2013-11-14T09:50:15-06:00 2012-12-31 420714325 MCGLADREY LLP 1185 AVENUE OF THE AMERICAS NEW YORK NY 100362602 990 2012-01-01 112164674 RUTLAND NURSING HOME INC RUTL 7186045532 585 SCHENECTADY AVENUE BROOKLYN NY 11203 JOHN SCHMITT 7186045532 2013-11-14 1 STEVEN LAPSKER P00850484 2123721000 2012 2016-02-25 16:41:14Z LINDA BRADY MD 585 SCHENECTADY AVENUE BROOKLYN NY 11203 69983771 0 X WWW.KINGSBROOK.ORG X 1971 NY OUR MISSION IS TO PARTNER WITH OUR CULTURALLY DIVERSE COMMUNITIES TO PROVIDE A CONTINUUM OF OUTSTANDING HEALTH CARE SERVICES TO INDIVIDUALS AND FAMILIES THROUGH A CARING AND TRUSTWORTHY STAFF. 9 7 0 54 0 0 557793 1641893 73386587 68198959 142789 142919 0 0 74087169 69983771 0 0 0 0 51605000 51317501 0 0 0 28309516 31465697 79914516 82783198 -5827347 -12799427 22084455 22988497 57338630 71042099 -35254175 -48053602 X OUR MISSION IS TO PARTNER WITH OUR CULTURALLY DIVERSE COMMUNITIES TO PROVIDE A CONTINUUM OF OUTSTANDING HEALTH CARE SERVICES TO INDIVIDUALS AND FAMILIES THROUGH A CARING AND TRUSTWORTHY STAFF. 0 0 69779475 68198959 RUTLAND NURSING HOME, LOCATED ON THE CAMPUS OF KINGSBROOK JEWISH MEDICAL CENTER, IS A 466-BED, LONG AND SHORT-TERM CARE FACILITY OFFERING SKILLED NURSING, PHYSICAL REHABILITATION, COMPREHENSIVE WOUND CARE, A SPECIALTY UNIT FOR VENTILATOR DEPENDENT RESIDENTS AND AN ARRAY OF OTHER SUB-ACUTE SERVICES. ALL THE RESOURCES OF THE MEDICAL CENTER, INCLUDING GENERAL MEDICAL AND SUB-SPECIALTIES, SURGICAL, ORTHOPEDIC, PSYCHIATRIC AND DENTAL SERVICES, AND THE EMERGENCY ROOM, ARE IMMEDIATELY AVAILABLE TO THE RESIDENTS. NURSING HOME RESIDENTS ARE EASILY TRANSFERRED TO THE ACUTE SERVICES OF THE HOSPITAL IF MEDICAL NECESSITY REQUIRES, AND SUBSEQUENTLY RETURNED TO THE NURSING HOME. RUTLAND NURSING HOME HAS A DEDICATED 32-BED PEDIATRIC LONG-TERM CARE UNIT FOR CHILDREN WITH SEVERE DEVELOPMENTAL AND METABOLIC DISORDERS. THE UNIT IS STAFFED WITH NURSES AND PEDIATRICIANS 24 HOURS A DAY, SEVEN DAYS A WEEK. MEDICAL CARE IN THE RUTLAND NURSING HOME IS COORDINATED BY PHYSICIANS EXPERIENCED AND DEDICATED TO PEDIATRICS AND GERIATRICS. ENCOURAGING THE RESIDENTS TO MAXIMIZE THEIR ABILITY TO LEAD ACTIVE AND FULFILLING LIVES, LICENSED NURSES AND THERAPISTS DELIVER STATE OF THE ART PHYSICAL, OCCUPATIONAL, RECREATIONAL AND SPEECH THERAPIES. TO ENSURE COMPREHENSIVE CARE, DIETICIANS AND SOCIAL WORKERS AUGMENT THE TREATMENT TEAM. 69779475 1 1 0 1 0 0 0 0 0 0 1 0 0 1 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 0 0 0 1 22 0 1 0 0 0 0 0 0 0 0 0 0 0 X 9 7 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 NY X JOHN SCHMITT 7186045532 585 SCHENECTADY AVENUE BROOKLYN NY 11203 X EDWARD LIEBERSTEIN 2.00 2.00 X X 0 0 0 SEEMA GOLDSTEIN 1.50 2.00 X X 0 0 0 LINDA BRADY MD 12.00 36.50 X X 0 1264636 60530 HENNA WHITE 3.00 5.50 X 0 0 0 GEOFFREY PATRICE MD 1.00 1.00 X 0 0 0 RAFIQUE CHAUDRHY MD 1.00 1.00 X 0 1110766 0 ROBERT REISS 1.50 2.00 X 0 0 0 VALERIE BYNOE-KASDEN ESQ 1.00 1.00 X 0 0 0 VICTOR AYALA PHD 2.00 3.00 X 0 0 0 JOHN SCHMITT CPA 12.00 36.50 X 0 636105 145505 MICHAEL MCDERMOTT 12.00 36.50 X 0 239487 60179 ROBERT DUBICKI 12.00 35.00 X 0 466804 49748 HAROLD MCDONALD 12.00 35.00 