2012-11-14T11:23:00-06:00 2011-12-31 861065772 DELOITTE TAX LLP TWO JERICHO PLAZA JERICHO NY 11753 990 2011-01-01 111839567 LUTHERAN MEDICAL CENTER LUTH 7186307100 150 55TH STREET BROOKLYN NY 11220 RICHARD LANGFELDER 7186307100 2012-11-09 1 P00743140 5169187000 2012-11-09 2011 2016-02-24 21:20:13Z RICHARD LANGFELDER 150 55TH STREET BROOKLYN NY 11220 397280691 0 X WWW.LUTHERANMEDICALCENTER.COM X 1955 NY SEE SCHEDULE O. 29 28 2990 460 99970 -37863 10374768 11696323 367456000 363756000 1077154 1490076 17364028 19888648 396271950 396831047 188401 71600 0 0 224978699 232150400 60000 195483 518830 161059910 154512156 386287010 386929639 9984940 9901408 288082579 372212868 233059349 347572399 55023230 24640469 X SEE SCHEDULE O 0 0 80294218 0 88384923 SEE SCHEDULE O 21634492 0 15336799 SEE SCHEDULE O 8316323 0 7637124 SEE SCHEDULE O 177349020 271679966 A FULL DESCRIPTION OF THE NUMEROUS AND VARIED OTHER HEALTHCARE SERVICES PROVIDED BY LUTHERAN MEDICAL CENTER ARE CONTAINED IN THE ORGANIZATION'S 2011 ANNUAL REPORT, WHICH IS PUBLISHED ON THE HOSPITAL'S WEBPAGE AT WWW.LUTHERANMEDILCALCENTER.COM/DATA/DOCUMENTS/LHCANNUALREPORT2011.PDF 177349020 271679966 287594053 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 430 0 1 2990 1 1 1 0 0 0 0 1 1 0 0 0 0 X 29 28 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X LUTHERAN MEDICAL CENTER 7186307100 150 55TH STREET BROOKLYN NY 112202559 WENDY Z GOLDSTEIN 35.00 X X 1057744 0 299822 LYNDA ANDERSON 1.00 X 0 0 0 MARIA CARLSON 1.00 X 0 0 0 DALE C CHRISTENSEN JR ESQ 1.00 X 0 0 0 FRANK COMERFORD 1.00 X 0 0 0 MARTHA BAKOS DIETZ 1.00 X 0 0 0 LAWRENCE DIGIOVANNA 1.00 X 0 0 0 THOMAS J EDWARDS 1.00 X 0 0 0 GENEVIEVE GO MD 1.00 X 0 0 0 EMMA GRAEBER-PORTER 1.00 X 0 0 0 BRENDA GRANDELL 1.00 X 0 0 0 MIRIAM KATOWITZ 1.00 X 0 0 0 JOSEPH LODATO 1.00 X 0 0 0 GERARLD LUTERMAN 1.00 X 0 0 0 DARIN MCATEE ESQ 1.00 X 0 0 0 RICHARD J NOVAK 1.00 X 0 0 0 JOHN NUZUM 1.00 X 0 0 0 RANDOLPH PEERS 1.00 X 0 0 0 GEORGE RENERT 1.00 X 0 0 0 GABRIEL RINCON DDS 1.00 X 0 0 0 BISHOP ROBERT RIMBO 1.00 X 0 0 0 VINCENT ROHAN 1.00 X 0 0 0 REV DAVID ROMMEREIM 1.00 X 0 0 0 CAROL KNUTH SAKOIAN 1.00 X 0 0 0 DANNY TSOI 1.00 X 0 0 0 REV JEANNE WARFIELD 1.00 X 0 0 0 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 BARBARA ARKY 35.00 X 400005 0 42995 RICHARD LANGFELDER 35.00 X 550603 0 41450 CLAUDIA CAINE 35.00 X 673651 0 34755 BETH RAUCHER MD 35.00 X 419622 0 46878 STEVE ART 35.00 X 257536 0 27236 MYLES DAVIS 35.00 X 272083 0 22197 GEORGE MARTIN MD 35.00 X 649842 0 29722 MICHAEL PARKS 35.00 X 293523 0 35295 ROSANNE RASO 35.00 X 300495 0 37013 FRANK SCHEETS 35.00 X 357574 0 39773 KAREN LENNON 35.00 X 259402 0 32943 CANDACE FINKELSTEIN 35.00 X 364558 0 35980 AUDREY SAITTA MD 40.00 X 523084 0 36820 IFFATH HOSKINS MD 40.00 X 568616 0 18303 WILLIAM M WIRCHANSKY MD 40.00 X 324461 0 16402 CLAUDIA LYON MD 40.00 X 335197 0 32263 7607996 0 829847 462 0 1 0 LMC PHYSICIAN SERVICES 150 55TH ST BROOKLYN NY 11220 PHYSICIAN SERVICES 17005045 UNIVERSITY PHYSICIANS OF BROOKLYN 450 CLARKSON AVE BROOKLYN NY 11203 PHYSICIAN SERVICES 7737823 SHORE ROAD RADIOLOGY 150 55TH ST BROOKLYN NY 11220 PHYSICIAN SERVICES 3296964 NES HEALTHCARE GROUP 3724 NATIONAL DR STE 109 RALEIGH NC 27612 PHYSICIAN SERVICES 2702597 GEORGE FERZLI 65 CROMWELL AVE STATEN ISLAND NY 10304 PHYSICIAN SERVICES 1992423 28 489103 7000 11200220 11696323 PATIENT SERVICE REVENU 622110 191891929 191891929 MEDICARE PAYMENTS 923130 123320941 123320941 MEDICAID PAYMENTS 923130 48543130 48543130 363756000 1101941 1101941 698655 0 698655 698655 50836 647819 388135 0 388135 388135 388135 695826 489103 449644 246182 246182 NEIGHBORHOOD HEALTH CE 621498 11708186 11708186 MEDICAID EHR INCENTIVE 900099 2983796 2983796 MEDICAL EDUCATION PROG 900099 1658610 1658610 2593219 2544085 49134 18943811 396831047 383038812 99970 1995942 71600 71600 5492080 4239508 1166398 86174 168259539 129884796 38286354 88389 14795666 11421237 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288082579 372212868 X 9901408 -40284169 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 17117 0 0 1 6352 1 96996 1 167531 287996 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: 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. PART II-B LN 1A-1H: 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 143032521 89028297 54004224 13573615 3057277 10516338 172924656 131455396 41469260 5453671 89166 5364505 112930060 DUE FROM AFFILIATES 6993071 OTHER RECEIVABLES 2408340 OTHER ASSETS 11735615 EST REC FROM 3RD PARTY PAYORS 14772283 35909309 ACCRUED PENSION LIABILITY 83337505 DUE TO AFFILIATES 3247943 DUE TO THIRD PARTY PAYORS 30327950 OTHER LONG TERM LIABILITIES 267543 RESERVE FOR SELF INSUR CLAIMS 82155000 199335941 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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 0 400666 195483 205183 400666 195483 205183 DINNER DANCE 943838 282800 661038 6450 1950 111539 138976 36228 89407 JOURNAL 177130 177130 30305 1 63961 29173 34788 34789 1184929 489103 695826 6450 1950 111539 138976 36228 154501 449644 246182 1 1 0 1 X 1 0 1 1 18613847 7172254 11441593 0.03050 150252762 131847969 18404793 0.04900 1162457 914852 247605 0.00070 170029066 139935075 30093991 0.08020 130379 0 130379 0.00030 31699501 12480812 19218689 0.05120 8278049 0 8278049 0.02200 339774 41499 298275 0.00080 71600 0 71600 0.00020 40519303 12522311 27996992 0.07450 210548369 152457386 58090983 0.15470 17748 0 17748 0.00000 122648 0 122648 0.00030 47226 0 47226 0.00010 187622 187622 0.00040 1 11379187 296000 125373376 134879397 -9506021 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 X 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 2011 LMC PAID THE LMC PC'S $8,278,049.00 FOR PHYSICIAN RELATED UN-REIMBURSED AND UNDER-REIMBURSED SERVICES PROVIDED TO CHARITY CARE AND MEDICAID PATIENTS. PART I, L7 COL(F): LUTHERAN MEDICAL CENTER HAS INCLUDED BAD DEBT EXPENSE IN THE AMOUNT OF $11,379,187 ON THE FORM 990 PART IX, LINE 25. THIS AMOUNT IS EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN SCHEDULE H, PART I, LINE 7 COL. (F) AS PER THE INSTRUCTIONS. 