2011-11-15T11:15:14-06:00 2010-12-31 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2010-01-01 112388200 COBBLE HILL HEALTH CENTER INC COBB 7188556789 380 HENRY STREET BROOKLYN NY 11201 OLGA LIPSCHITZ 7188556789 2011-11-15 1 FREDERICK H ROTHMAN 2128674000 2010 2016-03-07 17:11:31Z OLGA LIPSCHITZ 380 HENRY STREET BROOKLYN NY 11201 63103191 0 X WWW.COBBLEHILL.ORG X 1977 NY TO MAINTAIN A NURSING FACILITY AND PROVIDE ADULT DAY CARE & LONG TERM HOME HEALTH SERVICES ON AN OUTPATIENT BASIS. 10 10 554 0 0 0 4128034 9071542 42328069 45356278 412247 383191 -1322 -38299 46867028 54772712 0 0 0 0 27678097 26984660 0 0 0 15575148 17427745 43253245 44412405 3613783 10360307 93046658 103196036 63752031 63865780 29294627 39330256 X COBBLE HILL HEALTH CENTER, INC. OPERATES A 364 BED NURSING FACILITY. THE CENTER PROVIDES NURSING CARE TO PATIENTS AND IS LICENSED TO PROVIDE ADULT DAY CARE SERVICES. IN ADDITION, THE CENTER PROVIDES A LONG-TERM HOME HEALTH CARE PROGRAM. 0 0 33130367 37809508 SEE SCHEDULE O.THE CENTER HAS BEEN PROVIDING RESIDENTIAL AND COMMUNITY BASED SERVICES TO THE DISABLED AND ELDERLY FOR OVER 30 YEARS. THE CENTER OFFERS A COMPLETE RANGE OF MEDICAL, NURSING AND REHABILITATION SERVICES. THESE SERVICES INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING:>SUBACUTE CARE MEDICAL CARE, THE GOAL OF WHICH IS TO ENSURE A QUICK AND COMPLETE RECOVERY THEREBY RESTORING OUR RESIDENTS INDEPENDENCE AND HELP THEM RETURN TO COMMUNITY LIVING; >LONG TERM CARE, WHICH OFFERS A HOME-LIKE ALTERNATIVE THAT PROVIDES EACH INDIVIDUAL WITH HIS OR HER SPECIFIC NEEDS, BE IT PHYSICAL, PSYCHOLOGICAL OR EMOTIONAL, IN AN OPTIMUM ENVIRONMENT ENSURING THAT QUALITY OF LIFE IS MAINTAINED;>REHABILITATION, WHOSE GOAL IS TO RESTORE RESIDENTS FUNCTION AND THE ABILITIES THEY HAD PRIOR TO THE ONSET OF ILLNESS, INJURY OR TRAUMA; >A DIALYSIS CENTER, WHERE TREATMENT IS CONVENIENT BECAUSE IT IS ADMINISTERED ON-SITE AND PROVIDES MINIMAL DISRUPTION OF THEIR REGULAR SCHEDULES AND LIVES; >ALZHEIMERS SPECIAL CARE, WHICH, FOR OVER A DECADE, HAS LED THE WAY IN CARING FOR INDIVIDUALS WITH ALZHEIMERS DISEASE. THROUGH PROGRAM DEVELOPMENT, RESEARCH AND TRAINING,OUR ALZHEIMERS UNIT HAS RECEIVED THE BEST PRACTICES AWARD.IN 2010, WE PROVIDED NURSING CARE TO 1,294 PATIENTS. 2196991 2424394 THE CENTER ALSO OPERATES AN ADULT DAY CARE PROGRAM BY A BI-LINGUAL STAFF (ENGLISH AND SPANISH)WITH DOOR-TO-DOOR AMBULETTE TRANSPORTATION. SOME OF THE SERVICES THE PROGRAM PROVIDES INCLUDE THE FOLLOWING:>MEDICAL AND NURSING SUPERVISION AND MONITORING;>INDIVIDUAL NEEDS ASSESSMENT TO HELP IMPROVE AND MAINTAIN INDEPENDENCE;>ON-SITE REGISTERED NURSES WHO OBSERVE AND MONITOR HEALTH STATUS AND ADMINISTER AND MONITOR MEDICATIONS AND PERFORM CATHETERIZATION, DRESSING CHANGES, ETC. THE CENTER PROVIDED 14,796 DAY CARE VISITS DURING 2010. 