2023-05-11T16:57:15-05:00 2022-06-30 873231666 PKF O'CONNOR DAVIES ADVISORY LLC 500 MAMARONECK AVENUE SUITE 301 HARRISON NY 105281633 990 2021-07-01 133076376 UNDER 21 UNDE 2126130300 460 WEST 41ST STREET NEW YORK NY 10036 DR SHAKEEMA NORTH INTERIM EXECUTIVE DIRECTOR 2126130300 2023-05-11 1 DR SHAKEEMA NORTH XXX-XX-XXXX GARRETT M HIGGINS P00543209 9143818900 2023-05-11 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z COVENANT HOUSE NEW YORK DR SHAKEEMA NORTH 460 WEST 41ST STREET NEW YORK NY 10036 35291689 0 X NY.COVENANTHOUSE.ORG X 1981 NY AS THE NATION'S LARGEST PROVIDER FOR HOMELESS, RUNAWAY, TRAFFICKED, & AT-RISK ADOLESCENT YOUTH, CHNY STRIVES TO OFFER EXTRAORDINARY CARE THROUGH A COMPREHENSIVE RANGE OF PROGRAMS & SERVICES DESIGNED TO MEET BASIC NEEDS & TO OFFER OPPORTUNITIES FOR GROWTH. PROGRAMS & SERVICES INCLUDE CRISIS SHELTER, TRANSITIONAL HOUSING, RAPID RE-HOUSING AND PERMANENT SUPPORTIVE HOUSING, MOTHER/CHILD SUPPORT, HEALTH CLINIC (INCLUDING BEHAVIORAL HEALTH SERVICES), EDUCATIONAL & VOCATIONAL TRAINING, ANTI-HUMAN TRAFFICKING SERVICES, LEGAL SERVICES/ADVOCACY, YOUTH DEVELOPMENT, & MORE, ALL PROVIDED WITH COMPREHENSIVE UTILIZATION OF TRAUMA-INFORMED AND EVIDENCE-BASED PRACTICES. 20 20 400 274 0 0 31823966 34946818 470385 335531 3071 8866 7256 474 32304678 35291689 2509868 4699494 0 0 20439449 20818449 0 0 532524 7745086 7646073 30694403 33164016 1610275 2127673 10929107 14319724 2743545 4604285 8185562 9715439 X SEE SCHEDULE O 0 0 11948366 543220 0 CRISIS SHELTER COVENANT HOUSE NEW YORK (CHNY) PROVIDES SERVICES TO YOUTH EXPERIENCING HOMELESSNESS WHO HAVE NOWHERE ELSE TO TURN. THE CHNY CRISIS SHELTER IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS A YEAR TO ANY YOUTH OR YOUNG ADULT, AGE 16-21 WHO IS EXPERIENCING HOMELESSNESS. CHNY ALSO PROVIDES A 20-BED SHELTER FOR YOUNG FEMALE-IDENTIFIED ADULTS, AGES 21-24. YOUTH CAN STAY IN OUR CRISIS SHELTERS FOR UP TO 60 DAYS, OR 120 DAYS WITH AN EXTENSION ALLOWED BY NYS OFFICE OF CHILDREN AND FAMILY SERVICES (OCFS). IN FY2022, COVENANT HOUSE NEW YORK PROVIDED SHELTER AND SUPPORTIVE SERVICES TO 1,105 YOUTH. WITH CAPACITY 140 BEDS PER NIGHT, CHNY'S CRISIS SHELTERS SPECIALIZE IN ENSURING THAT AT-RISK YOUNG PEOPLE RECEIVE BASIC NEEDS WHILE MOVING TOWARD STABILITY IN A SUPPORTIVE SETTING THAT EMPHASIZES WARMTH AND COMPASSION. MANY PEOPLE WHO COME TO OUR CRISIS SHELTER HAVE EXPERIENCED SIGNIFICANT TRAUMA, INCLUDING ABUSE, TRAFFICKING, REJECTION FROM FAMILY OF ORIGIN, ETC. THE FOCUS OF CHNY'S CRISIS SHELTER IS TO ENSURE THE PROVISION OF BASIC NEEDS IN THE FORM OF FOOD, SHELTER, AND CLOTHING, ALONG WITH APPROPRIATE SUPPORT AND WRAPAROUND SERVICES SUCH AS COUNSELING, PHYSICAL/MENTAL HEALTH PROGRAMMING, LEGAL SERVICES, EDUCATION AND EMPLOYMENT SERVICES, AND MORE. MOTHER/CHILD PROGRAM - COVENANT HOUSE NEW YORK OPERATES A SHELTER PROGRAM DESIGNED SPECIFICALLY FOR MOTHERS & CHILDREN. THIS PROGRAM SPECIALIZES IN ENSURING THAT THESE MOMS AND BABIES ARE RECEIVING BASIC NEEDS WHILE MOVING TOWARD STABILITY IN A SUPPORTIVE SETTING THAT EMPHASIZES WARMTH AND COMPASSION. MANY OF THE YOUNG PARENTS WHO COME TO THE MOTHER/CHILD PROGRAM HAVE EXPERIENCED SIGNIFICANT TRAUMA, INCLUDING DOMESTIC VIOLENCE, ABUSE, TRAFFICKING, REJECTION, AND ADDICTION, AND CHNY'S FOCUS IS TO ENSURE THE PROVISION OF BASIC NEEDS IN THE FORM OF FOOD, SHELTER, AND CLOTHING, ALONG WITH OTHER APPROPRIATE SERVICES SUCH AS COUNSELING, PARENT TRAINING, PHYSICAL/MENTAL HEALTH, LEGAL, VOCATIONAL, AND MORE. OUR MOTHER/CHILD PROGRAM ALSO OFFERS DAYCARE AND OTHER SERVICES TO ENSURE THAT THE CHILDREN ARE BEING NURTURED IN A LOVING AND HEALTHY MANNER. IN FY2022, COVENANT HOUSE NEW YORK PROVIDED SHELTER AND SUPPORTIVE SERVICES TO 71 MOTHERS/PREGNANT YOUTH AND 45 CHILDREN. 