2013-11-12T20:21:34-06:00 2012-12-31 861065772 DELOITTE TAX LLP TWO JERICHO PLAZA JERICHO NY 11753 990 2012-01-01 111839567 LUTHERAN MEDICAL CENTER LUTH 7186307100 150 55TH STREET BROOKLYN NY 11220 RICHARD LANGFELDER 7186307100 2013-11-11 1 CHRISTINE KAWECKI P00743140 5169187000 2013-11-12 2012 2016-03-07 17:11:31Z RICHARD LANGFELDER 150 55TH STREET BROOKLYN NY 11220 409103462 0 X WWW.LUTHERANMEDICALCENTER.COM X 1955 NY SEE SCHEDULE O. 32 31 4114 460 79281 -49767 11696323 8285935 363756000 368091828 1490076 8406090 19888648 23458744 396831047 408242597 71600 104195 0 0 232150400 245953933 195483 216698 621600 154512156 153500174 386929639 399775000 9901408 8467597 372212868 435853682 347572399 357995749 24640469 77857933 X SEE SCHEDULE O 0 0 81873761 104195 89917108 SEE SCHEDULE O. 23982872 16634250 SEE SCHEDULE O. 7739513 7370568 SEE SCHEDULE O. 260022680 277581083 260022680 277581083 373618826 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 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MARTHA WOLFGANG 1.00 X 0 0 0 REV SAMUEL FOOK WONG 1.00 X 0 0 0 KATHRYN S WYLDE 1.00 X 0 0 0 WENDY Z GOLDSTEIN 35.00 1.00 X X 1032014 0 331148 CLAUDIA CAINE 1.00 X 706793 0 24520 BARBARA ARKY 35.00 X 521011 0 34041 BETH RAUCHER MD 35.00 X 431572 0 43207 RICHARD LANGFELDER 35.00 X 662416 0 37022 STEVE ART 35.00 X 266736 0 26833 MYLES DAVIS 35.00 X 293945 0 21593 KAREN LENNON 35.00 X 268217 0 30848 IFFATH HOSKINS MD 35.00 X 596455 0 19895 GEORGE MARTIN MD 35.00 X 634293 0 27170 MICHAEL PARKS 35.00 1.00 X 311185 0 34536 ROSANNE RASO 35.00 X 317017 0 35652 FRANK SCHEETS 35.00 X 431868 0 39704 AUDREY SAITTA MD 35.00 X 518712 0 37942 CANDACE FINKELSTEIN 35.00 X 395586 0 34276 CLAUDIA LYON 40.00 X 328934 0 33442 MANZAR A SHEIKH MD 35.00 X 299081 0 29828 FRANK J LACQUA MD 40.00 X 279131 0 31742 8294966 0 873399 509 0 1 0 LMC PHYSICIAN SERVICES 150 55TH ST BROOKLYN NY 11220 PHYSICIAN SERVICES 19467527 UNIVERSITY PHYSICIANS OF BROOKLYN 450 CLARKSON AVE BROOKLYN NY 11203 PHYSICIAN SERVICES 6577901 SHORE ROAD RADIOLOGY 150 55TH ST BROOKLYN NY 11220 PHYSICIAN SERVICES 3532594 NES HEALTHCARE GROUP 3724 NATIONAL DR STE 109 RALEIGH NC 27612 PHYSICIAN SERVICES 2452817 GEORGE FERZLI 65 CROMWELL AVE STATEN ISLAND NY 10304 PHYSICIAN SERVICES 2048651 32 1068657 7217278 8285935 PATIENT SERVICE REVENU 622110 201785969 201785969 MEDICARE PAYMENTS 923130 134246409 134246409 MEDICAID PAYMENTS 923130 32059450 32059450 368091828 7950307 7950307 665019 0 665019 665019 30147 634872 845715 389932 455783 455783 455783 260126 1068657 470933 -210807 -210807 PAYMENT FROM AFFILIATE 900099 11287999 11287999 MEDICAID EHR INCENTIVE 900099 5523816 5523816 MEDICAL EDUCATION PROG 900099 2100000 2100000 4092717 4043583 49134 23004532 408242597 391503009 79281 8374372 104195 104195 6473524 1979338 4379236 114950 174696787 165270165 9300189 126433 18801781 17708504 1082670 10607 31913267 