COBBLE HILL HEALTH CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
COBBLE HILL HEALTH CENTER INC (EIN 11-2388200)
Tax period
2011-01-01 to 2011-12-31
Filed
2013-01-11
IRS object ID
201310119349300221
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-01-11T13:56:46-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN131517563EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LOEB & TROPER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1655 THIRD AVENUE 12TH FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10017ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN112388200EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COBBLE HILL HEALTH CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOBBNameControl
Phone7188556789Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1380 HENRY STREETAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11201ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameANTHONY LEWISName
TitleADMINISTRATORTitle
Phone7188556789Phone
Date Signed2013-01-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameFREDERICK H ROTHMANName
PTINP01275277PTIN
Phone2128674000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonANTHONY LEWISNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1380 HENRY STREETAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11201ZIPCode
FieldValueIRS element (for citing)
Gross Receipts62098806GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.COBBLEHILL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO MAINTAIN A NURSING FACILITY AND PROVIDE ADULT DAY CARE & LONG TERM HOME HEALTH SERVICES ON AN OUTPATIENT BASIS.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees534TotalNbrEmployees
Total Nbr Volunteers11TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year9071542ContributionsGrantsPriorYear
Contributions Grants Current Year5217463ContributionsGrantsCurrentYear
Program Service Revenue Prior Year45356278ProgramServiceRevenuePriorYear
Program Service Revenue CY46767783ProgramServiceRevenueCY
Investment Income Prior Year383191InvestmentIncomePriorYear
Investment Income Current Year535700InvestmentIncomeCurrentYear
Other Revenue Prior Year-38299OtherRevenuePriorYear
Other Revenue Current Year-46858OtherRevenueCurrentYear
Total Revenue Prior Year54772712TotalRevenuePriorYear
Total Revenue Current Year52474088TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year26984660SalariesEtcPriorYear
Salaries Etc Current Year27535568SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year17427745OtherExpensePriorYear
Other Expenses Current Year18051299OtherExpensesCurrentYear
Total Expenses Prior Year44412405TotalExpensesPriorYear
Total Expenses Current Year45586867TotalExpensesCurrentYear
Revenues Less Expenses Prior Year10360307RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6887221RevenuesLessExpensesCY
Total Assets BOY103196036TotalAssetsBOY
Total Assets EOY108791153TotalAssetsEOY
Total Liabilities BOY63865780TotalLiabilitiesBOY
Total Liabilities EOY69610566TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY39330256NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY39180587NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionCOBBLE 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense33338781Expense
Revenue38223847Revenue
DescriptionSEE 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 121,430 DAYS OF SKILLED NURSING CARE IN 2011.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2261650Expense
Revenue3264501Revenue
DescriptionTHE 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 19,855 DAY CARE VISITS DURING 2011.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense4892263Expense
Revenue5279435Revenue
DescriptionREFERRED 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 2011, THE CENTER PROVIDED 245,065 HOURS OF HOME HEALTH CARE SERVICES.Description
FieldValueIRS element (for citing)
Total Program Service Expense40492694TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account1EscrowAccount
On Behalf Of Issuer1OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109639NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees534NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ALAN GROSSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7188556789TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1380 HENRY STREETAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11201ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
DEMETRA POLIMEROS
PRESIDENT1.00XX000
THOMAS SPATH
BOARD MEMBER1.00X000
PATRICK OWEN BURNS
BOARD MEMBER1.00X000
MARK DONOVAN
BOARD MEMBER1.00X000
JOSEPH BROADWIN
BOARD MEMBER1.00X000
PAUL SAYEGH
BOARD MEMBER1.00X000
DR CIRIL GODEC
BOARD MEMBER1.00X000
CHARLIE CARAMES
BOARD MEMBER1.00X000
GREG O'CONNEL
BOARD MEMBER1.00X000
FRANCES MCPARTLAND
BOARD MEMBER1.00X000
JUDITH FRANCES
BOARD MEMBER1.00X000
ANTHONY LEWIS
ADMINISTRATOR35.00X326938034546
OLGA LIPSCHITZ
CEO21.00X293622047861
ALAN GROSS
CFO35.00X360330048330
DANIEL TUCHMAN
CONSTRUCTION MANAGER35.00242278046721X
LOUIS MUDANNAYAKE
MEDICAL DIRECTOR35.00164976046481X
JOAN SKYERS
DIR. OF NURS.35.00199172033075X
ARTHUR ZOLOTAREVSKY
DIR. OF REHAB35.00137709026657X
ALLA IMAS
DIR. OF LTHHC35.00151266044472X
SHIRLEY WITHERSPOON
DIR. OF STAFF DEVELOPMENT35.00126365033241X
SOMMER ESPINO
MDS COORDINATOR35.00146396034327X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2149052TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation395711TotalOtherCompensation
Number Individuals GT100 K16NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SENIOR CARE
1991 FLATBUSH AVENUEBROOKLYNNY11234NURSING AGENCY513996
NURSING PERSONNEL HOME CARE
175 SOUTH 9TH STREETBROOKLYNNY11211NURSING AGENCY440107
ATTENTIVE HOME CARE
85-06 QUEENS BLVDELMHURSTNY11373NURSING AGENCY398236
SAMARITAN SERVICE INC
24 COUNTRY ROADTENAFLYNJ07670NURSING AGENCY332773
LIFE CARE SERVICE
1723 AVENUE MBROOKLYNNY11230NURSING AGENCY236213
FieldValueIRS element (for citing)
Number Of Contractors GT100 K17NumberOfContractorsGT100K
Related Organizations111000RelatedOrganizations
Government Grants5092768GovernmentGrants
All Other Contributions13695AllOtherContributions
Total Contributions5217463TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SKILLED NURS. FACILITY6230003822384738223847
LONG TERM HOME HEALTH62161052794355279435
ADULT DAY CARE PROGRAM62199032645013264501
FieldValueIRS element (for citing)
Total Program Service Revenue46767783TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column424804TotalRevenueColumn
Exclusion$424,804ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real40000Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real110351Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-70351Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-70351TotalRevenueColumn
Exclusion-$70,351ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities9625263Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities9514367Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities110896Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column110896TotalRevenueColumn
Exclusion$110,896ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column23493TotalRevenueColumn
Exclusion$23,493ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue23493TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column52474088TotalRevenueColumn
Related Or Exempt Function Income46767783RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$488,842ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1612083Total
Management And General1612083ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total18555187Total
Program Services17520677ProgramServices
Management And General1034510ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1447888Total
Program Services1367164ProgramServices
Management And General80724ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4234565Total
Program Services3998474ProgramServices
Management And General236091ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1685845Total
Program Services1591854ProgramServices
Management And General93991ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total245844Total
Management And General245844ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total150477Total
Management And General150477ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total713Total
Program Services713ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total53983Total
Management And General53983ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6842620Total
Program Services6461083ProgramServices
Management And General381537ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total31967Total
Program Services30185ProgramServices
Management And General1782ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3685132Total
Program Services3479674ProgramServices
Management And General205458ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total210549Total
Program Services198810ProgramServices
Management And General11739ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2022457Total
Program Services1903546ProgramServices
Management And General118911ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total33913Total
Program Services32022ProgramServices
Management And General1891ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1344829Total
Program Services1269851ProgramServices
Management And General74978ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total682885Total
Program Services644812ProgramServices
Management And General38073ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CASH RECEIPTS ASSESSMEN19582351958235
BAD DEBT EXPENSE750000750000
MISCELLANEOUS EXPENSES37695355942101

