2012-11-13T16:42:11-06:00 2011-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE STE 2600 INDIANAPOLIS IN 46204 990 2011-01-01 131924236 Memorial Sloan-Kettering Cancer Center % MICHAEL P GUTNICK SR VP MEMO 6462273092 1275 YORK AVENUE NEW YORK NY 100656007 MICHAEL P GUTNICK 2012-11-12 3176817000 2011 2016-02-24 21:20:13Z CRAIG THOMPSON MD 1275 YORK AVENUE NEW YORK NY 100656007 1297933584 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 24 12008 217 1361234 0 72304000 75209000 359946000 402327000 27008000 161761584 12572000 13774000 471830000 653071584 0 850000 0 0 238916731 266339597 805000 1202605 43915000 249529269 279009382 489251000 547401584 -17421000 105670000 3773654000 3860453000 1660795000 1897300000 2112859000 1963153000 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 426810552 388107000 MEMORIAL SLOAN-KETTERING CANCER CENTER PROVIDES THE FOLLOWING SERVICES TO ITS AFFILIATED ORGANIZATIONS AS OUTLINED IN SCHEDULE O: FINANCIAL ADMINISTRATION, EXECUTIVE MANAGEMENT, HUMAN RESOURCES, FACITILY 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) 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. 12838249 10116000 MSKCC PROVIDES HOUSING FOR ITS STAFF AS WELL AS OFFICE SPACE FOR PROGRAM ACTIVITIES. CANCER TREATMENT PROTOCOLS ALLOW FOR PATIENT REGIMES THAT CUT COSTS AND ALLOW FOR SUPERIOR QUALITY OF LIFE FOR OUR PATIENTS. MSKCC OPERATES A 24 HOUR GARAGE FACILITY TO ACCOMMODATE THIS. PATIENT DEMOGRAPHIC AND OUR GENERAL INPATIENT AND OUTPATIENT POPULATION WHO TEND 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. 11831426 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. 7891117 4104000 cafeteria 806611 society 850000 850000 GRANTS TO RALPH LAUREN CTR-SEE SCHEDULE I 9547728 850000 4104000 461027955 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 true 1585 0 true 12008 true true true true BD false false false true true false false false false X 29 24 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 1734038 0 116544 RICHARD I BEATTIE 2.0 X 0 0 0 STANLEY F DRUCKENMILLER 1.0 X 0 0 0 RICHARD N FOSTER 2.0 X 0 0 0 STEPHEN FRIEDMAN 2.0 X 0 0 0 ELLEN V FUTTER 1.0 X 0 0 0 PHILIP H GEIER JR 1.0 X 0 0 0 LOUIS V GERSTNER JR 2.0 X X 0 0 0 JONATHAN N GRAYER 1.0 X 0 0 0 BENJAMIN W HEINEMAN JR 2.0 X 0 0 0 DAVID H KOCH 1.0 X 0 0 0 MARIE-JOSEE KRAVIS 1.0 X 0 0 0 DEBORAH C WRIGHT 2.0 X 0 0 0 CRAIG THOMPSON MD 50.0 X X 1404558 0 152559 JAMES G NIVEN 1.0 X 0 0 0 BRUCE C RATNER 1.0 X 0 0 0 CLIFTON S ROBBINS 2.0 X X 0 0 0 JAMES D ROBINSON III 1.0 X 0 0 0 BENJAMIN MROSEN 1.0 X 0 0 0 NORMAN C SELBY 2.0 X X 0 0 0 STEPHEN C SHERRILL 1.0 X 0 0 0 SCOTT M STUART 1.0 X 0 0 0 LUCY R WALETZKY MD 1.0 X 0 0 0 DOUGLAS A WARNER III 4.0 X 0 0 0 ANTHONY B EVNIN 1.0 X 0 0 0 ANNETTE U RICKEL MD 2.0 X 0 0 0 VIRGINIA M ROMETTY 2.0 X 0 0 0 PETER J SOLOMON 1.0 X 0 0 0 PETER A WEINBERG 2.0 X 0 0 0 MRS THOMAS V LEEDS 1.0 X 0 0 0 JACK RUDIN 1.0 X 0 0 0 CAROLYN BONHEUR 50.0 X 51756 0 27751 ERIC M COTTINGTON 50.0 X 629447 0 55660 DENNIS DOWDELL R 50.0 X 670857 0 60830 MICHAEL P GUTNICK 50.0 X 1440533 0 97027 JASON KLEIN 50.0 X 1536137 0 80717 KATHY LEWIS 50.0 X 403483 0 37857 EDWARD MAHONEY 50.0 X 720016 0 60248 ELLEN MILLER-SONET 50.0 X 358109 0 41584 RICHARD K NAUM 50.0 X 844086 0 54110 PATRICIA C SKARULIS 50.0 X 891159 0 67506 ANNE E MCSWEENEY 50.0 X 667809 0 29503 MARK SVENNINGSON 50.0 X 650191 0 61529 NOVISI ATADIKA 50.0 X 429166 0 0 GEORGE MEJIAS 50.0 X 499137 0 37736 DAVID ARTZ 50.0 X 432503 0 8460 DIANA PARKINSON-TRIPP 50.0 X 454627 0 44342 PAUL J NELSON 50.0 X 537337 