2013-11-15T15:00:47-08:00 2012-12-31 KBL LLP 114 W 47TH ST FL 19 NEW YORK NY 10036 990 2012-01-01 237085986 SAMUEL SCHULMAN INSTITUTE FOR NURSING & REHABILITATION SAMU 7182405200 101-01 AVENUE D BROOKLYN NY 11236 JIM PORTER 7182405200 2013-11-15 true RICHARD LEVYCHIN CPA 2127859700 2012 2016-03-07 17:11:31Z JIM PORTER 101-01 AVENUE D BROOKLYN NY 11236 74546811 false 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 8 8 601 77 0 0 74789422 71541550 17547 17118 442358 2988143 75249327 74546811 0 0 38624912 40793353 0 0 50551241 40930791 89176153 81724144 -13926826 -7177333 33496696 30741000 154417917 158536921 -120921221 -127795921 THE SCHULMAN AND SCHACHNE INSTITUTE FOR NURSING AND REHABILITATION IS false false 73273390 74253018 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. 73273390 true false false false false false false false false false true true false false true true true true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 45 0 true 601 true false false false false false false false false false false X 8 8 true false false false true true true true true false false true true true true true true true false false NY X JIM PORTER CFO 7182405773 101-01 AVENUE D BROOKLYN NY 11236 X IRINA BENFIELD 1.00 X 0 0 0 ASCHER MESTEL MD 1.00 X 0 0 0 BISHOP HUGH NELSON 1.00 X 0 0 0 STEPHEN PLOTNICK 1.00 X 0 0 0 RICHARD RADUTZKY 1.00 X X 0 0 0 ALEX ROVT 1.00 X 0 0 0 LOWELL M RUBIN 1.00 X 0 0 0 LAURENCE ZALE 1.00 X 0 0 0 EDWARD BIRNBAUM 1.00 X 0 0 0 MOUNIR F DOSS 1.00 X 0 0 0 BRUCE FLANZ 1.00 X 0 0 0 HUGH GREENBERG 1.00 X 0 0 0 ALVIN KAHN MD 1.00 X 0 227836 8526 DAVID SCHACHNE 1.00 X 0 0 0 EDWIN SCHULMAN 1 X DIANE SIMON 1 X ALLEN SWERDLICK 1 X DAVID WILKES 1 X MARK E TONEY 1 X STEVEN R KORF 1 X JAMES R PORTER 1 X ARTHUR J FRIED 1 X MRIDULA SAXENA 40 X 158369 45371 PAULINE SMITH 40 X 134705 37365 VIMALSON MONICKAM 40 X 138192 26427 872051 227836 178642 0 true true false AFFINITY REHABILITION LLP 10600 YORK ROAD SUITE 105 COCKYESVILLE MD 21030 THERAPY STAFFING 528355 HEALTHPRO MANAGEMENT LLP 10600 YORK ROAD SUITE 105 COCKYESVILLE MD 21030 THERAPY MANAGEMENT 161000 2 PATIENT REVENUE 623000 71541550 71541550 17118 17118 276113 276113 276113 276113 MISCELLANEOUS 623000 70853 70853 GIFT SHOP 453220 2462 2462 SETTLEMENT OF DUE TO AFFILIATES 623000 2638153 2638153 562 562 2712030 74546811 74253018 293793 29935845 26658087 3277758 0 8482052 7629268 852784 0 2375456 2137910 237546 0 268276 255769 12507 0 5562 0 5562 0 589 0 589 0 45358 39230 6128 0 377269 0 377269 0 1417984 1276186 141798 0 161129 0 161129 0 CASH RECEIPT ASSESSMENT 4507942 4507942 0 0 REAL ESTATE TAXES 15960 0 15960 0 UTILITIES 567473 510726 56747 0 0 0 0 0 33563249 30258272 3304977 0 81724144 73273390 8450754 0 119051 119404 1212062 2071071 16364590 11852030 1842 43819 51260926 42277631 9840950 8983295 5613324 7419265 159708 79847 185169 172269 33496696 30741000 5787196 4936697 8562558 5634676 140068163 147965548 154417917 158536921 X -120921221 -127795921 -120921221 -127795921 33496696 30741000 -7177333 302633 X X false true X true false X 0 0 0 0 0 0 623716 623716 19205400 15781758 3423642 16062705 14259891 1802814 15188105 12235982 2952123 181000 181000 8983295 DUE TO THIRD PARTY PAYERS 47638244 DUE TO AFFILIATES 100155035 FUNDS HELD IN TRUST FOR RESIDENTS 172269 147965548 X 71908415 319 319 71908096 2638715 2638715 74546811 81724144 81724144 81724144 Pt XI Line 4b THE 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 2 THE 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 2d INTEREST INCOME INCLUDED ON BOOKS OF RELATED ENTITY. false false false false false false false false false ALVIN KAHN MD 227836 8526 236362 MRIDULA SAXENA 158369 22500 22871 203740 50279 PAULINE SMITH 134705 15600 21765 172070 27711 VIMALSON MONICKAM 138192 17000 9427 164619 MOHAMMAD KALAM 137483 10400 19253 167136 18204 GENEVIEVE SORENSON 303302 26700 4600 334602 47570 Pt VI, Line 11b THE 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 12c DISCLOSURE 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 6 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. Pt VI, Line 7a IN 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 7b IN 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 24f PHYSICIAN 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 2 ALEX 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 15a FORM 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. 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