2011-12-13T10:41:50-08:00 2010-12-31 CHARLES A BARRAGATO & CO CPAS 950 Third Avenue New York NY 100222705 990 2010-01-01 112626155 Interfaith Medical Center Inc INTE 7186134000 1545 Atlantic Avenue Brooklyn NY 11213 Robert Mariani 2011-12-13 Angelo Pirozzi CPA 2123714446 2010 2016-02-24 21:20:13Z LUIS HERNANDEZ 1545 ATLANTIC AVENUE BROOKLYN NY 11213 198407862 false false X www.interfaithmedical.com X 1984 NY Interfaith Medical Center's mission is to provide exceptional patient service through prevention, education and treatment in a safe environment. 8 7 2085 127 0 4615562 4292667 219866941 191187471 1604113 1839536 1431304 1088188 227517920 198407862 0 0 137696281 148031665 0 0 89712145 105874231 227408426 253905896 109494 -55498034 211840636 178910540 293948951 319031304 -82108315 -140120764 Interfaith Medical Center's mission is to provide exceptional patient service through prevention, education and treatment in a safe environment. false false 182598205 185478138 Interfaith 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. 182598205 true true false true false false false false false true true false false true true false false true false false false false false false false false true false false false true true false false false false false false false false false true false false false false false true true true false false true 62 0 true 2085 true false false false false false false false false false false false 0 false false false false false false false false false false false X 8 7 true true false false false false false true true false false false false true true true true true false false false false NY X Edward Maher 7186134003 1545 Atlantic Avenue Brooklyn NY 11213 X VENRA MATHURIN 40.00 X 162792 0 13236 VANDANA CHOKSHI 40.00 X 320818 0 0 VALCY ETIENNE 40.00 X 394487 0 3278 SERGE BALMIR 40.00 X 344259 0 4537 PRADEEP CHANDRA 40.00 X 225000 0 0 PATRICK SULLIVAN 40.00 X 0 0 0 PATRIA CATHILL 40.00 X 0 0 0 NATHAN M BAROTZ ESQ 5.00 X 0 0 0 MARTIN BAICKER 40.00 X 0 0 0 LUIS HERNANDEZ 40.00 X 0 0 0 LAURA GAFFNEY 40.00 X 0 0 0 KHALEDA BILLAH 40.00 X 316408 0 6541 JOCHANAN M WEISENFREUND 40.00 X 914769 0 1434 JAMES PHILIPS 5.00 X 0 0 0 JAMES E MCINTOSH DDS 5.00 X 0 0 0 JACQUES GUILLAUME 40.00 X 321177 0 4447 GREG DIXON 40.00 X 0 0 0 EBONE E MCINTOSH 40.00 X 0 0 0 DARLENE BAKER-IFILL 40.00 X 165200 0 1213 CORBETT A PRICE 5.00 X 0 0 0 CHARLES GRANNUM DMD 5.00 X 0 0 0 CANON DIANE M PORTER 5.00 X 0 0 0 BRENDA A BENNETT MD 5.00 X 0 0 0 ANN C OSWALD 40.00 X 0 0 0 ALBERT WILTSHIRE 5.00 X 0 0 0 3164910 34686 258 false true false SODEXHO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 Diet & Housekeeping 3498445 NEW MEXICO EMI-I MEDICAL SERVICES 7032 COLLECTION Ctr Dr CHICAGO IL 60693 ED PHYSICIANS 1694698 NAVIN HAFFTY & ASSOCIATES LLC 200 CORDWAINER DR NORWELL MA 02061 IT CONSULTANT 2467147 KURRON SHARES OF AMERICA 700 HICKSVILLE ROAD BETHPAGE NY 11714 SNR MANAGEMENT SVC 3385303 ECURITAS SECURITY SERVICES USA INC PO BOX 403412 ATLANTA GA 303843412 SECURITY OFFICERS 1673156 21 4089599 203068 4292667 NET PATIENT SERVICE REVEN 621990 191187471 191187471 191187471 1839536 1839536 0 0 510100 510100 510100 510100 0 0 0 0 ALL OTHER REVENUE 900099 578088 578088 578088 198407862 191187471 2927724 0 0 0 0 1467761 1467761 0 113447810 92437662 21010148 908196 908196 23721958 19875735 3846223 8485940 8485940 3439190 3439190 1449562 1449562 432666 432666 0 0 0 25940270 7335887 18604383 427071 100 426971 22469412 14484159 7985253 0 0 1252963 984887 268076 14764 13872 892 0 196886 133039 63847 6894096 6204686 689410 0 15484462 13936016 1548446 13924624 12532162 1392462 Repairs & Maintenance 769329 103362 665967 Provision for Bad Debt 8270340 8270340 Patient Food Services 2221012 2221012 EQUIPMENT RENTAL 349371 277511 71860 Collection Fees 2338213 2338213 0 253905896 182598205 71307691 0 0 5399048 2531134 990943 1101067 26088525 17256132 0 0 0 1569803 1077253 139465 149138 238202938 132087505 112162401 106115433 55969368 18753918 0 0 0 9521083 31926465 211840636 178910540 12324030 22118473 345726 122475000 122475000 30205254 28188567 128944667 145903538 293948951 319031304 X -85659735 -143666479 2442572 2436867 1108848 1108848 -82108315 -140120764 211840636 178910540 X -55498034 -2514415 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 84300 false true 66909 151209 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description Interfaith 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. 3552000 12261 18546 3545715 3563083 9145213 9156296 3552000 3699848 4591000 4727765 3563083 0.31000 0.69000 false false false 4558564 4558564 64717674 34334378 30383296 27358054 9117710 18240344 76222438 54007025 22215413 65346208 34628392 30717816 106115433 Receivable from public goods pool 4693541 Other Long Term Asset 10112433 Due from 3rd Party 7585459 Deferred Financing Costs 2120685 Assets whose use is limited 7414347 31926465 Self-Insured Professional Liability 71241343 Due to Third Party Payors 38368957 Accrued Salary and Employee Benefit 36293238 145903538 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Change in additional minimum pension liability $ -2674367 Part V, Line 4 Part 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. true true true X true X true true true false true true 8063377 1932095 6131282 0.02500 125438943 107282077 18156866 0.07390 133502320 109214172 24288148 0.09890 3139687 3139687 0.01280 22639728 5376715 17263013 0.07030 25779415 5376715 20402700 0.08310 159281735 114590887 44690848 0.18200 481058 481058 0.00190 481058 481058 0.00190 true 3337082 29750696 48187824 -18437128 X true false 1 0 INTERFAITH MEDICAL CENTER INC

1545 ATLANTIC AVENUE BROOKLYN NY 11213

X X X X INTERFAITH MEDICAL CENTER INC 1 false false false false false false false false false true false false 11 Continuing Day Treatment Program

1275 Bedford Ave Brooklyn NY 11216

Behavioral Health Svc Learning Center for Mental Health

960 Prospect Place Brooklyn NY 11213

Behavioral Health Svc Behavioral Health Program - ChildAdolescent

1473 Fulton Street Brooklyn NY 11216

Behavioral Health Svc Behavioral Health Program - Adult Clinic

1038 Broadway Brooklyn NY 11221

Behavioral Health Svc Behavioral Health Program - Adult Clinic

1475 Fulton Street Brooklyn NY 11216

Behavioral Health Svc Methadone Maintenance Treatment Program

882 Bergen Street Brooklyn NY 11238

Behavioral Health Svc Alternative HousingApt Program

1366 East New york Ave Brooklyn NY 11233

Behavioral Health Svc Dental Center

1536 Bedford Ave Brooklyn NY 11216

Dental Clinic Primary Care Desig Aids Treatment Center

880 Bergen Street Brooklyn NY 11238

Aids Treatment Center Lola Cuffee Family Health Center

485 Throop Ave Brooklyn NY 11221

Clinic Bishop Orris G Walker Jr Health Center

528 Prospect Place Brooklyn NY 11238

Clinic Part VI - States Where Community Benefit Report Filed NY Part VI - Community Building Activities Interfaith 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 Information Interfaith 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 Assistance Patient 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 Assessment Interfaith 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 Patients INTERFAITH 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 Benefit MEDICARE'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 Expense INTERFAITH 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 Expense The 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 Methodology Interfaith Medical Center uses patient cost to charges ratio from the new york state department of health institutional cost report. X true true false false false false false false false false VENRA MATHURIN 162792 13236 176028 VANDANA CHOKSHI 317649 3169 320818 VALCY ETIENNE 394487 3278 397765 SERGE BALMIR 341527 2732 4537 348796 PRADEEP CHANDRA 225000 225000 KHALEDA BILLAH 313343 3065 6541 322949 JOCHANAN M WEISENFREUND 157719 757050 1434 916203 JACQUES GUILLAUME 318718 2459 4447 325624 DARLENE BAKER-IFILL 165200 1213 166413 Sch J, Part III, Additional Information Part III, Additional Information SUPPLEMENTAL 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. DORM AUTH OF NYS 146000293 64983MVK1 2007-03-28 132587135 SEE BELOW false false false 132587135 10626118 1448918 false true false true false false false false false false SCHEDULE 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. Kurron Shares of America Inc Brd Mbr owner 3385303 MANAGEMENT SERVICES false Schedule H, Part V, Section B PURSUANT 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 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Upon request, the organization will make available only those documents required to be disclosed under the public inspection laws. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts ANNUAL 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 11 Form 990, Part VI, Line 11: Form 990 Review Process THE 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 3 Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company INTERFAITH 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 2 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et LUIS 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. I M FOUNDATION INC 1545 ATLANTIC AVENUE BROOKLYN NY 11213 113144364 FUNDRAISING NY 501(C)(3) 11 TYPE I Interfaith Medical Center true false false false false false false false false false false false false false false false false false false