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BROOKDALE HOSPITAL MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
BROOKDALE HOSPITAL MEDICAL CENTER (EIN 11-1631746)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201123199349310207
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-15T17:36:57-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1JH COHN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11212 6TH AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10036ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN111631746EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameMOUNIR F DOSSName
TitleEXECUTIVE VP & CFOTitle
Phone7182405000Phone
Date Signed2011-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTHOMAS LANNINGName
Phone2122970400Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMOUNIR F DOSSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1ONE BROOKDALE PLAZAAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11236ZIPCode
FieldValueIRS element (for citing)
Gross Receipts479673718GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BROOKDALE.EDUWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1914YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTHE BROOKDALE HOSPITAL MEDICAL CENTER OPERATES A 530 BED HOSPITAL IN BROOKLYN, NY.ActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees3683TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year6603304ContributionsGrantsPriorYear
Contributions Grants Current Year7748591ContributionsGrantsCurrentYear
Program Service Revenue Prior Year382961957ProgramServiceRevenuePriorYear
Program Service Revenue CY382527070ProgramServiceRevenueCY
Investment Income Prior Year10477879InvestmentIncomePriorYear
Investment Income Current Year4993815InvestmentIncomeCurrentYear
Other Revenue Prior Year69635110OtherRevenuePriorYear
Other Revenue Current Year69110157OtherRevenueCurrentYear
Total Revenue Prior Year469678250TotalRevenuePriorYear
Total Revenue Current Year464379633TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year295870864SalariesEtcPriorYear
Salaries Etc Current Year290038511SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year349403TotalFundrsngExpCurrentYear
Other Expense Prior Year205779791OtherExpensePriorYear
Other Expenses Current Year217594571OtherExpensesCurrentYear
Total Expenses Prior Year501650655TotalExpensesPriorYear
Total Expenses Current Year507633082TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-31972405RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-43253449RevenuesLessExpensesCY
Total Assets BOY194052131TotalAssetsBOY
Total Assets EOY178989271TotalAssetsEOY
Total Liabilities BOY439928637TotalLiabilitiesBOY
Total Liabilities EOY458918654TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-245876506NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-279929383NetAssetsOrFundBalancesEOY
Mission DescriptionTHE BROOKDALE HOSPITAL MEDICAL CENTER OPERATES A 530 BED HOSPITAL IN BROOKLYN, NEW YORK.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense406657929Expense
Revenue382527070Revenue
DescriptionTHE BROOKDALE HOSPITAL MEDICAL CENTER OPERATES A 530 BED HOSPITAL IN BROOKLYN, NEW YORK. IN 2010, BROOKDALE HAD 19,797 ADMISSIONS, 19,759 DISCHARGES, 98,160 OUTPATIENT EMERGENCY ROOM VISITS WHICH RESULTED IN 14,812 ADMISSIONS AND 224,479 OTHER OUTPATIENT SERVICE VISITS.Description
Total Program Service Expense406657929TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached0FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096318NumberFormsTransmittedWith1096
Number W2 G Included1NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees3683NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MOUNIR F DOSS EXECUTIVE VP & CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7182405773TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
ALEX ROVT
VICE CHAIRMAN1.00XX000
ALLEN B SWERDLICK
TRUSTEE1.00X000
ALVIN I KAHN MD
CHAIRMAN40.00XX297852062954
ASCHER L MESTEL MD
TRUSTEE1.00X000
DARRYL TOWNS
TRUSTEE1.00X000
DAVID P ROSEN
PRESIDENT & CEO80.00XX0173796571372
DAVID R WILKES
TRUSTEE1.00X000
DAVID SCHLANG
TRUSTEE1.00X000
DIANE SIMON
TRUSTEE1.00X000
EDWARD BIRNBAUM
TRUSTEE1.00X000
EDWIN SCHULMAN
TRUSTEE1.00X000
HUGH GREENBERG
TRUSTEE1.00X000
IRINA BENFELD
TRUSTEE1.00X000
LAURENCE C ZALE
VICE CHAIRMAN1.00XX000
LESLIE STEPHEN
TRUSTEE1.00X000
LEWIS MARHALL
TRUSTEE1.00XX386250058789
LOWELL M RUBIN
TRUSTEE1.00X000
RC HUGH NELSON
TRUSTEE1.00X000
RICHARD FOGLER
TRUSTEE1.00XX632683056293
RICHARD RADUTZKY
SECRETARY1.00XX000
STEVEN PLOTNICK ESQ
TRUSTEE1.00X000
BRUCE J FLANZ
PRESIDENT & CEO80.00X0134014370165
DAVID SCHACHNE
TRUSTEE/TREASURER1.00X000
MOUNIR F DOSS
VP & CFO80.00X0138265772404
AARON REICHMAN
RADIOLOGIST40.00441459038906X
ARASH GOHARI
RADIOLOGIST40.00505993015472X
ARTHUR FINK MD
RADIOLOGIST40.00447068062485X
ERIC S MINKIN MD
RADIOLOGIST40.00473582060349X
MAYANK SHUKLA
RADIOLOGIST40.00526647039289X
PARESH KOTAHRY
RADIOLOGIST40.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3711534TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4460765TotalReportableCompFrmRltdOrgs
Total Other Compensation608478TotalOtherCompensation
Number Individuals GT100 K362NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
OHRENSTEIN & BROWN LLP
1010 FRANKLIN AVENUEGARDEN CITYNY11530LEGAL1373792
QUEST DIAGNOSTICS
12436 COLLECTIONS CENTER DRIVECHICAGOIL60693LAB SERVICES682833
PRICEWATERHOUSECOOPERS LLP
300 MADISON AVE 24TH FLOORNEW YORKNY10017ACCOUNTING661621
SIEMENS MEDICAL SOLUTIONS USA
2 PENN PLAZA SUITE 1900NEW YORKNY10021CONSTRUCTION SERVICES644578
BSK PEDIATRIC SURGERY ASSOCIATES PC
1300 UNION TPKENEW HYDE PARKNY11040PHYSICIANS600000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K36NumberOfContractorsGT100K
Fundraising Events254751FundraisingEvents
Government Grants3846244GovernmentGrants
All Other Contributions3647596AllOtherContributions
Total Contributions7748591TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE621400355774800355774800
CAPITATION FEE6214002675227026752270
FieldValueIRS element (for citing)
Total Program Service Revenue382527070TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4885112TotalRevenueColumn
Exclusion$4,885,112ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real522820Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real522820Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column522820TotalRevenueColumn
Exclusion$522,820ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities15131267Securities
Other107365Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities15129929Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1338Securities
Other107365Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column108703TotalRevenueColumn
Related Or Exempt Function Income107365RelatedOrExemptFunctionIncome
Exclusion$1,338ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events182700GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events254751CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses164156FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column18544TotalRevenueColumn
Exclusion$18,544ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
SVC PROVIDED TO AFFILI90009940833159$40,833,159
PHYSICIAN BILLING62111013266901$13,266,901
PHARMACY REVENUE9000995066195$5,066,195

