KINGSBROOK JEWISH MEDICAL CENTER INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- KINGSBROOK JEWISH MEDICAL CENTER INC (EIN 11-1631759)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-12-17
- IRS object ID
- 202103519349300310
- Schema version
- 2020v4.1
- 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 H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-12-17T08:38:43-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 221478099 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COHNREZNICK LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14 SYLVAN WAY | AddressLine1Txt |
| City | PARSIPPANY | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 070543801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 111631759 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KINGSBROOK JEWISH MEDICAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | KING | BusinessNameControlTxt |
| Phone | 7186045532 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 585 SCHENECTADY AVENUE | AddressLine1Txt |
| City | BROOKLYN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11203 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN SCHMITT | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 7186045532 | PhoneNum |
| Signature | 2021-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JOHN | PersonFirstNm |
| Person Last | SCHMITT | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LORI ROTHE YOKOBOSKY CPA | PreparerPersonNm |
| PTIN | P01273422 | PTIN |
| Phone | 9732283500 | PhoneNum |
| Preparation | 2021-12-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PAUL ROSENFELD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 585 SCHENECTADY AVENUE | AddressLine1Txt |
| City | BROOKLYN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $237,126,877 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.KINGSBROOK.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1926 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | ONE BROOKLYN HEALTH SYSTEM, INC. PROVIDES GREATER ACCESS TO HIGH QUALITY MEDICAL CARE AND KEEPS 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 2362 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $69,081,202 | PYContributionsGrantsAmt |
| CY Contributions Grants | $103,145,970 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $152,022,798 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $132,463,940 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,426 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,556 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,198,313 | PYOtherRevenueAmt |
| CY Other Revenue | $1,512,411 | CYOtherRevenueAmt |
| PY Total Revenue | $222,306,739 | PYTotalRevenueAmt |
| CY Total Revenue | $237,126,877 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $148,148,056 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $146,975,146 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $72,056 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $62,452,352 | PYOtherExpensesAmt |
| CY Other Expenses | $65,831,779 | CYOtherExpensesAmt |
| PY Total Expenses | $210,600,408 | PYTotalExpensesAmt |
| CY Total Expenses | $212,806,925 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $11,706,331 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $24,319,952 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $68,468,417 | TotalAssetsBOYAmt |
| Total Assets EOY | $97,387,535 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $141,637,060 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $171,690,000 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$73,168,643 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$74,302,465 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ONE BROOKLYN HEALTH SYSTEM, INC. PROVIDES GREATER ACCESS TO HIGH QUALITY MEDICAL CARE AND KEEPS 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $185,553,109 | ExpenseAmt |
| Revenue | $133,889,965 | RevenueAmt |
| Desc | THE KINGSBROOK JEWISH MEDICAL CENTER ("KJMC") IS A 303-BED MULTI-SPECIALTY TEACHING HOSPITAL LOCATED IN BROOKLYN, NEW YORK, WHICH PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES, MEDICAL AND SURGICAL TREATMENT, REHABILITATION MEDICINE AND GERIATRIC PSYCHIATRIC MEDICINE, AS WELL AS AN AMBULATORY SURGERY CENTER, 24-HOUR EMERGENCY ROOM AND OUTPATIENT GENERAL AND SPECIALTY CLINICS. | Desc |
| Total Program Service Expenses | $185,553,109 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 229 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2362 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN SCHMITT CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7186045532 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 585 SCHENECTADY AVENUE | AddressLine1Txt |
| City | BROOKLYN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11203 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| ALEX ROVT | |||||||||
| CHARIPERSON | 0.05 | 0.95 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ANTHONY CLEMENZA SR | |||||||||
| BOARD TRSUTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| BISHOP RC HUGH NELSON | |||||||||
| BOARD TRUSTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| DR JOSEPH CUIFFO | |||||||||
| BOARD TRSUTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| DR K TORIAN EASTERLING | |||||||||
| BOARD TRSUTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| DR SOFIA NOVAK | |||||||||
| BOARD TRSUTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| EDNA WELLS-HANDY | |||||||||
| BOARD TRSUTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| HENNA WHITE | |||||||||
| SECRETARY / TREASURER | 0.05 | 1.45 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| HOPE MASON | |||||||||
| BOARD TRUSTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| MARK SHELTON | |||||||||
| BOARD TRSUTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| MAURICE A REID | |||||||||
| BOARD TRSUTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL IRWIN | |||||||||
| BOARD TRUSTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL L NAIRNE | |||||||||
| BOARD TRSUTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL SCAGNELLI | |||||||||
| BOARD TRUSTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| NUSIN SHTERN | |||||||||
| BOARD TRSUTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| RABBI ARYEH KATZIN | |||||||||
| BOARD TRSUTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| REV WATERMAN | |||||||||
| VICE-CHAIRPERSON | 0.05 | 0.95 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RICHARD E GREEN | |||||||||
| BOARD TRSUTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| VICTOR AYALAPHD | |||||||||
| BOARD TRUSTEE | 0.05 | 0.95 | Yes (X) | $0 | $0 | $0 | |||
| JOHN SCHMITT CPA | |||||||||
| SENIOR VP OF FINANCE & CFO | 36.60 | 12.00 | Yes (X) | $521,050 | $0 | $41,553 | |||
| PAUL ROSENFELD | |||||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $533,343 | $0 | $41,553 | ||||
| JANE LEDERER | |||||||||
| CHIEF NURSING OFFICER | 40.00 | $260,459 | $0 | $9,522 | Yes (X) | ||||
| KURT KODROFF | |||||||||
| CHIEF QUALITY OFFICER, OBH | 40.00 | $610,125 | $0 | $36,739 | Yes (X) | ||||
| ROBERT DUBICKI | |||||||||
| SENIOR VP OF STRATEGIC PLANNING | 40.00 | $391,857 | $0 | $36,739 | Yes (X) | ||||
| SIBTE BURNEY MD | |||||||||
| CHIEF MEDICAL OFFICER | 40.00 | $540,800 | $0 | $23,751 | Yes (X) | ||||
| JAMES WOLBERG | |||||||||
| CHAIR PSYCHIATRY DEPARTMENT | 40.00 | $399,554 | $0 | $38,803 | Yes (X) | ||||
| MARC ROSS MD | |||||||||
| CHAIR REHAB MEDICINE | 40.00 | $529,570 | $0 | $38,803 | Yes (X) | ||||
| OLALEKAN BADIRU | |||||||||
| PHYSICIAN | 40.00 | $649,732 | $0 | $7,251 | Yes (X) | ||||
| RAOUF HANNA | |||||||||
| EMERGENCY ROOM PHYSICIAN | 40.00 | $509,290 | $0 | $0 | Yes (X) | ||||
| VIJAY AKKAPEDDI | |||||||||