4184024 5122376 REFERRED TO AS THE NURSING HOME WITHOUT WALLS, THE CENTER'S LONG TERM HOME HEALTH CARE PROGRAM INCLUDES NURSING CARE, REHABILITATION THERAPY AND OTHER HEALTH SERVICES DELIVERED IN THE COMFORT OF HOME ON A LONG-TERM BASIS. THE GOAL IS TO PRMOTE OUR PATIENTS INDEPENDENCE AND ABILITY TO REMAIN AT HOME. THESE SERVICES MAY INCLUDE HEART AND BLOOD PRESSURE MONITORING, WOUND CARE, MEDICATION ADMINISTRATION, AS WELL AS HELP WITH SPEECH AND SIMPLE MOVEMENTS. THE CARE YOUR LOVED ONE RECEIVES IS PERSONALIZED AND CAN BE MODIFIED AS HIS OR HER NEEDS CHANGE. DURING 2010, THE CENTER PROVIDED 233,469 HOURS OF HOME HEALTH CARE SERVICES. 39511382 1 1 0 1 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 24 0 1 554 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X ALAN GROSS 7188556789 380 HENRY STREET BROOKLYN NY 11201 DEMETRA POLIMEROS 0.50 X X 0 0 0 THOMAS SPATH 0.50 X 0 0 0 PATRICK OWEN BURNS 0.50 X 0 0 0 MARK DONOVAN 0.50 X 0 0 0 JOSEPH BROADWIN 0.50 X 0 0 0 PAUL SAYEGH 0.50 X 0 0 0 C MURRAY ADAMS 0.50 X 0 0 0 DR CIRIL GODEC 0.50 X 0 0 0 CHARLIE CARAMES 0.50 X 0 0 0 GREG O'CONNEL 0.50 X 0 0 0 OLGA LIPSCHITZ 21.00 X 238363 0 50530 ALAN GROSS 35.00 X 306115 0 50933 ANTHONY YANG-LEWIS 35.00 X 259440 0 33509 DANIEL TUCHMAN 35.00 X 197222 0 36270 LOUIS MUDANNAYAKE 35.00 X 179754 0 42868 JOAN SKYERS 35.00 X 205058 0 33737 ARTHUR ZOLOTAREVSKY 35.00 X 141753 0 28781 ALLA IMAS 35.00 X 147236 0 38439 MAMERTO ALVAREZ 35.00 X 137250 0 16819 SOMMER ESPINO 35.00 X 144126 0 29005 1956317 0 360891 17 0 1 0 SENIOR CARE 1991 FLATBUSH AVENUE BROOKLYN NY 11234 NURSING AGENCY 619570 APPLE HOME CARE LTD 100-02 FARRAGUT ROAD BROOKLYN NY 11236 AMBULETTE COMPANY 565664 ATTENTIVE HOME CARE 85-06 QUEENS BLVD ELMHURST NY 11373 NURSING AGENCY 502056 NURSING PERSONNEL 175 SOUTH 9TH STREET BROOKLYN NY 11211 NURSING AGENCY 431748 SAMARITAN SERVICE INC 24 COUNTRY ROAD TENAFLY NJ 07670 NURSING AGENCY 345734 17 108000 8952699 10843 9071542 SKILLED NURS. FACILITY 623000 37809508 37809508 LONG TERM HOME HEALTH 621610 5122376 5122376 ADULT DAY CARE PROGRAM 621990 2424394 2424394 45356278 400685 400685 40000 101924 -61924 -61924 -61924 8211061 8228555 -17494 -17494 -17494 MISCELLANEOUS 900099 23625 23625 23625 54772712 45356278 0 344892 1395004 1395004 18907897 17830322 1077575 1331433 1296195 35238 3306244 3056226 250018 2044082 1813444 230638 277170 277170 106828 106828 72 72 5029276 4710213 319063 88 88 4814939 4461223 353716 2126584 2060224 66360 585261 585200 61 18031 12309 5722 1345232 1298587 46645 680141 657696 22445 NYS C/R ASSESSMENT 1708103 1708103 BAD DEBT EXPENSE 700000 700000 MISCELLANEOUS EXPENSES 36020 21568 14452 44412405 39511382 4901023 0 4764285 5227634 759169 831661 7711142 8448287 82296 76341 366260 296007 76042100 15722842 40466192 60319258 12475656 12074253 26421658 15922595 93046658 103196036 7412489 8191797 48190000 47125000 8149542 8548983 63752031 63865780 X 29167631 39199793 126996 130463 29294627 39330256 93046658 103196036 X 10360307 -324678 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 72 72 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: $72 IS AN ALLOCATION OF ASSOCIATION DUES TO LOBBYING EXPENSE. 