2015-11-13T10:44:59-06:00 2014-12-31 861065772 DELOITTE TAX LLP TWO JERICHO PLAZA JERICHO NY 11753 990 2014-01-01 111839567 NYU LUTHERAN MEDICAL CENTER NYUL 7186307100 150 55TH STREET BROOKLYN NY 11220 RICHARD LANGFELDER CHIEF FINANCIAL OFFICER 7186307100 2015-11-13 1 CHRISTINE KAWECKI P00743140 5169187000 2015-11-12 2014 2016-04-25 22:37:26Z RICHARD LANGFELDER 150 55TH STREET BROOKLYN NY 11220 442566710 0 X WWW.LUTHERANMEDICALCENTER.COM X 1955 NY SEE SCHEDULE O. 30 29 4532 550 158809 -19584 11987506 9107684 395518828 414841201 2358977 2664467 24710366 15388070 434575677 442001422 94070 38300 0 0 261957795 267107551 219515 247127 802608 163056881 172996873 425328261 440389851 9247416 1611571 457638165 498364100 321030836 375105071 136607329 123259029 X SEE SCHEDULE O 0 0 101789396 38300 106297602 SEE SCHEDULE O. 31004581 16289573 SEE SCHEDULE O. 9816173 9912614 SEE SCHEDULE O. 241064475 297023400 ALL OTHER GENERAL MEDICAL & RELATED PROGRAM SERVICES PROVIDED BY THE HOSPITAL. 241064475 297023400 383674625 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 1 450 0 1 4532 1 1 1 0 0 0 0 1 1 0 0 0 0 X 30 29 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X NYU LUTHERAN MEDICAL CENTER 7186308283 150 55TH STREET BROOKLYN NY 112202559 LYNDA ANDERSON TRUSTEE 1.00 X 0 0 0 ANDREW BURCH TRUSTEE 1.00 X 0 0 0 MARIA CARLSON TRUSTEE 1.00 X 0 0 0 DALE C CHRISTENSEN ESQ TRUSTEE 1.00 X 0 0 0 FRANK COMERFORD TRUSTEE 1.00 X 0 0 0 MARTHA BAKOS DIETZ TRUSTEE 1.00 X 0 0 0 LAWRENCE DIGIOVANNA ESQ TRUSTEE 1.00 X 0 0 0 THOMAS J EDWARDS TRUSTEE 1.00 X 0 0 0 EMMA GRAEBER PORTER TRUSTEE 1.00 X 0 0 0 BRENDA GRANDELL TRUSTEE 1.00 X 0 0 0 RABBI ROBERT KAPLAN TRUSTEE 1.00 X 0 0 0 MIRIAM KATOWITZ TRUSTEE 1.00 X 0 0 0 CAROL KNUTH SAKOIAN TRUSTEE 1.00 X 0 0 0 JOSEPH LODATO TRUSTEE 1.00 X 0 0 0 GERARLD LUTERMAN TRUSTEE 1.00 X 0 0 0 DARIN MCATEE ESQ TRUSTEE 1.00 X 0 0 0 RICHARD J NOVAK TRUSTEE 1.00 X 0 0 0 JOHN NUZUM TRUSTEE 1.00 X 0 0 0 RANDOLPH PEERS TRUSTEE 1.00 X 0 0 0 KATHLEEN REGAN TRUSTEE 1.00 X 0 0 0 BISHOP ROBERT RIMBO TRUSTEE 1.00 X 0 0 0 VINCENT ROHAN TRUSTEE 1.00 X 0 0 0 REV DAVID ROMMEREIM TRUSTEE 1.00 X 0 0 0 LUCY SANABRIA TRUSTEE 1.00 X 0 0 0 DANNY TSOI TRUSTEE 1.00 X 0 0 0 REV JEANNE WARFIELD TRUSTEE 1.00 X 0 0 0 MARTHA WOLFGANG TRUSTEE 1.00 X 0 0 0 REV SAMUEL FOOK WONG TRUSTEE 1.00 X 0 0 0 KATHRYN S WYLDE TRUSTEE 1.00 X 0 0 0 WENDY Z GOLDSTEIN PRESIDENT & CEO 35.00 1.00 X X 1515145 0 333813 CLAUDIA CAINE CHIEF OPERATING OFFICER 35.00 1.00 X 831247 0 169900 BARBARA ARKY EVP/GENERAL COUNSEL 35.00 1.00 X 645907 0 40669 BETH RAUCHER MD CHIEF MEDICAL OFFICER & SV 35.00 X 361300 0 28164 RICHARD LANGFELDER CHIEF FINANCIAL OFFICER 35.00 1.00 X 610765 0 41542 STEVE ART SVP/CHIEF INFORMATION OFFI 35.00 X 291372 0 28633 MYLES DAVIS SVP CORPORATE 35.00 1.00 X 367890 0 15496 JOHN K FITZPATRICK MD CHAIR OB/GYN 40.00 X 718670 0 38661 JOANNE IOLONARDI SVP NURSING 35.00 1.00 X 285371 0 34370 KAREN LENNON SVP EXTERNAL AFFAIRS 35.00 X 354667 0 19960 GEORGE MARTIN MD CHAIR INTERNAL MEDICINE 35.00 X 171303 0 9654 MICHAEL PARKS SVP FINANCE 35.00 1.00 X 489266 0 38027 FRANK SCHEETS SVP HUMAN RESOURCES 35.00 1.00 X 422581 0 38905 AUDREY SAITTA MD CHAIR RADIATION ONCOLOGY 40.00 X 524724 0 36056 CANDACE FINKELSTEIN SVP/CORP COMPLIANCE/OP PLAN 35.00 1.00 X 385072 0 37040 CLAUDIA LYON CHAIR FAMILY MEDICINE 40.00 X 393558 0 35282 LAURA ALFREDO ASSOCIATE COUNSEL 40.00 X 387323 0 21627 RICHARD GARBER SVP STRATEGIC PLANNING 40.00 X 353752 0 17722 9109913 0 985521 582 0 1 0 LMC PHYSICIAN SERVICES 150 55TH ST BROOKLYN NY 11220 PHYSICIAN SERVICES 30366188 UNIVERSITY PHYSICIANS OF BROOKLYN 450 CLARKSON AVE BROOKLYN NY 11203 PHYSICIAN SERVICES 7256695 MOUNT SINAI HOSPITAL 1 GUSTOVE LEVY PL NEW YORK NY 10029 CARDIAC CATH SVCS. 4491674 SHORE ROAD RADIOLOGY 150 55TH ST BROOKLYN NY 11220 PHYSICIAN SERVICES 3669899 NES HEALTHCARE GROUP 3724 NATIONAL DR STE 109 RALEIGH NC 27612 PHYSICIAN SERVICES 2431127 42 988554 28980 8090150 9107684 PATIENT SERVICE REV. 622110 221201798 221201798 MEDICARE FFS REVENUE 923130 152757545 152757545 MEDICAID FFS REVENUE 923130 35339917 35339917 MEDICAL EDUCATION PROG 900099 3089556 3089556 MEDICAID EHR INCENTIVE 900099 1836184 1836184 616201 616201 414841201 2624532 -2475 2627007 688344 0 688344 688344 35381 652963 105407 65472 39935 39935 39935 292034 988554 499816 -207782 -207782 PAYMENT FROM AFFILIATE 900099 12016944 12016944 INSURANCE REBATE 900099 912183 912183 GIFT SHOP INCOME 900099 58189 58189 1920192 1752861 125903 41428 14907508 442001422 429523189 158809 3211740 38300 38300 9109912 1736255 7221150 152507 188814416 168249000 20379720 185696 17483754 14986216 2467305 30233 36360291 31239442 5058861 61988 15339178 13147991 2164663 26524 3847338 2277785 1569553 1644710 142329 1502381 303931 303931 103468 103468 247127 247127 1432164 722359 709805 175606 163060 9996 2550 49321820 47477067 1771112 73641 19718 5033 14685 7965683 6646197 1319486 376482 120330 256081 71 1766387 1766387 16432267 16432267 21280163 21280163 PHYSICIAN PAYMENTS 35160572 35160572 0 0 PURCHASED SERVICES 23139391 15321684 7795436 22271 REPAIRS AND MAINTENANCE 9678838 6413853 3264985 0 348335 348335 440389851 383674625 55912618 802608 3975 3475 10262389 12736792 1617375 184065 61490424 63436991 5347713 6338360 17048885 19960012 386485440 273261440 119351000 113224000 117606330 147668157 16673000 18145000 83495724 83461440 24741350 33205808 457638165 498364100 52758760 60189863 2838288 2740416 73705731 69422251 191728057 242752541 321030836 375105071 X 132583173 118423000 3716127 4528000 308029 308029 136607329 123259029 457638165 498364100 X 1611571 1488000 -16447871 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 12459 0 0 1 3311 1 70603 1 103468 189841 0 PART II-B, LINE 1: OTHER LOBBYING ACTIVITIES: LUTHERAN EMPLOYS A PERSON WHO AS PART OF THEIR FUNCTION ADVOCATES AND LOBBIES IN ALBANY AND WASHINGTON ON BEHALF OF THE HOSPITAL WITH RESPECT TO GOVERNMENTAL POLICIES AND LEGISLATION IMPORTANT TO THE HOSPITAL. 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). 1575733 1575733 156244060 104889936 51354124 15505956 3859162 11646794 208140362 164398595 43741767 5019329 113747 4905582 113224000 DUE FROM AFFILIATES 9599879 OTHER RECEIVABLES 2536916 OTHER ASSETS 3397152 EST REC FROM 3RD PARTY PAYORS 17671861 33205808 ACCRUED PENSION LIABILITY 111802360 DUE TO AFFILIATES 563593 DUE TO THIRD PARTY PAYORS 39284601 OTHER LONG TERM LIABILITIES 508987 RESERVE FOR SELF INSUR CLAIMS 90593000 242752541 X X X X X X 1 SUSAN SHAPIRO ASSOCIATES LLC 245 5TH AVE NEW YORK NY 100168716 FUNDRAISING & BUILDING DONOR DATABASE 0 809470 247127 562343 809470 247127 562343 NY DINNER DANCE 1280588 988554 292034 0 0 75559 150665 13075 260517 1280588 988554 292034 75559 150665 13075 260517 499816 -207782 1 1 0 1 X 1 0 0 22779689 8918872 13860817 0.03150 178536807 151464896 27071911 0.06150 204791 92300 112491 0.00030 201521287 160476068 41045219 0.09330 203903 0 203903 0.00050 45004642 18335558 26669084 0.06060 17738901 0 17738901 0.04030 574689 17500 557189 0.00130 108500 0 108500 0.00020 63630635 18353058 45277577 0.10290 265151922 178829126 86322796 0.19620 227296 227296 0.00050 28181 28181 0.00010 40901 40901 0.00010 296378 296378 0.00070 1 26527000 341552 158413958 163947753 -5533795 X 1 1 1 1 NYU LUTHERAN MEDICAL CENTER 150 55TH STREET BROOKLYN NY 11220 WWW.LUTHERANHEALTHCARE.ORG/MAIN/COMMUN NYS #7001019H X X X X X PSYCH & REHAB EXCLUDED UNITS NYU LUTHERAN MEDICAL CENTER 1 0 0 1 X X X X X X X X 13 1 0 0 1 X WWW.LUTHERANHEALTHCARE.ORG X WWW.HEALTH.NY.GOV/PREVENTION/PREVENTION X X 1 13 1 HTTP://WWW.LUTHERANHEALTHCARE.ORG/MAIN/COMMUNITYSERVICEPLAN.ASPX 0 0 1 X 100.000000000000 400.000000000000 X X 1 1 X X X 1 X X X X X X X X 1 X 0 X X X X 1 X 0 0 NYU LUTHERAN MEDICAL CENTER PART V, SECTION B, LINE 5: INTERNAL STAKEHOLDER COMMITTEETHE INTERNAL STAKEHOLDER COMMITTEE WAS COMPRISED OF LUTHERAN HEALTHCARE 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 MEMBERS TO 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, LUTHERAN HEALTHCARE 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 LUTHERAN HEALTHCARE EMPLOYEES, MANY OF WHOM ALSO IDENTIFIED THEMSELVES AS COMMUNITY RESIDENTS. SEE APPENDIX D FOR THE LOCAL HEALTH NEEDS SURVEY.FOCUS GROUPSIN SEPTEMBER AND OCTOBER, FIVE 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. LUTHERAN HEALTHCARE 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: IN TERMS OF THE TWO MOST SIGNIFICANT NEEDS IDENTIFIED THE PLAN IS TO TARGETING RESOURCES TO BETTER MANAGE PATIENTS WITH CHRONIC DISEASE TO DECREASE UNNECESSARY HOSPITAL READMISSIONS AND INCREASE ACCESS TO CARE; AND DEVELOP AN OBESITY INTERVENTION PROGRAM FOR CHILDREN.ALTHOUGH MENTAL HEALTH, ASTHMA AND CANCER WERE IDENTIFIED AS SIGNIFICANT NEEDS THEY WERE NOT PRIORITIZED OR ADDRESSED IN THE CHNA. ALTHOUGH THE NEEDS DO ALIGN WITH ORGANIZATIONAL MISSION, THESE AREAS DO NOT FIT WITH CURRENT STRATEGIC PRIORITIES AND THE ORGANIZATION HAS LIMITED RESOURCES TO ALLOCATE TO THESE AREAS TO ACHIEVE 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: LUTHERAN USES FAMILY SIZE AS AN ADDITIONAL FACTOR IN DETERMINING ELIGIBILITY FOR DISCOUNTED CARE. 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 V, SECTION B, LINE 16A-C WWW.LUTHERANHEALTHCARE.ORG/MAIN/LUTHERANMEDICALCENTERSFINANCIALASSISTANCEPOLICY.ASPX PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY NYU LUTHERAN MEDICAL CENTER PART V, SECTION B, LINE 16A WEBSITE: SEE PART VI NYU LUTHERAN MEDICAL CENTER PART V, SECTION B, LINE 16B WEBSITE: SEE PART VI NYU LUTHERAN MEDICAL CENTER PART V, SECTION B, LINE 16C WEBSITE: SEE PART VI 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 4: 2014 LUTHERAN HEALTHCARE AUDITED FINANCIAL STATEMENT NOTE REGARDING BAD DEBT EXPENSE IS LOCATED ON PAGE 11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. 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 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.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 LUTHERAN HEALTHCARE 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, LUTHERAN HEALTHCARE 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 LUTHERAN HEALTHCARE EMPLOYEES, MANY OF WHOM ALSO IDENTIFIED THEMSELVES AS COMMUNITY RESIDENTS. SEE APPENDIX D FOR THE LOCAL HEALTH NEEDS SURVEY.FOCUS GROUPSIN SEPTEMBER AND OCTOBER, FIVE 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: THE SUNSET PARK/NORTHERN BAY RIDGE IS A MIXED RESIDENTIAL, INDUSTRIAL, AND COMMERCIAL AREA LOCATED ON BROOKLYN'S WATERFRONT, ITS POPULATION IS 148,675 PEOPLE. NEARLY ONE-QUARTER OF ITS RESIDENTS (24%) ARE UNDER THE AGE OF 18. THIS AREA IS A DESTINATION FOR NEW IMMIGRANTS - 49% 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. NEARLY ONE-QUARTER OF RESIDENTS (24%) 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 - 27% HAVE LESS THAN AN 8TH GRADE EDUCATION, AND 14% ATTENDED BUT DID NOT COMPLETE HIGH SCHOOL. TWENTY-TWO 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: 79% 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.TO ADDRESS PEDIATRIC OBESITY IN SUNSET PARK, LMC HAS INITIATED THE DEVELOPMENT AND IMPLEMENTATION OF A PEDIATRIC OBESITY INTERVENTION. THE WORKGROUP SELECTED A SHARED MEDICAL APPOINTMENT (SMA) MODEL, SUPPORTED BY THE AMERICAN ACADEMY OF FAMILY PHYSICIANS. THE SHARED MEDICAL APPOINTMENT MODEL OR SMA INCLUDES A GROUP EDUCATIONAL SESSION ALONG WITH MOST OF THE COMPONENTS OF INDIVIDUAL VISITS, INCLUDING ONE-ON-ONE MEDICAL EVALUATIONS CONDUCTED BY A PHYSICIAN OR NURSE PRACTITIONER. BASED ON AN ESTABLISHED SCHEDULE, ENROLLED CHILDREN AND THEIR PARENT/GUARDIAN WILL ATTEND AN SMA TO EVALUATE THEIR PROGRESS TOWARD OBTAINING THEIR INDIVIDUALIZED WEIGHT GOALS. SMAS CAN BE ORGANIZED SPECIFICALLY FOR DISTINCT CULTURAL GROUPS TO PROVIDE LANGUAGE ACCESS AND CULTURAL CONTEXT TO PROGRAM CONTENT. DURING THIS VISIT, A BEHAVIORIST (SOCIAL WORKER, PSYCHOLOGIST, BEHAVIORAL HEALTH NURSE, ETC.), CASE MANAGER, NUTRITIONIST, AND ACTIVITY SPECIALIST WILL PROVIDE A PHYSICAL EVALUATION OF THE CHILD, REVIEW GOALS AND COMMON ISSUES, AND PROVIDE WEIGHT MANAGEMENT EDUCATION. THESE VISITS ARE CONDUCTED IN AN OPEN FORUM ALLOWING ALL PARTICIPANTS TO LEARN FROM EACH OTHER. IN ADDITION, PARTICIPANTS ARE PROVIDED WITH PRIVATE TIME WITH CLINICAL STAFF FOR MORE PERSONAL ISSUES THAT PARTICIPANTS MAY NOT WISH TO DISCUSS IN AN OPEN FORUM. CONTENT FOCUSES ON NUTRITION, ACTIVITY/EXERCISE, AND BEHAVIOR CHANGE. CLINICAL ISSUES INCLUDING KEY INDICATORS AND CO-MORBIDITIES ARE MANAGED INDIVIDUALLY.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, CHINESE AND ARABIC 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 ANNUALLY.ADULT EDUCATION AND WORKFORCE DEVELOPMENT - THE COMMUNITY EMPOWERMENT PROGRAM HELPS OVER 500 COMMUNITY MEMBERS TO ADVANCE THEIR SKILLS AND LIFE OPPORTUNITIES EACH YEAR THROUGH ENGLISH, GED AND ADULT LITERACY CLASSES, CAREER COUNSELING AND JOB TRAINING.MENTAL 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. NUTRITION SUPPORT - 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.COMMUNITY SERVICE AND VOLUNTEERISM - THE TWO AMERICORPS NATIONAL SERVICE PROGRAMS PLACE 36 COMMUNITY SERVICE VOLUNTEERS IN FULL-TIME, FULL-YEAR SERVICE OPPORTUNITIES EACH YEAR.LFHC'S COMMUNITY SERVICES ALSO EXTEND BEYOND THE FAMILY SUPPORT CENTER TO INCLUDE THREE 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) 16000 0 N/A N/A GENERAL SUPPORT HOTZOLOH OF FLATBUSH 1880 OCEAN AVE BROOKLYN NY 11230 133213138 501(C)(3) 15000 0 N/A N/A GENERAL SUPPORT BUROUGH PARK HATZOLAH 5215 16TH AVE BROOKLYN NY 11204 133213138 501(C)(3) 1500 0 N/A N/A GENERAL SUPPORT CHINESE AMER PLAN COUNCIL 4101 8TH AVE BROOKLYN NY 11232 136202692 501(C)(3) 5800 0 N/A N/A GENERAL SUPPORT 4 0 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 1053996 0 380000 0 81149 0 310200 0 23613 0 1848958 0 0 0 CLAUDIA CAINE CHIEF OPERATING OFFICER 762329 0 30000 0 38918 0 160200 0 9700 0 1001147 0 0 0 BARBARA ARKY EVP/GENERAL COUNSEL 406147 0 186004 0 53756 0 10200 0 30469 0 686576 0 0 0 BETH RAUCHER MD CHIEF MEDICAL OFFICER & SV 333409 0 0 0 27891 0 10200 0 17964 0 389464 0 0 0 RICHARD LANGFELDER CHIEF FINANCIAL OFFICER 522763 0 30000 0 58002 0 10200 0 31342 0 652307 0 0 0 STEVE ART SVP/CHIEF INFORMATION OFFI 236083 0 0 0 55289 0 10350 0 18283 0 320005 0 0 0 MYLES DAVIS SVP CORPORATE 185779 0 150000 0 32111 0 8055 0 7441 0 383386 0 0 0 JOHN K FITZPATRICK MD CHAIR OB/GYN 611600 0 80000 0 27070 0 10350 0 28311 0 757331 0 0 0 JOANNE IOLONARDI SVP NURSING 252276 0 0 0 33095 0 9873 0 24497 0 319741 0 0 0 KAREN LENNON SVP EXTERNAL AFFAIRS 302593 0 0 0 52074 0 13050 0 6910 0 374627 0 0 0 GEORGE MARTIN MD CHAIR INTERNAL MEDICINE 155282 0 5000 0 11021 0 6069 0 3585 0 180957 0 0 0 MICHAEL PARKS SVP FINANCE 281841 0 155561 0 51864 0 10350 0 27677 0 527293 0 0 0 FRANK SCHEETS SVP HUMAN RESOURCES 328520 0 40909 0 53152 0 10350 0 28555 0 461486 0 0 0 AUDREY SAITTA MD CHAIR RADIATION ONCOLOGY 507770 0 0 0 16954 0 10350 0 25706 0 560780 0 0 0 CANDACE FINKELSTEIN SVP/CORP COMPLIANCE/OP PLAN 355246 0 0 0 29826 0 10350 0 26690 0 422112 0 0 0 CLAUDIA LYON CHAIR FAMILY MEDICINE 325421 0 43157 0 24980 0 10350 0 24932 0 428840 0 0 0 LAURA ALFREDO ASSOCIATE COUNSEL 243632 0 99125 0 44566 0 10350 0 11277 0 408950 0 0 0 RICHARD GARBER SVP STRATEGIC PLANNING 346812 0 0 0 6940 0 6569 0 11153 0 371474 0 0 0 PART I, LINE 4B THE PRESIDENT AND CEO, WENDY GOLDSTEIN, AS WELL AS THE HOSPITAL PRESIDENT AND 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. DONOR # 6 SUBSTANTIAL CONTRIBUTOR 631925 BUS TRANS 0 DONOR # 8 SUBSTANTIAL CONTRIBUTOR 140620 BUS TRANS 0 DONOR # 10 SUBSTANTIAL CONTRIBUTOR 1149847 BUS TRANS 0 DONOR # 12 SUBSTANTIAL CONTRIBUTOR 149625 BUS TRANS 0 DONOR # 13 SUBSTANTIAL CONTRIBUTOR 2431127 BUS TRANS 0 DONOR # 26 SUBSTANTIAL CONTRIBUTOR 2023345 BUS TRANS 0 DONOR # 27 SUBSTANTIAL CONTRIBUTOR 227046 BUS TRANS 0 DONOR # 48 SUBSTANTIAL CONTRIBUTOR 652727 BUS TRANS 0 DONOR # 51 SUBSTANTIAL CONTRIBUTOR 315501 BUS TRANS 0 DONOR # 52 SUBSTANTIAL CONTRIBUTOR 415515 BUS TRANS 0 DONOR # 54 SUBSTANTIAL CONTRIBUTOR 288000 BUS TRANS 0 DONOR # 55 SUBSTANTIAL CONTRIBUTOR 274046 BUS TRANS 0 DONOR # 59 SUBSTANTIAL CONTRIBUTOR 326127 BUS TRANS 0 DONOR # 60 SUBSTANTIAL CONTRIBUTOR 440175 BUS TRANS 0 DONOR # 62 SUBSTANTIAL CONTRIBUTOR 3341028 BUS TRANS 0 DONOR # 67 SUBSTANTIAL CONTRIBUTOR 347230 BUS TRANS 0 DONOR # 69 SUBSTANTIAL CONTRIBUTOR 6477528 BUS TRANS 0 DONOR # 76 SUBSTANTIAL CONTRIBUTOR 1060045 BUS TRANS 0 DONOR # 84 SUBSTANTIAL CONTRIBUTOR 345616 BUS TRANS 0 DONOR # 85 SUBSTANTIAL CONTRIBUTOR 115093 BUS TRANS 0 DONOR # 89 SUBSTANTIAL CONTRIBUTOR 147199 BUS TRANS 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 LUTHERAN HEALTHCARE 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. 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 2014, THE MEDICAL CENTER ADMITTED, TREATED AND DISCHARGED 15,646 PATIENTS FROM THE MEDICAL/SURGICAL PROGRAM. THESE PATIENTS REMAINED IN-HOUSE ON AVERAGE FOR 5.0 DAYS, RESULTING IN APPROXIMATELY 78,695 DAYS OF MEDICAL/SURGICAL CARE PROVIDED. A SIGNIFICANT PORTION OF THESE PATIENTS JUST OVER 3.8%, PRESENTED WITHOUT ANY FORM OF INSURANCE COVERAGE OR THE ABILITY TO PAY FOR THE CARE RECEIVED. IN CY 2014, THESE UNINSURED MEDICAL/SURGICAL PATIENTS GENERATED IN EXCESS OF $18.6 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 45% 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 IN 2014, 14,689 OR 21% OF THE TOTAL OF 69,216 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 IN CY 2014. 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 34 PATIENTS PER DAY AND TREATED AND DISCHARGED 4,010 PATIENTS. THE AVERAGE LENGTH OF STAY FOR PATIENTS IN THIS PROGRAM WAS APPROXIMATELY 2.6 DAYS, WHICH TRANSLATED INTO 10,587 DAYS OF MATERNITY CARE PROVIDED IN 2014. APPROXIMATELY 2.5% 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 IS INCLUDED IN A COMBINED AUDITED FINANCIAL STATEMENT FOR THE YEAR ENDING DECEMBER 31ST, 2014. THE COMBINED FINANCIAL STATEMENTS ARE PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES IN THE UNITED STATES OF AMERICA ("GAAP"). THE COMBINED FINANCIAL STATEMENTS INCLUDE THE ACCOUNTS OF NYU LUTHERAN MEDICAL CENTER AND ALL OF ITS AFFILIATED ORGANIZATIONS. PER THE INSTRUCTIONS TO THE FORM 990, THE ORGANIZATION IS REQUIRED TO RESPOND "YES" TO PART IV, QUESTION 12B IF THE ORGANIZATION IS PART OF A CONSOLIDATED FINANCIAL STATEMENT. SINCE SELECTING "YES" TO THIS QUESTION MAY BE MISCONSTRUED, LUTHERAN IS ATTACHING THIS EXPLANATION TO ITS FORM 990. 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, THE TAXPAYER ENTERED INTO AN AFFILIATION WITH NYU HOSPITALS CENTER (NYUHC), UNDER WHICH, NYU LANGONE HEALTH SYSTEM, INC., AN AFFILIATE OF NYUHC AND NEW YORK UNIVERSITY, BECAME THE SOLE CORPORATE MEMBER OF THE TAXPAYER. AS SOLE CORPORATE MEMBER, NYU LANGONE HEALTH SYSTEM, INC. EXERCISES CERTAIN RESERVED POWERS OVER THE TAXPAYER. FORM 990, PART VI, SECTION A, LINE 6 LMC HEALTH SYSTEM, INC., A NEW YORK STATE NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER OF NYU LUTHERAN MEDICAL CENTER ("LMC"). EFFECTIVE APRIL 1, 2015, THE TAXPAYER ENTERED INTO AN AFFILIATION WITH NYU HOSPITALS CENTER (NYUHC), UNDER WHICH, NYU LANGONE HEALTH SYSTEM, INC., AN AFFILIATE OF NYUHC AND NEW YORK UNIVERSITY, BECAME THE SOLE CORPORATE MEMBER OF THE TAXPAYER. FORM 990, PART VI, SECTION A, LINE 7A AS SOLE MEMBER, LMC HEALTH SYSTEM, INC. ELECTS THE GOVERNING BODY OF LMC. EFFECTIVE APRIL 1, 2015, THE TAXPAYER ENTERED INTO AN AFFILIATION WITH NYU HOSPITALS CENTER (NYUHC), UNDER WHICH, NYU LANGONE HEALTH SYSTEM, INC., AN AFFILIATE OF NYUHC AND NEW YORK UNIVERSITY, BECAME THE SOLE CORPORATE MEMBER OF THE TAXPAYER. FORM 990, PART VI, SECTION A, LINE 7B THE POWERS RESERVED TO MEMBERS UNDER THE NEW YORK NOT-FOR-PROFIT CORPORATION LAW ARE HELD BY LMC HEALTH SYSTEM, INC. SUCH POWERS INCLUDE: THE RIGHT TO ELECT AND REMOVE MEMBERS OF THE GOVERNING BODY; APPROVAL OF AMENDMENTS TO LMC'S CERTIFICATE OF INCORPORATION; AND THE RIGHT TO APPROVE SIGNIFICANT CORPORATE TRANSACTIONS (E.G. MERGERS, CONSOLIDATIONS, AND DISSOLUTION). EFFECTIVE APRIL 1, 2015, THE TAXPAYER ENTERED INTO AN AFFILIATION WITH NYU HOSPITALS CENTER (NYUHC), UNDER WHICH, NYU LANGONE HEALTH SYSTEM, INC., AN AFFILIATE OF NYUHC AND NEW YORK UNIVERSITY, BECAME THE SOLE CORPORATE MEMBER OF THE TAXPAYER. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 WILL BE PROVIDED TO EACH MEMBER OF THE NYU LUTHERAN MEDICAL CENTER BOARD OF DIRECTORS PRIOR TO ITS FILING WITH THE INTERNAL REVENUE SERVICE (IN EITHER AN ELECTRONIC OR PAPER FORMAT). THE FORM 990 WILL BE PRESENTED TO THE NYU LUTHERAN MEDICAL CENTER AUDIT & LEGAL COMMITTEE ON NOVEMBER 17, 2015, THE AUDIT & LEGAL COMMITTEE WILL THEN PROVIDE AN OVERVIEW OF THE FORM 990 TO THE FULL NYU LUTHERAN MEDICAL CENTER BOARD. 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: DEFINED BENEFIT PLAN ADJUSTMENTS -60,887,000. TRANSFER OF NET ASSETS FROM RELATED PARTIES 44,438,000. GNYHA PURCHASING ALLIANCE, LLC 2,475. ROUNDING ADJUSTMENT -1,346. LUTHERAN AUGUSTANA CECR INC 5434 2ND AVE BROOKLYN NY 11220 112150953 EXTENDED CARE NY 501(C)(3) 9 N/A 0 OHP PHSP INC 5800 3RD AVENUE BROOKLYN NY 11220 113245559 INSURANCE NY 501(C)(4) N/A N/A 1 SHORE HILL HOUSING COMPANY INC 9000 SHORE ROAD BROOKLYN NY 11209 237405105 HOUSING NY 501(C)(3) 7 N/A 0 HARBOR HILL HOUSING 150 55TH STREET BROOKLYN NY 11220 113152691 HOUSING NY 501(C)(3) 9 N/A 0 SUNSET BAY COMMUNITY SERVICES 150 55TH STREET BROOKLYN NY 11220 112439925 DAY CARE & SENIOR SERVICES NY 501(C)(3) 7 N/A 0 LMC COMMUNITY FOUNDATION 150 55TH STREET BROOKLYN NY 11220 237439784 SUPPORT ORG. NY 501(C)(3) 11B N/A 0 COMMUNITY CARE ORGANLZATLON 246 55TH STREET APT AA4 BROOKLYN NY 11220 113001682 HOME HEALTH NY 501(C)(3) 9 N/A 0 SUNSET GARDENS HOUSING CORP 150 55TH STREET BROOKLYN NY 11220 203461755 HOUSING NY 501(C)(3) 7 N/A 0 LMC HEALTH SYSTEM INC 150 55TH STREET BROOKLYN NY 11220 113589771 SUPPORT ORG. NY 501(C)(3) 11A N/A 0 LMC PHYSICIAN SERVICES PC 150 55TH STREET BROOKLYN NY 11220 113192423 PHYS. SERVICE NY 501(C)(3) 11C N/A 0 SHORE ROAD RADIOLOGY ASSOCIATES PC 150 55TH STREET BROOKLYN NY 11220 112665457 HEALTHCARE NY 501(C)(3) 11C N/A 0 LUTHERAN CHHAINC DBA LUTHERAN CARE AT 5407 2ND AVENUE BROOKLYN NY 11220 462559181 HOME HEALTH AIDE AGENCY NY 501(C)(3) 9 N/A 0 SHORE ROAD COMMUNITY SERVICES 150 55TH STREET BROOKLYN NY 11220 NURSING & HOUSING NY LMC COMMUNITY FOUNDATION C 0 SHORE HILL HOUSING ASSOCIATES GP INC 150 55TH STREET BROOKLYN NY 11220 HOUSING NY N/A C 0 0 1 1 0 0 0 0 0 0 1 1 1 1 1 1 1 1 0 1 OHP PHSP INC S 50000000 CASH