2022-11-14T16:47:54-06:00 2021-01-01 132781641 MITCHELL & TITUS LLP 80 PINE STREET NEW YORK NY 10005 990EZ 2021-01-01 112626155 INTERFAITH MEDICAL CENTER INC INTE 7186134000 1545 ATLANTIC AVENUE BROOKLYN NY 11213 JOHN SCHMITT CFO INTERIM 7182407931 2022-11-14 1 JOHN SCHMITT 999009999 FREDERICK E DAVIS JR P00446023 2127094500 2022-11-14 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z X X X WWW.INTERFAITHMEDICAL.COM X X 0 X 0 0 0 39530314 -39530314 0 X 44999553 0 9131941 0 109368943 0 163500437 0 123970123 0 39530314 0 X TO 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. THE 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. 0 0 0 X ALEX ROVT CHAIRMAN 0.05 0 0 0 ANTHONY CLEMENZA TRUSTEE 0.05 0 0 0 BISHOP HUGH NELSON TRUSTEE 0.05 0 0 0 DR JOSEPH CUIFFO TRUSTEE 0.05 0 0 0 DR K TORIAN EASTERLING TRUSTEE 0.05 0 0 0 DR SOFIA NOVAK TRUSTEE 0.05 0 0 0 EDNA WELLS-HANDY TRUSTEE 0.05 0 0 0 HENNA WHITE SECRETARY/TREASURER 0.05 0 0 0 HOPE MASON TRUSTEE 0.05 0 0 0 MARK SHELTON TRUSTEE 0.05 0 0 0 MAURICE A REID TRUSTEE 0.05 0 0 0 MICHAEL IRWIN TRUSTEE 0.05 0 0 0 X 0 0 0 0 1 0 0 0 0 0 0 0 0 0 NY JOHN SCHMITT CFO INTERIM 1545 ATLANTIC AVENUE BROOKLYN NY 11213 7182407931 0 0 0 0 0 0 0 0 0 0 NONE NONE 1 X CASH AND SAVINGS 2021-01-01 44999553 BOOK VALUE 111631746 BROOKDALE HOSPITAL MEDICAL CENTER ONE BROOKDALE PLAZA BROOKLYN NY 11213 501(C)(3) BUILDINGS AND OTHER FIXED ASSETS 2021-01-01 18017516 BOOK VALUE 111631746 BROOKDALE HOSPITAL MEDICAL CENTER ONE BROOKDALE PLAZA BROOKLYN NY 11213 501(C)(3) INVESTMENTS - PUBLICLY TRADED SECURITIES 2021-01-01 1608105 BOOK VALUE 111631746 BROOKDALE HOSPITAL MEDICAL CENTER ONE BROOKDALE PLAZA BROOKLYN NY 11213 501(C)(3) GRANTS RECEIVABLE, NET 2021-01-01 8982577 BOOK VALUE 111631746 BROOKDALE HOSPITAL MEDICAL CENTER ONE BROOKDALE PLAZA BROOKLYN NY 11213 501(C)(3) ACCOUNT RECEIVABLE 2021-01-01 10264255 BOOK VALUE 111631746 BROOKDALE HOSPITAL MEDICAL CENTER ONE BROOKDALE PLAZA BROOKLYN NY 11213 501(C)(3) INVENTORIES 2021-01-01 2359813 BOOK VALUE 111631746 BROOKDALE HOSPITAL MEDICAL CENTER ONE BROOKDALE PLAZA BROOKLYN NY 11213 501(C)(3) PREPAID EXP. 2021-01-01 3346951 BOOK VALUE 111631746 BROOKDALE HOSPITAL MEDICAL CENTER ONE BROOKDALE PLAZA BROOKLYN NY 11213 501(C)(3) INSURANCE RECOVERIES 2021-01-01 16621670 BOOK VALUE 111631746 BROOKDALE HOSPITAL MEDICAL CENTER ONE BROOKDALE PLAZA BROOKLYN NY 11213 501(C)(3) HEALTHFIRST RETAINED PAYMENTS 2021-01-01 20379433 BOOK VALUE 111631746 BROOKDALE HOSPITAL MEDICAL CENTER ONE BROOKDALE PLAZA BROOKLYN NY 11213 501(C)(3) SECURITY DEPOSITS 2021-01-01 454760 BOOK VALUE 111631746 BROOKDALE HOSPITAL MEDICAL CENTER ONE BROOKDALE PLAZA BROOKLYN NY 11213 501(C)(3) DUE FROM AFFILIATES 2021-01-01 30052060 BOOK VALUE 111631746 BROOKDALE HOSPITAL MEDICAL CENTER ONE BROOKDALE PLAZA BROOKLYN NY 11213 501(C)(3) DUE FROM 3RD PARTY PAYORS 2021-01-01 6413744 BOOK VALUE 111631746 BROOKDALE HOSPITAL MEDICAL CENTER ONE BROOKDALE PLAZA BROOKLYN NY 11213 501(C)(3) 1 1 0 0 1 1 1 1 0 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. FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETS DESCRIPTION: TRANSFER TO BHMC DUE TO MERGER. AMOUNT: -39,530,314. FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS DESCRIPTION: 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 LIABILITIES DESCRIPTION: 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. THE 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.