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 EMPLOYEES 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, IMMAGRATION COUNSELING, CAREER COUNSELING, ADVOCACY, LIFE SKILLS WORKSHOPS AND ASSISTANCE TIHE ENROLLMENT IN VARIOUS ENTITLEMENTS AND PUBLIC BENEFITS. THE FSS PROGRAM HAS OVER 5,500 PARTICIPANTS. PART III, LINE 4: 2011 LUTHERAN HEALTHCARE AUDITED FINANCIAL STATEMENT NOTE REGARDINGBAD DEBT AND CHARITY CARE:LUTHERAN MEDICAL CENTER OPERATES A 468-BED HOSPITAL AND IS A CO-OPERATOR WITH LFHC OF A NETWORK OF NINE (9) NEIGHBORHOOD PRIMARY CARE SITES, FIFTEEN (15) SCHOOL HEALTH PROGRAMS WITH 16 DENTAL PROGRAMS, AND A DIVERSE RANGE OF COMMUNITY-BASED PROGRAMS THAT PROVIDE APPROXIMATELY 608,000 MEDICAL AND DENTAL VISITS ANNUALLY.THE MISSION OF LUTHERAN HEALTHCARE IS AS FOLLOWS:A. LUTHERAN HEALTHCARE EXISTS ONLY TO SERVE THE NEEDS OF ITS NEIGHBORS.B. LUTHERAN HEALTHCARE DEFINES HEALTH AS THE TOTAL WELL-BEING OF THE COMMUNITY AND ITS RESIDENTS.BEYOND THE ABSENCE OF INDIVIDUAL PHYSICAL ILLNESS, THIS INCLUDES, AT LEAST, DECENT HOUSING, THE ABILITY TO SPEAK ENGLISH, EMPLOYMENT AND EDUCATIONAL OPPORTUNITIES, AND CIVIC PARTICIPATION.C. LUTHERAN HEALTHCARE UNDERSTANDS THAT A HOSPITAL IS NOT A COLLECTION OF BUILDINGS, MACHINES, AND BEDS, BUT A STAFF OF TALENTED, CREATIVE, AND COMMITTED PEOPLE WHO SERVE THE COMMUNITY AS THEY ARE NEEDED.D. LUTHERAN HEALTHCARE WORKS WITH ITS NEIGHBORS, EACH RELYING ON THE OTHER AS FRIENDS WHO CARE ABOUT AND ASSIST EACH OTHER.IN KEEPING WITH THIS MISSION, LUTHERAN HEALTHCARE PROVIDES MEDICAL CARE TO ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. PATIENTS ARE NOTIFIED OF THE AVAILABILITY OF FREE AND REDUCED PRICE CARE, AND PATIENTSARE EVALUATED FOR CHARITY CARE IN ACCORDANCE WITH ESTABLISHED POLICIES. IN ADDITION, LUTHERAN HEALTHCARE OPERATES NUMEROUS COMMUNITY BENEFIT PROGRAMS THAT SEEK TO IMPROVE THE HEALTH AND WELFARE OF ITS COMMUNITY. SERVICES PROVIDED TO THESE PATIENTS ARE NOT REPORTED AS REVENUE IN THE COMBINED STATEMENTS OF OPERATIONS.THE ESTIMATED COST INCURRED BY LUTHERAN HEALTHCARE TO PROVIDE SERVICES TO PATIENTS WHO ARE UNABLE TO PAY WAS APPROXIMATELY $34,289,000 AND $35,124,000 FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010, RESPECTIVELY. THE ESTIMATED COST OF THESE CHARITY CARE SERVICES WAS DETERMINED USING A RATIO OF COST TOGROSS CHARGES AND APPLYING THAT RATIO TO THE GROSS CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS FOR THE PERIOD. GROSS CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS INCLUDES ONLY THE RELATED CHARGES FOR THOSE PATIENTS WHO ARE FINANCIALLY UNABLE TO PAY AND QUALIFY UNDER LUTHERAN HEALTHCARE'S CHARITY CARE POLICY AND THAT DO NOT OTHERWISE QUALIFY FOR REIMBURSEMENT FROM A GOVERNMENTAL PROGRAM. LUTHERAN HEALTHCARE ALSO PROVIDES A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE TO THEIR PATIENTS THAT IS REPORTED AS A PROVISION FOR BAD DEBTS, WHICH IS NOT INCLUDED IN THE AMOUNTS REPORTED ABOVE. SUCH PROVISION FOR BAD DEBTS AMOUNTED TO APPROXIMATELY $11,379,187 AND $20,782,316 FOR 2011 AND 2010, RESPECTIVELY. 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 2011. 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 9: 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 11H: LMC USES FAMILY SIZE AS AN ADDITIONAL FACTOR IN DETERMINING ELIGIBILITY FOR DISCOUNTED CARE LUTHERAN MEDICAL CENTER PART V, SECTION B, LINE 19D: THE MAXIMUM CHARGE TO ANY FAP-ELIGIBLE PATIENT FOR EMERGENCY OR MEDICALLY NECESSARY CARE IS SET AT THE COMPRABLE MEDICAID RATE. PART VI, LINE 2: THROUGHOUT LUTHERAN HEALTHCARE'S (LHC) 129-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.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 2011, 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*:37 PERCENT LATINO/HISPANIC27 PERCENT CHINESE10 PERCENT ORTHODOX JEWISH 7 PERCENT ARABIC 7 PERCENT RUSSIAN 28 PERCENT LIVE BELOW 100 PERCENT FEDERAL POVERTY LEVEL16 PERCENT ARE OVER THE AGE OF 60*2000 CENSUS DATA PART VI, LINE 5: PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITALS OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G., OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.). LUTHERAN FURTHER FACILITATED OUR EXEMPT STATUS BY PROMOTING HEALTH INITIATIVES THAT ARE BASED ON COMMUNITY NEEDS. AFTER ASSESSING THE NEEDS OF THE COMMUNITY WE HAVE BROUGHT NEW CLINICAL SERVICES TO SOUTHWEST BROOKLYN. FOR EXAMPLE, LUTHERAN MADE MAJOR STRIDES TOWARD DEVELOPING A COMPREHENSIVE BREAST SURGERY PROGRAM FOR WOMEN WITH BREAST CANCER AND OTHER BREAST DISEASES. IN JANUARY 2011, LUTHERAN APPOINTED BREAST SURGEON ALAN SICKLES, M.D., AS COORDINATOR OF THE BREAST SURGERY PROGRAM. AS PART OF THIS NEW PROGRAM, LUTHERAN HOLDS A WEEKLY BREAST IMAGING CONFERENCE, EVERY TUESDAY MORNING, THAT INCLUDES SURGEONS, RADIOLOGISTS, PATHOLOGISTS AND ONCOLOGISTS WHO CONFER AND DISCUSS EIGHT TO TEN CASES WEEKLY.IN ADDITION, IN AUGUST 2011 LUTHERAN BECAME THE FIRST HEALTH CARE SYSTEM IN BROOKLYN TO OFFER A 3D DIGITAL MAMMOGRAPHY SYSTEM. THIS TECHNOLOGY OFFERS THE NEXT LEVEL IN BREAST IMAGING BECAUSE IT USES HIGH - POWERED COMPUTERS TO CONVERT DIGITAL BREAST IMAGES INTO A STACK OF VERY THIN "SLICES" BUILDING WHAT IS ESSENTIALLY A 3D IMAGE OF THE BREAST. THIS 3D IMAGE ALLOWS THE RADIOLOGY DEPARTMENT TO ZOOM IN FOR CLOSE-UPS OF SPECIFIC AREAS OF INTEREST TO SHOW ONE MILLIMETER AT A TIME, WHICH IS PARTICULARLY HELPFUL FOR WOMEN WITH DENSE BREASTS, MASSES OR NODULES. 2011 WAS A YEAR OF EXPANSION FOR THE OUTPATIENT ARM OF LUTHERAN HEALTHCARE. THE NEW LUTHERAN FAMILY HEALTH CENTER - BROOKLYN CHINESE SITE OPENED IN FEBRUARY 2011. LOCATED IN THE HEART OF BROOKLYN'S CHINATOWN, THIS AREA NOW HAS THE LARGEST CONCENTRATION OF CHINESE RESIDENTS IN NEW YORK CITY. THE SITE ADDED SERVICE HOURS ON SATURDAYS, TO ACCOMMODATE RAPID GROWTH OF THIS POPULATION. SINCE THE INTRODUCTION OF THE NEW WEEKEND HOURS, ALLOWING THE SITE TO BE OPEN 7 DAYS A WEEK, THERE HAS BEEN A 5.6% INCREASE IN VISIT VOLUME SINCE FEBRUARY 2012 AS COMPARED TO LAST YEAR. ADDITIONALLY, WE HAVE EXPANDED OUR REHABILITATION PROGRAM BY OPENING A BRAND NEW OUTPATIENT PHYSICAL THERAPY SITE IN FEBRUARY 2011 AND IN OCTOBER 2011 WE OPENED THE ONLY CARDIAC REHABILITATION PROGRAM IN BROOKLYN, WHICH PROVIDES AN INDIVIDUALIZED, SUPERVISED EXERCISE PROGRAM FOR PATIENTS WITH CARDIOVASCULAR DISEASE.WE HAVE HAD CONTINUED SUCCESS IN OUR COMMUNITY MEDICINE PROGRAM. LAST YEAR WE SERVED MORE THAN 5,000 HOMELESS NEW YORKERS WITH MORE THAN 20,000 MEDICAL AND BEHAVIORAL HEALTH SERVICE VISITS IN THE 15 SHELTER AND COMMUNITY BASED CLINICS WE OPERATE THROUGHOUT NYC.ADDITIONALLY, OUR FAMILY SUPPORT CENTER - (COMMUNITY-BASED PROGRAMS) ADDRESS SOCIAL, EDUCATIONAL, VOCATIONAL AND NUTRITIONAL NEEDS INCLUDING: ADULT EDUCATIONEARLY INTERVENTION (SCREENING)FAMILY SUPPORTPATIENT ADVOCACY"REACH OUT AND READ"SENIOR PROGRAMSSLIDING SCALE FEE/ASSISTED ENROLLMENT IN INSURANCE PROGRAMSTHREE DAY CARE CENTERSTRANSPORTATIONWIC PROGRAM 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 2011, ACCESS TO CARE EXPANDED SIGNIFICANTLY SYSTEM-WIDE, OUR 916 PHYSICIANS AND 3,648 EMPLOYEES SERVED 177,525 PEOPLE. LUTHERAN MEDICAL CENTER (LMC) MANAGING NEARLY 63,698 EMERGENCY VISITS, 17,572 SURGICAL PROCEDURES AND 28,409 INPATIENT DISCHARGES. THE LUTHERAN FAMILY HEALTH CENTERS (LFHC) HANDLED NEARLY 608,358 PATIENT VISITS AND PROVIDED HEALTH AND DENTAL SERVICES TO OVER 10,000 CHILDREN IN 31 SCHOOLS. LUTHERANS THREE SENIOR HOUSING FACILITIES HAVE MORE THAN 800 RESIDENTS. WHILE AUGUSTANA PROVIDES LONG TERM CARE AND REHABILITATION PROVIDES SERVICES TO APPROXIMATELY 908 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) 15000 N/A N/A GENERAL SUPPORT HOTZOLOH OF BUROUGH PARK 5215 16TH AVE BROOKLYN NY 11204 113043090 501(C)(3) 13000 N/A N/A GENERAL SUPPORT 3 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: SCHEDULE I, PART I, LINE 1 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 826912 0 150000 0 80832 0 269495 0 30327 0 1357566 0 0 0 BARBARA ARKY 367205 0 0 0 32800 0 13010 0 29985 0 443000 0 0 0 RICHARD LANGFELDER 489603 0 0 0 61000 0 15132 0 26318 0 592053 0 0 0 CLAUDIA CAINE 649633 0 0 0 24018 0 16901 0 17854 0 708406 0 0 0 BETH RAUCHER MD 388784 0 0 0 30838 0 13364 0 33514 0 466500 0 0 0 STEVE ART 226526 0 0 0 31010 0 10921 0 16315 0 284772 0 0 0 MYLES DAVIS 224433 0 0 0 47650 0 11139 0 11058 0 294280 0 0 0 GEORGE MARTIN MD 555563 0 30000 0 64279 0 12528 0 17194 0 679564 0 0 0 MICHAEL PARKS 247847 0 0 0 45676 0 11489 0 23806 0 328818 0 0 0 ROSANNE RASO 269763 0 0 0 30732 0 11595 0 25418 0 337508 0 0 0 FRANK SCHEETS 310649 0 0 0 46925 0 12020 0 27753 0 397347 0 0 0 KAREN LENNON 228410 0 0 0 30992 0 11029 0 21914 0 292345 0 0 0 CANDACE FINKELSTEIN 337928 0 0 0 26630 0 12468 0 23512 0 400538 0 0 0 AUDREY SAITTA MD 506322 0 0 0 16762 0 11853 0 24967 0 559904 0 0 0 IFFATH HOSKINS MD 519477 0 8750 0 40389 0 7121 0 11182 0 586919 0 0 0 WILLIAM M WIRCHANSKY MD 322204 0 0 0 2257 0 10109 0 6293 0 340863 0 0 0 CLAUDIA LYON MD 272884 0 40000 0 22313 0 9845 0 22418 0 367460 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 2011 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. DORMITORY AUTHORITY STATE OF NEW YORK 146000923 649901U94 2003-03-27 91804147 RENOVATION OF HOSPITAL FACILITY REFUND BONDS ISSUED 5/4/75 & 7/12/79 0 0 0 31245000 93536081 11110515 1041309 1170791 1704651 423782 43007758 40597767 2005 1 0 1 1 0 0 1 0 0 0 0 0 0 1 SEE PART VI 1 1 0 PART II, LINE 3 THE DIFFERENCE BETWEEN THE ISSUE PRICE OF THE BONDS AND TOTAL PROCEEDS IS DUE TO INVESTMENT EARNINGS. PART II, LINE 4 THE REPORTED AMOUNT INCLUDES A DEBT SERVICE RESERVE FUND OF $8,395,000, AND A DEBT SERVICE FUND OF $2,715,515. PART III, LINE 3C MANAGEMENT FREQUENTLY SEEKS PROFESSIONAL ADVICE FROM EXTERNAL EXPERTS ON TAX-EXEMPT BOND PRIVATE BUSINESS USE AND ARBITRAGE REPORTING RULES. PART IV, LINES 4B AND 4C THERE WERE TWO GICS HOLDING GROSS PROCEEDS OF THE BONDS, ONE WITH AIG MATCHED FUNDING CORP. (TERM 28.3 YEARS), AND ONE WITH MBIA, INC. (TERM 2.3 YEARS). PART IV, LINE 5 AMOUNTS HELD BEYOND AN ALLOWABLE TEMPORARY PERIOD WERE APPROPRIATELY YIELD RESTRICTED 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 PART III LINE 1 LUTHERAN MEDICAL CENTER HAS NO REASON FOR BEING OF ITS OWN; IT EXISTS ONLY TO SERVE THE NEEDS OF ITS NEIGHBORS. LUTHERAN MEDICAL CENTER DEFINES HEALTH AS THE TOTAL WELL BEING OF THE COMMUNITY AND ITS RESIDENTS. BEYOND THE ABSENCE OF INDIVIDUAL PHYSICAL ILLNESS, THIS INCLUDES, AT LEAST, DECENT HOUSING, THE ABILITY TO COMMUNICATE EFFECTIVELY, EMPLOYMENT, EDUCATIONAL OPPORTUNITIES AND CIVIC PARTICIPATION. LUTHERAN MEDICAL CENTER UNDERSTANDS THAT A HOSPITAL IS NOT A COLLECTION OF BUILDINGS, MACHINES AND BEDS, BUT A STAFF OF TALENTED, CREATIVE AND COMMITTED PEOPLE WHO SERVE THE COMMUNITY AS THEY ARE NEEDED. LUTHERAN MEDICAL CENTER WORKS IN PARTNERSHIP WITH ITS NEIGHBORS, EACH RELYING ON THE OTHER AS FRIENDS WHO CARE ABOUT AND ASSIST EACH OTHER. MOTIVATED TO SERVE BY ITS OWN HISTORY WITHIN THE BIBLICAL TRADITION OF FAITH AND TEACHING, AND ORGANIZED AS A NOT-FOR-PROFIT ORGANIZATION ACCORDING TO THE UNIQUELY AMERICAN HERITAGE OF DEMOCRATIC VOLUNTARY ASSOCIATION, LUTHERAN MEDICAL CENTER'S PURPOSE IS TO SERVE AS THE CORPORATE VEHICLE FOR ITS TRUSTEES, MEDICAL AND DENTAL STAFF, NURSES, EMPLOYEES, VOLUNTEERS AND OTHERS, TO CARE FOR THE NEEDS OF OUR NEIGHBORS. *LUTHERAN MEDICAL CENTER IS A SOCIAL MINISTRY OF THE EVANGELICAL LUTHERAN CHURCH IN AMERICA (ELCA) 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 2011, THE MEDICAL CENTER ADMITTED, TREATED AND DISCHARGED 15,826 PATIENTS FROM THE MEDICAL/SURGICAL PROGRAM. THESE PATIENTS REMAINED IN-HOUSE ON AVERAGE FOR 5.1 DAYS, RESULTING IN APPROXIMATELY 80,709 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 2011 THESE UNINSURED MEDICAL/SURGICAL PATIENTS GENERATED IN EXCESS OF $13.3 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 2011, 15,631 OR 24% OF THE TOTAL OF 66,262 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 60% OF ALL PATIENTS PRESENTING TO THE ER FOR EMERGENCY SERVICES WERE EITHER, UNDOCUMENTED, UNINSURED OR UNDERINSURED IN CY 2011. PROGRAM SERVICE STATEMENT FORM 990, PART III LINE 4C THE THIRD LARGEST PROGRAM OF THE MEDICAL CENTER IS THE INPATIENT MATERNITY SERVICE. DURING 2011, THE MEDICAL CENTER WAS ABLE TO ACCOMMODATE, ON AVERAGE, APPROXIMATELY 34 PATIENTS PER DAY AND TREATED AND DISCHARGED 4,395 PATIENTS. THE AVERAGE LENGTH OF STAY FOR PATIENTS IN THIS PROGRAM WAS APPROXIMATELY 2.6 DAYS, WHICH TRANSLATED INTO 11,343 DAYS OF MATERNITY CARE PROVIDED IN 2011. THIS UNIT SUPPORTED APPROXIMATELY 4,065 BIRTHING MOMS DURING 2011. APPROXIMATELY 2.0% 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 85% 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 23, 2012, 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 5: NET UNREALIZED LOSSES ON INVESTMENTS: -470,000. DEFINED BENEFIT PLAN ADJUSTMENTS -40,937,000. TRANSFER OF NET ASSETS TO/FROM RELATED PARTIES 1,120,000. ROUNDING ADJUSTMENT 2,831. TOTAL TO FORM 990, PART XI, LINE 5: -40,284,169. LUTHERAN AUGUSTANA CECR INC 5434 2ND AVE BROOKLYN NY 11220 112150953 EXTENDED CARE NY 501(C)(3) 9 N/A 0 HEALTH PLUS PREPAID HEALTH SERVICES PLAN 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 HOUSING 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 CARDIOLOGY ASSOCIATES PC 150 55TH STREET BROOKLYN NY 11220 112670952 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 SHORE HILL HOUSING ASSOCIATES 150 55TH STREET BROOKLYN NY 11220 HOUSING NY N/A C 0 1 1 0 1 0 0 0 1 1 1 1 1 1 1 1 0 0 HEALTH PLUS PREPAID HEALTH SERVICES PLAN E 292165 HEALTH PLUS PREPAID HEALTH SERVICES PLAN J 458196 HEALTH PLUS PREPAID HEALTH SERVICES PLAN K 44952742 HEALTH PLUS PREPAID HEALTH SERVICES PLAN M 1430999 HEALTH PLUS PREPAID HEALTH SERVICES PLAN N 3141161 HEALTH PLUS PREPAID HEALTH SERVICES PLAN O 20043 HEALTH PLUS PREPAID HEALTH SERVICES PLAN P 3837350