2023-11-15T13:30:37-06:00 2022-12-31 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2022-01-01 112833588 BROOKLYN HOSPITAL RADIOLOGY PC C/O THE BROOKLYN HOSPITAL CENTER 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 NATALIE IGEL MD 121 DEKALB AVENUE BROOKLYN NY 11201 3131647 0 X WWW.TBH.ORG X 1986 NY TO PROVIDE HIGH QUALITY HEALTH CARE TO MEMBERS OF THE COMMUNITY AND TO SUPPORT THE CHARITABLE PURPOSES AND MISSION OF THE BROOKLYN HOSPITAL. 1 0 0 0 0 0 277749 0 3021084 3131647 0 0 0 0 3298833 3131647 0 0 0 0 5443635 5049550 0 0 0 1203962 2251888 6647597 7301438 -3348764 -4169791 784187 499540 65796458 69681602 -65012271 -69182062 X THE MISSION OF BROOKLYN HOSPITAL RADIOLOGY, PC ("THE ORGANIZATION") IS TO PROVIDE HIGH QUALITY HEALTH CARE TO MEMBERS OF THE COMMUNITY AND TO SUPPORT THE CHARITABLE PURPOSES AND MISSION OF THE BROOKLYN HOSPITAL CENTER. THE ORGANIZATION SHALL PROVIDE EXEMPLARY HEALTH CARE SERVICES TO INDIGENT PATIENTS AND PATIENTS WHO ARE MEDICARE AND MEDICAID BENEFICIARIES IN A NON-DISCRIMINATORY MANNER AND WITHOUT REGARD TO THEIR ABILITY TO PAY. 0 0 6167518 0 3131647 PROVIDE THE BROOKLYN HOSPITAL WITH RADIOLOGY SERVICES FOR APPROXIMATELY 12,300 INPATIENT ADMISSIONS. ALSO PROVIDED APPROXIMATELY 33,500 OUTPATIENT PROCEDURES IN THE AREAS OF DIAGNOSTIC, ULTRASOUND, CAT SCAN MAMMOGRAPHY AND MRI. 6167518 1 0 0 0 0 0 0 0 0 0 0 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 1 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X JOHN WALSH VP CFO 7182506755 121 DEKALB AVENUE BROOKLYN NY 11201 NATALIE IGEL MD PRESIDENT 5.00 55.00 X X 0 399760 0 0 399760 0 0 0 1 0 0 NET PATIENT SERVICE RE 621300 3131647 3131647 3131647 3131647 3131647 0 0 X 4370004 3690576 679428 345241 291583 53658 334305 282347 51958 2065015 1717974 347041 5038 4143 895 5290 4350 940 158472 158472 REPAIRS & MAINTENANCE 18064 18064 MEDICAL SUPPLIES 9 9 7301438 6167518 1133920 0 784187 499540 784187 499540 65796458 69681602 65796458 69681602 X -65012271 -69182062 -65012271 -69182062 784187 499540 -4169791 0 X 0 1 X 1 0 X 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 0 DUE TO RELATED ORGANIZATION 69681602 69681602 0 0 0 0 0 0 0 0 0 NATALIE IGEL MD PRESIDENT 0 399760 0 0 0 0 0 0 0 0 0 399760 0 0 PART I, LINE 3 THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL RECEIVED HIS 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 NATALIE IGEL, MD IS THE NOMINEE SHAREHOLDER. FORM 990, PART VI, SECTION A, LINE 7A THE NOMINEE SHAREHOLDER AND PRESIDENT OF THE ORGANIZATION IS APPOINTED BY THE BROOKLYN HOSPITAL CENTER, A RELATED ORGANIZATION, AND ALSO ACTS AS THE SOLE DIRECTOR. FORM 990, PART VI, SECTION A, LINE 7B THE BROOKLYN HOSPITAL CENTER MUST APPROVE IN ADVANCE ANY AMENDMENT TO THE BYLAWS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 WAS PROVIDED TO THE PRESIDENT, NATALIE IGEL, MD, AND HAS BEEN APPROVED BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION IS CONTROLLED BY THE BROOKLYN HOSPITAL CENTER ("TBHC") AND IT FOLLOWS TBHC'S 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 1,297,535. MANAGEMENT AND GENERAL EXPENSES 256,200. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,553,735. BILLING SERVICES: PROGRAM SERVICE EXPENSES 420,439. MANAGEMENT AND GENERAL EXPENSES 90,841. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 511,280. FORM 990, PART IX, LINE 7, 9, AND 10 THIS ORGANIZATION HAS NO EMPLOYEES. AMOUNTS REPORTED ON THESE LINES REPRESENT THE ALLOCATED PAYROLL RELATED EXPENSES TO THE ORGANIZATION FOR THE YEAR ENDED DECEMBER 31, 2022 WHICH ARE PAID BY THE BROOKLYN HOSPITAL CENTER, A RELATED 501(C)(3) ORGANIZATION. ASHLAND PLACE HOLDING CORPORATION 121 DEKALB AVENUE BROOKLYN NY 11201 113304353 TITLE HOLDING NY 501(C)(2) N/A BROOKLYN HOSPITAL CENTER 0 ASHLAND PLACE HOUSES INC 121 DEKALB AVENUE BROOKLYN NY 11201 112390927 REAL ESTATE NY 501(C)(2) LINE 12A, I BROOKLYN HOSPITAL CENTER 0 BROOKLYN HEALTH INC 121 DEKALB AVENUE BROOKLYN NY 11201 821498653 SUPPORT NY 501(C)(3) LINE 12A, I N/A 0 BROOKLYN HEALTH MEDICAL GROUP PC 121 DEKALB AVENUE BROOKLYN NY 11201 821515726 MEDICAL SERVICES NY 501(C)(3) LINE 12A, I BROOKLYN HOSPITAL CENTER 0 BROOKLYN HOSPITAL WOMEN'S HC MED PROVIDERS PC 121 DEKALB AVENUE BROOKLYN NY 11201 275459970 MEDICAL SERVICES NY 501(C)(3) LINE 12A, I BROOKLYN HOSPITAL CENTER 0 CALEDONIAN HEALTH CENTER 121 DEKALB AVENUE BROOKLYN NY 11201 542117028 CLINICS NY 501(C)(3) PF BROOKLYN HOSPITAL CENTER 0 PARK VENTURES HOUSING CORP 121 DEKALB AVENUE BROOKLYN NY 11201 113321990 REAL ESTATE NY 501(C)(3) LINE 12A, I BROOKLYN HOSPITAL CENTER 0 TBHC EMERGENCY MEDICINE PC 121 DEKALB AVENUE BROOKLYN NY 11201 112833587 MEDICAL SERVICES NY 501(C)(3) LINE 12A, I BROOKLYN HOSPITAL CENTER 0 TBHC MEDICAL SERVICES PC 121 DEKALB AVENUE BROOKLYN NY 11201 112833590 MEDICAL SERVICES NY 501(C)(3) LINE 12A, I BROOKLYN HOSPITAL CENTER 0 TBHC MEDICAL TESTING SERVICES PC 121 DEKALB AVENUE BROOKLYN NY 11201 270174413 MEDICAL TESTING NY 501(C)(3) LINE 12A, I BROOKLYN HOSPITAL CENTER 0 TBHC PEDIATRIC SERVICES PC 121 DEKALB AVENUE BROOKLYN NY 11201 270174684 PEDIATRICS NY 501(C)(3) LINE 12A, I BROOKLYN HOSPITAL CENTER 0 TBHC PHYSICIAN SERVICES PC 121 DEKALB AVENUE BROOKLYN NY 11201 270174589 MEDICAL SERVICES NY 501(C)(3) LINE 12A, I BROOKLYN HOSPITAL CENTER 0 THE BROOKLYN HOSPITAL CENTER 122 DEKALB AVENUE BROOKLYN NY 11202 111630755 MEDICAL SERVICES NY 501(C)(3) LINE 3 BROOKLYN HEALTH INC 0 THE BROOKLYN HOSPITAL FOUNDATION 121 DEKALB AVENUE BROOKLYN NY 11201 112936410 SUPPORT NY 501(C)(3) LINE 12A, I BROOKLYN HOSPITAL CENTER 0 THE BROOKLYN HOSPITAL SELF INS TRUST 121 DEKALB AVENUE BROOKLYN NY 11201 112501235 SELF INS TRUST NY 501(C)(3) LINE 12A, I BROOKLYN HOSPITAL CENTER 0 BC FINANCIAL SERVICES INC 121 DEKALB AVENUE BROOKLYN NY 11201 112841661 FINANCIAL NY N/A C 0 BROOKLYN HOSPITAL ECG MEDICAL SERVICES 121 DEKALB AVENUE BROOKLYN NY 11201 112833052 MEDICAL SERVICES NY N/A C 0 BROOKLYN HOSPITAL NUCLEAR MEDICINE PC 121 DEKALB AVENUE BROOKLYN NY 11201 112833589 MEDICAL SERVICES NY N/A C 0 PARK VENTURES INC 121 DEKALB AVENUE BROOKLYN NY 11201 112744953 INVESTING NY N/A C 0 TBHC ANESTHESIOLOGY SERVICES PC 121 DEKALB AVENUE BROOKLYN NY 11201 112833049 MEDICAL SERVICES NY N/A C 0 TBHC RADIATION ONCOLOGY PC 121 DEKALB AVENUE BROOKLYN NY 11201 270174805 MEDICAL SERVICES NY N/A C 0 METROPOLIS ASSURANCE COMPANY LTD 62 FORUM LANE CAMANA BAY CJ 981151357 INSURANCE CJ N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1