2023-11-15T14:17:33-06:00 2022-12-31 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2022-01-01 111630755 THE BROOKLYN HOSPITAL CENTER BROO 7182506755 121 DEKALB AVENUE BROOKLYN NY 11201 JOHN WALSH VP, CFO 7182506755 2023-11-15 1 JOHN WALSH XXX-XX-XXXX 0 KERRI N BOGDA CPA P00760402 7177404863 2023-11-15 X 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z SHARON WICKES 121 DEKALB AVENUE BROOKLYN NY 11201 471515443 0 X WWW.TBH.ORG X 1845 NY THE BROOKLYN HOSPITAL CENTER IS DEDICATED TO PROVIDING OUTSTANDING HEALTH SERVICES, EDUCATION, AND RESEARCH TO KEEP THE PEOPLE OF BROOKLYN AND GREATER NEW YORK HEALTHY. 21 19 2940 100 0 0 25684865 40403646 376044328 417565182 1184328 604186 10692004 10180308 413605525 468753322 0 0 0 0 261740670 275838032 0 0 194448 163773539 170484711 425514209 446322743 -11908684 22430579 589719183 651621954 301056510 343771966 288662673 307849988 THE BROOKLYN HOSPITAL CENTER IS DEDICATED TO PROVIDING OUTSTANDING HEALTH SERVICES, EDUCATION, AND RESEARCH TO KEEP THE PEOPLE OF BROOKLYN AND GREATER NEW YORK HEALTHY. 0 0 382548273 0 417565182 THE OPERATION OF A 464-BED INPATIENT HOSPITAL WITH APPROXIMATELY 12,300 DISCHARGES AND 71,700 PATIENT DAYS AS WELL AS THE OPERATION OF OUTPATIENT CLINICS THAT HAD APPROXIMATELY 164,500 VISITS DURING 2022. THE HOSPITAL ALSO OPERATED AN EMERGENCY ROOM WITH APPROXIMATELY 49,800 VISITS. 382548273 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 118 0 2940 1 0 0 0 0 0 0 0 0 0 0 1 0 X 21 19 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NY X JOHN WALSH VP CFO 7182506755 121 DEKALB AVENUE BROOKLYN NY 11201 ANNE ELIZABETH FONTAINE CHAIR 1.00 6.00 X X 0 0 0 MARIA FIORINI RAMIREZ VICE CHAIR 1.00 6.00 X X 0 0 0 SUSAN E SKERRITT VICE CHAIR (UNTIL MAY 2022) 1.00 6.00 X X 0 0 0 J BARCLAY COLLINS II SECRETARY 1.00 6.00 X X 0 0 0 GARY TERRINONI PRESIDENT & CEO, EX-OFFICIO 40.00 20.00 X X 1558000 0 11984 OLAMIDE AJIBESIN VICE CHAIR 1.00 6.00 X X 0 0 0 WANYONG LAI AUSTIN TRUSTEE 1.00 6.00 X 0 0 0 ADRINA BANKS-MARTIN VICE CHAIR 1.00 6.00 X X 0 0 0 MARTHA BAKOS DIETZ TRUSTEE 1.00 6.00 X 0 0 0 BERNARD DRAYTON TRUSTEE 1.00 6.00 X 0 0 0 ALIREZA ESMAELIZADEH TRUSTEE 1.00 6.00 X 0 0 0 CATHY ISELIN TRUSTEE 1.00 6.00 X 0 0 0 JOEL LEITNER TRUSTEE 1.00 6.00 X 0 0 0 DEIRDRE QUINN TRUSTEE 1.00 6.00 X 0 0 0 DAVID SCHWARTZ TRUSTEE (UNTIL MAY 2022) 1.00 6.00 X 0 0 0 DINO VERONESE TRUSTEE 1.00 6.00 X 0 0 0 EARL D WEINER TRUSTEE 1.00 6.00 X 0 0 0 CARLOS P NAUDON IMMEDIATE PAST CHAIR 1.00 6.00 X 0 0 0 JESSIE MCCLINTOCK KELLY TRUSTEE 1.00 6.00 X 0 0 0 SRIVIDYA MADHUSUDHAN TRUSTEE 1.00 6.00 X 0 0 0 LESIA BATES MOSS TRUSTEE 1.00 6.00 X 0 0 0 KEITH LEONARD KINCH TRUSTEE 1.00 6.00 X 0 0 0 PATRICK LEBLANC MD PRES. OF PROF. STAFF 40.00 20.00 X 248462 0 10438 JOHN WALSH VP, CFO 40.00 20.00 X 325000 0 9183 SHARON WICKES SVP, STRATEGIC & BUS. ANALYTICS 40.00 20.00 X 335000 0 5497 ROBERT AULICINO CONSULTANT 40.00 20.00 X 582500 0 3050 STACY FRIEDMAN ESQ SR VP AND GENERAL COUNSEL 40.00 20.00 X 438532 0 11984 SAM J AMIRFAR MD CHIEF MEDICAL OFF & CIO 40.00 20.00 X 405000 0 11684 LENUE H SINGLETARY III SVP, EXT. AFFAIRS, STRTG & MRKTG 40.00 20.00 X 380000 0 5918 GAETANO MENNONNA SR VP HUMAN RESOURCES 40.00 20.00 X 405000 0 11984 JAMES GASPERINO CHIEF OF SVC MEDICINE 40.00 20.00 X 685000 0 3830 VASANTHA KONDAMUDI MD EVP, CHIEF MEDICAL OFFICER 40.00 20.00 X 670000 0 3050 JUDY MCLAUGHLIN SR VP & CHIEF NURSING OFFICER 40.00 20.00 X 430000 0 5826 PRATIBHA VEMULAPALLI MD CHAIR, DEPT OF SURGERY 40.00 20.00 X 751000 0 9872 ARMAND P ASARIAN MD FACS CHIEF ACADEMIC OFFICER 40.00 20.00 X 450000 0 11984 JOHN FERRARA VP OF OPERATIONS 40.00 20.00 X 237500 0 5807 MOSHE FUKSBRUMER MD PHYSICIAN 40.00 X 553846 0 11984 MICHAEL MORETTI MD PHYSICIAN 40.00 X 630608 0 10415 JOSEPH FETTO MD PHYSICIAN 40.00 X 644231 0 6880 SARATH REDDY MD PHYSICIAN 40.00 X 707692 0 3050 J ANDERS COHEN MD PHYSICIAN 40.00 X 862700 0 11984 11300071 0 166404 661 0 1 0 LF DRISCOLL COMPANY LLC 401 CITY AVENUE SUITE 500 BALA CYNWYD PA 19004 CONSTRUCTION SERVICES 7097856 NORTH SHORE HEMATOLOGY 86 FLEET PLACE BROOKLYN NY 11201 MEDICAL SERVICES 4411294 NA PARTNERS IN ANESTHESIA LLP 1305 WALT WHITMAN ROAD SUITE 300 MELVILLE NY 11747 ANESTHESIOLOGY SERVICES 3531250 COOK AND KRUPA LLC 81 JERICHO TURNPIKE MINEOLA NY 11501 CONSTRUCTION SERVICES 2981740 ALLSCRIPTS HEALTHCARE LLC 222 MERCHANDISE MART PLAZE SUITE 2 CHICAGO IL 60655 IT HOSTING SERVICES 2389998 149 1340049 37433648 1629949 40403646 NET PATIENT SERVICE REVENUE 621300 403447213 403447213 RESIDENT ROTATIONS 621300 8885744 