7836754 347185 204529 RIGHTS OF PASSAGE ("ROP") TRANSITIONAL INDEPENDENT LIVING MANY PEOPLE WHO BENEFIT FROM CHNY'S SHELTER PROGRAM QUALIFY FOR ENTRY INTO OUR RIGHTS OF PASSAGE (ROP) PROGRAM. ROP IS A LONGER-TERM, 24-MONTH PROGRAM FOR YOUTH AND YOUNG ADULTS, AGES 16-21, AND INCLUDES THE SAME WRAPAROUND SUPPORTS AS OUR CRISIS SHELTER. ROP ALSO PROVIDES PERMANENT HOUSING ASSISTANCE AND PLANNING FOR YOUTH WHILE THEY RESIDE IN THE PROGRAM. ROP PROVIDED LONGER-TERM TRANSITIONAL INDEPENDENT LIVING TO APPROXIMATELY 126 YOUNG PEOPLE IN FY2022. THE PRIMARY GOAL OF ROP IS TO PREPARE AND MOVE YOUNG PEOPLE TOWARD INDEPENDENCE AND SELF-SUFFICIENCY. PEOPLE RESIDING IN ROP NOT ONLY BENEFIT FROM PROVISION OF BASIC NEEDS IN THE FORM OF HOUSING, FOOD, AND CLOTHING BUT ALSO FROM VIGOROUS, EVIDENCE-BASED SUPPORTS DESIGNED TO ENCOURAGE DEVELOPMENT OF ESSENTIAL LIFE AND EMPLOYMENT SKILLS. ROP HELPS EACH RESIDENT DEVELOP AND IMPLEMENT A PERSONAL PLAN DESIGNED TO ENSURE THAT HE OR SHE IS ACHIEVING GOALS AND MOVING TOWARD HIGHER LEVELS OF INDEPENDENCE AND SELF-SUFFICIENCY. COVENANT HOUSE NEW YORK ALSO OPERATES ROP PROGRAM DESIGNED SPECIFICALLY FOR FOT MOTHERS AND CHILDREN. IN FY2022, THIS PROGRAM SERVED 15 MOTHERSPREGNANTYOUTH AND 14 CHILDREN. IN ADDITION TO ROP, CHNY ALSO OPERATES A HUD-FUNDED TRANSITIONAL HOUSING PROGRAM. THIS PROGRAM PROVIDES THE SAME TWO-YEAR HOUSING AND SUPPORTS, BUT FOR YOUNG ADULTS AGES 18-24 YEARS OLD. IN FY2022, CHNY SERVED 59 YOUTH THROUGH THIS HUD-FUNDED PROGRAM. 6395045 2037576 131002 HEALTH CLINIC -CHNY OPERATES A FEDERALLY QUALIFIED HEALTH CLINIC (FQHC) THROUGH WHICH IT PROVIDES COMPREHENSIVE HEALTH SERVICES. IN FY2022, APPROXIMATELY 1,094 HOMELESS AND/OR RUNAWAY YOUNG PEOPLE RECEIVED CARE, AND 3909 MEDICAL VISITS WERE PROVIDED. THE HEALTH AND WELLNESS CENTER IS STAFFED WITH MEDICAL AND ADMINISTRATIVE STAFF THAT INCLUDES DOCTORS, NURSES, LAB TECHNICIANS, AND OTHER MEDICAL PROFESSIONALS WHO ENSURE THE DELIVERY OF HIGH-QUALITY HEALTH SERVICES IN A COMPASSIONATE ATMOSPHERE. THE HEALTH AND WELLNESS CENTER ALSO PROVIDES MENTAL HEALTH SERVICES IN ORDER TO ENSURE WE HELP TO MEET THE SIGNIFICANT NEEDS OF OUR YOUNG PEOPLE, MANY OF WHOM HAVE EXTENSIVE HISTORIES OF TRAUMA. DURING THE LAST QUARTER OF FY2021, CHNY CONTINUED TO UTILIZE ITS SAFETY PROTOCOL AND RESPONSE TO THE CORONAVIRUS PANDEMIC, IN ORDER TO PROTECT ALL YOUTH AND STAFF FROM COVID WHILE REMAINING OPEN 24 HOURS A DAY. TO CONTINUE TO PROVIDE SHELTER AND SERVICES, CHNY EFFECTS A RIGOROUS CLEANING SCHEDULE, ENSURING THAT ALL STAFF AND YOUTH RECEIVE MASKS AND PERSONAL PROTECTIVE EQUIPMENT, AND RESTRUCTURED SOME SPACE WITHIN THE BUILDING TO ALLOW FOR ISOLATION/QUARANTINE FOR YOUTH WHO TEST POSITIVE FOR THE VIRUS. CHNY HAS PROVIDED FREE COVID TESTING FOR ALL YOUTH, STAFF, AND THE WIDER COMMUNITY SINCE THE ONSET OF THE PANDEMIC. NON-ESSENTIAL STAFF HAVE WORKED REMOTELY SINCE MARCH 2020, IN ORDER TO CREATE A SAFER SPACE AT OUR SHELTER AND PROMOTE SOCIAL DISTANCING. CHNY HAS ALSO BEEN PROVIDING THE MODERNA COVID-19 VACCINE AT ITS FQHC SINCE JANUARY OF 2021 AND WILL CONTINUE TO DO SO INDEFINITELY. 100% OF CHNY STAFF HAVE BEEN VACCINATED OR HAVE AN EXEMPTION. CHNY CONTINUES ITS ONGOING PLAN TO PROTECT ALL STAFF AND YOUTH FROM THE EFFECTS OF THE CORONAVIRUS, NOT ONLY THROUGH ITS HEALTH CENTER, BUT IN ALL PROGRAMMING. 4229416 1771513 0 RAPID RE-HOUSING AND PERMANENT HOUSING -CHNY OPERATES MULTIPLE PERMANENT HOUSING PROGRAMS. OUR NEW COVENANT PROGRAM, ESTABLISHED IN 2014, PROVIDES 27 APARTMENT PLACEMENTS VOUCHERS FOR AFFORDABLE HOUSING - FOR YOUNG ADULTS WHO ARE DIAGNOSED WITH A MENTAL HEALTH DISORDER. IN FY2022, THIS PROGRAM HAD LITTLE TO NO VACANCY. YOUNG ADULTS IN THIS PROGRAM RECEIVE INTENSIVE SOCIAL WORK AND CASE MANAGEMENT SUPPORTS, MENTAL AND MEDICAL HEALTH TREATMENT VIA OUR FEDERALLY QUALIFIED HEALTH CENTER, AND REFERRALS TO ADDITIONAL SUPPORTS WHEN NEEDED. CHNY ALSO OPERATES FAMILY COVENANT, WHICH IS A PERMANENT HOUSING PROGRAM FOR FAMILIES, IN OPERATION SINCE 2018. THIS PROGRAM PROVIDES 30 APARTMENT PLACEMENTS FOR YOUNG ADULTS AND THEIR CHILDREN, AS WELL AS EVIDENCE-BASED INTERVENTIONS THAT PROMOTE POSITIVE PARENTING MODELS FOR YOUNG PARENTS. IN FY2022, 35 ADULTS AND 47 CHILDREN WERE SERVED IN THIS PROGRAM. CHNY ALSO OPERATES A HUD-FUNDED RAPID RE-HOUSING PROGRAM. THIS IS A NEW PROGRAM THAT BEGAN OPERATION IN LATE 2019. IT PROVIDES APARTMENT PLACEMENTS FOR 50 YOUTH (AND THEIR CHILDREN, IF APPLICABLE), WITH THE SAME WRAPAROUND AND SUPPORT SERVICES PROVIDED TO OUR OTHER PERMANENT HOUSING PROGRAMS. IN FY2022, CHNY PROVIDED HOUSING AND SUPPORT SERVICES TO 31 YOUTH THROUGH THIS PROGRAM. 4229416 1771513 0 30409581 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 1 1 0 0 1 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 127 0 400 1 0 1 LS 0 0 0 0 0 0 0 0 0 0 X 20 20 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X X MARIA L MOROTA 2126130300 460 WEST 41ST STREET NEW YORK NY 10036 X LOUIS RAUCHENBERGER CHAIRMAN 1.00 0.00 X X 0 0 0 JAMES KARWEL VICE CHAIRMAN 1.00 0.00 X X 0 0 0 DOUGLAS BLAGDON TREASURER 1.00 0.00 X X 0 0 0 PETER GREATREX SECRETARY 1.00 0.00 X X 0 0 0 LIBBY CANTRILL DIRECTOR 1.00 0.00 X 0 0 0 DAVID CORNISH DIRECTOR 1.00 0.00 X 0 0 0 WILLIAM DACUNTO DIRECTOR 0.50 0.00 X 0 0 0 VIRGINIA EILLIOTT DIRECTOR 1.00 0.00 X 0 0 0 JENNIFER ENSLIN DIRECTOR 1.00 0.00 X 0 0 0 BENJAMIN GRIZZLE DIRECTOR 1.00 0.00 X 0 0 0 MAUREEN A HENEGAN DIRECTOR 1.00 0.00 X 0 0 0 PAM LEWIS DIRECTOR 0.50 0.00 X 0 0 0 MARY MAYLAND DIRECTOR 1.00 0.00 X 0 0 0 SANDY LOGAN-MULLMAN DIRECTOR 1.00 0.00 X 0 0 0 ANNA OSBORN DIRECTOR 1.00 0.00 X 0 0 0 JOSEPH E ROYCE DIRECTOR THRU 10/2021 0.50 0.00 X 0 0 0 MATTHEW SCHMEELK DIRECTOR 1.00 0.00 X 0 0 0 ALAN THOMAS DIRECTOR 1.00 0.00 X 0 0 0 RICK VAN BENSCHOTEN DIRECTOR 1.00 0.00 X 0 0 0 ETHAN WIENER DIRECTOR 1.00 0.00 X 0 0 0 HALIM WISE DIRECTOR 1.00 0.00 X 0 0 0 KEVIN RYAN PRESIDENT & CEO 1.00 34.00 X 0 0 2684 SISTER NANCY DOWNING EXECUTIVE DIRECTOR 35.00 0.00 X 0 0 12621 LEIGH J FUGGER-SMITH CFO & ADMIN. OFFICER THRU OCT 2021 35.00 0.00 X 161380 0 12013 LESLIE ABBEY COO & DEPUTY ED 35.00 0.00 X 165582 0 43380 DR DAVID J DAVIS MEDICAL DIRECTOR 35.00 0.00 X 226995 0 34300 THEODORA CARTER CHIEF HUMAN RESOURCES OFFICER 35.00 0.00 X 162502 0 21461 MARIA L MOROTA VP, OPERATIONAL CONTROLLERSHIP 35.00 0.00 X 133676 0 29696 CATHY BATISTA SVP, RESIDENTIAL & SUPPORT SVCS. 35.00 0.00 X 133210 0 16986 LENNOX EDWARDS CHIEF ENGINEER THRU NOV 2021 35.00 0.00 X 128956 0 0 1112301 0 173141 17 0 1 0 PARTNERS INTERNATIONAL 1201 CONNECTICUT AVENUE NW OFFICE WASHINGTON DC 20036 IT CONSULTING SERVICES 278163 CONGREGATION OF NOTRE DAME 329 WEST 25 STREET NEW YORK NY 10001 EXECUTIVE DIRECTOR SERVICES 200626 DRWANTEDCOM LLC 4170 ASHFORD DUNWOODY ROAD SUITE 4 ATLANTA GA 30319 STAFFING SERVICES 169161 RSM US LLP 5155 PAYSPHERE CIRCLE CHICAGO IL 60674 ACCOUNTING SERVICES 139998 4 10126290 21147490 3673038 165881 34946818 PERMANENT SUPPORTIVE HOUSING RENT 532000 204529 204529 MANAGED CARE AND OTHER INCOME 621990 131002 131002 335531 8866 8866 OTHER