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MARGARET TIETZ CENTER FOR NURSING CARE: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
MARGARET TIETZ CENTER FOR NURSING CARE (EIN 13-6266115)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-12
IRS object ID
202213169349302011
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-12T14:19:35-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN271728945PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PKF O'CONNOR DAVIES LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 MAMARONECK AVENUE SUITE 301AddressLine1Txt
CityHARRISONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP105281633ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN136266115EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARGARET TIETZ NURSING ANDBusinessNameLine1Txt
Business Name Line2REHABILITATION CENTERBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlMARGBusinessNameControlTxt
Phone7185194238PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1136-65 37TH AVENUEAddressLine1Txt
CityFLUSHINGCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11354ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLENY TIRTASAPUTRAPersonNm
Person TitleCFOPersonTitleTxt
Phone7185194238PhoneNum
Signature2022-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstLENYPersonFirstNm
Person LastTIRTASAPUTRAPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGARRETT M HIGGINSPreparerPersonNm
PTINP00543209PTIN
Phone9143818900PhoneNum
Preparation2022-11-01PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerTARA BUONOCORE-RUTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1136-65 37TH AVENUEAddressLine1Txt
CityFLUSHINGCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11354ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$90GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MARGARETTIETZ.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1967FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION PROVIDED SKILLED NURSING FACILITY SERVICES.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$90CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$0PYTotalRevenueAmt
CY Total Revenue$90CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$258,183PYOtherExpensesAmt
CY Other Expenses$9,254CYOtherExpensesAmt
PY Total Expenses$258,183PYTotalExpensesAmt
CY Total Expenses$9,254CYTotalExpensesAmt
PY Revenues Less Expenses-$258,183PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$9,164CYRevenuesLessExpensesAmt
Total Assets BOY$2,425,342TotalAssetsBOYAmt
Total Assets EOY$3,192,792TotalAssetsEOYAmt
Total Liabilities BOY$3,319,918TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,822,604TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$894,576NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$629,812NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMARGARET TIETZ NURSING AND REHABILITATION CENTER (MARGARET TIETZ) OPERATED A 200 BED SKILLED NURSING FACILITY WHICH SERVED THE DIVERSE POPULATION IN WHICH IT OPERATED. IT OFFERED THE HIGHEST QUALITY OF SERVICES AND HAD WORKED TO FULFILL ITS MISSION OF CARING FOR THE CHRONICALLY ILL AND DISABLED IN THE COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescA 200 BED SKILLED NURSING FACILITY THAT PROVIDED CARE FOR THE CHRONICALLY ILL AND DISABLED IN THE COMMUNITY. THE SKILLED NURSING FACILITY'S SERVICES INCLUDED LONG-TERM MEDICAL CARE AND REHABILITATION, POSTACUTE CARE SERVICES FOR TRANSITIONING FROM HOSPITAL TO HOME, AND A PARTICULAR FOCUS ON STROKE REHABILITATION AND ON CARING FOR MEN AND WOMEN STRUGGLING AGAINST THE EFFECTS OF ALZHEIMER'S DISEASE, DEMENTIA, AND OTHER DISABLING CONDITIONS OF AGING. THE CENTER CEASED OPERATIONS ON FEBRUARY 1, 2019 AFTER THE SALE OF ITS PROPERTY AND OPERATIONS. IT IS IN THE PROCESS DISSOLVING THE ORGANIZATION.Desc
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LENY TIRTASAPUTRA CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7185194238PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1136-65 37TH AVENUEAddressLine1Txt
CityFLUSHINGCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11354ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL R POTACK
CHAIRMAN0.505.00Yes (X)Yes (X)$0$0$0
HARVEY ISHOFSKY
VICE CHAIRMAN0.505.00Yes (X)Yes (X)$0$0$0
MYRON SCHLANGER
SECRETARY0.505.00Yes (X)Yes (X)$0$0$0
KENNETH ZUCKERBROT
ASSISTANT SECRETARY0.505.00Yes (X)Yes (X)$0$0$0
MARK WEINSTEIN
TREASURER0.505.00Yes (X)Yes (X)$0$0$0
RUSSELL D FISHER
TRUSTEE0.505.00Yes (X)$0$0$0
NEIL HEYMAN
TRUSTEE0.505.00Yes (X)$0$0$0
STEPHEN KANTOR DDS
TRUSTEE0.505.00Yes (X)$0$0$0
HOWARD KRAIN
TRUSTEE0.505.00Yes (X)$0$0$0
JOHNNY LEE
CFO0.2534.75Yes (X)$0$0$0
TARA BUONOCORE-RUT
PRESIDENT/CEO0.2534.75Yes (X)$0$616,621$36,089
DAVID A ROCK
PRESIDENT/CEO (THRU 01/2021)0.2534.75Yes (X)$0$419,392$3
DAVID SILVA MOJICA
CHIEF HR OFFICER0.2534.75$0$287,072$13,838Yes (X)
JOHN J KEHOE
VP FINANCE0.2534.75$0$234,433$33,395Yes (X)
JUSTIN WALTER
VP OF PERFORMANCE IMPROVEMENT0.2534.75$0$220,205$1,221Yes (X)
CARLY HARNICK
VP OF CARE DELIVERY ADMINISTRATION0.2534.75$0$206,020$31,407Yes (X)
SHAUN RUSKIN
EXEC. VP, CHIEF STRATEGY OFFICER0.2534.75$0$356,602$19Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,340,345TotReportableCompRltdOrgAmt
Total Other Compensation$115,972TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$90TotalRevenueColumnAmt
