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Nonprofiteer
← BROOKLYN HOSPITAL PROVIDER

Form 990 for tax year 2022

Filed by BROOKLYN HOSPITAL PROVIDER.

Totals

Total revenue
$16,535
Total expenses
$7,252,187
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
$16,535
Other revenue
$0
Total assets, end of year
$51,222,785
Total liabilities, end of year
$51,222,785
Net assets or fund balances, end of year
$0
Program services expenses (Part IX)
$7,250,116
Management and general expenses
$2,071
Fundraising expenses
$0
Program service expenses (Part III)
$7,250,116

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 3 · Investment income

    total $16,535 · excluded $16,535

Functional expenses

Part IX, the statement of functional expenses.

  • 11f · Fees: investment management

    total $2,071 · management and general $2,071

  • 24a · Other expenses: CLAIM SETTLEMENTS

    total $7,250,116 · program services $7,250,116

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $461,828 · end of year $724,471

  • 11 · Investments: publicly traded securities

    beginning of year $323,586 · end of year $278,646

  • 15 · Other assets

    beginning of year $46,939,895 · end of year $50,219,668

  • 25 · Other liabilities

    beginning of year $47,725,309 · end of year $51,222,785

Mission and programs · 2022

Mission

SELF-INSURANCE RESERVE FUND CREATED BY THE BROOKLYN HOSPITAL CENTER (THE "PROVIDER") TO PROTECT THE PROVIDER BY DISCHARGING CERTAIN LIABILITIES CAUSED BY LOSSES THAT ARE NOT COVERED BY THE INSURANCE POLICIES ISSUED TO THE PROVIDER FROM TIME TO TIME.

Activities or mission (Part I)

SELF-INSURANCE RESERVE FUND CREATED BY THE BROOKLYN HOSPITAL CENTER TO PROTECT ITSELF BY DISCHARGING CERTAIN LIABILITIES CAUSED BY LOSSES NOT COVERED BY INSURANCE POLICIES.

  • PAYMENTS FOR MALPRACTICE BENEFITS AND CLAIMS FOR THE MEMBER HOSPITAL COVERED UNDER THE SELF-INSURANCE PROGRAM.

    Expenses $7,250,116

As filed on the 2022 return.

Listed in Part VII

  • Anne Elizabeth Fontaine

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 6 related
  • Maria Fiorini Ramirez

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 6 related
  • Olamide Ajibesin

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 6 related
  • Adrina Banks-Martin

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 6 related
  • Susan E Skerritt

    VICE CHAIR (UNTIL MAY 2022)

    Total calculated
    $0
    Hours/week
    1 + 6 related
  • J Barclay Collins II

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 6 related
  • Gary Terrinoni

    PRESIDENT & CEO

    Total calculated
    $1,569,984
    From this org
    $0
    From related orgs
    $1,558,000
    Other
    $11,984
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,270,000 related
    Bonus
    $0 + $288,000 related
    Other
    $0
    Deferred
    $0 + $3,050 related
    Nontaxable benefits
    $0 + $8,934 related
    Filer's total
    $0 + $1,569,984 related
  • Wanyong Lai Austin

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 6 related
  • Martha Bakos Dietz

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 6 related
  • Bernard Drayton

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 6 related
  • Alireza Esmaelizadeh

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 6 related
  • Cathy Sommer Iselin

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 6 related
  • Jessie McClintock Kelly

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 6 related
  • Joel Leitner

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 6 related
  • Srividya Madhusudhan

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 6 related
  • Lesia Bates Moss

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 6 related
  • Deirdre Quinn

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 6 related
  • David Schwartz

    TRUSTEE (UNTIL MAY 2022)

    Total calculated
    $0
    Hours/week
    1 + 6 related
  • Dino Veronese

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 6 related
  • Earl D Weiner

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 6 related
  • Carlos P Naudon

    IMMEDIATE PAST CHAIR

    Total calculated
    $0
    Hours/week
    1 + 6 related
  • Keith Leonard Kinch

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 6 related
  • Patrick Leblanc MD

    PRES. OF PROF. STAFF

    Total calculated
    $258,900
    From this org
    $0
    From related orgs
    $248,462
    Other
    $10,438
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $248,462 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $2,485 related
    Nontaxable benefits
    $0 + $7,953 related
    Filer's total
    $0 + $258,900 related
  • John Walsh

    VP, CFO

    Total calculated
    $334,183
    From this org
    $0
    From related orgs
    $325,000
    Other
    $9,183
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $265,000 related
    Bonus
    $0 + $60,000 related
    Other
    $0
    Deferred
    $0 + $2,558 related
    Nontaxable benefits
    $0 + $6,625 related
    Filer's total
    $0 + $334,183 related
  • Sharon Wickes

    SVP, STRATEGIC & BUS. ANALYTICS

    Total calculated
    $340,497
    From this org
    $0
    From related orgs
    $335,000
    Other
    $5,497
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $255,000 related
    Bonus
    $0 + $80,000 related
    Other
    $0
    Deferred
    $0 + $1,667 related
    Nontaxable benefits
    $0 + $3,830 related
    Filer's total
    $0 + $340,497 related
  • Vasantha Kondamudi MD

    EVP, CHIEF MEDICAL OFFICER

    Total calculated
    $673,050
    From this org
    $0
    From related orgs
    $670,000
    Other
    $3,050
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $550,000 related
    Bonus
    $0 + $120,000 related
    Other
    $0
    Deferred
    $0 + $3,050 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $673,050 related
  • Stacy Friedman Esq

    SR VP AND GENERAL COUNSEL

    Total calculated
    $450,516
    From this org
    $0
    From related orgs
    $438,532
    Other
    $11,984
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $358,532 related
    Bonus
    $0 + $80,000 related
    Other
    $0
    Deferred
    $0 + $3,050 related
    Nontaxable benefits
    $0 + $8,934 related
    Filer's total
    $0 + $450,516 related
  • Judy McLaughlin

    SR VP & CHIEF NURSING OFFICER

    Total calculated
    $435,826
    From this org
    $0
    From related orgs
    $430,000
    Other
    $5,826
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $350,000 related
    Bonus
    $0 + $80,000 related
    Other
    $0
    Deferred
    $0 + $2,908 related
    Nontaxable benefits
    $0 + $2,918 related
    Filer's total
    $0 + $435,826 related
  • Robert Aulicino

    CONSULTANT

    Total calculated
    $585,550
    From this org
    $0
    From related orgs
    $582,500
    Other
    $3,050
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $462,500 related
    Bonus
    $0 + $120,000 related
    Other
    $0
    Deferred
    $0 + $3,050 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $585,550 related
  • Sam J Amirfar MD

    CHIEF MEDICAL OFF & CIO

    Total calculated
    $416,684
    From this org
    $0
    From related orgs
    $405,000
    Other
    $11,684
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $325,000 related
    Bonus
    $0 + $80,000 related
    Other
    $0
    Deferred
    $0 + $2,750 related
    Nontaxable benefits
    $0 + $8,934 related
    Filer's total
    $0 + $416,684 related
  • Lenue H Singletary III

    SVP, EXT. AFFAIRS, STRTG & MRKTG

    Total calculated
    $385,918
    From this org
    $0
    From related orgs
    $380,000
    Other
    $5,918
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $300,000 related
    Bonus
    $0 + $80,000 related
    Other
    $0
    Deferred
    $0 + $3,000 related
    Nontaxable benefits
    $0 + $2,918 related
    Filer's total
    $0 + $385,918 related
  • Gaetano Mennonna

    SR VP HUMAN RESOURCES

    Total calculated
    $416,984
    From this org
    $0
    From related orgs
    $405,000
    Other
    $11,984
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $325,000 related
    Bonus
    $0 + $80,000 related
    Other
    $0
    Deferred
    $0 + $3,050 related
    Nontaxable benefits
    $0 + $8,934 related
    Filer's total
    $0 + $416,984 related
  • James Gasperino

    CHIEF OF SVC MEDICINE

    Total calculated
    $688,830
    From this org
    $0
    From related orgs
    $685,000
    Other
    $3,830
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $610,000 related
    Bonus
    $0 + $75,000 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $3,830 related
    Filer's total
    $0 + $688,830 related
  • Pratibha Vemulapalli MD

    CHAIR, DEPT OF SURGERY

    Total calculated
    $760,872
    From this org
    $0
    From related orgs
    $751,000
    Other
    $9,872
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $651,000 related
    Bonus
    $0 + $100,000 related
    Other
    $0
    Deferred
    $0 + $938 related
    Nontaxable benefits
    $0 + $8,934 related
    Filer's total
    $0 + $760,872 related
  • Armand P Asarian MD Facs

    CHIEF ACADEMIC OFFICER

    Total calculated
    $461,984
    From this org
    $0
    From related orgs
    $450,000
    Other
    $11,984
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $450,000 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $3,050 related
    Nontaxable benefits
    $0 + $8,934 related
    Filer's total
    $0 + $461,984 related
  • John Ferrara

    VP OF OPERATIONS

    Total calculated
    $243,307
    From this org
    $0
    From related orgs
    $237,500
    Other
    $5,807
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $200,000 related
    Bonus
    $0 + $37,500 related
    Other
    $0
    Deferred
    $0 + $1,977 related
    Nontaxable benefits
    $0 + $3,830 related
    Filer's total
    $0 + $243,307 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
THE TOP MANAGEMENT OFFICIAL'S COMPENSATION WAS PAID BY THE BROOKLYN HOSPITAL CENTER ("TBHC"), WHICH IS A RELATED ORGANIZATION. TBHC USED ONE OR MORE OF THE METHODS LISTED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION.
PART I, LINE 4B
THE PRESIDENT AND CEO, GARY TERRINONI, IS THE SOLE PARTICIPANT OF THE ORGANIZATION'S SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. HE RECEIVED NO DISTRIBUTION DURING THE YEAR ENDED DECEMBER 31, 2022.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • BC FINANCIAL SERVICES INC

    C · FINANCIAL · NY

  • BROOKLYN HOSPITAL ECG MEDICAL SERVICES

    C · MEDICAL SERVICES · NY

  • BROOKLYN HOSPITAL NUCLEAR MEDICINE PC

    C · MEDICAL SERVICES · NY

  • PARK VENTURES INC

    C · INVESTING · NY

  • TBHC ANESTHESIOLOGY SERVICES PC

    C · MEDICAL SERVICES · NY

  • TBHC RADIATION ONCOLOGY PC

    C · MEDICAL SERVICES · NY

  • METROPOLIS ASSURANCE COMPANY LTD

    C · INSURANCE · CJ

Provenance

Return type
form_990
Tax year
2022
Filed
15 November 2023
IRS schema version
2022v5.0
Source object
202333199349310798

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