATED ORGANIZATIONS. RALPH DECLET DEVOTED 35 HOURS PER WEEK FOR RELATED ORGANIZATIONS. DR. DANIEL ROSA DEVOTED 35 HOURS PER WEEK FOR RELATED ORGANIZATIONS. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. PROMESA SYSTEMS INC 1776 CLAY AVENUE BRONX NY 10457 134014082 PARENT ORG OF THE PROMESA CONTINUUM OF HEALTH CARE, EDUCATION, HOUSING ETC. NY IRC SECTION 501 (C) LINE 11A, I N/A 0 PROMESA ADMINISTRATIVE SERVICES ORGANIZATIONINC 1776 CLAY AVENUE BRONX NY 10457 133653276 MANAGEMENT CO, FOR PROMESA SYSTEMS, INC. & SUBSIDIARIES NY IRC SECTION 501 (C) LINE 11A, I N/A 0 PROMESA INC 311 EAST 175TH STREET BRONX NY 10457 132663328 PROVIDES HEALTH, EDUCATIONAL, SOCIAL AND DAY CARE NY IRC SECTION 501 (C) 9 N/A 0 PROMESA FOUNDATION INC 1776 CLAY AVENUE BRONX NY 10457 133411787 DEVELOPMENT ARM FOR PROMESA SYSTEMS NY IRC SECTION 501 (C) LINE 11A, I N/A 0 PROMESA HOUSING DEVELOPMENT FUND CORPORATION INC 1776 CLAY AVENUE BRONX NY 10457 133608906 HOUSING COMPANY NY IRC SECTION 501 (C) 7 N/A 0 EAST HARLEM COUNCIL FOR COMMUNITY IMPROVEMENT INC 1776 CLAY AVENUE BRONX NY 10035 132969933 SUPERVISED HOUSING SERVICES NY IRC SECTION 501 (C) 7 N/A 0 CORPORATION FOR YOUTH ENERGY CORPS 1776 CLAY AVENUE BRONX NY 10457 133072640 YOUTH CORP PROGRAM NY IRC SECTION 501 (C) 7 N/A 0 BRONX ADDICTION SERVICES INTEGRATED CONCEPTS SYSTEMS INC 1064 FRANKLIN AVENUE BRONX NY 10456 133244626 DRUG ADDICTION REHABILITATION SERVI NY IRC SECTION 501 (C) 7 N/A 0 BASIC HOUSING INC 1064 FRANKLIN AVENUE BRONX NY 10456 260076866 HOUSING COMPANY NY IRC SECTION 501 (C) 7 N/A 0 GENERAL DEVELOPMENT AND ORIENTATION COUNCIL INC 717SOUTHERN BOULEVARD BRONX NY 10455 133333051 SUPPORTED HOUSING & PSYCHOSOCIAL CL NY IRC SECTION 501 (C) 7 N/A 0 THE JULIO A MARTINEZ MEMORIAL FUND 1064 FRANKLIN AVENUE BRONX NY 10456 810623501 DEVELOPMENT ARM FOR BASICS NY IRC SECTION 501 (C) 7 N/A 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0