2014-11-14T07:45:29-06:00 2013-12-31 990 2013-01-01 133464470 HELP PSI INC HELP 7186818700 1401 UNIVERSITY AVENUE BRONX NY 10452 EVAN ZUCKERMAN CFO 7186818700 2014-11-13 1 P00851654 2122970400 2013 2015-11-30 17:44:51Z PAUL VITALE 1401 UNIVERSITY AVENUE BRONX NY 10452 35160990 0 X WWW.PROJECTSAMARITAN.ORG X 1988 NY HELP/PSI DELIVERS HIGH QUALITY CARE TO ITS PATIENTS INFECTED OR AT RISK FOR HIV. PATIENTS ARE TREATED WITH DIGNITY AND RESPECT AND FOSTER CONTINUITY OF CARE BETWEEN THE PATIENT AND PROVIDER. 12 12 447 13 0 0 479629 433740 26962949 34330095 3158 4397 46280 392758 27492016 35160990 0 0 0 0 14675470 17952234 0 0 0 12875384 17917044 27550854 35869278 -58838 -708288 29636362 29253189 15357752 15382867 14278610 13870322 HELP/PSI IS A MULTI-FACETED HEALTH CARE ORGANIZATION SPECIALIZING IN HIV/AIDS AND SUBSTANCE ABUSE. 0 0 31103883 35160990 THE FACILITY PROVIDES CARE FOR PEOPLE WITH THE VIRUS THAT CAUSES AIDS. THE CARE INCLUDES MEDICAL AND SOCIAL SERVICE CARE. THE FACILITY PROVIDES RESIDENTIAL HEALTHCARE AND CARE COORDINATION AS WELL AS AIDS ADULT DAY CARE SERVICES 31103883 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 251 0 1 447 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 0 0 NY X EVAN ZUCKERMAN CFO 7186818700 1401 UNIVERSITY AVENUE BRONX NY 10452 CAROLYN ABERNATHY BOARD MEMBER 1.00 X 0 0 0 CHARLENE BUTTERFIELD SECRETARY 1.00 1.00 X X 0 0 0 CHARLES MILLER BOARD MEMBER 1.00 1.00 X 0 0 0 DREW CARTER BOARD MEMBER 1.00 1.00 X 0 0 0 ERIKA STEVENS BOARD MEMBER 1.00 1.00 X 0 0 0 FRANCINE COURNOS BOARD MEMBER 1.00 1.00 X 0 0 0 JAMES CAMERON TREASURER 1.00 1.00 X X 0 0 0 JOHN RUSSELL BOARD CHAIR 1.00 1.00 X X 0 0 0 LISA GAYE-ROBINSON VICE CHAIRPERSON 1.00 1.00 X X 0 0 0 MARGARET BROOKS BOARD MEMBER 1.00 1.00 X 0 0 0 MARIA CUOMO-COLE BOARD MEMBER 1.00 X 0 0 0 SHELDON KUPPER BOARD MEMBER 1.00 1.00 X 0 0 0 STEVEN FLANAGAN BOARD MEMBER 1.00 1.00 X 0 0 0 THOMAS KENNEDY BOARD MEMBER 1.00 1.00 X 0 0 0 ALAN D ZUCKERMAN SR VP OF FINANCE 28.13 9.38 X 231813 0 51392 CAROL MURPHY CHIEF OPERATING OFFICER 28.13 9.38 X 307729 0 21557 EVAN ZUCKERMAN CHIEF FINANCIAL OFFICER 28.13 9.38 X 132581 0 22028 PAUL D VITALE PRESIDENT AND CEO 28.13 9.38 X 438388 0 73737 BARBARA ZELLER CHIEF CLINICAL OFFICER 28.13 9.38 X 294746 0 34660 JONATHAN ZELLAN REGIONAL MEDICAL DIRECTOR 5.00 32.50 X 180722 0 37629 KARAMCHAND RAMESHWAR DIRECTOR OF PSYCHIATRY 5.00 32.50 X 207395 0 31558 PATRICIA C WILLIAMS VP, CLINICAL OPERATION 5.00 32.50 X 141363 0 27862 ROBERTA KELLY VP, PRACTICE MANAGEMENT 5.00 32.50 X 147525 0 21438 THOMAS PERRON PSYCHIATRIC NURSE PRACTIONER 5.00 32.50 X 141479 0 25892 2223741 0 347753 23 0 1 0 TASTY ENTERPRISES 809 WEST 181ST STREET NEW YORK NY 10033 FOOD SERVICE 2308821 MCDERMOTT WILL AND EMERY 340 MADISON AVE NEW YORK NY 10173 LEGAL 501810 LOEB & TROPER 655 THIRD AVENUE NEW YORK NY 10017 ACCOUNTING AND AUDITING 218309 MANATT PHELPS & PHILLIPS LLP 700 12TH ST NW 1100 WASHINGTON DC 20005 LEGAL 177420 HOWE-LEWIS INTERNATIONAL 450 7TH AVE 2009 NEW YORK NY 10123 RECRUITMENT 116537 14 433740 433740 MEDICAID 621110 29977151 29977151 MEDICAID MANAGED CARE 621110 3992740 3992740 NYS STATE UNCOMPENSATED CARE 621110 335454 335454 SELF-PAY 