Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
LUTHERAN MEDICAL CENTER
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
150 55TH STREET
 
Room/suite
City or town, state or country, and ZIP + 4
BROOKLYN, NY11220
D Employer identification number

11-1839567
E Telephone number

G Gross receipts $ 396,686,996
F Name and address of principal officer:
RICHARD LANGFELDER
150 55TH STREET
BROOKLYN,NY112202559
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.LUTHERANMEDICALCENTER.COM
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1955
M State of legal domicile: NY
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 31
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 30
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 3,901
6 Total number of volunteers (estimate if necessary) .... 6 551
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 98,427
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b -918
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 10,927,559 10,374,768
9 Program service revenue (Part VIII, line 2g) ......... 351,349,998 367,456,000
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 527,535 1,077,154
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 24,177,195 17,364,028
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 386,982,287 396,271,950
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 130,802 188,401
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 211,646,195 224,978,699
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 60,000
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet392,887    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 155,492,088 161,059,910
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 367,269,085 386,287,010
19 Revenue less expenses. Subtract line 18 from line 12...... 19,713,202 9,984,940
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 281,436,579 288,082,579
21 Total liabilities (Part X, line 26)............ 231,897,532 233,059,349
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 49,539,047 55,023,230
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: SEE SCHEDULE O
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 84,939,994 including grants of $ 0 ) (Revenue $ 95,342,478 )
SEE SCHEDULE O
4b (Code:   ) (Expenses $ 21,958,457 including grants of $ 0 ) (Revenue $ 14,868,298 )
SEE SCHEDULE O
4c (Code:   ) (Expenses $ 7,304,487 including grants of $ 0 ) (Revenue $ 8,021,840 )
SEE SCHEDULE O
(Code:   ) (Expenses $ 167,739,246 including grants of $ 0 ) (Revenue $ 264,985,241 )
A FULL DESCRIPTION OF THE NUMEROUS AND VARIED OTHER HEALTHCARE SERVICES PROVIDED BY LUTHERAN MEDICAL CENTER ARE CONTAINED IN THE ORGANIZATION'S 2010 ANNUAL REPORT, WHICH IS PUBLISHED ON THE HOSPITAL'S WEBPAGE AT WWW.LUTHERANMEDILCALCENTER.COM/DATA/DOCUMENTS/LHCANNUALREPORT2010.PDF
4d Other program services. (Describe in Schedule O.)
(Expenses $ 167,739,246 including grants of $   ) (Revenue $ 264,985,241 )
4e Total program service expensesMediumBullet$ 281,942,184
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
 
No
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part IClick to see attachment
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II.......... Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III................... Click to see attachment
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
 
No
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I......
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II...........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III...............
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV...................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV..
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
Yes
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
486
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
3,901
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
31
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
30
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
LUTHERAN MEDICAL CENTER
150 55TH STREET
BROOKLYN,NY112202559
(718) 630-7100
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) WENDY Z GOLDSTEIN
PRESIDENT & CEO
 35.00 X   X       963,111 0 302,656
(2) THOMAS J EDWARDS
TRUSTEE
 1.00 X           0 0 0
(3) KRISTINE M GEBBIE RN DR OF PH
TRUSTEE
 1.00 X           0 0 0
(4) GENEVIEVE GO MD
TRUSTEE
 1.00 X           0 0 0
(5) EMMA GRAEBER-PORTER
TRUSTEE
 1.00 X           0 0 0
(6) BRENDA GRANDELL
TRUSTEE
 1.00 X           0 0 0
(7) MIRIAM KATOWITZ
TRUSTEE
 1.00 X           0 0 0
(8) JOSEPH LODATO
TRUSTEE
 1.00 X           0 0 0
(9) LORETTA LUNDBERG
TRUSTEE
 1.00 X           0 0 0
(10) BARBARA LUNDBLAD
TRUSTEE
 1.00 X           0 0 0
(11) GERALD LUTERMAN
TRUSTEE
 1.00 X           0 0 0
(12) VIOLETA MAYA
TRUSTEE
 1.00 X           0 0 0
(13) REV CRAIG MILLER
TRUSTEE
 1.00 X           0 0 0
(14) GEORGE RENERT
TRUSTEE
 1.00 X           0 0 0
(15) BISHOP ROBERT RIMBO
TRUSTEE
 1.00 X           0 0 0
(16) VINCENT ROHAN
TRUSTEE
 1.00 X           0 0 0
(17) CAROL KNUTH SAKOIAN
TRUSTEE
 1.00 X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) DANNY TSOI
TRUSTEE
 1.00 X           0 0 0
(19) REV JEANNE WARFIELD
TRUSTEE
 1.00 X           0 0 0
(20) REV SAMUEL FOOK WONG
TRUSTEE
 1.00 X           0 0 0
(21) KATHRYN S WYLDE
TRUSTEE
 1.00 X           0 0 0
(22) LYNDA ANDERSON
TRUSTEE
 1.00 X           0 0 0
(23) MARTHA BAKOS DIETZ
TRUSTEE
 1.00 X           0 0 0
(24) ANGELA MARTINEZ
TRUSTEE
 1.00 X           0 0 0
(25) DARIN MCATEE
TRUSTEE
 1.00 X           0 0 0
(26) LAWRENCE DIGIOVANNA
TRUSTEE
 1.00 X           0 0 0
(27) MARTHA WOLFGANG
TRUSTEE
 1.00 X           0 0 0
(28) MARIA CARLSON
TRUSTEE
 1.00 X           0 0 0
(29) DALE C CHRISTENSEN JR ESQ
TRUSTEE
 1.00 X           0 0 0
(30) FRANK COMERFORD
TRUSTEE
 1.00 X           0 0 0
(31) DAVID ROMMEREIM
TRUSTEE
 1.00 X           0 0 0
(32) BARBARA ARKY
EVP/GENERAL COUNSEL
 35.00     X       385,462 0 52,878
(33) RICHARD LANGFELDER
CHIEF FINANCIAL OFFICER
 35.00     X       532,836 0 49,116
(34) CLAUDIA CAINE
CHIEF OPERATING OFFICER
 35.00     X       713,706 0 39,021
(35) BETH RAUCHER MD
CHIEF MEDICAL OFFICER & SVP
 35.00     X       416,886 0 55,920
(36) STEVE ART
SVP/CHIEF INFO. OFFICER
 35.00       X     257,924 0 35,615
(37) MYLES DAVIS
SVP CORPORATE
 35.00       X     272,431 0 30,492
(38) GEORGE MARTIN MD
CHAIR INTERNAL MEDICINE
 35.00       X     640,486 0 31,458
(39) MICHAEL PARKS
SVP FINANCE
 35.00       X     287,257 0 43,922
(40) ROSANNE RASO
SVP NURSING
 35.00       X     297,683 0 43,483
(41) FRANK SCHEETS
SVP HUMAN RESOURCES
 35.00       X     312,666 0 68,123
(42) KAREN LENNON
SVP EXTERNAL AFFAIRS
 35.00       X     249,556 0 41,404
(43) CANDACE FINKELSTEIN
SVP/CORP COMPLIANCE & OP PLAN
 35.00         X   354,683 0 42,575
(44) AUDREY SAITTA MD
CHAIR RADIATION ONCOLOGY
 40.00         X   524,654 0 41,767
(45) IFFATH HOSKINS MD
CHAIR OBS
 40.00         X   441,075 0 10,506
(46) SAVITRI BIRLA MD
EXECUTIVE DIR LAB MEDICINE
 40.00         X   312,322 0 35,125
(47) CLAUDIA LYON MD
CHAIR FAMILY MEDICINE
 40.00         X   307,201 0 36,399
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 7,269,939 0 960,460
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet440
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
LMC PHYSICIAN SERVICES
150 55TH ST
BROOKLYN,NY11220 		PHYSICIAN SERVICES 16,422,681
UNIVERSITY PHYSICIANS OF BROOKLYN
450 CLARKSON AVE
BROOKLYN,NY11203 		PHYSICIAN SERVICES 6,463,463
NES HEALTHCARE GROUP
3724 NATIONAL DR STE 109
RALEIGH,NC27612 		PHYSICIAN SERVICES 4,160,594
SHORE ROAD RADIOLOGY
150 55TH ST
BROOKLYN,NY11220 		PHYSICIAN SERVICES 2,825,122
GEORGE FERZLI
65 CROMWELL AVE
STATEN ISLAND,NY10304 		PHYSICIAN SERVICES 2,679,143
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet65
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 560,390
d Related organizations...1d 15,500
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		9,798,878
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 10,374,768
Program Service Revenue Business Code
2a PATIENT SERVICE REVENU 622,110 213,817,799 213,817,799    
b MEDICARE PAYMENTS 923,130 115,954,687 115,954,687    
c MEDICAID PAYMENTS 923,130 37,683,514 37,683,514    
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 367,456,000
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 814,996     814,996
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents 602,650  
b Less: rental expenses    
c Rental income or (loss) 602,650  
d Net rental income or (loss).......MediumBullet 602,650   49,293 553,357
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory   262,158
b Less: cost or other basis and sales expenses    
c Gain or (loss)   262,158
d Net gain or (loss)..........MediumBullet 262,158     262,158
8a Gross income from fundraising events (not including
$ 560,390
of contributions reported on line 1c). See Part IV, line 18 ...
a 644,573
b Less: direct expenses ...b 415,046
c Net income or (loss) from fundraising events..MediumBullet 229,527   229,527
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a NEIGHBORHOOD HEALTH CE 621,498 11,702,712 11,702,712    
b MEDICAL EDUCATION PROG 900,099 1,574,802 1,574,802    
c ADMINISTRATIVE SERVICE 900,099 720,860     720,860
d All other revenue .... 2,533,477 2,484,343 49,134  
e Total. Add lines 11a–11d ......MediumBullet 16,531,851
12 Total revenue. See Instructions....MediumBullet 396,271,950 383,217,857 98,427 2,580,898
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 188,401 188,401
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 6,104,657 4,700,586 1,326,073 77,998
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 164,050,258 126,965,347 36,933,082 151,829
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 12,878,443 9,965,339 2,897,754 15,350
9 Other employee benefits ....... 28,924,070 22,381,445 6,502,816 39,809
10 Payroll taxes ........... 13,021,271 10,075,859 2,929,324 16,088
11 Fees for services (non-employees):        
a Management ...... 1,331,475 17,353 1,314,122  
b Legal ......... 1,191,567 1,140,823 50,744  
c Accounting ........... 214,937   214,937  
d Lobbying ........... 174,114 174,114    
e Professional fundraising. See Part IV, line 17.. 60,000 60,000
f Investment management fees ......        
g Other .......... 72,862   72,862  
12 Advertising and promotion .... 403,647 40,001 363,646  
13 Office expenses ....... 42,590,328 38,950,017 3,640,311  
14 Information technology ...... 462,204 146,470 308,921 6,813
15 Royalties ..        
16 Occupancy ........... 5,746,324 508,278 5,238,046  
17 Travel ............ 109,914 40,221 69,693  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 125,372 56,952 68,420  
20 Interest ........... 3,221,077   3,221,077  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 10,448,556 8,085,096 2,363,460  
23 Insurance .............. 18,707,928 14,476,195 4,231,733  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a PHYSICIAN PAYMENTS 29,236,032 29,236,032    
b BAD DEBTS 20,782,316   20,782,316  
c PURCHASED SERVICES 13,624,912 7,724,406 5,900,506  
d REPAIRS AND MAINTENANCE 6,197,189 3,346,041 2,851,148  
e EQUIP GRANT EXPS 1,799,942 1,799,942    
f All other expenses 4,619,214 1,923,266 2,670,948 25,000
25 Total functional expenses. Add lines 1 through 24f 386,287,010 281,942,184 103,951,939 392,887
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 3,995 1 5,518
2 Savings and temporary cash investments ....... 21,532,220 2 15,630,482
3 Pledges and grants receivable, net ......... 5,129,870 3 2,689,265
4 Accounts receivable, net ......... 44,352,856 4 47,113,211
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 3,384,881 8 4,201,200
9 Prepaid expenses and deferred charges ............ 4,503,653 9 7,420,461
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 316,089,677
b Less: accumulated depreciation. ..... 10b 210,196,312 95,728,665 10c 105,893,365
11 Investments—publicly traded securities .......... 38,502,369 11 42,058,875
12 Investments—other securities. See Part IV, line 11 ...... 16,565,352 12 13,577,030
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ......... 1,718,033 14 1,509,253
15 Other assets. See Part IV, line 11 ........... 50,014,685 15 47,983,919
16 Total assets. Add lines 1 through 15 (must equal line 34)... 281,436,579 16 288,082,579
Liabilities 17 Accounts payable and accrued expenses . 45,593,146 17 50,334,563
18 Grants payable ..........   18  
19 Deferred revenue .......... 85,580 19 3,217,484
20 Tax-exempt bond liabilities .......... 64,996,410 20 60,271,003
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 11,610,778 23 12,392,705
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 109,611,618 25 106,843,594
26 Total liabilities. Add lines 17 through 25..... 231,897,532 26 233,059,349
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 45,850,097 27 52,366,246
28 Temporarily restricted net assets ..... 3,380,966 28 2,349,000
29 Permanently restricted net assets ..... 307,984 29 307,984
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 49,539,047 33 55,023,230
34 Total liabilities and net assets/fund balances ..... 281,436,579 34 288,082,579
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
396,271,950
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
386,287,010
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
9,984,940
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
49,539,047
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-4,500,757
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
55,023,230
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
LUTHERAN MEDICAL CENTER
 
Employer identification number

11-1839567
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
LUTHERAN MEDICAL CENTER
 
Employer identification number

11-1839567
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
LUTHERAN MEDICAL CENTER
  		Employer identification number

11-1839567
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
LUTHERAN MEDICAL CENTER
  		Employer identification number

11-1839567
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
LUTHERAN MEDICAL CENTER
  		Employer identification number

11-1839567
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
LUTHERAN MEDICAL CENTER
 
Employer identification number

11-1839567
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
Yes
 
14,483
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
51,041
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
Yes
 
45,932
i
Other activities? If "Yes," describe in Part IV ..........................
Yes
 
174,114
j
Total. lines 1c through 1i ...................................
285,570
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: THE HOSPITAL HAS MEMBERSHIP WITH CERTAIN HOSPITAL GROUPS AND/OR ASSOCIATIONS TO WHICH IT PAYS DUES AND THESE ORGANIZATIONS INCLUDING THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA), THE HOSPITAL ASSOCIATION OF NEW YORK (HANYS) AND THE HEALTHCARE EDUCATION PROJECT ENGAGED IN LOBBYING ACTIVITIES. PART II-B LN 1A-1H: LUTHERAN MEDICAL CENTER EMPLOYS A PERSON WHO AS PART OF HER FUNTION ADVOCATES AND LOBBIES IN ALBANY ON BEHALF OF THE HOSPITAL WITH RESPECT TO GOVERNMENTAL POLICIES AND LEGISLATION IMPORTANT TO LMC.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
LUTHERAN MEDICAL CENTER
 
Employer identification number

11-1839567
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance ....      
b Contributions ........      
c Investment earnings or losses ...      
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		     
f Administrative expenses ....      
g End of year balance ......      
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   1,575,733 1,575,733
b Buildings ................   130,873,750 84,625,836 46,247,914
c Leasehold improvements ............   13,509,733 2,666,976 10,842,757
d Equipment ................   158,981,544 122,819,491 36,162,053
e Other .................   11,148,917 84,009 11,064,908
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 105,893,365
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) DUE FROM AFFILIATES 11,473,071
(2) OTHER RECEIVABLES & ASSETS 1,831,323
(3) OTHER ASSETS 15,978,665
(4) EST REC FROM 3RD PARTY PAYORS 18,700,860





Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 47,983,919
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
ACCRUED PENSION LIABILITY 46,693,301
DUE TO AFFILIATES 14,616,860
DUE TO THIRD PARTY PAYORS 33,884,878
OTHER LONG TERM LIABILITIES 286,551
RESERVE FOR SELF INSUR CLAIMS 11,362,004




Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 106,843,594
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: FIN 48 FOOTNOTE IN 2006, THE FASB ISSUED FASB INTERPRETATION (FIN) NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES- AN INTERPRETATION OF FASB STATEMENT NO. 109. FIN NO. 48 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS IN ACCORDANCE WITH FASB STATEMENT NO. 109, ACCOUNTINF FOR INCOME TAXES. IT PRESCRIBES AN UNCERTAINTY THRESHOLD AND MEASUREMENT ATTRIBUTES FOR FINANCIAL STATEMENT DISCLOSURE OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN. LUTHERAN HEALTHCARE ADOPTED FIN NO. 48 IN 2007. THE IMPACT OF ADOPTING FIN NO. 48 WAS NOT MATERIAL.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
LUTHERAN MEDICAL CENTER
 
Employer identification number

11-1839567
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
 
SUSAN SHAPIRO ASSOCIATES LLC
245 5TH AVENUE
 
NEW YORK, NY100168716 		FUNDRAISING   No 326,988 66,166 260,822
Total .................right arrow 326,988 66,166 260,822
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

DINNER DANCE
(event type) 		(b) Event #2

JOURNAL
(event type) 		(c) Other Events

  
(total number) 		(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 962,209 215,986 26,768 1,204,963
2 Less: Charitable
contributions . . . 		344,404 215,986 0 560,390
3 Gross income (line 1
minus line 2) . . . 		617,805   26,768 644,573
VerticalDirectExpenses 4 Cash prizes . . . 0 0 0  
5 Non-cash prizes . . 0 0 0  
6 Rent/facility costs . . 0 0 0  
7 Food and beverages . . 0 0 0  
8 Entertainment . . . 0 0 0  
9 Other direct expenses . 376,375 27,667 11,004 415,046
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 415,046
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow 229,527
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ...........................
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
LUTHERAN MEDICAL CENTER
 
