2014-05-14T14:12:32-05:00 2013-06-30 113266576 GRASSI & CO CPA'S PC 50 JERICHO QUADRANGLE JERICHO NY 11753 990 2012-07-01 112482974 QSAC INC QSAC 2122445560 253 WEST 35TH STREET 16TH FLOOR NEW YORK NY 10001 GARY A MAFFEI 2122445560 2014-05-14 1 DAVID ROTTKAMP P01303468 5162563500 2012 2015-11-30 17:44:51Z GARY A MAFFEI 253 WEST 35TH STREET 16TH FLOOR NEW YORK NY 10001 43612623 0 X HTTP://WWW.QSAC.COM/ X 1978 NY PROVIDE SOCIAL SERVICES AND EDUCATION TO PERSONS WITH AUTISM SPECTRUM DISORDER. 15 15 1240 23 0 0 224218 444724 36651714 42158306 79380 96700 477746 846255 37433058 43545985 351009 428122 0 0 29712950 34374311 0 0 138629 7038725 8534898 37102684 43337331 330374 208654 17511332 25165273 14794675 22239962 2716657 2925311 X BUILD THE CAPACITY AND SKILLS OF INDIVIDUALS, FAMILIES, COMMUNITY AGENCIES AND PROFESSIONALS TO HELP INDIVIDUALS WITH AN AUTISM SPECTRUM DISORDER REALIZE OPPURTUNITIES FOR INDEPENDENCE, SELF-RELIANCE AND SUCCESSFUL COMMUNITY INCLUSION. (CONT'D ON SCHEDULE O)(CONT'D FROM PAGE 2) PROVIDE LEADERSHIP IN THE DEVELOPMENT AND DELIVERY OF SERVICES THAT ARE MARKED BY EXCELLENCE AND FLEXIBILITY AND ARE GROUNDED IN EVIDENCE-BASED TREATMENTS AND BEST PRACTICES. RAISE AWARENESS AND UNDERSTANDING OF AUTISM SPECTRUM DISORDERS AND PROMOTE THE RIGHTS OF ALL INDIVIDUALS TO BE TREATED WITH DIGNITY AND RESPECT. ENSURE TRANSPARENCY AND ACCOUNTABILITY TO ALL OF OUR STAKEHOLDERS FOR THE BEST USE OF RESOURCES. 0 0 16080402 17280792 THE QSAC DAY HABILITATION PROGRAM IS A PERSON-CENTERED PROGRAM THAT HELPS DEVELOP CONSUMER CHOICE AND THE SKILLS NECESSARY FOR INDIVIDUALS TO LEARN TO BECOME ACTIVE AND PARTICIPATING MEMBERS OF THEIR OWN HOMES AND COMMUNITIES. EACH PARTICIPANT'S INDIVIDUAL FUNCTIONING LEVEL IS CONTINUALLY ASSESSED AND PROGRAMS AND GOALS ARE DEVELOPED THAT SUIT EVERY INDIVIDUAL'S NEEDS. PARTICIPANTS IN THE DAY HABILITATION PROGRAM WORK ON TARGETED GOALS AND BEHAVIORS SUCH AS ADAPTIVE LIVING, COMMUNICATION AND FOOD PREPARATION SKILLS AND THE ELIMINATION OF INAPPROPRIATE BEHAVIORS (SUCH AS AGGRESSION). PART OF EACH PARTICIPANT'S DAY IS SPENT IN THE COMMUNITY WHERE PARTICIPANTS DEVELOP A MORE PRODUCTIVE ROLE IN SOCIETY. (CONT'D ON SCHEDULE O)(CONT'D FROM PAGE 2) THE DAY HABILITATION PROGRAM IS OPEN TO INDIVIDUALS 21 YEARS OF AGE OR OVER WHO ARE DIAGNOSED WITH AUTISM OR PERVASIVE DEVELOPMENTAL DISORDER. THE PROGRAM OPERATES MONDAY THROUGH FRIDAY, YEAR ROUND, BETWEEN THE HOURS OF 8:30 AM TO 2:30 PM. SUPERVISED TRANSPORTATION TO AND FROM THE PROGRAM IS PROVIDED. 12855653 226975 14642167 QSAC RESIDENTIAL PROGRAMS FEATURE BOTH INDIVIDUALIZED RESIDENTIAL ALTERNATIVES AND INTERMEDIATE CARE FACILITIES THAT OFFER HOME ENVIRONMENTS THAT FOSTER INDEPENDENCE, COMMUNITY INTEGRATION, INDIVIDUALIZATION AND PRODUCTIVITY. EACH INDIVIDUAL RESIDING IN A QSAC RESIDENCE IS PROVIDED WITH OPPORTUNITIES TO PARTICIPATE IN MEANINGFUL ADULT ROLES AND DEVELOP SOCIAL RELATIONSHIPS WHILE AT THE SAME TIME EMPHASIZING INDIVIDUAL CHOICE. EACH RESIDENT ENJOYS VARIOUS RECREATIONAL AND SOCIAL ACTIVITIES ON A REGULAR BASIS. EACH RESIDENT IS ALSO INVOLVED IN EVERY FACET OF THEHOME ENVIRONMENT, INCLUDING COOKING THEIR OWN MEALS, SHOPPING FOR FOOD AND HOUSEHOLD SUPPLIES, AND DOING REGULAR HOUSEHOLD CHORES. (CONT'D ON SCHEDULE O) (CONT'D FROM PAGE 2)THE GOAL OF QSAC'S RESIDENTIAL PROGRAMS IS TO CREATE A NURTURING ENVIRONMENT THAT PROMOTES PERSONAL GROWTH AND A SENSE OF DIGNITY IN EACH OF OUR RESIDENTS. 6741322 7233443 THE PRESCHOOL AND SCHOOL PROGRAMS PROVIDE A COMPREHENSIVE EDUCATION FOR CHILDREN 3 - 21 YEARS OLD ON THE AUTISM SPECTURM USING THE PRINCIPLES OF APPLIED BEHAVIOR ANALYSIS. THE PROGRAMS ARE FULL DAY AND OPERATE 12 MONTHS A YEAR. THE SCHOOL HAS A 6:1:3 CHILD TO STAFF RATIO AND THE PRESCHOOL HAS 6:1:3, 8:1:2, AND 12:1:2 RATIOS. THE AFTER SCHOOL PROGRAM IS A THERAPEUTIC, BEHAVIORAL-ORIENTED PROGRAM USING THE SAME PRINCIPLES OF APPLIED BEHAVIOR ANALYSIS. THE MISSION OF THE PROGRAM IS TO IMPROVE THE BEHAVIORAL AND SOCIAL FUNCTIONING OF EACH STUDENT. CHILDREN RANGE IN AGE FROM 8-21. 2538319 201147 3001904 SERVICE COORDINATION AND OTHER SERVICES 2538319 201147 3001904 38215696 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 138 0 1 1240 1 0 0 0 0 0 1 1 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 X P NARANJO 2122445560 253 WEST 35TH STREET NEW YORK NY 10001 Y WATTS 1.00 X X 0 0 0 J SILBER 1.00 X X 0 0 0 P HALVATZIS 1.00 X X 0 0 0 E METALIOS ESQ 1.00 X X 0 0 0 D PARISY 1.00 X X 0 0 0 L FOSTER 1.00 X 0 0 0 D GUARINO 1.00 X 0 0 0 G LOUIS 1.00 X 0 0 0 P MAHOTRA 1.00 X 0 0 0 H CAPELL 1.00 X 0 0 0 R KOVEN 1.00 X 0 0 0 L LITWACK 1.00 X 0 0 0 R PONSOLLE 1.00 X 0 0 0 S RIBACK 1.00 X 0 0 0 M SERAO 1.00 X 0 0 0 G MAFFEI 35.00 X 357511 0 113828 P NARANJO 35.00 X 151428 0 57136 C POLSHANSKY 35.00 X 182359 0 50517 L VEGLIA 35.00 X 182797 0 51371 M CHOI 35.00 X 123521 0 27850 A LINDEN 35.00 X 105838 0 28908 V RAMSAY 35.00 X 101724 0 25348 1205178 0 354958 7 0 1 0 RCM TECHNOLOGIES 575 8TH AVE NEW YORK NY 10018 SPEECH THERAPY 104936 1 259996 184728 444724 HABILITATION SERVICES 900099 17280792 17280792 RESIDENTIAL SERVICES 900099 14642167 14642167 EDUCATIONAL SERVICES 900099 7233443 