THE SCHULMAN AND SCHACHNE INSTITUTE FOR NURSING AND REHABILITATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
THE SCHULMAN AND SCHACHNE INSTITUTE FOR NURSING AND REHABILITATION INC (EIN 23-7085986)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201313199349310666
Schema version
2012v2.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-15T15:00:47-08:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KBL LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1114 W 47TH ST FL 19AddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10036ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237085986EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAMUEL SCHULMAN INSTITUTE FOR NURSING & REHABILITATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSAMUNameControl
Phone7182405200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101-01 AVENUE DAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11236ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJIM PORTERName
TitleCFOTitle
Phone7182405200Phone
Date Signed2013-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRICHARD LEVYCHIN CPAName
Phone2127859700Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1JIM PORTERBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1101-01 AVENUE DAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11236ZIPCode
FieldValueIRS element (for citing)
Gross Receipts74546811GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BROOKDALEHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1970YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION IS A VOLUNTARY, NON-PROFIT, RESIDENTIAL HEALTHCARE FACILITY DEDICATED TO PROVIDING THE HIGHEST QUALITY OF MEDICAL CARE IN HOMELIKE ENVIRONMENTActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees601TotalNbrEmployees
Total Nbr Volunteers77TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year74789422ProgramServiceRevenuePriorYear
Program Service Revenue CY71541550ProgramServiceRevenueCY
Investment Income Prior Year17547InvestmentIncomePriorYear
Investment Income Current Year17118InvestmentIncomeCurrentYear
Other Revenue Prior Year442358OtherRevenuePriorYear
Other Revenue Current Year2988143OtherRevenueCurrentYear
Total Revenue Prior Year75249327TotalRevenuePriorYear
Total Revenue Current Year74546811TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year38624912SalariesEtcPriorYear
Salaries Etc Current Year40793353SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year50551241OtherExpensePriorYear
Other Expenses Current Year40930791OtherExpensesCurrentYear
Total Expenses Prior Year89176153TotalExpensesPriorYear
Total Expenses Current Year81724144TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-13926826RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-7177333RevenuesLessExpensesCY
Total Assets BOY33496696TotalAssetsBOY
Total Assets EOY30741000TotalAssetsEOY
Total Liabilities BOY154417917TotalLiabilitiesBOY
Total Liabilities EOY158536921TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-120921221NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-127795921NetAssetsOrFundBalancesEOY
Mission DescriptionTHE SCHULMAN AND SCHACHNE INSTITUTE FOR NURSING AND REHABILITATION ISMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense73273390Expense
Revenue74253018Revenue
DescriptionTHE 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.Description
Total Program Service Expense73273390TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109645NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees601NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJIM PORTER CFONamePerson
Telephone Number7182405773TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1101-01 AVENUE DAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11236ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
IRINA BENFIELD
TRUSTEE1.00X000
ASCHER MESTEL MD
TRUSTEE1.00X000
BISHOP HUGH NELSON
TRUSTEE1.00X000
STEPHEN PLOTNICK
TRUSTEE1.00X000
RICHARD RADUTZKY
TRUSTEE/SECRETARY1.00X000X
ALEX ROVT
TRUSTEE/CHAIRMAN1.00X000
LOWELL M RUBIN
TRUSTEE/VICE CHAIRMAN1.00X000
LAURENCE ZALE
TRUSTEE1.00X000
EDWARD BIRNBAUM
FORMER TRUSTEE1.00X000
MOUNIR F DOSS
FORMER EXECUTIVE VP & CFO1.00X000
BRUCE FLANZ
FORMER EXECUTIVE VP & CEO1.00X000
HUGH GREENBERG
FORMER TRUSTEE1.00X000
ALVIN KAHN MD
FORMER TRUSTEE/CHARIMAN1.00X02278368526
DAVID SCHACHNE
FORMER TRUSTEE/TREASURER1.00X000
EDWIN SCHULMAN
FORMER TRUSTEE1X
DIANE SIMON
FORMER TRUSTEE1X
ALLEN SWERDLICK
