Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 3 | THE ORGANIZATION'S ORIGINAL MISSION WAS TO PROVIDE HOUSING AND PARKING FACILITIES TO EMPLOYEES AND STAFF MEMBERS OF BROOKDALE HOSPITAL MEDICAL CENTER. ORGANIZATION'S BUILDING WAS SOLD IN 2012. THE ORGANIZATION IS IN THE PROCESS OF DISSOLUTION. |
| FORM 990, PART VI, SECTION A, LINE 2 | ALEX ROVT, TRUSTEE AND CHAIRMAN, IRINA BENFIELD, TRUSTEE AND SECRETARY, AND STEPHEN PLOTNICK, TRUSTEE, ALL HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER. |
| FORM 990, PART VI, SECTION A, LINE 3 | IN MARCH 2012, GRANT THORNTON WAS ENGAGED BY THE ORGANIZATION TO PROVIDE TEMPORARY STAFFING SERVICES. COMMENCING APRIL 26, 2012 GRANT THORTON'S GRANT THORTON'S TEMPORARY STAFFING SERVICES INCLUDED PROVIDING THE CHIEF EXECUTIVE AND RESTRUCTUTING OFFICER, CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER, AND CHIEF INFORMATION OFFICER POSITIONS. AS WELL AS MULTIPLE OTHER ADMINISTRATIVE POSITIONS IN FINANCE, OPERATIONS, AND IT. DURING 2013, THE POSITION OF CHIEF FINANCIAL OFFICER WAS FULFILLED BY JAMES PORTER OF GRANT THORNTON. IN DECEMBER 2012, THE HOSPITAL RETAINED TONEYKORF PARTNERS, LLC. TO PROVIDE INDIVIDUALS TO TEMPORARLY FILL THE POSITIONS OF CHIEF EXECUTIVE OFFICER AND CHIEF OPERATING OFFICER, FULLFILLED BY MARK TONEY AND STEVEN KORF, RESPECTIVELY. THESE POSITIONS ARE ALL INDICATED IN PART VII SECTION A FOR OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES. ANY AMOUNTS PAID IN CONNECTION WITH THE ABOVE SERVICES ARE PAID DIRECTLY TO GRANT THORNTON OR TONEYKORF PARTNERS, LLC RESPECTIVELY. THE FOLLOWING WERE PAID BY THE RELATED ORGANIZATION FOR SERVICES RENDERED DURING THE YEAR: TONEYKORF PARTNERS, LLC $2,944,152 |
| FORM 990, PART VI, SECTION A, LINE 6 | BROOKDALE HEALTH SYSTEM, INC., A NEW YORK NOT-FOR-PROFIT ORGANIZATION, IS THE SOLE MEMBER OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | BROOKDALE HEALTH SYSTEM, INC., AS SOLE MEMBER OF THE ORGANIZATION, HAS THE AUTHORITY TO APPOINT AND REMOVE THE TRUSTEES OF THE ORGANIZATION, AND OTHER AUTHORITIES AS DELINEATED IN THE BYLAWS OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 AND APPROPRIATE SCHEDULES, AS REQUIRED, IS PREPARED BY OUTSIDE ACCOUNTANTS AND REVIEWED INTERNALLY BY MANAGEMENT AND COUNSEL, AT WHICH TIME IT IS CONSIDERED THE FINAL DRAFT. THE FINAL DRAFT OF THE FORM 990 IS THEN FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | DISCLOSURE IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY BY EMPLOYEES THAT SATISIFY THE CRITERIA TO BE CONSIDERED "INTERESTED PERSONS" IS SUBMITTED UPON HIRING AND ANNUALLY THEREAFTER. THE AUDIT AND COMPLIANCE COMITTEE REVIEWS THE SUBMISSIONS FOR CONFLICTS AND THE DEPARTMENT OF INTERNAL AUDIT MANAGES COMPLIANCE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
| AMENDED RETURN: | FORM 990 WAS AMENDED TO REFLECT CORRECTED FINANCIAL AND OTHER INFORMATION. |
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