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
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 01-01-2012 , 2012, and ending 12-31-2012
BCheck if applicable:
CName of organization
ST LUKE'S-ROOSEVELT HOSPITAL CENTER
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
1111 AMSTERDAM AVENUE
Suite
Room/suite
City or town, state or country, and ZIP + 4
NEW YORK, NY10025
D Employer identification number

13-2997301
E Telephone number

G Gross receipts $ 1,231,184,444
F Name and address of principal officer:
STANLEY BREZENOFF
555 WEST 57TH STREET
NEW YORK,NY10019
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.wehealny.org
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: 1864
M State of legal domicile: NY
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: SERVES THE HEALTH CARE NEEDS OF THE NEW YORK COMMUNITY THROUGH PRIMARY AND TERTIARY CARE SERVICES TO INPATIENTS AND OUTPATIENTS WHILE ALSO PROVIDING CLINICAL EDUCATION AND ENGAGING IN CLINICAL RESEARCH.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 71
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 65
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 7,398
6 Total number of volunteers (estimate if necessary) ............. 6 781
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 4,648,984
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -262,947
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 3,324,810 5,945,736
9 Program service revenue (Part VIII, line 2g) ......... 1,132,924,884 1,134,388,844
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 2,561,412 2,446,479
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 78,006,209 88,363,006
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 1,216,817,315 1,231,144,065
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
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) 715,536,200 727,223,167
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 493,108,524 498,173,575
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,208,644,724 1,225,396,742
19 Revenue less expenses. Subtract line 18 from line 12....... 8,172,591 5,747,323
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 929,869,608 986,322,226
21 Total liabilities (Part X, line 26)............. 951,848,038 1,008,681,548
22 Net assets or fund balances. Subtract line 21 from line 20..... -21,978,430 -22,359,322
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 Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
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: WITH OVER 290 YEARS' EXPERIENCE BETWEEN THEM CARING FOR PATIENTS, ST. LUKE'S AND ROOSEVELT HOSPITALS ARE RECOGNIZED FOR THEIR HIGH-QUALITY CLINICAL CARE, EXPERT TEACHING, AND INNOVATIVE RESEARCH CONTRIBUTIONS. SLR WAS FORMED IN 1979 BY A MERGER OF TWO OF NEW YORK CITY'S OLDEST HEALTH CARE INSTITUTIONS, ST. LUKE'S HOSPITAL, ESTABLISHED IN 1855, AND ROOSEVELT HOSPITAL, FOUNDED IN 1871. TOGETHER, THEY SERVE AS ACADEMIC AFFILIATES FOR COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS. ST. LUKE'S AND ROOSEVELT ARE FULL-SERVICE, TERTIARY LEVEL FACILITIES THAT ENJOY AN OUTSTANDING REPUTATION IN MANY CLINICAL AREAS. AMONG THE CENTERS OF EXCELLENCE ARE THE FOLLOWING: THE DIVISION OF ENDOCRINOLOGY, DIABETES AND NUTRITION, PRINCIPALLY LOCATED AT ST. LUKE'S HOSPITAL, IS HOME TO TWO OF THE NATION'S LEADING CENTERS BATTLING DIABETES AND OBESITY: THE THEODORE B. VANITALLIE CENTER FOR NUTRITION AND WEIGHT MANAGEMENT AND THE OBESITY RESEARCH INSTITUTE, THE LATTER FUNDED BY THE NATIONAL INSTITUTES
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 organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations 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 $ 1,149,038,926 including grants of $ 0 ) (Revenue $ 1,150,083,833 )
THE HOSPITAL PROVIDES SIGNIFICANT LEVELS OF TERTIARY CARE AND SPECIALIZED SERVICES AND PROGRAMS TO TREAT COMPLEX CLINICAL CONDITIONS. THESE INCLUDE A COMPREHENSIVE CARDIOVASCULAR SURGERY PROGRAM, AN ENDOCRINOLOGY AND OBESITY PROGRAM, A COMPREHENSIVE HAND SURGERY PROGRAM, A RENAL TRANSPLANT PROGRAM AND ONE OF THE LARGEST INPATIENT/OUTPATIENT AIDS PROGRAMS IN NEW YORK CITY. IN ADDITION, THE HOSPITAL MAINTAINS A FULL RANGE OF OUTPATIENT SERVICES. THE HOSPITAL HAS BEEN DESIGNATED AS A TRAUMA CENTER BY THE EMERGENCY MEDICAL SYSTEM OF THE CITY OF NEW YORK AND HAS BEEN DESIGNATED AS A DEPARTMENT OF HEALTH. THE HOSPITAL SERVICED INPATIENTS AND PROVIDED 403,094 CLINIC VISITS AND 171,062 EMERGENCY ROOM VISITS. OVER 75% OF THE APPROXIMATELY 243,808 PATIENT DAYS WERE PROVIDED TO MEDICARE AND MEDICAID PATIENTS. AS A MATTER OF POLICY, THE HOSPITAL PROVIDES CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL PROVIDED OVER $33,133,302 OF CHARITY CARE SERVICES AND INCURRED $74,219,842 BAD DEBTS DURING 2012.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet1,149,038,926
Form 990 (2012)
Form 990 (2012)
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 (see instructions)? 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 I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part II........
4
 
No
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
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which 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 for escrow or custodial account liability; 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 temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment......
10
Yes
 
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, line 10?
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 VIIClick 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 VIIIClick 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 IXClick 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 XClick 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 XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII 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 and XII 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, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV......... Click to see attachment
14b
Yes
 
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 United States? If “Yes,” complete Schedule F, Parts II and IVClick to see attachment
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 United States? If “Yes,” complete Schedule F, Parts III and IV... Click to see attachment
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 I (see instructions).... Click to see attachment
17
 
No
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
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H.... Click to see attachment
20a
Yes
 
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments
20b
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II...
21
 
No
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........
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, line 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 lines 24b through 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
Yes
 
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, highest 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 employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? 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 direct or indirect 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..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............. Click to see attachment
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
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, 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
35b
Yes
 
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
 
No
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 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
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
703
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
 
 
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
7,398
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, securities account, or other financial 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 as charitable contributions?...
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. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the 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 amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
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
71
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
65
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
Yes
 
