YOUR CHOICE AT HOME INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- YOUR CHOICE AT HOME INC (EIN 46-1256502)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-14
- IRS object ID
- 202433199349311048
- Schema version
- 2023v5.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-14T12:21:40-08:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 112513584 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Martin Friedman CPA PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2600 Nostrand Ave | AddressLine1Txt |
| City | Brooklyn | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 461256502 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | YOUR CHOICE AT HOME INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | YOUR | BusinessNameControlTxt |
| Phone | 7182371717 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 380 HENRY STREET | AddressLine1Txt |
| City | BROOKLYN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11201 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID SEGELOV | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2024-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Gerry Adest | PreparerPersonNm |
| PTIN | P02163197 | PTIN |
| Phone | 7183386900 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DANIEL TUCHMAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 380 HENRY STREET | AddressLine1Txt |
| City | BROOKLYN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $15,872,270 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.COBBLEHILLLIFECARE.ORG/YOURCHOICE | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | PROVIDES HOME CARE SERVICES TO THE ELDERLY AND CHRONICALLY ILL.IN 2019, THE AGENCY EXPANDED ITS SERVICES TO INCLUDE THE PEDIATRIC POPULATION AS WELL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 36 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $32 | TotalGrossUBIAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,151,273 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $15,871,678 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $13 | PYOtherRevenueAmt |
| CY Other Revenue | $592 | CYOtherRevenueAmt |
| PY Total Revenue | $12,151,286 | PYTotalRevenueAmt |
| CY Total Revenue | $15,872,270 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,095,030 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,206,066 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,815,853 | PYOtherExpensesAmt |
| CY Other Expenses | $12,681,098 | CYOtherExpensesAmt |
| PY Total Expenses | $10,910,883 | PYTotalExpensesAmt |
| CY Total Expenses | $15,887,164 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,240,403 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$14,894 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,135,231 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,509,704 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,082,249 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,471,616 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,052,982 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,038,088 | NetAssetsOrFundBalancesEOYAmt |
| Mission | YOUR CHOICE AT HOME, INC'S MISSION IS TO PROMOTE INDEPENDENCE,DIGNITY,AND SAFETY ALL WHILE KEEPING THE SPECIAL FEELING OF STAYING IN YOUR OWN HOME. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $12,483,940 | ExpenseAmt |
| Revenue | $15,871,678 | RevenueAmt |
| Desc | THE AGENCY PROMOTES INDEPENDENCE, DIGNITY, AND SAFETY ALL WHILE KEEPING THE SPECIAL FEELING OF STAYING IN YOUR OWN HOME. SERVICES INCLUDE HEALTH, & THERAPY SERVICES, PERSONAL CARE SERVICES AND COMPANION SERVICES. | Desc |
| Total Program Service Expenses | $12,483,940 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 9 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 36 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Neil Schlissel | PersonNm |
| Phone | 7188556789 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 380 Henry Street | AddressLine1Txt |
| City | Brooklyn | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11201 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| DANIEL TUCHMAN | |||||||
| CEO | 7.00 | 28.00 | Yes (X) | $136,084 | $544,334 | $64,514 | |
| DMITRY SIDANOV | |||||||
| CHHA DIRECTOR | 35.00 | 0.00 | Yes (X) | $267,781 | $0 | $59,026 | |
| NEIL SCHLISSEL | |||||||
| DIR OF FINANCE | 3.50 | 31.50 | $25,484 | $229,358 | $57,867 | ||
| DAVID SEGELOV | |||||||
| CFO | 7.00 | 28.00 | Yes (X) | $45,738 | $182,954 | $21,816 | |
| KATHRYN IVIE | |||||||
| CHF PPLE'S OFFICER | 7.00 | 28.00 | $39,201 | $156,804 | $16,430 | ||
| ISKANDAR IBRAGIMOV | |||||||
| NURSE MANAGER | 35.00 | 0.00 | $142,596 | $0 | $36,845 | ||
| SHI JIA HUANG | |||||||
| NURSE MANAGER | 35.00 | 0.00 | $130,062 | $0 | $23,547 | ||
| PAULA APPLEWHAITE-STOKES | |||||||
| COORDINATOR | 35.00 | 0.00 | $133,628 | $0 | $18,605 | ||
| THOMAS SPATH | |||||||
| CHAIR | 0.50 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| PETER YATRAKIS | |||||||
| VICE CHAIR | 0.50 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| WRUDY KAMUF | |||||||
| SECRETARY | 0.50 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| GREG O'CONELL | |||||||
| BOARD MEMBER | 0.50 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| CHARLIE CARAMES | |||||||
| BOARD MEMBER | 0.50 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| JOAN MILMAN | |||||||
| BOARD MEMBER | 0.50 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| LEONARD TJORDAN | |||||||
| BOARD MEMBER | 0.50 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| JOHN HEYER | |||||||
| BOARD MEMBER | 0.50 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| CIRIL GODEC | |||||||
| BOARD MEMBER | 0.50 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| GENNA BROUNSTEIN | |||||||
| BOARD MEMBER | 0.50 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| IRA FOX | |||||||
| BOARD MEMBER | 0.50 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $920,574 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,113,450 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $298,650 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NURSING PERSONNEL | |||||
| 175 SOUTH 9TH STREET | BROOKLYN | NY | 11211 | HOME HEALTH AIDES | $3,473,541 |
| ANCHOR HEALTH HOME CARE | |||||
| 958 NOSTRAND AVENUE | BROOKLYN | NY | 11225 | HOME HEALTH AIDES | $6,296,481 |
| HARBOR CARE LLC | |||||
| 3900B SHORE PARKWAY | BROOKLYN | NY | 11235 | STAFFING AGENCY | $361,043 |
| OPTIMIZED INDEP OT PLLC | |||||
| 2266 BERGEN AVENUE | BROOKLYN | NY | 11234 | REHAB SERVICES | $888,005 |
| RESPONSIBLE HOMECARE | |||||
| 1719 E 12TH STREET | BROOKLYN | NY | 11229 | HOME HEALTH AIDES | $209,829 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HOME CARE FEES | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $15,871,678 | TotalRevenueColumnAmt |
| Exclusion | $15,871,678 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $15,871,678 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|
| Interest | $560 | $560 | |
| Other | |||
| Purchase Discounts | $32 | $32 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $592 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,872,270 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $32 | UnrelatedBusinessRevenueAmt |
| Exclusion | $15,872,238 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $525,895 | TotalAmt |
| Management And General | $525,895 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,108,062 | TotalAmt |
| Program Services | $666,882 | ProgramServicesAmt |
| Management And General | $1,441,180 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,976 | TotalAmt |
| Program Services | $33,344 | ProgramServicesAmt |
| Management And General | $72,632 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $261,519 | TotalAmt |
| Program Services | $82,393 | ProgramServicesAmt |
| Management And General | $179,126 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,614 | TotalAmt |
| Program Services | $53,351 | ProgramServicesAmt |
| Management And General | $151,263 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,392 | TotalAmt |
| Management And General | $62,392 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,000 | TotalAmt |
| Management And General | $40,000 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,655,811 | TotalAmt |
| Program Services | $11,615,811 | ProgramServicesAmt |
| Management And General | $40,000 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $483,353 | TotalAmt |
| Management And General | $483,353 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,553 | TotalAmt |
| Management And General | $121,553 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $176,960 | TotalAmt |
| Management And General | $176,960 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| RECRUITMENT | $56,875 | $56,875 | |
| CASH RECEIPTS ASSESSMENT | $51,995 | $51,995 | |
| MEDICAL SUPPLIES & DRUGS | $32,159 | $32,159 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,887,164 | TotalAmt |
| Program Services | $12,483,940 | ProgramServicesAmt |
| Management And General | $3,403,224 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,346,501 | BOYAmt |
| EOY | $1,603,603 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,693,061 | BOYAmt |
| EOY | $3,906,101 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,669 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $57,576 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $57,576 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,135,231 | BOYAmt |
| EOY | $5,509,704 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,146,734 | BOYAmt |
| EOY | $2,771,256 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $935,515 | BOYAmt |
| EOY | $1,700,360 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,082,249 | BOYAmt |
| EOY | $4,471,616 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,052,982 | BOYAmt |
| EOY | $1,038,088 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,052,982 | BOYAmt |
| EOY | $1,038,088 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,135,231 | BOYAmt |
| EOY | $5,509,704 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$14,894 | ReconcilationRevenueExpnssAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $158,833 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $293,530 | CurrentTaxYearMinus2YearsAmt |
| Total | $452,363 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,931,960 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,876,781 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,838,665 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,151,273 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,871,678 | CurrentTaxYearAmt |
| Total | $44,670,357 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,931,960 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,035,614 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,132,195 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,151,273 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,871,678 | CurrentTaxYearAmt |
| Total | $45,122,720 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $45,122,720 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,843 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $171 | CurrentTaxYearMinus3YearsAmt |
| Total | $10,014 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,843 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $171 | CurrentTaxYearMinus3YearsAmt |
| Total | $10,014 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $357,988 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $592 | CurrentTaxYearAmt |
| Total | $358,618 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,941,803 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,393,773 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,132,220 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,151,286 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,872,270 | CurrentTaxYearAmt |
| Total | $45,491,352 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99190 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98900 | PublicSupportPY509Pct |
| Investment Income CY | 0.00020 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00050 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $57,576 | OtherCostOrOtherBasisAmt |
| Depreciation | $57,576 | DepreciationAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Due To 3rd Party Payor | $183,318 |
| DUE TO COBBLE HILL HEALTH CENTER | $1,517,042 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,700,360 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $15,872,270 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $15,872,270 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $15,872,270 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $15,887,164 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $15,887,164 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $15,887,164 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DANIEL TUCHMAN | ||||||||||||
| CEO | $112,908 | $451,632 | $20,000 | $80,000 | $3,176 | $12,702 | $6,600 | $26,400 | $6,303 | $25,211 | $148,987 | $595,945 |
| DAVID SEGELOV | ||||||||||||
| CFO | $43,239 | $172,956 | $2,499 | $9,998 | $4,363 | $17,453 | $50,101 | $200,407 | ||||
| DMITRY SIDANOV | ||||||||||||
| CHHA DIRECTOR | $236,104 | $18,000 | $13,677 | $27,512 | $31,514 | $326,807 | ||||||
| ISKANDAR IBRAGIMOV | ||||||||||||
| NURSE MANAGER | $134,410 | $8,186 | $14,742 | $22,103 | $179,441 | |||||||
| KATHRYN IVIE | ||||||||||||
| CHF PPLE'S OFFICER | $32,245 | $128,981 | $3,432 | $13,726 | $3,524 | $14,097 | $3,286 | $13,144 | $42,487 | $169,948 | ||
| NEIL SCHLISSEL | ||||||||||||
| DIR OF FINANCE | $22,055 | $198,496 | $1,672 | $15,051 | $1,757 | $15,811 | $2,635 | $23,718 | $3,151 | $28,363 | $31,270 | $281,439 |
| PAULA APPLEWHAITE-STOKES | ||||||||||||
| COORDINATOR | $126,839 | $6,789 | $18,605 | $152,233 | ||||||||
| SHI JIA HUANG | ||||||||||||
| NURSE MANAGER | $123,023 | $7,039 | $13,309 | $10,238 | $153,609 | |||||||
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, Line 11b | FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS REVIEWED BY THE CFO. IT IS THEN PROVIDED TO THE BOARDOF DIRECTORS FOR REVIEW PRIOR TO FILING. IF A BOARD MEMBER HAS ANISSUE WITH SOMETHING ON THE 990, THE QUESTION IS BROUGHT TO THEATTENTION OF THE CFO AND/OR CEO FOR INVESTIGATION. AFTER IT ISRESOLVED, THE 990 IS FILED WITH THE IRS. |
| Form 990, Part VI, Section B, Line 12c | FORM 990, PART VI, SECTION B, LINE 12CTHE AGENCY REGULARLY AND CONSISTENTLY MONITORS AND ENFORCESCOMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY REQUIRING ALLOFFICERS, DIRECTORS AND KEY EMPLOYEES TO DISCLOSE ANNUALLY, INTERESTSTHAT COULD GIVE RISE TO CONFLICT. THIS INFORMATION IS REVIEWED BY THEAUDIT AND CORPORATE COMPLIANCE COMMITTEES. THE AUDIT COMMITTEE ISRESPONSIBLE FOR MONITORING ANY CONFLICTS OF INTEREST WHICH OCCUR, ANDWILL ENSURE SUCH INDIVIDUALS DO NOT PARTICIPATE IN DISCUSSIONS ORDECISIONS INVOLVING THE CONFLICT. |
| Form 990, Part VI, Section B, Line 15a | FORM 990, PART VI, SECTION B, LINE 15COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD OFDIRECTORS OF COBBLE HILL HEALTH CENTER, INC., AN AFFILIATED ENTITY. ITWAS LAST DONE IN 2017. |
| Form 990, Part VI, Section C, Line 19 | FORM 990, PART VI, SECTION C, LINE 19THE FORM 990 AND GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| Form 990, Part XII, Line 2c | FORM 990,PART XII, LINE 2CTHE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| COBBLE HILL HEALTH CENTER | ||||||||||
| 380 HENRY STREET | BROOKLYN | NY | 11201 | 112388200 | NURSING FACILITY | NY | 501 (c) (3) | LINE 2 | CH LIFECARE | false |
| COBBLE HILL FOUNDATION INC | ||||||||||
| 380 HENRY STREET | BROOKLYN | NY | 11201 | 113122301 | FUNDRAISING | NY | 501 (c) 3 | LINE 7 | CH LIFECARE | false |
| COBBLE HILL LIFECARE INC | ||||||||||
| 380 HENRY STREET | BROOKLYN | NY | 11201 | 461388106 | SUPPORTING ORGANIZATION | NY | 501 (c) 3 | 12 TYPE II | NA | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |