2019-11-12T13:07:57-06:00 2018-12-31 221478099 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 990 2018-01-01 237085986 THE SCHULMAN AND SCHACHNE INSTITUTE FOR NURSING AND REHABILITATION INC SCHU 7182405200 101-01 AVENUE D BROOKLYN NY 11236 ROBERT PALERMO CHIEF FINANCIAL OFFICER 7182405200 2019-11-12 1 LORI ROTHE YOKOBOSKY CPA P01273422 2122970400 2019-11-06 209.59.242.22 2019-11-12 09:53:36 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F9BA0E82A6D947CC92540FBC56E8B73643681DA5 2018 2020-03-31 21:24:44Z DOMINICK STANZIONE 101-01 AVENUE D BROOKLYN NY 11236 62744057 0 X WWW.BROOKDALEHOSPITAL.ORG X 1970 NY WE PROVIDE GREATER ACCESS TO HIGH QUALITY MEDICAL CARE AND KEEP OUR COMMUNITIES HEALTHY THROUGH AN INTEGRATED CARE SYSTEM THAT RESPECTS THE DIVERSITY OF OUR COMMUNITIES AND ADDRESSES BOTH THE HEALTH NEEDS AND UNIQUE FACTORS THAT SHAPE THEM. 20 20 570 87 0 72489 455196 1305346 64197061 61075886 1603 837 338675 361988 64992535 62744057 0 0 0 0 46769578 48653654 0 0 0 37892844 40387737 84662422 89041391 -19669887 -26297334 21260849 16032199 236785833 257854517 -215524984 -241822318 WE PROVIDE GREATER ACCESS TO HIGH QUALITY MEDICAL CARE AND KEEP OUR COMMUNITIES HEALTHY THROUGH AN INTEGRATED CARE SYSTEM THAT RESPECTS THE DIVERSITY OF OUR COMMUNITIES AND ADDRESSES BOTH THE HEALTH NEEDS AND UNIQUE FACTORS THAT SHAPE THEM. 0 0 76027573 61109266 THE SCHULMAN AND SCHACHNE INSTITUTE FOR NURSING AND REHABILITATION IS A VOLUNTARY, NOT FOR PROFIT, RESIDENTIAL HEALTHCARE FACILITY CREATED TO PROVIDING PATIENT HEALTH CARE SERVICES INCLUDING MEDICAL, NURSING REHABILITATIVE, AND THERAPEUTIC SERVICES. 76027573 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 44 0 1 570 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 20 20 1 0 1 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X ROBERT PALERMO CFO 7182405773 101-01 AVENUE D BROOKLYN NY 11236 ALEX ROVT TRUSTEE/CHAIRMAN 0.05 0.95 X X 0 0 0 ANTHONY CLEMENZA TRUSTEE 0.05 0.95 X 0 0 0 ASCHER MESTEL MD OUTGOING TRUSTEE 0.05 0.95 X 0 0 0 BISHOP HUGH NELSON TRUSTEE 0.05 0.95 X 0 0 0 DR JOSEPH CUIFFO TRUSTEE 0.05 0.95 X 0 0 0 DR K TORIAN EASTERLING TRUSTEE 0.05 0.95 X 0 0 0 DR SCOTT TENNER OUTGOING TRUSTEE 0.05 0.95 X 0 0 0 DR SOFIA NOVAK TRUSTEE 0.05 0.95 X 0 0 0 EDNA WELLS-HANDY TRUSTEE 0.05 0.95 X 0 0 0 GENEVIEVE SORENSEN VICE PRESIDENT 1.00 44.40 X X 0 323444 8816 HENNA WHITE SECRETARY/ TREASURER 0.05 0.95 X X 0 0 0 HOPE MASON TRUSTEE 0.05 0.95 X 0 0 0 IRINA BENFIELD OUTGOING SECRETARY 0.05 0.95 X X 0 0 0 LOWELL M RUBIN OUTGOING TRUSTEE/VICE CHAIRMAN 0.05 0.95 X X 0 0 0 MARK SHELTON TRUSTEE 0.05 0.95 X 0 0 0 MAURICE A REID TRUSTEE 0.05 0.95 X 0 0 0 MICHAEL IRWIN TRUSTEE 0.05 0.95 X 0 0 0 MICHAEL L NAIRNE TRUSTEE 0.05 0.95 X 0 0 0 MICHAEL SCAGNELLI TRUSTEE 0.05 0.95 X 0 0 0 MICHAEL SPIEGEL