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
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
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
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete 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 this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did 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 15a or 15b, 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,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take 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
NY
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 made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletKENNETH BARRITT555 WEST 57TH STREETNEW YORKNY10019 (212) 523-8082
Form 990 (2012)
Form 990 (2012)
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. 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 organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(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) BOBBIE ABRAMS........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(2) THOMAS ACOSTA........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(3) ALAN R BATKIN........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(4) PHILIP BERNEY........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(5) FRANK BISIGNANO........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(6) HOWARD BLITMAN........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(7) DAVID BOIES........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(8) MILTON S COHN........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(9) MICHAEL CRAMES........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(10) PETER CROWLEY........................................................................
BOARD MEMBER
 1.0
........................5 		X           0 0 0
(11) MARY DEBARE........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(12) BRUCE FADER........................................................................
BOARD MEMBER SINCE SEPT 2012
 1.0
.......................1.5 		X           0 0 0
(13) FRED FARKOUH........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(14) JAMES E FLYNN........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(15) PETER FRELINGHUYSEN........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(16) JANE FRIEDMAN........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(17) OSCAR GARFEIN MD........................................................................
BOARD MEMBER UNTIL MAY 2012
 1.0
.......................1.5 		X           0 0 0
Form 990 (2012)
Form 990 (2012)
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 (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(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) CHARLES GARNER........................................................................
BOARD MEMBER SINCE APRIL 2012
 1.0
.......................1.5 		X           0 0 0
(19) DAVID A GOLDBERG........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(20) LEE GOLDMAN MD........................................................................
BOARD MEMBER
 1.0
.......................0.0 		X           0 0 0
(21) JEROME R GOLDSTEIN........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(22) RICHARD A GOLDSTEIN........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(23) JANET GREEN........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(24) MERRIL M HALPERN........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(25) SHELLEY HARRISON........................................................................
BOARD MEMBER UNTIL JULY 2012
 1.0
.......................1.5 		X           0 0 0
(26) DANIEL HEBERT........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(27) LENORE HECHT........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(28) ELIE HIRSCHFELD........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(29) STEPHEN A HOCHMAN ESQ........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(30) PATRICIA KARPAS........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(31) SUZANNE T KARPAS........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(32) MARTIN JR KARPEH MD........................................................................
BOARD MEMBER SINCE MARCH 2012
 1.0
.......................40.0 		X           0 943,914 41,204
(33) BRADFORD KLATT........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(34) KENNETH C KNUCKLES........................................................................
BOARD MEMBER
 1.0
.......................2.5 		X           0 0 0
(35) ANDREW S KOMAROFF........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(36) STANLEY KOMAROFF ESQ........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(37) WILLIAM LERNER........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(38) EDWIN LEVY........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(39) W BRIAN MAILLIAN........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(40) MARTIN MARCUS........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(41) CAROL MASLOW........................................................................
BOARD MEMBER
 1.0
.......................2.5 		X           0 0 0
(42) EUGENE MERCY........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(43) MORGAN MILLER........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(44) ALAN MIRKEN........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(45) HARRIS NAGLER MD........................................................................
BOARD MEMBER
 1.0
.......................42.0 		X           0 1,183,008 60,005
(46) JAMES NEARY........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(47) RUTH NERKEN........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(48) ALICE NETTER........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(49) LEW PELL........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(50) DAVID PICKET........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(51) RUSSELL PORTENOY MD........................................................................
BOARD MEMBER UNTIL MARCH 2012
 1.0
.......................40.0 		X           0 530,427 48,111
(52) BURTON P RESNICK........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(53) IRA S RIMERMAN........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(54) GAE RODKE MD........................................................................
BOARD MEMBER SINCE MAY 2012
 1.0
.......................1.5 		X           0 0 0
(55) ARTHUR SARNOFF........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(56) JOAN G SARNOFF........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(57) WILLIAM SARNOFF........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(58) ROBERT SAVAGE........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(59) DONALD SCHNABEL........................................................................
BOARD MEMBER
 1.0
.......................2.5 		X           0 0 0
(60) BARRY SIADAT PHD........................................................................
BOARD MEMBER SINCE APRIL 2012
 1.0
.......................1.5 		X           0 0 0
(61) SHELDON SIMON MD........................................................................
BOARD MEMBER
 1.0
.......................40.0 		X           0 621,047 92,145
(62) MAURY L SPANIER........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(63) WHITNEY STEVENS........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(64) DANIEL WIENER MD........................................................................
BOARD MEMBER
 40.0
.......................1.0 		X           628,267 0 30,699
(65) WILLIAM H WRIGHT II........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(66) BETTY YARMON........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(67) MICHAEL ZIMMERMAN........................................................................
BOARD MEMBER
 1.0
.......................1.5 		X           0 0 0
(68) STANLEY BREZENOFF........................................................................
CEO AND BOARD MEMBER
 20.0
.......................24.0 		X   X       0 2,102,339 43,644
(69) FRANK J CRACOLICI........................................................................
PRESIDENT & BOARD MEMBER
 40.0
.......................3.0 		X   X       982,941 0 43,978
(70) STEVEN HOCHBERG........................................................................
CHAIRMAN, BOARD MEMBER
 1.0
.......................2.5 		X   X       0 0 0
(71) LAWRENCE S HUNTINGTON........................................................................
CHAIRMAN EMERITUS/BOARD MEMBER
 1.0
.......................4.5 		X   X       0 0 0
(72) MORTON P HYMAN........................................................................
CHAIRMAN EMERITUS/BOARD MEMBER
 1.0
.......................2.5 		X   X       0 0 0
(73) SORRELL MATHES........................................................................
VICE CHAIRMAN, BOARD MEMBER
 1.0
.......................1.5 		X   X       0 0 0
(74) JOEL I PICKET........................................................................
VICE CHAIRMAN, BOARD MEMBER
 1.0
.......................1.5 		X   X       0 0 0
(75) MICHAEL BRUNO........................................................................
SVP, FINANCIAL OPS & REPORTING
 20.0
.......................20.0 		    X       0 713,853 46,211
(76) LOUIS JR BRUSCO MD SINCE JULY 2012........................................................................
SVP, CHIEF MEDICAL OFFICER
 40.0
.......................3.0 		    X       114,480 0 3,946
(77) GREGORY CALLISTE........................................................................
CHIEF ADMIN OFFICER - ST LUKES
 40.0
.......................0.0 		    X       389,751 0 29,603
(78) ROBERT CATALANO UNTIL JULY12........................................................................
SVP, CHIEF MEDICAL OFFICER
 40.0
.......................3.0 		    X       317,864 0 37,211
(79) JILL CLAYTON........................................................................
ASSISTANT SECRETARY
 20.0
.......................23.0 		    X       0 421,084 68,368
(80) JOHN COLLURA........................................................................
EVP/CFO, TREASURER
 20.0
.......................29.0 		    X       0 1,243,141 39,408
(81) TIM DAY........................................................................
COO SLR
 40.0
.......................0.0 		    X       730,944 0 39,670
(82) GAIL DONOVAN........................................................................
SENIOR EVP FOR SYSTEM AFFAIRS
 20.0
.......................28.0 		    X       0 1,502,260 63,924
