2013-11-15T09:12:19-06:00 2012-12-31 Charles A Barragato & Co LLP 950 Third Avenue - 20th FL New York NY 10022 990 2012-01-01 111630755 The Brooklyn Hospital Center % THE BROOKLYN HOSPITAL CENTER BROO 7182506755 121 Dekalb Avenue Suite Brooklyn NY 11201 JOSEPH GUARRACINO 7182506755 2013-11-15 true Angelo Pirozzi CPA 2123714446 2012 2016-02-25 16:41:14Z RICHARD BECKER MD 121 DEKALB AVENUE BROOKLYN NY 11201 388695346 false 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. 18 15 3029 100 0 8656282 9418418 325714397 331890927 6768062 6317542 14647158 15525093 355785899 363151980 0 0 0 0 207556263 218603412 0 0 0 125474713 121508926 333030976 340112338 22754923 23039642 328019298 325288635 167716198 141658726 160303100 183629909 THE BROOKLYN HOSPITAL CENTER IS DEDICATED TO PROVIDING OUTSTANDING HEALTH SERVICES, EDUCATION, AND RESEARCH TO KEEP THE 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NY 10036 ACCOUNTING 364275 14 610816 7662135 1145467 9418418 PATIENT SERVICES 621300 348155692 348155692 PROVISION FOR BAD DEBTS 621300 -16264765 -16264765 331890927 6212466 6212466 0 0 1165663 1165663 0 1165663 1165663 25648442 25543366 105076 105076 105076 0 0 0 ELECTRONIC HEALTH RECORDS INCENTIVE PAYMENTS 900099 4004094 4004094 RESIDENT ROTATIONS 900099 2997600 2997600 GAIN ON EXTINGUISHMENT OF DEBT 900099 1378929 1378929 5978807 4511177 1467630 14359430 363151980 343403798 10329764 0 0 0 0 10167692 8439184 1728508 0 702109 582750 119359 160728854 133404949 27323905 9190602 7628200 1562402 26322809 21847931 4474878 11491346 9537817 1953529 0 832985 0 832985 445394 0 445394 0 0 0 30051411 24942671 5108740 904861 751035 153826 10201382 8467147 1734235 0 0 8666695 7193357 1473338 449519 373101 76418 0 582283 483295 98988 4601928 3819600 782328 0 12356520 10255912 2100608 4054393 3365146 689247 MEDICAL SUPPLIES 29662205 29662205 0 REPAIRS & MAINTENANCE 10720543 8898051 1822492 PURCHASED 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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 2012 HANYS AND GNYHA ANNUAL DUES WERE $22,058 AND $41,545 RESPECTIVELY. 3835173 485632 4320805 3863192 -28019 3835173 3561754 301438 3863192 3546402 15352 3561754 3464080 82322 3546402 0.28739 0.71262 false false 0 719344 719344 0 117811423 72104227 45707196 0 820696 646246 174450 0 202257261 166215170 36042091 1501308 0 1501308 84144389 DEFERRED FINANCING FEES 1855755 DUE FROM 3RD PARTY PAYORS 8234724 DUE FROM AFFILIATES 108171141 HEALTHFIRST LLC INVESTMENT 17501750 HEALTHFIRST MHI 6853183 HEALTHFIRST PHSP 9159651 OTHER RECEIVABLES 2863076 INSURANCE RECEIVABLE 2507613 157146893 0 DUE TO AFFILIATES 671319 ESTIMATED LIABILITIES DUE TO 3 6830559 LEASE FROM VARIOUS VENDORS 3781757 OTHER NONCURRENT LIABILITIES 4675124 15958759 INTENDED USES OF ENDOWMENT FUND PART V, LINE 4 TO HOLD IN PERPETUITY. true true true X 400. true X true true false true true 15879524 9741988 6137536 0.01820 111946697 96155917 15790780 0.04700 127826221 105897905 21928316 0.06520 47856587 16467711 31388876 0.09330 21239010 10159163 11079847 0.03290 69095597 26626874 42468723 0.12620 196921818 132524779 64397039 0.19140 9125 9125 9125 9125 true 16264765 63879037 73373566 -9494529 X true true 1 1 The Brooklyn Hospital Center

121 DeKalb Avenue Brooklyn NY 11201

X X X X The Brooklyn Hospital Center 1 true true 400. true 400. true X X true true X X X X X true false true X false false 5 PATH CENTER

2222 CHURCH AVENUE BROOKLYN NY 11226

HIV SERVICES WILLIAMSBURG HEALTH CARE CENTER

99-101 DIVISION AVENUE BROOKLYN NY 11211

OUTPATIENT CLINIC LAPROVIDENCIA HEALTH CENTER

1280 DEKALB AVENUE BROOKLYN NY 11221

OUTPATIENT CLINIC MANHATTAN AVENUE HEALTH CENTER

960 MANHATTAN AVENUE BROOKLYN NY 11222

OUTPATIENT CLINIC 61ST STREET FAMILY HEALTH CENTER

771 61ST STREET BROOKLYN NY 11220

OUTPATIENT CLINIC EXPLANATION OF COSTING METHODOLOGY 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. COSTS ASSOCIATED WITH PHYSICANS CLINICS PART I, LINE 7G THE HOSPITAL INCLUDED COSTS TOTALING $11,521,588 FROM PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES METHODOLOGY USED TO ESTIMATE AMOUNT OF BAD DEBT EXPENSE 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 pages 9 and 10 of the attached AFS. BAD DEBT EXPENSE AUDITED FINANCIAL STATEMENT FOOTNOTE PART III, LINE 4 The text of the footnote that describes bad debt expense can be found on pages 9 and 10 of the attached audited financial statements. EXPLANATION OF SHORTFALL AS COMMUNITY BENEFIT 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. PROVISIONS ON COLLECTION PRACTICES FOR QUALIFIED PATIENTS PART III, LINE 9B THE DEBT COLLECTION POLICY IS ADDRESSED IN THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. PATIENTS THAT 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 AFTER FINANCIAL ASSISTANCE IS PROVIDED. NEEDS ASSESSMENT PART VI, line 2 PURSUANT TO NEW YORK STATE PUBLIC HEALTH LAW SECTION 2803-L, THE BROOKLYN HOSPITAL CENTER IS REQUIRED TO FILE A COMPREHENSIVE COMMUNITY SERVICE PLAN ("CSP") WITH THE NEW YORK STATE DEPARTMENT OF HEALTH ("DOH") EVERY 3 YEARS. A COPY OF THE BROOKLYN HOSPITAL CENTER'S CSP CAN BE FOUND ON THE HOSPITAL'S WEBSITE AT WWW.TBH.ORG UNDER THE "COMMUNITY OUTREACH" TAB. THE COMPREHENSIVE DATA AND INFORMATION CONTAINED IN THIS CSP WILL EXHAUSTIVELY ADDRESS PART VI OF THIS SCHEDULE H, AND ITS CONTENTS ARE INCORPORATED HEREIN BY REFERENCE. IN KEEPING WITH ITS TRADITION OF MEETING THE HEALTH CARE NEEDS OF THE COMMUNITY, THE BROOKLYN HOSPITAL CENTER WELCOMES INPUT ON ITS SERVICE GOALS AND DELIVERY. COLLABORATORS IN THIS PROCESS INCLUDE THE HOSPITAL'S BOARD OF TRUSTEES, ITS COMMUNITY ADVISORY BOARD (CAB), ELECTED AND APPOINTED OFFICIALS, AND A RANGE OF COMMUNITY-BASED ORGANIZATIONS (CBOS): LEADERSHIP - THE BROOKLYN HOSPITAL CENTER IS GOVERNED BY A BOARD OF TRUSTEES, WHICH ENCOURAGES COMMUNICATION BETWEEN THE HOSPITAL AND THE LOCAL HEALTH DEPARTMENT, AREA LEGISLATORS, COMMUNITY ADVISORS, AND COMMUNITY-BASED ORGANIZATIONS. TRUSTEES PRESENT ORAL AND WRITTEN REPORTS OF COMMUNITY ACTIVITIES WHICH ARE RELEVANT TO THE HOSPITAL'S VIABILITY. AS PART OF ITS CORPORATE FUNCTION, THE BOARD OVERSEES THE DEVELOPMENT AND IMPLEMENTATION OF THE HOSPITAL'S STRATEGIC PLAN. A GENERAL AIM OF THE STRATEGIC PLAN IS TO DEVELOP STRONG POLICIES TO HELP THE HOSPITAL CONTINUE TO FULFILL ITS MISSION. THE CURRENT STRATEGIC PLAN SPECIFICALLY OUTLINES THE GOAL OF CONTINUING MEANINGFUL ENGAGEMENT WITH COMMUNITY STAKEHOLDERS. COMMUNITY ADVISORY BOARD - THE BROOKLYN HOSPITAL CENTER'S COMMUNITY ADVISORY BOARD IS MADE UP OF DEDICATED, CIVIC-MINDED PEOPLE FROM THE COMMUNITY WHO HELP TO ASSESS AND IDENTIFY LOCAL HEALTH NEEDS AND OFFER GUIDANCE REGARDING THE SCOPE AND QUALITY OF CARE THAT THE BROOKLYN HOSPITAL CENTER RENDERS IN THE COMMUNITY. CAB MEMBERS MEET FORMALLY ONCE A MONTH TO RECEIVE UPDATES ABOUT THE HOSPITAL AND TO SHARE INFORMATION ABOUT THE COMMUNITY WITH THE BROOKLYN HOSPITAL CENTER LEADERS. ADVISORS ARE KEPT WELL INFORMED ABOUT THE HOSPITAL IN BETWEEN MEETINGS, SO THAT THEY CAN BE ACTIVE REPRESENTATIVES OF THE INSTITUTION IN THE COMMUNITY. ADDITIONALLY, THE CAB HELPS HOSPITAL ADMINISTRATORS WITH COMMUNITY OUTREACH EFFORTS, AND THE MEMBERS MONITOR THE BROOKLYN HOSPITAL CENTER'S PATIENT SATISFACTION PROCESS TO ENSURE THAT ISSUES ARE ADDRESSED AND RESOLVED APPROPRIATELY. ADVISORS REFLECT THE NEEDS AND CONCERNS OF VARIOUS ETHNIC, ECONOMIC AND CULTURAL GROUPS. CURRENT MEMBERS INCLUDE HEALTH CARE PROFESSIONALS, THE BROOKLYN HOSPITAL CENTER CONSUMERS, CIVIC LEADERS, CLERGY, BUSINESS OWNERS, AND RETIREES. GOVERNMENT RELATIONS - THE BROOKLYN HOSPITAL CENTER PROACTIVELY CULTIVATES STRONG RELATIONSHIPS WITH ITS COMMUNITY BOARD AND LEGISLATIVE OFFICIALS ON THE FEDERAL, STATE, AND CITY LEVELS. THE BROOKLYN HOSPITAL CENTER KEEPS THESE ELECTED AND APPOINTED REPRESENTATIVES INFORMED ABOUT HEALTH ISSUES WHICH RELATE TO THEIR DISTRICTS AND THE IMMEDIATE NEIGHBORHOOD. THE HOSPITAL BRIEFS LAWMAKERS ON THE CHALLENGES AND OPPORTUNITIES THE HOSPITAL FACES IN MEETING THE HEALTH CARE NEEDS OF AREA RESIDENTS, AND ON THE IMPACT OF EXISTING AND PROPOSED LEGISLATION ON THAT PROCESS. COMMUNITY BASED ORGANIZATIONS (CBOS) - THE BROOKLYN HOSPITAL CENTER'S COLLABORATION WITH SOCIAL SERVICE AGENCIES, HEALTH MAINTENANCE ORGANIZATIONS (HMOS) AND PHYSICIAN GROUPS, EDUCATIONAL INSTITUTIONS, CORPORATE NEIGHBORS, AND CIVIC AND FAITH-BASED ORGANIZATIONS HAS CEMENTED ITS STANDING AS A GOOD NEIGHBOR. WHILE SOME OF THESE ALLIANCES STRENGTHEN BUSINESS, ADVANCE STRATEGIC GOALS, AND BUILD GOODWILL, THE BROOKLYN HOSPITAL CENTER'S PRIMARY FOCUS IS TO CULTIVATE PARTNERSHIPS THAT ENHANCE ITS HEALTH CARE DELIVERY IN THE COMMUNITY. INPUT FROM EACH PARTICIPANT CATEGORY WILL BE USED TO INFORM THE PROCESS OF ADDRESSING THE HOSPITAL'S PREVENTION AGENDA PRIORITIES AND ASSESSING COMMUNITY HEALTH NEEDS. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE 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. IN 2011, NEARLY 1,500 PATIENTS BENEFITED FROM FAP. IN RESPONSE TO THE ECONOMIC DOWNTURN, THE BROOKLYN HOSPITAL CENTER HAS INCREASED DISSEMINATION OF FAP INFORMATION TO PATIENTS. THE BROOKLYN HOSPITAL CENTER IS COMMITTED TO PROVIDING THESE PATIENTS WITH THE SAME QUALITY CARE RENDERED TO ALL PATIENTS. COMMUNITY INFORMATION 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. IN 1998, THE HOSPITAL ENTERED INTO A SPONSORSHIP AGREEMENT WITH NEW YORK-PRESBYTERIAN HEALTHCARE SYSTEM, INC. 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 SERVICES 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 80% 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. COMMUNITY BUILDING ACTIVITIES 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. EXPLANATION OF HOW ORGANIZATION FURTHERS ITS EXEMPT PURPOSE PART VI, line 6 COMMUNITY ADVISORY BOARD - ONE OF THE WAYS THAT THE BROOKLYN HOSPITAL CENTER KEEPS CONNECTED TO THE COMMUNITY IS THROUGH ITS COMMUNITY ADVISORY BOARD (CAB). THE CAB IS A DIVERSE GROUP OF INDIVIDUALS WITH STRONG TIES TO THE COMMUNITY WE SERVE. EACH ADVISOR HAS AN UNDERSTANDING OF HOW OUR HOSPITAL WORKS. THIS KNOWLEDGE ENABLES US TO TAILOR OUR PROGRAMS AND SERVICES SO THAT THE BROOKLYN HOSPITAL CENTER MEETS THE SPECIFIC HEALTH CARE NEEDS OF THE FAMILIES IN OUR NEIGHBORHOODS. PURPOSE OF THE CAB: - ASSIST IN ASSESSING AND INDENTIFYING THE HEALTH NEEDS OF THE COMMMUNITY - OFFER GUIDANCE IN IDENTIFYING LOCAL STRENGTHS, WEAKNESSES, OPPORTUNITIES AND POTENTIAL THREATS TO THBC - CULTIVATE AND MAINTAIN RELATIONSHIPS WITH COMMUNITY LEADERS, COMMUNITY BASED ORGANIZATIONS (CBOS), AND CIVIC GROUPS TO STRENGTHEN THE HOSPITAL'S LINK TO THE COMMUNITY - ASSIST HOSPITAL ADMINISTRATION IN ITS COMMUNITY OUTREACH EFFORTS ORGANIZE COMMUNITY FORUMS OF MUTUAL INTEREST TO THE BROOKLYN HOSPITAL CENTER AND THE COMMUNITY - MONITOR THE BROOKLYN HOSPITAL CENTER'S PATIENT SATISFACTION PROCESS TO ENSURE THAT ISSUES ARE ADDRESSED AND RESOLVED APPROPRIATELY - COMMUNICATE HOW OUR COMMUNITY VIEWS THE BROOKLYN HOSPITAL CENTER, THE COMMUNITY ADVISORY BOARD OF THE BROOKLYN HOSPITAL CENTER IS COMMITTED TO REMAINING INFORMED ABOUT THE HOSPITAL'S MISSION, PROGRAMS, ACTIVITIES, ACCOMPLISHMENTS, AND STRATEGIC PLAN. PATH CENTER COMMUNITY ACTIVITIES - THBC HAS AN EXTENSIVE HIV OUTREACH PROGRAM THAT INVOLVES ON-SITE TESTING AT LOCAL ORGANIZATIONS AS WELL AS AN ANNUAL HIV TESTING DAY. THE BROOKLYN HOSPITAL CENTER ALSO IS A MEMBER OF A PATH COMMUNITY ADVISORY BOARD THAT MEETS ON A QUARTERLY BASIS TO DISCUSS AND SHAPE THE PROGRAM TO ENSURE THAT IT IS RESPONSIVE TO THE NEEDS OF THE COMMUNITY. STATES WHERE COMMUNITY BENEFIT REPORT FILED PART VI, line 7 NY X X X X X true true false false false false false false false Wayne Osten 0 502803 0 306028 0 234881 0 16559 0 23133 0 1083404 0 105521 Gary Zuar 0 497178 0 307037 0 188980 0 64958 0 30347 0 1088500 0 50671 Richard Becker MD 1006024 0 425000 0 0 0 8032 0 9727 0 1448783 0 0 0 Joseph Guarracino 462456 0 100000 0 0 0 6710 0 9318 0 578484 0 0 0 Wesley T Crable 472601 0 50000 0 0 0 0 0 6223 0 528824 0 0 0 Gary Stephens MD 393461 0 60000 0 0 0 2536 0 1620 0 457617 0 0 0 Stacy Friedman Esq 323581 0 53000 0 0 0 8007 0 9727 0 394315 0 0 0 Patricia Winston 285577 0 45375 0 0 0 7837 0 5768 0 344557 0 0 0 John Lasky 291050 0 11000 0 0 0 0 0 9918 0 311968 0 0 0 J Anders Cohen 750000 0 70000 0 0 0 8032 0 4441 0 832473 0 0 0 Michael Cabbad 680769 0 298337 0 0 0 8032 0 8400 0 995538 0 0 0 Dr Peter Pappas 600000 0 100000 0 0 0 5210 0 8400 0 713610 0 0 0 Lisandro Irizarry 0 427450 0 10000 0 0 0 5532 0 8400 0 451382 0 0 Shalom Buchbinder 535000 0 0 0 0 0 0 0 7851 0 542851 0 0 0 Harry Dym 378000 0 20000 0 0 0 8032 0 8400 0 414432 0 0 0 Vasantha Kondamudi 353077 0 51000 0 0 0 8032 0 293 0 412402 0 0 0 Kenneth Bromberg 350200 0 20000 0 0 0 8032 0 8400 0 386632 0 0 0 Benson Yeh 303369 0 50000 0 0 0 8074 0 8591 0 370034 0 0 0 Lora B Myers 258083 0 30755 0 0 0 8146 0 5197 0 302181 0 0 0 Paul Wong 234110 0 20000 0 0 0 7129 0 8400 0 269639 0 0 0 Karen Milano 226297 0 29963 0 0 0 6969 0 8400 0 271629 0 0 0 Donald Minarcik 233817 0 30959 0 0 0 6779 0 8400 0 279955 0 0 0 Armand Asarian 450000 0 20000 0 0 0 8032 0 8400 0 486432 0 0 0 Mohammed Alladin 442786 0 10000 0 0 0 5532 0 8400 0 466718 0 0 0 Geoffrey Phillips 375000 0 50000 0 0 0 5035 0 502 0 430537 0 0 0 Angela Kerr 475000 0 10000 0 0 0 5532 0 8400 0 498932 0 0 0 Joshua Halpern 404231 0 5000 0 0 0 5532 0 8400 0 423163 0 0 0 Paul Albertson 0 0 0 0 357109 0 0 0 0 0 357109 0 0 0 Kenneth Ong 295000 50000 0 8032 8400 361432 0 Irene Farrelly 279892 0 20000 0 0 0 7891 0 3985 0 311768 0 0 0 RECEIVED SEVERANCE, SUPPLEMENTAL NQ RETIREMENT, EQUITY-BASED COMPENSATION PART I, LINE 4 PAUL ALBERTSON RECEIVED SEVERANCE PAYMENTS OF $357,109 IN 2012. ADDITIONAL INFORMATION PART III Certain officers and key employees of the New York Presbyterian Hospital that are identified in part VII as officers or trustees of The Brooklyn Hospital Center, namely Wayne Osten and Gary Zuar, are responsible for executing the mission and management of the New York Presbyterian Hospital (NYP) and its affiliated entities. Compensation for 2012 of these upper level executives includes the payout of an annual incentive plan and a long-term incentive plan. This performance-oriented program conditions payments upon the achievement of multiple individual and group performance measures. Measures to monitor performance include: operational and financial strength, patient quality and safety, patient satisfaction, advancement of patient care, and people development and partnership. Incentive awards may only be granted if the organization achieves a financial surplus. Even if all relevant performance measurements are achieved, the NYP Board of Trustees retains full discretion to make or not make any incentive awards, or to reduce the amount of any incentive award. This initiative is critical to assuring that NYP has the requisite leadership to create and manage a highly motivated and engaged workforce, to drive superior performance throughout the organization and to achieve top tier medical center status. As a separate matter, due to restrictions imposed by the Internal Revenue Code, upper level executives are limited in the amount of benefits received under a tax-qualified retirement plan. Like many employers, NYP supplements these executives' pension benefits through a supplemental ("nonqualified") retirement plan. The supplemental executive retirement plan (SERP) is subject to a multi-year vesting requirement (commencing after five years of participation in the SERP, in prorated amounts through age 65) which places an executive's supplemental retirement benefit at risk of forfeiture if the vesting requirements are not satisfied. Once vested, however, provisions of the Internal Revenue Code require that the vested executive include in current income the value of his or her vested supplemental retirement benefit. Notwithstanding the legal requirement to recognize the vested value of the supplemental retirement benefit as current income, the supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP (although, as permitted by the Internal Revenue Code, the supplemental retirement plan will effect a distribution of an amount necessary to satisfy the executive's tax liability resulting from the income recognition upon vesting). As noted, this supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP. There are constantly changing legal, tax, accounting, and public disclosure rules for a SERP (supplemental executive retirement plan) in not-for-profit organizations. The executive Compensation Committee continuously monitors these changes and incorporates any changes into the overall SERP plan design. As in past years, the executive Compensation Committee of NYP requires a third party to complete a review of the organization's compensation program to ensure its effectiveness in terms of government regulations, market conditions and the need to continually elevate organizational performance. The report also serves to meet the regulatory obligations to ensure that all elements of the executive compensation programs are reasonable. The individuals listed in part VII that are compensated by New York Presbyterian Hospital devote an average of sixty hours per week to perform their responsibilities for the New York Presbyterian Hospital and other related organizations in the aggregate. FORM 990, PART VII Certain officers and key employees of the New York Presbyterian Hospital that are identified in part VII as officers or trustees of The Brooklyn Hospital Center, namely Wayne Osten and Gary Zuar, are responsible for executing the mission and management of the New York Presbyterian Hospital (NYP) and its affiliated entities. Compensation for 2012 of these upper level executives includes the payout of an annual incentive plan and a long-term incentive plan. This performance-oriented program conditions payments upon the achievement of multiple individual and group performance measures. Measures to monitor performance include: operational and financial strength, patient quality and safety, patient satisfaction, advancement of patient care, and people development and partnership. Incentive awards may only be granted if the organization achieves a financial surplus. Even if all relevant performance measurements are achieved, the NYP Board of Trustees retains full discretion to make or not make any incentive awards, or to reduce the amount of any incentive award. This initiative is critical to assuring that NYP has the requisite leadership to create and manage a highly motivated and engaged workforce, to drive superior performance throughout the organization and to achieve top tier medical center status. As a separate matter, due to restrictions imposed by the Internal Revenue Code, upper level executives are limited in the amount of benefits received under a tax-qualified retirement plan. Like many employers, NYP supplements these executives' pension benefits through a supplemental ("nonqualified") retirement plan. The supplemental executive retirement plan (SERP) is subject to a multi-year vesting requirement (commencing after five years of participation in the SERP, in prorated amounts through age 65) which places an executive's supplemental retirement benefit at risk of forfeiture if the vesting requirements are not satisfied. Once vested, however, provisions of the Internal Revenue Code require that the vested executive include in current income the value of his or her vested supplemental retirement benefit. Notwithstanding the legal requirement to recognize the vested value of the supplemental retirement benefit as current income, the supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP (although, as permitted by the Internal Revenue Code, the supplemental retirement plan will effect a distribution of an amount necessary to satisfy the executive's tax liability resulting from the income recognition upon vesting). As noted, this supplemental retirement benefit will not be distributed to the executive until the executive actually retires from NYP. There are constantly changing legal, tax, accounting, and public disclosure rules for a SERP (supplemental executive retirement plan) in not-for-profit organizations. The executive Compensation Committee continuously monitors these changes and incorporates any changes into the overall SERP plan design. As in past years, the executive Compensation Committee of NYP requires a third party to complete a review of the organization's compensation program to ensure its effectiveness in terms of government regulations, market conditions and the need to continually elevate organizational performance. The report also serves to meet the regulatory obligations to ensure that all elements of the executive compensation programs are reasonable. The individuals listed in part VII that are compensated by New York Presbyterian Hospital devote an average of sixty hours per week to perform their responsibilities for the New York Presbyterian Hospital and other related organizations in the aggregate. EXPLANATION OF CLASSES OF MEMBERS OR SHAREHOLDERS FORM 990, PART VI, LINE 6 THE BROOKLYN HOSPITAL CENTER (THE "ORGANIZATION")IS A MEMBERSHIP CORPORATION, WHOSE MEMBERS ARE APPOINTED BY NEW YORK-PRESBYTERIAN HEALTHCARE SYSTEM, INC. ("SYSTEM INC."). SYSTEM INC. IS A TAX-EXEMPT ORGANIZATION WHOSE MEMBERS ARE APPOINTED BY NEW YORK-PRESBYTERIAN FOUNDATION,INC., WHICH IS ALSO A TAX-EXEMPT ORGANIZATION. THE MEMBERS OF THE ORGANIZATION ELECT THE ORGANIZATION'S BOARD OF TRUSTEES. HOW MEMBERS OR SHAREHOLDERS ELECT GOVERNING BODY FORM 990, PART VI, LINE 7A THE MEMBERS SHALL HAVE THE SOLE AUTHORITY TO ESTABLISH FROM TIME TO TIME THE NUMBERS OF TRUSTEES THAT SHALL COMPRISE THE ENTIRE BOARD TO ELECT TRUSTEES AND REMOVE TRUSTEES, WITH OR WITHOUT CAUSE, PROVIDED THAT NO DECREASE IN THE SIZE OF THE BOARD MAY AFFECT THE TERMS TO WHICH CURRENT TRUSTEES ARE ELECTED OR HAVE THE RIGHT TO BE RE-ELECTED AND NO SUCH CURRENT TRUSTEE MAY BE REMOVED DURING SUCH TERMS WITHOUT CAUSE. THE APPROVAL OF MEMBERS SHALL BE REQUIRED FOR (1) THE APPOINTMENT OR THE REMOVAL BY THE BOARD OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, (2) THE APPOINTMENT BY THE BOARD OF THE CHIEF FINANCIAL OFFICER, CHIEF MEDICAL OFFICER AND CHIEF INFORMATION OFFICER, IF ANY, (3)THE AMENDMENT OF THE HOSPITAL'S CERTIFICATE OF INCORPORATION OR BYLAWS, (4) THE DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE HOSPITAL, (5) THE MERGER OR CONSOLIDATION OF THE HOSPITAL WITH ANOTHER ENTITY, OR (6) THE DISSOLUTION OF THE HOSPITAL. DECISIONS OF GOVERNING BODY APPROVAL BY MEMBERS FORM 990, PART VI, LINE 7B THE APPROVAL OF THE MEMBERS SHALL BE REQUIRED FOR (1) THE APPOINTMENT OR THE REMOVAL BY THE BOARD OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, (2) THE APPOINTMENT BY THE BOARD OF THE CHIEF FINANCIAL OFFICER, CHIEF MEDICAL OFFICER (ALSO REFERRED TO AS THE "MEDICAL DIRECTOR") AND CHIEF INFORMATION OFFICER, IF ANY, (3) THE AMENDMENT OF THE CORPORATION'S CERTIFICATE OF INCORPORATION OR BYLAWS, (4) THE DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, (5) THE MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER ENTITY, OR (6) THE DISSOLUTION OF THE CORPORATION. FORM 990 REVIEW PROCESS FORM 990, PART VI, 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. EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICT OF INTEREST POLICY FORM 990, PART VI, LINE 12C THE VP OF AUDIT AND COMPLIANCE REVIEWS ALL STATEMENTS. 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. COMPENSATION REVIEW & APPROVAL PROCESS FORM 990, PART VI, LINES 15A & 15B 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. OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE FORM 990, PART VI, LINE 19 UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE ONLY THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS. FORM 990, PART VII - COMPENSATION EXPLANATION WAYNE OSTEN AND GARY ZUAR ARE EMPLOYED AND COMPENSATED BY A RELATED ORGANIZATION, THE NEW YORK AND PRESBYTERIAN HOSPITAL. 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