MARGARET TIETZ CENTER FOR NURSING CARE: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- MARGARET TIETZ CENTER FOR NURSING CARE (EIN 13-6266115)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-16
- IRS object ID
- 202023219349323787
- Schema version
- 2019v5.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-16T19:34:26-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 271728945 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PKF O'CONNOR DAVIES LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 MAMARONECK AVENUE | AddressLine1Txt |
| City | HARRISON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 105281633 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 136266115 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARGARET TIETZ NURSING AND | BusinessNameLine1Txt |
| Business Name Line2 | REHABILITATION CENTER | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MARG | BusinessNameControlTxt |
| Phone | 7185194238 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1733 EASTCHESTER ROAD | AddressLine1Txt |
| City | BRONX | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10461 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHNNY LEE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7185194238 | PhoneNum |
| Signature | 2020-11-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GARRETT M HIGGINS | PreparerPersonNm |
| PTIN | P00543209 | PTIN |
| Phone | 9143818900 | PhoneNum |
| Preparation | 2020-11-13 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 24.190.81.120 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-16 | IPDt |
| IP Tm | 19:34:21 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 9616F4B14A694591D1E716C270910E6FA5556DA3 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHNNY LEE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1733 EASTCHESTER ROAD | AddressLine1Txt |
| City | BRONX | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10461 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $41,496,730 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MARGARETTIETZ.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1967 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | THE ORGANIZATION PROVIDED SKILLED NURSING FACILITY SERVICES. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 206 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $30,714 | PYContributionsGrantsAmt |
| CY Contributions Grants | $496 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $31,147,766 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,906,402 | CYProgramServiceRevenueAmt |
| PY Investment Income | $54,197 | PYInvestmentIncomeAmt |
| CY Investment Income | $20,839,616 | CYInvestmentIncomeAmt |
| PY Other Revenue | $226,773 | PYOtherRevenueAmt |
| CY Other Revenue | $87,142 | CYOtherRevenueAmt |
| PY Total Revenue | $31,459,450 | PYTotalRevenueAmt |
| CY Total Revenue | $23,833,656 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $43,812 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $14,636,680 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,235,905 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $16,174,649 | PYOtherExpensesAmt |
| CY Other Expenses | $1,814,966 | CYOtherExpensesAmt |
| PY Total Expenses | $30,855,141 | PYTotalExpensesAmt |
| CY Total Expenses | $3,051,871 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $604,309 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $20,781,785 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $29,128,133 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,753,962 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $21,860,289 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,172,673 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,267,844 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$418,711 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MARGARET 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $1,503,086 | ExpenseAmt |
| Grant | $1,000 | GrantAmt |