Employer identification number

11-1839567
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
 
No
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
 
No
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
 
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
 
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		    15,117,099 7,176,394 7,940,705 2.060 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		    137,838,082 118,473,133 19,364,949 5.010 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....     614,082 467,516 146,566 0.040 %
dTotal Charity Care and
Means-Tested Government Programs ..... 		    153,569,263 126,117,043 27,452,220 7.110 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		    114,166 0 114,166 0.030 %
f Health professions education
(from Worksheet 5) .. 		    29,358,504 12,189,822 17,168,682 4.440 %
g Subsidized health services
(from Worksheet 6) .. 		    8,953,055 0 8,953,055 2.320 %
h Research (from Worksheet 7)     253,311 0 253,311 0.070 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		    190,833 0 190,833 0.050 %
jTotal Other Benefits ...     38,869,869 12,189,822 26,680,047 6.910 %
kTotal. Add lines 7d and 7j. ..     192,439,132 138,306,865 54,132,267 14.020 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing     0 0   0 %
2 Economic development     0 0   0 %
3 Community support     12,325 0 12,325 0 %
4 Environmental improvements     0 0   0 %
5 Leadership development and training for community members     0 0   0 %
6 Coalition building     114,812 0 114,812 0.030 %
7 Community health improvement advocacy     19,677 0 19,677 0 %
8 Workforce development     0 0   0 %
9 Other     0 0   0 %
10 Total     146,814   146,814 0.030 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense (at cost).....
2
13,028,236
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
1,824,943
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
134,940,771
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
133,123,653
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
1,817,118
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?1
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 LUTHERAN MEDICAL CENTER
150 55TH STREET
BROOKLYN,NY11220 		X X   X     X   PSYCHIATRIC & REHAB EXCLUDED UNITS
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:NA
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8   No
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9   No
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10   No
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11   No
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12   No
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13   No
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14   No
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16   No
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18   No
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20   No
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?  
Name and address Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
  PART I, LINE 3C LUTHERAN MEDICAL CENTER USES THE FEDERAL POVERTY GUIDELINES (FPG) TODETERMINE ELIGIBILITY FOR DISCOUNTED CARE TO LOW-INCOME PATIENTS.
  PART I. LINE 6A LUTHERAN MEDICAL CENTER IS REQUIRED TO PREPARE AN ANNUAL COMMUNITYSERVICE PLAN (CSP) A.K.A., THE COMMUNITY BENEFIT REPORT FOR THE NYSDEPARTMENT OF HEALTH. THIS REPORT IS FILED WITH THE NYS DOH AND ISPUBLISHED IN ITS ENTIRETY ON OUR WEB SITE(WWW.LUTHERANHEALTHCARE.ORG) AND A SUMMARY DOCUMENT THAT INCLUDES OUR COMMITMENT TO PUBLIC HEALTH PROGRAMS AND FINANCIAL ASSISTANCE IS ALSOPOSTED. ADDITIONALLY, LUTHERAN POSTS INFORMATION REGARDING FINANCIALASSISTANCE PROGRAMS AND INTENDS TO ADD PROGRAMMATIC INFORMATION AS ITBECOMES AVAILABLE REGARDING PREVENTION AGENDA INITIATIVES. LUTHERANPROVIDES INFORMATION TO THE PUBLIC IN OUR PATIENT GUIDES, POSTERS ANDFINANCIAL ASSISTANCE BROCHURES; ALL ARE AVAILABLE THROUGHOUT THEHEALTH CARE SYSTEM, COPIES OF THE CSP WERE MAILED TO ALL COMMUNITYPARTNERS.
  PART I, LINE 7G LUTHERAN MEDICAL CENTER ("LMC") CONTROLS SEVERAL AFFILIATEDTAX-EXEMPT PHYSICIAN GROUPS THAT, PURSUANT TO A SERVICE AGREEMENT,PROVIDE TEACHING, ADMINISTRATIVE, SUPERVISORY AND DIRECT PATIENT CARESERVICES TO LMC'S PATIENTS. LMC PAYS THESE PHYSICIAN GROUPS FORTHEIR SERVICES AT FAIR MARKET VALUE. LMC ALSO PROVIDES A MISSIONSUPPORT PAYMENT TO THE PHYSICIAN GROUPS TO RECOGNIZE THEUN-REIMBURSED CHARITY CARE AND UNDER-REIMBURSED MEDICAID SERVICES THEGROUPS PROVIDE TO LMC PATIENTS IN SUPPORT OF LMC'S MISSION. IN 2010LMC PAID THE LMC PC'S $8,953,055.00 FOR PHYSICIAN RELATEDUN-REIMBURSED AND UNDER-REIMBURSED SERVICES PROVIDED TO CHARITY CAREAND MEDICAID PATIENTS.
  PART I, LINE 7, COLUMN F LUTHERAN MEDICAL CENTER HAS INCLUDED BAD DEBT EXPENSE IN THE AMOUNTOF $20,782,000 ON THE FORM 990, PART IX, LINE 25. THIS AMOUNT ISEXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN SCHEDULE H,PART I, LINE 7 (F) AS PER THE INSTRUCTIONS.
  PART I, LINE 7 LUTHERAN MEDICAL CENTER USED VARIOUS COSTING METHODS IN CALCULATINGTHE AMOUNTS LISTED ON PART I, LINE 7. LMC UTILIZED FIGURES FROM ITSPOWERHEALTH DECISION SUPPORT SYSTEM WHICH FIGURES COSTS BASED ON ACOST ACCOUNTING SYSTEM. FOR HEALTH PROFESSIONS EDUCATION, LMC WASABLE TO SHOW COSTING DATA PREPARED FOR THE NYS DOH AND GME DATA.
    PART II: LUTHERAN HEALTHCARE HAS NO REASON FOR BEING OF ITS OWN; IT EXISTS ONLY TO SERVE THE NEEDS OF ITS NEIGHBORS. LUTHERAN HEALTHCARE DEFINES HEALTH AS THE TOTAL WELL BEING OF THE COMMUNITY AND ITS RESIDENTS. BEYOND THE ABSENCE OF INDIVIDUAL PHYSICAL ILLNESS, THIS INCLUDES, AT LEAST, DECENT HOUSING, THE ABILITY TO COMMUNICATE EFFECTIVELY, EMPLOYMENT AND EDUCATIONAL OPPORTUNITIES, AND CIVIC PARTICIPATION. LUTHERAN HEALTHCARE UNDERSTANDS A HOSPITAL IS NOT A COLLECTION OF BUILDINGS, MACHINES AND BEDS, BUT A STAFF OF TALENTED, CREATIVE AND COMMITTED PEOPLE WHO SERVE THE COMMUNITY AS THEY ARE NEEDED. LUTHERAN HEALTHCARE WORKS IN PARTNERSHIP WITH ITS NEIGHBORS, EACH RELYING ON THE OTHER AS FRIENDS WHO CARE ABOUT AND ASSIST EACH OTHER. MOTIVATED TO SERVE BY ITS OWN HISTORY WITHIN THE BIBLICAL TRADITION OF FAITH AND TEACHING, AND ORGANIZED AS A NOT-FOR-PROFIT ORGANIZATION ACCORDING TO THE UNIQUELY AMERICAN HERITAGE OF DEMOCRATIC VOLUNTARY ASSOCIATIONS, LUTHERAN HEALTHCARES PURPOSE IS TO SERVE AS THE CORPORATE VEHICLE FOR ITS TRUSTEES, MEDICAL AND DENTAL STAFF, NURSES, EMPLOYEES, VOLUNTEERS AND OTHERS TO CARE FOR THE NEEDS OF OUR NEIGHBORS.LUTHERAN HEALTHCARE MISSION STATEMENTLUTHERAN HEALTHCARES MISSION STATEMENT MAKES CLEAR ITS COMMITMENT TOWARD PROVIDING SERVICES TO THOSE WE SERVE. FOR 128 YEARS, THIS COMMITMENT TO SERVE IS THE SOLID FOUNDATION ON WHICH LUTHERAN EXISTS AND ON WHICH IT MEASURES ITS SUCCESS. IN FACT, LUTHERAN HEALTHCARES SYSTEM INCLUDES MULTIPLE ORGANIZATIONS ALL OF WHICH WERE CREATED IN RESPONSE TO AN URGENT NEED WITHIN OUR GROWING, DIVERSE AND EVER CHANGING COMMUNITIES. THROUGHOUT ITS HISTORY, LHCS DIVERSITY HAS ALWAYS REFLECTED THE CONTINUOUS GROWTH AND CHANGE THAT HAS CHARACTERIZED ITS SERVICE AREA. TODAY, LHC OPERATES A ROBUST DEPARTMENT OF CULTURAL COMPETENCE, WHICH WORKS TO ELIMINATE CULTURAL BARRIERS TO CARE. THE DEPARTMENT ENSURES THAT SERVICES ARE ACCESSIBLE IN ALL FIVE OF THE MAJOR LANGUAGES FOUND WITHIN THE SERVICE AREA. IN ADDITION, LHC EMPLOYS A TEAM OF COMMUNITY LIAISONS REPRESENTING THE ARABIC, CHINESE AND ORTHODOX JEWISH COMMUNITIES, WHO ACT AS CONDUITS BETWEEN PATIENTS, CLINICAL PROVIDERS, AND MEMBERS OF THE COMMUNITY, TO ASSIST PATIENTS AS THEY NAVIGATE THROUGH THE SYSTEM. PATIENT REPRESENTATIVES WHO SPEAK CANTONESE, RUSSIAN, SPANISH AND ARABIC HAVE BEEN RECRUITED TO PROVIDE MEDICAL INTERPRETING AND ADVOCACY. TRAINING IN MEDICAL INTERPRETING FOR BILINGUAL STAFF, CULTURAL DIVERSITY TRAINING, AND SKILLS DEVELOPMENT IN CROSS-CULTURAL CARE GIVING ARE ONGOING, FUNDED THROUGH BOTH PUBLIC AND PRIVATE SOURCES. LHC CONTINUES TO WORK CLOSELY WITH COMMUNITY MEMBERS AND LEADERSHIP FROM ITS ETHNIC NEIGHBORHOODS TO ASSURE COMMUNITY VOICE AND PARTICIPATION IN ITS PROGRAMS, AND TO PURSUE THE HIGHEST DEGREE OF CULTURALLY COMPETENT SERVICES TO AFFORD THE BEST CLINICAL OUTCOMES.LFHC APPLIED FOR AND RECEIVED LEVEL 3 PATIENT-CENTERED MEDICAL HOME RECOGNITION STATUS FOR EIGHT OF ITS FAMILY HEALTH CENTER SITES IN 2010 BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA). THIS RELATIONSHIP WILL FOSTER A MORE COLLABORATIVE APPROACH BETWEEN THE PATIENT AND THE PRIMARY CARE TEAM TO PROACTIVELY MANAGE INDIVIDUAL HEALTH THROUGH A WHOLE-PERSON ORIENTATION, ENHANCING COMMUNICATION TO INCREASE COMPLIANCE WITH FOLLOW-UP APPOINTMENTS, AND IMPROVE THE OVERALL QUALITY OF PRIMARY AND PREVENTIVE CARE. THE LFHC FAMILY SUPPORT CENTER OFFERS AN INTEGRATIVE APPROACH TO COMMUNITY-BASED SERVICES. DESIGNED TO SUPPORT COMMUNITY-BUILDING AND FAMILY STRENGTHENING, THE CENTER PROVIDES A HOST OF CULTURALLY COMPETENT SERVICES INCLUDING ADULT AND FAMILY EDUCATION CLASSES, MENTAL HEALTH COUNSELING FOR CHILDREN AND FAMILIES IN TRAUMA THROUGH ITS HEALTHY CONNECTIONS PROGRAM, ADULT AND FAMILY EDUCATION, WIC NUTRITION SERVICES, PEDIATRIC LITERACY SERVICES THROUGH THE REACH OUT AND READ PROGRAM, AND VOLUNTEERISM AND LEADERSHIP DEVELOPMENT THROUGH LFHCS AMERICORPS PROGRAM, THE SUNSET PARK COMMUNITY HEALTHCORPS. AT THE CENTER'S CORE IS THE FAMILY SUPPORT SERVICES (FSS) PROGRAM, WHICH SERVES AS THE HUB FOR OUTREACH, EDUCATION, SUPPORTIVE COUNSELING, AND CARE MANAGEMENT. FSS UTILIZES A CARE MANAGEMENT MODEL TO PROVIDE A HOST OF SUPPORTIVE SERVICES TO CLIENTS INCLUDING SHORT-TERM COUNSELING, INFORMATION AND REFERRAL, IMMIGRATION COUNSELING, CAREER COUNSELING, ADVOCACY, LIFE SKILLS WORKSHOPS AND ASSISTANCE WITH ENROLLMENT IN ENTITLEMENTS AND PUBLIC BENEFITS. THE FAMILY SUPPORT CENTER SERVES OVER 5,500 PARTICIPANTS (CONT.)
