COBBLE HILL HEALTH CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
COBBLE HILL HEALTH CENTER INC (EIN 11-2388200)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-07
IRS object ID
201323119349301682
Schema version
2012v2.1
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)
Timestamp2013-11-07T14:02:35-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

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 Date2012-01-01TaxPeriodBeginDate

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)
NameDANIEL TUCHMANName
TitleADMINISTRATORTitle
Phone7188556789Phone
Date Signed2013-11-05DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameFREDERICK H ROTHMANName
PTINP01275277PTIN
Phone2128674000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

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 Receipts61458224GrossReceipts
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 Employees548TotalNbrEmployees
Total Nbr Volunteers11TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5217463ContributionsGrantsPriorYear
Contributions Grants Current Year249662ContributionsGrantsCurrentYear
Program Service Revenue Prior Year46767783ProgramServiceRevenuePriorYear
Program Service Revenue CY53431118ProgramServiceRevenueCY
Investment Income Prior Year535700InvestmentIncomePriorYear
Investment Income Current Year842283InvestmentIncomeCurrentYear
Other Revenue Prior Year-46858OtherRevenuePriorYear
Other Revenue Current Year-132187OtherRevenueCurrentYear
Total Revenue Prior Year52474088TotalRevenuePriorYear
Total Revenue Current Year54390876TotalRevenueCurrentYear
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 Year27535568SalariesEtcPriorYear
Salaries Etc Current Year29777106SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year18051299OtherExpensePriorYear
Other Expenses Current Year22892804OtherExpensesCurrentYear
Total Expenses Prior Year45586867TotalExpensesPriorYear
Total Expenses Current Year52669910TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6887221RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1720966RevenuesLessExpensesCY
Total Assets BOY108791153TotalAssetsBOY
Total Assets EOY105904618TotalAssetsEOY
Total Liabilities BOY69610566TotalLiabilitiesBOY
Total Liabilities EOY65304581TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY39180587NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY40600037NetAssetsOrFundBalancesEOY
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 Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense38467740Expense
Revenue43635716Revenue
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 131,993 DAYS OF SKILLED NURSING CARE IN 2012.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2334479Expense
Revenue3122561Revenue
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 19,889 DAY CARE VISITS DURING 2012.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense6307898Expense
Revenue6374051Revenue
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 2012, THE CENTER PROVIDED 317,903 HOURS OF HOME HEALTH CARE SERVICES.Description

Activity Other ActivityOther (2 entries)

