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BROOKDALE HOSPITAL MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BROOKDALE HOSPITAL MEDICAL CENTER (EIN 11-1631746)
Tax period
2011-01-01 to 2011-12-31
Filed
2013-01-25
IRS object ID
201310259349300041
Schema version
2011v1.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-01-25T16:31:19-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN221478099EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1COHNREZNICK LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11212 6TH AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10036ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN111631746EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BROOKDALE HOSPITAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBROONameControl
Phone7182405000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE BROOKDALE PLAZAAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11236ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJIM PORTERName
TitleCFOTitle
Phone7182405000Phone
Date Signed2013-01-17DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTHOMAS LANNINGName
PTINP00851654PTIN
Phone2122970400Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJIM PORTERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1ONE BROOKDALE PLAZAAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11236ZIPCode
FieldValueIRS element (for citing)
Gross Receipts455354044GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BROOKDALE.EDUWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1914YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTHE BROOKDALE HOSPITAL MEDICAL CENTER OPERATES A 530 BED HOSPITAL IN BROOKLYN, NY.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees3683TotalNbrEmployees
Total Nbr Volunteers778TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7748591ContributionsGrantsPriorYear
Contributions Grants Current Year6485522ContributionsGrantsCurrentYear
Program Service Revenue Prior Year382527070ProgramServiceRevenuePriorYear
Program Service Revenue CY364967639ProgramServiceRevenueCY
Investment Income Prior Year4993815InvestmentIncomePriorYear
Investment Income Current Year13109336InvestmentIncomeCurrentYear
Other Revenue Prior Year69110157OtherRevenuePriorYear
Other Revenue Current Year70636457OtherRevenueCurrentYear
Total Revenue Prior Year464379633TotalRevenuePriorYear
Total Revenue Current Year455198954TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year290038511SalariesEtcPriorYear
Salaries Etc Current Year295813318SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year348763TotalFundrsngExpCurrentYear
Other Expense Prior Year217594571OtherExpensePriorYear
Other Expenses Current Year210060350OtherExpensesCurrentYear
Total Expenses Prior Year507633082TotalExpensesPriorYear
Total Expenses Current Year505873668TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-43253449RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-50674714RevenuesLessExpensesCY
Total Assets BOY178989271TotalAssetsBOY
Total Assets EOY189827606TotalAssetsEOY
Total Liabilities BOY458918654TotalLiabilitiesBOY
Total Liabilities EOY545555756TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-279929383NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-355728150NetAssetsOrFundBalancesEOY
Mission DescriptionTHE BROOKDALE HOSPITAL MEDICAL CENTER OPERATES A 530 BED HOSPITAL IN BROOKLYN, NEW YORK.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense436555202Expense
Revenue364967639Revenue
DescriptionTHE BROOKDALE HOSPITAL MEDICAL CENTER OPERATES A 530 BED HOSPITAL IN BROOKLYN, NEW YORK. IN 2011, BROOKDALE HAD 18,002 ADMISSIONS, 18,075 DISCHARGES, 97,676 OUTPATIENT EMERGENCY ROOM VISITS WHICH RESULTED IN 14,757 ADMISSIONS AND 216,450 OTHER OUTPATIENT SERVICE VISITS.Description
Total Program Service Expense436555202TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096574NumberFormsTransmittedWith1096
Number W2 G Included1NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees3683NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JIM PORTER CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7182405773TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1101-01 AVE DAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11236ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
ALEX ROVT
VICE CHAIRMAN1.00XX000
ALLEN B SWERDLICK
TRUSTEE1.00X000
ALVIN I KAHN MD
CHAIRMAN40.00XX298166067567
ASCHER L MESTEL MD
TRUSTEE1.00X000
DARRYL TOWNS
TRUSTEE1.00X000
DAVID R WILKES
TRUSTEE1.00X000
DAVID SCHLANG
TRUSTEE1.00X000
DIANE SIMON
TRUSTEE1.00X000
EDWARD BIRNBAUM
TRUSTEE1.00X000
EDWIN SCHULMAN
TRUSTEE1.00X000
HUGH GREENBERG
TRUSTEE1.00X000
IRINA BENFELD
TRUSTEE1.00X000
LAURENCE C ZALE
VICE CHAIRMAN1.00XX000
LESLIE STEPHEN
TRUSTEE1.00X000
LEWIS MARSHALL
TRUSTEE1.00XX397392065948
LOWELL M RUBIN
TRUSTEE1.00X000
RC HUGH NELSON
TRUSTEE1.00X000
RICHARD FOGLER
TRUSTEE1.00X604002084305
RICHARD RADUTZKY
SECRETARY1.00XX000
STEVEN PLOTNICK ESQ
TRUSTEE1.00X000
BRUCE J FLANZ
PRESIDENT & CEO10.00X0152612172500
DAVID P ROSEN
PRIOR PRESIDENT & CEO10.00X03552774793
DAVID SCHACHNE
TRUSTEE/TREASURER1.00X000
MOUNIR F DOSS
EXECUTIVE VICE PRESIDENT & CFO10.00X0136674612435
ARASH GOHARI
RADIOLOGIST40.00514291029503X
ARTHUR FINK MD
RADIOLOGIST40.00498322076657X
ERIC S MINKIN MD
RADIOLOGIST40.00461873075448X
FREDERICK GULMI
RADIOLOGIST40.00449541057608X
MAYANK SHUKLA
PEDIATRCIAN40.00509886055586X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3733473TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3248144TotalReportableCompFrmRltdOrgs
Total Other Compensation602350TotalOtherCompensation
Number Individuals GT100 K389NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SIEMENS MEDICAL SOLUTIONS USA
2 PENN PLAZA SUITE 1900NEW YORKNY10021CONSTRUCTION SERVICES704634
PRICEWATERHOUSE LLP
300 MADISON AVENEW YORKNY10017ACCOUNTING617973
LINDEN PATHOLOGY
ONE BROOKDALE PLAZABROOKLYNNY11212LAB TESTING536000
SUNIL ABROL MD
105 WOODCREST DRIVEMUTTONTOWNNY11791PHYSICIAN SERVICES480769
OHRENSTEIN & BROWN LLP
1010 FRANKLIN AVEGARDEN CITYNY11530LEGAL SERVICES400000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K40NumberOfContractorsGT100K
Fundraising Events124810FundraisingEvents
Related Organizations15500RelatedOrganizations
Government Grants4043139GovernmentGrants
All Other Contributions2302073AllOtherContributions
Total Contributions6485522TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE621400338121460338121460
CAPITATION REVENUE, NE6214002684617926846179
FieldValueIRS element (for citing)
Total Program Service Revenue364967639TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column13109336TotalRevenueColumn
Exclusion$13,109,336ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real519036Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real519036Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column519036TotalRevenueColumn
Exclusion$519,036ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events187605GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events124810CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses155090FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column32515TotalRevenueColumn
Exclusion$32,515ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
SVC PROVIDED TO AFFILI90009941403965$41,403,965
PHYSICIAN BILLING62111012567783$12,567,783
OUTPATIENT PHARMACY RE9000997815110$7,815,110

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column8298048TotalRevenueColumn
Exclusion$8,298,048ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue70084906TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column455198954TotalRevenueColumn
Related Or Exempt Function Income364967639RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$83,745,793ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1517379Total
Program Services1409627ProgramServices
Management And General107752ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total206729806Total
Program Services192014331ProgramServices
Management And General14451040ManagementAndGeneral
Fundraising264435Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total7079988Total
Program Services6584389ProgramServices
Management And General495599ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total65127437Total
Program Services60568516ProgramServices
Management And General4558921ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total15358708Total
Program Services14283598ProgramServices
Management And General1075110ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total6000000Total
Management And General6000000ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1650091Total
Program Services1320073ProgramServices
Management And General330018ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total710310Total
Management And General710310ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total24760510Total
Program Services23799508ProgramServices
Management And General928706ManagementAndGeneral
Fundraising32296Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total65227Total
Program Services49602ProgramServices
Fundraising15625Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total15595522Total
Program Services12230059ProgramServices
Management And General3330702ManagementAndGeneral
Fundraising34761Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2432605Total
Program Services1946084ProgramServices
Management And General486521ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total9722456Total
Program Services7888574ProgramServices
Management And General1833882ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total426308Total
Program Services341046ProgramServices
Management And General85262ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total182881Total
Program Services146305ProgramServices
Management And General36576ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total6381921Total
Program Services5105537ProgramServices
Management And General1276384ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total10768600Total
Program Services8614880ProgramServices
Management And General2153720ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total20069404Total
Program Services19847383ProgramServices
Management And General222021ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES4351986043519860
BAD DEBT - PATIENT2472069124720691
BAD DEBT - RELATED PART2145276021452760
IMPAIRMENT OF FIXED ASS85352298535229

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total13065975Total
Program Services12165139ProgramServices
Management And General899190ManagementAndGeneral
Fundraising1646Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total505873668Total
Program Services436555202ProgramServices
Management And General68969703ManagementAndGeneral
Fundraising348763Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY175758BOY
EOY33044EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY13088183BOY
EOY16213479EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY48333524BOY
EOY42033407EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3420888BOY
EOY3202163EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY13503984BOY
EOY16213866EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis288236577LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec246557367LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY47689584BOY
EOY41679210EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY399960BOY
EOY399880EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY21707256BOY
EOY12281739EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY30670134BOY
EOY57770818EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY178989271BOY
EOY189827606EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY101495849BOY
EOY122733536EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY2255656EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
EOY59483067EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY100961785BOY
EOY33955131EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY256461020BOY
EOY327128366EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY458918654BOY
EOY545555756EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-279929383BOY
EOY-355728150EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-279929383BOY
EOY-355728150EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY178989271BOY
EOY189827606EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-50674714ReconcilationRevenueExpenses
Reconcilation Other Changes-25124053ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers1Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$217,208DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB217208TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPART IV, SUPPLEMENTAL INFORMATION:Identifier
ExplanationPART II-B BROOKDALE HOSPITAL MEDICAL CENTER IS A MEMBER OF TWO 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 GENERAL PUBLIC. HEALTHCARE ASSOCIATION OF NEW YORK STATE $40,202 GREATER NEW YORK HOSPITAL ASSOCIATION $177,006Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1068657OtherCostOrOtherBasis
Book Value1068657BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis77945691OtherCostOrOtherBasis
Depreciation64275698Depreciation
Book Value13669993BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis176540854OtherCostOrOtherBasis
Depreciation157488486Depreciation
Book Value19052368BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis32681375OtherCostOrOtherBasis
Depreciation24793183Depreciation
Book Value7888192BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings41679210TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
GUARANTEED INSURANCE CONTRACTS12141475F
INTEREST CCC INVESTMENT POOL140264F
FieldValueIRS element (for citing)
Total Of Book Value Securities12281739TotalOfBookValueSecurities

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM THIRD PARTY PAYORS13298635
DEFERRED FINANCE CHARGES342330
CAPITATION RECEIVABLE14474559
ACCRUED INTEREST - AWUIL259979
INSURANCE RECOVERIES29395315
FieldValueIRS element (for citing)
Total Book Value Other Assets57770818TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
ESTIMATED WORKERS COMP LIABILITY$22,788,200
MALPRACTICE PAYABLE$187,213,363
DUE TO THIRD PARTIES$24,822,798
DUE TO RELATED PARTIES$39,746,987
ACCRUED PENSION PAYABLE$52,557,018
FieldValueIRS element (for citing)
Total Of Amounts327128366TotalOfAmounts
Total Revenue455198954TotalRevenue
Total Expenses505873668TotalExpenses
Excess Or Deficit For Year-50674714ExcessOrDeficitForYear
Other-$25,124,053OtherAmount
Total Adjustments-25124053TotalAdjustments
Excess Or Deficit Per FS-75798767ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt521995308TotRevenueEtcAuditedFinclStmt
Other Revenues2672923OtherRevenues
Revenue Not Rptd F9902672923RevenueNotRptdF990
Revenue Subtotal519322385RevenueSubtotal
Other Revenues Not Included-64123431OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-64123431RevenueNotRptdOnFinStmt
Total Revenue Per Form990455198954TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt572089337TotExpensesEtcAuditedFinclStmt
Other Expenses Included2092238OtherExpensesIncluded
Expenses Not Rptd F9902092238ExpensesNotRptdF990
Expenses Subtotal569997099ExpensesSubtotal
Other Expenses Not Included-64123431OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt-64123431ExpensesNotRptdOnFinStmt
Total Expenses Per Form990505873668TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE MEDICAL CENTER IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN CCC INVESTMNENT TRUST 35. CHANGE IN MINIMUM PENSION LIABILITY -25,124,088. TOTAL TO SCHEDULE D, PART XI, LINE 8: -25,124,053.
PART XII, LINE 2D - OTHER ADJUSTMENTS:BROOKDALE HOSPITAL CENTER HEGEMAN REVENUE 3,635,071. ELIMINATION ENTRY -962,148.
PART XII, LINE 4B - OTHER ADJUSTMENTS:SPECIAL EVENTS EXPENSE -155,090. COSTS RELATED TO CAPITATION -63,968,341.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:BROOKDALE HOSPITAL CENTER HEGEMAN EXPENSE 3,054,386. ELIMINATING ENTRY -962,148.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:SPECIAL EVENTS EXPENSE -155,090. COSTS RELATED TO CAPITATION -63,968,341.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEANRegion
Type Of Activities ConductedINVESTMENTTypeOfActivitiesConducted
Total Expenditures140264TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent140264SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent140264TotalAmountSpent
Transfer To Foreign Corp0TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp1OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS OUTSIDE THE U.S.:Identifier
ExplanationSCHEDULE F, PART I, LINE 2: FUNDS ARE USED FOR INVESTMENT. INVESTMENTS ARE MONITORED THROUGHOUT THE YEAR PERIODICLY.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF & TENNIS EVENTNameOfEvent1
Gross Receipts Event196755GrossReceiptsEvent1
Charitable Contributions Event144000CharitableContributionsEvent1
Gross Revenue Event152755GrossRevenueEvent1
Rent Facility Costs Event120400RentFacilityCostsEvent1
Other Direct Expenses Event16011OtherDirectExpensesEvent1
Name Of Event2GALANameOfEvent2
Gross Receipts Event2215660GrossReceiptsEvent2
Charitable Contributions Event280810CharitableContributionsEvent2
Gross Revenue Event2134850GrossRevenueEvent2
Rent Facility Costs Event2107705RentFacilityCostsEvent2
Entertainment Event27400EntertainmentEvent2
Other Direct Expenses Event213574OtherDirectExpensesEvent2
Gross Receipts Total312415GrossReceiptsTotal
Charitable Contributions Total124810CharitableContributionsTotal
Gross Revenue Total Events187605GrossRevenueTotalEvents
Rent Facility Costs Total Events128105RentFacilityCostsTotalEvents
Entertainment Total Events7400EntertainmentTotalEvents
Other Direct Expenses Total Events19585OtherDirectExpensesTotalEvents
Direct Expense Summary Events155090DirectExpenseSummaryEvents
Net Income Summary32515NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense16977791TotalCommunityBenefitExpense
Direct Offsetting Revenue13096238DirectOffsettingRevenue
Net Community Benefit Expense3881553NetCommunityBenefitExpense
Percent Of Total Expense0.00770PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense200212605TotalCommunityBenefitExpense
Direct Offsetting Revenue156550131DirectOffsettingRevenue
Net Community Benefit Expense43662474NetCommunityBenefitExpense
Percent Of Total Expense0.08630PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense217190396TotalCommunityBenefitExpense
Direct Offsetting Revenue169646369DirectOffsettingRevenue
Net Community Benefit Expense47544027NetCommunityBenefitExpense
Percent Of Total Expense0.09400PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense46194065TotalCommunityBenefitExpense
Direct Offsetting Revenue20470576DirectOffsettingRevenue
Net Community Benefit Expense25723489NetCommunityBenefitExpense
Percent Of Total Expense0.05080PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense50108513TotalCommunityBenefitExpense
Direct Offsetting Revenue16376700DirectOffsettingRevenue
Net Community Benefit Expense33731813NetCommunityBenefitExpense
Percent Of Total Expense0.06670PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense909423TotalCommunityBenefitExpense
Direct Offsetting Revenue65105DirectOffsettingRevenue
Net Community Benefit Expense844318NetCommunityBenefitExpense
Percent Of Total Expense0.00170PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense97212001TotalCommunityBenefitExpense
Direct Offsetting Revenue36912381DirectOffsettingRevenue
Net Community Benefit Expense60299620NetCommunityBenefitExpense
Percent Of Total Expense0.11920PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense314402397TotalCommunityBenefitExpense
Direct Offsetting Revenue206558750DirectOffsettingRevenue
Net Community Benefit Expense107843647NetCommunityBenefitExpense
Percent Of Total Expense0.21320PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$15,113,664BadDebtExpenseAmount
Amount Attributable To8598176AmountAttributableTo
Amount Reimbursed By Medicare49069731AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare34529956CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall14539775MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1BROOKDALE HOSPITAL AND MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1ONE BROOKDALE PLAZAAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11236ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BROOKDALE HOSPITAL AND MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent100.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent300.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (3 entries)

ExplanationExplanationIdentifierIdentifier
PART III, LINE 9B: THE HOSPITAL OFFERS INSTALLMEN PLANS FOR THE PAYMENT OF OUTSTANDING BALANCES FOR PATIENTS APPROVED FOR FINANCIAL AID. THE HOSPITAL DOES NOT MANDATE THAT THE MONTHLY INSTALLEMENT PAYMENT ARRANGEMENT EXCEED 10% OF THE APPLICANT'S GROSS MONTHLY INCOME OR AN INTEREST RATE THAT EXCEEDS THE RATE FOR A 90 DAY SECURITY ISSUED BY THE US DEPARTMENT OF TREASURY, PLUS .5%. THERE IS NO ACCELERATOR OR SIMILAR CLAUSE UNDER WHICH A HIGHER RATE OF INTEREST IS TRIGGERED WHEN A PATIENT MISSES MAKING A PAYMENT. THE HOSPITAL INCLUDES A WRITTEN NOTICE ON PATIENTS' BILLS AND STATEMENTS AT LEAST30 DAYS PRIOR TO REFERRING THE ACCOUNT TO COLLECTION. THE HOSPITAL REQUIRES THAT ANY COLLECTIONS AGENCIES WITH WHICH THEY CONTRACT FOLLOW THE FINANCIAL ASSISTANCE POLICIES OF THE HOSPITAL. THE HOSPITAL DOES NOT FORCE THE SALE OR FORCLOSURE 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 COLLECTIONS AGENCIES MUST OBTAIN THE HOSPITAL'S WRITTEN CONSENT BEFORE COMMENCING A LEGAL ACTION.
PART V, SECTION B, LINE 19D: PART V LINE 19 D. THE HOSPITAL FACILITY USED MEDICAID RATES FOR THOSE SERVICESBROOKDALE HOSPITAL AND MEDICAL CENTER
PART VI, LINE 2: BROOKDALE HOSPITAL MEDICAL CENTER DOES NOT REPORT ANY SHORTFALL ON LINE 7 DUE TO THE FACT THAT THE HOSPITAL RECEIVES LARGE AMOUNT OF IME AND DSH PAYMENTS. BROOKDALE HOSPITAL SERVES A LARE MEDICAID POPULATION AND ALSO HAS A BIG TEACHING PROGRAM. IT DOES INCUR LOSSES IN PROVIDING CARE TO THE INDIGENT POPULATION WHICH ARE REPORTED ON THE OTHER SCHEDULES.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ALVIN I KAHN MD
2964560001710060091074760365733000
LEWIS MARSHALL
39615000012420535690123790463340000
RICHARD FOGLER
60400200000703660139390688307000
BRUCE J FLANZ
012095100316611000600910124090159862100
DAVID P ROSEN
035527700000004793036007000
MOUNIR F DOSS
01097377026936900000124350137918100
ARASH GOHARI
5138740004170171240123790543794000
ARTHUR FINK MD
49600000023220589380177190574979000
ERIC S MINKIN MD
4610630008100615690138790537321000
FREDERICK GULMI
4490010005400447110128970507149000
MAYANK SHUKLA
5093460005400432070123790565472000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2ALEX ROVT, TRUSTEE/VICE CHAIRMAN AND ALLEN SWERDLICK, TRUSTEE EACH HAVE A BUSINESS RELATIONSHIP WITH BROOKDALE HOSPITAL MEDICAL CENTER. ALVIN KAHN, MD, TRUSTEE & CHAIRMAN, HAS A FAMILY RELATIONSHIP WITH DIANE SIMON, TRUSTEE. DAVID SCHACHNE, TREASURER HAS A FAMILY MEMBER THAT WORKS FOR JAMAICA HOSPITAL NURSING HOME COMPANY INC.
FORM 990, PART VI, SECTION A, LINE 6MEDISYS HEALTH NETWORK IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7AMEDISYS HEALTH NETWORK, AS SOLE MEMBER CAN APPOINT THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 AND APPROPRIATE SCHEDULES, AS REQUIRED (FORM 990), IS PREPARED BY OUTSIDE ACCOUNTANT AND REVIEWED INTERNALLY BY MANAGEMENT, AT WHICH TIME IT IS CONSIDERED THE FINAL DRAFT. THE FINAL DRAFT OF THE FORM 990 IS PRESENTED TO THE TRUSTEES VIA EMAIL AND OR A BOARD MEETING. ONCE THE REVIEW OF THE FORM 990 HAS BEEN COMPLETED TO THE BOARD'S SATISFACTION AND THE BOARD IS COMFORTABLE WITH ITS CONTENTS, THE FORM 990 IS THEN MAILED TO ALL BOARD MEMBERS AS READY TO FILE, SUBSEQUENTLY IT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CDISCLOSURE IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY BY EMPLOYEES THAT SATISFY THE CRITERIA TO BE CONSIDERED AN "INTERESTED PERSON" IS SUBMITTED UPON HIRING AND ANNUALLY THEREAFTER. THE AUDIT & COMPLIANCE COMMITTEE REVIEWS THE SUBMISSIONS FOR CONFLICTS AND THE DEPARTMENT OF INTERNAL AUDIT MONITORS COMPLIANCE
FORM 990, PART VI, SECTION B, LINE 15EXECUTIVE COMPENSATION POLICY - THE BOARD OF MEDISYS HEALTH NETWORK HAS CREATED AN INDEPENDENT COMPENSATION COMMITTEE WHOSE CHARGE IS TO REVIEW AND APPROVE THE COMPENSATION OF ALL INDIVIDUALS WHO MEET THE REQUIREMENTS OF A DISQUALIFIED PERSON FOR INTERMEDIATE SANCTION. THIS COMMITTEE IS EMPOWERED TO APPROVE COMPENSATION FOR ALL ENTITIES WITHIN THE MEDISYS HEALTH NETWORK SYSTEM. THE COMMITTEE HAS RETAINED AN INDEPENDENT COMPENSATION CONSULTANT TO APPLY ITS STANDARD METHODOLOGY FOR DETERMINATION OF APPROPRIATE EXECUTIVE COMPENSATION AND BENEFIT LEVELS FOR EXECUTIVES. IT IS POLICY TO TARGET THE TOTAL COMPENSATION (BASE SALARY, INCENTIVE COMPENSATION AND BENEFITS) OF EXECUTIVES AT THE MEDIAN OF THE DEFINED MARKETPLACE FOR SIMILARLY SITUATED EXECUTIVES IN CONSULTATION WITH AN INDEPENDENT COMPENSATION CONSULTANT IN A MANNER THAT COMPLIES WITH THE INTERMEDIATE SANCTION REGULATIONS AND OTHER FEDERAL AND STATE LAWS AND REGULATIONS. THE COMMITTEE SHALL APPROVE BASE SALARIES FOR EXECUTIVES AND ANY DISQUALIFIED INDIVIDUALS BASED UPON THE AMOUNTS PAID TO SIMILARLY SITUATED EXECUTIVES WITHIN THE RELEVANT MARKETPLACE, WITH POSSIBLE ADJUSTMENTS MADE FOR SPECIAL SKILL, EXPERIENCE, COMPETENCE AND PERFORMANCE, INCLUDING CONTRIBUTION TO THE SYSTEM AS A WHOLE. THE CEO SHALL RECOMMEND TO THE COMPENSATION COMMITTEE ANY ADJUSTMENTS TO THE BASE SALARIES OF EXECUTIVES.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS - CERTIFICATE OF INCORPORATION FILED WITH THE NYS DEPARTMENT OF STATE; CONFLICT OF INTEREST POLICY IS NOT PUBLICLY AVAILABLE. FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION A, LINE 1B:FOR BRUCE FLANZ, PRESIDENT & CEO, MOUNIR DOSS, EXECUTIVE VICE PRESIDENT & CFO, AND DAVID ROSEN, PRIOR PRESIDENT & CEO, THE HOURS REPORTED BELOW REFLECT THE TOTAL TIME WORKED AS OFFICERS FOR ALL OF THE RELATED ORGANIZATIONS SHOWN ON SCHEDULE R. TOTAL COMPENSATION IS REPORTED ON EACH ENTITY'S FORM 990. COST ALLOCATION AMONG THE ENTITIES IS PERFORMED CONSISTENTLY WITH ACCOUNTING RULES AND APPLICABLE COST ALLOCATION METHODOLOGIES. ESTIMATED NUMBER OF HOURS WORKED PER WEEK FOR RELATED ORGANIZATIONS IS AS FOLLOWS: MEDISYS HEALTH NETWORK - 10 HOURS PER WEEK JAMAICA HOSPITAL MEDICAL CENTER - 25 HOURS PER WEEK FLUSHING HOSPITAL MEDICAL CENTER - 10 HOURS PER WEEK OTHER RELATED ENTITIES LISTED ON SCHEDULE R - 10 HOURS PER WEEK AS OF MARCH 12, 2011, DAVID ROSEN, PRIOR PRESIDENT & CEO, IS NO LONGER AN EMPLOYEE OF MEDISYS HEALTH NETWORK. ALVIN I. KAHN M.D., AND RICHARD FOGLER M.D., RECEIVED COMPENSATION FOR THE PERFORMANCE OF SERVICES AS A PHYSICIAN FOR BROOKDALE HOSPITAL MEDICAL CENTER. ALVIN I. KAHN M.D. AND RICHARD FOGLER M.D., DID NOT RECEIVE COMPENSATION AS A TRUSTEE FOR BROOKDALE HOSPITAL MEDICAL CENTER.
FORM 990, PART XI, LINE 5:CHANGE IN CCC INVESTMNENT TRUST 35. CHANGE IN MINIMUM PENSION LIABILITY -25,124,088. TOTAL TO FORM 990, PART XI, LINE 5: -25,124,053.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:THE OVERSIGHT AND SELECTION PROCESSES DID NOT CHANGE FROM THE PRIOR YEAR.
FORM 990, PART VII, COLUMN C:MANAGEMENT HAS IN THE PREPARATION OF ITS FORM 990 REVIEWED PERSONNEL IN THE INSTITUTION TO SEE IF ANYONE MEETS THE CRITERIA ESTABLISHED TO BE CONSIDERED A "KEY EMPLOYEE" FOR IRS PURPOSES. IT IS THE CONTENTION OF MANAGEMENT THAT NO EMPLOYEE FULFILLS ANY OF THE SITUATIONS UNDER THE RESPONSIBILITY TEST ESTABLISHED BY THE IRS TO MEET THE TITLE OF KEY EMPLOYEE. THEREFORE, PART VII OF FORM 990 DOES NOT HAVE ANY INDIVIDUALS WHO WOULD BE CONSIDERED A "KEY EMPLOYEE".

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
MEDISYS MANAGEMENT LLC
8900 VAN WYCK EXPRESSWAYJAMAICANY11418113396829BILLING AND ADMIN SERVICE COMPANYNY00MEDISYS VENTURES
NHP OF INDIANA
521 FIFTH AVE 3RD FLOORNEW YORKNY10175030572979MANAGED CARE PLANNY00NHP HOLDINGS LLC
ROYAL HEALTH CARE DATA CENER LLC
5051 JOURNAL CENTER BLVD NE 410ALBUQUERQUENM87109201939732DATA PROCESSINGNM00ROYAL HEALTHCARE OF LONG ISLAND

Form990 Schedule R Part II Form990ScheduleRPartII (23 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
ADVANCED CENTER FOR PSYCHOTHERAPY
89-06 135TH STREETJAMAICANY11418111864871HEALTHCARENY501(C)(3)9MEDISYS HEALTH NETWORK0
ALLIED HEALTH FOUNDATION OF QUEENS INC
4500 PARSONS BLVDFLUSHINGNY11355112813535INACTIVENY501(C)(3)9MEDISYS HEALTH NETWORK0
AMBOY PROPERTIES CORPORATION
101-10 AVENUE DBROOKLYNNY11236112814707PARKING GARAGENY501(C)(3)11AMEDISYS HEALTH NETWORK0
BROOKDALE FAMILY CARE CENTER
101-10 AVENUE DBROOKLYNNY11236113237483HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
BROOKDALE HOSPITAL CENTER HEGEMAN AVENUE HOUSING COMPANY
101-10 AVENUE DBROOKLYNNY11236237082540HOUSINGNY501(C)(2)N/ABROOKDALE HOSPITAL MEDICAL CENTER0
BROOKDALE RESEARCH FOUNDATION INC
ONE BROOKDALE PLAZABROOKLYNNY11212311634638INACTIVENY501(C)(3)3MEDISYS HEALTH NETWORK0
INTERNATIONAL ASSOCIATION OF MEDICAL BIKE UNITS INC
8900 VAN WYCK EXPYJAMAICANY11418113483140INACTIVENY501(C)(3)9MEDISYS HEALTH NETWORK0
JAMAICA HOSPITAL MEDICAL CENTER
8900 VAN WYCK EXPYJAMAICANY11418111631788HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
JAMAICA HOSPITAL NURSING HOME
90-28 VAN WYCK EXPYJAMAICANY11418237216197HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
LINROC COMMUNITY SERVICE CORPORATION
101-10 AVENUE DBROOKLYNNY11236112814765SUPPORTNY501(C)(3)11AMEDISYS HEALTH NETWORK0
MEDISYS AMBULANCE SERVICE
8900 VAN WYCK EXPYJAMAICANY11418542124788HEALTHCARENY501(C)(3)9MEDISYS HEALTH NETWORK0
MEDISYS HEALTH NETWORK
8900 VAN WYCK EXPYJAMAICANY11418113316802ADMINNY501(C)(3)11A0N/A
NEIGHBORHOOD HEALTH PROVIDERS INC
521 FIFTH AVE 3RD FLOORNEW YORKNY10175943474115MANAGED CARE PLANNY501(C)(3)9JAMAICA HOSPITAL MEDICAL CENTERLINROC COMMUNITY SERVICE CORP0
ROCKREAL CORPORATION
101-10 AVENUE DBROOKLYNNY11236112814705SUPPORTNY501(C)(3)11AMEDISYS HEALTH NETWORK0
SAMUEL AND BERTHA SCHULMAN INSTITUTE FUND INC
101-10 AVENUE DBROOKLYNNY11236237270262HEALTHCARENY501(C)(3)7SCHULMAN SCHACHNE INSTITUTE FOR NURSING0
SCHLANG PAVILION DBA BROOKDALE RESIDENCE HOUSING DEVELOPMENT
101-10 AVENUE DBROOKLYNNY11236113324040HOUSINGNY501(C)(3)9MEDISYS HEALTH NETWORK0
SCHULMAN SCHACHNE INSTITUTE FOR NURSING
101-10 AVENUE DBROOKLYNNY11236237085986HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
THE JAMAICA HOSPITAL DIAG AND TREAT CTR
8900 VAN WYCK EXPYJAMAICANY11418113340969HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
THE LINDEN FOUNDATION INC
ONE BROOKDALE PLAZABROOKLYNNY11212112814704INACTIVENY501(C)(3)9MEDISYS HEALTH NETWORK0
URBAN STRATEGIES
101-10 AVENUE DBROOKLYNNY11236113237480HEALTHCARENY501(C)(3)3LINROC COMMUNITY SERVICE CORP0
VWE PROPERTIES CORPORATION
8900 VAN WYCK EXPYJAMAICANY11418113485165PARKING GARAGENY501(C)(3)11AMEDISYS HEALTH NETWORK0
FLUSHING HOSPITAL MEDICAL CENTER
4500 PARSONS BLVDFLUSHINGNY11355111631781HOSPITALNY501(C)(3)3MEDISYS HEALTH NETWORK0
VWE PROPERTIES CORPORATION
8900 VAN WYCK EXPYJAMAICANY11418113485165PARKING GARAGENY501(C)(3)11AMEDISYS HEALTH NETWORK0

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
NHP HOLDINGS LLC
521 FIFTH AVE 3RD FLOORNEW YORKNY10175203418837HOLDING COMPANYNYN/A
ROYAL HEALTHCARE OF LONG ISLAND
521 FIFTH AVE 3RD FLOORNEW YORKNY10175133887900MANAGEMENT SERVICES ORG.NYN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
BHMC ENTERPRISES
101-01 AVENUE DBROOKLYNNY11236112855200LEASEHOLDER OF MEDICAL OFFICE BUILDING/INACTIVENYN/AC
BROOKDALE RX
101-01 AVENUE DBROOKLYNNY11236202041821RETAIL PHARMACYNYN/AC
FRR RECOVERY SERVICES
80 MARCUS DRIVEMELVILLENY11747113454555COLLECTION AGENCYNYN/AC
HI TECH MEDICAL EQUIPMENT
103-51 101 STOZONE PARKNY11416113313334DURABLE MEDICAL EQUIPMENT COMPANYNYN/AC
JAMAICA RX
8900 VAN WYCK EXPRESSWAYJAMAICANY11418205292781RETAIL PHARMACYNYN/AC
LCSC HOLDINGS
101-01 AVENUE DBROOKLYNNY11236113357198HOLDING COMPANYNYN/AC
MEDISYS HOME CARE SERVICE INC
8900 VAN WYCK EXPRESSWAYJAMAICANY11418030474027HOME CARE STAFFING/INACTIVENYN/AC
MEDISYS IPA
8900 VAN WYCK EXPRESSWAYJAMAICANY11418113452476PHYSICIAN CONTRACTING/INACTIVENYN/AC
MEDISYS SERVICE CORPORATION
8900 VAN WYCK EXPRESSWAYJAMAICANY11418113479920HOLDING COMPANYNYN/AC
MEDISYS VENTURES
111 STEWART AVEHICKSVILLENY11801113431792HOLDING COMPANYNYN/AC
MHN REALTY
8900 VAN WYCK EXPRESSWAYJAMAICANY11418113458286REAL ESTATE/INACTIVENYN/AC
RAINBOW PHARMACY DBA FLUSHING RX
4500 PARSONS BLVDFLUSHINGNY11355112843101RETAIL PHARMACYNYN/AC
SECOND CENTURY SERVICE CORPORATION
4500 PARSONS BLVDFLUSHINGNY11355112843101RETAIL PHARMACYNYN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg