INTERFAITH MEDICAL CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
INTERFAITH MEDICAL CENTER INC (EIN 11-2626155)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-12-13
IRS object ID
201113479349301001
Schema version
2010v3.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-12-13T10:41:50-08:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CHARLES A BARRAGATO & CO CPASBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1950 Third AvenueAddressLine1
CityNew YorkCity
StateNYState
ZIP Code100222705ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN112626155EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Interfaith Medical Center IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlINTENameControl
Phone7186134000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11545 Atlantic AvenueAddressLine1
CityBrooklynCity
StateNYState
ZIP Code11213ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRobert MarianiName
TitleCFOTitle
Date Signed2011-12-13DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameAngelo Pirozzi CPAName
Phone2123714446Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLUIS HERNANDEZNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11545 ATLANTIC AVENUEAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11213ZIPCode
FieldValueIRS element (for citing)
Gross Receipts198407862GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.interfaithmedical.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionInterfaith Medical Center's mission is to provide exceptional patient service through prevention, education and treatment in a safe environment.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees2085TotalNbrEmployees
Total Nbr Volunteers127TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year4615562ContributionsGrantsPriorYear
Contributions Grants Current Year4292667ContributionsGrantsCurrentYear
Program Service Revenue Prior Year219866941ProgramServiceRevenuePriorYear
Program Service Revenue CY191187471ProgramServiceRevenueCY
Investment Income Prior Year1604113InvestmentIncomePriorYear
Investment Income Current Year1839536InvestmentIncomeCurrentYear
Other Revenue Prior Year1431304OtherRevenuePriorYear
Other Revenue Current Year1088188OtherRevenueCurrentYear
Total Revenue Prior Year227517920TotalRevenuePriorYear
Total Revenue Current Year198407862TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year137696281SalariesEtcPriorYear
Salaries Etc Current Year148031665SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year89712145OtherExpensePriorYear
Other Expenses Current Year105874231OtherExpensesCurrentYear
Total Expenses Prior Year227408426TotalExpensesPriorYear
Total Expenses Current Year253905896TotalExpensesCurrentYear
Revenues Less Expenses Prior Year109494RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-55498034RevenuesLessExpensesCY
Total Assets BOY211840636TotalAssetsBOY
Total Assets EOY178910540TotalAssetsEOY
Total Liabilities BOY293948951TotalLiabilitiesBOY
Total Liabilities EOY319031304TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-82108315NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-140120764NetAssetsOrFundBalancesEOY
Mission DescriptionInterfaith Medical Center's mission is to provide exceptional patient service through prevention, education and treatment in a safe environment.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense182598205Expense
Revenue185478138Revenue
DescriptionInterfaith Medical Center provides a wide range of comprehensive inpatient and outpatient medical, surgical, gynecological, psychiatric and pediatric care services throughout the central Brooklyn, New York area. Interfaith Medical Center also provides tertiary healthcare services, including renal dialysis, medical oncology services, nuclear medicine and radiation oncology. Ambulatory, podiatric and dental services are also available.Description
Total Program Service Expense182598205TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedfalseFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109662NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2085NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonEdward MaherNamePerson
Telephone Number7186134003TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11545 Atlantic AvenueAddressLine1
CityBrooklynCity
StateNYState
ZIP Code11213ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeIndividual Trustee Or DirectorIndividualTrusteeOrDirector
VENRA MATHURIN
VP HR40.00X162792013236
VANDANA CHOKSHI
CHAIR OF RADIOLOGY40.0032081800X
VALCY ETIENNE
CHAIR OF ANESTHES40.0039448703278X
SERGE BALMIR
RADIOLOGIST40.0034425904537X
PRADEEP CHANDRA
CMO (Jul-Dec)40.00X22500000
PATRICK SULLIVAN
VP&COO(Nov-Dec)40.00X000
PATRIA CATHILL
CNO (Dec)40.00X000
NATHAN M BAROTZ ESQ
Chairman5.00000X
MARTIN BAICKER
VP&COO(Jan-Oct)40.00X000
LUIS HERNANDEZ
President & CEO40.00X000
LAURA GAFFNEY
Pr/CEO(Mar-Oct)40.00X000
KHALEDA BILLAH
RADIOLOGIST40.0031640806541X
JOCHANAN M WEISENFREUND
CMO (Jan-June)40.00X91476901434
JAMES PHILIPS
BOARD MEMBER5.00000X
JAMES E MCINTOSH DDS
Chairman5.00000X
JACQUES GUILLAUME
CHAIR OF GYNECOLOG40.0032117704447X
GREG DIXON
VP&CFO(Jan-Oct)40.00X000
EBONE E MCINTOSH
VP & CQO40.00X000
DARLENE BAKER-IFILL
CNO (Jan-Oct)40.00X16520001213
CORBETT A PRICE
BOARD MEMBER5.00000X
CHARLES GRANNUM DMD
Secretary/Treas5.00000X
CANON DIANE M PORTER
VICE CHAIR5.00000X
BRENDA A BENNETT MD
BOARD MEMBER5.00000X
ANN C OSWALD
VP&CFO(Nov-Dec)40.00X000
ALBERT WILTSHIRE
BOARD MEMBER5.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3164910TotalReportableCompFromOrg
Total Other Compensation34686TotalOtherCompensation
Number Individuals GT100 K258NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SODEXHO INC & AFFILIATES
PO BOX 360170PITTSBURGHPA152516170Diet & Housekeeping3498445
NEW MEXICO EMI-I MEDICAL SERVICES
7032 COLLECTION Ctr DrCHICAGOIL60693ED PHYSICIANS1694698
NAVIN HAFFTY & ASSOCIATES LLC
200 CORDWAINER DRNORWELLMA02061IT CONSULTANT2467147
KURRON SHARES OF AMERICA
700 HICKSVILLE ROADBETHPAGENY11714SNR MANAGEMENT SVC3385303
ECURITAS SECURITY SERVICES USA INC
PO BOX 403412ATLANTAGA303843412SECURITY OFFICERS1673156
FieldValueIRS element (for citing)
Number Of Contractors GT100 K21NumberOfContractorsGT100K
Government Grants4089599GovernmentGrants
All Other Contributions203068AllOtherContributions
Total Contributions4292667TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REVENDescription
Business Code621990BusinessCode
Total Revenue Column191187471TotalRevenueColumn
Related Or Exempt Function Income191187471RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue191187471TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1839536TotalRevenueColumn
Exclusion$1,839,536ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real510100Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real510100Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column510100TotalRevenueColumn
Exclusion$510,100ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionALL OTHER REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column578088TotalRevenueColumn
Exclusion$578,088ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue578088TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column198407862TotalRevenueColumn
Related Or Exempt Function Income191187471RelatedOrExemptFunctionIncome
Exclusion$2,927,724ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1467761Total
Management And General1467761ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total113447810Total
Program Services92437662ProgramServices
Management And General21010148ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total908196Total
Management And General908196ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total23721958Total
Program Services19875735ProgramServices
Management And General3846223ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total8485940Total
Management And General8485940ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total3439190Total
Management And General3439190ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1449562Total
Program Services1449562ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total432666Total
Management And General432666ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total25940270Total
Program Services7335887ProgramServices
Management And General18604383ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total427071Total
Program Services100ProgramServices
Management And General426971ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total22469412Total
Program Services14484159ProgramServices
Management And General7985253ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1252963Total
Program Services984887ProgramServices
Management And General268076ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total14764Total
Program Services13872ProgramServices
Management And General892ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total196886Total
Program Services133039ProgramServices
Management And General63847ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total6894096Total
Program Services6204686ProgramServices
Management And General689410ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total15484462Total
Program Services13936016ProgramServices
Management And General1548446ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total13924624Total
Program Services12532162ProgramServices
Management And General1392462ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Repairs & Maintenance769329103362665967
Provision for Bad Debt82703408270340
Patient Food Services22210122221012
EQUIPMENT RENTAL34937127751171860
Collection Fees23382132338213

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total253905896Total
Program Services182598205ProgramServices
Management And General71307691ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5399048BOY
EOY2531134EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY990943BOY
EOY1101067EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY26088525BOY
EOY17256132EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1569803BOY
EOY1077253EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY139465BOY
EOY149138EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis238202938LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec132087505LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY112162401BOY
EOY106115433EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY55969368BOY
EOY18753918EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY9521083BOY
EOY31926465EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY211840636BOY
EOY178910540EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY12324030BOY
EOY22118473EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY345726EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY122475000BOY
EOY122475000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY30205254BOY
EOY28188567EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY128944667BOY
EOY145903538EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY293948951BOY
EOY319031304EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-85659735BOY
EOY-143666479EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2442572BOY
EOY2436867EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1108848BOY
EOY1108848EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-82108315BOY
EOY-140120764EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY211840636BOY
EOY178910540EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-55498034ReconcilationRevenueExpenses
Reconcilation Other Changes-2514415ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$84,300DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$66,909OtherActivitiesAmount
Total Lobbying Expenditures IIB151209TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1iIdentifier
Return ReferencePart II-B, Line 1i - Other Activities DescriptionReturnReference
ExplanationInterfaith Medical Center pays dues to The Greater New York Hospital Association (GNYHA). In accordance with section 6033 (e) of the Internal Revenue Code, and as reported by GNYHA, a portion of these dues are attributable to lobbying activities. The lobbying activities applicable to 2010 GNYHA annual dues was $3,844.In connection with collective bargaining negotiations between Interfaith Medical Center and 1199/CEIU, certain employer contribution amounts that go to the Labor Management Initiative (formerly called the Planning and Placement Fund) and the Job Security Fund are allocated to Healthcare Education Project(HEP) for its programs, services, and activities. A portion of such funds that HEP receives is used for lobbying purposes in connection with New York State and Federal policy issues. Interfaith Medical Center's pro-rated share of HEP lobbying expenses for 2010 is $63,065.Additionally, the organization has contracts with lobbyists who were engaged to lobby legislators on behalf of the organization regarding policies which impact the organization's exempt purpose and which pertain to public health care. During 2010 Interfaith Medical Center paid $84,300 in connection with these services.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance3552000BeginningOfYearBalance
Contributions12261Contributions
Other Expenditures18546OtherExpenditures
End Of Year Balance3545715EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance3563083BeginningOfYearBalance
Contributions9145213Contributions
Other Expenditures9156296OtherExpenditures
End Of Year Balance3552000EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3699848BeginningOfYearBalance
Contributions4591000Contributions
Other Expenditures4727765OtherExpenditures
End Of Year Balance3563083EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.31000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.69000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4558564OtherCostOrOtherBasis
Book Value4558564BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis64717674OtherCostOrOtherBasis
Depreciation34334378Depreciation
Book Value30383296BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis27358054OtherCostOrOtherBasis
Depreciation9117710Depreciation
Book Value18240344BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis76222438OtherCostOrOtherBasis
Depreciation54007025Depreciation
Book Value22215413BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis65346208OtherCostOrOtherBasis
Depreciation34628392Depreciation
Book Value30717816BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings106115433TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
Receivable from public goods pool4693541
Other Long Term Asset10112433
Due from 3rd Party7585459
Deferred Financing Costs2120685
Assets whose use is limited7414347
FieldValueIRS element (for citing)
Total Book Value Other Assets31926465TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Self-Insured Professional Liability$71,241,343
Due to Third Party Payors$38,368,957
Accrued Salary and Employee Benefit$36,293,238
FieldValueIRS element (for citing)
Total Of Amounts145903538TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesChange in additional minimum pension liability $ -2674367
Part V, Line 4Part V, Line 4: Intended uses of the endowment fund.INTERFAITH MEDICAL CENTER'S ENDOWMENT FUNDS ARE FOR SPECIFIC PURPOSES DEFINED UNDER INTERNAL DESIGNATION OR TERMS OF AGREEMENT.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense8063377TotalCommunityBenefitExpense
Direct Offsetting Revenue1932095DirectOffsettingRevenue
Net Community Benefit Expense6131282NetCommunityBenefitExpense
Percent Of Total Expense0.02500PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense125438943TotalCommunityBenefitExpense
Direct Offsetting Revenue107282077DirectOffsettingRevenue
Net Community Benefit Expense18156866NetCommunityBenefitExpense
Percent Of Total Expense0.07390PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense133502320TotalCommunityBenefitExpense
Direct Offsetting Revenue109214172DirectOffsettingRevenue
Net Community Benefit Expense24288148NetCommunityBenefitExpense
Percent Of Total Expense0.09890PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense3139687TotalCommunityBenefitExpense
Net Community Benefit Expense3139687NetCommunityBenefitExpense
Percent Of Total Expense0.01280PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense22639728TotalCommunityBenefitExpense
Direct Offsetting Revenue5376715DirectOffsettingRevenue
Net Community Benefit Expense17263013NetCommunityBenefitExpense
Percent Of Total Expense0.07030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense25779415TotalCommunityBenefitExpense
Direct Offsetting Revenue5376715DirectOffsettingRevenue
Net Community Benefit Expense20402700NetCommunityBenefitExpense
Percent Of Total Expense0.08310PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense159281735TotalCommunityBenefitExpense
Direct Offsetting Revenue114590887DirectOffsettingRevenue
Net Community Benefit Expense44690848NetCommunityBenefitExpense
Percent Of Total Expense0.18200PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense481058TotalCommunityBuildingExpense
Net Community Building Expense481058NetCommunityBuildingExpense
Percent Of Total Expense0.00190PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense481058TotalCommunityBuildingExpense
Net Community Building Expense481058NetCommunityBuildingExpense
Percent Of Total Expense0.00190PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$3,337,082BadDebtExpenseAmount
Amount Reimbursed By Medicare29750696AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare48187824CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-18437128MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CarefalseProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number0FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1INTERFAITH MEDICAL CENTER INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11545 ATLANTIC AVENUEAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11213ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1INTERFAITH MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedfalseCHNAConducted
Eligibility Criteria ExplainedfalseEligibilityCriteriaExplained
Uses FPG FreefalseUsesFPGFree
Uses FPG DiscountedfalseUsesFPGDiscounted
Explains BasisfalseExplainsBasis
Explains Application MethodfalseExplainsApplicationMethod
Includes Publicity MeasuresfalseIncludesPublicityMeasures
Actions On NonpaymentfalseActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities11NumberOfOtherFacilities

Other Facilities OtherFacilities (11 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Continuing Day Treatment Program
1275 Bedford AveBrooklynNY11216Behavioral Health Svc
Learning Center for Mental Health
960 Prospect PlaceBrooklynNY11213Behavioral Health Svc
Behavioral Health Program - ChildAdolescent
1473 Fulton StreetBrooklynNY11216Behavioral Health Svc
Behavioral Health Program - Adult Clinic
1038 BroadwayBrooklynNY11221Behavioral Health Svc
Behavioral Health Program - Adult Clinic
1475 Fulton StreetBrooklynNY11216Behavioral Health Svc
Methadone Maintenance Treatment Program
882 Bergen StreetBrooklynNY11238Behavioral Health Svc
Alternative HousingApt Program
1366 East New york AveBrooklynNY11233Behavioral Health Svc
Dental Center
1536 Bedford AveBrooklynNY11216Dental Clinic
Primary Care Desig Aids Treatment Center
880 Bergen StreetBrooklynNY11238Aids Treatment Center
Lola Cuffee Family Health Center
485 Throop AveBrooklynNY11221Clinic
Bishop Orris G Walker Jr Health Center
528 Prospect PlaceBrooklynNY11238Clinic

Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part VI - States Where Community Benefit Report FiledNY
Part VI - Community Building ActivitiesInterfaith Medical Center strives to be a good neighbor and to maintain open communications with its community and beyond. The hospital readily makes it conference room and cafeteria available to neighborhood groups for meetings, receptions and community forum. In addition to making space available, the medical staff graciously offers free clinics and screenings throughout the year at churches, senior centers, day care center, high schools and college mentoring sessions and any number of street fairs. The hospital also welcomes the input of the community through an advisory board for several of its programs and a monthly open discussion forum with members of the Board of Trustees. In addition to the heal programs of utmost importance to women, The Women's Health Program offers workshops in budgeting, stress reduction, healthy living/cooking, and provides facilities for job searches and help with at risk youth.
Part VI - Community InformationInterfaith Medical Center is located in Central Brooklyn, New York. We provide service to people throughout Kings County and even into the surrounding boroughs of New York City however our primary service area covers zip codes: 11212, 11213, 11221, 11233, 11238 and the secondary service zip codes are: 11203, 11206, 11207, 11208, 11217, 11221, 11225, and 11226. Our service area has a population of nearly 900,000 with approximately in the primary 5 zip codes. The ethnic composition is 80% African-American or Caribbean American, 11% Hispanic, 5% White and 4% other. Nearly 1 in 3 or 31% live below the poverty level.
Part VI - Patient Education of Eligibility for AssistancePatient Education of Eligibility of Assistance: Interfaith Medical Center has developed a financial assistance policy that provides medical/financial assistance to all. The policy is updated annually especially the portions regarding current federal poverty levels and that information is distributed to all the registration areas. A copy of the financial assistance application is included in the patient's registration package and each uninsured person is advised of the process for becoming enrolled and if eligible assistance is provided with Medicaid enrolling at the facility Information regarding the financial assistance policy is posted in the admitting department and at all outpatient registration locations. Translation services are available for those for whom English is not their first language.
Part VI - Needs AssessmentInterfaith Medical Center relies on data provided by the New York City Department of Health and Mental Hygiene Community Health Profiles, and the New York State Department of Health. It has been federally designated as located within a Health Professional Shortage Area and Medically Underserved Area. The hospital also participates in health planning and evaluation coalitions in Brooklyn, i.e. BHIX - Brooklyn Health Information Exchange and similar planning groups.
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsINTERFAITH MEDICAL CENTER ADOPTS A WRITTEN COLLECTION POLICY TO FOLLOW UP ON SELF PAY ACCOUNTS CONSISTENTLY TO ENSURE MAXIMIZATION OF CASH FLOW AND FOR TIMELY IDENTIFICATION OF BAD DEBT ACCOUNTS. SELF-PAY PATIENTS WILL BE MAILED AN ITEMIZED COPY OF THEIR HOSPITAL BILL, ALONG WITH FINANCIAL ASSISTANCE INFORMATION. PAYMENT IS EXPECTED WITHIN 30 DAYS OF BILLING. IF THE BALANCE CAN NOT BE PAID WITHIN 30 DAYS, THE PATIENT IS ASKED TO CALL THE ACCOUNT REPRESENTATIVE. AFTER ALL OTHER METHODS OF PAYMENT HAVE BEEN EXHAUSTED, A CONTRACT PAYMENT AGREEMENT MAY BE ACCEPTED. A SERIES OF BILLING STATEMENTS ARE MAILED TO THE GUARANTOR WITH EACH MESSAGE PROGRESSIVELY STRONGER. TELEPHONE COLLECTION ACTIVITY OCCURS FOR INPATIENT SELF-PAY ACCOUNTS THAT ARE GREATER THAN $1,000. ONCE THE BILLING STATEMENTS AND FINAL LETTER HAVE BEEN SENT, THE ACCOUNT WILL CYCLE FOR A PRE-COLLECTION LETTER. AFTER 120 DAYS, ANY SELF-PAY ACCOUNTS DETERMINED TO BE UNCOLLECTIBLE WILL BE WRITTEN OFF TO BAD DEBT AND IMMEDIATELY PLACED WITH A COLLECTION AGENCY.
Part III, Line 8 - Explanation Of Shortfall As Community BenefitMEDICARE'S COST FINDING IS THE DETERMINATION OF THE ALLOCATION OF DIRECT COSTS AND PRORATION OF INDIRECT COSTS. THE COST REPORT ALLOWS FOR THE ALLOCATION OF GENERAL SERVICE COST CENTERS, INPATIENT ROUTINE SERVICE COST CENTERS, ANCILLARY SERVICE COST CENTERS, OUTPATIENT SERVICE COST CENTERS, OTHER REIMBURSABLE COST CENTERS, SEPCIAL PURPOSE COST CENTERS AND NONREIMBURSABLE COST CENTERS. MOST COST CENTERS ARE ALLOCATED ON DIFFERENT STATISTICAL BASES. AFTER THE ALLOCATION OF THESE COSTS, MEDICARE ALLOWABLE COST IS DERIVED. THE HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE. MEDICARE IS OUR SECONDARY PAYOR AND HOSPITALS MUST ACCEPT THESE PATIENTS REGARDLESS OF WHETHER THEY MAKE A SURPLUS OR DEFICIT FROM PROVIDING SUCH SERVICES. MEDICARE SERVICES PROMOTE ACCESS TO HEALTH CARE SERVICES.
Part III, Line 4 - Bad Debt ExpenseINTERFAITH MEDICAL CENTER'S 2010 AUDITED FINANCIAL STATEMENTS INCLUDED THE FOLLOWING FOOTNOTE REGARDING THE UNCOMPENSATED CARE AND BAD DEBT EXPENSE - AS A MATTER OF POLICY, THE MEDICAL CENTER PROVIDES SIGNIFICANT AMOUNTS OF PARTIALLY OR TOTALLY UNCOMPENSATED PATIENT CARE. FOR ACCOUNTING PURPOSES, SUCH UNCOMPENSATED CARE IS TREATED EITHER AS CHARITY CARE OR BAD DEBT EXPENSE. THE MEDICAL CENTER HAS DEFINED CHARITY CARE FOR ACCOUNTING PURPOSES AS THE DIFFERENCE BETWEEN ITS CUSTOMARY CHARGES AND THE DISCOUNTED RATES GIVEN TO PATIENTS IN NEED OF FINANCIAL ASSISTANCE. BECAUSE PAYMENT OF THIS DIFFERENCE IS NOT SOUGHT, CHARITY CARE ALLOWANCES ARE NOT REPORTED AS REVENUE. PATIENTS WHO DO NOT QUALIFY FOR DISCOUNTED FEES AND ALL UNINSURED INPATIENTS WHO DO NOT QUALIFY FOR MEDICAID ASSISTANCE ARE BILLED AT THE MEDICAL CENTER'S ESTABLISHED CHARGES. UNCOLLECTED BALANCES FOR THESE PATIENTS ARE CATEGORIZED AS BAD DEBTS. TOTAL UNCOMPENSATED CARE FOR ALL PATIENT SERVICES APPROXIMATED $22.9 MILLION AND $28.8 MILLION IN 2010 AND 2009 RESPECTIVELY, INCLUDING BAD DEBT EXPENSE OF APPROXIMATELY $8.3 MILLION IN 2010 AND $13.1 MILLION IN 2009. THE AMOUNT IN LINE 2 DOES NOT INCLUDE ANY COST ASSOCIATED WITH PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY BUT FOR WHOM SUFFICIENT INFORMATION WAS NOT OBTAINED TO MAKE A DETERMINATION OF THEIR ELIGIBILITY BASED ON THE FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS.
Part I, Line 7, Column F - Explanation of Bad Debt ExpenseThe bad debt expense reported on form 990, Part IX, line 25, Column (A), is $8,270,340 based on 2010 audited financial statements. The total operating expense excluding bad debt expense was $245,635,555 in 2010.
Part I, Line 7 - Explanation of Costing MethodologyInterfaith Medical Center uses patient cost to charges ratio from the new york state department of health institutional cost report.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgBonus Filing OrgBonusFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrg
VENRA MATHURIN
16279213236176028
VANDANA CHOKSHI
3176493208183169
VALCY ETIENNE
3944873977653278
SERGE BALMIR
34152745373487962732
PRADEEP CHANDRA
225000225000
KHALEDA BILLAH
31334365413229493065
JOCHANAN M WEISENFREUND
1577191434916203757050
JACQUES GUILLAUME
31871844473256242459
DARLENE BAKER-IFILL
1652001213166413

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSch J, Part III, Additional InformationIdentifier
Return ReferencePart III, Additional InformationReturnReference
ExplanationSUPPLEMENTAL COMPENSATION INFORMATIONFORM 990, PART VII THE FOLLOWING CURRENT AND FORMER EXECUTIVES WERE EMPLOYED BY A MANGEMENT COMPANY, KURRON SHARES OF AMERICA, INC. DURING 2010 - LUIS HERNANDEZ, GREGORY DIXON, Laura Gaffney, Patrick Sullivan, Martin Baicker, Ann Oswald, and Ebone E. McIntosh. INTERFAITH MEDICAL CENTER PAID THE MANAGEMENT COMPANY $3,385,303 FOR THE EXECUTIVES' SERVICES DURING THE YEAR.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1DORM AUTH OF NYSBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN146000293IssuerEIN
CUSIP Number64983MVK1CUSIPNumber
Date Issued2007-03-28DateIssued
Issue Price132587135IssuePrice
Description Of PurposeSEE BELOWDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds132587135TotalProceeds
Amount In Reserve Fund10626118AmountInReserveFund
Issuance Costs From Proceeds1448918IssuanceCostsFromProceeds
Current RefundingfalseCurrentRefunding
Advance RefundingtrueAdvanceRefunding
Final Allocation MadefalseFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
ExplanationSCHEDULE K, PART I, COLUMN FTHE PROJECT CONSISTS OF (I) THE REFUNDING OF THE OUTSTANDING BONDS DESIGNATED DORMITORY AUTHORITY OF THE STATE OF NEW YORK SECURED HOSPITAL REVENUE BONDS, SERIES 1998D, THE PROCEEDS OF WHICH WERE LOANED TO THE INSTITUTION AND INCLUDING EACH "PROJECT" FINANCED AND REFINANCED WITH THE PROCEEDS OF SUCH BONDS, (II) THE FUNDING OF THE CAPITAL RESERVE FUND REQUIREMENT AND (III) PAYING THE COSTS OF ISSUANCE OF THE BONDS. THE ORIGINAL ISSUE DATE FOR THE SERIES 1998D BONDS WAS FEBRUARY 26, 1998.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonKurron Shares of America IncNamePerson
FieldValueIRS element (for citing)
RelationshipBrd Mbr ownerRelationship
Amount Of Transaction3385303AmountOfTransaction
Description Of TransactionMANAGEMENT SERVICESDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Schedule H, Part V, Section BPURSUANT TO IRS ANNOUNCEMENT 2011-37 DATED JUNE 9, 2011, SCHEDULE H PART V SECTION B WAS MADE OPTIONAL FOR 2010. ACCORDINGLY Interfaith MEDICAL CENTER HAS ELECTED NOT TO COMPLETE THIS SECTION. HOWEVER, DUE TO LACERTE SOFTWARE DESIGN LIMITATIONS THE PROGRAM ERRONEOUSLY COMPLETED SECTION B AND COULD NOT BE OVERRIDDEN. ACCORDINGLY SECTION B SHOULD BE DISREGARDED AS Interfaith MEDICAL CENTER HAS ELECTED NOT TO COMPLETE THIS SECTION.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableUpon request, the organization will make available only those documents required to be disclosed under the public inspection laws.Form 990, Part VI, Line 19
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsANNUAL QUESTIONNAIRE IS SENT TO ALL DIRECTORS AND MANAGEMENT PERSONNEL. QUESTIONNAIRES ARE REVIEWED BY THE EXECUTIVE STAFF. ANY DISCREPANCIES ARE SENT TO THE BOARD.Form 990, Part VI, Line 12c
Form 990, Part VI, Line 11: Form 990 Review ProcessTHE INTERFAITH MEDICAL CENTER BOARD IS NOTIFIED WHEN THE FORM 990 IS AVAILABLE AND THEY HAVE THE OPPORTUNITY TO REVIEW THE FORM. THE CHIEF FINANCIAL OFFICER REVIEWS THE FORM 990 BEFORE IT IS FILED WITH THE IRS.Form 990, Part VI, Line 11
Form 990, Part VI, Line 3: Description of Delegated Duties to Management CompanyINTERFAITH MEDICAL CENTER ENGAGES THE SERVICES OF KURRON SHARES OF AMERICA, INC. ("KURRON"), AN UNRELATED COMPANY, TO PROVIDE MANAGEMENT SERVICES. RENUMERATION PAID TO KURRON DURING 2010 IS REPORTED IN THE FORM 990, PART VII, SECTION B - INDEPENDENT CONTRACTORS. The applicable names and titles of Kurron personnel are disclosed on Part VII - section A - Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees.Form 990, Part VI, Line 3
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtLUIS HERNANDEZ (CEO), Laura Gaffney (Former CEO), Ann Oswald (CFO), GREGORY DIXON (FORMER CFO), Patrick Sullivan (COO), Martin Baicker (Former COO), and Ebone McIntosh (CQO) ARE EMPLOYED BY A MANGAEMENT COMPANY, KURRON SHARES OF AMERICA, INC. INTERFAITH MEDICAL CENTER PAYS THE MANAGEMENT COMPANY FOR THE EXECUTIVE'S SERVICES DURING THE YEAR. CORBETT A. PRICE, BOARD MEMBER OF INTERFAITH MEDICAL CENTER, IS THE PRESIDENT OF KURRON SHARES OF AMERICA, INC.Form 990, Part VI, Line 2

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1I M FOUNDATION INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11545 ATLANTIC AVENUEAddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11213ZIPCode
FieldValueIRS element (for citing)
EIN113144364EIN
Primary ActivitiesFUNDRAISINGPrimaryActivities
Legal Domicile StateNYLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status11 TYPE IPublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Interfaith Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgtrueControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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