INTERFAITH MEDICAL CENTER INC: Form 990EZ, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
INTERFAITH MEDICAL CENTER INC (EIN 11-2626155)
Tax period
2021-01-01 to 2021-01-01
Filed
2022-11-14
IRS object ID
202213189349208206
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-14T16:47:54-06:00ReturnTs
Tax Period End2021-01-01TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN132781641PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MITCHELL & TITUS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line180 PINE STREETAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10005ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN112626155EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INTERFAITH MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlINTEBusinessNameControlTxt
Phone7186134000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11545 ATLANTIC AVENUEAddressLine1Txt
CityBROOKLYNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11213ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN SCHMITTPersonNm
Person TitleCFO INTERIMPersonTitleTxt
Phone7182407931PhoneNum
Signature2022-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJOHNPersonFirstNm
Person LastSCHMITTPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonFREDERICK E DAVIS JRPreparerPersonNm
PTINP00446023PTIN
Phone2127094500PhoneNum
Preparation2022-11-14PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Final ReturnYes (X)FinalReturnInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website AddressWWW.INTERFAITHMEDICAL.COMWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$0GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Total Revenue$0TotalRevenueAmt
Total Expenses$0TotalExpensesAmt
Excess Or Deficit For Year$0ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$39,530,314NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets-$39,530,314OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$0NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$44,999,553BOYAmt
EOY$0EOYAmt

Land And Buildings LandAndBuildingsGrp

FieldValueIRS element (for citing)
BOY$9,131,941BOYAmt
EOY$0EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$109,368,943BOYAmt
EOY$0EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$163,500,437BOYAmt
EOY$0EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$123,970,123BOYAmt
EOY$0EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$39,530,314BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeTO ESTABLISH, MAINTAIN AND OPERATE A MEDICAL CENTER AND RELATED HEALTH CARE FACILITIES, AS PART OF ONE BROOKLYN HEALTH SYSTEM, A HEALTH CARE SYSTEM COMPRISED OF HOSPITALS, LONG-TERM CARE FACILITIES, OUTPATIENT FACILITIES AND OTHER HEALTH CARE PROVIDERS IN BROOKLYN AND PROMOTE THE HEALTH AND WELL-BEING OF THE COMMUNITIES SERVED BY THE CORPORATION.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomTHE TOP THREE SERVICE LINES ARE BEHAVIORAL HEALTH, MEDICAL SURGICAL AND AMBULATORY CARE. BEHAVIORAL HEALTH INCLUDES PSYCHIATRY, ALCOHOL DETOX, AND DRUG REHABILITATION. THE FILING ORGANIZATION WAS MERGED INTO BROOKDALE HOSPITAL MEDICAL CENTER, A 501(C)(3) HOSPITAL, AS OF JANUARY 1, 2022.DescriptionProgramSrvcAccomTxt
Grants And Allocations$0GrantsAndAllocationsAmt
Program Service Expenses$0ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$0TotalProgramServiceExpensesAmt
Info In Schedule O Part IVYes (X)InfoInScheduleOPartIVInd

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (12 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
ALEX ROVT
CHAIRMAN0.05$0$0$0
ANTHONY CLEMENZA
TRUSTEE0.05$0$0$0
BISHOP HUGH NELSON
TRUSTEE0.05$0$0$0
DR JOSEPH CUIFFO
TRUSTEE0.05$0$0$0
DR K TORIAN EASTERLING
TRUSTEE0.05$0$0$0
DR SOFIA NOVAK
TRUSTEE0.05$0$0$0
EDNA WELLS-HANDY
TRUSTEE0.05$0$0$0
HENNA WHITE
SECRETARY/TREASURER0.05$0$0$0
HOPE MASON
TRUSTEE0.05$0$0$0
MARK SHELTON
TRUSTEE0.05$0$0$0
MAURICE A REID
TRUSTEE0.05$0$0$0
MICHAEL IRWIN
TRUSTEE0.05$0$0$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not Rpt0ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI0OrganizationHadUBIInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Organization Dissolved EtcYes (1)OrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Made Loans To From Officers0MadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHN SCHMITT CFO INTERIMBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11545 ATLANTIC AVENUEAddressLine1Txt
CityBROOKLYNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11213ZIPCd
FieldValueIRS element (for citing)
Phone7182407931PhoneNum
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccountInd
Foreign Office0ForeignOfficeInd
Donor Advised Fnds0DonorAdvisedFndsInd
Operate Hospital0OperateHospitalInd
Tanning Services Provided0TanningServicesProvidedInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
School Operating0SchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (1)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule N IRS990ScheduleN

Liquidation Of Assets Table LiquidationOfAssetsTableGrp

Liquidation Of Assets Detail LiquidationOfAssetsDetail (12 entries)

Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDescDistributionDistributionDtFair Market Value Of AssetFairMarketValueOfAssetAmtMethod Of FMV DeterminationMethodOfFMVDeterminationTxtEINEINAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdIRC SectionIRCSectionTxt
BROOKDALE HOSPITAL MEDICAL CENTER
CASH AND SAVINGS2021-01-01$44,999,553BOOK VALUE111631746ONE BROOKDALE PLAZABROOKLYNNY11213501(C)(3)
BROOKDALE HOSPITAL MEDICAL CENTER
BUILDINGS AND OTHER FIXED ASSETS2021-01-01$18,017,516BOOK VALUE111631746ONE BROOKDALE PLAZABROOKLYNNY11213501(C)(3)
BROOKDALE HOSPITAL MEDICAL CENTER
INVESTMENTS - PUBLICLY TRADED SECURITIES2021-01-01$1,608,105BOOK VALUE111631746ONE BROOKDALE PLAZABROOKLYNNY11213501(C)(3)
BROOKDALE HOSPITAL MEDICAL CENTER
GRANTS RECEIVABLE, NET2021-01-01$8,982,577BOOK VALUE111631746ONE BROOKDALE PLAZABROOKLYNNY11213501(C)(3)
BROOKDALE HOSPITAL MEDICAL CENTER
ACCOUNT RECEIVABLE2021-01-01$10,264,255BOOK VALUE111631746ONE BROOKDALE PLAZABROOKLYNNY11213501(C)(3)
BROOKDALE HOSPITAL MEDICAL CENTER
INVENTORIES2021-01-01$2,359,813BOOK VALUE111631746ONE BROOKDALE PLAZABROOKLYNNY11213501(C)(3)
BROOKDALE HOSPITAL MEDICAL CENTER
PREPAID EXP.2021-01-01$3,346,951BOOK VALUE111631746ONE BROOKDALE PLAZABROOKLYNNY11213501(C)(3)
BROOKDALE HOSPITAL MEDICAL CENTER
INSURANCE RECOVERIES2021-01-01$16,621,670BOOK VALUE111631746ONE BROOKDALE PLAZABROOKLYNNY11213501(C)(3)
BROOKDALE HOSPITAL MEDICAL CENTER
HEALTHFIRST RETAINED PAYMENTS2021-01-01$20,379,433BOOK VALUE111631746ONE BROOKDALE PLAZABROOKLYNNY11213501(C)(3)
BROOKDALE HOSPITAL MEDICAL CENTER
SECURITY DEPOSITS2021-01-01$454,760BOOK VALUE111631746ONE BROOKDALE PLAZABROOKLYNNY11213501(C)(3)
BROOKDALE HOSPITAL MEDICAL CENTER
DUE FROM AFFILIATES2021-01-01$30,052,060BOOK VALUE111631746ONE BROOKDALE PLAZABROOKLYNNY11213501(C)(3)
BROOKDALE HOSPITAL MEDICAL CENTER
DUE FROM 3RD PARTY PAYORS2021-01-01$6,413,744BOOK VALUE111631746ONE BROOKDALE PLAZABROOKLYNNY11213501(C)(3)
FieldValueIRS element (for citing)
Director Of SuccessorYes (1)DirectorOfSuccessorInd
Employee Of SuccessorYes (1)EmployeeOfSuccessorInd
Owner Of Successor0OwnerOfSuccessorInd
Receive Compensation0ReceiveCompensationInd
Assets DistributedYes (1)AssetsDistributedInd
Required To Notify AGYes (1)RequiredToNotifyAGInd
Attorney General NotifiedYes (1)AttorneyGeneralNotifiedInd
Liabilities PaidYes (1)LiabilitiesPaidInd
Bonds Outstanding0BondsOutstandingInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 2E:PERSON(S) INVOLVED: ENTIRE BOARD TRUSTEES, LARAY BROWN, DR. GARY STEPHENS, DONA GREEN, CHARLIE BOVE, PRISSANA ALSTON AND FRANCESCA TINTI
PART I, LINE 2E:EXPLANATION OF INVOLVEMENT: BOARD TRUSTEES, OFFICERS AND EMPLOYEES OF THE FILING ORGANIZATION BECAME THE BOARD TRUSTEES, OFFICERS AND EMPLOYEES OF THE SUCCESSOR AFTER THE MERGER.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETSDESCRIPTION: TRANSFER TO BHMC DUE TO MERGER. AMOUNT: -39,530,314.
FORM 990-EZ, PART II, LINE 24 - OTHER ASSETSDESCRIPTION: INVESTMENTS - PUBLICLY TRADED SECURITIES. BEG. OF YEAR AMOUNT: 1,608,105. END OF YEAR AMOUNT: 0. DESCRIPTION: GRANTS RECEIVABLE, NET. BEG. OF YEAR AMOUNT: 8,982,577. END OF YEAR AMOUNT: 0. DESCRIPTION: ACCOUNT RECEIVABLE. BEG. OF YEAR AMOUNT: 10,264,255. END OF YEAR AMOUNT: 0. DESCRIPTION: INVENTORIES. BEG. OF YEAR AMOUNT: 2,359,813. END OF YEAR AMOUNT: 0. DESCRIPTION: PREPAID EXP.. BEG. OF YEAR AMOUNT: 3,346,951. END OF YEAR AMOUNT: 0. DESCRIPTION: INSURANCE RECOVERIES. BEG. OF YEAR AMOUNT: 16,621,670. END OF YEAR AMOUNT: 0. DESCRIPTION: HEALTHFIRST RETAINED PAYMENTS. BEG. OF YEAR AMOUNT: 20,379,433. END OF YEAR AMOUNT: 0. DESCRIPTION: SECURITY DEPOSITS. BEG. OF YEAR AMOUNT: 454,760. END OF YEAR AMOUNT: 0. DESCRIPTION: DUE FROM AFFILIATES. BEG. OF YEAR AMOUNT: 30,052,060. END OF YEAR AMOUNT: 0. DESCRIPTION: DUE FROM 3RD PARTY PAYORS. BEG. OF YEAR AMOUNT: 6,413,744. END OF YEAR AMOUNT: 0. DESCRIPTION: OTHER DEPRECIABLE ASSETS. BEG. OF YEAR AMOUNT: 8,885,575. END OF YEAR AMOUNT: 0.
FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIESDESCRIPTION: ACCOUNTS PAYABLE AND ACCRUED EXPENSES. BEG. OF YEAR AMOUNT: 45,683,557. END OF YEAR AMOUNT: 0. DESCRIPTION: DUE TO THIRD PARTY PAYORS. BEG. OF YEAR AMOUNT: 35,001,088. END OF YEAR AMOUNT: 0. DESCRIPTION: MALPRACTICE INSURANCE PAYABLE. BEG. OF YEAR AMOUNT: 20,151,001. END OF YEAR AMOUNT: 0. DESCRIPTION: DEFRRED LEASE OBLIGATION. BEG. OF YEAR AMOUNT: 22,363,807. END OF YEAR AMOUNT: 0. DESCRIPTION: WORKERS COMPENSATION PAYABLE. BEG. OF YEAR AMOUNT: 770,670. END OF YEAR AMOUNT: 0.

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationTHE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.DeclarationDesc

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