2024-11-11T20:57:54-06:00 2023-12-31 873231666 PKF O'CONNOR DAVIES ADVISORY LLC 500 MAMARONECK AVENUE SUITE 301 HARRISON NY 105281633 990 2023-01-01 461840894 CENTERLIGHT CERTIFIED HOME HEALTH AGENCY CENT 7185194238 136-65 37TH AVENUE FLUSHING NY 11354 LENY TIRTASAPUTRA CFO 7185194238 2024-11-11 1 1 MELISSA MODELSON P01603524 9143818900 2024-11-11 2023 2024-10-15 13:58:12Z TARA BUONOCORE-RUT 136-65 37TH AVENUE FLUSHING NY 11354 0 0 X WWW.CENTERLIGHT.ORG X 2013 NY PROVIDED CERTIFIED HOME CARE HEALTH SERVICES. 8 8 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8156 10234 8156 10234 -8156 -10234 649046 0 741058 12113 -92012 -12113 TO PROVIDE A COORDINATED PLAN OF NURSING, REHABILITATION AND MEDICAL CARE AT HOME TO INDIVIDUALS WHO REQUIRE SKILLED SERVICES AT HOME. THE CHHA OFFERS CASE MANAGEMENT, SOCIAL SERVICES, PARA-PROFESSIONAL SERVICES, AND OTHER SERVICES. 0 0 THE CHHA PROVIDED A COORDINATED PLAN OF NURSING, REHABILITATION AND MEDICAL CARE AT HOME TO INDIVIDUALS WHO REQUIRED SKILLED SERVICES AT HOME. THE CHHA OFFERED CASE MANAGEMENT, SOCIAL SERVICES, PARA-PROFESSIONAL SERVICES, AND OTHER SERVICES. 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X X LENY TIRTASAPUTRA CFO 7185194238 136-65 37TH AVENUE FLUSHING NY 11354 MICHAEL R POTACK CHAIRMAN 0.50 5.00 X X 0 0 0 HARVEY ISHOFSKY VICE CHAIRMAN 0.50 5.00 X X 0 0 0 MYRON SCHLANGER SECRETARY 0.50 5.00 X X 0 0 0 KENNETH ZUCKERBROT ASST SEC/TREASURER 0.50 5.00 X X 0 0 0 MARK WEINSTEIN TREASURER THRU OCT 2023 0.50 5.00 X X 0 0 0 RUSSELL D FISHER TRUSTEE 0.50 5.00 X 0 0 0 NEIL HEYMAN TRUSTEE 0.50 5.00 X 0 0 0 STEPHEN KANTOR DDS TRUSTEE 0.50 6.00 X 0 0 0 HOWARD KRAIN TRUSTEE 0.50 5.00 X 0 0 0 TARA BUONOCORE-RUT PRESIDENT/CEO 0.25 39.75 X 0 1519582 47155 SHAUN RUSKIN EXEC. VP, CSO THRU JUNE 2023 0.25 39.75 X 0 1069730 4917 LENY TIRTASAPUTRA CFO 0.25 39.75 X 0 523509 40903 DAVID SILVA MOJICA CHIEF HR OFFICER 0.25 39.75 X 0 412542 18900 ALICIA NELSON-JONES CHIEF COMPLIANCE OFFICER 0.25 39.75 X 0 331763 37866 JEANNIE DOHERTY-BENCKWIT VP OF BUSINESS DEVELOPMENT 0.25 39.75 X 0 328450 12638 EMINA TABAKOVIC VP OF OPERATIONS 0.25 39.75 X 0 294812 43069 JUSTIN WALTER VP OF PERFORMANCE IMPROVEMENT 0.25 39.75 X 0 300128 35533 GILDA ST FLEUR VP OF QUALITY 0.25 39.75 X 0 303635 30977 ALIONA COCHIORVA VP OF STRATEGIC INITIATIVES 0.25 39.75 X 0 278819 42439 0 5362970 314397 0 0 1 0 0 0 0 0 0 10234 10234 10234 0 10234 0 647453 1593 0 649046 0 4000 5500 737058 6613 741058 12113 X -92012 -12113 -92012 -12113 649046 0 X -10234 90133 X X 0 1 X 1 0 X 805 648447 649252 15368099 15869980 31238079 15368904 16518427 31887331 0 0 0 31887331 183235 13198573 13381808 15552139 29717000 45269139 0.70440 0.75550 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISC INCOME - 2020 AMOUNT: $ 3,049. REFERRAL REVENUE - 2019 AMOUNT: $ 69,550. 2020 AMOUNT: $ 26,996. FORGIVENESS OF DEBT - 2019 AMOUNT: $ 113,685. 2020 AMOUNT: $ 13,168,528. 0 INTERCOMPANY PAYABLE 6613 6613 X PART X, LINE 2: THE ENTITY RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE ENTITY HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE ENTITY IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2020. 0 0 0 0 0 0 0 0 0 TARA BUONOCORE-RUT PRESIDENT/CEO 0 877652 0 640790 0 1140 0 3455 0 43700 0 1566737 0 0 SHAUN RUSKIN EXEC. VP, CSO THRU JUNE 2023 0 652045 0 415994 0 1691 0 3117 0 1800 0 1074647 0 0 LENY TIRTASAPUTRA CFO 0 403749 0 117138 0 2622 0 9900 0 31003 0 564412 0 0 DAVID SILVA MOJICA CHIEF HR OFFICER 0 304185 0 106782 0 1575 0 4950 0 13950 0 431442 0 0 ALICIA NELSON-JONES CHIEF COMPLIANCE OFFICER 0 241585 0 86549 0 3629 0 9900 0 27966 0 369629 0 0 JEANNIE DOHERTY-BENCKWIT VP OF BUSINESS DEVELOPMENT 0 267396 0 58954 0 2100 0 8385 0 4253 0 341088 0 0 EMINA TABAKOVIC VP OF OPERATIONS 0 237476 0 56598 0 738 0 4546 0 38523 0 337881 0 0 JUSTIN WALTER VP OF PERFORMANCE IMPROVEMENT 0 243356 0 56024 0 748 0 9104 0 26429 0 335661 0 0 GILDA ST FLEUR VP OF QUALITY 0 247028 0 55325 0 1282 0 7311 0 23666 0 334612 0 0 ALIONA COCHIORVA VP OF STRATEGIC INITIATIVES 0 224999 0 52650 0 1170 0 4907 0 37532 0 321258 0 0 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, COMPARING TO THE FORM 990'S OF OTHER ORGANIZATIONS, COMPENSATION SURVEYS OR STUDIES, AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 3 THE ENTITY PURCHASED MANAGEMENT SERVICES FROM AN UNRELATED ADVISORY SERVICES COMPANY, GRANT THORNTON, LLP. SERVICES. MANAGEMENT FEES TOTALING $255,349 WERE PAID DURING 2023 TO THIS COMPANY BY A RELATED ORGANIZATION, CENTERLIGHT HEALTH SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 6 CENTERLIGHT HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF CENTERLIGHT CERTIFIED HOME HEALTH AGENCY. 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 ANY DIRECTOR MAY BE REMOVED, WITH OR WITHOUT CAUSE, AT ANY TIME BY THE AFFIRMATIVE VOTE OF THE MEMBER PROVIDED THAT IF THE REMOVAL IS FOR CAUSE, THE AFFECTED DIRECTOR SHALL HAVE BEEN GIVEN PRIOR WRITTEN NOTICE OF SUCH PROPOSED ACTION AND OFFERED AN OPPORTUNITY TO APPEAR AND BE HEARD ON THE MATTER BEFORE THE MEMBER TAKES FINAL ACTION. 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 REQUIRES 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 INCORPORATION 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. ANY COMMENTS ARISING FROM OUR REVIEW ARE DISCUSSED AND IF REQUIRED, CHANGES ARE MADE TO THE DRAFT. THAT DRAFT IS SUBMITTED TO THE AUDIT COMMITTEE FOR ITS REVIEW AND APPROVAL. ONCE THE AUDIT COMMITTEE HAS COMPLETED ITS REVIEW, COPIES OF THE RETURNS ARE 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 IS REFLECTED IN THE MINUTES OF THE MEETING. THE AUDIT COMMITTEE, WHICH IS COMPOSED SOLELY OF DISINTERESTED DIRECTORS, WILL 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 XI, LINE 9: FORGIVENESS OF DUE TO RELATED PARTY 90,133. 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. CENTERLIGHT HEALTH SYSTEM INC 136-65 37TH AVENUE FLUSHING NY 11354 133323765 TO SUPPORT HEALTHCARE SERVICES NY 501(C)(3) LINE 12B, II N/A 0 CENTERLIGHT HEALTHCARE INC 136-65 37TH AVENUE FLUSHING NY 11354 133600807 MANAGED CARE NY 501(C)(3) LINE 10 CENTERLIGHT HEALTH SYSTEM INC 0 PARK HOUSING DEVELOPMENT FUND COMPANY INC 136-65 37TH AVENUE FLUSHING NY 11354 133566484 HOUSING FOR THE ELDERLY NY 501(C)(3) LINE 10 CENTERLIGHT HEALTH SYSTEM INC 0 BEST CHOICE HOME HEALTH CARE INC 136-65 37TH AVENUE FLUSHING NY 11354 133889937 HOME CARE NY 501(C)(3) LINE 12B, II CENTERLIGHT HEALTH SYSTEM INC 0 MVP HOUSING DEVELOPMENT FUND COMPANY INC 136-65 37TH AVENUE FLUSHING NY 11354 133760575 HOUSING FOR THE ELDERLY NY 501(C)(3) LINE 10 CENTERLIGHT HEALTH SYSTEM INC 0 BETH ABRAHAM - CNR FOUNDATION INC 136-65 37TH AVENUE FLUSHING NY 11354 113284763 FUNDRAISING NY 501(C)(3) LINE 7 CENTERLIGHT HEALTH SYSTEM INC 0 MARGARET TIETZ NURSING AND REHABILITATION CENTER 136-65 37TH AVENUE FLUSHING NY 11354 136266115 SKILLED NURSING FACILITY NY 501(C)(3) LINE 10 CENTERLIGHT HEALTH SYSTEM INC 0 BETH ABRAHAM SERVICES 136-65 37TH AVENUE FLUSHING NY 11354 131739920 SKILLED NURSING FACILITY NY 501(C)(3) LINE 10 CENTERLIGHT HEALTH SYSTEM INC 0 CENTER FOR NURSING AND REHABILITATION INC 136-65 37TH AVENUE FLUSHING NY 11354 112289702 SKILLED NURSING FACILITY NY 501(C)(3) LINE 10 CENTERLIGHT HEALTH SYSTEM INC 0 SCHNURMACHER CRN 136-65 37TH AVENUE FLUSHING NY 11354 133482590 SKILLED NURSING FACILITY NY 501(C)(3) LINE 10 CENTERLIGHT HEALTH SYSTEM INC 0 CENTERLIGHT HEALTHCARE DIAGNOSTIC AND TREATMENT CENTER INC 136-65 37TH AVENUE FLUSHING NY 11354 133631727 DIAGNOSTIC TREATMENT CENTER NY 501(C)(3) LINE 12A, I CENTERLIGHT HEALTHCARE INC 0 CL HEALTHCARE INC 136-65 37TH AVENUE FLUSHING NY 11354 460833951 HOME CARE NY 501(C)(3) LINE 10 CENTERLIGHT HEALTH SYSTEM INC 0 SCHEUER GARDENS LP 136-65 37TH AVENUE FLUSHING NY 11354 900894600 AFFORDABLE HOUSING NY SCHEUER GARDENS GP INC RELATED 0 0 SCHEUER PLAZA LP 136-65 37TH AVENUE FLUSHING NY 11354 320390482 AFFORDABLE HOUSING NY SCHEUER PLAZA GP INC RELATED 0 0 BETH ABRAHAM MANAGEMENT SOLUTIONS 136-65 37TH AVENUE FLUSHING NY 11354 134128549 TO MANAGE NURSING FACILITIES UNDER RECEIVERSHIP NY BETH ABRAHAM HEALTH SERVICES C 0 SCHEUER GARDENS GP INC 136-65 37TH AVENUE FLUSHING NY 11354 461126473 REAL ESTATE NY N/A C 0 SCHEUER PLAZA GP INC 136-65 37TH AVENUE FLUSHING NY 11354 461126614 REAL ESTATE NY N/A C 0 TBM HOUSING DEVELOPMENT FUND COMPANY INC 136-65 37TH AVENUE FLUSHING NY 11354 133227442 HOUSING FOR THE ELDERLY NY CENTERLIGHT HEALTH SYSTEM INC C 0 BETH ABRAHAM HOUSING DEVELOPMENT FUND COMPANY INC 136-65 37TH AVENUE FLUSHING NY 11354 133067236 HOUSING FOR THE ELDERLY NY CENTERLIGHT HEALTH SYSTEM INC C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0