29461107 2409640 42520 14068574 12987570 1062260 18744 1907123 262725 1644398 1052426 61266 991160 359833 359833 216698 216698 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102465 1 64086 186843 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: OTHER LOBBYING ACTIVITIES: THE HOSPITAL HAS MEMBERSHIP WITH CERTAIN HOSPITAL GROUPS AND/OR ASSOCIATIONS TO WHICH IT PAYS DUES AND THESE ORGANIZATIONS INCLUDING THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA), THE HOSPITAL ASSOCIATION OF NEW YORK (HANYS) AND THE HEALTHCARE EDUCATION PROJECT ENGAGED IN LOBBYING ACTIVITIES. LUTHERAN MEDICAL CENTER EMPLOYS A PERSON WHO AS PART OF HER FUNTION ADVOCATES AND LOBBIES IN ALBANY ON BEHALF OF THE HOSPITAL WITH RESPECT TO GOVERNMENTAL POLICIES AND LEGISLATION IMPORTANT TO LMC. 1575733 1575733 145177037 94080729 51096308 13649397 3448208 10201189 186167177 140008688 46158489 5088599 96318 4992281 114024000 DUE FROM AFFILIATES 5680604 OTHER RECEIVABLES 3022077 OTHER ASSETS 13308953 EST REC FROM 3RD PARTY PAYORS 16260223 38271857 ACCRUED PENSION LIABILITY 91535972 DUE TO AFFILIATES 2231171 DUE TO THIRD PARTY PAYORS 36153000 OTHER LONG TERM LIABILITIES 291250 RESERVE FOR SELF INSUR CLAIMS 89138005 219349398 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: FIN 48 FOOTNOTE IN 2006, THE FASB ISSUED FASB INTERPRETATION (FIN) NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES- AN INTERPRETATION OF FASB STATEMENT NO. 109. FIN NO. 48 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS IN ACCORDANCE WITH FASB STATEMENT NO. 109, ACCOUNTINF FOR INCOME TAXES. IT PRESCRIBES AN UNCERTAINTY THRESHOLD AND MEASUREMENT ATTRIBUTES FOR FINANCIAL STATEMENT DISCLOSURE OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN. LUTHERAN HEALTHCARE ADOPTED FIN NO. 48 IN 2007. THE IMPACT OF ADOPTING FIN NO. 48 WAS NOT MATERIAL. X X X X X 1 SUSAN SHAPIRO ASSOCIATES LLC 245 5TH AVENUE NEW YORK NY 100168716 FUNDRAISING & BUILDING DONOR DATABASE 0 162600 216698 0 162600 216698 DINNER DANCE 1096721 901141 195580 225809 71647 108931 JOURNAL 169590 138754 30836 30836 1 62472 28762 33710 33710 1328783 1068657 260126 225809 71647 173477 470933 -210807 1 1 0 1 X 1 0 1 1 20800265 6066247 14734018 0.03690 157478419 130143441 27334978 0.06840 602050 511207 90843 0.00020 178880734 136720895 42159839 0.10550 97364 97364 0.00020 33378340 13205194 20173146 0.05050 8669838 8669838 0.02170 669623 669623 0.00170 104195 104195 0.00030 42919360 13205194 29714166 0.07440 221800094 149926089 71874005 0.17990 27420 27420 0.00010 21491 21491 0.00010 96534 96534 0.00020 145445 145445 0.00040 1 16272000 385445 134246409 141533003 -7286594 X 1 1 1 1 LUTHERAN MEDICAL CENTER

150 55TH STREET BROOKLYN NY 11220

