2020-05-26T15:12:24-05:00 2019-06-30 221478099 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 990 2018-07-01 133841701 UPPER ROOM AIDS MINISTRY INC ADULT DAY HEALTH CARE CENTER UPPE 2125311300 123-125 WEST 124TH STREET NEW YORK NY 10027 TAMISHA MCPHERSON EXECUTIVE DIRECTOR 2125311300 2020-05-26 1 LORI ROTHE YOKOBOSKY CPA P01273422 2122970400 2020-05-20 209.59.242.35 2020-05-26 10:05:47 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 0FC5460241256066D74A2C5C66FD8B85E1F8608D 2018 2020-09-23 17:36:50Z TAMISHA MCPHERSON 306 LENOX AVENUE NEW YORK NY 10027 16148440 0 X WWW.HARLEMUNITED.ORG X 1995 NY THE MISSION OF THE UPPER ROOM AIDS MINISTRY, INC: ADULT DAY HEALTHCARE CENTER SHALL BE TO PROVIDE ADULT DAY HEALTH CARE SERVICES, 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. 14 14 142 0 0 0 4019581 4278457 12702976 11813267 0 0 60072 56716 16782629 16148440 0 0 0 0 7601646 7958428 0 0 0 10298123 9690494 17899769 17648922 -1117140 -1500482 15053595 14187267 16728421 17362575 -1674826 -3175308 X THE MISSION OFTHE UPPER ROOM AIDS MINISTRY, INC ADULT DAY HEALTHCARE CENTER SHALL BE TO PROVIDE ADULT DAY HEALTH CARE SERVICES, 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. 0 0 17605552 11869224 THE 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. 17605552 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 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 0 0 142 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 0 0 0 0 0 NY X BTQ FINANCIAL LLC 2129012500 80 BROAD STREET 15TH FL NEW YORK NY 10004 ANTHONY RANDOLPH MEMBER 1.00 X 0 0 0 BRIAN WEST CLIENT REPRESENTATIVE 1.00 X 0 0 0 DAVE WHITE MEMBER 1.00 X 0 0 0 DOUGLAS DUKEMAN CHAIR 1.00 X X 0 0 0 GINA THOMAS MEMBER 1.00 X 0 0 0 GLYN SINGLETON CLIENT REPRESENTATIVE 1.00 1.00 X 0 0 0 JAMES JONES MEMBER 1.00 X 0 0 0 JAMES WILLIAMS CLIENT REPRESENTATIVE 1.00 X 0 0 0 JONATHAN KITT MEMBER 1.00 X 0 0 0 KAHADIJATOU BALDEH MEMBER 1.00 X 0 0 0 LAWRENCE HINES MEMBER 1.00 X 0 0 0 MARNE LUCAS MEMBER 1.00 X 0 0 0 RAYMOND VERRY TREASURER 1.00 X X 0 0 0 WILLIAM SMITH-RIVERA CLIENT REPRESENTATIVE 1.00 X 0 0 0 JACQUELYN KILMER CHIEF EXECUTIVE OFFICER 10.00 25.00 X 0 237946 23462 TAMISHA MCPHERSON EXCUTIVE DIRECTOR 25.00 10.00 X 172931 0 42626 ALFONSE SIDHOM DENTIST 35.00 X 120994 0 2628 JESSICA CHRISTINE ZIEMBA MALAVE MANAGER MEDICAL AFFAIRS 35.00 X 102212 0 28075 PAMELA MAHMUD PHYSICIAN 35.00 X 134189 0 14216 SEUNG H KANG MEDICAL DIRECTOR 35.00 X 166567 0 27814 VERA ANTONIOS CHIEF MEDICAL DIRECTOR 35.00 X 222526 0 49928 919419 237946 188749 6 0 1 0 SECURITAS SECURITY SERVICES USA INC 1412 BROADWAY NEW YORK NY 10018 SECURITY SERVICES 207859 1 3786295 492162 4278457 MEDICAID 621300 6112717 6112717 340B PHARMACY REVENUE 621300 3976227 3976227 SELF-PAY 621300 660353 660353 UNCOMPENSATED CARE 621300 417701 417701 OTHER THIRD-PARTY 621300 331505 331505 314764 314764 11813267 PTAR - INSURANCE PROGRAM 900099 55957 55957 PARTNERSHIP K-1 GAIN 900099 759 759 56716 16148440 11869224 0 759 218434 218434 6145323 6145323 141815 141815 737123 737123 715733 715733 1516793 1516793 3658 3658 82431 82431 443257 442492 765 393901 391106 2795 162184 162184 247747 224749 22998 40710 40710 377850 377850 662652 662652 271116 271116 PRECRIPTION COST 2815280 2815280 PROGRAM EXPENSE 1064956 1060645 4311 BAD DEBTS 945538 945538 STAFF TRAINING 167007 165020 1987 495414 484900 10514 17648922 17605552 43370 0 322011 15739 560722 342175 2430720 2794062 22066 19344148 8605270 11394945 10738878 9533 10292 109908 82431 203690 203690 15053595 14187267 1495424 262604 8321 10427917 10137917 4796759 6962054 16728421 17362575 X -1824826 -3325308 150000 150000 -1674826 -3175308 15053595 14187267 -1500482 0 X X 0 1 X 1 1 1 X 3123135 3679745 3637819 4019581 42784557 57244837 12688411 14975622 18824223 12702976 11813267 71004499 15811546 18655367 22462042 16722557 54597824 128249336 0 0 0 128249336 1379 801 574 2754 1379 801 574 2754 72238 68108 62365 56716 259427 15812925 18728406 22530724 16784922 54654540 128511517 0.99800 0.99620 0.00000 0.00020 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER - 2015 AMOUNT: $ 18,734. 2016 AMOUNT: $ 7,550. 2017 AMOUNT: $ 2,783. 2018 AMOUNT: $ 759. ADULT DAY CARE - PTAR - INSURANCE PROGRAM - 2015 AMOUNT: $ 53,504. 2016 AMOUNT: $ 60,558. 2017 AMOUNT: $ 59,582. 2018 AMOUNT: $ 55,957. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 960000 960000 13032751 4008755 9023996 2846133 2846133 0 1931558 1279805 651753 573706 470577 103129 10738878 DUE TO RELATED PARTIES 6962054 6962054 X 51274097 35126416 35126416 16147681 759 759 16148440 53285943 36382558 36382558 16903385 745537 745537 17648922 PART X, LINE 2: MANAGEMENT HAS EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE CONSOLIDATED FINANCIAL STATEMENTS. GENERALLY, THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY FEDERAL, STATE AND LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2016. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT EXPENSE -745,537. RELATED ORGANIZATION REVENUE 37,900,323. RELATED ORGANIZATION ELIMINATIONS -2,028,370. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT GAIN FROM HARLEM UNITED HCH LLC 759. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION EXPENSE 38,410,928. RELATED ORGANIZATION ELIMINATIONS -2,028,370. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT EXPENSE 745,537. 0 0 0 0 0 0 0 0 0 JACQUELYN KILMER CHIEF EXECUTIVE OFFICER 0 237688 0 0 0 258 0 9612 0 13850 0 261408 0 0 TAMISHA MCPHERSON EXCUTIVE DIRECTOR 172841 0 0 0 90 0 7435 0 35191 0 215557 0 0 0 SEUNG H KANG MEDICAL DIRECTOR 166495 0 0 0 72 0 0 0 27814 0 194381 0 0 0 VERA ANTONIOS CHIEF MEDICAL DIRECTOR 222436 0 0 0 90 0 9212 0 40716 0 272454 0 0 0 FORM 990, PART IV: THE ORGANIZATION IS LICENSED UNDER ARTICLE 28 OF NEW YORK STATE PUBLIC HEALTH LAW. HOWEVER, SUBSECTION 10 OF ARTICLE 28 EXCLUDES CERTAIN HEALTHCARE FACILITIES FROM THE DEFINITION OF GENERAL HOSPITAL. THEREFORE, THE ORGANIZATION IS NOT INCLUDING SCHEDULE H IN THE CURRENT YEAR FORM 990, AS THEY DO NOT MEET THE DEFINITION. FORM 990, PART VI, SECTION A, LINE 3 ORGANIZATION OUTSOURCED ALL ITS FISCAL AND ACCOUNTING SERVICES. BTQ IS HANDLING ALL THE FISCAL AND ACCOUNTING SERVICES INCLUDING THE CFO ROLE. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE MEMBER, HARLEM UNITED COMMUNITY AIDS CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS ONE MEMBER, HARLEM UNITED COMMUNITY AIDS CENTER, INC., WHICH HAS THE RIGHT TO ELECT DIRECTORS TO/FROM THE ORGANIZATION'S BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION HAS ONE MEMBER, HARLEM UNITED COMMUNITY AIDS CENTER, INC., WHICH HAS THE RIGHT TO ELECT DIRECTORS TO/FROM THE ORGANIZATION'S BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PREPARED BY AN INDEPENDENT ACCOUNTANT AND IS REVIEWED BY THE CEO, COMPLIANCE OFFICER AND SHARED WITH THE FULL BOARD PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C IT 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 DETERMINATED TO EXIST. ON AN ANNUAL BASIS, OFFICERS AND DIRECTORS ARE REQUIRED TO SIGN CONFLICT OF INTEREST DISCLOSURE STATEMENTS. IF A POTENTIAL CONFLICT ARISES THE SUPERVISOR AND/OR HUMAN RESOURCES WILL RESOLVE THE CONFLICT. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART VII: PLEASE NOTE THAT THE HOURS FOR PART VII ARE PAYROLL HOURS. ACTUAL HOURS WORKED FOR VARIOUS ENTITIES ARE HIGHER THAN PAYROLL HOURS. FORM 990, PART VI, SECTION B, LINES 13, 14: THE ORGANIZATION FOLLOWS THE POLICIES OF ITS PARENT COMPANY HARLEM UNITED, AND HAS NOT FORMALLY ADOPTED THEM AS THEIR OWN POLICIES. HARLEM UNITED COMMUNITY AIDS CENTER INC 306 LENOX AVENUE NEW YORK NY 10027 133461695 HEALTHCARE NY 501(C)(3) LINE 7 N/A 0 THE FOUNDATION FOR RESEARCH ON SEXUALLY TRANSMITTED DISEASES 306 LENOX AVENUE NEW YORK NY 10027 133387630 HEALTHCARE NY 501(C)(3) LINE 7 HARLEM UNITED COMMUNITY AIDS CENTER INC 0 HARLEM UNITED SUPPORTIVE HOUSING DEVELOPMENT FUND CORPORATION 306 LENOX AVENUE NEW YORK NY 10027 450496248 RENTAL REAL ESTATE NY 501(C)(3) LINE 10 HARLEM UNITED COMMUNITY AIDS CENTER INC 0 NORTH GENERAL AIDS HOUSING DEVELOPMENT FUND CORP INC 306 LENOX AVENUE NEW YORK NY 10027 133737001 HOUSING NY 501(C)(3) LINE 7 HARLEM UNITED COMMUNITY AIDS CENTER INC 0 HARLEM UNITED HCH LLC 306 LENOX AVENUE NEW YORK NY 10027 455252111 SPECIAL PURPOSE ENTITY NY HARLEM UNITED COMMUNITY AIDS CENTER EXCLUDED 0 0 0.01000 HU 124TH STREET SUPPORTIVE HOUSING INC 306 LENOX AVENUE 3RD FLOOR NEW YORK NY 10027 371514269 HOUSING NY N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0