2024-05-09T14:59:29-05:00 2023-06-30 221478099 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 990 2022-07-01 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 2024-05-09 1 TAMISHA MCPHERSON 999009999 1 LORI ROTHE YOKOBOSKY CPA P01273422 2122970400 2024-05-06 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z TAMISHA MCPHERSON 306 LENOX AVENUE NEW YORK NY 10027 16271977 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 CARE SERVICES, PRIMARY CARE SERVICES AND BEHAVIORAL HEALTH SERVICES TO MEDICALLY UNDERSERVED POPULATION, INCLUDING HOMELESS INDIVIDUALS IN CENTRAL HARLEM NEIGHBORHOOD OF MANHATTAN AND THE SURROUNDING AREAS. 14 14 117 14 0 0 6368331 4452446 10627062 11782423 0 0 80487 37108 17075880 16271977 0 0 0 0 8987898 8028449 0 0 0 8260603 8136420 17248501 16164869 -172621 107108 11223568 11265627 5101660 5036611 6121908 6229016 X THE MISSION OF THE UPPER ROOM AIDS MINISTRY , INC ADULT DAY HEALTHCARE CENTER SHALL BE TO PROVIDE ADULT DAY CARE SERVICES, PRIMARY CARE SERVICES AND BEHAVIORAL HEALTH SERVICES TO MEDICALLY UNDERSERVED POPULATION, INCLUDING HOMELESS INDIVIDUALS IN CENTRAL HARLEM NEIGHBORHOOD OF MANHATTAN AND THE SURROUNDING AREAS. 0 0 16164869 11819531 THE CENTER PROVIDES PRIMARY CARE, ADULT DAY HEALTH CARE, AND MENTAL HEALTH AND SUBSTANE ABUSE SERVICES TO THE MEDICALLY UNDERSERVED TARGETING PEOPLE LIVING WITH AIDS, AND HOMELESS INDIVIDUALS IN HARLEM, NEW YORK. 16164869 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 0 117 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 1 0 NY X BTQ FINANCIAL LLC 2129012500 115 BROADWAY 19TH FLOOR NEW YORK NY 10006 ALICIA MAYS MEMBER 1.00 X 0 0 0 ANTHONY RANDOLPH PROGRAM AND QUALITY - CHAIR 1.00 X 0 0 0 BRIAN WEST MEMBER 1.00 X 0 0 0 DAVE WHITE TREASURER 1.00 X X 0 0 0 DOUGLAS DUKEMAN BY-LAWS CHAIR/SECRETARY 1.00 X X 0 0 0 DR MICHAEL PEREZ MEMBER 1.00 X 0 0 0 ELLEN SANDERS MEMBER 1.00 X 0 0 0 GINA THOMAS MEMBER 1.00 X 0 0 0 JACQUELYN KILMER CHIEF EXECUTIVE DIRECTOR 15.00 20.00 X 0 318394 4327 JONATHAN OLIVER MEMBER 1.00 X 0 0 0 MARY MILTON MEMBER 1.00 X 0 0 0 RAYMOND VERREY BOARD CHAIR 1.00 X X 0 0 0 SHAKIRA STEVENS MEMBER 1.00 X 0 0 0 SHINAIKA PHILLIPS MEMBER 1.00 X 0 0 0 WILLIAM SMITH-RIVERA VICE -CHAIR 1.00 X X 0 0 0 TAMISHA MCPHERSON EXECUTIVE DIRECTOR 25.00 10.00 X 220929 0 19269 ALEXANDRA E FRANKEL DENTAL DIRECTOR 35.00 X 150066 0 30600 JAMIE CARTER DENTIST 35.00 X 138615 0 20259 MICHAEL RUSTIN VP OF ADHC WEST & HH 35.00 X 136509 0 10859 STEPHANIE YOUNG-GEYE NURSE PRACTITIONER 35.00 X 147953 0 7921 THOMAS MARINO CHIEF TRANSFORMATION OFFICER 35.00 X 216362 0 35625 1010434 318394 128860 14 0 1 0 0 4095202 357244 4452446 MEDICAID 621300 4799177 4799177 340B PHARMACY 621300 3726661 3726661 340B-NYRX REINVESTMENT 621300 1392356 1392356 OTHER THIRD-PARTY 621300 658751 658751 MEDICARE 621300 629524 629524 575954 575954 11782423 37108 37108 37108 16271977 11819531 0 0 240585 240585 6018266 6018266 136700 136700 858914 858914 773984 773984 1578716 1578716 7206 7206 116476 116476 680700 