X X X X PSYCHIATRIC & REHAB EXCLUDED UNITS LUTHERAN MEDICAL CENTER 1 1 1 100.000000000000 1 400.000000000000 1 X X X X 1 1 X X X X 1 0 1 X 0 0 PART I, LINE 3C: LUTHERAN MEDICAL CENTER USES THE FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE TO LOW-INCOME PATIENTS. PART I, LINE 7: 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 FIGURES 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: 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 2012 LMC SUPPORTED THE LMC PC'S IN THE AMOUNT OF $8,669,340.00 FOR PHYSICIAN RELATED UN-REIMBURSED AND UNDER-REIMBURSED SERVICES PROVIDED TO CHARITY CARE AND MEDICAID PATIENTS. PART I, L7 COL(F): ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, LUTHERAN HEALTHCARE ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, LUTHERAN HEALTHCARE ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, LUTHERAN HEALTHCARE RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART II: 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 WHO'S 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. PART III, LINE 4: 2012 LUTHERAN HEALTHCARE AUDITED FINANCIAL STATEMENT NOTE REGARDING BAD DEBT AND CHARITY CARE: LUTHERAN HEALTHCARE'S ALLOWANCE FOR DOUBTFUL ACCOUNTS TOTALED $18,288,000 AT DECEMBER 31, 2012 AND 16,214,000 AT DECEMBER 31, 2011. AT DECEMBER 31, 2012 AND 2011, THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS COMPRISED OF 67% FOR SELF-PAY PATIENTS WITH NO INSURANCE AND 33% FOR THE PATIENT RESPONSIBILITY FOR INSURED PATIENTS. DURING 2011, LUTHERAN HEALTHCARE CHANGED ITS CHARITY CARE AND UNINSURED DISCOUNT POLICIES TO EXTEND FURTHER CHARITY CARE DISCOUNTS. LUTHERAN HEALTHCARE DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FROM THIRD-PARTY PAYORS. LUTHERAN HEALTHCARE RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, LUTHERAN HEALTHCARE RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED (OR ON THE BASIS OF DISCOUNTED RATES, IF NEGOTIATED OR PROVIDED BY POLICY). ON THE BASIS OF HISTORICAL EXPERIENCE, A PORTION OF LUTHERAN HEALTHCARE'S UNINSURED PATIENTS MAY NOT QUALIFY FOR CHARITY CARE DISCOUNTS AND MAY BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, LUTHERAN HEALTHCARE RECORDS A PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. NET PATIENT SERVICE REVENUE (AFTER CONTRACTUAL ALLOWANCES AND DISCOUNTS), RECOGNIZED DURING THE YEAR ENDED DECEMBER 31, 2012 FROM LUTHERAN HEALTHCARE'S MAJOR PAYOR SOURCES, IS AS FOLLOWS (IN THOUSANDS): OTHER THIRD - $195,377,000TOTAL ALL MEDICARE - $213,304,000MEDICAID PARTY PAYORS - $111,520,000SELF-PAY PAYORS - $8,364,000NET PATIENT SERVICE REVENUE - $528,565,000 (AFTER CONTRACTUAL ALLOWANCES AND DISCOUNTS) 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 2012. 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. LUTHERAN MEDICAL CENTER PART V, SECTION B, LINE 10: 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. LUTHERAN MEDICAL CENTER PART V, SECTION B, LINE 12H: LMC USES FAMILY SIZE AS AN ADDITIONAL FACTOR IN DETERMINING ELIGIBILITY FOR DISCOUNTED CARE LUTHERAN MEDICAL CENTER PART V, SECTION B, LINE 20D: THE MAXIMUM CHARGE TO ANY FAP-ELIGIBLE PATIENT FOR EMERGENCY OR MEDICALLY NECESSARY CARE IS SET AT THE COMPARABLE MEDICAID RATE. 