2021-11-02T10:26:57-05:00 2020-12-31 271728945 PKF O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990EZ 2020-01-01 311587828 MICHAEL MALOTZ SKILLED NURSING PAVILON MICH 9149644691 2 PARK AVENUE YONKERS NY 10703 DENNIS M KEANE CFO 9149644691 2021-11-02 1 DENNIS KEANE 999009999 GARRETT M HIGGINS P00543209 9143818900 2021-11-01 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X X N/A X X 106838 X 106838 106838 80000 162 80162 26676 -476233 0 -449557 X 18665 52641 18665 52641 494898 502198 -476233 -449557 X TO PROVIDE SKILLED NURSING AND REHABILITATION SERVICES TO GERIATRIC, SUBACUTE AND VENTILATOR DEPENDENT RESIDENTS. IN JULY 2014, THE MICHAEL MALOTZ SKILLED NURSING PAVILION ("MMSNP") ENTERED INTO AN ASSET PURCHASE AND SALE AGREEMENT WITH AN UNRELATED BUYER FOR THE PURCHASE OF THE FACILITY. THE SALE WAS COMPLETED ON AUGUST 31, 2015 (THE CLOSING DATE). THE MMSNP IS IN THE PROCESS OF DISSOLVING. 80000 80000 80000 DENNIS M KEANE CHIEF FINANCIAL OFFICER 0.50 0 0 0 RON CORTI CHIEF EXECUTIVE OFFICER 0.50 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NY HUBERT MOSEJCZUK 2 PARK AVENUE YONKERS NY 10703 9149644691 0 0 0 0 0 0 0 0 0 0 NONE NONE 1 X 147534 106838 106838 106838 468048 147534 106838 106838 106838 468048 0 0 0 468048 3521 3521 3521 3521 30313 58 30371 181368 106896 106838 106838 501940 0.93250 0.99370 0.00700 0.00120 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: REFUNDS AND REBATES - 2016 AMOUNT: $ 4,771. OTHER - 2016 AMOUNT: $ 25,542. 2017 AMOUNT: $ 58. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: ST. JOHN'S RIVERSIDE HOSPITAL. GRANTEE ADDRESS: 967 N. BROADWAY YONKERS, NY 10701. DATE OF GIFT: 12/31/20. AMOUNT GIVEN: 80,000. FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES DESCRIPTION: ESCROW ACCOUNT LIABILITY. BEG. OF YEAR AMOUNT: 531. END OF YEAR AMOUNT: 0. DESCRIPTION: DUE TO THIRD PARTY PAYORS. BEG. OF YEAR AMOUNT: 418,872. END OF YEAR AMOUNT: 418,872. DESCRIPTION: OTHER LIABILITY. BEG. OF YEAR AMOUNT: 74,879. END OF YEAR AMOUNT: 77,139. DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 616. END OF YEAR AMOUNT: 0. DESCRIPTION: UNCLAIMED PROPERTY. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 6,187. THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.