INCOME 900099 474 474 474 35291689 335531 0 9340 2000000 2000000 2699494 2699494 255232 175173 44756 35303 15609170 14559338 715308 334524 899370 838389 42731 18250 2682166 2487866 133485 60815 1372511 1273654 67185 31672 69830 21195 48635 197764 82012 115752 36050 36050 823766 537040 275262 11464 1046649 928545 109746 8358 522087 478573 39455 4059 3920872 3585718 318455 16699 42134 40664 1470 21563 16756 4434 373 208245 176385 29722 2138 180612 140569 36900 3143 EQUIPMENT 235843 196014 36113 3716 STAFF RECRUITMENT 156976 51040 105936 STAFF DEVELOPMENT 93914 72976 19312 1626 OTHER DIRECT OPERATING 79126 12130 66612 384 10642 10642 33164016 30409581 2221911 532524 3321802 5045774 186340 1934 3607253 5858131 143235 180640 142074 303688 3244628 2684146 870970 560482 124580 107837 2148347 1776619 384506 484619 10929107 14319724 2625823 2576804 0 2000000 0 3608 117722 23873 2743545 4604285 X 3551026 5221849 4634536 4493590 8185562 9715439 10929107 14319724 X 2127673 -22947 -574849 X X 0 1 X 1 1 1 X 22763844 23609485 28668013 31823966 34946818 141812126 22763844 23609485 28668013 31823966 34946818 141812126 141812126 2970 2667 3060 3071 8866 20634 13681 2773 10413 7256 474 34597 141867357 2371069 0.99960 0.99950 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2017 AMOUNT: $ 676. 2018 AMOUNT: $ 2,773. 2019 AMOUNT: $ 10,413. 2020 AMOUNT: $ 7,256. 2021 AMOUNT: $ 474. ENERGY SAVING REBATE - 2017 AMOUNT: $ 13,005. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 38307 190907 38307 190907 32593185 114585759 32631492 114776666 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 37034 39561 114306 190907 381808 250000 250000 250000 250000 1000000 1500000 SCHEDULE C, PART II-A, BOX A: UNDER 21 /COVENANT HOUSE NEW YORK BELONGS TO AN AFFILIATED GROUP WITH ITS PARENT ORGANIZATION AND THE FOLLOWING AFFILIATES: AFFILIATES DIRECT LOBBYING EXPENSE COVENANT HOUSE, INC. $152,600 UNDER 21, INC/COVENANT HOUSE NY $36,060 TESTANMENTUM $0 COVENANT INTERNATIONAL FOUNDATION $0 CONVENANT HOUSE WESTERN AVENUE $0 AFFILIATED GROUP TOTAL $190,907 REFER TO SCHEDULE R FOR FURTHER DETAILS FOR ADDRESS AND EIN. 124580 -16743 107837 99419 25161 124580 106760 -7341 99419 114222 -1694 5768 106760 112013 2209 114222 0.00000 0.98140 0.01860 0 1 1 27140 6244 20896 3016964 2593775 423189 200524 84127 116397 560482 BENEFICIAL INTEREST IN PERPETUAL TRUST 1776619 F 1776619 CAPITAL LEASE OBLIGATIONS 23873 23873 X 35663739 -22947 160581 234416 372050 35291689 0 35291689 33559013 160581 234416 394997 33164016 0 33164016 PART V, LINE 4: THE ORGANIZATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT SUPPORT THE OBJECTIVE OF PROVIDING A SUSTAINABLE AND INCREASING LEVEL OF ENDOWMENT INCOME DISTRIBUTION TO SUPPORT THE ORGANIZATION'S ACTIVITIES WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF ENDOWMENT ASSETS. THE ORGANIZATION'S PRIMARY INVESTMENT OBJECTIVE IS TO MAXIMIZE TOTAL RETURN WITHIN REASONABLE AND PRUDENT LEVELS OF RISK WHILE MAINTAINING SUFFICIENT LIQUIDITY TO MEET DISBURSEMENT NEEDS AND ENSURE PRESERVATION OF CAPITAL. PART X, LINE 2: THE ORGANIZATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION AND/OR DISCLOSURE. THE ORGANIZATION IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR YEARS PRIOR TO JUNE 30, 2019. PART XI, LINE 2D - OTHER ADJUSTMENTS: ADMIN FEES REPORTED ON PART VII 234,416. PART XII, LINE 2D - OTHER ADJUSTMENTS: ADMIN FEES REPORTED ON PART VII 234,416. EUROPE 0 0 INVESTMENTS 1776619 0 0 0 0 0 0 1776619 0 1776619 0 1 0 0 0 0 PART III ACCOUNTING METHOD: SCHEDULE F, PART IV, LINE 2: THE ORGANIZATION HAS FILED FORM 3520. 