Exclusion$90ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$90TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$90ExclusionAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,078TotalAmt
Management And General$4,078ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,000TotalAmt
Management And General$4,000ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,176TotalAmt
Management And General$1,176ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,254TotalAmt
Program Services$0ProgramServicesAmt
Management And General$9,254ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$490,658BOYAmt
EOY$328,299EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$208,486EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$151,979BOYAmt
EOY$370,617EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,782,705BOYAmt
EOY$2,285,390EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,425,342BOYAmt
EOY$3,192,792EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,319,918BOYAmt
EOY$3,822,604EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,319,918BOYAmt
EOY$3,822,604EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$894,576BOYAmt
EOY-$629,812EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$894,576BOYAmt
EOY-$629,812EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,425,342BOYAmt
EOY$3,192,792EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$9,164ReconcilationRevenueExpnssAmt
Prior Period Adjustments$273,928PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,480CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,714CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$496CurrentTaxYearMinus2YearsAmt
Total$40,690TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$26,616,485CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$31,147,766CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,906,402CurrentTaxYearMinus2YearsAmt
Total$60,670,653TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$26,625,965CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$31,178,480CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,906,898CurrentTaxYearMinus2YearsAmt
Total$60,711,343TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$60,711,343PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$58,400CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$54,197CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,690CurrentTaxYearMinus2YearsAmt
Current Tax Year$90CurrentTaxYearAmt
Total$115,377TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$58,400CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$54,197CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,690CurrentTaxYearMinus2YearsAmt
Current Tax Year$90CurrentTaxYearAmt
Total$115,377TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$95,386CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$226,773CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$87,142CurrentTaxYearMinus2YearsAmt
Total$409,301TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$26,779,751CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$31,459,450CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,996,730CurrentTaxYearMinus2YearsAmt
Current Tax Year$90CurrentTaxYearAmt
Total$61,236,021TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99140PublicSupportCY509Pct
Public Support PY5090.99310PublicSupportPY509Pct
Investment Income CY0.00190InvestmentIncomeCYPct
Investment Income PY0.00170InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationEMPLOYEE CAFETERIA - 2017 AMOUNT: $ 546. 2018 AMOUNT: $ 327. MEDICAL RECORDS - 2017 AMOUNT: $ 17,937. 2018 AMOUNT: $ 4,361. 2019 AMOUNT: $ 1,874. PURCHASE DISCOUNTS - 2017 AMOUNT: $ 1,733. 2018 AMOUNT: $ 119,902. MISCELLANEOUS - 2017 AMOUNT: $ 13,600. 2019 AMOUNT: $ 81,276. SHOP INCOME - 2017 AMOUNT: $ 1,418. 2018 AMOUNT: $ 760. REBATES AND REFUNDS - 2017 AMOUNT: $ 60,152. 2018 AMOUNT: $ 101,423. 2019 AMOUNT: $ 3,992.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
INSURANCE RECOVERY RECEIVABLE$2,154,305
DUE FROM RELATED PARTIES$131,085
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,285,390TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO RELATED PARTIES$1,668,299
PROFESSIONAL AND SIMILAR LIABILITIES$2,154,305
FieldValueIRS element (for citing)
Total Liability$3,822,604TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
TARA BUONOCORE-RUT
PRESIDENT/CEO$0$615,481$0$0$0$1,140$0$3,791$0$32,298$0$652,710$0$0
DAVID A ROCK
PRESIDENT/CEO (THRU 01/2021)$0$80,221$0$0$0$339,171$0$0$0$3$0$419,395$0$0
SHAUN RUSKIN
EXEC. VP, CHIEF STRATEGY OFFICER$0$355,769$0$0$0$833$0$0$0$19$0$356,621$0$0
DAVID SILVA MOJICA
CHIEF HR OFFICER$0$286,112$0$0$0$960$0$4,331$0$9,507$0$300,910$0$0
JOHN J KEHOE
VP FINANCE$0$232,066$0$0$0$2,367$0$6,995$0$26,400$0$267,828$0$0
CARLY HARNICK
VP OF CARE DELIVERY ADMINISTRATION$0$205,394$0$0$0$626$0$3,250$0$28,157$0$237,427$0$0
JUSTIN WALTER
VP OF PERFORMANCE IMPROVEMENT$0$219,546$0$0$0$659$0$508$0$713$0$221,426$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE SALARIES FOR THE EXECUTIVES ARE DETERMINED BY THE PARENT COMPANY, CENTERLIGHT HEALTH SYSTEM, INC. THE METHODS UTILIZED INCLUDE: A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANTS, COMPARING TO THE FORM 990'S OF OTHER ORGANIZATIONS, COMPENSATION SURVEYS OR STUDIES, AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD.
