BROOKDALE HOSPITAL MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BROOKDALE HOSPITAL MEDICAL CENTER (EIN 11-1631746)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201333199349309133
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)
Timestamp2013-11-15T13:54:11-08:00Timestamp
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)
EIN111631746EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BROOKDALE HOSPITAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBROONameControl
Phone7182405000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE BROOKDALE PLAZAAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11236ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJIM PORTERName
TitleCFOTitle
Phone7182405000Phone
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 Line1ONE BROOKDALE HOSPITAL MEDICAL CENTAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11236ZIPCode
FieldValueIRS element (for citing)
Gross Receipts417722144GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BROOKDALE.EDUWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1914YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTHE BROOKDALE HOSPITAL MEDICAL CENTER OPERATES A 530 BED HOSPITAL IN BROOKLYN, NEW YORK.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees3490TotalNbrEmployees
Total Nbr Volunteers675TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year6485522ContributionsGrantsPriorYear
Contributions Grants Current Year4923972ContributionsGrantsCurrentYear
Program Service Revenue Prior Year364967639ProgramServiceRevenuePriorYear
Program Service Revenue CY333455280ProgramServiceRevenueCY
Investment Income Prior Year13109336InvestmentIncomePriorYear
Investment Income Current Year8849581InvestmentIncomeCurrentYear
Other Revenue Prior Year70636457OtherRevenuePriorYear
Other Revenue Current Year70386406OtherRevenueCurrentYear
Total Revenue Prior Year455198954TotalRevenuePriorYear
Total Revenue Current Year417615239TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year295813318SalariesEtcPriorYear
Salaries Etc Current Year298850503SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year279964TotalFundrsngExpCurrentYear
Other Expense Prior Year210060350OtherExpensePriorYear
Other Expenses Current Year194798621OtherExpensesCurrentYear
Total Expenses Prior Year505873668TotalExpensesPriorYear
Total Expenses Current Year493649124TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-50674714RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-76033885RevenuesLessExpensesCY
Total Assets BOY189827606TotalAssetsBOY
Total Assets EOY176208241TotalAssetsEOY
Total Liabilities BOY545555756TotalLiabilitiesBOY
Total Liabilities EOY577812638TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-355728150NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-401604397NetAssetsOrFundBalancesEOY
Mission DescriptionTHE BROOKDALE HOSPITAL MEDICAL CENTER WAS CREATED FOR THE PURPOSE OFMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense430228937Expense
Revenue412028743Revenue
DescriptionTHE BROOKDALE HOSPITAL MEDICAL CENTER WAS CREATED FOR THE PURPOSE OF OPERATING A 530 BED HOSPITAL IN BROOKLYN, NEW YORK. IN 2012, BROOKDALE BROOKDALE HOSPITAL MEDICAL CENTER LOGGED 17,227 ADMISSIONS, 17,209 PATIENT DISCHARGES, AND 99,775 OUTPATIENT EMERGENCY ROOM VISITS WHICH RESULTED IN 13,621 ADMISSIONS AND 200,283 OTHER OUTPATIENT SERVICE VISITS.Description
Total Program Service Expense430228937TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
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 AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
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 EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096297NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees3490NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
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 CompensationOtherCompensationOfficerOfficer
IRINA BENFIELD
Trustee1.00X000
RICHARD FOGLER MD
Ex-officio Trustee40.00X382774034717
ESTEVAN GARCIA MD
TRUSTEE/CHIEF MEDICAL OFFICER40.00X136731043923
LEWIS MARSHALL MD
Ex-officio Trustee40.00X379701033339
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 & CFO31.00X000
BRUCE FLANZ
Fomer Executive VP & CEO31.00X000
HUGH GREENBERG
Former Trustee1X
ALVIN KAHN MD
Former Trustee/Chairman31X2278368793
DAVID SCHACHNE
Former Trustee/Treasurer1X
EDWIN SCHULMAN
Former Trustee1X
DIANE SIMON
Former Trustee1X
ALLEN SWERDLICK
Former Trustee1X
DAVID WILKES
Former Trustee1X
MARK E TONEY
President and Chief Executive Officer31X
STEVEN R KORF
Chief Operating Officer31X
JAMES R PORTER
Chief Financial Officer31X
ARTHUR J FRIED
Assistant Secretary31X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3922214TotalReportableCompFromOrg
Total Other Compensation246865TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
GRANT THORNTON LLP
666 THIRD AVENUENEW YORKNY10017RESTRUCTURING SERVICES12128710
NY BLOOD CENGTER
PO BOX 9674UNIONDALENY115539814MEDICAL SERVICES2478123
EPSTEIN BECKER & GREEN
250 PARK AVENUENEW YORKNY10177LEGAL SERVICES1795111
NY NEUROSURGERY & NEUROSCIENCE
PO BOX 154POINT LOOKOUTNY11569MEDICAL SERVICES881376
SIEMENS MEDICAL SOLUTIONS USA
2 PENN PLAZANEW YORKNY10021MEDICAL EQUIPMENT666727
FieldValueIRS element (for citing)
Number Of Contractors GT100 K43NumberOfContractorsGT100K
Government Grants4700650GovernmentGrants
All Other Contributions223322AllOtherContributions
Total Contributions4923972TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumn
NET PATIENT REVENUE621400302861697
CAPITATION REVENUE, NET62140030593583
FieldValueIRS element (for citing)
Total Program Service Revenue333455280TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8839112TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real537609Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real537609Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column537609TotalRevenueColumn
Exclusion$537,609ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities10469Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities10469Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column10469TotalRevenueColumn
Related Or Exempt Function Income10469RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events171820GrossIncomeFundraisingEvents
Fundraising Direct Expenses106905FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column64915TotalRevenueColumn
Exclusion$64,915ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SVCE PROVIDED TO AFF9000993789525637895256
OUTPATIENT PHARMA9000991424125514241255
PHYSICIAN BILLING6211101318132513181325