680700 54796 54796 104207 104207 142126 142126 120679 120679 398137 398137 115388 115388 340B PHARMACY COST 3353422 3353422 PROGRAM EVENTS 826317 826317 TRAINING & RECRUITMENT 250768 250768 REPAIRS & MAINTENANCE 129283 129283 258199 258199 16164869 16164869 0 0 383831 34461 319895 132224 1502013 2442135 19344149 10687342 9017829 8656807 11223568 11265627 539717 488423 1834 4561943 4546354 5101660 5036611 X 6069908 6229016 52000 0 6121908 6229016 11223568 11265627 107108 0 X 0 1 X 1 1 1 X 42784557 4485014 6754959 6368331 4452446 64845307 11813267 11939391 11663263 10627062 11782423 57825406 54597824 16424405 18418222 16995393 16234869 122670713 0 0 0 122670713 56716 8970000 14516 80487 37108 9158827 54654540 25394405 18432738 17075880 16271977 131829540 0.93050 0.93060 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER - 2018 AMOUNT: $ 759. 2020 AMOUNT: $ 14,516. 2021 AMOUNT: $ 80,487. 2022 AMOUNT: $ 37,108. PTAR - INSURANCE PROGRAM - 2018 AMOUNT: $ 55,957. NMTC SETTLEMENT - 2019 AMOUNT: $ 8,970,000. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 960000 960000 11839983 5335944 6504039 4038902 2846134 1192768 2505264 2505264 0 8656807 DUE TO RELATED PARTIES 4546354 4546354 X 49078732 32806755 32806755 16271977 0 16271977 49868450 33703581 33703581 16164869 0 16164869 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 2020. PART XI, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION REVENUE 34,905,931. RELATED ORGANIZATION ELIMINATIONS -2,099,176. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION EXPENSE 35,802,757. RELATED ORGANIZATION ELIMINATIONS -2,099,176. X X X X 0 0 0 0 0 0 0 0 0 JACQUELYN KILMER CHIEF EXECUTIVE DIRECTOR 0 317998 0 0 0 396 0 1950 0 2377 0 322721 0 0 THOMAS MARINO CHIEF TRANSFORMATION OFFICER 216269 0 0 0 93 0 20436 0 15189 0 251987 0 0 0 TAMISHA MCPHERSON EXECUTIVE DIRECTOR 220791 0 0 0 138 0 9700 0 9569 0 240198 0 0 0 ALEXANDRA E FRANKEL DENTAL DIRECTOR 150018 0 0 0 48 0 10400 0 20200 0 180666 0 0 0 JAMIE CARTER DENTIST 138567 0 0 0 48 0 12608 0 7651 0 158874 0 0 0 STEPHANIE YOUNG-GEYE NURSE PRACTITIONER 147557 0 0 0 396 0 1300 0 6621 0 155874 0 0 0 PART I, LINE 3 COMPENSATION FOR CHIEF EXECUTIVE DIRECTOR IS DETERMINED BY A RELATED ORGANIZATION USING THE FOLLOWING: ON AN ANNUAL BASIS, THE COMPENSATION COMMITTEE PROVIDES SALARY RECOMMENDATIONS FOR CEO AND OFFICERS TO THE BOARD OF DIRECTORS. THE MEMBERS OF THE COMMITTEE ARE INDEPENDENT FROM MANAGEMENT. THE COMMITTEE'S RECOMMENDATION IS BASED ON READILY AVAILABLE COMPENSATION DATA. 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 B, LINE 15B ON AN ANNUAL BASIS, THE COMPENSATION COMMITTEE PROVIDES SALARY RECOMMENDATIONS FOR EXECUTIVE DIRECTOR TO THE BOARD OF DIRECTORS. THE MEMBERS OF THE COMMITTEE ARE INDEPENDENT FROM MANAGEMENT. THE COMMITTEE'S RECOMMENDATION IS BASED ON READILY AVAILABLE COMPENSATION DATA. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE AVAILABLE UPON REQUEST. 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 1 0 0 0 0 0 0 0 1 1 1 1 0 0 0