ExpenseExpenseRevenueRevenueDescriptionDescription
404699232802CASE MANAGEMENT
11487965988COMMUNITY CARE TRANSITION PROJECT
FieldValueIRS element (for citing)
Total Of Other Program Service Exp519578TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev298790TotalOfOtherProgramServiceRev
Total Program Service Expense47629695TotalProgramServiceExpense
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 Assets0ReportOtherAssets
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 Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109623NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees548NumberOfEmployees
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 Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
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 (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest 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
CEO35.00X347795036918
ALAN GROSS
CFO42.00X367700050747
DANIEL TUCHMAN
ADMINISTRATOR35.00X286369052360
JOAN SKYERS
DIR. OF NURS.35.00215206038231X
ALLA IMAS
DIR. OF LTHHC35.00175948048520X
SOMMER ESPINO
DIR. OF MDS35.00155820044727X
ARTHUR ZOLOTAREVSKY
REHAB DIRECTOR35.00138667027816X
LEISA BRYANT
FOOD & NUTRITION DIRECTOR35.00138950027138X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1826455TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation326457TotalOtherCompensation
Number Individuals GT100 K20NumberIndividualsGT100K
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
NURSING PERSONNEL HOME CARE
175 SOUTH 9TH STREETBROOKLYNNY11211NURSING AGENCY799280
HOME HEALTH CARE SERVICE
1650 CONEY ISLAND AVEBROOKLYNNY11230NURSING AGENCY530783
ATTENTIVE HOME CARE
85-06 QUEENS BLVDELMHURSTNY11373NURSING AGENCY510257
SENIOR CARE
1991 FLATBUSH AVENUEBROOKLYNNY11234NURSING AGENCY476796
PELLACARE
1418 65TH STREETBROOKLYNNY11219NURSING AGENCY362345
FieldValueIRS element (for citing)
Number Of Contractors GT100 K17NumberOfContractorsGT100K
Related Organizations130700RelatedOrganizations
Government Grants113305GovernmentGrants
All Other Contributions5657AllOtherContributions
Total Contributions249662TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SKILLED NURS. FACILITY6230004363571643635716
LONG TERM HOME HEALTH CARE62161063740516374051
ADULT DAY CARE PROGRAM62199031225613122561
CASE MANAGEMENT624100232802232802
COMMUNITY CARE TRANSITION PROJECT6242006598865988
FieldValueIRS element (for citing)
Total Program Service Revenue53431118TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column402589TotalRevenueColumn
Exclusion$402,589ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real40000Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real192960Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-152960Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-152960TotalRevenueColumn
Exclusion-$152,960ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities7314082Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities6874388Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities439694Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column439694TotalRevenueColumn
Exclusion$439,694ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column20773TotalRevenueColumn
Exclusion$20,773ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue20773TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column54390876TotalRevenueColumn
Related Or Exempt Function Income53431118RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$710,096ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1141889Total
Management And General1141889ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total20410961Total
Program Services19077979ProgramServices
Management And General1332982ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1621877Total
Program Services1515957ProgramServices
Management And General105920ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4866012Total
Program Services4563406ProgramServices
Management And General302606ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1736367Total
Program Services1622970ProgramServices
Management And General113397ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total370780Total
Management And General370780ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total183100Total
Management And General183100ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total56789Total
Management And General56789ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7696321Total
Program Services7193696ProgramServices
Management And General502625ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total12934Total
Program Services12089ProgramServices
Management And General845ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4072044Total
Program Services3806110ProgramServices
Management And General265934ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total219197Total
Program Services204882ProgramServices
Management And General14315ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3666249Total
Program Services3303864ProgramServices
Management And General362385ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total35720Total
Program Services33387ProgramServices
Management And General2333ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2989611Total
Program Services2794368ProgramServices
Management And General195243ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total625173Total
Program Services584345ProgramServices
Management And General40828ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CASH RECEIPTS ASSESSMEN22261662226166
LAUNDRY & LINEN59161355297638637

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total147107Total
Program Services137500ProgramServices
Management And General9607ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total52669910Total
Program Services47629695ProgramServices
Management And General5040215ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6110894BOY
EOY6168792EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY792604BOY
EOY1192773EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY9670793BOY
EOY13502073EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY57390BOY
EOY66797EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY103160BOY
EOY165404EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis89292444LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec20057282LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY71726875BOY
EOY69235162EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY12350452BOY
EOY12726860EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7978985BOY
EOY2846757EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY108791153BOY
EOY105904618EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8938673BOY
EOY5427473EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY46280000BOY
EOY45390000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY14391893BOY
EOY14487108EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY69610566BOY
EOY65304581EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY39044834BOY
EOY40460748EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY135753BOY
EOY139289EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY39180587BOY
EOY40600037EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY108791153BOY
EOY105904618EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1720966ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-18069ReconciliationUnrealizedInvest
Reconcilation Other Changes-283447ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
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$6,646OtherActivitiesAmount
Total Lobbying Expenditures IIB6646TotalLobbyingExpendituresIIB
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$6,646 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 Basis17840074OtherCostOrOtherBasis
Depreciation6113820Depreciation
Book Value11726254BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis64342948OtherCostOrOtherBasis
Depreciation9963576Depreciation
Book Value54379372BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2901862OtherCostOrOtherBasis
Depreciation2835774Depreciation
Book Value66088BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2040402OtherCostOrOtherBasis
Depreciation1144112Depreciation
Book Value896290BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings69235162TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
RESIDENT FUNDS HELD IN TRUST$307,797
DUE TO THIRD PARTIES$781,727
SWAP AGREEMENTS$13,397,584
FieldValueIRS element (for citing)
Total Of Amounts14487108TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt54508978TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-18069NetUnrealizedGainsInvestments
Other Revenues192960OtherRevenues
Revenue Not Rptd F990174891RevenueNotRptdF990
Revenue Subtotal54334087RevenueSubtotal
Investment Expenses Not Included56789InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt56789RevenueNotRptdOnFinStmt
Total Revenue Per Form99054390876TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt52806081TotExpensesEtcAuditedFinclStmt
Other Expenses Included192960OtherExpensesIncluded
Expenses Not Rptd F990192960ExpensesNotRptdF990
Expenses Subtotal52613121ExpensesSubtotal
Investment Expenses Not Included256789InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt56789ExpensesNotRptdOnFinStmt
Total Expenses Per Form99052669910TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: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, 2009 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 192,960.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 192,960.
PART XI, LINE 8, CHANGE IN VALUE OF SWAP AGREEMENT $283,447

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
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 (8 entries)

TitleTitleBase 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
CEO286760018000043035029197077210384713000
ALAN GROSS
CFO2814000180000683000291970215500418447000
DANIEL TUCHMAN
ADMINISTRATOR2100000500000263690291970231630338729000
JOAN SKYERS
DIR. OF NURS.1805960100000246100254300128010253437000
ALLA IMAS
DIR. OF LTHHC150000030000229480202410282790224468000
SOMMER ESPINO
DIR. OF MDS14142706000083930176240271030200547000
ARTHUR ZOLOTAREVSKY
REHAB DIRECTOR124690015000124770150930127230166483000
LEISA BRYANT
FOOD & NUTRITION DIRECTOR115704035000197460150520120860166088000

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 TOP 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)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
NYC CAPITAL RESOURCE CORP
A204099098649437AEO2008-01-3035920000RENOVATION000
NYC CAPITAL RESOURCE CORP
B204099098649437AF72008-01-304420000REFINANCING100
NYC CAPITAL RESOURCE CORP
C204099098649437AG52008-01-307850000CONSTRUCTION000

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindRefunding EscrowRefundingEscrow
A359200001213767613317842244887520111001
B4420000158691200810014261307
C7850000286416743814320091001

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A0000000
B0000000
C0000000

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A000000000
B000000000
C000000000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NEW PROGRAM SERVICESFORM 990, PART III, LINE 2DURING 2012, COBBLE HILL LIFECARE PLUS LLC (CHLCP) WAS INCORPORATED AS A LIMITED LIABILITY COMPANY TO PROVIDE CARE MANAGEMENT SERVICES FOR THE ELDERLY LIVING AT HOME. CHLCP, A DISREGARDED ENTITY FOR INCOME TAX PURPOSES, IS A WHOLLY OWNED SUBSIDIARY OF CHHC.
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 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 19COBBLE HILL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
OTHER FEESFORM 990, PART IX, LINE 11GTHERAPEUTIC, PHARMACY, AND RELATED SERVICES: PROGRAM SERVICE EXPENSES 1,412,820. MANAGEMENT AND GENERAL EXPENSES 98,714. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,511,534. STAFFING AGENCY FEES: PROGRAM SERVICE EXPENSES 687,915. MANAGEMENT AND GENERAL EXPENSES 48,065. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 735,980. SECURITY: PROGRAM SERVICE EXPENSES 126,613. MANAGEMENT AND GENERAL EXPENSES 8,846. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 135,459. CONSTRUCTION AGENCY FEES: PROGRAM SERVICE EXPENSES 129,666. MANAGEMENT AND GENERAL EXPENSES 9,060. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 138,726. LONG TERM PERSONAL CARE ASSISTANCE: PROGRAM SERVICE EXPENSES 4,124,574. MANAGEMENT AND GENERAL EXPENSES 288,185. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,412,759. AMBULETTE SERVICE: PROGRAM SERVICE EXPENSES 712,108. MANAGEMENT AND GENERAL EXPENSES 49,755. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 761,863.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 9:CHANGE IN VALUE OF SWAP AGREEMENT -283,447.
FORM 990, PART XII, LINE 2CTHE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1COBBLE HILL LIFECARE PLUS LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1380 HENRY STREETAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11201ZIPCode
FieldValueIRS element (for citing)
EIN461226428EIN
Primary ActivitiesPROVIDES CARE MANAGEMENT SERVICES FOR THE ELDERLY LIVING AT HOMEPrimaryActivities
Legal Domicile StateNYLegalDomicileState
Total Income232802TotalIncome
EOY Assets0EOYAssets
Direct Controlling Entity NAN/ADirectControllingEntityNA

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
Dividends Related Organization0DividendsRelatedOrganization
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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