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YOUR CHOICE AT HOME INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
YOUR CHOICE AT HOME INC (EIN 46-1256502)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-07
IRS object ID
202203119349301670
Schema version
2021v4.0
Note
A later return for the same period supersedes this one.
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)
Return2022-11-07T07:39:54-08:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN112513584PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Martin Friedman CPA PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12600 Nostrand AveAddressLine1Txt
CityBrooklynCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11210ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN461256502EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1YOUR CHOICE AT HOME INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlYOURBusinessNameControlTxt
Phone7182371717PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1380 HENRY STREETAddressLine1Txt
CityBROOKLYNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11201ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNeil SchlisselPersonNm
Person TitleDir of FinancePersonTitleTxt
Signature2022-11-07SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstNeilPersonFirstNm
Person LastSchlisselPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGerry AdestPreparerPersonNm
PTINP02163197PTIN
Phone7183386900PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDANIEL TUCHMANPrincipalOfficerNm
Gross Receipts$9,132,220GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.COBBLEHILLLIFECARE.ORG/YOURCHOICEWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2012FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionPROVIDES 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 Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee42TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$158,833PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$4,876,781PYProgramServiceRevenueAmt
CY Program Service Revenue$8,838,665CYProgramServiceRevenueAmt
PY Investment Income$171PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$357,998PYOtherRevenueAmt
CY Other Revenue$293,555CYOtherRevenueAmt
PY Total Revenue$5,393,783PYTotalRevenueAmt
CY Total Revenue$9,132,220CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,785,967PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,731,089CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,376,779PYOtherExpensesAmt
CY Other Expenses$6,975,586CYOtherExpensesAmt
PY Total Expenses$5,162,746PYTotalExpensesAmt
CY Total Expenses$8,706,675CYTotalExpensesAmt
PY Revenues Less Expenses$231,037PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$425,545CYRevenuesLessExpensesAmt
Total Assets BOY$2,475,869TotalAssetsBOYAmt
Total Assets EOY$2,841,645TotalAssetsEOYAmt
Total Liabilities BOY$3,088,835TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,029,066TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$612,966NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$187,421NetAssetsOrFundBalancesEOYAmt
MissionYOUR 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$7,396,773ExpenseAmt
Revenue$8,838,665RevenueAmt
DescTHE 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$7,396,773TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document11IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee42EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonNeil SchlisselPersonNm
Phone7188556789PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1380 Henry StreetAddressLine1Txt
CityBrooklynCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11201ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Daniel Tuchman
CEO5.2529.75Yes (X)$64,753$366,936$61,480
Warren Litman
CFO3.5031.50Yes (X)$37,851$340,661$61,480
Dmitry Sidanov
CHHA Director35.000.00Yes (X)$237,490$0$55,591
Neil Schlissel
Dir of Finance3.5031.50Yes (X)$22,378$201,405$53,695
Iskandar Ibragimov
Nurse Manager35.000.00$137,425$0$40,114
Shi Jia Huang
Nurse Manager35.000.00$103,158$0$19,785
Thomas Spath
Chair0.502.00Yes (X)$0$0$0Yes (X)
Peter Yatrakis
Vice Chair0.502.00Yes (X)$0$0$0Yes (X)
W Rudy Kamuf
Secretary0.502.00Yes (X)$0$0$0Yes (X)
Paul Sayegh
Treasurer0.502.00Yes (X)$0$0$0Yes (X)
Greg O'Connell
Board Member0.502.00$0$0$0Yes (X)
Charlie Carames
Board Member0.502.00$0$0$0Yes (X)
Joan Milman
Board Member0.502.00$0$0$0Yes (X)
Leonard T Jordan
Board Member0.502.00$0$0$0Yes (X)
JOHN HEYER
BOARD MEMBER0.502.00$0$0$0Yes (X)
CIRIL GODEC
BOARD MEMBER0.502.00$0$0$0Yes (X)
GENNA BROUNSTEIN
BOARD MEMBER0.502.00$0$0$0Yes (X)
IRA FOX
BOARD MEMBER0.502.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$603,055TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$909,002TotReportableCompRltdOrgAmt
Total Other Compensation$292,145TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NURSING PERSONNEL
175 SOUTH 9TH STREETBROOKLYNNY11211HOME HEALTH AIDES$1,941,557
ANCHOR HEALTH HOME CARE
958 NOSTRAND AVENUEBROOKLYNNY11225HOME HEALTH AIDES$3,893,698
HARBOR CARE LLC
3900B SHORE PARKWAYBROOKLYNNY11235STAFFING AGENCY$440,227
OPTIMIZED INDEP OT PLLC
2266 BERGEN AVENUEBROOKLYNNY11234REHAB SERVICES$146,555
VERNON REHAB AND PHYS
227A MANHATTAN AVENUEJERSEY CITYNJ07307REHAB SERVICES$113,610
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescHOME CARE FEESDesc
Business621610BusinessCd
Total Revenue Column$8,838,665TotalRevenueColumnAmt
Related Or Exempt Func Income$8,838,665RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$8,838,665TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
EMPLOYEE RETENTION CREDIT$293,530$293,530
Other$25$25
FieldValueIRS element (for citing)
Other Revenue Total$293,555OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,132,220TotalRevenueColumnAmt
Related Or Exempt Func Income$8,838,665RelatedOrExemptFuncIncomeAmt
Exclusion$293,555ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$442,145TotalAmt
Management And General$442,145ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,022,402TotalAmt
Program Services$569,907ProgramServicesAmt
Management And General$452,495ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$34,046TotalAmt
Program Services$18,978ProgramServicesAmt
Management And General$15,068ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$150,703TotalAmt
Program Services$77,904ProgramServicesAmt