(83) BETH ESSIG........................................................................
EVP/GEN COUNSEL, SECRETARY
 20.0
.......................24.0 		    X       0 784,106 30,208
(84) ADAM LAWRENCE HENICK........................................................................
SVP, AMB CARE & MED ENTERPRISE
 1.0
.......................41.0 		    X       0 588,838 91,242
(85) KENNETH HOLDEN........................................................................
SVP,REAL ESTATE SVS&FACILITIES
 20.0
.......................24.0 		    X       0 507,943 73,806
(86) KATHLEEN KEARNS........................................................................
SVP, DEVELOPMENT & EXT AFFAIRS
 10.0
.......................33.0 		    X       0 709,039 60,361
(87) MICHELLE LEONE........................................................................
SVP, REV CYCLE OPS & MGD CARE
 20.0
.......................20.0 		    X       0 711,250 46,268
(88) BRENDAN LOUGHLIN........................................................................
SVP,STRATEGIC FINANCE PLANNING
 20.0
.......................20.0 		    X       0 756,552 165,634
(89) JOANN MILLER RN SINCE FEB 2012........................................................................
SVP, PATIENT CARE & NURSING
 40.0
.......................0.0 		    X       373,965 0 32,494
(90) MARK MOROSES SINCE FEB 2012........................................................................
SVP, CHIEF INFORMATION OFFICER
 20.0
.......................20.0 		    X       0 573,661 78,483
(91) DENISE PELLE........................................................................
SVP, CORPORATE INITIATIVES
 20.0
.......................20.0 		    X       0 388,533 37,144
(92) ERIC POGUE........................................................................
SVP, HUMAN RESOURCES
 20.0
.......................20.0 		    X       0 566,826 38,825
(93) SUSAN DIETZ........................................................................
VP NURSING
 40.0
.......................0.0 		      X     242,620 0 28,777
(94) BRUCE POLSKY........................................................................
CHIEF OF GENERAL MEDICINE
 40.0
.......................0.0 		      X     319,022 0 17,947
(95) ROBERT GOODMAN........................................................................
PHYSICIAN
 40.0
.......................0.0 		        X   2,678,270 0 258
(96) MARTIN KELTZ........................................................................
PHYSICIAN
 40.0
.......................0.0 		        X   2,525,113 0 17,260
(97) FARR NEZHAT........................................................................
PHYSICIAN
 40.0
.......................0.0 		        X   1,839,538 0 21,491
(98) WILLIAM SAMSON........................................................................
PHYSICIAN
 40.0
.......................0.0 		        X   1,787,639 0 12,418
(99) DANIEL STEIN........................................................................
PHYSICIAN
 40.0
.......................0.0 		        X   2,655,928 0 43,577
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 15,586,342 14,847,821 1,484,320
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet1,621
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. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
SIEMENS MEDICAL SOLUTIONS, PO BOX 7777 W3580PHILADELPHIAPA19175 IT SERVICES 8,182,324
COLUMBIA UNIVERSITY, 630 WEST 168TH STREETNEW YORKNY10032 PHYSICIAN SERVICES 7,145,333
SLR DIAGNOSTIC RADIOLOGY PC, 1780 BROADWAY 11TH FLOORNEW YORKNY10019 PHYSICIAN SERVICES 4,386,491
PRICEWATERHOUSECOOPERS LLP, PO BOX 7247-8001PHILADELPHIAPA191708001 CONSULTING SERVICES 3,072,987
SCIENTIAE LLC, 30 BROAD STREET 25TH FLNEW YORKNY10004 EDUCATIONAL SERVICES 2,518,602
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet288
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 67,835
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		5,877,901
g Noncash contributions included in lines
1a-1f:$ 		105,434
h Total. Add lines 1a-1f.......MediumBullet 5,945,736
Program Service Revenue Business Code
2a PATIENT SERVICE REVENUE 621110 979,390,627 979,390,627    
b FACULTY PRACTICE REVENUE 621300 134,310,312 134,310,312    
c PATHOLOGY LAB 621500 17,880,707 13,231,723 4,648,984  
d COMMUNITY MENTAL HEALTH ALCOHOL INCOME 624100 2,794,976 2,794,976    
e CHILDREN SINGLE POINT OF ACCESS SERVICE 624100 12,222 12,222    
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 1,134,388,844
Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 2,446,479     2,446,479
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 5,760,543  
b Less: rental expenses    
c Rental income or (loss) 5,760,543 0
d Net rental income or (loss).......MediumBullet 5,760,543     5,760,543
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses    
c Gain or (loss)    
d Net gain or (loss)..........MediumBullet 0      
8a Gross income from fundraising events (not including
$ 67,835
of contributions reported on line 1c). See Part IV, line 18 ..
a 30,150
b Less: direct expenses ...b 40,379
c Net income or (loss) from fundraising events..MediumBullet -10,229   -10,229
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 0      
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 0      
Miscellaneous Revenue Business Code
11a HEALTHFIRST REVENUE 900099 7,967,900 7,967,900    
b REVENUE FROM DRUG STUDIES & NIH GRANTS 900099 12,376,073 12,376,073    
c CAFETERIA/VENDING INCOME 531390 1,969,159     1,969,159
d All other revenue .... 60,299,560     60,299,560
e Total. Add lines 11a–11d ...... MediumBullet 82,612,692
12 Total revenue. See Instructions......MediumBullet 1,231,144,065 1,150,083,833 4,648,984 70,465,512
Form 990 (2012)
Form 990 (2012)
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).Check if Schedule O contains a response to any question in this Part IX ...............
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 United States. See Part IV, line 21 0  
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 0  
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 4,364,179 3,935,612 428,567  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 571,656,573 515,544,091 56,112,482  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 48,409,554 43,568,599 4,840,955  
9 Other employee benefits ....... 102,792,861 92,513,575 10,279,286  
10 Payroll taxes ........... 0      
11 Fees for services (non-employees):        
a Management ...... 3,469,499 3,469,499    
b Legal ......... 1,450,411 1,321,274 129,137  
c Accounting ........... 1,629,684   1,629,684  
d Lobbying ........... 0      
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 0      
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 56,897,017 56,897,017    
12 Advertising and promotion .... 1,977,557 1,977,557    
13 Office expenses ....... 52,213,058 49,469,369 2,743,689 0
14 Information technology ...... 5,738,492 5,738,492    
15 Royalties .. 0      
16 Occupancy ........... 34,156,735 34,156,735    
17 Travel ............ 3,105,568 3,022,617 82,951  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 855,329 778,619 76,710  
20 Interest ........... 20,284,673 20,284,673    
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 50,331,217 50,331,217    
23 Insurance .............. 26,427,105 26,427,105    
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 149,315,724 149,315,724    
b BAD DEBT 74,219,842 74,219,842    
c PASS THROUGH EXPENSES 4,285,132 4,285,132    
d DUES AND MEMBERSHIPS 2,846,411 2,846,411    
e All other expenses 8,970,121 8,935,766 34,355  
25 Total functional expenses. Add lines 1 through 24e 1,225,396,742 1,149,038,926 76,357,816 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 42,726,159 1 73,584,714
2 Savings and temporary cash investments ......... 0 2 0
3 Pledges and grants receivable, net ........... 12,154,810 3 9,027,776
4 Accounts receivable, net ............. 153,149,957 4 164,153,394
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
0 6 0
7 Notes and loans receivable, net ............. 0 7 0
8 Inventories for sale or use .............. 13,115,087 8 12,631,995
9 Prepaid expenses and deferred charges .......... 11,126,210 9 11,040,091
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,283,154,428
b Less: accumulated depreciation ..... 10b 913,429,113 386,393,879 10c 369,725,315
11 Investments—publicly traded securities .......... 14,404,611 11 14,699,855
12 Investments—other securities. See Part IV, line 11 ..... 33,664,754 12 34,324,141
13 Investments—program-related. See Part IV, line 11 ..... 0 13 0
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 263,134,141 15 297,134,945
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 929,869,608 16 986,322,226
Liabilities 17 Accounts payable and accrued expenses ......... 168,761,472 17 192,833,920
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 0 19 0
20 Tax-exempt bond liabilities ............. 274,777,743 20 265,807,126
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 62,869,103 23 55,144,666
24 Unsecured notes and loans payable to unrelated third parties .... 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 445,439,720 25 494,895,836
26 Total liabilities. Add lines 17 through 25......... 951,848,038 26 1,008,681,548
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. -100,810,888 27 -101,606,260
28 Temporarily restricted net assets ........... 19,067,822 28 19,457,501
29 Permanently restricted net assets ........... 59,764,636 29 59,789,437
Organizations that do not follow SFAS 117 (ASC 958), 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 ........... -21,978,430 33 -22,359,322
34 Total liabilities and net assets/fund balances ........ 929,869,608 34 986,322,226
Form 990 (2012)
Form 990 (2012)
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
1,231,144,065
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,225,396,742
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
5,747,323
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
-21,978,430
5
Net unrealized gains (losses) on investments ...............
5
7,783,995
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-13,912,210
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
-22,359,322
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
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 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?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
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 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
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
2012
Open to Public
Inspection
Name of the organization
ST LUKE'S-ROOSEVELT HOSPITAL CENTER
 
Employer identification number

13-2997301
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 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
Provide the following information about the supported organization(s).
(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 monetary support
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2012

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
2012
Name of the organization
ST LUKE'S-ROOSEVELT HOSPITAL CENTER
 
Employer identification number

13-2997301
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 on line H of its
Form 990-EZ or on Part I, 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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 2
Name of organization
ST LUKE'S-ROOSEVELT HOSPITAL CENTER
  		Employer identification number

13-2997301
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total 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)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


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

     
 
   

$  


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

     
 
   

$  


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

     
 
   

$  


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

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 3
Name of organization
ST LUKE'S-ROOSEVELT HOSPITAL CENTER
  		Employer identification number

13-2997301
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
     
(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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 4
Name of organization
ST LUKE'S-ROOSEVELT HOSPITAL CENTER
  		Employer identification number

13-2997301
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total 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 $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(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) (2012)

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, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ST LUKE'S-ROOSEVELT HOSPITAL CENTER
 
Employer identification number

13-2997301
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 can 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 through 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, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax 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 section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, 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 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), 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 (ASC 958) 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, 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 XIII.
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 XIII 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 XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 59,764,637 59,761,035 59,659,980 59,561,023 57,304,057
b Contributions ........ 24,800 3,602 101,055 98,957 2,256,966
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		         
f Administrative expenses ....          
g End of year balance ...... 59,789,437 59,764,637 59,761,035 59,659,980 59,561,023
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet100.000 %
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
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)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   4,824,030 4,824,030
b Buildings ................ 30,699,249 759,269,544 535,737,395 254,231,398
c Leasehold improvements ............   70,853,416 62,638,701 8,214,715
d Equipment ................   408,839,753 314,877,817 93,961,936
e Other .................   8,668,436 175,200 8,493,236
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 369,725,315
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
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) must 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) must 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) SECURITY DEPOSIT RECEIVABLE 517,716
(2) OTHER DEPOSITS RECEIVABLE 35,400
(3) MORTGAGE RESERVE FUND 47,238,424
(4) BOARD-DESIG DEPRECIATION FUND 110,576
(5) REAL ESTATE ESCROW 6,683,267
(6) ESCROW FUND AS REQUIRED 4,015,182
(7) EQUIPMENT ACQUISITION - TELP 1,500
(8) SPECIFIC PURPOSE FUNDS 56,016,880
(9) REINSURANCE RECEIVABLES 182,516,000
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 297,134,945
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
OTHER CURRENT LIABILITIES 22,809,057
OTHER NON-CURRENT LIABILITIES 190,398,750
ACCRUED PENSION & POSTRETIREME 67,692,650
DUE TO AFFILIATED ORGANIZATION 7,742,244
DUE TO THIRD PARTY PAYERS 23,737,135
INSURED LIABILITIES 182,516,000



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 494,895,836
2. Fin 48 (ASC 740) Footnote. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 1,170,013,445
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a 7,783,995
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d -62,698,261
e Add lines 2a through 2d ..................... 2e -54,914,266
3 Subtract line 2e from line 1..................... 3 1,224,927,711
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 XIII.) ........... 4b 6,216,354
c Add lines 4a and 4b....................... 4c 6,216,354
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 1,231,144,065
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ........... 1 1,170,639,219
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 XIII.) ............ 2d 19,462,319
e Add lines 2a through 2d...................... 2e 19,462,319
3 Subtract line 2e from line 1..................... 3 1,151,176,900
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 XIII.) ............ 4b 74,219,842
c Add lines 4a and 4b....................... 4c 74,219,842
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 1,225,396,742
Part XIII
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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS PERMANENTLY RESTRICTED NET ASSETS HAVE BEEN RESTRICTED BY DONORS TO BE MAINTAINED BY ST. LUKE'S-ROOSEVELT HOSPITAL CENTER ("SLR") IN PERPETUITY AND THESE ENDOWMENT FUNDS ARE INCLUDED IN LONG TERM INVESTMENTS. UNDER THE POLICIES ESTABLISHED AND APPROVED BY SLR'S INVESTMENT COMMITTEE, DONOR-RESTRICTED ENDOWMENT FUNDS ARE INVESTED IN INCOME-GENERATING INVESTMENT VEHICLES TO GENERATE INCOME AND TO APPRECIATE AND PRESERVE CAPITAL.
SCHEDULE D, PART XI, LINE 2D PER BOOKS NOT TAX NET ASSETS RELEASED FROM RESTRICTIONS: $5,842,253 FPP DIFFERENTIAL: $5,679,328 BAD DEBT: ($74,219,842) --------------- TOTAL ($62,698,261)
SCHEDULE D, PART XI, LINE 4B PER TAX NOT BOOKS PERMANENTLY RESTRICTED CONTRIBUTIONS: $ 24,800 TEMPORARILY RESTRICTED CONTRIBUTIONS : $ 3,410,275 APPRECIATION OF TEMPORARILY RESTRICTED NET ASSETS: $ 2,821,658 SPECIAL EVENTS EXPENSE: ($ 40,379) ----------------- TOTAL $ 6,216,354
SCHEDULE D, PART XII, LINE 2D PER BOOKS NOT TAX FPP DIFFERENTIAL : $ 5,271,383 SPECIAL EVENTS EXPENSES: $ 40,379 CHANGE IN PENSION AND POST-RETIREMENT BENEFITS: $14,150,557 --------------- TOTAL $19,462,319
SCHEDULE D, PART XII, LINE 4B PER TAX NOT BOOKS BAD DEBT: $74,219,842
Schedule D (Form 990) 2012

Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ST LUKE'S-ROOSEVELT HOSPITAL CENTER
 
Employer identification number

13-2997301
Part I
General Information on Activities Outside the United States. Complete if the organization answered “Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. 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
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside
the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total expenditures
for and investments
in region
Central America and the Caribbean     Investments   19,366,404
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .....     19,366,404
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)     19,366,404
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2012
Schedule F (Form 990) 2012
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered “Yes” to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount of
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ....MediumBullet
 
3
Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2012
Schedule F (Form 990) 2012Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2012
Schedule F (Form 990) 2012
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If “Yes,”the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................
2 Did the organization have an interest in a foreign trust during the tax year? If “Yes,” the organizationmay be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................
Schedule F (Form 990) 2012
Schedule F (Form 990) 2012
Page 5
Part V
Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
Identifier ReturnReference Explanation
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2012
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. Form 990-EZ filers are not required to complete this part. right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ST LUKE'S-ROOSEVELT HOSPITAL CENTER
 
Employer identification number

13-2997301
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.
(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
BUCKLEY HALL EVENTS SPECIAL EVENT   No      
SANKY DIRECT MAIL   No      
             
             
             
             
             
             
             
             
Total .................right arrow      
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 Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2012
Schedule G (Form 990 or 990-EZ) 2012
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 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
(a) Event #1

theater benefit
(event type) 		(b) Event #2

luncheon
(event type) 		(c) Other events

0
(total number) 		(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 75,900 22,085   97,985
2 Less: Contributions . . 51,700 16,135   67,835
3 Gross income (line 1
minus line 2) . . . 		24,200 5,950   30,150
VerticalDirectExpenses 4 Cash prizes . . .        
5 Noncash prizes . .        
6 Rent/facility costs . .        
7 Food and beverages .        
8 Entertainment . . .        
9 Other direct expenses . 26,919 13,460   40,379
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 40,379
11 Net income summary. Combine line 3, column (d), and line 10. .......... right arrow -10,229
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:
 
Schedule G (Form 990 or 990-EZ) 2012
Schedule G (Form 990 or 990-EZ) 2012
Page 3
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? ..........................
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Enter 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 of the third party:
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
Supplemental Information. Complete this part to provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).
Identifier Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2012
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
2012
Open to Public Inspection
Name of the organization
ST LUKE'S-ROOSEVELT HOSPITAL CENTER
 
