2023-11-15T15:55:15-06:00 2022-12-31 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2022-01-01 821498653 BROOKLYN HEALTH INC BROO 7172508000 121 DEKALB AVENUE BROOKLYN NY 11201 JOHN WALSH VP, CFO 7172508000 2023-11-15 1 JOHN WALSH XXX-XX-XXXX 0 KERRI N BOGDA CPA P00760402 7177404863 2023-11-15 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 2016 NY TO BENEFIT AND SUPPORT THE BROOKLYN HOSPITAL CENTER AND OTHER AFFILIATED CORPORATIONS. 18 18 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 TO BENEFIT AND SUPPORT THE BROOKLYN HOSPITAL CENTER AND OTHER CORPORATIONS AFFILIATED WITH THAT INSTITUTION 0 0 0 0 0 INACTIVE 1 0 0 0 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 0 0 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 ANNE ELIZABETH FONTAINE CHAIR 1.00 6.00 X X 0 0 0 MARIA FIORINI RAMIREZ VICE CHAIR 1.00 6.00 X X 0 0 0 SUSAN E SKERRITT VICE CHAIR (UNTIL MAY 2022) 1.00 6.00 X X 0 0 0 J BARCLAY COLLINS II SECRETARY 1.00 6.00 X X 0 0 0 OLAMIDE AJIBESIN VICE CHAIR 1.00 6.00 X X 0 0 0 WANYONG LAI AUSTIN TRUSTEE 1.00 6.00 X 0 0 0 ADRINA BANKS-MARTIN VICE CHAIR 1.00 6.00 X X 0 0 0 MARTHA BAKOS DIETZ TRUSTEE 1.00 6.00 X 0 0 0 BERNARD DRAYTON TRUSTEE 1.00 6.00 X 0 0 0 ALIREZA ESMAELIZADEH TRUSTEE 1.00 6.00 X 0 0 0 CATHY SOMMER ISELIN TRUSTEE 1.00 6.00 X 0 0 0 JOEL LEITNER TRUSTEE 1.00 6.00 X 0 0 0 DEIRDRE QUINN TRUSTEE 1.00 6.00 X 0 0 0 DAVID SCHWARTZ TRUSTEE (UNTIL MAY 2022) 1.00 6.00 X 0 0 0 DINO VERONESE TRUSTEE 1.00 6.00 X 0 0 0 EARL D WEINER TRUSTEE 1.00 6.00 X 0 0 0 CARLOS P NAUDON IMMEDIATE PAST CHAIR 1.00 6.00 X 0 0 0 JESSIE MCCLINTOCK KELLY TRUSTEE 1.00 6.00 X 0 0 0 SRIVIDYA MADHUSUDHAN TRUSTEE 1.00 6.00 X 0 0 0 LESIA BATES MOSS TRUSTEE 1.00 6.00 X 0 0 0 GARY TERRINONI PRESIDENT & CEO, EX-OFFICIO 1.00 59.00 X 0 1558000 11984 JOHN WALSH VP, CFO 1.00 59.00 X 0 325000 9183 SHARON WICKES SVP, STRATEGIC & BUS. ANALYTICS 1.00 59.00 X 0 335000 5497 ROBERT AULICINO COO 1.00 59.00 X 0 582500 3050 STACY FRIEDMAN ESQ SR VP AND GENERAL COUNSEL 1.00 59.00 X 0 438532 11984 SAM J AMIRFAR MD CHIEF MEDICAL OFF & CIO 1.00 59.00 X 0 405000 11684 LENUE H SINGLETARY III SVP, EXT. AFFAIRS, STRTG & MRKTG 1.00 59.00 X 0 380000 5918 GAETANO MENNONNA SR VP HUMAN RESOURCES 1.00 59.00 X 0 405000 11984 JAMES GASPERINO CHIEF OF SVC MEDICINE 1.00 59.00 X 0 685000 3830 VASANTHA KONDAMUDI MD EVP, CHIEF MEDICAL OFFICER 1.00 59.00 X 0 670000 3050 JUDY MCLAUGHLIN SR VP & CHIEF NURSING OFFICER 1.00 59.00 X 0 430000 5826 PRATIBHA VEMULAPALLI MD CHAIR, DEPT OF SURGERY 1.00 59.00 X 0 751000 9872 ARMAND P ASARIAN MD FACS CHIEF ACADEMIC OFFICER 1.00 59.00 X 0 450000 11984 JOHN FERRARA VP OF OPERATIONS 1.00 59.00 X 0 237500 5807 0 7652532 111653 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 0 0 0 0 0 0 0 0 0 0 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 0 1 0 0 0 0 0 0 0 GARY TERRINONI PRESIDENT & CEO, EX-OFFICIO 0 1270000 0 288000 0 0 0 3050 0 8934 0 1569984 0 0 PRATIBHA VEMULAPALLI MD CHAIR, DEPT OF SURGERY 0 651000 0 100000 0 0 0 938 0 8934 0 760872 0 0 JAMES GASPERINO CHIEF OF SVC MEDICINE 0 610000 0 75000 0 0 0 0 0 3830 0 688830 0 0 VASANTHA KONDAMUDI MD EVP, CHIEF MEDICAL OFFICER 0 550000 0 120000 0 0 0 3050 0 0 0 673050 0 0 ROBERT AULICINO COO 0 462500 0 120000 0 0 0 3050 0 0 0 585550 0 0 ARMAND P ASARIAN MD FACS CHIEF ACADEMIC OFFICER 0 450000 0 0 0 0 0 3050 0 8934 0 461984 0 0 STACY FRIEDMAN ESQ SR VP AND GENERAL COUNSEL 0 358532 0 80000 0 0 0 3050 0 8934 0 450516 0 0 JUDY MCLAUGHLIN SR VP & CHIEF NURSING OFFICER 0 350000 0 80000 0 0 0 2908 0 2918 0 435826 0 0 GAETANO MENNONNA SR VP HUMAN RESOURCES 0 325000 0 80000 0 0 0 3050 0 8934 0 416984 0 0 SAM J AMIRFAR MD CHIEF MEDICAL OFF & CIO 0 325000 0 80000 0 0 0 2750 0 8934 0 416684 0 0 LENUE H SINGLETARY III SVP, EXT. AFFAIRS, STRTG & MRKTG 0 300000 0 80000 0 0 0 3000 0 2918 0 385918 0 0 SHARON WICKES SVP, STRATEGIC & BUS. ANALYTICS 0 255000 0 80000 0 0 0 1667 0 3830 0 340497 0 0 JOHN WALSH VP, CFO 0 265000 0 60000 0 0 0 2558 0 6625 0 334183 0 0 JOHN FERRARA VP OF OPERATIONS 0 200000 0 37500 0 0 0 1977 0 3830 0 243307 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. 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. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE CHAIRMAN OF THE BOARD OF TRUSTEES, THE CHAIRMAN OF THE FINANCE COMMITTEE, THE PRESIDENT & CEO AND THE CHIEF ACCOUNTING OFFICER. THE FORM 990 WAS ALSO PROVIDED TO THE MEMBERS OF THE BOARD OF TRUSTEES PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION FOLLOWS THE BROOKLYN HOSPITAL CENTER ("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. 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