| Revenue | $2,906,402 | RevenueAmt |
| Desc | A 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. | Desc |
| Total Program Service Expenses | $1,503,086 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | Yes (1) | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 48 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 206 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN KEHOE VP OF FINANCE | PersonNm |
| Phone | 7182391405 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1733 EASTCHESTER ROAD | AddressLine1Txt |
| City | BRONX | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10461 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| DAVID A ROCK | |||||||||
| PRESIDENT/CEO | 0.25 | 34.75 | Yes (X) | $4,831 | $671,462 | $1,337 | |||
| BENJAMIN C DUSTER IV | |||||||||
| FORMER PRESIDENT/CEO | 0.00 | 0.00 | $2,857 | $397,143 | $0 | Yes (X) | |||
| KAREN EASTMOND | |||||||||
| CHIEF COMPLIANCE OFFICER | 0.25 | 34.75 | $2,302 | $319,963 | $32,364 | Yes (X) | |||
| DAVID SILVA MOJICA | |||||||||
| CRPO & SVP HR | 0.25 | 34.75 | $1,970 | $273,833 | $30,194 | Yes (X) | |||
| JOHN J KEHOE | |||||||||
| VP FINANCE | 0.25 | 34.75 | $1,584 | $220,164 | $44,880 | Yes (X) | |||
| STACEY S JOHNSTON | |||||||||
| VP REAL ESTATE MGMT SPEC PRPOJECTS | 0.60 | 34.40 | $3,319 | $190,284 | $48,203 | Yes (X) | |||
| MATHEW RUBIN | |||||||||
| VP FINANCE | 0.25 | 34.75 | $1,490 | $207,151 | $28,821 | Yes (X) | |||
| DEBRA TIRADO | |||||||||
| CFO (THRU 01/31/19) | 0.25 | 34.75 | Yes (X) | $326 | $45,231 | $4,010 | |||
| MICHAEL R POTACK | |||||||||
| CHAIRMAN | 0.50 | 6.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| HARVEY ISHOFSKY | |||||||||
| VICE CHAIRMAN | 0.50 | 6.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MYRON SCHLANGER | |||||||||
| SECRETARY | 0.50 | 6.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| KENNETH ZUCKERBROT | |||||||||
| ASSISTANT SECRETARY | 0.50 | 6.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MARK WEINSTEIN | |||||||||
| TREASURER | 0.50 | 6.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| RUSSELL D FISHER | |||||||||
| TRUSTEE | 0.50 | 6.00 | $0 | $0 | $0 | Yes (X) | |||
| NEIL HEYMAN | |||||||||
| TRUSTEE | 0.50 | 6.00 | $0 | $0 | $0 | Yes (X) | |||
| STEVEN KANTOR DDS | |||||||||
| TRUSTEE | 0.50 | 6.00 | $0 | $0 | $0 | Yes (X) | |||
| HOWARD KRAIN | |||||||||
| TRUSTEE | 0.50 | 6.00 | $0 | $0 | $0 | Yes (X) | |||
| WILLIAM LISS-LEVINSON PHD | |||||||||
| TRUSTEE (THRU 04/1/19) | 0.50 | 6.00 | $0 | $0 | $0 | Yes (X) | |||
| JOHNNY LEE | |||||||||
| CFO | 0.25 | 34.75 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $18,679 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,325,231 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $189,809 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $496 | AllOtherContributionsAmt |
| Total Contributions | $496 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICARE | 623000 | $1,501,047 | $1,501,047 |
| MEDICAID | 623000 | $992,146 | $992,146 |
| PRIVATE, PATIENT, AND OTHER | 623000 | $413,209 | $413,209 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,906,402 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,690 | TotalRevenueColumnAmt |
| Exclusion | $2,690 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $38,500,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $17,663,074 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $20,836,926 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,836,926 | TotalRevenueColumnAmt |
| Exclusion | $20,836,926 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MISCELLANEOUS | 900099 | $81,276 | $81,276 |
| REBATES AND REFUNDS | 900099 | $3,992 | $3,992 |
| MEDICAL RECORDS | 900099 | $1,874 | $1,874 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $87,142 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,833,656 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,906,402 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $20,926,758 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,000 | TotalAmt |