PART I, LINE 4ATHE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE IN HIS 2021 W-2 FROM THE REPORTING ORGANIZATION AND RELATED PARTIES TOTALING: DAVID ROCK, PRESIDENT/CEO - $337,500

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE ENTITY PURCHASED MANAGEMENT SERVICES FROM AN UNRELATED ADVISORY SERVICES COMPANY, GRANT THORNTON, LLP. SERVICES INCLUDED DELEGATED CFO RESPONSIBILITIES. MANAGEMENT FEES TOTALING $1,486,332 WERE PAID DURING 2021 TO THIS COMPANY BY A RELATED ORGANIZATION, CENTERLIGHT HEALTH SYSTEM, INC. JOHNNY LEE, WHO IS LISTED ON PART VII, WAS COMPENSATED BY THE MANAGEMENT COMPANY.
FORM 990, PART VI, SECTION A, LINE 6CENTERLIGHT HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF MARGARET TIETZ NURSING AND REHABILITATION CENTER.
FORM 990, PART VI, SECTION A, LINE 7ACENTERLIGHT HEALTH SYSTEM, INC. MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7BTHE APPROVAL OF THE MEMBER SHALL BE REQUIRED FOR ALL ACTIONS OF THE CORPORATION FOR WHICH MEMBER APPROVAL IS REQUIRED UNDER THE NOT-FOR-PROFIT CORPORATION LAW OF THE STATE OF NEW YORK. WITHOUT LIMITING THE FOREGOING OR ANY OTHER PROVISION OF THESE BYLAWS, THE APPROVAL OF THE MEMBER SHALL BE REQUIRED FOR THE CORPORATION TO: (A) EFFECT A MERGER, CONSOLIDATION, REORGANIZATION, OR SALE OR OTHER DISPOSITION OF THE CORPORATION OR ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; (B) EFFECT ANY DISSOLUTION, LIQUIDATION OR OTHER WINDING UP OF THE CORPORATION OR THE CESSATION OF ALL OR A SUBSTANTIAL PART OF THE BUSINESS OF THE CORPORATION; (C) AMEND THE CORPORATION'S CERTIFICATE OF LNCORPORATION OR BY-LAWS; (D) EFFECT A MATERIAL CHANGE IN THE CORPORATION'S BUSINESS; (E) INCREASE THE NUMBER OF DIRECTORS OR CHANGE THE TERM OF THE DIRECTORS ON THE CORPORATION'S BOARD OF DIRECTORS; (F) CREATE ANY MORTGAGE, PLEDGE OR OTHER SECURITY INTEREST IN ALL SUBSTANTIALLY ALL OF THE ASSETS OR PROPERTY OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; (G) MAKE ANY GUARANTEE OR BECOME A SPONSOR, OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; OR (H) MAKE ANY CHANGE THAT WOULD RESULT IN THE TRANSFER OF ULTIMATE VOTING CONTROL OF THE CORPORATION TO ANOTHER PERSON OR ENTITY OTHER THAN THE MEMBER OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BTHE RETURNS ARE BASED ON THE CERTIFIED FINANCIAL STATEMENTS, AS WELL AS INFORMATION PROVIDED IN RESPONSE TO A DETAILED QUESTIONNAIRE WITH ADDITIONAL INFORMATION NOT INCLUDED IN THE FINANCIAL STATEMENTS INCLUDING COMPENSATION AND BENEFITS FOR SENIOR MANAGEMENT, PROCEDURES FOR ESTABLISHING SUCH COMPENSATION, AND GOVERNANCE POLICIES AND PROCEDURES (CONFLICTS OF INTEREST, RECORD RETENTION AND DESTRUCTION, WHISTLEBLOWER). DRAFTS OF THE COMPLETED RETURNS ARE REVIEWED BY THE CFO AND THE CORPORATE VP OF FINANCE. ANY COMMENTS ARISING FROM OUR REVIEW ARE DISCUSSED AND IF REQUIRED, CHANGES ARE MADE TO