8885744 CONTRACT PHARMACY 900099 5232225 5232225 417565182 599280 599280 1422120 1550177 -128057 -128057 -128057 1215756 1094 1211944 0 3812 1094 4906 4906 EQUITY INVESTMENT IN LLC 900099 7968138 7968138 CAFETERIA SALES 900099 1292907 1292907 DELIVERY SYSTEM REFORM INCENTIVE 900099 612111 612111 435209 435209 10308365 468753322 417565182 0 10784494 8023084 6775698 1245614 1772 200986690 169738206 31203932 44552 12423655 10492761 1928829 2065 42371050 35785708 6578299 7043 12033553 10163289 1868264 2000 1953454 1953454 261418 261418 59565 59565 35999018 29602851 6334721 61446 510273 419609 89793 871 23576462 19178113 4358543 39806 13683634 11252379 2407899 23356 518162 426096 91181 885 129049 106120 22708 221 4202797 3550928 651869 12058658 10228787 1829871 14989912 13431313 1558599 MEDICAL SUPPLIES 56035463 55975460 60003 REPAIRS & MAINTENANCE 5971328 4910366 1050770 10192 BAD DEBTS 395234 395234 RECRUITMENT 140284 115355 24690 239 446322743 382548273 63580022 194448 6550866 11524319 108085 1516759 1630418 2676582 41650414 93813755 5623281 6274881 4524128 4926993 483209846 355404852 125405119 127804994 24037121 20770601 330611 330611 379859140 381982459 589719183 651621954 105401680 173885119 13249822 10514164 26752270 33570288 155652738 125802395 301056510 343771966 X 272415058 294116550 16247615 13733438 288662673 307849988 589719183 651621954 22430579 -3243264 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 59565 59565 0 PART II-B, LINE 1: THE BROOKLYN HOSPITAL CENTER PAYS DUES TO GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA). IN ACCORDANCE WITH CODE SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY GNYHA, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE LOBBYING ACTIVITIES APPLICABLE TO 2022 GNYHA ANNUAL DUES WERE $59,565. 16247615 -2514177 13733438 14239795 2007820 16247615 12248782 472146 1518867 14239795 10239245 2009537 12248782 10754106 -514861 10239245 0.00000 0.52000 0.48000 0 0 719344 719344 111431546 92380287 19051259 114896299 22809823 92086476 254204238 240214742 13989496 1958419 1958419 127804994 DUE FROM THIRD-PARTY PAYORS 12745969 DUE FROM AFFILIATES 170085305 HEALTHFIRST LLC INVESTMENT 32701383 HEALTHFIRST MHI 25010421 HEALTHFIRST PHSP 29212898 OTHER RECEIVABLES 2881129 PROF. INSURANCE RECEIVABLES 48750000 CAPTIVE INSURANCE 106963 RIGHT-OF-USE OPERATING LEASES 60433339 GPA HOLDING INVESTMENT 55052 381982459 DUE TO THIRD-PARTY PAYORS 7605528 LEASE FROM VARIOUS VENDORS 211048 OTHER NONCURRENT LIABILITIES 3920623 PROFESSIONAL INSURANCE LIABILITIES 48750000 RIGHT-OF-USE OPERATING LEASE OBILIGATIONS 65315196 125802395 PART V, LINE 4: THE ENDOWMENT FUND IS HELD IN PERPETUITY, WITH ITS INVESTMENT INCOME TO BE USED TO SUPPORT THE HOSPITAL'S OPERATIONS. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 CAPTIVE INSURANCE CO. 2480513 0 0 0 0 0 0 2480513 0 2480513 1 0 1 0 0 0 PART III ACCOUNTING METHOD: PART I, LINE 3 THE HOSPITAL IS THE SOLE OWNER OF A CAPTIVE FOREIGN INSURANCE COMPANY. THE HOSPITAL'S INVESTMENT IN THE FOREIGN INSURANCE COMPANY IS REPORTED UNDER THE EQUITY METHOD. 1 1 1 X 400.000000000000 1 X 1 1 0 1 1 10618217 9458778 1159439 0.00260 136587668 171873376 0 0.00000 147205885 181332154 1159439 0.00260 56633138 30545396 26087742 0.05850 39654482 23654763 15999719 0.03580 96287620 54200159 42087461 0.09430 243493505 235532313 43246900 0.09690 1 8403140 1681821 157905032 120489591 37415441 X 1 1 1 BHC HEALTHCARE SVC HLD OPERATION OF URGENT CARE CTRS. 0.50000 0.00000 0.00000 1 1 THE BROOKLYN HOSPITAL CENTER 121 DEKALB AVENUE BROOKLYN NY 11201 X X X X THE BROOKLYN HOSPITAL CENTER 1 0 0 1 X X X X X X X 22 1 0 0 1 X WWW.TBH.ORG X 1 22 1 WWW.TBH.ORG 0 1 X 400.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X WWW.TBH.ORG X WWW.TBH.ORG X WWW.TBH.ORG X X X X X 1 X 0 X X X X 1 X 0 0 THE BROOKLYN HOSPITAL CENTER PART V, SECTION B, LINE 5: THE 2022 CHNA WAS OVERSEEN BY A STEERING COMMITTEE OF REPRESENTATIVES FROM TBHC WITH GUIDANCE FROM THE TBHC COMMUNITY ADVISORY BOARD. TBHC CONTRACTED COMMUNITY RESEARCH CONSULTING, A PUBLIC HEALTH CONSULTANT TO ASSIST IN ALL PHASES OF THE CHNA, INCLUDING PROJECT MANAGEMENT, DATA COLLECTION AND ANALYSIS, AND REPORT WRITING.COMMUNITY ENGAGEMENT WAS AN INTEGRAL PART OF THE 2022 CHNA. IN ASSESSING COMMUNITY HEALTH NEEDS, INPUT WAS SOLICITED AND RECEIVED FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, AS WELL AS UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THESE INDIVIDUALS PROVIDED WIDE PERSPECTIVES ON HEALTH TRENDS, EXPERTISE ABOUT EXISTING COMMUNITY RESOURCES