  PART III, LINE 4 2010 LUTHERAN HEALTHCARE AUDITED FINANCIAL STATEMENT NOTE REGARDINGBAD DEBT AND CHARITY CARE:LUTHERAN MEDICAL CENTER OPERATES A 468-BED HOSPITAL AND IS ACO-OPERATOR WITH LUTHERAN FAMILY HEALTH CENTERS (LFHC, AN LMCAFFILIATE) OF A NETWORK OF NINE (9) NEIGHBORHOOD PRIMARY CARE SITES, 28 SCHOOL-BASED HEALTH CLINICS THAT PROVIDE A COMBINATION OF MEDICAL,BEHAVIORAL HEALTH AND DENTAL SERVICES, FIVE COMPREHENSIVE DENTALSITES, AND NUMEROUS SOCIAL SUPPORT AND ENABLING SERVICES THAT PROVIDEAPPROXIMATELY 530,000 MEDICAL AND DENTAL VISITS ANNUALLY.THE MISSION OF LUTHERAN HEALTHCARE IS AS FOLLOWS:A. LUTHERAN HEALTHCARE EXISTS ONLY TO SERVE THE NEEDS OF ITSNEIGHBORS.B. LUTHERAN HEALTHCARE DEFINES HEALTH AS THE TOTAL WELL-BEING OFTHE COMMUNITY AND ITS RESIDENTS. BEYOND THE ABSENCE OF INDIVIDUALPHYSICAL ILLNESS, THIS INCLUDES, AT LEAST, DECENT HOUSING, THEABILITY TO SPEAK ENGLISH, EMPLOYMENT AND EDUCATIONAL OPPORTUNITIES,AND CIVIC PARTICIPATION.C. LUTHERAN HEALTHCARE UNDERSTANDS THAT A HOSPITAL IS NOT ACOLLECTION OF BUILDINGS, MACHINES, AND BEDS, BUT A STAFF OF TALENTED,CREATIVE, AND COMMITTED PEOPLE WHO SERVE THE COMMUNITY AS THEY ARENEEDED.D. LUTHERAN HEALTHCARE WORKS WITH ITS NEIGHBORS, EACH RELYINGON THE OTHER AS FRIENDS WHO CARE ABOUT AND ASSIST EACH OTHER.IN KEEPING WITH THIS MISSION, LUTHERAN HEALTHCARE PROVIDES MEDICAL CARE TO ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. PATIENTS ARE NOTIFIED OF THE AVAILABILITY OF FREE AND REDUCED PRICE CARE, AND PATIENTS ARE EVALUATED FOR CHARITY CARE IN ACCORDANCE WITH ESTABLISHED POLICIES. IN ADDITION, LUTHERAN HEALTHCARE OPERATES NUMEROUS COMMUNITY BENEFIT PROGRAMS THAT SEEK TO IMPROVE THE HEALTH AND WELFARE OF ITS COMMUNITY. SERVICES PROVIDED TO THESE PATIENTS ARE NOT REPORTED AS REVENUE IN THE COMBINED STATEMENTS OF OPERATIONS. CHARITY CARE REPRESENTS THE CHARGES FOREGONE FOR SERVICES PROVIDED TO PATIENTS WHO CANNOT AFFORD HEALTH CARE SERVICES BECAUSE THEY ARE UNINSURED OR UNDERINSURED OR HAVE INADEQUATE RESOURCES. SUCH CHARGESAMOUNTED TO APPROXIMATELY $XX,XXX,XXX AND $45,276,000 FOR 2010 AND2009, RESPECTIVELY. LUTHERAN HEALTHCARE ALSO PROVIDES A SIGNIFICANTAMOUNT OF UNCOMPENSATED CARE THAT IS REPORTED AS A PROVISION FOR BADDEBTS, WHICH IS NOT INCLUDED IN THE AMOUNTS REPORTED ABOVE. SUCHPROVISION FOR BAD DEBTS AMOUNTED TO APPROXIMATELY $20,782,000 AND $33,530,000 FOR 2010 AND 2009 RESPECTIVELY.COSTING METHODOLOGY USED FOR BAD DEBTBAD DEBT EXPENSE REPRESENTS THE REVENUE EQUIVALENT OF THE ACCOUNTSTHAT ARE NOT EXPECTED TO BE COLLECTED. THE AMOUNTS REPORTED CONSISTOF SOME ACCOUNTS AT CHARGES, SOME AT MEDICAID BALANCES, AND SOMECOINSURANCE BALANCES AND DEDUCTIBLE BALANCES NET OF ANY COLLECTIONS.TO DETERMINE THE BAD DEBT AT COST AN ADJUSTED RATIO OF COST TOCHARGES (ARCC) WAS COMPUTED BASED ON THE DISTRIBUTION OF THE VARIOUSACCOUNT BALANCES MENTIONED ABOVE. THE ARCC WAS THEN APPLIED TO THEBAD DEBT EXPENSE TO ESTIMATE THE COST.
  PART III, LINE 8 LUTHERAN MEDICAL CENTER DID NOT REPORT A SHORTFALL IN PART III, LINE7. THE EXPENSES, REVENUES, AND SURPLUS REPORTED IN PART III LINES5-7 WERE DEVELOPED FROM THE 2010 LUTHERAN MEDICAL CENTER COST REPORTSFILED WITH CMS AND THE NYS DOH.
  PART III, LINE 9B THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY CONTAINS PROVISIONS ONTHE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TOQUALIFY FOR FINANCIAL ASSISTANCE ALSO KNOWN AS CHARITY CARE ASFOLLOWS:INTERNAL PROCEDURES1. ALL PATIENTS REGISTERED WILL BE INFORMED BY THE PATIENTSERVICE ASSOCIATE THAT THEY MAY BE ELIGIBLE FOR AN INSTALLMENT PLANARRANGEMENT.2. INSTALLMENT PLAN ARRANGEMENTS ARE AVAILABLE ONLY TO PATIENTSWHO HAVE FULLY COOPERATED IN THE FINANCIAL ASSISTANCE DETERMINATIONPROCESS DESCRIBED ABOVE.3. IF A PATIENT HAS BEEN FULLY COOPERATIVE IN THE FINANCIAL ASSISTANCE PROCESS AND STILL DEEMED INELIGIBLE FOR FINANCIAL ASSISTANCE, OTHER INSTALLMENT PLANS MAY BE ARRANGED ONLY BY CONTACTING THE VP OF PATIENT FINANCIAL SERVICES (EXT. 8415) OR THE DIRECTOR FOR BILLING & COLLECTIONS (EXT. 8950).4. INSTALLMENT PLANS WILL NOT EXCEED 10% OF THE PATIENT'S GROSSMONTHLY INCOME.5. ALL INSTALLMENT PLANS SHOULD BE PAID IN FULL WITHIN ONE YEAROF ARRANGEMENT, UNLESS APPROVED BY THE VP FOR PATIENT FINANCIALSERVICES.6. THE DIRECTOR OF BILLING AND COLLECTION WILL ENSURE FORINPATIENT AND HIGH COST CARE THAT REASONABLE EFFORTS WERE UNDERTAKENTO ENSURE OFFER FINANCIAL ASSISTANCE BEFORE ANY COLLECTION AGENCYASSIGNMENT.7. NO INTEREST WILL BE CHARGED ON OUTSTANDING BALANCES.8. ALL DEPOSITS WILL BE CONSIDERED PART OF THE FINANCIALASSISTANCE CONSIDERATION.EXTERNAL PROCEDURES1. ALL COLLECTIONS AGENCIES WILL RECEIVE A COPY OF LUTHERANMEDICAL CENTER'S FINANCIAL ASSISTANCE POLICIES, MISSION STATEMENT,VALUES, AND DIRECTIONS.2. THE COLLECTION AGENCY WILL CONFIRM, WHEN CONTACTING A PATIENTOR PATIENTS REPRESENTATIVE, THAT THE PATIENT HAS BEEN INFORMED OF ANDUNDERSTANDS LUTHERAN MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY ANDTHAT THE AMOUNT DUE REPRESENTS THE CORRECT BALANCE IN CONFORMANCEWITH THIS POLICY.3. THE COLLECTION AGENCY WILL ADHERE TO THESE POLICIES WHENMAKING COLLECTIONS ON BEHALF OF LUTHERAN MEDICAL CENTER.4. THE COLLECTION AGENCY WILL NOT INITIATE LEGAL ACTION WITHOUT WRITTEN AUTHORIZATION OF THE VP OF PATIENT FINANCIAL SERVICES.5. THE COLLECTION AGENCY WILL NOT GARNISH WAGES WHEN THERE ISEVIDENCE THAT THE PATIENT OR RESPONSIBLE PARTY HAS INSUFFICIENTINCOME AND/OR ASSETS TO MEET HIS OR HER OBLIGATION.6. THE COLLECTION AGENCY WILL NOT EXECUTE A LIEN BY FORCING THESALE OR FORECLOSURE OF THE PATIENT'S PRIMARY RESIDENCE TO PAY FOR ANOUTSTANDING MEDICAL BILL.7. THE COLLECTION AGENCY WILL NOT CHARGE INTEREST ON ANYOUTSTANDING BALANCE.8. ACCOUNTS WILL NOT BE SENT TO COLLECTION WHILE AN ELIGIBILITYDETERMINATION IS PENDING.9. ALL PATIENT BILLS WILL INDICATE THAT A PATIENT HAS 30 DAYS TORESOLVE ACCOUNT BALANCES PRIOR TO BEING SENT TO COLLECTION.10. NO COLLECTION EFFORT WILL BE INITIATED AGAINST ANY PATIENTELIGIBLE FOR MEDICAID AT TIME OF SERVICE.
  PART V LUTHERAN MEDICAL CENTER IS PART OF AN INTEGRATED HEALTHCARE DELIVERYSYSTEM AND SOCIAL SERVICES NETWORK KNOWN AS LUTHERAN HEALTHCARE ("LHC") THAT INCLUDES THE FOLLOWING ORGANIZATIONS, EACH OF WHICH HASA SEPARATE FINANCIAL STATEMENT AND TAX RETURN:SUNSET PARK HEALTH COUNCIL, INC. D/B/A LUTHERAN FAMILY HEALTHCENTERS, LUTHERAN AUGUSTANA, CENTER FOR EXTENDED CARE ANDREHABILITATION, INC., SHORE HILL HOUSING COMPANY, INC., HARBOR HILLHOUSING DEVELOPMENT FUND CORPORATION, SHORE HILL HOUSING ASSOCIATES, L.P., SUNSET GARDENS HOUSING DEVELOPMENT FUND CORPORATION, HEALTH PLUS PREPAID HEALTH SERVICES PLAN, INC., SHORE ROAD CARDIOLOGY, PC, SHORE ROAD RADIOLOGY, PC, LMC PHYSICIAN SERVICES, PC., SHORE ROAD COMMUNITY SERVICES, INC., SUNSET BAY COMMUNITY SERVICES, INC., COMMUNITY CARE ORGANIZATION, INC., AND LUTHERAN MEDICAL CENTER COMMUNITY FOUNDATION, INC.
    PART VI, LINE 2: THROUGHOUT LUTHERAN HEALTHCARE'S (LHC) 128-YEAR HISTORY, NEEDS ASSESSMENT AND STRATEGIC PLANNING HAVE EVOLVED INTO A COLLABORATIVE PROCESS IN WHICH STAKEHOLDERS AT EVERY LEVEL PLAY A CRITICAL ROLE IN THE DETERMINATION OF A STRATEGIC RESPONSE TO COMMUNITY NEEDS. LUTHERAN'S PARTICIPATORY PROCESS IS DIRECTED BY AND IN COOPERATION WITH SENIOR LEADERSHIP, COMMUNITY PARTNERS, PATIENTS, AND STAFF REPRESENTATIVES FROM CLINICAL, RESEARCH, ADMINISTRATIVE, AND COMMUNITY OUTREACH DIVISIONS. LHC USES DEMOGRAPHIC AND DIAGNOSTIC DATA FROM HOSPITAL ADMISSIONS; AMBULATORY CARE VISITS, UTILIZATION RATES AND COMMUNITY-LEVEL DATA SETS AND REPORTS. THESE INCLUDE BUT ARE NOT LIMITED TO: THE FEDERAL DECENNIAL CENSUS AND AMERICAN COMMUNITY SURVEY (ISSUED BY THE NYS DEPARTMENT OF CITY PLANNING); "STATISTICS AND DATA" PROVIDED BY THE NEW YORK STATE DEPARTMENT OF HEALTH (HTTP://WWW.HEALTH.STATE.NY.US/STATISTICS/) INCLUDING PQI, QARR, BRFSS, AND NYS CANCER REGISTRY; PREVENTION QUALITY INDICATOR DATA; "COMMUNITY HEALTH PROFILES," AND NUMEROUS OTHER REFERENCE MATERIALS COMPILED BY THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE. THE SELECTION OF PUBLIC HEALTH PRIORITIES FOR LHC HAS ALSO BEEN INFORMED BY COMMUNITY-BASED PARTICIPATORY RESEARCH PROJECTS CONDUCTED BY LHC'S DEPARTMENT OF RESEARCH. THE DEPARTMENT HAS ADMINISTERED EXTENSIVE NEEDS ASSESSMENTS IN THE ARABIC, CHINESE, AND MEXICAN COMMUNITIES THAT ARE SERVED BY LHC; THE RESULTS OF THE STUDY OF THE CHINESE POPULATION WERE PUBLISHED IN THE JOURNAL OF HEALTH CARE FOR THE POOR AND UNDERSERVED (HEALTH NEEDS IN BROOKLYN'S CHINATOWN: A PILOT ASSESSMENT USING RAPID PARTICIPATORY APPRAISAL. MAY 2009).
    PART VI, LINE 3: THE EDUCATION AND INFORMATION REGARDING THE AVAILABLE GOVERNMENTALASSISTANCE PROGRAMS, IE, MEDICAID AND OTHERS, AS WELL AS THEFACILITY'S FINANCIAL ASSISTANCE POLICY IS MADE WIDELY AVAILABLE TOPATIENTS THROUGH VARIOUS VENUES. FIRST, THIS INFORMATION IS POSTEDIN KEY AREAS THROUGHOUT THE FACILITY INCLUDING THE ER, AND OUTPATIENTAREAS. IN ADDITION TO THE POSTED INFORMATION THERE ARE VARIOUSBROCHURES AVAILABLE THROUGHOUT THE HOSPITAL AS WELL. BOTH THE POSTEDINFORMATION AND BROCHURES ARE AVAILABLE IN SEVERAL DIFFERENTLANGUAGES INCLUDING THOSE LANGUAGES THAT HAVE BEEN DEFINED BY LOCALCENSUS STUDIES AS THE MAIN LANGUAGES FOR THE LMC SERVICE AREA. THEREIS ALSO A FREQUENTLY ASKED QUESTIONS (FAQS) DOCUMENT REGARDING THESESERVICES IN THE SAME FORMATS AND VENUES AS ABOVE AND ON THEHOSPITAL'S WEBSITE AS WELL. ANOTHER KEY AREA IS THE TRAINING OF THELMC FRONT LINE STAFF (ADMITTING, REGISTRATION AND PATIENT ACCOUNTSTAFF) IN TERMS OF THE AVAILABLE GOVERNMENTAL ASSISTANCE PROGRAMS,APPLICATION PROCEDURES AND THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAMS.
    PART VI, LINE 4: LHC USES DEMOGRAPHIC AND DIAGNOSTIC DATA FROM HOSPITAL ADMISSIONS; AMBULATORY CARE VISITS AND UTILIZATION RATES TO KEEP CURRENT ON PATIENT NEEDS AND TO DETERMINE OUR GENERAL SERVICE AREA. IN ADDITION, CENSUS DATA, STATISTICAL REPORTS FROM THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE AND THE UNITED HOSPITAL FUND, AS WELL AS THE NYS PREVENTION AGENDA ARE USED TO HELP IDENTIFY OUR SERVICE AREA. IN 2010, 478,000 PEOPLE WERE SERVED THROUGH ONE OF LUTHERAN HEALTHCARE'S ORGANIZATIONS.LUTHERAN MEDICAL CENTER (LMC) SYSTEM, IS PRIMARILY LOCATED THROUGHOUT SOUTHWEST AND CENTRAL BROOKLYN, SERVES ONE OF THE MOST CULTURALLY, ETHNICALLY AND LINGUISTICALLY DIVERSE COMMUNITIES IN THE WORLD. WE HAVE RECENTLY EXPANDED TO INCLUDE LOCATIONS IN MANHATTAN, QUEENS AND STATEN ISLAND. LHC CONSIDERS ITS CURRENT SERVICE AREA TO BE:ZIP CODES FULLY CONTAINED:11203, 11204, 11209, 11210, 11214, 11215, 11217, 11218, 11219, 11220, 11223, 11224, 11225, 11226, 11228, 11230, 11231, 11232ZIP CODES PARTIALLY CONTAINED:10011, 10001, 10003, 10010, 10011, 10012, 10016, 10018, 10027, 10035, 10036, 10301, 10455, 11201, 11207, 11212, 11213, 11216, 11217, 11121, 11213, 11229, 11233, 11234, 11235, 11236, 11238, 11239, 11433,COMMUNITY DEMOGRAPHICS:37% OF THE COMMUNITY IS LATINO/HISPANIC27% OF THE COMMUNITY IS CHINESE10% OF THE COMMUNITY IS ORTHODOX JEWISH 7% OF THE COMMUNITY IS ARABIC 7% OF THE COMMUNITY IS RUSSIAN 28% OF RESIDENTS LIVE BELOW 100 PERCENT FEDERAL POVERTY LEVEL16% OF THE COMMUNITY IS OVER THE AGE OF 60ACCESS TO CARE DATA:-31 PERCENT OF RESIDENTS IN SUNSET PARK (THE NEIGHBORHOOD IN WHICH LUTHERAN MEDICAL CENTER (LMC) AND LUTHERAN FAMILY HEALTH CENTERS ARE LOCATED AND HEADQUARTERED) DO NOT HAVE A PERSONAL DOCTOR; THIS COMPARES TO 23 PERCENT FOR BROOKLYN, AND 24 PERCENT FOR ALL NEW YORK CITY (OLSON EC, VAN WYE G, KERKER B, THORPE L, FRIEDEN TR. TAKE CARE SUNSET PARK. NYC COMMUNITY HEALTH PROFILES, SECOND EDITION; 2006; 12(42):1-16). -11 PERCENT OF SUNSET PARK RESIDENTS REPORT THAT THEY USE AN EMERGENCY DEPARTMENT WHEN THEY ARE SICK OR NEED ADVICE; THIS COMPARES TO 8 PERCENT FOR BOTH BROOKLYN AND ALL NYC (IBID).-EMERGENCY ROOM VISITS AT LMC HAVE RISEN BY MORE THAN 23 PERCENT OVER THE PAST 5 YEARS. FORTY SEVEN PERCENT OF THESE VISITS ARE FOR CARE THAT IS CONSIDERED TO BE TREATABLE IN A PRIMARY CARE SETTING. THIS COMPARES TO 33 PERCENT NATIONALLY (INTERNAL DATA).-NEARLY 13 PERCENT OF LMCS INPATIENT ADMISSIONS COULD HAVE BEEN PREVENTED THROUGH TIMELY ACCESS TO WELL-COORDINATED PRIMARY CARE (INTERNAL DATA).-AMONG THE ARAB-AMERICAN POPULATION IN LHC'S SERVICE AREA, 27 PERCENT OF INDIVIDUALS REPORT THAT THEY ARE NOT CURRENTLY RECEIVING THE HEALTH CARE SERVICES THEY NEED (HEALTH ASSESSMENT OF ARAB-AMERICAN/ARAB COMMUNITY IN SOUTHWEST BROOKLYN. LUTHERAN MEDICAL CENTER, DEPARTMENT OF RESEARCH. JUNE, 2008).-THE POPULATION TO PRIMARY CARE PHYSICIAN RATIO IN LHC'S SERVICE AREA IS 1,652:1; THIS COMPARES TO THE NATIONAL AVERAGE OF 1,111:1. HRSA RECOMMENDS A RATIO OF 1,500:1 (DATA PROVIDED DIRECTLY TO LHC BY THE CENTER FOR HEALTH WORKFORCE STUDIES AT SUNY, ALBANY).-IN BROOKLYN, THE RATES OF EARLY DIAGNOSIS OF BREAST, CERVICAL, AND COLORECTAL CANCERS ALL FALL BELOW STATE AND NATIONAL AVERAGES, AND FALL SHORT OF 2013 PREVENTION AGENDA OBJECTIVES BY 14 PERCENT 23 PERCENT (NYS DOH CANCER REGISTRY).PERINATAL AND PEDIATRIC HEALTH DATA:-ONE OF THE TWO ZIP CODES (11232) THAT COMPRISES SUNSET PARK HAS THE SECOND HIGHEST BIRTH RATE OF ALL ZIP CODES IN BROOKLYN, THE THIRD HIGHEST IN NEW YORK CITY, AND SEVENTEENTH HIGHEST IN NEW YORK STATE (IN THE TOP DECILE FOR THE STATE). -THE AVERAGE PERCENTAGE OF WOMEN WHO RECEIVED PRENATAL CARE LATE OR HAD NO PRENATAL CARE AT ALL HAS DECLINED IN OUR CATCHMENT AREA, HOWEVER 23 PERCENT OF WOMEN IN BOROUGH PARK AND 33 PERCENT OF WOMEN IN EAST FLATBUSH DIDN'T RECEIVE CARE DURING THEIR FIRST TRIMESTER -17 ZIP CODES IN LHC'S SERVICE AREA HAVE PREGNANCY RATES ABOVE THE NEW YORK STATE AVERAGE.-SETTLEMENT AND MIGRATION PATTERNS AMONG PARTICULAR SUBSETS OF THE SERVICE POPULATION ARE HIGHLY PROBLEMATIC, MOST NOTABLY IN THE CHINESE COMMUNITY. ACCORDING TO OUR "NEED IN BROOKLYN CHINATOWN STUDY," IT IS NOT UNCOMMON FOR EXPECTING PARENTS TO EMIGRATE FROM CHINA OR MIGRATE FROM ELSEWHERE IN THE UNITED STATES TO RECEIVE PRENATAL CARE IN NEW YORK.FACTORS DRIVING THIS PATTERN INCLUDE THE ASSURANCE OF "FREE CARE OFFERED BY NYS, LOWER RISK OF DEPORTATION FOR UNDOCUMENTED IMMIGRANTS IF THEIR CHILDREN ARE CITIZENS, AND THE FREEDOM FROM THE ONE-CHILD POLICY IN CHINA." CONSEQUENTLY, THE BIRTH RATE AMONG CHINESE IN SUNSET PARK HAS DOUBLED IN THE PAST DECADE. AT 24.7 BIRTHS PER 1,000, THIS RATE IS THE HIGHEST AMONG ALL ETHNIC GROUPS IN SUNSET PARK AND SIGNIFICANTLY EXCEEDS AVERAGES FOR THE BOROUGH, THE CITY, AND THE STATE. VERY FREQUENTLY, HOWEVER, BABIES (AS YOUNG AS THREE MONTHS OLD) ARE SENT BACK TO CHINA FOR A FEW YEARS; EXPERTS ATTRIBUTE THIS TO PARENTS' LONG WORKING HOURS IN THE UNITED STATES, THEIR NEED FOR MOBILITY, AND THE HIGH COST OF LIVING. INFANTS COMMONLY RETURN TO THE UNITED STATES AT FOUR OR FIVE YEARS OF AGE TO BEGIN SCHOOL; THEY GENERALLY LACK IMMUNIZATIONS, AND MANY HAVE NOT SEEN A DOCTOR SINCE THEY WERE BORN (THEIN).-FEWER THAN 59 PERCENT OF BROOKLYN'S THIRD-GRADERS HAVE SEEN A DENTIST IN THE PAST YEAR; THIS THE LOWEST RATE IN ALL FIVE BOROUGHS, AND OVER FOURTEEN PERCENTAGE POINTS SHY OF THE NYS AVERAGE (KUMAR, JAYANTH. DONNA ALTSHUL. TIMOTHY COOKE. ELMER L. GREEN. ORAL HEALTH STATUS OF THIRD GRADE CHILDREN. NEW YORK STATE, DEPARTMENT OF HEALTH, ORAL HEALTH SURVEILLANCE SYSTEM. DECEMBER, 2005. CITY AND BOROUGH LEVEL DATA PROVIDED DIRECTLY TO LHC BY DR. KUMAR).
    PART VI, LINE 6: RECOGNIZING THE TREMENDOUS CONTRIBUTION LUTHERAN PLAYS IN THE HEALTH CARE INDUSTRY PARTICULARLY IN NYS, LUTHERAN HAS BEEN AWARDED NUMEROUS FEDERAL AND STATE HEAL GRANTS FOR THE FOLLOWING PROJECTS TOTALING MORE THAN $35 MILLION.LHC HAS A PROVEN HISTORY OF WORKING COLLABORATIVELY WITH LOCAL PARTNERS TO RESPOND TO EMERGENT COMMUNITY NEEDS. TO ACCOMMODATE GROWING COMMUNITY DEMANDS, WE RECENTLY COMPLETED AN EXPANSION AND RENOVATION OF BOTH THE EMERGENCY DEPARTMENT AND THE INTENSIVE CARE UNITS AT LMC. ALONG WITH LFHC'S NEWLY BUILT 25,000 SQUARE-FOOT SUNSET PARK FAMILY HEALTH CENTER SITE, 4,500 SQUARE-FEET FOR A NEW OUTPATIENT REHABILITATION CENTER ON 60TH STREET AND A 9,000 SQUARE-FOOT SPACE FOR AN UPDATED BROOKLYN-CHINESE FAMILY HEALTH CENTER, THE SYSTEM NOW HANDLES MORE PATIENTS THAN EVER. THESE PROJECTS, ALONG WITH THE ACQUISITION OF 40,000 SQUARE-FEET ON 58TH STREET FOR ADMINISTRATIVE OFFICES, PLANNED RENOVATIONS OF LUTHERAN'S MEDICAL ARTS PAVILION AT 87TH STREET AND THE COMPLETED RENOVATION OF THE SHORE HILL SENIOR HOUSING FACILITY, HAVE KEPT LUTHERAN FULLY ENGAGED IN COMMUNITY OUTREACH.WE HAVE ALSO BROUGHT NEW CLINICAL SERVICES TO SOUTHWEST BROOKLYN. FOR EXAMPLE, THROUGH A UNIQUE PARTNERSHIP WITH MOUNT SINAI MEDICAL CENTER, THE MAY ELLEN AND GERALD RITTER CARDIOLOGY CENTER EXPANDED ITS SCOPE OF SERVICES TO INCLUDE BOTH DIAGNOSTIC AND INTERVENTIONAL PCI, CREATING A FULL SERVICE CARDIAC CENTER. IN ADDITION, LMC'S NEW EPILEPSY CENTER, LED BY WORLD RENOWNED NEUROLOGIST ORRIN DEVINSKY, M.D., NOW OFFERS BROOKLYN RESIDENTS SUFFERING FROM SEIZURE DISORDERS ADVANCED CLINICAL SERVICES CLOSE TO HOME. THESE INNOVATIVE CLINICAL PROGRAMS, ALONG WITH NUMEROUS OTHERS, WERE BUILT ON EXISTING STRENGTHS AUGMENTED THROUGH CREATIVE PARTNERSHIPS AND AFFILIATIONS. IN MAY OF 2010, LFHC BECAME THE EMERGENCY OPERATOR OF THE HEALTH CARE FOR THE HOMELESS PROGRAM FORMERLY ADMINISTERED BY THE SAINT VINCENT'S CATHOLIC MEDICAL CENTER (SVCMC) DEPARTMENT OF COMMUNITY MEDICINE. SVCMC DECLARED BANKRUPTCY IN APRIL AND INITIATED CLOSURE OF ITS HOSPITAL AND ALL OUTPATIENT SERVICES, INCLUDING THE HOMELESS PROGRAM, WHICH HAD SERVED 8,196 OF NEW YORK CITY'S MOST VULNERABLE HOMELESS PATIENTS EACH YEAR. CITING LFHC'S HISTORY OF PROVIDING PRIMARY AND PREVENTIVE CARE TO NEW YORK CITY'S INDIGENT AND UNDERSERVED POPULATIONS, SVCMC APPROACHED LFHC TO ASSUME OPERATION OF THE HOMELESS PROGRAM AND PREVENT A GAP IN SERVICES. WORKING WITH PARTNERS AT THE FEDERAL, STATE, AND LOCAL LEVELS, LFHC WAS ABLE TO EXPEDITE THE TRANSFER OF THE PROGRAM AND PROVIDE UNINTERRUPTED SERVICES TO PATIENTS AT 23 SITES LOCATED THROUGHOUT ALL FIVE BOROUGHS OF NEW YORK CITY. IN RESPONSE TO A NEW COMMUNITY NEED, LFHC WILL ABSORB AND SUSTAIN LICH'S DENTAL PROGRAM. LFHC EXPECTS TO COMMENCE SERVICE PROVISION IN THE SUMMER OF 2010 AND WILL PROVIDE SERVICES 50 HOURS PER WEEK, OFFERING EXTENDED HOURS TO BEST SERVE THE NEEDS OF THE SERVICE AREA. THIS NEW COMMUNITY NEED COMES FROM FISCAL ISSUES AT LONG ISLAND COLLEGE HOSPITAL (LICH) THAT HAVE RENDERED ITS PRIMARY CARE AND DENTAL SERVICES UNSUSTAINABLE. AS SUCH, LICH HAS RECENTLY INITIATED THE CLOSURE OF ITS DENTAL PROGRAM. FORMERLY SERVING THE NEIGHBORHOODS SURROUNDING DOWNTOWN BROOKLYN, OVER 70 PERCENT OF ITS AMBULATORY CARE PATIENTS HAD EITHER MEDICAID OR NO INSURANCE. IN 2008, AS PART OF SWEEPING BUDGET CUTS, THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE (DOHMH) CLOSED ITS ORAL HEALTH PROGRAM, WHICH CONSISTED OF 46 SCHOOL AND COMMUNITY-BASED SITES AND PROVIDED DENTAL SERVICES TO 17,000 CHILDREN. DOHMH APPROACHED LFHC TO ASSUME OPERATION OF 14 OF THESE SCHOOL-BASED DENTAL CLINICS TO PREVENT A GAP IN SERVICES, CITING LFHC'S LONG-STANDING SCHOOL-BASED HEALTH PROGRAM AND HISTORY OF PROVIDING HIGH-QUALITY, LOW-COST DENTAL SERVICES. LFHC AGREED TO ABSORB AND SUSTAIN THE SITES, AND IS FACILITATING OPERATIONAL IMPROVEMENTS TO INCREASE SERVICE CAPACITY, SCHEDULED TO COMMENCE WITH THE 2010-2011 SCHOOL-YEAR.ADDITIONALLY, OUR FAMILY SUPPORT CENTER -(COMMUNITY-BASED PROGRAMS) ADDRESS SOCIAL, EDUCATIONAL, VOCATIONAL AND NUTRITIONAL NEEDS INCLUDING: ENGLISH AS A SECOND LANGUAGE INSTRUCTIONLITERACY CLASSESGED PREPARATIONCOMPUTER TRAININGFAMILY COUNSELINGDOMESTIC VIOLENCE PREVENTIONCITIZENSHIP AND VOTER REGISTRATION TRAININGSHOOT FOR BETTER HEALTH SCHOOL-BASEDNUTRITION PROGRAMWORKFORCE DEVELOPMENTAFFORDABLE CHILD CARESENIOR PROGRAMSAFTER SCHOOL PROGRAMS
    PART VI, LINE 7: LUTHERAN HEALTHCARE (LHC) IS AN ACADEMIC, FAITH-BASED, COMMUNITY HEALTH CARE AND SOCIAL SUPPORT ORGANIZATION COMMITTED TO EXCELLENCE. THE PRINCIPAL PROVIDER OF HEALTH CARE FOR THE RESIDENTS OF SOUTHWEST AND CENTRAL BROOKLYN, THE SYSTEM PROVIDES SUPERB PRIMARY AND SUPPORTIVE CARE. THIS UNIQUELY INTEGRATED HEALTH CARE SYSTEM INCLUDES LUTHERAN MEDICAL CENTER (LMC), LUTHERAN FAMILY HEALTH CENTERS (LFHC), LUTHERAN AUGUSTANA CENTER FOR EXTENDED CARE AND REHABILITATION (LAC), SENIOR HOUSING, COMMUNITY CARE ORGANIZATION, AND HEALTH PLUS - LHC'S AFFILIATED MEDICAID MANAGED CARE ORGANIZATION.IN 2010, ACCESS TO CARE EXPANDED SIGNIFICANTLY SYSTEM-WIDE, OUR 984 PHYSICIANS AND 5,399 EMPLOYEES (59% OF WHICH LIVE IN OUR CATCHMENT AREA) SERVED 478,000 PEOPLE. LUTHERAN MEDICAL CENTER (LMC) MANAGING NEARLY 65,000 EMERGENCY VISITS AND 27,594 INPATIENT DISCHARGES. THE LUTHERAN FAMILY HEALTH CENTERS (LFHC) HANDLED NEARLY 550,000 PATIENT VISITS AND PROVIDED HEALTH AND DENTAL SERVICES TO OVER 10,000 CHILDREN IN 28 SCHOOLS. AND, WITH NEW PRODUCT INNOVATIONS AND CREATIVE COMMUNITY OUTREACH, HEALTH PLUS EXPANDED ITS MEMBER BASE TO NEARLY 310,000. LUTHERAN'S THREE SENIOR HOUSING FACILITIES HAVE MORE THAN 800 RESIDENTS. WHILE AUGUSTANA PROVIDES LONG TERM CARE AND REHABILITATION PROVIDES SERVICES TO APPROXIMATELY 232 RESIDENTS.AWARDS AND DISTINCTIONSLEVEL I TRAUMA CENTERFDNY OFFICE OF MEDICAL AFFAIRS CERTIFIED CARDIAC ARREST CENTERNEW YORK STATE DEPARTMENT OF HEALTH DESIGNATED STROKE CENTERNEW YORK STATE DEPARTMENT OF HEALTH DESIGNATED BARIATRIC SPECIALTY CENTER FOR MEDICAIDDESIGNATED HYPOTHERMIA CENTERBARIATRIC CENTER OF EXCELLENCE, AS NAMED BY THE AMERICAN SOCIETY OF METABOLIC AND BARIATRIC SURGERYINTERVENTIONAL AND THERAPEUTIC CARDIAC CATHETERIZATION LABORATORYNAMED TO THE COMMUNITY VALUE INDEX (CVI) TOP 100 HOSPITALS AND FIVE STAR FACILITY LIST BY CLEVERLY AND ASSOCIATES IN 2006, 2007, 2008 2009, 2010 AND 2011. RANKED "BEST IN BROOKLYN-STATEN ISLAND AREA FOR OVERALL ORTHOPEDICS" BY HEALTH GRADES (2006, 2007, 2009, 2010, 2011)
REPORTS FILED WITH STATES PART VI, LINE 7 NY
  PART VI, LINE 5 (CONTINUED.)ANNUALLY AND OFFERS SERVICES IN THE MAJOR LANGUAGES FOUND IN THE COMMUNITY. WITH A FOCUS ON THE HEALTH AND LIFESTYLE NEEDS OF THE EXTENSIVE LOW-INCOME NON-ENGLISH SPEAKING IMMIGRANT POPULATION OF LHC'S SERVICE AREA, FSS PROGRAMS AND SERVICES ARE EMPLOYED WITH A VIEW TO EMPOWERING FAMILIES WITH THE RESOURCES THEY NEED TO SUCCESSFULLY AND SECURELY INTEGRATE INTO THE COMMUNITY. ALL SERVICES PROVIDED AT THE LFHC FAMILY SUPPORT CENTER ARE FREE. LHC'S INNOVATIVE COMMUNITY BUILDING ACTIVITIES RECOGNIZE THE IMPORTANCE OF COLLABORATIVE COMMUNITY INVOLVEMENT TO FOSTER A HEALTHIER COMMUNITY. IN ADDITION TO STRUCTURED PROGRAMMING, LHC PROVIDED 89 COMMUNITY HEALTH FAIRS OR EDUCATIONAL LECTURES IN 2010 TO INCREASE AWARENESS OF THE IMPORTANCE OF ACCESSING COMMUNITY HEALTH SERVICES AS WELL AS TO EDUCATE YOUTH ON HEALTH CARE CAREERS LUTHERAN HEALTHCARE IS AT THE CENTER OF THE COMMUNITY IT SERVES. IN FACT, MORE THAN PROVIDING CARE AND SUPPORT SERVICES, LUTHERAN IS A MAJOR EMPLOYER WITHIN ITS OWN CATCHMENT AREA WITH 59 PERCENT OF EMPLOYEES LIVE IN BROOKLYN. FINALLY, THE MEDICAL CENTER HAS BEEN NAMED TO THE COMMUNITY VALUE INDEX (CVI) TOP 100 HOSPITALS IN THE COUNTRY LIST FOR THE SIXTH YEAR IN A ROW. SCORING IN THE TOP TWENTY PERCENT, IT HAS ALSO BEEN DESIGNATED A "FIVE-STAR" FACILITY. THE CVI IS A PROPRIETARY INDEX CREATED TO OFFER A MEASURE OF THE VALUE THAT A HOSPITAL PROVIDES TO ITS COMMUNITY. THE ANNUAL LISTING IDENTIFIES THE NATION'S TOP HOSPITALS THAT ARE LOW COST, LOW CHARGE HOSPITALS, WHICH USES FINANCIAL RESOURCES EFFICIENTLY WHILE MAINTAINING A HIGH DEGREE OF COMMUNITY VALUE.
Schedule H (Form 990) 2010
Additional Data


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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
LUTHERAN MEDICAL CENTER
 
Employer identification number
11-1839567
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) CARIBBEAN WOMENS HEALTH ASSOC INC21 SNYDER AVE
BROOKLYN,NY11226 		13-3323168 501(C)(3) 17,150   N/A N/A GENERAL SUPPORT
(2) UNITED HOSPITAL FUND1411 BROADWAY 12TH FLOOR
NEW YORK,NY10018 		13-1562656 501(C)(3) 16,500   N/A N/A GENERAL SUPPORT
(3) HATZOLOH OF FLATBUSH1880 OCEAN AVENUE
BROOKLYN,NY11230 		13-3213138 501(C)(3) 15,000   N/A N/A GENERAL SUPPORT
(4) HATZOLOH OF BOROUGH PARK5215 16TH AVENUE
BROOKLYN,NY11204 		11-3043090 501(C)(3) 14,762   N/A N/A GENERAL SUPPORT
(5) AMERICAN CANCER SOCIETY (31WASHING)17 EASTERN PARKWAY
BROOKLYN,NY11238 		16-0743902 501(C)(3) 10,500   N/A N/A GENERAL SUPPORT
(6) HELEN KELLER SERVICES FOR THE BLIND57 WILLOUGHBY STREET
BROOKLYN,NY11201 		11-1630807 501(C)(3) 7,500   N/A N/A GENERAL SUPPORT
(7) REACH OUT & READ30 EAST 33RD STREET
NEW YORK,NY10016 		13-4080045 501(C)(3) 7,500   N/A N/A GENERAL SUPPORT
(8) S W B I D CSOUTHWEST BROOKLYN IDC
BROOKLYN,NY11232 		11-2508370 501(C)(3) 7,500   N/A N/A GENERAL SUPPORT
(9) ASSOCIATION OF HISPANIC HEALTHCARE EXECUPO BOX 230832
NEW YORK,NY10023 		13-4169037 501(C)(3) 5,000   N/A N/A GENERAL SUPPORT






2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
9
3
Enter total number of other organizations ................................ . Bullet Image
9
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: SCHEDULE I, PART I, LINE 1
OTHER INFORMATION: PART IV: SCHEDULE I, PART I, LINE 1 LUTHERAN MEDICAL CENTER ONLY MAKES GRANTS TO CHARITABLE ORGANIZATIONS LOCATED IN ITS NEIGHBORING COMMUNITY. THESE FUNDS ARE USED TO SUPPORT THE TAX EXEMPT MISSION AND COMMUNITY BETTERMENT AIMS OF EACH ORGANIZATION. LUTHERAN REQUIRES EACH APPLICANT (FOR GRANT AID) TO PROVIDE A DETAILED DESCRIPTION OF THE USE OF THE INTENDED FUNDS AND SUCH AMOUNTS ARE GRANTED AFTER LUTHERAN HAS VERIFIED THAT THE INTENDED PROJECT SUPPORTS THE COMMUNITY.
Schedule I (Form 990) 2010


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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
LUTHERAN MEDICAL CENTER
 
Employer identification number

11-1839567
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) WENDY Z GOLDSTEIN (i)
(ii)		 798,623
0 		75,000
0 		89,488
0 		269,600
0 		33,056
0 		1,265,767
0 		0
0
(2) BARBARA ARKY (i)
(ii)		 356,423
0 		0
0 		29,039
0 		19,600
0 		33,278
0 		438,340
0 		0
0
(3) RICHARD LANGFELDER (i)
(ii)		 467,480
0 		0
0 		65,356
0 		19,600
0 		29,516
0 		581,952
0 		0
0
(4) CLAUDIA CAINE (i)
(ii)		 649,688
0 		40,000
0 		24,018
0 		19,600
0 		19,421
0 		752,727
0 		0
0
(5) BETH RAUCHER MD (i)
(ii)		 371,136
0 		15,000
0 		30,750
0 		19,600
0 		36,320
0 		472,806
0 		0
0
(6) STEVE ART (i)
(ii)		 226,610
0 		0
0 		31,314
0 		19,600
0 		16,015
0 		293,539
0 		0
0
(7) MYLES DAVIS (i)
(ii)		 224,537
0 		0
0 		47,894
0 		19,600
0 		10,892
0 		302,923
0 		0
0
(8) GEORGE MARTIN MD (i)
(ii)		 567,630
0 		20,000
0 		52,856
0 		14,700
0 		16,758
0 		671,944
0 		0
0
(9) MICHAEL PARKS (i)
(ii)		 241,555
0 		0
0 		45,702
0 		19,600
0 		24,322
0 		331,179
0 		0
0
(10) ROSANNE RASO (i)
(ii)		 267,393
0 		0
0 		30,290
0 		19,600
0 		23,883
0 		341,166
0 		0
0
(11) FRANK SCHEETS (i)
(ii)		 265,762
0 		0
0 		46,904
0 		19,600
0 		48,523
0 		380,789
0 		0
0
(12) KAREN LENNON (i)
(ii)		 220,431
0 		0
0 		29,125
0 		19,600
0 		21,804
0 		290,960
0 		0
0
(13) CANDACE FINKELSTEIN (i)
(ii)		 328,213
0 		0
0 		26,470
0 		19,600
0 		22,975
0 		397,258
0 		0
0
(14) AUDREY SAITTA MD (i)
(ii)		 507,769
0 		0
0 		16,885
0 		14,417
0 		27,350
0 		566,421
0 		0
0
(15) IFFATH HOSKINS MD (i)
(ii)		 377,769
0 		35,000
0 		28,306
0 		3,438
0 		7,068
0 		451,581
0 		0
0
(16) SAVITRI BIRLA MD (i)
(ii)		 304,936
0 		0
0 		7,386
0 		19,600
0 		15,525
0 		347,447
0 		0
0
(17) CLAUDIA LYON MD (i)
(ii)		 263,423
0 		21,245
0 		22,533
0 		14,700
0 		21,699
0 		343,600
0 		0
0
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  PART I, LINE 1B THE HOUSING ALLOWANCE NOTED ON PART I TO THE SCHEDULE J IS ONLY PROVIDED TO CLERGY MEMBERS AND IS BASED UPON A CONTRACT OR AGREEMENT.
  PART I, LINE 4B WENDY Z. GOLDSTEIN, PRESIDENT & CEO IS THE ONLY INDIVIDUAL REPORTED ON SCHEDULE J THAT PARTICIPATES IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. MS. GOLDSTEIN ALSO PARTICIPATES IN A SECTION 457F PLAN AND HER 2009 DEFERRALS ARE REPORTED ON THE FORM 990, SCHEDULE J, PART II, COLUMN (C).
  PART I, LINE 7 LUTHERAN MEDICAL CENTER DOES NOT HAVE A FORMAL EXECUTIVE BONUS PROGRAM IN PLACE. EXECUTIVE BONUSES ARE DISCRETIONARY AND PROVIDED AT THE APPROVAL OF THE BOARD OF DIRECTORS FOR THE CEO AND THE CEO'S RECOMMENDATIONS FOR OTHER SR. EXECUTIVES BASED ON WORK PERFORMANCE DURING THE YEAR. THE BOARD OF DIRECTOR RETAINS THE RIGHT TO APPROVE OR DISAPPROVE ALL BONUSES AND TYPICALLY BASES ITS DECISION UPON MARKET DATA PROVIDED BY THE EXTERNAL CONSULTING FIRM THE MEDICAL CENTER USES TO DETERMINE COMPENSATION.
Schedule J (Form 990) 2010

Additional Data


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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
LUTHERAN MEDICAL CENTER
 
Employer identification number
11-1839567
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A DORMITORY AUTHORITY STATE OF NEW YORK
  		14-6000923 649901U94 03-27-2003 91,804,147 RENOVATION OF HOSPITAL FACILITY REFUND BONDS ISSUED 5/4/75 & 7/12/79   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . . 26,465,000      
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 93,536,081      
4 Gross proceeds in reserve funds . . 12,348,916      
5 Capitalized interest from proceeds. 1,041,309      
6 Proceeds in refunding escrow. . . . .        
7 Issuance costs from proceeds . . . 1,170,791      
8 Credit enhancement from proceeds. 1,704,651      
9 Working capital expenditures from proceeds . . 423,782      
10 Capital expenditures from proceeds . . 43,007,758      
11 Other spent proceeds . . 40,597,767      
12 Other unspent proceeds. . .        
13 Year of substantial completion . . . 2005
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? X              
15 Were the bonds issued as part of an advance refunding issue?   X            
16 Has the final allocation of proceeds been made? . . X              
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X              
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X            
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .   X            
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use? X              
b Are there any research agreements that may result in private business use of bond-financed property? . .   X            
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? .   X            
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0 %      
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0 %      
6 Total of lines 4 and 5 . . .. . . . . . 0 %      
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities?   X            
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X            
2 Is the bond issue a variable rate issue?   X            
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X            
b Name of provider .  
  		 
  		 
  		 
 
c Term of hedge . .        
d Was the hedge superintegrated? .                
e Was a hedge terminated? .                
4a Were gross proceeds invested in a GIC? . X              
b Name of provider . SEE PART V
  		 
  		 
  		 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . X              
5 Were any gross proceeds invested beyond an available temporary period? . X              
6 Did the bond issue qualify for an exception to rebate? . . .   X            
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
PART II, LINE 3   THE DIFFERENCE BETWEEN THE ISSUE PRICE OF THE BONDS AND TOTAL PROCEEDS IS DUE TO INVESTMENT EARNINGS.
PART II, LINE 4   THE REPORTED AMOUNT INCLUDES A DEBT SERVICE RESERVE FUND OF $8,395,000, AND A DEBT SERVICE FUND OF $3,953,916.
PART III, LINE 3C   MANAGEMENT FREQUENTLY SEEKS PROFESSIONAL ADVICE FROM EXTERNAL EXPERTS ON TAX-EXEMPT BOND PRIVATE BUSINESS USE AND ARBITRAGE REPORTING RULES.
PART IV, LINES 4B AND 4C   THERE WERE TWO GICS HOLDING GROSS PROCEEDS OF THE BONDS, ONE WITH AIG MATCHED FUNDING CORP. (TERM 28.3 YEARS), AND ONE WITH MBIA, INC. (TERM 2.3 YEARS).
PART IV, LINE 5   AMOUNTS HELD BEYOND AN ALLOWABLE TEMPORARY PERIOD WERE APPROPRIATELY YIELD RESTRICTED
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
LUTHERAN MEDICAL CENTER
 
Employer identification number

11-1839567
Identifier Return Reference Explanation
  PART I LINE 1 LUTHERAN MEDICAL CENTER IS A COMPREHENSIVE HEALTH CARE AND SOCIAL SUPPORT SYSTEM SERVING THE DIVERSE AND GROWING COMMUNITIES OF SOUTHWEST BROOKLYN.
  PART III LINE 4B THE EMERGENCY ROOM SERVICE AND TRAUMA CENTER IS A VITAL SERVICE PROVIDED TO THE RESIDENTS OF SOUTHWEST BROOKLYN. EMERGENCY TREATMENT SERVICES ARE AVAILABLE TO ALL THOSE THAT PRESENT ON A 24-HOUR/365-DAY PER YEAR BASIS. THE EMERGENCY ROOM IS STAFFED BY A MULTI-LINGUAL, DIVERSE TEAM OF HIGHLY TRAINED PHYSICIANS, NURSES, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS AND SOCIAL WORKERS, WHO WORK CLOSELY WITH TRAUMA SURGEONS AND STROKE SPECIALISTS AND ALL OTHER STAFF TO PROVIDE HIGH QUALITY HEALTH CARE SERVICES AROUND THE CLOCK 365 DAYS PER YEAR. THE EMERGENCY ROOM SERVICE IS A MAJOR GATEWAY TO INPATIENT SERVICES AND IN 2010, 15,885 OR 23% OF THE TOTAL OF 67,694 INDIVIDUAL PATIENT ENCOUNTERS RESULTED IN AN ADMISSION TO AN INPATIENT SERVICE. WITH THE RECENT CLOSINGS AND/OR DOWNSIZING OF OTHER HOSPITALS IN THE AREA, LMC CONTINUES TO EXPERIENCE AN INCREASE IN PATIENT VOLUME WITH HIGHER ACUITY LEVELS, I.E., SICKER PATIENTS SEEKING EMERGENCY SERVICES. IN ORDER TO KEEP UP WITH THIS PATIENT FLOW, RENOVATION BEGUN IN 2009 AND IS STILL IN PROGRESS TO EXPAND THE CAPACITY OF THE EMERGENCY DEPARTMENT. THIS EXPANSION PROJECT IS BEING FUNDED BY THE NYS DOH THROUGH AN APPROVED HEAL VII GRANT OF $13.3 MILLION DOLLARS, ONE OF THE LARGEST AWARDED IN NEW YORK. DUE TO THE EPISODIC NATURE OF THIS SERVICE THE UNDOCUMENTED, UNINSURED AND UNDERINSURED PATIENTS TEND TO BE HIGHER THAN WITH ANY OTHER SERVICE. THE MAJORITY OF THE PATIENTS THAT DO PRESENT WITH INSURANCE TEND TO BE MEDICAID FEE-FOR-SERVICE OR MEDICAID HMO, WHICH IS CONSIDERED MEDICALLY INDIGENT. WHEN COMBINED WITH THE UNINSURED THE DATA REVEALS THAT JUST ABOUT 58% OF ALL PATIENTS PRESENTING TO THE ER FOR EMERGENCY SERVICES WERE EITHER UNDOCUMENTED, UNINSURED OR UNDERINSURED IN CY 2010.
  PART III LINE 4C THE THIRD LARGEST PROGRAM OF THE MEDICAL CENTER IS THE INPATIENT MATERNITY SERVICE. DURING 2010, THE MEDICAL CENTER WAS ABLE TO ACCOMMODATE, ON AVERAGE, APPROXIMATELY 34 PATIENTS PER DAY AND TREATED AND DISCHARGED 4,281 PATIENTS. THE AVERAGE LENGTH OF STAY FOR PATIENTS IN THIS PROGRAM WAS APPROXIMATELY 2.6 DAYS, WHICH TRANSLATED INTO 11,286 DAYS OF MATERNITY CARE PROVIDED IN 2010. THIS UNIT SUPPORTED APPROXIMATELY 4,170 BIRTHS DURING 2010. APPROXIMATELY 2.0% OF THE OB PATIENTS WERE SELF-PAY AND/OR CHARITY-CARE PATIENTS, I.E., MEANING THEY PRESENTED WITHOUT INSURANCE OR THE ABILITY TO PAY AND WERE CONSIDERED 'UNINSURED'. THE MAJORITY OF THE PATIENTS IN THIS SERVICE, ABOUT 81.4% WERE CONSIDERED MEDICALLY INDIGENT. THIS SERVICE TENDS TO HAVE LESS UNINSURED AS NYS INSURANCE COVERAGE FOR PREGNANT WOMEN, NEWBORNS AND CHILDREN IS PROBABLY THE BEST IN THE COUNTRY, BUT IT DID HAVE A SIGNIFICANT PERCENTAGE OF 'UNDERINSURED' PATIENTS. THE OBJECTIVES FOR THE OBSTETRICS PROGRAM IS TO OFFER THE FINEST CARE TO OUR NEIGHBORS BY PROVIDING HIGHLY QUALIFIED PHYSICIANS, PERINATOLOGISTS, NEONATOLOGISTS AND NURSING STAFF
  PART III LINE 1 LUTHERAN MEDICAL CENTER HAS NO REASON FOR BEING OF ITS OWN; IT EXISTS ONLY TO SERVE THE NEEDS OF ITS NEIGHBORS. LUTHERAN MEDICAL CENTER DEFINES HEALTH AS THE TOTAL WELL BEING OF THE COMMUNITY AND ITS RESIDENTS. BEYOND THE ABSENCE OF INDIVIDUAL PHYSICAL ILLNESS, THIS INCLUDES, AT LEAST, DECENT HOUSING, THE ABILITY TO COMMUNICATE EFFECTIVELY, EMPLOYMENT, EDUCATIONAL OPPORTUNITIES AND CIVIC PARTICIPATION. LUTHERAN MEDICAL CENTER UNDERSTANDS THAT A HOSPITAL IS NOT A COLLECTION OF BUILDINGS, MACHINES AND BEDS, BUT A STAFF OF TALENTED, CREATIVE AND COMMITTED PEOPLE WHO SERVE THE COMMUNITY AS THEY ARE NEEDED. LUTHERAN MEDICAL CENTER WORKS IN PARTNERSHIP WITH ITS NEIGHBORS, EACH RELYING ON THE OTHER AS FRIENDS WHO CARE ABOUT AND ASSIST EACH OTHER. MOTIVATED TO SERVE BY ITS OWN HISTORY WITHIN THE BIBLICAL TRADITION OF FAITH AND TEACHING, AND ORGANIZED AS A NOT-FOR-PROFIT ORGANIZATION ACCORDING TO THE UNIQUELY AMERICAN HERITAGE OF DEMOCRATIC VOLUNTARY ASSOCIATION, LUTHERAN MEDICAL CENTER'S PURPOSE IS TO SERVE AS THE CORPORATE VEHICLE FOR ITS TRUSTEES, MEDICAL AND DENTAL STAFF, NURSES, EMPLOYEES, VOLUNTEERS AND OTHERS, TO CARE FOR THE NEEDS OF OUR NEIGHBORS. *LUTHERAN MEDICAL CENTER IS A SOCIAL MINISTRY OF THE EVANGELICAL LUTHERAN CHURCH IN AMERICA (ELCA)
  FORM 990, PART IV, LINE 12B LUTHERAN MEDICAL CENTER RECEIVES A COMBINED AUDITED FINANCIAL STATEMENT FOR THE YEAR ENDING DECEMBER 31ST, 2010. THE COMBINED FINANCIAL STATEMENTS ARE PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES IN THE UNITED STATES OF AMERICA ("GAAP"). THE COMBINED FINANCIAL STATEMENTS INCLUDE THE ACCOUNTS OF LUTHERAN MEDICAL CENTER AND ALL OF ITS AFFILIATED ORGANIZATIONS. PER THE INSTRUCTIONS TO THE FORM 990, THE ORGANIZATION IS REQUIRED TO RESPOND "YES" TO PART IV, QUESTION 12B IF THE ORGANIZATION IS PART OF A CONSOLIDATED FINANCIAL STATEMENT. SINCE SELECTING "YES" TO THIS QUESTION MAY BE MISCONSTRUED, LUTHERAN IS ATTACHING THIS EXPLANATION TO ITS FORM 990.
FORM 990, PART VI, SECTION A, LINE 6   THE EVANGELICAL LUTHERAN CHURCH IN AMERICA ("ELCA"), A MINNESOTA NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER OF LUTHERAN MEDICAL CENTER ("LMC").
FORM 990, PART VI, SECTION A, LINE 7A   AS SOLE MEMBER, THE ELCA ELECTS THE GOVERNING BODY OF LMC.
FORM 990, PART VI, SECTION A, LINE 7B   THE POWERS RESERVED TO MEMBERS UNDER THE NEW YORK NOT-FOR-PROFIT CORPORATION LAW ARE HELD BY THE ELCA. SUCH POWERS INCLUDE: THE RIGHT TO ELECT AND REMOVE MEMBERS OF THE GOVERNING BODY; APPROVAL OF AMENDMENTS TO LMC'S CERTIFICATE OF INCORPORATION; AND THE RIGHT TO APPROVE SIGNIFICANT CORPORATE TRANSACTIONS (E.G.S MERGERS, CONSOLIDATIONS, DISSOLUTION). IN ADDITION, THE ELCA IS VESTED WITH THE POWER TO AMEND THE CONSTITUTION SECTION OF LMC'S CONSTITUTION AND BYLAWS, WHICH SUCH SECTION SETS OUT THE MISSION, NAME AND QUALIFICATIONS OF BOARD MEMBERS, AMONG OTHER SIMILAR ITEMS.
FORM 990, PART VI, SECTION B, LINE 11   A COPY OF THE FORM 990 WILL BE PROVIDED TO EACH MEMBER OF THE LUTHERAN MEDICAL CENTER BOARD OF DIRECTORS PRIOR TO ITS FILING WITH THE INTERNAL REVENUE SERVICE (IN EITHER AN ELECTRONIC OR PAPER FORMAT) THE FORM 990 WILL BE REVIEWED WITH THE LUTHERAN MEDICAL CENTER AUDIT & LEGAL COMMITTEE ON SEPTEMBER 14, 2011, THE AUDIT & LEGAL COMMITTEE WILL THEN PROVIDE AN OVERVIEW OF THE FORM 990 TO THE FULL LUTHERAN MEDICAL CENTER BOARD.
  FORM 990, PART VI, SECTION B, LINE 12C LUTHERAN MEDICAL CENTER REQUIRES ALL BOARD OF TRUSTEES MEMBERS TO COMPLETE AN ANNUAL CONFLICT OF INTEREST AND RELATED MATTERS DISCLOSURE STATEMENT PRIOR TO SERVING ON THE BOARD FOR THE CURRENT YEAR. THIS DISCLOSURE STATEMENT IS MONITORED AND REVIEWED BY LUTHERAN'S GENERAL COUNSEL. IN 2010, LUTHERAN SUPPLEMENTED ITS ORIGINAL DISCLOSURE STATEMENT WITH AN ADDITIONAL QUESTIONNAIRE INTENDED TO COVER ISSUES RAISED BY THE NEW FORM 990, BUT NOT ADDRESSED IN THE ORIGINAL DISCLOSURE STATEMENT. THIS QUESTIONNAIRE WAS COMPLETED BY ALL BOARD OF TRUSTEE MEMBERS, OFFICERS AND KEY EMPLOYEES PRIOR TO THE FILING OF THE FORM 990.
  FORM 990, PART VI, SECTION B, LINE 15 THE LUTHERAN MEDICAL CENTER BOARD OF TRUSTEES ENGAGES SULLIVAN COTTER & ASSOCIATES, INC TO PROVIDE ANNUAL REPORTS AND SUPPORTING DATA RELATIVE TO EXECUTIVE COMPENSATION. THE COMPENSATION COMMITTEE, ACTING ON BEHALF OF THE FULL LUTHERAN BOARD OF TRUSTEES, RECEIVES AND REVIEWS THESE REPORTS WHICH CONTAIN A) A MARKET ANALYSIS OF THE TOTAL COMPENSATION LEVELS OF SENIOR EXECUTIVES IN RELATION TO THEIR PEERS IN THE MARKETPLACE, B) A REVIEW OF CURRENT COMPENSATION AND BENEFIT PLAN DESIGNS TO ENSURE COMPETITIVENESS TO THE MARKETPLACE, AND C) COMPLIANCE WITH STATE AND/OR FEDERAL REGULATIONS THE COMPENSATION COMMITTEE RELIES UPON THE DATA AND RECOMMENDATIONS PROVIDEO BY SULLIVAN COTTER & ASSOCIATES TO DETERMINE THE COMPENSATION LEVEL OF THE CEO. FOR THE OTHER KEY EXECUTIVE POSITIONS, THE CEO RECOMMENDS ADJUSTMENTS TO THE COMMITTEE WHO IN TURN REVIEW THESE RECOMMENDATIONS UTILIZING THE SULLIVAN COTTER & ASSOCIATES REPORTS AND APPROVES, DISAPPROVES OR ALTERS THE PROPOSALS OF THE CEO FOR THE OTHER SENIOR EXECUTIVES
  FORM 990, PART VI, SECTION C, LINE 19 LUTHERAN MEDICAL CENTER POSTS ITS CURRENT ANNUAL REPORT ON ITS WEBSITE, WWW.LUTHERANMEDLCALCENTER.COM. THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND AT THE DISCRETION OF THE MEDICAL CENTER'S GENERAL COUNSEL.
COMPENSATION FORM 990, PART VII & SCHEDULE J THE COMPENSATION REPORTED ON BOTH PART VII AND SCHEDULE J OF THE FORM 990 FOR THE CERTAIN OFFICERS AND KEY PERSONNEL INCLUDING, WENDY Z GOLDSTEIN, RICHARD LANGFELDER, BARBARA ARKY, FRANK SCHEETS REPRESENTS AMOUNTS PAID FOR SERVICES RENDERED TO LUTHERAN MEDICAL CENTER AND ITS AFFILIATED ORGANIZATIONS WITHIN LUTHERAN HEALTHCARE THE FORM 990 REQUIRES COMPENSATION TO BE REPORTED BASED ON THE ORGANIZATION THAT PROVIDES THE OFFICER HIS OR HER W-2, HOWEVER, REPORTING COMPENSATION IN THIS FASHION DOES NOT TAKE INTO ACCOUNT THE INTEGRATED RELATIONSHIPS WITHIN A HEALTH SYSTEM THAT REQUIRE OFFICERS AND EMPLOYEES TO ALLOCATE THEIR TIME AND SERVICES AMONG MANY ORGANIZATIONS.
CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 747,000. DEFINED BENEFIT PLAN ADJUSTMENTS -4,279,000. TRANSFER OF NET ASSETS TO/FROM RELATED PARTIES -969,000. ROUNDING ADJUSTMENT 243. TOTAL TO FORM 990, PART XI, LINE 5: -4,500,757.
  PART III LINE 4A THE LARGEST PROGRAM OFFERED BY LUTHERAN IS THE MEDICAL/SURGICAL INPATIENT SERVICE, WHICH CAN ACCOMMODATE APPROXIMATELY 274 PATIENTS ON A DAILY BASIS. MANY RESIDENTS OF THE SOUTHWEST AREA OF BROOKLYN RELY ON LUTHERAN AS ITS MAIN HEALTH CARE PROVIDER. DURING 2010, THE MEDICAL CENTER ADMITTED, TREATED AND DISCHARGED 15,705 PATIENTS FROM THE MEDICAL/SURGICAL PROGRAM. THESE PATIENTS REMAINED IN-HOUSE ON AVERAGE FOR 5.5 DAYS, RESULTING IN APPROXIMATELY 85,839 DAYS OF MEDICAL/SURGICAL CARE PROVIDED. A SIGNIFICANT PORTION OF THESE PATIENTS JUST OVER 4%, PRESENTED WITHOUT ANY FORM OF INSURANCE COVERAGE OR THE ABILITY TO PAY FOR THE CARE RECEIVED. IN CY 2010 THESE UNINSURED MEDICAL/SURGICAL PATIENTS GENERATED IN EXCESS OF $7.0 MILLION OF CHARGES FOR SERVICES THAT WILL GO UN-REIMBURSED BY THE PATIENT OR ANY THIRD PARTY PAYER. IN ADDITION TO THE UNINSURED PATIENTS, LMC TREATS A HIGH NUMBER OF WHAT IS CONSIDERED MEDICALLY INDIGENT OR 'UNDER-INSURED' PATIENTS. THESE PATIENTS INCLUDING THOSE WITH MEDICAID COVERAGE MAKE UP A SIGNIFICANT PORTION OF THE PATIENTS SERVED BY LMC. IN THE INPATIENT MEDICAL/SURGICAL PROGRAM ALONE, APPROXIMATELY 28% OF THE TOTAL PATIENTS TREATED WERE CONSIDERED MEDICALLY INDIGENT. ALTHOUGH THIS CAN BE FINANCIALLY CHALLENGING TO A HEALTH CARE PROVIDER, LUTHERAN VIEWS THIS CHALLENGE AS PART OF ITS OVERALL MISSION, IN THAT IT EXISTS ONLY TO SERVE THE NEEDS OF ITS NEIGHBORS AND TO KEEP PEOPLE HEALTHY AND TO THE EXTENT POSSIBLE, OUT OF THE HOSPITAL. LUTHERAN HAS SUCCESSFULLY INCREASED ACCESS TO HIGH QUALITY COMMUNITY BASED HEALTH CARE SERVICES AND HAS WORKED HARD TO REDUCE MEDICAL DISPARITIES IN THE COMMUNITY IT SERVES, WHILE ALSO STAYING CURRENT WITH PATIENT SAFETY INITIATIVES AND ADVANCED TECHNOLOGY, ALL WHICH ARE NECESSARY TO CONTINUE ITS MISSION TO PROVIDE A HIGH QUALITY SERVICE TO THOSE IN NEED IN ITS SURROUNDING COMMUNITIES.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
LUTHERAN MEDICAL CENTER
 
Employer identification number

11-1839567
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity

















Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) LUTHERAN AUGUSTANA CECR INC

5434 2ND AVE

BROOKLYN,NY11220
11-2150953 		EXTENDED CARE NY 501(C)(3) 9 N/A
 
No
(2) HEALTH PLUS PREPAID HEALTH SERVICES PLAN

5800 3RD AVENUE

BROOKLYN,NY11220
11-3245559 		INSURANCE NY 501(C)(4) N/A N/A
Yes
 
(3) SHORE HILL HOUSING COMPANY INC

9000 SHORE ROAD

BROOKLYN,NY11209
23-7405105 		HOUSING NY 501(C)(3) 7 N/A
 
No
(4) HARBOR HILL HOUSING

150 55TH STREET

BROOKLYN,NY11220
11-3152691 		HOUSING NY 501(C)(3) 9 N/A
 
No
(5) SUNSET BAY COMMUNITY SERVICES

150 55TH STREET

BROOKLYN,NY11220
11-2439925 		HOUSING NY 501(C)(3) 7 N/A
 
No
(6) LMC COMMUNITY FOUNDATION

150 55TH STREET

BROOKLYN,NY11220
23-7439784 		SUPPORT ORG. NY 501(C)(3) 11B N/A
 
No
(7) COMMUNITY CARE ORGANLZATLON

246 55TH STREET APT AA4

BROOKLYN,NY11220
11-3001682 		HOME HEALTH NY 501(C)(3) 9 N/A
 
No
(8) SUNSET GARDENS HOUSING CORP

150 55TH STREET

BROOKLYN,NY11220
20-3461755 		HOUSING NY 501(C)(3) 7 N/A
 
No
(9) LMC HEALTH SYSTEM INC

150 55TH STREET

BROOKLYN,NY11220
11-3589771 		SUPPORT ORG. NY 501(C)(3) 11A N/A
 
No
(10) LMC PHYSICIAN SERVICES PC

150 55TH STREET

BROOKLYN,NY11220
11-3192423 		PHYS. SERVICE NY 501(C)(3) 11C N/A
 
No
(11) SHORE ROAD RADIOLOGY ASSOCIATES PC

150 55TH STREET

BROOKLYN,NY11220
11-2665457 		HEALTHCARE NY 501(C)(3) 11C N/A
 
No
(12) SHORE ROAD CARDIOLOGY ASSOCIATES PC

150 55TH STREET

BROOKLYN,NY11220
11-2670952 		HEALTHCARE NY 501(C)(3) 11C N/A
 
No
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) SHORE ROAD COMMUNITY SERVICES
150 55TH STREET
BROOKLYN,NY11220
 NURSING & HOUSING NY LMC COMMUNITY FOUNDATION
  		C      
(2) SHORE HILL HOUSING ASSOCIATES
150 55TH STREET
BROOKLYN,NY11220
 HOUSING NY N/A
 C      










Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) HEALTH PLUS PREPAID HEALTH SERVICES PLAN

 E 530,048  
(2) HEALTH PLUS PREPAID HEALTH SERVICES PLAN

 J 444,852  
(3) HEALTH PLUS PREPAID HEALTH SERVICES PLAN

 K 45,355,630  
(4) HEALTH PLUS PREPAID HEALTH SERVICES PLAN

 N 2,237,170  
(5) HEALTH PLUS PREPAID HEALTH SERVICES PLAN

 R 2,500,000  
(6)
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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