1 460 WEST 41ST STREET LLC 5 PENN PLAZA 3RD FLOOR NEW YORK NY 10001 132725416 501(C)(3) 2000000 0 TO SUPPORT CONSTRUCTION OF THE NEW HEALTH CENTER. 1 0 FOOD, CLOTHING, SUPPLIES & ALLOWANCE 1504 2584109 COST FOOD, CLOTHING, SUPPLIES & ALLOWANCE SCHOLARSHIPS 58 115385 PART I, LINE 2: UNDER 21/COVENANT HOUSE NEW YORK PROVIDES NON-CASH ASSISTANCE IN THE FORM OF MEDICAL, SUBSTANCE ABUSE, VOCATIONAL EDUCATION, JOB TRAINING, AND ETC. AS SUCH, THERE IS NO REQUIREMENT TO MONITOR THE USE OF THESE NON-CASH ITEMS. UNDER 21/COVENANT HOUSE NEW YORK REVIEWS ALL GRANT RELATED EXPENDITURES ON A MONTHLY BASIS, WITH THE MAJORITY OF THE GRANT FUNDS ARE ON A REIMBURSEMENT BASIS. CONSEQUENTLY ALL EXPENDITURES MUST BE REVIEWED TO INSURE THAT THEY COMPLY WITH GRANT PROVISIONS PRIOR TO SUBMITTING THE REIMBURSEMENT REQUEST. IN ADDITION, ALL EXPENDITURES/ ASSISTANCES ARE DOCUMENTED IN EACH RESIDENT'S CASE FILE. UNDER 21/COVENANT HOUSE NEW YORK ALSO PROVIDES SCHOLARSHIPS TO YOUTH. SCHOLARSHIP FUNDS ARE DIRECTLY GIVEN TO THE EDUCATIONAL INSTITUTIONS ON BEHALF OF THE YOUTHS. UNDER 21/COVENANT HOUSE RECOGNIZED $2,000,000 IN GOVERNMENT GRANTS AND CONTRACTS AND A CORRESPONDING PASS-THROUGH GRANT EXPENSE TO 460 WEST 41ST STREET LLC, SINCE THE LLC IS THE LANDLORD OF THE HEALTH CENTER. THE LLC IS A DISREGARDED ENTITY OF THE FILING ORGANIZATION'S PARENT ENTITY, COVENANT HOUSE INC. X X X X X 0 0 0 0 0 0 0 1 0 DR DAVID J DAVIS MEDICAL DIRECTOR 220023 0 2880 0 4092 0 20656 0 13644 0 261295 0 0 0 LESLIE ABBEY COO & DEPUTY ED 164485 0 750 0 347 0 10014 0 33366 0 208962 0 0 0 THEODORA CARTER CHIEF HUMAN RESOURCES OFFICER 161183 0 750 0 569 0 9164 0 12297 0 183963 0 0 0 LEIGH J FUGGER-SMITH CFO & ADMIN. OFFICER THRU OCT 2021 160769 0 0 0 611 0 8876 0 3137 0 173393 0 0 0 MARIA L MOROTA VP, OPERATIONAL CONTROLLERSHIP 130742 0 2500 0 434 0 7700 0 21996 0 163372 0 0 0 CATHY BATISTA SVP, RESIDENTIAL & SUPPORT SVCS. 132365 0 750 0 95 0 4689 0 12297 0 150196 0 0 0 PART I, LINE 3 THE PRESIDENT/CEO'S COMPENSATION IS DETERMINED BY THE EXECUTIVE COMMITTEE OF COVENANT HOUSE INTERNATIONAL (PARENT) WORKING IN CONJUNCTION WITH COMPARABILITY DATA SUCH AS SALARY SURVEYS WITH SIMILARLY SIZED NON-PROFITS. PERIODICALLY THE ORGANIZATION HIRES AN INDEPENDENT CONSULTANT TO REVIEW COMPARABLE SALARIES FOR THE PRESIDENT/CEO, OTHER OFFICERS AND KEY EMPLOYEES. GENERALLY THE BOARD EVALUATES THE PRESIDENT'S COMPENSATION ANNUALLY. THE DETERMINATION IS BASED ON THE PERFORMANCE EVALUATION THAT FACTORS INTO ACCOUNT EFFECTIVENESS, PERFORMANCE, AND ACHIEVEMENT OF GOALS. PART I, LINE 7 CERTAIN EMPLOYEES OF THE ORGANIZATION RECEIVED DISCRETIONARY BONUSES IN THEIR 2021 W-2, AS REPORTED IN SCHEDULE J, PART II. X 150668 COST X 2 5408 COST X 1 9805 COST 0 0 1 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTORS IN PART I, COLUMN (B) OF SCHEDULE M. FORM 990, PART III, LINE 1: IN 34 CITIES ACROSS SIX COUNTRIES, COVENANT HOUSE BUILDS BRIDGES TO HOPE FOR YOUNG PEOPLE FACING HOMELESSNESS AND SURVIVORS OF HUMAN TRAFFICKING, MEETING THEIR IMMEDIATE NEEDS FOR FOOD, CLOTHING, PROTECTION, AND MEDICAL CARE AND SUPPORTING THEM TO ADVANCE THEIR GOALS OF EDUCATION AND EMPLOYMENT. COVENANT HOUSE ENCOMPASSES A ROBUST NETWORK OF "HOUSES," WITH BEST-IN-CLASS SERVICES AND A SHARED COMMITMENT TO UNCONDITIONAL LOVE, ABSOLUTE RESPECT, AND RELENTLESS SUPPORT FOR EACH YOUNG PERSON WHO WALKS THROUGH OUR DOORS. FOUNDED AS A DROP-IN CENTER IN NEW YORK CITY IN 1972, COVENANT HOUSE NOW SERVES THOUSANDS OF CHILDREN AND YOUTH EVERY YEAR IN OUR RESIDENTIAL, OUTREACH, AND DROP-IN PROGRAMS. OUR DEDICATED STAFF ACROSS THE UNITED