| Program Services | $1,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,194 | TotalAmt |
| Program Services | $4,934 | ProgramServicesAmt |
| Management And General | $260 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $350,493 | TotalAmt |
| Program Services | $60,031 | ProgramServicesAmt |
| Management And General | $290,462 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $516,926 | TotalAmt |
| Program Services | $491,080 | ProgramServicesAmt |
| Management And General | $25,846 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,195 | TotalAmt |
| Program Services | $64,785 | ProgramServicesAmt |
| Management And General | $3,410 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195,541 | TotalAmt |
| Program Services | $185,764 | ProgramServicesAmt |
| Management And General | $9,777 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,556 | TotalAmt |
| Program Services | $94,578 | ProgramServicesAmt |
| Management And General | $4,978 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,949 | TotalAmt |
| Management And General | $102,949 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,075,536 | TotalAmt |
| Program Services | $463,224 | ProgramServicesAmt |
| Management And General | $612,312 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,090 | TotalAmt |
| Program Services | $23,090 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,375 | TotalAmt |
| Management And General | $15,375 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $483,416 | TotalAmt |
| Management And General | $483,416 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,046 | TotalAmt |
| Program Services | $10,046 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| NYS CASH RECEIPTS ASSES | $72,768 | $72,768 |
| MEDICAL SUPPLIES | $23,774 | $23,774 |
| REPAIRS AND MAINTENANCE | $8,012 | $8,012 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,051,871 | TotalAmt |
| Program Services | $1,503,086 | ProgramServicesAmt |
| Management And General | $1,548,785 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,934,696 | BOYAmt |
| EOY | $185,445 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,770,300 | BOYAmt |
| EOY | $1,195,709 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,860,708 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $998,172 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,946,965 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,615,464 | BOYAmt |
| EOY | $2,374,636 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,128,133 | BOYAmt |
| EOY | $4,753,962 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,039,996 | BOYAmt |
| EOY | $65,904 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,820,380 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,628 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,946,285 | BOYAmt |
| EOY | $5,106,769 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,860,289 | BOYAmt |
| EOY | $5,172,673 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,267,844 | BOYAmt |
| EOY | -$418,711 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,267,844 | BOYAmt |
| EOY | -$418,711 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,128,133 | BOYAmt |
| EOY | $4,753,962 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $20,781,785 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$28,468,340 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,744,285 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $234,093 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,480 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $30,714 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $496 | CurrentTaxYearAmt |
| Total | $2,019,068 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $26,359,620 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $26,304,555 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $26,616,485 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $31,147,766 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,906,402 | CurrentTaxYearAmt |
| Total | $113,334,828 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $28,103,905 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $26,538,648 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $26,625,965 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $31,178,480 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,906,898 | CurrentTaxYearAmt |
| Total | $115,353,896 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $115,353,896 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $31,369 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34,468 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $58,400 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $54,197 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,690 | CurrentTaxYearAmt |
| Total | $181,124 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $31,369 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34,468 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $58,400 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $54,197 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,690 | CurrentTaxYearAmt |
| Total | $181,124 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $29,815 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $43,964 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $95,386 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $226,773 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $87,142 | CurrentTaxYearAmt |
| Total | $483,080 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $28,165,089 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $26,617,080 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $26,779,751 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $31,459,450 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,996,730 | CurrentTaxYearAmt |
| Total | $116,018,100 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99430 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99560 | PublicSupportPY509Pct |
| Investment Income CY | 0.00160 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00140 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | EMPLOYEE CAFETERIA - 2015 AMOUNT: $ 1,904. 2016 AMOUNT: $ 1,409. 2017 AMOUNT: $ 546. 2018 AMOUNT: $ 327. VENDING MACHINES - 2015 AMOUNT: $ 2,551. 2016 AMOUNT: $ 2,390. MEDICAL RECORDS - 2015 AMOUNT: $ 17,804. 2016 AMOUNT: $ 17,606. 2017 AMOUNT: $ 17,937. 2018 AMOUNT: $ 4,361. 2019 AMOUNT: $ 1,874. PURCHASE DISCOUNTS - 2015 AMOUNT: $ 5,779. 2016 AMOUNT: $ 5,231. 2017 AMOUNT: $ 1,733. 2018 AMOUNT: $ 119,902. MISCELLANEOUS - 2015 AMOUNT: $ 1,777. 2016 AMOUNT: $ 17,328. 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | 0 | InclEscrowCustodialAcctLiabInd |
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RESIDENT FUNDS HELD IN TRUST | $234,636 |
| INSURANCE RECOVERY RECEIVABLE | $2,140,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,374,636 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED PARTIES | $2,966,769 |
| PROFESSIONAL AND SIMILAR LIABILITIES | $2,140,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,106,769 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID A ROCK | ||||||||||||||
| PRESIDENT/CEO | $4,777 | $663,992 | $0 | $0 | $54 | $7,470 | $0 | $0 | $10 | $1,327 | $4,841 | $672,789 | $0 | $0 |
| BENJAMIN C DUSTER IV | ||||||||||||||
| FORMER PRESIDENT/CEO | $0 | $0 | $0 | $0 | $2,857 | $397,143 | $0 | $0 | $0 | $0 | $2,857 | $397,143 | $0 | $0 |
| KAREN EASTMOND | ||||||||||||||
| CHIEF COMPLIANCE OFFICER | $2,057 | $285,870 | $0 | $0 | $245 | $34,093 | $140 | $19,460 | $91 | $12,673 | $2,533 | $352,096 | $0 | $0 |
| DAVID SILVA MOJICA | ||||||||||||||
| CRPO & SVP HR | $1,963 | $272,896 | $0 | $0 | $7 | $937 | $139 | $19,378 | $76 | $10,601 | $2,185 | $303,812 | $0 | $0 |
| JOHN J KEHOE | ||||||||||||||
