Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 487,728 | 193,429 | 553,848 | 116,970 | 0 | 1,351,975 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | 58,386,702 | 12,213,483 | 2,740,032 | 1,875,552 | 257,529 | 75,473,298 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | 58,874,430 | 12,406,912 | 3,293,880 | 1,992,522 | 257,529 | 76,825,273 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 0 | |||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | |||||
| 8 | Public support. (Subtract line 7c from line 6.) | 76,825,273 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 58,874,430 | 12,406,912 | 3,293,880 | 1,992,522 | 257,529 | 76,825,273 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 271,739 | 505,402 | 558,667 | 643,191 | 186,952 | 2,165,951 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 271,739 | 505,402 | 558,667 | 643,191 | 186,952 | 2,165,951 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 17,265 | 17,265 | ||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 763,196 | 74,940 | 801,243 | 161,653 | 1,382,519 | 3,183,551 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 59,909,365 | 12,987,254 | 4,653,790 | 2,797,366 | 1,844,265 | 82,192,040 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2020 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2020 |
(iii) Distributable Amount for 2020 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2020 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2020: | ||||
| a From 2015....... | ||||
| b From 2016....... | ||||
| c From 2017....... | ||||
| d From 2018....... | ||||
| e From 2019....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2020 distributable amount | ||||
|
i
Carryover from 2015 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2020 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2020 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2020, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2020. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2021. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2016..... | ||||
| b Excess from 2017..... | ||||
| c Excess from 2018..... | ||||
| d Excess from 2019..... | ||||
| e Excess from 2020..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | OTHER INCOME - 2016 AMOUNT: $ 7,919. 2017 AMOUNT: $ 610. MEALS REVENUE - 2016 AMOUNT: $ 600,083. 2017 AMOUNT: $ 11,018. CAFETERIA AND FOOD SVCS - 2016 AMOUNT: $ 80,518. 2017 AMOUNT: $ 21,561. 2018 AMOUNT: $ 7,776. 2019 AMOUNT: $ 6,980. 2020 AMOUNT: $ 15,441. MISCELLANEOUS - 2016 AMOUNT: $ 52,881. 2017 AMOUNT: $ 37,781. 2018 AMOUNT: $ 49,290. 2019 AMOUNT: $ 106,565. MEDICAL RECORDS - 2016 AMOUNT: $ 18,645. 2017 AMOUNT: $ 3,970. BARBER BEAUTY - 2016 AMOUNT: $ 3,150. BAD DEBT RECOVERY - 2018 AMOUNT: $ 473,403. 2019 AMOUNT: $ 7,195. 2020 AMOUNT: $ 935,006. EMPLOYEE BENEFIT REIMBURSEMENTS - 2018 AMOUNT: $ 270,774. 2019 AMOUNT: $ 40,913. SETTLEMENT OF SUPPLEMENTAL RETIREMENT PLAN OBLIGATION - 2020 AMOUNT: $ 432,072. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| 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 $1,760,460 WERE PAID DURING 2020 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 BETH ABRAHAM SERVICES. |
| 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 IS 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 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 INCORPORATION OR BY-LAWS; (D) EFFECT A MATERIAL CHANGE IN THE CORPORATION'S BUSINESS; (E) INCREASE THE NUMBER OF TRUSTEES OR CHANGE THE TERM OF THE TRUSTEES ON THE CORPORATION'S BOARD OF TRUSTEES; (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 A, LINE 8A | NO BOARD MINUTES WERE KEPT IN 2020. |
| FORM 990, PART VI, SECTION A, LINE 8B | COMMITTEES DID NOT KEEP MINUTES IN 2020. |
| 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 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: | PENSION LIABILITY ADJUSTMENT -198,765. EQUITY TRANSFER TO CENTERLIGHT HEALTHCARE, INC. -12,330,637. |
| 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. |
| Software ID: | |
| Software Version: |