STATES, GUATEMALA, HONDURAS, MEXICO, NICARAGUA, AND CANADA EMPLOY A STRENGTHS-BASED, TRAUMA-INFORMED PRACTICE MODEL THAT HELPS YOUNG PEOPLE DISCOVER AND DEVELOP THEIR POWER TO OVERCOME ADVERSITY NOW AND INTO THE FUTURE. YOUNG PEOPLE ARRIVE AT COVENANT HOUSE WITH AN ARRAY OF LIVED EXPERIENCES, INCLUDING FOSTER CARE, FAMILY TRAUMA, SUBSTANCE USE, MENTAL HEALTH ISSUES, DOMESTIC VIOLENCE, SEXUAL ABUSE, AND HUMAN TRAFFICKING. YOUTH MAY COME TO US SCARRED BY ANTI-LGBTQ+ DISCRIMINATION AND VIOLENCE, OR AS PARENTS OF SMALL CHILDREN, OR PREGNANT. OUR STAFF MEET THEM WHERE THEY ARE AND ACCOMPANY THEM, THROUGH OUR HIGH-QUALITY SERVICES, ON THEIR JOURNEY TO WHOLENESS AND INDEPENDENCE. DURING FISCAL 2022, THE WORLDWIDE COVID-19 PANDEMIC CONTINUED TO IMPACT THE NUMBER OF YOUTH COVENANT HOUSE REACHED, AS AFFILIATES PROLONGED MEASURES TO ENSURE SOCIAL DISTANCING, SET ASIDE ISOLATION ROOMS FOR SYMPTOMATIC YOUTH, AND MODIFIED STREET OUTREACH. NEVERTHELESS, IN FISCAL 2022, COVENANT HOUSE PROVIDED A TOTAL OF NEARLY 730,000 NIGHTS OF HOUSING AND SAFETY FOR, ON AVERAGE, 1,991 YOUTH EACH NIGHT. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF UNDER 21 D/B/A COVENANT HOUSE NEW YORK IS ITS PARENT ORGANIZATION, COVENANT HOUSE, D/B/A COVENANT HOUSE INTERNATIONAL. FORM 990, PART VI, SECTION A, LINE 7A UNDER 21 D/B/A COVENANT HOUSE NEW YORK'S PARENT ORGANIZATION, COVENANT HOUSE INTERNATIONAL HAS THE RIGHT TO ELECT OR APPOINT OFFICERS OF ORGANIZATION'S BOARD OF DIRECTORS AND OFFICERS. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING DECISIONS FOR THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY UNDER 21 D/B/A COVENANT HOUSE NEW YORK'S PARENT ORGANIZATION, COVENANT HOUSE INTERNATIONAL (CHI) - AMENDMENT OR REPEAL OF THE CERTIFICATE OF INCORPORATION AND BY-LAWS, INCREASE OR DECREASE IN THE NUMBER OF BOARD OF DIRECTORS, APPOINT/REMOVE MEMBERS OF THE BOARD AND THE OFFICERS, COMPENSATION OF THE EXECUTIVE DIRECTOR, USE OF CHI'S NAME, LOGO AND OTHER OF ITS TRADEMARKED NOMENCLATURE, AND OTHER LAWFUL ACTS OR ACTIONS WITH RESPECT UNDER 21'S BUSINESS, AFFAIRS, MANAGEMENT, PROPERTIES OR ACTIVITIES. FORM 990, PART VI, SECTION B, LINE 11B UNDER 21 D/B/A COVENANT HOUSE NEW YORK HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE PARENT ORGANIZATION, COVENANT HOUSE INTERNATIONAL, AND THE FINANCE COMMITTEE OF THE ORGANIZATION FOR ANY COMMENTS AND A MEETING/CONFERENCE CALL IS CONVENED. ANY COMMENTS ARE THEN GROUPED, SUMMARIZED AND PROVIDED TO THE OUTSIDE ACCOUNTANTS. EACH ISSUE IS DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING. ONCE APPROVED, IT GETS DISTRIBUTED TO THE ENTIRE BOARD, AND IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES ANNUAL DISCLOSURE AND AFFIRMATION OF THE CONFLICT OF INTEREST POLICY BY ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES. THE DISCLOSURE STATEMENT REQUIRED EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE TO DISCLOSE ANY BUSINESS OR PERSONAL INTERESTS, DIRECT OR INDIRECT, THAT THE PERSON MAY HAVE IN AN ORGANIZATION THAT COMPLETES WITH OR DOES BUSINESS WITH COVENANT HOUSE NEW YORK, COVENANT HOUSE INTERNATIONAL OR ANY OTHER ORGANIZATION BUSINESS/AGENCY AFFILIATED WITH COVENANT HOUSE INTERNATIONAL. IF A CONFLICT IS DETERMINED TO EXIST, IT MUST BE REPORTED AND ADDRESSED TO THE SATISFACTION OF THE ORGANIZATION. ANY OTHER PERSON HAVING A CONFLICT, AND ATTENDING SAID MEETING, SHALL RETIRE FROM THE ROOM IN WHICH THE BOARD OR COMMITTEE IS MEETING AND SHALL NOT PARTICIPATE IN THE FINAL DELIBERATIONS OR DECISIONS REGARDING THE MATTER UNDER CONSIDERATION. ANY INTERESTED DIRECTOR SHALL ALSO ABSTAIN DURING SUCH VOTE. THE MINUTES OF THE MEETING OF THE BOARD OR COMMITTEE SHALL REFLECT THAT THE CONFLICT OF INTEREST WAS DISCLOSED AND THAT THE INTERESTED PERSON WAS NOT PRESENT DURING THE FINAL DISCUSSION OR VOTE AND DID NOT VOTE. A SUMMARY OF THE ANNUAL CONFLICTS OF INTEREST AND COPIES OF THE CONFLICTS OF INTEREST REPORTS FROM THE DIRECTORS, EXECUTIVE DIRECTOR, AND OFFICERS OF THE ORGANIZATION ARE ALSO SENT TO THE PARENT ORGANIZATION, COVENANT HOUSE INTERNATIONAL. THE PARENT, COVENANT HOUSE INTERNATIONAL ALSO ENSURES THE ANNUAL CONFLICTS OF INTEREST REPORTS ARE ACCOMPLISHED FOR EACH AFFILIATE AND THAT THE REQUIRED INFORMATION IS SENT TO THEM. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE (I.E. EXECUTIVE COMMITTEE) WORKING IN CONJUNCTION WITH THE PRESIDENT OF COVENANT HOUSE INTERNATIONAL (PARENT). A SALARY STRUCTURE AND RANGE WERE DETERMINED USING A COMPENSATION COMMITTEE AND INDEPENDENT CONSULTANT FOR THE EXECUTIVE DIRECTOR. FACTORS CONSIDERED WERE THE SIZE OF THE AGENCY BUDGET, PROGRAM SIZE AND COMPLEXITY, LOCAL MARKET COMPATIBILITY, AND THE COST OF LIVING, WITH COMPENSATION APPROVED BY THE CHNY BOARD OF DIRECTORS. COMPENSATION OF THE OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION IS COMPARED TO OTHER SIMILAR ORGANIZATIONS, FORM 990S, COMPARABLE SALARY DATA AND SURVEYS. COMPENSATION IS DETERMINED BY THE EXECUTIVE DIRECTOR AND THE BOARD OF DIRECTORS VIA THE BUDGET PROCESS. RECORDS OF EXECUTIVE COMMITTEE'S COMPENSATION DECISIONS ARE MAINTAINED IN THE COVENANT HOUSE INTERNATIONAL (PARENT) HUMAN RESOURCES DEPARTMENT RECORD. THIS PROCESS WAS LAST UNDERTAKEN IN FISCAL YEAR 2022. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS AND FORM 990 ARE POSTED ON ITS WEBSITE. THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE ALL AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AT 460 WEST 41ST STREET, NEW YORK, NY 10036. FORM 990, PART VII, SECTION A COMPENSATION PAID TO THE EXECUTIVE DIRECTOR: PLEASE NOTE THAT THE EXECUTIVE DIRECTOR AS A RELIGIOUS MEMBER OF THE CONGREGATION OF NOTRE DAME (THE ORDER), HAS TAKEN A VOW OF POVERTY AND IS PROVIDED WITH ZERO (0) COMPENSATION FROM THE ORGANIZATION. ALL COMPENSATION THAT WOULD HAVE BEEN PAID TO THE EXECUTIVE DIRECTOR ON BEHALF OF SERVICES PROVIDED TO THE ORGANIZATION IS INSTEAD PAID TO THE CONGREGATION OF NOTRE DAME RATHER THAN THE INDIVIDUAL. THE AMOUNT PAID TO THE CONGREGATION OF NOTRE DAME IN CALENDAR YEAR 2021 WAS $200,626. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST -371,728. LOSS ON DISPOAL OF FIXED ASSETS -203,121. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S FINANCE COMMITTEE OF THE BOARD ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE ANNUAL AUDIT. THE SELECTION OF THE INDEPENDENT AUDITOR IS ACCOMPLISHED BY COVENANT HOUSE PARENT'S AUDIT COMMITTEE OF THE BOARD. THE CHNY TREASURER PARTICIPATES IN THE SELECTION PROCESS AND INFORMS THE CHNY FINANCE COMMITTEE OF THE PROCESS AND SELECTION. COVENANT HOUSE 5 PENN PLAZA NEW YORK NY 10001 132725416 HUMANITARIAN NY 501(C)3 LINE 7 N/A 0 COVENANT HOUSE ALASKA 755 A STREET ANCHORAGE AK 99501 133419755 HUMANITARIAN AK 501(C)3 LINE 7 COVENANT HOUSE 0 COVENANT HOUSE CALIFORNIA 1325 NORTH WESTERN AVENUE HOLLYWOOD CA 90027 133391210 HUMANITARIAN CA 501(C)3 LINE 7 COVENANT HOUSE 0 COVENANT HOUSE FLORIDA 733 BREAKERS AVENUE FORT LAUDERDALE FL 33304 592323607 HUMANITARIAN FL 501(C)3 LINE 7 COVENANT HOUSE 0 COVENANT HOUSE GEORGIA 1559 JOHNSON ROAD NW ATLANTA GA 30318 133523561 HUMANITARIAN GA 501(C)3 LINE 7 COVENANT HOUSE 0 COVENANT HOUSE ILLINOIS 2934 W LAKE STREET CHICAGO IL 60612 812061485 HUMANITARIAN IL 501(C)3 LINE 7 