2024-11-15T18:36:20-06:00 2023-12-31 873231666 PKF O'CONNOR DAVIES ADVISORY LLC 245 PARK AVENUE 12TH FLOOR NEW YORK NY 10167 990 2023-01-01 133801721 SELFHELP SPECIAL FAMILY HOME CARE INC SELF 2129717606 520 EIGHTH AVENUE 5TH FLOOR NEW YORK NY 10018 PAULA YAMAKAITIS CHIEF FINANCIAL OFFICER 2129717606 2024-11-14 1 1 EVA MRUK P00543254 2122862600 2024-11-14 2023 2024-10-15 13:58:12Z SELFHELP FAMILY HOME CARE STUART C KAPLAN 520 EIGHTH AVENUE 5TH FLOOR NEW YORK NY 10018 5972637 0 X SELFHELP.NET/HOME-CARE.PHP X 1994 NY TO PROMOTE INDEPENDENT LIVING TO MEET THE NEEDS OF SENIOR AND AT-RISK POPULATIONS. X 3 3 6 6 0 0 827883 2692 446900 269945 51 5700000 2191 0 1277025 5972637 0 0 0 0 570739 476940 0 0 0 667689 934037 1238428 1410977 38597 4561660 85496 103059 16056665 11512568 -15971169 -11409509 X SELFHELP SPECIAL FAMILY HOME CARE, INC., D.B.A. SELFHELP FAMILY HOME CARE IS A NOT-FOR-PROFIT ORGANIZATION DEDICATED TO MAINTAINING THE INDEPENDENCE AND DIGNITY OF SENIORS AND AT-RISK POPULATIONS AND WILL LEAD IN APPLYING NEW METHODS AND TECHNOLOGIES TO ADDRESS CHANGING NEEDS OF ITS COMMUNITY. THE GOAL OF THIS HOME CARE PROGRAM IS TO PROMOTE INDEPENDENCE THROUGH THE COORDINATION OF INTEGRATED HEALTH SERVICES. 0 0 1067477 0 269945 SELFHELP FAMILY HOME CARE IS A CERTIFIED HOME HEALTH AGENCY (CHHA) WHICH PROVIDED COMPREHENSIVE HOME-BASED CARE. ITS INTERDISCIPLINARY SERVICES, IS PRIMARILY OFFERED IN PATIENTS' HOMES, INCLUDE A COMBINATION OF NURSING, SOCIAL WORK, AND SPECIALIZED DISCIPLINES. IN 2023 THE ORGANIZATION SOLD ITS FIXED ASSETS AND LICENSE TO OPERATE AS A HOME HEALTH AGENCY. 1067477 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 3 0 6 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 3 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 NY X X PAULA YAMAKAITIS 2129717606 520 EIGHTH AVENUE 5TH FLOOR NEW YORK NY 10018 PETER H JAKES PRESIDENT 1.00 2.00 X X 0 0 0 ERNEST L BIAL TREASURER 1.00 3.00 X X 0 0 0 RAYMOND SCHRAG SECRETARY 1.00 2.00 X X 0 0 0 STUART KAPLAN CHIEF EXECUTIVE OFFICER 2.00 40.50 X 0 1025384 103218 RUSSELL LUSAK CHIEF OPERATING OFFICER 2.00 35.00 X 0 380710 47094 PAULA YAMAKAITIS CHIEF FINANCIAL OFFICER 2.00 35.00 X 0 321908 57614 DENEISHA WHITE DIRECTOR OF PATIENT SERVICES 35.00 X 136398 0 59005 136398 1728002 266931 1 0 1 0 0 2692 2692 PATIENT SERVICE FEES 623000 269945 269945 269945 5700000 0 5700000 5700000 5700000 5972637 269945 0 5700000 X 340106 272085 68021 31697 25358 6339 73330 58663 14667 31807 25445 6362 57726 57726 18900 18900 592835 474268 118567 40907 32726 8181 32735 26188 6547 16322 13055 3267 1100 880 220 39963 31970 7993 296 237 59 BAD DEBT EXPENSE 74045 59236 14809 ALLOCATED OVERHEAD 57138 45710 11428 PROGRAM SUPPLIES 1140 912 228 NYS ASSESSMENT 930 744 186 1410977 1067477 343500 0 18471 28579 62555 74480 4470 117908 117908 0 0 85496 103059 56205 37959 16000460 11474609 16056665 11512568 X -15971169 -11409509 -15971169 -11409509 85496 103059 4561660 0 X X 0 0 0 X 17509 827883 2692 848084 388837 575815 493724 446900 269945 2175221 388837 593324 493724 1274783 272637 3023305 0 0 0 3023305 26 51 77 26 51 77 2191 2191 388837 593324 493750 1277025 272637 3025573 0.99930 0.99930 0.00000 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE - 2022 AMOUNT: $ 2,191. 95341 95341 0 22567 22567 0 0 DUE TO SELFHELP COMMUNITY SERVICES, INC. 11398189 ESTIMATED AMOUNTS CLAIMED BY THIRD-PARTY PAYORS 76420 11474609 0 1 0 0 0 0 0 1 0 STUART KAPLAN CHIEF EXECUTIVE OFFICER 0 829451 0 147169 0 48764 0 30762 0 72456 0 1128602 0 0 RUSSELL LUSAK CHIEF OPERATING OFFICER 0 307564 0 46115 0 27031 0 40481 0 6613 0 427804 0 0 PAULA YAMAKAITIS CHIEF FINANCIAL OFFICER 0 262419 0 36657 0 22832 0 29983 0 27631 0 379522 0 0 DENEISHA WHITE DIRECTOR OF PATIENT SERVICES 131340 0 5000 0 58 0 4092 0 54913 0 195403 0 0 0 PART I, LINE 3 THE ORGANIZATION'S CEO IS THE CEO OF THE PARENT ORGANIZATION, SELFHELP COMMUNITY SERVICES, INC. AND ITS SUBSIDIARIES. HE IS COMPENSATED FOR HIS SERVICES BY SELFHELP COMMUNITY SERVICES, INC. WHICH USED THE FOLLOWING PROCESSES FOR DETERMINING HIS COMPENSATION: THE COMPENSATION WAS REVIEWED AND APPROVED BY A COMPENSATION COMMITTEE OF THE BOARD OF SELFHELP COMMUNITY SERVICES, INC., COMPRISED OF INDEPENDENT PERSONS. BY ENGAGING AN INDEPENDENT COMPENSATION CONSULTANT, THE COMMITTEE REVIEWED COMPARABLE MARKET DATA FROM PUBLISHED SURVEYS AND FORM 990S OF COMPARABLE ORGANIZATIONS TO EVALUATE AND APPROVE HIS COMPENSATION. THE DELIBERATIONS AND DECISION ARE DOCUMENTED IN THE MINUTES OF THE MEETING. THE COMMITTEE FOLLOWED THIS PROCESS TO ESTABLISH THE PRESUMPTION THAT THE COMPENSATION PAID TO THE CEO IS REASONABLE, PER THE CRITERIA IN IRC SECTION 4958. PART I, LINE 4B STUART KAPLAN, THE CEO OF THE ORGANIZATION AND RELATED ORGANIZATIONS, PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT 457(F) PLAN OF SELFHELP COMMUNITY SERVICES, INC. HE DID NOT RECEIVE A PAYMENT IN 2023. PART I, LINE 7 THE ORGANIZATION PAID AN INCENTIVE BONUS IN 2023. FORM 990, PART VII, COLUMN (F) AND SCHEDULE J, PART II, COLUMN (C): AMOUNTS REPORTED IN PART II, COLUMN (C) FOR RUSSELL LUSAK AND PAULA YAMAKAITIS INCLUDE THE AMOUNT OF ACTUARIAL INCREASE IN THEIR DEFINED BENEFIT PENSION PLAN ACCOUNTS IN 2023. HOME HEALTHCARE LICENSE 2023-12-31 5400000 APPRAISAL ADVENT HEALTH CARE SERVICES LLC 768 39TH STREET BROOKLYN NY 11232 EQUIPMENT, SUPPLIES, INVENTORY 2023-12-31 300000 APPRAISAL ADVENT HEALTH CARE SERVICES LLC 768 39TH STREET BROOKLYN NY 11232 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B THERE WERE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY DURING THE YEAR. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY SENIOR FINANCE STAFF. ANY COMMENTS ARISING FROM THE REVIEW ARE DISCUSSED AND IF REQUIRED, CHANGES ARE MADE TO THE DRAFT. THE FINAL FORM 990 IS SUBMITTED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST STATEMENT, DISCLOSING ANY POTENTIAL CONFLICTS OF INTEREST. ADDITIONALLY, IF A CONFLICT ARISES DURING THE YEAR, SUCH OFFICER OR DIRECTOR AT THEIR FIRST KNOWLEDGE OF THE TRANSACTION SHALL DISCLOSE FULLY THE PRECISE NATURE OF THE INTEREST OR INVOLVEMENT. THE CONFLICT OF INTEREST POLICY STATES THE FOLLOWING: THAT THEY HAVE RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; THAT THEY HAVE READ AND UNDERSTAND THE POLICY; THAT NEITHER THEY, NOR TO THE BEST OF THEIR KNOWLEDGE, THEIR FAMILY MEMBERS, HAVE IN THE PAST, ARE PRESENTLY, OR PLAN TO ENGAGE IN ACTIVITY WHICH CONTRAVENES THE CONFLICT OF INTEREST POLICY; AND THAT THEY HAVE AGREED TO COMPLY WITH THE CONFLICT OF INTEREST POLICY. OFFICERS, DIRECTORS OR KEY EMPLOYEES OF THE ORGANIZATION WHO HAVE DECLARED OR BEEN FOUND TO HAVE A POTENTIAL CONFLICT OF INTEREST IN ANY MATTER INVOLVING TRANSACTIONS WITH THE ORGANIZATION SHALL REFRAIN FROM PARTICIPATING IN CONSIDERATION OF THE PROPOSED TRANSACTIONS, UNLESS REQUESTED BY THE BOARD OR THE ADMINISTRATION TO PROVIDE INFORMATION OR INTERPRETATION CONCERNING THE TRANSACTION. THE PERSON INVOLVED SHALL NOT VOTE ON SUCH MATTERS AND SHALL NOT BE PRESENT AT THE TIME OF THE VOTE. EXECUTIVE STAFF MEMBERS ARE REQUIRED TO AVOID ALL CONFLICTS OF INTEREST UNLESS THEY RECEIVE PRIOR APPROVAL IN WRITING. THE CHIEF EXECUTIVE OFFICER SHALL BE RESPONSIBLE FOR THE ADMINISTRATION OF THE CONFLICT OF INTEREST POLICY AS IT APPLIES TO EMPLOYEES. DISCLOSURES REQUIRED FROM MEMBERS OF THE BOARD OR OFFICERS OF THE ORGANIZATION UNDER THE CONFLICT OF INTEREST POLICY SHALL BE DIRECTED IN WRITING TO THE PRESIDENT OF THE BOARD WHO SHALL BE RESPONSIBLE FOR THE ADMINISTRATION OF THE CONFLICT OF INTEREST POLICY AS IT APPLIES TO DIRECTORS AND OFFICERS. IN THE EVENT THAT THE MEMBERS OF THE ORGANIZATION, STAFF OR OTHER PERSONS WHO ARE NOT DIRECTORS OR OFFICERS BECOME AWARE OF A CONFLICT, THEY SHALL DISCLOSE SUCH INFORMATION TO THE CEO, WHO WILL COMMUNICATE TO THE PRESIDENT OF THE BOARD THOSE DISCLOSURES THAT ARE REQUIRED BY THE CONFLICT OF INTEREST POLICY. THESE DISCLOSURES SHALL BE HELD IN CONFIDENCE EXCEPT WHEN THE BEST INTEREST OF THE ORGANIZATION WOULD BE SERVED BY COMMUNICATING THE INFORMATION TO THE BOARD IN EXECUTIVE SESSION. ANY BOARD MEMBER, OFFICER, OR STAFF PERSON WHO IS UNCERTAIN ABOUT A POSSIBLE CONFLICT OF INTEREST IN ANY MATTER MAY REQUEST A DECISION FROM THE PRESIDENT OF THE BOARD. 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 UPON REQUEST. FORM 990, PART IX, LINE 11G HOME HEALTH AIDES: PROGRAM SERVICE EXPENSES 224,662. MANAGEMENT AND GENERAL EXPENSES 56,166. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 280,828. MANAGEMENT CONSULTING: PROGRAM SERVICE EXPENSES 249,606. MANAGEMENT AND GENERAL EXPENSES 62,401. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 312,007. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS ASSUMES THE RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. SELFHELP COMMUNITY SERVICES INC 520 EIGHTH AVENUE 5TH FLOOR NEW YORK NY 10018 131624178 PROVIDES HOMECARE, COMMUNITY BASED SERVICES TO ELDERLY NY 501(C)(3) LINE 10 N/A 0 UNITED HELPSELFHELP HOUSING FOR THE ELDERLY HDFC 520 EIGHTH AVENUE 5TH FLOOR NEW YORK NY 10018 133753607 65 UNIT MULTI-FAMILY RENTAL PROPERTY NY 501(C)(3) LINE 10 SELFHELP COMMUNITY SERVICES INC 0 SELFHELPUNITED HELP KISSENA APTS HDFC INC 520 EIGHTH AVENUE 5TH FLOOR NEW YORK NY 10018 134028905 70 UNIT MULTI-FAMILY RENTAL PROPERTY NY 501(C)(3) LINE 10 SELFHELP COMMUNITY SERVICES INC 0 SELFHELP COMMUNITY SERVICES HOME ATTENDANT CORP 520 EIGHTH AVENUE 5TH FLOOR NEW YORK NY 10018 133157319 PROVIDER OF HOME ATTENDANT SERVICES. NO LONGER ACTIVE. 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