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column9402538TotalRevenueColumn
Related Or Exempt Function Income80000RelatedOrExemptFunctionIncome
Exclusion$9,322,538ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue68568793TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column464379633TotalRevenueColumn
Related Or Exempt Function Income382714435RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$73,916,607ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1494821Total
Program Services1194400ProgramServices
Management And General298600ManagementAndGeneral
Fundraising1821Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total209319684Total
Program Services167223688ProgramServices
Management And General41805922ManagementAndGeneral
Fundraising290074Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total9126180Total
Program Services7300944ProgramServices
Management And General1825236ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total54472482Total
Program Services43577986ProgramServices
Management And General10894496ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total15625344Total
Program Services12500275ProgramServices
Management And General3125069ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total6000000Total
Program Services4800000ProgramServices
Management And General1200000ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4666168Total
Program Services3732934ProgramServices
Management And General933234ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total576285Total
Program Services461028ProgramServices
Management And General115257ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4253847Total
Program Services3370945ProgramServices
Management And General842736ManagementAndGeneral
Fundraising40166Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total14797598Total
Program Services11825881ProgramServices
Management And General2956472ManagementAndGeneral
Fundraising15245Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2243965Total
Program Services1795172ProgramServices
Management And General448793ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total9482760Total
Program Services7586208ProgramServices
Management And General1896552ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total437486Total
Program Services349989ProgramServices
Management And General87497ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total166761Total
Program Services133409ProgramServices
Management And General33352ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total10616880Total
Program Services8493504ProgramServices
Management And General2123376ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total10602792Total
Program Services8482234ProgramServices
Management And General2120558ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total35088833Total
Program Services28071067ProgramServices
Management And General7017766ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES44194753353558028838951
BAD DEBT - PATIENT RELA3036664630366646
PHYSICIAN FEES1784625217846252
BAD DEBT - RELATED PART1101449311014493
EQUIP RENTAL & MAINT7319779585414614635362097

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total7919273Total
Program Services6335419ProgramServices
Management And General1583854ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total507633082Total
Program Services406657929ProgramServices
Management And General100625750ManagementAndGeneral
Fundraising349403Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY15119985BOY
EOY13263941EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY55052345BOY
EOY48333524EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3893310BOY
EOY3420888EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY8666437BOY
EOY13503984EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis285042810LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec237353226LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY52881523BOY
EOY47689584EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY31713374BOY
EOY22107216EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY26725157BOY
EOY30670134EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY194052131BOY
EOY178989271EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY91759835BOY
EOY101495849EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY110632029BOY
EOY100961785EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY237536773BOY
EOY256461020EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY439928637BOY
EOY458918654EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-246876506BOY
EOY-279929383EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1000000BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-245876506BOY
EOY-279929383EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY194052131BOY
EOY178989271EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-43253449ReconcilationRevenueExpenses
Reconcilation Other Changes9200572ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers1Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$170,741DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB170741TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPART IV, SUPPLEMENTAL INFORMATION:Identifier
ExplanationPART II-B BROOKDALE HOSPITAL MEDICAL CENTER IS A MEMBER OF TWO ASSOCIATIONS OF WHICH SOME OF THEIR DUES ARE ALLOCATED TO GRASS ROOTS LOBBYING IN REGARD TO THEIR NEEDS IN SERVICING AND PROVIDING HEALTHCARE TO THE GENERAL PUBLIC. HEALTHCARE ASSOCIATION OF NEW YORK STATE $44,845 GREATER NEW YORK HOSPITAL ASSOCIATION $125,896Explanation

Schedule D IRS990ScheduleD

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis77634083OtherCostOrOtherBasis
Depreciation61810499Depreciation
Book Value15823584BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis174649431OtherCostOrOtherBasis
Depreciation151873192Depreciation
Book Value22776239BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis31690639OtherCostOrOtherBasis
Depreciation23669535Depreciation
Book Value8021104BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings47689584TotalOfBookValueLandBuildings

Other Securities OtherSecurities (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
GUARANTEED INSURANCE CONTRACTS12141475F
TREASURY BILLS399960F
GOVERNMENT BONDS6191182F
LETTER OF CREDIT1671000F
INTEREST - CCC INVESTMENT POOL1703599F
FieldValueIRS element (for citing)
Total Of Book Value Securities22107216TotalOfBookValueSecurities

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM THIRD PARTY PAYORS12394960
DEFERRED FINANCE CHARGES408588
CAPITATION RECEIVABLE14606607
DUE FROM AFFILIATES - SSI3000000
ACCRUED INTEREST - AWUIL259979
FieldValueIRS element (for citing)
Total Book Value Other Assets30670134TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
ESTIMATED WORKERS COMP LIABILITY$17,260,000
MALPRACTICE PAYABLE$157,800,049
DUE TO THIRD PARTIES$28,175,891
DUE TO RELATED PARTIES$22,939,930
ACCRUED PENSION PAYABLE$30,285,150
FieldValueIRS element (for citing)
Total Of Amounts256461020TotalOfAmounts
Total Revenue464379633TotalRevenue
Total Expenses507633082TotalExpenses
Excess Or Deficit For Year-43253449ExcessOrDeficitForYear
Net Unrealized GL On Investments2411NetUnrealizedGLOnInvestments
Other$9,198,161OtherAmount
Total Adjustments9200572TotalAdjustments
Excess Or Deficit Per FS-34052877ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt518938576TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments2412NetUnrealizedGainsInvestments
Other Revenues2670143OtherRevenues
Revenue Not Rptd F9902672555RevenueNotRptdF990
Revenue Subtotal516266021RevenueSubtotal
Other Revenues Not Included-51886388OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-51886388RevenueNotRptdOnFinStmt
Total Revenue Per Form990464379633TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt561736507TotExpensesEtcAuditedFinclStmt
Other Expenses Included2217037OtherExpensesIncluded
Expenses Not Rptd F9902217037ExpensesNotRptdF990
Expenses Subtotal559519470ExpensesSubtotal
Other Expenses Not Included-51886388OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt-51886388ExpensesNotRptdOnFinStmt
Total Expenses Per Form990507633082TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierExplanationExplanation
PART XII, LINE 2D - OTHER ADJUSTMENTS:BROOKDALE HOSPITAL CENTER HEGEMAN 3,577,052. ELIMINATION ENTRY -906,909.
PART XII, LINE 4B - OTHER ADJUSTMENTS:SPECIAL EVENTS EXPENSE -164,156. COSTS RELATED TO CAPITATION -51,722,232.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:BROOKDALE HOSPITAL CENTER HEGEMAN 3,123,946. ELIMINATING ENTRY -906,909.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:SPECIAL EVENTS EXPENSE -164,156. COSTS RELATED TO CAPITATION -51,722,232.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF & TENNIS EVENTNameOfEvent1
Gross Receipts Event1125701GrossReceiptsEvent1
Charitable Contributions Event184436CharitableContributionsEvent1
Gross Revenue Event141265GrossRevenueEvent1
Rent Facility Costs Event129420RentFacilityCostsEvent1
Other Direct Expenses Event14890OtherDirectExpensesEvent1
Name Of Event2GALANameOfEvent2
Gross Receipts Event2311750GrossReceiptsEvent2
Charitable Contributions Event2170315CharitableContributionsEvent2
Gross Revenue Event2141435GrossRevenueEvent2
Rent Facility Costs Event2102279RentFacilityCostsEvent2
Other Direct Expenses Event227567OtherDirectExpensesEvent2
Gross Receipts Total437451GrossReceiptsTotal
Charitable Contributions Total254751CharitableContributionsTotal
Gross Revenue Total Events182700GrossRevenueTotalEvents
Rent Facility Costs Total Events131699RentFacilityCostsTotalEvents
Other Direct Expenses Total Events32457OtherDirectExpensesTotalEvents
Direct Expense Summary Events164156DirectExpenseSummaryEvents
Net Income Summary18544NetIncomeSummary

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense12058993TotalCommunityBenefitExpense
Direct Offsetting Revenue3684685DirectOffsettingRevenue
Net Community Benefit Expense8374308NetCommunityBenefitExpense
Percent Of Total Expense0.01650PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense168085010TotalCommunityBenefitExpense
Direct Offsetting Revenue147036137DirectOffsettingRevenue
Net Community Benefit Expense21048873NetCommunityBenefitExpense
Percent Of Total Expense0.04150PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense180144003TotalCommunityBenefitExpense
Direct Offsetting Revenue150720822DirectOffsettingRevenue
Net Community Benefit Expense29423181NetCommunityBenefitExpense
Percent Of Total Expense0.05800PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Persons Served46306PersonsServed
Total Community Benefit Expense4507751TotalCommunityBenefitExpense
Direct Offsetting Revenue4024972DirectOffsettingRevenue
Net Community Benefit Expense46306NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense73451915TotalCommunityBenefitExpense
Direct Offsetting Revenue38846284DirectOffsettingRevenue
Net Community Benefit Expense34605631NetCommunityBenefitExpense
Percent Of Total Expense0.06820PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense44422625TotalCommunityBenefitExpense
Net Community Benefit Expense44422625NetCommunityBenefitExpense
Percent Of Total Expense0.08750PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Persons Served46306PersonsServed
Total Community Benefit Expense122382291TotalCommunityBenefitExpense
Direct Offsetting Revenue42871256DirectOffsettingRevenue
Net Community Benefit Expense79074562NetCommunityBenefitExpense
Percent Of Total Expense0.15580PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Persons Served46306PersonsServed
Total Community Benefit Expense302526294TotalCommunityBenefitExpense
Direct Offsetting Revenue193592078DirectOffsettingRevenue
Net Community Benefit Expense108497743NetCommunityBenefitExpense
Percent Of Total Expense0.21380PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$17,112,108BadDebtExpenseAmount
Amount Attributable To2600229AmountAttributableTo
Amount Reimbursed By Medicare63409605AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare56974564CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall6435041MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

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

Address Address

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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BROOKDALE HOSPITAL AND MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (5 entries)

ExplanationExplanationReturn ReferenceReturnReference
PART III, LINE 9B: THE HOSPITAL OFFERS INSTALLMEN PLANS FOR THE PAYMENT OF OUTSTANDING BALANCES FOR PATIENTS APPROVED FOR FINANCIAL AID. THE HOSPITAL DOES NOT MANDATE THAT THE MONTHLY INSTALLEMENT PAYMENT ARRANGEMENT EXCEED 10% OF THE APPLICANT'S GROSS MONTHLY INCOME OR AN INTEREST RATE THAT EXCEEDS THE RATE FOR A 90 DAY SECURITY ISSUED BY THE US DEPARTMENT OF TREASURY, PLUS .5%. THERE IS NO ACCELERATOR OR SIMILAR CLAUSE UNDER WHICH A HIGHER RATE OF INTEREST IS TRIGGERED WHEN A PATIENT MISSES MAKING A PAYMENT. THE HOSPITAL INCLUDES A WRITTEN NOTICE ON PATIENTS' BILLS AND STATEMENTS AT LEAST30 DAYS PRIOR TO REFERRING THE ACCOUNT TO COLLECTION. THE HOSPITAL REQUIRES THAT ANY COLLECTIONS AGENCIES WITH WHICH THEY CONTRACT FOLLOW THE FINANCIAL ASSISTANCE POLICIES OF THE HOSPITAL. THE HOSPITAL DOES NOT FORCE THE SALE OR FORCLOSURE OF A PATIENT'S PRIMARY RESIDENCE TO COLLECT ON AN OUTSTANDING BILL. COLLECTION IS PROHIBITED AGAINST ANY PATIENT WHO WAS ELIGIBLE FOR MEDICAID AT THE TIME SERVICES WERE RENDERED. FINALLY, THE CONTRACTED COLLECTIONS AGENCIES MUST OBTAIN THE HOSPITAL'S WRITTEN CONSENT BEFORE COMMENCING A LEGAL ACTION.
MISSION STATEMENTTHE BROOKDALE UNIVERSITY HOSPITAL AND MEDICAL CENTER IS COMMITTED TO BEING THE FOCUS OF A HEALTHY COMMUNITY, STRESSING THE ORGANIZATION'S VALUES OF CARING AND RESPECT FOR EVERYONE.SERVICE AREASINCE 1921, BROOKDALE UNIVERSITY HOSPITAL AND MEDICAL CENTER SITS ON THE BORDER OF COMMUNITY DISTRICT #16 (BROWNSVILLE) AND COMMUNITY DISTRICT #17 (EAST FLATBUSH) IN EASTERN BROOKLYN, NY 11212. THE HOSPITAL AND MEDICAL CENTER SERVES THREE PRIMARY SERVICE AREAS: CENTRAL BROOKLYN, EAST NEW YORK AND NEW LOTS, AND CANARSIE AND FLATLANDS, AND ONE SECONDARY SERVICE AREA - FLATBUSH. THE TOTAL SERVICE AREA HAS OVER ONE MILLION RESIDENTS, 71% BEING BLACK/AFRICAN AMERICAN AND 38% BEING FOREIGN BORN. EACH NEIGHBORHOOD IS SOMEWHAT DIFFERENT IN TERMS OF ITS RACIAL AND ETHNIC MAKE-UP. MUCH OF THE HOSPITAL'S SERVICE AREA SUFFERS FROM POVERTY, WITH 35% MEDICAID ELIGIBLE, AND MANY UNINSURED RESIDENTS, AS WELL AS MANY DOCUMENTED AND UNDOCUMENTED IMMIGRANTS, SOME OF WHOM SPEAK LIMITED OR NO ENGLISH. SELECTED SERVICE OFFERINGS - 2008 530-BED ACUTE CARE TEACHING FACILITY STATE DESIGNATED LEVEL I TRAUMA CENTER, STATE DESIGNATED AIDS CENTER, STATE DESIGNATED LEVEL 3 PERINATAL CENTER AND STATE DESIGNATED STROKE CENTER CHRONIC RENAL DIALYSIS CORONARY ANGIOPLASTY SERVICE 70 SPECIALTY CLINICS, A COMMUNITY MENTAL HEALTH CENTER, AN AMBULATORY SURGERY CENTER AND 6 COMMUNITY-BASED FAMILY CARE CENTERS CERTIFIED HOME HEALTH AGENCY BROOKDALE SPONSORS 9 RESIDENCY PROGRAMS, AND 3 FELLOWSHIP PROGRAMS, AND PARTICIPATES IN 6 OTHER RESIDENCY PROGRAMS AND 3 FELLOWSHIPS PROGRAMS WITH A TOTAL OF 265 RESIDENTS. OPERATES 12 DAILY TOURS IN THE NYC 911 SYSTEM, WITH 4 AMBULANCES 24 HOURS PER DAY AFFILIATED LONG TERM CARE FACILITIES - ASSISTED LIVING AND INDEPENDENT HOUSING (ARLENE AND DAVID SCHLANG PAVILION), NURSING HOME (SCHULMAN AND SCHACHNE INSTITUTE FOR NURSING AND REHABILITATION), AND ADULT DAY HEALTH CARE CENTERPATIENTS SERVED - 2009 OVER 26,000 DISCHARGES, INCLUDING ALMOST 1,200 NEWBORNS OVER 99,000 EMERGENCY DEPARTMENT VISITS, INCLUDING ADMISSIONS TO THE HOSPITAL TOGETHER WITH ITS AFFILIATED DIAGNOSTIC AND TREATMENT CENTERS, ALMOST 233,000 AMBULATORY CARE VISITS INCLUDING GENERAL MEDICAL AND PEDIATRIC SERVICE, MENTAL HEALTH AND DENTAL SERVICES MANY OTHER AMBULATORY CARE SERVICES, INCLUDING RADIOLOGY EXAMS, LABORATORY TESTS, RENAL DIALYSIS AND AMBULATORY SURGERY IN 2008, STAFF FROM BROOKDALE HOSPITAL PARTICIPATED AT OVER 23 COMMUNITY EVENTS. MORE THAN 4,760 PEOPLE WERE IN ATTENDANCE AND RECEIVED HEALTH INFORMATION AND OVER 577 PEOPLE RECEIVED FREE SCREENINGS. PREVENTION AGENDA IN 2009, NEW YORK STATE DEPARTMENT OF HEALTH (NYSDOH) ADDED NEW REQUIREMENTS FOR COMMUNITY SERVICE PLANS TO INCLUDE A PREVENTION AGENDA WITH A SPECIFIC ACTION PLAN. THE PLAN IS TO BE DEVELOPED IN CONJUNCTION WITH COMMUNITY PARTNERS. THE FOLLOWING IS A SUMMARY OF THE HOSPITAL'S ACCOMPLISHMENTS AND PREVENTION PLANS FOR THE FUTURE.PUBLIC PARTICIPATION IN APRIL OF 2009, A HOSPITAL WORKGROUP DISCUSSED POSSIBLE PRIORITIES FOR BROOKDALE HOSPITAL, THE NEEDS OF THE HOSPITAL'S SERVICE AREA, POTENTIAL PARTNERS, AND BARRIERS TO CARE/GAPS IN SERVICES. THE WORKGROUP UTILIZED DATA FROM THE NEW YORK CITY COMMUNITY HEALTH PROFILES, INCLUDING THE CITY'S TAKE CARE NEW YORK (TCNY) PREVENTION TARGETS, AS WELL AS PREVENTION QUALITY INDICATORS PROVIDED ON THE NYSDOH WEBSITE. IN ADDITION, THE WORKGROUP TOOK INTO CONSIDERATION THE SUGGESTION BY THE NYCDOH&MH COMMISSIONER THAT SMOKING CESSATION AND CANCER SCREENING BE TOP PRIORITIES FOR HOSPITALS IN THE CITY OF NEW YORK. IN MAY OF 2009, THE WORKGROUP'S RECOMMENDED PREVENTION PRIORITIES WERE SHARED WITH THE COMMUNITY ADVISORY BOARD (COMMUNITY BOARD). THE COMMUNITY BOARD IS AN ADVISORY GROUP WHICH SERVES AS A PUBLIC FORUM TO PROVIDE INFORMATION TO THE COMMUNITY AND RECEIVE FEEDBACK ON NEEDED SERVICES AND PROGRAMS THAT THE COMMUNITY FEELS THE HOSPITAL SHOULD PROVIDE. THE COMMUNITY BOARD CONSISTS OF MEMBERS FROM THE LOCAL NEW YORK CITY COMMUNITY PLANNING BOARDS SERVED BY BROOKDALE HOSPITAL AND REPRESENTATIVES FROM VARIOUS FAITH AND COMMUNITY BASED ORGANIZATIONS. THE TWO PRIORITIES CHOSEN WERE SMOKING CESSATION AND COLON CANCER SCREENING.IN JUNE 2009, THE SELECTED PRIORITIES WERE SHARED WITH THE HOSPITAL'S BOARD OF TRUSTEES AND DEPARTMENT HEADS AT THEIR RESPECTIVE MEETINGS. DURING THE SUMMER OF 2009, THE WORKGROUP DEVELOPED THE PREVENTION AGENDA THREE YEAR ACTION PLAN INCLUDING A MARKETING CAMPAIGN. MEMBER ORGANIZATIONS OF THE HOSPITAL'S COMMUNITY BOARD WILL PARTICIPATE BY PUBLICIZING AND DISSEMINATING CAMPAIGN MATERIAL, AND SCHEDULING SPEAKERS FROM THE HOSPITAL AT FORUMS TO BE ARRANGED BY THE COMMUNITY BOARD'S MEMBERS. SMOKING CESSATION PROGRAMBHMC HAS ADOPTED SMOKING CESSATION AS A PRIORITY FOCUS TO IMPROVE HEALTH OUTCOMES IN THE COMMUNITY. FOR THE PAST SEVERAL YEARS A REPRESENTATIVE FROM THE DEPARTMENT OF NURSING, HAS BEEN WORKING WITH BROOKLYN CARES IN AN EFFORT TO RAISE THE AWARENESS OF THE IMPORTANCE OF SMOKING CESSATION. THE HOSPITAL'S 3-YEAR PREVENTION ACTION PLAN INCLUDES THE FOLLOWING OBJECTIVES: IDENTIFY PATIENTS WHO SMOKE IDENTIFY EXISTING SMOKING CESSATION PROGRAMS WITHIN BHMC AND COORDINATE SERVICES WITH THEM EDUCATE PROVIDERS IN COUNSELING TECHNIQUES TO ENCOURAGE SMOKING CESSATION RAISE COMMUNITY AWARENESS ABOUT SMOKING CESSATION TRACK QUITTING SUCCESS RATE OF SMOKERS AND IDENTIFY EFFECTIVE TREATMENT MODALITIES AND PROGRAMS ENCOURAGE ONGOING INPUT AND SUPPORT FROM COMMUNITY PARTNERSCOLORECTAL CANCER AND NAVIGATOR PROGRAMBROOKDALE HOSPITAL HAS ALREADY EMBARKED ON A CAMPAIGN TO RAISE THE COMMUNITY'S AWARENESS OF COLON CANCER AND THE RELATIVE EASE WITH WHICH IT CAN BE DETECTED AND TREATED. AS SUCH, THE HOSPITAL CONTINUES TO SUPPORT A PATIENT NAVIGATION PROGRAM FORMERLY FUNDED THROUGH THE NEW YORK CITY DEPARTMENT OF HEALTH.AS PART OF THIS CAMPAIGN BHMC HAS TARGETED ITS OUTREACH ACTIVITIES AT ITS AFFILIATED AMBULATORY CARE CENTERS, OTHER AMBULATORY CARE CENTERS, COMMUNITY HEALTH FAIRS, IN-PATIENT UNITS, HOSPITAL ADVISORY BOARD AND COMMUNITY BOARDS. THE HOSPITAL HAS IN-SERVICED STAFF THROUGHOUT THE FACILITY AND CHANGED ITS MEDICAL INTAKE (HISTORY AND PHYSICAL) FORM TO INCLUDE COLON/BREAST CANCER SCREENING HISTORY. THE HOSPITAL'S "DIRECT REFERRAL PROCESS" PERMITS A SHORTER WAITING TIME FOR ROUTINE SCREENING. THIS "OPEN ACCESS PROGRAM" HAS BEEN EMBRACED BY PRIMARY CARE PHYSICIANS AND IS SPEARHEADED BY THE PATIENT NAVIGATOR. THE ESSENTIAL CHARACTERISTIC OF A PATIENT NAVIGATOR IS THE COMBINATION OF WISDOM ABOUT THE COMMUNITY'S CULTURE WITH KNOWLEDGE OF THE HEALTH CARE SYSTEM. THE HOSPITAL'S 3-YEAR PREVENTION ACTION PLAN INCLUDES THE FOLLOWING OBJECTIVES: INCREASE REFERRALS OF COLORECTAL CANCER SCREENING AMONG PATIENTS OVER 50 AND HIGH RISK PATIENTS. PROMOTING COLORECTAL CANCER SCREENING AND AWARENESS WITHIN THE COMMUNITY AND WITHIN THE HOSPITAL. DECREASE THE RATE OF "NO SHOW" DECREASE THE RATE OF "POOR PREPARATION" ENCOURAGE ONGOING INPUT AND SUPPORT FROM COMMUNITY PARTNERS
NON-PREVENTION PRIORITIES CONSIDERED IN ASSESSMENT PROCESS MANY OF THE PROGRAMS AND SERVICES AT BROOKDALE HOSPITAL ARE CONSISTENT WITH AND SUPPORTIVE OF THE TCNY PROGRAM PROMOTED BY NYCDOH&MH. AS DESCRIBED IN DETAIL IN THE 2008 COMMUNITY SERVICE PLAN, THE HOSPITAL HAS BEEN FOCUSING ON THE TEN HEALTH AREAS FROM TREATMENT AND PREVENTION PERSPECTIVES. GOING FORWARD, THE HOSPITAL WILL AUGMENT ITS FOCUS ON PREVENTION ESPECIALLY IN THE PRIORITY AREAS OF SMOKING CESSATION AND COLON CANCER SCREENING, BOTH OF WHICH ARE TCNY PRIORITIES. BROOKDALE HOSPITAL'S PROGRAMS SUPPORT TCNY IN THE FOLLOWING WAYS: 1. HAVE A REGULAR DOCTOR OR OTHER HEALTH CARE PROVIDER: BROOKDALE'S AMBULATORY CARE SERVICES ARE DESIGNED TO PROMOTE CONTINUITY OF CARE BY ALLOWING PATIENTS TO CHOOSE A PHYSICIAN WHO WILL BE DESIGNATED AS THEIR PRIMARY CARE PROVIDER. IN ADDITION TO ON-CAMPUS AMBULATORY CARE SERVICES, THERE ARE SIX CENTERS CONVENIENTLY LOCATED THROUGHOUT BROOKDALE'S SERVICE AREA. EVENING AND WEEKEND HOURS ALLOW RESIDENTS ACCESS FOR THOSE WHO FIND IT DIFFICULT TO SEEK CARE ON WEEKDAYS. THE DESIGNATED PROVIDER IS RESPONSIBLE FOR ENSURING THAT HIS/HER PATIENTS ARE GIVEN AGE APPROPRIATE SCREENING, IMMUNIZATION AND EDUCATION. THE HOSPITAL PLANS TO IMPLEMENT AN ELECTRONIC MEDICAL RECORD, WHICH WILL FURTHER ENHANCE ITS HEALTH PROMOTION EFFORTS VIA AUTOMATIC REMINDERS TO PHYSICIANS WHEN A PATIENT IS DUE FOR A TEST OR PROCEDURE.2. BE TOBACCO-FREE: SMOKING CESSATION IS ONE OF THE HOSPITAL'S PREVENTION PRIORITIES AND WAS DISCUSSED IN THE PREVIOUS SECTION.3. KEEP YOUR HEART HEALTHY: BROOKDALE'S PRIMARY CARE PHYSICIANS MONITOR PATIENTS CARDIOVASCULAR STATUS DURING ROUTINE VISITS AND AS INDICATED DURING ACUTE CARE VISITS, INCLUDING CHOLESTEROL TESTING AND EKGS. PHYSICIANS PROVIDE COUNSELING TO PATIENTS ON OBESITY AND NUTRITION AS PART OF THE ROUTINE HEALTH MAINTENANCE CHECK. CHILDREN AND ADULTS NEEDING FURTHER SERVICES ARE REFERRED TO BROOKDALE'S FULL-SERVICE ADULT AND PEDIATRIC CARDIOLOGY SERVICES, OR OTHER COMMUNITY RESOURCES.4. KNOW YOUR HIV STATUS: THE HOSPITAL PROVIDES HIV COUNSELING AND TESTING WITH STAFF THAT ROUTINELY PERFORMS THIS FUNCTION IN BOTH EMERGENCY DEPARTMENT AND CLINICS. PATIENTS WHO ARE HIV POSITIVE ARE REFERRED FOR SERVICES TO BROOKDALE'S STATE-DESIGNATED AIDS CENTER, OR OTHER COMMUNITY PROGRAMS. 5. GET HELP FOR DEPRESSION: BROOKDALE HOSPITAL'S MEDICAL PROVIDERS INCORPORATE DEPRESSION SCREENING DURING ROUTINE MEDICAL EXAMINATIONS AND ONGOING CARE. CHILDREN AND ADULTS NEEDING FURTHER SERVICES ARE REFERRED TO BROOKDALE'S FULL SERVICE PSYCHIATRY DEPARTMENT OR OTHER COMMUNITY PROGRAMS. 6. LIVE FREE OF DEPENDENCE ON ALCOHOL AND DRUGS: DURING ROUTINE MEDICAL EXAMINATIONS PATIENTS ARE SCREENED FOR ALCOHOL AND DRUG USE AND GIVEN PREVENTIVE COUNSELING AND, AS NECESSARY, TREATMENT OPTIONS ARE DISCUSSED, INCLUDING FLUSHING HOSPITAL, BROOKDALE'S AFFILIATE, WHICH OFFERS BOTH IN-PATIENT AND OUT-PATIENT TREATMENT FOR CHEMICAL DEPENDENCY.7. GET CHECKED FOR CANCER: COLON SCREENING IS ONE OF THE HOSPITAL'S PREVENTION PRIORITIES AND WAS DISCUSSED IN THE PREVIOUS SECTION. REFERRALS FOR OTHER CANCER SCREENINGS, SUCH AS BREAST CANCER, ARE PART OF THE HOSPITAL'S ROUTINE PROTOCOLS. THE HOSPITAL PARTICIPATES IN THE BROOKLYN HEALTHY LIVING PARTNERSHIP WHICH PROVIDES FREE CANCER SCREENINGS AND TREATMENT FOR THE UNINSURED.8. GET THE IMMUNIZATIONS YOU NEED: THE HOSPITAL IS A "VACCINE FOR CHILDREN" RECIPIENT, PROVIDING FREE VACCINE TO UNINSURED, UNDERINSURED AND MEDICAID RECIPIENTS UP THROUGH 18 YEARS OF AGE. FLU VACCINATIONS ARE OFFERED TO AT RISK PATIENTS OF ALL AGES AND TO ALL STAFF. THIS YEAR WE ARE PARTICULARLY ACTIVE IN PLANNING A PROGRAM TO EFFECTIVELY AND EFFICIENTLY DISSEMINATE THE H1N1 VACCINE THROUGHOUT THE COMMUNITY AS SOON AS THE NEW VACCINE BECOMES AVAILABLE.9. HAVE A SAFE AND HEALTHY HOME: ANTICIPATORY GUIDANCE ON SAFETY IN THE HOME IS PROVIDED BY THE HOSPITAL'S PEDIATRIC, FAMILY MEDICINE AND REHABILITATION PROFESSIONALS. AT HEALTH FAIRS IN THE COMMUNITY, FIRE, HOME AND AUTOMOTIVE SAFETY INFORMATION IS ROUTINELY MADE AVAILABLE TO ATTENDEES.10. HAVE A HEALTHY BABY: THE HOSPITAL IS DESIGNATED AS A PRENATAL CARE ASSISTANCE PROGRAM (PCAP) PROVIDER. THE HOSPITAL OPERATES A HEALTHY FAMILIES PROGRAM AND A COMMUNITY HEALTH WORKER PROGRAM, BOTH FUNDED BY GRANTS FROM THE NYSDOH. THESE PROGRAMS ASSIST PREGNANT WOMEN AND THEIR FAMILIES TO OBTAIN NECESSARY MEDICAL CARE AND SUPPORTIVE SERVICES, WITH THE GOAL OF IMPROVING BIRTH OUTCOMES AND REDUCING CHILD ABUSE. THE HOSPITAL ALSO OPERATES A WOMEN, INFANT AND CHILDREN (WIC) PROGRAM WHICH PROVIDE FOOD VOUCHERS AND EDUCATION TO LOW INCOME PREGNANT WOMEN AND CHILDREN UP TO AGE FIVE.BROOKDALE HOSPITAL'S PUBLIC HEALTH EFFORTS ARE CONSTANTLY CHANGING WITH THE NEEDS OF ITS COMMUNITY. THE ABOVE LISTING DOES NOT INCLUDE ALL PROGRAMS, SOME OF WHICH ARE FUNDED BY GRANTS. FOR EXAMPLE, THE HOSPITAL RECENTLY RECEIVED A LARGE AWARD FROM THE ROBIN HOOD FOUNDATION (RHF) TO EXPAND ITS HEALTHY FAMILIES PROGRAM AND FOR THE SECOND CONSECUTIVE YEAR, RHF AWARDED A GRANT TO BROOKDALE'S PEDIATRIC OBESITY PROGRAM, "LIVE LIGHT-LIVE RIGHT". IN ADDITION, CLINICAL DEPARTMENTS OFTEN INITIATE THEIR OWN PREVENTION ACTIVITIES WITH THEIR PATIENTS AND WITHIN THE COMMUNITY. LASTLY, THE HOSPITAL PROVIDES HUNDREDS OF FREE HEALTH SCREENINGS AND OUTREACH EFFORTS EACH YEAR FOR A VARIETY OF DISORDERS. FINANCIAL AID PROGRAM OVER THE PAST THREE YEARS, THE HOSPITAL HAS IMPLEMENTED A FINANCIAL AID PROGRAM (THE PROGRAM) TO ENSURE THAT UNINSURED PATIENTS WHO ARE INTERESTED IN FINANCIAL ASSISTANCE CAN OBTAIN IT, WITH MINIMAL ELIGIBILITY BARRIERS. THE HOSPITAL HAS POSTED INFORMATION ON THE PROGRAM, ON ITS WEBSITE, AND IN ALL PATIENT REGISTRATION AND INTAKE AREAS - IN ADDITION TO ALL SELF-PAY BILLS. OVER THE LIFE OF THE PROGRAM, THE HOSPITAL HAS INTEGRATED THE FULL RANGE OF OPTIONS FOR UNINSURED PATIENTS INTO A SEAMLESS PROCESS WHERE ALL PATIENTS ARE SIMULTANEOUSLY EVALUATED FOR ELIGIBILITY INTO THE MEDICAID, FAMILY HEALTH PLUS/CHILD HEALTH PLUS, AND/OR THE FINANCIAL AID PROGRAM., THUS ELIMINATING MULTIPLE TRIPS TO THE HOSPITAL TO APPLY FOR THE DIFFERENT PROGRAMS. IN ADDITION, A RECORD OF ALL APPLICANTS AND THE OUTCOME OF THEIR APPLICATIONS IS STORED IN A DATABASE FOR FUTURE REFERENCE. THE NUMBER OF ELIGIBLE APPLICANTS HAS INCREASED STEADILY SINCE THE PROGRAM WAS IMPLEMENTED IN 2006, DUE TO INCREASED PATIENT AWARENESS AS WELL AS POSITIVE FEEDBACK FROM ELIGIBLE FINANCIAL AID RECIPIENTS. DISSEMINATION OF THE REPORT TO THE PUBLICCOPIES OF THE COMPREHENSIVE 2009 COMMUNITY SERVICE PLAN REPORT CAN BE OBTAINED FROM THE DEPARTMENT OF PUBLIC AFFAIRS AT 718.206.6772 OR ON THE HOSPITAL'S WEBSITE: HTTP://WWW.BROOKDALEHOSPITAL.ORG/HTML/GENERAL_INFO/INDEX.HTMOTHER HOSPITAL ACCOMPLISHMENTS AND PLANS CAN BE FOUND AT HTTP://MEDISYS.TYPEPAD.COM/MEDISYS_NETWORK_NEWS/ARCHIVES.HTML
PART VI, LINE 2: BROOKDALE HOSPITAL MEDICAL CENTER DOES NOT REPORT ANY SHORTFALL ON LINE 7 DUE TO THE FACT THAT THE HOSPITAL RECEIVES LARGE AMOUNT OF IME AND DSH PAYMENTS. BROOKDALE HOSPITAL SERVES A LARE MEDICAID POPULATION AND ALSO HAS A BIG TEACHING PROGRAM. IT DOES INCUR LOSSES IN PROVIDING CARE TO THE INDIGENT POPULATION WHICH ARE REPORTED ON THE OTHER SCHEDULES.
THE HOSPITAL FACILITY USED MEDICAID RATES FOR THOSE SERVICES.PART VI, LINE 19D:

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ALVIN I KAHN MD
2964560001396057756051980360806000
DAVID P ROSEN
013782920003596730577560136160180933700
LEWIS MARHALL
38500800012420433170154720445039000
RICHARD FOGLER
6324390002440451140111790688976000
BRUCE J FLANZ
010912400002489030577560124090141030800
MOUNIR F DOSS
010933560002893010599690124350145506100
AARON REICHMAN
4409190005400280760108300480365000
ARASH GOHARI
505639000354000154720521465000
ARTHUR FINK MD
44474600023220451140173710509553000
ERIC S MINKIN MD
47358200000433170170320533931000
MAYANK SHUKLA
5261070005400256700136190565936000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2ALVIN KAHN, MD, TRUSTEE & CHAIRMAN, HAS A FAMILY RELATIONSHIP WITH DIANE SIMON, TRUSTEE.
FORM 990, PART VI, SECTION A, LINE 6MEDISYS HEALTH NETWORK IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7AMEDISYS HEALTH NETWORK, AS SOLE MEMBER CAN APPOINT THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 AND APPROPRIATE SCHEDULES, AS REQUIRED (FORM 990), IS PREPARED BY OUTSIDE ACCOUNTANT AND REVIEWED INTERNALLY BY MANAGEMENT, AT WHICH TIME IT IS CONSIDERED THE FINAL DRAFT. THE FINAL DRAFT OF THE FORM 990 IS PRESENTED TO THE TRUSTEES VIA EMAIL AND OR A BOARD MEETING. ONCE THE REVIEW OF THE FORM 990 HAS BEEN COMPLETED TO THE BOARD'S SATISFACTION AND THE BOARD IS COMFORTABLE WITH ITS CONTENTS, THE FORM 990 IS THEN MAILED TO ALL BOARD MEMBERS AS READY TO FILE, SUBSEQUENTLY IT IS FILED WITH THE IRS.
DISCLOSURE IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY BY EMPLOYEES THAT SATISFY THE CRITERIA TO BE CONSIDERED AN "INTERESTED PERSON" IS SUBMITTED UPON HIRING AND ANNUALLY THEREAFTER. THE AUDIT & COMPLIANCE COMMITTEE REVIEWS THE SUBMISSIONS FOR CONFLICTS AND THE DEPARTMENT OF INTERNAL AUDIT MONITORS COMPLIANCEFORM 990, PART VI, SECTION B, LINE 12C
EXECUTIVE COMPENSATION POLICY - THE BOARD OF MEDISYS HEALTH NETWORK HAS CREATED AN INDEPENDENT COMPENSATION COMMITTEE WHOSE CHARGE IS TO REVIEW AND APPROVE THE COMPENSATION OF ALL INDIVIDUALS WHO MEET THE REQUIREMENTS OF A DISQUALIFIED PERSON FOR INTERMEDIATE SANCTION. THIS COMMITTEE IS EMPOWERED TO APPROVE COMPENSATION FOR ALL ENTITIES WITHIN THE MEDISYS HEALTH NETWORK SYSTEM. THE COMMITTEE HAS RETAINED AN INDEPENDENT COMPENSATION CONSULTANT TO APPLY ITS STANDARD METHODOLOGY FOR DETERMINATION OF APPROPRIATE EXECUTIVE COMPENSATION AND BENEFIT LEVELS FOR EXECUTIVES. IT IS POLICY TO TARGET THE TOTAL COMPENSATION (BASE SALARY, INCENTIVE COMPENSATION AND BENEFITS) OF EXECUTIVES AT THE MEDIAN OF THE DEFINED MARKETPLACE FOR SIMILARLY SITUATED EXECUTIVES IN CONSULTATION WITH AN INDEPENDENT COMPENSATION CONSULTANT IN A MANNER THAT COMPLIES WITH THE INTERMEDIATE SANCTION REGULATIONS AND OTHER FEDERAL AND STATE LAWS AND REGULATIONS. THE COMMITTEE SHALL APPROVE BASE SALARIES FOR EXECUTIVES AND ANY DISQUALIFIED INDIVIDUALS BASED UPON THE AMOUNTS PAID TO SIMILARLY SITUATED EXECUTIVES WITHIN THE RELEVANT MARKETPLACE, WITH POSSIBLE ADJUSTMENTS MADE FOR SPECIAL SKILL, EXPERIENCE, COMPETENCE AND PERFORMANCE, INCLUDING CONTRIBUTION TO THE SYSTEM AS A WHOLE. THE CEO SHALL RECOMMEND TO THE COMPENSATION COMMITTEE ANY ADJUSTMENTS TO THE BASE SALARIES OF EXECUTIVES.FORM 990, PART VI, SECTION B, LINE 15
GOVERNING DOCUMENTS - CERTIFICATE OF INCORPORATION FILED WITH THE NYS DEPARTMENT OF STATE; CONFLICT OF INTEREST POLICY IS NOT PUBLICLY AVAILABLE. FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
FOR DAVID ROSEN, PRESIDENT & CEO, MOUNIR DOSS, EXECUTIVE VICE PRESIDENT & CFO, AND BRUCE FLANZ, EXECUTIVE VICE PRESIDENT & COO, THE HOURS REPORTED REFLECT TOTAL TIME WORKED AS OFFICERS FOR ALL OF THE RELATED ORGANIZATIONS SHOWN ON SCHEDULE R. TOTAL COMPENSATION IS REPORTED ON EACH ENTITY'S FORM 990. COST ALLOCATION AMONG THE ENTITIES IS PERFORMED CONSISTENT WITH ACCOUNTING RULES AND APPLICABLE COST ALLOCATION METHODOLOGIES. ALVIN I. KAHN M.D., AND RICHARD FOGLER M.D., RECEIVED COMPENSATION FOR THE PERFORMANCE OF SERVICES AS A PHYSICIAN FOR BROOKDALE HOSPITAL MEDICAL CENTER. ALVIN I. KAHN M.D. AND RICHARD FOGLER M.D., DID NOT RECEIVE COMPENSATION AS A TRUSTEE FOR BROOKDALE HOSPITAL MEDICAL CENTER.FORM 990, PART VII, SECTION A, LINE 1B:
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 2,411. CHANGE IN CCC INVESTMNENT TRUST 132,011. CHANGE IN MIN PENSION LIABILITY 9,066,150. TOTAL TO FORM 990, PART XI, LINE 5: 9,200,572.FORM 990, PART XI, LINE 5:
THE OVERSIGHT AND SELECTION PROCESSES DID NOT CHANGE FROM THE PRIOR YEAR.FORM 990, PART XI, LINE 2C:
MANAGEMENT HAS IN THE PREPARATION OF ITS FORM 990 REVIEWED PERSONNEL IN THE INSTITUTION TO SEE IF ANYONE MEETS THE CRITERIA ESTABLISHED TO BE CONSIDERED A "KEY EMPLOYEE" FOR IRS PURPOSES. IT IS THE CONTENTION OF MANAGEMENT THAT NO EMPLOYEE FULFILLS ANY OF THE SITUATIONS UNDER THE RESPONSIBILITY TEST ESTABLISHED BY THE IRS TO MEET THE TITLE OF KEY EMPLOYEE. THEREFORE, PART VII OF FORM 990 DOES NOT HAVE ANY INDIVIDUALS WHO WOULD BE CONSIDERED A "KEY EMPLOYEE".FORM 990, PART VII, COLUMN C:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

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

Form990 Schedule R Part II Form990ScheduleRPartII (24 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
ADVANCED CENTER FOR PSYCHOTHERAPY
89-06 135TH STREETJAMAICANY11418111864871HEALTHCARENY501(C)(3)9MEDISYS HEALTH NETWORK0
ALLIED HEALTH FOUNDATION OF QUEENS INC
4500 PARSONS BLVDFLUSHINGNY11355112813535INACTIVENY501(C)(3)9MEDISYS HEALTH NETWORK0
AMBOY PROPERTIES CORPORATION
101-10 AVENUE DBROOKLYNNY11236112814707PARKING GARAGENY501(C)(3)11AMEDISYS HEALTH NETWORK0
BROOKDALE FAMILY CARE CENTER
101-10 AVENUE DBROOKLYNNY11236113237483HEALTHCARENY501(C)(3)9MEDISYS HEALTH NETWORK0
BROOKDALE HOSPITAL CENTER HEGEMAN AVENUE HOUSING COMPANY
101-10 AVENUE DBROOKLYNNY11236237082540HOUSINGNY501(C)(2)N/ABROOKDALE HOSPITAL MEDICAL CENTER0
BROOKDALE RESEARCH FOUNDATION INC
ONE BROOKDALE PLAZABROOKLYNNY11212311634638INACTIVENY501(C)(3)3MEDISYS HEALTH NETWORK0
FLUSHING HOSPITAL MEDICAL CENTER
4500 PARSONS BLVDFLUSHINGNY11355111631781HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
INTERNATIONAL ASSOCIATION OF MEDICAL BIKE UNITS INC
8900 VAN WYCK EXPYJAMAICANY11418113483140HEALTHCARENY501(C)(3)9MEDISYS HEALTH NETWORK0
JAMAICA HOSPITAL MEDICAL CENTER
8900 VAN WYCK EXPYJAMAICANY11418111631788HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
JAMAICA HOSPITAL NURSING HOME
90-28 VAN WYCK EXPYJAMAICANY11418237216197HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
LINROC COMMUNITY SERVICE CORPORATION
101-10 AVENUE DBROOKLYNNY11236112814765SUPPORTNY501(C)(3)11AMEDISYS HEALTH NETWORK0
MEDISYS AMBULANCE SERVICE
8900 VAN WYCK EXPYJAMAICANY11418542124788HEALTHCARENY501(C)(3)9MEDISYS HEALTH NETWORK0
MEDISYS HEALTH NETWORK
8900 VAN WYCK EXPYJAMAICANY11418113316802ADMINNY501(C)(3)11A0N/A
NEIGHBORHOOD HEALTH PROVIDERS INC
521 FIFTH AVE 3RD FLOORNEW YORKNY10175943474115MANAGED CARE PLANNY501(C)(3)9JAMAICA HOSPITAL MEDICAL CENTERLINROC COMMUNITY SERVICE CORP0
PENINSULA GENERAL NURSING HOME
50-15 BEACH CHANNEL DRIVEFAR RACKAWAYNY11691237086890HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
PENINSULA HOSPITAL CENTER
51-15 BEACH CHANNEL DRIVEFAR RACKAWAYNY11691116037195HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
ROCKREAL CORPORATION
101-10 AVENUE DBROOKLYNNY11236112814705SUPPORTNY501(C)(3)11AMEDISYS HEALTH NETWORK0
SAMUEL AND BERTHA SCHULMAN INSTITUTE FUND INC
101-10 AVENUE DBROOKLYNNY11236237270262HEALTHCARENY501(C)(3)7SCHULMAN SCHACHNE INSTITUTE FOR NURSING0
SCHLANG PAVILION DBA BROOKDALE RESIDENCE HOUSING DEVELOPMENT
101-10 AVENUE DBROOKLYNNY11236113324040HOUSINGNY501(C)(3)9MEDISYS HEALTH NETWORK0
SCHULMAN SCHACHNE INSTITUTE FOR NURSING
101-10 AVENUE DBROOKLYNNY11236237085986HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
THE JAMAICA HOSPITAL DIAG AND TREAT CTR
8900 VAN WYCK EXPYJAMAICANY11418113340969HEALTHCARENY501(C)(3)3MEDISYS HEALTH NETWORK0
THE LINDEN FOUNDATION INC
ONE BROOKDALE PLAZABROOKLYNNY11212112814704INACTIVENY501(C)(3)9MEDISYS HEALTH NETWORK0
URBAN STRATEGIES
101-10 AVENUE DBROOKLYNNY11236113237480HEALTHCARENY501(C)(3)3LINROC COMMUNITY SERVICE CORP0
VWE PROPERTIES CORPORATION
8900 VAN WYCK EXPYJAMAICANY11418113485165PARKING GARAGENY501(C)(3)11AMEDISYS HEALTH NETWORK0

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
NHP HOLDINGS LLC
521 FIFTH AVE 3RD FLOORNEW YORKNY10175203418837HOLDING COMPANYNYJAMAICA HOSPITALLINROC COMMUNITY SERVICE CORP000
ROYAL HEALTHCARE OF LONG ISLAND
521 FIFTH AVE 3RD FLOORNEW YORKNY10175133887900MANAGEMENT SERVICES ORG.NYNHP HOLDINGS LLCMEDISYS VENTURES000

Form990 Schedule R Part IV Form990ScheduleRPartIV (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityPercentage OwnershipPercentageOwnership
BHMC ENTERPRISES
101-01 AVENUE DBROOKLYNNY11236112855200LEASEHOLDER OF MEDICAL OFFICE BUILDING/INACTIVENYLINROC COMMUNITY SERVICE CORPC1.00000
BROOKDALE RX
101-01 AVENUE DBROOKLYNNY11236202041821RETAIL PHARMACYNYMEDISYS VENTURESC1.00000
FRR RECOVERY SERVICES
80 MARCUS DRIVEMELVILLENY11747113454555COLLECTION AGENCYNYMEDISYS VENTURESC1.00000
HI TECH MEDICAL EQUIPMENT
103-51 101 STOZONE PARKNY11416113313334DURABLE MEDICAL EQUIPMENT COMPANYNYMEDISYS VENTURESC1.00000
JAMAICA RX
8900 VAN WYCK EXPRESSWAYJAMAICANY11418205292781RETAIL PHARMACYNYMEDISYS VENTURESC1.00000
LCSC HOLDINGS
101-01 AVENUE DBROOKLYNNY11236113357198HOLDING COMPANYNYLINROC COMMUNITY SERVICE CORPC1.00000
MEDISYS HOME CARE SERVICE INC
8900 VAN WYCK EXPRESSWAYJAMAICANY11418030474027HOME CARE STAFFING/INACTIVENYMEDISYS VENTURESC1.00000
MEDISYS IPA
8900 VAN WYCK EXPRESSWAYJAMAICANY11418113452476PHYSICIAN CONTRACTING/INACTIVENYMEDISYS VENTURESC1.00000
MEDISYS SERVICE CORPORATION
8900 VAN WYCK EXPRESSWAYJAMAICANY11418113479920HOLDING COMPANYNYMEDISYS HEALTH NETWORKC1.00000
MEDISYS VENTURES
111 STEWART AVEHICKSVILLENY11801113431792HOLDING COMPANYNYMEDISYS HEALTH NETWORKC1.00000
MHN REALTY
8900 VAN WYCK EXPRESSWAYJAMAICANY11418113458286REAL ESTATE/INACTIVENYMEDISYS VENTURESC1.00000
RAINBOW PHARMACY DBA FLUSHING RX
4500 PARSONS BLVDFLUSHINGNY11355112843101RETAIL PHARMACYNYALLIED HEALTH FOUNDATION OF QUEENS INCC1.00000
SECOND CENTURY SERVICE CORPORATION
4500 PARSONS BLVDFLUSHINGNY11355112843101RETAIL PHARMACYNYALLIED HEALTH FOUNDATION OF QUEENS INCC1.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg