BROOKDALE HOSPITAL MEDICAL CENTER: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: BROOKDALE HOSPITAL MEDICAL CENTER (EIN 11-1631746)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2017-11-09
IRS object ID: 201733139349301858
Schema version: 2014v6.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-09T10:08:55-06:00	ReturnTs
Tax Period End	2014-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	221478099	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	COHNREZNICK LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1301 AVENUE OF THE AMERICAS	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10019	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	111631746	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BROOKDALE HOSPITAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BROO	BusinessNameControlTxt
Phone	7182405000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE BROOKDALE PLAZA	AddressLine1Txt
City	BROOKLYN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11236	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JAMES R PORTER	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	7182405186	PhoneNum
Signature	2017-11-02	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	THOMAS LANNING	PreparerPersonNm
PTIN	P00851654	PTIN
Phone	2122970400	PhoneNum
Preparation	2017-11-02	PreparationDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Amended Return	Yes (X)	AmendedReturnInd
Principal Officer	JAMES R PORTER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE BROOKDALE PLAZA	AddressLine1Txt
City	BROOKLYN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11236	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$588,324,544	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BROOKDALEHOSPITAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1914	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	THE BROOKDALE HOSPITAL MEDICAL CENTER OPERATES A 530 BED HOSPITAL IN BROOKLYN, NEW YORK.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	3692	TotalEmployeeCnt
Total Volunteers	623	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$27,133,556	PYContributionsGrantsAmt
CY Contributions Grants	$158,811,730	CYContributionsGrantsAmt
PY Program Service Revenue	$405,510,739	PYProgramServiceRevenueAmt
CY Program Service Revenue	$395,712,041	CYProgramServiceRevenueAmt
PY Investment Income	$8,650,851	PYInvestmentIncomeAmt
CY Investment Income	$4,731,113	CYInvestmentIncomeAmt
PY Other Revenue	$131,888,684	PYOtherRevenueAmt
CY Other Revenue	$29,069,660	CYOtherRevenueAmt
PY Total Revenue	$573,183,830	PYTotalRevenueAmt
CY Total Revenue	$588,324,544	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$291,567,642	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$318,743,812	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$321,800	CYTotalFundraisingExpenseAmt
PY Other Expenses	$277,527,414	PYOtherExpensesAmt
CY Other Expenses	$197,327,562	CYOtherExpensesAmt
PY Total Expenses	$569,095,056	PYTotalExpensesAmt
CY Total Expenses	$516,071,374	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,088,774	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$72,253,170	CYRevenuesLessExpensesAmt
Total Assets BOY	$192,999,650	TotalAssetsBOYAmt
Total Assets EOY	$198,574,585	TotalAssetsEOYAmt
Total Liabilities BOY	$494,134,369	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$455,080,751	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$301,134,719	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$256,506,166	NetAssetsOrFundBalancesEOYAmt
Mission	THE BROOKDALE HOSPITAL MEDICAL CENTER WAS CREATED FOR THE PURPOSE OF OPERATING A 530 BED HOSPITAL IN BROOKLYN, NEW YORK.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$440,683,634	ExpenseAmt
Revenue	$417,731,232	RevenueAmt
Desc	THE BROOKDALE HOSPITAL MEDICAL CENTER WAS CREATED FOR THE PURPOSE OF OPERATING A 530 BED HOSPITAL IN BROOKLYN, NEW YORK. IN 2014, BROOKDALE HOSPITAL MEDICAL CENTER LOGGED 16,548 ADMISSIONS, 16,555 PATIENT DISCHARGES, AND 98,693 OUTPATIENT EMERGENCY ROOM VISITS WHICH RESULTED IN 14,261 ADMISSIONS AND 205,101 OTHER OUTPATIENT SERVICE VISITS.	Desc
Total Program Service Expenses	$440,683,634	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	483	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3692	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JAMES R PORTER CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7182405186	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	101-01 AVENUE D	AddressLine1Txt
City	BROOKLYN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11236	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
ALEX ROVT
TRUSTEE/CHAIRMAN	1.00	5.40	Yes (X)	Yes (X)	$0	$0	$0
ANTHONY CLEMENZA
TRUSTEE	1.00	5.40	Yes (X)		$0	$0	$0
ASCHER MESTEL MD
TRUSTEE	1.00	5.40	Yes (X)		$0	$0	$0
BISHOP HUGH NELSON
TRUSTEE	1.00	5.40	Yes (X)		$0	$0	$0
ESTEVEN GARCIA MD
TRUSTEE/EX-OFFICIO	40.00		Yes (X)		$543,157	$0	$27,894
IRINA BENFIELD
TRUSTEE/SECRETARY	1.00	5.40	Yes (X)	Yes (X)	$0	$0	$0
ISAAC KREIZMAN MD
TRUSTEE	1.00	5.40	Yes (X)		$0	$0	$0
LEWIS MARSHALL MD
TRUSTEE/EX-OFFICIO	40.00	5.40	Yes (X)		$394,904	$0	$27,894
LOWELL M RUBIN
TRUSTEE/VICE CHAIRMAN	1.00	5.40	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL SCAGNELLI
TRUSTEE	1.00	5.40	Yes (X)		$0	$0	$0
MICHAEL SPIEGEL
TRUSTEE	1.00	5.40	Yes (X)		$0	$0	$0
RICHARD RADUTZKY
TRUSTEE/SECRETARY	1.00	5.40	Yes (X)	Yes (X)	$0	$0	$0
STEPHEN PLOTNICK
TRUSTEE	1.00	5.40	Yes (X)		$0	$0	$0
ARTHUR J FRIED
ASSISTANT SECRETARY	44.40	1.00		Yes (X)	$0	$0	$0
JAMES R PORTER
CHIEF FINANCIAL OFFICER	44.44	1.00		Yes (X)	$0	$0	$0
LUCIO FLORES MD
CHIEF OF VASCULAR SURGERY	40.00			Yes (X)	$595,772	$0	$26,867
MARK E TONEY
PRESIDENT AND CEO	44.40	1.00		Yes (X)	$0	$0	$0
REGINALD BULLOCK
ASSISTANT SECRETARY	44.40	1.00		Yes (X)	$243,910	$0	$29,367
STEVEN R KORF
CHIEF OPERATING OFFICER	44.40	1.00		Yes (X)	$0	$0	$0
SUNIL ABROL MD
CHIEF OF SURGERY	40.00			Yes (X)	$601,242	$0	$111
ERIC MINKIN MD
RADIOLOGIST	40.00				$494,956	$0	$28,674	Yes (X)
FREDERICK GULMI MD
UROLOGY CHAIRMAN	40.00				$497,712	$0	$25,117	Yes (X)
KECIA GAITHER MD
MATERNAL FETAL MEDICINE	40.00				$598,449	$0	$11,742	Yes (X)
MAYANK SHUKLA MD
PEDIATRICIAN	40.00				$465,195	$0	$19,776	Yes (X)
SAUL ARBER MD
DIRECTOR OF RADIATION AND ONCOLOGY	40.00				$601,242	$0	$111	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,036,539	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$197,553	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	584	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
GRANT THORNTON LLP
666 THIRD AVENUE	NEW YORK	NY	10017	RESTRUCTURING SERVICES	$10,702,166
VELOCITY TECHNOLOGY SOLUTIONS
850 THIRD AVENUE 10TH FLOOR	NEW YORK	NY	10022	INFORMATION TECHNOLOGY	$8,416,942
TONEYKORF PARTNERS LLC
1595-14 NORTH CENTRAL AVENUE	VALLEY STREAM	NY	11580	MANAGEMENT SERVICES	$2,944,152
MEDISYS MANAGEMENT LLC
8900 VAN WYCK EXPRESSWAY	JAMAICA	NY	11418	MEDICAL BILLING	$2,479,362
EPSTEIN BECKER & GREEN
250 PARK AVENUE	NEW YORK	NY	10177	LEGAL FEES	$2,163,419

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	74	CntrctRcvdGreaterThan100KCnt
Government Grants	$156,869,066	GovernmentGrantsAmt
All Other Contributions	$1,942,664	AllOtherContributionsAmt
Total Contributions	$158,811,730	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENE	621400	$310,281,375	$310,281,375
PATIENT SERVICES PROVIDED TO OTHE	621400	$34,608,338	$34,608,338
OTHER PATIENT BILLINGS	621400	$29,204,191	$29,204,191
PHARMACY	621400	$14,398,967	$14,398,967
CAPITATION REVENUE	621400	$5,465,000	$5,465,000

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,754,170	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,754,170	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$395,712,041	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,439,113	TotalRevenueColumnAmt
Exclusion	$3,439,113	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$5,738,900	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$5,738,900	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,738,900	TotalRevenueColumnAmt
Exclusion	$5,738,900	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$1,292,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$1,292,000	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,292,000	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,292,000	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
FORGIVENESS OF DEBT	900099	$13,230,417	$13,230,417
INSURANCE REFUND	621110	$5,759,933	$5,759,933
SETTLEMENT	900099	$2,546,281		$2,546,281

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,794,129	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,736,841	RelatedOrExemptFuncIncomeAmt
Exclusion	$57,288	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$23,330,760	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$588,324,544	TotalRevenueColumnAmt
Related Or Exempt Func Income	$417,731,232	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$11,781,582	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,310,241	TotalAmt
Program Services	$1,217,753	ProgramServicesAmt
Management And General	$91,659	ManagementAndGeneralAmt
Fundraising	$829	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$240,679,613	TotalAmt
Program Services	$223,675,139	ProgramServicesAmt
Management And General	$16,835,763	ManagementAndGeneralAmt
Fundraising	$168,711	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$14,572,371	TotalAmt
Program Services	$13,552,305	ProgramServicesAmt
Management And General	$1,020,066	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$40,790,243	TotalAmt
Program Services	$37,934,926	ProgramServicesAmt
Management And General	$2,855,317	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$21,391,344	TotalAmt
Program Services	$19,893,960	ProgramServicesAmt
Management And General	$1,497,384	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$12,945,147	TotalAmt
Management And General	$12,945,147	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,164,603	TotalAmt
Program Services	$2,531,682	ProgramServicesAmt
Management And General	$632,921	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$544,617	TotalAmt
Management And General	$544,617	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$26,568,329	TotalAmt
Program Services	$21,773,138	ProgramServicesAmt
Management And General	$4,685,333	ManagementAndGeneralAmt
Fundraising	$109,858	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$93,912	TotalAmt
Program Services	$81,195	ProgramServicesAmt
Fundraising	$12,717	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,997,827	TotalAmt
Program Services	$1,594,426	ProgramServicesAmt
Management And General	$398,606	ManagementAndGeneralAmt
Fundraising	$4,795	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,614,140	TotalAmt
Program Services	$9,291,312	ProgramServicesAmt
Management And General	$2,322,828	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,860,456	TotalAmt
Program Services	$8,022,122	ProgramServicesAmt
Management And General	$1,838,334	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,135,191	TotalAmt
Program Services	$1,708,153	ProgramServicesAmt
Management And General	$427,038	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$27,289	TotalAmt
Program Services	$21,831	ProgramServicesAmt
Management And General	$5,458	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,770,068	TotalAmt
Program Services	$2,269,060	ProgramServicesAmt
Management And General	$501,008	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,726,762	TotalAmt
Program Services	$10,128,404	ProgramServicesAmt
Management And General	$2,598,358	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,406,395	TotalAmt
Program Services	$1,125,116	ProgramServicesAmt
Management And General	$281,279	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL & PHARMACY SUPP	$58,111,036	$55,125,546	$2,962,230	$23,260
PROVISION FOR BAD DEBT	$36,383,197	$14,814,529	$21,568,668	$0
EQUIPMENT	$8,875,777	$7,931,010	$943,137	$1,630
FOOD	$4,391,862	$4,391,862	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,710,954	TotalAmt
Program Services	$3,600,165	ProgramServicesAmt
Management And General	$110,789	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$516,071,374	TotalAmt
Program Services	$440,683,634	ProgramServicesAmt
Management And General	$75,065,940	ManagementAndGeneralAmt
Fundraising	$321,800	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,396,681	BOYAmt
EOY	$9,956,204	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$19,417,270	BOYAmt
EOY	$20,857,374	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$28,856,183	BOYAmt
EOY	$37,167,781	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,603,790	BOYAmt
EOY	$5,161,036	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$12,991,377	BOYAmt
EOY	$11,535,944	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$349,477,873	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$279,986,884	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$70,606,953	BOYAmt
EOY	$69,490,989	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$7,350,786	BOYAmt
EOY	$3,850,566	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$41,776,610	BOYAmt
EOY	$40,554,691	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$192,999,650	BOYAmt
EOY	$198,574,585	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$102,122,472	BOYAmt
EOY	$104,610,276	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$146,828,406	BOYAmt
EOY	$91,303,264	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$29,694,480	BOYAmt
EOY	$55,685,641	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$215,489,011	BOYAmt
EOY	$203,481,570	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$494,134,369	BOYAmt
EOY	$455,080,751	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$301,134,719	BOYAmt
EOY	-$256,506,166	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$301,134,719	BOYAmt
EOY	-$256,506,166	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$192,999,650	BOYAmt
EOY	$198,574,585	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$72,253,170	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$27,624,617	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$32,014	OtherActivitiesAmt
Total Lobbying Expenditures	$32,014	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	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: HEALTHCARE ASSOCIATION OF NEW YORK STATE $19,551 GREATER NEW YORK HOSPITAL ASSOCIATION $9,876 CONTINUING CARE LEADERSHIP COALITION $2,587 TOTAL COST $32,014	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,068,657	OtherCostOrOtherBasisAmt
Book Value	$1,068,657	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$81,951,622	OtherCostOrOtherBasisAmt
Depreciation	$67,978,140	DepreciationAmt
Book Value	$13,973,482	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$258,412,689	OtherCostOrOtherBasisAmt
Depreciation	$210,558,365	DepreciationAmt
Book Value	$47,854,324	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,044,905	OtherCostOrOtherBasisAmt
Depreciation	$1,450,379	DepreciationAmt
Book Value	$6,594,526	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$69,490,989	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM THIRD PARTY PAYORS	$11,045,025
CAPITATION RECEIVABLE	$11,318,963
INSURANCE RECOVERIES	$18,047,149
DEFERRED FINANCE CHARGES	$143,554

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$40,554,691	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
MALPRACTICE INSURANCE PAYABLE	$156,073,149
DUE TO THIRD PAYORS	$17,698,595
WORKERS COMPENSATION PAYABLE	$20,127,000
OTHER CURRENT LIABILITIES	$25,825
OTHER NON-CURRENT LIABILITIES	$937,005
DUE TO AFFILIATES	$8,619,996

Field	Value	IRS element (for citing)
Total Liability	$203,481,570	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$567,750,082	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	-$20,574,462	OtherRevenueAmt
Revenue Not Reported	-$20,574,462	RevenueNotReportedAmt
Revenue Subtotal	$588,324,544	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$588,324,544	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$495,496,912	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$495,496,912	ExpensesSubtotalAmt
Other Expenses Not Included	$20,574,462	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$20,574,462	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$516,071,374	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2:	THE BROOKDALE HOSPITAL MEDICAL CENTER IS EXEMPT FROM INCOME TAXES UNDER SECTION 501 (C) (3) OF THE INTERNAL REVENUE CODE AND ITS INCOME IS GENERALLY NOT SUBJECT TO FEDERAL, STATE OR LOCAL INCOME TAXES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBT -14,814,529. COSTS RELATED TO CAPITATION REVENUE -5,759,933.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBT 14,814,529. COSTS RELATED TO CAPITATION REVENUE 5,759,933.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	INSURANCE	TypeOfActivitiesConductedTxt
Specific Services Provided	N/A	SpecificServicesProvidedTxt
Region Total Expenditures	$70,171	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$70,171	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$70,171	TotalSpentAmt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,091,536	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,661,790	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,429,746	NetCommunityBenefitExpnsAmt
Total Expense	0.00480	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$211,987,820	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$136,845,249	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$75,142,571	NetCommunityBenefitExpnsAmt
Total Expense	0.14990	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$229,079,356	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$151,507,039	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$77,572,317	NetCommunityBenefitExpnsAmt
Total Expense	0.15470	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,687,530	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,496,240	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,191,290	NetCommunityBenefitExpnsAmt
Total Expense	0.00440	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,179,754	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,590,180	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,589,574	NetCommunityBenefitExpnsAmt
Total Expense	0.05900	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,971,753	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,000,809	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,970,944	NetCommunityBenefitExpnsAmt
Total Expense	0.01190	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$521,762	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$521,762	DirectOffsettingRevenueAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$93,360,799	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$55,608,991	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,751,808	NetCommunityBenefitExpnsAmt
Total Expense	0.07530	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$322,440,155	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$207,116,030	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$115,324,125	NetCommunityBenefitExpnsAmt
Total Expense	0.23000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$14,814,529	BadDebtExpenseAmt
Bad Debt Expense Attributable	$8,434,177	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$42,468,984	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$37,383,779	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$5,085,205	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BROOKDALE HOSPITAL MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE BROOKLYN PLAZA	AddressLine1Txt
City	BROOKLYN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11236	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	BROOKDALE HOSPITAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.BROOKDALEHOSPITAL.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.BROOKDALEHOSPITAL.ORG	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.BROOKDALEHOSPITAL.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.BROOKDALEHOSPITAL.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.BROOKDALEHOSPITAL.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
BROOKDALE HOSPITAL MEDICAL CENTER	PART V, SECTION B, LINE 5: THE CHNA PLANNING PROCESS CONDUCTED IN 2013 WAS AN OPPORTUNITY TO SEEK THE INVOLVEMENT OF A DIVERSE GROUP OF STAKEHOLDERS, OBTAIN HONEST FEEDBACK, AND CONSTRUCTIVE RECOMMENDATIONS. A BROOKDALE HOSPITAL WORKING GROUP (THE "WORKING GROUP"), COMPRISED OF A CROSS-SECTION OF STAFF FROM BROOKDALE HOSPITAL, LED CHNA DESIGN AND IMPLEMENTATION EFFORT. WORKING GROUP PARTICIPANTS: EXTERNAL: CAMELLIA MORTEZAZADEH NYC DEPARTMENT OF HEALTH; JUDY WESSLER - COMMUNITY HEALTH POLICY ADVOCATE; DR. ALETHA MAYBANK - ASSISTANT COMMISSIONER, NYC DEPARTMENT OF HEALTH; NGOZI MOSES - BROOKLYN PERINATAL NETWORK; LLOYD BISHOP SENIOR VICE PRESIDENT, GREATER NEW YORK HOSPITAL ASSOCIATION; AMY OSORIO - GREATER NEW YORK HOSPITAL ASSOCIATION.INTERNAL: DR. LEWIS MARSHALL, CHAIRPERSON OF OUTPATIENT SERVICES; WAYNE GIETZ - FORMER VICE PRESIDENT OF OUTPATIENT SERVICES; KHARI EDWARDS - VICE PRESIDENT FOR EXTERNAL AFFAIRS; DR. CHERYL CRONEY - FORMER DIRECTOR OF THE TREATMENT FOR LIFE CENTER; DR. SARITA DHUPER - DIRECTOR OF PEDIATRIC CARDIOLOGY; STEVE PHILLIPS - FORMER ADMINISTRATIVE COORDINATOR, TREATMENT FOR LIFE CENTER.WORKING GROUP RESPONSIBILITIESTHE WORKING GROUP UNDERTOOK THE FOLLOWING ACTIVITIES: - ENGAGED STAKEHOLDERS IN THE CHNA PLANNING PROCESS.- IDENTIFIED PUBLIC HEALTH OFFICIALS AND COMMUNITY STAKEHOLDERS WHO WOULD SUPPORT BROOKDALE'S WORK.- OBTAINED INPUT FROM BROOKDALE'S HEALTHCARE PROFESSIONALS WHO ARE ON THE FRONTLINE OF HEALTHCARE DELIVERY. - DESIGNED AND CONDUCTED TWO SURVEYS (BOTH IN ENGLISH AND SPANISH), TO OBTAIN THE PERSPECTIVE OF COMMUNITY RESIDENTS. THE FIRST, A MULTIPLE CHOICE FORMAT, GAUGED RESIDENTS' PERCEPTION OF PERSONAL AND COMMUNITY HEALTH. THE SECOND, AN INTERACTIVE SURVEY, WAS DESIGNED TO ELICIT RESIDENTS' VISION FOR HEALTHCARE IN THE COMMUNITY.- COORDINATED AND PARTICIPATED IN NUMEROUS PLANNING AND INFORMATIONAL MEETINGS AND EVENTS WITH A VARIETY OF ORGANIZATIONS, INCLUDING THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA), NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE (NYC-DOH), AND THE BROOKLYN PERINATAL NETWORK. A LIST OF MEETING ACTIVITIES IS INCLUDED AS AN APPENDIX. THE WORKING GROUP LED THE EFFORT TO SECURE THE QUALITATIVE AND QUANTITATIVE DATA NEEDED TO DEVELOP THE CHNA. BEGINNING IN FEBRUARY 2013, THE WORKING GROUP INITIATED PLANNING ACTIVITIES, AGREED ON THE SCOPE OF THE REPORT AND A STRATEGY TO ENSURE THAT BROOKDALE MET ALL OF THE REPORTING CRITERIA. A COMMUNITY NEEDS SURVEY AND AN INTERACTIVE SURVEY, BOTH DESIGNED BY THE WORKING GROUP, PROVIDED QUALITATIVE DATA. THE COMMUNITY NEEDS SURVEY ENABLED THE CAPTURE OF THE PERSPECTIVE OF 563 RESIDENTS FROM OUR PRIMARY SERVICE AREA, ON VARIOUS HEALTH TOPICS. THE INTERACTIVE SURVEY GAVE THE PERSPECTIVE OF ANOTHER 70 RESIDENTS. A REPRESENTATIVE SAMPLE OF THE SERVICE AREA PARTICIPATED IN BOTH OF SURVEYS I.E. MALE AND FEMALE ADULTS, SENIOR CITIZENS, IMMIGRANTS, AND NON-IMMIGRANTS. BROOKDALE ALSO REVIEWED THE FINDINGS FROM THREE SEPARATE ASSESSMENTS OF THE BROOKLYN HEALTHCARE SYSTEM, CONDUCTED BY THE BROOKLYN HEALTHCARE IMPROVEMENT PROJECT (B-HIP), SENATOR JOHN SAMPSON'S BROOKLYN HEALTHCARE WORKING GROUP (BHWG), AND THE BROOKLYN MRT HEALTH SYSTEMS REDESIGN WORK GROUP (THE "WORK GROUP"). BROOKDALE STAFF PARTICIPATED IN THE FIRST TWO OF THE AFOREMENTIONED EFFORTS.
BROOKDALE HOSPITAL MEDICAL CENTER	PART V, SECTION B, LINE 11: THE CHNA CONDUCTED IN 2013 CONFIRMED THE OVERWHELMING HEALTHCARE NEEDS OF BROOKDALE'S PRIMARY AND SECONDARY SERVICE AREAS. THE DISEASE BURDEN FOR THE PRIMARY COMMUNITIES OF BROWNSVILLE AND EAST NEW YORK IS AMONG THE HIGHEST IN NYC, WITH CHRONIC DISEASES LIKE OBESITY, HIV/AIDS, AND DIABETES BEING DISPROPORTIONATELY PREVALENT. BROOKDALE IDENTIFIED A MYRIAD OF HEALTHCARE BARRIERS THAT ARE TYPICALLY LINKED TO THE HIGH DISEASE BURDEN, WHICH TOGETHER, RESULT IN MAJOR HEALTH DISPARITIES FOR ITS PATIENT POPULATION. BROOKDALE IS COMMITTED TO MAKING THE CHANGES TO SERVICE DELIVERY, INVESTMENTS IN INFRASTRUCTURE, AND BUILDING THE STRATEGIC COLLABORATIONS WITH COMMUNITY PARTNERS, PUBLIC HEALTH OFFICIALS AND OTHER STAKEHOLDERS, TO REVERSE THE NEGATIVE HEALTHCARE TRENDS, AND ACHIEVE HEALTH EQUITY FOR THE COMMUNITIES SERVED. ALTHOUGH BROOKDALE'S FISCAL STRUGGLES AND THE LACK OF FINANCIAL RESOURCES IN ITS SERVICE AREAS MAKE IT CHALLENGING TO MEET THE HIGH DEMAND FOR HEALTHCARE SERVICES AND TO ADDRESS THE NEEDS IDENTIFIED IN THE 2014 CHNA, BROOKDALE IS COMMITTED TO BEING RESOURCEFUL AND INNOVATIVE. BROOKDALE CONTINUES TO WORK WITH AFFILIATES, AND A BROAD NETWORK OF PUBLIC AND NON-PROFIT PARTNERS, TO BRING A FULL COMPLEMENT OF HEALTHCARE SERVICES TO ITS PATIENT POPULATION. BROOKDALE CURRENTLY HAS MANY SPECIALTY AND SUB-SPECIALTY CLINICS/SERVICES TO ADDRESS A WIDE RANGE OF DISEASES THAT IMPACT ITS PATIENT POPULATION. BROOKDALE'S HEALTHCARE DELIVERY MODEL INCLUDES: INPATIENT CARE, AMBULATORY CARE, LONG-TERM CARE, SENIOR LIVING AND EMERGENCY MEDICINE. CORE ASSETS THAT SUPPORT THE DELIVERY OF CARE INCLUDE: - APPROXIMATELY 50 SURGICAL AND SUBSPECIALTY CARE CLINICS/SERVICES;- 530 CERTIFIED ACUTE-CARE BEDS;- AN EMERGENCY DEPARTMENT, WHICH IS A NYS-DESIGNATED LEVEL-1TRAUMA CENTER, AND ONE OF THE BUSIEST IN THE REGION; - A 448-BED SKILLED-NURSING FACILITY, AND AN 86-UNIT ASSISTED-LIVING AND INDEPENDENT-LIVING FACILITY, WHICH BOTH OPERATE AT A 95% OR HIGHER OCCUPANCY RATE; - SIX PRIMARY CARE FACILITIES;- A COMPREHENSIVE ADULT DAY CARE CENTER;- A LEVEL-3 PERINATAL CENTER;- A MENTAL AND BEHAVIORAL HEALTH CENTER;- AN AMBULATORY SURGERY CENTER;- A 16-CHAIR DENTAL SUITE THAT SUPPORTS DENTAL AND ORAL SERVICES;- AN HIV CENTER; AND- AN URGENT CARE CENTER.PRIORITIZATION OF HEALTHCARE NEEDS BROOKDALE CATEGORIZED THE MAJOR HEALTHCARE NEEDS FOUND IN ITS SERVICE AREAS AS: (I) PREVALENT DISEASES; AND (II) BARRIERS TO HEALTHCARE. (I) PREVALENT DISEASES - FOLLOWING ARE SUMMARIES OF HOW EACH PREVALENT DISEASE IS BEING ADDRESSED: - OBESITY BROOKDALE IS IN THE PROCESS OF ROLLING OUT A COMPREHENSIVE THREE-YEAR PLAN (2014-2016) TO ADDRESS OBESITY, AS PART OF NEW YORK STATE-MANDATED COMMUNITY SERVICE PLAN (CSP). - HIV/AIDS BROOKDALE IS IN THE PROCESS OF ROLLING OUT A COMPREHENSIVE THREE-YEAR (2014-2016) PLAN TO ADDRESS HIV/AIDS, AS PART OF CSP REFERENCED ABOVE. - HEART DISEASE AND HYPERTENSION - BROOKDALE HAS A CARDIOLOGY DEPARTMENT THAT IS FOCUSED ON TREATING CARDIAC DISEASE IN ADULTS AND CHILDREN. A HYPERTENSION CLINIC TREATS PATIENTS WHO HAVE BEEN DIAGNOSED WITH HYPERTENSION. IN ADDITION, ALL CLINICIANS IN OUR PRIMARY CARE NETWORK ARE TRAINED TO TREAT PATIENTS WITH HYPERTENSION AT POINT OF SERVICE. SINCE HEART DISEASE AND HYPERTENSION ARE SECONDARY CONDITIONS THAT ARE ASSOCIATED WITH OBESITY, OUR FOCUS ON OBESITY IS LIKELY TO HAVE A POSITIVE IMPACT ON THE RATES OF BOTH DISEASES.- CANCER BROOKDALE HAS AN ONCOLOGY DEPARTMENT THAT IS FOCUSED ON TREATING CANCER IN ADULTS AND CHILDREN. THE MOST COMMONLY DIAGNOSED ADULT CANCERS ARE BREAST, LUNG, PROSTATE AND COLON. APPROXIMATELY 3,000 BREAST CANCER SCREENINGS AND 4,000 MAMMOGRAMS ARE PERFORMED EACH YEAR. SOME OF THE MOST COMMONLY DIAGNOSED CANCERS IN CHILDREN ARE LEUKEMIA, LYMPHOMA-HODGKINS AND NON-HODGKINS, AND BRAIN TUMORS. ONLY ABOUT 30% OF PATIENTS DIAGNOSED WITH CANCER AT BROOKDALE STAY FOR TREATMENT. MOST PATIENTS ARE REFERRED TO OR OPT TO SEEK TREATMENT AT OTHER FACILITIES WITH MORE ADVANCED TREATMENT PROTOCOLS. - ASTHMA BROOKDALE'S PULMONARY DEPARTMENT TREATS PATIENTS WITH ASTHMA. SINCE ASTHMA IS THE MOST FREQUENTLY OCCURRING EMERGENCY DIAGNOSIS, BROOKDALE'S HAS A DEDICATED SPACE IN THE EMERGENCY DEPARTMENT THAT IS FULLY-EQUIPPED TO TREAT ASTHMA PATIENTS IN A TIMELY MANNER.- DIABETES BROOKDALE'S OUTPATIENT CLINICS PROVIDE CARE FOR PATIENTS THAT HAVE BEEN DIAGNOSED WITH DIABETES, SUPPORTED BY A CUTTING-EDGE ELECTRONIC HEALTH RECORDS SYSTEM THAT IS EQUIPPED TO PROMPT PRIMARY CARE DOCTORS TO REFER PATIENTS TO THE CRITICAL CONTINUUM OF SPECIALTY CARE TYPICALLY RECOMMENDED FOR DIABETIC PATIENTS (OPHTHALMOLOGY, PODIATRY, ETC.). SINCE DIABETES IS ONE OF THE SECONDARY CONDITIONS ASSOCIATED WITH OBESITY, THE FOCUS ON OBESITY IS LIKELY TO HAVE A POSITIVE IMPACT ON THE PATIENTS WHO SUFFER WITH THE DISEASE.- ALCOHOLISM AND DRUG ADDICTION BROOKDALE DOES NOT HAVE AN OASAS LICENSE TO PROVIDE SERVICES DIRECTLY TO THE ADDICTED POPULATION. INSTEAD, THE HOSPITAL PROVIDES CARE AND TREATMENT FOR ADDICTIONS UNDER ITS ARTICLE 28 LICENSE (INPATIENT) AND ITS NYS OFFICE OF MENTAL HEALTH (OMH)-ISSUED LICENSE FOR OUTPATIENTS WITH MENTAL ILLNESS AND SUBSTANCE PROBLEMS. IN ADDITION, SEVERAL OASAS LICENSED CLINICS IN THE AREA ADD TO THE CARE CONTINUUM. (II) BARRIERS TO HEALTHCARE - THE BARRIERS TO HEALTHCARE IDENTIFIED INCLUDE: POVERTY; A LACK OF PRIMARY CARE FACILITIES; A LACK OF PRIMARY CARE FACILITIES WITH FLEXIBLE SCHEDULES TO ACCOMMODATE WORKING FAMILIES; A LACK OF SPECIALTY CLINICS, ESPECIALLY THOSE THAT TARGET THE PREVALENT DISEASES IDENTIFIED; A LACK OF INTEGRATED TREATMENT MODULES TO IMPROVE OUTCOMES FOR PATIENTS; A LACK OF DISEASE PREVENTION PROGRAMS; AND LINGUISTIC AND CULTURAL ISOLATION. BROOKDALE REMAINS COMMITTED TO ADAPTING ITS SERVICE DELIVERY MODEL AND DEVELOPING THE COMMUNITY COLLABORATIONS THAT WILL HELP ADDRESS SOME OF THESE BARRIERS. TO DATE, SPECIFIC ACTIONS TAKEN INCLUDE: - FINANCIAL RESOURCES BROOKDALE SENIOR MANAGEMENT IS WORKING DILIGENTLY WITH COMMUNITY PARTNERS, LOCAL ELECTED OFFICIALS AND NEW YORK STATE TO SECURE THE FINANCIAL RESOURCES NEEDED TO ENSURE THE FISCAL VIABILITY OF THE HOSPITAL. FUNDING WILL SUPPORT THE IMPLEMENTATION OF NECESSARY SYSTEM-WIDE CHANGES THAT WILL ENHANCE AND EXPAND THE SCOPE OF OUR HEALTHCARE SERVICES, TO ENSURE THE CONTINUITY OF HEALTHCARE FOR THE RESIDENTS OF EAST BROOKLYN. - PRIMARY CARE FOCUS BROOKDALE HAS A NETWORK OF SIX PRIMARY CARE FACILITIES AND OTHER AMBULATORY CARE SITES THAT ARE STRATEGICALLY LOCATED IN ITS SERVICE AREAS, TO ENSURE THAT PATIENTS FROM ALL SOCIO-ECONOMIC AND ETHNIC BACKGROUNDS HAVE ACCESS TO PRIMARY CARE. TOGETHER, THESE CLINICS RECEIVE APPROXIMATELY 100,000 PATIENT VISITS ANNUALLY. BROOKDALE IS PLANNING EXPANSION AND DEVELOPMENT OF NEW SITES TO ACCOMMODATE DEMAND FOR PRIMARY CARE. - ACCESS TO CARE THROUGH BROOKDALE'S WIDE NETWORK OF PRIMARY CARE FACILITIES, THE FOCUS REMAINS ON PRIMARY CARE EXPANSION AND ACCESS. NEW FACILITIES LIKE AN URGENT CARE CENTER (UCC) OPENED IN DECEMBER 2013, ARE INCREASING ACCESS TO CARE FOR BROOKDALE'S PATIENT POPULATION. THE UCC IS DESIGNED TO SERVE AS AN ALTERNATIVE TO THE EMERGENCY ROOM FOR PATIENTS WHO NEED CARE FOR NON-LIFE-THREATENING CONDITIONS, AND IS OPEN TO THE COMMUNITY EVERY DAY FOR LONGER AND MORE FLEXIBLE HOURS THAN MOST PRIMARY CARE SERVICES, TO ACCOMMODATE WORKING FAMILIES. IN ADDITION, BROOKDALE HAS A FOCUS ON CO-LOCATING SPECIALTY CARE AT PRIMARY CARE SITES, TO IMPROVE ACCESS FOR PATIENTS IN NEED OF SPECIALTY CARE SERVICES. - PREVENTION MODELS PREVENTION MODELS LIKE LIVE LIGHT LIVE RIGHT, BROOKDALE'S ANTI-OBESITY PROGRAM, WORK WITH COMMUNITY PARTNERS TO HAVE A POSITIVE IMPACT ON PATIENT HEALTH. LLLR HAS SERVED THOUSANDS OF CHILDREN DURING THE PAST 10 YEARS. BROOKDALE SEEKS OUT OPPORTUNITIES TO DEVELOP PREVENTION MODELS IN COLLABORATION WITH COMMUNITY PARTNERS ON AN ONGOING BASIS, AS FUNDING AND RESOURCES PERMIT.-SPECIALTY CARE WHILE SPECIALTY CARE CAPACITY IS NOT ADEQUATE TO MEET THE HEALTHCARE DEMAND, BROOKDALE PROVIDES A RANGE OF MEDICAL AND SURGICAL SPECIALTY AND SUBSPECIALTY CARE FOR ITS PATIENT POPULATION. SUBSPECIALTY CLINICS PROVIDE CARE FOR PATIENTS WITH COMPLICATED DISEASES THAT REQUIRE HIGHLY TRAINED SPECIALIST, AND WORK IN CLOSE COLLABORATION WITH PRIMARY CARE PROVIDERS. SUBSPECIALTY AREAS INCLUDE: BARIATRIC SURGERY; OPHTHALMOLOGY; NEUROLOGICAL SURGERY; HAND SURGERY; BREAST SURGERY; ORTHOPEDIC SURGERY; VASCULAR SURGERY; EAR, NOSE AND THROAT SURGERY; UROLOGICAL SURGERY; AND WOMEN'S HEALTH. - LINGUISTIC ISOLATION BROOKDALE OFFERS A VARIETY OF LANGUAGE ASSISTANCE SERVICES TO NON-ENGLISH AND LIMITED ENGLISH PROFICIENT (LEP) PATIENTS AND THEIR FAMILIES, TO FACILITATE CARE.
BROOKDALE HOSPITAL MEDICAL CENTER	PART V, SECTION B, LINE 22D: PATIENTS AUTOMATICALLY QUALIFY FOR OUR GLOBAL CHARITABLE DISCOUNT WHICH IS BASED ON MEDICAID'S REIMBURSEMENT RATES FOR SERVICES PROVIDED.
SCHEDULE H, PART V, QUESTION 5:	IN CONDUCTING ITS MOST RECENT CHNA, DID THE HOSPITAL FACILITY TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH? IF "YES," DESCRIBE IN SECTION C HOW THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY, AND IDENTIFY THE PERSONS THE HOSPITAL FACILITY CONSULTED.THE CHNA PLANNING PROCESS CONDUCTED IN 2013 WAS AN OPPORTUNITY TO SEEK THE INVOLVEMENT OF A DIVERSE GROUP OF STAKEHOLDERS, OBTAIN HONEST FEEDBACK, AND CONSTRUCTIVE RECOMMENDATIONS. A BROOKDALE HOSPITAL WORKING GROUP (THE "WORKING GROUP"), COMPRISED OF A CROSS-SECTION OF STAFF FROM BROOKDALE HOSPITAL, LED CHNA DESIGN AND IMPLEMENTATION EFFORT. WORKING GROUP PARTICIPANTS: EXTERNAL: CAMELLIA MORTEZAZADEH - NYC DEPARTMENT OF HEALTH; JUDY WESSLER - COMMUNITY HEALTH POLICY ADVOCATE; DR. ALETHA MAYBANK - ASSISTANT COMMISSIONER, NYC DEPARTMENT OF HEALTH; NGOZI MOSES - BROOKLYN PERINATAL NETWORK; LLOYD BISHOP - SENIOR VICE PRESIDENT, GREATER NEW YORK HOSPITAL ASSOCIATION; AMY OSORIO - GREATER NEW YORK HOSPITAL ASSOCIATION.INTERNAL: DR. LEWIS MARSHALL, CHAIRPERSON OF OUTPATIENT SERVICES; WAYNE GIETZ - FORMER VICE PRESIDENT OF OUTPATIENT SERVICES; KHARI EDWARDS - VICE PRESIDENT FOR EXTERNAL AFFAIRS; DR. CHERYL CRONEY - FORMER DIRECTOR OF THE TREATMENT FOR LIFE CENTER; DR. SARITA DHUPER - DIRECTOR OF PEDIATRIC CARDIOLOGY; STEVE PHILLIPS - FORMER ADMINISTRATIVE COORDINATOR, TREATMENT FOR LIFE CENTER.WORKING GROUP RESPONSIBILITIESTHE WORKING GROUP UNDERTOOK THE FOLLOWING ACTIVITIES: - ENGAGED STAKEHOLDERS IN THE CHNA PLANNING PROCESS.- IDENTIFIED PUBLIC HEALTH OFFICIALS AND COMMUNITY STAKEHOLDERS WHO WOULD SUPPORT BROOKDALE'S WORK.- OBTAINED INPUT FROM BROOKDALE'S HEALTHCARE PROFESSIONALS WHO ARE ON THE FRONTLINE OF HEALTHCARE DELIVERY. - DESIGNED AND CONDUCTED TWO SURVEYS (BOTH IN ENGLISH AND SPANISH), TO OBTAIN THE PERSPECTIVE OF COMMUNITY RESIDENTS. THE FIRST, A MULTIPLE CHOICE FORMAT, GAUGED RESIDENTS' PERCEPTION OF PERSONAL AND COMMUNITY HEALTH. THE SECOND, AN INTERACTIVE SURVEY, WAS DESIGNED TO ELICIT RESIDENTS' VISION FOR HEALTHCARE IN THE COMMUNITY.- COORDINATED AND PARTICIPATED IN NUMEROUS PLANNING AND INFORMATIONAL MEETINGS AND EVENTS WITH A VARIETY OF ORGANIZATIONS, INCLUDING THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA), NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE (NYC-DOH), AND THE BROOKLYN PERINATAL NETWORK. A LIST OF MEETING ACTIVITIES IS INCLUDED AS AN APPENDIX. THE WORKING GROUP LED THE EFFORT TO SECURE THE QUALITATIVE AND QUANTITATIVE DATA NEEDED TO DEVELOP THE CHNA. BEGINNING IN FEBRUARY 2013, THE WORKING GROUP INITIATED PLANNING ACTIVITIES, AGREED ON THE SCOPE OF THE REPORT AND A STRATEGY TO ENSURE THAT BROOKDALE MET ALL OF THE REPORTING CRITERIA. A COMMUNITY NEEDS SURVEY AND AN INTERACTIVE SURVEY, BOTH DESIGNED BY THE WORKING GROUP, PROVIDED QUALITATIVE DATA. THE COMMUNITY NEEDS SURVEY ENABLED THE CAPTURE OF THE PERSPECTIVE OF 563 RESIDENTS FROM OUR PRIMARY SERVICE AREA, ON VARIOUS HEALTH TOPICS. THE INTERACTIVE SURVEY GAVE THE PERSPECTIVE OF ANOTHER 70 RESIDENTS. A REPRESENTATIVE SAMPLE OF THE SERVICE AREA PARTICIPATED IN BOTH OF SURVEYS I.E. MALE AND FEMALE ADULTS, SENIOR CITIZENS, IMMIGRANTS, AND NON-IMMIGRANTS. BROOKDALE ALSO REVIEWED THE FINDINGS FROM THREE SEPARATE ASSESSMENTS OF THE BROOKLYN HEALTHCARE SYSTEM, CONDUCTED BY THE BROOKLYN HEALTHCARE IMPROVEMENT PROJECT (B-HIP), SENATOR JOHN SAMPSON'S BROOKLYN HEALTHCARE WORKING GROUP (BHWG), AND THE BROOKLYN MRT HEALTH SYSTEMS REDESIGN WORK GROUP (THE "WORK GROUP"). BROOKDALE STAFF PARTICIPATED IN THE FIRST TWO OF THE AFOREMENTIONED EFFORTS.
SCHEDULE H, PART V, QUESTION 11B:	THE CHNA CONDUCTED IN 2013 CONFIRMED THE OVERWHELMING HEALTHCARE NEEDS OF BROOKDALE'S PRIMARY AND SECONDARY SERVICE AREAS. THE DISEASE BURDEN FOR THE PRIMARY COMMUNITIES OF BROWNSVILLE AND EAST NEW YORK IS AMONG THE HIGHEST IN NYC, WITH CHRONIC DISEASES LIKE OBESITY, HIV/AIDS, AND DIABETES BEING DISPROPORTIONATELY PREVALENT. BROOKDALE IDENTIFIED A MYRIAD OF HEALTHCARE BARRIERS THAT ARE TYPICALLY LINKED TO THE HIGH DISEASE BURDEN, WHICH TOGETHER, RESULT IN MAJOR HEALTH DISPARITIES FOR ITS PATIENT POPULATION. BROOKDALE IS COMMITTED TO MAKING THE CHANGES TO SERVICE DELIVERY, INVESTMENTS IN INFRASTRUCTURE, AND BUILDING THE STRATEGIC COLLABORATIONS WITH COMMUNITY PARTNERS, PUBLIC HEALTH OFFICIALS AND OTHER STAKEHOLDERS, TO REVERSE THE NEGATIVE HEALTHCARE TRENDS, AND ACHIEVE HEALTH EQUITY FOR THE COMMUNITIES SERVED. ALTHOUGH BROOKDALE'S FISCAL STRUGGLES AND THE LACK OF FINANCIAL RESOURCES IN ITS SERVICE AREAS MAKE IT CHALLENGING TO MEET THE HIGH DEMAND FOR HEALTHCARE SERVICES AND TO ADDRESS THE NEEDS IDENTIFIED IN THE 2014 CHNA, BROOKDALE IS COMMITTED TO BEING RESOURCEFUL AND INNOVATIVE. BROOKDALE CONTINUES TO WORK WITH AFFILIATES, AND A BROAD NETWORK OF PUBLIC AND NON-PROFIT PARTNERS, TO BRING A FULL COMPLEMENT OF HEALTHCARE SERVICES TO ITS PATIENT POPULATION. BROOKDALE CURRENTLY HAS MANY SPECIALTY AND SUB-SPECIALTY CLINICS/SERVICES TO ADDRESS A WIDE RANGE OF DISEASES THAT IMPACT ITS PATIENT POPULATION. BROOKDALE'S HEALTHCARE DELIVERY MODEL INCLUDES: INPATIENT CARE, AMBULATORY CARE, LONG-TERM CARE, SENIOR LIVING AND EMERGENCY MEDICINE. CORE ASSETS THAT SUPPORT THE DELIVERY OF CARE INCLUDE: - APPROXIMATELY 50 SURGICAL AND SUBSPECIALTY CARE CLINICS/SERVICES;- 530 CERTIFIED ACUTE-CARE BEDS;- AN EMERGENCY DEPARTMENT, WHICH IS A NYS-DESIGNATED LEVEL-1TRAUMA CENTER, AND ONE OF THE BUSIEST IN THE REGION; - A 448-BED SKILLED-NURSING FACILITY, AND AN 86-UNIT ASSISTED-LIVING AND INDEPENDENT-LIVING FACILITY, WHICH BOTH OPERATE AT A 95% OR HIGHER OCCUPANCY RATE; - SIX PRIMARY CARE FACILITIES;- A COMPREHENSIVE ADULT DAY CARE CENTER;- A LEVEL-3 PERINATAL CENTER;- A MENTAL AND BEHAVIORAL HEALTH CENTER;- AN AMBULATORY SURGERY CENTER;- A 16-CHAIR DENTAL SUITE THAT SUPPORTS DENTAL AND ORAL SERVICES;- AN HIV CENTER; AND- AN URGENT CARE CENTER.PRIORITIZATION OF HEALTHCARE NEEDSBROOKDALE CATEGORIZED THE MAJOR HEALTHCARE NEEDS FOUND IN ITS SERVICE AREAS AS: (I) PREVALENT DISEASES; AND (II) BARRIERS TO HEALTHCARE. (I) PREVALENT DISEASES - FOLLOWING ARE SUMMARIES OF HOW EACH PREVALENT DISEASE IS BEING ADDRESSED: A. OBESITY - BROOKDALE IS IN THE PROCESS OF ROLLING OUT A COMPREHENSIVE THREE-YEAR PLAN (2014-2016) TO ADDRESS OBESITY, AS PART OF NEW YORK STATE-MANDATED COMMUNITY SERVICE PLAN (CSP). B. HIV/AIDS - BROOKDALE IS IN THE PROCESS OF ROLLING OUT A COMPREHENSIVE THREE-YEAR (2014-2016) PLAN TO ADDRESS HIV/AIDS, AS PART OF CSP REFERENCED ABOVE. C. HEART DISEASE AND HYPERTENSION - BROOKDALE HAS A CARDIOLOGY DEPARTMENT THAT IS FOCUSED ON TREATING CARDIAC DISEASE IN ADULTS AND CHILDREN. A HYPERTENSION CLINIC TREATS PATIENTS WHO HAVE BEEN DIAGNOSED WITH HYPERTENSION. IN ADDITION, ALL CLINICIANS IN OUR PRIMARY CARE NETWORK ARE TRAINED TO TREAT PATIENTS WITH HYPERTENSION AT POINT OF SERVICE. SINCE HEART DISEASE AND HYPERTENSION ARE SECONDARY CONDITIONS THAT ARE ASSOCIATED WITH OBESITY, OUR FOCUS ON OBESITY IS LIKELY TO HAVE A POSITIVE IMPACT ON THE RATES OF BOTH DISEASES.D. CANCER - BROOKDALE HAS AN ONCOLOGY DEPARTMENT THAT IS FOCUSED ON TREATING CANCER IN ADULTS AND CHILDREN. THE MOST COMMONLY DIAGNOSED ADULT CANCERS ARE BREAST, LUNG, PROSTATE AND COLON. APPROXIMATELY 3,000 BREAST CANCER SCREENINGS AND 4,000 MAMMOGRAMS ARE PERFORMED EACH YEAR. SOME OF THE MOST COMMONLY DIAGNOSED CANCERS IN CHILDREN ARE LEUKEMIA, LYMPHOMA-HODGKINS AND NON-HODGKINS, AND BRAIN TUMORS. ONLY ABOUT 30% OF PATIENTS DIAGNOSED WITH CANCER AT BROOKDALE STAY FOR TREATMENT. MOST PATIENTS ARE REFERRED TO OR OPT TO SEEK TREATMENT AT OTHER FACILITIES WITH MORE ADVANCED TREATMENT PROTOCOLS. E. ASTHMA - BROOKDALE'S PULMONARY DEPARTMENT TREATS PATIENTS WITH ASTHMA. SINCE ASTHMA IS THE MOST FREQUENTLY OCCURRING EMERGENCY DIAGNOSIS, BROOKDALE'S HAS A DEDICATED SPACE IN THE EMERGENCY DEPARTMENT THAT IS FULLY-EQUIPPED TO TREAT ASTHMA PATIENTS IN A TIMELY MANNER.F. DIABETES - BROOKDALE'S OUTPATIENT CLINICS PROVIDE CARE FOR PATIENTS THAT HAVE BEEN DIAGNOSED WITH DIABETES, SUPPORTED BY A CUTTING-EDGE ELECTRONIC HEALTH RECORDS SYSTEM THAT IS EQUIPPED TO PROMPT PRIMARY CARE DOCTORS TO REFER PATIENTS TO THE CRITICAL CONTINUUM OF SPECIALTY CARE TYPICALLY RECOMMENDED FOR DIABETIC PATIENTS (OPHTHALMOLOGY, PODIATRY, ETC.). SINCE DIABETES IS ONE OF THE SECONDARY CONDITIONS ASSOCIATED WITH OBESITY, THE FOCUS ON OBESITY IS LIKELY TO HAVE A POSITIVE IMPACT ON THE PATIENTS WHO SUFFER WITH THE DISEASE.G. ALCOHOLISM AND DRUG ADDICTION - BROOKDALE DOES NOT HAVE AN OASAS LICENSE TO PROVIDE SERVICES DIRECTLY TO THE ADDICTED POPULATION. INSTEAD, THE HOSPITAL PROVIDES CARE AND TREATMENT FOR ADDICTIONS UNDER ITS ARTICLE 28 LICENSE (INPATIENT) AND ITS NYS OFFICE OF MENTAL HEALTH (OMH)-ISSUED LICENSE FOR OUTPATIENTS WITH MENTAL ILLNESS AND SUBSTANCE PROBLEMS. IN ADDITION, SEVERAL OASAS LICENSED CLINICS IN THE AREA ADD TO THE CARE CONTINUUM. (II) BARRIERS TO HEALTHCARE - THE BARRIERS TO HEALTHCARE IDENTIFIED INCLUDE: POVERTY; A LACK OF PRIMARY CARE FACILITIES; A LACK OF PRIMARY CARE FACILITIES WITH FLEXIBLE SCHEDULES TO ACCOMMODATE WORKING FAMILIES; A LACK OF SPECIALTY CLINICS, ESPECIALLY THOSE THAT TARGET THE PREVALENT DISEASES IDENTIFIED; A LACK OF INTEGRATED TREATMENT MODULES TO IMPROVE OUTCOMES FOR PATIENTS; A LACK OF DISEASE PREVENTION PROGRAMS; AND LINGUISTIC AND CULTURAL ISOLATION. BROOKDALE REMAINS COMMITTED TO ADAPTING ITS SERVICE DELIVERY MODEL AND DEVELOPING THE COMMUNITY COLLABORATIONS THAT WILL HELP ADDRESS SOME OF THESE BARRIERS. TO DATE, SPECIFIC ACTIONS TAKEN INCLUDE: A. FINANCIAL RESOURCES - BROOKDALE SENIOR MANAGEMENT IS WORKING DILIGENTLY WITH COMMUNITY PARTNERS, LOCAL ELECTED OFFICIALS AND NEW YORK STATE TO SECURE THE FINANCIAL RESOURCES NEEDED TO ENSURE THE FISCAL VIABILITY OF THE HOSPITAL. FUNDING WILL SUPPORT THE IMPLEMENTATION OF NECESSARY SYSTEM-WIDE CHANGES THAT WILL ENHANCE AND EXPAND THE SCOPE OF OUR HEALTHCARE SERVICES, TO ENSURE THE CONTINUITY OF HEALTHCARE FOR THE RESIDENTS OF EAST BROOKLYN. B. PRIMARY CARE FOCUS - BROOKDALE HAS A NETWORK OF SIX PRIMARY CARE FACILITIES AND OTHER AMBULATORY CARE SITES THAT ARE STRATEGICALLY LOCATED IN ITS SERVICE AREAS, TO ENSURE THAT PATIENTS FROM ALL SOCIO-ECONOMIC AND ETHNIC BACKGROUNDS HAVE ACCESS TO PRIMARY CARE. TOGETHER, THESE CLINICS RECEIVE APPROXIMATELY 100,000 PATIENT VISITS ANNUALLY. BROOKDALE IS PLANNING EXPANSION AND DEVELOPMENT OF NEW SITES TO ACCOMMODATE DEMAND FOR PRIMARY CARE. C. ACCESS TO CARE - THROUGH BROOKDALE'S WIDE NETWORK OF PRIMARY CARE FACILITIES, THE FOCUS REMAINS ON PRIMARY CARE EXPANSION AND ACCESS. NEW FACILITIES LIKE AN URGENT CARE CENTER (UCC) OPENED IN DECEMBER 2013, ARE INCREASING ACCESS TO CARE FOR BROOKDALE'S PATIENT POPULATION. THE UCC IS DESIGNED TO SERVE AS AN ALTERNATIVE TO THE EMERGENCY ROOM FOR PATIENTS WHO NEED CARE FOR NON-LIFE-THREATENING CONDITIONS, AND IS OPEN TO THE COMMUNITY EVERY DAY FOR LONGER AND MORE FLEXIBLE HOURS THAN MOST PRIMARY CARE SERVICES, TO ACCOMMODATE WORKING FAMILIES. IN ADDITION, BROOKDALE HAS A FOCUS ON CO-LOCATING SPECIALTY CARE AT PRIMARY CARE SITES, TO IMPROVE ACCESS FOR PATIENTS IN NEED OF SPECIALTY CARE SERVICES. D. PREVENTION MODELS - PREVENTION MODELS LIKE LIVE LIGHT LIVE RIGHT, BROOKDALE'S ANTI-OBESITY PROGRAM, WORK WITH COMMUNITY PARTNERS TO HAVE A POSITIVE IMPACT ON PATIENT HEALTH. LLLR HAS SERVED THOUSANDS OF CHILDREN DURING THE PAST 10 YEARS. BROOKDALE SEEKS OUT OPPORTUNITIES TO DEVELOP PREVENTION MODELS IN COLLABORATION WITH COMMUNITY PARTNERS ON AN ONGOING BASIS, AS FUNDING AND RESOURCES PERMIT.E. SPECIALTY CARE - WHILE SPECIALTY CARE CAPACITY IS NOT ADEQUATE TO MEET THE HEALTHCARE DEMAND, BROOKDALE PROVIDES A RANGE OF MEDICAL AND SURGICAL SPECIALTY AND SUBSPECIALTY CARE FOR ITS PATIENT POPULATION. SUBSPECIALTY CLINICS PROVIDE CARE FOR PATIENTS WITH COMPLICATED DISEASES THAT REQUIRE HIGHLY TRAINED SPECIALIST, AND WORK IN CLOSE COLLABORATION WITH PRIMARY CARE PROVIDERS. SUBSPECIALTY AREAS INCLUDE: BARIATRIC SURGERY; OPHTHALMOLOGY; NEUROLOGICAL SURGERY; HAND SURGERY; BREAST SURGERY; ORTHOPEDIC SURGERY; VASCULAR SURGERY; EAR, NOSE AND THROAT SURGERY; UROLOGICAL SURGERY; AND WOMEN'S HEALTH. F. LINGUISTIC ISOLATION - BROOKDALE OFFERS A VARIETY OF LANGUAGE ASSISTANCE SERVICES TO NON-ENGLISH AND LIMITED ENGLISH PROFICIENT (LEP) PATIENTS AND THEIR FAMILIES, TO FACILITATE CARE.
SCHEDULE H, PART V, QUESTION 22D:	PATIENTS AUTOMATICALLY QUALIFY FOR OUR GLOBAL CHARITABLE DISCOUNT WHICH IS BASED ON MEDICAID'S REIMBURSEMENT RATES FOR SERVICES PROVIDED.
PART V, SECTION B, LINE 16	FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
BROOKDALE HOSPITAL MEDICAL CENTER PART V, SECTION B, LINE 16A WEBSITE:	WWW.BROOKDALEHOSPITAL.ORG
BROOKDALE HOSPITAL MEDICAL CENTER PART V, SECTION B, LINE 16B WEBSITE:	WWW.BROOKDALEHOSPITAL.ORG
BROOKDALE HOSPITAL MEDICAL CENTER PART V, SECTION B, LINE 16C WEBSITE:	WWW.BROOKDALEHOSPITAL.ORG

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 14,814,529.
PART III, LINE 2:	THE MEDICAL CENTER ANALYZES ITS PAST COLLECTION HISTORY AND IDENTIFIES TRENDS BY EACH OF ITS MAJOR PAYOR SOURCES OF PATIENT SERVICE REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS, IF ANY. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THE MAJOR PAYOR SOURCES OF PATIENT SERVICE REVENUE IN EVALUATING THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE MEDICAL CENTER ANALYZES CONTRACTUAL AMOUNTS DUE FROM PATIENTS WHO HAVE THIRD-PARTY COVERAGE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF ANY. FOR PATIENT ACCOUNTS RECEIVABLE ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES THOSE PATIENTS WITHOUT INSURANCE COVERAGE AND PATIENTS WITH DEDUCTIBLES AND COPAYMENT BALANCES FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR A PORTION OF THE BILL, THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS FOR PATIENTS THAT ARE UNABLE OR UNWILLING TO PAY FOR THE PORTION OF THE BILL REPRESENTING THEIR FINANCIAL RESPONSIBILITY IN ACCORDANCE WITH CHARITY CARE POLICY. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED.
PART III, LINE 8:	THE METHOD USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARE RELATING TO PAYMENTS ON LINE 5 WAS THE 2014 MEDICARE COST REPORT.
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:	THE CHNA CONDUCTED IN 2013 WAS COMPREHENSIVE, AND PROVIDED IMPORTANT INPUT DIRECTLY FROM BROOKDALE'S SERVICE AREAS. BROOKDALE RECOGNIZES THAT, AS A NONPROFIT HOSPITAL THAT IS FINANCIALLY DISTRESSED (BROOKDALE IS CURRENTLY GOING THROUGH A FINANCIAL RESTRUCTURING), IT IS IMPERATIVE THAT WE KEEP ABREAST WITH THE HEALTHCARE NEEDS OF OUR PATIENT POPULATION, TO ALLOCATE RESOURCES STRATEGICALLY. IN ADDITION TO THE CHNA, HEALTHCARE NEEDS ARE TYPICALLY ASSESSED ON A PERIODIC BASIS BY OUR MEDICAL STAFF AND SENIOR LEADERSHIP. WE COLLECT AND ANALYZE PATIENT HEALTHCARE DATA ON AN ONGOING BASIS. OUR 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 NATION FORUMS, AND OTHER COMMUNITY EVENTS HELD BY LOCAL CHURCHES AND LOCAL COMMUNITY-BASED ORGANIZATIONS, PROVIDES AN UNDERSTANDING OF THE CRITICAL NEEDS OF THE COMMUNITIES SERVED BY BROOKDALE. FOR EXAMPLE, STAFF AT BROOKDALE'S HIV/AIDS TREATMENT FOR LIFE CENTER (TLC) MAINTAIN DIALOGUE WITH OTHER HIV CENTERS AROUND THE BOROUGH OF BROOKLYN AND THE LARGER NEW YORK CITY AREA, TO HELP UNDERSTAND PATIENT NEED, RESOURCE ALLOCATION AND TREATMENT INNOVATIONS. TOGETHER, THESE MULTIPLE SOURCES OF DATA INFORM OUR ASSESSMENT OF HEALTHCARE NEEDS, AND DRIVE OUR DECISIONS ON EVERY ASPECT OF SERVICE DELIVERY. OVERALL, DUE TO THE OVERWHELMING NEED FOR HEALTHCARE AND THE SHORTAGE OF HEALTHCARE IN THE CATCHMENT AREA, BROOKDALE CONTINUES TO OFFER HEALTHCARE SERVICES THAT COVER THE FULL GAMUT OF HEALTHCARE NEEDS I.E. FROM OBSTETRICS TO ELDER CARE, WITH SPECIAL FOCUS ON THE AREAS THAT ARE DISPROPORTIONATELY PREVALENT IN ITS SERVICE AREAS (OBESITY, DIABETES, HIV/AIDS, ETC.).
PART VI, LINE 3:	PATIENTS ARE INFORMED THROUGH THE HANDOUT OF OUR FINANCIAL ASSISTANCE POLICY BY THE ADMISSIONS OFFICE AND OTHER MEDIA FORMATS.
PART VI, LINE 4:	AS ONE OF FOUR MAJOR HEALTHCARE PROVIDERS IN A THREE-MILE GEOGRAPHIC AREA, WHICH HAS A POPULATION OF APPROXIMATELY ONE MILLION RESIDENTS, BROOKDALE IS A VITAL RESOURCE AND SAFETY NET TO THE BROOKLYN COMMUNITIES WE SERVE. BROOKDALE'S PATIENT VOLUME IS AMONG THE HIGHEST IN THE BOROUGH, RECEIVING APPROXIMATELY 100,000 EMERGENCY ROOM VISITS AND MORE THAN 275,000 OUTPATIENT VISITS ANNUALLY. BEYOND HEALTHCARE, BROOKDALE SERVES AS A STABILIZING FORCE AND AN ANCHOR INSTITUTION TO THE LOCAL ECONOMY AND AN IMPORTANT ECONOMIC DRIVER; APPROXIMATELY 1,800 RESIDENTS FROM THE SURROUNDING COMMUNITIES ACCOUNT FOR CLOSE TO 50% OF BROOKDALE'S WORKFORCE. DEMOGRAPHIC COMPOSITION OF BROOKDALE SERVICE AREAS:BROOKDALE SERVES RESIDENTS PRIMARILY FROM EAST AND CENTRAL BROOKLYN, WHICH INCLUDE THE NEIGHBORHOODS OF BROWNSVILLE, EAST NEW YORK, CANARSIE, AND FLATLANDS. THESE NEIGHBORHOODS, WHICH ARE INSIDE THE GEOGRAPHIC BOUNDARIES OF NYC COMMUNITY DISTRICTS 5, 16, AND 18, COMPRISE BROOKDALE'S PRIMARY SERVICE AREA. IN 2014, 76% OF ALL HOSPITAL DISCHARGES CAME FROM FOUR ZIP CODES IN THESE NEIGHBORHOODS (11212, 11207, 11208, AND 11236). ANOTHER 10 ZIP CODES, WHICH FALL WITHIN THE AREAS OF EAST AND CENTRAL BROOKLYN (INSIDE THE GEOGRAPHIC BOUNDARIES OF COMMUNITY DISTRICTS 3, 4, 8, 9 AND 17), COMPRISE BROOKDALE'S SECONDARY SERVICE AREA. IN 2014, 15% OF ALL DISCHARGES CAME FROM THESE ZIP CODES. TOGETHER, THE TWO SERVICE AREAS ACCOUNT FOR 90% OF OUR DISCHARGES. BROOKDALE'S PRIMARY AND SECONDARY SERVICE AREAS HAVE A POPULATION OF APPROXIMATELY 400,000 AND 600,000, RESPECTIVELY, A TOTAL OF APPROXIMATELY ONE MILLION RESIDENTS. THE MAJORITY OF RESIDENTS FROM BOTH SERVICE AREAS ARE BLACK/AFRICAN AMERICAN (APPROXIMATELY 70%). BOTH SERVICE AREAS HAVE A LARGE CONCENTRATION OF IMMIGRANTS AND A MYRIAD OF ETHNICITIES - 38% OF RESIDENTS ARE FOREIGN-BORN. A GROWING HISPANIC IMMIGRANT POPULATION ACCOUNTS FOR 18% OF RESIDENTS. THE MEDIAN AGE OF RESIDENTS IN OUR PRIMARY SERVICE AREA IS 32, WITH 31% UNDER 19 YEARS OLD. THE MEDIAN AGE IN OUR SECONDARY SERVICE AREA IS SLIGHTLY HIGHER AT APPROXIMATELY 35, WITH 27% UNDER 19 YEARS OLD. IN SHORT, BROOKDALE SERVES AN INCREDIBLY UNDERSERVED POPULATION. SOCIO-ECONOMIC STATUS OF BROOKDALE SERVICE AREAS:WHILE THE OVERALL UNEMPLOYMENT RATE FOR NYC HAD BEEN ON A DOWNWARD TREND FOR THE PAST TWO YEARS, AVERAGING 5.2% FOR THE MONTH OF SEPTEMBER 2015, THE RATE FOR THE BOROUGH OF BROOKLYN TRAILS BEHIND AT 5.6%, WITH THE RATES FOR THE SPECIFIC NEIGHBORHOODS THAT WE SERVE REMAINING SIGNIFICANTLY HIGHER. THREE OF THE FOUR ZIP CODES (11212, 11207, AND 11208) IN BROOKDALE'S PRIMARY SERVICE AREA HAVE AN AVERAGE MEDIAN HOUSEHOLD INCOME OF $32,000. POCKETS OF POVERTY EXIST IN THESE ZIP CODES - APPROXIMATELY 32% OF RESIDENTS LIVE BELOW THE FEDERAL POVERTY LEVEL, COMPARED TO 22% FOR THE BOROUGH OF BROOKLYN, AND 19% FOR NYC OVERALL. FIVE OF 10 ZIP CODES IN THE SECONDARY SERVICE AREA HAVE AN AVERAGE POVERTY RATE OF 28%. APPROXIMATELY 50% OF RESIDENTS IN BOTH SERVICE AREAS RECEIVE INCOME SUPPORT (TEMPORARY ASSISTANCE FOR NEEDY FAMILIES, SUPPLEMENTAL SECURITY INCOME, AND MEDICAID). IN 2012, 53% OF PATIENTS SERVED BY BROOKDALE HAD HEALTHCARE COVERAGE PROVIDED BY MEDICAID, 29% PROVIDED BY MEDICARE, 18% WERE EITHER SELF-PAY, CHARITABLE CARE OR PRIVATELY INSURED. THE PERCENTAGE OF RESIDENTS WITH NO HEALTH INSURANCE COVERAGE RANGES FROM 10% IN CANARSIE/FLATLANDS, TO 25% IN BUSHWICK. MOST OF THE NEIGHBORHOODS THAT WE SERVE HAVE THE HHS-DESIGNATIONS OF "HEALTH PROFESSIONAL SHORTAGE AREA" (HPSA) AND/OR "MEDICALLY UNDERSERVED AREA" (MUA). SOME OF THE FACTORS THAT RESULT IN POOR HEALTH OUTCOMES FOR THE POPULATION SERVED INCLUDE: A HIGH DISEASE BURDEN, LACK OF ACCESS TO CARE, A SHORTAGE OF PRIMARY CARE DOCTORS, LINGUISTIC AND CULTURAL ISOLATION, AND LOW HEALTH LITERACY. RESIDENTS SUFFER DISPROPORTIONATELY FROM CHRONIC DISEASES LIKE HIV/AIDS, HEART DISEASE, OBESITY, DIABETES, CANCER, AND SICKLE CELL ANEMIA. ACCORDING TO THE LATEST NYC DOH "TAKE CARE NY" HEALTH PROFILE REPORT CONDUCTED FOR CENTRAL BROOKLYN, THE ANNUAL AVERAGE DEATH RATE IN CENTRAL BROOKLYN WAS 20% HIGHER THAN BROOKLYN OVERALL, AND 30% HIGHER THAN NYC, WITH DISEASES OF THE HEART BEING THE LEADING CAUSE OF DEATH. ACCORDING TO SPARCS 2012 DATA, DISEASES OF THE HEART ACCOUNTED FOR 33.4% OF BROOKLYN DEATHS, WITH CANCER BEING THE SECOND, AT 24.7%. THE AREA HAS A HEART HOSPITALIZATION RATE THAT IS 10% HIGHER THAN THE REST OF BROOKLYN AND 20% HIGHER THAN THE REST OF NYC. MATERNAL AND NEWBORN HEALTH INDICATORS ARE ALSO POOR IN BROOKDALE'S TARGET AREA; SEVERAL ZIP CODES HAVE LOW BIRTH WEIGHT, PREMATURE BIRTH, TEEN PREGNANCY, AND INFANT MORTALITY RATES THAT ARE AMONG THE HIGHEST IN BROOKLYN. BROOKDALE'S SERVICE AREAS ARE PLAGUED BY CRIME, ESPECIALLY GUN-VIOLENCE. BROOKDALE'S EMERGENCY ROOM ENCOUNTERS ONE OF THE HIGHEST INCIDENCES OF PUNCTURE WOUNDS IN THE STATE, INCLUDING A GUNSHOT WOUND VICTIM EVERY 36 HOURS. THE NYC POLICE DEPARTMENT DESIGNATED BROOKDALE'S PRIMARY SERVICE AREA AS AN "IMPACT ZONE" IN 2013, DUE TO THE HIGH NUMBER OF GUN MURDERS AND OTHER CRIMES.
PART VI, LINE 5:	BROOKDALE IS A "SAFETY NET" HOSPITAL, 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 DUALLY-ELIGIBLE INDIVIDUALS). BROOKDALE'S CENTRAL GOAL IS TO PROMOTE THE HEALTH OF THE POOR COMMUNITIES THAT IT SERVES, AND AS SUCH, ALL OF ITS RESOURCES, FROM MEDICAL STAFF TO FUNDS GENERATED THROUGH SERVICE OR ANY OTHER SOURCES, ARE LEVERAGED TO IMPROVE THE HEALTH OF ITS CONSTITUENCY. BROOKDALE'S SENIOR LEADERSHIP ALLOCATES RESOURCES TO OPTIMIZE SERVICE TO PATIENTS. FOR EXAMPLE, IN 2013, BROOKDALE SECURED FUNDS FROM NEW YORK STATE TO BUILD AN URGENT CARE CENTER, TO PROVIDE PATIENTS WITH GREATER ACCESS TO HEALTHCARE. BROOKDALE'S COMBINATION OF CLINICS, INCLUDING SIX PRIMARY CARE SITES THAT SPREAD THROUGHOUT ITS SERVICE AREAS, ARE DESIGNED TO FACILITATE EASY ACCESS TO HEALTHCARE AND THE PROMOTION OF COMMUNITY HEALTH. BROOKDALE HAS A ROBUST COMMUNITY OUTREACH AND ENGAGEMENT AGENDA. AN ACTIVE COMMUNITY ADVISORY BOARD IS CHARGED WITH ENSURING THAT THE VOICE OF THE COMMUNITY IS REPRESENTED IN BROOKDALE'S DECISION MAKING PROCESS. THE EXTERNAL AFFAIRS DEPARTMENT WORKS WITH STAFF ACROSS THE ORGANIZATION TO COORDINATE NUMEROUS HEALTH EDUCATION FAIRS, WELLNESS EVENTS AND A HOST OF ACTIVITIES THAT ARE DESIGNED TO IMPROVE COMMUNITY HEALTH.
PART VI, LINE 6:	THE ORGANIZATIONS IS AFFILIATED WITH THE BROOKDALE HEALTHCARE SYSTEM.
PART VI, LINE 7, REPORTS FILED WITH STATES	NY

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ESTEVEN GARCIA MD
TRUSTEE/EX-OFFICIO	$542,437	$0	$0	$0	$720	$0	$0	$0	$27,894	$0	$571,051	$0	$0	$0
LEWIS MARSHALL MD
TRUSTEE/EX-OFFICIO	$392,582	$0	$0	$0	$2,322	$0	$0	$0	$27,894	$0	$422,798	$0	$0	$0
LUCIO FLORES MD
CHIEF OF VASCULAR SURGERY	$595,772	$0	$0	$0	$0	$0	$0	$0	$26,867	$0	$622,639	$0	$0	$0
REGINALD BULLOCK
ASSISTANT SECRETARY	$243,910	$0	$0	$0	$0	$0	$0	$0	$29,367	$0	$273,277	$0	$0	$0
SUNIL ABROL MD
CHIEF OF SURGERY	$600,000	$0	$0	$0	$1,242	$0	$0	$0	$111	$0	$601,353	$0	$0	$0
ERIC MINKIN MD
RADIOLOGIST	$494,956	$0	$0	$0	$0	$0	$0	$0	$28,674	$0	$523,630	$0	$0	$0
FREDERICK GULMI MD
UROLOGY CHAIRMAN	$495,390	$0	$0	$0	$2,322	$0	$0	$0	$25,117	$0	$522,829	$0	$0	$0
KECIA GAITHER MD
MATERNAL FETAL MEDICINE	$598,449	$0	$0	$0	$0	$0	$0	$0	$11,742	$0	$610,191	$0	$0	$0
MAYANK SHUKLA MD
PEDIATRICIAN	$465,195	$0	$0	$0	$0	$0	$0	$0	$19,776	$0	$484,971	$0	$0	$0
SAUL ARBER MD
DIRECTOR OF RADIATION AND ONCOLOGY	$600,000	$0	$0	$0	$1,242	$0	$0	$0	$111	$0	$601,353	$0	$0	$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	ALEX ROVT, CHAIRMAN AND TRUSTTE, IRINA BENFIELD, TRUSTEE AND SECRETARY, AND STEPHEN PLOTNICK, TRUSTTEE, ALL HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER.
FORM 990, PART VI, SECTION A, LINE 3	IN MARCH 2012, GRANT THORNTON WAS ENGAGED BY THE ORGANIZATION TO PROVIDE TEMPORARY STAFFING SERVICES. COMMENCING APRIL 26, 2012 GRANT THORTON'S GRANT THORTON'S TEMPORARY STAFFING SERVICES INCLUDED PROVIDING THE CHIEF EXECUTIVE AND RESTRUCTUTING OFFICER, CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER, AND CHIEF INFORMATION OFFICER POSITIONS. AS WELL AS MULTIPLE OTHER ADMINISTRATIVE POSITIONS IN FINANCE, OPERATIONS, AND IT. DURING 2013, THE POSITION OF CHIEF FINANCIAL OFFICER WAS FULFILLED BY JAMES PORTER OF GRANT THORTON. IN DECEMBER 2012, THE HOSPITAL RETAINED TONEYKORF PARTNERS, LLC. TO PROVIDE INDIVIDUALS TO TEMPORARLY FILL THE POSITIONS OF CHIEF EXECUTIVE OFFICER AND CHIEF OPERATING OFFICER, FULLFILLED BY MARK TONEY AD STEVEN KORF, RESPECTIVELY. THESE POSITIONS ARE ALL INDICATED IN PART VII SECTION A FOR OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES. ANY AMOUNTS PAID IN CONNECTION WITH THE ABOVE SERVICES ARE PAID DIRECTLY TO GRANT THORTON OR TONEYKORF PARTNERS, LLC RESPECTIVELY. THE FOLLOWING WERE PAID FOR SERVICES RENDERED DURING THE YEAR: TONEYKORF PARTNERS, LLC $2,944,152
FORM 990, PART VI, SECTION A, LINE 6	BROOKDALE 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	BROOKDALE 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 11	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 THEN FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	DISCLOSURE IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY BY EMPLOYEES 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 DEPARTMENT OF INTERNAL AUDIT MANAGES COMPLIANCE.
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 2014.
FORM 990, PART VI, SECTION C, LINE 19	THE DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:	PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST OF DEFINED BENIFIT PLAN -27,624,617.
FORM 990, PART XII, LINE 2C:	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
AMENDED RETURN:	FORM 990 WAS AMENDED TO REFLECT FINAL UPDATED FINANCIAL AND OTHER INFORMATION: THE FOLLOWING PARTS HAVE BEEN UDPATED TO REFLECT THIS: PART I, III, IV, VI, VII, VIII, IX, X, XI. ALSO, THE FOLLOWING SCHEDULES HAVE BEEN UPDATED: SCHEDULE B, D, H, J, O, R.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
AMBOY PROPERTIES CORPORATION
101-01 AVENUE D	BROOKLYN	NY	11236	112814707	PARKING GARAGE	NY	501(C)(3)	11A	BROOKDALE HEALTH SYSTEMS INC	0
BROOKDALE FAMILY CARE CENTERS INC
101-01 AVENUE D	BROOKLYN	NY	11236	113237483	HEALTHCARE	NY	501(C)(3)	3	BROOKDALE HEALTH SYSTEMS INC	0
LINROC COMMUNITY SERVICE CORPORATION
101-01 AVENUE D	BROOKLYN	NY	11236	112814765	SUPPORT	NY	501(C)(3)	11A	BROOKDALE HEALTH SYSTEMS INC	0
ROCKREAL CORPORATION
101-01 AVENUE D	BROOKLYN	NY	11236	112814705	SUPPORT	NY	501(C)(3)	11A	BROOKDALE HEALTH SYSTEMS INC	0
SAMUEL AND BERTHA SCHULMAN INSTITUTE FUND INC
101-01 AVENUE D	BROOKLYN	NY	11236	237270262	HEALTHCARE	NY	501(C)(3)	11A	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)	9	BROOKDALE HEALTH SYSTEMS INC	0
THE SCHULMAN & SCHACHNE INSTITUTE FOR NURSING AND REHABILITATION INC
101-01 AVENUE D	BROOKLYN	NY	11236	237085986	HEALTHCARE	NY	501(C)(3)	3	BROOKDALE HEALTH SYSTEMS INC	0
URBAN STRATEGIES
101-01 AVENUE D	BROOKLYN	NY	11236	113237480	HEALTHCARE	NY	501(C)(3)	3	BROOKDALE HEALTH SYSTEMS INC	0
BROOKDALE HEALTH SYSTEM INC
ONE BROOKDALE PLAZA	BROOKLYN	NY	11212	460797064	SUPPORT	NY	501(C)(3)	11A		0	N/A
BROOKDALE HOSPITAL CENTER HEGEMAN AVENUE HOUSING COMPANY
101-01 AVENUE D	BROOKLYN	NY	11236	237082540	INACTIVE	NY	501(C)(2)	N/A	BROOKDALE HOSPITAL MEDICAL CENTER	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
NHP HOLDINGS LLC
521 FIFTH AVE	NEW YORK	NY	10175	203418837	HOLDING COMPANY	NY	N/A
ROYAL HEALTHCARE OF LONG ISLAND
521 FIFTH AVE	NEW YORK	NY	10175	133887900	MANAGEMENT SERVICES ORG.	NY	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
BHMC ENTERPRISES
101-01 AVENUE D	BROOKLYN	NY	11236	112855200	LEASEHOLDER OF MEDICAL OFFICE BUILDING	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

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd