2016-11-14T15:30:31-06:00 2015-12-31 861065772 DELOITTE TAX LLP TWO JERICHO PLAZA JERICHO NY 11753 990 2015-09-01 111839567 NYU LUTHERAN MEDICAL CENTER NYUL 7186307100 150 55TH STREET BROOKLYN NY 11220 Michael T Burke CHIEF FINANCIAL OFFICER 7186307100 2016-11-10 1 Christine Kawecki P00743140 5169187000 2016-11-08 2015 2017-02-10 21:41:12Z X RICHARD LANGFELDER 150 55TH STREET BROOKLYN NY 11220 201815592 0 X www.lutheranmedicalcenter.com X 1955 NY SEE SCHEDULE O. 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Line 1I - OTHER ACTIVITIES IS THE COST REPORTED BY SEVERAL ASSOCIATIONS THE HOSPITAL BELONGS TO AS LOBBYING COSTS CONDUCTED BY THE ASSOCIATIONS ON BEHALF OF ITS MEMBER ORGANIZATIONS, THIS INCLUDES THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA), THE HOSPITAL ASSOCIATION OF NEW YORK (HANYS) AND THE NATIONAL ASSOCIATION OF URBAN HOSPITALS (NAUH). 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THESE INDIVIDUALS ARE DEPARTMENT DIRECTORS AND ADMINISTRATORS WITH THE BACKGROUND, KNOWLEDGE AND PROFESSIONAL INTEREST IN HEALTH PROMOTION AND COMMUNITY INTERVENTIONS. THIS GROUP MET THREE TIMES OVER A 6-MONTH PERIOD TO REVIEW AND ANALYZE DATA, SET PRIORITIES AND MAKE RECOMMENDATIONS ABOUT THE LMC'S COMMUNITY HEALTH IMPROVEMENT PLAN. BOARD MEMBERS TO SEEK FURTHER GUIDANCE ON THE COMMUNITY SERVICE PLAN, PRESENTATIONS WERE CONDUCTED WITH THE NYU LUTHERAN BOARD OF TRUSTEES' MISSION AND STRATEGIC PLANNING COMMITTEES AS WELL AS THE LUTHERAN FAMILY HEALTH CENTERS' BOARD OF DIRECTORS, STRATEGIC PLANNING COMMITTEE. BOTH COMMITTEES INCLUDE REPRESENTATION FROM COMMUNITY RESIDENTS WHO USE LUTHERAN'S SERVICES, INDIVIDUALS WHO REPRESENT COMMUNITY BASED ORGANIZATIONS, FAITH COMMUNITY LEADERSHIP, OR PROFESSIONALS IN RELEVANT FIELDS. RESEARCH ON COMMUNITY STRENGTHS AND NEEDS WAS PRESENTED IN COMBINATION WITH INITIAL SURVEY RESULTS AND HOSPITAL UTILIZATION DATA. AFTER REVIEWING THE INFORMATION, THE COMMITTEES RECOMMENDED FOCUSING ON HEALTH ISSUES CONCERNING ACCESS TO CARE AND PREVENTION.PUBLIC HEALTH AGENCY REPRESENTATIVESCITY AND STATE PUBLIC HEALTH AGENCY REPRESENTATIVES JOINED THE INTERNAL STAKEHOLDERS COMMITTEE TO HELP GUIDE THE COMMUNITY PLANNING PROCESS. IN MAY, THE COMMITTEE WAS JOINED BY CAMELLIA MORTEZAZADEH, DIRECTOR, TAKE CARE NEW YORK, NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE. MORTEZAZADEH PRESENTED ON THE HEALTH PRIORITIES OF NEW YORK CITY, HIGHLIGHTING HEALTH DATA FOR NEIGHBORHOODS SURROUNDING NYU LUTHERAN MEDICAL CENTER. IN JULY, THE COMMITTEE WAS JOINED BY LLOYD BISHOP AND AMY OSORIO FROM GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA). BISHOP AND OSORIO HELPED ALIGN THE CITY PRIORITIES WITH THE STATE AND FEDERAL PRIORITIES.COMMUNITY SURVEYIN AUGUST 2013, COMMUNITY RESIDENTS, NYU LUTHERAN EMPLOYEES, COMMUNITY BASED ORGANIZATIONS, BUSINESS OWNERS, EDUCATORS AND FAITH LEADERS WERE AMONG THE INDIVIDUALS TARGETED TO COMPLETE THE 11-QUESTION COMMUNITY HEALTH ASSESSMENT SURVEY. THEIR ROLE WAS TO GIVE THEIR OPINIONS AND PERSPECTIVES OF THE STRENGTHS, HEALTH ISSUES, SOCIAL CONCERNS AND BARRIERS TO HEALTH CARE IN THEIR COMMUNITY. OF THE 1,010 RESPONDENTS, 736 (73%) WERE RESIDENTS. OVER 240 WERE NYU LUTHERAN EMPLOYEES, MANY OF WHOM ALSO IDENTIFIED THEMSELVES AS COMMUNITY RESIDENTS. SEE APPENDIX D FOR THE LOCAL HEALTH NEEDS SURVEY.FOCUS GROUPSFIVE FOCUS GROUPS WERE CONDUCTED TO TARGET SPECIFIC POPULATIONS AND ASSESS THEIR NEEDS AND PROGRAM IDEAS. THE ROLE OF THE PARTICIPANTS IN THE FOCUS GROUPS WAS TO ENGAGE IN DIALOGUE TO OFFER MORE IN-DEPTH LEARNING ABOUT THE COMMUNITY AND THE COMMUNITY'S IDENTIFIED NEEDS. PARTICIPANTS WERE ABLE TO CHOOSE THE GROUP THEY MOST IDENTIFIED WITH -- COMMUNITY BASED ORGANIZATIONS; LUTHERAN EMPLOYEES; YOUTH; COMMUNITY RESIDENTS; AND FAITH LEADERS. COMMUNITY RESIDENT AND YOUTH PARTICIPANTS REPRESENTED MEDICALLY UNDERSERVED POPULATIONS: POPULATIONS THAT ARE EXPERIENCING HEALTH DISPARITIES, OR AT RISK OF NOT RECEIVING ADEQUATE MEDICAL CARE AS A RESULT OF BEING UNINSURED OR UNDERINSURED, OR DUE TO LANGUAGE, FINANCIAL OR OTHER BARRIERS. FAITH LEADERS, COMMUNITY BASED ORGANIZATIONS, AND LUTHERAN EMPLOYEES OFTEN WORK WITH THESE VULNERABLE POPULATIONS IN OUR COMMUNITY. PARTICIPANTS WERE ASKED TO REVIEW AND PROVIDE FEEDBACK ON FIVE EVIDENCE-BASED PROGRAMS THAT CENTERED ON ACCESS TO CARE AND PREVENTION. NYU LUTHERAN MEDICAL CENTER Part V, Section B, Line 7d: THE CHNA WAS PRINTED AND DISSEMINATION TO INTERNAL AND EXTERNAL STAKEHOLDERS INCLUDING LOCAL HEALTH CENTERS, COMMUNITY BASED ORGANIZATIONS, FAITH-BASED INSTITUTIONS, SCHOOLS, COMMUNITY RESIDENTS, AND OTHER INTERESTED PARTNERS. NYU LUTHERAN CREATED AN ABBREVIATED DOCUMENT THAT SHARES THE RESEARCH AND CONCLUSIONS IN A MORE DIGESTIBLE FORMAT TO A LARGER CONSTITUENCY. THE ABBREVIATED DOCUMENT WAS WRITTEN AT A LITERACY LEVEL THAT ALLOWS YOUTH AND ADULTS WITH LOWER LITERACY LEVELS TO LEARN MORE ABOUT THE COMMUNITY WE SERVE. NYU LUTHERAN MEDICAL CENTER Part V, Section B, Line 11: STAKEHOLDERS REVIEWED THE TOP HEALTH CONCERNS IDENTIFIED BY THE COMMUNITY SURVEY - DIABETES, CANCER, ASTHMA, MENTAL HEALTH, AND OBESITY - TO DECIDE HEALTH PRIORITIES AND ACTIONS. PRIORITIZATION WAS CONDUCTED USING THE FOLLOWING CRITERIA: (1) MAGNITUDE - ASSESSING THE PERCENT OF THE POPULATION IMPACTED BY THE ISSUE; (2) ALIGNMENT WITH MISSION, KEY STRATEGIES, AND PRIORITIES; (3) AVAILABILITY OF RESOURCES NEEDED TO ADDRESS THE ISSUE; AND (4) HOSPITAL'S ABILITY TO IMPACT - CAN PROVIDE A SERVICE LIKELY TO MEASURABLY IMPROVE COMMUNITY HEALTH STATUS.BASED ON THE CLOSE ALIGNMENT OF THE MAJOR DATA SOURCES, THE STAKEHOLDERS IDENTIFIED ACCESS TO CARE AND OBESITY REDUCTION AS FOCUS AREAS, ASSERTING THAT THE HIGH RATES OF CHRONIC DISEASE COUPLED WITH BEHAVIORAL RISK FACTORS COULD BE EFFECTIVELY MANAGED OR PREVENTED BY IMPROVED ACCESS TO PRIMARY CARE PROVIDERS, HEALTH SCREENINGS, OR HEALTHY LIFESTYLE AND NUTRITION PROGRAMS. THESE FOCUS AREAS COVER MULTIPLE PRESSING HEALTH DISPARITIES IN THE COMMUNITY.THIS CONCLUSION ALIGNS WITH THE NEW YORK STATE PREVENTION AGENDA PRIORITY TO PREVENT CHRONIC DISEASES. OUR TWO PRIORITY AREAS ARE: (1) INCREASE ACCESS TO HIGH-QUALITY CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT IN BOTH CLINICAL AND COMMUNITY SETTINGS; AND (2) REDUCE OBESITY IN CHILDRENAND ADULTS.THE ISSUE OF ACCESS TO CARE IS ADDRESSED THROUGH THE TRANSITIONS IN CARE (TIC) PROGRAM. TIC PROVIDES COMMUNITY CASE MANAGEMENT SERVICES TO HIGH-RISK COMMUNITY RESIDENTS WITH THE GOAL OF IMPROVING HEALTH OUTCOMES AND REDUCING UNNECESSARY EMERGENCY ROOM AND HOSPITAL ADMISSIONS. TIC HELPS COMMUNITY RESIDENTS WHO ARE STRUGGLING TO MANAGE CHRONIC DISEASES TO SUCCESSFULLY TRANSITION FROM CARE AT AN EMERGENCY DEPARTMENT (ED) TO A MEDICAL HOME AND OTHER SOCIAL SERVICES IN THE COMMUNITY. THESE PATIENTS' FRAGILE HEALTH STATUS IS OFTEN COMPROMISED BY OTHER DESTABILIZING PSYCHOSOCIAL FACTORS THAT REQUIRE ADDITIONAL SUPPORT.TO ADDRESS CHILDHOOD OBESITY, THE DEPARTMENT OF COMMUNITY BASED PROGRAMS CONVENED A