Management And General$72,799ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$81,793TotalAmt
Program Services$45,593ProgramServicesAmt
Management And General$36,200ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$6,603TotalAmt
Management And General$6,603ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$27,500TotalAmt
Management And General$27,500ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,701,552TotalAmt
Program Services$6,663,618ProgramServicesAmt
Management And General$37,934ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$135,893TotalAmt
Management And General$135,893ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$50,146TotalAmt
Management And General$50,146ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,967TotalAmt
Program Services$1,633ProgramServicesAmt
Management And General$2,334ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
CASH RECEIPTS ASSESSMENT$30,785$30,785
MEDICAL SUPPLIES & DRUGS$19,140$19,140

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,706,675TotalAmt
Program Services$7,396,773ProgramServicesAmt
Management And General$1,309,902ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$236,912BOYAmt
EOY$268,066EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,233,229BOYAmt
EOY$2,277,824EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$293,994EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$55,721LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$53,960LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,728BOYAmt
EOY$1,761EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,475,869BOYAmt
EOY$2,841,645EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,584,146BOYAmt
EOY$1,447,118EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,504,689BOYAmt
EOY$1,581,948EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,088,835BOYAmt
EOY$3,029,066EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$612,966BOYAmt
EOY-$187,421EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$612,966BOYAmt
EOY-$187,421EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,475,869BOYAmt
EOY$2,841,645EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$425,545ReconcilationRevenueExpnssAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$158,833CurrentTaxYearMinus1YearAmt
Total$158,833TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,598,632CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,409,678CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,931,960CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,876,781CurrentTaxYearMinus1YearAmt
Current Tax Year$8,838,665CurrentTaxYearAmt
Total$24,655,716TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,598,632CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,409,678CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,931,960CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,035,614CurrentTaxYearMinus1YearAmt
Current Tax Year$8,838,665CurrentTaxYearAmt
Total$24,814,549TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$24,814,549PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$6,435CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,843CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$171CurrentTaxYearMinus1YearAmt
Total$16,449TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$6,435CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,843CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$171CurrentTaxYearMinus1YearAmt
Total$16,449TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$357,988CurrentTaxYearMinus1YearAmt
Current Tax Year$293,580CurrentTaxYearAmt
Total$651,568TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,598,632CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,416,113CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,941,803CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,393,773CurrentTaxYearMinus1YearAmt
Current Tax Year$9,132,245CurrentTaxYearAmt
Total$25,482,566TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97380PublicSupportCY509Pct
Public Support PY5090.98060PublicSupportPY509Pct
Investment Income CY0.00060InvestmentIncomeCYPct
Investment Income PY0.00090InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$55,721OtherCostOrOtherBasisAmt
Depreciation$53,960DepreciationAmt
Book Value$1,761BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,761TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO COBBLE HILL HEALTH CENTERDesc
Amt$1,581,948Amt
FieldValueIRS element (for citing)
Total Liability$1,581,948TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$9,132,220TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$9,132,220RevenueSubtotalAmt
Total Revenue Per Form990$9,132,220TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$8,706,675TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$8,706,675ExpensesSubtotalAmt
Total Expenses Per Form990$8,706,675TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
Daniel Tuchman
CEO$64,200$363,800$553$3,136$5,012$28,404$4,210$23,854$73,975$419,194
Dmitry Sidanov
CHHA Director$220,000$17,490$27,527$28,064$293,081
Iskandar Ibragimov
Nurse Manager$123,000$14,425$14,524$25,590$177,539
Neil Schlissel
Dir of Finance$21,218$190,962$1,160$10,443$2,563$23,068$2,806$25,258$27,747$249,731
Warren Litman
CFO$36,050$324,450$1,801$16,211$3,342$30,075$2,806$25,257$43,999$395,993

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessFORM 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, Line 12c: Explanation of Monitoring and Enforcement of ConflictsFORM 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, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementFORM 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, Line 19: Other Organization Documents Publicly AvailableFORM 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 2: Change of Oversight or Selection ProcessFORM 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/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
COBBLE HILL HEALTH CENTER
380 HENRY STREETBROOKLYNNY11201112388200NURSING FACILITYNY501 (c) (3)LINE 2CH LIFECAREfalse
COBBLE HILL FOUNDATION INC
380 HENRY STREETBROOKLYNNY11201113122301FUNDRAISINGNY501 (c) 3PFCH LIFECAREfalse
COBBLE HILL LIFECARE INC
380 HENRY STREETBROOKLYNNY11201461388106SUPPORTING ORGANIZATIONNY501 (c) 312 TYPE IINAfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd