KINGSBROOK JEWISH MEDICAL CENTER INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- KINGSBROOK JEWISH MEDICAL CENTER INC (EIN 11-1631759)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-15
- IRS object ID
- 201123199349304867
- Schema version
- 2010v3.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-15T10:02:41-08:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARLES A BARRAGATO & CO CPAS | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 950 Third Avenue | AddressLine1 |
| City | New York | City |
| State | NY | State |
| ZIP Code | 100222705 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 111631759 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kingsbrook Jewish Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | KING | NameControl |
| Phone | 7186045532 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 585 Schenectady Ave | AddressLine1 |
| City | Brooklyn | City |
| State | NY | State |
| ZIP Code | 11203 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | John Schmitt | Name |
| Title | CFO | Title |
| Date Signed | 2011-11-15 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Angelo Pirozzi CPA | Name |
| Phone | 2123714446 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Linda Brady MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 585 Schenectady Ave | AddressLine1 |
| City | Brooklyn | City |
| State | NY | State |
| ZIP Code | 11203 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 190969214 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.kingsbrook.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1926 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | Our mission is to partner with our culturally diverse communities to provide a continuum of outstanding health care services to individuals and families through a caring and trustworthy staff. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2220 | TotalNbrEmployees |
| Total Nbr Volunteers | 189 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 799566 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1895119 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 186607364 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 186080518 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1009180 | InvestmentIncomePriorYear |
| Investment Income Current Year | 118465 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1917044 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2623208 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 190333154 | TotalRevenuePriorYear |
| Total Revenue Current Year | 190717310 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 126311867 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 127702621 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 62611973 | OtherExpensePriorYear |
| Other Expenses Current Year | 56699954 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 188923840 | TotalExpensesPriorYear |
| Total Expenses Current Year | 184402575 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1409314 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 6314735 | RevenuesLessExpensesCY |
| Total Assets BOY | 110456887 | TotalAssetsBOY |
| Total Assets EOY | 115084319 | TotalAssetsEOY |
| Total Liabilities BOY | 102396233 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 99521849 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 8060654 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 15562470 | NetAssetsOrFundBalancesEOY |
| Mission Description | Our mission is to partner with our culturally diverse communities to provide a continuum of outstanding health care services to individuals and families through a caring and trustworthy staff. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 157283089 | Expense |
| Revenue | 187767318 | Revenue |
| Description | The Kingsbrook Jewish Medical Center ("KJMC") is a 326-bed multispecialty teaching hospital based in brooklyn, NY. KJMC provides a wide range of inpatient outpatient services, medical and surgical diagnostic treatment services, physical medicine and rehabilitation, geriatric psychiatric medicine, as well as an ambulatory surgery center, a 24-hour emergency room, outpatient general and specialty clinics. | Description |
| Total Program Service Expense | 157283089 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | false | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 156 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 2220 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Form990-T Filed | false | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Form8886 T Filed | false | Form8886TFiled |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Non Deductible Disclosure | false | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Form720 Filed | false | Form720Filed |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Policies Reference Chapters | false | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | John Schmitt | NamePerson |
| Telephone Number | 7186045532 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 585 Schenectady Ave | AddressLine1 |
| City | Brooklyn | City |
| State | NY | State |
| ZIP Code | 11203 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | Key EmployeeKeyEmployee |
|---|---|---|---|---|---|---|---|---|
| William Lois MD | ||||||||
| Board Member | 32.00 | X | 357421 | 0 | 37407 | |||
| Victor Ayala PhD | ||||||||
| Board member | 2.00 | X | 0 | 0 | 0 | |||
| Valerie Bynoe-Kasden Esq | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Susan Zinder | ||||||||
| General Counsel | 35.00 | X | 241579 | 0 | 23298 | X | ||
| Seema Goldstein | ||||||||
| Secretary | 1.50 | X | 0 | 0 | 0 | |||
| Robert Reiss | ||||||||
| Board Member | 1.50 | X | 0 | 0 | 0 | |||
| Robert Dubicki | ||||||||
| COO From Nov | 35.00 | 74763 | 0 | 9449 | X | |||
| Philip Hew | ||||||||
| ER Director | 40.00 | 329033 | 0 | 37142 | X | |||
| Mohammad Zahir | ||||||||
| Director Med | 40.00 | 720180 | 0 | 30073 | X | |||
| Michael Poretsky | ||||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | |||
| Meg Krilov MD | ||||||||
| A. Med Director | 40.00 | 303056 | 0 | 36526 | X | |||
| Mark Lane | ||||||||
| Board Member | 0.50 | X | 0 | 0 | 0 | |||
| Marc Ross MD | ||||||||
| Dir Rehab Medicine | 40.00 | 471098 | 0 | 37142 | X | |||
| Linda Brady MD | ||||||||
| President & CEO | 35.00 | X | 4215735 | 0 | 37142 | X | ||
| Leibesh Nash | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Kurt Kodroff | ||||||||
| Vice President | 40.00 | 300677 | 0 | 73274 | X | |||
| Kiran Batheja | ||||||||
| Vice President | 35.00 | 248414 | 0 | 71252 | X | |||
| Kevin Molloy | ||||||||
| COO Jan-Nov | 35.00 | 770876 | 0 | 37834 | X | |||
| Jose Virella | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| John Schmitt CPA | ||||||||
| Senior VP/CFO | 35.00 | X | 376945 | 0 | 114392 | X | ||
| Jeffrey Dunston | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Henna White | ||||||||
| Board Chair | 3.00 | X | 0 | 0 | 0 | |||
| Gwendolyn Bradham-Lewis | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Edward Lieberstein | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Dr Sibte Burney | ||||||||
| CMO | 40.00 | 397043 | 0 | 37370 | X | |||
| Alejandro Zuretti MD | ||||||||
| Chief of Pathology | 0.00 | 321551 | 0 | 29583 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 9128371 | TotalReportableCompFromOrg |
| Total Other Compensation | 611884 | TotalOtherCompensation |
| Number Individuals GT100 K | 484 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| S&D Medical LLP | |||||
| 52 Main Street | Bedford Hills | NY | 10507 | Radiological Service | 459563 |
| Jzanus Consulting Inc | |||||
| 170 Jericho Turnpike | Floral Park | NY | 11001 | Revenue Cycle Consul | 470862 |
| JL Consulting LLC | |||||
| 149 Windsor Avenue | Rockville Centre | NY | 11570 | Consulting | 382810 |
| Brooklyn Kings Highway | |||||
| 585 Schenectady Avenue | Brooklyn | NY | 11203 | Anesthesiology Serv | 1075521 |
| Bik Orthopedics PC | |||||
| 585 Schenectady Avenue | Brooklyn | NY | 11203 | Orthopedic Services | 1067000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 25 | NumberOfContractorsGT100K |
| Fundraising Events | 284970 | FundraisingEvents |
| Government Grants | 1300218 | GovernmentGrants |
| All Other Contributions | 309931 | AllOtherContributions |
| Total Contributions | 1895119 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Net Patient Serv. Revenue | Description |
| Business Code | 621300 | BusinessCode |
| Total Revenue Column | 186080518 | TotalRevenueColumn |
| Related Or Exempt Function Income | 186080518 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 186080518 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 118465 | TotalRevenueColumn |
| Exclusion | $118,465 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 205116 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 205116 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 205116 | TotalRevenueColumn |
| Exclusion | $205,116 | ExclusionAmount |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 251904 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 284970 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 251904 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| Miscellaneous | 900099 | 346857 | $346,857 | |
| HEALTHFIRST INVEST INCOME | 900099 | 1290675 | 1290675 | |
| Cafeteria Income | 900099 | 288354 | $288,354 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 492206 | TotalRevenueColumn |
| Related Or Exempt Function Income | 396125 | RelatedOrExemptFunctionIncome |
| Exclusion | $96,081 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2418092 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 190717310 | TotalRevenueColumn |
| Related Or Exempt Function Income | 187767318 | RelatedOrExemptFunctionIncome |
| Exclusion | $1,054,873 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7424869 | Total |
| Program Services | 6464510 | ProgramServices |
| Management And General | 960359 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 90227067 | Total |
| Program Services | 78556781 | ProgramServices |
| Management And General | 11670286 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4204817 | Total |
| Program Services | 3660951 | ProgramServices |
| Management And General | 543866 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18485717 | Total |
| Program Services | 16094709 | ProgramServices |
| Management And General | 2391008 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7360151 | Total |
| Program Services | 6408163 | ProgramServices |
| Management And General | 951988 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 432039 | Total |
| Program Services | 342180 | ProgramServices |
| Management And General | 89859 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 227808 | Total |
| Program Services | 180427 | ProgramServices |
| Management And General | 47381 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 319443 | Total |
| Program Services | 253002 | ProgramServices |
| Management And General | 66441 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10659560 | Total |
| Program Services | 8442492 | ProgramServices |
| Management And General | 2217068 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19975199 | Total |
| Program Services | 15820583 | ProgramServices |
| Management And General | 4154616 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2860646 | Total |
| Program Services | 2265664 | ProgramServices |
| Management And General | 594982 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2939005 | Total |
| Program Services | 2327726 | ProgramServices |
| Management And General | 611279 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1248944 | Total |
| Program Services | 989178 | ProgramServices |
| Management And General | 259766 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8563658 | Total |
| Program Services | 6782514 | ProgramServices |
| Management And General | 1781144 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 680457 | Total |
| Program Services | 538930 | ProgramServices |
| Management And General | 141527 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| linens & Laundry Services | 739994 | 586084 | 153910 |
| Housekeeping | 151122 | 119690 | 31432 |
| Dietary / Food Costs | 2175954 | 1723380 | 452574 |
| Bad Debt Expense | 5726125 | 5726125 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 184402575 | Total |
| Program Services | 157283089 | ProgramServices |
| Management And General | 27119486 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1011696 | BOY |
| EOY | 3529005 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13705598 | BOY |
| EOY | 10150080 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24886162 | BOY |
| EOY | 27827818 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2370290 | BOY |
| EOY | 2635231 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2103216 | BOY |
| EOY | 2141689 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 184618508 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 144261206 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44088009 | BOY |
| EOY | 40357302 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 620327 | BOY |
| EOY | 620411 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21671589 | BOY |
| EOY | 27822783 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 110456887 | BOY |
| EOY | 115084319 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43363175 | BOY |
| EOY | 51190249 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 400994 | BOY |
| EOY | 344994 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10855641 | BOY |
| EOY | 9556253 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9277232 | BOY |
| EOY | 7705516 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38499191 | BOY |
| EOY | 30724837 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 102396233 | BOY |
| EOY | 99521849 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8060654 | BOY |
| EOY | 15562470 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8060654 | BOY |
| EOY | 15562470 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 110456887 | BOY |
| EOY | 115084319 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 6314735 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1187081 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed4955 Tax | false | Form4720Filed4955Tax |
| Correction Made | false | CorrectionMade |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $193,060 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $126,383 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 319443 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i | Identifier |
| Return Reference | Part II-B, Line 1i - Other Activities Description | ReturnReference |
| Explanation | Kingsbrook Jewish Medical Center pays dues to The American Hospital Association (AHA), The Greater New York Hospital Association (GNYHA), The Local 1199 - Healthcare Education Project (HEP) and The Healthcare Association of New York State (HANYS). In accordance with section 6033 (e) of the Internal Revenue Code, and as reported by AHA, GNYHA, HEP and HANYS, a portion of these dues are attributable to lobbying activities. The lobbying activities applicable to 2010 AHA, GNYHA, HEP and HANYS annual dues was $9,601, $21,888, $80,773 and $14,121 respectively.Additionally, the organization has contracts with lobbyists who were engaged to lobby legislators on behalf of the organization regarding policies which impact the organization's exempt purpose and which pertain to public health care. During 2010 Kingsbrook Jewish Medical Center paid $193,060 in connection with these services. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 241071 | OtherCostOrOtherBasis |
| Book Value | 241071 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 51770957 | OtherCostOrOtherBasis |
| Depreciation | 33431781 | Depreciation |
| Book Value | 18339176 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 771741 | OtherCostOrOtherBasis |
| Depreciation | 624511 | Depreciation |
| Book Value | 147230 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 131022995 | OtherCostOrOtherBasis |
| Depreciation | 110204914 | Depreciation |
| Book Value | 20818081 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 811744 | OtherCostOrOtherBasis |
| Book Value | 811744 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 40357302 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (6 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Other Receivables | 2568649 |
| Investment in Healthfirst | 3311471 |
| Interest in KJMC Foundation, Inc. | 1387726 |
| Due From Related Organization | 16504042 |
| Deferred employee comp plan asset | |
| Debt Service Reserve Fund | 4050895 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 27822783 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Self Insurance Liabilities | $13,667,564 |
| LTIP | $250,000 |
| FIN 47 Liability | $1,953,900 |
| Estimated Third Party Settlements | $9,140,373 |
| Current Self Insurance Liability | $5,713,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 30724837 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part XI, Line 8 | Identifier |
| Return Reference | Part XI, Line 8: Other Changes in Net Assets or Fund Balances | ReturnReference |
| Explanation | Unrealized Gain on Investments $175282 Change in Postretirment Obligations $270000 Increase in Heathfirst Equity $741799 | Explanation |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agreement Ref Fundraising | false | AgreementRefFundraising |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Annual Golf Outing | NameOfEvent1 |
| Gross Receipts Event1 | 424460 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 276263 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 148197 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 10675 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 80310 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 3400 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 7552 | OtherDirectExpensesEvent1 |
| Name Of Event2 | Annual Dinner Dance | NameOfEvent2 |
| Gross Receipts Event2 | 112414 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 8707 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 103707 | GrossRevenueEvent2 |
| Rent Facility Costs Event2 | 65035 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 19120 | FoodAndBeverageEvent2 |
| Entertainment Event2 | 7195 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 58617 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 536874 | GrossReceiptsTotal |
| Charitable Contributions Total | 284970 | CharitableContributionsTotal |
| Gross Revenue Total Events | 251904 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 10675 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 145345 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 22520 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 7195 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 66169 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 251904 | DirectExpenseSummaryEvents |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | false | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2790065 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1386494 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1403571 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00760 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 47850911 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 34826834 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13024077 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07060 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 50640976 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 36213328 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14427648 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07820 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 104557 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 66458 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 38099 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9547838 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7682339 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1865499 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9652395 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7748797 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1903598 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01030 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 60293371 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 43962125 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16331246 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08850 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 10989 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 10989 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 10989 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 10989 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $1,800,866 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 72456172 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 74617042 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -2160870 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 0 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kingsbrook Jewish Medical Cent | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 585 Schenectady Ave | AddressLine1 |
| City | Brooklyn | City |
| State | NY | State |
| ZIP Code | 11203 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kingsbrook Jewish Medical Cent | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | false | CHNAConducted |
| Eligibility Criteria Explained | false | EligibilityCriteriaExplained |
| Uses FPG Free | false | UsesFPGFree |
| Uses FPG Discounted | false | UsesFPGDiscounted |
| Explains Basis | false | ExplainsBasis |
| Explains Application Method | false | ExplainsApplicationMethod |
| Includes Publicity Measures | false | IncludesPublicityMeasures |
| Actions On Nonpayment | false | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part V - Explanation of Number of Facility Type | Outpatient Clinic - 2 |
| Part VI - States Where Community Benefit Report Filed | NY |
| Part VI - Explanation Of How Organization Furthers Its Exempt Purpose | In addition to the previously stated medical outreach programs, Kingsbrook Jewish Medical also has a number of other outreach programs works in the community to help educate its local community on how to live more healthy lives. Kingsbrook also offers a mentorship program geared to the youth of our community. This outreach program looks at ways to get young people interested in careers in healthcare, as well as a way to provide teens a way to have a frank discussion about the health issues that affect them. These outreach efforts include: 1. Health News You Can Use TV - Kingsbrook Jewish Medical Center's health and wellness television show "Health News You Can Use" has been renewed for 6th season on Brooklyn Community Access Television (BCAT). The show's production crew is comprised of medical and ancillary staff from the medical center. The hour program speaks to the unique health care needs of Central Brooklyn and features prominent medical professionals and guests who shed light on treatment options and lifestyle adjustments due to a variety of health conditions. "Health News You Can Use" airs every fourth Wednesday at 2:00pm on BCAT, Time Warner Cable Channel 35 or Cablevision Channel 68. Health topics featured have been Domestic Violence, Kingsbrook's Vent Unit part 1 and part 2, Good Nutrition, Heart Disease/Obesity-Teen Forum, HIV/AIDS Diabetes-Teen Forum, Mental Health and Kingsbrook's Adult Day Health Care Center. This show reaches over 500,000 Brooklyn viewers each month. It aids in aggressively cross-promoting screening efforts while featuring needed information on chronic diseases and their related illnesses. We have increased the reach of our health and wellness talk show by offering these videos on our website under the Kingsbrook Health & Wellness TV icon on our homepage as well as posting them on YouTube. 2. Health News You Can Use Newsletter - Keeping the community informed of the health disparities most prevalent in the region is a key factor in our educational outreach. As such, we have partnered with over 80 churches in an effort to spread the word about these issues by way of a health and wellness newsletters also entitled "Health News You Can Use." These pieces cover conditions such as diabetes, stroke, prostate cancer, heart disease, HIV/AIDS, and asthma to name a few. They are used as inserts in the Sunday bulletins and as circulars at our local Community Board offices, schools, local businesses and health fairs.3. Mentorship Programs for Youngsters - Kingsbrook's mentorship program initiatives are designed to expose students to various careers within the medical sphere, providing guidance to information and course study relevant to the pursuit of those fields. The programs encourage research, report production, health media production and hands on special project development that give students an in-depth understanding of how the health industry and its supporting areas work. Programs include: the Kingsbrook & the Health & Science Middle School's Learning & Mentorship Program ages 11-13 and Kingsbrook's Learning & Mentorship Program in partnership with the Brooklyn Queens Long Island Health Education Center, ages 15-20. In 2010, Kingsbrook worked in conjunction with the World Academy for Total Community Health (W.A.T.C.H.) a small, health-themed high school to produce health and wellness media (1/2 hour TV show and a magazine geared towards teenagers and young adults). The magazine and program focused on nutrition, in particular proper eating habits, eating disorders and body image. This school is also affiliated with a trusted community health partner, Brownsville Multi Service Center, with whom we have a strong relationship of health care integration and partnership. Our mutual goals are to translate this content to social media platforms most popular with younger audiences (You Tube, Facebook and Twitter) so that they have the information they need to make intelligent and healthy choices. |
| Part VI - Community Building Activities | Residents in our service region of Central Brooklyn face health disparities that surpass state and national averages in the areas of diabetes, stroke, hypertension and asthma. Our goal is to provide a variety of free screening options to members of our community, especially those who are uninsured and under insured. We aim to increase those participating in our screenings by 10%. Kingsbrook continues to collaborate with other community providers and not-for- profit entities, and also (when appropriate) acts independently to provide screening and preventive treatment services to its community. Our efforts include off-site events in partnership with our local clergy, schools and community based organizations, on-site events based on a year-long screening calendar facilitated at our main facility and at our off-site Pierre Toussaint Family Health Center. Our screening efforts focus especially around early detection of breast and prostate cancers. Our goal is to continue these intense projects that provide diagnostic screening and patient and family education information. We partnered with the Daily News for the 5th year, to take part in the prostate cancer week-long screening initiative; the largest of its kind in New York City. Our goal with this project is not only to increase the number of prostate screenings we perform each year, but to also provide needed education and workshops to those who are not well informed about the disease and the associated risk factors. Also, we launched a Prostate Cancer Steering Committee charged with grassroots promotion and advocacy to further support this effort. Additionally, Kingsbrook has maintained a breast health education program funded by Susan G. Komen of Greater New York. This program counsels women about the importance of breast screenings, provides for a mammogram and follow up coordination services, as well as ongoing care coordination and the necessary referrals for the actual treatment for women with abnormal findings. Our goal is to continue to advance toward our required cap of 2,500 women screened. The program will seek to involve additional partners, preferably health care centers with a focus on women's health to help broaden outreach efforts and facilitate this underserved population. Dedicated to expanding access to care, partnerships with Brownsville Multiservice Family Health Center and Bedford Stuyvesant Multi Service Center have been established. These vital community health centers maintain a keen focus on women's health issues and work in closely with our program to identify women in need. Kingsbrook also maintains a partnership with the Brooklyn Healthy Living Partnership Program, who like us, provide free mammography services to women in need. This program works hand in hand with the Komen funded Breast Health Education Program and allows us the opportunity to provide additional treatment options for under or uninsured women in need.CHRONIC DISEASEDiabetes Education (Learning For Life)Kingsbrook facilitates the "Learning for Life" Diabetes program which trains community volunteers and patients in diabetes self-management protocols. The program is overseen by an Advisory Committee comprised of representatives from the community at large and of certain Kingsbrook departments including Volunteer Services, Nursing, Social Work, Pharmacy, and Nutrition. Kingsbrook's Volunteer Department trains community members with a specific interest in helping advance the quality of diabetic care at our institution through diabetes self-management protocols and diabetes counseling. Through the Learning for Life program, volunteers provide one-on-one and group health literacy sessions for patients with serious, each stage Diabetes. Utilizing a modified and translated "Health Smarts While You Wait" curriculum, volunteers empower Kingsbrook's outpatient diabetic population by assuring the patient understands the basics of navigating a nutrition label and techniques used to manage multiple medications. Continued on Schedule O. |
| Part VI - Community Information | Kingsbrook Jewish Medical Center is dedicated to meeting the healthcare needs of one of Brooklyn's most culturally diverse communities. Located in the East Flatbush section of Central Brooklyn, Kingsbrook was founded in 1925 as a chronic care facility to serve the Jewish community within a cultural context. While still retaining ties to the surrounding shrinking Jewish community, Kingsbrook has expanded its programs and services to meet the needs of the large immigrant and ethnic minority population in its catchment area, including a significant number of Caribbean and African-Americans.After an ardent review with Senior Management and local civic leaders, it was decided to streamline our primary focus areas to reflect our most immediate communities and those areas that utilize our facility at a higher rate. The hospital's service area now consists of the Brooklyn neighborhoods of East Flatbush, Crown Heights, Brownsville, and Prospect Heights. The zip codes for these areas are as follows: 11203, 11213, 11212, and 11236. The catchment area of Central Brooklyn which Kingsbrook services has a population (based on the 2000 census) of 331,400 people, which breaks down to 9.2% white, 81.9% black and 8.9% other. Additionally, 24.1% of the population is shown being below the federal poverty level.Central Brooklyn residents experience more barriers to health care access than those in NYC overall. Additionally, the underinsured population in this region has nearly doubled within the past few years. Limited access to healthcare services contribute to the overwhelming disease rates, which are more than double the state and national averages for the lower income racially diverse residents of Central Brooklyn. Reports, such as "Take Care New York" prepared by New York City Department of Health identify many of the key issues concerning healthcare in Central Brooklyn. The aforementioned report shows that Central Brooklyn residents experience more barriers to healthcare access than those in NYC overall, with nearly 3 in 10 residents not having a regular doctor. Within our primary services areas (Central Brooklyn, East New York and Flatbush) close to 12% of adults have diabetes. Additionally, 29% of the adult population in Central Brooklyn is considered obese which can also lead to a variety of health problems including heart disease and diabetes. The HIV related death rate in this region is still more than twice both the Brooklyn and New York City overall rates. In total, there are over 7,000 persons living with HIV/AIDS in our primary service area. Additionally, high blood pressure and high cholesterol contribute to heart disease. As such, 31% of residents within our primary service area have been diagnosed with high blood pressure and 24% with high cholesterol. In an effort to combat these disparities, our central focuses are access to quality health care, chronic disease management and infectious disease counseling.There are two other major hospitals located close to Kingsbrook Jewish Medical Center, Kings County Medical Center, which is run by the New York City Health and Hospitals Corporation, and SUNY Downstate, which is run the SUNY system and is a teaching hospital. Despite the close proximity of these other institutions, Kingsbrook handles an increasing medical workload which includes over 10,106 admissions of which 5,499 are related to either Medicaid or Medicare and over 32,974 emergency room visits which included 4,478 self pay visits, 1,876 charity care visits and 3,625 Medicaid visits. |
| Part VI - Patient Education of Eligibility for Assistance | It is the policy of Kingsbrook Jewish Medical Center to provide comprehensive quality health care and medically essential services without regard to a patient's ability to pay. Kingsbrook Jewish Medical Center has implemented a Financial Assistance Program which evaluates those who are underinsured, have exhausted their insurance benefits or are fully uninsured. Current clinic patients without adequate financial resources can receive care in our primary / specialty clinics for fee schedules based on their income and family size. A determination will be made if the patient is eligible for reduced fees. Non-Clinic patients seen in the Emergency Department, Inpatient, or for Outpatient Services can apply for assistance, based on financial need, through the Financial Assistance process in Patient Accounts, Patient Access Services/Financial Counseling or Ambulatory Care.Kingsbrook Jewish Medical Center has implemented a Financial Assistance Program which evaluates those who are underinsured, have exhausted their insurance benefits or are fully uninsured. Current clinic patients without adequate financial resources can receive care in our primary/ specialty clinics for fee schedules based on their income and family size. A determination will be made if the patient is eligible for reduced fees. Non-Clinic patients seen in the Emergency Department, Inpatient, or for Outpatient Services can apply for assistance, based on financial need, through the Financial Assistance process in Patient Accounts, Patient Access Services/Financial Counseling or Ambulatory Care.Everyone in New York State who needs emergency services can receive care and get a discount if they meet the income limits. Any individuals residing in Kingsbrook Jewish Medical Center's primary service area, which is defined as: East Flatbush, Flatbush, Canarsie, Flatlands, Bedford-Stuyvesant, Crown Heights and/or East New York (zip codes 11203, 11236, 11213, 11226, 11212, 11208, 11207, 11225, 11216), can get a discount on non-emergency, medically necessary services at Kingsbrook Jewish Medical Center if they meet the income limits. Kingsbrook Jewish Medical Center will never deny medically necessary care because you may need financial assistance. You may apply for a discount regardless of your immigration status. |
| Part VI - Needs Assessment | Kingsbrook Jewish Medical Center assesses the needs of its community in two principal ways:1. Brooklyn Healthcare Improvement Project (BHIP) - Kingsbrook partnered with SUNY Downstate Hospital and several other regional medical facilities to establish a coalition of 29 diverse groups focused on local health planning initiatives. Members range from hospital s and community boards to community-based organizations and health insurance plans. This forum held monthly meetings and focused on the creation of a unique and currently unavailable inventory of primary care service providers and a utilization database for Central Brooklyn. BHIP is broken down into three workgroups:a. Emergency Department Subcommittee - The Emergency Committee's overall focus is to design and administer studies at partner hospitals to examine reasons for overcrowding in emergency departments. The main objective of these studies is to identify and develop answers to address uses concerning emergency room utilization rates in non-emergency situations.b. Community Health Planning Partnership/Geographic Information Systems (GIS) Workgroup Project - This workgroup has completed a through survey of community health service centers (clinics, pharmacies, dentists, etc) in Northern-Central Brooklyn. This data will be imported into the GIS and when combined with Census data will show if patients live within close proximity to health care services such as primary care clinics, hospitals and other healthcare providers. By using these GIS maps, we can determine which areas are lacking in health services based on their population size and be able to make recommendations as to how to bridge the divide between areas with resources and those without. This dynamic, cutting edge databank will provide us with the statistical data necessary to report back to the NYS DOH on the local medical issues and develop more cost effective ways to plan community healthcare services that will most directly impact the community's medical needs.c. Insurance Subcommittee - The overall focus is on evaluating insurance coverage issues and their impact on health systems, both use and access. This will be accomplished by creating a Data Source Inventory of local health infrastructure that will help to evaluate Insurance coverage impact and to make recommendations based on established benchmarks. 2. Claire Heureuse Community Empowerment Planning Team - Kingsbrook Jewish Medical Center partnered with Claire Heureuse Adult Day Care Center as part of the "Community Empowerment Planning" team to address the needs of the elderly population in Central Brooklyn over a 12 month period. The committee was established to identify the needs of the aging population in Community Board 17, focusing specifically on: housing needs, elder abuse, recreation for the aged, immigration and legal issues, lack of health care, sexual health and education, HIV/AIDS and transportation. The team will focus on developing constructive and aggressive outreach avenues that will help us to identify and address the needs to the community. To do this, Kingsbrook Jewish Medical Center will need to overcome barriers senior citizens experience such as language and immigration status. There were ten meetings held in 2010: January 22nd, February 18th and 19th, March 19th, April 23rd, May 20th and 21st, June 18th, July 23rd and August 19th. The community partners associated with this team include the following: Haitian Center Council, Inc, African-American Institute, Kings County Hospital, Sweet Academy, Family & Youth Initiative of New York, Inc, N&C Alarm, Diaspora Community Services, Inc., Caribbean Magazine TV, Claire Heureuse Community Center and the office of Congresswoman Yvette Clark. |
| Part III, Line 9b - Provisions On Collection Practices For Qualified Patients | TOPIC: SELF-PAY BAD DEBTSPOLICY STATEMENTA bad debt is an amount due on a Patient's bill that has not been paid by either a third party or by the Patient. Only after all reasonable and customary collection efforts have been made is the balance considered for referral to an external agency for further handling. DEPARTMENTAL PROCEDUREIf no insurance is on file or following the posting of a third-party insurance payment there is a deductible and/or co-insurance still due from the patient, an initial/original bill or statement is immediately sent to the patient/guarantor.If payment or additional third party information to cover the remaining deductible and/or coinsurance amounts is not received, subsequent dunning notices are sent to the patient/guarantor. The increments for these second and third statements are 30 days and 60 days from the initial bill, respectively.At ninety days from the original dunning, a final statement is sent notifying the patient of a final thirty days to satisfy the account balance prior to it being referred to an external collection agency. During the above dunning cycles, prioritized by balance and dependent on available resources, attempts are made to contact the patient and/or their guarantor to resolve the balance open.After 120 days, if payment has not been made, account becomes eligible for pre-collection review and a determination is made for referral to an external collection agency. This review incorporates a patient's prior accounts receivable history, which may accelerate their referral to collection. At this time, the bad debt transaction is noted.1- Collection agency referral - by Patients last name to assigned collection agency, financial class change reflecting agency chosen.2- Recognized as a bad debt upon transfer to collection.3- Payments received on accounts previously transferred to collection are posted to the Inactive Accounts Receivable and entered as a "Recovery of Bad Debt."4- Recoveries from bad debt are used to offset bad debt write-offs made in the same period and thereby reducing the current write-off amount.At each juncture or activity, the staff should enter a note into the system onto the patients' account documenting their activity, as appropriate.Continued on Schedule O. |
| Part III, Line 8 - Explanation Of Shortfall As Community Benefit | The amount reported on Line 6 was derived by using the Medicare allowable costs as reported on the Hospital's New York State Institutional Cost Report and the applicable adjustments from Worksheet B. |
| Part III, Line 4 - Bad Debt Expense | A/F/S Footnote - Organization and Significant Accounting Policies - Net Patient Service Revenue, Accounts Receivable and allowance for uncollectible accounts.billings related to services rendered are recorded as net patient service revenue in the period in which the service is performed, net of contractual and other allowances which represent differences between gross charges and the estimated receipts under such programs. Net patient service revenue is recorded at the net realizable amounts from patients, third-party payers, and other services rendered, including estimated retroactive adjustments under reimbursement agreements with third party payers. Retroactive adjustments are accrued on an estimated basis in the period the related services are rendered and adjusted in future periods as final settlements are determined.Patient accounts receivable are also reduced for allowances for doubtful accounts. The process for estimating the ultimate collection of receivables involves significant assumptions and judgments. Account balances are written off against the allowance when management determines it is probable the receivable will not be recovered. Historical collection and payer reimbursement experience is an integral part of the estimation process related to reserves for uncollectible accounts. Revisions in reserve for uncollectible accounts estimates are recorded as an adjustment to the provision for bad debts. Bad debt expense at cost is $1,800,066. Bad debt expense per the audited financial statement is $5,726,125. |
| Part I, Line 7 - Explanation of Costing Methodology | Kingsbrook Jewish Medical Center's costing methodology was based upon the 2010 New York State Institutional Cost Report and the 2010 Medicare (Form 2552) Cost Report. These cost reports are filed with the New York State Department of Health and the applicable CMS intermediary, respectively. The cost-to-charge ratio derived from Worksheet 2, Ratio of Patient Care Cost-to-Charge, was used for the various sub-line items of line #7. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg |
|---|---|---|---|---|---|---|
| William Lois MD | ||||||
| 357421 | 23275 | 14132 | 394828 | |||
| Susan Zinder | ||||||
| 241579 | 16500 | 6798 | 264877 | |||
| Philip Hew | ||||||
| 329033 | 23275 | 13867 | 366175 | |||
| Mohammad Zahir | ||||||
| 720180 | 23275 | 6798 | 750253 | |||
| Meg Krilov MD | ||||||
| 303056 | 23275 | 13251 | 339582 | |||
| Marc Ross MD | ||||||
| 471098 | 23275 | 13867 | 508240 | |||
| Linda Brady MD | ||||||
| 736481 | 23275 | 13867 | 4252877 | 241090 | 3238164 | 2868835 |
| Kurt Kodroff | ||||||
| 238369 | 59142 | 14132 | 373951 | 62308 | ||
| Kiran Batheja | ||||||
| 201088 | 68000 | 3252 | 319666 | 47326 | ||
| Kevin Molloy | ||||||
| 435750 | 23275 | 14559 | 808710 | 326457 | 8669 | |
| John Schmitt CPA | ||||||
| 304281 | 100525 | 13867 | 491337 | 56928 | 15736 | |
| Dr Sibte Burney | ||||||
| 328467 | 23275 | 14095 | 434413 | 60723 | 7853 | |
| Alejandro Zuretti MD | ||||||
| 321551 | 23275 | 6308 | 351134 | |||
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Sch J, Part III, Additional Information | Identifier |
| Return Reference | Part III, Additional Information | ReturnReference |
| Explanation | Part II, Column (C) Retirement and other deferred compensation:The deferred compensation reported for three Kingsbrook Jewish Medical Center employees (John Schmitt, Kurt Kodroff, Kiran Batheja) includes accruals for the transition stabilization plan which was implemented in 2009. The value of the plan is subject to risk of forfeiture (pursuant to IRS regulations) until the employees meet specific and documented future service requirements. The plan was reviewed, discussed and approved by the Compensation Committee of the Joint Board of Trustees/Directors to enhance the retention of key executives and to maintain leadership stability as Kingsbrook Jewish Medical Center pursues opportunities for sustained viability. The plan is consistent with typical market practices and reasonable in the context of the employees' total remuneration, based on advice provided by independent executive compensation consultants. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Brooklyn Kings Highway | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | Board Member/Owner | Relationship |
| Amount Of Transaction | 1075521 | AmountOfTransaction |
| Description Of Transaction | Anesthesiology Services | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| SCHEDULE H, PART VI, QUESTION 5 (CONT.) | Kingsbrook's prostate cancer initiative screened 950 men in 2010 (June 21-25th), of that number 90 (10 %) resulted in abnormal findings. The only Brooklyn hospital participating in this effort, the impact re: accessibility to quality health care and our response to chronic disease prevention is clear by the consistent number of men in our community that take advantage of this detection effort. Kingsbrook's ambulatory care program also provides free prostate cancer screening examinations by appointment throughout the year; a special effort to increase early detection initiatives in our underserved community. This effort is promoted on-line via our free screening coupon option, which is also distributed at community health events. Since the inception of this program in 2008, Kingsbrook has successfully educated 9,226 women on the importance of breast health and screened 3,561 women. In 2010, Kingsbrook counseled 2,750 women about the importance of breast screening, coordinated mammography and screening services for 630 women. Unique educational options for men are also being incorporated to better educate and spread the word throughout the community.Dedicated to expanding the programs ultimate reach, partnerships with Brownsville Multiservice Family Health Center and Bedford Stuyvesant Multi Service Center were established. These vital community health centers maintain a keen focus on women's health issues and will work in tandem with this program to target women in need. Communication To Enhance AccessIn 2010, Kingsbrook worked in collaboration with Family and Youth Initiative of New York to review current health disparity data, discuss options for education, outreach, early detection and ways by which to increase community health awareness. The partnership produced collaborative events that included: Geriatric Mental Health 101, in conjunction with the Mental Health Alliance of New York City, targeting caregivers, social workers and case managers, Power Over Diabetes in conjunction with the American Diabetes Association, targeting diabetics and those caring for diabetics, featuring information on diabetes management, treatment and nutritional options, Everybody Dance for Your Health with the American Diabetes Association and Peil Canela Dance Group, targeting diabetics and those caring for diabetics, featuring information and a demonstration on healthy exercise and moderate movement for diabetics. CHRONIC DISEASEDiabetes Learning for LifeTwelve volunteers have been trained to provide their fellow community members with diabetes education and counseling. These volunteers have, to date, provided 76 individual sessions at the bedside, 32 of which covered managing multiple medications and 44 of which covered nutrition. In addition, volunteers have led 159 group sessions where 62 presentations covered multiple medications and 97 covered nutrition. 786 patient encounters have occurred in the group sessions. The program presentations were also modified and translated for our Russian and Creole speaking Adult Day Health Care Center participants. Our education and treatment programs for diabetes remain a needed and valued addition to diabetes support services for our patients. As such, outpatient Diabetes Self-Management Service and group classes for patients were held. Additionally, the program partnered with Rutland Nursing Home's Adult Day Health Care Program, to ensure that at least 75% of family members or caregivers of diabetic patients receive this service. Diabetes Self ManagementIn August 2010, a certified diabetes educator began providing diabetes counseling services at KJMC's Clinic E for a dedicated weekly clinic session that coincided with the outpatient Metabolic and Endocrine Clinic. Further expansion of this service, which will include multiple disciplines, is currently in development. | |
| SCHEDULE H, PART VI, QUESTION 5 (CONT.) | INFECTIOUS DISEASEKingsbrook's Designated AIDS Center (Clinical Management Unit, CMU) has more than 600 patients enrolled. There were 70 new patients enrolled for HIV and Hepatitis C disease management. There were 2,790 physician clinic encounters for the year and this represents an increase of approximately 1% in clinical visits from the previous year. There were 2,933 HIV counseling and testing encounters. Twenty-two 22 new patients were identified as HIV positive. Additionally, 50% of these new patients were referred to and enrolled in our program for care and services. There were over 3,000 encounter visits and interventions provided for case management advocacy services. There were over 500 encounter visits for substance abuse services, which include the "HIV/AIDS Chemical Dependent Support Group. With the rapidly changing field of HIV, staff education and training are most necessary. The CMU Manager and Medical Director arranged for a wide variety of in-services and training for the staff. Presentations included the following topics: New HIV/AIDS, Hepatitis C Treatments, Mental Health Assessment and Counseling, Management of Hepatitis C/ HIV Co-infection, Post-exposure Prophylaxis, Drug-drug interactions, HIV/AIDS Confidentiality Training, and HMOs Enrollments. Additionally, CMU staff participates in outreach activities through presentations at community health clinics, senior centers, libraries, schools, community events and health fairs, and Pierre Toussaint Family Health Center Open Houses to promote HIV awareness and prevention efforts. HIV test counselors also participated in "National HIV Testing Day", KJMC's free promotional HIV screening events, facilitating approximately 200 guests and World AIDS DAY (WAD) Activities. | |
| SCHEDULE H, PART VI, QUESTION 5 (CONT.) | Diabetes Self ManagementKingsbrook has maintained a Diabetes Education Program for outpatient diabetes self-management training, providing individual counseling appointments and group classes, a current collection of educational materials, regular academic updates on the latest evidenced based treatments for primary care providers, and maintaining a Diabetes Registry to identify areas to help identify areas for improvement. The program objective is to provide diabetes patients access to diabetes educator services to assist in self-management, an essential part of achieving optimal clinical outcomes. This service will fulfill the Self-Management component of implementing the Chronic Care Model for diabetes at our institution. To fund the initial expenses of the program, Kingsbrook received grant funding from the New York City Department of Health and Mental Hygiene. INFECTIOUS DISEASESKingsbrook provides many services to residents who are at risk of HIV/AIDS infection, and who are directly affected by HIV/AIDS. Care to patients infected with HIV/AIDS and Hepatitis is provided by Kingsbrook's Designated AIDS Center (the "DAC") which serves more than 400 clients each year and offers a broad array of services for people with HIV/AIDS and Hepatitis C. The HIV program provides a collaborative approach in the management of patients, some who are poor, homeless, illiterate, substance dependent, mentally challenged and others who are socially isolated (immigrants, the incarcerated and the elderly). Kingsbrook's DAC seeks to increase its community outreach, providing for more early detection opportunities and community-wide education within the next three years. In addition, the DAC will provide for increased training opportunities for our medical residents and attending physician staff by including them in HIV grand rounds and case presentations. Part of this plan is to increase linkages with other community HIV/AIDS providers, especially those who focus on the difficult-to-reach immigrant populations. Outreach is not merely community based; it is also targeted at individuals. Kingsbrook will continue to offer individual community members HIV/AIDS prevention information to promote avoidance of behaviors that have a high risk for infection and re-infection, as well as confidential Rapid H.I.V. antibody testing and counseling services for admitted and ambulatory service patients (including, without limitation, patients presenting to its Emergency Room).Another of the DAC goals was to increase patient's compliance with the HIV QUAL indicators. Project improvements were focused on the following HIV/QUAL indicators with these results: 10% increase in TB, syphilis screenings and pelvic examinations. Additionally, there was a 5% decrease in the number of patients who simply did not keep their appointment (no-shows) for clinic and the subspecialists' visits. KEY PLAN UPDATES1.ACCESS TO QUALITY HEALTH CARE (Medical Screenings)Kingsbrook provided early detection opportunities to over 4,500 individuals in 2010. Screenings for asthma, stroke diabetes, hypertension, HIV, prostate and breast cancer were of special focus. Our total community benefit, including free screenings, education and mentorship impacted over 7,000 residents. Despite the ever growing facilitation challenges for healthcare organizations, Kingsbrook has been able to maintain its aggressive outreach and annual screening schedule facilitating a number of private and partnered events in effort to address the community's access to quality care and intervention for chronic diseases. Additionally, Kingsbrook partnered with the office of the Brooklyn Borough President to Facilitate "Take Your Man to the Doctor Week". This initiative is a call to action for men of all ages, ethnicities, and social standing to regularly visit a doctor and for the women who love them to help make it happen. Kingsbrook provides screenings such as diabetes and hypertension for this effort. | |
| SCHEDULE H, PART V, SECTION B | PURSUANT TO IRS ANNOUNCEMENT 2011-37 DATED JUNE 9, 2011, SCHEDULE H PART V SECTION B WAS MADE OPTIONAL FOR 2010. ACCORDINGLY KINGSBROOK JEWISH MEDICAL CENTER HAS ELECTED NOT TO COMPLETE THIS SECTION. HOWEVER, DUE TO LACERTE SOFTWARE DESIGN LIMITATIONS THE PROGRAM ERRONEOUSLY COMPLETED SECTION B AND COULD NOT BE OVERRIDDEN. ACCORDINGLY SECTION B SHOULD BE DISREGARDED AS KINGSBROOK JEWISH MEDICAL CENTER HAS ELECTED NOT TO COMPLETE THIS SECTION. | |
| SCHEDULE H, PART III, QUESTION 9B | TOPIC: MEDICARE BAD DEBTSPOLICY STATEMENTA Medicare bad debt is either a deductible and/or coinsurance that remains unpaid by either a third party or the patient. Only after all reasonable and customary dunning efforts have been made, is the balance considered for referral to an external agency for further handling. DEPARTMENTAL PROCEDURE Initial/Original bill or statement is sent to patient/guarantor immediately following the posting of Medicare's payment to the account or when final bill is released.If payment or other third party information to cover the Medicare deductible and/or coinsurance amounts is not received, subsequent dunning notices are sent to the guarantor. The increments for these second and third statements are 30 days and 60 days from the initial bill, respectively.At ninety days from the original dunning, a final statement is sent notifying the patient of a final thirty days to satisfy the account balance prior to it being referred to an external collection agency. During the above dunning cycles, prioritized by balance and dependent on available resources, attempts are made to contact the patient and/or their guarantor to resolve the balance open.After 120 days, if payment has not been made, account becomes eligible for pre-collection review and a determination is made for referral to an external collection agency. This review incorporates a patient's prior accounts receivable history, which may accelerate their referral to collection. At this time, the Medicare bad debt transaction is noted.1- Collection agency referral - by Patients last name to assigned collection agency, financial class change reflecting agency chosen.2- Recognized as a Medicare bad debt upon transfer to collection.3- Payments received on accounts previously transferred to collection are posted to the Inactive Accounts Receivable and entered as a "Recovery of Bad Debt."4- Recoveries from bad debt are used to offset Medicare bad debt write-offs made in the same period and thereby reducing the current write-off amount.At each juncture or activity, the staff should enter a note into the system onto the patients' account documenting their activity, as appropriate. | |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | Upon request, the organization will make available only those documents required to be disclosed under the public inspection laws. | Form 990, Part VI, Line 19 |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | THE PROCESS USED FOR DETERMINING THE COMPENSATION OF THE CEO ALSO 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 COMPENSATION SUBCOMMITTEE FOR THOSE EMPLOYEES. | Form 990, Part VI, Line 15b |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | All Conflicts of Interest are reviewed by the Compliance Officer. Any potential conflicts involving Board members are referred to the Audit and Compliance committee for review and/or action, as necessary. | Form 990, Part VI, Line 12c |
| Form 990, Part VI, Line 11: Form 990 Review Process | The CFO has conducted a detailed review of the 990 with the hospitals tax accountant and all appropriate changes have been made. The 990 is then reviewed with the CEO for any additional commentary, observations, or recommendations. The 990 is then reviewed with the Chairman of the Audit and Compliance Committee AND THEN PRESENTED TO THE AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW for any additional commentary, observations, or recommendations. Once completed and filed, form 990 is made available to the full board by the Chairman of the Audit and Compliance Committee. | Form 990, Part VI, Line 11 |
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | Members may elect and appoint members of the governing board and board officers of the corporation. | Form 990, Part VI, Line 7a |
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | Kingsbrook Healthcare System ("KHS") is the sole member of Kingsbrook Jewish Medical Center. | Form 990, Part VI, Line 6 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Kingsbrook Jewish Medical Center AUX | |||||||||||
| 585 Schenectady Avenue | Brooklyn | NY | 11203 | 113016121 | inactive | NY | 501(c)(3) | 11a | N/A | false | |
| Kingsbrook Jewish Medical Ctr Foundation | |||||||||||
| 585 Schenectady Avenue | Brooklyn | NY | 11203 | 112845058 | Supports KJMC in its charitable mission | NY | 501(c)(3) | 11a | false | Kingsbrook Jewish Medical Center | |
| Kingsbrook Healthcare System Inc | |||||||||||
| 585 Schenectady Avenue | Brooklyn | NY | 11203 | 030464734 | Inactive Support Organization | NY | 501(c)(3) | 11a | N/A | false | |
| Rutland Nursing Home | |||||||||||
| 585 Schenectady Avenue | Brooklyn | NY | 11203 | 112164674 | Operate Skilled Nursing Facility | NY | 501(C)(3) | 9 | false | Kingsbrook Healthcare System Inc | |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|
| KHS Security Agency LLC | ||||||||||
| 585 Schenectady Avenue | Brooklyn | NY | 11203 | 134297095 | Inactive | NY | KHS Inc | 0 | false | false |
| ATM Nurse Registry | ||||||||||
| 585 Schenectady Avenue | Brooklyn | NY | 11203 | Inactive | NY | KSI Inc | 0 | false | false | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| SINGULAB INC | ||||||||
| 585 Schenectady Avenue | Brooklyn | NY | 11203 | 562327669 | inactive | DE | KSI INC | C CORP |
| KSI INC | ||||||||
| 585 Schenectady Avenue | Brooklyn | NY | 11203 | 562327654 | inactive | NY | KHS Inc | C Corp |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Rutland Nursing Home | ||
| o | 60652160 | Cost |
| Rutland Nursing Home | ||
| n | 36872956 | Cost |