0 49877 14354949 0 1083840 2968 false true false JGN CONSTRUCTION CORP 66-40 69TH STREET MIDDLE VILLAGE NY 11379 GENERAL CONSTRUCT 13551896 TURNER CONSTRUCTION 375 HUDSON STREET NEW YORK NY 10014 GENERAL CONSTRUCT 38856065 MICHAEL ANTHONY CONSTRUCTION CORP 161 RAILROAD AVENUE GARDEN CITY NY 11040 GENERAL CONSTRUCT 9029916 PERKINS EASTMAN ARCHITECTS 115 FIFTH AVENUE NEW YORK NY 10003 ARCHITECTURAL 5937416 STANTEC CONSULTING SERVICES INC 13980 COLLECTIONS CENTER DR CHICAGO IL 60693 CONSTRUCTION CONSULT 3548782 112 1838000 73371000 75209000 SERVICES PROVIDED SEE NOTE A & ATTACH.1 IN SCH O 900099 388107000 388107000 PARKING & HOUSING 541700 10116000 10116000 CAFETERIA 721000 4104000 4104000 402327000 40680584 1361234 39319350 111000 111000 8347000 8347000 765082000 644112000 120970000 120970000 120970000 1464000 1838000 750000 714000 714000 0 0 RESEARCH EXPENSE RECOVERY 711110 3099000 3099000 GIFT SHOP INCOME 435220 829000 829000 PURCHASE DISCOUNT 900099 785000 785000 4713000 653071584 402327000 1361234 171091923 850000 850000 0 0 0 12932936 8976290 2165393 1791253 0 185044142 168390936 2978312 13674894 18145702 17348895 161814 634993 37948653 33703250 1222839 3022564 12268164 11226703 169954 871507 0 5089253 4118211 414823 556219 181594 160197 3537 17860 583870 583870 1202605 1202605 12663665 12663665 24511709 17504180 3143945 3863584 5986226 2847 4231696 1751683 79349709 64856090 -106057 14599676 10968803 10935235 -9207 42775 8346919 8346919 36030382 34573691 525819 930872 1489561 785553 260119 443889 0 3391463 2380815 389115 621533 31029807 29193094 1836713 0 40974187 40164672 207440 602075 883426 798408 50352 34666 ALLOCATION OF INDIRECT COSTS 18079346 14278338 3801008 PHARMACEUTICAL 196680 196680 FUNDRAISING EVENTS -750000 -750000 ALL OTHER EXPENSES 2782 430 2352 547401584 461027955 42458629 43915000 X 19889693 9509457 10380236 33738000 119727000 193248000 172453000 132585000 142882000 765389000 659970000 0 0 0 0 27934000 27442000 349000 376000 481184000 490134000 617354000 458854000 139564000 158500000 1569765000 1606321000 428898000 481148000 1000000 1500000 0 0 0 0 3773654000 3860453000 204634000 210673000 0 0 0 0 1303743000 1511588000 0 0 0 0 0 0 0 0 152418000 175039000 1660795000 1897300000 X 1786980000 1621893000 181142000 193990000 144737000 147270000 2112859000 1963153000 3773654000 3860453000 X 105670000 -255376000 X false true true X 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 583870 583870 583870 583870 545615109 2590051109 546198979 2590634979 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 483000 595000 639359 583870 2301229 250000 250000 250000 250000 1000000 1500000 0 0 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 11e. 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 DISEASE (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) MSKCC. PROTON INC., (XXX-XX-XXXX) 190850000 5349104 -2642000 5465104 188092000 179497000 52000 11301000 190850000 156488000 3086000 19923000 179497000 208130000 -12187000 -39455000 156488000 0.21700 0.78300 false false 135955000 51001000 84954000 15162000 12282000 2880000 466237000 395571000 70666000 158500000 CLOSELY - HELD EQUITY INTEREST 116493000 C PRIVATE EQUITY & VENTURE CAP 364655000 F 481148000 0 PENSION AND POSTRETIREMENT 131314000 DEFERRED GIFT ANNUITY 25400000 LOAN AGREEMENT 14500000 ASSET RETIREMENT OBLIGATION 2704000 OTHER LIABILITIES 1121000 175039000 653071584 547401584 105670000 -195970000 -59406000 -255376000 -149706000 439246000 -195970000 750000 -195220000 634466000 18605584 18605584 653071584 528696000 528696000 18605584 100000 18705584 547401584 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 PART XI LINE 8 POSTRETIREMENT OBLIGATION EXPENSE ($60,256,000) AND GRANT PAYMENT TO RALPH LAUREN CENTER FROM RESERVED LIABILITY OF $850,000. OTHER RECONCILING ITEMS PART XII LINE 2D OTHER $750,000 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 XIII LINE 4B OTHER $750,000 ARE DIRECT EXPENSES RELATING TO FUNDRAISING EVENTS. COSTS ARE REMOVED FROM THE FUNCTIONAL EXPENSES AND NETTED ON THE STATEMENT OF REVENUE OFFSET BY A GRANT PAYMENT TO RALPH LAUREN CENTER FROM RESERVED LIABILITY OF ($850,000). Central America and the Caribbean 0 0 Investments 517939000 Europe (Including Iceland and Greenland) 0 0 Investments 16356000 North America 0 0 Investments 14044000 0 0 0 0 548339000 548339000 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 X true TARGET MARKETEAM 1050 Crown Pointe Parkway 18th Floor Alanta GA 30338 DIRECT MAIL CONSULTING false 22186264 450000 21736264 DONOR SERVICES 6715 Sunset Blvd Los Angeles CA 90028 TELEMARKET CONSULTANT false 437071 429760 7311 PARADYSZ MATERA CO 5 Hanover Square 6th Floor NEW YORK NY 10004 MAIL LIST CONSULTING false 22190000 322845 21867155 44813335 1202605 43610730 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 1523625 911825 611800 110709 72000 125486 ANTIQUE SHOW 670287 481847 188440 79136 2000 38764 4 1108337 444328 664009 153789 69628 5450 93038 3302249 1838000 1464249 264498 148764 79450 257288 750000 714249 true RALPH LAUREN CTR FOR CANCER & PREVENTION 1919 MADISON AVENUE NEW YORK NY 10035 020597827 501(C)(3) 850000 TO 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 2011, MSKCC DONATED $850,000 TO THE RALPH LAUREN CENTER TO OFFSET OPERATING EXPENSES. DURING 2010, 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. MSKCC REGULARY MEETS WITH THE RALPH LAUREN CENTER'S BOARD OF DIRECTORS TO REVIEW THAT THEIR SPENDING IS IN CONFORMITY WITH THEIR MISSION. X true true X X X X false true false false false false false false false NOVISI ATADIKA 248013 0 180000 0 1153 0 12500 0 2177 0 443843 0 0 0 GEORGE MEJIAS 368027 0 0 0 131110 0 29736 0 8000 0 536873 0 8279 0 DAVID ARTZ 366161 0 54000 0 12342 0 0 0 8460 0 440963 0 0 0 DIANA PARKINSON-TRIPP 309870 0 96140 0 48617 0 32047 0 12295 0 498969 0 5733 0 PAUL J NELSON 339456 0 185135 0 12746 0 35135 0 14742 0 587214 0 8962 0 ANNE E MCSWEENEY 418978 0 240998 0 7833 0 20685 0 8818 0 697312 0 7833 0 MARK SVENNINGSON 458977 0 129316 0 61898 0 47092 0 14437 0 711720 0 20350 0 ERIC M COTTINGTON 420213 0 167200 0 42034 0 43054 0 12606 0 685107 0 17300 0 DENNIS DOWDELL R 432811 0 200000 0 38046 0 44370 0 16460 0 731687 0 15500 0 JOHN R GUNN 969522 0 661850 0 102666 0 97386 0 19158 0 1850582 0 70050 0 MICHAEL P GUTNICK 810591 0 540960 0 88982 0 81917 0 15110 0 1537560 0 52780 0 JASON KLEIN 690047 0 800000 0 46090 0 70000 0 10717 0 1616854 0 35500 0 KATHY LEWIS 296493 0 100100 0 6890 0 30316 0 7541 0 441340 0 41000 0 EDWARD MAHONEY 452104 0 225000 0 42912 0 46350 0 13898 0 780264 0 20500 0 ELLEN MILLER-SONET 252864 0 88095 0 17150 0 26680 0 14904 0 399693 0 670 0 RICHARD K NAUM 378475 0 435917 0 29694 0 38965 0 15145 0 898196 0 13330 0 PATRICIA C SKARULIS 559673 0 294720 0 36766 0 56489 0 11017 0 958665 0 24620 0 CRAIG THOMPSON MD 1394496 0 0 0 10062 0 140000 0 12559 0 1557117 0 0 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. 