2023-11-15T13:32:04-06:00 2022-12-31 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2022-01-01 821515726 BROOKLYN HEALTH MEDICAL GROUP PC BROO 7182506755 121 DEKALB AVENUE BROOKLYN NY 11201 JOHN WALSH VP, CFO 7182506755 2023-11-15 1 JOHN WALSH XXX-XX-XXXX 1 X KERRI N BOGDA CPA P00760402 7177404863 2023-11-15 X 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z AHMAR BUTT MD 121 DEKALB AVENUE BROOKLYN NY 11201 1619183 0 X WWW.TBH.ORG X 2016 NY TO PROVIDE HIGH QUALITY HEALTH CARE TO MEMBERS OF THE COMMUNITY AND TO SUPPORT THE CHARITABLE PURPOSES AND MISSION OF THE BROOKLYN HEALTH INC. AND RELATED CHARITABLE ENTITIES. 1 0 0 0 0 0 0 0 1875474 1619183 0 0 0 0 1875474 1619183 0 0 0 0 1005040 996496 0 0 0 2809074 2806986 3814114 3803482 -1938640 -2184299 100456 519942 3873170 6476955 -3772714 -5957013 TO PROVIDE HIGH QUALITY HEALTH CARE TO MEMBERS OF THE COMMUNITY AND TO SUPPORT THE CHARITABLE PURPOSES AND MISSION OF BROOKLYN HEALTH INC. AND RELATED CHARITABLE ENTITIES. 0 0 3211439 0 1619183 BROOKLYN HOSPITAL MEDICAL GROUP, INC. IS AN AFFILIATED MEMBER OF BROOKLYN HEALTH, INC. AND OFFERS IMMEDIATE MEDICAL ATTENTION ON A WALK-IN BASIS AND ACCESS TO CONTINUING AND SPECIALTY CARE. 3211439 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 1 0 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X JOHN WALSH VP CFO 7182508000 121 DEKALB AVENUE BROOKLYN NY 11201 AHMAR BUTT MD PRESIDENT 1.00 59.00 X X 0 343846 9663 0 343846 9663 0 0 1 0 0 PATIENT SERVICE REVENU 621100 1610427 1610427 RESIDENT ROTATIONS 621100 8756 8756 1619183 1619183 1619183 0 0 X 887986 749925 138061 40579 34272 6307 67931 57373 10558 2032197 1705498 326699 15022 12607 2415 631373 529872 101501 42236 35826 6410 MEDICAL SUPPLIES 86158 86066 92 3803482 3211439 592043 0 662634 142692 100456 519942 100456 519942 3873170 6476955 3873170 6476955 X -3772714 -5957013 -3772714 -5957013 100456 519942 -2184299 0 X 0 1 X 1 0 X X 1 THE BROOKLYN HOSPITAL CENTER 111630755 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 407454 71304 336150 255180 71388 183792 519942 DUE TO AFFILIATES 6476955 6476955 0 0 0 0 0 0 0 0 0 AHMAR BUTT MD PRESIDENT 0 303846 0 40000 0 0 0 3038 0 6625 0 353509 0 0 PART I, LINE 3 THE ORGANIZATION'S PRESIDENT RECEIVED COMPENSATION FROM A RELATED ORGANIZATION, WHICH USED ONE OR MORE OF THE METHODS DESCRIBED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. FORM 990, PART VI, SECTION A, LINE 6 AHMAR BUTT, MD IS THE NOMINEE SHAREHOLDER. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS IS ELECTED BY THE SHAREHOLDERS. NO INDIVIDUAL MAY BE A DIRECTOR UNLESS S/HE IS AUTHORIZED BY LAW TO PRACTICE MEDICINE IN THE STATE OF NEW YORK AND IS EITHER A SHAREHOLDER OF THE CORPORATION OR ENGAGED IN THE PRACTICE OF MEDICINE IN THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 WAS PROVIDED TO THE PRESIDENT, DR. AHMAR BUTT, WHO APPROVED THE RETURN BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION FOLLOWS THE BROOKLYN HOSPITAL CENTER ("TBHC") CONFLICT OF INTEREST POLICY. TBHC MONITORS AND ENFORCES ITS POLICY AS FOLLOWS: THE VP OF AUDIT AND COMPLIANCE REVIEWS ALL STATEMENTS. ALL POSITIVE RESPONSES ARE REVIEWED WITH THE CEO AND GENERAL COUNSEL. ALL MATERIAL RESPONSES ARE REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD, ALONG WITH RECOMMENDED ACTIONS. IF A CONFLICT ARISES THEN THE VP OF AUDIT AND COMPLIANCE GATHERS ADDITIONAL INFORMATION FROM THE REPORTER AS NECESSARY. POSITIVE RESPONSES ARE REVIEWED BY THE VP OF AUDIT AND COMPLIANCE, CEO, AND COUNSEL, AND THIS GROUP DETERMINES WHICH IF ANY RESPONSES REPRESENT A CONFLICT. THE CEO WILL THEN TAKE SUCH ACTION AS IS DEEMED APPROPRIATE TO ELIMINATE THE CONFLICT OF INTEREST, INCLUDING SUCH STEPS AS REASSIGNMENT OF RESPONSIBILITIES OR ESTABLISHMENT OF PROTECTIVE ARRANGEMENTS. IF THE MATTER INVOLVES A BOARD MEMBER OR OFFICER, APPROPRIATE ACTION WILL BE DETERMINED BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE ONLY THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 471,867. MANAGEMENT AND GENERAL EXPENSES 90,389. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 562,256. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,171,687. MANAGEMENT AND GENERAL EXPENSES 224,444. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,396,131. BILLING SERVICES: PROGRAM SERVICE EXPENSES 61,944. MANAGEMENT AND GENERAL EXPENSES 11,866. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,810. 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