2023-11-15T20:17:06-06:00 2022-12-31 132781641 MITCHELL & TITUS LLP 80 PINE STREET NEW YORK NY 10005 990 2022-01-01 113237480 URBAN STRATEGIESBROOKDALE FAMILY CARE CENTER INC URBA 7182405200 101-01 AVENUE D BROOKLYN NY 11236 MICHELLE FIGUEROA CFO 7182405200 2023-11-15 1 MICHELLE FIGUEROA 999009999 0 FREDERICK E DAVIS JR P00446023 2127094500 2023-11-15 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z LARAY BROWN 101-01 AVENUE D BROOKLYN NY 11236 1455579 0 X HTTP://ONEBROOKLYNHEALTH.ORG X 1996 NY WE PROVIDE GREATER ACCESS TO HIGH QUALITY MEDICAL CARE AND KEEP OUR COMMUNITIES HEALTHY THROUGH AN INTEGRATED CARE SYSTEM THAT RESPECTS THE DIVERSITY OF OUR COMMUNITIES AND ADDRESSES BOTH THE HEALTH NEEDS AND UNIQUE FACTORS THAT SHAPE THEM. 18 18 16 0 0 0 185405 0 1336586 1198817 0 0 207635 256762 1729626 1455579 0 0 0 0 1694966 1417427 0 0 0 1060852 1110259 2755818 2527686 -1026192 -1072107 936560 592486 14353443 15081476 -13416883 -14488990 WE PROVIDE GREATER ACCESS TO HIGH QUALITY MEDICAL CARE AND KEEP OUR COMMUNITIES HEALTHY THROUGH AN INTEGRATED CARE SYSTEM THAT RESPECTS THE DIVERSITY OF OUR COMMUNITIES AND ADDRESSES BOTH THE HEALTH NEEDS AND UNIQUE FACTORS THAT SHAPE THEM. 0 0 2408592 1455579 URBAN STRATEGIES/BROOKDALE FAMILY CARE CENTER INC. (URBAN) IS A NEW YORK STATE NOT FOR PROFIT MEMBERSHIP CORPORATION. URBAN, WHICH COMMENCED OPERATIONS IN OCTOBER OF 1996, WAS CREATED TO OPERATE DIAGNOSTIC AND TREATMENT CENTERS UNDER ARTICLE 28 OF THE NEW YORK PUBLIC HEALTH CODE AND TO PROVIDE A COMPREHENSIVE RANGE OF HEALTH CARE SERVICES. THERE WERE 10,882 PATIENT VISITS IN 2021. 2408592 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 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 3 0 16 0 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X MICHELLE FIGUEROA 7182407931 101-01 AVENUE D BROOKLYN NY 11236 ALEX ROVT CHAIRMAN 0.05 0.95 X X 0 0 0 ANTHONY CLEMENZA SR TRUSTEE 0.05 0.95 X 0 0 0 BISHOP HUGH NELSON TRUSTEE 0.05 0.95 X 0 0 0 DR JOSEPH CUIFFO TRUSTEE 0.05 0.95 X 0 0 0 DR K TORIAN EASTERLING TRUSTEE UNTIL DECEMBER 31, 2022 0.05 0.95 X 0 0 0 DR SOFIA NOVAK TRUSTEE 0.05 0.95 X 0 0 0 EDNA WELLS-HANDY TRUSTEE 0.05 0.95 X 0 0 0 HENNA WHITE SECRETARY/TREASURER 0.05 0.95 X X 0 0 0 HOPE MASON TRUSTEE 0.05 0.95 X 0 0 0 MARK SHELTON TRUSTEE 0.05 0.95 X 0 0 0 MAURICE A REID TRUSTEE 0.05 0.95 X 0 0 0 MICHAEL IRWIN TRUSTEE 0.05 0.95 X 0 0 0 MICHAEL L NAIRNE TRUSTEE 0.05 0.95 X 0 0 0 MICHAEL SCAGNELLI TRUSTEE 0.05 0.95 X 0 0 0 NUSIN SHTERN TRUSTEE 0.05 0.95 X 0 0 0 RABBI ARYEH KATZIN TRUSTEE 0.05 0.95 X 0 0 0 REV WATERMAN VICE-CHAIRPERSON 0.05 0.95 X X 0 0 0 RICHARD E GREEN TRUSTEE 0.05 0.95 X 0 0 0 VICTOR AYALA TRUSTEE 0.05 0.95 X 0 0 0 GENEVIEVE SORENSEN VICE PRESIDENT 1.00 44.40 X 0 0 0 JOHN SCHMITT INTERIM CFO 1.00 X 0 602612 58200 REGINALD BULLOCK ASSISTANT SECRETARY 1.00 44.40 X 0 420845 51172 ROBERT PALERMO CFO - TERMINATED 02-25-2022 1.00 44.40 X 0 166974 8285 MARILYN ARCA PHYSICIAN 40.00 X 166210 0 26208 MILA VALDEZ PHYSICIAN 40.00 X 180025 0 21791 QUDSIA BANU PHYSICIAN 40.00 X 203140 0 32686 549375 1190431 198342 3 0 1 0 0 NET PATIENT SERVICE 624100 856678 856678 PHYSICIAN BILLINGS 624100 337427 337427 CAPITATION REVENUE 624100 4712 4712 1198817 OTHER REVENUE 256762 256762 256762 1455579 1455579 0 0 1135166 1135166 41468 41468 162169 162169 78624 78624 166416 162802 3614 2219 2219 40433 40433 275 275 2147 2147 30324 30324 8959 8959 CHARGE BACK OTHERS 814752 739517 75235 PROVISION FOR BAD DEBTS 21442 21442 MEDICAL SUPPLIES 20118 20118 MISCELLANEOUS EXPENSES 116 116 3058 2096 962 2527686 2408592 119094 0 283728 19948 172742 114414 1877 1810 4260124 3803810 478213 456314 936560 592486 263615 274053 14089828 14807423 14353443 15081476 X -13416883 -14488990 -13416883 -14488990 936560 592486 -1072107 0 X X 0 1 X 1 0 X 58900 58900 2385454 1999135 386319 1815770 1804675 11095 456314 DUE TO AFFILIATES 14541757 DUE TO THIRD-PARTY PAYORS 265666 14807423 X PART X, LINE 2: MANAGEEMENT REVIEWS TRANSACTIONS TO ESTIMATE POTENTIAL TAX LIABILITIES USING A THRESHOLD OF MORE LIKELY THAN NOT OF BEING SUSTAINED. IT IS MANAGEMENT'S ESTIMATION THAT THERE ARE NO MATERIAL LIABILITIES THAT NEED TO BE RECORDED AS OF DECEMBER 31, 2022. 0 0 0 0 0 0 0 0 0 JOHN SCHMITT INTERIM CFO 0 589728 0 0 0 12884 0 0 0 58200 0 660812 0 0 REGINALD BULLOCK ASSISTANT SECRETARY 0 417764 0 0 0 3081 0 0 0 51172 0 472017 0 0 QUDSIA BANU PHYSICIAN 202886 0 0 0 254 0 0 0 32686 0 235826 0 0 0 MILA VALDEZ PHYSICIAN 179333 0 0 0 692 0 0 0 21791 0 201816 0 0 0 MARILYN ARCA PHYSICIAN 162263 0 0 0 3947 0 0 0 26208 0 192418 0 0 0 ROBERT PALERMO CFO - TERMINATED 02-25-2022 0 164652 0 0 0 2322 0 0 0 8285 0 175259 0 0 FORM 990, PART VI, SECTION A, LINE 6 ONE BROOKLYN HEALTH SYSTEM, INC., A NEW YORK NOT-FOR-PROFIT ORGANIZATION, IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A ONE BROOKLYN 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 DEFINED IN THE BYLAWS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, 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. FORM 990, PART VI, SECTION B, LINE 12C DISCLOSURE IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY BY EMPLOYEES THAT SATISIFY THE CRITERIA TO BE CONSIDERED "INTERESTED PERSONS" IS SUBMITTED UPON HIRING AND ANNUALLY THEREAFTER. THE AUDIT AND COMPLIANCE COMMITTEE REVIEWS THE SUBMISSIONS FOR CONFLICTS AND THE DEPARTMENT OF INTERNAL AUDIT MANAGES COMPLIANCE. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART IV, QUESTION 20A: THE ORGANIZATION IS LICENSED UNDER ARTICLE 28 OF NEW YORK STATE PUBLIC HEALTH LAW. HOWEVER, SUBSECTION 10 OF ARTICLE 28 EXCLUDES CERTAIN HEALTHCARE FACILITIES FROM THE DEFINITION OF GENERAL HOSPITAL. THEREFORE, THE ORGANIZATION IS NOT INCLUDING SCHEDULE H IN THE CURRENT YEAR FORM 990 AS THEY DO NOT MEET THIS DEFINITION. 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