2013-11-13T13:46:44-06:00 2012-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2012-01-01 131924236 Memorial Sloan-Kettering Cancer Center % MICHAEL P GUTNICK SR VP MEMO 6462273092 1275 YORK AVENUE Suite NEW YORK NY 100656007 Michael Gutnick 2013-11-08 3176817000 2012 2016-02-24 21:20:13Z CRAIG THOMPSON MD 1275 YORK AVENUE NEW YORK NY 100656007 980349113 false 3475 X WWW.MSKCC.ORG X 1960 NY LEADERSHIP IN THE PREVENTION, TREATMENT, AND CURE OF CANCER THROUGH EXCELLENCE, VISION, AND COST-EFFECTIVENESS IN PATIENT CARE, OUTREACH PROGRAMS, RESEARCH, AND EDUCATION. 29 21 14314 1018 -940692 75209000 50714750 402327000 418335000 161761584 66530183 13774000 15914272 653071584 551494205 850000 1300000 0 0 266339597 278796643 1202605 1309484 46486022 279009382 285961895 547401584 567368022 105670000 -15873817 3860453000 4702406000 1897300000 2590009000 1963153000 2112397000 X MEMORIAL SLOAN-KETTERING CANCER CENTER IS DEDICATED TO THIS MISSION: LEADERSHIP IN THE PREVENTION, TREATMENT, AND CURE OF CANCER THROUGH EXCELLENCE, VISION, AND COST-EFFECTIVENESS IN PATIENT CARE, OUTREACH PROGRAMS, RESEARCH, AND EDUCATION. false false 441942105 403436000 MEMORIAL SLOAN-KETTERING CANCER CENTER PROVIDES THE FOLLOWING SERVICES TO ITS AFFILIATED ORGANIZATIONS AS OUTLINED IN SCHEDULE O: FINANCIAL ADMINISTRATION, EXECUTIVE MANAGEMENT, HUMAN RESOURCES, FACILITY MANAGEMENT, GENERAL AND ENVIRONMENTAL SERVICES, PROCUREMENT, PUBLIC AFFAIRS, RESEARCH TECHNOLOGY MANAGEMENT, CORPORATE COMPLIANACE, STAFF HOUSING, INFORMATION SYSTEMS AND TECHNOLOGY, AND INVESTMENT MANAGEMENT. IN ADDITION, CERTAIN SERVICES ARE PROVIDED ON A REQUISITION BASIS INCLUDING FOOD AND DIETARY SERVICES, FACILITIES MANAGEMENT (LOCKSMITH, ELECTRICIAN, PLUMBING, PAINTING AND CARPENTRY, ETC.) MEDICAL LIBRARY, CONFERENCE PLANNING, OCCUPANCY OF LEASED SPACE, TRANSPORTATION, IMMIGRATION SERVICES, MEDICAL ILLUSTRATION, MOTION MEDIA, SECURITY SERVICES SUCH AS INSTALLING ANTITHEFT DEVICES AND MAILROOM SERVICES. 13958043 10755000 MSKCC PROVIDES HOUSING FOR ITS STAFF AS WELL AS OFFICE SPACE FOR PROGRAM ACTIVITIES. MSKCC OPERATES A 24 HOUR GARAGE FACILITY TO ACCOMMODATE OUR PATIENT DEMOGRAPHIC AS OUR GENERAL INPATIENT AND OUTPATIENT POPULATION TENDS TO BE MORE IMMUNO-COMPROMISED THAN THE GENERAL PUBLIC. THE GARAGE FACILITY IS LOCATED ON OUR MAIN CAMPUS WITH ACCESS TO THE MAIN HOSPITAL AND OUTPATIENT CLINICS VIA CONNECTING TUNNELS. 12968125 MSKCC PAYS FEES TO CORNELL MEDICAL CENTER AND OTHER MEDICAL INSTITUTIONS FOR STAFF TO FURTHER THEIR SCIENTIFIC EDUCATION. IN ADDITION, THE CENTER HOSTS A NUMBER OF SYMPOSIUMS, SOME OF WHICH ARE OPEN TO THE PUBLIC. 7442809 4144000 cafeteria 807364 society 1300000 1300000 GRANTS TO RALPH LAUREN CTR-SEE SCHEDULE I 9550173 1300000 4144000 478418446 true true false true false false false false false true true true false false true false false true false false true false false true true false false true false true true false false false false false false false false false true true false false false false true true true false false false 1492 0 true 14314 true true true false false false false true true false false false false X 29 21 false false false false false false false true true false false false true true true true true true true false AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY X X MICHAEL P GUTNICK SR VP 6462273413 633 THIRD AVENUE New York NY 10017 JOHN R GUNN 50.0 X X 1658921 92256 RICHARD I BEATTIE 2.0 X STANLEY F DRUCKENMILLER 1.0 X RICHARD N FOSTER 2.0 X STEPHEN FRIEDMAN 2.0 X ELLEN V FUTTER 1.0 X PHILIP H GEIER JR 1.0 X LOUIS V GERSTNER JR 2.0 X X JONATHAN N GRAYER 1.0 X BENJAMIN W HEINEMAN JR 2.0 X DAVID H KOCH 1.0 X MARIE-JOSEE KRAVIS 1.0 X DEBORAH C WRIGHT 2.0 X CRAIG THOMPSON MD 50.0 X X 2359106 281566 JAMES G NIVEN 1.0 X BRUCE C RATNER 1.0 X CLIFTON S ROBBINS 2.0 X X JAMES D ROBINSON III 1.0 X BENJAMIN M ROSEN 1.0 X NORMAN C SELBY 2.0 X X STEPHEN C SHERRILL 1.0 X SCOTT M STUART 1.0 X LUCY R WALETZKY MD 1.0 X DOUGLAS A WARNER III 4.0 X ANTHONY B EVNIN 2.0 X ANNETTE U RICKEL MD 2.0 X VIRGINIA M ROMETTY 2.0 X PETER J SOLOMON 1.0 X PETER A WEINBERG 2.0 X WILLIAM E FORD 1.0 X JAMIE C NICHOLLS 1.0 X ERIC M COTTINGTON 50.0 X 688607 27529 MICHAEL P GUTNICK 50.0 X 1472585 64665 JASON KLEIN 50.0 X 1255482 53311 KATHY LEWIS EPSTEIN 50.0 X 412379 12098 EDWARD MAHONEY 50.0 X 722504 28904 ELLEN MILLER-SONET 50.0 X 362579 15917 RICHARD K NAUM 50.0 X 850915 22049 PATRICIA C SKARULIS 50.0 X 888783 34159 KERRY BESSEY 50.0 X 337234 1116 CAROLYN LEVINE 50.0 X 345146 16003 ANNE E MCSWEENEY 50.0 X 1182652 29657 MARK SVENNINGSON 50.0 X 691162 33095 DAVID ARTZ 50.0 X 441923 0 28860 DIANA PARKINSON-TRIPP 50.0 X 531698 14526 PAUL J NELSON 50.0 X 453882 24662 SAGARNIL NAG 50.0 X 453514 7717 WILLIAM DIXON 50.0 X 435993 4296 DENNIS R DOWDELL 0.0 X 595645 1324 16140710 0 793710 599 true true false TURNER CONSTRUCTION 375 HUDSON STREET NEW YORK NY 10014 GENERAL CONSTRUCT 35391896 JGN CONSTRUCTION CORP 66-40 69TH STREET MIDDLE VILLAGE NY 11379 GENERAL CONSTRUCT 11696910 PERKINS EASTMAN ARCHITECTS 115 FIFTH AVENUE NEW YORK NY 10003 ARCHITECTURAL 6663788 HUNTER ROBERTS CONSTRUCTION GR LLC 2 WORLD FINANCIAL CENTER NEW YORK NY 10001 GENERAL CONSTRUCT 5069666 JSK CONSTRUCTION 1 EXECUTIVE BLVD YONKERS NY 10701 GENERAL CONSTRUCT 4382866 141 829220 49885530 50714750 SERVICES PROVIDED SEE NOTE A & ATTACH.1 IN SCH O 900099 403436000 403436000 PARKING & HOUSING 541700 10755000 10755000 CAFETERIA 721000 4144000 4144000 418335000 20363921 -940692 21304613 8846000 8846000 7567000 7567000 0 0 0 465356192 428035930 37320262 37320262 