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total45586867Total
Program Services40492694ProgramServices
Management And General5094173ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5227634BOY
EOY6110894EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY831661BOY
EOY792604EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8448287BOY
EOY9670793EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY76341BOY
EOY57390EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY296007BOY
EOY103160EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis88794546LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec17067671LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY60319258BOY
EOY71726875EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY12074253BOY
EOY12350452EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY15922595BOY
EOY7978985EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY103196036BOY
EOY108791153EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8191797BOY
EOY8938673EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY47125000BOY
EOY46280000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8548983BOY
EOY14391893EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY63865780BOY
EOY69610566EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY39199793BOY
EOY39044834EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY130463BOY
EOY135753EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY39330256BOY
EOY39180587EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY103196036BOY
EOY108791153EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses6887221ReconcilationRevenueExpenses
Reconcilation Other Changes-7036890ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$713OtherActivitiesAmount
Total Lobbying Expenditures IIB713TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
Explanation$713 IS AN ALLOCATION OF ASSOCIATION DUES TO LOBBYING EXPENSES.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2167158OtherCostOrOtherBasis
Book Value2167158BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis17571697OtherCostOrOtherBasis
Depreciation5418816Depreciation
Book Value12152881BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis64293911OtherCostOrOtherBasis
Depreciation7868076Depreciation
Book Value56425835BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2769759OtherCostOrOtherBasis
Depreciation2711381Depreciation
Book Value58378BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1992021OtherCostOrOtherBasis
Depreciation1069398Depreciation
Book Value922623BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings71726875TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
DEPOSITS AND OTHER RECEIVABLES136922
MORTGAGE COSTS1798108
DUE FROM COBBLE HILL FOUNDATION, INC.126482
CONSTRUCTION ESCROW5917473
FieldValueIRS element (for citing)
Total Book Value Other Assets7978985TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
RESIDENT FUNDS HELD IN TRUST$282,627
DUE TO THIRD PARTIES$995,129
SWAP AGREEMENTS$13,114,137
FieldValueIRS element (for citing)
Total Of Amounts14391893TotalOfAmounts
Total Revenue52474088TotalRevenue
Total Expenses45586867TotalExpenses
Excess Or Deficit For Year6887221ExcessOrDeficitForYear
Net Unrealized GL On Investments-204313NetUnrealizedGLOnInvestments
Other-$6,832,577OtherAmount
Total Adjustments-7036890TotalAdjustments
Excess Or Deficit Per FS-149669ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt52326143TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-204313NetUnrealizedGainsInvestments
Other Revenues110351OtherRevenues
Revenue Not Rptd F990-93962RevenueNotRptdF990
Revenue Subtotal52420105RevenueSubtotal
Investment Expenses Not Included53983InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt53983RevenueNotRptdOnFinStmt
Total Revenue Per Form99052474088TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt45643235TotExpensesEtcAuditedFinclStmt
Other Expenses Included110351OtherExpensesIncluded
Expenses Not Rptd F990110351ExpensesNotRptdF990
Expenses Subtotal45532884ExpensesSubtotal
Investment Expenses Not Included253983InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt53983ExpensesNotRptdOnFinStmt
Total Expenses Per Form99045586867TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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, 2008 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN VALUE OF SWAP AGREEMENT -6,832,577.
PART XI, LINE 8, CHANGE IN VALUE OF SWAP AGREEMENT $773,510
PART XII, LINE 2D, RENTAL EXPENSES $101,924 PART XIII, LINE 2D, RENTAL EXPENSES $101,924