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 were reported in 2010 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. DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64983QT25 2006-06-29 114610323 SEE SCHEDULE O false false false DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649903ZR5 2008-05-13 164779275 SEE SCHEDULE O false false false DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64983UFK1 2003-05-14 500001381 SEE SCHEDULE O true false false DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64983QS83 2006-06-29 102783274 SEE SCHEDULE O false false false 0 0 115772187 0 0 114009278 1762909 0 0 0 0 0 2007 false true true true 0 0 164780185 0 0 0 2204275 0 0 0 162575910 0 2004 true false true true 79300000 114009277 502987588 0 0 0 6762359 4967000 0 491258229 0 0 2007 false false true true 0 0 112974138 0 0 0 1525106 0 0 111449032 0 0 2009 false false true true false false false true false 0 true 0 true false false false true false 0 true false false false true false 0 true false false false 0 false 0 false false false false false 0 false 0 false false false false false 0 false 0 false false false false false 0 false 0 false false X DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649903B91 2008-05-13 291329951 SEE SCHEDULE O false false false DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 6499053Z7 2010-09-02 80000000 SEE SCHEDULE O false false false DORMITORY AUTHORITY OF NEW YORK 146000293 2008-11-03 25000000 SEE SCHEDULE O false false false DORMITORY AUTHORITYH OF THE STATE OF NEW YORK 146000293 2009-08-13 75000000 SEE SCHEDULE O false false false 0 0 291330551 0 0 0 3904951 0 0 0 287425600 0 2004 true false true true 0 0 80007034 0 0 0 0 0 0 80007034 0 0 2010 false false true true 14544762 0 25047201 0 0 0 0 0 0 25047201 0 0 2010 false false true true 33655045 0 75002338 0 0 0 0 0 0 74992797 0 9548 2010 false false true true 0 true false false false false 0 true false false false false 0.00000 0.00000 0.00000 true false false false false 0.00000 0.00000 0.00000 true false false false 0 false 0 false false false false false 0 false 0 false false false false false 0 false 0 false false false false false 0 false 0 false false PERKINS EASTMAN SEE PART V 1250255 ARCHITECTUAL SERVICES false GENERAL ELECTRIC SEE PART V 2334834 SERVICES/PURCHASE OF EQUIPMENT false IBM CORPORATION SEE PART V 3200314 SERVICES/PURCHASE OF EQUIPMENT 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 2011 WAS $1,250,255. 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 $2,334,834. MS. VIRGINIA M. ROMETTY IS A BOARD MEMBER OF THE CENTER. MS ROMETTY WAS A SENIOR VICE PRESIDENT OF IBM DURING 2011. EFFECTIVE JANUARY 1, 2012, MS. ROMETTY WAS APPOINTED PRESIDENT AND CEO OF IBM. DURING 2011, THE CENTER PURCHASED EQUIPMENT AND SERVICES TOTALING $3,200,314. 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 1354657 THRIFT VALUE X 64 1688780 MARKET VALUE false true true SALE OF NON CASH CONTRIBUTIONS FORM 990, SCHEDULE M, LINE 32A CLOTHING AND HOUSEHOLD GOODS ARE DONATED AT OUR THRIFT SHOP. THE SOCIETY OF MSKCC RUNS THE THRIFT SHOP FOR THE BENEFIT OF THE ORGANIZATION. PUBLICILY 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 $ 6,533,000 THE INSTITUTION $ 11,252,000 S.K.I. REALTY,INC. $ 581,000 TOTAL $ 18,366,000 SERVICES PROVIDED BY THE CENTER TO: THE HOSPITAL $345,107,063 THE INSTITUTION $ 79,891,489 S.K.I. REALTY,INC. $ 1,728,000 GERSTNER GRADUATE SCHOOL $84,000 TOTAL $426,810,552 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 2011, TOTAL CONTRIBUTIONS AND PLEDGES RAISED ON BEHALF OF THE CENTER, HOSPITAL, INSTITUTE AND GRADUATE SCHOOL WERE $301,374,000. 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 $43,915,000 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 PRE- APPROVAL 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 OUTCOME 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. 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 CURRENTLY MADE 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) MSK INSURANCE US, INC. (EIN 83-0363317) IN ADDITION, THE STATEMENTS ALSO INCLUDE MSK INSURANCE LTD., A WHOLLY-OWNED CAPTIVE INSURANCE COMPANY DOMICILED IN BERMUDA. INCLUDED IN THE GROUP EXEMPTION IS A NEW START UP COMPANY "MSKCC PROTON, INC. (EIN 83-0363317). IT 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 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 2011, THERE WERE 24,486 ADMISSIONS TO MEMORIAL HOSPITAL AND 535,900 OUTPATIENT VISITS WERE CONDUCTED AT LOCATIONS THROUGHOUT MANHATTAN AND REGIONAL SITES IN WESTCHESTER COUNTY, LONG ISLAND, AND NORTHERN NEW JERSEY. IN TOTAL, 123,140 PATIENTS WERE SEEN AT MSKCC FACILITIES: 112,057 (91%) FROM THE TRI-STATE AREA (NY, NJ, CT); 9,728 (8%) FROM OTHER PARTS OF THE U.S. AND 1,355 (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 DON'T 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, 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 2011 INCOME GUIDELINES: FAMILY ALLOWED RESOURCE FOOD & CLOTHING SIZE INCOME LEVELS ALLOWANCE 1 $54,450 $29,250 $1,147 2 $73,550 $35,850 $1,431 3 $92,650 $38,978 $1,641 4 $111,750 $42,105 $1,859 5 $130,850 $45,233 $2,062 6 $149,950 $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 $100 MILLION OF THE INSTITUTION'S RESOURCES DURING 2011 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 NET UNREALIZED LOSS ON INVESTMENTS $195,970,000 LESS POSTRETIREMENT OBLIGATION EXPENSE $60,256,000 AND $850,000 OF SUPPORT FOR THE RALPH LAUREN CENTER. THIS WAS FULLY RESERVED IN 2010. SCHEDULE K PART 1 COL. (F) DESCRIPTION OF PURPOSE 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 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 IMPROVE A 13-STORY RESEARCH FACILITY. 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. 2010 SERIES I BONDS CUSIP #6499053Z7 2010 SERIES I BONDS WERE USED TO FINANCE THE PURCHASE OF REAL ESTATE PROPERTY. 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 RALPH LAUREN CTR FOR CANCER & PRVENTION 1919 MADISON AVENUE NEW YORK NY 10036 020597827 CANCER CARE NY 501 (C) 3 9 MSKCC true MEMORIAL CRITICAL CARE 1275 YORK AVENUE NEW YORK NY 10065 133348785 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MEMORIAL RADIATION ONCOLOGY 1275 YORK AVENUE NEW YORK NY 10065 133237927 HEALTH CARE NY MEM RELATED 0 0 false 0 true 0.01000 MEMORIAL PATHOLOGY GROUP 1275 YORK AVENUE NEW YORK NY 10065 133365998 HEALTH CARE NY MEM RELATED false true 0.01000 MEMORIAL ANESTHESIOLOGY GROUP 1275 YORK AVENUE NEW YORK NY 10065 133367135 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MEMORIAL PEDIATRICS GROUP 1275 YORK AVENUE NEW YORK NY 10065 133346908 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MEMORIAL NEUROLOGY GROUP 1275 YORK AVENUE NEW YORK NY 10065 133399377 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MEMORIAL PSYCHIATRY GROUP 1275 YORK AVENUE NEW YORK NY 10065 133430629 HEALTH CARE NY MEM RELATED false 0 0.01000 MSKCC AT GUTTMAN 1275 YORK AVENUE NEW YORK NY 10065 133875002 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MSKCC PHYSICANS AT PHELPS 1275 YORK AVENUE NEW YORK NY 10065 133897156 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MSKCC AT ST FRANCISMERCY 1275 YORK AVENUE NEW YORK NY 10065 133954858 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MSKCC PHYSICANS AT ST CLARE'S 1275 YORK AVENUE NEW YORK NY 10065 133897154 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MEMORIAL INFECTIOUS DISEASE 1275 YORK AVENUE NEW YORK NY 10065 133278582 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MSKCC REHABILITATION 1275 YORK AVENUE NEW YORK NY 10065 134010371 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MSKCC SURGERY GROUP 1275 YORK AVENUE NEW YORK NY 10065 134010372 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MSKCC SUFFOLK-HAUPPAUGE 1275 YORK AVENUE NEW YORK NY 10065 134059247 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MEMORIAL NEUROSURGERY GROUP 1275 YORK AVENUE NEW YORK NY 10065 133251621 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MSKCC INTERGRATIVE MEDICINE 1275 YORK AVENUE NEW YORK NY 10065 542092060 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MSKCC SUFFOLK-COMMACK 1275 YORK AVENUE NEW YORK NY 10065 020594889 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MSKCC AT BASKING RIDGE NJ 1275 YORK AVENUE NEW YORK NY 10065 593801080 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MEMORIAL URGENT CARE GROUP 1275 YORK AVENUE NEW YORK NY 10065 651263291 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MEMORIAL CLINICAL GENETICS 1275 YORK AVENUE NEW YORK NY 10065 651263292 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MEMORIAL DEVELOPMENTAL CHEMO 1275 YORK AVENUE NEW YORK NY 10065 133278548 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MEMORIAL MEDICAL CONSULTATION 1275 YORK AVENUE NEW YORK NY 10065 133278550 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MSKCC CLINICAL PRACTICE PLAN 1275 YORK AVENUE NEW YORK NY 10065 510616510 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MEMORIAL BREAST GROUP 1275 YORK AVENUE NEW YORK NY 10065 562568640 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MEMORIAL COLORECTAL GROUP 1275 YORK AVENUE NEW YORK NY 10065 562568642 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MEMORIAL DENTAL GROUP 1275 YORK AVENUE NEW YORK NY 10065 562568630 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MEMORIAL CLINICAL IMMUNOLOGY 1275 YORK AVENUE NEW YORK NY 10065 133278559 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MEMORIAL GASTRIC MIXED TUMOR GROUP 1275 YORK AVENUE NEW YORK NY 10065 562568650 HEALTH CARE NY MEM RELATED false 0 0.01000 MEMORIAL GYNECOLOGY GROUP 1275 YORK AVENUE NEW YORK NY 10065 562568655 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MEMORIAL HEAD & NECK GROUP 1275 YORK AVENUE NEW YORK NY 10065 562568656 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MEMORIAL HEPATOBILIARY GROUP 1275 YORK AVENUE NEW YORK NY 10065 562568667 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MEMORIAL NEUROSURGERY GROUP 1275 YORK AVENUE NEW YORK NY 10065 562568663 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MEMORIAL NUTRITION GROUP 1275 YORK AVENUE NEW YORK NY 10065 133278576 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MEMORIAL OPT ABRAMSON GROUP 1275 YORK AVENUE NEW YORK NY 10065 562568627 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MEMORIAL OPTHALMIC ONOCOLOGY 1275 YORK AVENUE NEW YORK NY 10065 562568675 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MEMORIAL OPTHALMOLOGY GROUP 1275 YORK AVENUE NEW YORK NY 10065 562568669 HEALTH CARE NY MEM RELATED false 0 true 0.01000 MEMORIAL 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