Alliance for Positive Change and Affiliate
Combined Financial Statements And Single Audit Report
Years Ended June 30, 2025 and 2024
Alliance for Positive Change and Affiliate
Independent Auditor’s Report
To the Board of Directors
Alliance for Positive Change and Affiliate
Report on the Audit of the Combined Financial Statements
Opinion
We have audited the combined financial statements of Alliance for Positive Change and Affiliate (the “Organization”), which comprise the combined statements of financial position as of June 30, 2025 and 2024, the related combined statements of activities, functional expenses, and cash flows for the years then ended, and the related notes to the combined financial statements (collectively, the “financial statements”).
In our opinion, the accompanying financial statements present fairly, in all material respects, the financial position of the Organization as of June 30, 2025 and 2024, and the changes in their net assets and their cash flows for the years then ended in accordance with accounting principles generally accepted in the United States of America.
Basis for Opinion
We conducted our audits in accordance with auditing standards generally accepted in the United States of America (“GAAS”) and the standards applicable to financial audits contained in Government Auditing Standards, issued by the Comptroller General of the United States (“Government Auditing Standards”). Our responsibilities under those standards are further described in the Auditor’s Responsibilities for the Audit of the Financial Statements section of our report. We are required to be independent of the Organization and to meet our other ethical responsibilities, in accordance with the relevant ethical requirements relating to our audit. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion.
Responsibilities of Management for the Financial Statements
Management is responsible for the preparation and fair presentation of the financial statements in accordance with accounting principles generally accepted in the United States of America, and for the design, implementation, and maintenance of internal control relevant to the preparation and fair presentation of financial statements that are free from material misstatement, whether due to fraud or error.
In preparing the financial statements, management is required to evaluate whether there are conditions or events, considered in the aggregate, that raise substantial doubt about the Organization’s ability to continue as a going concern within one year after the date that the combined financial statements are issued or available to be issued.
Auditor's Responsibilities for the Audit of the Financial Statements
Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance but is not absolute assurance and therefore is not a guarantee that an audit conducted in accordance with GAAS and Government Auditing Standards will always detect a material misstatement when it exists. The risk of not detecting a material misstatement resulting from fraud is higher than for one resulting from error, as fraud may involve collusion, forgery, intentional omissions, misrepresentations, or the override of internal control. Misstatements are considered material if there is a substantial likelihood that, individually or in the aggregate, they would influence the judgment made by a reasonable user based on the combined financial statements.
In performing an audit in accordance with GAAS and Government Auditing Standards, we:
Exercise professional judgment and maintain professional skepticism throughout the audit.
Identify and assess the risks of material misstatement of the combined financial statements, whether due to fraud or error, and design and perform audit procedures responsive to those risks. Such procedures include examining, on a test basis, evidence regarding the amounts and disclosures in the combined financial statements.
Obtain an understanding of internal control relevant to the audit in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Organization’s internal control. Accordingly, no such opinion is expressed.
Evaluate the appropriateness of accounting policies used and the reasonableness of significant accounting estimates made by management, as well as evaluate the overall presentation of the financial statements.
Conclude whether, in our judgment, there are conditions or events, considered in the aggregate, that raise substantial doubt about the Organization’s ability to continue as a going concern for a reasonable period of time.
We are required to communicate with Those Charged with Governance regarding, among other matters, the planned scope and timing of the audit, significant audit findings, and certain internal control-related matters that we identified during the audit.
Supplementary Information
Our audits were conducted for the purpose of forming an opinion on the financial statements as a whole. The combining statement of financial position and combining statement of activities are presented for purposes of additional analysis and are not a required part of the financial statements. Such information is the responsibility of management and was derived from and relates directly to the underlying accounting and other records used to prepare the financial statements. The information has been subjected to the auditing procedures applied in the audit of the financial statements and certain additional procedures, including comparing and reconciling such information directly to the underlying accounting and other records used to prepare the financial statements or to the financial statements themselves, and other additional procedures in accordance with auditing standards generally accepted in the United States of America. In our opinion, the information is fairly stated in all material respects in relation to the financial statements as a whole.
Other Reporting Required by Government Auditing Standards
In accordance with Government Auditing Standards, we have also issued our report dated December 9, 2025, on our consideration of the Organization’s internal control over financial reporting and on our tests of its compliance with certain provisions of laws, regulations, contracts, and grant agreements and other matters. The purpose of that report is to describe the scope of our testing of internal control over financial reporting and compliance and the results of that testing, and not to provide an opinion on the effectiveness of the Organization’s internal control over financial reporting or on compliance. That report is an integral part of an audit performed in accordance with Government Auditing Standards in considering the Organization’s internal control over financial reporting and compliance.
New York, NY December 9, 2025 p
Combined Statements of Financial Position
Alliance for Positive Change and Affiliate
Combined Statements of Activities
Years Ended June 30,
SUPPORT AND REVENUE
3,506,892
Alliance for Positive Change and Affiliate
Combined Statement of Functional Expenses - Current Year
Year Ended June 30, 2025
Alliance for Positive Change and Affiliate
Combined Statement of Functional Expenses - Prior Year
Year Ended June 30, 2024
Alliance for Positive Change and Affiliate
Combined Statements of Cash Flows
Years Ended June 30,
CASH FLOWS PROVIDED BY (USED FOR) OPERATING ACTIVITIES Change in net assets4,258,256
3,305,701 $ Adjustments to reconcile change in net assets to net cash provided by operating activities
(65,912)
(369,720)
CASH FLOWS USED FOR INVESTING ACTIVITIES Purchase of property and leasehold improvements(55,353) (24,535)
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION
Alliance for Positive Change and Affiliate
Notes to Combined Financial Statements
Years Ended June 30, 2025 and 2024
Note 1 - Nature of Organization and Basis of Combination
a. Basis for Combination
The accompanying combined financial statements of Alliance for Positive Change ("Alliance") and Affiliate (collectively the “Organization"), includes the accounts of Path to Jobs Inc. ("PTJ"), an affiliate of Alliance through common management. All material intercompany accounts and transactions have been eliminated in combination.
