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AIDS SERVICE CENTER OF LOWER MANHATTAN INC

NEW YORK, NY · EIN 133562071 · Form 990 · FY2024 · NTEE G81Z · Voluntary Health Associations · Large ($10M-$50M) · alliance.nyc
revenue
$38.9M
expenses
$34.4M
net assets
$21.9M
employees
345
volunteers
75
program ratio
82%
mission · from form 990

ALLIANCE OFFERS A SPECTRUM OF CARE MANAGEMENT AND ACCESS TO MEDICAL CARE, PEER-TO-PEER EDUCATION AND COMPREHENSIVE HARM REDUCTION SERVICES THAT PROMOTE EMPOWERMENT, STABILITY AND CONNECTION TO COMMUNITY.

profile · synthesized from sources

Alliance for Positive Change provides comprehensive care management, harm reduction, and medical support services for low-income New Yorkers living with HIV, other chronic conditions, and substance use disorders. The organization operates through co-located teams in hospital clinics across Manhattan and runs pharmacy access centers, supportive housing, and syringe exchange programs. It emphasizes peer-led support, patient-centered care, and systemic navigation to promote health, stability, and community connection.

irs program accomplishments · form 990 part iii · fy2024

What they reported doing

  1. #1 primary $7.74M
    TREATMENT EDUCATION AND ADHERENCE SUPPORT: NEW TREATMENTS FOR HIV AND OTHER CHRONIC CONDITIONS ARE CONTINUALLY EMERGING. THESE POSITIVE DEVELOPMENTS BRING NEW CHALLENGES IN STAYING ON TRACK WITH COMPLICATED MEDICAL REGIMENS, ESPECIALLY FOR PEOPLE WITH MULTIPLE CHRONIC CONDITIONS. ALLIANCE'S TREATMENT EDUCATION AND ADHERENCE SUPPORT SERVICES INCLUDE WORKSHOPS AND ONE-ON-ONE COUNSELING TO HELP PEOPLE LIVING WITH HIV AND OTHER CHRONIC HEALTH CONDITIONS UNDERSTAND AND STICK WITH THEIR TREATMENT PLANS, MANAGE SIDE EFFECTS, COMMUNICATE EFFECTIVELY WITH THEIR MEDICAL PROVIDES, AND STAY ABREAST OF EMERGING TREATMENT OPTIONS. WE OPERATE PHARMACY ACCESS CENTERS AT ALLIANCE'S COMMUNITY SERVICE SITES IN WASHINGTON HEIGHTS, MIDTOWN MANHATTAN, AND THE BRONX, FEATURING TREATMENT EDUCATION, TREATMENT PLANNING, PEER SUPPORT, FOOD AND NUTRITION SERVICES, AND INCENTIVES AS PART OF OUR PATIENT-CENTERED TREATMENT ADHERENCE SERVICES. WE RUN SOCIAL MEDIA CAMPAIGNS THAT RESOURCE PEOPLE TO TAKE CHARGE OF THEIR HEALTH AND OVERCOME BARRIERS TO ACCESSING SERVICES.
  2. #2 $4.19M
    OVERDOSE PREVENTION AND RECOVERY SUPPORT SERVICES: ALLIANCE PROVIDES PEOPLE ACROSS THE SUBSTANCE USE DISORDER (SUD) SPECTRUM WITH SERVICES THAT INCLUDE LIFE-SAVING OPIOID OVERDOSE PREVENTION, NYS OASAS-LICENSED OASAS 822 MEDICATION-ASSISTED TREATMENT (MAT), RECOVERY READINESS, RECOVERY SUPPORT, AND RELAPSE PREVENTION. OUR APPROACH PROMOTES THE DIGNITY, HEALTH, AND SAFETY OF PEOPLE WHO USE DRUGS, PEOPLE NEWLY ENTERING RECOVERY, AND PEOPLE WITH YEARS OF RECOVERY BEHIND THEM. THESE SERVICES ARE SUPPLEMENTED WITH CONNECTION TO HEALTHCARE, MENTAL HEALTH SERVICES, HOUSING PLACEMENT, CASE MANAGEMENT, SUPPORT GROUPS, FOOD AND NUTRITION SERVICES, AND MORE. WE SUPPORT EACH INDIVIDUAL'S PATHWAY TO POSITIVE CHANGE, ENGAGING PARTICIPANTS IN IDENTIFYING THEIR GOALS AND RESOURCING THEM TO ATTAIN THOSE GOALS.
named programs · 6 · from sources

