2014-11-07T14:16:06-06:00 2013-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2013-01-01 112388200 COBBLE HILL HEALTH CENTER INC COBB 7188556789 380 HENRY STREET BROOKLYN NY 11201 ANTHONY LEWIS CEO 7188556789 2014-11-06 1 ISRAEL TANNENBAUM P01589203 2128674000 2013 2015-11-30 17:44:51Z ANTHONY LEWIS 380 HENRY STREET BROOKLYN NY 11201 68818017 0 X WWW.COBBLEHILL.ORG X 1977 NY TO MAINTAIN A NURSING FACILITY AND PROVIDE ADULT DAY CARE & LONG TERM HOME HEALTH SERVICES ON AN OUTPATIENT BASIS. 12 11 548 11 0 0 249662 231190 53431118 50035353 842283 691187 -132187 333776 54390876 51291506 0 1600000 0 0 29777106 30238588 0 0 0 22892804 20014740 52669910 51853328 1720966 -561822 105904618 105029572 65304581 58280761 40600037 46748811 X COBBLE HILL HEALTH CENTER, INC. OPERATES A 364 BED NURSING FACILITY. THE CENTER PROVIDES NURSING CARE TO PATIENTS AND IS LICENSED TO PROVIDE ADULT DAY CARE SERVICES. IN ADDITION, THE CENTER PROVIDES A LONG-TERM HOME HEALTH CARE PROGRAM. 0 0 40179192 43275155 SEE SCHEDULE O.THE CENTER HAS BEEN PROVIDING RESIDENTIAL AND COMMUNITY BASED SERVICES TO THE DISABLED AND ELDERLY FOR OVER 30 YEARS. THE CENTER OFFERS A COMPLETE RANGE OF MEDICAL, NURSING AND REHABILITATION SERVICES. THESE SERVICES INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING:>SUBACUTE CARE MEDICAL CARE, THE GOAL OF WHICH IS TO ENSURE A QUICK AND COMPLETE RECOVERY THEREBY RESTORING OUR RESIDENTS INDEPENDENCE AND HELP THEM RETURN TO COMMUNITY LIVING; >LONG TERM CARE, WHICH OFFERS A HOME-LIKE ALTERNATIVE THAT PROVIDES EACH INDIVIDUAL WITH HIS OR HER SPECIFIC NEEDS, BE IT PHYSICAL, PSYCHOLOGICAL OR EMOTIONAL, IN AN OPTIMUM ENVIRONMENT ENSURING THAT QUALITY OF LIFE IS MAINTAINED;>REHABILITATION, WHOSE GOAL IS TO RESTORE RESIDENTS FUNCTION AND THE ABILITIES THEY HAD PRIOR TO THE ONSET OF ILLNESS, INJURY OR TRAUMA; >A DIALYSIS CENTER, WHERE TREATMENT IS CONVENIENT BECAUSE IT IS ADMINISTERED ON-SITE AND PROVIDES MINIMAL DISRUPTION OF THEIR REGULAR SCHEDULES AND LIVES; >ALZHEIMERS SPECIAL CARE, WHICH, FOR OVER A DECADE, HAS LED THE WAY IN CARING FOR INDIVIDUALS WITH ALZHEIMERS DISEASE. THROUGH PROGRAM DEVELOPMENT, RESEARCH AND TRAINING,OUR ALZHEIMERS UNIT HAS RECEIVED THE BEST PRACTICES AWARD.THE CENTER PROVIDED 130,887 DAYS OF SKILLED NURSING CARE IN 2013. 1903023 2660597 THE CENTER ALSO OPERATES AN ADULT DAY CARE PROGRAM BY A BI-LINGUAL STAFF (ENGLISH AND SPANISH)WITH DOOR-TO-DOOR AMBULETTE TRANSPORTATION. SOME OF THE SERVICES THE PROGRAM PROVIDES INCLUDE THE FOLLOWING:>MEDICAL AND NURSING SUPERVISION AND MONITORING;>INDIVIDUAL NEEDS ASSESSMENT TO HELP IMPROVE AND MAINTAIN INDEPENDENCE;>ON-SITE REGISTERED NURSES WHO OBSERVE AND MONITOR HEALTH STATUS AND ADMINISTER AND MONITOR MEDICATIONS AND PERFORM CATHETERIZATION, DRESSING CHANGES, ETC. THE CENTER PROVIDED 16,233 DAY CARE VISITS DURING 2013. 