Effective April 12, 2023, Peer Training, Inc. changed its legal name from Peer Training, Inc. to Path to Jobs, Inc which was approved by the Internal Revenue Service. The name change has no impact on its tax-exempt status and operations.
b. Nature of Organization
1. AIDS Service Center of Lower Manhattan, Inc., d/b/a Alliance for Positive Change AIDS Service Center of Lower Manhattan, Inc., d/b/a Alliance for Positive Change (“Alliance”) is a not-for-profit community organization founded in 1990 with a central mission of helping low-income New Yorkers living with HIV and other chronic health conditions to pursue their chosen pathway to positive change by providing access to quality health care and behavioral health services, housing, coaching, and renowned Peer training and job placement programs that cultivate leadership and economic mobility.
Alliance provides care coordination; expedited linkages to medical care; treatment adherence support; pharmacy access; HIV, hepatitis C, and STI counseling, testing, and referral; opioid overdose prevention, outpatient substance use treatment, and recovery supports; mental health services; supportive housing and housing placement; basic needs (food pantry, meals, nutritional counseling, clothing); and public benefits and health insurance enrollment.
We magnify our impact through Peer training, coaching, mentoring, and navigation to provide our participants with extra layers of support as they pursue their goals. Alliance has, for 30+ years, pioneered Peer training, paid Peer Worker internships, and Peer-delivered services as strategies for extending our reach in HIV prevention, overdose prevention, recovery support, and treatment adherence. In 2014, Alliance began to scale this work externally by establishing Path to Jobs, Inc. (formerly Peer Training, Inc.) with the goal of bringing our career-readiness and job placement services to many more New Yorkers in need of economic mobility opportunities. Alliance incubated Path to Jobs, Inc. into an independent, tax-exempt nonprofit organization with its own Board of Directors, by-laws, 990 tax filings, EIN, and articles of incorporation. Alliance provides management services to Path to Jobs via a PEO/Management Services Agreement.
Alliance increases its impact even further by partnering with New York City’s leading health care institutions, including New York–Presbyterian, Ryan Health, and Mount Sinai. Our partnerships ensure that Alliance’s participants get fast, barrier-free access to coordinated medical care, mental health care, and other services.
Alliance is headquartered in Midtown Manhattan. Our community service sites across Manhattan are: CASA Washington Heights, Keith Haring Harlem Center, LESHRC (Lower East Side), and Luis & Lillian Outreach Center (East Village). We also operate Pelham Grand Supportive Housing in the Bronx—a 90-unit housing facility for people with chronic conditions. We reach thousands of New Yorkers through our Alliance on the Move mobile van, street outreach, and community partnerships.
Alliance for Positive Change and Affiliate
Notes to Combined Financial Statements
Years Ended June 30, 2025 and 2024
Note 1 - Nature of Organization and Basis of Combination - Continued
b. Nature of Organization - Continued
Alliance’s core programs are as follows.
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.
Linkage to Care & Community Outreach: Alliance is at the forefront of efforts to end the HIV epidemic, prevent opioid overdose, and promote health and well-being through community outreach initiatives that bring services directly to New York City’s least-served communities and populations. Our comprehensive Linkage to Care and Community Outreach programs improve access to care while reducing health care costs. Alliance partners with managed care organizations, hospitals, and community health centers to locate and engage underserved people living with HIV and other chronic health conditions who have fallen out of care. We go the extra mile to build (or rebuild) the bridge between underserved New Yorkers and life-saving medical and support services. This program is augmented by onsite meals, healthy food pantry bags, food vouchers, clothing (warm coats, business attire, etc.), emergency assistance to pay essential bills, transportation assistance to help people access our services, and other tangible supports.
Alliance’s community outreach initiatives include health promotion and opioid overdose prevention education, integrated HIV and hepatitis testing, navigation to medical care, Pre-Exposure Prophylaxis (PrEP) to help high risk persons remain HIV negative, and other health promotion services.
Care Management: Alliance’s care management services provide a continuum of medical care, behavioral health counseling, Peer-to-Peer health education and coaching, and related supports that seamlessly address each individual’s multiplicity of needs as they evolve over time.
A core strategy for this work involves Alliance’s longstanding, highly effective medical-community partnerships, under which we co-locate our care management teams to 12 clinical sites in hospitals and health centers across Manhattan, including: Ryan Health, Mount Sinai, and New York–Presbyterian. These institutional partnerships ensure that Alliance’s participants get fast, barrierfree access to coordinated medical care and other vital services. By co-locating our care coordinators onsite within medical settings, Alliance makes it easy for low-income individuals with chronic conditions to connect with and sustain life-saving care and treatment. We provide appointment reminders, accompaniment to appointments, home visits for people unable to travel, and connection with whatever services our participants need (e.g., Food and Nutrition Services, housing placement, medical treatment adherence support, etc.).
Alliance for Positive Change and Affiliate
Notes to Combined Financial Statements
Years Ended June 30, 2025 and 2024
Note 1 - Nature of Organization and Basis of Combination - Continued
b. Nature of Organization - Continued
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.
Supportive Housing: Alliance provides housing placement assistance, as well as long-term transitional and permanent housing for people with chronic conditions through our 90-unit supportive housing program in the Bronx. We offer residents an array of health promotion and treatment adherence services that promote recovery, well-being, and stability.