37320262 3157250 829220 818978 2338272 2338272 0 0 RESEARCH EXPENSE RECOVERY 711110 3355000 3355000 GIFT SHOP INCOME 435220 1291000 1291000 PURCHASE DISCOUNT 900099 850000 850000 513000 513000 6009000 551494205 418335000 -940692 83385147 1300000 1300000 0 0 0 28113744 23767558 2102821 2243365 0 178189462 161685681 3847251 12656530 23183972 22065592 387882 730498 35447096 31394934 924680 3127482 13862369 12633119 307129 922121 0 6903519 5431944 1043829 427746 309985 285989 12473 11523 371761 371761 1309484 1309484 14942801 14942801 21951373 21382343 82643 486387 7247018 448334 4153429 2645255 85720770 64020076 1986480 19714214 11581029 11529854 51175 7557217 7557217 35693239 34306315 342133 1044791 1615312 1075793 113738 425781 0 3488602 2482034 277696 728872 33320359 32627280 693079 0 40369612 39507604 137746 724262 1174336 1103907 15357 55072 ALLOCATION OF INDIRECT COSTS 14065011 10708873 3356138 PHARMACEUTICAL 289455 289455 FUNDRAISING EVENTS -818978 -818978 UBIT EXPENSE 177214 177214 2260 1818 442 567368022 478418446 42463554 46486022 X 21293284 10126315 11166969 119727000 174125000 172453000 183723000 142882000 145712000 659970000 564424000 0 0 0 0 27442000 30494000 376000 367000 490134000 499916000 540542000 372416000 158500000 168126000 1606321000 2365739000 481148000 567791000 1500000 1989000 0 0 0 0 3860453000 4702406000 210673000 248357000 0 0 0 0 1261588000 1308088000 0 0 0 0 0 0 250000000 845140000 175039000 188424000 1897300000 2590009000 X 1621893000 1757596000 193990000 199534000 147270000 155267000 1963153000 2112397000 3860453000 4702406000 X -15873817 158482817 6635000 X false true X true false X ALTHOUGH MEMORIAL SLOAN-KETTERING CANCER CENTER QUALIFIES AS A PUBLIC CHARITY UNDER SECTION 170 (B) (1) (A) (iii), IT DOES NOT OPERATE A HOSPITAL AND IS, THEREFORE, NOT REQUIRED TO COMPLETE SCHEDULE H. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 371761 371761 371761 371761 566996261 2765325261 567368022 2765697022 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 595000 639359 583870 371761 2189990 250000 250000 250000 250000 1000000 1500000 0 0 0 PART II-A AFFLIATED GROUP ALL LOBBYING ACTIVITIES ARE PERFORMED BY MEMORIAL SLOAN-KETTERING CANCER CENTER (EIN 13-1924236). LOBBYING EXPENDITURES ARE EXPENSED BY THE CENTER AND ARE REPORTED ON THE STATEMENT OF FUNCTIONAL EXPENSE LINE 11d. THE CENTER HAS MADE THE 501(h) ELECTION. OUR AFFILIATED ORGANIZATIONS ARE IDENTIFIED BELOW. ALL AFFILIATES USE THE CORPORATE ADDRESS 1275 YORK AVENUE, NEW YORK, N.Y. 10065-6007. MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES (13-1624082), SLOAN-KETTERING INSTITUTE FOR CANCER RESEARCH (13-1624182), SKI REALTY, INC. (13-3389586), LOUIS V. GERSTNER JR., GRADUATE SCHOOL (20-2212588), MSK. INSURANCE U.S., INC. (83-0363317), AND MSKCC PROTON INC., (35-2397819) 188092000 123000 8996000 197211000 190850000 5349104 -2642000 5465104 188092000 179497000 52000 11301000 190850000 156488000 3086000 19923000 179497000 208130000 -12187000 -39455000 156488000 0.21300 0.78700 false false 141956000 554990 86457000 16563000 12796000 3767000 382023000 304121000 77902000 168126000 CLOSELY - HELD EQUITY INTEREST 113564000 C PRIVATE EQUITY & VENTURE CAP 454227000 F 567791000 0 PENSION AND POSTRETIREMENT 139153000 DEFERRED GIFT ANNUITY 31235000 LOAN AGREEMENT 14512000 ASSET RETIREMENT OBLIGATION 2819000 OTHER LIABILITIES 705000 188424000 X 690256000 158482817 818978 159301795 530954205 20540000 20540000 551494205 546347000 818978 818978 545528022 20540000 1300000 21840000 567368022 INTENDED USE OF ENDOWMENT FUNDS SCHEDULE D, PART V PERMANENT ENDOWMENT FUNDS ARE HELD BY THE ORGANIZATION IN PERPETUITY. INCOME EARNED ON THE FUND BALANCE IS USED TO SUPPORT THE OPERATIONS OF MEMORIAL SLOAN-KETTERING CANCER CENTER. FIN 48 LIABILITY FOR UNCERTAIN TAX POSITIONS SCHEDULE D, PART X A FIN 48 FOOTNOTE DISCLOSURE, RELATING TO THE ACCOUNTING FOR INCOME TAXES, WAS NOT REQUIRED BECAUSE THERE WAS NO MATERIAL IMPACT ON THE INSTITUTION'S FINANCIAL STATEMENTS. OTHER RECONCILING ITEMS PARTS XI & XII LINE 2D OTHER $818,978 ARE DIRECT EXPENSES RELATING TO FUNDRAISING EVENTS. COSTS ARE REMOVED FROM THE FUNCTIONAL EXPENSES AND NETTED ON THE STATEMENT OF REVENUE. OTHER RECONCILING ITEMS PART XII LINE 4B GRANT PAYMENTS TO RALPH LAUREN CENTER FROM RESERVED LIABILITY OF $1,000,000 AND CURRENT YEAR OTHER NON-OPERATING EXPENSES OF $300,000 Central America and the Caribbean Investments 917498545 Europe (Including Iceland and Greenland) Investments 56965212 974463757 974463757 true false true true true false Organization's Procedures for Monitoring Use of Grant Funds Outside the US Schedule F, Part V MEMORIAL SLOAN-KETTERING CANCER CENTER DOES NOT MAKE GRANTS OR USE GRANT MONEY OUTSIDE THE UNITED STATES. X X X X X X true TARGET MARKETEAM 1050 CROWN POINTE PARKWAY ALANTA GA 30338 DIRECT MAIL CONSULTING false 23285000 450000 22835000 DONOR SERVICES 6715 SUNSET BLVD LOS ANGELES CA 90028 TELEMARKET CONSULTANT false 1286834 620834 666000 PARADYSZ MATERA CO 5 HANOVER SQUARE NEW YORK NY 10004 MAIL LIST CONSULTING false 23285000 226800 23058200 M R STRATEGIC SERVICES TELEMARKET CONSULTING false 109828 11850 97978 47966662 1309484 46657178 AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY SPRING BALL 1833557 479557 1354000 205845 50600 110610 ANTIQUE SHOW 1003143 252533 750610 124559 2720 42361 4 1149770 97130 1052640 175399 55027 3900 47957 3986470 829220 3157250 505803 55027 57220 200928 818978 2338272 true RALPH LAUREN CTR FOR CANCER & PREVENTION 1919 MADISON AVENUE NEW YORK NY 10035 020597827 501(C)(3) 1300000 SUPPORT OPERATING