OUTGOING TRUSTEE 0.05 0.95 X 0 0 0 NUSIN SHTERN TRUSTEE 0.05 0.95 X 0 0 0 RABBI ARYEH KATZIN TRUSTEE 0.05 0.95 X 0 0 0 REV WATERMAN VICE-CHAIRPERSON 0.05 0.95 X X 0 0 0 RICHARD E GREEN TRUSTEE 0.05 0.95 X 0 0 0 STEPHEN PLOTNICK OUTGOING TRUSTEE 0.05 0.95 X 0 0 0 VICTOR AYALA TRUSTEE 0.05 0.95 X 0 0 0 DOMINICK STANZIONE CHIEF EXECUTIVE OFFICER 1.00 44.40 X 0 1325144 29870 JAMES PORTER OUTGOING CHIEF FINANCIAL OFFICER 1.00 44.40 X 0 0 0 REGINALD BULLOCK ASSISTANT SECRETARY 0.05 44.40 X 0 366312 32457 ROBERT PALERMO CHIEF FINANCIAL OFFICER 1.00 44.40 X 0 50685 0 IRENE AHENKORA PHYSICIAN 40.00 X 206630 0 1560 LUCIA NIXON MEDICAL DIRECTOR 40.00 X 222522 0 10688 MEHDI AHMADI PHYSICIAN 40.00 X 166476 0 2737 MRIDULA SAXENA PHYSICIAN 40.00 X 214957 0 18106 NAJWAH SIMPSON PHYSICIAN 40.00 X 191688 0 0 1002273 2065585 104234 68 0 1 0 AFFINITY REHABILITION LLP 10600 YORK ROAD SUITE 105 COCKYESVILLE MD 21030 THERAPY STAFFING 962740 1 123753 1181593 1305346 NET PATIENT REVENUE AFTER BAD DEB 623000 60967145 60967145 SVCS FOR RELATED ORGS 623000 98176 98176 OTHER PATIENT SERVICES 623000 10565 10565 61075886 837 837 328608 0 328608 328608 328608 MISC. REVENUE 900099 32100 32100 VENDOR SETTLEMENT 900099 1280 1280 33380 62744057 61109266 0 329445 35741883 34486246 1255637 2946615 2828750 117865 7197595 6911498 286097 2767561 2656859 110702 17454 17454 23059 23059 2515579 1994369 521210 173994 145431 28563 1455356 1429418 25938 5608 5386 222 10388 9972 416 50 50 697092 697092 161893 161893 CHARGEBACKS 26752635 16715104 10037531 CASH RECEIPTS ASSESMENT 3418100 3418100 PROVISION FOR BAD DEBTS 2057079 2057079 MEDICAL AND PHARMACEUTI 1619221 1619221 1480229 891105 589124 89041391 76027573 13013818 0 4182328 576848 11207953 9896455 192915 407182 4500 117211 52481993 47650324 5490646 4831669 182507 202834 21260849 16032199 6171889 5476644 182507 171366 230431437 252206507 236785833 257854517 X -215524984 -241822318 -215524984 -241822318 21260849 16032199 -26297334 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 23059 23059 0 PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF AN ASSOCIATION OF WHICH SOME OF THEIR DUES ARE ALLOCATED TO GRASS ROOTS LOBBYING IN REGARD TO THEIR NEEDS IN SERVICING AND PROVIDING HEALTHCARE TO THE PUBLIC. COST SPENT ON LOBBY ACTIVITIES FOR THE YEAR: CONTINUING CARE LEADERSHIP COALITION 5,705 GREATER NEW YORK HOSPITAL ASSOCIATION 17,354 TOTAL COST $23,059 1 1 X 623716 623716 35491263 32497749 2993514 16367014 15152575 1214439 4831669 DUE TO THIRD-PARTY PAYORS 52064423 DUE TO AFFILIATES 200142084 252206507 X 603079844 540335787 540335787 62744057 0 62744057 626842247 539857935 539857935 86984312 2057079 2057079 89041391 PART IV, LINE 2B: THE ORGANIZATION HOLDS RESIDENTS' FUNDS IN A TRUST. PART X, LINE 2: MANAGEMENT CONTINUES TO REVIEW TRANSACTIONS TO ESTIMATE POTENTIAL UNRELATED BUSINESS INCOME TAX LIABILITY. IT IS MANAGEMENT'S ESTIMATION THAT THERE ARE NO MATERIAL TAX LIABILITIES, WHICH NEED TO BE RECORDED. PART XI, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION REVENUES 572,371,222. PROVISION FOR BAD DEBTS -2,057,079. INTERCOMPANY ELIMINATIONS -29,978,356. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION EXPENSES 597,571,528. INTERCOMPANY ELIMINATIONS -57,713,593. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 2,057,079. 0 0 0 0 0 0 0 0 0 GENEVIEVE SORENSEN VICE PRESIDENT 0 319880 0 0 0 3564 0 0 0 8816 0 332260 0 0 DOMINICK STANZIONE CHIEF EXECUTIVE OFFICER 0 1321334 0 0 0 3810 0 0 0 29870 0 1355014 0 0 REGINALD BULLOCK ASSISTANT SECRETARY 0 364630 0 0 0 1682 0 0 0 32457 0 398769 0 0 IRENE AHENKORA PHYSICIAN 206630 0 0 0 0 0 0 0 1560 0 208190 0 0 0 LUCIA NIXON MEDICAL DIRECTOR 221215 0 0 0 1307 0 0 0 10688 0 233210 0 0 0 MEHDI AHMADI PHYSICIAN 166476 0 0 0 0 0 0 0 2737 0 169213 0 0 0 MRIDULA SAXENA PHYSICIAN 214957 0 0 0 0 0 0 0 18106 0 233063 0 0 0 NAJWAH SIMPSON PHYSICIAN 191688 0 0 0 0 0 0 0 0 0 191688 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 ALEX ROVT, CHAIRMAN AND TRUSTEE, IRINA BENFIELD, SECRETARY, AND STEPHEN PLOTNICK, TRUSTEE, ALL HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER. FORM 990, PART VI, SECTION A, LINE 4 ON OR ABOUT MARCH 26, 2018 , THE ORGANIZATION'S FORMER PARENT, BROOKDALE HEALTH SYSTEM, INC., SIMULTANEOUSLY RESIGNED AS THE SOLE MEMBER OF THE ORGANIZATION AND APPOINTED ONE BROOKLYN HEALTH SYSTEM, INC., A NEW YORK NOT FOR PROFIT CORPORATION AND EXEMPT ORGANIZATION UNDER IRC 501(C)(3), AS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION; AS PART OF THAT PROCESS, THE ORGANIZATION AMENDED ITS CERTIFICATE OF INCORPORATION TO REDUCE THE MINIMUM NUMBER OF TRUSTEES THAT ARE REQUIRED TO BE ON THE BOARD. THE ORGANIZATION ALSO AMENDED ITS BYLAWS TO APPOINT ONE BROOKLYN HEALTH SYSTEM, INC. AS ITS SOLE CORPORATE MEMBER WITH THE POWER TO ELECT OR REMOVE THE MEMBERS OF THE BOARD AND BOARD OFFICERS OF THE ORGANIZATION, APPOINT AND REMOVE THE CORPORATE OFFICERS OF THE ORGANIZATION, AND APPROVE CHANGES TO THE CERTIFICATE OF INCORPORATION AND BYLAWS OF THE ORGANIZATION, AMONG OTHER POWERS. FORM 990, PART VI, SECTION A, LINE 6 ONE BROOKLYN HEALTH SYSTEM, INC., A NEW YORK NOT-FOR-PROFIT ORGANIZATION, IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A ONE BROOKLYN HEALTH SYSTEM, INC., AS SOLE MEMBER OF THE ORGANIZATION, HAS THE AUTHORITY TO APPOINT AND REMOVE THE TRUSTEES OF THE ORGANIZATION, AND OTHER AUTHORITIES AS DEFINED IN THE BYLAWS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 AND APPROPRIATE SCHEDULES, AS REQUIRED, IS PREPARED BY OUTSIDE ACCOUNTANTS AND REVIEWED INTERNALLY BY MANAGEMENT AND COUNSEL, AT WHICH TIME IT IS CONSIDERED THE FINAL DRAFT. THE FINAL DRAFT OF THE FORM 990 IS THEN FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C DISCLOSURE IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY BY EMPLOYEES THAT SATISIFY THE CRITERIA TO BE CONSIDERED "INTERESTED PERSONS" IS SUBMITTED UPON HIRING AND ANNUALLY THEREAFTER. THE AUDIT AND COMPLIANCE COMITTEE REVIEWS THE SUBMISSIONS FOR CONFLICTS AND THE DEPARTMENT OF INTERNAL AUDIT MANAGES COMPLIANCE. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART VII, SECTION A: IN 2018, THERE WAS A TRANISITION OF THIS OUTSOURCED CHIEF FINANCIAL MANAGEMENT POSITION FROM TONEYKORF TO A HIRED EMPLOYED CHIEF FINANCIAL OFFICER. ALL COMPENSATION PAID IN CONNECTION WITH THE ABOVE SERVICES WERE PAID DIRECTLY TO TONEYKORF PARTNERS, LLC, RESPECTIVELY, BY THE BROOKDALE HOSPITAL MEDICAL CENTER, A RELATED ENTITY OF THE ORGANIZATION. FORM 990, PART IV, QUESTION 20A: THE ORGANIZATION IS LICENSED UNDER ARTICLE 28 OF NEW YORK STATE PUBLIC HEALTH LAW. HOWEVER, SUBSECTION 10 OF ARTICLE 28 EXCLUDES CERTAIN HEALTHCARE FACILITIES FROM THE DEFINITION OF GENERAL HOSPITAL. THEREFORE, THE ORGANIZATION IS NOT INCLUDING SCHEDULE H IN THE CURRENT YEAR FORM 990 AS THEY DO NOT MEET THIS DEFINITION. 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 BROOKDALE HOSPITAL MEDICAL CENTER ONE BROOKDALE PLAZA BROOKLYN NY 11212 111631746 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 7 THE SCHULMAN AND SCHACHNE INSTITUTE FOR NURSING AND REHABILITATION INC 1 BROOKLYN RESIDENCE HOUSING DEVELOPMENT 101-01 AVENUE D BROOKLYN NY 11236 113324040 HOUSING NY 501(C)(3) LINE 11 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 NY 501(C)(3) LINE 3 N/A 0 KINGSBROOK JEWISH MEDICAL CENTER 585 SCHENECTADY AVENUE BROOKLYN NY 11203 237082540 INACTIVE NY 501(C)(3) LINE 3 ONE BROOKLYN HEALTH SYSTEM INC 0 RUTLAND NURSING HOME 585 SCHENECTADY AVENUE BROOKLYN NY 11203 111631759 HEALTHCARE NY 501(C)(3) LINE 10 ONE BROOKLYN HEALTH SYSTEM INC 0 INTERFAITH MEDICAL CENTER INC 1545 ATLANTIC AVENUE BROOKLYN NY 11213 112164674 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 N/A 0 KINGSBROOK JEWISH MEDICAL AUXILIARIES 585 SCHENECTADY AVENUE BROOKLYN NY 11203 113016121 SUPPORT ORG NY 501(C)(3) LINE 12A, I ONE BROOKLYN HEALTH SYSTEM 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 NHP HOLDINGS LLC 521 FIFTH AVE NEW YORK NY 10175 203418837 HOLDING COMPANY NY N/A 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 N/A C 0 SINGULAB INC 585 SCHENECTADY AVENUE BROOKLYN NY 11203 562327669 INACTIVE DE N/A C 0 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 N/A C 0 KINGSBROOK MEDICAL ASSOCIATES PC 585 SCHENECTADY AVENUE BROOKLYN NY 11203 452351859 BILLING & COLLECTION NY N/A C 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0