2013-11-15T13:54:11-08:00 2012-12-31 KBL LLP 114 W 47TH ST FL 19 NEW YORK NY 10036 990 2012-01-01 111631746 BROOKDALE HOSPITAL MEDICAL CENTER BROO 7182405000 ONE BROOKDALE PLAZA BROOKLYN NY 11236 JIM PORTER 7182405000 2013-11-15 true RICHARD LEVYCHIN CPA 2127859700 2012 2016-03-07 17:11:31Z JIM PORTER ONE BROOKDALE HOSPITAL MEDICAL CENT BROOKLYN NY 11236 417722144 false X WWW.BROOKDALE.EDU X 1914 NY THE BROOKDALE HOSPITAL MEDICAL CENTER OPERATES A 530 BED HOSPITAL IN BROOKLYN, NEW YORK. 10 8 3490 675 0 6485522 4923972 364967639 333455280 13109336 8849581 70636457 70386406 455198954 417615239 0 0 295813318 298850503 0 279964 210060350 194798621 505873668 493649124 -50674714 -76033885 189827606 176208241 545555756 577812638 -355728150 -401604397 THE BROOKDALE HOSPITAL MEDICAL CENTER WAS CREATED FOR THE PURPOSE OF false false 430228937 412028743 THE 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. 430228937 true true false true false false false false false false true true false true true true false true false false true false false false true false true true false false true false false false false false false false false false false false false true true true true false true 297 0 true 3490 true false false false false false true true false false false false X 10 8 true true 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 RICHARD FOGLER MD 40.00 X 382774 0 34717 ESTEVAN GARCIA MD 40.00 X 136731 0 43923 LEWIS MARSHALL MD 40.00 X 379701 0 33339 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 31.00 X 0 0 0 BRUCE FLANZ 31.00 X 0 0 0 HUGH GREENBERG 1 X ALVIN KAHN MD 31 X 227836 8793 DAVID SCHACHNE 1 X EDWIN SCHULMAN 1 X DIANE SIMON 1 X ALLEN SWERDLICK 1 X DAVID WILKES 1 X MARK E TONEY 31 X STEVEN R KORF 31 X JAMES R PORTER 31 X ARTHUR J FRIED 31 X 3922214 246865 0 true true false GRANT THORNTON LLP 666 THIRD AVENUE NEW YORK NY 10017 RESTRUCTURING SERVICES 12128710 NY BLOOD CENGTER PO BOX 9674 UNIONDALE NY 115539814 MEDICAL SERVICES 2478123 EPSTEIN BECKER & GREEN 250 PARK AVENUE NEW YORK NY 10177 LEGAL SERVICES 1795111 NY NEUROSURGERY & NEUROSCIENCE PO BOX 154 POINT LOOKOUT NY 11569 MEDICAL SERVICES 881376 SIEMENS MEDICAL SOLUTIONS USA 2 PENN PLAZA NEW YORK NY 10021 MEDICAL EQUIPMENT 666727 43 4700650 223322 4923972 NET PATIENT REVENUE 621400 302861697 CAPITATION REVENUE, NET 621400 30593583 333455280 8839112 537609 537609 537609 537609 10469 10469 10469 10469 171820 106905 64915 64915 SVCE PROVIDED TO AFF 900099 37895256 37895256 OUTPATIENT PHARMA 900099 14241255 14241255 PHYSICIAN BILLING 621110 13181325 13181325 4466046 4406046 60000 69783882 417615239 412028743 662524 202315468 187989284 14149731 176453 7147811 6647464 500347 0 74557211 69338206 5219005 0 14830013 13791912 1038101 0 17029233 0 17029233 0 3325601 2660481 665120 0 437703 0 437703 0 44722345 37653087 6967145 102113 32709 31311 0 1398 323081 258465 64616 0 82111 65689 16422 0 4116941 3293553 823388 0 10019109 8015287 2003822 0 24565515 24209851 355664 0 BAD DEBT - PATIENTS 21101270 21101270 0 0 Settlement of Net Due to Affiliates 13869926 0 13869926 0 PHYSICIAN FEES 12726931 12726931 0 0 OTHER MEDICAL RELATED COSTS 42446146 42446146 0 0 493649124 430228937 63140223 279964 33044 4134631 16213479 17735474 42033407 32764155 3202163 3432687 16213866 9533379 294905018 256510217 41679210 38394801 399880 12281739 12838795 57770818 57374319 189827606 176208241 122733536 133440806 2255656 59483067 59845540 33955131 140961145 327128366 243565147 545555756 577812638 X -355728150 -401604397 -355728150 -401604397 189827606 176208241 X -76033885 30157638 X false true X true true true X 0 0 0 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 34093 34093 false Pt II-B Line 1i BROOKDALE 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 1068657 1068657 32179161 31400898 778263 46287920 35061778 11226142 212694976 189997840 22697136 2674304 49701 2624603 38394801 GUARNTEED INSURANCE CONTRACT 12141475 F INTERST IN CCC INVESTMENT POOL 36768 F TREASURY BILLS AND ACCRUED INTEREST 660552 F 12838795 DUE FROM AFFILIATES 1988250 DUE FROM THIRD PARTY PAYORS 15062268 CAPITATION RECEIVABLE 18118345 INSURANCE RECOVERIES 21890916 DEFERRED FINANCE CHARGES 276071 OTHER ASSETS 38469 57374319 MALPRACTICE INSURANCE PAYABLE 192912510 DUE TO THIRD PARTIES 25351332 WORKERS COMPENSATION PAYABLE 25301305 243565147 X 480314040 106912 106912 480207128 -62591889 -62591889 417615239 557114981 106905 106905 557008076 -63358952 -63358952 493649124 Pt XI Line 4b OTHER 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 4b OTHER 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 2 THE 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 2d EXPENSES FOR GALA EVENT - 106,905 Pt XII Line 2d EXPENSES FOR GALA EVENT - 106,905 false Central America 0 0 INVESTMENT 37000 0 0 0 0 37000 37000 false false true false false false Pt I Line 2 FUNDS ARE USED FOR INVESTMENT. INVESTMENTS ARE MONITORED PERIODICALLY THROUGHOUT THE YEAR. GALA 171820 106905 64915 171820 106905 64915 64915 true true true X true X true true true false true true 16558913 10818326 5740587 0.00650 201330063 137946238 63383825 0.12840 217888976 148764564 69124412 0.13490 41082606 19091669 21990937 0.04450 39913614 13851843 26990907 0.08090 639923 58231 581692 0.00130 81636143 33001743 48634964 0.12670 299525119 181766307 117759376 0.26160 true 12284276 5060566 48143820 36694129 11449691 true true 1 1 BROOKDALE HOSPITAL AND MEDICAL CENTER

ONE BROOKLYN PLAZA BROOKLYN NY 11236

X BROOKDALE HOSPITAL AND MEDICAL CENTER 1 true true 100 true 300 true X X X X X X true true X X X X X X true X false true X false false 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. Pt V Sec B 19d THE HOSPITAL FACILITY USED MEDICAID RATES FOR THOSE SERVICES. Pt VI Line 2 BROOKDALE HOSPITAL MEDICAL CENTER DOES NOT REPORT ANY SHORTFALL 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. X X X X false false false false false false false false false RICHARD FOGLER MD 382774 14000 20717 417491 70366 ESTEVAN GARCIA MD 136731 267 136998 LEWIS MARSHALL MD 379701 13000 20399 413100 ALVIN KAHN MD 227836 8793 236629 60091 SUNIL ABROL MD 969231 267 969498 44711 FREDERICK GULMI MD 483531 12000 22186 517717 43207 MAYANK SHUKLA MD 474566 15600 19697 509863 ARASH GOHARI MD 431279 19574 450853 AARON REICHMAN MD 436565 15654 20215 472434 19697 19697 20215 20215 Pt VI, Line 11b THE FORM 990 AND APPROPRIATE SCHEDULES, AS REQUIRED IS PREPARED BY OUTSIDE ACCOUNTANTS AND REVIEWED INTERNALLY BY MANAGEMENT AND COUNSEL, AT WHICH TIME IT IS CONSIDERED THE FINAL DRAFT. THE FINAL DRAFT OF THE FORM 990 IS THEN FILED WITH THE IRS. Pt XI LINE 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 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 CORPORATE COMPLIANCE DEPARTMENT 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, 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 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 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 7b BROOKDALE HEALTH SYSTEM, INC., AS SOLE MEMBER OF THE ORGANIZATION, HAS THE AUTHORITY TO APPOINT AND REMOVE THE TRUSTEES OF THE ORGANIZATION, AND OTHER AUTHORITIES AS DELINEATED IN THE BYLAWS OF THE ORGANIZATION. 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 3 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 CHIEF FINANCIAL OFFICER AS PROVIDED BY GRANT THORNTON EMPLOYEES MARK TONEY, STEVEN KORF, AND JAMES PORTER. AMBOY PROPERTIES CORPORATION 101-01 AVENUE D BROOKLYN NY 11236 112814707 PARKING GARAGE NY 501 ( C ) (3) 11A BROOKDALE HEALTH SYSTEMINC false BROOKDALE FAMILY CARE CENTERS INC 101-01 AVENUE D BROOKLYN NY 11236 113237483 HEALTHCARE NY 501 ( C ) (3) 3 BROOKDALE HEALTH SYSTEMINC false BROOKDALE RESEARCH FOUNDATION INC ONE BROOKDALE PLAZA BROOKLYN NY 11212 311634638 INACTIVE NY 501 ( C ) (3) 3 BROOKDALE HEALTH SYSTEMINC false LINROC COMMUNITY SERVICE CORPORATION 101-01 AVENUE D BROOKLYN NY 11236 112814765 SUPPORT NY 501 ( C ) (3) 11A BROOKDALE HEALTH SYSTEMINC false ROCKREAL CORPORATION 101-01 AVENUE D BROOKLYN NY 11236 112814705 SUPPORT NY 501 ( C ) (3) 11A BROOKDALE HEALTH SYSTEMINC false SAMUEL AND BERTHA SCHULMAN INSTITUTE FUND INC 101-01 AVENUE D BROOKLYN NY 11236 237270262 HEALTHCARE NY 501 ( C ) (3) 7 THE SCHULMAN AND SCHACHNE INSTITUTE FOR NURSING AND REHABILITATION INC false BROOKLYN RESIDENCE HOUSING DEVELOPMENT 101-01 AVENUE D BROOKLYN NY 11236 113324040 HOUSING NY 501 ( C ) (3) 9 BROOKDALE HEALTH SYSTEMINC false SCHULMAN SCHACHNE INSTITUTE FOR NURSING AND REHABILITATIONINC 101-01 AVENUE D BROOKLYN NY 11236 237085986 HEALTHCARE NY 501 ( C ) (3) 3 BROOKDALE HEALTH SYSTEMINC false THE LINDEN FOUNDATION INC ONE BROOKDALE PLAZA BROOKLYN NY 11212 112814704 INACTIVE NY 501 ( C ) (3) 9 BROOKDALE HEALTH SYSTEMINC false URBAN STRATEGIES 101-01 AVENUE D BROOKLYN NY 11236 113237480 HEALTHCARE NY 501 ( C ) (3) 3 BROOKDALE HEALTH SYSTEMINC false BROOKDALE HEALTH SYSTEM INC ONE BROOKDALE PLAZA BROOKLNY NY 11212 460797064 SUPPORT NY 501 ( C ) (3) 3 NA false BROOKDALE HOSPITAL CENTER HEGEMAN AVENUE HOUSING COMPANY 101-01 AVENUE D BROOKLYN NY 11236 237082540 HOUSING NY 501 (C)(2) N/A BROOKDALE HOSPITAL MEDICAL CENTER false NHP HOLDINGS LLC 521 FIFTH AVE NEW YORK NY 10175 203418837 HOLDING COMPANY NY NA NA true ROYAL HEALTHCARE OF LONG ISLAND 521 FIFTH AVENUE NEW YORK NY 10175 133887900 MANAGEMENT SERVICES ORG. NY NA NA true BHMC ENTERPRISES 101-01 AVENUE D BROOKLYN NY 11236 112855200 LEASEHOLDER OF MEDICAL OFFICE BUILDING NY NA C 0.00000 false BROOKDALE RX 101-01 AVENUE D BROOKLYN NY 11236 202041821 RETAIL PHARMACY NY NA C 0.00000 false LCSC HOLDINGS 101-01 AVENUE D BROOKLYN NY 11236 113357198 HOLDING COMPANY NY NA C 0.00000 false false false false true true false false false false false false true true true true true true false true DUE FROM AFFILIATES d 1988250 FMV LOANS TO AFFILIATES e 8345478 FMV SALE OF ASSETS FROM RELATED CONTROLLED ENTITY s 22