THE DRAFT. THAT DRAFT WILL BE SUBMITTED TO THE AUDIT COMMITTEE FOR ITS REVIEW AND APPROVAL. ONCE THE AUDIT COMMITTEE HAS COMPLETED ITS REVIEW COPIES OF THE RETURNS WILL BE PROVIDED TO ALL BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 12CENFORCEMENT: NEW BOARD MEMBERS AND EMPLOYEES ARE GIVEN A COPY OF THE RESPECTIVE POLICIES. EACH YEAR ALL EMPLOYEES ARE REMINDED AT THE ANNUAL CORPORATE COMPLIANCE PROGRAM TRAINING OF THE POLICY AND OF THE SANCTIONS ASSOCIATED WITH NON-COMPLIANCE. ANNUALLY, DIRECTORS OF THE BOARD AND ARE ASKED TO REVIEW THE POLICY AND TO DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS THAT MAY HAVE OCCURRED SINCE THE LAST DISCLOSURE. THE AUDIT COMMITTEE OF THE BOARD REVIEWS THE BOARD AND SENIOR MANAGEMENT DISCLOSURES. PROCEDURES FOR MANAGING IDENTIFIED CONFLICTS: BEFORE THE BOARD OF DIRECTORS TAKES ACTION TO REVIEW OR APPROVE A CONTRACT, TRANSACTION OR COMPENSATION ARRANGEMENT INVOLVING AN ACTUAL CONFLICT OF INTEREST, THE DIRECTOR, OFFICER, OR EMPLOYEE WHO HAS THE POTENTIAL/ACTUAL CONFLICT OF INTEREST AND WHO IS IN ATTENDANCE AT THE MEETING MUST DISCLOSE ALL FACTS MATERIAL TO THE CONFLICT OF INTEREST. THE CHAIRPERSON OF THE BOARD OR DESIGNEE (IF APPROPRIATE) WILL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE AND REPORT TO THE BOARD OF DIRECTORS ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. BASED ON THE INFORMATION FURNISHED BY THE DISINTERESTED PERSON OR COMMITTEE, THE BOARD OF DIRECTORS WILL MAKE A DETERMINATION OF WHETHER THE ORGANIZATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR MORE REASONABLE ARRANGEMENTS FROM AN ENTITY OR PERSON THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST IS NOT REASONABLY ATTAINABLE UNDER THE CIRCUMSTANCES, THE BOARD OF DIRECTORS WILL DETERMINE, BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS, WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATIONS' BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE ORGANIZATION. A DIRECTOR WHO HAS A CONFLICT OF INTEREST MAY NOT VOTE ON THE TRANSACTION OR ARRANGEMENT AND MAY NOT BE PRESENT IN THE MEETING ROOM WHEN THE VOTE IS TAKEN, UNLESS THE VOTE IS BY SECRET BALLOT. THE DIRECTORS' INELIGIBILITY TO VOTE SHALL BE REFLECTED IN THE MINUTES OF THE MEETING. THE AUDIT COMMITTEE, WHICH SHALL BE COMPOSED SOLELY OF DISINTERESTED DIRECTORS, SHALL ENSURE THAT THESE PROCEDURES ARE COMPLIED WITH, AND RECOMMEND REMOVAL OF THOSE THAT FAIL TO COMPLY WITH THE POLICY. MONITORING: CONTINUOUSLY, THROUGHOUT THE COURSE OF THE YEAR, ALL EMPLOYEES AND DIRECTORS ARE REMINDED OF THE CONFLICTS OF INTEREST POLICIES THROUGH CASES AND CONSEQUENCES DISCUSSIONS OF NON-COMPLIANCE. THIS IS DONE VIA E-MAIL, AT DIRECTORS MEETINGS, AND DURING STEERING COMMITTEE MEETINGS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS AVAILABLE ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST.
FORM 990, PART XII, LINE 2C:THE ORGANIZATION HAS A COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CENTERLIGHT HEALTH SYSTEM INC
136-65 37TH AVENUEFLUSHINGNY11354133323765TO SUPPORT HEALTHCARE SERVICESNY501(C)(3)LINE 12B, IIN/A0
CENTERLIGHT HEALTHCARE INC
136-65 37TH AVENUEFLUSHINGNY11354133600807MANAGED CARENY501(C)(3)LINE 100CENTERLIGHT HEALTH SYSTEM INC
PARK HOUSING DEVELOPMENT FUND COMPANY INC
136-65 37TH AVENUEFLUSHINGNY11354133566484HOUSING FOR THE ELDERLYNY501(C)(3)LINE 100CENTERLIGHT HEALTH SYSTEM INC
BEST CHOICE HOME HEALTH CARE INC
136-65 37TH AVENUEFLUSHINGNY11354133889937HOME CARENY501(C)(3)LINE 12B, II0CENTERLIGHT HEALTH SYSTEM INC
MVP HOUSING DEVELOPMENT FUND COMPANY INC
136-65 37TH AVENUEFLUSHINGNY11354133760575HOUSING FOR THE ELDERLYNY501(C)(3)LINE 100CENTERLIGHT HEALTH SYSTEM INC
SCHNURMACHER CRN
136-65 37TH AVENUEFLUSHINGNY11354133482590SKILLED NURSING FACILITYNY501(C)(3)LINE 100CENTERLIGHT HEALTH SYSTEM INC
BETH ABRAHAM SERVICES
136-65 37TH AVENUEFLUSHINGNY11354131739920SKILLED NURSING FACILITYNY501(C)(3)LINE 100CENTERLIGHT HEALTH SYSTEM INC
CENTER FOR NURSING AND REHABILITATION INC
136-65 37TH AVENUEFLUSHINGNY11354112289702SKILLED NURSING FACILITYNY501(C)(3)LINE 100CENTERLIGHT HEALTH SYSTEM INC
BETH ABRAHAM - CNR FOUNDATION INC
136-65 37TH AVENUEFLUSHINGNY11354113284763FUNDRAISINGNY501(C)(3)LINE 70CENTERLIGHT HEALTH SYSTEM INC
CENTERLIGHT HEALTHCARE DIAGNOSTIC AND TREATMENT CENTER INC
136-65 37TH AVENUEFLUSHINGNY11354133631727DIAGNOSTIC TREATMENT CENTERNY501(C)(3)LINE 12A, I0CENTERLIGHT HEALTHCARE INC
CL HEALTHCARE INC
136-65 37TH AVENUEFLUSHINGNY11354460833951HOME CARENY501(C)(3)LINE 100CENTERLIGHT HEALTH SYSTEM INC
CENTERLIGHT CERTIFIED HOME HEALTH AGENCY
136-65 37TH AVENUEFLUSHINGNY11354461840894HOME CARENY501(C)(3)LINE 100CENTERLIGHT HEALTH SYSTEM INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
SCHEUER GARDENS LP
136-65 37TH AVENUEFLUSHINGNY11354900894600AFFORDABLE HOUSINGNYSCHEUER GARDENS GP INCRELATED00
SCHEUER PLAZA LP
136-65 37TH AVENUEFLUSHINGNY11354320390482AFFORDABLE HOUSINGNYSCHEUER PLAZA GP INCRELATED00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
BETH ABRAHAM MANAGEMENT SOLUTIONS
136-65 37TH AVENUEFLUSHINGNY11354134128549TO MANAGE NURSING FACILITIES UNDER RECEIVERSHIPNYBETH ABRAHAM HEALTH SERVICESC0
SCHEUER GARDENS GP INC
136-65 37TH AVENUEFLUSHINGNY11354461126473REAL ESTATENYC0N/A
SCHEUER PLAZA GP INC
136-65 37TH AVENUEFLUSHINGNY11354461126614REAL ESTATENYC0N/A
TBM HOUSING DEVELOPMENT FUND COMPANY INC
136-65 37TH AVENUEFLUSHINGNY11354133227442HOUSING FOR THE ELDERLYNYCENTERLIGHT HEALTH SYSTEM INCC0
BETH ABRAHAM HOUSING DEVELOPMENT FUND COMPANY INC
136-65 37TH AVENUEFLUSHINGNY11354133067236HOUSING FOR THE ELDERLYNYCENTERLIGHT HEALTH SYSTEM INCC0
FieldValueIRS element (for citing)
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Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
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Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
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Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
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