621110 24750 24750 34330095 4397 4397 303276 0 303276 303276 303276 SANDY INSURANCE CLAIM 900099 89482 89482 89482 35160990 34722853 0 4397 X 1608631 1457338 151293 12726794 11577109 1149685 597863 526287 71576 1378869 1213791 165078 1640077 1443728 196349 55148 1421 53727 620795 620795 146879 146879 3943126 3627752 315374 1119523 789932 329591 25920 25920 2044191 1627840 416351 717039 609410 107629 137820 28952 108868 605831 355073 250758 1212805 1134015 78790 229588 225538 4050 BAD DEBT 2925605 2594974 330631 0 PROGRAM ACTIVITIES 1788785 1788640 145 0 REPAIRS AND MAINTENANCE 1270314 1220359 49955 0 HOUSEKEEPING 325374 279232 46142 0 748301 576572 171729 35869278 31103883 4765395 0 221971 146506 4324986 7897979 5421771 4291391 424190 364904 27656872 13545978 14400068 14110894 50000 281995 4793376 2159520 29636362 29253189 3257243 4193737 8960831 691667 9291680 294306 2153705 1897450 15357752 15382867 X 14278610 13870322 14278610 13870322 29636362 29253189 X -708288 300000 X X 0 1 X 1 1 1 X 342559 238065 467976 479629 433740 1961969 23788679 27317761 28569938 26962949 34330095 140969422 24131238 27555826 29037914 27442578 34763835 142931391 0 0 0 142931391 6577 4367 3706 3158 307673 325481 6577 4367 3706 3158 307673 325481 11925 5610 10857 88054 89482 205928 24149740 27565803 29052477 27533790 35160990 143462800 0.99630 0.99920 0.00230 0.00020 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2009 AMOUNT: $ 11,925. 2010 AMOUNT: $ 5,610. 2011 AMOUNT: $ 10,857. 2012 AMOUNT: $ 88,054. 2013 AMOUNT: $ 89,482. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 168482 168482 19085438 9405095 9680343 2982422 1469705 1512717 5420530 2671178 2749352 14110894 DEFERRED FINANCING COSTS 756400 SECURITY DEPOSITS 229069 DUE FROM RELATED PARTY 1174051 2159520 DUE TO THIRD PARTY 964705 DEPOSIT ON SALE OF NURSING HOME LICENSED BEDS 462696 DEFERRED RENT 470049 1897450 X 45195263 10034273 10034273 35160990 0 35160990 43295629 10021325 10021325 33274304 2594974 2594974 35869278 PART X, LINE 2: THE HELP/PSI INC. WAS INCORPORATED AS A NOT-FOR-PROFIT ENTITY UNDER THE LAWS OF THE STATE OF NEW YORK AND ARE EXEMPT FROM INCOME TAXES UNDER THE PROVISIONS OF THE INTERNAL REVENUE CODE SECTION 501(C)(3). IN ADDITION, THE ORGANIZATION IS NOT CLASSIFIED AS A PRIVATE FOUNDATION. 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 2010. PART XI, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION REVENUES 12,970,573. INTERCOMPANY ELIMINATION -341,326. BAD DEBT -2,594,974. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION EXPENSES 10,362,651. INTERCOMPANY ELIMINATION -341,326. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 2,594,974. X X X 0 0 0 0 0 0 0 1 0 ALAN D ZUCKERMAN SR VP OF FINANCE 208508 0 15139 0 8166 0 24621 0 26771 0 283205 0 0 0 CAROL MURPHY CHIEF OPERATING OFFICER 256770 0 45153 0 5806 0 21079 0 478 0 329286 0 0 0 EVAN ZUCKERMAN CHIEF FINANCIAL OFFICER 128537 0 2000 0 2044 0 0 0 22028 0 154609 0 0 0 PAUL D VITALE PRESIDENT AND CEO 368443 0 65235 0 4710 0 48113 0 25624 0 512125 0 0 0 BARBARA ZELLER CHIEF CLINICAL OFFICER 253520 0 33950 0 7276 0 25979 0 8681 0 329406 0 0 0 JONATHAN ZELLAN REGIONAL MEDICAL DIRECTOR 179451 0 1091 0 180 