THE BROOKLYN HOSPITAL SELF INSURAN… - Form 990 Financial Data

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1977

Legal Domicile

Principal Officer

GARY TERRINONI

Phone

7182506755

Tax Period

2023-01-01 to 2023-12-31

THE BROOKLYN HOSPITAL SELF INSURANCE TRUST F/K/A BROOKLYN HOSPITAL PROVIDER, founded in 1977, is a micro nonprofit that reported $39K in total revenue in fiscal year 2023. Revenue surged 138% from the prior year, signaling strong growth momentum. Expenses of $2.8M exceeded revenue, resulting in a 7050% operating deficit.

Mission

SELF-INSURANCE RESERVE FUND CREATED BY THE BROOKLYN HOSPITAL CENTER (THE "PROVIDER") TO PROTECT THE PROVIDER BY DISCHARGING CERTAIN LIABILITIES CAUSED BY LOSSES THAT ARE NOT COVERED BY THE INSURANCE POLICIES ISSUED TO THE PROVIDER FROM TIME TO TIME.

Program Service Accomplishments

Program 1

Expenses: $2,817,522 Revenue: $0

PAYMENTS FOR MALPRACTICE BENEFITS AND CLAIMS FOR THE MEMBER HOSPITAL COVERED UNDER THE SELF-INSURANCE PROGRAM.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $0

Program Service Revenue $0

Investment Income $39,428

Other Revenue $0

TOTAL REVENUE $39,428

Expense Breakdown

Grants Paid $0

Salaries & Benefits $0

Fundraising Expenses $0

Program Expenses $2,817,522

Other Expenses $2,819,032

TOTAL EXPENSES $2,819,032

Year-over-Year Comparison

	2023	2022	Change
Revenue	$39,428	$16,535	+1.4%
Expenses	$2,819,032	$7,252,187	-0.6%
Net Income	$-2,779,604	$-7,235,652	-0.6%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✗ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

N/A

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$2,941,978

Total Directors

$2,094,818

Key Employees

$4,834,311

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
ANNE ELIZABETH FONTAINE	CHAIR	1.00	Officer Director	$0	$0	$0
OLAMIDE AJIBESIN	VICE CHAIR	1.00	Officer Director	$0	$0	$0
ADRINA BANKS-MARTIN	VICE CHAIR	1.00	Officer Director	$0	$0	$0
MARIA FIORINI RAMIREZ	VICE CHAIR	1.00	Officer Director	$0	$0	$0
J BARCLAY COLLINS II	SECRETARY	1.00	Officer Director	$0	$0	$0
GARY TERRINONI	PRESIDENT & CEO	1.00	Officer Director	$0	$12,234	$1,818,388
WANYONG LAI AUSTIN	TRUSTEE	1.00	Director	$0	$0	$0
MARTHA BAKOS DIETZ	TRUSTEE	1.00	Director	$0	$0	$0
BERNARD DRAYTON	TRUSTEE	1.00	Director	$0	$0	$0
ALIREZA ESMAELIZADEH	TRUSTEE	1.00	Director	$0	$0	$0
DARWIN HUANG	TRUSTEE	1.00	Director	$0	$0	$0
CATHY SOMMER ISELIN	TRUSTEE	1.00	Director	$0	$0	$0
JESSIE MCCLINTOCK KELLY	TRUSTEE	1.00	Director	$0	$0	$0
KEITH LEONARD KINCH	TRUSTEE	1.00	Director	$0	$0	$0
JOEL LEITNER	TRUSTEE	1.00	Director	$0	$0	$0
SRIVIDYA MADHUSUDHAN	TRUSTEE	1.00	Director	$0	$0	$0
LESIA BATES MOSS	TRUSTEE	1.00	Director	$0	$0	$0
JOSEPH SAMULSKI	TRUSTEE	1.00	Director	$0	$0	$0
DINO VERONESE	TRUSTEE	1.00	Director	$0	$0	$0
EARL D WEINER	TRUSTEE	1.00	Director	$0	$0	$0
CARLOS P NAUDON	IMMEDIATE PAST CHAIR	1.00	Director	$0	$0	$0
DEIRDRE QUINN	TRUSTEE (UNTIL 05/23)	1.00	Director	$0	$0	$0
PATRICK LEBLANC MD	PRES. OF PROF. STAFF	1.00	Director	$0	$6,430	$276,430
JOHN WALSH	VP, CFO	1.00	Officer	$0	$9,875	$399,875
SHARON WICKES	SVP, STRATEGIC & BUS. ANALYTICS	1.00	Officer	$0	$5,635	$366,885
JOHN FERRARA	VP, COO	1.00	Officer	$0	$6,830	$356,830
STACY FRIEDMAN ESQ	SR VP AND GENERAL COUNSEL	1.00	Key Emp	$0	$12,234	$518,234
JUDY MCLAUGHLIN	SR VP & CHIEF NURSING OFFICER	1.00	Key Emp	$0	$6,218	$502,718
ROBERT AULICINO	CONSULTANT	1.00	Key Emp	$0	$2,728	$416,942
SAM J AMIRFAR MD	CHIEF MEDICAL OFF & CIO	1.00	Key Emp	$0	$11,953	$519,626
LENUE H SINGLETARY III	SVP, EXT. AFFAIRS, STRTG & MRKTG	1.00	Key Emp	$0	$9,782	$464,532
GAETANO MENNONNA	SR VP HUMAN RESOURCES	1.00	Key Emp	$0	$12,234	$472,984
JAMES GASPERINO	CHIEF OF SVC MEDICINE	1.00	Key Emp	$0	$3,830	$688,830
PRATIBHA VEMULAPALLI MD	CHAIR, DEPT OF SURGERY	1.00	Key Emp	$0	$10,232	$788,232
ARMAND P ASARIAN MD FACS	CHIEF ACADEMIC OFFICER	1.00	Key Emp	$0	$12,234	$462,213

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	No data	No data	No data	No data
2023	$39,428	$2,819,032	$51,285,900	$-2,779,604
2022	$16,535	$7,252,187	$51,222,785	$-7,235,652
2021	$10,026	$6,153,910	$47,725,309	$-6,143,884
2020	$101,389	$14,627,048	$44,430,901	$-14,525,659
2019	$261,719	$5,701,507	$34,898,000	$-5,439,788
2018	$223,232	$11,327,089	$34,625,000	$-11,103,857

THE BROOKLYN HOSPITAL SELF INSURANCE TRUST F/K/A BROOKLYN HOSPITAL PROVIDER