FORMER TRUSTEE1X
DAVID WILKES
FORMER TRUSTEE1X
MARK E TONEY
PRESIDENT AND CHIEF EXECUTIVE OFFICER1X
STEVEN R KORF
CHIEF OPERATING OFFICER1X
JAMES R PORTER
CHIEF FINANCIAL OFFICER1X
ARTHUR J FRIED
ASSISTANT SECRETARY1X
MRIDULA SAXENA
PHYSICIAN4015836945371X
PAULINE SMITH
REGISTERED NURSE4013470537365X
VIMALSON MONICKAM
PHYSICIAN4013819226427X
FieldValueIRS element (for citing)
Total Reportable Comp From Org872051TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs227836TotalReportableCompFrmRltdOrgs
Total Other Compensation178642TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
AFFINITY REHABILITION LLP
10600 YORK ROAD SUITE 105COCKYESVILLEMD21030THERAPY STAFFING528355
HEALTHPRO MANAGEMENT LLP
10600 YORK ROAD SUITE 105COCKYESVILLEMD21030THERAPY MANAGEMENT161000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column71541550TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue71541550TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column17118TotalRevenueColumn
Exclusion$17,118ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real276113Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real276113Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column276113TotalRevenueColumn
Exclusion$276,113ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MISCELLANEOUS6230007085370853
GIFT SHOP45322024622462
SETTLEMENT OF DUE TO AFFILIATES62300026381532638153

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column562TotalRevenueColumn
Exclusion$562ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2712030TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column74546811TotalRevenueColumn
Related Or Exempt Function Income74253018RelatedOrExemptFunctionIncome
Exclusion$293,793ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total29935845Total
Program Services26658087ProgramServices
Management And General3277758ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8482052Total
Program Services7629268ProgramServices
Management And General852784ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2375456Total
Program Services2137910ProgramServices
Management And General237546ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total268276Total
Program Services255769ProgramServices
Management And General12507ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total5562Total
Program Services0ProgramServices
Management And General5562ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total589Total
Program Services0ProgramServices
Management And General589ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total45358Total
Program Services39230ProgramServices
Management And General6128ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total377269Total
Program Services0ProgramServices
Management And General377269ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1417984Total
Program Services1276186ProgramServices
Management And General141798ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total161129Total
Program Services0ProgramServices
Management And General161129ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
CASH RECEIPT ASSESSMENT4507942450794200
REAL ESTATE TAXES159600159600
UTILITIES567473510726567470
0000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total33563249Total
Program Services30258272ProgramServices
Management And General3304977ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total81724144Total
Program Services73273390ProgramServices
Management And General8450754ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY119051BOY
EOY119404EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1212062BOY
EOY2071071EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY16364590BOY
EOY11852030EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1842BOY
EOY43819EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis51260926LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec42277631LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9840950BOY
EOY8983295EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5613324BOY
EOY7419265EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY159708BOY
EOY79847EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY185169BOY
EOY172269EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY33496696BOY
EOY30741000EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5787196BOY
EOY4936697EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY8562558BOY
EOY5634676EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY140068163BOY
