2022-11-15T16:59:54-06:00 2021-12-31 132781641 MITCHELL & TITUS LLP 80 PINE STREET NEW YORK NY 10005 990 2021-01-01 237085986 THE SCHULMAN AND SCHACHNE INSTITUTE FOR NURSING AND REHABILITATION INC SCHU 7182405200 101-01 AVENUE D BROOKLYN NY 11236 JOHN SCHMITT CHIEF FINANCIAL OFFICER 7182405200 2022-11-15 1 JOHN SCHMITT XXX-XX-XXXX FREDERICK E DAVIS JR P00446023 2127094500 2022-11-15 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z LARAY BROWN 101-01 AVENUE D BROOKLYN NY 11236 49579085 0 X WWW.BROOKDALEHOSPITAL.ORG X 1970 NY WE PROVIDE GREATER ACCESS TO HIGH QUALITY MEDICAL CARE AND KEEP OUR COMMUNITIES HEALTHY THROUGH AN INTEGRATED CARE SYSTEM THAT RESPECTS THE DIVERSITY OF OUR COMMUNITIES AND ADDRESSES BOTH THE HEALTH NEEDS AND UNIQUE FACTORS THAT SHAPE THEM. 19 19 0 0 0 0 7814366 1249799 53307209 48329286 765 0 1597417 0 62719757 49579085 0 0 0 0 52594324 52773817 0 0 0 31900153 29183313 84494477 81957130 -21774720 -32378045 15175367 14713238 304144004 336059920 -288968637 -321346682 WE PROVIDE GREATER ACCESS TO HIGH QUALITY MEDICAL CARE AND KEEP OUR COMMUNITIES HEALTHY THROUGH AN INTEGRATED CARE SYSTEM THAT RESPECTS THE DIVERSITY OF OUR COMMUNITIES AND ADDRESSES BOTH THE HEALTH NEEDS AND UNIQUE FACTORS THAT SHAPE THEM. 0 0 73342943 49008705 THE SCHULMAN AND SCHACHNE INSTITUTE FOR NURSING AND REHABILITATION IS A VOLUNTARY, NOT FOR PROFIT, RESIDENTIAL HEALTHCARE FACILITY CREATED TO PROVIDING PATIENT HEALTH CARE SERVICES INCLUDING MEDICAL, NURSING REHABILITATIVE, AND THERAPEUTIC SERVICES. 73342943 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 19 19 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X JOHN SCHMITT CFO 7182405773 101-01 AVENUE D BROOKLYN NY 11236 ALEX ROVT CHAIRMAN 0.05 0.95 X X 0 0 0 ANTHONY CLEMENZA SR TRUSTEE 0.05 0.95 X 0 0 0 BISHOP HUGH NELSON TRUSTEE 0.05 0.95 X 0 0 0 DR JOSEPH CUIFFO TRUSTEE 0.05 0.95 X 0 0 0 DR K TORIAN EASTERLING TRUSTEE 0.05 0.95 X 0 0 0 DR SOFIA NOVAK TRUSTEE 0.05 0.95 X 0 0 0 EDNA WELLS-HANDY TRUSTEE 0.05 0.95 X 0 0 0 GENEVIEVE SORENSEN VP LONG TERM CARE 44.40 1.00 X X 0 367577 17465 HENNA WHITE SECRETARY/ TREASURER 0.05 0.95 X X 0 0 0 HOPE MASON TRUSTEE 0.05 0.95 X 0 0 0 MARK SHELTON TRUSTEE 0.05 0.95 X 0 0 0 MAURICE A REID TRUSTEE 0.05 0.95 X 0 0 0 MICHAEL IRWIN TRUSTEE 0.05 0.95 X 0 0 0 MICHAEL L NAIRNE TRUSTEE 0.05 0.95 X 0 0 0 MICHAEL SCAGNELLI TRUSTEE 0.05 0.95 X 0 0 0 NUSIN SHTERN TRUSTEE 0.05 0.95 X 0 0 0 RABBI ARYEH KATZIN TRUSTEE 0.05 0.95 X 0 0 0 REV WATERMAN VICE-CHAIRPERSON 0.05 0.95 X X 0 0 0 RICHARD E GREEN TRUSTEE 0.05 0.95 X 0 0 0 VICTOR AYALA TRUSTEE 0.05 0.95 X 0 0 0 PAUL ROSENFELD EXECUTIVE DIRECTOR - OBH 1.00 40.00 X 0 534822 49055 JOHN SCHMITT SENIOR VP OF FINANCE OBH 1.00 X 0 505673 53321 DOMINICK STANZIONE LEFT 7221 CHIEF EXECUTIVE OFFICER 1.00 44.40 X 0 844220 13965 REGINALD BULLOCK ASSISTANT SECRETARY 0.05 44.40 X 0 396525 35469 ROBERT PALERMO CHIEF FINANCIAL OFFICER 1.00 44.40 X 0 609812 42645 IRENE AHENKORA REGISTERED NURSE 40.00 X 230229 0 1500 LUCIA NIXON MEDICAL DIRECTOR 40.00 X 237310 0 21265 SEUN RODEMADE-TANIMOWO LICENSED PRACTICAL NURSE 40.00 X 232637 0 1500 ANN-MARIE RIVERS REGISTERED NURSE 40.00 X 289590 0 1560 NAJWAH SIMPSON REGISTERED NURSE 40.00 X 264410 0 1560 1254176 3258629 239305 95 0 1 0 THERAPIA STAFFING LLC 35689/12350 NW 39TH STREET SUITE CORAL SPRINGS FL 33065 EMPLOYMENT AGENCY 831546 UNITEX TEXTILE RENTAL 9237/155 SOUTH TERRACE AVENUE MOUNT VERNON NY 10550 UNIFORM RENTAL 395188 REVENUE ENHANCEMENT SERVICE 7124 PO BOX 720 MASSAPEQUA PARK NY 11762 FINANCIAL SERVICE 229801 MBS LTD 32324/409 HOYT STREET BROOKLYN NY 11231 MEDICAL SUPPLY 189351 4 1249799 1249799 NET PATIENT REVENUE AFTER BAD DEB 623000 47758907 47758907 OTHER PATIENT SERVICES 623000 492579 492579 SVCS FOR RELATED ORGS 623000 77800 77800 48329286 49579085 48329286 0 0 367102 367102 38682066 36515318 2166748 3354839 3354839 7309481 6741631 567850 3060329 2893780 166549 2717463 2162841 554622 159560 97172 62388 483820 483820 411930 411930 244487 244487 PURCHASED SERVICES 17840963 17538413 302550 CASH ASSESSMENT 2714929 2714929 MEDICAL SUPPLIES 1701032 1701032 UTILITY 1278853 1231408 47445 1630276 694579 935697 81957130 73342943 8614187 0 3220594 3043015 7688283 7323572 258064 482038 4500 5000 52750860 49232936 3750282 3517924 31468 35865 222176 305824 15175367 14713238 7574531 8492497 222176 342801 296347297 327224622 304144004 336059920 X -288968637 -321346682 -288968637 -321346682 15175367 14713238 -32378045 0 X X 0 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 6111 6111 0 PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF AN ASSOCIATION OF WHICH SOME OF THEIR DUES ARE ALLOCATED TO GRASS ROOTS LOBBYING IN REGARD TO THEIR NEEDS IN SERVICING AND PROVIDING HEALTHCARE TO THE PUBLIC. COST SPENT ON LOBBY ACTIVITIES FOR THE YEAR: GREATER NEW YORK HOSPITAL ASSOCIATION 790 LEADING AGE NY 5,321 TOTAL COST $6,111 1 1 X 623716 623716 35491263 33257394 2233869 16635881 15975542 660339 3517924 DUE TO THIRD-PARTY PAYORS 49844070 DUE TO AFFILIATES 277380552 327224622 X PART IV, LINE 2B: THE ORGANIZATION HOLDS RESIDENTS' FUNDS IN A TRUST. PART X, LINE 2: MANAGEEMENT REVIEWS TRANSACTIONS TO ESTIMATE POTENTIAL TAX LIABILITIES USING A THRESHOLD OF MORE LIKELY THAN NOT OF BEING SUSTAINED. IT IS MANAGEMENT'S ESTIMATION THAT THERE ARE NO MATERIAL LIABILITIES THAT NEED TO BE RECORDED AS OF DECEMBER 31, 2021. . 