7233443 SERVICE COORDINATION AND OTHER 900099 3001904 3001904 42158306 96700 96700 98275 259996 66638 31637 31637 RECONCILED HEALTHCARE I, PART I & 900099 537295 537295 277323 277323 814618 43545985 42158306 0 942955 428122 428122 1354908 13496 1341412 24968311 23287771 1598447 82093 290235 253096 37139 5842041 5270263 553273 18505 1918816 1773285 139247 6284 34561 2355 32206 89533 89533 38955 38955 338543 285004 48824 4715 96099 47795 38937 9367 1213664 955206 245132 13326 458973 375959 83014 3030668 2539608 491060 247879 180862 66971 46 39990 29312 10558 120 272321 233310 39011 434229 408405 22036 3788 702555 623720 78835 CONSUMER RELATED EXPENS 1341240 1331456 9399 385 BAD DEBT EXPENSE 103468 90098 13370 MEDICAL SUPPLIES 44379 44287 92 MISCELLANEOUS EXPENSE 38124 33252 4872 9717 9034 683 43337331 38215696 4983006 138629 19829 14382 3881770 6079834 5422470 5529843 2951724 3238809 15237603 5969271 4322839 9268332 173144 315703 739556 718370 17511332 25165273 7120987 8312987 1175713 1306967 2041198 1716198 1690165 8652810 2766612 2251000 14794675 22239962 X 2545840 2725922 170817 199389 2716657 2925311 17511332 25165273 208654 0 X X 0 1 X 1 0 X 432937 1349431 288546 224218 444724 2739856 432937 1349431 288546 224218 444724 2739856 2739856 78503 51275 40576 79380 96700 346434 63489 57936 39936 376498 814618 1352477 4438767 137227005 0.61730 0.77510 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 38955 0 0 38955 0 996420 996420 9715892 2571417 7144475 2316522 1464250 852272 1230974 1123199 107775 977795 810405 167390 9268332 DUE TO GOVERNMENT AGENCIES 2251000 2251000 X 44250909 704924 704924 43545985 0 43545985 44042255 704924 704924 43337331 0 43337331 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE ORGANIZATION HAS ADOPTED THE PROVISIONS PERTAINING TO UNCERTAIN TAX PROVISIONS (FASB ASC TOPIC 740) AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. ANNUAL GALA 239614 154714 84900 33250 20844 BOWL-A-THON FOR AUTISM 2013 32077 32077 2172 4 86580 73205 13375 5250 5122 358271 259996 98275 40672 25966 66638 31637 0 GRANTS / ASSISTANCE 489 428122 SCHEDULE I, PART I, LINE 2: THE ASSISTANCE IS BROKEN DOWN BETWEEN TWO PROGRAMS - $226,975 FOR THE RESIDENTIAL PROGRAM. THIS PART REPRESENTS THE PERSONAL ALLOWANCE AND CLOTHING ALLOWANCE THAT EACH INDIVIDUAL LIVING IN OUR RESIDENTIAL FACILITIES IS ENTITLED TO THROUGH OUT THE YEAR. THESE MONIES ARE PAID TO OUR 94 COSUMERS (RESIDENTS) ON A MONTHLY BASIS FOR THE P/A, AND EVERY 6 MONTHS FOR THE C/A GUIDLINES GOVERNING THESE FUNDS COME FROM THE STATE MENTAL HYGIENCE LAW. THE REMAINING