2025-11-17T07:16:36-06:00 2024-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2024-01-01 270174589 TBHC PHYSICIAN 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 0 X KERRI N BOGDA P00760402 7177404863 2025-11-11 2024 2025-03-06 01:10:19Z SAM AMIRFAR 121 DEKALB AVENUE BROOKLYN NY 11201 16786184 0 X WWW.TBH.ORG X 2009 NY TO PROVIDE QUALITY HEALTH CARE TO MEMBERS OF THE COMMUNITY AND TO SUPPORT THE CHARITABLE PURPOSES AND MISSION OF THE BROOKLYN HOSPITAL CENTER. 1 0 20 0 0 0 0 0 17342487 16786184 0 0 0 0 17342487 16786184 0 0 0 0 15517750 16638363 0 0 0 10490987 9505300 26008737 26143663 -8666250 -9357479 1397262 1263390 66256842 75236481 -64859580 -73973091 X THE MISSION OF TBHC PHYSICIAN SERVICES P.C. ("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 PROVIDES 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 21915704 0 16786184 THE ORGANIZATION PROVIDES PATIENT CARE FOR APPROXIMATELY 6,500 DISCHARGES IN THE AREAS OF SURGERY AND INTERNAL MEDICINE. 21915704 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 20 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 PRATIBHA VEMULAPALLI MD PRESIDENT (UNTIL 11/24) 50.00 10.00 X X 0 688902 9545 SAM AMIRFAR PRESIDENT 20.00 40.00 X X 0 535000 12049 JOHN WALSH VP, CFO 0.00 60.00 X 0 418269 10004 JEAN FREDERIC ASSOC CLIN DIR, NEUROSCIENCES 40.00 0.00 X 229450 0 9903 JUDE ANGLADE LEAD PHYSICIAN ASSISTANT 40.00 0.00 X 177534 0 9579 PATRICK J MCAULIFFE PHYSICIAN ASSISTANT 40.00 0.00 X 150550 0 5427 ALINA LAZIS CLINICAL COORD STROKE PRGRM 40.00 0.00 X 149800 0 1498 WILLIAM VANDERWALL PHYSICIAN ASSISTANT 40.00 0.00 X 180700 0 6830 888034 1642171 64835 13 0 1 0 0 NET PATIENT SERVICE REVENUE 621300 16643727 16643727 RESIDENT ROTATIONS 621300 142457 142457 16786184 16786184 16786184 0 0 X 14827140 12521884 2305256 676947 571735 105212 1134276 957986 176290 200 200 7330951 6028418 1302533 27410 23209 4201 21301 17515 3786 20901 17187 3714 395 325 70 1762687 1449498 313189 MEDICAL SERVICES 254249 254249 RECRUITING EXPENSE 81475 68987 12488 REPAIR AND MAINTENANCE 5731 4711 1020 26143663 21915704 4227959 0 1397262 1263390 1397262 1263390 66256842 75236481 66256842 75236481 X -64859580 -73973091 -64859580 -73973091 1397262 1263390 X -9357479 243968 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 75236481 75236481 0 0 0 0 0 0 0 0 0 PRATIBHA VEMULAPALLI MD PRESIDENT (UNTIL 11/24) 0 688902 0 0 0 0 0 1298 0 8247 0 698447 0 0 SAM AMIRFAR PRESIDENT 0 450000 0 85000 0 0 0 3115 0 8934 0 547049 0 0 JOHN WALSH VP, CFO 0 343269 0 75000 0 0 0 3379 0 6625 0 428273 0 0 JEAN FREDERIC ASSOC CLIN DIR, NEUROSCIENCES 229450 0 0 0 0 0 1979 0 7924 0 239353 0 0 0 WILLIAM VANDERWALL PHYSICIAN ASSISTANT 180700 0 0 0 0 0 1152 0 5678 0 187530 0 0 0 JUDE ANGLADE LEAD PHYSICIAN ASSISTANT 177534 0 0 0 0 0 1655 0 7924 0 187113 0 0 0 PATRICK J MCAULIFFE PHYSICIAN ASSISTANT 150550 0 0 0 0 0 1337 0 4090 0 155977 0 0 0 ALINA LAZIS CLINICAL COORD STROKE PRGRM 149800 0 0 0 0 0 1498 0 0 0 151298 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. FORM 990, PART VI, SECTION A, LINE 6 PRATIBHA VEMULAPALLI, 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, SAM AMIRFAR, 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 522,230. MANAGEMENT AND GENERAL EXPENSES 112,836. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 635,066. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 136,863. MANAGEMENT AND GENERAL EXPENSES 29,571. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 166,434. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 5,369,325. MANAGEMENT AND GENERAL EXPENSES 1,160,126. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,529,451. FORM 990, PART XI, LINE 9: EQUITY TRANSFER 243,968. 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 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 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