COVENANT HOUSE 0 COVENANT HOUSE MICHIGAN 2959 MARTIN LUTHER KING JR BLVD DETROIT MI 48208 383351777 HUMANITARIAN MI 501(C)3 LINE 7 COVENANT HOUSE 0 COVENANT HOUSE MISSOURI 2727 NORTH KINGSHIGHWAY BLVD ST LOUIS MO 63113 431821599 HUMANITARIAN MO 501(C)3 LINE 7 COVENANT HOUSE 0 COVENANT HOUSE NEW JERSEY 330 WASHINGTON STREET NEWARK NJ 07102 133537710 HUMANITARIAN NJ 501(C)3 LINE 7 COVENANT HOUSE 0 COVENANT HOUSE NEW ORLEANS 611 NORTH RAMPART STREET NEW ORLEANS LA 70112 581669937 HUMANITARIAN LA 501(C)3 LINE 7 COVENANT HOUSE 0 COVENANT HOUSE PENNSYLVANIA 31 EAST ARMAT STREET PHILADELPHIA PA 19144 233003176 HUMANITARIAN PA 501(C)3 LINE 7 COVENANT HOUSE 0 COVENANT HOUSE TEXAS 1111 LOVETT BLVD HOUSTON TX 77006 760050882 HUMANITARIAN TX 501(C)3 LINE 7 COVENANT HOUSE 0 COVENANT HOUSE WASHINGTON 2001 MISSISSIPPI AVENUE SE WASHINGTON DC 20020 133537709 HUMANITARIAN DC 501(C)3 LINE 7 COVENANT HOUSE 0 COVENANT HOUSE WESTERN AVENUE 1325 N WESTERN AVENUE HOLLYWOOD CA 90027 954395845 HOLDING CO CA 501(C)3 LINE 12A, I COVENANT HOUSE 0 COVENANT INTERNATIONAL FOUNDATION 5 PENN PLAZA NEW YORK NY 10001 133124706 HOLDING CO DE 501(C)3 LINE 7 COVENANT HOUSE 0 TESTAMENTUM 5 PENN PLAZA NEW YORK NY 10001 237326634 HOLDING CO NY 501(C)3 LINE 10 COVENANT HOUSE 0 CH PENNSYLVANIA UNDER-21 HOLDINGS INC 31 EAST ARMAT STREET PHILADELPHIA PA 19144 821519205 HOLDING CO PA 501(C)3 LINE 12A, I COVENANT HOUSE PENNSYLVANIA 0 YOUTH VISION SOLUTIONS 2959 MARTIN LUTHER KING JR BLVD DETROIT MI 48208 271855040 SCHOOL MGMT MI 501(C)3 LINE 7 COVENANT HOUSE MICHIGAN 0 COVENANT HOUSE CONNECTICUT C/O COVENANT HOUSE 5 PENN PLAZA NEW YORK NY 10001 133330953 HUMANITARIAN CT 501(C)3 LINE 7 COVENANT HOUSE 0 COVENANT HOUSE CHICAGO C/O COVENANT HOUSE 5 PENN PLAZA NEW YORK NY 10001 133386635 HUMANITARIAN IL 501(C)3 PF COVENANT HOUSE 0 268 WEST 44TH CORPORATION C/O COVENANT HOUSE 5 PENN PLAZA NEW YORK NY 10001 132874450 HOLDING CO NY 501(C)2 COVENANT HOUSE 0 RIGHTS OF PASSAGE INC C/O COVENANT HOUSE 5 PENN PLAZA NEW YORK NY 10001 133549405 HUMANITARIAN DE 501(C)3 LINE 7 COVENANT HOUSE 0 UNDER 21 BOSTON INC C/O COVENANT HOUSE 5 PENN PLAZA NEW YORK NY 10001 042790593 HUMANITARIAN MA 501(C)3 LINE 12A, I COVENANT HOUSE 0 COVENANT HOUSE TORONTO 20 GERRARD STREET EAST TORONTO CANADA CA M5B 2P3 HUMANITARIAN CA COVENANT INTERNATIONAL FOUNDATION 0 COVENANT HOUSE VANCOUVER 575 DRAKE STREET VANCOUVER CANADA CA V6B 4K8 HUMANITARIAN CA COVENANT INTERNATIONAL FOUNDATION 0 ASOCIACION LA ALIANZA GUATEMALA 13 AVENIDA 00-37 ZONA 2 COLONIA LA MIXCO GUATEMALA GT HUMANITARIAN GT COVENANT INTERNATIONAL FOUNDATION 0 CASA ALIANZA DE HONDURAS CORNER OF ARDA CERVANTES Y MORELOS TEGUCIGALPA HONDURAS HO HUMANITARIAN HO COVENANT INTERNATIONAL FOUNDATION 0 CASA ALIANZA NICARAGUA EDIFFICIO CONRAD N HILTON COSTADO E MANAGUA NICARAGUA NU HUMANITARIAN NU COVENANT INTERNATIONAL FOUNDATION 0 FUNDACION CASA ALIANZA MEXICO IAP PLAZA DE LAS FUENTES 116 COL MEXICO DF MEXICO MX HUMANITARIAN MX COVENANT INTERNATIONAL FOUNDATION 0 CASA ALIANZA INTERNACIONAL C/O COVENANT HOUSE 5 PENN PLAZA NEW YORK NY 10001 HUMANITARIAN CS COVENANT INTERNATIONAL FOUNDATION 0 CH HOUSING DEVELOPMENT FUND CORPORATION C/O COVENANT HOUSE 5 PENN PLAZA NEW YORK NY 10001 834124396 PROVIDING TRANSITIONAL HOUSING NY 501(C)3 LINE 12A, I COVENANT HOUSE 0 COVENANT HOUSE ILLINOIS QALICB LLC 2934 W LAKE STREET CHICAGO IL 60612 853857238 DEVELOP PROPERTY IL COVENANT HOUSE ILLINOIS RELATED 0 0 CHGA CHI LEVERAGE LENDER LLC 1559 JOHNSON ROAD NW ATLANTA GA 30318 853539993 DEVELOP PROPERTY GA COVENANT HOUSE GEORGIA RELATED 0 0 0 1 1 0 0 0 0 0 0 0 1 0 1 0 1 1 0 0 0