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANTHONY LEWIS
268000017350041588028646059000361484000
OLGA LIPSCHITZ
2250000292000394220286460192150341483000
ALAN GROSS
2680000163000760300286460196840408660000
DANIEL TUCHMAN
2000000150000272780286460180750288999000
LOUIS MUDANNAYAKE
1644980004780189580275230211457000
JOAN SKYERS
17533600023836023413096620232247000
ARTHUR ZOLOTAREVSKY
121058000166510154170112400164366000
ALLA IMAS
131127000201390170980273740195738000
SHIRLEY WITHERSPOON
12105800053070140240192170159606000
SOMMER ESPINO
13730800090880164330178940180723000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 7ReturnReference
ExplanationTHE BOARD APPROVES MERIT BASED BONUSES FOR ITS OFFICERS AND KEY EMPLOYEES FOR THEIR DEDICATION TO THE CENTER DURIING THE YEAR. THESE BONUSES ARE APPROVED TOWARDS THE END OF THE YEAR BASED ON MERIT.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
NYC CAPITAL RESOURCE CORP
204099098649437AEO2008-01-3035920000RENOVATION000
NYC CAPITAL RESOURCE CORP
204099098649437AF72008-01-304420000REFINANCING100
NYC CAPITAL RESOURCE CORP
204099098649437AG52008-01-307850000CONSTRUCTION000

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindRefunding EscrowRefundingEscrow
359200001213767613317842244887520111001
4420000158691200810014261307
7850000286416743814320091001

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00001
00001
00001

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
000000
000000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE CFO REVIEWED THE 990 BEFORE IT WAS SUBMITTED.
FORM 990, PART VI, SECTION B, LINE 12CCOBBLE 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 15COMPENSATION 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 KEY EMPLOYEES COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD. THIS PROCESS WAS LAST DONE IN 2011.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 19COBBLE HILL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -204,313. CHANGE IN VALUE OF SWAP AGREEMENT -6,832,577. TOTAL TO FORM 990, PART XI, LINE 5: -7,036,890.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE FINANCE COMMITTEE MEETS WITH THE AUDITORS TO REVIEW THE FINANCIAL STATEMENTS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1COBBLE HILL FOUNDATION INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1380 HENRY STREETAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11201ZIPCode
FieldValueIRS element (for citing)
EIN113122301EIN
Primary ActivitiesFUNDRAISINGPrimaryActivities
Legal Domicile StateNYLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusPFPublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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