2022-11-15T20:15:37-06:00 2021-12-31 132781641 MITCHELL & TITUS LLP 80 PINE STREET NEW YORK NY 10005 990 2021-01-01 111631746 BROOKDALE HOSPITAL MEDICAL CENTER BROO 7182405000 ONE BROOKDALE PLAZA BROOKLYN NY 11212 JOHN SCHMITT CHIEF FINANCIAL OFFICER 7182405000 2022-11-15 1 JOHN SCHMITT 999009999 FREDERICK E DAVIS JR P00446023 2127094500 2022-11-15 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z LARAY BROWN ONE BROOKDALE PLAZA BROOKLYN NY 11212 1159381308 0 X WWW.BROOKDALEHOSPITAL.ORG X 1914 NY WE PROVIDE GREATER ACCESS TO HIGH QUALITY MEDICAL CARE AND KEEP OUR COMMUNITIES HEALTHY THROUGH AN INTEGRATED CARE SYSTEM THAT RESPECTS THE DIVERSITY OF OUR COMMUNITIES AND ADDRESSES BOTH THE HEALTH NEEDS AND UNIQUE FACTORS THAT SHAPE THEM. 19 19 3919 184 0 0 197085343 437237137 417314585 722144171 4720280 0 9923861 0 629044069 1159381308 0 0 0 0 409717339 732293955 0 0 0 214083251 432267041 623800590 1164560996 5243479 -5179688 345668977 600159950 660000231 920192572 -314331254 -320032622 WE PROVIDE GREATER ACCESS TO HIGH QUALITY MEDICAL CARE AND KEEP OUR COMMUNITIES HEALTHY THROUGH AN INTEGRATED CARE SYSTEM THAT RESPECTS THE DIVERSITY OF OUR COMMUNITIES AND ADDRESSES BOTH THE HEALTH NEEDS AND UNIQUE FACTORS THAT SHAPE THEM. 0 0 887488311 722144171 THE BROOKDALE HOSPITAL MEDICAL CENTER WAS CREATED FOR THE PURPOSE OF OPERATING A 530 BED HOSPITAL IN BROOKLYN, NEW YORK. IN 2021, BROOKDALE HOSPITAL MEDICAL CENTER LOGGED 15,394 ADMISSIONS, 15,308 PATIENT DISCHARGES, AND 54,775 OUTPATIENT EMERGENCY ROOM VISITS WHICH RESULTED IN 210,293 OTHER OUTPATIENT SERVICE VISITS. 887488311 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 1 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 0 0 0 1 616 0 1 3919 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 19 19 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X JOHN SCHMITT CFO 7182405773 101-01 AVENUE D BROOKLYN NY 11236 ALEX ROVT CHAIRMAN 0.05 0.95 X X 0 0 0 ANTHONY CLEMENZA SR TRUSTEE 0.05 0.95 X 0 0 0 BISHOP HUGH NELSON TRUSTEE 0.05 0.95 X 0 0 0 DR JOSEPH CUIFFO TRUSTEE 0.05 0.95 X 0 0 0 DR K TORIAN EASTERLING TRUSTEE 0.05 0.95 X 0 0 0 DR SOFIA NOVAK TRUSTEE 0.05 0.95 X 0 0 0 EDNA WELLS-HANDY TRUSTEE 0.05 0.95 X 0 0 0 HENNA WHITE SECRETARY/TREASURER 0.05 0.95 X X 0 0 0 HOPE MASON TRUSTEE 0.05 0.95 X 0 0 0 MARK SHELTON TRUSTEE 0.05 0.95 X 0 0 0 MAURICE A REID TRUSTEE 0.05 0.95 X 0 0 0 MICHAEL IRWIN TRUSTEE 0.05 0.95 X 0 0 0 MICHAEL L NAIRNE TRUSTEE 0.05 0.95 X 0 0 0 MICHAEL SCAGNELLI TRUSTEE 0.05 0.95 X 0 0 0 NUSIN SHTERN TRUSTEE 0.05 0.95 X 0 0 0 RABBI ARYEH KATZIN TRUSTEE 0.05 0.95 X 0 0 0 REV WATERMAN VICE-CHAIRPERSON 0.05 0.95 X X 0 0 0 RICHARD E GREEN TRUSTEE 0.05 0.95 X 0 0 0 VICTOR AYALA TRUSTEE 0.05 0.95 X 0 0 0 GENEVIEVE SORENSEN VICE PRESIDENT 5.40 40.00 X 0 367577 17465 LARAY BROWN PRESIDENT AND CEO 40.00 0.00 X 1209000 0 0 REGINALD BULLOCK ASSISTANT SECRETARY 40.00 5.40 X 396525 0 35469 ROBERT PALERMO CHIEF FINANCIAL OFFICER 40.00 5.40 X 609812 0 42645 JULIE MIRKIN CHIEF NURSING OFFICER 40.00 0.00 X 401257 0 43896 BORIS HRISTOV PHYSICIAN 40.00 0.00 X 664851 0 49814 CYRUS O MCCALLA DIRECTOR, OBS/GYN 40.00 0.00 X 666454 0 51886 LUCIO FLORIS MD CHIEF OF VASCULAR SURGERY 40.00 0.00 X 746707 0 36944 THEODORE HUFFORD PHYSICIAN 40.00 0.00 X 709845 0 1560 WILLIAM WIRCHANSKY DIRECTOR OF NEUROSURGERY 40.00 0.00 X 832018 0 49882 DOMINICK STANZIONE PRESIDENT AND CEO - UNTIL 07.02.21 40.00 5.40 X 844220 0 13965 DR DAVID ROSE CHIEF MEDICAL OFFICER 40.00 0.00 X 633710 0 41146 7714399 367577 384672 1036 1 1 0 THERAPIA STAFFING LLC 35689/12350 NW 39TH STREET SUITE 1 CORAL SPRINGS FL 33065 AGENCY FEES/NURSING 14356952 CLOVER HEALTH SERVICES LLC 35991/75 SOUTH BROADWAY 4TH FLOOR WHITE PLAINS NY 10601 AGENCY FEES/NURSING 13326425 UNIVERSITY PHYSICIANS OF BKLN 13051 PO BOX 27063 NEW YORK NY 10087 CONSULTING FEES 9704667 FASTAFF LLC 34967/5700 S QUEBEC STREET SUITE 3 GREENWOOD VILLAGE CO 80111 AGENCY FEES/NURSING 5678024 ABBOT LABORATORIES 32281/75 REMITTANCE DR SUITE 1310 CHICAGO IL 706751310 MEDICAL SUPPLIES 5097802 149 437157454 79683 437237137 NET PATIENT REVENE 621400 590697454 590697454 OTHER PATIENT REVENUE 621400 75470716 75470716 PHYSICIAN BILLING REVENUE 621400 50402231 50402231 CAPITATION REVENUE 621400 5573770 5573770 722144171 1159381308 722144171 0 0 4537472 4537472 543465956 454849512 88616444 36508369 35085161 1423208 113115663 83595262 29520401 34666495 27497149 7169346 24273796 11928874 12344922 3888872 187215 3701657 14750 5640 9110 50 50 56657129 34081668 22575461 162275 76715 85560 981287 457682 523605 11220940 350093 10870847 2913841 1688135 1225706 1299991 435661 864330 5241035 136103 5104932 18984261 14997566 3986695 27900625 42448 27858177 OTHER 114640789 106787228 7853561 MEDICAL SUPPLIES 108371415 106255825 2115590 PROVISION FOR BAD DEBTS 44055180 44055180 FOOD 8571609 6012928 2558681 3089196 3017446 71750 1164560996 887488311 277072685 0 42736663 34982337 6642164 8309745 34926357 61568907 6865167 10675305 7440831 14629893 856320650 691831641 40498524 164489009 206559271 305504754 345668977 600159950 106376372 140030768 37600468 177957443 177416415 338065948 602745389 660000231 920192572 X -314331254 -320164244 131622 -314331254 -320032622 345668977 600159950 -5179688 -521680 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 28304 28304 0 PART II-B, LINE 1: BROOKDALE HOSPITAL MEDICAL CENTER IS A MEMBER OF THREE ASSOCIATIONS OF WHICH SOME OF THEIR DUES ARE ALLOCATED TO GRASS ROOTS LOBBYING IN REGARD TO THEIR NEEDS IN SERVICING AND PROVIDING HEALTHCARE TO THE PUBLIC. COST SPENT ON LOBBY ACTIVITIES FOR THE YEAR: 1199/GREATER NEW YORK HOSPITAL ASSOCIATION $28,304 1309728 1309728 215993256 185013445 30979811 36991618 2925833 34065785 549838786 461447122 88391664 52187262 42445241 9742021 164489009 DUE FROM THIRD PARTY PAYORS 16823740 INSURANCE RECEIVABLES 122644220 ASSETS WHOSE USE IS LIMITED 45091952 DUE FROM AFFILIATES 81464058 OTHER RECEIVABLES 39480784 305504754 MALPRACTICE INSURANCE PAYABLE 238218321 DUE TO THIRD PAYORS 55932093 WORKERS COMPENSATION PAYABLE 33243362 ACCRUED PENSION PAYABLE 47331773 DEFRRED LEASE OBLIGATION 1246407 ACCRUED PAYROLL 81985033 DUE TO AFFILIATES 54240584 OTHER LIABILITIES 90547816 602745389 X 1148763079 -10618230 -10618230 1159381309 0 1159381309 1153942766 0 1153942766 10618230 10618230 1164560996 PART X, LINE 2: MANAGEMENT REVIEWS TRANSACTIONS TO ESTIMATE POTENTIAL TAX LIABILITIES USING A THRESHOLD OF MORE LIKELY THAN NOT OF BEING SUSTAINED. IT IS MANAGEMENT'S ESTIMATION THAT THERE ARE NO MATERIAL LIABILITIES THAT NEED TO BE RECORDED AS OF DECEMBER 31, 2021. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 0 CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS 5247497 0 0 0 0 0 0 5247497 0 5247497 0 0 0 0 0 0 PART III ACCOUNTING METHOD: 1 1 1 X 1 X 1 1 1 0 1 1 33491375 19741324 13750051 0.01190 457418332 232690808 224727524 0.19470 2033006 1103680 929325 0.00080 492942713 253535812 239406900 0.20740 4755232 2717371 2037861 0.00180 111801634 48639860 63161774 0.05470 155318604 52059500 103259104 0.08950 271875470 103416731 168458739 0.14600 764818183 356952543 407865639 0.35340 1 10618230 6483069 136273418 97564633 38708785 X 1 1 1 1 BROOKDALE HOSPITAL MEDICAL CENTER ONE BROOKLYN PLAZA BROOKLYN NY 11236 X BROOKDALE HOSPITAL MEDICAL CENTER 0 0 1 X X X X X X X X X 19 1 0 0 1 X WWW.BROOKDALEHOSPITAL.ORG X 1 16 1 WWW.BROOKDALEHOSPITAL.ORG 0 1 X 100.000000000000 300.000000000000 X X X X 1 1 X X 1 X WWW.BROOKDALEHOSPITAL.ORG X WWW.BROOKDALEHOSPITAL.ORG X WWW.BROOKDALEHOSPITAL.ORG X X X X 1 X 0 X 1 0 1 PART III, LINE 9B: THERE IS NO ACCELERATOR OR SIMILAR CLAUSES UNDER WHICH A HIGHER RATE OF INTEREST IS TRIGGERED. WHEN A PATIENT FAILS TO MAKE A REGULAR MONTHLY SCHEDULED PAYMENT, THE HOSPITAL INCLUDES A WRITTEN NOTICE ON PATIENTS' BILLS AND STATEMENTS AT LEAST 30 DAYS PRIOR TO REFERRING THE ACCOUNT TO COLLECTION. THE HOSPITAL REQUIRES THAT ANY COLLECTION AGENCIES WITH WHICH THEY CONTRACT FOLLOW THE FINANCIAL ASSISTANCE POLICIES OF THE HOSPITAL. THE HOSPITAL DOES NOT FORCE THE SALE OR FORECLOSURE OF A PATIENT'S PRIMARY RESIDENCE TO COLLECT ON AN OUTSTANDING BILL. COLLECTION IS PROHIBITED AGAINST ANY PATIENT WHO WAS ELIGIBLE FOR MEDICAID AT THE TIME SERVICES WERE RENDERED. FINALLY, THE CONTRACTED COLLECTION AGENCIES MUST OBTAIN THE HOSPITAL'S WRITTEN CONSENT BEFORE COMMENCING ANY LEGAL ACTION. PART VI, LINE 2: ONE BROOKLYN HEALTH SYSTEM, INC. (OBHS) IS A NOT-FOR-PROFIT TAX-EXEMPT CORPORATION WHICH WAS LICENSED UNDER ARTICLE 28 OF THE PUBLIC HEALTH LAW IN 2018, TO FUNCTION AS COOPERATOR OF THE FOLLOWING THREE HOSPITALS AND THEIR AFFILIATES: BROOKDALE HOSPITAL MEDICAL CENTER (BROOKDALE) AND ITS AFFILIATED NURSING HOME AND AMBULATORY CARE CENTERS; KINGSBROOK JEWISH MEDICAL CENTER (KINGSBROOK) AND ITS AFFILIATED NURSING HOME; AND INTERFAITH MEDICAL CENTER (INTERFAITH) AND ITS AMBULATORY CARE CENTERS. OBHS HOSPITALS ARE A CRITICAL PART OF HEALTHCARE DELIVERY IN THE BOROUGH OF BROOKLYN. FROM LABOR AND DELIVERY SERVICES TO GERIATRIC CARE, EACH OF THE THREE HOSPITALS HAS BEEN PROVIDING A BROAD VARIETY OF HEALTHCARE SERVICES THAT TOGETHER, COMPRISE A FULL CONTINUUM OF CARE FOR LOW-INCOME BROOKLYN RESIDENTS FOR GENERATIONS (BROOKDALE WAS ESTABLISHED IN 1914; INTERFAITH FORMERLY EXISTED AS BROOKLYN JEWISH HOSPITAL, WHICH WAS ESTABLISHED IN 1895; KINGSBROOK WAS ESTABLISHED IN 1940). THE MISSION OF OBHS IS AS FOLLOWS: "WE PROVIDE GREATER ACCESS TO HIGH QUALITY MEDICAL CARE AND KEEP OUR COMMUNITIES HEALTHY THROUGH AN INTEGRATED CARE SYSTEM THAT RESPECTS THE DIVERSITY OF OUR COMMUNITIES AND ADDRESSES BOTH THE HEALTH NEEDS AND UNIQUE FACTORS THAT SHAPE THEM."IN 2019, ALL THREE OBH HOSPITALS WORKED TOGETHER TO DEVELOP ONE COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO COVER THE 3-YEAR PERIOD 2019- 2021, CONDUCTING A BROAD SURVEY OF THE HEALTHCARE NEEDS OF RESIDENTS IN ALL THE ZIP CODES SERVED BY EACH HOSPITAL IN BOTH PRIMARY, SECONDARY AND TERTIARY SERVICE AREAS, AS LISTED IN THE CHART THAT FOLLOWS. NOTE THAT SERVICE AREAS WERE DEFINED BASED ON EACH HOSPITALS' DISCHARGE DATA. PATIENT ORIGIN ZIP CODES WERE RANKED BY FREQUENCY; PRIMARY SERVICE AREA WAS DEFINED USING A CUTOFF OF 50% I.E. 50% OF PATIENTS CAME FROM THE ZIP CODES COVERED BY THE PRIMARY SERVICE AREA. THE CUTOFFS FOR SECONDARY AND TERTIARY SERVICE AREA WERE 75% AND 85% RESPECTIVELY.YES, IN CONDUCTING THE 2019 CHNA, OBH TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF A BROAD CROSS-SECTION OF THE COMMUNITIES SERVED, INCLUDING THOSE WITH EXPERTISE IN PUBLIC HEALTH. THE PROCESS OF DEVELOPING A CHNA AND A COMMUNITY SERVICE PLAN (CSP) - REQUIRED BY THE NYS DEPARTMENT OF HEALTH (NYS DOH)) - IS AN INTEGRAL PART OF OBH'S ONGOING STRATEGIC PLANNING DISCUSSIONS, AND INVOLVES OBH AND BROOKDALE'S SENIOR LEADERSHIP, MEDICAL STAFF, COMMUNITY RESIDENTS, PUBLIC HEALTH OFFICIALS, ELECTED OFFICIALS, AND MANY OTHER KEY COMMUNITY STAKEHOLDERS. THE 2019 CHNA CONDUCTED AGGREGATED AND ANALYZED FINDINGS FROM A VARIETY OF PRIMARY AND SECONDARY DATA SOURCES AS FOLLOWS:(I) ANALYSES OF CLINICAL DIAGNOSIS AND TREATMENT DATA FOR THE OBH PATIENT POPULATION.(II) PAR RESEARCH STUDIES CONDUCTED BY OBH IN COLLABORATION WITH COMMUNITY PARTNERS IN 2016-2018. (III) "THE BROOKLYN STUDY: RESHAPING THE FUTURE OF HEALTHCARE," A COMPREHENSIVE ASSESSMENT OF EAST BROOKLYN'S HEALTHCARE NEEDS, THE VIABILITY OF AREA HOSPITALS (INCLUDING BROOKDALE), AND SYSTEM-WIDE TRANSFORMATION RECOMMENDATIONS. THIS ASSESSMENT, CONDUCTED BY NORTHWELL HEALTH IN 2016, WAS COMMISSIONED BY NYS DOH, AND RESULTED IN THE FORMATION OF OBH IN 2018. (IV) THE NYC DOH COMMUNITY PROFILES FOR INDIVIDUAL COMMUNITY DISTRICTS PUBLISHED IN 2018. FOLLOWING IS A LIST OF SOME OF THE INDIVIDUALS AND ENTITIES WITH WHICH OBH COORDINATED, TO DEVELOP THE 2019-2021 CHNA: NEW YORK CITY DEPARTMENT OF HEALTH CENTER FOR HEALTH EQUITY IN EAST NY DR. TORIAN EASTERLING NYS DEPARTMENT OF HEALTH SYLVIA PIRANI, DIRECTOR OF PUBLIC HEALTH PRACTICE THE GREATER NEW YORK HOSPITAL ASSOCIATION AMY OSARIO NORTHWELL VENTURES, INC. DR. DAVID ROSE, CHIEF MEDICAL OFFICER AT BROOKDALE KHARI EDWARDS VP OF EXTERNAL AFFAIRS LOCAL CHURCHES AND CBOS COMMUNITY ADVISORY BOARDS ELECTED OFFICIALS SANDRA PERSAUD AND LATRICE WALKER OBHS BOARD STRATEGIC PLANNING COMMITTEE PART VI, LINE 3: PER FAP POLICY. PART VI, LINE 4: OBHS AGGREGATE PATIENT VOLUME IS AMONG THE HIGHEST IN BROOKLYN HOSPITALS RECEIVE AN AVERAGE OF APPROXIMATELY 300,000 EMERGENCY ROOM AND 350,000 OUTPATIENT VISITS ANNUALLY. OBHS HOSPITALS SERVE A BROAD GEOGRAPHIC AREA ACROSS EAST AND