What they call their work

Care Management
Provides coordinated medical care, mental health counseling, peer support, and harm reduction services through co-located teams at 13 clinic sites in Manhattan hospitals and health centers, including Mount Sinai, NewYork-Presbyterian, and Ryan Health.
HIV and Hepatitis C Testing
Offers free, confidential, rapid testing for HIV and hepatitis C at multiple NYC locations, including Midtown Central, Harlem, Washington Heights, and the Lower East Side, with counseling and prevention planning.
Harm Reduction and Recovery Services
Operates NYC’s first syringe exchange program (formerly Lower East Side Harm Reduction Center), offering syringe services, harm reduction education, peer-led support, and recovery pathways for people who use drugs.
Overdose Prevention and Recovery Support Services
Delivers opioid overdose prevention training, NYS OASAS-licensed Medication-Assisted Treatment (MAT), recovery readiness, and relapse prevention services, supplemented with housing, case management, and food support.
Supportive Housing
Provides individualized housing placement assistance and long-term transitional and permanent housing through a 90-unit program in the Bronx for people with chronic health conditions.
Treatment Education and Adherence Support
Offers workshops and one-on-one counseling to help people manage HIV and other chronic conditions, including medication adherence, side effect management, and communication with providers. Includes pharmacy access centers in Washington Heights, Midtown Manhattan, and the Bronx.
activities · 10 groups

What they do

  • Literary and Cultural Publishing 1 activity
    • Creative writing and literary programming
      Publishes an annual literary magazine, Situations, featuring writings from participants in its Creative Writing Workshop. Has published 25 issues and over 1,000 poems since 2000.
  • Workforce Readiness Training 1 activity
    • Employment and skills development
      Offers job-seeking skills training to support employment, personal empowerment, and economic stability for clients living with chronic conditions.
  • HIV/AIDS Prevention and Support Services 1 activity
    • HIV and hepatitis C testing and prevention services
      Provides free, confidential, rapid-result HIV and hepatitis C testing using Alere Determine™ and OraQuick® tests, with results available within 20 minutes. Offers prevention education, PrEP/PEP information, syringe exchange, and risk reduction counseling to individuals at higher risk of contracting HIV or HCV.
  • Comprehensive Care Management Services 1 activity
    • Integrated care management for people with chronic conditions
      Delivers free bilingual care management that includes expedited linkage to medical care, insurance enrollment, benefits counseling, health coaching, appointment accompaniment, and home visits. Co-locates care teams at 13 clinic sites across Manhattan to connect clients to medications, food, housing, pharmacy services, and counseling.
  • Food Distribution and Hunger Relief 1 activity
    • Nutrition and food support services
      Provides meal programs and distributes over 4,000 bags of healthy groceries annually. Serves over 47,000 meals and integrates food and nutrition services into treatment adherence and care management programs.
  • Volunteer and Professional Training Programs 1 activity
    • Peer training and capacity building
      Runs peer-training programs with a 91% graduation rate, preparing individuals to provide peer support in recovery, HIV care, and behavioral health contexts.
  • Pharmacy Access and Medication Assistance 1 activity
    • Pharmacy access and medication support
      Operates a Pharmacy Access Program at three locations where clients can confidentially pick up prescriptions with on-site pharmacy technician support. Integrates pharmacy access into treatment education and adherence workshops.
  • Outpatient Substance Use Treatment 1 activity
    • Substance use treatment and recovery support
      Provides personalized outpatient substance use treatment, individualized recovery planning through credentialed specialists, OASAS-approved peer recovery programs, medication-assisted treatment, relapse prevention, and recovery readiness services. Offers peer support via NYS CORE and HCBS programs and connects clients to mental health, housing, and case management services.
  • Supportive and Emergency Housing Services 1 activity
    • Supportive and permanent housing assistance
      Offers individualized housing placement, transitional housing, and permanent supportive housing, including a 90-unit program in the Bronx for people living with chronic illnesses. Provides onsite services and housing support as part of integrated care.
  • Opioid Harm Reduction Services 1 activity
    • Syringe Service and harm reduction programs
      Operates a Syringe Service Program that provides no-cost syringe access and exchanges, overdose prevention training, and support groups to reduce transmission of HIV and hepatitis among people who inject drugs. Integrated the Lower East Side Harm Reduction Center in 2017 to expand licensed recovery support and harm reduction services.
financials · form 990 · fy2024
revenue
Total revenue$38.94M
Contributions & grants$23.65M61%
Program service revenue$14.59M37%
Investment income$693K2%
Other revenue$7K
expenses
Total expenses$34.39M
Program expenses82%
Admin / overhead17%
Fundraising1%
Salaries & benefits$17.04M
Grants paid out$0
Largest expense lineCompensation
balance sheet
Total assets$33.80M
Cash$6.39M
Investments$10.00M
Liabilities$11.93M
Net assets$21.88M
Liquid reserves5.7 mo
6 years on record · 2019–2024 · YoY revenue +2.2%
leadership · form 990 part vii · fy2024

Who runs it

paid leadership · 11
NameTitleHours/wkCompensation
SHAREN I DUKE MPH CEO/EXECUTIVE DIRECTOR 50 $455K
BRENDA STARKS-ROSS COO/DEP EXEC 50 $280K
TAMARA GREEN CPO/DEP EXEC 45 $229K
BROOKE MONTES SR VP BUS DEV & COMMUNICATION 45 $216K
RAMONA CUMMINGS CHIEF COMMUNITY ENGAGEMENT OFFICER 50 $214K
CYNTHIA ROSSI VP PROGRAMMING 45 $207K
ARNALDO JARA VP CARE MANAGEMENT & TREATMENT 45 $206K
JUDY HEDERMAN SVP FINANCE 50 $206K
DEBORAH YUELLES VP PEER WORKFORCE TRAINING 45 $181K
JOHN NOBOA VP, IT 45 $180K
KARYN MANN VP CONTRACTS & QUALITY MANAGEMENT 45 $162K
board members · 12
  • ALLEN ZWICKLER — CHAIR
  • ANDRES NIETO — DIRECTOR
  • ANITA VENKITESWARAN — VICE CHAIR
  • BENJAMIN ECKHARDT MD — DIRECTOR
  • DAVID BERGER MD MHCM — DIRECTOR
  • JENNIFER S GORDON ESQ — DIRECTOR
  • MAABO KLUDZE — SECRETARY
  • NICK HOLMES MBA — DIRECTOR
  • OFOLE MGBAKO MD — DIRECTOR
  • ROBERT SHEPARDSON — TREASURER
  • STEPHEN GASS — DIRECTOR
  • WILLIAM TOLER — DIRECTOR
relationships · 23

Who they work with

  • AIDS Healthcare Foundation Partner — Recognized as a generous partner supporting Alliance's programs and services
  • Alliance for Positive Change Network — AIDS SERVICE CENTER OF LOWER MANHATTAN INC operates under or is affiliated with Alliance for Positive Change as part of its network.
  • Alliance for Positive Change Network — Provides HIV and hepatitis C testing services under the Alliance for Positive Change network.
  • Alliance for Positive Change Partner — Featured organization in news coverage
  • Broadway Cares/Equity Fights AIDS Partner — Recognized as a generous partner supporting Alliance's programs and services
  • Fox 5 NY Partner — Featured Alliance as Coronavirus Hero of the Day, highlighting its community response.
  • GMHC Partner — Recognized as a generous partner supporting Alliance's programs and services
  • Lower East Side Harm Reduction Center Partner — Merged with and became a program of Alliance in 2017, contributing to its comprehensive harm reduction model.
  • Metropolitan Hospital Partner — Hosts Alliance's co-located care management team at 1 clinic site in Manhattan.
  • Mount Sinai Partner — Hosts Alliance's co-located care management teams at 3 clinic sites in Manhattan.
  • Mount Sinai Health System Partner — Works with Alliance to support client access to medical services and appointments
  • NYC Health Government — Recognized as a partner supporting Alliance's programs and services
  • New York Community Trust Funder — Recognized as a generous partner providing vital contributions to sustain Alliance's programs and services
  • New York State Office of Addiction Services and Supports Government — Approves Alliance's peer recovery-support programs.
  • NewYork-Presbyterian Hospital Partner — Collaborates to provide coordinated medical care and appointment access for clients
  • Ny Presbyterian Partner — Hosts Alliance's co-located care management teams at 3 clinic sites in Manhattan.
  • Phil Zwickler Charitable and Memorial Foundation Trust Funder — Provided financial support for the publication of Situations 25.
  • Rescuing Leftover Cuisine Partner — Recognized as an in-kind supporter of Alliance
  • Rockefeller Foundation Funder — Recognized as a generous partner providing vital contributions to sustain Alliance's programs and services
  • Ryan Health Partner — Hosts Alliance's co-located care management teams at 6 clinic sites in Manhattan.
  • SCORE Foundation Partner — Recognized Alliance for Positive Change as “2014 Outstanding Non-Profit of the Year”
  • Sharing Excess Partner — Recognized as an in-kind supporter of Alliance
  • United Way of Greater New York Partner — Recognized as a generous partner supporting Alliance's programs and services
strategies · 5

How they approach the work

Named approaches extracted from this org’s sources. Where others share an approach, follow it to see the full set of orgs running it.

  • Client-Directed Care Planning
    methodology: client_directed_care
    By supporting self-directed paths to well-being through individualized care plans and client choice in service goals, we increase engagement and health outcomes because autonomy empowers sustained personal change.
  • Creative Expression as Therapeutic Practice
    methodology: creative_expression_therapy
    By using creative writing and poetry as therapeutic tools, we support emotional healing and personal transformation because expressive arts enable processing trauma and building identity beyond illness.
  • Harm Reduction Philosophy
    methodology: harm_reduction
    By meeting people who use drugs without judgment and supporting them at all stages of the recovery continuum, we improve health outcomes and engagement in care because dignity and human rights foster trust and sustained participation.
  • Integrated Care and Social Support
    methodology: integrated_care_and_social_support
    By co-locating care coordinators within medical settings and integrating medical, behavioral, and social services, we improve health outcomes because coordinated, holistic support reduces systemic barriers for individuals with chronic conditions.
  • Peer-Led Support Model
    methodology: peer_support
    By employing peer support staff with lived experience, we deliver more relatable and effective services because shared experience builds trust, reduces stigma, and increases program engagement.