LOSSES 1 Form 990, Schedule I Description of Organization's Procedures for Monitoring the Use of Grants RALPH LAUREN CENTER FOR CANCER & PREVENTION DURING 2012, MSKCC DONATED $1,300,000 TO THE RALPH LAUREN CENTER TO OFFSET OPERATING EXPENSES. THE BOARD APPROVED A RESOLUTION TO SUPPORT THE RALPH LAUREN CENTER'S LOSSES UP TO $1,000,000 PER YEAR FROM 2011-2013. THIS WAS FULLY RESERVED IN 2010. DURING 2012, THE BOARD APPROVED AN ADDITIONAL $300,000 OF SUPPORT, THIS WAS RECORDED AS A NON OPERATING EXPENSE AND WAS PAID IN 2012. MSKCC REGULARLY MEETS WITH THE RALPH LAUREN CENTER'S BOARD OF DIRECTORS TO REVIEW THAT THEIR SPENDING IS IN CONFORMITY WITH THEIR MISSION. X X true true X X X X X true true false false false false false false false DAVID ARTZ 379041 0 55277 0 7605 0 19424 0 9436 0 470783 0 6701 0 DIANA PARKINSON-TRIPP 321902 131391 78405 7848 6678 546224 7547 PAUL J NELSON 353527 82000 18355 11806 12856 478544 12315 ANNE E MCSWEENEY 415701 748227 18724 21203 8454 1212309 8436 MARK SVENNINGSON 485822 100000 105340 24447 8648 724257 22592 ERIC M COTTINGTON 421065 215270 52272 18054 9475 716136 18554 DENNIS R DOWDELL 410917 164800 19928 0 1324 596969 19869 JOHN R GUNN 953995 584319 120607 72386 19870 1751177 72887 MICHAEL P GUTNICK 817953 573418 81214 56917 7748 1537250 57417 JASON KLEIN 691689 508434 55359 45000 8311 1308793 45500 KATHY LEWIS EPSTEIN 296378 106106 9895 5316 6782 424477 5816 EDWARD MAHONEY 455946 231750 34808 21350 7554 751408 21850 ELLEN MILLER-SONET 252565 93381 16633 1680 14237 378496 2180 RICHARD K NAUM 381565 441592 27758 13965 8084 872964 14465 PATRICIA C SKARULIS 570798 282440 35545 31488 2671 922942 31988 CRAIG THOMPSON MD 1393490 840000 125616 115000 166566 2640672 115500 SAGARNIL NAG 251991 200000 1523 883 6834 461231 1000 WILLIAM DIXON 300203 135000 790 4296 440289 0 KERRY BESSEY 259675 75000 2559 962 154 338350 0 CAROLYN LEVINE 253226 25625 66295 12500 3503 361149 0 SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 1A BUSINESS OR FIRST CLASS TRAVEL IS GENERALLY NOT ALLOWED FOR FLIGHTS LESS THAN 6 CONTINUOUS HOURS. ALL TRAVEL MUST BE APPROVED BEFORE ANY ARRANGEMENTS ARE MADE. THE DUTIES TO BE PERFORMED BY OUR PRESIDENT REQUIRE HIM TO BE ON CALL AND TO PERFORM DUTIES AS AND WHEN APPROPRIATE DURING HIS NORMAL OFF-DUTY PERIODS AS WELL AS DURING NORMAL OFFICE HOURS. AN EMPLOYMENT CONTRACT REQUIRES OUR PRESIDENT TO LIVE IN THE OFFICIAL RESIDENCE OWNED AND MAINTAINED BY THE INSTITUTION. THE CONTRACT REQUIRES OUR PRESIDENT TO USE THE RESIDENCE FOR INSTITUTIONAL PURPOSES, INCLUDING, BUT NOT LIMITED TO, MEETINGS WITH AND ENTERTAINMENT OF STAFF, DONORS AND POTENTIAL DONORS, VISITING PROFESSORS AND SCIENTISTS, AND OTHER PERSONS INVOLVED WITH THE AFFAIRS OF THE INSTITUTION, CONFIDENTIAL INTERVIEWS WITH MEMBERS AND PROSPECTIVE MEMBERS OF THE STAFF; AND FOR OTHER INSTITUTIONAL ACTIVITIES CONDUCTED DURING AND OUTSIDE OF NORMAL OFFICE HOURS. THE BENEFIT IS TREATED IN ACCORDANCE WITH CODE SECTION 119. SCHEDULE J PART I LINE 4A DURING 2012, SEVERANCE PAY OF $596,969 WAS PAID TO MR. DOWDELL. FORMER VICE PRESIDENT OF HUMAN RESOURCES. SCHEDULE J PART I LINE 4B THE INSTITUTION MAINTAINS A NONQUALIFIED DEFERRED COMPENSATION PLAN WHICH IS USED FOR EMPLOYER CONTRIBUTIONS IN EXCESS OF THOSE ALLOWED BY THE RETIREMENT ANNUITY PLAN. GRANDFATHERED MSKCC DEFERRED COMPENSATION PLAN SCHEDULE J, PART III Included in Other Reportable Compensation are certain distributions from deferred compensation plans that the Institution maintains for certain highly compensated management and professional employees. These grandfathered plans were adopted in the early and mid-1980s and have been closed to new participants since August 16, 1986. The grandfathered plans allowed participants to irrevocably defer portions of their approved salary until certain conditions were met, typically retirement or disability. In addition, the Institution made contributions to the plans to the extent contributions to the MSKCC Retirement Plan for such participants were limited by applicable contribution limits under the Internal Revenue Code. The Institution provided participants with the opportunity to receive distributions as permitted under Section 409A of the Internal Revenue Code. This opportunity was exercised by numerous participants. These distributed amounts are reported as W-2 compensation. 100 percent of these amounts reflect the deferral of a portion of the participant's approved compensation package and related investment experience since the commencement of an individual's plan participation. As contributions were made to these plans for previous periods, the contribution amounts were reported on Form 990 for the applicable period as contributions to deferred compensation plans with respect to officers, key employees, and other highest paid employees. These amounts, as adjusted for investment experience, are reported again now on Form 990 as distributions from the plans. A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649903zr5 2008-05-13 164779275 SEE SCHEDULE K PART VI false false false B DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64983UFK1 2003-05-14 500001381 SEE SCHEDULE K PART VI true false false C DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64983QS83 2006-06-29 102783274 SEE SCHEDULE K PART VI false false false D DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649903B91 2008-05-13 291329951 SEE SCHEDULE K PART VI false false false A 0 0 164780185 0 0 0 2204275 0 0 0 162575910 0 2004 true false true true B 79300000 409026297 502987587 0 0 0 6762359 4967000 0 491258229 0 0 2007 false false true true C 0 0 112974138 0 0 0 1525106 0 0 111449032 0 0 2009 false false true true D 0 0 291330551 0 0 0 3904950 0 0 0 287425600 0 2004 true false true true A 0 false B false false false true false 0 false false false true C false false false true false 0 false false false true D 0 false A false false false true false false 0 false 0 false true B false false false true false false 0 false 0 false true C false false false true false false 0 false 0 false true D false false false true false false 0 false 0 false true A true B true C true D true SUPPLEMENTAL INFORMATION 0 PART I COL (F) DESCRIPTION OF PURPOSE 2008 SERIES I BONDS CUSIP #649903ZR5 2008 SERIES I BONDS WERE USED TO ADVANCE REFUND A PORTION OF THE 2002A BONDS ISSUED IN JANUARY 24, 2002 2003 SERIES BONDS CUSIP #64983UFK1 2003 SERIES BONDS WERE USED TO FINANCE OR REFINANCE ALL OR A PORTION OF THE COST OF THE FOLLOWING: BEGAN CONSTRUCTION ON A NEW 23 FLOOR RESEARCH FACILITY, ACQUIRED 256 UNITS OF RESIDENTIAL APARTMENT FOR STAFF OF THE INSTITUTION, IMPROVED A TWO-STORY LABORATORY ANIMAL FACILITY, PURCHASED A 28 UNIT RESIDENTIAL APARTMENT COMPLEX FOR STAFF OF THE INSTITUTION. 2006 SERIES I BONDS CUSIP #64983QS83 2006 SERIES I BONDS WERE USED TO FINANCE OR REFINANCE ALL OR A PORTION OF THE COST OF THE FOLLOWING: BEGAN CONSTRUCTION ON A NEW EIGHT-STORY RESEARCH FACILITY, COMPLETED THE 23 STORY RESEARCH FACILITY, PURCHASED 96 RESIDENTIAL CONDOMINIUM APARTMENTS FOR STAFF OF THE INSTITUTION, IMPROVED A 13-STORY RESEARCH FACILITY. 2006 SERIES II BONDS CUSIP #64983QT25 2006 SERIES II BONDS WERE USED TO ADVANCE REFUND A PORTION OF THE 2003 BONDS ISSUED ON MAY 14, 2003. 2008 SERIES II BONDS CUSIP #649903B91 2008 SERIES II BONDS WERE USED TO REFUND A PORTION OF THE 2002A BONDS ISSUED ON JANUARY 24, 2002. 2008 TELP 2008 TELP WAS USED TO LEASE FINANCE MEDICAL EQUIPMENT 2009 TELP 2009 TELP WAS USED TO LEASE FINANCE MEDICAL AND RESEARCH LABORATORY EQUIPMENT 2010 SERIES I BONDS CUSIP #6499053Z7 2010 SERIES I BONDS WERE USED TO FINANCE THE PURCHASE OF REAL ESTATE PROPERTY. 2012 SERIES BONDS CUSIP 649906RK2 A PORTION OF THE PROCEEDS FROM THE SALE OF THE SERIES 2012 BONDS, TOGETHER WITH OTHER AVAILABLE FUNDS, IS EXPECTED TO BE USED TO FINANCE ALL OR A PORTION OF THE COST OF CONSTRUCTING, IMPROVING AND EQUIPPING THE NEW AMBULATORY CARE FACILITY IN HARRISON, NEW YORK. THE REMAINDER OF THE BOND PROCEEDS WERE USED TO ADVANCE REFUND THE 2003 BOND ISSUE. PART III, LINE 3d ANY RESEACH AGREEMENTS THAT MAY RESULT IN PROVATE BUSINESS USE OF BOND FINANCED PROPERTIES ARE REVIEWED FIRST BY IN-HOUSE STAFF WHO ARE KNOWLEDGEABLE AND RESPONSIBLE FOR THE FORM 990. OUTSIDE COUNSEL IS CONSULTED IF QUESTIONS ARISE. A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 6499053Z7 2010-09-02 80000000 SEE SCHEDULE K PART VI false false false B DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 2008-11-03 25000000 SEE SCHEDULE K PART VI false false false C DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 2009-08-13 75000000 SEE SCHEDULE K PART VI false false false D DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649983QT2 2006-06-29 114610323 SEE PART V SCHEDULE K false false false A 0 0 80007034 0 0 0 0 0 0 80007034 0 0 2010 false false true true B 19693422 0 25047201 0 0 0 0 0 0 25047201 0 0 2010 false false true true C 48787515 0 75002371 0 0 0 0 0 0 74992797 0 9561 2010 false false true true D 22080000 0 117353249 0 0 93510340 1762909 0 0 0 22080000 0 2007 false true true true A false false false true false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true D false false false true false 0 false false false true A false false false true false false 0 false 0 false true B false false false true false false 0 false 0 false true C false false false true false false 0 false 0 false true D false false false true false false 0 false 0 false true A true B true C true D true A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649906RK2 2012-02-16 388814944 SEE SCHEDULE K PART VI false false false A 0 0 389524831 0 1560684 284643919 2651698 0 0 4271834 3886145 92510550 false true false true A false false false true false 0 false false false true A false false false true false false 0 false 0 false true A true PERKINS EASTMAN SEE PART V 4336398 ARCHITECTURAL SERVICES false GENERAL ELECTRIC SEE PART V 1046732 SERVICES/PURCHASE OF EQUIPMENT false IBM CORPORATION SEE PART V 1847618 SERVICES/PURCHASE OF EQUIPMENT false GENERAL ATLANTIC SEE PART Y 880000 INVESTMENT MANAGEMENT FEES false KING STREET CAPITAL MANAGEMENT SEE PART V 600000 INVESTMENT MANAGEMENT FEES false JP MORGAN CHASE SEE PART V 2109000 BANK FEES false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS FORM 990, SCHEDULE L, PART IV MR. STEPHEN FRIEDMAN IS A BOARD MEMBER OF THE CENTER. THE CENTER PURCHASED ARCHITECURAL SERVICES FROM THE FIRM OF PERKINS EASTMAN. THE CENTER'S TOTAL AMOUNT FOR 2012 WAS $4,366,398. MR. PERKINS AND MR. FRIEDMAN ARE BROTHERS-IN-LAW. MR. DOUGLAS A. WARNER III IS CHAIRMAN OF THE BOARD OF THE CENTER. MR. WARNER IS ALSO A DIRECTOR OF GENERAL ELECTRIC. DURING THE YEAR THE CENTER PURCHASED EQUIPMENT AND SERVICES FROM G.E. IN THE AMOUNT OF $1,046,732. MS. VIRGINIA M. ROMETTY IS A BOARD MEMBER OF THE CENTER. MS ROMETTY IS THE PRESIDENT AND CEO OF IBM. DURING 2012, THE CENTER PURCHASED EQUIPMENT AND SERVICES TOTALING $1,847,618. Additionally, Memorial Sloan-Kettering Cancer Center, IBM and WellPoint announced a unique agreement to develop a powerful cancer resource built upon the famous "IBM Watson" that will have the potential to advance the quality of oncology care for patients wherever they are treated. This joint project aims to build the world's most comprehensive, cancer-specific, evidence-based medical resource. MSK will share our clinical knowledge, research, and genomic and molecular data, along with continuously updated standards of care and other published data, to help populate the Watson system with the most-current cancer diagnostic and treatment information. Then, our physicians will "train" the IBM Watson system to evaluate and synthesize the vast stores of clinical information and the collective wisdom and knowledge of MSKCC's cancer experts. MR. WILLIAM E. FORD IS A BOARD MEMBER OF THE INSTITUTION AND A PARTNER IN GENERAL ATLANTIC INVESTMENTS. DURING THE YEAR, THE INSTITUTION PAID GENERAL ALANTIC $880,000 IN MANAGEMENT FEES. MS. JAMIE C. NICHOLLS IS A BOARD MEMBER OF THE INSTITUTION. HER SPOUSE IS A CO-FOUNDER OF KING STREET CAPITAL MANAGEMENT. DURING 2012, THE INSTITUTION PAID KING STREET $600,000 IN MANAGEMENT FEES. MS. ELLEN FUTTER IS A BOARD MEMBER OF THE INSTITUTION AND A DIRECTOR OF JP MORGAN CHASE. DURING THE YEAR, THE INSTITUTION PAID BANK FEES TO JP MORGAN CHASE TOTALING $2,109,000 THE INDIVIDUALS LISTED ABOVE WERE NOT A PARTY TO THE TRANSACTIONS. THERE IS NO SHARING OF THE CENTER'S REVENUE. THE PURCHASES OF GOODS AND SERVICES BY THE CENTER WERE MADE IN THE ORDINARY COURSE OF BUSINESS, AT COMMERCIALLY AVAILABLE RATES. X 1363122 THRIFT VALUE X 68 4006744 MARKET VALUE false true false SALE OF NON CASH CONTRIBUTIONS FORM 990, SCHEDULE M, LINE 32A CLOTHING AND HOUSEHOLD GOODS ARE DONATED TO OUR THRIFT SHOP. THE SOCIETY OF MSKCC RUNS THE THRIFT SHOP FOR THE BENEFIT OF THE ORGANIZATION. PUBLICLY TRADED DONATED STOCK IS SOLD BY MERRILL LYNCH ON BEHALF OF MEMORIAL SLOAN-KETTERING CANCER CENTER. NOTE A - AFFILIATED ORGANIZATIONS MEMORIAL SLOAN-KETTERING CANCER CENTER (THE CENTER) IS AFFILIATED WITH THE FOLLOWING 501 (C) (3) ORGANIZATIONS: SLOAN-KETTERING INSTITUTE FOR CANCER RESEARCH (THE INSTITUTE), MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES (THE HOSPITAL), S.K.I. REALTY, INC., MSK INSURANCE US,INC., THE LOUIS V. GERSTNER JR., GRADUATE SCHOOL OF BIOMEDICAL SCIENCES, AND A NEW START UP COMPANY MSKCC PROTON INC. THE ORGANIZATIONS SHARE CERTAIN FACILITIES AND VARIOUS SERVICES INCLUDING ADMINISTRATIVE, PLANT AND ANCILLARY SERVICES. THE FOLLOWING IS A SUMMARY OF SUCH SERVICES: SERVICES PROVIDED TO THE CENTER BY: THE HOSPITAL $ 5,988,000 THE INSTITUTION $ 7,799,000 S.K.I. REALTY,INC. $ 555,000 TOTAL $ 14,342,000 SERVICES PROVIDED BY THE CENTER TO: THE HOSPITAL $325,904,000 THE INSTITUTION $ 74,830,000 S.K.I. REALTY,INC. $ 2,624,000 GERSTNER GRADUATE SCHOOL $76,000 TOTAL $403,434,000 THE CENTER CARRIES ON FUNDRAISING ACTIVITIES ON ITS OWN BEHALF AND ON BEHALF OF THE HOSPITAL, INSTITUTE AND GRADUATE SCHOOL. CONTRIBUTIONS AND PLEDGES ARE RECORDED BASED ON THE DONOR'S INTENT IN THE RECORDS OF THE APPROPRIATE ENTITY. FOR 2012, TOTAL CONTRIBUTIONS AND PLEDGES RAISED ON BEHALF OF THE CENTER, HOSPITAL, INSTITUTE AND GRADUATE SCHOOL WERE $231,159,000. THE LIST OF CONTRIBUTORS PROVIDED IN SCHEDULE B REPRESENTS THE DONORS' TOTAL PHILANTHROPIC CONTRIBUTIONS TO THE CENTER. SOME OF THE DONORS LISTED ON SCHEDULE B MAY HAVE ALSO MADE CONTRIBUTIONS TO THE HOSPITAL, INSTITUTE, AND GRADUATE SCHOOL. ANY ADDITIONAL CONTRIBUTIONS ARE NOT REFLECTED ON THE ATTACHED SCHEDULE B. FUNDRAISING EXPENSES OF $46,486,022 WERE INCURRED AND REPORTED BY THE CENTER IN PART IX, STATEMENT OF FUNCTIONAL EXPENSES. THE CENTER IS ALSO INVOLVED IN LOBBYING FOR THE HOSPITAL AND INSTITUTE. SEE SCHEDULE C. OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D CAFETERIA: THE CENTER MAINTAINS A CAFETERIA IN THE MAIN BUILDING COMPLEX WHERE VISITORS AND PATIENTS CAN PURCHASE MEALS AND SNACKS. SOCIETY OF MSKCC: THE SOCIETY OF MEMORIAL SLOAN-KETTERING CANCER CENTER, FOUNDED IN 1946, IS A VOLUNTEER ORGANIZATION DEDICATED TO PROMOTING THE WELL-BEING OF PATIENTS, SUPPORTING CANCER RESEARCH AND PROVIDING PUBLIC EDUCATION ON THE PREVENTION, EARLY DETECTION AND TREATMENT OF CANCER. THE COSTS SHOWN HERE ARE EXCLUSIVE OF FUNDRAISING ACTIVITIES, WHICH ARE REPORTED IN PART IX, COLUMN D. PROCESS USED TO REVIEW THE RETURN FORM 990, PART VI, LINE 11 PRIOR TO FILING THE RETURN, A REVIEW OF THE 990 WAS CONDUCTED BY THE CONTROLLER AND THE CHIEF FINANCIAL OFFICER. IN ADDITION, FORM 990 IS REVIEWED BY OUTSIDE COUNSEL AND IS PREPARED IN CONJUNCTION WITH ERNST AND YOUNG, LLP. PROCESS USED TO MONITOR COMPLIANCE FORM 990, PART VI. LINE 12C THE COMPLIANCE OFFICER AND STAFF ARE RESPONSIBLE FOR ADMINISTERING THE CONFLICT OF INTEREST PROGRAM--INCLUDING THE IMPLEMENTATION OF THE POLICY--BY MAINTAINING PROCESSES FOR DISCLOSURE OF OUTSIDE ACTIVITIES AND FOR THE TIMELY REVIEW OF REPORTED INTERESTS, INCLUDING: 1. MANAGEMENT OF THE ANNUAL DISCLOSURE CERTIFICATION PROCESS AND THE PROCESS BY WHICH COVERED PERSONS DISCLOSE AT TIME OF HIRE. COVERED PERSONS RECEIVE AN ANNUAL QUESTIONNAIRE REQUESTING DISCLOSURE OF RELATIONSHIPS AND TRANSACTIONS THAT MIGHT INVOLVE A CONFLICT OF INTEREST. QUESTIONNAIRE RESPONSES ARE REVIEWED BY THE COMPLIANCE OFFICER AND STAFF. FOLLOW-UP INQUIRIES ARE MADE IF NEEDED. MATTERS ARE SUBMITTED TO AN INTERNAL MANAGEMENT COMMITTEE AND A COMMITTEE OF THE BOARD OF MANAGERS IF ADJUDICATION IS NEEDED. 2. REVIEW AND ADJUDICATION OF OUTSIDE ACTIVITIES THAT REQUIRE PREAPPROVAL OR DISCLOSURE; FACILITATION OF A REVIEW BY THE OFFICE OF INDUSTRIAL AFFAIRS OF ANY OUTSIDE ACTIVITIES THAT INVOLVE INTELLECTUAL PROPERTY OR OTHERWISE INVOLVE AN ACTIVITY IN WHICH THE CENTER'S RIGHTS MAY REQUIRE PROTECTION. 3. ADMINISTRATION OF CONFLICT OF INTEREST ADVISORY COMMITTEE MEETINGS, INCLUDING DEVELOPMENT AND DISTRIBUTION OF AGENDAS AND SUPPORTING DOCUMENTS, DRAFTING AND DISTRIBUTION OF MINUTES, AND MAINTENANCE OF COMMITTEE RECORDS. 4. DOCUMENTATION OF THE OUTCOMES OF ALL REVIEWS OF REPORTED OUTSIDE ACTIVITIES. COMMUNICATION TO THE COVERED PERSON OF THE OUTCOME OF ALL REVIEWS, INCLUDING DOCUMENTATION OF MANAGEMENT PLANS. AS PART OF THE CLINICAL RESEARCH REVIEW PROCESS, QUESTIONS ON THE PROTOCOL SUBMISSION FORM ARE DESIGNED TO ELICIT INFORMATION ABOUT POTENTIAL CONFLICTS. SITUATIONS IN WHICH A STAFF PARTICIPANT IN RESEARCH REPORTS A POTENTIAL CONFLICT ARE REFERRED TO THE CHAIR OF THE COIAC AND TO THE COMPLIANCE OFFICER FOR REVIEW. 5. THE BOARD OF MEMORIAL SLOAN-KETTERING CANCER CENTER HAS MEMBERS THAT ACTIVELY SERVE AS OFFICERS AND/OR BOARD MEMBERS OF PUBLICLY TRADED COMPANIES. THE INSTITUTION MAY PROCURE GOODS AND/OR SERVICES FROM THESE PUBLICLY TRADED COMPANIES THROUGH THE ORDINARY COURSE OF THE COMPANIES' BUSINESS ON TERMS AND CONDITIONS WHICH ARE NOT INFLUENCED BY MEMBERS OF OUR BOARD OF MANAGERS AND WHICH WE ASSUME ARE THE SAME THAT SUCH COMPANIES CHARGE TO THE GENERAL PUBLIC. THE INSTITUTION HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY. TRANSACTIONS IDENTIFIED THROUGH OUR CONFLICT OF INTEREST QUESTIONNAIRE ARE DISCLOSED ON SCHEDULE L. THESE TRANSACTIONS WERE ALSO CONSUMMATED ON AN ARM'S LENGTH BASIS BETWEEN MANAGEMENT OF THE INSTITUTION AND THE COMPANY. MSKCC's "Policy on Conflicts of Interests for Directors and Key Employees" applies to any Board of Managers member, principal officer, or member of a committee with Board-delegated powers. Individuals covered by this policy have a duty to disclose Financial Interests, as defined by the Policy, annually and as they arise. In the event a covered individual is involved in a Board or committee action (such as approval of a transaction or arrangement) and the individual has a Financial Interest related to the matter before the Board, the individual must disclose the Financial Interest and all material facts to the Board or committee. The individual must leave the meeting while the determination of a conflict of interest is discussed and voted upon, and the remaining, disinterested Board or committee members are responsible to decide if a conflict exists. If a determination is made that a conflict exists, the involved individual may make a presentation to the Board or committee but s/he must leave the meeting during the discussion of and the vote on the transaction or arrangement. The Board or committee is required to determine whether MSKCC can obtain a more advantageous transaction or arrangement with reasonable efforts from an unconflicted person or entity. As appropriate, the chairperson of the Board or Committee is responsible to appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. PROCESS FOR DETERMINING COMPENSATION FORM 990, PART VI, LINE 15 MEMORIAL SLOAN-KETTERING CANCER CENTER (MSKCC) IS COMMITTED TO ENSURING THAT ITS EXECUTIVE COMPENSATION PROGRAM ADHERES TO THE ESTABLISHED STANDARDS OF REGULATORY COMPLIANCE AND BEST CORPORATE GOVERNANCE. THE MSKCC BOARD OF OVERSEERS AND MANAGERS HAS CHARGED THE JOINT HUMAN RESOURCES COMMITTEE (WHICH IS COMPOSED OF INDEPENDENT BOARD MEMBERS WITH NO CONFLICTS OF INTEREST IN REGARDS TO EXECUTIVE COMPENSATION) WITH MAKING ALL DECISIONS RELATED TO COMPENSATION FOR OFFICERS AND KEY EMPLOYEES. THE COMMITTEE REVIEWS THE TOTAL COMPENSATION OF THE INDIVIDUALS, INCLUDING BOTH CURRENT AND DEFERRED COMPENSATION, AND ALL EMPLOYEE BENEFITS, ON AN ANNUAL BASIS TO ENSURE THAT THE TOTAL COMPENSATION OF EACH OFFICER AND KEY EMPLOYEE IS REASONABLE. TO ASSIST IN THE COMPLETION OF ITS RESPONSIBILITIES, THE COMMITTEE ENGAGES THE SERVICES OF A NATIONALLY RECOGNIZED CONSULTING FIRM SPECIALIZING IN EXECUTIVE COMPENSATION FOR NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. EACH YEAR THE COMMITTEE REVIEWS A COMPREHENSIVE REPORT PREPARED BY THE FIRM THAT INCLUDES MARKET DATA FOR FUNCTIONALLY COMPARABLE ROLES IN COMPARABLE ORGANIZATIONS (I.E., NOT-FOR-PROFIT ACADEMIC/RESEARCH MEDICAL CENTERS, ESPECIALLY THOSE SHARING A MISSION SIMILAR TO MSKCC, WITH OTHER HEALTHCARE SECTORS CONSIDERED ON A SELECTED BASIS) AND SUMMARIZES THE RELATIVE MARKET POSITION OF EACH EXECUTIVE'S TOTAL COMPENSATION. ADDITIONALLY, A SENIOR MEMBER OF THE CONSULTING FIRM ATTENDS THE COMMITTEE'S MEETINGS TO PROVIDE INFORMATION AND TO RESPOND TO QUESTIONS BY THE MEMBERS OF THE COMMITTEE. COMPENSATION LEVELS ARE ESTABLISHED CONSIDERING THE MARKET DATA, AN ASSESSMENT OF PERFORMANCE, AND OTHER BUSINESS JUDGMENT FACTORS, CONSISTENT WITH MSKCC'S EXECUTIVE COMPENSATION PHILOSOPHY. THE COMMITTEE'S DECISIONS ARE MADE IN THE BEST INTERESTS OF MSKCC, AND ARE INTENDED TO ENSURE THE RECRUITMENT AND RETENTION OF KEY EXECUTIVE TALENT, CONSISTENT WITH THE MARKET PRACTICES OF OTHER NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS OF COMPARABLE SCOPE, MISSION AND COMPLEXITY. ON AN ANNUAL BASIS, THE COMMITTEE PROVIDES THE FULL BOARD WITH AN OVERVIEW OF ITS DETERMINATIONS AND PROCESS. THE COMMITTEE'S REVIEW PROCESS FOLLOWS THE INTERMEDIATE SANCTIONS' GUIDELINES FOR QUALIFYING FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE OF 1986: - THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX EXEMPT ORGANIZATION (I.E, THE COMMITTEE, WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST WITHIN THE MEANING OF THE REGULATIONS UNDER SECTION 4958). - THE AUTHORIZED BODY OBTAINS AND RELIES UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION, FOR WHICH COMPARABILITY DATA ARE PROVIDED AND ANALYZED BY SULLIVAN, COTTER AND ASSOCIATES, INC., A WELL-REGARDED EXPERT IN THE AREA OF HEALTHCARE COMPENSATION. - THE COMMITTEE ADEQUATELY DOCUMENTS THE BASIS FOR ITS DETERMINATION CONCURRENTLY WITH MAKING THAT DETERMINATION, AGAIN AS REQUIRED IN THE REGULATIONS. DOCUMENTS AVAILABLE TO THE PUBLIC FORM 990, PART VI, LINE 19 THE INSTITUTION MAKES ITS AUDITED FINANCIAL STATEMENTS OF MEMORIAL SLOAN-KETTERING CANCER CENTER AND ITS AFFILIATES AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, THE FINANCIAL STATEMENTS CAN BE ACCESSED AT THE FOLLOWING WEB ADDRESS: WWW.DACBOND.COM. THE INSTITUTION HAS ENGAGED DAC BOND AS OUR INVESTOR RELATIONS AND DISCLOSURE/DISSEMINATION AGENT. THE INFORMATION AVAILABLE ON THIS WEB SITE INCLUDES AUDITED FINANCIAL STATEMENTS, QUARTERLY UNAUDITED FINANCIAL STATEMENTS AND THE BOND OFFERING STATEMENTS FOR ALL OF OUR TAX-EXEMPT DEBT ISSUES. IN ADDITION, COPIES OF THE GROUP 990 AND THE APPLICIABLE 990T ARE ALSO AVAILABLE. THE CONFLICT OF INTEREST POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST. IT CAN BE FOUND AT THE FOLLOWING INSTITUTIONAL WEB SITE: WWW.MSKCC.ORG. GOVERNING DOCUMENTS SUCH AS THE ARTICLES OF INCORPORATION AND CORPORATE BY-LAWS ARE NOT AVAILABLE TO THE PUBLIC. AMOUNTS PAID TO INDEPENDENT CONTRACTORS FORM 990, PART VII, SECTION B AMOUNTS PAID TO INDEPENDENT CONTRACTORS INCLUDE AMOUNTS FOR SUBCONTRACTORS AS WELL AS REIMBURSABLE EXPENSES. FORM 990, PART XII, LINE 2 THE FINANCIAL STATEMENTS OF MEMORIAL SLOAN-KETTERING CANCER CENTER AND ITS AFFILIATES ARE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM ON A COMBINED BASIS. THE COMBINED STATEMENTS INCLUDE THE ACCOUNTS OF THE FOLLOWING TAX EXEMPT, SECTION 501 (C) (3), INCORPORATED AFFILIATES: MEMORIAL SLOAN-KETTERING CANCER CENTER (EIN 13-1924236), MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES (EIN 13-1624082), SLOAN-KETTERING INSTITUTE FOR CANCER RESEARCH (EIN 13-1624182), S.K.I. REALTYY, INC. (EIN 13-3389586), LOUIS V. GERSTNER JR., GRADUATE SCHOOL OF BIOMEDICAL SCIENCES (EIN 20-2212588), AND MSK INSURANCE US, INC.(MVI) EIN 83-0363317. INCLUDED IN THE GROUP EXEMPTION IS A START UP COMPANY MSKCC PROTON, INC. (EIN 35-2397819) WHICH HAS NOT HAD ANY ACTIVITY. THE CENTER'S FINANCIAL STATEMENTS ARE NOT AUDITED INDEPENDENT OF THE COMBINED. REFER TO SCHEDULE D FOR A RECONCILIATION OF THE 990 TO THE CENTER'S FINANCIAL STATEMENTS. STRATEGIC PLANNING AND COMMUNITY BENEFITS THE FOLLOWING NOTES ON STRATEGIC PLANNING AND COMMUNITY BENEFITS PERTAIN TO MEMORIAL SLOAN-KETTERING CANCER CENTER AND ITS AFFILIATED INSTITUTIONS AS REPORTED ON A COMBINED BASIS WITH A SEPARATE GROUP 990 FILING UNDER EIN 91-2154236. MEMORIAL SLOAN-KETTERING CANCER CENTER AND ITS AFFILIATES ARE INTERTWINED WITH COMMUNITY BENEFITS AND CHARITY CARE ACTIVITIES AS OUTLINED BELOW. STRATEGIC PLANNING MSKCC'S STRATEGIC PLANNING PROCESS INCLUDES DEVELOPING SERVICES AND PROGRAMS IN RESPONSE TO CANCER MORBIDITY AND MORTALITY DATA, DEMOGRAPHIC DATA, PATIENT AND PROGRAM SATISFACTION SURVEYS, AND COMMUNITY INPUT. THESE FINDINGS AND RESULTS ARE USED TO PLAN INITIATIVES AND PROGRAMS AIMED AT IMPROVING OUR COMMUNITY'S ACCESS TO CANCER INFORMATION, PREVENTION, CARE, AND TREATMENT ADVANCES. IN ADDITION, THE CENTER'S STRATEGIC EFFORTS ARE FOCUSED ON REDUCING THE CRITICAL ISSUE OF CANCER HEALTH DISPARITIES AMONG MINORITY AND MEDICALLY UNDERSERVED POPULATIONS. MEMORIAL HOSPITAL'S PRIMARY CATCHMENT AREA ENCOMPASSES 23 COUNTIES ACROSS LONG ISLAND, SOUTHERN NEW YORK STATE, NORTHERN NEW JERSEY, SOUTHWESTERN CONNECTICUT, AND THE FIVE BOROUGHS OF NEW YORK CITY. EACH OF THESE COUNTIES WAS IDENTIFIED AS HAVING A MINIMUM OF 50 OR MORE MEMORIAL HOSPITAL PATIENTS RESIDING IN THE AREA. IN 2012, THERE WERE 24,598 ADMISSIONS TO MEMORIAL HOSPITAL AND 541,474 OUTPATIENT VISITS WERE CONDUCTED AT LOCATIONS THROUGHOUT MANHATTAN AND REGIONAL SITES IN WESTCHESTER COUNTY, LONG ISLAND, AND NORTHERN NEW JERSEY. IN TOTAL, 130,949 PATIENTS WERE SEEN AT MSKCC FACILITIES: 119,675 (91.4%) FROM THE TRI-STATE AREA (NY, NJ, CT); 9,874 (7.5%) FROM OTHER PARTS OF THE U.S. AND 400 (1.1%) INTERNATIONAL PATIENTS. SINCE 1987, MSKCC HAS HAD A FINANCIAL ASSISTANCE PROGRAM IN PLACE TO ASSIST UNDERINSURED AND UNINSURED PATIENTS WHO ARE EXPERIENCING DIFFICULTIES MEETING THEIR FINANCIAL RESPONSIBILITIES TO MEMORIAL HOSPITAL AND ITS PHYSICIANS. FINANCIAL COUNSELORS ARE AVAILABLE TO WORK WITH PATIENTS AND INSURANCE COMPANIES - INCLUDING MEDICARE AND MEDICAID-TO HELP THE PATIENTS TO ACCESS SERVICES. FOR THOSE WHO DO NOT QUALIFY FOR PUBLICLY AVAILABLE HEALTH INSURANCE OR WHO ARE UNABLE TO PAY THEIR PORTION OF FEES ABOVE INSURANCE REIMBURSEMENT, MEMORIAL SLOAN-KETTERING CAN PROVIDE FINANCIAL HELP TO THOSE WHO ARE ELIGIBLE THROUGH ITS FINANCIAL ASSISTANCE PROGRAM. THE PREMISE OF THIS PROGRAM IS THAT ALL PATIENTS ARE EXPECTED TO CONTRIBUTE TO THEIR CARE BASED ON THEIR ABILITY TO PAY. FINANCIAL ASSISTANCE AND CHARITY CARE THE FINANCIAL ASSISTANCE PROGRAM EMPLOYS SEVERAL STRATEGIES TO INCREASE PATIENT AWARENESS OF THE PROGRAM. THESE EFFORTS INCLUDE PLACEMENT OF PROGRAM BROCHURES IN ALL PATIENT REGISTRATION AREAS; MAILING OF NOTIFICATION INSERTS IN EACH PATIENT'S FIRST BILL, SUBSEQUENT MONTHLY MEDICAL BILLS, AND COLLECTION NOTICES; AND ONGOING TRAINING FOR BILLING DEPARTMENT STAFF ON COMMUNICATING FINANCIAL ASSISTANCE SERVICES. DURING THE REGISTRATION PROCESS, FINANCIAL INTERVIEWERS EDUCATE PATIENTS ON THE VARIOUS PROGRAMS THAT ARE AVAILABLE TO THEM, INCLUDING GOVERNMENTAL PROGRAMS AND THE INSTITUTION'S CHARITY CARE PROGRAMS WHICH IS CONTINGENT UPON THEIR ELIGIBILITY CRITERIA. INFORMATION ABOUT THE INSTITUTION'S FINANCIAL ASSISTANCE PROGRAM IS ALSO AVAILABLE ON ITS WEBSITE: HTTP://WWW.MSKCC.ORG/MSKCC/HTML/74331.CFM A PATIENT WITH INCOME LESS THAN OR EQUAL TO 500% OF THE FPL IS ELIGIBLE FOR THE INSTITUTION'S FINANCIAL ASSISTANCE PROGRAM. FOR INSTANCE, THE INSTITUTION MAY REDUCE THE FEES INCURRED BY THE PATIENT OR ACCEPT AS FULL PAYMENT AMOUNTS PAID BY THE INSURANCE CARRIER ON THE PATIENT'S BEHALF. A PATIENT MAY ALSO QUALIFY FOR ASSISTANCE EVEN IF HIS/HER INCOME IS GREATER THAN THE THRESHOLD LIMIT. THIS IS BECAUSE THE INSTITUTION ADJUSTS PATIENTS' INCOME FOR ROUTINE MONTHLY EXPENSES, INCLUDING TAXES, TO DETERMINE DISPOSABLE INCOME. MSKCC ALSO DEDUCTS A SPECIFIC AMOUNT (DEBT BURDEN) AS A MONTHLY CLOTHES AND FOOD ALLOWANCE BASED ON A PATIENT'S FAMILY SIZE IN EVALUATING THE TYPE AND AMOUNT OF ASSISTANCE NEEDED. THE TABLES BELOW ILLUSTRATE THE INCOME GUIDELINES USED IN EVALUATING A PATIENT'S FINANCIAL STATUS. MSKCC 2012 INCOME GUIDELINES: FAMILY ALLOWED RESOURCE FOOD & CLOTHING SIZE INCOME LEVELS ALLOWANCE 1 $55,850 $29,250 $1,147 2 $75,650 $35,850 $1,431 3 $94,450 $38,978 $1,641 4 $112,250 $42,105 $1,859 5 $135,050 $45,233 $2,062 6 $154,850 $48,360 $2,279 CHARITY CARE REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO CANNOT AFFORD HEALTH CARE SERVICES DUE TO INADEQUATE RESOURCES AND/OR ARE UNINSURED OR UNDERINSURED. A PATIENT IS CLASSIFIED AS A CHARITY CARE PATIENT IN ACCORDANCE WITH THE INSTITUTION'S ESTABLISHED POLICIES AND WHERE INSUFFICIENT PAYMENT FOR SUCH SERVICES IS ANTICIPATED. THE INSTITUTION CONSIDERS PATIENTS FOR CHARITY CARE IF HOUSEHOLD INCOME IS LESS THAN 500% OF THE FEDERAL POVERTY GUIDELINES. SERVICES PROVIDED AS CHARITY CARE ARE NOT REPORTED AS REVENUE. MSKCC ENGAGES IN AND SUPPORTS COALITION BUILDING ACTIVITIES THAT PROMOTE THE HEALTH OF THE COMMUNITIES THE INSTITUTION SERVES. STAFF MEMBERS ARE ENCOURAGED TO SHARE THEIR CLINICAL EXPERTISE AND EXPERIENCE WITH PARTNERING HEALTHCARE FACILITIES AND COMMUNITY ORGANIZATIONS. STAFF MEMBERS SERVE AND PARTICIPATE IN NUMEROUS COMMUNITY GROUPS INCLUDING THE AMERICAN CANCER SOCIETY, THE AMERICAN PUBLIC HEALTH ASSOCIATION, THE GREATER NEW YORK HOSPITAL ASSOCIATION, AND MANY HEALTH IMPROVEMENT ADVOCACY GROUPS FOR PARTICULAR TYPES OF CANCER. ALTHOUGH THE SIGNIFICANT COST OF STAFF TIME DEVOTED TO THESE ACTIVITIES IS NOT QUANTIFIED BY THE CENTER, THE INSTITUTION CONSIDERS THESE EFFORTS TO COLLABORATE AND BUILD COMMUNITY RESOURCES TO BE OF SIZEABLE COMMUNITY BENEFIT. IN FEBRUARY 2009, THE INSTITUTION'S COMMUNITY OUTREACH COMMITTEE - COMPOSED OF REPRESENTATIVES FROM MORE THAN TEN DEPARTMENTS WITHIN THE HOSPITAL AND SELECTED AFFILIATED COMMUNITY ORGANIZATIONS - SURVEYED 143 COMMUNITY ORGANIZATIONS REGARDING THEIR CANCER OUTREACH, EDUCATION, AND SUPPORT SERVICES NEEDS. THE RESULTS OF THE NEEDS ASSESSMENT SURVEY WERE INSTRUMENTAL IN IDENTIFYING LOCAL BARRIERS AND GAPS IN SERVICES AND OPPORTUNITIES FOR ADDITIONAL COMMUNITY PARTNERSHIPS. MSKCC STAFF MEMBERS CONTINUE TO ENGAGE WITH MANY OF THE ORGANIZATIONS WHO PARTICIPATED IN THE SURVEY TO FOSTER OR DEEPEN COLLABORATIVE EFFORTS AND TO INCREASE CAPACITY FOR CULTURALLY SENSITIVE CANCER PROGRAMMING AND SERVICES. EDUCATION, TRAINING AND RESEARCH EDUCATION AND TRAINING IS A KEY COMPONENT OF MEMORIAL SLOAN-KETTERING CANCER CENTER'S MISSION, AND AN IMPORTANT EXAMPLE OF HOW THE INSTITUTION MAKES CONTRIBUTIONS TO THE CARE AND TREATMENT OF CANCER PATIENTS FAR BEYOND ITS OWN WALLS THROUGH WORKFORCE DEVELOPMENT. OUR TRAINING, GRADUATE, AND CONTINUING EDUCATION PROGRAMS PREPARE PHYSICIANS, SCIENTISTS, NURSES, AND TECHNICIANS TO BE LEADERS IN THEIR CHOSEN FIELDS. THESE HEALTHCARE PROVIDERS CAN THEN TAKE THE EXPERTISE GAINED FROM WORKING WITH OUR SPECIALISTS TO OTHER HEALTHCARE INSTITUTIONS AROUND THE COUNTRY AND THROUGHOUT THE WORLD. MSKCC ALSO TRAINS GRADUATE STUDENTS AND POSTDOCTORAL RESEARCHERS WORKING IN MANY AREAS OF BASIC SCIENCE AND TRANSLATIONAL RESEARCH. WHEN THESE YOUNG SCIENTISTS COMPLETE THEIR TRAINING, THEY BRING THE SKILLS OBTAINED IN OUR LABORATORIES INTO THE ACADEMIC COMMUNITY AT LARGE AS WELL AS THE PRIVATE SECTOR. MSKCC SPONSORS SEVERAL PROGRAMS THAT GIVE MEDICAL STUDENTS, UNDERGRADUATES, AND HIGH SCHOOL STUDENTS THE OPPORTUNITY TO WORK AT THE INSTITUTION DOING CLINICAL AND LABORATORY RESEARCH. THROUGH THESE PROGRAMS, MEMORIAL SLOAN-KETTERING CANCER CENTER STRIVES TO INCREASE THE PIPELINE OF SCIENTISTS AND PHYSICIANS WORKING IN ONCOLOGY. MSKCC'S OFFICE OF DIVERSITY PROGRAMS (ODP) IN CLINICAL CARE, RESEARCH, AND TRAINING PROVIDES FUNDING TO ENCOURAGE INTEREST IN PURSUING CAREERS IN THE FIELD OF ONCOLOGY FOR MEMBERS OF MINORITY GROUPS WHO ARE UNDERREPRESENTED IN MEDICINE AND WISH TO PARTICIPATE IN THE NATIONAL CANCER INSTITUTE'S MEDICAL STUDENTS' SUMMER FELLOWSHIP PROGRAM. THE ODP ALSO COORDINATES A SIX-WEEK SUMMER EXPOSURE PROGRAM TO EXPOSE UNDERREPRESENTED MINORITY HIGH SCHOOL STUDENTS TO CAREERS IN MEDICINE AND RESEARCH. MEMORIAL SLOAN-KETTERING CANCER CENTER UTILIZED $129 MILLION OF THE INSTITUTION'S RESOURCES DURING 2012 TO SUPPORT ITS EDUCATION AND TRAINING MISSION, WHICH WE SEE AS VITAL GIVEN OUR LEADERSHIP ROLE IN CANCER CARE TREATMENT AND RESEARCH. OTHER CHANGES OF NET ASSETS FORM 990, PART XI, LINE 5 NON-OPERATING INTEREST EXPENSE ON TAXABLE BONDS ($19,070,000), CHANGE IN POSTRETIREMENT $24,705,000, RELEASE OF RESERVES TO SUPPORT OPERATING LOSSES AT THE RALPH LAUREEN CENTER $1,000,000. NET $6,635,000. 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