GRANT IN THE AMOUNT OF $201,147 IS FOR SERVICE COORDINATION AND OTHER SERVICES PROGRAM. X X X 0 1 0 0 0 0 0 0 0 G MAFFEI 200422 0 0 0 157089 0 113828 0 0 0 471339 0 136400 0 P NARANJO 133545 0 0 0 17883 0 53884 0 3252 0 208564 0 0 0 C POLSHANSKY 173077 0 0 0 9282 0 49515 0 1002 0 232876 0 0 0 L VEGLIA 173675 0 0 0 9122 0 51191 0 180 0 234168 0 0 0 M CHOI 110836 0 0 0 12685 0 26496 0 1354 0 151371 0 0 0 SUPPLEMENTAL INFORMATION PART III PART I, LINE 4B: THE FOLLOWING EMPLOYEES HAD PAYMENTS MADE TO 457F PLANS DURING THE 2012/2013 CALENDAR YEAR. THESE FUNDS REMAIN ASSETS OF THE EMPLOYER UNTIL RETIREMENT AGE OF THE EMPLOYEE. G MAFFEI: $66,328* P NARANJO: $27,928 C POLSHANSKY: $10,839 L VEGLIA: $11,993 M CHOI: $10,599** * G MAFFEI'S AMOUNT REPRESENTS A CURRENT CONTRIBUTION AND A CATCH UP AMOUNT ** 403B DISCRETIONARY CONTRIBUTION PART II B(III) INCLUDES AMOUNTS FOR IMPUTED INCOME ADDED TO EMPLOYEES' SALARY FOR VEHICLE USAGE, LIFE INSURANCE, ETC. PART II B(III) AND F INCLUDE A 457F PARTIAL DISTRIBUTION. A NEW YORK CITY INDUSTRIAL DEVELOPMENT AGENCY SERIES 2004 132906040 2004-08-19 395000 FUNDING PROPERTY/EQUIPMENT 0 0 0 B NASSAU COUNTY INDUSTRIAL DEVELOPMENT AGENCY SERIES 2006 2006-06-15 840000 FUNDING PROPERTY/EQUIPMENT 0 0 0 C NEW YORK CITY INDUSTRIAL DEVELOPMENT AGENCY SERIES 2000 2000-08-17 1787000 FUNDING PROPERTY/EQUIPMENT 0 0 0 D NASSAU COUNTY INDUSTRIAL DEVELOPMENT AGENCY SERIES 2002 2002-06-01 726400 FUNDING PROPERTY/EQUIPMENT 0 0 0 A 2006 0 0 0 0 B 2008 0 0 0 0 C 2000 0 0 0 0 D 2002 0 0 0 0 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 A 1 0 0 0 0 0 B 1 0 0 0 0 0 C 1 0 0 0 0 0 D 1 0 0 0 0 0 A NEW YORK CITY INDUSTRIAL DEVELOPMENT AGENCY SERIES 2002 2002-06-17 3245700 FUNDING PROPERTY/EQUIPMENT 0 0 0 A 2002 0 0 0 0 A 0 0 0 0 0 0 0 A 1 0 0 0 0 0 X 120 CATALOG X 28938 CATALOG X 2 484 FAIR MARKET VALUE X 1 23000 APPRAISAL X 30 175 FAIR MARKET VALUE X EVENT TICKETS 11984 X GASOLINE 500 LISTED PRICE X SERVICES 1 1750 LISTED PRICE X TECHNOLOGY 14 4936 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED BY MANAGEMENT AND THEN PRESENTED TO THE BOARD OF DIRECTORS, PRIOR TO SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C A CERTIFICATE OF DISCLOSED CONFLICTS, IF ANY, IS SIGNED ANNUALLY BY THE BOARD OF DIRECTORS, AND EXECUTIVE MANAGEMENT. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS DETERMINED BY COMPARISON OF 990'S, INDUSTRY SURVEYS, AND APPROVED BY THE BOARD OF DIRECTORS AND DECISIONS DOCUMENTS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ONLINE. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR.