2023-11-15T13:31:02-06:00 2022-12-31 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2022-01-01 112390927 ASHLAND PLACE HOUSES INC ASHL 7182506755 121 DEKALB AVENUE BROOKLYN NY 11201 JOHN WALSH VP, CFO 7182506755 2023-11-14 1 JOHN WALSH XXX-XX-XXXX 1 KERRI N BOGDA CPA P00760402 7177404863 2023-11-13 X 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z SHARON WICKES 121 DEKALB AVENUE BROOKLYN NY 11201 0 0 X WWW.TBH.ORG X 1974 NY SUPPORT THE BROOKLYN HOSPITAL CENTER THRU OWNERSHIP OF BUILDINGS & LAND THAT PROVIDE CLINICAL & ADMIN OFFICE SPACE SUPPORTING HOSPITAL SERVICES & HOUSING FOR TRAINEES & STAFF. 4 2 0 2 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 11353 11746 11353 11746 -11352 -11746 290196 278450 18591385 18591385 -18301189 -18312935 ASHLAND PLACE HOUSES, INC. SUPPORTS THE BROOKLYN HOSPITAL CENTER (THE HOSPITAL) THROUGH THE OWNERSHIP OF BUILDINGS AND LAND THAT PROVIDE CLINICAL AND ADMINISTRATIVE OFFICE SPACE SUPPORTING HOSPITAL SERVICES, AS WELL AS HOUSING UTILIZED BY TRAINEES AND STAFF OF THE HOSPITAL. 0 0 11746 0 0 SUPPORT THE REAL ESTATE NEEDS OF THE BROOKLYN HOSPITAL CENTER THROUGH THE OWNERSHIP OF BUILDINGS AND LAND THAT PROVIDES CLINICAL AND ADMINISTRATIVE OFFICE SPACE SUPPORTING HEALTH CARE SERVICES, AS WELL AS HOUSING UTILIZED BY THE HOSPITAL'S TRAINEES AND STAFF. 11746 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 4 2 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 NY X JOHN WALSH VP CFO 7184883716 121 DEKALB AVENUE BROOKLYN NY 11201 GARY G TERRINONI PRESIDENT & BOARD CHAIR 1.00 59.00 X X 0 1558000 11985 SHARON L WICKES TREASURER & DIRECTOR 1.00 59.00 X X 0 335000 5498 CARLOS P NAUDON DIRECTOR 1.00 7.00 X 0 0 0 ANNE ELIZABETH FONTAINE DIRECTOR 1.00 3.00 X 0 0 0 0 1893000 17483 0 0 1 0 0 0 0 0 0 11746 11746 11746 11746 0 0 387960 109510 290196 278450 290196 278450 18591385 18591385 18591385 18591385 X -18301189 -18312935 -18301189 -18312935 290196 278450 -11746 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 104036 104036 283924 109510 174414 278450 DUE TO AFFILIATES 18591385 18591385 PART X, LINE 1(2) DUE TO AFFILIATE REPRESENTS THE ADVANCE FROM THE BROOKLYN HOSPITAL CENTER FOR THE AMOUNT OF THE BUILDING, BUILDING IMPROVEMENT AND OTHER BUILDING ASSET EXPENSES PAID BY THE BROOKLYN HOSPITAL CENTER. 0 1 0 0 0 0 0 1 0 GARY G TERRINONI PRESIDENT & BOARD CHAIR 0 1270000 0 288000 0 0 0 3050 0 8935 0 1569985 0 0 SHARON L WICKES TREASURER & DIRECTOR 0 255000 0 80000 0 0 0 1668 0 3830 0 340498 0 0 PART I, LINE 3 THE ORGANIZATION'S PRESIDENT & BOARD CHAIR, AND TREASURER & DIRECTOR RECEIVED THEIR COMPENSATION FROM A RELATED ORGANIZATION, WHICH USED ONE OR MORE OF THE METHODS DESCRIBED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL AND OTHER OFFICER'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, LINE 7 BONUS ELIGIBILITY IS DISCRETIONARY AND MUST BE APPROVED BY THE COMPENSATION SUBCOMMITTEE OF THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 THE BROOKLYN HOSPITAL FOUNDATION, INC., WHICH IS A TAX-EXEMPT ORGANIZATION, IS THE SOLE CORPORATE MEMBER OF ASHLAND PLACE HOUSES, INC. THE BROOKLYN HOSPITAL CENTER, WHICH IS ALSO A TAX-EXEMPT ORGANIZATION, IS THE SOLE CORPORATE MEMBER OF THE BROOKLYN HOSPITAL FOUNDATION, INC. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER HAS THE AUTHORITY TO ELECT THE TRUSTEES OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER HAS THE AUTHORITY TO AMEND OR REPEAL REVISIONS TO THE CERTIFICATE OF INCORPORATION AND/OR BYLAWS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO SEPARATE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY OUTSIDE TAX ADVISORS AND REVIEWED BY MANAGEMENT. THE FORM 990 IS PROVIDED TO THE CURRENT DIRECTORS OF THE ORGANIZATION BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE ORGANIZATION HAS ADOPTED AND COMPLIES WITH THE CONFLICT OF INTEREST POLICY OF ITS AFFILIATE, THE BROOKLYN HOSPITAL CENTER ("TBHC"). THE CHIEF COMPLIANCE OFFICER OF TBHC REVIEWS ALL STATEMENTS IN RESPONSE TO THE CONFLICT OF INTEREST QUESTIONNAIRE, INCLUDING THOSE OF THE DIRECTORS OF THE ORGANIZATION. ALL POSITIVE RESPONSES ARE REVIEWED WITH THE CEO OF TBHC AND ITS GENERAL COUNSEL. ALL MATERIAL RESPONSES ARE REPORTED TO THE HOSPITAL'S AUDIT AND COMPLIANCE COMMITTEE WITH RECOMMENDED ACTION. IF A CONFLICT ARISES, THE CHIEF COMPLIANCE OFFICER GATHERS ADDITIONAL INFORMATION AS NECESSARY, WITH ALL POSITIVE RESPONSES REVIEWED BY THE CHIEF COMPLIANCE OFFICER, CEO AND GENERAL COUNSEL TO DETERMINE IF A CONFLICT EXISTS. THE CEO OF TBHC WILL THEN TAKE ACTION AS IS DEEMED APPROPRIATE TO ELIMINATE SUCH CONFLICT, INCLUDING REASSIGNMENT OF DUTIES OR ESTABLISHMENT OF PROTECTIVE ARRANGEMENTS. IF THE POTENTIAL CONFLICT INVOLVES A BOARD MEMBER, 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. ASHLAND PLACE HOLDING CORPORATION 121 DEKALB AVENUE BROOKLYN NY 11201 113304353 TITLE HOLDING NY 501(C)(2) N/A 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 SELF INS TRUST 121 DEKALB AVENUE BROOKLYN NY 11201 112501235 SELF INS TRUST NY 501(C)(3) 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 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 CENTER 121 DEKALB AVENUE BROOKLYN NY 11201 111630755 HEALTHCARE NY 501(C)(3) LINE 3 BROOKLYN HEALTH INC 0 BROOKLYN HOSPITAL RADIOLOGY PC 121 DEKALB AVENUE BROOKLYN NY 11201 112833588 RADIOLOGY 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 1 1 0 0 0 0