EOY147965548EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY154417917BOY
EOY158536921EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-120921221BOY
EOY-127795921EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-120921221BOY
EOY-127795921EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY33496696BOY
EOY30741000EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-7177333ReconcilationRevenueExpenses
Reconcilation Other Changes302633ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
Public Support Total1700PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Pertcentage1700PublicSupportPertcentage170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis623716OtherCostOrOtherBasis
Book Value623716BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis19205400OtherCostOrOtherBasis
Depreciation15781758Depreciation
Book Value3423642BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis16062705OtherCostOrOtherBasis
Depreciation14259891Depreciation
Book Value1802814BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis15188105OtherCostOrOtherBasis
Depreciation12235982Depreciation
Book Value2952123BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis181000OtherCostOrOtherBasis
Book Value181000BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8983295TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO THIRD PARTY PAYERS$47,638,244
DUE TO AFFILIATES$100,155,035
FUNDS HELD IN TRUST FOR RESIDENTS$172,269
FieldValueIRS element (for citing)
Total Of Amounts147965548TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt71908415TotRevenueEtcAuditedFinclStmt
Other Revenues319OtherRevenues
Revenue Not Rptd F990319RevenueNotRptdF990
Revenue Subtotal71908096RevenueSubtotal
Other Revenues Not Included2638715OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt2638715RevenueNotRptdOnFinStmt
Total Revenue Per Form99074546811TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt81724144TotExpensesEtcAuditedFinclStmt
Expenses Subtotal81724144ExpensesSubtotal
Total Expenses Per Form99081724144TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)

IdentifierIdentifierExplanationExplanation
Pt XI Line 4bTHE AMOUNT OF OTHER INCOME IS AS FOLLOWS:
SETTLEMENT OF NET DUE TO AFFILIATES 2,638,396 INTEREST INCOME 319 TOTAL OTHER INCOME 2,638,715
Pt X Line 2THE INSTITUTE AND THE FUND QUALIFY AS TAX - EXEMPT,
NON- PROFIT ORGANIZATIONS UNDER SECTION 501 (C) (3) OF THE INTERNAL REVENUE CODE AND THEIR INCOME IS GENERALLY
NOT SUBJECT TO FEDERAL, STATE, OR LOCAL INCOME TAXES.
Pt XI Line 2dINTEREST INCOME INCLUDED ON BOOKS OF RELATED ENTITY.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
ALVIN KAHN MD
2278368526236362
MRIDULA SAXENA
158369228712037402250050279
PAULINE SMITH
134705217651720701560027711
VIMALSON MONICKAM
138192942716461917000
MOHAMMAD KALAM
137483192531671361040018204
GENEVIEVE SORENSON
30330246003346022670047570

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (58 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 11bTHE FORM 990 AND APPROPRIATE SCHEDULES, AS REQUIRED
ARE 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.
Pt VI, Line 12cDISCLOSURE IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY
BY EMPLOYEES THAT SATISFY THE CRITERIA TO BE CONSIDERED AN
"INTERESTED PERSON" IS SUBMITTED UPON HIRING AND ANNUALLY THEREAFTER.
THE AUDIT & COMPLIANCE COMMITTEE REVIEWS THE SUBMISSIONS FOR
CONFLICTS AND THE DEPARTMENT OF INTERNAL AUDIT MONITORS COMPLIANCE.
Pt VI, Line 6MEDISYS HEALTH NETWORK WAS THE SOLE MEMBER UNTIL SEPTEMBER 27, 2012.
WHEN BROOKDALE HEALTH SYSTEM INC., A NEW YORK NOT FOR PROFIT,
BECAME THE SOLE MEMBER.
Pt VI, Line 7aIN MARCH 2012 GRANT THORNTON WAS ENGAGED BY THE ORGANIZATION
TO PROVIDE MANAGEMENT SERVICES. COMMENCING APRIL 26,2012
GRANT THORNTON'S MANAGEMENT SERVICES INCLUDED THE CHIEF
EXECUTIVE AND RESTRUCTURING OFFICER, THE CHIEF OPERATING OFFICER AND THE CHIEF
FINANCIAL OFFICER POSITIONS WHICH WERE PROVIDED RESPECTIVELY
BY GRANT THORNTON EMPLOYEES MARK TONEY, STEVEN KORF, AND
JAMES PORTER AS INDICATED IN PART VII, SECTION A OFFICERS
DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND HIGHEST COMPENSATED
EMPLOYEES. ANY AMOUNTS PAID IN CONNECTION WITH THESE
SERVICES ARE PAID DIRECTLY TO GRANT THORNTON.
Pt VI, Line 7bIN MARCH 2012 GRANT THORNTON WAS ENGAGED BY THE ORGANIZATION
TO PROVIDE MANAGEMENT SERVICES. COMMENCING SEPTEMBER 27, 2012
AND OTHER AUTHORITIES AS DELINEATED IN THE BYLAWS
OF THE ORGANIZATION.
Form 990, Part IX, Line 24fPHYSICIAN FEES 960. 0. 960. 0. PHYSICAL THERAPY FEES 147740. 147740. 0. 0. OCCUPATIONAL THERAPY FEES 276263. 276263. 0. 0. CONSULTING FEES 32545. 29290. 3255. 0. COLLECTION FEES 584517. 584517. 0. 0. LEGAL SETTLMENT COSTS 3852. 0. 3852. 0. OTHER PROFESSIONAL SERVICES 1348053. 1315371. 32682. 0. PHARMACEUTICAL SUPPLIES 280531. 280531. 0. 0. MEDICAL SUPPLIES 1663406. 1630079. 33327. DUES AND SUBSCRIPTIONS 2512. 1450. 1062. 0. REPAIRS & MAINTENANCE 479490. 388650. 90840. 0. GROUNDS & LANDSCAPING 12
Pt VI, Line 2ALEX ROVT, CHAIRMAN AND TRUSTTE, IRINA BENFIELD, TRUSTEE,
AND STEVEN PLOTNICK, TRUSTTEE, ALL HAVE A BUSINESS RELATIONSHIP
WITH EACH OTHER. ALVIN KAHN MD, FORMER TRUSTEE AND CHAIRMAN,
HAS A FAMILY RELATIONSHIP WITH DIANE SIMON, A FORMER TRUSTEE.
Pt VI, Line 15aFORM 990 PART VI SECTION B LINE 15: EXECUTIVE
COMPENSATION POLICY - THE HOSPITAL'S BYLAWS PROHIBIT TRUSTEES
FROM RECEIVING ANY COMPENSATION FOR ANY SERVICES PERFORMED
IN THEIR CAPACITY AS TRUSTEE. ALSO PURSUANT TO THE HOSPITAL'S
BYLAWS A TRUSTEE SERVING IN ANOTHER CAPACITY MAY RECEIVE
REASONABLE COMPENSATION THEREFOR AS AUTHORIZED BY THE BOARD
OF TRUSTEES. IT IS THE HOSPITAL'S PRACTICE TO TARGET TOTAL
EXECUTIVE COMPENSATION (BASE SALARY, INCENTIVE COMPENSATION
AND BENEFITS)AT THE MEDIAN OF THE RELEVANT MARKETPLACE FOR
SIMILARLY SITUATED EXECUTIVES WITH APPROPRIATE ADJUSTMENTS
FOR SPECIAL SKILL,EXPERIENCE, COMPETENCE AND PERFORMANCE.
THE CEO, OR A SEPCIAL COMMITTEE OF THE BOARD OF TRUSTEES
AS APPROPRIATE WOULD RECOMMEND A REASONABLE COMPENSATION
LEVEL AFTER REVIEW OF APPROPRIATE MARKET DATA AND WHERE
APPROPRIATE CONSULTATION WITH AN INDEPENDENT COMPENSATAION
CONSULTANT IN A MANNER THAT COMPLIES WITH THE INTERMEDIATE
SANCTION REGULATIONS AND OTHER RELEVANT FEDERAL AND
STATE REQUIREMENTS.
Pt VII, Col (E)MEDISYS HEALTH NETWORK WAS THE SOLE MEMBER UNTIL SEPTEMBER 27, 2012
WHEN BROOKDALE HEALTH SYSTEM, INC., A NEW YORK NOT FOR PROFIT
BECAME THE SOLE MEMBER. ACCORDINGLY, MEDISYS HEALTH NETWORK
WAS NOT A RELATED PARTY AT DECEMBER 31, 2012.
HOWEVER FOR THE PERIOD FROM JANUARY 1, 2012 TO SEPTEMBER 27, 2012
MEDISYS HEALTH NETWORK INCURRED THE FOLLOWING COMPENSATION
ON BEHALF OF THE ORGANIZATION:
MOUNIR F. DOSS $1,198,679
BRUCE F. FLANZ $1,407,376

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
AMBOY PROPERTIES CORPORATION
101-01 AVENUE DBROOKLYNNY11236112814707PARKING GARAGENY501 ( C ) (3)11ABROOKDALE HEALTH SYSTEM INCfalse
BROOKDALE FAMILY CARE CENTERS INC
101-01 AVENUE DBROOKLYNNY11236113237483HEALTHCARENY501 ( C ) (3)3BROOKDALE HEALTH SYSTEM INCfalse
BROOKDALE HOSPITAL MEDICAL CENTER
ONE BROOKDALE PLAZABROOKLYNNY11212111631746HEALTHCARENY501 ( C ) (3)3BROOKDALE HEALTH SYSTEM INCfalse
BROOKDALE RESEARCH FOUNDATION INC
ONE BROOKDALE PLAZABROOKLYNNY11212311634638INACTIVENY501 ( C ) (3)3BROOKDALE HEALTH SYSTEM INCfalse
LINROC COMMUNITY SERVICE CORPORATION
101-01 AVENUE DBROOKLYNNY11236112814765SUPPORTNY501 ( C ) (3)11ABROOKDALE HEALTH SYSTEM INCfalse
ROCKREAL CORPORATION
101-01 AVENUE DBROOKLYNNY11236112814705SUPPORTNY501 ( C ) (3)11ABROOKDALE HEALTH SYSTEM INCfalse
SAMUEL AND BERTHA SCHULMAN INSTITUTE FUND INC
101-01 AVENUE DBROOKLYNNY11236237270262HEALTHCARENY501 ( C ) (3)7THE SCHULMAN AND SCHACHNE INSTITUTE FOR NURSING AND REHABILITATION INCfalse
BROOKLYN RESIDENCE HOUSING DEVELOPMENT
101-01 AVENUE DBROOKLYNNY11236113324040HOUSINGNY501 ( C ) (3)9BROOKDALE HEALTH SYSTEM INCfalse
THE LINDEN FOUNDATION INC
ONE BROOKDALE PLAZABROOKLYNNY11212112814704INACTIVENY501 ( C ) (3)9BROOKDALE HEALTH SYSTEM INCfalse
URBAN STRATEGIES
101- 01 AVENUE DBROOKLYNNY11236113237480HEALTHCARENY501 ( C ) (3)3BROOKDALE HEALTH SYSTEM INCfalse
BROOKDALE HEALTH SYSTEM INC
ONE BROOKDALE PLAZABROOKLNYNY11212460797064SUPPORTNY501 ( C ) (3)3NAfalse
BROOKDALE HOSPITAL CENTER HEGEMAN AVENUE HOUSING COMPANY
101-01 AVENUE DBROOKLYNNY11236237082540HOUSINGNY501 ( C ) (3)3BROOKDALE SYSTEM HOUSING INCfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeGeneral Or Managing PartnerGeneralOrManagingPartner
NHP HOLDINGS LLC
521 FIFTH AVENEW YORKNY10175203418837HOLDING COMPANYNYNANAtrue
ROYAL HEALTHCARE OF LONG ISLAND
521 FIFTH AVENUENEW YORKNY10175133887900MANAGEMENT SERVICES ORG.NYNANAtrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityPercentage OwnershipPercentageOwnershipControlled OrgControlledOrg
BHMC ENTERPRISES
101-01 AVENUE DBROOKLYNNY11236112855200LEASEHOLDER OF MEDICAL OFFICE BUILDINGNYNAC0.00000false
BROOKDALE RX
101-01 AVENUE DBROOKLYNNY11236202041821RETAIL PHARMACYNYNAC0.00000false
LCSC HOLDINGS
101-01 AVENUE DBROOKLYNNY11236113357198HOLDING COMPANYNYNAC0.00000false
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1LOANS TO AFFILIATEBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypedTransactionType
Amount Involved5718038AmountInvolved
Method Of Amt DeterminationFMVMethodOfAmtDetermination

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