Employer identification number

13-2997301
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did 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
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance 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 Financial Assistance at cost
(from Worksheet 1) .. 		    12,474,359 11,155,913 1,318,446 0.110 %
b Medicaid (from Worksheet 3,
column a) .... 		    272,724,774 194,950,951 77,773,823 6.760 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		           
d Total Financial Assistance
and Means-Tested
Government Programs . 		    285,199,133 206,106,864 79,092,269 6.870 %
Other Benefits
     12,305,771 0 12,305,771 1.070 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		    105,783,403 31,744,055 74,039,348 6.430 %
g Subsidized health services
(from Worksheet 6) .. 		    75,095,544 68,673,712 6,421,832 0.560 %
h Research (from Worksheet 7)     4,823,562 0 4,823,562 0.420 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		    367,625 0 367,625 0.030 %
j Total. Other Benefits ..     198,375,905 100,417,767 97,958,138 8.510 %
k Total. Add lines 7d and 7j .     483,575,038 306,524,631 177,050,407 15.380 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(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            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did 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. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
74,219,842
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
28,214,882
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
122,781,434
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
118,299,585
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
4,481,849
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
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(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) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?2
Name, address, and primary website address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 ST LUKE'S HOSPITAL
1111 AMSTERDAM AVENUE
NEW YORK,NY10025
www.stlukeshospitalnyc.org/index.aspx 		X X   X   X X      
2 ROOSEVELT HOSPITAL
1000 TENTH AVENUE
NEW YORK,NY10019
www.wehealny.org/patients/rvt_home/ 		X X   X   X X      
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
ST LUKE'S HOSPITAL
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1    
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20  
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 CHNA 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 CHNA report widely available to the public? ............. 5    
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7    
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 100%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals 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? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
ROOSEVELT HOSPITAL
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 2
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1    
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20  
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 CHNA 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 CHNA report widely available to the public? ............. 5    
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7    
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 100%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals 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? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?7
Name and address Type of Facility (describe)
1 AMBULATORY PSYCHIATRIC CENTER
411 WEST 114TH STREET
NEW YORK,NY10025 		HOSPITAL EXTENSION CLINIC
2 CTR FOR COMPREHENSIVE CARE W VILLAGE DIV
36 SEVENTH AVENUE
NEW YORK,NY10011 		HOSPITAL EXTENSION CLINIC
3 SLR COMMUNITY CARE AT 59TH STREET
425 WEST 59TH STREET
NEW YORK,NY10019 		HOSPITAL EXTENSION CLINIC
4 TRINITY HOUSE
324 WEST 108TH STREET
NEW YORK,NY10025 		HOSPITAL EXTENSION CLINIC
5 LOUIS BRANDEIS HIGH SCHOOL
145 WEST 84TH STREET
NEW YORK,NY10024 		SCHOOL BASED HOSPITAL EXTENSION CLINIC
6 MARTIN LUTHER KING JR HIGH SCHOOL
122 AMSTERDAM AVE
NEW YORK,NY10024 		SCHOOL BASED HOSPITAL EXTENSION CLINIC
7 PHILIP RANDOLPH CAMPUS HS
135TH ST AT CONVENT AVE
NEW YORK,NY10031 		SCHOOL BASED HOSPITAL EXTENSION CLINIC
8
9
10
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any 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.
8 Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
Identifier ReturnReference Explanation
SCHEDULE H, PART I, LINE 3C:   NOT APPLICABLE - ORGANIZATION USES FPG TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE.
SCHEDULE H, PART I, LINE 6a:   THE COMMUNITY BENEFIT REPORT IS SUBMITTED TO THE NYS DEPARTMENT OF HEALTH BY THE HOSPITALS THAT COMPRISE THE CONTINUUM HEALTH PARTNERS, INC. NETWORK: BETH ISRAEL MEDICAL CENTER AND ST. LUKE'S-ROOSEVELT HOSPITAL CENTER. THE REPORT DESCRIBES THE ROLE OF EACH CONTINUUM HOSPITAL INDIVIDUALLY, AND ALSO REFLECTS THEIR UNIFIED ACTIVITIES AND STRATEGY AS AN INTEGRATED HEALTH CARE SYSTEM.
SCHEDULE H, PART I, LINE 7g:   ALL CLINICS INCLUDED AS SUBSIDIZED HEALTH SERVICES ARE CLINICS OF THE HOSPITAL.
SCHEDULE H, PART I, LINE 7, COLUMN (F):   BAD DEBT EXPENSE OF $74,219,842 WAS SUBTRACTED FROM TOTAL EXPENSES AS REPORTED ON FORM 990, PART IX, LINE 24, COLUMN (A) FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN.
SCHEDULE H, PART I, LINE 7:   THE AMOUNTS REPORTED IN PART I, LINES 7A, 7B AND 7G WERE COMPUTED USING A RATIO OF COST TO CHARGES THAT WAS DERIVED FROM WORKSHEET 2 OF SCHEDULE H INSTRUCTIONS.