| VP FINANCE | $1,525 | $211,906 | $0 | $0 | $59 | $8,258 | $124 | $17,253 | $196 | $27,307 | $1,904 | $264,724 | $0 | $0 |
| STACEY S JOHNSTON | ||||||||||||||
| VP REAL ESTATE MGMT SPEC PRPOJECTS | $3,310 | $189,792 | $0 | $0 | $9 | $492 | $243 | $13,951 | $583 | $33,426 | $4,145 | $237,661 | $0 | $0 |
| MATHEW RUBIN | ||||||||||||||
| VP FINANCE | $1,456 | $202,425 | $0 | $0 | $34 | $4,726 | $0 | $0 | $206 | $28,615 | $1,696 | $235,766 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE 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, LINES 4A-B | THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE IN HIS 2019 W-2 FROM THE REPORTING ORGANIZATION AND RELATED PARTIES TOTALING: BENJAMIN C. DUSTER IV, FORMER PRESIDENT/CEO - $400,000 KAREN EASTMOND, CHIEF COMPLIANCE OFFICER, PARTICIPATED IN A SUPPLEMENTAL, NON-QUALIFIED RETIREMENT PLAN. KAREN DID NOT RECEIVE ANY CONTRIBUTION FROM THIS PLAN DURING 2019. |
Schedule N IRS990ScheduleN
Disposition Of Assets Detail DispositionOfAssetsDetail (3 entries)
| Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDesc | DistributionDistributionDt | Fair Market Value Of AssetFairMarketValueOfAssetAmt | Method Of FMV DeterminationMethodOfFMVDeterminationTxt | EINEIN | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | IRC SectionIRCSectionTxt |
|---|---|---|---|---|---|---|---|---|---|
| CHAPIN ACQUISTION II LLC | |||||||||
| LAND AND PROPERTY | 2019-02-01 | $38,500,000 | APPRAISAL | 823507831 | 225 CROSSWAYS PARK DRIVE | WOODBURY | NY | 11797 | LLC |
| CHAPIN ACQUISTION I LLC | |||||||||
| BUSINESS OPERATIONS | 2019-02-01 | $2,500,000 | APPRAISAL | 823508474 | 225 CROSSWAYS PARK DRIVE | WOODBURY | NY | 11797 | LLC |
| CENTERLIGHT HEALTHCARE INC | |||||||||
| EQUITY TRANSFER | 2019-12-31 | $28,468,340 | COST | 133600807 | 1733 EASTCHESTER ROAD | BRONX | NY | 10461 | 501(C)(3) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | Yes (1) | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | Yes (1) | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | 0 | OwnerOfSuccessor2Ind |
| Receive Compensation2 | 0 | ReceiveCompensation2Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART II, LINE 2E: | PERSON(S) INVOLVED: ALL BOARD MEMBERS AND EMPLOYEES. |
| PART II, LINE 2E: | EXPLANATION OF INVOLVEMENT: ALL BOARD MEMBERS AND EMPLOYEES OF MARGARET TIETZ ARE ALSO THE BOARD MEMBERS AND EMPLOYEES OF THE TRANSFEREE ORGANIZATION, CENTERLIGHT HEALTHCARE, INC. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 3 | THE CENTER OPERATED A 200-BED NOT-FOR-PROFIT RESIDENTIAL HEALTH CARE FACILITY LOCATED IN JAMAICA, NEW YORK UNTIL FEBRUARY 2019. THE CENTER SOLD ITS NURSING HOME REAL PROPERTY AND OPERATIONS IN FEBRUARY 2019. |
| FORM 990, PART VI, SECTION A, LINE 3 | THE ENTITY PURCHASED MANAGEMENT SERVICES FROM AN UNRELATED ADVISORY SERVICES COMPANY, GRANT THORNTON, LLP. SERVICES INCLUDED DELEGATED CFO RESPONSIBILITIES. MANAGEMENT FEES TOTALING $3,423,117 WERE PAID DURING 2019 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 6 | CENTERLIGHT HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF MARGARET TIETZ NURSING AND REHABILITATION CENTER. |
| FORM 990, PART VI, SECTION A, LINE 7A | CENTERLIGHT HEALTH SYSTEM, INC. MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE 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 11B | THE 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 12C | ENFORCEMENT: 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 19 | THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST. |
| FORM 990, PART IX, LINE 11G | CONSULTANTS: PROGRAM SERVICE EXPENSES 81,457. MANAGEMENT AND GENERAL EXPENSES 438,238. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 519,695. CLEANING AND CARE SERVICES: PROGRAM SERVICE EXPENSES 1,053. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,053. THERAPISTS: PROGRAM SERVICE EXPENSES 329,499. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 329,499. LAB, X-RAY AND SPECIALISTS: PROGRAM SERVICE EXPENSES 51,215. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 51,215. SECURITY: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 174,074. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 174,074. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFER TO CENTERLIGHT HEALTHCARE, INC. -28,468,340. |