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. IN LATE SEPTEMBER 2010, SUNSET PARK, BROOKLYN WAS ONE OF THE FIRST 21 COMMUNITIES NATIONWIDE TO RECEIVE A PROMISE NEIGHBORHOOD PLANNING GRANT FROM THE US DEPARTMENT OF EDUCATION. AS THE LEAD AGENCY, LUTHERAN HEALTHCARE, THROUGH THE LUTHERAN FAMILY HEALTH CENTERS, RECEIVED THIS $500,000 PLANNING GRANT TO CREATE A PROMISE NEIGHBORHOOD IN COLLABORATION WITH OTHER COMMUNITY BASED ORGANIZATIONS, COMMUNITY SCHOOLS, BUSINESSES AND FAITH BASED ORGANIZATIONS. THE VISION OF THIS FEDERALLY FUNDED PROGRAM IS THAT ALL CHILDREN AND YOUTH GROWING UP IN PROMISE NEIGHBORHOODS HAVE ACCESS TO GREAT SCHOOLS AND STRONG SYSTEMS OF FAMILY AND COMMUNITY SUPPORT TO IMPROVE EDUCATIONAL OUTCOMES. AS PART OF THIS PLANNING PROCESS, SUNSET PARK PROMISE NEIGHBORHOOD CONDUCTED AN EXTENSIVE COMMUNITY NEEDS ASSESSMENT AND ASSET MAPPING. NEARLY 3,000 CHILDREN AND ADULTS AND OVER 30 ORGANIZATIONS WERE ENGAGED IN A PROCESS THAT INCLUDED ASSET MAPPING ACTIVITIES, A COMPREHENSIVE COMMUNITY NEEDS SURVEY, AND A SERIES OF ISSUE-SPECIFIC FOCUS GROUPS.2013 LHC IS CONDUCTING AN UPDATED COMMUNITY NEEDS ASSESSMENT.THROUGH THIS COMPREHENSIVE PROCESS, LUTHERAN HAS LEARNED ABOUT THE STRENGTHS AND RESOURCES OF THE SUNSET PARK COMMUNITY. IT HAS ALSO LEARNED ABOUT THE NEEDS OF THE COMMUNITY AND THE CHALLENGES OF LIVING IN SUNSET PARK. GAPS IN PROGRAMS, SERVICES AND ADVOCACY HAVE BECOME CLEAR, AS HAVE POTENTIAL SOLUTIONS FOR IMPROVING THE LIVES OF THE FAMILIES AND CHILDREN OF SUNSET PARK. 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: LHC USES DEMOGRAPHIC AND DIAGNOSTIC DATA FROM HOSPITAL ADMISSIONS; AMBULATORY CARE VISITS AND UTILIZATION RATES TO KEEP CURRENT ON PATIENT NEEDS AND TO DETERMINE OUR GENERAL SERVICE AREA. IN ADDITION, CENSUS DATA, STATISTICAL REPORTS FROM THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE AND THE UNITED HOSPITAL FUND, AS WELL AS THE NYS PREVENTION AGENDA ARE USED TO HELP IDENTIFY OUR SERVICE AREA. IN 2010, 478,000 PEOPLE WERE SERVED THROUGH ONE OF LUTHERAN HEALTHCARE'S ORGANIZATIONS.THE LHC SYSTEM, LOCATED THROUGHOUT SOUTHWEST AND CENTRAL BROOKLYN, SERVES ONE OF THE MOST CULTURALLY, ETHNICALLY AND LINGUISTICALLY DIVERSE COMMUNITIES IN THE WORLD. LHC CONSIDERS ITS CENTRAL SERVICE AREA TO BE:NEIGHBORHOODS:SUNSET PARK, BAY RIDGE, BENSONHURST, DYKER HEIGHTS, PARK SLOPE, RED HOOK, BOROUGH PARK, EAST FLATBUSH AND CROWN HEIGHTS.ZIP CODES FULLY CONTAINED:11203, 11204, 11209, 11210, 11214, 11215, 11217, 11218, 11219, 11220, 11223, 11224, 11225, 11226, 11228, 11230, 11231, 11232ZIP CODES PARTIALLY CONTAINED:10011, 10001, 10003, 10010, 10011, 10012, 10016, 10018, 10027, 10035, 10036, 10301, 10455, 11201, 11207, 11212, 11213, 11216, 11217, 11121, 