2017-11-09T10:11:28-06:00 2016-12-31 221478099 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 990 2016-01-01 237085986 SAMUEL SCHULMAN INSTITUTE FOR nursing and rehabilitation SAMU 7182405200 101-01 AVENUE D BROOKLYN NY 11236 james porter chief financial officer 7182405200 2017-11-02 1 THOMAS LANNING P00851654 2122970400 2017-11-02 209.3.217.20 2017-11-02 13:34:13 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 90CC17281F34CD083B051E620E31C1B2A26173FC 2016 2021-01-29 14:40:06Z james porter 101-01 AVENUE D BROOKLYN NY 11236 64503965 0 X WWW.BROOKDALEHOSPITAL.ORG X 1970 NY THE ORGANIZATION IS A VOLUNTARY, NON-PROFIT, RESIDENTIAL HEALTHCARE FACILITY DEDICATED TO PROVIDING THE HIGHEST QUALITY OF MEDICAL CARE IN HOMELIKE ENVIRONMENT. 10 10 580 70 0 0 3254264 1875755 65279471 62183812 469 1183 401440 443215 68935644 64503965 0 0 0 0 42819049 44728736 0 0 0 40464894 37339485 83283943 82068221 -14348299 -17564256 20559725 21162354 198850566 217017451 -178290841 -195855097 THE ORGANIZATION IS A VOLUNTARY, NON-PROFIT, RESIDENTIAL HEALTHCARE FACILITY DEDICATED TO PROVIDING THE HIGHEST QUALITY OF MEDICAL CARE IN HOMELIKE ENVIRONMENT 0 0 73100388 62186404 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. 73100388 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 51 0 1 580 1 0 0 0 0 0 0 0 0 0 0 X 10 10 1 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X james porter CFO 7182405773 101-01 AVENUE D BROOKLYN NY 11236 ALEX ROVT TRUSTEE/CHAIRMAN 1.00 5.40 X X 0 0 0 ANTHONY CLEMENZA TRUSTEE 1.00 5.40 X 0 0 0 ASCHER MESTEL MD TRUSTEE 1.00 5.40 X 0 0 0 BISHOP HUGH NELSON TRUSTEE 1.00 5.40 X 0 0 0 IRINA BENFIELD SECRETARY 1.00 5.40 X X 0 0 0 ISSAC KREIZMAN MD TRUSTEE 1.00 5.40 X 0 0 0 LOWELL M RUBIN TRUSTEE/VICE CHAIRMAN 1.00 5.40 X X 0 0 0 miCHAEL Scagnelli trustee 1.00 5.40 X 0 0 0 MICHAEL SPIEGEL TRUSTEE 1.00 5.40 X 0 0 0 STEPHEN PLOTNICK TRUSTEE 1.00 5.40 X 0 0 0 James Porter chief financial officer 1.00 44.40 X 0 0 0 MARK E TONEY PRESIDENT/CEO 1.00 44.40 X 0 0 0 paul goldberg outgoing chief financial officer 1.00 44.40 X 0 325795 6753 REGINALD BULLOCK ASSISTANT SECRETARY 1.00 44.40 X 0 345152 44079 Irene Ahenkora Physician 40.00 X 170070 0 1560 Louis Belzie Physician 40.00 X 144869 0 34991 Lucia Nixon Medical Director 40.00 X 211869 0 11447 MOSTAGUE AHMED Physician 40.00 X 150043 0 15758 Mridula Saxena Physician 40.00 X 223425 0 24216 900276 670947 138804 50 0 1 0 AFFINITY REHABILITION LLP 10600 YORK ROAD SUITE 105 COCKYESVILLE MD 21030 Theraypy Staffing 902607 HEALTHPRO MANAGEMENT LLP 10600 YORK ROAD SUITE 105 COCKYESVILLE MD 21030 Therapy Management 196000 MBS Ltd 409 Hoyt Street Brooklyn NY 11231 Medical Supplies 139528 3 1874819 936 1875755 NET PATIENT REVENUE AFTER BAD DEB 623000 62155029 62155029 SVCS FOR RELATED ORGS 623000 17563 17563 Other Patient Services 623000 11220 11220 62183812 1183 1183 440623 0 440623 440623 440623 Misc. Revenue 900099 2592 2592 2592 64503965 62186404 0 441806 33340953 29000640 4340313 2883956 2595560 288396 5833126 5254119 579007 2670701 2403631 267070 88034 12688 75346 2405401 2141319 264082 842797 763552 79245 703030 637633 65397 8986 4897 4089 32057 28711 3346 11 10 1 734517 661065 73452 156250 140625 15625 chargebacks 25232559 22709303 2523256 Cash Receipts Assesment 3441943 3441943 Medical and Pharmaceuti 1799891 1799734 157 provision for bad debts 1089428 1089428 804581 415530 389051 82068221 73100388 8967833 0 2602113 4569309 2100200 468447 8978645 9903996 330053 231249 4500 7813 52029076 46230766 6348719 5798310 195495 183230 20559725 21162354 4775748 5457822 195495 183230 193879323 211376399 198850566 217017451 X -178290841 -195855097 -178290841 -195855097 20559725 21162354 -17564256 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 1840 1840 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 1,840 1 1 X 623716 623716 34754757 31402096 3352661 7085198 6027620 1057578 9565405 8801050 764355 5798310 DUE TO THIRD-PARTY PAYORS 52161899 DUE TO AFFILIATES 159214500 211376399 X 63414557 -1089408 -1089408 64503965 0 64503965 80978793 0 80978793 1089428 1089428 82068221 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: Provision for bad debts -1,089,428. Related Organization revenue 20. Part XII, Line 4b - Other Adjustments: Provision for bad debts 1,089,428. 0 0 0 0 0 0 0 0 0 paul goldberg outgoing chief financial officer 0 322747 0 0 0 3048 0 0 0 6753 0 332548 0 0 REGINALD BULLOCK ASSISTANT SECRETARY 0 344324 0 0 0 828 0 5115 0 38964 0 389231 0 0 Irene Ahenkora Physician 170070 0 0 0 0 0 0 0 1560 0 171630 0 0 0 Louis Belzie Physician 143284 0 0 0 1585 0 3035 0 31956 0 179860 0 0 0 Lucia Nixon Medical Director 210605 0 0 0 1264 0 0 0 11447 0 223316 0 0 0 MOSTAGUE AHMED Physician 150043 0 0 0 0 0 3175 0 12583 0 165801 0 0 0 Mridula Saxena Physician 223425 0 0 0 0 0 4543 0 19673 0 247641 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 3 STARTING IN DECEMBER 2012, THE HOSPITAL RETAINED TONEYKORF PARTNERS, LLC. TO PROVIDE INDIVIDUALS WHO WOULD SERVE AS THE CHIEF EXECUTIVE OFFICER AND CHIEF OPERATING OFFICER OF THE ORGANIZATION, IN THE PERSON OF MARK TONEY AND STEVEN KORF, RESPECTIVELY. IN 2016, TONEYKORF PARTNERS' SERVICES INCLUDED PROVIDING INDIVIDUALS WHO WOULD SERVE AS THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF OPERATING OFFICER, AND SVP OF RESTRUCTURING FOR THE ORGANIZATION. ALL COMPENSATION PAID IN CONNECTION WITH THE ABOVE SERVICES WERE PAID DIRECTLY TO TONEYKORF PARTNERS, LLC, RESPECTIVELY, BY THE HOSPITAL, A RELATED ENTITY OF THE ORGANIZATION. Form 990, Part VI, Section A, line 6 BROOKDALE 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 BROOKDALE 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 DELINEATED 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. AMBOY PROPERTIES CORPORATION 101-01 AVENUE D BROOKLYN NY 11236 112814707 PARKING GARAGE NY 501(c)(3) Line 12a, I BROOKDALE HEALTH SYSTEM INC 0 BROOKDALE FAMILY CARE CENTERS INC 101-01 AVENUE D BROOKLYN NY 11236 113237483 HEALTHCARE NY 501(c)(3) Line 3 BROOKDALE HEALTH SYSTEM INC 0 BROOKDALE HOSPITAL MEDICAL CENTER ONE BROOKDALE PLAZA BROOKLYN NY 11212 111631746 HEALTHCARE NY 501(c)(3) Line 3 BROOKDALE HEALTH SYSTEM INC 0 LINROC COMMUNITY SERVICE CORPORATION 101-01 AVENUE D Brooklyn NY 11236 112814765 Support NY 501(c)(3) Line 12a, I BROOKDALE HEALTH SYSTEM INC 0 ROCKREAL CORPORATION 101-01 AVENUE D Brooklyn NY 11236 112814705 Support NY 501(c)(3) Line 12a, I BROOKDALE 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 10 BROOKDALE HEALTH SYSTEM INC 0 URBAN STRATEGIES 101-01 AVENUE D Brooklyn NY 11236 113237480 Healthcare NY 501(c)(3) Line 3 BROOKDALE 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 BROOKDALE HOSPITAL CENTER HEGEMAN AVENUE HOUSING COMPANY 101-01 AVENUE D Brooklyn NY 11236 237082540 Inactive NY 501(c)(3) BROOKDALE HOSPITAL MEDICAL CENTER 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 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 0 0 0 0 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0