Peer Training and Support: Throughout our history, Alliance has pioneered Peer training, Peerdelivered health-access services, and workforce development as strategies for HIV prevention, recovery support, and economic mobility for low-income New Yorkers. Alliance’s Peer program grew incrementally and organically over the years. Today, Alliance has created its own Peer workforce, employing over 120 Peers in part-time paid Peer Worker positions each year, along with intensive training, tailored support, mentorship, and supervision. Alliance is proud of the fact that over 30% of full-time staff (including senior and leadership-level) are former Peers who left public entitlements and rejoined the workforce. Our Peers serve as community role models; reinvigorate their own health, recovery, and economic opportunities; and contribute to a health-delivery workforce of people whose life experiences align with the communities served.
Through workforce training, Peer certification (through the NYS Department of Health and the NYS Office of Addiction Services and Supports - OASAS), vocational education, and career-readiness support services, Alliance’s Peer education, training, and paid internship programs empower lowincome New Yorkers to become community leaders and inspire others to access resources that promote recovery, health care engagement, and other forms of positive change.
Learn about all the ways Alliance inspires positive change at www.alliance.nyc
2. Path to Jobs, Inc. (Workforce Development)
Incubated by Alliance for Positive Change, Path to Jobs, Inc. is an independent, tax-exempt nonprofit organization with its own Board of Directors, by-laws, 990 tax filings, EIN, and articles of incorporation. Alliance established Path to Jobs (formerly Peer Training, Inc.) in 2014 to scale Alliance’s career-readiness and job placement services for people with HIV and other chronic conditions. Over 30 years, Alliance pioneered the above-described Peer training, paid internships, and Peer-delivered services as strategies for HIV prevention, recovery support, and economic mobility. Alliance provides management services to Path to Jobs via a PEO/Management Services Agreement.
Alliance for Positive Change and Affiliate
Notes to Combined Financial Statements
Years Ended June 30, 2025 and 2024
Note 1 - Nature of Organization and Basis of Combination - Continued
b. Nature of Organization - Continued
Path to Jobs is a workforce development and job placement organization with a mission to provide personalized career-readiness skills training, coaching, case management, benefits counseling, support to enter/re-enter the workforce, and post-placement job retention support for low-income New Yorkers. Path to Jobs serves low-income New Yorkers, 18 and older, who reside in NYC.
Path to Jobs meets the pressing need for economic opportunity among people with significant barriers to employment, including people living with HIV and other chronic illnesses, people in recovery from (or in treatment for) SUD, people with a history of justice system involvement, and people experiencing housing insecurity. Path to Jobs’ core workforce development services are as follows:
Career Readiness & Workforce Development Services: Path to Jobs supports each participant in exploring their job-readiness goals and interests by providing an individualized set of services that prepare that participant to take action toward pursuing part- or full-time employment. This includes coaching, resume-development, mock interviews, and other topics; benefits counseling; skills training; and referrals to healthcare and other supports.
Workforce Readiness Training: Our 15-module training course, Path to Successful Employment, covers career development and workplace-readiness skills, workplace boundaries, conflict management, communication skills, time management, stress management, financial management, digital literacy, business writing, documentation and record-keeping, patient confidentiality, and health literacy.
Certification Process Assistance: Path to Jobs supports participants in enhancing their professional qualifications by obtaining NYS certification as a Recovery Coach (OASAS certification) and/or Peer Worker (NYSDOH certification). We assist participants in preparing paperwork, navigating complicated certification processes, understanding eligibility criteria, assembling documentation, tracking training hours, ensuring compliance with the recertification process, and other logistics. We also provide expert guidance to the supervisors at our employer-partner agencies on completing the required supervisory evaluations for NYS.
Benefits Counseling: Path to Jobs provides transitional benefits counseling to help participants make informed decisions about entering/return to work.
Job Placement & Retention Services: Once a participant is ready for employment, Path to Jobs prepares them to excel in the workplace and matches them with organizations that seek to magnify their impact by employing frontline staff who reflect and understand their communities. Ongoing coaching and support position each participant to succeed in their new job.
Employer & Supervisor Support Services: We provide training and technical support to our employer partners and the supervisors of frontline staff. This training and TA focus on how to work effectively with, and support the success of, their Path to Jobs employee to foster a successful long-term match.
Learn more about Path to Jobs at www.pathtojobs.org
Alliance for Positive Change and Affiliate
Notes to Combined Financial Statements
Years Ended June 30, 2025 and 2024
Note 2 - Summary of Significant Accounting Policies
a. Basis of Accounting and Presentation
The accompanying combined financial statements have been prepared using the accrual basis of accounting, which is the process of recognizing revenue and expenses when earned or incurred.
The combined financial statements are presented in accordance with the provisions of Financial Accounting Standards Board (“FASB”) Accounting Standards Codification (“ASC”) 958 - Presentation of Financial Statements of Not-For-Profit Entities. FASB ASC 958 requires the Organization to report information regarding its financial position and activities according to the following specific classes of net assets:
Net Assets Without Donor Restrictions - Consist of amounts that can be spent at the discretion of the Organization and have no donor restrictions associated with them.
Net Assets With Donor Restrictions - Contain donor-imposed restrictions that permit the Organization to use or spend the donated assets as specified. The restrictions are satisfied by the passage of time and/or the actions of the Organization. As of June 30, 2025, and 2024, the Organization had no net assets with donor restrictions.
b. Revenue Recognition
The Organization derives its revenue and other support primarily from federal, state, and local awards, pharmacy income, and contributions. Under ASC 606, revenue is recognized when performance obligations to a customer are satisfied, and revenue is earned. The Organization also applies the guidance under ASC 958-605 to recognize support received that is not subject to revenue recognition under ASC 606.
Federal, state, and local awards
Funding received from grant agencies through federal, state, and local awards is a combination of cost reimbursement and fee-for-service contracts. Under a cost reimbursement contract, grant agencies are not directly receiving commensurate value for the services provided to consumers; therefore, cost reimbursement grant revenue follows recognition guidance under ASC 958. Funds are required to be spent in accordance with the approved budget and allowable cost guidelines from the state, local, and federal government, therefore, making the funding received a conditional contribution under ASC 958 guidance. Support is recognized as income as conditions are met, such as costs are incurred, and services are provided to consumers. Grant dollars received in advance of conditions being met are recorded as a liability until earned. Funds not spent by the end of the contract period are recognized as grants payable due back to the funding agencies on the combined statements of financial position.
Alliance for Positive Change and Affiliate
Notes to Combined Financial Statements
Years Ended June 30, 2025 and 2024
Note 2 - Summary of Significant Accounting Policies - Continued
b. Revenue Recognition
Third party reimbursement revenue is recognized in accordance with ASC 606, whereby the Organization has contracts with consumers to provide approved services (performance obligations) to the individual. The Organization recognizes revenue in the period in which obligations to provide services are satisfied. The contractual arrangements with consumers also involve a third-party payer (e.g., Medicaid or federal, or local or state government agency) and the transaction price for the services provided are dependent upon the terms provided by the third-party payer. As services are provided to consumers, the Organization recognizes revenue at the point in time services are provided.
Contributions
The Organization uses specific criteria when determining whether a contract or agreement should be accounted for as a contribution or as an exchange transaction. If a transaction is considered an exchange transaction, it is accounted for under the applicable revenue recognition standards. If the transaction is a contribution, it is accounted for under ASC 958-605.
Contributed income is reported as increases in net assets without donor restrictions unless use of the related assets is limited by donor-imposed restrictions. Expirations of restrictions on net assets due to either the Organization fulfilling donor-imposed restrictions, or the passage of time are reported as net assets released from restriction. Restrictions that expire in the reporting period in which the support is recognized are reported as an increase in net assets without donor restrictions.
Contributions, grants, and government support, including unconditional promises to give, are recognized as revenue in the period received and recorded in the appropriate net asset category in accordance with donor-imposed restrictions. Conditional promises to give are not recognized until they become unconditional, that is, at the time when the conditions are met. Contributions of assets other than cash are reported at their estimated fair value. Grants and contributed income of cash or other assets that must be used to acquire long lived assets are recorded as contributions with donor restrictions until the assets are acquired and placed in service, except where funding agreements require alternative accounting treatment.
In accordance with ASC 958-605, the Organization must determine whether a contribution or a promise is conditional or unconditional for transactions deemed to be a contribution. The contribution is considered to be a conditional contribution if an agreement includes a barrier that must be overcome and either a right of return of assets or a right of release of a promise to transfer assets exists. Indicators of a barrier include a measurable performance related barrier or other measurable barrier with a stipulation that limits discretion by the recipient on the conduct of an activity and stipulations that are related to the purpose of the agreement. ASC 958-605 prescribes that the Organization should not consider probability of compliance with the barrier when determining if such awards are conditional and should be reported as conditional grant advance liabilities until such conditions are met.
Grants receivable expected to be received within one year are recorded at net realizable value. Longterm grant receivables are recorded at fair value, using risk-adjusted present value techniques. Government grants receivable are reviewed for collectability. Based on knowledge of specific grantors and factoring in historical experience, no allowance for doubtful accounts exists as of June 30, 2025 and 2024. All government grant receivables at June 30, 2025 and 2024 are expected to be received within one year.
Alliance for Positive Change and Affiliate
Notes to Combined Financial Statements
Years Ended June 30, 2025 and 2024
Note 2 - Summary of Significant Accounting Policies - Continued
b. Revenue Recognition
The Organization recognizes a reserve for expected credit losses on accounts receivable. The amount of expected credit losses is updated at each reporting date to reflect changes in credit risk since initial recognition of the financial instrument. The expected credit losses on accounts receivables are estimated based on historical credit loss experience, aging analysis, and management’s assessment of current conditions and reasonable and supportable expectation of future conditions. The Organization assesses collectability by pooling receivables where similar characteristics exist and evaluates receivables individually when specific customer balances no longer share those risk characteristics and are considered at-risk or uncollectible. Accounts receivable balances are charged against the reserve for credit losses after recovery efforts have ceased. The expense associated with the allowance for expected credit losses is recognized in bad debt expense on the combined statement of activity. At June 30, 2025 and 2024, management had a reserve for credit losses of $508,779 and $396,205, respectively.
c. Contributions of Nonfinancial Assets
Donated services are recognized in circumstances where those services create or enhance nonfinancial assets or require specialized skills, are provided by individuals possessing those skills, and would typically need to be purchased if not provided in-kind.
During the years ended June 30, 2025 and 2024, the Organization received donated goods and services totaling $472,756 and $249,429, respectively, which are included as management and general on the combined statement of functional expenses. Donated goods were valued on the basis of estimates of wholesale values that would be received for selling similar goods or receiving similar services.
Board members and other individuals volunteer their time and perform a variety of services that assist the Organization. These services do not meet the criteria outlined above and have not been recorded in the combined financial statements.
d. Tax Status
The Organization is a non-profit corporation, exempt from federal income taxes under Section 501 (c)(3) of the Internal Revenue Code and has been classified as an organization that is not a private foundation under Section 509(a). FASB issued guidance on accounting for uncertainty in income taxes which the Organization has adopted. Management evaluated the Organization’s tax positions and concluded that the Organization had taken no uncertain tax positions that require adjustment to the combined financial statements to comply with the provisions of this guidance. With few exceptions, the Organization is no longer subject to income tax examinations by the U.S. federal, state, or local tax authorities for years before 2022.
e. Cash, Cash Equivalents, and Restricted Cash
The Organization considers all short-term highly liquid investments with an initial maturity of three months or less to be cash equivalents. Restricted cash pertains to a letter of credit with a financial institution.
Amounts generally described as restricted cash and restricted cash equivalents are included with cash and cash equivalents when reconciling the beginning-of-period and end-of-period total amounts shown on the combined statements of cash flows.
Alliance for Positive Change and Affiliate
Notes to Combined Financial Statements
Years Ended June 30, 2025 and 2024
Note 2 - Summary of Significant Accounting Policies - Continued
f. Concentration of Credit Risk
Financial instruments which potentially subject the Organization to concentration of credit risk consist of cash and money market accounts which have been placed with financial institutions that management deems to be creditworthy. At times, balances may exceed federally insured limits. While at year end the Organization had material uninsured balances, management feels they have little risk and has not experienced any losses due to bank failure.
The market value of investments is subject to fluctuation; however, management believes the investment policy is prudent for the long-term welfare of the Organization.
g. Investments
Investments have been recorded at fair value. Fair value refers to the price that would be received to sell an asset in an orderly transaction between market participants at the measurement date. Accounting standards have established a fair value hierarchy giving the highest priority to quoted market prices in active markets and the lowest priority to unobservable data. The fair value hierarchy is categorized into three levels based on the inputs as follows:
Level 1 - Valuations based on unadjusted quoted prices in active markets for identical assets or liabilities that the Organization has the ability to access.
Level 2 - Valuations based on quoted prices in markets that are not active or for which all significant inputs are not observable, either directly or indirectly.
Level 3 - Valuations based on inputs that are unobservable and significant to the overall fair value measurement.
The following is a description of the valuation methodologies used for instruments measured at fair value:
Mutual Funds
The fair value of mutual funds is the market value based on quoted market prices, when available, or market prices provided by recognized broker dealers. If listed prices or quotes are not available, fair value is based upon externally developed models that use unobservable inputs due to the limited market activity of the instrument. At June 30, 2025 and 2024, there were no mutual funds or exchange traded products where listed prices or quotes were not available and thus are classified as Level 1 assets.
Government Obligations
The fair value of government obligations is the market value based on quoted market prices or market prices provided by recognized broker dealers. Government obligations have been classified as Level 2.
Realized and unrealized gains and losses, interest and dividends, and investment fees are included in investment income on the combined statement of activities.
Alliance for Positive Change and Affiliate
Notes to Combined Financial Statements
Years Ended June 30, 2025 and 2024
Note 2 - Summary of Significant Accounting Policies
- Continued
h.
Property and Equipment
Property and equipment that exceed $5,000 and have a useful life of greater than one year are recorded at cost or at the fair value at the date of gift. Depreciation is computed using the straightline method over the estimated useful life of the respective asset as follows:
Leasehold improvements 10-15 years
Furniture and fixtures 7-10 years
Office equipment 7-10 years
i. Functional Expenses
The costs of providing various programs and other activities have been summarized on a functional basis in the combined financial statements. Accordingly, certain costs have been allocated among the programs and supporting services benefited.
Salaries and wages were allocated using time and effort as a basis. The following costs were allocated using the salary allocation as a basis:
Payroll taxes and employee benefits Telecommunications
Consumable supplies
Consultants and contractual services
Consultants - audit
Occupancy Operations and IT
Equipment rental
Insurance
Telecommunications
All other expenses have been charged directly to the applicable program or supporting services.
j.
Use of Estimates
The preparation of combined financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities at the date of the combined financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.
k. Leases
The Organization determines if an arrangement is or contains a lease at inception, which is the date on which the terms of the contract are agreed to, and the agreement creates enforceable rights and obligations. A contract is or contains a lease when (i) explicitly or implicitly identified assets have been deployed in the contract and (ii) the customer obtains substantially all of the economic benefits from the use of that underlying asset and directs how and for what purpose the asset is used during the term of the contract. The Organization also considers whether its service arrangements include the right to control the use of an asset.
Alliance for Positive Change and Affiliate
Notes to Combined Financial Statements
Years Ended June 30, 2025 and 2024
Note 2 - Summary of Significant Accounting Policies -
Continued
k. Leases -
Continued
The Organization recognizes most leases on its combined statements of financial position as a rightof-use (“ROU”) asset representing the right to use an underlying asset and a lease liability representing the obligation to make lease payments over the lease term, measured on a discounted basis. Leases are classified as either finance leases or operating leases based on certain criteria. Classification of the lease affects the pattern of expense recognition in the combined statement of activities.
The Organization made an accounting policy election not to recognize ROU assets and lease liabilities for leases with a term of 12 months or less. For all other leases, ROU assets and lease liabilities are measured based on the present value of future lease payments over the lease term at the commencement date of the lease (or July 1, 2022, for existing leases upon the adoption of ASC 842). The ROU assets also include any initial direct costs incurred and lease payments made at or before the commencement date and are reduced by any lease incentives. To determine the present value of lease payments, the Organization made an accounting policy election available to non-public companies to utilize a risk-free borrowing rate, which is aligned with the lease term at the lease commencement date (or remaining term for leases existing upon adoption).
Future lease payments may include fixed rent escalation clauses or payments that depend on an index (such as the consumer price index), which is initially measured using the index or rate at lease commencement. Subsequent changes of an index and other periodic market-rate adjustments to base rent are recorded in variable lease expense in the period incurred. Residual value guarantees or payments for terminating the lease are included in the lease payments only when it is probable they will be incurred.
The Organization has made an accounting policy election to account for lease and non-lease components in its contracts as a single lease component for its real estate, and equipment asset classes. The non-lease components typically represent additional services transferred to the Organization, such as common area maintenance for real estate, which are variable in nature and recorded in variable lease expense in the period incurred.
Note 3 - Liquidity and Availability
Financial assets available within one year of the date of the combined statement of financial position for general expenditure are as follows:
June 31,
5,446,889 Financial assets available to meet cash needs for general expenditures within one year23,391,915 $ 19,167,322 $
The Organization’s practice is to manage financial assets to be available for its general expenditures, liabilities, and other obligations based on a balanced budget and forecasting cash flow. In the event of an unanticipated liquidity need, the Organization could also draw upon its available line of credit (Note 8).
Alliance for Positive Change and Affiliate
Notes to Combined Financial Statements
Years Ended June 30, 2025 and 2024
Note 4 - Investments
The following tables present information about the Organization’s assets that are measured at fair value and are as follows:
June 30, 2025
June 30, 2024
Note 5 - Property and Equipment
Property and equipment consist of the following:
Note 6 - Restricted Cash
Restricted cash consists of cash held in escrow at a financial institution maintained by the Organization in lieu of a security deposit for the 64 West 35th Street, Manhattan lease. The 15year lease commenced in January 2015 and requires the Organization to maintain cash in escrow equal to six times the minimum monthly rent or $425,167. Restricted cash at both June 30, 2025 and 2024 was $425,167.
Alliance for Positive Change and Affiliate
Notes to Combined Financial Statements
Years Ended June 30, 2025 and 2024
Note 7 - Operating Lease Right-of-Use (“ROU”) Assets and Operating Lease Liabilities
The Organization leases real estate under operating lease agreements that have initial terms ranging from 10 to 14 years. Some leases include one or more options to renew, generally at the Organization’s sole discretion, with renewal terms that can extend the lease term up to 10 years. In addition, certain leases contain termination options, where the rights to terminate are held by either the Organization, the lessor, or both parties. These options to extend or terminate a lease are included in the lease terms when it is reasonably certain that the Organization will exercise that option. The Organization’s operating leases generally do not contain any material restrictive covenants or residual value guarantees.
Operating lease cost is recognized on a straight-line basis over the lease term. The components of lease expense are below for the year ended June 30, 2025 and 2024.
Supplemental combined statement of financial position information related to leases were as follows:
Alliance for Positive Change and Affiliate
Notes to Combined Financial Statements
Years Ended June 30, 2025 and 2024
Note 7 - Operating Lease Right-of-Use (“ROU”) Assets and Operating Lease Liabilities - Continued
Average lease term and discount rate as of June 30, 2025 and 2024 were as follows:
The aggregate future lease payments for operating leases as of June 30, 2025 were as follows:
Note 8 - Line of Credit
The Organization has a line of credit collateralized by the Organization’s business assets with a financial institution. Under this line of credit, the Organization may borrow up to $5,000,000. Interest is accrued on the outstanding balance at SOFR plus 3.00% The line of credit expired on November 4, 2024. On November 15, 2024, the line of credit was renewed for an additional one year and will expire on November 15, 2025. As of June 30, 2025 and 2024, there were no outstanding borrowings.
Note 9 - Employee Benefit Plan
The Organization has a defined contribution plan for its employees who are over the age of 21 and may become vested after completing three continuous years of service. The employer’s contribution to the plan is a fixed percentage of the participant’s compensation which management determines on an annual basis. Employer contributions to the plan for the years ended June 30, 2025 and 2024 were $470,640 and $478,275, respectively.
Alliance for Positive Change and Affiliate
Notes to Combined Financial Statements
Years Ended June 30, 2025 and 2024
Note 10 - Contributed Nonfinancial Assets
Nonfinancial contributions consisted of the following at year end:
Years Ended June 30,
Note 11 - Commitments and Contingencies
The Organization has contracted with the NY State Department of Health to perform Medicaid reimbursement for case management supportive services. Reimbursement received under this contract is subject to audit by New York State. Upon audit, if discrepancies are discovered, the Organization could be held responsible for refunding to the Department of Health for amounts in question. Management is of the opinion that any potential disallowances that may result from an audit will not be material and has not established any reserves. Any future disallowances will be recorded when they become known, and the amount is probable that it will be paid.
Note 12 - Subsequent Events
Subsequent events have been evaluated through December 9, 2025, the date the combined financial statements were available to be issued. There were no material events that have occurred that require adjustment to or disclosure to the combined financial statements.
Alliance for Positive Change and Affiliate
Supplementary Information - Combining Statement of Financial Position
Alliance for Positive Change and Affiliate
Supplementary Information - Combining Statement of Activities
Alliance for Positive Change and Affiliate
Schedule of Expenditures of Federal Awards
Year Ended June 30, 2025
Federal Grantor/Pass through GrantorFederal Assistanceor PassProgram or Cluster TitleListing NumberThrough NumberExpenditures
U.S. Department of Health and Human Services: HIV Prevention Activities Non-Governmental Organization Based, Direct93.939PS20-2102441,625 $
Passed through Public Health Solutions
HIV Emergency Relief Project Grants93.91422-HRM-566429,093
HIV Emergency Relief Project Grants93.91422-HER-56648,749
HIV Emergency Relief Project Grants93.91422-STH-5661,548,003
HIV Emergency Relief Project Grants93.91422-SCI-56671,590
HIV Emergency Relief Project Grants93.91422-SCL-566139,626
HIV Emergency Relief Project Grants93.91419-CCR-602516,798
Subtotal HIV Emergency Relief Project Grants 2,753,859
Passed through Health Research Inc. / NYS DOH HIV Care Formula Grants93.917517264,694
Care Formula Grants93.9178263400,768
Care Formula Grants93.917571884,898 Subtotal HIV Care Formula Grants 550,360 Passed through New York State Office of Alcoholism and Substance
major program **No subrecipients were used
Alliance for Positive Change and Affiliate
Notes to Schedule of Expenditures of Federal Awards
Year Ended June 30, 2025
Note 1 - Basis of Presentation
The accompanying schedule of expenditures of federal awards includes the federal grant activity of the Organization under programs of the federal government for the year ended June 30, 2025. The information in this schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations (“CFR”) Part 200, Uniform Guidance Requirements, Cost Principles, and Audit Requirements for Federal Awards (“Uniform Guidance”). Because the schedule presents only a selected portion of the operations of the Organization, it is not intended to and does not present the combined financial position, combined change in net assets or combined cash flows of the Organization.
Note 2 - Summary of Significant Accounting Policies
Expenditures reported on the schedule of expenditures of federal awards are presented on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in OMB’s Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (“Uniform Guidance”). Under federal cost principles, certain types of expenditures are not allowable or are limited as to reimbursement. Pass-through entity identifying numbers are presented where available.
Note 3 - Subrecipients
There were no amounts provided to subrecipients from federal awards received during the year ended June 30, 2025.
Note 4 - Indirect Cost Rate
The Organization has elected not to use the 10-percent de minimis indirect cost rate allowed under the Uniform Guidance.
Report on Internal Control over Financial Reporting and on Compliance and on Other Matters Based on an Audit of Combined Financial Statements Performed in Accordance with Government Auditing Standards
Independent Auditor’s Report
To the Board of Directors Alliance for Positive Change and Affiliate
We have audited, in accordance with the auditing standards generally accepted in the United States of America and the standards applicable to financial audits contained in Government Auditing Standards issued by the Comptroller General of the United States (“Government Auditing Standards”), the combined financial statements of Alliance for Positive Change and Affiliate (the “Organization”), which comprise the combined statement of financial position as of June 30, 2025, the related combined statements of activities, functional expenses, and cash flows for the year then ended, and the related notes to the combined financial statements, and have issued our report thereon dated December 9, 2025.
Report on Internal Control over Financial Reporting
In planning and performing our audit of the combined financial statements, we considered the Organization’s internal control over financial reporting (“internal control”) as a basis for designing audit procedures that are appropriate in the circumstances for the purpose of expressing our opinion on the combined financial statements, but not for the purpose of expressing an opinion on the effectiveness of the Organization’s internal control. Accordingly, we do not express an opinion on the effectiveness of the Organization’s internal control.
A deficiency in internal control exists when the design or operation of a control does not allow management or employees, in the normal course of performing their assigned functions, to prevent, or detect and correct, misstatements on a timely basis. A material weakness is a deficiency, or a combination of deficiencies, in internal control, such that there is a reasonable possibility that a material misstatement of the Organization’s combined financial statements will not be prevented or detected and corrected on a timely basis. A significant deficiency is a deficiency, or a combination of deficiencies, in internal control that is less severe than a material weakness, yet important enough to merit attention by those charged with governance.
Our consideration of internal control was for the limited purpose described in the first paragraph of this section and was not designed to identify all deficiencies in internal control that might be material weaknesses or significant deficiencies. Given these limitations, during our audit we did not identify any deficiencies in internal control that we consider to be material weaknesses. However, material weaknesses or significant deficiencies may exist that were not identified.
Report on Compliance and Other Matters
As part of obtaining reasonable assurance about whether the Organization's combined financial statements are free from material misstatement, we performed tests of its compliance with certain provisions of laws, regulations, contracts, and grant agreements, noncompliance with which could have a direct and material effect on the combined financial statements. However, providing an opinion on compliance with those provisions was not an objective of our audit, and accordingly, we do not express such an opinion. The results of our tests disclosed no instances of noncompliance or other matters that are required to be reported under Government Auditing Standards
Page 2
Purpose of this Report
The purpose of this report is solely to describe the scope of our testing of internal control and compliance and the results of that testing, and not to provide an opinion on the effectiveness of the Organization’s internal control or on compliance. This report is an integral part of an audit performed in accordance with Government Auditing Standards in considering the Organization’s internal control and compliance. Accordingly, this communication is not suitable for any other purpose.
New York, NY
December 9, 2025
Report on Compliance for Each Major Federal Program and Report on Internal Control Over Compliance and Report on Schedule of Expenditures of Federal Awards Required by the Uniform Guidance
Independent Auditor’s Report
To the Board of Directors Alliance for Positive Change and Affiliate
Report on Compliance for Each Major Federal Program
Opinion on Each Major Federal Program
We have audited Alliance for Positive Change and Affiliate’s (the “Organization’s”) compliance with the types of compliance requirements identified as subject to audit in the OMB Compliance Supplement that could have a direct and material effect on each of the Organization’s major federal programs for the year ended June 30, 2025. The Organization’s major federal programs are identified in the summary of auditor’s results section of the accompanying schedule of findings and questioned costs.
In our opinion, the Organization complied, in all material respects, with the compliance requirements referred to above that could have a direct and material effect on each of its major federal programs for the year ended June 30, 2025.
Basis for Opinion on Each Major Federal Program
We conducted our audit of compliance in accordance with auditing standards generally accepted in the United States of America (“GAAS”); the standards applicable to financial audits contained in Government Auditing Standards issued by the Comptroller General of the United States (“Government Auditing Standards”); and the audit requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (“Uniform Guidance”). Our responsibilities under those standards and the Uniform Guidance are further described in the Auditor's Responsibilities for the Audit of Compliance section of our report.
We are required to be independent of the Organization and to meet our other ethical responsibilities, in accordance with relevant ethical requirements relating to our audit. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion on compliance for each major federal program. Our audit does not provide a legal determination of the Organization’s compliance with the compliance requirements referred to above.
Responsibilities of Management for Compliance
Management is responsible for compliance with the requirements referred to above and for the design, implementation, and maintenance of effective internal control over compliance with the requirements of laws, statutes, regulations, rules, and provisions of contracts or grant agreements applicable to the Organization’s federal programs.
Auditor’s Responsibilities for the Audit of Compliance
Our objectives are to obtain reasonable assurance about whether material noncompliance with the compliance requirements referred to above occurred, whether due to fraud or error, and express an opinion on the Organization’s compliance based on our audit. Reasonable assurance is a high level of assurance but is not absolute assurance and therefore is not a guarantee that an audit conducted in accordance with GAAS, Government Auditing Standards, and the Uniform Guidance will always detect material noncompliance when it exists. The risk of not detecting material noncompliance resulting from fraud is higher than for that resulting from error, as fraud may involve collusion, forgery, intentional omissions, misrepresentations, or the override of internal control. Noncompliance with the compliance requirements referred to above is considered material, if there is a substantial likelihood that, individually or in the aggregate, it would influence the judgment made by a reasonable user of the report on compliance about the Organization’s compliance with the requirements of each major federal program as a whole.
In performing an audit in accordance with GAAS, Government Auditing Standards, and the Uniform Guidance, we:
• Exercise professional judgment and maintain professional skepticism throughout the audit.
• Identify and assess the risks of material noncompliance, whether due to fraud or error, and design and perform audit procedures responsive to those risks. Such procedures include examining, on a test basis, evidence regarding the Organization’s compliance with the compliance requirements referred to above and performing such other procedures as we considered necessary in the circumstances.
• Obtain an understanding of the Organization’s internal control over compliance relevant to the audit in order to design audit procedures that are appropriate in the circumstances and to test and report on internal control over compliance in accordance with the Uniform Guidance, but not for the purpose of expressing an opinion on the effectiveness of the Organization’s internal control over compliance. Accordingly, no such opinion is expressed.
We are required to communicate with Those Charged with Governance regarding, among other matters, the planned scope and timing of the audit and any significant deficiencies and material weaknesses in internal control over compliance that we identified during the audit.
Report on Internal Control Over Compliance
A deficiency in internal control over compliance exists when the design or operation of a control over compliance does not allow management or employees, in the normal course of performing their assigned functions, to prevent, or detect and correct, noncompliance with a type of compliance requirement of a federal program on a timely basis. A material weakness in internal control over compliance is a deficiency, or a combination of deficiencies, in internal control over compliance, such that there is a reasonable possibility that material noncompliance with a type of compliance requirement of a federal program will not be prevented, or detected and corrected, on a timely basis. A significant deficiency in internal control over compliance is a deficiency, or a combination of deficiencies, in internal control over compliance with a type of compliance requirement of a federal program that is less severe than a material weakness in internal control over compliance, yet important enough to merit attention by those charged with governance.
3
Our consideration of internal control over compliance was for the limited purpose described in the Auditor's Responsibilities for the Audit of Compliance section above and was not designed to identify all deficiencies in internal control over compliance that might be material weaknesses or significant deficiencies in internal control over compliance. Given these limitations, during our audit we did not identify any deficiencies in internal control over compliance that we consider to be material weaknesses, as defined above. However, material weaknesses or significant deficiencies in internal control over compliance may exist that were not identified.
Our audit was not designed for the purpose of expressing an opinion on the effectiveness of internal control over compliance. Accordingly, no such opinion is expressed.
The purpose of this report on internal control over compliance is solely to describe the scope of our testing of internal control over compliance and the results of that testing based on the requirements of the Uniform Guidance. Accordingly, this report is not suitable for any other purpose.
Report on Schedule of Expenditures of Federal Awards Required by the Uniform Guidance
We have audited the financial statements of the Organization as of and for the year ended June 30, 2025, and have issued our report thereon dated December 9, 2025, which contained an unmodified opinion on those financial statements. Our audit was performed for the purpose of forming an opinion on the financial statements as a whole. The accompanying schedule of expenditures of federal awards is presented for purposes of additional analysis as required by the Uniform Guidance and is not a required part of the financial statements. Such information is the responsibility of management and was derived from and relates directly to the underlying accounting and other records used to prepare the financial statements. The information has been subjected to the auditing procedures applied in the audit of the financial statements and certain additional procedures, including comparing and reconciling such information directly to the underlying accounting and other records used to prepare the financial statements or to the financial statements themselves, and other additional procedures in accordance with auditing standards generally accepted in the United States of America. In our opinion, the schedule of expenditures of federal awards is fairly stated in all material respects in relation to the financial statements as a whole
New York, NY
January 16, 2026
Alliance for Positive Change and Affiliate
Schedule of Findings and Questioned Costs
Year Ended June 30, 2025
Section I. Summary of Auditor’s Results
Financial Statements
Type of report the auditor issued on whether the financial statements audited were prepared in accordance with GAAP Unmodified
Internal control over financial reporting:
• Material weakness(es) identified? No
• Significant deficiency(ies) identified? No
Noncompliance material to financial statements noted? No
Federal Awards
Type of auditor's report issued on compliance for the program: Unmodified
Internal control over the program:
• Material weakness(es) identified? No
• Significant deficiency(ies) identified? No
Any audit findings disclosed that are required to be reported in accordance with the Single Audit Act, Subpart F of Title 2 U.S. Code of Federal Regulations (“CFR”) Part 200, Uniform Administrative Requirements, Cost Principles and Audit Requirements for Federal Awards (Uniform Guidance)? No
Identification of major federal programs:
Assistance Listing
Auditee qualified as low-risk auditee? Yes
Alliance for Positive Change and Affiliate
Schedule of Prior Year Audit Findings
Year Ended June 30, 2024
There were no audit findings in the prior year.