CENTRAL BROOKLYN, COVERING A LARGE NUMBER OF NEIGHBORHOODS (EAST NEW YORK/NEW LOTS, EAST FLATBUSH, CANARSIE, FLATLANDS, CROWN HEIGHTS, BROWNSVILLE, BEDFORD STUYVESANT) AND ZIP CODES (11212, 11207, 11208, 11233, 11213, 11216, 11236, 11203, 11234, 11239, 11238), WITH A TOTAL POPULATION REACH OF APPROXIMATELY 1.2 MILLION. WHILE THE RACIAL COMPOSITION OF THE AGGREGATE POPULATION OF THESE ZIP CODES IS 61.6% BLACK, 16.5% HISPANIC, 15.7% WHITE AND 6.3% ASIAN, OUR PATIENT POPULATION IS PREDOMINANT LOW-INCOME BLACK AND HISPANIC, WITH BROAD ETHNIC AND IMMIGRANT DIVERSITY. ALL THREE OBHS HOSPITALS ARE CONSIDERED "SAFETY-NET" HOSPITALS BECAUSE APPROXIMATELY 80% OF OUR PATIENTS QUALIFY FOR AND UTILIZE GOVERNMENT HEALTH INSURANCE. WE SEE STARK REALITIES OF RACIAL AND ECONOMIC INJUSTICE IN THE COMMUNITIES WE SERVE, AS MANIFESTED IN THE OVERWHELMING HEALTH DISPARITIES. BEYOND HEALTHCARE, OBHS HOSPITALS SERVE AS ANCHOR INSTITUTIONS AND ECONOMIC DRIVERS IN THEIR RESPECTIVE COMMUNITIES; APPROXIMATELY 50% OF THE OBHS WORKFORCE IS COMPRISED OF RESIDENTS FROM THE COMMUNITIES SERVED. WE RECOGNIZE THAT IN ORDER TO REMAIN A VIABLE HEALTHCARE PROVIDER AND LEAD ON EFFORTS TO ACHIEVE HEALTH AND ECONOMIC EQUITY, WE MUST OPTIMIZE OUR POSITION AS AN ANCHOR INSTITUTION TO EFFECT SYSTEMIC, SUSTAINABLE CHANGE. TO DO SO, WE ARE COMMITTED TO BROADENING OUR SCOPE OF SERVICE BEYOND THE CLINICAL TREATMENT OF PATIENTS, TO WORK HAND IN HAND WITH KEY COMMUNITY STAKEHOLDERS, TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH WHICH IMPACT THE COMMUNITIES WE SERVE. WE ARE COMMITTED TO KEEPING HEALTH AND ECONOMIC EQUITY IN THE FOREFRONT OF OBHS LEADERSHIP DECISION-MAKING AND PROGRAM DEVELOPMENT. PART VI, LINE 5: OBH IS A NETWORK OF "SAFETY NET" HOSPITALS, AS DEFINED BY NEW YORK STATE (AT LEAST 30% OF ITS INPATIENT DISCHARGES AND 35% OF ITS OUTPATIENT VISITS ARE MEDICAID-ELIGIBLE INDIVIDUALS, UNINSURED INDIVIDUALS OR MEDICAID DUAL-ELIGIBLE INDIVIDUALS). OUR CENTRAL GOAL IS TO PROMOTE THE HEALTH OF THE POOR COMMUNITIES THAT IT SERVES, AND AS SUCH, ALL OF OUR RESOURCES, FROM MEDICAL STAFF TO FUNDS GENERATED THROUGH SERVICE OR ANY OTHER SOURCES, ARE LEVERAGED TO IMPROVE THE HEALTH OF OUR CONSTITUENCY. OUR SENIOR LEADERSHIP ALLOCATES RESOURCES TO OPTIMIZE SERVICE TO PATIENTS. FOR EXAMPLE, IN 2020, AS GROUND ZERO FOR THE COVID 10 PANDEMIC, OUR HOSPITALS HAD TO REORIENT ENTIRE OPERATIONS TO SERVE THE OVERWHELMING NUMBER OF COVID PATIENTS THAT NEEDED IMMEDIATE CARE. AS ANOTHER EXAMPLE, IN 2018, WE WERE GRANTED $664 MILLION TO IMPROVE THE CAPITAL INFRASTRUCTURE OF OUR HOSPITALS, TO BRING MORE INNOVATIVE AND CUTTING-EDGE CARE TO PATIENTS. WE HAVE A ROBUST COMMUNITY OUTREACH AND ENGAGEMENT AGENDA. HOSPITAL COMMUNITY ADVISORY BOARDS ARE CHARGED WITH ENSURING THAT THE VOICE OF THE COMMUNITY IS REPRESENTED IN DECISION-MAKING PROCESS. EXTERNAL AFFAIRS DEPARTMENT STAFF WORK WITH COMMUNITY LEADERS, CBOS AND ELECTED OFFICIALS TO ACCESS THE COMMUNITY AND ENSURE THAT ALL MAJOR STAKEHOLDERS REMAIN ENGAGED AND CONTRIBUTE TO OUR ROLE AS A LEADING HEALTHCARE PROVIDER IN EAST AND CENTRAL BROOKLYN. THE EXTERNAL AFFAIRS STAFF WORK WITH DEPARTMENTS ACROSS OBH TO COORDINATE HEALTH EDUCATION FAIRS, WELLNESS EVENTS, YOUTH INITIATIVES, AND A HOST OF ACTIVITIES THAT ARE DESIGNED TO DISSEMINATE HEALTH INFORMATION, INFORM THE COMMUNITY ABOUT TREATMENT AND CARE OPTIONS, AND OVERALL, IMPROVE HEALTH AND EMPOWER THE COMMUNITIES SERVED. PART VI, LINE 6: AS MENTIONED EARLIER (PART V QUESTION #5), AT THE RECOMMENDATION OF THE NEW YORK STATE DEPARTMENT OF HEALTH IN 2018, THREE SAFETY-NET HOSPITALS (INTERFAITH MEDICAL CENTER (IMC) AND KINGSBROOK JEWISH MEDICAL CENTER (KHMC)) JOINED TOGETHER TO OPERATE UNDER A NEW PARENT ORGANIZATION ONE BROOKLYN HEALTH SYSTEM ("OBH"). LEGALLY, EACH OF THE THREE HOSPITALS ARE NOW CONSIDERED AN "AFFILIATE" OF OBH. THIS AFFILIATION IS INTENDED TO ENSURE THAT ALL THREE HOSPITALS GET BACK TO FISCAL STABILITY AND SUSTAINABILITY, TO CONTINUE PROVIDING HEALTHCARE TO THEIR PREDOMINANTLY LOW-INCOME PATIENT POPULATION. THE CREATION OF OBH IS INTENDED TO STRENGTHEN THE CAPACITY OF A FRAIL HEALTHCARE NETWORK TO PROVIDE CARE FOR THE MOST VULNERABLE BROOKLYN RESIDENTS. WE ARE ENHANCING COALITIONS OF COMMUNITY STAKEHOLDERS TO HELP US LEVERAGE RESOURCES AND HEALTHCARE INNOVATIONS THAT WILL IMPROVE HEALTHCARE DELIVERY. IN 2018, OBH RECEIVED A $664 MILLION CAPITAL GRANT FROM NEW YORK STATE TO IMPROVE THE CAPITAL INFRASTRUCTURE OF BROOKDALE AND THE TWO OTHER AFFILIATE HOSPITALS. FUNDS ARE BEING USED TO PURCHASE MORE TECHNOLOGICALLY ADVANCED EQUIPMENT, RENOVATE AND BUILD NEW FACILITIES THAT WILL SUPPORT BETTER HEALTHCARE DELIVERY. PART VI, LINE 7, REPORTS FILED WITH STATES NY VI, LINE 2, ASSESSMENT OF COMMUNITY HEALTH NEEDS CONTINUED: THE CHNA THAT OBH CONDUCTED IN 2019 WAS COMPREHENSIVE AND PROVIDED IMPORTANT INPUT DIRECTLY FROM OUR SERVICE AREAS. OBH RECOGNIZES THAT AS A FINANCIALLY DISTRESSED NONPROFIT HOSPITAL SYSTEM, IT IS IMPERATIVE TO TRACK THE HEALTHCARE NEEDS OF OUR PATIENT POPULATION, TO ALLOCATE RESOURCES EFFICIENTLY AND STRATEGICALLY. IN ADDITION TO THE CHNA, HEALTHCARE NEEDS ARE TYPICALLY ASSESSED ON A PERIODIC BASIS BY MEDICAL STAFF FOR EVERY DEPARTMENT AND SENIOR LEADERSHIP. PATIENT HEALTHCARE DATA IS COLLECTED THROUGH EPIC, OUR ELECTRONIC MEDICAL RECORDS SYSTEM, ON AN ONGOING BASIS. DATA ANALYSES ARE SUPPLEMENTED BY THOSE CONDUCTED BY THE NEW YORK CITY DEPARTMENT OF HEALTH, THE NEW YORK STATE DEPARTMENT OF HEALTH, THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, AND OTHER EXTERNAL ORGANIZATIONS. FURTHER, STAFF PARTICIPATION IN POPULATION HEALTH DIALOGUES (BOTH GENERAL AND DISEASE-SPECIFIC) AT LOCAL AND NATIONAL FORUMS, AND OTHER COMMUNITY EVENTS HELD BY LOCAL CHURCHES AND LOCAL COMMUNITY-BASED ORGANIZATIONS, PROVIDES AN UNDERSTANDING OF THE CRITICAL NEEDS OF THE COMMUNITIES WE SERVE. KINDLY REFERENCE THE CHNA ATTACHED TO THIS NARRATIVE, TO GET A FULL PICTURE OF HEALTHCARE NEEDS ASSESSMENT ACROSS OBH SERVICE AREAS. X X 0 0 0 0 0 0 0 0 0 LARAY BROWN PRESIDENT AND CEO 1209000 0 0 0 0 0 0 0 0 0 1209000 0 0 0 WILLIAM WIRCHANSKY DIRECTOR OF NEUROSURGERY 832018 0 0 0 0 0 0 0 49882 0 881900 0 0 0 DOMINICK STANZIONE PRESIDENT AND CEO - UNTIL 07.02.21 840410 0 0 0 3810 0 0 0 13965 0 858185 0 0 0 LUCIO FLORIS MD CHIEF OF VASCULAR SURGERY 744201 0 0 0 2506 0 0 0 36944 0 783651 0 0 0 CYRUS O MCCALLA DIRECTOR, OBS/GYN 662890 0 0 0 3564 0 0 0 51886 0 718340 0 0 0 BORIS HRISTOV PHYSICIAN 664851 0 0 0 0 0 0 0 49814 0 714665 0 0 0 THEODORE HUFFORD PHYSICIAN 709845 0 0 0 0 0 0 0 1560 0 711405 0 0 0 DR DAVID ROSE CHIEF MEDICAL OFFICER 627530 0 0 0 6180 0 0 0 41146 0 674856 0 0 0 ROBERT PALERMO CHIEF FINANCIAL OFFICER 607490 0 0 0 2322 0 0 0 42645 0 652457 0 0 0 JULIE MIRKIN CHIEF NURSING OFFICER 398517 0 0 0 2740 0 0 0 43896 0 445153 0 0 0 REGINALD BULLOCK ASSISTANT SECRETARY 394590 0 0 0 1935 0 0 0 35469 0 431994 0 0 0 GENEVIEVE SORENSEN VICE PRESIDENT 0 360719 0 0 0 6858 0 0 0 17465 0 385042 0 0 FORM 990, PART VI, SECTION A, LINE 6 ONE BROOKLYN HEALTH SYSTEM, INC., A NEW YORK NOT-FOR-PROFIT ORGANIZATION, IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A ONE BROOKLYN HEALTH SYSTEM, INC., AS SOLE MEMBER OF THE ORGANIZATION, HAS THE AUTHORITY TO APPOINT AND REMOVE THE TRUSTEES OF THE ORGANIZATION, AND OTHER AUTHORITIES AS DEFINED IN THE BYLAWS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 AND APPROPRIATE SCHEDULES, AS REQUIRED, IS PREPARED BY OUTSIDE ACCOUNTANTS AND REVIEWED INTERNALLY BY MANAGEMENT AND COUNSEL, AT WHICH TIME IT IS CONSIDERED THE FINAL DRAFT. THE FINAL DRAFT OF THE FORM 990 IS MADE AVAILABLE TO THE BOARD PRIOR TO IT BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C DISCLOSURE IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY BY EMPLOYEES AND BOARD MEMBERS THAT SATISIFY THE CRITERIA TO BE CONSIDERED "INTERESTED PERSONS' IS SUBMITTED UPON HIRING AND ANNUALLY THEREAFTER. THE AUDIT AND COMPLIANCE COMITTEE REVIEWS THE SUBMISSIONS FOR CONFLICTS AND THE OFFICE OF THE COMPLIANCE OFFICER MANAGES THE PROCESS. FORM 990, PART VI, SECTION B, LINE 15 THE HOSPITAL'S BYLAWS PROHIBIT TRUSTEES FROM RECEIVING ANY COMPENSATION FOR SERVICES PERFORMED IN THEIR CAPACITY AS A TRUSTEE. ALSO PURSUANT TO THE HOSPITAL'S BYLAWS A TRUSTEE SERVING IN ANOTHER CAPACITY MAY RECEIVE REASONABLE COMPENSATION, THEREFORE, AS AUTHORIZED BY THE BOARD OF TRUSTEES. IT IS THE HOSPITAL'S PRACTICE TO TARGET TOTAL EXECUTIVE COMPENSATION (BASE SALARY, INCENTIVE COMPENSATION AND BENEFITS) AS THE MEDIAN OF THE RELEVANT MARKETPLACE FOR SIMILARLY SITUATED EXECUTIVES, WITH APPROPRIATE ADJUSTMENTS FOR SPECIAL SKILL, EXPERIENCE, COMPETENCE, AND PERFORMANCE. THE BOARD OF TRUSTEES HAS AN EXECUTIVE COMPENSATION COMMITTEE THAT REVIEWED THE COMPENSATION OF CERTAIN OFFICERS IN 2017. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE AVAILABLE UPON REQUEST. AMBOY PROPERTIES CORPORATION 101-01 AVENUE D BROOKLYN NY 11236 112814707 PARKING GARAGE NY 501(C)(3) LINE 12A, I ONE BROOKLYN HEALTH SYSTEM INC 0 BROOKDALE FAMILY CARE CENTERS INC 101-01 AVENUE D BROOKLYN NY 11236 113237483 HEALTHCARE NY 501(C)(3) LINE 3 ONE BROOKLYN HEALTH SYSTEM INC 0 LINROC COMMUNITY SERVICE CORPORATION 101-01 AVENUE D BROOKLYN NY 11236 112814765 SUPPORT ORG NY 501(C)(3) LINE 12A, I ONE BROOKLYN HEALTH SYSTEM INC 0 ROCKREAL CORPORATION 101-01 AVENUE D BROOKLYN NY 11236 112814705 SUPPORT ORG NY 501(C)(3) LINE 12A, I ONE BROOKLYN HEALTH SYSTEM INC 0 SAMUEL AND BERTHA SCHULMAN INSTITUTE FUND INC 101-01 AVENUE D BROOKLYN NY 11236 237270262 HEALTHCARE NY 501(C)(3) LINE 12A, I THE SCHULMAN AND SCHACHNE INSTITUTE FOR NURSING AND REHABILITATIONINC 0 BROOKLYN RESIDENCE HOUSING DEVELOPMENT 101-01 AVENUE D BROOKLYN NY 11236 113324040 HOUSING NY 501(C)(3) LINE 10 ONE BROOKLYN HEALTH SYSTEM INC 0 THE SCHULMAN & SCHACHNE INSTITUTE FOR NURSING AND REHABILITATION INC 101-01 AVENUE D BROOKLYN NY 11236 237085986 HEALTHCARE NY 501(C)(3) LINE 3 ONE BROOKLYN HEALTH SYSTEM INC 0 URBAN STRATEGIES 101-01 AVENUE D BROOKLYN NY 11236 113237480 HEALTHCARE NY 501(C)(3) LINE 3 ONE BROOKLYN HEALTH SYSTEM INC 0 BROOKDALE HEALTH SYSTEM INC ONE BROOKDALE PLAZA BROOKLYN NY 11212 460797064 SUPPORT ORG NY 501(C)(3) LINE 3 N/A 0 KINGSBROOK JEWISH MEDICAL CENTER 585 SCHENECTADY AVENUE BROOKLYN NY 11203 111631759 HEALTHCARE NY 501(C)(3) LINE 3 ONE BROOKLYN HEALTH SYSTEM INC 0 RUTLAND NURSING HOME 585 SCHENECTADY AVENUE BROOKLYN NY 11203 112164674 HEALTHCARE NY 501(C)(3) LINE 10 ONE BROOKLYN HEALTH SYSTEM INC 0 INTERFAITH MEDICAL CENTER INC 1545 ATLANTIC AVENUE BROOKLYN NY 11213 112626155 HEALTHCARE NY 501(C)(3) LINE 3 ONE BROOKLYN HEALTH SYSTEM INC 0 ONE BROOKLYN HEALTH SYSTEM INC ONE BROOKDALE PLAZA BROOKLYN NY 11212 815323275 SUPPORT ORG NY 501(C)(3) LINE 7 N/A 0 KINGSBROOK JEWISH MEDICAL AUXILIARIES 585 SCHENECTADY AVENUE BROOKLYN NY 11203 113016121 SUPPORT ORG NY 501(C)(3) LINE 12A, I KINGSBROOK JEWISH MEDICAL CENTER INC 0 KINGSBROOK HEALTHCARE SYSTEM INC 585 SCHENECTADY AVENUE BROOKLYN NY 11203 030464734 SUPPORT ORG NY 501(C)(3) LINE 12A, I ONE BROOKLYN HEALTH SYSTEM INC 0 KINGSBROOK HEALTHCARE FOUNDATION INC 585 SCHENECTADY AVENUE BROOKLYN NY 11203 112845058 SUPPORT ORG NY 501(C)(3) LINE 12A, I ONE BROOKLYN HEALTH SYSTEM INC 0 NHP HOLDINGS LLC 521 FIFTH AVE NEW YORK NY 10175 203418837 HOLDING COMPANY NY N/A 0 1 BHMC ENTERPRISES 101-01 AVENUE D BROOKLYN NY 11236 112855200 LEASEHOLDER OF MEDICAL OFFICE BUILDING (INACTIVE) NY N/A C 0 BROOKDALE RX 101-01 AVENUE D BROOKLYN NY 11236 202041821 RETAIL PHARMACY NY N/A C 0 LCSC HOLDINGS 101-01 AVENUE D BROOKLYN NY 11236 113357198 HOLDING COMPANY NY N/A C 0 INTERFAITH EMERGENCY MEDICINE PC 1545 ATLANTIC AVENUE BROOKLYN NY 11213 452480633 PHYSICIAN BILLING NY N/A C 0 INTERFAITH PROFESSIONAL PHYSICIAN SVC PC 1545 ATLANTIC AVENUE BROOKLYN NY 11213 451861648 PHYSICIAN BILLING NY N/A C 0 INTERFAITH PSYCHIATRY SERVICES PC 1545 ATLANTIC AVENUE BROOKLYN NY 11213 274297404 PHYSICIAN BILLING NY N/A C 0 SMILE BROOKLYN DENTAL PC 1545 ATLANTIC AVENUE BROOKLYN NY 11213 474320438 PHYSICIAN BILLING NY N/A C 0 KSI INC 585 SCHENECTADY AVENUE BROOKLYN NY 11203 562327654 INACTIVE NY N/A C 0 SINGULAB INC 585 SCHENECTADY AVENUE BROOKLYN NY 11203 562327669 INACTIVE DE N/A C 0 ATM NURSE REGISTRY 585 SCHENECTADY AVENUE BROOKLYN NY 11203 562327649 INACTIVE NY N/A C 0 KINGSBROOK LTACH INC 585 SCHENECTADY AVENUE BROOKLYN NY 11203 800712226 INACTIVE NY N/A C 0 KINGSBROOK MEDICAL ASSOCIATES PC 585 SCHENECTADY AVENUE BROOKLYN NY 11203 452351859 BILLING & COLLECTION NY N/A C 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1