3125473 2251887 REFERRED TO AS THE NURSING HOME WITHOUT WALLS, THE CENTER'S LONG TERM HOME HEALTH CARE PROGRAM INCLUDES NURSING CARE, REHABILITATION THERAPY AND OTHER HEALTH SERVICES DELIVERED IN THE COMFORT OF HOME ON A LONG-TERM BASIS. THE GOAL IS TO PRMOTE OUR PATIENTS INDEPENDENCE AND ABILITY TO REMAIN AT HOME. THESE SERVICES MAY INCLUDE HEART AND BLOOD PRESSURE MONITORING, WOUND CARE, MEDICATION ADMINISTRATION, AS WELL AS HELP WITH SPEECH AND SIMPLE MOVEMENTS. THE CARE YOUR LOVED ONE RECEIVES IS PERSONALIZED AND CAN BE MODIFIED AS HIS OR HER NEEDS CHANGE. DURING 2013, THE CENTER PROVIDED 139,021 HOURS OF HOME HEALTH CARE SERVICES. 1689647 1600000 1847714 1689647 1600000 1847714 46897335 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 22 0 548 1 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 NY X ALAN GROSS 7188556789 380 HENRY STREET BROOKLYN NY 11201 DEMETRA POLIMEROS PRESIDENT 1.00 X X 0 0 0 THOMAS SPATH BOARD MEMBER 1.00 X 0 0 0 PATRICK OWEN BURNS BOARD MEMBER 1.00 X 0 0 0 MARK DONOVAN BOARD MEMBER 1.00 X 0 0 0 JOSEPH BROADWIN BOARD MEMBER 1.00 X 0 0 0 PAUL SAYEGH BOARD MEMBER 1.00 X 0 0 0 DR CIRIL GODEC BOARD MEMBER 1.00 X 0 0 0 CHARLIE CARAMES BOARD MEMBER 1.00 X 0 0 0 GREG O'CONNEL BOARD MEMBER 1.00 X 0 0 0 OLGA LIPSCHITZ BOARD MEMBER 1.00 X 125000 0 0 JUDITH FRANCES BOARD MEMBER 1.00 X 0 0 0 PETER D YATRAKIS BOARD MEMBER 1.00 X 0 0 0 ANTHONY LEWIS CEO 35.00 X 292056 0 36528 ALAN GROSS CFO 42.00 X 352858 0 44617 DANIEL TUCHMAN ADMINISTRATOR 35.00 X 291417 0 45513 MAMERTO ALVAREZ DIR. OF NURS. 35.00 X 133705 0 30179 RAISA FORKOSH DIRECTOR OF ADMISSIONS 35.00 X 145933 0 31597 SOMMER ESPINO DIR. OF MDS 35.00 X 184224 0 44395 ARTHUR ZOLOTAREVSKY REHAB DIRECTOR 35.00 X 156057 0 30126 SHIRLEY WITHERSPOON DIRECTOR OF STAFF DEVELOPEMENT 35.00 X 133169 0 29357 1814419 0 292312 21 0 1 0 ATTENTIVE HOME CARE 85-06 QUEENS BLVD ELMHURST NY 11373 NURSING AGENCY 394818 APPLE HOME CARE 100-02 FARRAGUT ROAD BROOKLYN NY 11236 NURSING AGENCY 349986 NURSING PERSONNEL HOME CARE 175 SOUTH 9TH STREET BROOKLYN NY 11211 NURSING AGENCY 270287 HOME HEALTH CARE SERVICE 1650 CONEY ISLAND AVE BROOKLYN NY 11230 NURSING AGENCY 239308 SENIOR CARE 1991 FLATBUSH AVENUE BROOKLYN NY 11234 NURSING AGENCY 204698 23 131000 88603 11587 231190 SKILLED NURS. FACILITY 623000 43275155 43275155 LONG TERM HOME HEALTH CARE 621610 2660597 2660597 ADULT DAY CARE PROGRAM 621990 2251887 2251887 CASE MANAGEMENT 624100 1605670 1605670 COMMUNITY CARE TRANSITION PROJECT 624200 242044 242044 50035353 426917 426917 40000 194946 -154946 -154946 -154946 17595835 17331565 264270 264270 264270 INSURANCE REFUNDS 900099 461709 461709 MISCELLANEOUS 900099 27013 27013 488722 51291506 50035353 0 1024963 1600000 1600000 1187989 1187989 21008333 19934884 1073449 1613909 1547147 66762 4637523 4246812 390711 1790834 1626822 164012 316683 316683 218607 218607 60147 60147 5060976 4719238 341738 29063 26401 2662 3766674 3421707 344967 216389 196571 19818 3773024 3409621 363403 29275 26594 2681 2880764 2616932 263832 618046 561443 56603 CASH RECEIPTS ASSESSMEN 2150506 2150506 LAUNDRY AND LINEN 822500 747172 75328 72086 65485 6601 51853328 46897335 4955993 0 6168792 2920278 1192773 2659795 6398 13502073 18230758 66797 49120 165404 238350 89961331 22938046 69235162 67023285 12726860 11717559 2846757 2184029 105904618 105029572 5427473 3984154 45390000 44455000 14487108 9841607 65304581 58280761 X 40460748 46666317 139289 82494 40600037 46748811 105904618 105029572 X -561822 243266 6467330 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4031 4031 0 PART II-B, LINE 1: $4,031 IS AN ALLOCATION OF ASSOCIATION DUES TO LOBBYING EXPENSES. 2167158 2167158 82570298 18789851 63780447 2648572 2309696 338876 2575303 1838499 736804 67023285 RESIDENT FUNDS HELD IN TRUST 332840 DUE TO THIRD PARTIES 2578513 SWAP AGREEMENTS 6930254 9841607 X 58136901 243266 6662276 6905542 51231359 60147 60147 51291506 51988127 194946 194946 51793181 60147 60147 51853328 PART X, LINE 2: THE CENTER HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2010 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 194,946. CHANGE IN VALUE OF SWAP AGREEMENT 6,467,330. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 194,946. 1 YOUR CHOICE AT HOME INC 380 HENRY STREET BROOKLYN NY 11201 461256502 501 (C) (3) 1600000 TO PROMOTE HOME HEALTH CARE SERVICES 1 0 PART I, LINE 2: THE BOARD AUTHORIZES THE GRANTS AND SUCH AUTHORIZATION IS DOCUMENTED IN THE BOARD MINUTES. GRANTEES SUBMIT REPORTS WITH SUPPORTING DOCUMENTATION ITEMIZING THE USAGES OF THE GRANTS RECEIVED. THESE REPORTS ARE THOROUGHLY REVIEWED BY THE CEO AND CFO AND SUBSEQUENTLY PRESENTED TO THE BOARD. X X 0 0 0 0 0 0 0 1 0 ANTHONY LEWIS CEO 276656 0 15400 0 0 0 29739 0 6789 0 328584 0 0 0 ALAN GROSS CFO 332858 0 20000 0 0 0 29739 0 14878 0 397475 0 0 0 DANIEL TUCHMAN ADMINISTRATOR 281417 0 10000 0 0 0 29739 0 15774 0 336930 0 0 0 MAMERTO ALVAREZ DIR. OF NURS. 128705 0 5000 0 0 0 14583 0 15596 0 163884 0 0 0 RAISA FORKOSH DIRECTOR OF ADMISSIONS 135933 0 10000 0 0 0 16000 0 15597 0 177530 0 0 0 SOMMER ESPINO DIR. OF MDS 178224 0 6000 0 0 0 21214 0 23181 0 228619 0 0 0 ARTHUR ZOLOTAREVSKY REHAB DIRECTOR 154557 0 1500 0 0 0 17407 0 12719 0 186183 0 0 0 SHIRLEY WITHERSPOON DIRECTOR OF STAFF DEVELOPEMENT 132169 0 1000 0 0 0 14722 0 14635 0 162526 0 0 0 PART I, LINE 7 THE BOARD APPROVES MERIT BASED BONUSES FOR ITS OFFICERS AND TOP EMPLOYEES FOR THEIR DEDICATION TO THE CENTER DURIING THE YEAR. THESE BONUSES ARE APPROVED TOWARDS THE END OF THE YEAR BASED ON MERIT. A NYC CAPITAL RESOURCE CORP 204099098 649437AEO 2008-01-30 35920000 RENOVATION 0 0 0 B NYC CAPITAL RESOURCE CORP 204099098 649437AF7 2008-01-30 4420000 REFINANCING 1 0 0 C NYC CAPITAL RESOURCE CORP 204099098 649437AG5 2008-01-30 7850000 CONSTRUCTION 0 0 0 A 35920000 12137676 1331784 22448875 2011 1 0 0 1 B 4420000 4261307 158691 2008 1 0 0 1 C 7850000 286416 7438143 2009 1 0 0 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 0 0 A 0 B 0 C 0 FORM 990, PART VI, SECTION B, LINE 11 THE CFO REVIEWED THE 990 BEFORE IT WAS SUBMITTED. FORM 990, PART VI, SECTION B, LINE 12C COBBLE HILL REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY REQUIRING ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICT. THIS INFORMATION IS REVIEWED BY THE AUDIT AND CORPORATE COMPLIANCE COMMITTEES. THE AUDIT COMMITTEE IS RESPONSIBLE FOR MONITORING ANY CONFLICTS OF INTEREST WHICH OCCUR, AND WILL ENSURE SUCH INDIVIDUALS DO NOT PARTICIPATE IN DISCUSSIONS OR DECISIONS INVOLVING THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION WAS DETERMINED BY A RECOMMENDATION BY THE CEO AND APPROVAL OF THE BOARD. THE CEO'S COMPENSATION IS DETERMINED BY THE GOVERNING BOARD. ALL OTHER TOP EMPLOYEES' COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD. THIS PROCESS WAS LAST DONE IN 2012.THE PROCESS INCLUDED A REVIEW BY THE BOARD OF COMPENSATION OF SIMILAR POSITIONS AT OTHER HEALTH CARE FACILITIES OBTAINED FROM IRS FORM 990S FILED ON GUIDESTAR OR CANVASSING OF THOSE FACILITES. FORM 990, PART VI, SECTION C, LINE 19 COBBLE HILL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF SWAP AGREEMENT 6,467,330. FORM 990, PART XII, LINE 2C THE PROCESS DID NOT CHANGE FROM PRIOR YEAR COBBLE HILL LIFECARE PLUS LLC 380 HENRY STREET BROOKLYN NY 11201 461226428 PROVIDES CARE MANAGEMENT SERVICES FOR THE ELDERLY LIVING AT HOME NY 1605670 1035045 N/A COBBLE HILL FOUNDATION INC 380 HENRY STREET BROOKLYN NY 11201 113122301 FUNDRAISING NY 501(C)(3) PF N/A 0 YOUR CHOICE AT HOME INC 380 HENRY STREET BROOKLYN NY 11201 461256502 HOME HEALTH CARE NY 501(C)(3) N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0