2022-11-15T17:04:39-06:00 2021-12-31 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2021-01-01 111630755 THE BROOKLYN HOSPITAL CENTER BROO 7182506755 121 DEKALB AVENUE BROOKLYN NY 11201 GARY TERRINONI CFO 7182506755 2022-11-15 1 GARY TERRINONI XXX-XX-XXXX KERRI N BOGDA CPA P00760402 7177404863 2022-11-15 X 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z SHARON WICKES 121 DEKALB AVENUE BROOKLYN NY 11201 420525184 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 20 2906 50 0 0 56995781 25684865 312006333 376044328 1595327 1184328 30764135 10692004 401361576 413605525 0 0 0 0 267065096 261740670 0 0 183461 161684088 163773539 428749184 425514209 -27387608 -11908684 570553612 589719183 271028471 301056510 299525141 288662673 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 364629988 0 376044328 THE OPERATION OF A 464-BED INPATIENT HOSPITAL WITH APPROXIMATELY 13,100 DISCHARGES AND 67,100 PATIENT DAYS AS WELL AS THE OPERATION OF OUTPATIENT CLINICS THAT HAD APPROXIMATELY 218,700 VISITS DURING 2021. THE HOSPITAL ALSO OPERATED AN EMERGENCY ROOM WITH APPROXIMATELY 45,900 VISITS. 364629988 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 1 106 0 2906 1 0 0 0 0 0 0 0 0 0 0 1 0 X 21 20 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 FINANCE CAO 7182506755 121 DEKALB AVENUE BROOKLYN NY 11201 GARY TERRINONI PRESIDENT & CEO 50.00 10.00 X X 2588310 0 9675 CARLOS P NAUDON IMMEDIATE PAST CHAIR 4.00 3.00 X 0 0 0 ANNE ELIZABETH FONTAINE CHAIRMAN 4.00 3.00 X X 0 0 0 MARIA FIORINI RAMIREZ VICE CHAIR 4.00 3.00 X X 0 0 0 SUSAN E SKERRITT VICE CHAIR 4.00 3.00 X X 0 0 0 J BARCLAY COLLINS II SECRETARY 4.00 3.00 X X 0 0 0 OLAMIDE AJIBESIN TRUSTEE 4.00 3.00 X 0 0 0 WANYONG LAI AUSTIN TRUSTEE 4.00 3.00 X 0 0 0 ADRINA BANKS-MARTIN TRUSTEE 4.00 3.00 X 0 0 0 MARTHA BAKOS DIETZ TRUSTEE 4.00 3.00 X 0 0 0 BERNARD DRAYTON TRUSTEE 4.00 3.00 X 0 0 0 ALIREZA ESMAELIZADEH TRUSTEE 4.00 3.00 X 0 0 0 CATHY ISELIN TRUSTEE 4.00 3.00 X 0 0 0 JOEL LEITNER TRUSTEE 4.00 3.00 X 0 0 0 DEIRDRE QUINN TRUSTEE 4.00 3.00 X 0 0 0 DAVID SCHWARZ TRUSTEE 4.00 3.00 X 0 0 0 KATE STURGESS TRUSTEE 4.00 3.00 X 0 0 0 DINO VERONESE TRUSTEE 4.00 3.00 X 0 0 0 EARL D WEINER TRUSTEE 4.00 3.00 X 0 0 0 JESSIE MCCLINTOCK KELLY TRUSTEE 4.00 3.00 X 0 0 0 KEITH LEONARD KINCH TRUSTEE 4.00 3.00 X 0 0 0 JOHN WALSH CAO 57.00 3.00 X 300000 0 9275 SHARON WICKES CFO 57.00 3.00 X 295000 0 5399 JAMES GASPERINO CHF OF SVC MEDICINE 60.00 X 682654 0 3830 PRATIBHA VEMULAPALLI MD CHAIR, DEPT OF SURGERY 57.00 3.00 X 710000 0 9638 VASANTHA KONDAMUDI MD EVP, CHIEF MEDICAL OFFICER 50.00 10.00 X 635000 0 2900 ROBERT AULICINO SVP & COO 57.00 3.00 X 500000 0 2900 ARMAND ASARIAN MD FACS CHIEF ACADEMIC OFFICER 40.00 X 450000 0 11834 STACY FRIEDMAN ESQ SR VP & GENERAL COUNSEL 57.00 3.00 X 408532 0 11834 GAETANO MENNONNA SR VP HUMAN RESOURCES 57.00 3.00 X 373000 0 11834 JUDY MCLAUGHLIN SR VP & CNO 57.00 3.00 X 389346 0 4716 SAM J AMIRFAR MD CHIEF MEDICAL INFO OFF & CIO 57.00 3.00 X 373000 0 11559 LENUE H SINGLETARY III SVP, EXT. AFRS., STRTG, & MKT 57.00 3.00 X 348000 0 5818 DONNA THOMAS VP AUDIT & COMPLIANCE 57.00 3.00 X 245000 0 4241 J ANDERS COHEN MD PHYSICIAN 60.00 X 964641 0 11834 SARATH REDDY MD PHYSICIAN 40.00 X 700000 0 2900 JOSEPH FETTO MD PHYSICIAN 40.00 X 625000 0 11834 MICHAEL MORETTI MD PHYSICIAN 40.00 X 608000 0 10415 MOSHE FUKSBRUMER MD PHYSICIAN 40.00 X 550000 0 11834 11745483 0 154270 634 0 1 0 LF DRISCOLL COMPANY LLC 401 CITY AVENUE SUITE 500 BALA CYNWYD PA 19004 CONSTRUCTION SERVICES 8861405 NORTH SHORE HEMATOLOGY 86 FLEET PLACE BROOKLYN NY 11201 MEDICAL SERVICES 3190980 ALLSCRIPTS HEALTHCARE LLC 222 MERCHANDISE MART PLAZE SUITE 2 CHICAGO IL 60655 IT HOSTING SERVICES 2847359 MEDICAL MANAGEMENT RESOURCES 5000 BRITTONFIELD PARKWAY SUITE 50 EAST SYRACUSE NY 13057 CREDENTIALING SERVICE 2710267 METZ CULINARY MANAGEMENT 2 WOODLAND DRIVE DALLAS PA 18612 FOOD SERVICE 2569855 153 1360785 23297736 1026344 25684865 NET PATIENT SERVICE REVENUE 621300 360261307 360261307 CONTRACT PHARMACY 446110 8589492 8589492 RESIDENT ROTATIONS 621300 7193529 7193529 376044328 702494 702494 2743623 1709127 1034496 1034496 1034496 5692366 5210532 481834 481834 481834 EQUITY INVESTMENT IN LLC 900099 7078549 7078549 DELIVERY SYSTEM REFORM INCENTIVE 900099 1780000 1780000 CAFETERIA SALES 900099 798959 798959 9657508 413605525 376044328 0 11876332 8674479 7325817 1346746 1916 187684606 158504269 29138734 41603 13689196 11561610 2125310 2276 40289670 34027819 6255155 6696 11402719 9630499 1770324 1896 2056226 2056226 474594 474594 79400 79400 31141020 25608003 5479862 53155 362473 298070 63784 619 23854603 19442533 4371715 40355 13118114 10787339 2308385 22390 691903 568968 121754 1181 35778 29421 6296 61 2426483 2050127 376356 12225516 10370325 1855191 15829085 14183232 1645853 MEDICAL SUPPLIES 54850301 54791567 58734 REPAIRS & MAINTENANCE 6331541 5206577 1114157 10807 RECRUITMENT 296502 243812 52184 506 425514209 364629988 60700760 183461 24382706 6550866 16532103 108085 1869084 1630418 28257357 41650414 6345627 5623281 4607747 4524128 468301491 342896372 118092099 125405119 21676928 24037121 330611 330611 348459350 379859140 570553612 589719183 82952491 105401680 15931088 13249822 4566223 26752270 167578669 155652738 271028471 301056510 X 285285345 272415058 14239796 16247615 299525141 288662673 570553612 589719183 -11908684 1046216 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 79400 79400 0 PART II-B, LINE 1: THE BROOKLYN HOSPITAL CENTER PAYS DUES TO HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS) AND GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA). IN ACCORDANCE WITH CODE SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY HANYS AND GNYHA, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE LOBBYING ACTIVITIES APPLICABLE TO 2021 HANYS AND GNYHA ANNUAL DUES WERE $16,700 AND $62,700, RESPECTIVELY. 14239795 2007820 16247615 12248782 472146 1518867 14239795 10239245 2009537 12248782 10754106 -514861 10239245 5762781 4047583 943742 10754106 0.00000 0.44000 0.56000 0 0 719344 719344 111361267 90477228 20884039 100323195 22809823 77513372 249281212 229609321 19671891 6616473 6616473 125405119 DUE FROM THIRD-PARTY PAYORS 22634454 DUE FROM AFFILIATES 162553686 HEALTHFIRST LLC INVESTMENT 28717314 HEALTHFIRST MHI 21254022 HEALTHFIRST PHSP 27933390 OTHER RECEIVABLES 2652163 PROF. INSURANCE RECEIVABLES 48760000 CAPTIVE INSURANCE 106963 RIGHT-OF-USE OPERATING LEASES 65192096 GPA HOLDING INVESTMENT 55052 379859140 DUE TO THIRD-PARTY PAYORS 6258102 LEASE FROM VARIOUS VENDORS 84628 OTHER NONCURRENT LIABILITIES 3699782 PROFESSIONAL INSURANCE LIABILITIES 48760000 RIGHT-OF-USE OPERATING LEASE OBILIGATIONS 69652386 MEDICARE ADVANCES 27197840 155652738 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 0 0 INVESTMENTS CAPTIVE INSURANCE CO. 2597235 0 0 0 0 0 0 2597235 0 2597235 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 11867967 12248713 0 0.00000 135290881 94825706 40465175 0.09510 147158848 107074419 40465175 0.09510 55095957 27726891 27369066 0.06430 13942800 6568929 7373871 0.01730 69038757 34295820 34742937 0.08160 216197605 141370239 75208112 0.17670 1 8990424 1878288 124338001 89093307 35244694 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 19 1 0 0 1 X WWW.TBH.ORG X 1 19 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: A KEY INFORMANT SURVEY WAS PERFORMED WITH 14 COMMUNITY REPRESENTATIVES TO SOLICIT FEEDBACK ON COMMUNITY HEALTH PRIORITIES, UNDERSERVED POPULATIONS, AND PARTNERSHIP OPPORTUNITIES. THE COMMUNITIY HEALTH NEEDS ASSESSMENT WAS GUIDED BY THE BROOKLYN HOSPITAL CENTER'S ("TBHC") 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. THE BROOKLYN HOSPITAL CENTER PART V, SECTION B, LINE 11: TBHC HAS IDENTIFIED THE FOLLOWING PRIORITIES TO BE ADDRESSED DURING THE NEXT THREE-YEAR CYCLE. THE PRIORITIES ARE ALIGNED WITH THE NEW YORK STATE PREVENTION AGENDA: PRIORITY AREA #1: PREVENT CHRONIC DISEASES FOCUS AREA: PREVENTIVE CARE AND MANAGEMENT PRIORITY AREA #2: PREVENT COMMUNICABLE DISEASES FOCUS AREA #1: HUMAN IMMUNODEFICIENCY VIRUS (HIV) FOCUS AREA #2: HEPATITIS C VIRUS (HCV)PRIORITY AREA #1: PREVENT CHRONIC DISEASETBHC'S GOALS FOR THIS PRIORITY AREA ARE TO (1) PROMOTE THE USE OF EVIDENCE-BASED CARE TO MANAGE CHRONIC DISEASES, WITH A FOCUS ON CONGESTIVE HEART FAILURE (CHF) AND DIABETES, AND (2) INCREASE PROTECTIVE FACTORS AGAINST TRAUMA AND SUPPORT A TRAUMA-FREE COMMUNITY TO IMPROVE RESIDENT HEALTH OUTCOMES. INTERVENTIONS AND STRATEGIES ASSOCIATED WITH THIS PRIORITY AREA ARE AS FOLLOWS:- PROVIDE THE BROOKLYN HEART CENTER, INCLUDING A HEART FAILURE PROGRAM, IN PARTNERSHIP WITH MOUNT SINAI HEART. THE CENTER IS CENTRALLY LOCATED TO RESIDENTS OF DOWNTOWN AND NORTH CENTRAL BROOKLYN, WHERE THE MAJORITY OF RESIDENTS ARE INSURED BY MEDICAID AND THERE IS GREATER NEED FOR CARDIAC TREATMENT.- PROVIDE THE CARDIOMEMS PROGRAM FOR HIGH-RISK PATIENTS WITH CHF TO BETTER MONITOR AND MANAGE THEIR CONDITION.- IMPLEMENT A MULTI-DISCIPLINARY TEAM APPROACH TO DIABETES CARE AND MANAGEMENT, INCLUDING ENDOCRINOLOGY, PRIMARY CARE, NUTRITION, PHARMACY, AND PSYCHIATRY PROVIDERS.- PROVIDE DIABETES CLASSES, INCLUDING EDUCATION, NUTRITION, AND SUPPORT, TO IMPROVE DIABETES MANAGEMENT AMONG PATIENTS.- PROVIDE COMMUNITY EDUCATION AND OUTREACH THAT PROMOTES CHRONIC DISEASE PREVENTION.- PROVIDE RUBICOM, AN APP-BASED E-PHYSICIAN SPECIALIST CONSULT SERVICE, TO INCREASE ACCESS TO SPECIALTY PROVIDERS.- EXPLORE PARTNERSHIP OPPORTUNITIES WITH THE CENTER FOR HEALTH EQUITY'S NEIGHBORHOOD HEALTH ACTION CENTER IN BROWNSVILLE TO PROVIDE SOCIAL SERVICE REFERRALS AND HEALTH AND WELLNESS CLASSES TO ADVANCE PATIENT HEALTH OUTCOMES.- EXPLORE PARTNERSHIP OPPORTUNITIES WITH THE MOUNT SINAI PERFORMING PROVIDER SYSTEM TO PROVIDE CHRONIC DISEASE MANAGEMENT PROGRAMS TO TBHC PATIENTS (E.G. COMMUNITY PARAMEDICINE, CITY HEALTH WORKS).- PROVIDE THE WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM TO IMPROVE HEALTHY LIFESTYLES AND NUTRITIONAL INTAKE AMONG AT-RISK WOMEN AND CHILDREN.- EXPLORE NEW STRATEGIES, PARTNERSHIPS, AND FUNDING OPPORTUNITIES TO PROVIDE EVIDENCE-BASED PREVENTION PROGRAMS TARGETING CHILD AND FAMILY TRAUMA.PRIORITY AREA #2: PREVENT COMMUNICABLE DISEASES (FOCUS AREA #1: HUMAN IMMUNODEFICIENCY VIRUS (HIV))TBHC'S GOALS FOR THIS FOCUS AREA ARE TO (1) DECREASE HIV MORBIDITY (NEW HIV DIAGNOSES) AND IMPROVE OUTCOMES FOR PATIENTS LIVING WITH HIV AND (2) INCREASE VIRAL SUPPRESSION. INTERVENTIONS AND STRATEGIES ASSOCIATED WITH THIS FOCUS AREA ARE AS FOLLOWS:- HOST MONTHLY MEETINGS BETWEEN PATH CENTER STAFF AND OB-GYN PROVIDERS TO IDENTIFY AND ADDRESS THE NEEDS OF PREGNANT HIV POSITIVE WOMEN.- PROVIDE A WARM HANDOFF PROGRAM IN PARTNERSHIP WITH HIV CARE COORDINATORS AND PATIENT NAVIGATORS TO IMPROVE PATIENT MEDICATION AND APPOINTMENT ADHERENCE AND TO PROVIDE EDUCATION AND CARE MANAGEMENT.- PROVIDE HIGH-INTENSITY CASE MANAGEMENT SERVICES, INCLUDING ACCOMPANIMENT TO MEDICAL AND SOCIAL SERVICES, REMINDER CALLS AND SCHEDULING, AND DAILY OBSERVED THERAPY, FOR HIGH-RISK PATIENTS.- PARTNER WITH TBHC EMERGENCY DEPARTMENT STAFF TO REFER PATIENTS SEEN FOR REPEAT HIV TESTING OR STI TREATMENT TO THE PATH CENTERS FOR PREP SERVICES.- PROVIDE COMMUNITY EDUCATION AND OUTREACH THAT PROMOTES HIV PREVENTION AND SCREENING.- CONNECT PATIENTS WITH SUPPORTIVE HEALTH AND SOCIAL SERVICES TO IMPROVE HEALTH OUTCOMES, INCLUDING MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT, DIETARY SERVICES, AND COLONOSCOPY SCREENINGS.PRIORITY AREA #2: PREVENT COMMUNICABLE DISEASES (FOCUS AREA #2: HEPATITIS C VIRUS (HCV))TBHC'S GOAL FOR THIS FOCUS AREA IS TO INCREASE THE NUMBER OF PEOPLE TREATED FOR HCV. INTERVENTIONS AND STRATEGIES ASSOCIATED WITH THIS FOCUS AREA ARE AS FOLLOWS:- PARTNER WITH THE MOUNT SINAI PERFORMING PROVIDER SYSTEM TO PROVIDE FREE, POINT-OF-CARE HCV TESTING FOR PATIENTS.- PARTNER WITH THE MOUNT SINAI PERFORMING PROVIDER SYSTEM TO PROVIDE FREE, POINT-OF-CARE HCV TESTING AMONG PATIENTS.- PROVIDE COMMUNITY EDUCATION AND OUTREACH THAT PROMOTES HCV PREVENTION AND SCREENING. 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 $21,900,000 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 15 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, DESPITE 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 1270000 0 187500 0 1130810 0 2900 0 6775 0 2597985 0 1130810 0 J ANDERS COHEN MD PHYSICIAN 535359 0 429282 0 0 0 2900 0 8934 0 976475 0 0 0 PRATIBHA VEMULAPALLI MD CHAIR, DEPT OF SURGERY 610000 0 100000 0 0 0 0 0 9638 0 719638 0 0 0 SARATH REDDY MD PHYSICIAN 650000 0 50000 0 0 0 2900 0 0 0 702900 0 0 0 JAMES GASPERINO CHF OF SVC MEDICINE 607654 0 75000 0 0 0 0 0 3830 0 686484 0 0 0 VASANTHA KONDAMUDI MD EVP, CHIEF MEDICAL OFFICER 550000 0 85000 0 0 0 2900 0 0 0 637900 0 0 0 JOSEPH FETTO MD PHYSICIAN 550000 0 75000 0 0 0 2900 0 8934 0 636834 0 0 0 MICHAEL MORETTI MD PHYSICIAN 550000 0 58000 0 0 0 1481 0 8934 0 618415 0 0 0 MOSHE FUKSBRUMER MD PHYSICIAN 500000 0 50000 0 0 0 2900 0 8934 0 561834 0 0 0 ROBERT AULICINO SVP & COO 425000 0 75000 0 0 0 2900 0 0 0 502900 0 0 0 ARMAND ASARIAN MD FACS CHIEF ACADEMIC OFFICER 450000 0 0 0 0 0 2900 0 8934 0 461834 0 0 0 STACY FRIEDMAN ESQ SR VP & GENERAL COUNSEL 358532 0 50000 0 0 0 2900 0 8934 0 420366 0 0 0 JUDY MCLAUGHLIN SR VP & CNO 341346 0 48000 0 0 0 1798 0 2918 0 394062 0 0 0 GAETANO MENNONNA SR VP HUMAN RESOURCES 325000 0 48000 0 0 0 2900 0 8934 0 384834 0 0 0 SAM J AMIRFAR MD CHIEF MEDICAL INFO OFF & CIO 325000 0 48000 0 0 0 2625 0 8934 0 384559 0 0 0 LENUE H SINGLETARY III SVP, EXT. AFRS., STRTG, & MKT 300000 0 48000 0 0 0 2900 0 2918 0 353818 0 0 0 JOHN WALSH CAO 265000 0 35000 0 0 0 2650 0 6625 0 309275 0 0 0 SHARON WICKES CFO 255000 0 40000 0 0 0 1569 0 3830 0 300399 0 0 0 DONNA THOMAS VP AUDIT & COMPLIANCE 215000 0 30000 0 0 0 1323 0 2918 0 249241 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 A DISTRIBUTION IN THE AMOUNT OF $1,130,810 DURING THE YEAR ENDED DECEMBER 31, 2021. 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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