| 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/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CENTERLIGHT HEALTH SYSTEM INC | |||||||||||
| 1733 EASTCHESTER ROAD | BRONX | NY | 10461 | 133323765 | TO SUPPORT HEALTHCARE SERVICES | NY | 501(C)(3) | LINE 12B, II | N/A | 0 | |
| CENTERLIGHT HEALTHCARE INC | |||||||||||
| 1733 EASTCHESTER ROAD | BRONX | NY | 10461 | 133600807 | MANAGED CARE | NY | 501(C)(3) | LINE 10 | 0 | CENTERLIGHT HEALTH SYSTEM INC | |
| PARK HOUSING DEVELOPMENT FUND COMPANY INC | |||||||||||
| 1733 EASTCHESTER ROAD | BRONX | NY | 10461 | 133566484 | HOUSING FOR THE ELDERLY | NY | 501(C)(3) | LINE 10 | 0 | CENTERLIGHT HEALTH SYSTEM INC | |
| BEST CHOICE HOME HEALTH CARE INC | |||||||||||
| 1733 EASTCHESTER ROAD | BRONX | NY | 10461 | 133889937 | HOME CARE | NY | 501(C)(3) | LINE 12B, II | 0 | CENTERLIGHT HEALTH SYSTEM INC | |
| MVP HOUSING DEVELOPMENT FUND COMPANY INC | |||||||||||
| 1733 EASTCHESTER ROAD | BRONX | NY | 10461 | 133760575 | HOUSING FOR THE ELDERLY | NY | 501(C)(3) | LINE 10 | 0 | CENTERLIGHT HEALTH SYSTEM INC | |
| SCHNURMACHER CRN | |||||||||||
| 1733 EASTCHESTER ROAD | BRONX | NY | 10461 | 133482590 | SKILLED NURSING FACILITY | NY | 501(C)(3) | LINE 10 | 0 | CENTERLIGHT HEALTH SYSTEM INC | |
| BETH ABRAHAM SERVICES | |||||||||||
| 1733 EASTCHESTER ROAD | BRONX | NY | 10461 | 131739920 | SKILLED NURSING FACILITY | NY | 501(C)(3) | LINE 10 | 0 | CENTERLIGHT HEALTH SYSTEM INC | |
| CENTER FOR NURSING AND REHABILITATION INC | |||||||||||
| 1733 EASTCHESTER ROAD | BRONX | NY | 10461 | 112289702 | SKILLED NURSING FACILITY | NY | 501(C)(3) | LINE 10 | 0 | CENTERLIGHT HEALTH SYSTEM INC | |
| BETH ABRAHAM - CNR FOUNDATION INC | |||||||||||
| 1733 EASTCHESTER ROAD | BRONX | NY | 10461 | 113284763 | FUNDRAISING | NY | 501(C)(3) | LINE 7 | 0 | CENTERLIGHT HEALTH SYSTEM INC | |
| CENTERLIGHT HEALTHCARE DIAGNOSTIC AND TREATMENT CENTER INC | |||||||||||
| 1733 EASTCHESTER ROAD | BRONX | NY | 10461 | 133631727 | DIAGNOSTIC TREATMENT CENTER | NY | 501(C)(3) | LINE 12A, I | 0 | CENTERLIGHT HEALTHCARE INC | |
| CL HEALTHCARE INC | |||||||||||
| 1733 EASTCHESTER ROAD | BRONX | NY | 10461 | 460833951 | HOME CARE | NY | 501(C)(3) | LINE 10 | 0 | CENTERLIGHT HEALTH SYSTEM INC | |
| CENTERLIGHT CERTIFIED HOME HEALTH AGENCY | |||||||||||
| 1733 EASTCHESTER ROAD | BRONX | NY | 10461 | 461840894 | HOME CARE | NY | 501(C)(3) | LINE 10 | 0 | CENTERLIGHT HEALTH SYSTEM INC | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| SCHEUER GARDENS LP | ||||||||||
| 1733 EASTCHESTER ROAD | BRONX | NY | 10461 | 900894600 | AFFORDABLE HOUSING | NY | SCHEUER GARDENS GP INC | RELATED | 0 | 0 |
| SCHEUER PLAZA LP | ||||||||||
| 1733 EASTCHESTER ROAD | BRONX | NY | 10461 | 320390482 | AFFORDABLE HOUSING | NY | SCHEUER PLAZA GP INC | RELATED | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|
| BETH ABRAHAM MANAGEMENT SOLUTIONS | ||||||||||
| 1733 EASTCHESTER ROAD | BRONX | NY | 10461 | 134128549 | TO MANAGE NURSING FACILITIES UNDER RECEIVERSHIP | NY | BETH ABRAHAM HEALTH SERVICES | C | 0 | |
| SCHEUER GARDENS GP INC | ||||||||||
| 1733 EASTCHESTER ROAD | BRONX | NY | 10461 | 461126473 | REAL ESTATE | NY | C | 0 | N/A | |
| SCHEUER PLAZA GP INC | ||||||||||
| 1733 EASTCHESTER ROAD | BRONX | NY | 10461 | 461126614 | REAL ESTATE | NY | C | 0 | N/A | |
| TBM HOUSING DEVELOPMENT FUND COMPANY INC | ||||||||||
| 1733 EASTCHESTER ROAD | BRONX | NY | 10461 | 133227442 | HOUSING FOR THE ELDERLY | NY | CENTERLIGHT HEALTH SYSTEM INC | C | 0 | |
| BETH ABRAHAM HOUSING DEVELOPMENT FUND COMPANY INC | ||||||||||
| 1733 EASTCHESTER ROAD | BRONX | NY | 10461 | 133067236 | HOUSING FOR THE ELDERLY | NY | CENTERLIGHT HEALTH SYSTEM INC | C | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |