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Nonprofiteer
← BROOK LANE HEALTH SERVICES INC

Form 990 for tax year 2022

Filed by BROOK LANE HEALTH SERVICES INC.

Totals

Total revenue
$29,714,366
Total expenses
$27,834,327
Contributions and grants received
$750,954
Grants paid
$0
Program service revenue
$28,131,803
Investment income
$163,548
Other revenue
$668,061
Total assets, end of year
$28,131,278
Total liabilities, end of year
$10,591,240
Net assets or fund balances, end of year
$17,540,038
Program services expenses (Part IX)
$22,023,903
Management and general expenses
$5,796,895
Fundraising expenses
$13,529
Program service expenses (Part III)
$22,023,903

Program services were 79.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • LARRY BAYER

    CHAIR

    Total calculated
    $0
    Hours/week
    0.25 + 0.25 related

  • RAY MILLER

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    0.25 + 0.25 related

  • ERIC BARGER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 0.25 related

  • JOYCE BURKHOLDER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 0.25 related

  • DR GEOFF COLEMAN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 0.25 related

  • MELISSA HARGREAVES

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 0.25 related

  • HEATHER HINKLE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 0.25 related

  • LAUREN HUGUENIN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 0.25 related

  • TWYLA ROWE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 0.25 related

  • TOD SALISBURY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 0.25 related

  • LISA D SMITH

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 0.25 related

  • CHRISTOPHER STOCKSLAGER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 0.25 related

  • KELLY WEAVER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 0.25 related

  • JEFFERY D O'NEAL

    CEO

    Total calculated
    $270,712
    From this org
    $260,300
    From related orgs
    $0
    Other
    $10,412
    Hours/week
    32 + 8 related

    Schedule J breakdown matched by us

    Base
    $260,300
    Bonus
    not reported
    Other
    not reported
    Deferred
    $10,412
    Nontaxable benefits
    not reported
    Filer's total
    $270,712

  • MICHAEL REYKA

    COO

    Total calculated
    $179,987
    From this org
    $164,990
    From related orgs
    $0
    Other
    $14,997
    Hours/week
    32 + 8 related

    Schedule J breakdown matched by us

    Base
    $164,990
    Bonus
    not reported
    Other
    not reported
    Deferred
    $6,600
    Nontaxable benefits
    $8,397
    Filer's total
    $179,987

  • JASON ALLEN

    CNO

    Total calculated
    $198,600
    From this org
    $171,911
    From related orgs
    $0
    Other
    $26,689
    Hours/week
    32 + 8 related

    Schedule J breakdown matched by us

    Base
    $171,911
    Bonus
    not reported
    Other
    not reported
    Deferred
    $6,876
    Nontaxable benefits
    $19,813
    Filer's total
    $198,600

  • ROBERT FRITZ

    CIO

    Total calculated
    $165,965
    From this org
    $159,820
    From related orgs
    $0
    Other
    $6,145
    Hours/week
    32 + 8 related

    Schedule J breakdown matched by us

    Base
    $159,820
    Bonus
    not reported
    Other
    not reported
    Deferred
    $6,145
    Nontaxable benefits
    not reported
    Filer's total
    $165,965

  • ROBERT KERTIS

    CFO

    Total calculated
    $201,797
    From this org
    $181,489
    From related orgs
    $0
    Other
    $20,308
    Hours/week
    32 + 8 related

    Schedule J breakdown matched by us

    Base
    $181,489
    Bonus
    not reported
    Other
    not reported
    Deferred
    $6,981
    Nontaxable benefits
    $13,327
    Filer's total
    $201,797

  • MICHAEL HANN MD

    MEDICAL OFFI

    Total calculated
    $374,805
    From this org
    $362,605
    From related orgs
    $0
    Other
    $12,200
    Hours/week
    36 + 4 related

    Schedule J breakdown matched by us

    Base
    $362,605
    Bonus
    not reported
    Other
    not reported
    Deferred
    $12,200
    Nontaxable benefits
    not reported
    Filer's total
    $374,805

  • WILLIS LEAVITT

    INP. HOSP. M

    Total calculated
    $379,071
    From this org
    $353,176
    From related orgs
    $0
    Other
    $25,895
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $353,176
    Bonus
    not reported
    Other
    not reported
    Deferred
    $11,012
    Nontaxable benefits
    $14,883
    Filer's total
    $379,071

  • JAMAL FAWAZ

    PSYCHIATRIST

    Total calculated
    $387,095
    From this org
    $357,896
    From related orgs
    $0
    Other
    $29,199
    Hours/week
    4 + 32 related

    Schedule J breakdown matched by us

    Base
    $357,896
    Bonus
    not reported
    Other
    not reported
    Deferred
    $9,386
    Nontaxable benefits
    $19,813
    Filer's total
    $387,095

  • DAVID GONZALEZ

    PSYCHIATRIST

    Total calculated
    $351,312
    From this org
    $339,112
    From related orgs
    $0
    Other
    $12,200
    Hours/week
    24 + 16 related

    Schedule J breakdown matched by us

    Base
    $339,112
    Bonus
    not reported
    Other
    not reported
    Deferred
    $12,200
    Nontaxable benefits
    not reported
    Filer's total
    $351,312

  • OLGA DEMINA

    PSYCHIATRIST

    Total calculated
    $355,702
    From this org
    $326,647
    From related orgs
    $0
    Other
    $29,055
    Hours/week
    35

    Schedule J breakdown matched by us

    Base
    $326,647
    Bonus
    not reported
    Other
    not reported
    Deferred
    $9,242
    Nontaxable benefits
    $19,813
    Filer's total
    $355,702

  • RICHARD ROTHMAN

    PSYCHIATRIST

    Total calculated
    $336,207
    From this org
    $309,197
    From related orgs
    $0
    Other
    $27,010
    Hours/week
    35

    Schedule J breakdown matched by us

    Base
    $309,197
    Bonus
    not reported
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    $14,883 + $12,127 related
    Filer's total
    $324,080 + $12,127 related

  • LYNN FELDMAN

    PSYCHIATRIST

    Total calculated
    $300,352
    From this org
    $281,733
    From related orgs
    $0
    Other
    $18,619
    Hours/week
    5 + 31 related

    Schedule J breakdown matched by us

    Base
    $281,733
    Bonus
    not reported
    Other
    not reported
    Deferred
    $10,807
    Nontaxable benefits
    $7,812
    Filer's total
    $300,352

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

  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 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

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.

Provenance

Return type
form_990
Tax year
2022
Filed
29 November 2023
IRS schema version
2022v5.0
Source object
202410379349300011

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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