2016-11-12T23:19:48-06:00 2015-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2015-01-01 461840894 CENTERLIGHT CERTIFIED HOME HEALTH AGENCY CENT 7185194238 1250 WATERS PLACE TOWER 1 NO 602 BRONX NY 10461 MARY SHINHAM CFO 7185194238 2016-11-09 1 AARON SHAPIRO P01333816 2128674000 2015 2017-02-10 21:41:12Z MARY SHINHAM 1250 WATERS PLACE TOWER 1 NO 602 BRONX NY 10461 6762199 0 X WWW.CENTERLIGHT.ORG X 2013 NY TO PROVIDE CERTIFIED HOME CARE SERVICES 4 2 133 2 0 0 1400000 0 6312751 6694812 0 0 0 67387 7712751 6762199 0 0 0 0 7279483 8527306 0 0 0 2983648 2496223 10263131 11023529 -2550380 -4261330 3679012 1943560 6279626 8805504 -2600614 -6861944 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 9970769 6694812 THE CHHA PROVIDES A COORDINATED PLAN OF NURSING, REHABILITATION AND MEDICAL CARE AT HOME TO INDIVIDUALS WHO REQUIRE SKILLED SERVICES AT HOME. THE PROGRAM OFFERS CASE MANAGEMENT, SOCIAL SERVICES, PARA-PROFESSIONAL SERVICES, AND OTHER SERVICES. 9970769 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 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 36 0 133 1 0 0 0 0 0 0 0 0 0 0 X 4 2 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X JOHN KEHOE VP OF FINANCE 7182391405 1250 WATERS PLACE TOWER 1 SUITE 602 BRONX NY 10461 MICHAEL S FASSLER CEO/PRESIDENT 0.50 34.50 X X 20680 1282139 1390880 STEPHEN B MANN SENIOR VP - ADMINISTRATION 0.50 22.00 X X 3732 231389 35615 EDWIN H STERN III DIRECTOR 0.50 5.00 X 0 0 0 MICHAEL R POTACK DIRECTOR 0.50 7.50 X 0 0 0 IRA GREEN SENIOR VP/CFO 0.50 34.50 X 8835 547738 132277 CHRISTIE O'TOOLE CHIEF ADMINISTRATIVE OFFIC 0.50 34.50 X 15905 986098 52966 KAREN EASTMOND CHIEF COMPLIANCE OFFICER 0.50 34.50 X 4839 333945 33629 MICHAEL MATTEO CHIEF INFORMATION OFFICER 0.50 34.50 X 5654 390140 56357 PETER FRAGALE SENIOR VP - CHRO 0.50 34.50 X 3662 252724 19728 RAFFAELLE PIEMONTE VP APPLICATIONS ARCHITECTURE 0.50 34.50 X 3169 218694 42636 NORMAN VESIK VP FACILITIES MANAGEMENT 0.50 34.50 X 3418 235853 34688 69894 4478720 1798776 12 0 1 0 BEST CHOICE HOME HEALTH CARE INC 2275 OLINVILLE AVENUE BRONX NY 10467 HOME CARE 664113 NEW YORK HEALTH CARE 20 EAST SUNRISE HIGHWAY VALLEY STREAM NY 11581 HOME CARE 146960 ALLEN HEALTH CARE SERVICES 70-00 AUSTIN STREET 201 FOREST HILLS NY 11375 HOME CARE 145866 MILLENNIUM REHAB SERVICES 1664 EAST 14TH STREET BROOKLYN NY 11229 HOME CARE 124300 SECURITAS SECURITY SERVICES 1412 BROADWAY 17TH FLOOR NEW YORK NY 10018 SECURITY 110108 6 MEDICARE/MEDICAID 621610 4748000 4748000 HOME CARE FEES 621610 1946812 1946812 6694812 MISCELLANEOUS 900099 67387 67387 67387 6762199 6694812 0 67387 X 192633 192633 6070861 5654683 416178 242807 242807 1545273 1423806 121467 475732 432583 43149 38690 38690 33870 33870 1688954 1547014 141940 26861 24567 2294 221443 201359 20084 93178 86390 6788 275712 250704 25008 6146 5589 557 84 76 8 19157 17419 1738 62573 56898 5675 ASSESSMENT 29555 26874 2681 11023529 9970769 1052760 0 397236 363973 3197264 1506869 5164 108754 41200 84512 67554 3679012 1943560 507729 256791 5771897 8548713 6279626 8805504 X -2600614 -6861944 -2600614 -6861944 3679012 1943560 -4261330 0 X X 0 1 X 1 0 X 1086000 1400000 2486000 591321 6312751 6694812 13598884 1677321 7712751 6694812 