11213, 11229, 11233, 11234, 11235, 11236, 11238, 11239, 11433COMMUNITY DEMOGRAPHICS*:41 PERCENT LATINO/HISPANIC38 PERCENT CHINESE10 PERCENT ORTHODOX JEWISH 7 PERCENT ARABIC 4 PERCENT RUSSIAN 23 PERCENT LIVE BELOW 100 PERCENT FEDERAL POVERTY LEVEL12 PERCENT ARE OVER THE AGE OF 60*2010 CENSUS DATA PART VI, LINE 5: LUTHERAN MEDICAL CENTER IS A FULL SERVICE 468-BED ACADEMIC TEACHING HOSPITAL THAT SERVES AS THE HUB OF LUTHERAN HEALTHCARE. OFFERING A COMPLETE RANGE OF SERVICES INCLUDING A N.Y.S. DESIGNATED STROKE CENTER, THE MAY ELLEN AND GERALD RITTER CARDIOLOGY CENTER, AWARD WINNING ORTHOPEDIC PROGRAM, BARIATRIC CENTER OF EXCELLENCE, A COMPREHENSIVE THERAPEUTIC REHABILITATION PROGRAM, A VASCULAR SURGERY CENTER AND THE BUSIEST EMERGENCY DEPARTMENT AND LEVEL I TRAUMA CENTER IN BROOKLYN. IN 2012, LUTHERAN MEDICAL CENTER TREATED MORE THAN 78,500 PATIENTS. LUTHERAN DEVELOPS NEW HEALTH INITIATIVES BASED ON COMMUNITY NEED. FOR EXAMPLE, STROKE IS THE FOURTH LEADING CAUSE OF HOSPITALIZATION IN OUR CATCHMENT AND THEREFORE LUTHERAN IDENTIFIED THE NEED FOR MORE ADVANCED TREATMENTS OPTIONS FOR PEOPLE WHO HAVE NEUROLOGICAL DISORDERS, INCLUDING STROKE. IN 2012 LUTHERAN BEGAN THE PROCESS OF EXPANDING THE NEUROSCIENCE DEPARTMENT. THE EXPANSION INCLUDED MULTIPLE SCLEROSIS, EPILEPSY, INTERVENTIONAL NEUROLOGY, MEMORY AND STROKE REHABILITATION.WE HAVE LONG BEEN A LEADER IN STROKE AND REHABILITATION, THE DEDICATED INTERDISCIPLINARY TEAM WORKS DILIGENTLY TO INCORPORATE EVIDENCE BASED MEDICINE AND BEST PRACTICES TO PROVIDE THE LATEST IN NEUROLOGICAL REHABILITATION. IN 2012 WE BEGAN THE PROCESS OF APPLYING FOR AND IMPLEMENTING PROCESSES THAT WOULD LEAD TO JOINT COMMISSION ACCREDITATION IN STROKE REHABILITATION. IN 2013, WE SUCCESSFULLY DOCUMENTED THE RIGOROUS STANDARDS AND PERFORMANCE MEASUREMENTS THAT WE FOLLOW IN REHABILITATION STROKE PATIENTS. LUTHERAN REHABILITATION BECAME THE FIRST AND ONLY STROKE REHABILITATION PROGRAM IN NYS TO ACHIEVE THE JOINT COMMISSION ACCREDITATION. IN 2012, 196 STROKE PATIENTS WERE DISCHARGED FROM THE REHABILITATION PROGRAM 78 PERCENT WENT HOME AS COMPARED TO THE REGIONAL BENCHMARK OF 71 PERCENT AND NATIONAL BENCHMARK OF 77 PERCENT.WE MADE MAJOR STRIDES WAS THE DEVELOPMENT A COMPREHENSIVE NEURO- INTERVENTIONAL BIPLANE SUITE WHICH OPENED IN 2012. USING THREE-DIMENSIONAL X-RAY IMAGING (BIPLANE TECHNOLOGY) AND TINY MICRO CATHETERS TO TREAT BLOCKED OR BURST BLOOD VESSELS FROM THE INSIDE RATHER THAN THROUGH TRADITIONAL OPEN SURGERY. DR. JEFFREY FARKAS, A LEADING PIONEER IN STROKE AND NEURO-INTERVENTIONAL SURGERY RECRUITED TO LEAD AND EXPAND THIS PROGRAM. SINCE 2012 DR. FARKAS AND HIS TEAM HAVE TREATED MORE THAN 296 PATIENTS.ANOTHER AREA WE HAVE MADE STRIDES IN IS OUR MEMORY CENTER WHICH PROVIDES A COMPREHENSIVE APPROACH TO INVESTIGATING AND TREATING MEMORY PROBLEMS. SINCE OCTOBER 2012 WE HAVE TREATED MORE THAN 80 PEOPLE WHO HAVE MEMORY ISSUES EITHER FROM TRAUMATIC BRAIN INJURIES OR AGING. THE LUTHERAN FAMILY HEALTH CENTERS, THE AMBULATORY ARM OF LHC, ALSO STRIVE TO ADDRESS THE BROADER SOCIAL, EDUCATIONAL AND EMOTIONAL NEEDS OF THE COMMUNITY THROUGH 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 - THE CENTER 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 LOSS - COMMUNITY 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 - 6 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 56 COMMUNITY SERVICE VOLUNTEERS IN FULL-TIME, FULL-YEAR SERVICE OPPORTUNITIES EACH YEARLFHC'S COMMUNITY SERVICES ALSO EXTEND BEYOND THE FAMILY SUPPORT CENTER TO INCLUDE THREE EARLY CHILDHOOD CENTERS AND 2 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.LUTHERAN FAMILY HEALTH CENTERS IS ALSO PROVIDING CRISIS COUNSELING SERVICES TO INDIVIDUALS AND FAMILIES MOST AFFECTED BY HURRICANE SANDY. LUTHERAN'S PROJECT HOPE TEAM IS A DIVERSE, PASSIONATE GROUP OF 20 INDIVIDUALS THAT COLLECTIVELY SPEAK OVER 8 LANGUAGES - ARABIC, FRENCH, ITALIAN, MANDARIN, PORTUGUESE, RUSSIAN, AND SPANISH - REPRESENTING THE MULTIETHNIC POPULATION THAT WAS IMPACTED BY HURRICANE SANDY. THE PROGRAM AIMS TO PROVIDE IMMEDIATE EMOTIONAL SUPPORT, PRIMARILY RELYING ON FACE-TO-FACE CONTACTS WITH SURVIVORS IN THEIR COMMUNITIES. TO DATE THE PROGRAM HAS PROVIDED OVER 600 INDIVIDUAL/FAMILY CRISIS COUNSELING SERVICES AND HAS HAD OVER 2,000, IN-PERSON EDUCATIONAL AND SUPPORTIVE ENCOUNTERS. PART VI, LINE 6: LUTHERAN HEALTHCARE (LHC) IS AN ACADEMIC, FAITH-BASED, 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 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 2012, ACCESS TO CARE EXPANDED SIGNIFICANTLY SYSTEM-WIDE, OUR 916 PHYSICIANS AND 3,825 EMPLOYEES SERVED 201,209 PEOPLE. LUTHERAN MEDICAL CENTER (LMC) MANAGING NEARLY 68,919 EMERGENCY VISITS, 16,916 SURGICAL PROCEDURES AND 28,669 INPATIENT DISCHARGES. THE LUTHERAN FAMILY HEALTH CENTERS (LFHC) HANDLED NEARLY 619,841 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 1,191 RESIDENTS. REPORTS FILED WITH STATES PART VI, LINE 7 NY 1 UNITED HOSPITAL FUND 1411 BROADWAY MANHATTAN NY 10018 131562656 501(C)(3) 16000 N/A N/A GENERAL SUPPORT HOTZOLOH OF FLATBUSH 1880 OCEAN AVE BROOKLYN NY 11230 133213138 501(C)(3) 18600 N/A N/A GENERAL SUPPORT HOTZOLOH OF BUROUGH PARK 5215 16TH AVE BROOKLYN NY 11204 113043090 501(C)(3) 1500 N/A N/A GENERAL SUPPORT PROVIDENCE HOUSE 703 LEXINGTON AVE BROOKLYN NY 11221 112594653 501(C)(3) 5600 N/A N/A GENERAL SUPPORT 4 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: LUTHERAN MEDICAL CENTER ONLY MAKES GRANTS TO CHARITABLE ORGANIZATIONS LOCATED IN ITS NEIGHBORING COMMUNITY. THESE FUNDS ARE USED TO SUPPORT THE TAX EXEMPT MISSION AND COMMUNITY BETTERMENT AIMS OF EACH ORGANIZATION. LUTHERAN REQUIRES EACH APPLICANT (FOR GRANT AID) 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. SCHEDULE I, PART I, LINE 1 LUTHERAN MEDICAL CENTER ONLY MAKES GRANTS TO CHARITABLE ORGANIZATIONS LOCATED IN ITS NEIGHBORING COMMUNITY. THESE FUNDS ARE USED TO SUPPORT THE TAX EXEMPT MISSION AND COMMUNITY BETTERMENT AIMS OF EACH ORGANIZATION. LUTHERAN REQUIRES EACH APPLICANT (FOR GRANT AID) 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 938275 0 50000 0 43739 0 301250 0 29898 0 1363162 0 0 0 CLAUDIA CAINE 658375 0 10000 0 38418 0 7500 0 17020 0 731313 0 0 0 BARBARA ARKY 371272 0 100000 0 49739 0 7500 0 26541 0 555052 0 0 0 BETH RAUCHER MD 395712 0 5000 0 30860 0 7500 0 35707 0 474779 0 0 0 RICHARD LANGFELDER 495560 0 100000 0 66856 0 7500 0 29522 0 699438 0 0 0 STEVE ART 231209 0 2000 0 33527 0 10000 0 16833 0 293569 0 0 0 MYLES DAVIS 235532 0 10000 0 48413 0 10000 0 11593 0 315538 0 0 0 KAREN LENNON 225113 0 5000 0 38104 0 10000 0 20848 0 299065 0 0 0 IFFATH HOSKINS MD 519975 0 35000 0 41480 0 10000 0 9895 0 616350 0 0 0 GEORGE MARTIN MD 566864 0 10202 0 57227 0 10000 0 17170 0 661463 0 0 0 MICHAEL PARKS 253672 0 10000 0 47513 0 10000 0 24536 0 345721 0 0 0 ROSANNE RASO 276780 0 10000 0 30237 0 10000 0 25652 0 352669 0 0 0 FRANK SCHEETS 317767 0 66300 0 47801 0 10000 0 29704 0 471572 0 0 0 AUDREY SAITTA MD 501902 0 0 0 16810 0 10000 0 27942 0 556654 0 0 0 CANDACE FINKELSTEIN 343972 0 25000 0 26614 0 10000 0 24276 0 429862 0 0 0 CLAUDIA LYON 297218 0 8679 0 23037 0 10000 0 23442 0 362376 0 0 0 MANZAR A SHEIKH MD 253175 0 20602 0 25304 0 9200 0 20628 0 328909 0 0 0 FRANK J LACQUA MD 277246 0 1195 0 690 0 10000 0 21742 0 310873 0 0 0 PART I, LINE 4B WENDY Z. GOLDSTEIN, PRESIDENT & CEO IS THE ONLY INDIVIDUAL REPORTED ON SCHEDULE J THAT PARTICIPATES IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. MS. GOLDSTEIN ALSO PARTICIPATES IN A SECTION 457F PLAN AND HER 2012 DEFERRALS ARE REPORTED ON THE FORM 990, SCHEDULE J, PART II, COLUMN (C). PART I, LINE 7 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'S RECOMMENDATIONS FOR OTHER SR. EXECUTIVES BASED ON WORK PERFORMANCE DURING THE YEAR. THE BOARD OF DIRECTOR RETAINS THE RIGHT TO APPROVE OR DISAPPROVE ALL BONUSES AND TYPICALLY BASES ITS DECISION UPON MARKET DATA PROVIDED BY THE EXTERNAL CONSULTING FIRM THE MEDICAL CENTER USES TO DETERMINE COMPENSATION. ORGANIZATION MISSION STATEMENT FORM 990, PART I, LINE 1 LUTHERAN MEDICAL CENTER IS A COMPREHENSIVE HEALTH CARE AND SOCIAL SUPPORT SYSTEM SERVING THE DIVERSE AND GROWING COMMUNITIES OF SOUTHWEST BROOKLYN. ORGANIZATION MISSION STATEMENT 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. PROGRAM SERVICE STATEMENT 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 2012, THE MEDICAL CENTER ADMITTED, TREATED AND DISCHARGED 16,083 PATIENTS FROM THE MEDICAL/SURGICAL PROGRAM. THESE PATIENTS REMAINED IN-HOUSE ON AVERAGE FOR 4.9 DAYS, RESULTING IN APPROXIMATELY 79,155 DAYS OF MEDICAL/SURGICAL CARE PROVIDED. A SIGNIFICANT PORTION OF THESE PATIENTS JUST OVER 3%, PRESENTED WITHOUT ANY FORM OF INSURANCE COVERAGE OR THE ABILITY TO PAY FOR THE CARE RECEIVED. IN CY 2012 THESE UNINSURED MEDICAL/SURGICAL PATIENTS GENERATED IN EXCESS OF $8.4 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 30% 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. PROGRAM SERVICE STATEMENT 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 2012, 15,858 OR 23% OF THE TOTAL OF 68,060 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 66% OF ALL PATIENTS PRESENTING TO THE ER FOR EMERGENCY SERVICES WERE EITHER, UNDOCUMENTED, UNINSURED OR UNDERINSURED IN CY 2012. PROGRAM SERVICE STATEMENT FORM 990, PART III LINE 4C THE THIRD LARGEST PROGRAM OF THE MEDICAL CENTER IS THE INPATIENT MATERNITY SERVICE. DURING 2012, THE MEDICAL CENTER WAS ABLE TO ACCOMMODATE, ON AVERAGE, APPROXIMATELY 34 PATIENTS PER DAY AND TREATED AND DISCHARGED 4,438 PATIENTS. THE AVERAGE LENGTH OF STAY FOR PATIENTS IN THIS PROGRAM WAS APPROXIMATELY 2.6 DAYS, WHICH TRANSLATED INTO 11,345 DAYS OF MATERNITY CARE PROVIDED IN 2012. THIS UNIT SUPPORTED APPROXIMATELY 4,028 BIRTHING MOMS DURING 2012. APPROXIMATELY 1.0% 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 82% 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 VI, SECTION A, LINE 6 THE EVANGELICAL LUTHERAN CHURCH IN AMERICA ("ELCA"), A MINNESOTA NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER OF LUTHERAN MEDICAL CENTER ("LMC"). FORM 990, PART VI, SECTION A, LINE 7A AS SOLE MEMBER, THE ELCA ELECTS THE GOVERNING BODY OF LMC. 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 THE ELCA. 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.S MERGERS, CONSOLIDATIONS, DISSOLUTION). IN ADDITION, THE ELCA IS VESTED WITH THE POWER TO AMEND THE CONSTITUTION SECTION OF LMC'S CONSTITUTION AND BYLAWS, WHICH SUCH SECTION SETS OUT THE MISSION, NAME AND QUALIFICATIONS OF BOARD MEMBERS, AMONG OTHER SIMILAR ITEMS. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 WILL BE PROVIDED TO EACH MEMBER OF THE 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 REVIEWED WITH THE LUTHERAN MEDICAL CENTER AUDIT & LEGAL COMMITTEE ON OCTOBER 31, 2013, THE AUDIT & LEGAL COMMITTEE WILL THEN PROVIDE AN OVERVIEW OF THE FORM 990 TO THE FULL LUTHERAN MEDICAL CENTER BOARD. FORM 990, PART VI, SECTION B, LINE 12C 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 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 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: DEFINED BENEFIT PLAN ADJUSTMENTS -23,525,000. TRANSFER OF NET ASSETS FROM RELATED PARTIES 66,241,000. ROUNDING ADJUSTMENT 1,867. 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 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 1 0 0 0 0 1 1 1 1 1 1 1 1 0 1 OHP PHSP INC C 5500000 OHP PHSP INC E 42733 OHP PHSP INC K 437019 OHP PHSP INC L 20270628 OHP PHSP INC N 626487 OHP PHSP INC O 1714621 OHP PHSP INC P 4142 OHP PHSP INC Q 3598220 OHP PHSP INC S 69500000