| CHAIR EMERGENCY DEPARTMENT | 40.00 | $569,621 | $0 | $38,803 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,515,401 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $313,517 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 434 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CERNER HEALTH SERVICES | |||||
| PO BOX 959167 | ST LOUIS | MO | 631959167 | IT SERVICES / BILLING SYSTEM | $3,508,876 |
| CLOVER HEALTH SERVICE LLC | |||||
| 46 SOUTHFIELD AVENE | STAMFORD | CT | 06902 | TEMP HELP AGENCY | $2,987,205 |
| NORTH AMERICAN PARTNERS IN ANESTHESIA L | |||||
| 68 S SERVICE RD STE 350 | MELVILLE | NY | 11747 | MEDICAL SERVICE - ANESTHESIA | $2,796,164 |
| SPECIALTY PROFESSIONAL SERV | |||||
| 17-20 WHITESTONE EXPRESSWAY STE 30 | WHITESTONE | NY | 11357 | TEMP HELP AGENCY | $1,791,832 |
| PATHWAY SYSTEMS | |||||
| 7100 NEW HORIZONS BLVD | NORTH AMITYVILLE | NY | 11701 | IT SERVICES / BILLING SYSTEM | $1,654,978 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 59 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $103,065,970 | GovernmentGrantsAmt |
| All Other Contributions | $80,000 | AllOtherContributionsAmt |
| Total Contributions | $103,145,970 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 621300 | $129,849,350 | $129,849,350 |
| AFFIL INCOME - ST. GEORGE | 621300 | $2,225,000 | $2,225,000 |
| AFFIL INCOME - MED STUDENTS | 621300 | $350,911 | $350,911 |
| AFFIL INCOME - NY DOWNTOWN | 621300 | $38,679 | $38,679 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $132,463,940 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,556 | TotalRevenueColumnAmt |
| Exclusion | $4,556 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $86,386 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $86,386 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $86,386 | TotalRevenueColumnAmt |
| Exclusion | $86,386 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISC. INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,426,025 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,426,025 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,426,025 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $237,126,877 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $133,889,965 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $90,942 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,047,490 | TotalAmt |
| Program Services | $2,722,794 | ProgramServicesAmt |
| Management And General | $323,034 | ManagementAndGeneralAmt |
| Fundraising | $1,662 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,732,263 | TotalAmt |
| Program Services | $90,891,845 | ProgramServicesAmt |
| Management And General | $10,783,620 | ManagementAndGeneralAmt |
| Fundraising | $56,798 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,864,328 | TotalAmt |
| Program Services | $7,030,709 | ProgramServicesAmt |
| Management And General | $833,619 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,411,163 | TotalAmt |
| Program Services | $23,602,245 | ProgramServicesAmt |
| Management And General | $2,799,583 | ManagementAndGeneralAmt |
| Fundraising | $9,335 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,919,902 | TotalAmt |
| Program Services | $7,076,131 | ProgramServicesAmt |
| Management And General | $839,510 | ManagementAndGeneralAmt |
| Fundraising | $4,261 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,246,493 | TotalAmt |
| Program Services | $4,747,335 | ProgramServicesAmt |
| Management And General | $1,499,158 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $180,038 | TotalAmt |
| Management And General | $180,038 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,444 | TotalAmt |
| Program Services | $65,697 | ProgramServicesAmt |
| Management And General | $20,747 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,523,203 | TotalAmt |
| Program Services | $18,014,463 | ProgramServicesAmt |
| Management And General | $5,508,740 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $872,786 | TotalAmt |
| Program Services | $663,321 | ProgramServicesAmt |
| Management And General | $209,465 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,373,580 | TotalAmt |
| Program Services | $3,323,921 | ProgramServicesAmt |
| Management And General | $1,049,659 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,816 | TotalAmt |
| Program Services | $81,180 | ProgramServicesAmt |
| Management And General | $25,636 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,308 | TotalAmt |
| Program Services | $137,794 | ProgramServicesAmt |
| Management And General | $43,514 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,412,378 | TotalAmt |
| Program Services | $3,353,407 | ProgramServicesAmt |
| Management And General | $1,058,971 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $814,562 | TotalAmt |
| Program Services | $619,067 | ProgramServicesAmt |
| Management And General | $195,495 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL & PHARMACEUTICA | $14,112,345 | $14,112,345 | |
| MAINT & REPAIRS | $5,422,093 | $4,120,791 | $1,301,302 |
| FOOD COSTS | $2,346,566 | $2,346,566 | |
| LEASE EXPENSES | $1,620,900 | $1,231,884 | $389,016 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,532,267 | TotalAmt |
| Program Services | $1,411,614 | ProgramServicesAmt |
| Management And General | $120,653 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,806,925 | TotalAmt |
| Program Services | $185,553,109 | ProgramServicesAmt |
| Management And General | $27,181,760 | ManagementAndGeneralAmt |
| Fundraising | $72,056 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,218,758 | BOYAmt |
| EOY | $26,221,785 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,395 | BOYAmt |
| EOY | $9,100,728 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $4,330,129 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,422,127 | BOYAmt |
| EOY | $10,189,763 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,697,004 | BOYAmt |
| EOY | $3,297,438 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,006,900 | BOYAmt |
| EOY | $4,055,495 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $231,450,597 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $205,528,394 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,948,091 | BOYAmt |
| EOY | $25,922,203 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,151,142 | BOYAmt |
| EOY | $14,269,994 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,468,417 | BOYAmt |
| EOY | $97,387,535 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,873,000 | BOYAmt |
| EOY | $62,222,578 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,154,172 | BOYAmt |
| EOY | $134,209 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,609,888 | BOYAmt |
| EOY | $109,333,213 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,637,060 | BOYAmt |
| EOY | $171,690,000 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$73,168,643 | BOYAmt |
| EOY | -$74,302,465 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$73,168,643 | BOYAmt |
| EOY | -$74,302,465 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,468,417 | BOYAmt |
| EOY | $97,387,535 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $24,319,952 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$25,453,774 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $68,950 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $65,350 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $134,300 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | KINGSBROOK JEWISH MEDICAL CENTER PAYS DUES TO THE HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS), GREATER NY HOSPITAL ASSOCIATION AND THE LEAGUE OF VOLUNTEER HOSPITALS. IN ACCORDANCE WITH SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY THE DUES RECIPIENTS, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE LOBBYING ACTIVITIES APPLICABLE TO THE 2020 ANNUAL DUES WAS $63,530. 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 2020 KINGSBROOK JEWISH MEDICAL CENTER PAID $68,950 IN CONNECTION WITH THESE SERVICES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $241,071 | OtherCostOrOtherBasisAmt |