0 13103 0 24526 0 218351 0 0 0 KARAMCHAND RAMESHWAR DIRECTOR OF PSYCHIATRY 206421 0 142 0 832 0 14760 0 16798 0 238953 0 0 0 PATRICIA C WILLIAMS VP, CLINICAL OPERATION 135736 0 5090 0 537 0 8782 0 19080 0 169225 0 0 0 ROBERTA KELLY VP, PRACTICE MANAGEMENT 136344 0 11087 0 94 0 8421 0 13017 0 168963 0 0 0 THOMAS PERRON PSYCHIATRIC NURSE PRACTIONER 141375 0 104 0 0 0 12946 0 12946 0 167371 0 0 0 PART I, LINE 7 CERTAIN INDIVIDUALS RECEIVED BONUSES BASED ON PERFORMANCE WHICH WERE VOTED ON BY THE BOARD OF DIRECTORS. THESE AMOUNTS WERE INCLUDED IN THE INDIVIDUALS W-2'S, AND ARE SHOWN ON SCH J, PART II, COLUMN B(II). A NEW YORK CITY INDUSTRIAL DEVELOPMENT AGENCY 132906040 64971C7F5 2006-01-25 11872915 REFINANCING 0 0 0 A 11872915 237458 11635457 2006 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 HELP PSI SERVICE CORP IS THE SOLE MEMEBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A AS THE SOLE MEMBER HELP PSI SERVICE CORP SHALL HAVE THE POWER TO APPOINT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 THE INDEPENDENT ACCOUNTING FIRM PRESENTS THE COMPLETED 990 TO THE FINANCE COMMITTEE PRIOR TO FILING FOR REVIEW. ALL FINANCE COMMITTEE MEMBERS LED BY THE CHAIRMAN REVIEW THE DATA AND MAKE ANY NECESSARY CHANGES. COPIES ARE THEN DISTRIBUTED TO THE FULL BOARD FOR COMMENTS AND EDITS BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED WITH THE BOARD ANNUALLY BY HELP/PSI'S COUNCIL. BOARD MEMBERS AND OFFICERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. THERE IS A COMPLIANCE PROGRAM THAT MEETS STANDARDS ESTABLISHED BY THE NEW YORK STATE DEPARTMENT OF HEALTH AND COMPLIANCE OFFICER THAT MONITORS ADHERENCE. COUNSEL REVIEWS ANY POTENTIAL CONFLICT OF INTEREST PERSON WITH CONFLICT IS EXCUSED FROM THE DISCUSSION. FORM 990, PART VI, SECTION B, LINE 15A AN INDEPENDENT CONSULTANT WAS ENGAGED TO REVIEW THE COMPENSATION OF THE CEO. THE EXECUTIVE COMMITTEE REVIEWED THE REPORT AND SUBMITTED THEIR RECOMMENDATIONS TO THE BOARD. THIS WAS LAST COMPLETED IN 2012 FOR HELP/PSI INC. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE AVAILABLE BY REQUEST. FORM 990, PART IX, LINE 11G CONSULTANTS: PROGRAM SERVICE EXPENSES 1,217,486. MANAGEMENT AND GENERAL EXPENSES 267,690. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,485,176. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 642,416. MANAGEMENT AND GENERAL EXPENSES 47,684. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 690,100. PROGRAM CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,767,850. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,767,850. FORM 990, PART XI, LINE 9: REVERSAL OF INTERCOMPANY ALLOWANCE 300,000. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART VII: HIGHEST COMPENSATED INDIVIDUALS KARAMCHAND RAMESHWAR, JONATHAN ZELLAN, ROBERTA KELLY, PATRICIA C. WILLIAMS, AND THOMAS PERRONARE ARE COMPENSATED FOR WORK PREFORMED FOR HELP/PSI SERVICE CORPORATION (A RELATED NOT FOR PROFIT ENTITY). HOWEVER, THEIR W-2'S ARE FILED UNDER THE HELP/PSI INC, EMPLOYER IDENTIFICATION NUMBER. HELPPSI SERVICE CORP 1401 UNIVERSITY AVENUE BRONX NY 10452 134118387 HEALTHCARE NY 501(C)(3) LINE 11A, I N/A 0 0 0 0 1 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0