SCHEDULE H, PART III, LINES 2 AND 3:   A PORTION OF BAD DEBTS COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR SOME FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. IN ORDER TO MAKE AN ESTIMATION OF THIS AMOUNT, THE BAD DEBTS ASSOCIATED WITH SELF PAY PATIENTS, AS THEY RELATE TO BAD DEBTS FOR ALL PAY CLASSES, WERE ANALYZED. WHEN A DISCOUNT IS PROVIDED ON A PATIENT ACCOUNT, THIS IS ACCOUNTED FOR AS A CHARITY ALLOWANCE. CONVERSELY, WHEN NO PAYMENT OR ONLY PARTIAL PAYMENT IS MADE ON A PATIENT ACCOUNT, THIS IS ACCOUNTED FOR AS BAD DEBT EXPENSE. BILLINGS RELATING TO SERVICES RENDERED ARE RECORDED AS NET PATIENT SERVICE REVENUE IN THE PERIOD IN WHICH THE SERVICE IS PERFORMED, NET OF CONTRACTUAL AND OTHER ALLOWANCES WHICH REPRESENT DIFFERENCES BETWEEN GROSS CHARGES AND THE ESTIMATED RECEIPTS UNDER SUCH PROGRAMS. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE ALSO REDUCED FOR ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS. THE PROCESS FOR ESTIMATING THE ULTIMATE COLLECTION OF RECEIVABLES INVOLVES SIGNIFICANT ASSUMPTIONS AND JUDGMENTS. ACCOUNT BALANCES ARE WRITTEN OFF AGAINST THE ALLOWANCE WHEN MANAGEMENT DETERMINES IT IS PROBABLE THE RECEIVABLE WILL NOT BE RECOVERED. THE USE OF HISTORICAL COLLECTION AND PAYER REIMBURSEMENT EXPERIENCE IS AN INTEGRAL PART OF THE ESTIMATION OF RESERVES FOR UNCOLLECTIBLE ACCOUNTS. REVISIONS IN RESERVE FOR UNCOLLECTIBLE ACCOUNTS ESTIMATES ARE RECORDED AS AN ADJUSTMENT TO THE PROVISION FOR BAD DEBTS.
SCHEDULE H, PART III, LINE 8:   TOTAL ALLOWABLE COSTS AS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT WERE REDUCED FOR COSTS INCLUDED ELSEWHERE ON SCHEDULE H. THESE COSTS INCLUDED THE COST OF DIRECT GME AND THOSE COSTS REPORTED AS COSTS OF SUBSIDIZED HEALTH SERVICES.
SCHEDULE H, PART III, LINE 9B:   THOSE PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE SUBJECT TO THE NORMAL COLLECTION PROCEDURES FOR ALL PATIENTS. HOWEVER, PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE OFFERED PROMPT PAY DISCOUNTS FOR FULL PAYMENT OF THE DISCOUNTED CHARGES AND EXTENDED INTEREST FREE PAYMENT PLANS. NO LEGAL ACTION MAY BE TAKEN UNTIL IT HAS BEEN DETERMINED THAT THE PATIENT HAS THE MEANS TO PAY OUTSTANDING BALANCES. IN NO SITUATION WILL THE HOSPITAL AUTHORIZE FORECLOSURE ON A PATIENT OR RESPONSIBLE PARTY'S PRIMARY RESIDENCE.
SCHEDULE H, PART V, LINE 20: FACILITY INFORMATION THE HOSPITAL USED MEDICAID RATES WHEN DETERMINING THE AMOUNTS TO BE CHARGED TO FAP ELIGIBLE PATIENTS.
SCHEDULE H, PART VI, LINE 2: NEEDS ASSESSMENT DESCRIPTION THE HOSPITAL WORKS COLLABORATIVELY WITH A NUMBER OF COMMUNITY BASED ORGANIZATIONS, HEALTH FACILITIES, LOCAL ELECTED OFFICIALS, AND NEW YORK CITY COMMUNITY ADVISORY BOARDS. THE HOSPITAL ALSO HAS ITS OWN INTERNAL ADVISORY BOARD/COUNCIL THAT IS MADE UP OF REPRESENTATIVES OF THESE COMMUNITY PARTNERS AND INTERESTED LOCAL RESIDENTS. THROUGH THEIR PARTICIPATION, THE HOSPITAL SOLICITS COMMENT ON THE HEALTH CARE NEEDS OF THE COMMUNITY, STRENGTHS AND WEAKNESSES OF THE HOSPITAL, AND CONSTRUCTIVE SUGGESTIONS FOR IMPROVEMENTS. THESE COUNCILS ALSO PARTICIPATE IN CHOOSING THE HEALTH PRIORITIES OF THE COMMUNITY.
SCHEDULE H, PART VI, LINE 3: PATIENT EDUCATION & ELIGIBILITY FOR ASSISTANCE THE INSTITUTION RECOGNIZES THAT MANY OF THE PATIENTS IT SERVES MAY NOT HAVE HEALTH INSURANCE OR THE FINANCIAL RESOURCES TO ACCESS QUALITY HEALTH CARE SERVICES WITHOUT FINANCIAL ASSISTANCE. ACCORDINGLY, THE INSTITUTION ADHERES TO ITS FINANCIAL ASSISTANCE POLICY, WHICH EXISTS IN ORDER TO ASSIST PATIENTS WITH GAINING ACCESS TO FINANCIAL ASSISTANCE. PATIENTS CAN OBTAIN INFORMATION ON HOSPITAL CHARGES AND ELIGIBILITY FOR GOVERNMENT OR HOSPITAL PROGRAMS PRIMARILY FROM THE HOSPITALS DEPARTMENT OF FINANCIAL COUNSELING. THE AVAILABILITY OF THE INSTITUTIONS FINANCIAL ASSISTANCE IS NOTED ON THE PATIENT'S BILL. ALSO, PATIENTS ARE ALERTED TO THE POLICY BY MULTI-LINGUAL SIGNAGE AND BROCHURES AT POINTS OF PATIENT SERVICE, INFORMATION DISTRIBUTED IN THE ADMISSION PACKAGE, AND THE INSTITUTION'S WEB SITE. ALL HOSPITAL STAFF ARE DIRECTED TO DISTRIBUTE STANDARD INFORMATION OR REFER INQUIRIES TO THE DEPARTMENT OF FINANCIAL COUNSELING OR WEBSITE.
SCHEDULE H, PART VI, LINE 4: COMMUNITY INFORMATION THE HOSPITAL OPERATES TWO CAMPUSES, ST. LUKE'S AND ROOSEVELT. TOGETHER THEY SERVE THE WEST SIDE OF MANHATTAN FROM CENTRAL HARLEM/MORNINGSIDE HEIGHTS TO CHELSEA/CLINTON. THE RACIAL AND ETHNIC BACKGROUND OF PATIENTS IS DIVERSE, SERVICING PATIENTS OF ALL RACES AND RELIGIONS. AT ST. LUKE'S, A LARGE MAJORITY OF PATIENTS RECEIVE MEDICAID, MEDICARE, OR HAVE NO INSURANCE. AT ROOSEVELT, THE PERCENTAGE OF FAMILIES WITH CHILDREN EXCEEDS THE MANHATTAN AVERAGE, AS DOES THE MEDIAN AGE.
SCHEDULE H, PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH & OTHER INFORMATION QUANTIFIABLE EXPENSES ASSOCIATED WITH IMPROVING THE GENERAL HEALTH OF THE COMMUNITY HAVE BEEN REPORTED IN PART I. THESE INCLUDED ACTIVITIES ASSOCIATED WITH INFECTIOUS DISEASE CONTROL, PATIENT RECREATION, PATIENT TRANSPORTATION, AND PATIENT EDUCATION. THE ORGANIZATION PARTAKES IN SEVERAL COMMUNITY BUILDING ACTIVITIES FOR WHICH THE COST TO THE ORGANIZATION HAS NOT BEEN CLEARLY QUANTIFIED. TWO OF THESE MAJOR ACTIVITIES ARE COMMUNITY/EMERGENCY PREPAREDNESS AND TOBACCO USE/SMOKING CESSATION. OTHER INFORMATION: THE ORGANIZATION OFFERS A WIDE ARRAY OF HOSPITAL-SPONSORED COMMUNITY HEALTH EDUCATION AND SCREENING EVENTS. THE COMMUNITY IS NOTIFIED OF THESE EVENTS AND SCREENINGS BY VARIOUS MEANS - MAILINGS, ADVERTISING IN LOCAL NEWSPAPERS, FLYERS, AND THROUGH MAILINGS OF VARIOUS NYC COMMUNITY BOARDS, ETC. IN ADDITION, ON-LINE HEALTH EDUCATION AND PHYSICIAN REFERRAL CAN BE ACCESSED ON THE CONTINUUM WEBSITE - WWW.CHPNYC.ORG. THIS HAS BECOME AN EXTRAORDINARILY WELL-USED HEALTH WEBSITE. IN 2012, 2,594,377 VISITORS BROWSED THE CONTINUUM WEBSITE. THE HOSPITAL ALSO PROVIDES MULTI-LINGUAL EDUCATIONAL MATERIALS FOR ITS PATIENTS AND COMMUNITIES AND MARKETS ITS SERVICES IN NEW YORK'S DIVERSE ETHNIC COMMUNITIES
SCHEDULE H, PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM THE ORGANIZATION WORKS CLOSELY WITH ITS AFFILIATED HOSPITALS AS AN INTEGRATED HEALTH CARE PARTNERSHIP. LEADERSHIP IS COMMITTED TO WORKING WITH THE COMMUNITY AND WILL REMAIN COMMITTED TO ALLOCATING SUFFICIENT RESOURCES TO ENSURE THAT THE CLINICAL AND OUTREACH SERVICES OF EACH OF THE AFFILIATED HOSPITALS IS RESPONSIVE TO THE COMMUNITY HEALTH NEEDS BY PROVIDING HIGH QUALITY, ACCESSIBLE, AND COMPASSIONATE HEALTH CARE TO THE MAXIMUM EXTENT POSSIBLE.
Schedule H (Form 990) 2012
Additional Data