0 0 0 0 0 0 0 0 0 DOMINICK STANZIONE LEFT 7221 CHIEF EXECUTIVE OFFICER 0 840410 0 0 0 3810 0 0 0 13965 0 858185 0 0 ROBERT PALERMO CHIEF FINANCIAL OFFICER 0 607490 0 0 0 2322 0 0 0 42645 0 652457 0 0 PAUL ROSENFELD EXECUTIVE DIRECTOR - OBH 0 529041 0 0 0 5781 0 0 0 49055 0 583877 0 0 JOHN SCHMITT SENIOR VP OF FINANCE OBH 0 503241 0 0 0 2432 0 0 0 53321 0 558994 0 0 REGINALD BULLOCK ASSISTANT SECRETARY 0 394590 0 0 0 1935 0 0 0 35469 0 431994 0 0 GENEVIEVE SORENSEN VP LONG TERM CARE 0 360719 0 0 0 6858 0 0 0 17465 0 385042 0 0 ANN-MARIE RIVERS REGISTERED NURSE 289590 0 0 0 0 0 0 0 1560 0 291150 0 0 0 NAJWAH SIMPSON REGISTERED NURSE 264410 0 0 0 0 0 0 0 1560 0 265970 0 0 0 LUCIA NIXON MEDICAL DIRECTOR 234525 0 0 0 2785 0 0 0 21265 0 258575 0 0 0 SEUN RODEMADE-TANIMOWO LICENSED PRACTICAL NURSE 232637 0 0 0 0 0 0 0 1500 0 234137 0 0 0 IRENE AHENKORA REGISTERED NURSE 230229 0 0 0 0 0 0 0 1500 0 231729 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 ONE BROOKLYN HEALTH SYSTEM, INC., A NEW YORK NOT-FOR-PROFIT ORGANIZATION, IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A ONE BROOKLYN HEALTH SYSTEM, INC., AS SOLE MEMBER OF THE ORGANIZATION, HAS THE AUTHORITY TO APPOINT AND REMOVE THE TRUSTEES OF THE ORGANIZATION, AND OTHER AUTHORITIES AS DEFINED IN THE BYLAWS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 AND APPROPRIATE SCHEDULES, AS REQUIRED, IS PREPARED BY OUTSIDE ACCOUNTANTS AND REVIEWED INTERNALLY BY MANAGEMENT AND COUNSEL, AT WHICH TIME IT IS CONSIDERED THE FINAL DRAFT. THE FINAL DRAFT OF THE FORM 990 IS THEN FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C DISCLOSURE IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY BY EMPLOYEES THAT SATISIFY THE CRITERIA TO BE CONSIDERED "INTERESTED PERSONS" IS SUBMITTED UPON HIRING AND ANNUALLY THEREAFTER. THE AUDIT AND COMPLIANCE COMITTEE REVIEWS THE SUBMISSIONS FOR CONFLICTS AND THE DEPARTMENT OF INTERNAL AUDIT MANAGES COMPLIANCE. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART IV, QUESTION 20A: THE ORGANIZATION IS LICENSED UNDER ARTICLE 28 OF NEW YORK STATE PUBLIC HEALTH LAW. HOWEVER, SUBSECTION 10 OF ARTICLE 28 EXCLUDES CERTAIN HEALTHCARE FACILITIES FROM THE DEFINITION OF GENERAL HOSPITAL. THEREFORE, THE ORGANIZATION IS NOT INCLUDING SCHEDULE H IN THE CURRENT YEAR FORM 990 AS THEY DO NOT MEET THIS DEFINITION. 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