2025-11-17T07:10:42-06:00 2024-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2024-01-01 112833590 TBHC MEDICAL SERVICES PC C/O THE BROOKLYN HOSPITAL CENTER TBHC 7182506755 121 DEKALB AVENUE BROOKLYN NY 11201 JOHN WALSH VP, CFO 7182506755 2025-11-14 1 1 KERRI N BOGDA P00760402 7177404863 2025-11-14 2024 2025-03-06 01:10:19Z SAM AMIRFAR 121 DEKALB AVENUE BROOKLYN NY 11201 5600764 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 12 0 0 0 0 0 5516224 5600764 0 0 0 0 5516224 5600764 0 0 0 0 4548907 3939062 0 0 0 1272153 1159291 5821060 5098353 -304836 502411 683753 874316 21031411 20719563 -20347658 -19845247 X THE MISSION OF TBHC MEDICAL SERVICES, 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 SERVICESTO 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 4289757 0 5600764 PROVIDE THE BROOKLYN HOSPITAL CENTER WITH PATIENT CARE IN THE AREA OF FAMILY MEDICINE FOR APPROXIMATELY 20,800 OUTPATIENT VISITS AND 900 INPATIENT ADMISSIONS. 4289757 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 12 1 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 7182508000 121 DEKALB AVENUE BROOKLYN NY 11201 SAM AMIRFAR PRESIDENT 20.00 40.00 X X 0 535000 12049 JOHN WALSH VP, CFO 0.00 60.00 X 0 418269 10004 SHERLY ABRAHAM CHAIR, FAMILY MEDICINE 40.00 0.00 X 510000 0 3288 HAIDY RIVERO PROF STAFF 40.00 0.00 X 290000 0 2900 ALEJANDRA URIBE PROF STAFF 40.00 0.00 X 260000 0 2600 NADA AL-HASHIMI PROF STAFF 40.00 0.00 X 250000 0 9125 VICTORIA DANTCHENKO PROF STAFF 40.00 0.00 X 265000 0 1427 1575000 953269 41393 10 0 1 0 0 NET PATIENT SVC REVENU 621300 5473209 5473209 FACULTY PRACTICE REV. 621300 127555 127555 5600764 5600764 5600764 0 0 X 3747765 3165080 582685 191297 161565 29732 1024408 842395 182013 79729 65563 14166 47890 47890 MEDICAL SUPPLIES 7264 7264 5098353 4289757 808596 0 11414 683753 862902 683753 874316 21031411 20719563 21031411 20719563 X -20347658 -19845247 -20347658 -19845247 683753 874316 502411 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 20719563 20719563 0 0 0 0 0 0 0 1 0 SAM AMIRFAR PRESIDENT 0 450000 0 85000 0 0 0 3115 0 8934 0 547049 0 0 SHERLY ABRAHAM CHAIR, FAMILY MEDICINE 475000 0 35000 0 0 0 3288 0 0 0 513288 0 0 0 JOHN WALSH VP, CFO 0 343269 0 75000 0 0 0 3379 0 6625 0 428273 0 0 HAIDY RIVERO PROF STAFF 290000 0 0 0 0 0 2900 0 0 0 292900 0 0 0 VICTORIA DANTCHENKO PROF STAFF 265000 0 0 0 0 0 1427 0 0 0 266427 0 0 0 ALEJANDRA URIBE PROF STAFF 260000 0 0 0 0 0 2600 0 0 0 262600 0 0 0 NADA AL-HASHIMI PROF STAFF 250000 0 0 0 0 0 2500 0 6625 0 259125 0 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 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 SAM AMIRFAR 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 CHAIR, SHERLY ABRAHAM, 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 BILLING SERVICES: PROGRAM SERVICE EXPENSES 253,927. MANAGEMENT AND GENERAL EXPENSES 54,865. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 308,792. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 587,721. MANAGEMENT AND GENERAL EXPENSES 126,987. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 714,708. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 747. MANAGEMENT AND GENERAL EXPENSES 161. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 908. 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 RADIOLOGY PC 121 DEKALB AVENUE BROOKLYN NY 11201 112833588 RADIOLOGY 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 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 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 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 THE BROOKLYN HOSPITAL CENTER 121 DEKALB AVENUE BROOKLYN NY 11201 111630755 HEALTHCARE NY 501(C)(3) LINE 3 BROOKLYN HEALTH INC 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 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 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1