2019-11-01T12:40:32-05:00 2018-12-31 271728945 PKF O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990EZ 2018-01-01 311587828 MICHAEL MALOTZ SKILLED NURSING PAVILON MICH 9149644691 2 PARK AVENUE YONKERS NY 10703 DENNIS M KEANE CFO 9149644691 2019-11-01 1 GARRETT M HIGGINS P00543209 9143818900 2019-10-27 65.51.112.58 2019-11-01 12:40:30 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9616F4B14A694591D1E716C270910E6FA5556DA3 2018 2020-03-31 21:24:44Z X X WWW.RIVERSIDEHEALTH.ORG X X 106838 X 106838 106838 200000 18834 218834 -111996 -352117 0 -464113 X 67286 11252 67286 11252 419403 475365 -352117 -464113 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. IN 2018, MMSNP MADE A LIQUIDATING GRANT TO AN AFFILIATED ORGANIZATION, ST. JOHN'S RIVERSIDE HOSPITAL. 200000 200000 200000 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 1 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 210 875 1085 15787389 10390388 147534 106838 106838 26538987 15787599 10391263 147534 106838 106838 26540072 0 0 0 26540072 19298 9905 3521 32724 19298 9905 3521 32724 33694 24514 30313 58 88579 15840591 10425682 181368 106896 106838 26661375 0.99550 0.99540 0.00120 0.00130 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: VENDING MACHINES INCOME - 2014 AMOUNT: $ 1,836. 2015 AMOUNT: $ 989. MEDICAL ABSTRACTION FEES - REFUNDS AND REBATES - 2014 AMOUNT: $ 13,180. 2015 AMOUNT: $ 8,900. 2016 AMOUNT: $ 4,771. EMPLOYEE PARKING FEES - 2014 AMOUNT: $ 17,796. 2015 AMOUNT: $ 11,799. OTHER - 2014 AMOUNT: $ 882. 2015 AMOUNT: $ 301. 2016 AMOUNT: $ 25,542. 2017 AMOUNT: $ 58. TELEPHONE/TELEVISION INCOME - 2015 AMOUNT: $ 2,525. CASH GRANT 2018-12-31 200000 CASH VALUE 131740126 ST JOHN'S RIVERSIDE HOSPITAL 967 NORTH BROADWAY YONKERS NY 10701 501(C)3 0 1 0 0 PART II, LINE 2E: PERSON(S) INVOLVED: DENNIS KEANE AND RON CORTI PART II, LINE 2E: EXPLANATION OF INVOLVEMENT: DENNIS KEANE AND RON CORTI ARE EMPLOYEES OF THE TRANSFEREE ORGANIZATION, ST. JOHN'S RIVERSIDE HOSPITAL. 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. AMOUNT GIVEN: 200,000. FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES DESCRIPTION: NYS CASH RECEIPT ASSESSMENT. AMOUNT: 10,111. DESCRIPTION: OTHER EXPENSES AND SUPPLIES. AMOUNT: 8,723. TOTAL TO FORM 990-EZ, LINE 16: 18,834. FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES DESCRIPTION: ESCROW ACCOUNT LIABILITY. BEG. OF YEAR AMOUNT: 531. END OF YEAR AMOUNT: 531. 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: 0. END OF YEAR AMOUNT: 55,962. 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.