DESIGN TEAM TO DEVELOP A PEDIATRIC OBESITY PROGRAM. THE TEAM - CONSISTING OF A MEDICAL DOCTOR, NUTRITIONISTS, COMMUNITY PLANNERS, AND SOCIAL WORKERS - USED THE NATIONAL INITIATIVE FOR CHILDREN'S HEALTHCARE QUALITY 2007 CHILD AND OBESITY PREVENTION RECOMMENDATIONS AS A GUIDELINEFOR THE INTERVENTION AND ADOPTED IDEAS FROM THE FOLLOWING EVIDENCE-BASED, MULTI-COMPONENT PROGRAMS AND CURRICULA: MEDIA SMART YOUTH; WE CAN! ENERGIZE OUR FAMILIES; NUTRITION TO GROW ON; AND EAT HEALTHY, BE ACTIVE. IN ADDITION, THE PROGRAM INTENTIONALLY INCLUDES PARENTS, AS EVIDENCE SHOWS PROGRAMS THAT INCLUDE FAMILY MEMBERS HAVE SIGNIFICANT EFFECTS ON STABILIZING OR REDUCING PERCENTAGE BMI-FOR-AGE. IN 2015, NYULFHC PILOTED THE HEALTHY FAMILIES PROGRAM, A 12-SESSION MULTI-DISCIPLINARY PROGRAM FOR 10 TO 11 YEAR OLD OBESE HISPANIC CHILDREN AND THEIR PARENT(S). THE INTERVENTION FOCUSES ON THIS AGE GROUP BECAUSE IT IS THE TIME WHEN CHILDREN BECOME MORE INDEPENDENT FROM THEIR PARENTS AND ARE ABLE TO EVALUATE AND ALTER THEIR DIETARY HABITS AND ATTITUDES. THE CURRICULUM IS CULTURALLY RELEVANT TO THE LOCAL HISPANIC POPULATION AND SESSIONS ARE CONDUCTED IN ENGLISH AND SPANISH. WE BEGAN RECRUITMENT FOR THE PROGRAM IN 2014, AND A PILOT CYCLE WAS LAUNCHED IN EARLY 2015. THE TARGET PROGRAM SIZE IS 12 CHILDREN (AND ONE PARENT OR CAREGIVER). TWENTY CHILDREN WERE RECRUITED FOR THE PILOT, NINE ENROLLED AND SIX COMPLETED NINE OR MORE SESSIONS. THE PILOT PROGRAM PROVED TO BE ADMINISTRATIVELY FEASIBLE AND WAS WELL-RECEIVED BY PARTICIPANTS. SELF-REPORTS INDICATED BEHAVIOR CHANGE IN TARGET AREAS. MEASUREMENTS AT THE END OF THE 12-WEEK INTERVENTION INDICATED STABILIZATION OF BMI. CHILDREN REPORTED INCREASED INTAKE OF FRUITS AND VEGETABLES (AFFIRMED BY PARENT REPORTS), AND, ACCORDING TO PARENTS, CHILDREN'S EXERCISE REGIMENS ALSO INCREASED. DATA FROM FOLLOW-UP MEASUREMENTS AT 3, 6 AND 12 MONTHS POST- INTERVENTION ARE BEING ANALYZED TO DETERMINE THE PROGRAM'S LONGER-TERM IMPACT ON WEIGHT AND BMI.MENTAL HEALTH, ASTHMA AND CANCER WERE ALSO IDENTIFIED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT; HOWEVER, THEY WERE NOT PRIORITIZED OR ADDRESSED. THESE AREAS DO NOT CURRENTLY ALIGN WITH CURRENT STRATEGIC PRIORITIES AND THE ORGANIZATION HAS LIMITED RESOURCES TO ALLOCATE TO THESE AREAS TOACHIEVE SIGNIFICANT IMPACT. NYU LUTHERAN MEDICAL CENTER Part V, Section B, Line 13b: FREE CARE IS PROVIDED UNDER THE FOLLOWING CIRCUMSTANCES: FOR PRE-NATAL, PEDIATRIC SERVICES INCLUDING PEDIATRIC ER WHERE INCOME IS AT OR BELOW 100% OF THE FPL. NYU LUTHERAN MEDICAL CENTER Part V, Section B, Line 13h: NYU LUTHERAN USES FAMILY SIZE AS AN ADDITIONAL FACTOR IN DETERMINING ELIGIBILITY FOR DISCOUNTED CARE. NYU LUTHERAN MEDICAL CENTER Part V, Section B, Line 16i: HTTP://WWW.LUTHERANHEALTHCARE.ORG/MAIN/LUTHERANMEDICALCENTERSFINANCIALASSISTANCEPOLICY.ASPX NYU LUTHERAN MEDICAL CENTER Part V, Section B, Line 22d: THE MAXIMUM CHARGE TO ANY FAP-ELIGIBLE PATIENT FOR EMERGENCY OR MEDICALLY NECESSARY CARE IS SET AT THE COMPRABLE MEDICAID RATE. Part I, Line 3c: NYU LUTHERAN MEDICAL CENTER USES THE FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE TO LOW-INCOME PATIENTS. Part I, Line 7: NYU LUTHERAN MEDICAL CENTER USED VARIOUS COSTING METHODS IN CALCULATING THE AMOUNTS LISTED ON PART I, LINE 7. LMC UTILIZED FIGURES FROM ITS POWERHEALTH DECISION SUPPORT SYSTEM WHICH CALCULATES COSTS BASED ON A COST ACCOUNTING SYSTEM. FOR HEALTH PROFESSIONS EDUCATION, LMC USED INTERNAL DATA AND DIRECTLY COSTING OUT SOME OF THESE EXPENSES BY IDENTIFYING THE ACTUAL DIRECT EXPENSE AND ADDING IN INDIRECT PROGRAM EXPENSE. Part I, Line 7g: NYU LUTHERAN MEDICAL CENTER ("LMC") CONTROLS SEVERAL AFFILIATED TAX-EXEMPT PHYSICIAN GROUPS THAT, PURSUANT TO A SERVICE AGREEMENT, PROVIDE TEACHING ADMINISTRATIVE, SUPERVISORY AND DIRECT PATIENT CARE SERVICES TO LMC'S PATIENTS. LMC PAYS THESE PHYSICIAN GROUPS FOR THEIR SERVICES AT FAIR MARKET VALUE. LMC ALSO PROVIDES A MISSION SUPPORT PAYMENT TO THE PHYSICIAN GROUPS TO RECOGNIZE THE UN-REIMBURSED CHARITY CARE AND UNDER-REIMBURSED MEDICAID SERVICES THE GROUPS PROVIDE TO LMC PATIENTS IN SUPPORT OF LMC'S MISSION. IN 2014 LMC SUPPORTED THE LMC PC'S IN THE AMOUNT OF $17,739,901 FOR PHYSICIAN RELATED UN-REIMBURSED AND UNDER-REIMBURSED SERVICES PROVIDED TO CHARITY CARE AND MEDICAID PATIENTS. Part II, Community Building Activities: LMC DIRECTLY PARTICIPATES IN VARIOUS COMMUNITY BUILDING ACTIVITIES TO HELP PROMOTE THE HEALTH OF ALL OF THE MEMBERS OF THE COMMUNITY IT SERVES. EXAMPLES OF THESE INCLUDE THE FACT THAT LMC DIRECTLY EMPLOYS A PERSON WHOSE ROLE IS TO PROMOTE AND ADVOCATE ON BEHALF OF LUTHERAN TO ALL OTHER COMMUNITY GROUPS, AND ROUTINELY PARTICIPATES IN VARIOUS COMMUNITY MEETINGS AND EVENTS. IN ADDITION THE HOSPITAL SUPPORTS AND PROMOTES VARIOUS COALITION BUILDING ACTIVITIES AND AN EXAMPLE OF THIS IS THE FAITH BASED COMMUNITY COALITION GROUP STARTED BY THE HOSPITAL'S SVP OF SPIRITUAL CARE & MISSION. THERE ARE MANY OTHER COMMUNITY GROUPS PARTICIPATING IN THIS COALITION. INDIRECTLY LMC SUPPORTS COMMUNITY BUILDING ACTIVITIES THROUGH ITS AFFILIATE THE LUTHERAN FAMILY HEALTH CENTER WHICH PROVIDES AN INTEGRATIVE APPROACH TO COMMUNITY BASED SERVCIES. DESIGNED TO SUPPORT COMMUNITY-BUILDING AND THE STRENGTHENING OF FAMILIY TIES. THE CENTER PROVIDES A HOST OF CULTURALLY COMPETENT SERVICES INCLUDING ADULT AND FAMILY EDUCATION CLASSES, MENTAL HEALTH COUNSELING FOR CHILDREN AND FAMILIES IN TRAUMA THROUGH ITS HEALTHY CONNECTIONS PROGRAM, ADULT AND FAMILY EDUCATION, WIC NUTRITION SERVICES, PEDIATRIC LITERACY SERVICES THROUGH THE REACH OUT AND READ PROGRAM, AND VOLUNTEERISM AND LEADERSHIP DEVELOPMENT THROUGH A SPONSORED AMERICORP PROGRAM, CALLED THE SUNSET PARK COMMUNITY HEALTHCORPS. AT THE CENTER'S CORE IS THE FAMILY SUPPORT SERVICES (FSS) PROGRAM, WHICH SERVES AS THE HUB FOR OUTREACH, EDUCATION, SUPPORTIVE COUNSELING, AND CARE MANAGEMENT. THE FSS PROGRAM UTILIZES A CARE MANAGEMENT MODEL TO PROVIDE A HOST OF SUPPORTIVE SERVICES TO CLIENTS INCLUDING SHORT-TERM COUNSELING, INFORMATION AND REFERRAL, IMMIGRATION COUNSELING, CAREER COUNSELING, ADVOCACY, LIFE SKILLS WORKSHOPS AND ASSISTANCE WITH ENROLLMENT IN VARIOUS ENTITLEMENTS AND PUBLIC BENEFITS. THE FSS PROGRAM HAS OVER 5,500 PARTICIPANTS. LMC STAFF ALSO PARTICIPATE IN MANY DIFFERENT COMMUNITY GROUPS AND VARIOUS ORGANIZATIONS TO PROVIDE SUPPORT AND TO ADVOCATE COMMUNITY HEALTH IMPROVEMENT. Part III, Line 2: IN ORDER TO ESTIMATE BAD DEBT LMC EMPLOYS A MODEL THAT DETERMINES THE BAD DEBT BASED ON HISTORICAL TRENDS APPLIED BY PAYER TO THE CURRENT YEAR. THIS DATA IS EVALUATED BY PAYER IN ORDER TO BREAK OUT THOSE THAT HAVE COVERAGE VERSUS THOSE THAT DO NOT I.E., CHARITY CARE. THOSE THAT HAVE INSURANCE COVERAGE THE BAD DEBT IS TYPICALLY THE UNPAID AMOUNT THAT IS DETERMINED TO BE THE PATIENTS RESPONSIBILITY, I.E., CO-INSURANCE AND DEDUCTIBLE AMOUNTS. PATIENTS THE ARE FINANCIALLY SCREENED AND DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AND DO NOT HAVE COVERAGE AND ARE NOT ELIGIBLE FOR COVERAGE THE PATIENT RESPONSIBILITY IS ESTABLISHED AT MINIMAL AMOUNTS AS THESE PATIENTS ARE SUBJECT TO CHARITY CARE DEDUCTIONS. ANY AMOUNT WHAT WAS DETERMINED TO BE THE PATIENT'S RESPONSIBILITY AFTER THE CHARITY CARE DEDUCTIONS AND IS UNPAID IS DETERMINED TO BE BAD DEBT. Part III, Line 3: SEE LINE 2 EXPLANATION ABOVE. Part III, Line 8: THE COST WAS DETERMINED USING THE HOSPITAL'S DECISION SUPPORT AND COST ACCOUNTING SYSTEM KNOWN AS POWERHEALTH. THE SHORTFALL IN PART IS A RESULT OF PROVIDING SERVICES TO LOW INCOME OR INDIGENT PATIENTS COMBINED WITH MEDICARE COVERAGE AND MEDICARE RATE REDUCTIONS IMPACTING THE REPORTING YEAR. Part III, Line 9b: ACCOUNTS ARE REFERRED TO COLLECTION AT THE DISCOUNTED AMOUNTS AND ANY FINANCIAL ASSISTANCE ACCOUNTS ARE SO NOTED. ALL AGENCIES COLLECTING ON BEHALF OF THE HOSPITAL RECEIVE AND ARE REQUIRED TO FOLLOW THE HOSPITAL'S GUIDELINES FOR COLLECTIONS. Part VI, Line 5: IN ORDER TO ESTIMATE BAD DEBT LMC EMPLOYS A MODEL THAT DETERMINES THE BAD DEBT BASED ON HISTORICAL TRENDS APPLIED BY PAYER TO THE CURRENT YEAR. THIS DATA IS EVALUATED BY PAYER IN ORDER TO BREAK OUT THOSE THAT HAVE COVERAGE VERSUS THOSE THAT DO NOT I.E., CHARITY CARE. THOSE THAT HAVE INSURANCE COVERAGE THE BAD DEBT IS TYPICALLY THE UNPAID AMOUNT THAT IS DETERMINED TOBE THE PATIENTS RESPONSIBILITY, I.E., CO-INSURANCE AND DEDUCTIBLE AMOUNTS. PATIENTS THE ARE FINANCIALLY SCREENED AND DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AND DO NOT HAVE COVERAGE AND ARE NOT ELIGIBLE FOR COVERAGE THE PATIENT RESPONSIBILITY IS ESTABLISHED AT MINIMAL AMOUNTS AS THESE PATIENTS ARE SUBJECT TO CHARITY CARE DEDUCTIONS. ANY AMOUNT WHAT WAS DETERMINED TO BE THE PATIENT'S RESPONSIBILITY AFTER THE CHARITY CARE DEDUCTIONS AND IS UNPAID IS DETERMINED TO BE BAD DEBT. Part VI, Line 2: THROUGHOUT LUTHERAN HEALTHCARE'S (LHC) 130-YEAR HISTORY, NEEDS ASSESSMENT AND STRATEGIC PLANNING HAVE EVOLVED INTO A COLLABORATIVE PROCESS IN WHICH STAKEHOLDERS AT EVERY LEVEL PLAY A CRITICAL ROLE IN THE DETERMINATION OF A STRATEGIC RESPONSE TO COMMUNITY NEEDS. LUTHERAN'S PARTICIPATORY PROCESS IS DIRECTED BY AND IN COOPERATION WITH SENIOR LEADERSHIP, COMMUNITY PARTNERS, PATIENTS, AND STAFF REPRESENTATIVES FROM CLINICAL, RESEARCH, ADMINISTRATIVE, AND COMMUNITY OUTREACH DIVISIONS.LHC USES DEMOGRAPHIC AND DIAGNOSTIC DATA FROM HOSPITAL ADMISSIONS; AMBULATORY CARE VISITS, UTILIZATION RATES AND COMMUNITY-LEVEL DATA SETS AND REPORTS. THESE INCLUDE BUT ARE NOT LIMITED TO: THE FEDERAL DECENNIAL CENSUS AND AMERICAN COMMUNITY SURVEY (ISSUED BY THE NYS DEPARTMENT OF CITY PLANNING); "STATISTICS AND DATA" PROVIDED BY THE NEW YORK STATE DEPARTMENT OF HEALTH(HTTP://WWW.HEALTH.STATE.NY.US/STATISTICS/) INCLUDING PQI, QARR, BRFSS, AND NYS CANCER REGISTRY; PREVENTION QUALITY INDICATOR DATA; "COMMUNITY HEALTH PROFILES, AND NUMEROUS OTHER REFERENCE MATERIALS COMPILED BY THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE.BASED ON THE 2013 NEEDS ASSESSMENT, THE INTERNAL STAKEHOLDER COMMITTEE MADE A DATA DRIVEN RECOMMENDATION TO FOCUS EFFORTS ON SUNSET PARK AND NORTHERN BAY RIDGE (ZIP CODES 11220 AND 11232). THE DATA PRESENTED DEMONSTRATED THAT THE AREA HAS THE GREATEST NEED BASED ON THE SOCIAL DETERMINANTS, HEALTH CONDITIONS, RISK FACTORS. SCHOOL BASED HEALTH CENTERS (PS 24, PS 169, PS 503/506), LUTHERAN FAMILY HEALTH CENTERS (BROOKLYN-CHINESE, FAMILY PHYSICIAN, SUNSET PARK AND SUNSET TERRACE) AND MAIMONIDES MEDICAL CENTER ARE AVAILABLE TO RESPOND TO THE HEALTH NEEDS OF THE COMMUNITY IN SUNSET PARK AND NORTHERN BAY RIDGE.ADDITIONAL COMMUNITY BASED ORGANIZATIONS THAT OFFER HEALTH SERVICES INCLUDE: TURNING POINT, CENTER FOR FAMILY LIFE, DIASPORA COMMUNITY SERVICES, MIXTECA, HEARTSHARE AND VISITING NURSING SERVICES OF NEW YORK HOME CARE.FOR A MORE COMPREHENSIVE LIST OF COMMUNITY PARTNERS PLEASE SEE THE COMPLETE COMMUNITY HEALTH NEEDS ASSESSMENT DOCUMENT. NYU LUTHERAN MEDICAL CENTER INITIATED THE DEVELOPMENT OF ITS COMMUNITY SERVICE PLAN BY REVIEWING EXISTING FEDERAL, STATE, CITY, AND HOSPITAL DATA SETS AND COMPARING NEIGHBORHOODS THAT COMPRISE THE LMC SERVICE AREA, USING GEOGRAPHIC DESIGNATIONS BY ZIP CODE AND UNITED HOSPITAL FUND-DESIGNATION. ZIP CODE LEVEL DATA FROM THE 2010 CENSUS AND THE 2008-2010 AMERICAN COMMUNITY SURVEY WERE ANALYZED TO DEMONSTRATE THE DEMOGRAPHICS OF SURROUNDING POPULATIONS, INCLUDING AGE, SEX AND ETHNIC/RACIAL BREAKDOWN, AS WELL AS SOCIAL DETERMINANTS OF HEALTH SUCH AS EDUCATIONAL ATTAINMENT, SOCIOECONOMIC STATUS, COUNTY OF ORIGIN AND POVERTY LEVELS.THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE 2011 COMMUNITY HEALTH SURVEY NEIGHBORHOOD DATA WAS EVALUATED TO PROVIDE ESTIMATES ON A BROAD RANGE OF CHRONIC DISEASES AND RISK FACTORS. THE SURVEY RESULTS HELPED INCREASE THE UNDERSTANDING OF THE RELATIONSHIP BETWEEN HEALTH BEHAVIORS AND HEALTH STATUS IN NYU LUTHERAN MEDICAL CENTER'S SURROUNDING AREA.NYU LUTHERAN MEDICAL CENTER HOSPITAL ADMISSION, EMERGENCY DEPARTMENT, AND HEAVY AND FREQUENT USER DATA WAS EXAMINED TO DETERMINE THE POPULATIONS THAT MOST COMMONLY UTILIZE THE SYSTEMS SERVICES. THESE DATA SETS ALSO SHOWED THE MOST COMMON HEALTH CONDITIONS TREATED THROUGH EMERGENCY DEPARTMENT VISITS AND INPATIENT ADMISSIONS.COMMUNITY DATA OBTAINED THROUGH THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE SHOWED THAT THE TARGET COMMUNITY HAD A LOWER PERCENTAGE OF RESIDENTS REPORTING A PERSONAL DOCTOR (77%) AND A HIGHER PERCENTAGE REPORTING BEING UNINSURED (37%) AS COMPARED TO NEW YORK CITY (83% HAVE A PERSONAL DOCTOR; 19% UNINSURED).THE COMMUNITY SURVEY ALSO DEMONSTRATED THAT OUR COMMUNITY'S GREATEST STRENGTH IS HAVING GOOD ACCESS TO CARE, YET WHEN ASKED THE GREATEST BARRIERS TO CARE RESPONDENTS STATED BEING UNINSURED (45%), LACK OF KNOWLEDGE OF AVAILABLE SERVICES (37%), LANGUAGE AND CULTURAL DIFFERENCES (34%) AND THE COST OF HEALTH CARE (32%).ALL DATA SOURCES IDENTIFIED HIGH RATES OF AMBULATORY CARE SENSITIVE CONDITIONS, INCLUDING CHRONIC DISEASE DIAGNOSES SUCH AS HYPERTENSION, DIABETES, OBESITY, AND ASTHMA; AND HIGH RATES OF RISK FACTORS THAT EXACERBATE POOR HEALTH STATUS INCLUDING SMOKING, BINGE DRINKING AND OTHER SUBSTANCE USE, MULTIPLE SEXUAL PARTNERS, AND HIGH-SUGAR DIET. THIS IS ECHOED BY COMMUNITY SURVEY DATA, WHICH LISTS THE TOP FIVE HEALTH CONCERNS AS DIABETES (43%), CANCER (33%), ASTHMA (31%), DEPRESSION/ANXIETY/STRESS (26%), AND OBESITY (26%). Stakeholders reviewed the top health concerns identified by the community SURVEY - DIABETES, CANCER, ASTHMA, MENTAL HEALTH, AND OBESITY - TO DECIDE HEALTH PRIORITIES AND ACTIONS. BASED ON THE CLOSE ALIGNMENT OF THE MAJOR DATA SOURCES, THE STAKEHOLDERS IDENTIFIED ACCESS TO CARE AND OBESITY REDUCTION AS FOCUS AREAS, ASSERTING THAT THE HIGH RATES OF CHRONIC DISEASE COUPLED WITH BEHAVIORAL RISK FACTORS COULD BE EFFECTIVELY MANAGED OR PREVENTED BY IMPROVED ACCESS TO PRIMARY CARE PROVIDERS, HEALTH SCREENINGS, OR HEALTHY LIFESTYLE AND NUTRITION PROGRAMS. THESE FOCUS AREAS COVER MULTIPLE PRESSING HEALTH DISPARITIES IN THE COMMUNITY.ALL DATA SOURCES IDENTIFIED HIGH RATES OF AMBULATORY CARE SENSITIVE CONDITIONS FOR UNINSURED, LOW INCOME, MEDICALLY UNDERSERVED, AND MINORITY POPULATIONS. THIS INCLUDES CHRONIC DISEASE DIAGNOSES SUCH AS HYPERTENSION, DIABETES, OBESITY, AND ASTHMA; AND HIGH RATES OF RISK FACTORS THAT EXACERBATE POOR HEALTH STATUS INCLUDING SMOKING, BINGE DRINKING AND OTHER SUBSTANCE USE, MULTIPLE SEXUAL PARTNERS, AND HIGH-SUGAR DIET. THIS IS ECHOED BY COMMUNITY SURVEY DATA, WHICH LISTS THE TOP FIVE HEALTH CONCERNS AS DIABETES (43%), CANCER (33%), ASTHMA (31%), DEPRESSION/ANXIETY/STRESS (26%), AND OBESITY (26%). PRIORITIZATION WAS CONDUCTED USING THE FOLLOWING CRITERIA:1. MAGNITUDE - ASSESSING THE PERCENT OF THE POPULATION IMPACTED BY THE ISSUE;2. ALIGNMENT WITH MISSION, KEY STRATEGIES, AND PRIORITIES3. AVAILABILITY OF RESOURCES NEEDED TO ADDRESS THE ISSUE; AND4. HOSPITAL'S ABILITY TO IMPACT - CAN PROVIDE A SERVICE LIKELY TO MEASURABLY IMPROVE COMMUNITY HEALTH STATUS.THE HOSPITAL DID NOT EXPERIENCE ANY GAPS IN DATA THAT WOULD LIMIT ABILITIES TO ASSESS THE COMMUNITY NEEDS. INTERNAL STAKEHOLDER COMMITTEE THE INTERNAL STAKEHOLDER COMMITTEE WAS COMPRISED OF NYU LUTHERAN EMPLOYEES REPRESENTING VARIOUS FACETS OF THE HOSPITAL AND HEALTH CENTER SYSTEM, INCLUDING MEDICAL EDUCATION, EMERGENCY MEDICINE, COMMUNITY RELATIONS AND DEVELOPMENT, COMMUNITY BASED PROGRAMS, CULTURAL COMPETENCE, MISSION AND SPIRITUAL CARE, AND HEALTH CENTERS. THESE INDIVIDUALS ARE DEPARTMENT DIRECTORS AND ADMINISTRATORS WITH THE BACKGROUND, KNOWLEDGE AND PROFESSIONAL INTEREST IN HEALTH PROMOTION AND COMMUNITY INTERVENTIONS. THIS GROUP MET THREE TIMES OVER A 6-MONTH PERIOD TO REVIEW AND ANALYZE DATA, SET PRIORITIES AND MAKE RECOMMENDATIONS ABOUT THE LMC'S COMMUNITY HEALTH IMPROVEMENT PLAN.BOARD MEMBERSTO SEEK FURTHER GUIDANCE ON THE COMMUNITY SERVICE PLAN, PRESENTATIONS WERE CONDUCTED WITH THE LUTHERAN HEALTH CARE BOARD OF TRUSTEES' MISSION AND STRATEGIC PLANNING COMMITTEES AS WELL AS THE LUTHERAN FAMILY HEALTH CENTERS' BOARD OF DIRECTORS, STRATEGIC PLANNING COMMITTEE. BOTH COMMITTEES INCLUDE REPRESENTATION FROM COMMUNITY RESIDENTS WHO USE LUTHERAN'S SERVICES, INDIVIDUALS WHO REPRESENT COMMUNITY BASED ORGANIZATIONS, FAITH COMMUNITY LEADERSHIP, OR PROFESSIONALS IN RELEVANT FIELDS. RESEARCH ON COMMUNITY STRENGTHS AND NEEDS WAS PRESENTED IN COMBINATION WITH INITIAL SURVEY RESULTS AND HOSPITAL UTILIZATION DATA. AFTER REVIEWING THE INFORMATION, THE COMMITTEES RECOMMENDED FOCUSING ON HEALTH ISSUES CONCERNING ACCESS TO CARE AND PREVENTION.PUBLIC HEALTH AGENCY REPRESENTATIVESCITY AND STATE PUBLIC HEALTH AGENCY REPRESENTATIVES JOINED THE INTERNAL STAKEHOLDERS COMMITTEE TO HELP GUIDE THE COMMUNITY PLANNING PROCESS. IN MAY, THE COMMITTEE WAS JOINED BY CAMELLIA MORTEZAZADEH, DIRECTOR, TAKE CARE NEW YORK, NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE. MORTEZAZADEH PRESENTED ON THE HEALTH PRIORITIES OF NEW YORK CITY, HIGHLIGHTING HEALTH DATA FOR NEIGHBORHOODS SURROUNDING NYU LUTHERAN MEDICAL CENTER. IN JULY, THE COMMITTEE WAS JOINED BY LLOYD BISHOP AND AMY OSORIO FROM GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA). BISHOP AND OSORIO HELPED ALIGN THE CITY PRIORITIES WITH THE STATE AND FEDERAL PRIORITIES.COMMUNITY SURVEYIN AUGUST 2013, COMMUNITY RESIDENTS, NYU LUTHERAN EMPLOYEES, COMMUNITY BASED ORGANIZATIONS, BUSINESS OWNERS, EDUCATORS AND FAITH LEADERS WERE AMONG THE INDIVIDUALS TARGETED TO COMPLETE THE 11-QUESTION COMMUNITY HEALTH ASSESSMENT SURVEY. THEIR ROLE WAS TO GIVE THEIR OPINIONS AND PERSPECTIVES OF THE STRENGTHS, HEALTH ISSUES, SOCIAL CONCERNS AND BARRIERS TO HEALTH CARE IN THEIR COMMUNITY. OF THE 1,010 RESPONDENTS, 736 WERE RESIDENTS. OVER 240 WERE NYU LUTHERAN EMPLOYEES, MANY OF WHOM ALSO IDENTIFIED THEMSELVES AS COMMUNITY RESIDENTS. SEE APPENDIX D FOR THE LOCAL HEALTH NEEDS SURVEY.FOCUS GROUPSFIVE FOCUS GROUPS WERE CONDUCTED TO TARGET SPECIFIC POPULATIONS AND ASSESS THEIR NEEDS AND PROGRAM IDEAS. THE ROLE OF THE PARTICIPANTS IN THE FOCUS GROUPS WAS TO ENGAGE IN DIALOGUE TO OFFER MORE IN-DEPTH LEARNING ABOUT THE COMMUNITY AND THE COMMUNITY'S IDENTIFIED NEEDS. PARTICIPANTS WERE ABLE TO CHOOSE THE GROUP THEY MOST IDENTIFIED WITH -- COMMUNITY BASED ORGANIZATIONS; LUTHERAN EMPLOYEES; YOUTH; COMMUNITY RESIDENTS; AND FAITH LEADERS. COMMUNITY RESIDENT AND YOUTH PARTICIPANTS REPRESENTED MEDICALLY UNDERSERVED POPULATIONS: POPULATIONS THAT ARE EXPERIENCING HEALTH DISPARITIES, OR AT RISK OF NOT RECEIVING ADEQUATE MEDICAL CARE AS A RESULT OF BEING UNINSURED OR UNDERINSURED, OR DUE TO LANGUAGE, FINANCIAL OR OTHER BARRIERS. FAITH LEADERS, COMMUNITY BASED ORGANIZATIONS, AND LUTHERAN EMPLOYEES OFTEN WORK WITH THESE VULNERABLE POPULATIONS IN OUR COMMUNITY. PARTICIPANTS WERE ASKED TO REVIEW AND PROVIDE FEEDBACK ON FIVE EVIDENCE-BASED PROGRAMS THAT CENTERED ON ACCESS TO CARE AND PREVENTION. PART VI, LINE 3: THE EDUCATION AND INFORMATION REGARDING THE AVAILABLE GOVERNMENTAL ASSISTANCE PROGRAMS. I.E., MEDICAID AND OTHERS, AS WELL AS THE FACILITY'S FINANCIAL ASSISTANCE POLICY IS MADE WIDELY AVAILABLE TO PATIENTS THROUGH VARIOUS VENUES. FIRST, THIS INFORMATION IS POSTED IN KEY AREAS THROUGHOUT THE FACILITY INCLUDING THE ER, AND OUTPATIENT AREAS. IN ADDITION TO THE POSTED INFORMATION THERE ARE VARIOUS BROCHURES AVAILABLE THROUGHOUT THE HOSPITAL AS WELL. BOTH THE POSTED INFORMATION AND BROCHURES ARE AVAILABLE IN SEVERAL DIFFERENT LANGUAGES INCLUDING THOSE LANGUAGES THAT HAVE BEEN DEFINED BY LOCAL CENSUS STUDIES AS THE MAIN LANGUAGES FOR THE LMC SERVICE AREA. THERE IS ALSO A FREQUENTLY ASKED QUESTIONS (FAQS) DOCUMENT REGARDING THESE SERVICES IN THE SAME FORMATS AND VENUES AS ABOVE AND ON THE HOSPITAL'S WEBSITE AS WELL. ANOTHER KEY AREA IS THE TRAINING OF THE LMC FRONT LINE STAFF (ADMITTING, REGISTRATION AND PATIENT ACCOUNT STAFF) IN TERMS OF THE AVAILABLE GOVERNMENTAL ASSISTANCE PROGRAMS, APPLICATION PROCEDURES AND THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAMS. Part VI, Line 4: SUNSET PARK/NORTHERN BAY RIDGE IS A MIXED RESIDENTIAL, INDUSTRIAL, AND COMMERCIAL AREA LOCATED ON BROOKLYN'S WATERFRONT, ITS POPULATION IS 151,077 PEOPLE. NEARLY ONE-QUARTER OF ITS RESIDENTS (26%) ARE UNDER THE AGE OF 19. THIS AREA IS A DESTINATION FOR NEW IMMIGRANTS - 48% OF CURRENT RESIDENTS INDICATE THAT THEY ARE FOREIGN BORN. THERE ARE TWO MAJOR IMMIGRANT GROUPS - LATINOS (45%) AND ASIANS (36%). ACCORDING TO 2010 CENSUS DATA, 23% OF FAMILIES ARE LIVING BELOW THE POVERTY LINE COMPARED TO 17% OF FAMILIES IN NEW YORK CITY AS A WHOLE. OVER ONE-QUARTER OF RESIDENTS (30%) REPORT BEING IN "FAIR" TO "POOR" HEALTH ACCORDING TO THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE'S 2011 COMMUNITY HEALTH SURVEY. ONE OF THE MOST SIGNIFICANT CHALLENGES TO GOOD HEALTH IS THE FACT THAT 37% OF RESIDENTS DO NOT HAVE HEALTH INSURANCE.LEVELS OF EDUCATIONAL ATTAINMENT ARE LOW. FORTY-ONE PERCENT OF RESIDENTS LACK A HIGH SCHOOL CREDENTIAL FROM THE US OR THEIR HOME COUNTRY - 24% HAVE LESS THAN AN 8TH GRADE EDUCATION, AND 17% ATTENDED BUT DID NOT COMPLETE HIGH SCHOOL. TWENTY-ONE PERCENT OF RESIDENTS HAVE A HIGH SCHOOL CREDENTIAL; 9% HAVE SOME COLLEGE EDUCATION; 4% HAVE ASSOCIATES DEGREES, AND 24% HAVE A BACHELOR'S DEGREE OR HIGHER. LEVELS OF HIGH SCHOOL, POST-SECONDARY, AND COLLEGE EDUCATION FALL BELOW LEVELS ACHIEVED ACROSS THE BOROUGH AND ACROSS NEW YORK CITY AS A WHOLE. ENGLISH PROFICIENCY IS A MAJOR BARRIER FOR RESIDENTS OF THE TARGET COMMUNITY: 75% OF RESIDENTS SPEAK A PRIMARY LANGUAGE OTHER THAN ENGLISH AT HOME AND 47% OF CHILDREN BETWEEN THE AGES OF 0 AND 13 IN 2007 WERE LIVING IN LINGUISTICALLY-ISOLATED HOMES. BASED ON LEVELS OF FOREIGN-BORN RESIDENTS AND GRADUATION RATES, IT IS CONSERVATIVELY ESTIMATED THAT 40% OF RESIDENTS OVER AGE 16 LACK BASIC LITERACY SKILLS. Part VI, Line 5: NYU LUTHERAN MEDICAL CENTER (LMC) DEVELOPS NEW HEALTH INITIATIVES BASED ON COMMUNITY NEED. IN 2013 LUTHERAN CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT AND IDENTIFIED ACCESS TO CARE AND PEDIATRIC OBESITY AS SIGNIFICANT COMMUNITY HEALTH ISSUES IN OUR CATCHMENT AREA.THE ISSUE OF ACCESS TO CARE WILL BE ADDRESSED THROUGH THE TRANSITIONS IN CARE, COMMUNITY CASE MANAGEMENT PROGRAM. THIS PROGRAM TARGETS HIGH-RISK INDIVIDUALS TO OBTAIN AND MAINTAIN CONNECTION TO PREVENTATIVE AND ROUTINE CARE AT A MEDICAL HOME, IN ORDER TO PREVENT UNNECESSARY EMERGENCY ROOM VISITS AND HOSPITALIZATIONS. BY COORDINATING CARE ANDWORKING WITHIN OUR CARE TEAMS, COMMUNITY CASE MANAGEMENT STAFF AIM TO IMPROVE THE HEALTH OF OUR POPULATION, IMPROVE THE PATIENT EXPERIENCE, REDUCE THE COST OF HEALTH CARE BY AVOIDING UNNECESSARY EMERGENCY ROOM VISITS AND HOSPITALIZATION, AND LINK COMMUNITY MEMBERS TO A MEDICAL HOME.SINCE ITS INCEPTION, OVER 1,838 PATIENTS HAVE BEEN REFERRED TO THE PROGRAM. THE PROGRAM HAS IMPROVED CHRONIC DISEASE MANAGEMENT, AND HELPED STOP THE UPWARD TRAJECTORY OF EMERGENCY DEPARTMENT VISITS AND HOSPITAL ADMISSIONS. TIC HAS ALSO EXPANDED ITS SCOPE TO ADDRESS PATIENT POPULATION MANAGEMENT EFFORTS ACROSS THE LUTHERAN FAMILY HEALTH CENTER NETWORK. THIS INCLUDES PROVIDING TRANSITIONAL SUPPORT FOR PATIENTS WHO ARE DISCHARGED FROM HOSPITAL AND PROVIDING CARE MANAGEMENT TO HIGH-RISK PATIENTS. AN ADDITIONAL EXPANSION TO TIC'S WORK IS THE INTEGRATION OF THE CHRONIC AND PERSISTENTLY MENTAL ILL PATIENTS INTO THEIR SCOPE. CURRENTLY, 22% OF TIC PATIENTS (105 OUT OF 481 ENROLLED PATIENTS) FALL INTO THIS SPECIALIZED CATEGORY.TO ADDRESS CHILDHOOD OBESITY, THE DEPARTMENT OF COMMUNITY BASED PROGRAMS CONVENED A DESIGN TEAM TO DEVELOP A PEDIATRIC OBESITY PROGRAM. THE TEAM - CONSISTING OF A MEDICAL DOCTOR, NUTRITIONISTS, COMMUNITY PLANNERS, AND SOCIAL WORKERS - USED THE NATIONAL INITIATIVE FOR CHILDREN'S HEALTHCARE QUALITY 2007 CHILD AND OBESITY PREVENTION RECOMMENDATIONS AS A GUIDELINE FOR THE INTERVENTION AND ADOPTED IDEAS FROM THE FOLLOWING EVIDENCE-BASED, MULTI-COMPONENT PROGRAMS AND CURRICULA: MEDIA SMART YOUTH; WE CAN! ENERGIZE OUR FAMILIES; NUTRITION TO GROW ON; AND EAT HEALTHY, BE ACTIVE. IN ADDITION, THE PROGRAM INTENTIONALLY INCLUDES PARENTS, AS EVIDENCE SHOWS PROGRAMS THAT INCLUDE FAMILY MEMBERS HAVE SIGNIFICANT EFFECTS ON STABILIZING OR REDUCING PERCENTAGE BMI-FOR-AGE. IN 2015, NYULFHC PILOTED THE HEALTHY FAMILIES PROGRAM, A 12-SESSION MULTI-DISCIPLINARY PROGRAM FOR 10 TO 11 YEAR OLD OBESE HISPANIC CHILDREN AND THEIR PARENT(S). THE INTERVENTION FOCUSES ON THIS AGE GROUP BECAUSE IT IS THE TIME WHEN CHILDREN BECOME MORE INDEPENDENT FROM THEIR PARENTS AND ARE ABLE TO EVALUATE AND ALTER THEIR DIETARY HABITS AND ATTITUDES. THE CURRICULUM IS CULTURALLY RELEVANT TO THE LOCAL HISPANIC POPULATION AND SESSIONS ARE CONDUCTED IN ENGLISH AND SPANISH. WE BEGAN RECRUITMENT FOR THE PROGRAM IN 2014, AND A PILOT CYCLE WAS LAUNCHED IN EARLY 2015. THE TARGET PROGRAM SIZE IS 12 CHILDREN (AND ONE PARENT OR CAREGIVER). TWENTY CHILDREN WERE RECRUITED FOR THE PILOT, NINE ENROLLED AND SIX COMPLETED NINE OR MORE SESSIONS. THE PILOT PROGRAM PROVED TO BE ADMINISTRATIVELY FEASIBLE AND WAS WELL-RECEIVED BY PARTICIPANTS. SELF-REPORTS INDICATED BEHAVIOR CHANGE IN TARGET AREAS. MEASUREMENTS AT THE END OF THE 12-WEEK INTERVENTION INDICATED STABILIZATION OF BMI. CHILDREN REPORTED INCREASED INTAKE OF FRUITS AND VEGETABLES (AFFIRMED BY PARENT REPORTS), AND, ACCORDING TO PARENTS, CHILDREN'S EXERCISE REGIMENS ALSO INCREASED. DATA FROM FOLLOW-UP MEASUREMENTS AT 3, 6 AND 12 MONTHS POST-INTERVENTION ARE BEING ANALYZED TO DETERMINE THE PROGRAM'S LONGER-TERM IMPACT ON WEIGHT AND BMI.TO ADDRESS THE BROADER SOCIAL, EDUCATIONAL AND EMOTIONAL NEEDS OF THE COMMUNITY, LUTHERAN HAS DEVELOPED ITS COMMUNITY SERVICES DEPARTMENT - AT THE HEART OF WHICH IS THE FAMILY SUPPORT CENTER. WITH MORE THAN 5,500 INDIVIDUALS PARTICIPATING IN VARIOUS FAMILY SUPPORT CENTER PROGRAMS AND SERVICES EACH YEAR, THE CENTER PROVIDES CRITICAL RESOURCES TO HELP COMMUNITY RESIDENTS ACHIEVE HEALTH, FAMILY STABILITY AND ECONOMIC SELF-SUFFICIENCY.THE CENTER PROVIDES SERVICES IN ENGLISH, SPANISH, AND CHINESE TO REDUCE CULTURAL AND LINGUISTIC BARRIERS THAT OFTEN PREVENT OUR PATIENTS FROM MEETING THEIR GOALS. PROGRAMS AND SERVICES INCLUDE:FAMILY SUPPORT - PROVIDES SUPPORTIVE COUNSELING, CRISIS INTERVENTION, CASE MANAGEMENT, ACCESS TO PUBLIC BENEFITS, INFORMATION AND REFERRALS TO OVER 800 INDIVIDUALS ANNUALLYADULT EDUCATION AND WORKFORCE DEVELOPMENT - THE COMMUNITY EMPOWERMENT PROGRAM HELPS OVER 500 COMMUNITY MEMBERS TO ADVANCE THEIR SKILLS AND LIFE OPPORTUNITIES EACH YEAR THROUGH ENGLISH, HSE AND ADULT LITERACY CLASSES, CAREER COUNSELING AND JOB TRAININGMENTAL HEALTH COUNSELING - THE HEALTHY CONNECTIONS PROGRAM PROVIDES MENTAL HEALTH COUNSELING FOR CHILDREN AND FAMILIES AFFECTED BY TRAUMA, GRIEF, OR LOSSCOMMUNITY DEVELOPMENT - THE SUNSET PARK PROMISE NEIGHBORHOOD ENGAGES RESIDENTS, SCHOOLS AND OVER 30 LOCAL ORGANIZATIONS TO FOSTER CHILDREN'S EDUCATIONAL SUCCESS FROM CRADLE TO CAREER, ENHANCING EARLY CHILDHOOD AND SCHOOL-BASED EDUCATIONAL OPPORTUNITIES FOR OVER 500 CHILDREN EACH YEAR.FAMILY LITERACY - 2 FAMILY LITERACY PROGRAMS OFFER EDUCATIONAL SUPPORT FOR THE ENTIRE FAMILY - SUPPORTING PARENTS IN BECOMING THEIR CHILD'S FIRST TEACHER AND PREPARING CHILDREN FOR FUTURE SCHOOL SUCCESS THROUGH INTENSIVE HANDS-ON SUPPORT AND BOOK DISTRIBUTIONS TO 6,000 FAMILIES.INFANT/MATERNAL HEALTH - 2 PROGRAMS SUPPORT THIS PRIORITY. THE WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM PROVIDES NUTRITION EDUCATION, SUPPLEMENTAL FOODS, HEALTH CARE REFERRALS AND BREAST FEEDING SUPPORT TO LOW-INCOME PREGNANT WOMEN, INFANTS AND CHILDREN UP TO 5 YEARS OF AGE. THE HEALTHY FAMILIES SUNSET PARK PROGRAM PROVIDES INTENSIVE HOME VISITING TO SUPPORT HIGH RISK FAMILIES.COMMUNITY SERVICE AND VOLUNTEERISM - THE TWO AMERICORPS NATIONAL SERVICE PROGRAMS PLACE 36 COMMUNITY SERVICE VOLUNTEERS IN FULL-YEAR SERVICE OPPORTUNITIES ANNUALLY.LFHC'S COMMUNITY SERVICES ALSO EXTEND BEYOND THE FAMILY SUPPORT CENTER TO INCLUDE FOUR EARLY CHILDHOOD CENTERS AND TWO AFTER-SCHOOL PROGRAMS SERVING 650 CHILDREN; OUR PROJECT REACH YOUTH CENTER THAT PROVIDES EDUCATION, SUPPORT AND LEADERSHIP PROGRAMMING TO OVER 500 YOUTH ANNUALLY; AND A RANGE OF HEALTH, WELLNESS AND NUTRITION PROGRAMMING TO OVER 1,500 OLDER ADULTS EACH YEAR. Part VI, line 6: LUTHERAN HEALTHCARE (LHC) IS AN ACADEMIC, COMMUNITY HEALTH CARE AND SOCIAL SUPPORT ORGANIZATION COMMITTED TO EXCELLENCE. THE PRINCIPAL PROVIDER OF HEALTH CARE FOR THE RESIDENTS OF SOUTHWEST AND CENTRAL BROOKLYN, THE SYSTEM PROVIDES SUPERB PRIMARY AND SUPPORTIVE CARE. THIS UNIQUELY INTEGRATED HEALTH CARE SYSTEM INCLUDES NYU LUTHERAN MEDICAL CENTER (LMC), LUTHERAN FAMILY HEALTH CENTERS (LFHC), LUTHERAN AUGUSTANA CENTER FOR EXTENDED CARE AND REHABILITATION (LAC), SENIOR HOUSING AND COMMUNITY CARE ORGANIZATION.IN 2013, ACCESS TO CARE EXPANDED SIGNIFICANTLY SYSTEM-WIDE, OUR 916 PHYSICIANS AND 3,984 EMPLOYEES SERVED 182,347 PEOPLE. NYU LUTHERAN MEDICAL CENTER (LMC) MANAGING NEARLY 69,451 EMERGENCY VISITS, 15,996 SURGICAL PROCEDURES AND 27,930 INPATIENT DISCHARGES. THE LUTHERAN FAMILY HEALTH CENTERS (LFHC) HANDLED NEARLY 618,426 PATIENT VISITS AND PROVIDED HEALTH AND DENTAL SERVICES TO OVER 10,000 CHILDREN IN 28 SCHOOLS. LUTHERAN'S THREE SENIOR HOUSING FACILITIES HAVE MORE THAN 800 RESIDENTS. WHILE AUGUSTANA PROVIDES LONG TERM CARE AND REHABILITATION PROVIDES SERVICES TO APPROXIMATELY 1,255 RESIDENTS. PART VI, LINE 7: NEW YORK 1 UNITED HOSPITAL FUND 1411 BROADWAY NEW YORK NY 10018 131562656 501(c)(3) 8500 n/A n/A GENERAL SUPPORT FAITHHEALTH INNOVATIONS INC MEDICAL CENTER BLVD WINSTON SALEM NC 27157 237526944 501(c)(3) 8000 N/A n/A GENERAL SUPPORT 2 Part I, Line 2: NYU LUTHERAN MEDICAL CENTER MAKES GRANTS TO CHARITABLE ORGANIZATIONS LOCATED IN ITS NEIGHBORING COMMUNITY. THESE FUNDS ARE USED TO SUPPORT THE TAX EXEMPT MISSION AND COMMUNITY IMPROVEMENT AIMS OF EACH ORGANIZATION. LUTHERAN REQUIRES EACH APPLICANT FOR GRANT SUPPORT TO PROVIDE A DETAILED DESCRIPTION OF THE USE OF THE INTENDED FUNDS AND SUCH AMOUNTS ARE GRANTED AFTER LUTHERAN HAS VERIFIED THAT THE INTENDED PROJECT SUPPORTS THE COMMUNITY. X X X X 0 1 0 0 0 0 0 1 0 Wendy Z Goldstein President & CEO 1235097 0 0 0 43005 0 728319 0 28488 0 2034909 0 0 0 Claudia Caine Chief Operating Officer 866229 0 533047 0 15976 0 146167 0 12098 0 1573517 0 0 0 Richard Langfelder EVP/Chief Financial Officer 579377 0 0 0 36516 0 33319 0 26437 0 675649 0 0 0 Barbara Arky EVP/General Counsel 456537 0 40000 0 31644 0 33319 0 29145 0 590645 0 0 0 Karen Lennon EVP/External Affairs 371884 0 0 0 30346 0 33319 0 24250 0 459799 0 0 0 John K Fitzpatrick MD Chair OB/Gyn 679147 0 50000 0 987 0 15900 0 30132 0 776166 0 0 0 Claudia Lyon Chair Family Medicine 421663 0 14068 0 2056 0 15900 0 27514 0 481201 0 0 0 Audrey Saitta MD Chair Radiation Oncology 540700 0 0 0 467 0 15900 0 32229 0 589296 0 0 0 Frank Scheets SVP Human Resources 374026 0 40909 0 31358 0 15900 0 29582 0 491775 0 0 0 Part I, Line 4b THE PRESIDENT AND CEO, WENDY GOLDSTEIN, AS WELL AS THE HOSPITAL COO, CLAUDIA C. CAINE, BOTH PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (457F PLAN) AND THE REPORTING YEAR DEFERRALS ARE INCLUDED IN THE FORM 990, SCHEDULE J, PART II, COLUMN (C). Part I, Line 7 NYU LUTHERAN MEDICAL CENTER DOES NOT HAVE A FORMAL EXECUTIVE BONUS PROGRAM IN PLACE. EXECUTIVE BONUSES ARE DISCRETIONARY AND PROVIDED AT THE APPROVAL OF THE BOARD OF DIRECTORS FOR THE CEO AND THE CEO MAKES RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES BASED ON WORK PERFORMANCE DURING THE YEAR. THE BOARD OF DIRECTORS RETAIN THE RIGHT TO APPROVE OR DISAPPROVE ALL BONUSES AND TYPICALLY BASES ITS DECISION UPON THE MARKET DATA PROVIDED BY THE EXTERNAL CONSULTING FIRM THE MEDICAL CENTER ENGAGES TO DETERMINE EXECUTIVE COMPENSATION. Part II Compensation reported herein is for the entire calendar year 2015, while the form 990 is reporting the activity of the final 4 months of 2015. Donor # 2 substantial contributor 2529325 bus transaction 0 Cash 2015-12-31 42554171 FMV 133971298 NYU Hospitals Center 550 FIRST AVENUE new york NY 10016 501(c)(3) Pledges and Grants Receivable 2015-12-31 1028313 FMV 133971298 NYU Hospitals Center 550 FIRST AVENUE new york NY 10016 501(c)(3) ACCOUNTS RECEIVABLE 2015-12-31 94989068 FMV 133971298 NYU Hospitals Center 550 FIRST AVENUE new york NY 10016 501(c)(3) iNVESTMENTS 2015-12-31 127446329 FMV 133971298 NYU Hospitals Center 550 FIRST AVENUE new york NY 10016 501(c)(3) INVENTORIES 2015-12-31 7200113 FMV 133971298 NYU Hospitals Center 550 FIRST AVENUE new york NY 10016 501(c)(3) PREPAID EXPENSES 2015-12-31 33289912 FMV 133971298 NYU Hospitals Center 550 FIRST AVENUE new york NY 10016 501(c)(3) PLANT, PROPERTY & EQUIPMENT 2015-12-31 164590493 FMV 133971298 NYU Hospitals Center 550 FIRST AVENUE new york NY 10016 501(c)(3) INTANGIBLE ASSETS 2015-12-31 12472267 FMV 133971298 NYU Hospitals Center 550 FIRST AVENUE new york NY 10016 501(c)(3) DUE FROM AFFILIATES 2015-12-31 10949680 FMV 133971298 NYU Hospitals Center 550 FIRST AVENUE new york NY 10016 501(c)(3) OTHER RECEIVABLES 2015-12-31 2616381 FMV 133971298 NYU Hospitals Center 550 FIRST AVENUE new york NY 10016 501(c)(3) ESTIMATED REC FROM 3RD PARTY PAYORS 2015-12-31 5811926 FMV 133971298 NYU Hospitals Center 550 FIRST AVENUE new york NY 10016 501(c)(3) 0 0 0 0 1 1 1 1 0 FORM 990, PART I, LINE 1 NYU LUTHERAN MEDICAL CENTER IS A COMPREHENSIVE HEALTH CARE AND SOCIAL SUPPORT SYSTEM SERVING THE DIVERSE AND GROWING COMMUNITIES OF SOUTHWEST BROOKLYN. FORM 990, PART III, LINE 1 NYU LUTHERAN EXISTS TO SERVE ITS NEIGHBORS. WE ARE DEDICATED TO CARING FOR WHOLE PERSONS THROUGHOUT WHOLE COMMUNITIES. AS A STABILIZING FOUNDATION FOR THESE COMMUNITIES, LUTHERAN IS COMMITTED TO MEETING OUR NEIGHBORS' CHANGING PHYSICAL, EMOTIONAL, SPIRITUAL, INTELLECTUAL AND SOCIAL NEEDS. On April 1, 2015, NYU Lutheran Medical Center completed an affiliation agreement with NYU Hospitals Center. In December 2015, the affiliated organizations received approval from the New York State Department of Health to enter into a full asset merger, with NYU Hospitals Center as the successor entity. The merger became effective January 1, 2016. Form 990, Part III Line 4a THE LARGEST PROGRAM OFFERED BY LUTHERAN IS THE MEDICAL/SURGICAL INPATIENT SERVICE, WHICH CAN ACCOMMODATE APPROXIMATELY 248 PATIENTS ON A DAILY BASIS. MANY RESIDENTS OF THE SOUTHWEST AREA OF BROOKLYN RELY ON LUTHERAN AS ITS MAIN HEALTH CARE PROVIDER ESPECIALLY FOR INPATIENT CARE SERVICES. DURING SEPTEMBER TO DECEMBER 2015, THE MEDICAL CENTER ADMITTED, TREATED AND DISCHARGED 6,011 PATIENTS FROM THE MEDICAL/SURGICAL PROGRAM. THESE PATIENTS REMAINED IN-HOUSE ON AVERAGE FOR 4.5 DAYS, RESULTING IN APPROXIMATELY 27,349 DAYS OF MEDICAL/SURGICAL CARE PROVIDED. A SIGNIFICANT PORTION OF THESE PATIENTS JUST OVER 2.1%, PRESENTED WITHOUT ANY FORM OF INSURANCE COVERAGE OR THE ABILITY TO PAY FOR THE CARE RECEIVED. IN THE PERIOD SEPTEMBER TO DECEMBER 2015, THESE UNINSURED MEDICAL/SURGICAL PATIENTS GENERATED IN EXCESS OF $6.2 MILLION OF CHARGES FOR SERVICES THAT WILL GO UN-REIMBURSED BY THE PATIENT OR ANY THIRD PARTY PAYER. IN ADDITION TO THE UNINSURED PATIENTS, LMC TREATS A HIGH NUMBER OF WHAT IS CONSIDERED MEDICALLY INDIGENT OR 'UNDER-INSURED' PATIENTS. THESE PATIENTS INCLUDING THOSE WITH MEDICAID COVERAGE MAKE UP A SIGNIFICANT PORTION OF THE PATIENTS SERVED BY LMC. IN THE INPATIENT MEDICAL/SURGICAL PROGRAM ALONE, APPROXIMATELY 47.4% OF THE TOTAL PATIENTS TREATED WERE CONSIDERED MEDICALLY INDIGENT. ALTHOUGH THIS CAN BE FINANCIALLY CHALLENGING TO A HEALTH CARE PROVIDER, LUTHERAN VIEWS THIS CHALLENGE AS PART OF ITS OVERALL MISSION, IN THAT IT EXISTS ONLY TO SERVE THE NEEDS OF ITS NEIGHBORS AND TO KEEP PEOPLE HEALTHY AND TO THE EXTENT POSSIBLE, AND OUT OF THE HOSPITAL. LUTHERAN HAS SUCCESSFULLY INCREASED ACCESS TO HIGH QUALITY COMMUNITY BASED HEALTH CARE SERVICES AND HAS WORKED HARD TO REDUCE MEDICAL DISPARITIES IN THE COMMUNITY IT SERVES, WHILE ALSO STAYING CURRENT WITH PATIENT SAFETY INITIATIVES AND ADVANCED TECHNOLOGY, ALL WHICH ARE NECESSARY TO CONTINUE ITS MISSION TO PROVIDE A HIGH QUALITY SERVICE TO THOSE IN NEED IN ITS SURROUNDING COMMUNITIES. Form 990, Part III Line 4b THE EMERGENCY ROOM SERVICE AND TRAUMA CENTER IS A VITAL SERVICE PROVIDED TO THE RESIDENTS OF SOUTHWEST BROOKLYN. EMERGENCY TREATMENT SERVICES ARE AVAILABLE TO ALL THOSE THAT PRESENT ON A 24-HOUR/365-DAY PER YEAR BASIS. THE EMERGENCY ROOM IS STAFFED BY A MULTI-LINGUAL, DIVERSE TEAM OF HIGHLY TRAINED PHYSICIANS, NURSES, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS AND SOCIAL WORKERS, WHO WORK CLOSELY WITH TRAUMA SURGEONS AND STROKE SPECIALISTS AND ALL OTHER STAFF TO PROVIDE HIGH QUALITY HEALTH CARE SERVICES AROUND THE CLOCK 365 DAYS PER YEAR. THE EMERGENCY ROOM SERVICE IS A MAJOR GATEWAY TO INPATIENT SERVICES AND FOR THE PERIOD SEPTEMBER TO DECEMBER 2015, 5,809 OR 24.7% OF THE TOTAL OF 23,496 INDIVIDUAL PATIENT ENCOUNTERS RESULTED IN AN ADMISSION TO AN INPATIENT SERVICE. WITH THE RECENT CLOSINGS AND/OR DOWNSIZING OF OTHER HOSPITALS IN THE AREA, LMC CONTINUES TO EXPERIENCE AN INCREASE IN PATIENT VOLUME WITH HIGHER ACUITY LEVELS, I.E., SICKER PATIENTS SEEKING EMERGENCY SERVICES. DUE TO THE EPISODIC NATURE OF THIS SERVICE THE UNDOCUMENTED, UNINSURED AND UNDERINSURED PATIENTS TEND TO BE HIGHER PERCENTAGE-WISE THAN IN ANY OTHER SERVICE. THE MAJORITY OF THE PATIENTS THAT DO PRESENT WITH INSURANCE TEND TO BE MEDICAID FEE-FOR-SERVICE OR MEDICAID HMO, WHICH IS CONSIDERED MEDICALLY INDIGENT. WHEN COMBINED WITH THE UNINSURED THE DATA REVEALS THAT JUST ABOUT 64% OF ALL PATIENTS PRESENTING TO THE ER FOR EMERGENCY SERVICES WERE EITHER, UNDOCUMENTED, UNINSURED OR UNDERINSURED FOR THE PERIOD SEPTEMBER TO DECEMBER 2015. Form 990, Part III Line 4c THE THIRD LARGEST PROGRAM OF THE MEDICAL CENTER IS THE INPATIENT MATERNITY SERVICE. DURING 2014, THE MEDICAL CENTER WAS ABLE TO ACCOMMODATE, ON AVERAGE, APPROXIMATELY 31 PATIENTS PER DAY AND TREATED AND DISCHARGED 1,422 PATIENTS. THE AVERAGE LENGTH OF STAY FOR PATIENTS IN THIS PROGRAM WAS APPROXIMATELY 2.7 DAYS, WHICH TRANSLATED INTO 3,802 DAYS OF MATERNITY CARE PROVIDED FOR THE PERIOD SEPTEMBER TO DECEMBER 2015. APPROXIMATELY 3.3% OF THE OB PATIENTS WERE SELF-PAY AND/OR CHARITY-CARE PATIENTS, I.E., MEANING THEY PRESENTED WITHOUT INSURANCE OR THE ABILITY TO PAY AND WERE CONSIDERED 'UNINSURED'. THE MAJORITY OF THE PATIENTS IN THIS SERVICE, ABOUT 83% WERE CONSIDERED MEDICALLY INDIGENT. THIS SERVICE TENDS TO HAVE LESS UNINSURED AS NYS INSURANCE COVERAGE FOR PREGNANT WOMEN, NEWBORNS AND CHILDREN IS PROBABLY THE BEST IN THE COUNTRY, BUT IT DID HAVE A SIGNIFICANT PERCENTAGE OF 'UNDERINSURED' PATIENTS. THE OBJECTIVES FOR THE OBSTETRICS PROGRAM IS TO OFFER THE FINEST CARE TO OUR NEIGHBORS BY PROVIDING HIGHLY QUALIFIED PHYSICIANS, PERINATOLOGISTS, NEONATOLOGISTS AND NURSING STAFF. FORM 990, PART IV, LINE 12B NYU LUTHERAN MEDICAL CENTER did not obtain an audit for the period September to December 2015. NYU LUTHERAN MEDICAL CENTER merged with NYU Hospitals Center effective January 1, 2016 with NYU Hospitals Center the surviving company. An audit of NYU Hospitals Center for their fiscal year September 1, 2015 to August 31, 2016 will include NYU LUTHERAN MEDICAL CENTER for the period September to December 2015. Form 990, Part VI, Section A, line 2 TWO OR MORE PERSONS LISTED IN THIS FORM 990 PART VII HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER BY VIRTUE OF CONCURRENTLY SERVING ON ONE OR MORE BOARDS OF DIRECTORS/TRUSTEES OR BY SERVING IN AN EMPLOYMENT RELATIONSHIP ON ONE OR MORE ENTITIES WITHIN THE LUTHERAN AFFILIATES. Form 990, Part VI, Section A, line 4 Effective April 1, 2015, NYU Langone Health System (no ", fka NYULMC, Inc., became the sole member of NYU Lutheran Medical Center. (see the attached bylaws). NYU Langone Health System is a subsidiary of New York University and is the parent of NYU Hospitals Center. Form 990, Part VI, Section A, line 6 SEE RESPONSE TO PART VI, SECTION A, LINE 4 Form 990, Part VI, Section A, line 7a Effective April 1, 2015, NYU Langone Health System, fka NYULMC, Inc., became the sole member of NYU Lutheran Medical Center. NYU Langone Health System is a subsidiary of New York University and is the parent of NYU Hospitals Center. As Sole Member, NYU Langone Health System elects the governing body of LMC. Form 990, Part VI, Section A, line 7b SEE RESPONSE TO PART VI, SECTION A, LINE 4 Form 990, Part VI, Section B, line 11 DESCRIPTION OF THE PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW THE FORM 990: 1. THE ORGANIZATION'S FINANCE DEPARTMENT GATHERS THE SUPPORTING INFORMATION BASED ON THE FISCAL YEAR'S FINANCIAL ACTIVITY AND PRIOR YEAR REPORTING. 2. THE SUPPORTING INFORMATION IS PROVIDED TO THE ORGANIZATION'S EXTERNAL TAX ADVISOR FOR REVIEW AND COMMENT. 3. THE EXTERNAL TAX ADVISOR PREPARES A DRAFT RETURN WHICH IS THEN REVIEWED BY THE ORGANIZATION'S FINANCE DEPARTMENT AND THE NYU LANGONE HEALTH SYSTEM'S VICE PRESIDENT OF FINANCE AND CHIEF FINANCIAL OFFICER FOR COMPLETENESS AND ACCURACY. THIS IS AN ITERATIVE PROCESS WHICH MAY INVOLVE MORE THAN ONE REVIEW BY THE ORGANIZATION'S EXTERNAL TAX ADVISOR. 4. THE REVIEWED DRAFT IS PRESENTED TO THE NYU LANGONE HEALTH SYSTEM BOARD OF TRUSTEES' AUDIT COMMITTEE, AS WELL AS CERTAIN OTHER OFFICERS FOR REVIEW. 5. ONCE APPROVED BY THE AUDIT COMMITTEE, THE FORM 990 IS MADE AVAILABLE TO THE FULL BOARD AND THEN IT IS FORWARDED TO THE IRS. Form 990, Part VI, Section B, line 12c NYU LUTHERAN MEDICAL CENTER REQUIRES ALL BOARD OF TRUSTEES MEMBERS TO COMPLETE AN ANNUAL CONFLICT OF INTEREST AND RELATED MATTERS DISCLOSURE STATEMENT PRIOR TO SERVING ON THE BOARD FOR THE CURRENT YEAR. THIS DISCLOSURE STATEMENT IS MONITORED AND REVIEWED BY LUTHERAN'S GENERAL COUNSEL. Form 990, Part VI, Section B, line 15 THE NYU LUTHERAN MEDICAL CENTER BOARD OF TRUSTEES ENGAGES SULLIVAN COTTER & ASSOCIATES, INC TO PROVIDE ANNUAL REPORTS AND SUPPORTING DATA RELATIVE TO EXECUTIVE COMPENSATION. THE COMPENSATION COMMITTEE, ACTING ON BEHALF OF THE FULL LUTHERAN BOARD OF TRUSTEES, RECEIVES AND REVIEWS THESE REPORTS WHICH CONTAIN A. A MARKET ANALYSIS OF THE TOTAL COMPENSATION LEVELS OF SENIOR EXECUTIVES IN RELATION TO THEIR PEERS IN THE MARKETPLACE, B. A REVIEW OF CURRENT COMPENSATION AND BENEFIT PLAN DESIGNS TO ENSURE COMPETITIVENESS TO THE MARKETPLACE, AND C. COMPLIANCE WITH STATE AND/OR FEDERAL REGULATIONS THE COMPENSATION COMMITTEE RELIES UPON THE DATA AND RECOMMENDATIONS PROVIDEO BY SULLIVAN COTTER & ASSOCIATES TO DETERMINE THE COMPENSATION LEVEL OF THE CEO. FOR THE OTHER KEY EXECUTIVE POSITIONS, THE CEO RECOMMENDS ADJUSTMENTS TO THE COMMITTEE WHO IN TURN REVIEW THESE RECOMMENDATIONS UTILIZING THE SULLIVAN COTTER & ASSOCIATES REPORTS AND APPROVES, DISAPPROVES OR ALTERS THE PROPOSALS OF THE CEO FOR THE OTHER SENIOR EXECUTIVES. Form 990, Part VI, Section C, line 19 NYU LUTHERAN MEDICAL CENTER POSTS ITS CURRENT ANNUAL REPORT ON ITS WEBSITE, WWW.LUTHERANMEDLCALCENTER.COM. THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND AT THE DISCRETION OF THE MEDICAL CENTER'S GENERAL COUNSEL. Form 990, Part XI, line 9: Transfer of Net Assets from Related Entity 10,681,867. Transfer of Net Assets due to Merger -201,137,507. NEW YORK UNIVERSITY 726 BROADWAY NEW YORK NY 10003 135562308 UNIVERSITY NY 501(c)(3) LINE 2 N/A 0 NYU LANGONE HEALTH SYSTEM 550 FIRST AVENUE MSB 153 NEW YORK NY 10016 472613531 SUPPORTING ORG. NY 501(c)(3) LINE 11B, II NEW YORK UNIVERSITY 0 NYU HOSPITALS CENTER 550 FIRST AVENUE NEW YORK NY 10016 133971298 Healthcare NY 501(c)(3) LINE 3 NYU Langone Health System 0 34TH STREET CANCER CENTER INC C/O NYUHC 550 FIRST AVENUE NEW YORK NY 10016 300262470 CANCER CARE NY 501(c)(3) LINE 11C, III-FI NYU HOSPITAL CENTER 0 HAROLD ACTON TRUST 726 BROADWAY 9TH FLOOR NEW YORK NY 10003 137050560 SUPPORT OF NYU'S CAMPUS IN FLORENCE, ITALY NY 501(c)(3) LINE 11A, I NEW YORK UNIVERSITY 0 HORTENSE ACTON TRUST 70 WASHINGTON SQ S NEW YORK NY 10013 367110976 SUPPORT OF NYU'S CAMPUS IN FLORENCE, ITALY NY 501(c)(3) PF NEW YORK UNIVERSITY 0 INSTITUTE OF FINE ARTS FOUNDATION 1 EAST 78TH STREET NEW YORK NY 10021 237184242 SUPP NYU'S INSTITUTE OF FINE ARTS NY 501(c)(3) LINE 11A, I NEW YORK UNIVERSITY 0 NATIONAL CENTER ON PHILANTHROPY AND THE LAW 110 WEST 3RD ST 2ND FL NEW YORK NY 10012 133954405 STUDY,RESEARCH, EDUCATION ON PHILANTHROPY & THE LAW NY 501(c)(3) LINE 11A, I NEW YORK UNIVERSITY 0 NEW YORK UNIVERSITY IN ABU DHABI CORP 70 WASHINGTON SQ S NEW YORK NY 10013 262652713 SUPPORT NYU COLLEGE IN ABU DHABI NY 501(c)(3) LINE 2 NEW YORK UNIVERSITY 0 NEW YORK UNIV SCHOOL OF BUSINESS FDN 44 WEST 4TH ST STE 11-160 NEW YORK NY 10012 134168015 SUPPORTS NYU'S L.N. STERN SCHOOL OF BUSINESS NY 501(c)(3) LINE 11A, I NEW YORK UNIVERSITY 0 NYU IMAGING INC 545 FIRST AVENUE NEW YORK NY 10016 134000622 SUPPORT NYU SCHOOL OF MEDICINE NY 501(c)(3) LINE 11A, I NEW YORK UNIVERSITY 0 NYU REAL ESTATE CORPORATION 70 WASHINGTON SQ S 11TH NEW YORK NY 10013 134141728 OWNS REAL PROPERTY NY 501(C)(25) NEW YORK UNIVERSITY 0 NYU SCHOOL OF LAW FOUNDATION 161 AVE OF THE AMERICAS 504 NEW YORK NY 10013 136161036 SUPPORT NYU'S SCHOOL OF LAW NY 501(c)(3) LINE 11A, I NEW YORK UNIVERSITY 0 NYU SCHOOL OF LAW HOUSING ASSISTANCE CO 161 AVE OF THE AMERICAS 504 NEW YORK NY 10013 134043221 SUPPORT NYU'S SCHOOL OF LAW NY 501(c)(3) LINE 11A, I NYU'S SCHOOL OF LAW FOUNDATION 0 NYU SCHOOL OF LAW RECRUITMENT ASSIST CO 161 AVE OF THE AMERICAS 504 NEW YORK NY 10013 134043182 SUPPORT NYU'S SCHOOL OF LAW NY 501(c)(3) LINE 11A, I NYU'S SCHOOL OF LAW FOUNDATION 0 NYU SCHOOL OF LAW RETENTION ASSIST CORP 161 AVE OF THE AMERICAS 504 NEW YORK NY 10013 134047911 SUPPORT NYU'S SCHOOL OF LAW NY 501(c)(3) LINE 11A, I NYU'S SCHOOL OF LAW FOUNDATION 0 POLYTECHNIC INSTITUTE OF NEW YORK UNIVERSITY 6 METROTECH CENTER Brooklyn NY 11201 111630820 ENGINEERING COLLEGE NY 501(c)(3) LINE 2 NEW YORK UNIVERSITY 0 WASHINGTON SQUARE LEGAL SERVICES INC 161 AVE OF THE AMERICAS 504 NEW YORK NY 10013 237392120 CERTAIN PUBLIC INTEREST ACTIVITIES OF NYU SCHOOL OF LAW NY 501(c)(3) LINE 11A, I NEW YORK UNIVERSITY 0 JURODIN FUND PO BOX 6089 NEWARK DE 197146089 136169166 SILVER FUNDS DE 501(c)(3) PF NEW YORK UNIVERSITY 0 METROTECH AREA DISTRICT MANAGEMENT ASSOC 1 METROTECH CENTER NORTH Brooklyn NY 11201 133601854 REAL ESTATE NY 501(c)(3) LINE 9 NEW YORK UNIVERSITY 0 Lutheran Augustana CECR Inc 5434 2nd Ave Brooklyn NY 11220 112150953 Extended Care NY 501(C)(3) LINE 9 NYU LUTHERAN MEDICAL CENTER 0 OHP PHSP INC 5800 3rd Avenue Brooklyn NY 11220 113245559 Insurance NY 501(C)(4) NYU LUTHERAN MEDICAL CENTER 1 SHORE HILL HOUSING COMPANY INC 9000 Shore Road Brooklyn NY 11209 237405105 Housing NY 501(C)(3) LINE 9 NYU LUTHERAN MEDICAL CENTER 0 HARBOR HILL HOUSING 150 55th Street Brooklyn NY 11220 113152691 Housing NY 501(C)(3) LINE 9 NYU LUTHERAN MEDICAL CENTER 0 Sunset Bay Community Services 150 55th Street Brooklyn NY 11220 112439925 DAY CARE & SENIOR SERVICES NY 501(C)(3) LINE 7 NYU LUTHERAN MEDICAL CENTER 0 COMMUNITY CARE ORGANIZATION 246 55TH Street APT Aa4 Brooklyn NY 11220 113001682 Home Health NY 501(C)(3) LINE 9 NYU LUTHERAN MEDICAL CENTER 0 SUNSET GARDENS HOUSING CORP 150 55th Street brooklyn NY 11220 203461755 housing NY 501(C)(3) LINE 9 NYU LUTHERAN MEDICAL CENTER 0 LMC HEALTH SYSTEM INC 150 55th Street brooklyn NY 11220 113589771 Support Org. NY 501(C)(3) LINE 11A, I NYU LUTHERAN MEDICAL CENTER 0 LMC PHYSICIAN SERVICES PC 150 55th Street brooklyn NY 11220 113192423 Phys. Service NY 501(C)(3) LINE 11C, III-FI NYU LUTHERAN MEDICAL CENTER 0 SHORE ROAD RADIOLOGY ASSOCIATES PC 150 55th Street brooklyn NY 11220 112665457 HEALTHCARE NY 501(C)(3) LINE 11C, III-FI NYU LUTHERAN MEDICAL CENTER 0 LUTHERAN CHHAINC DBA LUTHERAN CARE AT 5407 2ND AVENUE BRooklyn NY 11220 462559181 HOME HEALTH AIDE AGENCY NY 501(C)(3) LINE 9 NYU LUTHERAN MEDICAL CENTER 0 SOUTHWEST BROOKLYN DENTAL PRACTICE PLLC 150 55th Street brooklyn NY 11220 472932907 DENTAL SERVICES NY 501(C)(3) LINE 9 NYU LUTHERAN MEDICAL CENTER 0 CCC 550 INSURANCE SCC 550 FIRST AVENUE NEW YORK NY 10016 PROF LIAB COVERAGE BB N/A C 0 INTERNATIONAL ART FUND C/O NYU 726 BROADWAY NEW YORK NY 10003 HOLDS STOCK IN LA PIETRA CORP. PM N/A C 0 LA PIETRA CORPORATION VIA BOLOGNESE 120 FLORENCE IT 50139 HOLDS PROPERTY COMPRISING NYU'S FLORENCE CAMPUS IT N/A C 0 NEW YORK UNIVERSITY IN FRANCE 56 RUE DE PASSY PARIS FR 75016 SUPPORT NYU'S PROGRAM IN FRANCE FR N/A C 0 NIU DA ED INFOR CONSULTING CO LTD 3663 ZHONGSHAN RD N SHANGHAI CH 200062 SUPPORT NYU'S PROGRAM IN CHINA CH N/A C 0 NYU IN LONDON 6 BEDFORD SQUARE LONDON UK WC1B 3RA SUPPORT NYU'S PROGRAM IN LONDON UK N/A C 0 NYU IN TEL-AVIV LTD TUVAL 13 TEL AVIV IS 52522 SUPPORT NYU'S PROGRAM IN TEL-AVIV IS N/A C 0 NYU TISCH SCH OF ARTS ASIA LTD 3 KAY SIANG ROAD SN 248923 SUPPORT NYU'S TSOA'S PROGRAM IN SINGAPORE SN N/A C 0 CENTER FOR THE FORMATION OF NYU SHANGHAI 3663 ZHONGSHAN RD N SHANGHAI CH 200062 SUPPORT NYU'S PROGRAM IN CHINA CH N/A C 0 SHORE HILL HOUSING ASSOCIATES GP INC 150 55TH STREET BROOKLYN NY 11220 HOUSING NY N/A C 0 0 1 1 0 1 0 0 0 0 1 1 1 1 1 1 1 1 0 1