COBBLE HILL HEALTH CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COBBLE HILL HEALTH CENTER INC (EIN 11-2388200)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201133199349302988
Schema version
2010v3.4
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)
Timestamp2011-11-15T11:15:14-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-01-01TaxPeriodBeginDate

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)
NameOLGA LIPSCHITZName
TitleCEOTitle
Phone7188556789Phone
Date Signed2011-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameFREDERICK H ROTHMANName
Phone2128674000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonOLGA LIPSCHITZNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1380 HENRY STREETAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11201ZIPCode
FieldValueIRS element (for citing)
Gross Receipts63103191GrossReceipts
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 Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees554TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4128034ContributionsGrantsPriorYear
Contributions Grants Current Year9071542ContributionsGrantsCurrentYear
Program Service Revenue Prior Year42328069ProgramServiceRevenuePriorYear
Program Service Revenue CY45356278ProgramServiceRevenueCY
Investment Income Prior Year412247InvestmentIncomePriorYear
Investment Income Current Year383191InvestmentIncomeCurrentYear
Other Revenue Prior Year-1322OtherRevenuePriorYear
Other Revenue Current Year-38299OtherRevenueCurrentYear
Total Revenue Prior Year46867028TotalRevenuePriorYear
Total Revenue Current Year54772712TotalRevenueCurrentYear
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 Year27678097SalariesEtcPriorYear
Salaries Etc Current Year26984660SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year15575148OtherExpensePriorYear
Other Expenses Current Year17427745OtherExpensesCurrentYear
Total Expenses Prior Year43253245TotalExpensesPriorYear
Total Expenses Current Year44412405TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3613783RevenuesLessExpensesPriorYear
Revenues Less Expenses CY10360307RevenuesLessExpensesCY
Total Assets BOY93046658TotalAssetsBOY
Total Assets EOY103196036TotalAssetsEOY
Total Liabilities BOY63752031TotalLiabilitiesBOY
Total Liabilities EOY63865780TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY29294627NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY39330256NetAssetsOrFundBalancesEOY
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
Expense33130367Expense
Revenue37809508Revenue
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.IN 2010, WE PROVIDED NURSING CARE TO 1,294 PATIENTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2196991Expense
Revenue2424394Revenue
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 14,796 DAY CARE VISITS DURING 2010.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense4184024Expense
Revenue5122376Revenue
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 2010, THE CENTER PROVIDED 233,469 HOURS OF HOME HEALTH CARE SERVICES.Description
FieldValueIRS element (for citing)
Total Program Service Expense39511382TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 With109624NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees554NumberOfEmployees
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 Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
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 (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
DEMETRA POLIMEROS
PRESIDENT0.50XX000
THOMAS SPATH
BOARD MEMBER0.50X000
PATRICK OWEN BURNS
BOARD MEMBER0.50X000
MARK DONOVAN
BOARD MEMBER0.50X000
JOSEPH BROADWIN
BOARD MEMBER0.50X000
PAUL SAYEGH
BOARD MEMBER0.50X000
C MURRAY ADAMS
BOARD MEMBER0.50X000
DR CIRIL GODEC
BOARD MEMBER0.50X000
CHARLIE CARAMES
BOARD MEMBER0.50X000
GREG O'CONNEL
BOARD MEMBER0.50X000
OLGA LIPSCHITZ
CEO21.00X238363050530
ALAN GROSS
CFO35.00X306115050933
ANTHONY YANG-LEWIS
ADMINISTRATOR35.00259440033509X
DANIEL TUCHMAN
CONSTRUCTION MANAGER35.00197222036270X
LOUIS MUDANNAYAKE
MEDICAL DIRECTOR35.00179754042868X
JOAN SKYERS
DIR. OF NURS.35.00205058033737X
ARTHUR ZOLOTAREVSKY
DIR. OF REHAB35.00141753028781X
ALLA IMAS
DIR. OF LTHHC35.00147236038439X
MAMERTO ALVAREZ
DIRECTOR OF MAINTENANCE35.00137250016819X
SOMMER ESPINO
MDS COORDINATOR35.00144126029005X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1956317TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation360891TotalOtherCompensation
Number Individuals GT100 K17NumberIndividualsGT100K
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 AGENCY619570
APPLE HOME CARE LTD
100-02 FARRAGUT ROADBROOKLYNNY11236AMBULETTE COMPANY565664
ATTENTIVE HOME CARE
85-06 QUEENS BLVDELMHURSTNY11373NURSING AGENCY502056
NURSING PERSONNEL
175 SOUTH 9TH STREETBROOKLYNNY11211NURSING AGENCY431748
SAMARITAN SERVICE INC
24 COUNTRY ROADTENAFLYNJ07670NURSING AGENCY345734
FieldValueIRS element (for citing)
Number Of Contractors GT100 K17NumberOfContractorsGT100K
Related Organizations108000RelatedOrganizations
Government Grants8952699GovernmentGrants
All Other Contributions10843AllOtherContributions
Total Contributions9071542TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SKILLED NURS. FACILITY6230003780950837809508
LONG TERM HOME HEALTH62161051223765122376
ADULT DAY CARE PROGRAM62199024243942424394
FieldValueIRS element (for citing)
Total Program Service Revenue45356278TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column400685TotalRevenueColumn
Exclusion$400,685ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real40000Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real101924Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-61924Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-61924TotalRevenueColumn
Exclusion-$61,924ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities8211061Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities8228555Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-17494Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-17494TotalRevenueColumn
Exclusion-$17,494ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column23625TotalRevenueColumn
Exclusion$23,625ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue23625TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column54772712TotalRevenueColumn
Related Or Exempt Function Income45356278RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$344,892ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1395004Total
Management And General1395004ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total18907897Total
Program Services17830322ProgramServices
Management And General1077575ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1331433Total
Program Services1296195ProgramServices
Management And General35238ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3306244Total
Program Services3056226ProgramServices
Management And General250018ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2044082Total
Program Services1813444ProgramServices
Management And General230638ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total277170Total
Management And General277170ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total106828Total
Management And General106828ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total72Total
Program Services72ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5029276Total
Program Services4710213ProgramServices
Management And General319063ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total88Total
Management And General88ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4814939Total
Program Services4461223ProgramServices
Management And General353716ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2126584Total
Program Services2060224ProgramServices
Management And General66360ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total585261Total
Program Services585200ProgramServices
Management And General61ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total18031Total
Program Services12309ProgramServices
Management And General5722ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1345232Total
Program Services1298587ProgramServices
Management And General46645ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total680141Total
Program Services657696ProgramServices
Management And General22445ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
NYS C/R ASSESSMENT17081031708103
BAD DEBT EXPENSE700000700000
MISCELLANEOUS EXPENSES360202156814452

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total44412405Total
Program Services39511382ProgramServices
Management And General4901023ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4764285BOY
EOY5227634EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY759169BOY
EOY831661EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7711142BOY
EOY8448287EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY82296BOY
EOY76341EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY366260BOY
EOY296007EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis76042100LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec15722842LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY40466192BOY
EOY60319258EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY12475656BOY
EOY12074253EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY26421658BOY
EOY15922595EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY93046658BOY
EOY103196036EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY7412489BOY
EOY8191797EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY48190000BOY
EOY47125000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8149542BOY
EOY8548983EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY63752031BOY
EOY63865780EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY29167631BOY
EOY39199793EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY126996BOY
EOY130463EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY29294627BOY
EOY39330256EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY93046658BOY
EOY103196036EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses10360307ReconcilationRevenueExpenses
Reconcilation Other Changes-324678ReconcilationOtherChanges
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$72OtherActivitiesAmount
Total Lobbying Expenditures IIB72TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
Explanation$72 IS AN ALLOCATION OF ASSOCIATION DUES TO LOBBYING EXPENSE.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 Basis1434399OtherCostOrOtherBasis
Depreciation1434399Depreciation
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis26162272OtherCostOrOtherBasis
Depreciation10504714Depreciation
Book Value15657558BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis44321341OtherCostOrOtherBasis
Depreciation2622642Depreciation
Book Value41698699BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1956930OtherCostOrOtherBasis
Depreciation1161087Depreciation
Book Value795843BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings60319258TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
DEPOSITS AND OTHER RECEIVABLES130121
MORTGAGE COSTS1865614
DUE FROM COBBLE HILL FOUNDATION, INC.157140
CONSTRUCTION ESCROW12263117
OTHER ESCROW1506603
FieldValueIRS element (for citing)
Total Book Value Other Assets15922595TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
RESIDENT FUNDS HELD IN TRUST$322,013
DUE TO THIRD PARTIES$1,945,410
SWAP AGREEMENTS$6,281,560
FieldValueIRS element (for citing)
Total Of Amounts8548983TotalOfAmounts
Total Revenue54772712TotalRevenue
Total Expenses44412405TotalExpenses
Excess Or Deficit For Year10360307ExcessOrDeficitForYear
Net Unrealized GL On Investments448832NetUnrealizedGLOnInvestments
Other-$773,510OtherAmount
Total Adjustments-324678TotalAdjustments
Excess Or Deficit Per FS10035629ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt55272600TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments448832NetUnrealizedGainsInvestments
Other Revenues101924OtherRevenues
Revenue Not Rptd F990550756RevenueNotRptdF990
Revenue Subtotal54721844RevenueSubtotal
Investment Expenses Not Included50868InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt50868RevenueNotRptdOnFinStmt
Total Revenue Per Form99054772712TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt44463461TotExpensesEtcAuditedFinclStmt
Other Expenses Included101924OtherExpensesIncluded
Expenses Not Rptd F990101924ExpensesNotRptdF990
Expenses Subtotal44361537ExpensesSubtotal
Investment Expenses Not Included250868InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt50868ExpensesNotRptdOnFinStmt
Total Expenses Per Form99044412405TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 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, 2007 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES.
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
OLGA LIPSCHITZ
217554014300065090286460218840288893000
ALAN GROSS
2425540138000497610286460222870357048000
ANTHONY YANG-LEWIS
24644001300000028646048630292949000
DANIEL TUCHMAN
17175202500004700228570134130233492000
LOUIS MUDANNAYAKE
16430001500004540208200220480222622000
JOAN SKYERS
161061020000023997024014097230238795000
ARTHUR ZOLOTAREVSKY
115468025000237850154920132890170534000
ALLA IMAS
122862030000213740165150219240185675000
MAMERTO ALVAREZ
63000015000059250014826019930154069000
SOMMER ESPINO
1223520110000107740156950133100173131000

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 MERITExplanation

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
7850000125441286416743814320091001

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000000
000000
000000

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)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE CFO REVIEWED THE 990 BEFORE IT WAS SUBMITTED.
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 12C
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 KEY EMPLOYEES COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD. THIS PROCESS WAS LAST DONE IN 2010.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 B, LINE 15
COBBLE HILL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 448,832. CHANGE IN VALUE OF SWAP AGREEMENT -773,510. TOTAL TO FORM 990, PART XI, LINE 5: -324,678.FORM 990, PART XI, LINE 5:
THE FINANCE COMMITTEE MET WITH THE AUDITORS TO REVIEW THE FINANCIAL STATEMENTSFORM 990, PART XII, LINE 2C

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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