2024-11-14T18:41:24-06:00 2023-12-31 873231666 PKF O'CONNOR DAVIES ADVISORY LLC 500 MAMARONECK AVENUE SUITE 301 HARRISON NY 105281633 990 2023-01-01 134071063 INCARNATION CHILDREN'S CENTER INCA 2129282590 205 LEXINGTON AVENUE - 2ND FLOOR NEW YORK NY 10016 ANNMARIE COVONE EXECUTIVE VP/CFO 2129282590 2024-11-14 1 1 MELISSA MODELSON P00543209 9143818900 2024-11-07 2023 2024-10-15 13:58:12Z ANNMARIE COVONE 205 LEXINGTON AVENUE - 2ND FLOOR NEW YORK NY 10016 7700 0 0928 X N/A X 1999 NY SEE SCHEDULE O 8 8 0 8 0 0 20 812 12021 0 1817 759 9375 6129 23233 7700 0 0 0 0 0 0 0 0 0 495456 6995 495456 6995 -472223 705 1397059 1440334 723843 766413 673216 673921 X INCARNATION CHILDREN'S CENTER (ICC) PROVIDED SPECIALIZED MEDICAL, NURSING AND A WIDE RANGE OF THERAPEUTIC SERVICES FOR INFANTS, CHILDREN AND ADOLESCENTS WITH HIV/AIDS. ICC'S UNIQUE COMBINATION OF EXPERTISE PROVIDES THE CHILD AND HIS/HER FAMILY WITH AN INTERDISCIPLINARY TEAM DESIGNED TO MEET THE CHALLENGES OF PEDIATRIC HIV/AIDS AND TO MINIMIZE ITS EFFECTS FOR THESE INFANTS, CHILDREN AND ADOLESCENTS IN ALL MATTERS PERTAINING TO THEIR HEALTH CARE. 0 0 2959 0 0 INCARNATION CHILDREN'S CENTER (ICC) WAS NEW YORK CITY'S ONLY SKILLED NURSING FACILITY THAT EXCLUSIVELY PROVIDED SPECIALIZED RESIDENTIAL CARE EXCLUSIVELY TO CHILDREN LIVING WITH HIV/AIDS.ICC WAS LICENSED BY THE NEW YORK STATE DEPARTMENT OF HEALTH WITH A CERTIFIED CAPACITY OF 21 BEDS. ICC CEASED OPERATIONS OF ITS RESIDENTIAL FACILITY IN MARCH 2021. 2959 1 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 0 0 0 0 0 0 0 0 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 0 X 8 8 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X ANNMARIE COVONE EXEC VPCFO ARCHCA 6466334702 205 LEXINGTON AVENUE NEW YORK NY 10016 X JAMES D CAMERON PRESIDENT 1.00 X X 0 0 0 REV MSGR KEVIN SULLIVAN CHAIR/TREASURER 1.00 X X 0 0 0 BEATRIZ DIAZ TAVERAS SECRETARY 1.00 X X 0 0 0 LOUIS S ANGIOLETTI MD MEMBER 1.00 X 0 0 0 EMMET CONLON MEMBER 1.00 X 0 0 0 JACQUELINE DAUHAJRE MD MEMBER 1.00 X 0 0 0 BISHOP GERALD T WALSH MEMBER 1.00 X 0 0 0 ANNE TOMMASO MEMBER 1.00 X 0 0 0 SCOTT P LA RUE PRESIDENT/CEO 0.10 X 0 0 0 ANNMARIE COVONE EXECUTIVE VP/CFO 0.10 X 0 0 0 0 0 0 0 0 0 0 0 812 812 759 759 OTHER INCOME 900099 6129 6129 6129 7700 0 0 6888 3415 3415 PURCHASED & CONTRACTED 3580 3580 6995 0 6995 0 1388068 1396393 8991 43941 1397059 1440334 64459 58072 659384 708341 723843 766413 X 566080 566785 107136 107136 673216 673921 1397059 1440334 705 0 X 0 0 0 X 310291 662087 716710 20 812 1689920 7194991 6064965 802123 12021 14074100 7505282 6727052 1518833 12041 812 15764020 1600 100 1700 0 1600 100 1700 15762320 15758 18210 8483 1817 759 45027 15758 18210 8483 1817 759 45027 382 11514 23466 9375 6129 50866 7521422 6756776 1550782 23233 7700 15859913 0.99380 0.99540 0.00280 0.00210 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MEDICAL RECORD ABSTRACT - 2019 AMOUNT: $ 88. 2020 AMOUNT: $ 371. 2021 AMOUNT: $ 12. INTEREST ON PAST DUE ACCOUNTS - 2019 AMOUNT: $ 294. TAX REFUND - 2020 AMOUNT: $ 11,143. REIMBURSEMENT - 2021 AMOUNT: $ 23,454. 2022 AMOUNT: $ 9,375. OTHER INCOME - 2023 AMOUNT: $ 6,129. 0 DUE TO THIRD-PARTY PAYORS 708064 PROFESSIONAL INSURANCE LIABILITY 277 708341 FORM 990, PART I, LINE 1: INCARNATION CHILDREN'S CENTER (ICC) PROVIDED SPECIALIZED MEDICAL, NURSING AND A WIDE RANGE OF THERAPEUTIC SERVICES FOR INFANTS, CHILDREN AND ADOLESCENTS WITH HIV/AIDS. ICC'S UNIQUE COMBINATION OF EXPERTISE PROVIDES THE CHILD AND HIS/HER FAMILY WITH AN INTERDISCIPLINARY TEAM DESIGNED TO MEET THE CHALLENGES OF PEDIATRIC HIV/AIDS AND TO MINIMIZE ITS EFFECTS FOR THESE INFANTS, CHILDREN AND ADOLESCENTS IN ALL MATTERS PERTAINING TO THEIR HEALTH CARE. FORM 990, PART VI, SECTION A, LINE 3 A SERVICE AGREEMENT WAS MADE WITH A NON-RELATED PARTY FOR CERTAIN ADMINISTRATIVE AND CONSULTING SERVICES (CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE). CATHOLIC HEALTH CARE SYSTEM SHALL PROVIDE HUMAN RESOURCES, IT SERVICES, FINANCE SERVICES, LEGAL SERVICES, COMPLIANCE, AND SUPPLY CHAIN MANAGEMENT TO THE ORGANIZATION. SCOTT P. LA RUE WAS PAID $1,640,548 IN 2023 AND RECEIVED $412,658 IN NONTAXABLE BENEFITS AND RETIREMENT BENEFITS. ANNMARIE COVONE WAS PAID $1,093,137 IN 2023 AND RECEIVED $309,335 IN NONTAXABLE BENEFITS AND RETIREMENT BENEFITS. FORM 990, PART VI, SECTION A, LINE 6 THE BY-LAWS OF INCARNATION CHILDREN'S CENTER (THE CORPORATION) STATE THAT THE CORPORATION IS A MEMBERSHIP CORPORATION WITH CATHOLIC CHARITIES ALLIANCE, ACTING THROUGH ITS BOARD OF DIRECTORS AS IT SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A DIRECTORS MUST BE ELECTED BY THE MEMBER OF THE CORPORATION AT THE ANNUAL MEETING OF THE MEMBER. IN CASE OF A VACANCY ON THE BOARD OF DIRECTORS, A SUCCESSOR FOR THE BALANCE OF THE TERM OF SUCH VACANCY MAY BE ELECTED BY THE MEMBER OF THE CORPORATION AT ANY MEETING OF MEMBER. FORM 990, PART VI, SECTION A, LINE 7B ACTION BY THE VOTE OF A MAJORITY OF THE DIRECTORS OF THE MEMBER AT THEIR ANNUAL, REGULAR OR SPECIAL MEETINGS SHALL BE REQUIRED FOR THE FOLLOWING ACTIONS: - AMENDMENT OF THE CORPORATION'S CERTIFICATE OF INCORPORATION - AMENDMENT, REPEAL OR OTHER MODIFICATION OF THE BY-LAWS OF THE CORPORATION - SALE, MORTGAGE OR LEASE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION - LEASE, MORTGAGE, PURCHASE OR SALE OF ANY REAL PROPERTY - CONSOLIDATION OF THE CORPORATION WITH ANOTHER NOT-FOR-PROFIT CORPORATION - DISSOLUTION OF THE CORPORATION FORM 990, PART VI, SECTION B, LINE 11B INCARNATION CHILDREN'S CENTER HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE BOARD MEMBERS OF THE ORGANIZATION FOR ANY COMMENTS. ANY COMMENTS ARE THEN GROUPED, SUMMARIZED AND PROVIDED TO THE OUTSIDE ACCOUNTANTS. EACH ISSUE IS DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS APPLICABLE TO ALL EMPLOYEES, BOARD MEMBERS, AND OFFICERS OF THE ORGANIZATION. THE POLICY IS MONITORED THROUGH THE CORPORATE COMPLIANCE PROGRAM, AND IS UPDATED ON AN ANNUAL BASIS. EACH PERSON IS REQUIRED TO SIGN AN ACKNOWLEDGEMENT FORM STATING WHETHER THEY ARE AWARE OF ANY POTENTIAL CONFLICTS THEY MAY HAVE. IF ANY CONFLICTS WERE TO ARISE, THE POTENTIAL CONFLICT WOULD BE INVESTIGATED AND THE FINDINGS WOULD BE REPORTED TO THE CORPORATE COMPLIANCE OFFICER AND THE BOARD. THE INTERESTED PERSON WOULD NOT BE INCLUDED ON THE VOTE REGARDING THE CONFLICT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, ARTICLES OF INCORPORATION, FORM 990, AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST OR BY CALLING THE ORGANIZATION DIRECTLY. CATHOLIC CHARITIES ALLIANCE 1011 FIRST AVENUE NEW YORK NY 10002 510429933 RELIGIOUS NY 501(C)3 1 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0