X 0 411294 27002 LOWELL FEIN 40.00 X 0 216247 24195 LUCAS DEDRICK 40.00 X 0 136364 17388 MICHELLE EDWARDS 40.00 X 0 127244 29249 BETTY NAPON 40.00 X 0 122708 4108 JOVILIA ATIENZA 40.00 X 0 121625 23482 JEAN LACKAN 40.00 X 0 118902 23482 0 4972182 464868 0 0 1 0 EXCLUSIVE AMBULETTE SVC INC PO BOX 476 LAWRENCE NY 11559 PATIENT TRANSPORTATION FOR ADULT DAYCARE 288631 DEDICATED TRANSPORTATION INC 98-12 211TH STREET QUEENS VILLAGE NY 11429 PATIENT TRANSPORTATION FOR ADULT DAYCARE 267831 MILLER & MALONE 100 QUENTIN ROOSEVELT BLVD SUITE 2 GARDEN CITY NY 11530 LEGAL / COLLECTION SERVICES 214226 3 1641893 1641893 NET PATIENT SERVICE REVENUE 623000 66633888 66633888 MEDICARE DRUG BILLING 524114 1565071 1565071 68198959 142919 142919 69983771 68198959 0 142919 37630101 32474777 5155324 2792848 2410228 382620 7454884 6433565 1021319 3439668 2968433 471235 2269912 1741023 528889 52811 52811 66361 50899 15462 7065496 5459741 1605755 1218289 934428 283861 2074465 1591115 483350 132580 101689 30891 1392943 1068387 324556 971479 745124 226355 366307 280957 85350 NY STATE ASSESSMENT 4181847 3207477 974370 MEDICAL & PHARMACEUTICA 4087944 4087944 MAINT & REPAIRS 2772958 2126859 646099 BAD DEBT EXP 2349564 1802116 547448 2462741 2294713 168028 82783198 69779475 13003723 0 2759798 3019292 240497 225059 10022197 9801713 41178966 34211911 6376146 6967055 312644 419293 2373173 2556085 22084455 22988497 850594 905400 4114828 2309828 52373208 67826871 57338630 71042099 X -35254175 -48053602 -35254175 -48053602 22084455 22988497 -12799427 0 X 0 1 X 1 0 X 48999 557793 1641893 2248685 66027895 67382695 71238182 73386587 68198959 346234318 66027895 67431694 71238182 73944380 69840852 348483003 0 0 0 348483003 238712 158667 145757 142789 142919 828844 238712 158667 145757 142789 142919 828844 66266607 67590361 71383939 74087169 69983771 349311847 0.99760 0.99710 0.00240 0.00290 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 60000 0 1 6361 66361 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: OTHER ACTIVITIES RUTLAND NURSING HOME PAYS DUES TO CONTINUING CARE LEADERSHIP COALITION (CCLC). IN ACCORDANCE WITH SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY CCLC, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE LOBBYING ACTIVITIES APPLICABLE TO THE 2012 CCLC DUES WAS $6,361. ADDITIONALLY, THE ORGANIZATION HAS A CONTRACT WITH A LOBBYIST WHO WAS 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 2012 RUTLAND NURSING HOME PAID $60,000 IN CONNECTION WITH THESE SERVICES. 825000 825000 33431870 28567827 4864043 6671428 5644084 1027344 250668 250668 6967055 OPERATING ASSETS 1551979 OPERATING ESCROW ACCOUNT 896017 MORTGAGE REPAYMENT ESCROW 108089 2556085 DUE TO KINGSBROOK JEWISH MEDICAL CENTER 41880218 ESTIMATED THIRD PARTY SETTLEMENTS 25629194 CASH FUNDS HELD IN TRUST FOR RESIDENTS 225059 FIN 47 LIABILITY 92400 67826871 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITION FOR ALL OPEN TAX YEARS AND HAS CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ACCOUNTING STANDARDS CODIFICATION ("ASC") 740, ACCOUNTING FOR INCOME TAXES. THE ORGANIZATION IS SUBJECT TO U.S. FEDERAL AND STATE EXAMINATIONS BY TAX AUTHORITIES FOR FISCAL YEARS ENDED DECEMBER 31, 2009 AND THEREAFTER. PER THE REQUIREMENT TO ASSESS FOR TAX UNCERTAINTY, MANAGEMENT HAS DETERMINED THAT IT DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED. 0 0 0 0 0 0 0 0 0 LINDA BRADY MD 0 767675 0 404151 0 92810 0 23750 0 36780 0 1325166 0 0 RAFIQUE CHAUDRHY MD 0 1110766 0 0 0 0 0 0 0 0 0 1110766 0 0 JOHN SCHMITT CPA 0 318119 0 294943 0 23043 0 108725 0 36780 0 781610 0 0 MICHAEL MCDERMOTT 0 237800 0 0 0 1687 0 23659 0 36520 0 299666 0 0 ROBERT DUBICKI 0 364089 0 77151 0 25564 0 23750 0 25998 0 516552 0 0 HAROLD MCDONALD 0 342686 0 46291 0 22317 0 23750 0 3252 0 438296 0 0 LOWELL FEIN 0 214560 0 0 0 1687 0 20425 0 3770 0 240442 0 0 LUCAS DEDRICK 0 135968 0 0 0 396 0 8077 0 9311 0 153752 0 0 MICHELLE EDWARDS 0 126972 0 0 0 272 0 8369 0 20880 0 156493 0 0 SUPPLEMENTAL INFORMATION PART III PART II, COLUMN (C) RETIREMENT AND OTHER DEFERRED COMPENSATION: THE DEFERRED COMPENSATION REPORTED FOR KINGSBROOK JEWISH MEDICAL CENTER EMPLOYEE JOHN SCHMITT INCLUDES ACCRUALS FOR THE TRANSITION STABILIZATION PLAN WHICH WAS IMPLEMENTED IN 2012. THE VALUE OF THE PLAN IS SUBJECT TO RISK OF FORFEITURE (PURSUANT TO IRS REGULATIONS) UNTIL THE EMPLOYEE MEETS SPECIFIC AND DOCUMENTED FUTURE SERVICE REQUIREMENTS. THE PLAN WAS REVIEWED DISCUSSED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE JOINT BOARD OF TRUSTEES/DIRECTORS TO ENHANCE THE RETENTION OF KEY EXECUTIVES AND TO MAINTAIN LEADERSHIP STABILITY AS KINGSBROOK JEWISH MEDICAL CENTER PURSUES OPPORTUNITIES FOR SUSTAINED VIABILITY. THE PLAN IS CONSISTENT WITH TYPICAL MARKET PRACTICES AND REASONABLE IN THE CONTEXT OF THE EMPLOYEE'S TOTAL REMUNERATION, BASED ON ADVICE PROVIDED BY INDEPENDENT EXECUTIVE COMPENSATION CONSULTANTS. THE AGREEMENT EXPIRES 12/31/2014 AND WILL PAID OUT IN JANUARY 2015. THE PAYMENT WILL BE REPORTED AS COMPENSATION IN 2015 AND WILL BE SUBJECT TO ALL APPLICABLE WITHHOLDING AND EMPLOYMENT TAXES. SUPPLEMENTAL INFORMATION PART III GENERAL COMPENSATION NOTE: RAFIQUE CHAUDHRY, MD - THE COMPENSATION WAS PAID FOR SERVICES PROVIDED AS CHIEF OF ANAESTHESIOLOGY BY KINGSBROOK JEWISH MEDICAL CENTER. NO COMPENSATION WAS PAID FOR BOARD TRUSTEE POSITION. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OF THE ORGANIZATION: KINGSBROOK HEALTHCARE SYSTEM ("KHS") IS THE SOLE MEMBER OF RUTLAND NURSING HOME INC. FORM 990, PART VI, SECTION A, LINE 7A ELECTION & DECISIONS OF THE GOVERNING BODY: KHS IS THE SOLE MEMBER OF RUTLAND NURSING HOME, INC., AND IT HAS RESERVED POWERS THAT ARE DELINEATED IN THE BYLAWS OF RUTLAND NURSING HOME INC. FORM 990, PART VI, SECTION A, LINE 7B ELECTION & DECISIONS OF THE GOVERNING BODY: KHS IS THE SOLE MEMBER OF RUTLAND NURSING HOME, INC., AND IT HAS RESERVED POWERS THAT ARE DELINEATED IN THE BYLAWS OF RUTLAND NURSING HOME INC. FORM 990, PART VI, SECTION B, LINE 11 REVIEW PROCESS FOR FORM 990: THE CFO HAS CONDUCTED A DETAILED REVIEW OF THE 990 WITH THE HOSPITAL'S TAX ACCOUNTANT AND ALL APPROPRIATE CHANGES HAVE BEEN MADE. THE 990 IS THEN REVIEWED BY THE CEO FOR ANY ADDITIONAL COMMENTARY, OBSERVATIONS, OR RECOMMENDATIONS. THE 990 IS THEN REVIEWED BY THE CHAIRMAN OF THE AUDIT AND COMPLIANCE COMMITTEE AND THEN PRESENTED TO THE AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW FOR ANY ADDITIONAL COMMENTARY, OBSERVATIONS, OR RECOMMENDATIONS. ONCE COMPLETED AND FILED, FORM 990 IS MADE AVAILABLE TO THE FULL BOARD BY THE CHAIRMAN OF THE AUDIT AND COMPLIANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12 CONFLICT OF INTEREST POLICY: RUTLAND NURSING HOME, INC FOLLOWS KINGSBROOK JEWISH MEDICAL CENTER'S CONFLICT OT INTEREST POLICY. AT KINGSBROOK JEWISH MEDICAL CENTER, 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. COMPENSATION POLICY AND REVIEW PROCESS: RUTLAND NURSING HOME, INC. DID NOT PAY COMPENSATION DIRECTLY FOR ITS EMPLOYEES. THE COMPENSATION AND BENEFITS ARE PAID THROUGH KINGSBROOK JEWISH MEDICAL CENTER'S PAYROLL SYSTEM AND ARE RECORDED ON THE FORM 941 FILED BY KINGSBROOK JEWISH MEDICAL CENTER UNDER THE EMPLOYER INDENTIFICATION NUMBER 11-1631759. THE COMPENSATION OF EXECUTIVE OFFICERS IS REVIEWED ANNUALLY BY KINGSBROOK JEWISH MEDICAL CENTER (KJMC). FOLLOWING BELOW PROCESS: 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 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 ENDURE 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 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 CONTINUE TO BE COMPETITIVE AND REASONABLE 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 BASED 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 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. 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. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION: UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE ONLY THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS. WHISTLEBLOWER POLICY: FORM 990, PART VI, LINE 13 KINGSBROOK JEWISH MEDICAL CENTER HAS A WRITTEN WHISTLEBLOWER POLICY WHICH APPLIES TO THE ACTIVITIES OF RUTLAND NURSING HOME INC. DOCUMENT RETENTION POLICY: FORM 990, PART VI, LINE 14 KINGSBROOK JEWISH MEDICAL CENTER'S DOCUMENT RETENTION AND DESTRUCTION POLICY APPLIES TO ALL BOOKS AND RECORDS HELD BY RUTLAND NURSING HOME INC. FORM 990, PART VII, LINE 2 RUTLAND NURSING HOME, INC. DOES NOT DIRECTLY PAY ITS EMPLOYEES. THE COMPENSATION AND BENEFITS ARE ALLOCATED FROM KINGSBROOK JEWISH MEDICAL CENTER. THE COMPENSATION AND BENEFITS ARE RECORDED ON FORM 941 FILED BY KINGSBROOK JEWISH MEDICAL CENTER UNDER EMPLOYER IDENTIFICATION NUMBER 11-1631759. KINGSBROOK JEWISH MEDICAL CENTER (KJMC) 585 SCHENECTADY AVENUE BROOKLYN NY 11203 111631759 HOSPITAL NY 501(C)(3) LINE 3 KHCF INC 0 KINGSBROOK JEWISH MEDICAL CENTER AUXILIARIES 585 SCHENECTADY AVENUE BROOKLYN NY 11203 113016121 SUPPORT ORG NY 501(C)(3) LINE 11A, I KJMC 0 KINGSBROOK HEALTHCARE SYSTEM INC (KHCF) 585 SCHENECTADY AVENUE BROOKLYN NY 11203 030464734 SUPPORT ORG NY 501(C)(3) LINE 11A, I N/A 0 KINGSBROOK HEALTHCARE FOUNDATION INC 585 SCHENECTADY AVENUE BROOKLYN NY 11203 112845058 SUPPORT ORG NY 501(C)(3) LINE 11A, I KHCF INC 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 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 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0