AVAILABLE TO MEET THOSE NEEDS, AND INSIGHTS INTO SERVICE DELIVERY GAPS THAT CONTRIBUTE TO HEALTH DISPARITIES AND INEQUITIES.TBHC IS DEDICATED TO REACHING BEYOND THE HOSPITAL'S WALLS TO OUR NEIGHBORS AND COMMUNITY PARTNERS SO THAT WE CAN PROVIDE PREVENTIVE SCREENINGS AND IMPORTANT INFORMATION DIRECTLY TO OUR COMMUNITY AND, IN TURN, HEAR FROM THEM ABOUT THEIR HEALTHCARE NEEDS. IN WORKING WITH PLACES OF WORSHIP, SENIOR CITIZEN CENTERS, SCHOOLS, ELECTED OFFICIALS, LOCAL POLICE PRECINCTS, CULTURAL AND COMMUNITY INSTITUTIONS, COMMUNITY BOARDS, AND OUR VERY OWN COMMUNITY ADVISORY BOARD, AMONG OTHERS, TBHC IS DEDICATED TO KEEPING BROOKLYN HEALTHY. OUR GOAL IS TO CREATE COMMUNITY-BASED, COMMUNITY-FOCUSED, AND COMMUNITY-DRIVEN PROGRAMS THAT WILL BE SUSTAINABLE AND IMPACTFUL AND WILL SERVE TO IMPROVE THE HEALTH OF OUR FAMILIES THROUGH PROMOTION AND EDUCATION OF HEALTHY LIFESTYLES.ONE OF THE WAYS THAT TBHC KEEPS CONNECTED TO THE COMMUNITY IS THROUGH OUR COMMUNITY ADVISORY BOARD (CAB). THE CAB IS A DIVERSE GROUP OF INDIVIDUALS WITH STRONG TIES TO THE COMMUNITY WE SERVE. EACH ADVISOR HAS A KEEN UNDERSTANDING OF HOW OUR HOSPITAL WORKS. THIS KNOWLEDGE ENABLES US TO TAILOR OUR PROGRAMS AND SERVICES SO THAT TBHC TARGETS THE HEALTHCARE NEEDS OF RESIDENTS IN OUR NEIGHBORHOODS.TBHC'S CAB MEMBERS ARE COMMITTED TO: - ASSIST IN ASSESSING AND IDENTIFYING THE HEALTH NEEDS OF THE COMMUNITY. - OFFER GUIDANCE IN IDENTIFYING LOCAL STRENGTHS, WEAKNESSES, OPPORTUNITIES, AND POTENTIAL THREATS TO THBC. - CULTIVATE AND MAINTAIN RELATIONSHIPS WITH COMMUNITY LEADERS, COMMUNITY-BASED ORGANIZATIONS, AND CIVIC GROUPS TO STRENGTHEN THE HOSPITAL'S LINK TO THE COMMUNITY. - ASSIST HOSPITAL ADMINISTRATION IN ITS COMMUNITY OUTREACH EFFORTS. - ORGANIZE COMMUNITY FORUMS OF MUTUAL INTEREST TO TBHC AND THE COMMUNITY. - MONITOR TBHC'S PATIENT SATISFACTION PROCESS TO ENSURE THAT ISSUES ARE ADDRESSED AND RESOLVED APPROPRIATELY. - COMMUNICATE HOW OUR COMMUNITY VIEWS TBHC. THE BROOKLYN HOSPITAL CENTER PART V, SECTION B, LINE 11: BASED ON CHNA FINDINGS AND TAKING INTO ACCOUNT THE HEALTH SYSTEM'S EXPERTISE AND RESOURCES, TBHC WILL FOCUS EFFORTS ON THE FOLLOWING NEW YORK STATE PREVENTION AGENDA PRIORITIES AS PART OF ITS 2022-2024 CSP: - PREVENT CHRONIC DISEASES - FOCUS AREA: PREVENTIVE CARE AND MANAGEMENT AND DIABETES AND HEART DISEASE - PREVENT COMMUNICABLE DISEASES - FOCUS AREA: HUMAN IMMUNODEFICIENCY VIRUS (HIV) AND HEPATITIS C VIRUS (HCV) - PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS - FOCUS AREA: PROMOTE WELL-BEING AND RESILIENCEPREVENT CHRONIC DISEASES:DURING 2020, MANY PATIENTS DECLINED OR DELAYED PREVENTATIVE CANCER SCREENINGS DUE TO COVID-19 CONCERNS. TBHC INITIATED THE FOLLOWING EFFORTS TO IDENTIFY AND TREAT CANCERS EARLIER, WHILE REDUCING CANCER DEATHS: - COMPLETED OUTREACH ACTIVITIES FOR BREAST, CERVICAL, AND COLORECTAL CANCER SCREENINGS TO THE COMMUNITY - PROVIDED BREAST, CERVICAL, AND COLORECTAL CANCER SCREENINGS TO UNINSURED AND UNDERINSURED PERSONS THROUGHOUT BROOKLYN, FACILITATED BY THE BROOKLYN CANCER SERVICES PROGRAM. EXCEEDED STATE GOAL FOR COMPREHENSIVE CANCER SCREENING FOR WOMEN 50 YEARS AND OLDER. COORDINATED WITH THE BROOKLYN CANCER SERVICES PROGRAM TO PROVIDE MAMMOGRAMS ON A MOBILE VAN FOR PATIENTS NOT ABLE TO TRAVEL FOR SCREENING. - PERCENT OF WOMEN 50 AND OLDER WITH COMPREHENSIVE (BREAST, CERVICAL, AND COLORECTAL) CANCER SCREENING: - 2021 AND 2022 NEW YORK STATE DEPARTMENT OF HEALTH GOAL - 50% - 2021 BROOKLYN CANCER SERVICES PROGRAM - 73% - JANUARY TO NOVEMBER 2022 BROOKLYN CANCER SERVICES PROGRAM - 69% - RECRUITED CANCER SPECIALISTS TO TBHC TO IMPROVE ACCESS AND OUTCOMES, INCLUDING: - ONE GI PROVIDER TO PROVIDE DIAGNOSTIC, TREATMENT, AND SCREENING PROGRAMS FOR COLON CANCER - ONE GYNECOLOGIST TO TREAT VARIOUS GYN CANCERS - SCREENING RATES FOR ELIGIBLE PATIENTS WHO RECEIVED PRIMARY CARE AT TBHC SHOW THE FOLLOWING OUTCOMES: CANCER SCREENING JANUARY-DECEMBER 2021 JANUARY-OCTOBER 2022 BREAST 76% 81% CERVICAL 67% 69%TBHC CONTINUES TO BE A LEADER IN PROVIDING CARDIOVASCULAR CARE, INCLUDING CONGESTIVE HEART FAILURE (CHF). CHF TREATMENT PROGRAMS INCLUDE A DESIGNATED HEART FAILURE CLINIC AND EDUCATIONAL PROGRAMS AND PROTOCOLS FOR BOTH RESIDENTS AND PROVIDERS. THE CHF PROGRAMS ARE ALIGNED WITH QUALITY MEASURES OUTLINED BY THE AMERICAN HEART ASSOCIATION AND AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION. THE PROGRAMS AIM TO DECREASE READMISSIONS, PARTICULARLY FOR MEDICAID PATIENTS WHO COMPRISE MORE THAN HALF OF TBHC PATIENTS. SINCE THE 2019 CHNA, TBHC CONTINUED PERCUTANEOUS CARDIAC INTERVENTIONS (PCI) FOR LOCAL RESIDENTS, ALLOWING FASTER ACCESS AND BETTER OUTCOMES DELIVERED CLOSE TO HOME. DIABETES CARE AND MANAGEMENT WAS A 2019 CHNA IDENTIFIED PRIORITY AREA. TBHC IMPLEMENTED SEVERAL PROGRAMS AND PROTOCOLS TO IMPROVE DIABETES MANAGEMENT, INCLUDING: - ESTABLISHMENT OF A MULTI-DISCIPLINARY TEAM APPROACH, INCLUDING ENDOCRINOLOGY, PRIMARY CARE, NUTRITION, PHARMACY, AND OUTREACH SUPPORT, IN PARTNERSHIP WITH MOUNT SINAI HOSPITAL. THE APPROACH EMPHASIZES PATIENT GOALS, ADDRESSING BARRIERS TO GOAL ATTAINMENT, AND UPDATED PATIENT MEDICATION REGIMENS TO IMPROVE DIABETES OUTCOMES. - PATIENTS WHO RECEIVED DIABETES CARE MANAGEMENT FROM JULY 2020 TO OCTOBER 2022 HAD AN AVERAGE IMPROVEMENT IN A1C OF -1.8%. IMPROVING A1C BY 1% HAS BEEN OBSERVED TO REDUCE RISK OF DEATH BY 19%; RISK OR HEART ATTACK AND STROKE; AND GLOBAL HEALTH CARE COSTS. - RECRUITED A NUTRITIONIST TO IMPROVE ACCESS AND OUTCOMES. - PROVIDED ONLINE EDUCATION OPPORTUNITIES FOR NUTRITION AND DIABETES MANAGEMENT. - RATES FOR ELIGIBLE PATIENTS WITH DIABETES WHO RECEIVED PRIMARY CARE AT TBHC SHOW THE FOLLOWING OUTCOMES: DIABETES MANAGEMENT JANUARY-DECEMBER 2021 JANUARY-OCTOBER 2022 A1C LESS THAN 9 83% 87% EYE EXAM 69% 73% NEPHROPATHY TESTING 93% 84%ACCESS TO QUALITY PREVENTIVE AND SPECIALTY CARE SERVICES IS NEEDED TO PREVENT AND MANAGE CHRONIC CONDITIONS. TBHC IMPLEMENTED SEVERAL CARE ACCESS INITIATIVES, OUTLINED BELOW.VIRTUAL VISITS:IN 2020, THE COVID-19 PANDEMIC IMPACTED THE WAY PATIENTS RECEIVED CARE. TO ADAPT TO EMERGING CLINICAL PRECAUTIONS AND PATIENT CARE NEEDS, TBHC COMPLETED VISITS VIA TELEPHONE AND VIDEO. 39,778 VISITS WERE COMPLETED FROM MARCH 2020 TO NOVEMBER 2022. WHILE SOME PATIENTS PREFER TO HAVE IN-PERSON OFFICE VISITS, THE ABILITY TO PROVIDE VIRTUAL VISITS WILL BE CONTINUED TO SUPPORT PATIENTS WHO MAY NOT BE ABLE TO COME IN PERSON AND TO AVOID DELAYS IN CARE.PSYCHIATRIC SERVICES:MEDICAL PROVIDERS INCREASINGLY HAVE SHARED INSIGHTS IN SEEING MORE PATIENTS THAT HAVE ANXIETY OR DEPRESSION WITH ONSET OR EXACERBATION DUE TO THE COVID-19 PANDEMIC. REFERRING PATIENTS TO EXTERNAL ORGANIZATIONS WITH LONG WAIT TIMES OR LIMITED INSURANCE OPTIONS POSED A CHALLENGE TO ADDRESSING BEHAVIORAL HEALTH NEEDS. IN 2022, TBHC ADDED A PSYCHIATRIC NURSE PRACTITIONER TO SUPPORT PATIENTS WITH ANXIETY AND/OR DEPRESSION. THIS SERVICE IS COMPLETED VIRTUALLY, WHERE THE PSYCHIATRIC NURSE PRACTITIONER MEETS WITH PATIENTS VIA VIDEO OR TELEPHONE. PATIENTS WHO DO NOT HAVE A DEVICE TO PARTICIPATE IN THE VISIT REMOTELY CAN COME TO TBHC AND BE SET-UP TO MEET WITH THE PROVIDER VIRTUALLY. PROVIDING VIRTUAL PSYCHIATRIC CARE IS APPEALING TO PATIENTS AS IT REDUCES PERCEPTIONS OF STIGMA IN SEEKING PSYCHIATRIC SUPPORT.WIC CENTERS:TBHC IS THE LARGEST PROVIDER OF THE WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM IN BROOKLYN, WITH SEVEN LOCATIONS THROUGHOUT THE BOROUGH. THE SITES PROVIDE NUTRITION EDUCATION, BREASTFEEDING, BENEFITS FOR NUTRITIOUS FOOD, AND HEALTHCARE SERVICES TO PREGNANT AND BREASTFEEDING WOMEN AS WELL AS INFANTS AND CHILDREN UP TO AGE 5. CURRENT MONTHLY ENROLLMENT IN THE TBHC WIC PROGRAM IS BETWEEN 20,000 TO 23,700 FROM 2018 TO 2022.COMMUNITY PREVENTION, EDUCATION AND SCREENING PROGRAMS:FROM JANUARY 2019 TO NOVEMBER 2022, TBHC PARTICIPATED IN MORE THAN 382 EVENTS AND ACTIVITIES TO IMPROVE THE HEALTH AND WELLNESS OF COMMUNITY MEMBERS. VIRTUAL EVENTS WERE INCORPORATED AS PART OF COMMUNITY OUTREACH AND PARTNERSHIPS STARTING IN 2020. HEALTH PROMOTION PROGRAMS ENCOMPASSED BROAD HEALTH TOPICS, AS OUTLINED BELOW, AND OFTEN ALIGNED WITH NATIONAL HEALTH OBSERVANCES, I.E., AMERICAN HEART MONTH (FEBRUARY), COLORECTAL CANCER AWARENESS MONTH (MARCH), MEN'S HEALTH MONTH (JUNE), AMERICAN DIABETES MONTH (NOVEMBER), AND WORLD AIDS DAY (DECEMBER).HEALTH FAIRS AND SCREENINGS -AMBULANCE SERVICES -ASTHMA -AIDS/HIV TESTING -BLOOD PRESSURE -BMI AND OBESITY -CHOLESTEROL -DENTAL CARE -GLUCOSE -HEARING -NUTRITION EDUCATION -PODIATRY -VASCULAR HEALTHHEALTH LECTURES/EDUCATION -COLON CANCER -COVID-19 AND VACCINES -DEATH AND GRIEVING -DIABETES -HEART DISEASE PREVENTION -HIV PREVENTION -HOSPICE CARE -LUNCH AND LEARN SESSIONS -LUNG CANCER -MEDICATION MANAGEMENT -MEN'S HEALTH: PROSTATE CANCER -ORTHOPEDICS/SPORTS MEDICINE -PAIN MANAGEMENT -SEXUAL HEALTH/CONTRACEPTIVES -SMOKING CESSATION -STRESS MANAGEMENT -STROKE -WEIGHT LOSS- BARIATRIC SURGERY -WOMEN HEALTH: OB/GYN, MAMMOGRAMS, BREAST HEALTH -WOUND CAREKIDS HEALTH -ASTHMA -BREASTFEEDING -DENTAL CARE -GENERAL HEALTH -NUTRITION -VACCINES/IMMUNIZATION -WIC PARTICIPATIONTBHC PROVIDED FREE SCREENINGS TO MORE THAN 2,920 COMMUNITY MEMBERS. THESE SCREENINGS INCLUDED, BUT WERE NOT LIMITED TO BLOOD PRESSURE, CHOLESTEROL AND GLUCOSE. MANY OF THESE PROGRAMS WERE OFFERED IN COLLABORATION WITH COMMUNITY GROUPS AND NEIGHBORS. PART V, SECTION B, LINE 11 CONT'D: PREVENT COMMUNICABLE DISEASES THE PATH CENTER AT TBHC CONTINUES TO MEET THE NEEDS OF HIV-POSITIVE AND AT-RISK BROOKLYN RESIDENTS, SERVING A LARGELY BIPOC AND LGBTQIA POPULATION. SINCE BECOMING A NYS DEPARTMENT OF HEALTH DESIGNATED AIDS CENTER IN 1998, TBHC HAS CREATED A REPUTATION IN THE BROOKLYN/NYC COMMUNITY FOR PROVIDING HIGH-QUALITY, NON-JUDGMENTAL, TRAUMA-INFORMED HEALTHCARE SERVICES TO INDIVIDUALS LIVING WITH OR AT-RISK OF HIV/AIDS. THROUGH CORE MEDICAL SERVICES, MEDICAL CASE MANAGEMENT, NUTRITION, LINKAGE TO CARE, AND HIV TESTING AND REFERRALS, WE ASSIST PATIENTS IN ACHIEVING POSITIVE HEALTH OUTCOMES THAT INCLUDE VIRAL SUPPRESSION, RETENTION, AND HIV PREVENTION. - TBHC HAS NOT SEEN ANY HIV POSITIVE BIRTHS IN 10 YEARS. - THE PATH CENTER MEETS ON A MONTHLY BASIS WITH MEMBERS OF THE OB-GYN DEPARTMENT TO DISCUSS ALL PREGNANT HIV POSITIVE PATIENTS TO ENSURE CROSS- DEPARTMENTAL COLLABORATION. - PATH CENTER PROVIDES HIV CARE AND TREATMENT TO OVER 1,100 PATIENTS ANNUALLY: - IN 2021, 85% OF HIV+ PATIENTS HAD A SUPPRESSED VIRAL LOAD (<200 COPIES/ML). OUR GOAL FOR 2022 AND BEYOND IS 90%. - IN 2021, OUR GOAL FOR RETENTION IN CARE (AT LEAST 2 MEDICAL VISITS PER YEAR WITH ONE OCCURRING IN THE FIRST 6 MONTHS AND ONE IN THE SECOND 6 MONTHS) WAS 80% AND WE ACHIEVED 92%; OUR GOAL FOR 2022 AND BEYOND IS 85%. - ALL PATIENTS RECEIVE MENTAL HEALTH, SUBSTANCE USE, AND NUTRITION SCREENINGS WITH REFERRALS FOR ADDITIONAL SERVICES/TREATMENT AS NEEDED. - ALL PATIENTS RECEIVE HEALTH EDUCATION/RISK REDUCTION AND TREATMENT ADHERENCE COUNSELING TO SUPPORT TREATMENT ADHERENCE, RETENTION, AND HIV PREVENTION. - WE CONTINUE TO PROVIDE FREE HIV RAPID TESTING TO INCREASE HIV TESTING AND DIAGNOSIS AMONG TARGET GROUPS AND FACILITATE SWIFT LINKAGE TO CARE AND TREATMENT AMONG THOSE WHO TEST POSITIVE. - TBHC PARTNERS WITH THE COUNCIL ON ADOPTABLE CHILDREN (COAC) TO PROVIDE HIGH-INTENSITY CASE MANAGEMENT SERVICES TO HIGH-NEEDS PATIENTS. THESE SERVICES INCLUDE ACCOMPANIMENT TO MEDICAL AND SOCIAL SERVICES, REMINDER CALLS AND SCHEDULING, MODIFIED DAILY OBSERVED THERAPY AND ONGOING CARE COORDINATION WITH PATH STAFF. - TBHC CONTINUED THE PREP (PRE-EXPOSURE PROPHYLAXIS) PROGRAM WITH THE GOAL OF ENGAGING AT LEAST 50 PATIENTS EACH YEAR. THE PATH CENTER PARTNERS WITH THE EMERGENCY DEPARTMENT TO CONNECT PEP PATIENTS TO FOLLOW-UP CARE AND SCREENS ALL AT-RISK PATIENTS FOR PREP. WE PROVIDE PREP EDUCATION AND OUTREACH THROUGHOUT TBHC AND THE BROOKLYN COMMUNITY VIA COMMUNITY PRESENTATIONS, TABLING, HIV TESTING, AND NETWORKING. WE AIM TO EXPAND OUR WORK WITH THE EMERGENCY DEPARTMENT BY INCREASING REFERRALS FOR PREP-ELIGIBLE PATIENTS TO THE PATH CENTER IN 2023.PRIORITY AREA: PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERSFOCUS AREA: PROMOTE WELL-BEING AND RESILIENCEGOAL: STRENGTHEN OPPORTUNITIES TO BUILD WELL-BEING AND RESILIENCE ACROSS THE LIFESPAN. OBJECTIVES: - IMPROVE ACCESS TO MENTAL HEALTH SERVICES. - SUPPORT ACCESS TO MENTAL WELLNESS SERVICES WITHIN THE COMMUNITY. INTERVENTION STRATEGIES:PROVIDE GRANT-FUNDED TELEPSYCHIATRY SERVICES.PROCESS MEASURES: -UTILIZATION OF TELEPSYCHIATRY SERVICES BY PATIENT DEMOGRAPHICS -AVERAGE WAIT TIME FOR SERVICES -PATIENT SATISFACTION AND EXPERIENCE FEEDBACK -NEW PARTNERSHIPS WITH OTHER TELEPSYCHIATRY SERVICESINTERVENTION STRATEGIES:GROW RESILIENT COMMUNITIES THROUGH ENGAGEMENT, ACTIVATION/MOBILIZATION, AND CELEBRATION.PROCESS MEASURES: -PARTNERSHIPS, RESOURCE SHARING WITH BROOKLYN COMMUNITY BOARD 2 AND RESIDENT ASSOCIATIONS -NEW PARTNERSHIPS WITH UNDERSERVED COMMUNITIES AND/OR POPULATIONS PLACED AT RISK (E.G., OLDER ADULTS, NEIGHBORHOOD HEALTH ACTION CENTERS) -NUMBER OF COMMUNITY EVENTS AND PARTICIPANTSINTERVENTION STRATEGIES:WORK WITH COMMUNITY PARTNERS TO SUPPORT COMMUNITY MENTAL HEALTH EDUCATION AND MENTAL WELLNESS PROGRAMS (E.G., WALKING PROGRAMS, YOGA, PHYSICAL ACTIVITY).PROCESS MEASURES: -NUMBER OF COMMUNITY EVENTS AND PARTICIPANTS -CHANGE IN KNOWLEDGE AND/OR SELF-PERCEIVED MENTAL WELL-BEING 6 1 - PATH CENTER 2244 CHURCH AVENUE BROOKLYN NY 11226 HIV SERVICES 2 - WILLIAMSBURG HEALTH CARE CENTER 99-101 DIVISION AVENUE BROOKLYN NY 11211 OUTPATIENT CLINIC 3 - LAPROVIDENCIA HEALTH CENTER 1280 DEKALB AVENUE BROOKLYN NY 11221 OUTPATIENT CLINIC 4 - MANHATTAN AVENUE HEALTH CENTER 960 MANHATTAN AVENUE BROOKLYN NY 11222 OUTPATIENT CLINIC 5 - 61ST STREET FAMILY HEALTH CENTER 771 61ST STREET BROOKLYN NY 11220 OUTPATIENT CLINIC 6 - ROCKWELL DIALYSIS CENTER 91 ROCKWELL PLACE BROOKLYN NY 11201 OUTPATIENT CLINIC PART I, LINE 7: THE HOSPITAL USED THE COSTING METHODOLOGY THAT WAS USED TO PREPARE THE HOSPITAL'S INSTITUTIONAL COST REPORT. THE COST-TO-CHARGE RATIO AMOUNT FROM THE COST REPORT WAS USED TO CALCULATE LINE 7A, 7B AND 7G. PART I, LINE 7G: THE HOSPITAL INCLUDED COSTS TOTALING $22,400,000 FROM PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES. PART II, COMMUNITY BUILDING ACTIVITIES: THE CHNA AND CORRESPONDING HEALTH IMPROVEMENT PLAN WERE GUIDED BY TBHC'S COMMUNITY ADVISORY BOARD (CAB). THE CAB COMPRISES A DIVERSE GROUP OF INDIVIDUALS WITH STRONG TIES TO THE COMMUNITY WE SERVE. EACH ADVISOR HAS A KEEN UNDERSTANDING OF HOW OUR HOSPITAL WORKS. THIS KNOWLEDGE ENABLES US TO TAILOR OUR PROGRAMS AND SERVICES SO THAT TBHC TARGETS THE HEALTHCARE NEEDS OF RESIDENTS IN OUR NEIGHBORHOODS. CAB MEMBERS PROVIDED PERSPECTIVES ON HEALTH TRENDS, EXPERTISE ABOUT EXISTING COMMUNITY RESOURCES AVAILABLE TO MEET THOSE NEEDS, AND INSIGHTS INTO SERVICE DELIVERY GAPS THAT CONTRIBUTE TO HEALTH DISPARITIES. TBHC RECOGNIZES THAT COLLABORATION AND COORDINATION WITH AN ENGAGED CAB IS ESSENTIAL TO ADVANCE THE COMMUNITY'S INTERESTS AND GARNER LOCAL SUPPORT OF SERVICES. THE CAB MEETS ONCE A MONTH TO PROVIDE GUIDANCE AND DIRECTION FOR TBHC. TBHC WILL CONTINUE TO BE AN ACTIVE PARTNER IN THE GOOD NEIGHBORS CAMPAIGN AND MOUNT SINAI PERFORMING PROVIDER SYSTEM TO MAINTAIN ENGAGEMENT WITH LOCAL HEALTH PROVIDERS AND IMPROVEMENT INITIATIVES. THE HOSPITAL WILL ALSO CONTINUE TO CONVENE THE COMMUNITY ADVISORY BOARD MONTHLY TO PROVIDE GUIDANCE AND DIRECTION FOR TBHC ON HEALTH IMPROVEMENT PLANS. THE TBHC CHNA STEERING COMMITTEE WILL MEET REGULARLY TO REVIEW PROCESS MEASURES RELATED TO THE HEALTH IMPROVEMENT STRATEGIES IDENTIFIED FOR EACH PRIORITY HEALTH NEED AND MAKE CORRECTIONS AS NEEDED. PART III, LINE 2: THE AMOUNT REPORTED ON LINE 2 IS EQUAL TO THE PROVISION FOR BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS ("AFS"). THE EXPLANATION OF THE METHODOLOGY USED TO ESTIMATE THIS AMOUNT CAN BE FOUND IN FOOTNOTE 2 ON PAGE 12 OF THE ATTACHED AFS. PART III, LINE 3: THE AMOUNT WAS DERIVED BY APPLYING A COST-TO-CHARGE RATIO TO BAD DEBT EXPENSE. PART III, LINE 4: THE TEXT OF THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGE 15 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: THE AMOUNT REPORTED ON LINE 6 WAS DERIVED BY USING THE MEDICARE ALLOWABLE COSTS AS REPORTED ON THE HOSPITAL'S NEW YORK STATE INSTITUTIONAL COST REPORT AND THE APPLICABLE ADJUSTMENTS FROM WORKSHEET B. PART III, LINE 9B: THE DEBT COLLECTION POLICY IS ADDRESSED IN THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE ASSIGNED TO THE APPROPRIATE FINANCIAL CLASS. THE HOSPITAL MAKES AN ATTEMPT TO NEGOTIATE PAYMENT PLANS FOR ANY REMAINING BALANCE DUE AFTERFINANCIAL ASSISTANCE IS PROVIDED. PART VI, LINE 2: SECONDARY STUDY METHODS WERE USED TO IDENTIFY AND ANALYZE STATISTICAL DEMOGRAPHIC AND HEALTH TRENDS. SPECIFIC CHNA STUDY METHODS INCLUDED:- AN ANALYSIS OF SECONDARY DATA SOURCES, INCLUDING PUBLIC HEALTH, DEMOGRAPHIC, AND SOCIAL MEASURES.- A KEY INFORMANT SURVEY WITH 14 COMMUNITY REPRESENTATIVES TO SOLICIT FEEDBACK ON COMMUNITY HEALTH PRIORITIES, UNDERSERVED POPULATIONS, AND PARTNERSHIP OPPORTUNITIES. PART VI, LINE 3: WHILE THE BROOKLYN HOSPITAL CENTER PROVIDES FINANCIAL AID TO PATIENTS IN ACCORDANCE WITH PUBLIC HEALTH LAW 2807 (K) (9-A), THE UNDERLYING MOTIVATION FOR ITS FINANCIAL ASSISTANCE PROGRAM (FAP) IS TO ADDRESS THE NEEDS OF THE INDIGENT, UNDERINSURED AND UNINSURED IN THE COMMUNITY. FAP INFORMATION IS DISTRIBUTED TO ALL PATIENTS THROUGH ADMISSIONS MATERIAL, A BROCHURE, AND FINANCIAL COUNSELING. THE APPLICATION PROCESS IS SIMPLE AND THE PROGRAM OFFERS A FEE-SCALE FOR THOSE WHO QUALIFY. FAP FACILITATES ACCESS TO CARE FOR ALL WHO NEED IT, REGARDLESS OF THEIR ABILITY TO PAY. THE BROOKLYN HOSPITAL CENTER IS COMMITTED TO PROVIDING THESE PATIENTS WITH THE SAME QUALITY CARE RENDERED TO ALL PATIENTS. COMMUNITY-BASED ORGANIZATIONS (CBOS) - THE HOSPITAL PROVIDES FREE CLINICAL SCREENINGS, DISTRIBUTES HEALTH LITERATURE, OFFERS HEALTH EDUCATION, CONDUCTS WORKSHOPS, AND MAKES REFERRALS TO ITS SERVICES AND PROGRAMS. SPEAKERS BUREAU - THE BROOKLYN HOSPITAL CENTER HAS CREATED AN EXPERTS' LIST FROM ITS PHYSICIANS, NURSES, NUTRITIONISTS, THERAPISTS, PHARMACISTS AND OTHER HEALTH CARE PERSONNEL. THESE EXPERTS AND OTHER QUALIFIED PERSONNEL PROMOTE THE HOSPITAL'S MISSION AND SPEAK TO ORGANIZATIONS IN NEW YORK CITY AND LONG ISLAND, THROUGHOUT THE BOROUGH, AND IN OUR LOCAL NEIGHBORHOODS ON A RANGE OF HEALTH TOPICS. PART VI, LINE 4: THE BROOKLYN HOSPITAL CENTER IS AN EXISTING, 464-BED FULL SERVICE COMMUNITY TEACHING HOSPITAL LOCATED AT 121 DEKALB AVENUE, BROOKLYN (KINGS COUNTY), NY 11201. FOUNDED IN 1845, THE BROOKLYN HOSPITAL CENTER WAS BROOKLYN'S FIRST HOSPITAL. THE BROOKLYN HOSPITAL CENTER IS NOT ONLY THE FIRST VOLUNTARY HOSPITAL ESTABLISHED IN THE BOROUGH OF BROOKLYN, BUT ONE THAT THROUGHOUT ITS HISTORY HAS BEEN AT THE FOREFRONT OF MEDICINE AND THE CARE OF THE SICK IN ITS NEIGHBORHOOD. TODAY, MORE THAN EVER, THE BROOKLYN HOSPITAL CENTER PLAYS A CRITICAL ROLE IN MEETING THE HEALTH CARE NEEDS OF THE OVER ONE MILLION RESIDENTS WHO LIVE IN THE COMMUNITIES SERVED BY THE HOSPITAL. THESE COMMUNITIES ARE WITHIN THE FOLLOWING ZIP CODES: 11201, 11203, 11204, 11205, 11206, 11207, 11208, 11209, 11210, 11211, 11212, 11213, 11216, 11217, 11219, 11220, 11221, 11222, 11223, 11225, 11226, 11228, 11232, 11233, 11236, 11237, AND 11238. THE BROOKLYN HOSPITAL CENTER'S PRIMARY SERVICE AREAS INCLUDE CENTRAL AND NORTHWEST BROOKLYN. THESE NEIGHBORHOODS INCLUDE: FORT GREENE, DOWNTOWN BROOKLYN, BUSHWICK, WILLIAMSBURG, FLATBUSH, CROWN HEIGHTS, BEDFORD STUYVESANT, GREENPOINT, EAST NEW YORK, BROWNSVILLE, BORO PARK, SUNSET PARK, FORT HAMILTON PARKWAY, AND BENSONHURST. THE BROOKLYN HOSPITAL CENTER'S SECONDARY SERVICE AREAS COVER THE BOROUGH OF BROOKLYN AND LOWER MANHATTAN. THE BROOKLYN HOSPITAL CENTER'S SERVICE POPULATION IS CULTURALLY AND ETHNICALLY DIVERSE. IT IS COMPRISED LARGELY OF MINORITY RACIAL AND ETHNIC GROUPS. MORE THAN 75% OF THE RESIDENTS IN THE COMMUNITY ARE BLACK OR HISPANIC. WITHIN THESE GROUPINGS, THERE ARE LARGE NUMBERS OF RESIDENTS FROM JAMAICA, THE DOMINICAN REPUBLIC, HAITI, TRINIDAD AND TOBAGO, MEXICO, AND OTHER CARIBBEAN COUNTRIES. PART VI, LINE 5: THE BROOKLYN HOSPITAL CENTER'S COMMUNITY OUTREACH PROGRAM IS BASED ON OUR DEDICATION TO PROVIDE OUR COMMUNITY ACCESS TO EXCELLENT CARE AND OUR COMMITMENT TO BECOMING THE HEALTH CARE INSTITUTION OF CHOICE FOR RESIDENTS OF BROOKLYN AND BEYOND. THROUGH COMMUNITY OUTREACH, THE BROOKLYN HOSPITAL CENTER SEEKS TO ESTABLISH MEANINGFUL PARTNERSHIPS WITH THE FAITH-BASED COMMUNITY, EDUCATIONAL INSTITUTIONS, LEGISLATIVE AND APPOINTED OFFICIALS, THE BUSINESS AND NONPROFIT SECTORS, COMMUNITY-BASED ORGANIZATIONS (CBOS), AND OTHER GROUPS TO PROMOTE WELLNESS AND A HEALTHIER LIFESTYLE FOR ALL COMMUNITY RESIDENTS. SOME OF OUR COMMUNITY OUTREACH INITIATIVES INCLUDE: COMMUNITY EVENTS - THE BROOKLYN HOSPITAL CENTER CONNECTS WITH THE COMMUNITY BY PARTICIPATING IN EVENTS OF MUTUAL INTEREST TO THE HOSPITAL AND ITS PATIENT POPULATION. BY ATTENDING RELEVANT MEETINGS, HOLDING MEMBERSHIPS ON KEY COMMITTEES AND IN CBOS, SUPPORTING ORGANIZATIONS AND WORTHY CAUSES THROUGH SPONSORSHIPS, AND PARTICIPATING IN THE BOROUGH'S MAJOR EVENTS, THE BROOKLYN HOSPITAL CENTER REINFORCES ITS COMMITMENT TO BEING A VIBRANT AND VIABLE MEMBER OF THE COMMUNITY. THE HOSPITAL MAINTAINS A DIRECT LINK TO THE COMMUNITY THROUGH ITS COMMUNITY OUTREACH PROGRAM. HEALTH FAIRS - THE BROOKLYN HOSPITAL CENTER PARTICIPATES IN SCORES OF LOCAL HEALTH FAIRS EACH YEAR. UPON REQUEST FROM CHURCHES, SCHOOLS, SERVICE AGENCIES, BUSINESSES, AND OTHER CBOS, THE HOSPITAL PROVIDES FREE CLINICAL SCREENINGS, DISTRIBUTES HEALTH LITERATURE, OFFERS HEALTH EDUCATION, CONDUCTS WORKSHOPS, AND MAKES REFERRALS TO ITS SERVICES AND PROGRAMS. SPEAKERS BUREAU - THE BROOKLYN HOSPITAL CENTER HAS CREATED AN EXPERTS' LIST FROM ITS PHYSICIANS, NURSES, NUTRITIONISTS, THERAPISTS, PHARMACISTS AND OTHER HEALTH CARE PERSONNEL. THESE EXPERTS AND OTHER QUALIFIED PERSONNEL PROMOTE THE HOSPITAL'S MISSION AND SPEAK TO ORGANIZATIONS IN NEW YORK CITY AND LONG ISLAND, THROUGHOUT THE BOROUGH, AND IN OUR LOCAL NEIGHBORHOODS ON A RANGE OF HEALTH TOPICS. PART VI, LINE 7, REPORTS FILED WITH STATES NY X X X X 0 1 0 0 0 0 0 1 0 GARY TERRINONI PRESIDENT & CEO, EX-OFFICIO 1270000 0 288000 0 0 0 3050 0 8934 0 1569984 0 0 0 J ANDERS COHEN MD PHYSICIAN 750000 0 112700 0 0 0 3050 0 8934 0 874684 0 0 0 PRATIBHA VEMULAPALLI MD CHAIR, DEPT OF SURGERY 651000 0 100000 0 0 0 938 0 8934 0 760872 0 0 0 SARATH REDDY MD PHYSICIAN 657692 0 50000 0 0 0 3050 0 0 0 710742 0 0 0 JAMES GASPERINO CHIEF OF SVC MEDICINE 610000 0 75000 0 0 0 0 0 3830 0 688830 0 0 0 VASANTHA KONDAMUDI MD EVP, CHIEF MEDICAL OFFICER 550000 0 120000 0 0 0 3050 0 0 0 673050 0 0 0 JOSEPH FETTO MD PHYSICIAN 569231 0 75000 0 0 0 3050 0 3830 0 651111 0 0 0 MICHAEL MORETTI MD PHYSICIAN 550000 0 80608 0 0 0 1481 0 8934 0 641023 0 0 0 ROBERT AULICINO CONSULTANT 462500 0 120000 0 0 0 3050 0 0 0 585550 0 0 0 MOSHE FUKSBRUMER MD PHYSICIAN 528846 0 25000 0 0 0 3050 0 8934 0 565830 0 0 0 ARMAND P ASARIAN MD FACS CHIEF ACADEMIC OFFICER 450000 0 0 0 0 0 3050 0 8934 0 461984 0 0 0 STACY FRIEDMAN ESQ SR VP AND GENERAL COUNSEL 358532 0 80000 0 0 0 3050 0 8934 0 450516 0 0 0 JUDY MCLAUGHLIN SR VP & CHIEF NURSING OFFICER 350000 0 80000 0 0 0 2908 0 2918 0 435826 0 0 0 GAETANO MENNONNA SR VP HUMAN RESOURCES 325000 0 80000 0 0 0 3050 0 8934 0 416984 0 0 0 SAM J AMIRFAR MD CHIEF MEDICAL OFF & CIO 325000 0 80000 0 0 0 2750 0 8934 0 416684 0 0 0 LENUE H SINGLETARY III SVP, EXT. AFFAIRS, STRTG & MRKTG 300000 0 80000 0 0 0 3000 0 2918 0 385918 0 0 0 SHARON WICKES SVP, STRATEGIC & BUS. ANALYTICS 255000 0 80000 0 0 0 1667 0 3830 0 340497 0 0 0 JOHN WALSH VP, CFO 265000 0 60000 0 0 0 2558 0 6625 0 334183 0 0 0 PATRICK LEBLANC MD PRES. OF PROF. STAFF 248462 0 0 0 0 0 2485 0 7953 0 258900 0 0 0 JOHN FERRARA VP OF OPERATIONS 200000 0 37500 0 0 0 1977 0 3830 0 243307 0 0 0 PART I, LINE 4B THE PRESIDENT AND CEO, GARY TERRINONI, IS THE SOLE PARTICIPANT OF THE ORGANIZATION'S SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. HE RECEIVED NO DISTRIBUTION DURING THE YEAR ENDED DECEMBER 31, 2022. PART I, LINE 7 BONUS ELIGIBILITY IS DISCRETIONARY. CERTAIN OPERATIONAL AND FINANCIAL METRICS ARE USED TO DETERMINE ELIGIBILITY. BONUSES ARE APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS BROOKLYN HEALTH INC., A FEDERALLY TAX EXEMPT, STATE NONPROFIT ENTITY (EIN 82-1498653). FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER HAS THE SOLE AUTHORITY TO ESTABLISH FROM TIME TO TIME THE NUMBER OF TRUSTEES THAT SHALL COMPRISE THE ENTIRE BOARD (EITHER PURSUANT TO SECTION 3.02 OR BY AMENDMENT OF THE BYLAWS AS PERMITTED BY ARTICLE VIII) AND TO REMOVE ANY TRUSTEE WITH CAUSE. FORM 990, PART VI, SECTION A, LINE 7B EXCEPT AS MAY BE LIMITED BY APPLICABLE LAW GOVERNING HEALTH CARE INSTITUTIONS, THE SOLE MEMBER HAS SUCH OTHER POWERS AND AUTHORITY AS ARE AFFORDED TO THE MEMBER UNDER THE CORPORATION'S CERTIFICATE OF INCORPORATION OR GENERALLY TO MEMBERS OF NOT-FOR-PROFIT CORPORATIONS UNDER THE LAWS OF THE STATE OF NEW YORK. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE CHAIRMAN OF THE BOARD OF TRUSTEES, THE CHAIRMAN OF THE FINANCE COMMITTEE, THE PRESIDENT & CEO AND THE CHIEF FINANCIAL OFFICER. THE FORM 990 WAS ALSO PROVIDED TO THE MEMBERS OF THE BOARD OF TRUSTEES PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE VP OF AUDIT AND COMPLIANCE REVIEWS ALL ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES. ALL POSITIVE RESPONSES ARE REVIEWED WITH THE CEO AND GENERAL COUNSEL. ALL MATERIAL RESPONSES ARE REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD, ALONG WITH RECOMMENDED ACTIONS. IF A CONFLICT ARISES THEN THE VP OF AUDIT AND COMPLIANCE GATHERS ADDITIONAL INFORMATION FROM THE REPORTER AS NECESSARY. POSITIVE RESPONSES ARE REVIEWED BY THE VP OF AUDIT AND COMPLIANCE, CEO, AND COUNSEL, AND THIS GROUP DETERMINES WHICH IF ANY RESPONSES REPRESENT A CONFLICT. THE CEO WILL THEN TAKE SUCH ACTION AS IS DEEMED APPROPRIATE TO ELIMINATE THE CONFLICT OF INTEREST, INCLUDING SUCH STEPS AS REASSIGNMENT OF RESPONSIBILITIES OR ESTABLISHMENT OF PROTECTIVE ARRANGEMENTS. IF THE MATTER INVOLVES A BOARD MEMBER OR OFFICER, APPROPRIATE ACTION WILL BE DETERMINED BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION SUBCOMMITTEE OF THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES COMPRISED OF INDEPENDENT PERSONS WHO ARE MEMBERS OF THE BOARD OF TRUSTEES MEET TO REVIEW AND DISCUSS COMPARABLE MARKET DATA FOR SIMILAR POSITIONS AT SIMILAR INSTITUTIONS AND OTHER RELEVANT ISSUES AND CHALLENGES AT THE HOSPITAL AS WELL AS HOSPITAL AND CEO PERFORMANCE. AFTER REVIEW AND DELIBERATION, THE COMMITTEE APPROVES ACTIONS TO BE IMPLEMENTED. MINUTES OF COMMITTEE MEETINGS INCLUDING DELIBERATIONS AND DECISIONS ARE RECORDED DURING THE MEETING AND REVIEWED AND APPROVED AS APPROPRIATE AT THE FOLLOWING MEETING. THE SAME PROCESS APPLIES TO MEMBERS OF THE EXECUTIVE STAFF, DEPARTMENT CHAIRS AND OTHER HIGHLY COMPENSATED STAFF EXCEPT THAT THE PRESIDENT AND CEO MAKES COMPENSATION RECOMMENDATIONS TO THE COMMITTEE FOR THOSE EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE ONLY THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS. 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