2167158 2167158 1434399 1434399 0 26162272 10504714 15657558 44321341 2622642 41698699 1956930 1161087 795843 60319258 DEPOSITS AND OTHER RECEIVABLES 130121 MORTGAGE COSTS 1865614 DUE FROM COBBLE HILL FOUNDATION, INC. 157140 CONSTRUCTION ESCROW 12263117 OTHER ESCROW 1506603 15922595 RESIDENT FUNDS HELD IN TRUST 322013 DUE TO THIRD PARTIES 1945410 SWAP AGREEMENTS 6281560 8548983 54772712 44412405 10360307 448832 -773510 -324678 10035629 55272600 448832 101924 550756 54721844 50868 50868 54772712 44463461 101924 101924 44361537 50868 50868 44412405 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 X 0 0 0 0 0 0 0 1 0 OLGA LIPSCHITZ 217554 0 14300 0 6509 0 28646 0 21884 0 288893 0 0 0 ALAN GROSS 242554 0 13800 0 49761 0 28646 0 22287 0 357048 0 0 0 ANTHONY YANG-LEWIS 246440 0 13000 0 0 0 28646 0 4863 0 292949 0 0 0 DANIEL TUCHMAN 171752 0 25000 0 470 0 22857 0 13413 0 233492 0 0 0 LOUIS MUDANNAYAKE 164300 0 15000 0 454 0 20820 0 22048 0 222622 0 0 0 JOAN SKYERS 161061 0 20000 0 23997 0 24014 0 9723 0 238795 0 0 0 ARTHUR ZOLOTAREVSKY 115468 0 2500 0 23785 0 15492 0 13289 0 170534 0 0 0 ALLA IMAS 122862 0 3000 0 21374 0 16515 0 21924 0 185675 0 0 0 MAMERTO ALVAREZ 63000 0 15000 0 59250 0 14826 0 1993 0 154069 0 0 0 SOMMER ESPINO 122352 0 11000 0 10774 0 15695 0 13310 0 173131 0 0 0 PART I, LINE 7 THE 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 NYC CAPITAL RESOURCE CORP 204099098 649437AEO 2008-01-30 35920000 RENOVATION 0 0 0 NYC CAPITAL RESOURCE CORP 204099098 649437AF7 2008-01-30 4420000 REFINANCING 1 0 0 NYC CAPITAL RESOURCE CORP 204099098 649437AG5 2008-01-30 7850000 CONSTRUCTION 0 0 0 35920000 12137676 1331784 22448875 2011 1 0 0 1 4420000 4261307 158691 2008 1 0 0 1 7850000 125441 286416 7438143 2009 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE CFO REVIEWED THE 990 BEFORE IT WAS SUBMITTED. FORM 990, PART VI, SECTION B, LINE 12C COBBLE HILL REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY REQUIRING ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICT. THIS INFORMATION IS REVIEWED BY THE AUDIT AND CORPORATE COMPLIANCE COMMITTEES. THE AUDIT COMMITTEE IS RESPONSIBLE FOR MONITORING ANY CONFLICTS OF INTEREST WHICH OCCUR, AND WILL ENSURE SUCH INDIVIDUALS DO NOT PARTICIPATE IN DISCUSSIONS OR DECISIONS INVOLVING THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION WAS DETERMINED BY A RECOMMENDATION BY THE CEO AND APPROVAL OF THE BOARD. THE CEO'S COMPENSATION IS DETERMINED BY THE GOVERNING BOARD.ALL OTHER 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 C, LINE 19 COBBLE HILL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: 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 XII, LINE 2C THE FINANCE COMMITTEE MET WITH THE AUDITORS TO REVIEW THE FINANCIAL STATEMENTS COBBLE HILL FOUNDATION INC 380 HENRY STREET BROOKLYN NY 11201 113122301 FUNDRAISING NY 501(C)(3) PF N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0