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column4466046TotalRevenueColumn
Related Or Exempt Function Income4406046RelatedOrExemptFunctionIncome
Exclusion$60,000ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue69783882TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column417615239TotalRevenueColumn
Related Or Exempt Function Income412028743RelatedOrExemptFunctionIncome
Exclusion$662,524ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total202315468Total
Program Services187989284ProgramServices
Management And General14149731ManagementAndGeneral
Fundraising176453Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total7147811Total
Program Services6647464ProgramServices
Management And General500347ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total74557211Total
Program Services69338206ProgramServices
Management And General5219005ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total14830013Total
Program Services13791912ProgramServices
Management And General1038101ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total17029233Total
Program Services0ProgramServices
Management And General17029233ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3325601Total
Program Services2660481ProgramServices
Management And General665120ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total437703Total
Program Services0ProgramServices
Management And General437703ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total44722345Total
Program Services37653087ProgramServices
Management And General6967145ManagementAndGeneral
Fundraising102113Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total32709Total
Program Services31311ProgramServices
Management And General0ManagementAndGeneral
Fundraising1398Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total323081Total
Program Services258465ProgramServices
Management And General64616ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total82111Total
Program Services65689ProgramServices
Management And General16422ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total4116941Total
Program Services3293553ProgramServices
Management And General823388ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total10019109Total
Program Services8015287ProgramServices
Management And General2003822ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total24565515Total
Program Services24209851ProgramServices
Management And General355664ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBT - PATIENTS211012702110127000
Settlement of Net Due to Affiliates138699260138699260
PHYSICIAN FEES127269311272693100
OTHER MEDICAL RELATED COSTS424461464244614600

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total493649124Total
Program Services430228937ProgramServices
Management And General63140223ManagementAndGeneral
Fundraising279964Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY33044BOY
EOY4134631EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY16213479BOY
EOY17735474EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY42033407BOY
EOY32764155EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3202163BOY
EOY3432687EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY16213866BOY
EOY9533379EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis294905018LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec256510217LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY41679210BOY
EOY38394801EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY399880BOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY12281739BOY
EOY12838795EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY57770818BOY
EOY57374319EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY189827606BOY
EOY176208241EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY122733536BOY
EOY133440806EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2255656BOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY59483067BOY
EOY59845540EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY33955131BOY
EOY140961145EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY327128366BOY
EOY243565147EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY545555756BOY
EOY577812638EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-355728150BOY
EOY-401604397EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-355728150BOY
EOY-401604397EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY189827606BOY
EOY176208241EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-76033885ReconcilationRevenueExpenses
Reconcilation Other Changes30157638ReconcilationOtherChanges
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 RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

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 B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$34,093OtherActivitiesAmount
Total Lobbying Expenditures IIB34093TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifierExplanationExplanation
Pt II-B Line 1iBROOKDALE HOSPITAL MEDICAL CENTER IS A MEMBER OF TWO ASSOCIATIONS 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 HEALTHCARE ASSOCIATION OF NEW YORK STATE 16,422 GREATER NEW YORK HOSPITAL ASSOCIATION 17,671 TOTAL LOBBYING COSTS 34,094

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1068657OtherCostOrOtherBasis
Book Value1068657BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis32179161OtherCostOrOtherBasis
Depreciation31400898Depreciation
Book Value778263BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis46287920OtherCostOrOtherBasis
Depreciation35061778Depreciation
Book Value11226142BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis212694976OtherCostOrOtherBasis
Depreciation189997840Depreciation
Book Value22697136BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2674304OtherCostOrOtherBasis
Depreciation49701Depreciation
Book Value2624603BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings38394801TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
GUARNTEED INSURANCE CONTRACT12141475F
INTERST IN CCC INVESTMENT POOL36768F
TREASURY BILLS AND ACCRUED INTEREST660552F
FieldValueIRS element (for citing)
Total Of Book Value Securities12838795TotalOfBookValueSecurities

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES1988250
DUE FROM THIRD PARTY PAYORS15062268
CAPITATION RECEIVABLE18118345
INSURANCE RECOVERIES21890916
DEFERRED FINANCE CHARGES276071
OTHER ASSETS38469
FieldValueIRS element (for citing)
Total Book Value Other Assets57374319TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
MALPRACTICE INSURANCE PAYABLE$192,912,510
DUE TO THIRD PARTIES$25,351,332
WORKERS COMPENSATION PAYABLE$25,301,305
FieldValueIRS element (for citing)
Total Of Amounts243565147TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt480314040TotRevenueEtcAuditedFinclStmt
Other Revenues106912OtherRevenues
Revenue Not Rptd F990106912RevenueNotRptdF990
Revenue Subtotal480207128RevenueSubtotal
Other Revenues Not Included-62591889OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-62591889RevenueNotRptdOnFinStmt
Total Revenue Per Form990417615239TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt557114981TotExpensesEtcAuditedFinclStmt
Other Expenses Included106905OtherExpensesIncluded
Expenses Not Rptd F990106905ExpensesNotRptdF990
Expenses Subtotal557008076ExpensesSubtotal
Other Expenses Not Included-63358952OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt-63358952ExpensesNotRptdOnFinStmt
Total Expenses Per Form990493649124TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (9 entries)

IdentifierIdentifierExplanationExplanation
Pt XI Line 4bOTHER ADJUSTMENTS CONSIST OF THE FOLLOWING:
BAD DEBT $21,101,270 INSURANCE PROCEEDS -69,831 CAPITATION REVENUES -84,390,391 TOTAL ADJUSTMENT $63,358,952
Pt XII Line 4bOTHER ADJUSTMENTS CONSIST OF THE FOLLOWING:
BAD DEBT $21,101,270 INSURANCE PROCEEDS -69,831
CAPITATION REVENUES -84,390,391 TOTAL ADJUSTMENT $63,358,952
Pt X Line 2THE BROOKDALE HOSPITAL MEDICAL CENTER IS EXEMPT FROM INCOME
TAXES UNDER SECTION 501 (C) (3) OF THE INTERNAL REVENUE CODE AND ITS INCOME IS GENERALLY NOT SUBJECT TO FEDERAL, STATE OR LOCAL INCOME TAXES.
Pt XI Line 2dEXPENSES FOR GALA EVENT - 106,905
Pt XII Line 2dEXPENSES FOR GALA EVENT - 106,905

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral AmericaRegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedINVESTMENTTypeOfActivitiesConducted
Total Expenditures37000TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent37000SubtotalAmountSpent
Total Amount Spent37000TotalAmountSpent
Transfer To Foreign CorpfalseTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierPt I Line 2Identifier
ExplanationFUNDS ARE USED FOR INVESTMENT. INVESTMENTS ARE MONITORED PERIODICALLY THROUGHOUT THE YEAR.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1
Gross Receipts Event1171820GrossReceiptsEvent1
Charitable Contributions Event1106905CharitableContributionsEvent1
Gross Revenue Event164915GrossRevenueEvent1
Gross Receipts Total171820GrossReceiptsTotal
Charitable Contributions Total106905CharitableContributionsTotal
Gross Revenue Total Events64915GrossRevenueTotalEvents
Net Income Summary64915NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense16558913TotalCommunityBenefitExpense
Direct Offsetting Revenue10818326DirectOffsettingRevenue
Net Community Benefit Expense5740587NetCommunityBenefitExpense
Percent Of Total Expense0.00650PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense201330063TotalCommunityBenefitExpense
Direct Offsetting Revenue137946238DirectOffsettingRevenue
Net Community Benefit Expense63383825NetCommunityBenefitExpense
Percent Of Total Expense0.12840PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense217888976TotalCommunityBenefitExpense
Direct Offsetting Revenue148764564DirectOffsettingRevenue
Net Community Benefit Expense69124412NetCommunityBenefitExpense
Percent Of Total Expense0.13490PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense41082606TotalCommunityBenefitExpense
Direct Offsetting Revenue19091669DirectOffsettingRevenue
Net Community Benefit Expense21990937NetCommunityBenefitExpense
Percent Of Total Expense0.04450PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense39913614TotalCommunityBenefitExpense
Direct Offsetting Revenue13851843DirectOffsettingRevenue
Net Community Benefit Expense26990907NetCommunityBenefitExpense
Percent Of Total Expense0.08090PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense639923TotalCommunityBenefitExpense
Direct Offsetting Revenue58231DirectOffsettingRevenue
Net Community Benefit Expense581692NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense81636143TotalCommunityBenefitExpense
Direct Offsetting Revenue33001743DirectOffsettingRevenue
Net Community Benefit Expense48634964NetCommunityBenefitExpense
Percent Of Total Expense0.12670PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense299525119TotalCommunityBenefitExpense
Direct Offsetting Revenue181766307DirectOffsettingRevenue
Net Community Benefit Expense117759376NetCommunityBenefitExpense
Percent Of Total Expense0.26160PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$12,284,276BadDebtExpenseAmount
Amount Attributable To5060566AmountAttributableTo
Amount Reimbursed By Medicare48143820AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare36694129CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall11449691MedicareSurplusOrShortfall
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1BROOKDALE HOSPITAL AND MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1ONE BROOKLYN PLAZAAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11236ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BROOKDALE HOSPITAL AND MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent100FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent300FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (20 entries)

ExplanationExplanationIdentifierIdentifier
US DEPARTMENT OF TREASURY, PLUS .5%. THERE IS NO ACCELERATOR
OR SIMILAR CLAUSE UNDER WHICH A HIGHER RATE OF INTEREST IS TRIGGERED
WHEN A PATIENT FAILS TO MAKE A REGULAR MONTHLY SCHEDULED PAYMENT.
THE HOSPITAL INCLUDES A WRITTEN NOTICE ON PATIENTS' BILLS AND
STATEMENTS AT LEAST 30 DAYS PRIOR TO REFERRING THE ACCOUNT TO COLLECTION.
THE HOSPITAL REQUIRES THAT ANY COLLECTION AGENCIES WITH WHICH
THEY CONTRACT FOLLOW THE FINANCIAL ASSISTANCE POLICIES OF THE HOSPITAL.
THE HOSPITAL DOES NOT FORCE THE SALE OR FORECLOSURE OF A PATIENT'S
PRIMARY RESIDENCE TO COLLECT ON AN OUTSTANDING BILL. COLLECTION
IS PROHIBITED AGAINST ANY PATIENT WHO WAS ELIGIBLE FOR MEDICAID AT
THE TIME SERVICES WERE RENDERED. FINALLY, THE CONTRACTED COLLECTION
AGENCIES MUST OBTAIN THE HOSPITAL'S WRITTEN CONSENT BEFORE
COMMENCING ANY LEGAL ACTION.
THE HOSPITAL FACILITY USED MEDICAID RATES FOR THOSE SERVICES.Pt V Sec B 19d
BROOKDALE HOSPITAL MEDICAL CENTER DOES NOT REPORT ANY SHORTFALLPt VI Line 2
ON LINE 7 DUE TO THE FACT THAT THE HOSPITAL RECEIVES LARGE
AMOUNTS OF IME AND DSH PAYMENTS. BROOKDALE HOSPITAL SERVES
A LARGE MEDICAID POPULATION AND ALSO HAS A BIG TEACHING
PROGRAM. IT DOES INCUR LOSSES IN PROVIDING CARE TO THE INDIGENT
POPULATION WHICH ARE REPORTED ON THE OTHER SCHEDULES.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
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 (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
RICHARD FOGLER MD
382774140002071741749170366
ESTEVAN GARCIA MD
136731267136998
LEWIS MARSHALL MD
3797011300020399413100
ALVIN KAHN MD
227836879323662960091
SUNIL ABROL MD
96923126796949844711
FREDERICK GULMI MD
483531120002218651771743207
MAYANK SHUKLA MD
4745661560019697509863
ARASH GOHARI MD
43127919574450853
AARON REICHMAN MD
4365651565420215472434
(no name)
1969719697
(no name)
2021520215

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (67 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 11bTHE 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.
Pt XILINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES IS AS FOLLOWS:
FORGIVENESS OF DEBT - AFFILIATE 37,975,850
PENSION CHANGES NOT NET PERIODIC COST (7,818,219)
ROUNDING 7
TOTAL OTHER CHANGES 30,157,638
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 CORPORATE COMPLIANCE DEPARTMENT 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, CHIEF OPERATING OFFICER AND 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 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 services performed in their capacity
as a Trustee. Also pursuant to the Hospital's bylaws
a Trustee serving in another capacity may receive reasonable
compensation therefore as authorized by the Board of Trustees.
It is the hospital's practice to target total executive
compensation (base salary, incentive compensation and benefits)
as the median of the relevant marketplace for similarly
situated executives, with appropriate adjustments for
special skill, experience, competence and performance.
The CEO, or a special 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 compensation
consultant in a manner that complies with the intermediate
sanction regulations and other relevant federal and state
requirements.
Pt VI, Line 7bBROOKDALE 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.
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
Pt VI, Line 3IN 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 CHIEF FINANCIAL OFFICER AS PROVIDED BY GRANT
THORNTON EMPLOYEES MARK TONEY, STEVEN KORF, AND JAMES PORTER.

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 SYSTEMINCfalse
BROOKDALE FAMILY CARE CENTERS INC
101-01 AVENUE DBROOKLYNNY11236113237483HEALTHCARENY501 ( C ) (3)3BROOKDALE HEALTH SYSTEMINCfalse
BROOKDALE RESEARCH FOUNDATION INC
ONE BROOKDALE PLAZABROOKLYNNY11212311634638INACTIVENY501 ( C ) (3)3BROOKDALE HEALTH SYSTEMINCfalse
LINROC COMMUNITY SERVICE CORPORATION
101-01 AVENUE DBROOKLYNNY11236112814765SUPPORTNY501 ( C ) (3)11ABROOKDALE HEALTH SYSTEMINCfalse
ROCKREAL CORPORATION
101-01 AVENUE DBROOKLYNNY11236112814705SUPPORTNY501 ( C ) (3)11ABROOKDALE HEALTH SYSTEMINCfalse
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 SYSTEMINCfalse
SCHULMAN SCHACHNE INSTITUTE FOR NURSING AND REHABILITATIONINC
101-01 AVENUE DBROOKLYNNY11236237085986HEALTHCARENY501 ( C ) (3)3BROOKDALE HEALTH SYSTEMINCfalse
THE LINDEN FOUNDATION INC
ONE BROOKDALE PLAZABROOKLYNNY11212112814704INACTIVENY501 ( C ) (3)9BROOKDALE HEALTH SYSTEMINCfalse
URBAN STRATEGIES
101-01 AVENUE DBROOKLYNNY11236113237480HEALTHCARENY501 ( C ) (3)3BROOKDALE HEALTH SYSTEMINCfalse
BROOKDALE HEALTH SYSTEM INC
ONE BROOKDALE PLAZABROOKLNYNY11212460797064SUPPORTNY501 ( C ) (3)3NAfalse
BROOKDALE HOSPITAL CENTER HEGEMAN AVENUE HOUSING COMPANY
101-01 AVENUE DBROOKLYNNY11236237082540HOUSINGNY501 (C)(2)N/ABROOKDALE HOSPITAL MEDICAL CENTERfalse

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 OrgtrueLoansOrGuaranteesToOtherOrg
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 OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
DUE FROM AFFILIATES
d1988250FMV
LOANS TO AFFILIATES
e8345478FMV
SALE OF ASSETS FROM RELATED CONTROLLED ENTITY
s22

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.