16084884 0 0 0 16084884 67387 67387 1677321 7712751 6762199 16152271 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS 25356 10180 15176 83398 31020 52378 67554 DUE TO RELATED PARTIES 8548713 8548713 X 6762270 71 71 6762199 0 6762199 11023600 71 71 11023529 0 11023529 PART X, LINE 2: CL CHHA HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2013 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: REIMBURSEMENTS NETTED WITH EXPENSES PART XII, LINE 2D - OTHER ADJUSTMENTS: REIMBURSEMENTS NETTED WITH EXPENSES 1 1 0 0 0 0 0 1 0 MICHAEL S FASSLER CEO/PRESIDENT 14305 886932 6030 373845 345 21362 21756 1348897 321 19906 42757 2650942 0 0 STEPHEN B MANN SENIOR VP - ADMINISTRATION 3578 221815 0 0 154 9574 309 19138 257 15911 4298 266438 0 0 IRA GREEN SENIOR VP/CFO 8531 528892 0 0 304 18846 1714 106277 385 23901 10934 677916 0 0 CHRISTIE O'TOOLE CHIEF ADMINISTRATIVE OFFIC 6542 405576 1696 105179 7667 475343 632 39172 209 12953 16746 1038223 0 0 KAREN EASTMOND CHIEF COMPLIANCE OFFICER 4566 315085 0 0 273 18860 376 25974 104 7175 5319 367094 0 0 MICHAEL MATTEO CHIEF INFORMATION OFFICER 5430 374666 0 0 224 15474 458 31613 347 23939 6459 445692 0 0 PETER FRAGALE SENIOR VP - CHRO 1683 116155 0 0 1979 136569 165 11374 117 8072 3944 272170 0 0 RAFFAELLE PIEMONTE VP APPLICATIONS ARCHITECTURE 3169 218694 0 0 0 0 262 18088 347 23939 3778 260721 0 0 NORMAN VESIK VP FACILITIES MANAGEMENT 3158 217932 0 0 260 17921 263 18161 232 16032 3913 270046 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, WRITTEN EMPLOYMENT CONTRACTS, 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 MICHAEL FASSLER - $425,167 NON QUALIFIED RETIREMENT PAYMENT CHRISTIE O'TOOLE - $475,000 SEVERANCE PAYMENT PETER FRAGALE - $128,128 SEVERANCE PAYMENT PART I, LINE 7 BONUSES ARE DETERMINED BY THE BOARD AND ARE BASED ON PERFORMANCE. 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 B, LINE 11 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 SENIOR VP/CFO AND THE DIRECTOR 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 KEY EMPLOYEES 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 WHILE THE CORPORATE COMPLIANCE PROGRAM STEERING COMMITTEE REVIEWS THE DISCLOSURES OF KEY EMPLOYEES. 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. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE CEO AND SENIOR EXECUTIVES ARE REVIEWED AND APPROVED BY A COMMITTEE OF THE BOARD OF THE PARENT COMPANY, CENTERLIGHT HEALTH SYSTEM, INC. THE SERVICE OF AN INDEPENDENT COMPENSATION CONSULTANT IS USED TO DETERMINE THE APPROPRIATE COMPENSATION. THIS PROCESS INCLUDES THE UTILIZATION OF A COMPARATIVE SALARY ANALYSIS WITH COMPARABLE ORGANIZATIONS' SENIOR MANAGEMENT. THE 2015 SALARIES WERE DETERMINED BASED ON A REVIEW IN SEPTEMBER OF 2014. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 127,091. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 127,091. HOME HEALTH AIDE: PROGRAM SERVICE EXPENSES 1,008,052. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,008,052. THERAPY: PROGRAM SERVICE EXPENSES 173,300. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 173,300. RECRUITING: PROGRAM SERVICE EXPENSES 4,956. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,956. OTHER: PROGRAM SERVICE EXPENSES 37,235. MANAGEMENT AND GENERAL EXPENSES 1,154. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,389. SECURITY: PROGRAM SERVICE EXPENSES 137,295. MANAGEMENT AND GENERAL EXPENSES 13,695. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 150,990. TEMP HELP: PROGRAM SERVICE EXPENSES 186,176. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 186,176. FORM 990, PART XII, LINE 2C PROCESS HAS NOT CHANGED FROM PRIOR YEAR. CENTERLIGHT HEALTH SYSTEM INC 1250 WATERS PLACE TOWER 1 SUITE 602 BRONX NY 10461 133323765 TO SUPPORT HEALTHCARE SERVICES NY 501(C)(3) 11 TYPE I N/A 0 CENTERLIGHT HEALTHCARE INC 1250 WATERS PLACE TOWER 1 SUITE 602 BRONX NY 10461 133600807 MANAGED CARE ENTITY NY 501(C)(3) 9 CENTERLIGHT HEALTH SYSTEM INC 0 CENTERLIGHT HEALTHCARE DIAGNOSTIC AND TREATMENT CENTER INC 1250 WATERS PLACE TOWER 1 SUITE 602 BRONX NY 10461 133631727 DIAGNOSTIC TREATMENT CENTER NY 501(C)(3) 11 TYPE I CENTERLIGHT HEALTHCARE INC 0 TBM HOUSING DEVELOPMENT FUND COMPANY INC 1250 WATERS PLACE TOWER 1 SUITE 602 BRONX NY 10461 133227442 HOUSING FOR THE ELDERLY NY 501(C)(3) 9 CENTERLIGHT HEALTH SYSTEM INC 0 BETH ABRAHAM HOUSING DEVELOPMENT FUND COMPANY INC 1250 WATERS PLACE TOWER 1 SUITE 602 BRONX NY 10461 133067236 HOUSING FOR THE ELDERLY NY 501(C)(3) 9 CENTERLIGHT HEALTH SYSTEM INC 0 PARK HOUSING DEVELOPMENT FUND COMPANY INC 1250 WATERS PLACE TOWER 1 SUITE 602 BRONX NY 10461 133566484 HOUSING FOR THE ELDERLY NY 501(C)(3) 9 CENTERLIGHT HEALTH SYSTEM INC 0 BEST CHOICE HOME HEALTH CARE INC 1250 WATERS PLACE TOWER 1 SUITE 602 BRONX NY 10461 133889937 HOME CARE NY 501(C)(3) 11 TYPE I CENTERLIGHT HEALTH SYSTEM INC 0 MVP HOUSING DEVELOPMENT FUND COMPANY INC 1250 WATERS PLACE TOWER 1 SUITE 602 BRONX NY 10461 133760575 HOUSING FOR THE ELDERLY NY 501(C)(3) 9 CENTERLIGHT HEALTH SYSTEM INC 0 INSTITUTE FOR MUSIC & NEUROLOGIC FUNCTION 1250 WATERS PLACE TOWER 1 SUITE 602 BRONX NY 10461 133874103 MUSIC THERAPY NY 501(C)(3) 11 TYPE III CENTERLIGHT HEALTH SYSTEM INC 0 SCHNURMACHER CENTER FOR REHABILITATION 1250 WATERS PLACE TOWER 1 SUITE 602 BRONX NY 10461 133482590 SKILLED NURSING FACILITY NY 501(C)(3) 9 CENTERLIGHT HEALTH SYSTEM INC 0 ALL THINGS RELATIVE INC 1250 WATERS PLACE TOWER 1 SUITE 602 BRONX NY 10461 133482335 MANAGE GERIATRIC CARE OF ELDERLY CLIENTS NY 501(C)(3) PF BETH ABRAHAM HEALTH SERVICES 0 BETH ABRAHAM HEALTH SERVICES 1250 WATERS PLACE TOWER 1 SUITE 602 BRONX NY 10461 131739920 SKILLED NURSING FACILITY NY 501(C)(3) 9 CENTERLIGHT HEALTH SYSTEM INC 0 BETH ABRAHAM - CNR FOUNDATION INC 1250 WATERS PLACE TOWER 1 SUITE 602 BRONX NY 10461 113284763 FUNDRAISING NY 501(C)(3) 7 CENTERLIGHT HEALTH SYSTEM INC 0 MARGARET TIETZ NURSING AND REHABILITATION CENTER 1250 WATERS PLACE TOWER 1 SUITE 602 BRONX NY 10461 136266115 SKILLED NURSING FACILITY & DAYCARE NY 501(C)(3) 9 CENTERLIGHT HEALTH SYSTEM INC 0 CL HEALTHCARE INC 1250 WATERS PLACE TOWER 1 SUITE 602 BRONX NY 10461 460833951 HOME CARE NY 501(C)(3) 9 CENTERLIGHT HEALTH SYSTEM INC 0 CENTER FOR NURSING AND REHABILITATION INC 1251 WATERS PLACE TOWER 1 SUITE 602 BRONX NY 10462 112289702 SKILLED NURSING FACILITY NY 501(C)(3) CENTERLIGHT HEALTH SYSTEM INC 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0