| Book Value | $241,071 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $69,658,675 | OtherCostOrOtherBasisAmt |
| Depreciation | $52,994,788 | DepreciationAmt |
| Book Value | $16,663,887 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $51,052,214 | OtherCostOrOtherBasisAmt |
| Depreciation | $47,921,611 | DepreciationAmt |
| Book Value | $3,130,603 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $110,498,637 | OtherCostOrOtherBasisAmt |
| Depreciation | $104,611,995 | DepreciationAmt |
| Book Value | $5,886,642 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $25,922,203 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $9,657,994 |
| INSURANCE RECOVERIES | $4,612,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $14,269,994 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| MALPRACTICE PAYABLE | $33,430,000 |
| SELF INSURANCE LIABILITIES | $16,449,272 |
| ESTIMATED THIRD PARTY SETTLEMENTS | $3,173,112 |
| INCENTIVE/RETENTION LIABILITY | $1,159,034 |
| ACCRUED POSTRETIREMENT BENEFIT COST | $6,418,123 |
| DUE TO AFFILIATES | $12,481,307 |
| DEFRRED LEASE OBLIGATION | $7,796,682 |
| REFUNDABLE ADVANCES | $28,425,683 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $109,333,213 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MANAGEMENT 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, 2020. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | 0 | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | 0 | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,625,013 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,456,058 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,168,955 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01960 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $61,518,241 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $32,753,998 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,764,243 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13520 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $68,143,254 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $35,210,056 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $32,933,198 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.15480 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $58,201,492 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $58,201,492 | DirectOffsettingRevenueAmt |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,646,262 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,983,481 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,662,781 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01250 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $75,847,754 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $73,184,973 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,662,781 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01250 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $143,991,008 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $108,395,029 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $35,595,979 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16730 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,348,200 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $42,775,014 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $47,353,484 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,578,470 | MedicareSurplusOrShortfallAmt |
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KINGSBROOK JEWISH MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 585 SCHENECTADY AVENUE | AddressLine1Txt |
| City | BROOKLYN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.KINGSBROOK.ORG | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KINGSBROOK JEWISH MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.KINGSBROOK.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.KINGSBROOK.ORG/ABOUT-US/COMMUNITY-IMPLEMENTATION-REPORT.ASPX | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.KINGSBROOK.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-INFORMATION/FINA | FAPAvailableOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| KINGSBROOK JEWISH MEDICAL CENTER | PART V, SECTION B, LINE 5: IN 2018, AT THE RECOMMENDATION OF THE NEW YORK STATE DEPARTMENT OF HEALTH (NYSDOH), KINGSBROOK JEWISH MEDICAL CENTER (KJMC) AND TWO OTHER AREA SAFETY-NET HOSPITALS (BROOKDALE HOSPITAL MEDICAL CENTER ("BROOKDALE") AND THE INTERFAITH MEDICAL CENTER (IMC) FORMALLY JOINED TOGETHER TO OPERATE UNDER A NEW PARENT ORGANIZATION ONE BROOKLYN HEALTH SYSTEM ("OBHS"). LEGALLY, KJMC IS CONSIDERED AN "AFFILIATE" OF OBHS AND THE TWO OTHER HOSPITALS. THIS AFFILIATION IS INTENDED TO ENSURE THAT ALL THREE HOSPITALS GET BACK TO FISCAL STABILITY AND SUSTAINABILITY, TO CONTINUE PROVIDING HEALTHCARE FOR THE THOUSANDS OF RESIDENTS IN THE PREDOMINANTLY LOW INCOME COMMUNITIES OF CENTRAL AND EAST BROOKLYN.IN 2019, ALL THREE OBHS MEMBER HOSPITALS WORKED TOGETHER TO DEVELOP ONE COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), CONDUCTING A BROAD SURVEY OF THE HEALTHCARE NEEDS OF RESIDENTS IN ALL THE ZIP CODES SERVED BY EACH HOSPITAL IN BOTH PRIMARY, SECONDARY AND TERTIARY SERVICE AREAS, AS LISTED IN CHART THAT FOLLOWS. NOTE THAT SERVICE AREAS WERE DEFINED BASED ON OBHS HOSPITALS' DISCHARGE DATA. PATIENT ORIGIN ZIP CODES INTERFAITH MEDICAL CENTER, INC. 11-2626155 WERE RANKED BY FREQUENCY; PRIMARY SERVICE AREA WAS DEFINED USING A CUTOFF OF 50%, I.E. 50% OF PATIENTS CAME FROM THE ZIP CODES COVERED BY THE PRIMARY SERVICE AREA. THE CUT OFFS FOR SECONDARY AND TERTIARY SERVICE AREA WERE 75% AND 85% RESPECTIVELY.YES, IN CONDUCTING THE 2019 CHNA, OBHS TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF A BROAD CROSS-SECTION OF THE COMMUNITIES SERVED, INCLUDING THOSE WITH EXPERTISE IN PUBLIC HEALTH. THE PROCESS OF DEVELOPING A CHNA, AND A COMMUNITY SERVICE PLAN (CSP) (REQUIRED BY THE NYS DEPARTMENT OF HEALTH (NYS DOH)), IS AN INTEGRAL PART OF OBHS' ONGOING STRATEGIC PLANNING DISCUSSIONS, AND INVOLVES OBHS AND KJMC'S SENIOR LEADERSHIP, MEDICAL STAFF, COMMUNITY RESIDENTS, PUBLIC HEALTH OFFICIALS, ELECTED OFFICIALS, AND MANY OTHER KEY COMMUNITY STAKEHOLDERS. THE 2019 CHNA CONDUCTED AGGREGATED AND ANALYZED FINDINGS FROM A VARIETY OF PRIMARY AND SECONDARY DATA SOURCES AS FOLLOWS: (I) ANALYSES OF CLINICAL DIAGNOSIS AND TREATMENT DATA FOR OBHS' PATIENT POPULATION.(II) PAR RESEARCH STUDIES CONDUCTED BY OBHS IN COLLABORATION WITH COMMUNITY PARTNERS IN 2016-2018.(III) "THE BROOKLYN STUDY: RESHAPING THE FUTURE OF HEALTHCARE," A COMPREHENSIVE ASSESSMENT OF EAST BROOKLYN'S HEALTHCARE NEEDS, THE VIABILITY OF AREA HOSPITALS (INCLUDING KJMC), AND SYSTEM-WIDE TRANSFORMATION RECOMMENDATIONS. THIS ASSESSMENT, CONDUCTED BY NORTHWELL HEALTH IN 2016, WAS COMMISSIONED BY NYS DOH, AND RESULTED IN THE FORMATION OF OBHS IN 2018.(IV) THE NYC DOH COMMUNITY PROFILES FOR INDIVIDUAL COMMUNITY DISTRICTS PUBLISHED IN 2018.FOLLOWING IS LIST OF SOME OF THE INDIVIDUALS AND ENTITIES WITH WHICH OBHS COORDINATED, TO DEVELOP THE 2019-2021 CHNA:- NEW YORK CITY DEPARTMENT OF HEALTH CENTER FOR HEALTH EQUITY IN EAST NY DR. TORIAN EASTERLING- NYS DEPARTMENT OF HEALTH SYLVIA PIRANI, DIRECTOR OF PUBLIC HEALTH PRACTICE- THE GREATER NEW YORK HOSPITAL ASSOCIATION AMY OSARIO - NORTHWELL VENTURES, INC.- DR. DAVID ROSE, CHIEF MEDICAL OFFICER AT BROOKDALE- KHARI EDWARDS VP OF EXTERNAL AFFAIRS- LOCAL CHURCHES AND CBOS- COMMUNITY ADVISORY BOARDS- ELECTED OFFICIALS SANDRA PERSAUD AND LATRICE WALKER- OBHS BOARD STRATEGIC PLANNING COMMITTEE |
| KINGSBROOK JEWISH MEDICAL CENTER | PART V, SECTION B, LINE 6A: ONE BROOKLYN HEALTH BROOKDALE HOSPITAL MEDICAL CENTER AND INTERFAITH MEDICAL CENTER |
| KINGSBROOK JEWISH MEDICAL CENTER | PART V, SECTION B, LINE 6B: - CARIBBEAN WOMEN'S HEALTH ASSOCIATION, INC. (CWHA)- BROOKLYN PERINATAL NETWORK (BPN)- BROWNSVILLE MULTI SERVICE CENTER (BMS)- BROOKLYN DISTRICT PUBLIC HEALTH OFFICE (DPHO)- THE DELIVERY SYSTEM REFORM INCENTIVE PROGRAM (DSRIP)- COMMUNITY CARE OF BROOKLYN (CCB)SEE ADDITIONAL DETAIL IN PART V, SECTION B, LINE 5: ENGAGING THE COMMUNITY |
| KINGSBROOK JEWISH MEDICAL CENTER | PART V, SECTION B, LINE 11: THE ESTABLISHMENT OF OBHS IS INTENDED TO HELP KINGSBROOK JEWISH MEDICAL CENTER (KJMC) AND ITS AFFILIATES WORK TOGETHER TO SECURE MORE FUNDING AND OTHER RESOURCES THAT ARE DESPERATELY NEEDED TO MEET THE HIGH DEMAND FOR HEALTHCARE SERVICES AND TO ADDRESS ANY NEEDS IDENTIFIED, WHICH ARE NOT CURRENTLY BEING ADDRESSED. MOVING FORWARD AS A PART OF OBHS, KJMCNOW HAS THE ADDED CAPACITY TO PARTNER WITH ITS AFFILIATE HOSPITALS AND A BROADER ARRAY OF COMMUNITY STAKEHOLDERS, TO LEVERAGE RESOURCES AND HEALTHCARE INNOVATIONS THAT WILL IMPROVE HEALTHCARE DELIVERY ACROSS THEOBHS HEALTHCARE SERVICES CONTINUUM. KJMC CONTINUES TO BRING A FULL COMPLEMENT OF HEALTHCARE SERVICES TO ITS PATIENT POPULATION, MAKING AVAILABLE A VARIETY OF SPECIALTY AND SUB-SPECIALTY CLINICS/SERVICES TO ADDRESS A WIDE RANGE OF DISEASES THAT DISPROPORTIONATELY IMPACT ITS PATIENT POPULATION (HEART DISEASE, CANCER, ASTHMA, HIV/AIDS, DIABETES, OBESITY). |
| KINGSBROOK JEWISH MEDICAL CENTER | PART V, SECTION B, LINE 13B: KINGSBROOK JEWISH MEDICAL CENTER'S FINANCIAL ASSISTANCE PROGRAM IS BASED UPON UP TO 300% OF THE JANUARY 2018 DEPARTMENT OF HEALTH AND HUMAN SERVICES FEDERAL POVERTY GUIDELINES. |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
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| PART I, LINE 3C: | NOT APPLICABLE |
| PART I, LINE 7: | 24 HOUR EMERGENCY ROOM, 911 AMBULANCE SERVICES AND CLINICS |
| PART I, LINE 7G: | KINGSBROOK JEWISH MEDICAL CENTER'S COSTING METHODOLOGY WAS BASED UPON THE 2018 NEW YORK STATE INSTITUTIONAL COST REPORT AND THE 2018 (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 COST-TO-CHARGE, WAS USED FOR THE VARIOUS SUB-LINE ITEMS OF PART I, LINE 7. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | AS PART OF ITS COMMUNITY OUTREACH INITIATIVE, KINGSBROOK JEWISH MEDICAL CENTER OFFERS ITS SPEAKER'S BUREAU PROGRAM TO COMMUNITY ORGANIZATIONS IN NEED OF HEALTH AND WELLNESS INFORMATION. COMPRISED OF THE FACILITIES BEST DOCTORS, NURSES, PHARMACISTS AND MEDICAL SPECIALISTS, THE BUREAU TRAVELS ALL PARTS OF BROOKLYN SPEAKING ON A NUMBER OF ISSUES THAT AFFECT THE HEALTH AND WELL-BEING OF COMMUNITY MEMBERS.THIS ESSENTIAL PROGRAM IS GEARED TOWARDS PROVIDING HEALTH SEMINARS AND DISCUSSIONS TO COMMUNITY-BASED ORGANIZATIONS SUCH AS LIBRARIES, SENIOR CITIZEN CENTERS, SCHOOLS, CHURCHES AND HEALTH-BASED ORGANIZATIONS. THIS PROGRAM GIVES COMMUNITY MEMBERS AN OPPORTUNITY TO SPEAK WITH MEDICAL AND HEALTH EDUCATION SPECIALISTS DIRECTLY ABOUT PROGRAMS AND TREATMENTSPERTINENT TO THEIR WELL-BEING. |
| PART III, LINE 4: | EXPLANATION OF FINANCIAL STATEMENT FOOTNOTES THAT DESCRIBES BAD DEBT EXPENSE. |
| PART III, LINE 8: | THE AMOUNT REPORTED ON LINE 7 WAS DERIVED BY USING THE MEDICARE ALLOWABLE COSTS AS REPORTED ON THE HOSPITAL'S NEW YORK STATE INSTITUTIONAL COST REPORT AND THE APPLICABLE ADJUSTMENT FROM WORKSHEET B. |
| PART III, LINE 9B: | PROVISION ON COLLECTION PRACTICES FOR QUALIFIED PATIENTS - POLICY: 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 OR THEIR IMMIGRATION STATUS. KINGSBROOK JEWISH MEDICAL CENTER RECOGNIZES THAT THERE ARE TIMES WHEN PATIENTS IN NEED OF MEDICAL CARE MAY HAVE DIFFICULTY PAYING FOR THE SERVICES PROVIDED. KINGSBROOK JEWISH MEDICAL CENTER'S FINANCIAL ASSISTANCE PROGRAM PROVIDES DISCOUNTS TO QUALIFYING INDIVIDUALS BASED ON YOUR INCOME. IN ADDITION, WE CAN HELP YOU APPLY FOR FREE OR LOW-COST INSURANCE IF YOU QUALIFY.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. ADETERMINATION 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, PATIENTACCESS SERVICES/FINANCIAL COUNSELING OR AMBULATORY CARE. PROCEDURES:ESTABLISHED CLINIC PATIENT- THE FINANCIAL ASSISTANCE FEE SCHEDULE MUST BE USED TO ESTABLISH A FEE SCALE FOR NEW CLINIC PATIENTS WHO HAVE NO APPLICABLE INSURANCE COVERAGE.- PATIENTS ARE INFORMED, AT THE TIME OF SCHEDULING, TO BRING THE FOLLOWING DOCUMENTATION, AS AVAILABLE OR APPLICABLE, TO THEIR FIRST VISIT IN ORDERTO BE ASSIGNED A FEE SCALE:- PICTURE IDENTIFICATIONKINGSBROOK JEWISH MEDICAL CENTER 11-1631759- PROOF OF ADDRESS (LETTER/BILL MAILED TO THE PATIENT AT THEIR ADDRESS)- INCOME TAX 1040 (TO VERIFY DEPENDENTS)- PROOF OF INCOME- 4 MOST RECENT PAY STUBS (OR)- A LETTER FROM THE PATIENT'S EMPLOYER (OR)- A STATEMENT FROM THE PATIENT STATING INCOME (OR)- IF THE PATIENT DOES NOT WORK, A LETTER FROM THE PERSON SUPPORTING THEM- THE HIGHEST INCOME LEVEL ON THE FINANCIAL ASSISTANCE FEE SCHEDULE IS 300% OF THE FEDERAL POVERTY LEVEL.- WHEN AN EXISTING CLINIC PATIENT PRESENTS FOR THEIR FIRST VISIT UNDER THIS POLICY, THE REGISTRAR WILL FEE SCALE THE PATIENT USING THE FINANCIAL ASSISTANCE FEE SCHEDULE AND INPUT "CHC" AS THE REGISTRATION FINANCIAL CLASS AND COMMENT IN GNE NOTES.- ALL FEE SCALES FOR CLINIC PATIENTS MUST BE RE-EVALUATED ANNUALLY USING THE FINANCIAL ASSISTANCE FEE SCHEDULE. - A FEE SCALE APPROVAL IS GOOD FOR 1 YEAR FROM THE DATE OF APPLICATION AND MUST BE NOTED AS SUCH IN THE INSURANCE COMMENTS BY THE APPROVING CLINIC REGISTRAR.- MOST ANCILLARY TESTING RELATED TO A CLINIC VISIT IS INCLUDED IN THE KJMC FINANCIAL ASSISTANCE PROGRAM. EXCLUSIONS ARE PET SCANS, MRI'S, CT SCANS AND ULTRASOUNDS.- ALL ANCILLARY TESTING RELATED TO A CLINIC VISIT, PERFORMED ON THE SAME DAY AS THE CLINIC VISIT, MUST BE PUT ON THE CLINIC ACCOUNT.- ALL ANCILLARY TESTING DONE ON A DAY BESIDES THE CLINIC VISIT, THE REGISTRAR WILL PERFORM A DISTINCT P/A REGISTRATION AND ASSIGN THE "CHC" FINANCIAL CLASS AND ADD IN GNE NOTES THE DATE OF THE RELATED CLINIC VISIT.CLINIC PATIENTS (WITH ESTABLISHED FEE SCALES) SCHEDULED FOR AMBULATORYSURGERY PROCEDURES- WHEN A CLINIC PATIENT, WHO IS ALREADY QUALIFIED FOR FINANCIAL ASSISTANCE, SCHEDULES AN AMBULATORY SURGERY PROCEDURE THE PATIENT IS RESPONSIBLE FOR A PERCENTAGE OF THE ESTIMATED SELF-PAY/MEDICAID RATE. THE RATES ARE AS FOLLOWS:- ALL AMBULATORY SURGICAL PROCEDURES = $2,500.00- COLONOSCOPY, ENDOSCOPY, BRONCHOSCOPY = $1,000.00- THE PERCENTAGE OF THE MEDICAID RATE THE PATIENT WILL BE RESPONSIBLE FOR IS DETERMINED BY THE PATIENT'S FAMILY SIZE AND TOTAL FAMILY INCOME.- EXISTING CLINIC PATIENTS, WHO ARE ALREADY QUALIFIED FOR FINANCIAL ASSISTANCE AND WHOSE INCOME AND FAMILY SIZE ARE ABOVE 300% OF THE POVERTY LEVEL WILL BE RESPONSIBLE FOR THE HIGHEST PERCENTAGE (35%) OF THE SELF-PAY/MEDICAID RATE.- THE CLINIC STAFF ARRANGING THE AMBULATORY SURGERY PROCEDURE WILL FILL OUT A RESPONSIBILITY CONTRACT AND INDICATE THE QUALIFIED LEVEL OF FINANCIAL ASSISTANCE THE PATIENT IS ELIGIBLE FOR AND FORWARD A COPY TO PATIENT ACCESS SERVICES. THE ORIGINAL FORM WILL BE KEPT ON FILE IN THEORIGINATING CLINIC.- AT THE TIME OF PRE-REGISTRATION OR REGISTRATION FOR THE PROCEDURE, THE PATIENT ACCESS SCHEDULED IV STAFF WILL CONFIRM THE PATIENT'S CHARITY CARE STATUS AS A REGISTERED CLINIC PATIENT WITH A CURRENT VALID FINANCIAL ASSISTANCE PROGRAM APPROVAL.- THE PATIENT WILL BE REGISTERED WITH THE "CHC" FINANCIAL CLASS AND THE APPROPRIATE PAYMENT AMOUNT COLLECTED AT THE TIME OF SERVICE.- IF THERE IS NO RESPONSIBILITY CONTRACT ON FILE, THE PRE-REGISTRATION/REGISTRATION STAFF WILL REFER THE PATIENT TO PATIENT ACCESS FINANCIAL COUNSELING FOR A FINANCIAL ASSISTANCE ELIGIBILITY SCREEN.- THE PATIENT ACCESS FINANCIAL COUNSELING STAFF WILL REVIEW AND ENTER THEIR COMMENTS IN THE GNE NOTES.- IF QUALIFIED, THE STAFF WILL REGISTER THAT PATIENT WITH FINANCIAL CLASS "CHC AND NOTE THE SAME IN GNE.- THE REGISTRATION STAFF WILL ASK THE PATIENT FOR THE REDUCED PAYMENT AMOUNT AT THE TIME OF THE PROCEDURE/PST.- WHEN THE PATIENT HAS BEEN REGISTERED, THE REGISTRATION STAFF WILL FORWARD A COPY OF THE REGISTRATION FACE SHEET TO THE RESPECTIVE INPATIENT OR OUTPATIENT PATIENT FINANCIAL SERVICES MANAGER, WITH A COPY TO THE DIRECTOR OF PATIENT FINANCIAL SERVICES- WHEN THE PROCEDURE HAS BEEN CODED, PATIENT ACCOUNTS WILL CONFIRM THE ALLOWANCE ON THE ACCOUNT TO THE PERCENTAGE OF THE MEDICAID RATE APPROVED.- THE BILL WILL GO OUT TO THE PATIENT AT THE REDUCED RATE. |
| PART VI, LINE 2: | THE ONE BROOKLYN HEALTH SYSTEM ("OBHS") WAS FORMED IN APRIL 2018, IN RESPONSE TO A DIRECTIVE FROM NEW YORK STATE (NYS), AS AN EFFORT TO SAVE THREE FINANCIALLY-DISTRESSED SAFETY-NET HOSPITALS AND THEIR AFFILIATED HEALTHCARE FACILITIES IN EAST BROOKLYN, WHICH INCLUDE: THE BROOKDALE HOSPITAL MEDICAL CENTER, KINGSBROOK MEDICAL CENTER, INTERFAITH MEDICAL CENTER, SCHULMAN SCHACHNE NURSING HOME, RUTLAND NURSING HOME, AND A NUMBER OF OFF-SITE HEALTHCARE DELIVERY FACILITIES. ALL THREE HOSPITALS AND ASSOCIATED FACILITIES NOW EXIST UNDER THE UMBRELLA ORGANIZATION, OBHS, ADOPTING ONE MISSION, AS FOLLOWS: "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." OBHS HOSPITALS AND OTHER FACILITIES, WHICH SERVE AS VITAL LIFELINES FOR THE MOST VULNERABLE POOR FAMILIES IN CENTRAL AND EAST BROOKLYN, HAVE BEEN FINANCIALLY DISTRESSED FOR THE PAST DECADE, STRUGGLING TO STAY AFLOAT IN THE FACE OF A RAPIDLY CHANGING HEALTHCARE LANDSCAPE. DURING THE PAST THREE YEARS, OBHS SENIOR LEADERSHIP HAS WORKED HAND IN HAND WITH NYS GOVERNMENT, ELECTED OFFICIALS, COMMUNITY LEADERS AND MANY KEY STAKEHOLDERS TO EMBARK UPON THE WORK OF TRANSFORMING HEALTHCARE FOR THE UNDERSERVED COMMUNITIES OF OBHS SERVICE AREAS. OBHS PROVIDES A FULL SCOPE OF MEDICAL SERVICES RANGING FROM PEDIATRIC TO SENIOR CARE, TO A BROAD GEOGRAPHIC AREA WITH A POPULATION OF APPROXIMATELY 1.2 MILLION. ALL THREE OBHS HOSPITALS TOGETHER RECEIVE APPROXIMATELY 170,000 EMERGENCY ROOM AND HALF A MILLION OUTPATIENT VISITS ANNUALLY. THE FORMATION OF OBHS IS FACILITATING THE REDESIGN AND MERGING OF OPERATIONS, EFFORTS THAT ARE EXPECTED TO LEAD TO FISCAL VIABILITY AND THE CREATION OF A HEALTHCARE SYSTEM THAT IS INNOVATIVE AND RESPONSIVE TO THE NEEDS OF THE BROOKLYN COMMUNITIES SERVED. NEW YORK STATE IS WORKING CLOSELY WITH OBHS TO PROVIDE THE FINANCIAL GUIDANCE AND SUPPORT NEEDED TO RESTRUCTURE THE SYSTEM, COVERING BUDGET SHORTFALLS, AND PROVIDING GRANT FUNDING TO REPLACE OUTDATED CRITICAL MEDICAL EQUIPMENT. OBHS HOSPITALS ARE VITAL TO THE HEALTH OF BROOKLYN RESIDENTS, ESPECIALLY DURING THIS TIME OF CRISIS HAD ANY OF THE THREE HOSPITALS SUCCUMBED TO CLOSURE PRIOR TO THIS COVID-19 PANDEMIC, THE OUTCOMES FOR BROOKLYN RESIDENTS WOULD HAVE BEEN FAR MORE DEVASTATING. COVID-19 PANDEMIC RESPONSETHE COVID-19 PANDEMIC BROUGHT SEVERE FINANCIAL AND OPERATIONAL CAPACITY CHALLENGES TO ALL OBHS HOSPITALS AND AFFILIATE FACILITIES. ON MARCH 7, 2020, NEW YORK STATE GOVERNOR ANDREW CUOMO ISSUED EXECUTIVE ORDER NUMBER 202, WHICH DECLARED A STATE DISASTER EMERGENCY FOR THE ENTIRE STATE OF NEW YORK, DUE TO THE COVID-19 PANDEMIC. ALL FIVE NEW YORK CITY BOROUGHS WERE IMPACTED BY THE PANDEMIC, WITH THE BOROUGHS OF BROOKLYN AND QUEENS BEARING THE BRUNT OF IMPACT AND RECOGNIZED AS GROUND ZERO FOR THE PANDEMIC. THE OBHS HOSPITALS AND ITS SATELLITE LOCATIONS WERE IN THE EPICENTER FROM THE ONSET. FROM EARLY MARCH 2020 TO MAY 2020, ALL HOSPITALS IN THE BOROUGH OF BROOKLYN EXPERIENCED A SUSTAINED SURGE OF PATIENTS SEEKING EMERGENCY MEDICAL CARE FOR COVID-19 SYMPTOMS. OBHS DATA ANALYSIS SHOWS THAT ALL THREE OBHS HOSPITALS WERE IMMEDIATELY OVERWHELMED WITH THE DEMAND FOR EMERGENCY DEPARTMENT TRIAGE, INTAKE AND COVID-19 TESTING, HOSPITALIZATION AND CARE OF COVID-19 PATIENTS, AND THE NEED FOR INTENSIVE CARE UNIT BEDS FOR SEVERELY ILL PATIENTS. TO MEET THE SUDDEN SURGE IN DEMAND, HOSPITALS HAD TO UTILIZE AND DEPLETE THEIR STOCK OF PERSONAL PROTECTIVE EQUIPMENT (PPE), PHARMACEUTICAL AND OTHER NECESSARY MEDICAL SUPPLIES SUCH AS COVID-TESTING CAPACITY, AS WELL AS INTENSIVE CARE UNIT BEDS, WHICH WERE DEEMED NECESSARY TO MANAGE THE PANDEMIC AND CARE FOR COVID PATIENTS. HOSPITALS ALSO HAD TO SEEK ADDITIONAL STAFFING THROUGH TEMPORARY EMPLOYMENT AGENCIES TO IMMEDIATELY EXPAND THEIR WORKFORCE (DOCTORS, NURSES, RESPIRATORY THERAPISTS, AND OTHER CRITICAL MEDICAL PROFESSIONALS, AS WELL AS MAINTENANCE STAFFING). MORE BED CAPACITY WAS ALSO URGENTLY NEEDED. THE TOTAL CERTIFIED BED CAPACITY OF ALL OBHS HOSPITALS IS 1,120. IN A SUBSEQUENT EXECUTIVE ORDER ISSUED BY THE GOVERNOR DURING THE MONTH OF MARCH, ALL HOSPITALS WERE ASKED TO RAMP UP THEIR BED CAPACITY BY 100%, AND THEIR STAFFING CAPACITY TO MATCH. THIS MEANT THAT EACH OF OUR THREE HOSPITALS HAD TO SCRAMBLE TO RE-ORIENT 100% OF THEIR HEALTHCARE DELIVERY OPERATIONS TO TREAT COVID PATIENTS EXCLUSIVELY; ALL ELECTIVE SURGERIES AND ALL AMBULATORY CARE VISITS HAD TO BE CANCELLED. IN ADDITION TO THE HIGH USAGE OF PPE AND OTHER MEDICAL SUPPLIES, HOSPITALS ADMINISTRATION HAD TO WORK TIRELESSLY TO PURCHASE ADDITIONAL BEDS, HEPA FILTERS, IV POLES, STRETCHERS, VENTILATORS, AND A WIDE RANGE OF NECESSARY MEDICAL EQUIPMENT NEEDED TO TREAT PATIENTS. AT THE HEIGHT OF THE FIRST SURGE OF THE PANDEMIC, BETWEEN MARCH 7 AND APRIL 20, THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE (NYCDOHMH) REPORTED THAT THE BOROUGH OF BROOKLYN HAD 35,775 CASES OF COVID-19, THE SECOND HIGHEST NUMBER OF POSITIVE COVID-19 CASES AMONG THE FIVE BOROUGHS. DURING THIS PERIOD, A TOTAL OF 2,807 COVID-19 DEATHS WERE RECORDED IN THE BOROUGH, CLOSE TO 30% OF ALL DEATHS IN THE FIVE BOROUGHS MOST OF THOSE DEATHS OCCURRED WITHIN THE SHORT TIME PERIOD OF FIVE WEEKS. ALL THREE HOSPITALS HAD TO RAMP UP MORGUE OPERATIONS TO PROCESS THE DECEASED. THIS MEANT RENTING REFRIGERATED TRUCKS, PURCHASING BODY BAGS, AND OTHER NECESSARY ITEMS, IN ADDITION TO HIRING STAFF TO HANDLE THIS WORK. FROM THE BEGINNING OF THE PANDEMIC IN EARLY MARCH THROUGH DECEMBER 31, THE TOTAL NUMBER OF COVID-19 CASES RECORDED IN NYC (ALL FIVE BOROUGHS) IS APPROXIMATELY 625,000, AND THE TOTAL NUMBER OF CONFIRMED DEATHS STAND AT APPROXIMATELY 27,000. THE ADDED PATIENT LOAD AND BED CAPACITY BROUGHT SEVERE STRAIN ON FINANCIAL RESOURCES, ESPECIALLY GIVEN OBHS' FRAIL FINANCIAL STATE PRIOR TO COVID. TWO FACTORS COMPOUNDED THE DEVASTATING IMPACT OF COVID-19 FOR ALL THREE HOSPITALS AND OUR PATIENT POPULATION AND ADDED EXTREME PRESSURE ON ALL ASPECTS OF OPERATIONS. THE FIRST IS THE FACT THAT THE SERVICE AREAS SERVED BY ALL THREE HOSPITALS ARE DENSELY POPULATED; BROOKLYN HAS A POPULATION OF 2.533 MILLION PEOPLE. THE SECOND IS THE FACT THAT OUR PATIENT POPULATION (70% AFRICAN AMERICAN, 20% HISPANIC) IS PLAGUED WITH THE UNDERLYING HEALTH CONDITIONS LIKE OBESITY, HEART DISEASE, HYPERTENSION, ASTHMA AND DIABETES, WHICH, ACCORDING TO THE CDC, WORSEN THE IMPACT OF THE DISEASE, AND GENERALLY LEAD TO VERY POOR OUTCOMES AND AN INCREASED LIKELIHOOD OF DEATH.IN THE AFTERMATH OF THE FIRST COVID-19 SURGE, AND WHILE CURRENTLY DEALING WITH ANOTHER RESURGENCE, OBHS REMAINS IN A STATE OF FLUX. SIMILAR TO OTHER HOSPITALS, OBHS EXPERIENCED A TREMENDOUS DISRUPTION OF BUSINESS AND INCOME LOSS FROM MARCH TO JULY DUE TO THE CANCELING OF REGULAR HOSPITAL BUSINESS (ELECTIVE SURGERIES) THE CLOSURE OF REHAB AND PSYCHIATRY UNITS, AND A CLOSURE OF OUTPATIENT CLINICS. POST COVID-19, PATIENTS REMAIN RELUCTANT TO VISIT OUR HEALTHCARE POINTS OF ACCESS, FEARFUL OF CONTRACTING THE DISEASE, AND ARE DELAYING FOLLOW-UP VISITS AS MUCH POSSIBLE. WHILE OBHS IS DOING ALL IT CAN TO ACHIEVE A SUSTAINABLE LEVEL OF BUSINESS, INCLUDING ADDING TELEHEALTH TECHNOLOGY TO OUR HEALTHCARE MODEL, WE ANTICIPATE THAT IT WILL BE A LONG ROAD AHEAD TO GET BACK TO FINANCIAL STABILITY. ON TOP OF THE DISRUPTION TO ITS REVENUE STREAM, OBHS NOW HAS THE ADDED FINANCIAL BURDEN OF BUDGETING FOR MORE PPE AND OTHER MEDICAL SUPPLIES LIKE PHARMACEUTICAL AND CLEANING SUPPLIES, AND PURCHASING ITEMS THAT ARE SPECIFIC TO CONTROLLING THE COVID INFECTION RATE AMONG STAFF AND PATIENTS I.E. COVID TESTING CAPACITY, SPECIAL PROTECTIVE SHIELDS, FACE SHIELDS, SCREENING EQUIPMENT ETC AS WELL AS MANDATED TESTING OF ALL NURSING HOME PATIENTS AND STAFF ON A WEEKLY BASIS. AND BECAUSE OF THE INCREASED DEMAND FOR THESE SERVICES, THESE ITEMS ARE BEING PURCHASED AT SIGNIFICANTLY HIGHER COSTS. TO HELP ALLEVIATE THE FINANCIAL STRESS EXPERIENCED BY HEALTHCARE FACILITIES IN DEALING WITH THE COVID PANDEMIC, THE FEDERAL GOVERNMENT PASSED THE CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY ACT, ALSO KNOWN AS THE CARES ACT. THIS ACT WAS A $2.2 TRILLION ECONOMIC STIMULUS BILL WHICH IN PART PROVIDED FUNDS TO HELP HEALTHCARE FACILITIES DEAL WITH THE NUMEROUS FINANCIAL DIFFICULTIES CAUSED BY THE PANDEMIC. THE DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) WAS PLACED IN CHARGE OF DISTRIBUTING THESE FUNDS AND HAS ISSUED GUIDANCE AS TO HOW THESE FUNDS CAN BE USED. OBHS RECEIVED APPROXIMATELY $24.3 MILLION AND $185.6 MILLION IN GENERAL AND TARGETED DISTRIBUTIONS, RESPECTIVELY, OF THE PRF FOR A TOTAL OF APPROXIMATELY $209.9 MILLION. |
| PART VI, LINE 3: | 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 OR THEIR IMMIGRATION STATUS. KINGSBROOK JEWISH MEDICAL CENTER RECOGNIZES THAT THERE ARE TIMES WHEN PATIENTS IN NEED OF MEDICAL CARE MAY HAVE DIFFICULTY PAYING FOR THE SERVICES PROVIDED. KINGSBROOK JEWISH MEDICAL CENTER'S FINANCIAL ASSISTANCE PROGRAM PROVIDES DISCOUNTS TO QUALIFYING INDIVIDUALS BASED ON YOUR INCOME. IN ADDITION, WE CAN HELP YOU APPLY FOR FREE OR LOW-COST INSURANCE IF YOU QUALIFY. PLEASE CONTACT OUR FINANCIAL COUNSELOR'S AT (718) 604-5499 OR GO TO THE ADMISSIONS DEPARTMENT (PATIENT ACCESS SERVICES DEPARTMENT), LOCATED IN THE KATZ BUILDING, FIRST FLOOR FOR FREE, CONFIDENTIAL ASSISTANCE.WHO QUALIFIES FOR A DISCOUNT?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. ADETERMINATION 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 KINGSBROOKJEWISH 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.WHAT ARE THE INCOME LIMITS?THE AMOUNT OF THE DISCOUNT VARIES BASED ON YOUR INCOME AND THE SIZE OF YOUR FAMILY. KINGSBROOK JEWISH MEDICAL CENTER'S FINANCIAL ASSISTANCE PROGRAM IS BASED UPON UP TO 300% OF THE JANUARY 2017 DEPARTMENT OF HEALTH AND HUMAN SERVICES FEDERAL POVERTY GUIDELINES. (CHART PROVIDED) WHAT IF I DO NOT MEET THE INCOME LIMITS?IF YOU CANNOT PAY YOUR BILL, KINGSBROOK JEWISH MEDICAL CENTER OFFERS AN EXTENDED, INTEREST-FREE, PAYMENT PLAN TO THOSE PATIENTS THAT MEET THE INCOME LIMITS. THE AMOUNT OF YOUR PAYMENT INSTALLMENT DEPENDS ON AMOUNT OF YOUR INCOME AND ABILITY TO PAY. CAN SOMEONE EXPLAIN THE DISCOUNT? CAN SOMEONE HELP ME APPLY?YES, FREE, CONFIDENTIAL HELP IS AVAILABLE. PLEASE CONTACT OUR FINANCIAL COUNSELOR'S AT (718) 604-5499 OR GO TO THE ADMISSIONS DEPARTMENT (PATIENT ACCESS SERVICES DEPARTMENT, LOCATED IN THE KATZ BUILDING, FIRST FLOOR FOR FREE, CONFIDENTIAL ASSISTANCE. IF YOU DO NOT SPEAK ENGLISH, SOMEONE WILLHELP YOU IN YOUR OWN LANGUAGE.THE FINANCIAL COUNSELOR CAN TELL YOU IF YOU QUALIFY FOR FREE OR LOW-COST INSURANCE, SUCH AS MEDICAID, CHILD HEALTH PLUS AND FAMILY HEALTH PLUS. IF THE FINANCIAL COUNSELOR FINDS THAT YOU DON'T QUALIFY FOR LOW-COST INSURANCE OR MEDICAID, THEY WILL ASSIST YOU IN ACCESSING THE MEDICAL CENTER'S FINANCIAL ASSISTANCE PROGRAM FOR ANY APPLICABLE DISCOUNTS, INCLUDING HELPING YOU WITH THE APPROPRIATE FORMS AND DOCUMENTATION REQUIREMENTS.WHAT DO I NEED TO APPLY FOR A DISCOUNT?PATIENTS ARE REQUESTED TO PROVIDE THE FOLLOWING DOCUMENTATION, AS AVAILABLE OR APPLICABLE, IN ORDER TO BE EVALUATED FOR FINANCIAL ASSISTANCE:- PICTURE IDENTIFICATION- PROOF OF ADDRESS (LETTER/BILL MAILED TO THE PATIENT AT THEIR ADDRESS)- INCOME TAX 1040 (TO VERIFY DEPENDENTS)- PROOF OF INCOME- FOUR (4) MOST RECENT PAY STUBS (AND/OR)- A LETTER FROM THE PATIENT'S EMPLOYER (AND/OR)- A STATEMENT FROM THE PATIENT STATING INCOME (AND/OR)- IF THE PATIENT DOES NOT WORK, A LETTER FROM THE PERSON SUPPORTING THEMIF YOU CANNOT PROVIDE ANY OF THESE DOCUMENTS, PLEASE LET US KNOW SO WE CAN DETERMINE HOW TO HELP YOU APPLY FOR FINANCIAL ASSISTANCE.WHAT SERVICES ARE COVERED?ALL MEDICALLY NECESSARY SERVICES PROVIDED BY KINGSBROOK JEWISH MEDICAL CENTER ARE COVERED BY THE FINANCIAL ASSISTANCE PROGRAM. THIS INCLUDES OUTPATIENT SERVICES, EMERGENCY CARE AND INPATIENT ADMISSIONS. CHARGES FROM PRIVATE DOCTORS WHO PROVIDE SERVICES IN THE HOSPITAL MAY NOT BE COVERED BY THIS PROGRAM. YOU SHOULD TALK TO PRIVATE DOCTORS TO SEE IF THEY OFFER A DISCOUNT OR PAYMENT PLAN.HOW MUCH DO I HAVE TO PAY?THE AMOUNT FOR OUTPATIENT SERVICE OR THE EMERGENCY ROOM STARTS FROM $54.00 TO $621.00, DEPENDING ON YOUR FINANCIAL ASSISTANCE QUALIFICATION CATEGORY. OUR FINANCIAL COUNSELOR WILL GIVE YOU THE DETAILS ABOUT YOUR SPECIFIC DISCOUNT(S) ONCE YOUR APPLICATION IS PROCESSED.HOW DO I GET THE DISCOUNT?YOU HAVE TO FILL OUT AN APPLICATION FORM. AS SOON AS WE HAVE PROOF OF YOUR INCOME, WE CAN PROCESS YOUR APPLICATION FOR A DISCOUNT ACCORDING TO YOUR INCOME LEVEL.YOU CAN APPLY FOR A DISCOUNT BEFORE YOU HAVE AN APPOINTMENT, WHEN YOU COME TO THE HOSPITAL TO GET CARE, OR WHEN THE BILL COMES IN THE MAIL. SEND THE COMPLETED FORM AND SUPPORTING DOCUMENTATION TO OUR FINANCIAL COUNSELOR'S IN THE PATIENT ACCESS SERVICES (ADMISSIONS) DEPARTMENT OR BRING IT TO THE PATIENT ACCESS SERVICES (ADMISSIONS) DEPARTMENT, LOCATEDIN THE KATZ BUILDING, FIRST FLOOR.HOW WILL I KNOW IF I WAS APPROVED FOR THE DISCOUNT?KINGSBROOK JEWISH MEDICAL CENTER WILL SEND YOU A LETTER, WITHIN 30 BUSINESS DAYS, AFTER RECEIPT OF YOUR COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION, TELLING YOU IF YOU HAVE BEEN APPROVED FOR FINANCIAL ASSISTANCE AND THE LEVEL OF DISCOUNT YOU ARE ELIGIBLE FOR.WHAT IF I RECEIVE A BILL WHILE I'M WAITING TO HEAR IF I CAN GET A DISCOUNT?YOU CANNOT BE REQUIRED TO PAY A HOSPITAL BILL WHILE YOUR APPLICATION FOR A DISCOUNT IS BEING CONSIDERED. IF YOUR APPLICATION IS TURNED DOWN, KINGSBROOK JEWISH MEDICAL CENTER WILL TELL YOU WHY AND PROVIDE YOU WITH A WAY TO APPEAL THIS DECISION TO A HIGHER LEVEL WITHIN THE HOSPITAL.WHAT IF I HAVE A PROBLEM I CANNOT RESOLVE WITH THE HOSPITAL?YOU MAY CALL THE NEW YORK STATE DEPARTMENT OF HEALTH COMPLAINT HOTLINE AT 1-800-804-5447. |
| PART VI, LINE 4: | BASED ON THE RECOMMENDATIONS IN NORTHWELL HEALTH'S "THE BROOKLYN STUDY: RESHAPING THE FUTURE OF HEALTHCARE", IN 2016, BROOKDALE, INTERFAITH AND KINGSBROOK APPLIED FOR AND RECEIVED APPROVAL FROM THE NYS PUBLIC HEALTH AND PLANNING COUNCIL TO ESTABLISH ONE BROOKLYN HEALTH SYSTEM (OBHS), WHICH WILL SERVE AS AN INTEGRATED, CENTRAL HEALTH CARE DELIVERY SYSTEM THAT WILL PRESERVE AND ENHANCE HEALTH CARE SERVICES IN CENTRAL AND NORTHEAST BROOKLYN.1 OBHS MEMBER HOSPITALS HAVE COME TOGETHER TO CREATE THIS COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY SERVICE PLAN; THE COLLABORATING FACILITIES ARE ALL LOCATED IN KINGS COUNTY (BROOKLYN) AND HAVE DEFINED THEIR COMMUNITY ASSESSED AS CENTRAL AND NORTHEASTERN BROOKLYN, DEMARCATED BY SHARED PRIMARY AND SECONDARY NEIGHBORHOODS AND ZIP CODES.SERVICE AREA WAS DETERMINED BASED ON OBHS HOSPITALS' DISCHARGE DATA. PATIENT ORIGIN ZIP CODES WERE RANKED BY FREQUENCY; PRIMARY SERVICE AREA WAS DEFINED USING A CUTOFF OF 50%, I.E. 50% OF PATIENTS CAME FROM THE ZIP CODES COVERED BY THE PRIMARY SERVICE AREA. THE CUT OFFS FOR SECONDARY AND TERTIARY SERVICE AREA WERE 75% AND 85% RESPECTIVELY.THE DATA AND DISCUSSION FOR THE FOLLOWING SECTIONS HAVE BEEN COMPILED FROM THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE (NYC DOHMH) COMMUNITY HEALTH PROFILES 2018.3 THE OBHS PRIMARY AND SECONDARY SERVICE AREA ZIP CODES ARE: 11212, 11207, 11208, 11233, 11236, 11203, 11213, 11216, 11238, 11225, 11226 AND 11221. THESE CORRESPOND TO BROOKLYN'S COMMUNITY DISTRICTS 3, 5, 8, 9, 14, 16, 17 AND 18. THE COMMUNITY HEALTH PROFILES FOR THESE COMMUNITY DISTRICTS WERE USED TO ASSESS THE COMMUNITY HEALTH STATUS AND COMPARE THEM TO BROOKLYN AND NEW YORK CITY OVERALL. |
| PART VI, LINE 5: | 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. ADDITIONALLY, THE UNDERINSURED POPULATION IN THIS REGION HAS DOUBLED WITHIN THE PAST FEW YEARS. IN ORDER TO ADDRESS THIS HEALTH CRISIS, KINGSBROOK, INDEPENDENTLY AND SOMETIMES IN CONJUNCTION WITH LOCAL COMMUNITY ORGANIZATIONS, OFFERS A NUMBER OF SCREENING AND PREVENTIVE SERVICES TO HELP ALLEVIATE SOME OF THE PRESSING HEALTHCARE ISSUES. OUR EFFORTS INCLUDE OFF-SITE EVENTS IN PARTNERSHIP WITH LOCAL CLERGY, SCHOOLS AND COMMUNITY BASED ORGANIZATIONS, AS WELL AS ON-SITE EVENTS BASED ON A PUBLISHED YEAR-LONG SCREENING CALENDAR, WITH SERVICES PROVIDED AT OUR MAIN HOSPITAL CAMPUS AS WELL AS OUR OFF-SITE PIERRE TOUSSAINT FAMILY HEALTH CENTER. FINALLY, KINGSBROOK HAS INITIATED A PATIENT PORTAL PROGRAM WHICH ALLOWS OUR PATIENT ACCESS TO THEIR MEDICAL RECORD AND OTHER PERTINENT INFORMATION. |
| PART VI, LINE 6: | IN 2018, AT THE RECOMMENDATION OF THE NEW YORK STATE DEPARTMENT OF HEALTH, KINGSBROOK JEWISH MEDICAL CENTER (KHMC) AND TWO OTHER AREA SAFETY-NET HOSPITALS (INTERFAITH MEDICAL CENTER (IMC) AND BROOKDALE HOSPITAL MEDICAL CENTER JOINED TOGETHER TO OPERATE UNDER A NEW PARENT ORGANIZATION ONE BROOKLYN HEALTH SYSTEM ("OBHS"). LEGALLY, IMC IS CONSIDERED AN "AFFILIATE" OF OBHS AND THE TWO OTHER HOSPITALS. THIS AFFILIATION IS INTENDED TO ENSURE THAT ALL THREE HOSPITALS GET BACK TO FISCAL STABILITY AND SUSTAINABILITY, TO CONTINUE PROVIDING HEALTHCARE TO THEIR PREDOMINANTLY LOW-INCOME PATIENT POPULATION. THE ESTABLISHMENT OF OBHS IS ALLOWING IMC TO PARTNER WITH ITS AFFILIATE HOSPITALS AND A BROADER ARRAY OF COMMUNITY STAKEHOLDERS TO LEVERAGE RESOURCES AND HEALTHCARE INNOVATIONS THAT WILL IMPROVE HEALTHCARE DELIVERY FOR THE UNDERSERVED COMMUNITIES THAT EACH HOSPITAL HAS BEEN SERVING FOR DECADES. IN 2018, OBHS RECEIVED A $664 MILLION CAPITAL GRANT FROM NEW YORK STATE TO IMPROVE THE CAPITAL INFRASTRUCTURE OF BROOKDALE AND THE TWO OTHER AFFILIATE HOSPITALS. FUNDS WILL BE USED TO PURCHASE MORE TECHNOLOGICALLY ADVANCED EQUIPMENT, RENOVATE AND BUILD NEW FACILITIES THAT WILL SUPPORT BETTER HEALTHCARE DELIVERY. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NY |
| PART VI, LINE 2, ASSESSMENT OF COMMUNITY HEALTH NEEDS CONTINUED: | BECAUSE OF THE PANDEMIC AND ITS EFFECTS TO THE CATCHMENT AREA WHICH OBH SERVICES, SEVERAL OF OUR NORMAL OUTREACH PROGRAMS TO THE COMMUNITY WERE EITHER CANCELLED OR SEVERELY CURTAILED. FOR EXAMPLE, DUE TO NEW YORK STATE DEPARTMENT OF HEALTH GUIDANCE, OBH FACILITIES WERE NOT ABLE TO OFFER FREE SCREENINGS TO THE COMMUNITY AS OUR CLINICS WERE CLOSED TO OUTSIDE VISITORS. ONCE THESE PROHIBITIONS WERE LIFTED, OBH STILL EXPERIENCED A SIGNIFICANT DECREASE IN OUR OVERALL BUSINESS SUCH AS ER AND CLINIC VISITS. OBH CONTINUES TO WORK WITH THE LOCAL COMMUNITY AS WELL AS ITS POLITICAL AND RELIGIOUS LEADERS TO REMIND PEOPLE THAT IT IS STILL IMPORTANT FOR THEM TO TAKE ADVANTAGE OF OUR FREE SCREENINGS AND TO NOT DEFER THEIR HEALTHCARE VISITS. WHILE OBH LOOKS TO REESTABLISH OUR FREE SCREENINGS AND OTHER CHARITABLE ENDEAVORS WITHIN THE COMMUNITY IN 2021, WE HAVE WORKED WITH FEMA AND THE NYS DOH TO SET UP A VACCINATION PROGRAM FOR OUR EMPLOYEES AND THE COMMUNITY SO THAT FREE AND READY ACCESS WAS AVAILABLE TO ALL SO THAT WE CAN HELP VACCINATE THE LOCAL POPULATION AND HELP COMBAT THE SPREAD OF COVID. THIS VACCINATION PROGRAM STARTED IN LATE DECEMBER AND CONTINUED INTO 2021. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OLALEKAN BADIRU | ||||||||||||||
| PHYSICIAN | $649,504 | $0 | $0 | $0 | $228 | $0 | $0 | $0 | $7,251 | $0 | $656,983 | $0 | $0 | $0 |
| KURT KODROFF | ||||||||||||||
| CHIEF QUALITY OFFICER, OBH | $600,466 | $0 | $0 | $0 | $9,659 | $0 | $0 | $0 | $36,739 | $0 | $646,864 | $0 | $0 | $0 |
| VIJAY AKKAPEDDI | ||||||||||||||
| CHAIR EMERGENCY DEPARTMENT | $569,393 | $0 | $0 | $0 | $228 | $0 | $0 | $0 | $38,803 | $0 | $608,424 | $0 | $0 | $0 |
| PAUL ROSENFELD | ||||||||||||||
| EXECUTIVE DIRECTOR | $529,155 | $0 | $0 | $0 | $4,188 | $0 | $0 | $0 | $41,553 | $0 | $574,896 | $0 | $0 | $0 |
| MARC ROSS MD | ||||||||||||||
| CHAIR REHAB MEDICINE | $529,342 | $0 | $0 | $0 | $228 | $0 | $0 | $0 | $38,803 | $0 | $568,373 | $0 | $0 | $0 |
| SIBTE BURNEY MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $540,583 | $0 | $0 | $0 | $217 | $0 | $0 | $0 | $23,751 | $0 | $564,551 | $0 | $0 | $0 |
| JOHN SCHMITT CPA | ||||||||||||||
| SENIOR VP OF FINANCE & CFO | $510,310 | $0 | $0 | $0 | $10,740 | $0 | $0 | $0 | $41,553 | $0 | $562,603 | $0 | $0 | $0 |
| RAOUF HANNA | ||||||||||||||
| EMERGENCY ROOM PHYSICIAN | $509,062 | $0 | $0 | $0 | $228 | $0 | $0 | $0 | $0 | $0 | $509,290 | $0 | $0 | $0 |
| JAMES WOLBERG | ||||||||||||||
| CHAIR PSYCHIATRY DEPARTMENT | $399,326 | $0 | $0 | $0 | $228 | $0 | $0 | $0 | $38,803 | $0 | $438,357 | $0 | $0 | $0 |
| ROBERT DUBICKI | ||||||||||||||
| SENIOR VP OF STRATEGIC PLANNING | $390,811 | $0 | $0 | $0 | $1,046 | $0 | $0 | $0 | $36,739 | $0 | $428,596 | $0 | $0 | $0 |
| JANE LEDERER | ||||||||||||||
| CHIEF NURSING OFFICER | $260,231 | $0 | $0 | $0 | $228 | $0 | $0 | $0 | $9,522 | $0 | $269,981 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | ONE BROOKLYN HEALTH SYSTEM, INC. ("OBHS") IS THE SOLE MEMBER OF KINGSBROOK JEWISH MEDICAL CENTER |
| FORM 990, PART VI, SECTION A, LINE 7A | MEMBERS MAY ELECT AND APPOINT MEMBERS OF THE GOVERNING BOARD AND BOARD OFFICERS OF THE CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | OBHS IS THE SOLE MEMBER OF KINGSBROOK JEWISH MEDICAL CENTER, AND IT HAS RESERVED POWERS THAT ARE DELINEATED IN THE BYLAWS OF KINGSBROOK JEWISH MEDICAL CENTER. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE CFO HAS CONDUCTED A REVIEW OF THE 990 WITH THE HOSPITAL'S TAX ACCOUNTANT AND ALL APPROPRIATE CHANGES HAVE BEEN MADE. DRAFT RETURNS WERE THEN PROVIDED TO THE BOARD MEMBERS OF THE FINANCE AUDIT AND COMPLIANCE COMMITTEE (FACC) FOR THEIR REVIEW FOR ANY ADDITIONAL COMMENTARY, OBSERVATIONS, OR RECOMMENDATIONS. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST POLICY 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, SECTION B, LINE 15 | COMPENSATION POLICY CONSISTENT WITH BEST PRACTICES IN GOVERNANCE AND FIDUCIARY OVERSIGHT OF TAX EXEMPT FUNDS, KINGSBROOK JEWISH MEDICAL CENTER (KJMC) HAS INSTITUTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY AND COMPENSATION COMMITTEE CHARTER. THE COMPENSATION COMMITTEE IS AUTHORIZED BY THE BOARD TO DEVELOP AND RECOMMEND FOR BOARD APPROVAL THE COMPENSATION OF THE PRESIDENT AND CEO AND MEMBERS OF SENIOR MANAGEMENT (SENIOR VICE PRESIDENTS, VICE PRESIDENTS AND ASSISTANT VICE PRESIDENTS). ONLY INDEPENDENT MEMBERS OF THE BOARD SHALL ASSISTANT VICE PRESIDENTS). ONLY INDEPENDENT MEMBERS OF THE BOARD SHALL PARTICIPATE IN COMPENSATION DELIBERATIONS AND DECISIONS (I.E., EMPLOYEES, MEMBERS OF THE MEDICAL STAFF AND CONSULTANTS ARE NOT DEEMED INDEPENDENT FOR THESE PURPOSES). ALL EXECUTIVE COMPENSATION DECISIONS ARE BASED ON COMPETITIVE MARKET DATA, ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE RESULTS, AND ALIGNMENT WITH KJMC'S EXECUTIVE COMPENSATION PHILOSOPHY. THE BOARD'S COMPENSATION COMMITTEE REVIEWS AND APPROVES ALL EXECUTIVE COMPENSATION TO ENSURE LEGAL AND REGULATORY COMPLIANCE AND ADHERENCE TO GOVERNANCE BEST PRACTICES AND PROPER FIDUCIARY OVERSIGHT AS STEWARDS OF TAX EXEMPT ASSETS. THE EXECUTIVE COMPENSATION PHILOSOPHY STATES ITS INTENT IS TO MAINTAIN A COMPETITIVE EXECUTIVE COMPENSATION PROGRAM IN ORDER TO ATTRACT, RETAIN AND MOTIVATE QUALIFIED EMPLOYEES TO SUPPORT THE MISSION AND BUSINESS GOALS OF KJMC. THE COMPENSATION COMMITTEE RETAINS OUTSIDE LEGAL COUNSEL WHO REVIEWS COMPLIANCE WITH TAX AND REGULATORY REQUIREMENTS AS WELL AS THE SERVICES OF AN INDEPENDENT QUALIFIED COMPENSATION CONSULTANT WHO COMPILES AND ANALYZES PUBLISHED SURVEY DATA, ON AN ANNUAL BASIS, FOR BASE SALARIES AND TOTAL COMPENSATION PROVIDED BY TAX EXEMPT HOSPITALS AND MEDICAL CENTERS SIMILAR TO KJMC IN SIZE, OPERATIONS AND LOCATION. THE COMMITTEE'S REVIEW OF COMPENSATION OCCURS ANNUALLY SUCH THAT EXECUTIVE COMPENSATION AND BENEFITS. BY FOLLOWING THE PRECEDING GOVERNANCE AND FIDUCIARY PRACTICES, THE COMMITTEE QUALIFIES FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS REGULATIONS OF THE INTERNAL REVENUE CODE SUCH THAT THE TOTAL COMPENSATION PROVIDED TO THE EXECUTIVES IS COMPARED TO WHAT IS ORDINARILY PAID FOR LIKE SERVICES BY LIKE ENTERPRISES UNDER LIKE CIRCUMSTANCES", AS DEFINED IN THE INTERMEDIATE SANCTIONS REGULATIONS. BASE PAY FOR EACH EXECUTIVE IS EASED ON FACTORS INCLUDING MARKET DATA, TENURE, EXPERIENCE, AND INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE. EXECUTIVE BASE PAY IS REVIEWED AND SET ANNUALLY BY THE INDEPENDENT MEMBERS OF THE COMPENSATION COMMITTEE OF THE INDEPENDENT DIRECTORS OF KINGSBROOK JEWISH MEDICAL CENTER [KJMC], BASED ON THE EXECUTIVE COMPENSATION PHILOSOPHY AND COMPENSATION COMMITTEE CHARTER. AS DESCRIBED IN KJMC'S EXECUTIVE COMPENSATION PHILOSOPHY AND COMPENSATION COMMITTEE CHARTER, KJMC SUPPORTS PERFORMANCE BASED COMPENSATION AND THEREFORE HAS IMPLEMENTED AN ANNUAL INCENTIVE PAY PROGRAM (EXECUTIVE MANAGEMENT ANNUAL INCENTIVE PLAN) FOR THE EXECUTIVES, WHICH IS CURRENTLY SUSPENDED, AND A LONG TERM INCENTIVE PAY PROGRAM (ANNUALIZED STRATEGIC PERFORMANCE INCENTIVE) FOR THE PRESIDENT AND CEO. THE ANNUAL AND LONG-TERM INCENTIVE PAY PROGRAMS ARE DESIGNED TO SUPPORT THE ATTAINMENT OF ANNUAL AND STRATEGIC PERFORMANCE OBJECTIVES AND REFLECT A COMBINATION OF FORMULAIC WEIGHTINGS PROVIDING FOR THRESHOLD, TARGET AND MAXIMUM BONUS LEVELS AND DISCRETIONARY JUDGMENT AS DETERMINED BY THE COMPENSATION COMMITTEE. THE PERFORMANCE MEASURES ARE SET PRIOR TO THE BEGINNING OF EACH PLAN YEAR AND PLAN PAYMENTS ARE DETERMINED BASED ON AUDITED FINANCIAL RESULTS AND OTHER MEASURES. CONTINUE TO BE COMPETITIVE AND REASONABLE. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION: THE ORGANIZATION MAKES ITS FORM 1023 AND FORM 990 AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). |
| FORM 990, PART IX, LINE 11G | OTHER PROF FEES: PROGRAM SERVICE EXPENSES 18,014,463. MANAGEMENT AND GENERAL EXPENSES 5,508,740. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,523,203. |
| FORM 990, PART XI, LINE 9: | TRANSFER TO AFFILIATES -24,427,980. NET PERIODIC PENSION COSTS OTHER THAN SERVICE COSTS -1,213,293. PENSION-RELATED CHANGES OTHER THAN PERIODIC COSTS 187,499. |
| FORM 990, PART VI, SECTION B, LINE 15B | COMPENSATION REVIEW 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| AMBOY PROPERTIES CORPORATION | |||||||||||
| 101-01 AVENUE D | BROOKLYN | NY | 11236 | 112814707 | PARKING GARAGE | NY | 501(C)(3) | LINE 12A, I | ONE BROOKLYN HEALTH SYSTEM INC | 0 | |
| BROOKDALE FAMILY CARE CENTERS INC | |||||||||||
| 101-01 AVENUE D | BROOKLYN | NY | 11236 | 113237483 | HEALTHCARE | NY | 501(C)(3) | LINE 3 | ONE BROOKLYN HEALTH SYSTEM INC | 0 | |
| LINROC COMMUNITY SERVICE CORPORATION | |||||||||||
| 101-01 AVENUE D | BROOKLYN | NY | 11236 | 112814765 | SUPPORT ORG | NY | 501(C)(3) | LINE 12A, I | ONE BROOKLYN HEALTH SYSTEM INC | 0 | |
| ROCKREAL CORPORATION | |||||||||||
| 101-01 AVENUE D | BROOKLYN | NY | 11236 | 112814705 | SUPPORT ORG | NY | 501(C)(3) | LINE 12A, I | ONE BROOKLYN HEALTH SYSTEM INC | 0 | |
| SAMUEL AND BERTHA SCHULMAN INSTITUTE FUND INC | |||||||||||
| 101-01 AVENUE D | BROOKLYN | NY | 11236 | 237270262 | HEALTHCARE | NY | 501(C)(3) | LINE 12A, I | THE SCHULMAN AND SCHACHNE INSTITUTE FOR NURSING AND REHABILITATIONINC | 0 | |
| BROOKLYN RESIDENCE HOUSING DEVELOPMENT | |||||||||||
| 101-01 AVENUE D | BROOKLYN | NY | 11236 | 113324040 | HOUSING | NY | 501(C)(3) | LINE 10 | ONE BROOKLYN HEALTH SYSTEM INC | 0 | |
| THE SCHULMAN & SCHACHNE INSTITUTE FOR NURSING AND REHABILITATION INC | |||||||||||
| 101-01 AVENUE D | BROOKLYN | NY | 11236 | 237085986 | HEALTHCARE | NY | 501(C)(3) | LINE 3 | ONE BROOKLYN HEALTH SYSTEM INC | 0 | |
| URBAN STRATEGIES | |||||||||||
| 101-01 AVENUE D | BROOKLYN | NY | 11236 | 113237480 | HEALTHCARE | NY | 501(C)(3) | LINE 3 | ONE BROOKLYN HEALTH SYSTEM INC | 0 | |
| BROOKDALE HEALTH SYSTEM INC | |||||||||||
| ONE BROOKDALE PLAZA | BROOKLYN | NY | 11212 | 460797064 | SUPPORT ORG | NY | 501(C)(3) | LINE 3 | 0 | N/A | |
| BROOKDALE HOSPITAL MEDICAL CENTER | |||||||||||
| ONE BROOKDALE PLAZA | BROOKLYN | NY | 11212 | 111631746 | SUPPORT ORG | NY | 501(C)(3) | LINE 3 | ONE BROOKLYN HEALTH SYSTEM INC | 0 | |
| RUTLAND NURSING HOME | |||||||||||
| 585 SCHENECTADY AVENUE | BROOKLYN | NY | 11203 | 112164674 | HEALTHCARE | NY | 501(C)(3) | LINE 10 | ONE BROOKLYN HEALTH SYSTEM INC | 0 | |
| INTERFAITH MEDICAL CENTER INC | |||||||||||
| 1545 ATLANTIC AVENUE | BROOKLYN | NY | 11213 | 112626155 | HEALTHCARE | NY | 501(C)(3) | LINE 3 | ONE BROOKLYN HEALTH SYSTEM INC | 0 | |
| ONE BROOKLYN HEALTH SYSTEM INC | |||||||||||
| ONE BROOKDALE PLAZA | BROOKLYN | NY | 11212 | 815323275 | SUPPORT ORG | NY | 501(C)(3) | LINE 7 | 0 | N/A | |
| KINGSBROOK JEWISH MEDICAL AUXILIARIES | |||||||||||
| 585 SCHENECTADY AVENUE | BROOKLYN | NY | 11203 | 113016121 | SUPPORT ORG | NY | 501(C)(3) | LINE 12A, I | KINGSBROOK JEWISH MEDICAL CENTER INC | 0 | |
| KINGSBROOK HEALTHCARE SYSTEM INC | |||||||||||
| 585 SCHENECTADY AVENUE | BROOKLYN | NY | 11203 | 030464734 | SUPPORT ORG | NY | 501(C)(3) | LINE 12A, I | ONE BROOKLYN HEALTH SYSTEM INC | 0 | |
| KINGSBROOK HEALTHCARE FOUNDATION INC | |||||||||||
| 585 SCHENECTADY AVENUE | BROOKLYN | NY | 11203 | 112845058 | SUPPORT ORG | NY | 501(C)(3) | LINE 12A, I | ONE BROOKLYN HEALTH SYSTEM INC | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Share Of Total IncomeShareOfTotalIncomeAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BHMC ENTERPRISES | |||||||||||||
| 101-01 AVENUE D | BROOKLYN | NY | 11236 | 112855200 | LEASEHOLDER OF MEDICAL OFFICE BUILDING (INACTIVE) | NY | N/A | C | 0 | ||||
| BROOKDALE RX | |||||||||||||
| 101-01 AVENUE D | BROOKLYN | NY | 11236 | 202041821 | RETAIL PHARMACY | NY | N/A | C | 0 | ||||
| LCSC HOLDINGS | |||||||||||||
| 101-01 AVENUE D | BROOKLYN | NY | 11236 | 113357198 | HOLDING COMPANY | NY | N/A | C | 0 | ||||
| INTERFAITH EMERGENCY MEDICINE PC | |||||||||||||
| 1545 ATLANTIC AVENUE | BROOKLYN | NY | 11213 | 452480633 | PHYSICIAN BILLING | NY | N/A | C | 0 | ||||
| INTERFAITH PROFESSIONAL PHYSICIAN SVC PC | |||||||||||||
| 1545 ATLANTIC AVENUE | BROOKLYN | NY | 11213 | 451861648 | PHYSICIAN BILLING | NY | N/A | C | 0 | ||||
| INTERFAITH PSYCHIATRY SERVICES PC | |||||||||||||
| 1545 ATLANTIC AVENUE | BROOKLYN | NY | 11213 | 274297404 | PHYSICIAN BILLING | NY | N/A | C | 0 | ||||
| SMILE BROOKLYN DENTAL PC | |||||||||||||
| 1545 ATLANTIC AVENUE | BROOKLYN | NY | 11213 | 474320438 | PHYSICIAN BILLING | NY | N/A | C | 0 | ||||
| KSI INC | |||||||||||||
| 585 SCHENECTADY AVENUE | BROOKLYN | NY | 11203 | 562327654 | INACTIVE | NY | C | 0 | KJMC | $28,530 | 1.00000 | ||
| SINGULAB INC | |||||||||||||
| 585 SCHENECTADY AVENUE | BROOKLYN | NY | 11203 | 562327669 | INACTIVE | DE | C | 0 | KJMC | $44,528 | 1.00000 | ||
| ATM NURSE REGISTRY | |||||||||||||
| 585 SCHENECTADY AVENUE | BROOKLYN | NY | 11203 | 562327649 | INACTIVE | NY | N/A | C | 0 | ||||
| KINGSBROOK LTACH INC | |||||||||||||
| 585 SCHENECTADY AVENUE | BROOKLYN | NY | 11203 | 800712226 | INACTIVE | NY | C | 0 | KJMC | 1.00000 | |||
| KINGSBROOK MEDICAL ASSOCIATES PC | |||||||||||||
| 585 SCHENECTADY AVENUE | BROOKLYN | NY | 11203 | 452351859 | BILLING & COLLECTION | NY | C | 0 | KJMC | $14,569 | 1.00000 | $3,536,538 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KINGSBROOK MEDICAL ASSOCIATES PC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | S | TransactionTypeTxt |
| Involved | $5,236,506 | InvolvedAmt |
| Method Of Amount Determination | ACTUAL AMOUNT | MethodOfAmountDeterminationTxt |
Comments