Software ID:  
Software Version:  
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
2012
Open to Public Inspection
Name of the organization
ST LUKE'S-ROOSEVELT HOSPITAL CENTER
 
Employer identification number

13-2997301
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 or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
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
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
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
 
No
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
 
No
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 Regulations 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (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 as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)MARTIN JR KARPEH MDBOARD MEMBER SINCE MARCH 2012 (i)
(ii)		 0
880,716 		0
50,000 		0
13,198 		0
21,000 		0
20,204 		0
985,118 		0
0
(2)HARRIS NAGLER MDBOARD MEMBER (i)
(ii)		 0
1,001,515 		0
163,098 		0
18,395 		0
21,000 		0
39,005 		0
1,243,013 		0
0
(3)RUSSELL PORTENOY MDBOARD MEMBER UNTIL MARCH 2012 (i)
(ii)		 0
529,168 		0
0 		0
1,259 		0
20,580 		0
27,531 		0
578,538 		0
0
(4)SHELDON SIMON MDBOARD MEMBER (i)
(ii)		 0
615,811 		0
4,434 		0
802 		0
13,440 		0
78,705 		0
713,192 		0
0
(5)DANIEL WIENER MDBOARD MEMBER (i)
(ii)		 553,636
0 		50,000
0 		24,631
0 		21,000
0 		9,699
0 		658,966
0 		0
0
(6)STANLEY BREZENOFFCEO AND BOARD MEMBER (i)
(ii)		 0
1,491,305 		0
578,000 		0
33,034 		0
21,000 		0
22,644 		0
2,145,983 		0
0
(7)FRANK J CRACOLICIPRESIDENT & BOARD MEMBER (i)
(ii)		 789,415
0 		175,000
0 		18,526
0 		21,000
0 		22,978
0 		1,026,919
0 		0
0
(8)MICHAEL BRUNOSVP, FINANCIAL OPS & REPORTING (i)
(ii)		 0
560,976 		0
128,000 		0
24,877 		0
21,000 		0
25,211 		0
760,064 		0
0
(9)GREGORY CALLISTECHIEF ADMIN OFFICER - ST LUKES (i)
(ii)		 315,638
0 		72,000
0 		2,113
0 		21,000
0 		8,603
0 		419,354
0 		0
0
(10)ROBERT CATALANO UNTIL JULY12SVP, CHIEF MEDICAL OFFICER (i)
(ii)		 277,696
0 		0
0 		40,168
0 		21,000
0 		16,211
0 		355,075
0 		0
0
(11)JILL CLAYTONASSISTANT SECRETARY (i)
(ii)		 0
355,120 		0
50,000 		0
15,964 		0
21,000 		0
47,368 		0
489,452 		0
0
(12)JOHN COLLURAEVP/CFO, TREASURER (i)
(ii)		 0
977,500 		0
244,000 		0
21,641 		0
21,000 		0
18,408 		0
1,282,549 		0
0
(13)TIM DAYCOO SLR (i)
(ii)		 591,918
0 		118,000
0 		21,026
0 		21,000
0 		18,670
0 		770,614
0 		0
0
(14)GAIL DONOVANSENIOR EVP FOR SYSTEM AFFAIRS (i)
(ii)		 0
1,205,000 		0
263,000 		0
34,260 		0
21,000 		0
42,924 		0
1,566,184 		0
0
(15)BETH ESSIGEVP/GEN COUNSEL, SECRETARY (i)
(ii)		 0
608,923 		0
150,000 		0
25,183 		0
12,891 		0
17,317 		0
814,314 		0
0
(16)ADAM LAWRENCE HENICKSVP, AMB CARE & MED ENTERPRISE (i)
(ii)		 0
455,461 		0
104,000 		0
29,377 		0
21,000 		0
70,242 		0
680,080 		0
0
(17)KENNETH HOLDENSVP,REAL ESTATE SVS&FACILITIES (i)
(ii)		 0
405,461 		0
93,000 		0
9,482 		0
21,000 		0
52,806 		0
581,749 		0
0
(18)KATHLEEN KEARNSSVP, DEVELOPMENT & EXT AFFAIRS (i)
(ii)		 0
590,108 		0
118,000 		0
931 		0
21,000 		0
39,361 		0
769,400 		0
0
(19)MICHELLE LEONESVP, REV CYCLE OPS & MGD CARE (i)
(ii)		 0
570,753 		0
129,000 		0
11,497 		0
21,000 		0
25,268 		0
757,518 		0
0
(20)BRENDAN LOUGHLINSVP,STRATEGIC FINANCE PLANNING (i)
(ii)		 0
613,950 		0
128,000 		0
14,602 		0
21,000 		0
144,634 		0
922,186 		0
0
(21)JOANN MILLER RN SINCE FEB 2012SVP, PATIENT CARE & NURSING (i)
(ii)		 306,399
0 		54,000
0 		13,566
0 		21,000
0 		11,494
0 		406,459
0 		0
0
(22)MARK MOROSES SINCE FEB 2012SVP, CHIEF INFORMATION OFFICER (i)
(ii)		 0
439,730 		0
101,000 		0
32,931 		0
21,000 		0
57,483 		0
652,144 		0
0
(23)DENISE PELLESVP, CORPORATE INITIATIVES (i)
(ii)		 0
324,115 		0
62,000 		0
2,418 		0
21,000 		0
16,144 		0
425,677 		0
0
(24)ERIC POGUESVP, HUMAN RESOURCES (i)
(ii)		 0
448,372 		0
101,000 		0
17,454 		0
8,857 		0
29,968 		0
605,651 		0
0
(25)SUSAN DIETZVP NURSING (i)
(ii)		 224,976
0 		0
0 		17,644
0 		5,241
0 		23,536
0 		271,397
0 		0
0
(26)BRUCE POLSKYCHIEF OF GENERAL MEDICINE (i)
(ii)		 272,000
0 		46,000
0 		1,022
0 		14,688
0 		3,259
0 		336,969
0 		0
0
(27)ROBERT GOODMANPHYSICIAN (i)
(ii)		 2,452,000
0 		225,000
0 		1,270
0 		0
0 		258
0 		2,678,528
0 		0
0
(28)MARTIN KELTZPHYSICIAN (i)
(ii)		 2,524,933
0 		0
0 		180
0 		12,600
0 		4,660
0 		2,542,373
0 		0
0
(29)FARR NEZHATPHYSICIAN (i)
(ii)		 1,838,746
0 		0
0 		792
0 		12,600
0 		8,891
0 		1,861,029
0 		0
0
(30)WILLIAM SAMSONPHYSICIAN (i)
(ii)		 1,781,974
0 		5,605
0 		60
0 		8,400
0 		4,018
0 		1,800,057
0 		0
0
(31)DANIEL STEINPHYSICIAN (i)
(ii)		 2,655,610
0 		0
0 		318
0 		20,354
0 		23,223
0 		2,699,505
0 		0
0
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Identifier Return Reference Explanation
Schedule J (Form 990) 2012

Additional Data


Software ID:  
Software Version:  
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 Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
ST LUKE'S-ROOSEVELT HOSPITAL CENTER
 
Employer identification number
13-2997301
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 OF THE STATE OF NEW YORK
  		14-6000293 64983QSS9 11-16-2005 345,315,000 TO REFUND A PRIOR ISSUE   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 37,740,000      
2 Amount of bonds legally defeased . . . . . . . . . . . 0      
3 Total proceeds of issue . . . . . . . . . . . . . . 345,315,000      
4 Gross proceeds in reserve funds . . . . . . . . . . . . 25,766,938      
5 Capitalized interest from proceeds . . . . . . . . . . . 0      
6 Proceeds in refunding escrows . . . . . . . . . . . . 0      
7 Issuance costs from proceeds . . . . . . . . . . . . 2,860,732      
8 Credit enhancement from proceeds . . . . . . . . . . . 1,673,240      
9 Working capital expenditures from proceeds . . . . . . . . . 6,227,978      
10 Capital expenditures from proceeds . . . . . . . . . . . 0      
11 Other spent proceeds . . . . . . . . . . . . . . 308,793,050      
12 Other unspent proceeds . . . . . . . . . . . . . . 0      
13 Year of substantial completion . . . . . . . . . . . .
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? . . . . . . .                
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .                
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
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 of bond-financed property? . . . . . . . . . . . .                
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .                
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .                
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .                
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   %   %   %   %
6 Total of lines 4 and 5 . . . . . . . . . . . . . . .   %   %   %   %
7 Does the bond issue meet the private security or payment test? . . . . .                
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .                
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.   %   %   %   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
               
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X            
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X            
b Exception to rebate? . . . . . . . .   X            
c No rebate due? . . . . . . . . . .
X              
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X            
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X            
b Name of provider . . . . . . . . . 0
  		 
  		 
  		 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . . . .                
e Was a hedge terminated? . . . . . . .                
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X            
b Name of provider . . . . . . . . . 0
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . . X              
7 Has the organization established written procedures to monitor the requirements of section 148? . . .   X            
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?   X            
Part VI
Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
SCHEDULE K, PART I, LINE A, COLUMN (F) DESCRIPTION OF PURPOSE TO REFUND THE OUTSTANDING MCFFA SERIES 1993A BONDS AND DASNY SERIES 2000B BONDS; TO FUND THE DEBT SERVICE RESERVE FUND AND TO PAY COSTS RELATED TO THE ISSUE.
SCHEDULE K, PART II, LINE 4 0 INCLUDES INVESTMENT PROCEEDS OF $6,938
SCHEDULE K, PART IV, LINE 1 0 REBATE CALCULATIONS THROUGH THE 5 YEAR INSTALLMENT DATE WERE PERFORMED AND IT WAS DETERMINED THAT NO YIELD REDUCTION PAYMENT WAS REQUIRED, NOR WAS THERE ANY POSITIVE ARBITRAGE REBATE EARNINGS. ACCORDINGLY, FILING OF 8038-T WAS NOT REQUIRED.
SCHEDULE K, PART IV, LINE 2C 0 THE REBATE COMPUTATION WAS DONE AT THE 5 YEAR INSTALLMENT DATE OF 10/31/2010 AND INDICATED NO POSITIVE ARBITRAGE REBATE EARNINGS. THEREFORE NO FILING WITH THE IRS WAS NECESSARY.
SCHEDULE K, PART IV, LINE 4A - 4D 0 DURING 2010, THE GIC EXPIRED. AT 12/31 A NEW GIC HAD NOT BEEN ESTABLISHED DUE TO DIFFICULTY OBTAINING A SUFFICIENT RATE OF RETURN. DURING 2013 HOWEVER, THE DEBT SERVICE RESERVE FUNDS WERE REINVESTED. A GIC WAS NOT USED AS THE INVESTMENT VEHICLE, BUT THE MONEY WAS INVESTED IN PERMITTED SECURITIES.
SCHEDULE K, PART IV, LINE 7 0 WRITTEN PROCEDURES HAVE NOT YET BEEN ESTABLISHED, HOWEVER ONGOING MONITORING TAKES PLACE THROUGH A THIRD PARTY CONSULTANT.
Schedule K (Form 990) 2012

Additional Data


Software ID:  
Software Version:  

SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
ST LUKE'S-ROOSEVELT HOSPITAL CENTER
 
Employer identification number

13-2997301
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 3 105,434 FMV
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( )
26 Other Right pointing arrow large image( )
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2012)
Schedule M (Form 990) (2012)
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Identifier Return Reference Explanation
Schedule M (Form 990) (2012)
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
2012
Open to Public
Inspection
Name of the organization
ST LUKE'S-ROOSEVELT HOSPITAL CENTER
 
Employer identification number

13-2997301
Identifier Return Reference Explanation
FORM 990, PART VI, LINE 1 EXECUTIVE COMMITTEE THE EXECUTIVE COMMITTEE CONSISTS ONLY OF MEMBERS OF THE GOVERNING BODY. IT IS AUTHORIZED TO ACT ON BEHALF OF THE CORPORATION BETWEEN MEETINGS OF THE BOARD AND TO TAKE ANY ACTION OTHER THAN THOSE ITEMS SPECIFICALLY PROHIBITED BY NEW YORK LAW.
FORM 990, PART VI, LINE 2 BUSINESS AND FAMILY RELATIONSHIPS 1. JOAN G SARNOFF AND ARTHUR SARNOFF: FAMILY RELATIONSHIP 2. ANDREW S KOMAROFF AND STANLEY KOMAROFF: FAMILY RELATIONSHIP 3. DAVID PICKET AND JOEL PICKET: BUSINESS AND FAMILY RELATIONSHIP 4. SUZANNE KARPAS AND PATRICIA KARPAS: FAMILY RELATIONSHIP 5. BRUCE POLSKY AND LEW PELL: BUSINESS RELATIONSHIP
FORM 990, PART VI, LINE 6 MEMBERS OF THE ORGANIZATION THE ORGANIZATION HAS A SINGLE CORPORATE MEMBER, CONTINUUM HEALTH PARTNERS, INC., WHICH IS A NOT-FOR-PROFIT CORPORATION.
FORM 990, PART VI, LINE 7A ELECTION OF THE GOVERNING BODY THE SOLE CORPORATE MEMBER ELECTS THE GOVERNING BODY OF THE ORGANIZATION. IN ADDITION, THREE MEMBERS OF THE GOVERNING BODY ARE DESIGNATED BY THE NEW YORK EYE AND EAR INFIRMARY, A NOT-FOR-PROFIT AFFILIATE OF THE ORGANIZATION.
FORM 990, PART VI, LINE 7B DECISIONS OF THE GOVERNING BODY THE MEMBER MUST APPROVE ANY AMENDMENTS TO THE BYLAWS OF THE ORGANIZATION.
FORM 990, PART VI, LINE 11B FORM 990 PROVIDED TO GOVERNING BODY THE FINANCE DEPARTMENT GATHERED THE RELEVANT INFORMATION AND PREPARED THE TAX RETURNS *OUR OUTSIDE AUDITORS, PRICEWATERHOUSECOOPERS, PARTICIPATED IN THE PREPARATION OF, AND REVIEWED, ALL TAX RETURNS. *A QUESTIONNAIRE WAS CIRCULATED TO ALL TRUSTEES (I.E., DIRECTORS), OFFICERS AND KEY EMPLOYEES IN ORDER TO ELICIT THE INFORMATION REQUIRED TO BE REPORTED ON THE TAX RETURNS. *THE TRUSTEE CONFLICTS OF INTEREST REVIEW COMMITTEE REVIEWED THE RESPONSES PROVIDED BY TRUSTEES AND CERTAIN OFFICERS IN THE QUESTIONNAIRES AND ASSESSED ADDITIONAL PERTINENT FACTS GATHERED BY THE INSTITUTION IN ORDER TO EVALUATE THE APPLICABILITY OF IRS REPORTING REQUIREMENTS. THE REVIEW COMMITTEE THEN DETERMINED THE APPROPRIATE TRUSTEE (AND CERTAIN OFFICER) DISCLOSURES THAT SHOULD BE MADE ON FORM 990 BASED ON THE RECOMMENDATIONS OF THE FINANCE DEPARTMENT, THE GENERAL COUNSEL'S OFFICE AND THE COMPLIANCE DEPARTMENT. THESE RECOMMENDATIONS WERE REVIEWED AND APPROVED BY PWC. THE SAME PROCESS WAS CONDUCTED BY THE FINANCE DEPARTMENT, THE GENERAL COUNSEL'S OFFICE, THE COMPLIANCE DEPARTMENT AND PWC WITH RESPECT TO THE QUESTIONNAIRES SUBMITTED BY OTHER OFFICERS AND KEY EMPLOYEES *THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES CONDUCTED A REVIEW OF THE ENTIRE TAX RETURN, WITH THE PARTICIPATION OF PWC, THE FINANCE DEPARTMENT, AND THE GENERAL COUNSEL'S OFFICE. THE AUDIT COMMITTEE APPROVED THE TAX RETURNS AS PRESENTED. *THE AUDIT COMMITTEE'S REPORT OF ITS REVIEW OF THE TAX RETURNS AND ITS RECOMMENDATION TO FILE THE RETURNS WERE PRESENTED TO, AND ACCEPTED BY, THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES (THE "EXECUTIVE COMMITTEE"). *IN ADDITION TO AUTHORIZING THE FILING OF THE TAX RETURNS, THE EXECUTIVE COMMITTEE DIRECTED THAT THE RETURNS, WHICH WILL BE FILED ON OR BEFORE NOVEMBER 15, 2013, BE PROVIDED TO ALL TRUSTEES VIA THE TRUSTEES' CONFIDENTIAL WEBSITE, AND THOSE RETURNS WERE SO PROVIDED BEFORE BEING FILED. In September 2013, Continuum Health Partners (other than the Long Island College Hospital) entered into a transaction affiliating them with The Mount Sinai Hospital, The Icahn School of Medicine at Mount Sinai, and The Mount Sinai Medical Center, Inc. to create the hospitals affiliated with The Mount Sinai Health System. The review has been conducted by The Mount Sinai Health System Executive Committee and Board of Trustees.
FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY ANNUALLY, EACH TRUSTEE, OFFICER, AND KEY EMPLOYEE IS REQUIRED TO SUBMIT A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE DISCLOSURE STATEMENT IS REVIEWED BY THE CORPORATE COMPLIANCE OFFICER ALONG WITH GENERAL COUNSEL AND A DETERMINATION IS MADE AS TO WHETHER A CONFLICT EXISTS. THE PRESIDENT OF THE ORGANIZATION AND THE CHAIR OF THE CENTRALIZED FINANCE/AUDIT COMMITTEE PARTICIPATE IN REVIEW OF CONFLICTS. CONFLICTS DISCLOSED BY TRUSTEES ARE REVIEWED WITH THE CHAIRMAN OF THE BOARD. ANY PERSON DETERMINED TO HAVE A CONFLICT OF INTEREST MUST RECUSE HIMSELF FROM ANY DECISION MAKING OR VOTING ON THE INTEREST THAT GAVE RISE TO THE CONFLICT.
FORM 990, PART VI, LINE 15A & 15B COMPENSATION POLICY IN SEPTEMBER 2013, CONTINUUM HEALTH PARTNERS (OTHER THAN THE LONG ISLAND COLLEGE HOSPITAL) ENTERED INTO A TRANSACTION AFFILIATING THEM WITH THE MOUNT SINAI HOSPITAL, THE ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, AND THE MOUNT SINAI MEDICAL CENTER, INC. TO CREATE THE HOSPITALS AFFILIATED WITH THE MOUNT SINAI HEALTH SYSTEM. THE FOLLOWING POLICY IS THAT WHICH WAS IN PLACE DURING 2012, WHEN THE ORGANIZATION WAS A MEMBER OF CONTINUUM HEALTH PARTNERS, AND IS APPLICABLE TO THE COMPENSATION REPORTED HEREIN. THE EXECUTIVE COMPENSATION POLICY OF THE HEALTH SYSTEM REQUIRES THAT COMPENSATION FOR THE FOLLOWING INDIVIDUALS BE REVIEWED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES AT LEAST ANNUALLY: ANY PERSON WITH THE TITLE OF CEO, PRESIDENT, CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER, CHIEF MEDICAL OFFICER, EXECUTIVE VICE PRESIDENT OR SENIOR VICE PRESIDENT; ANY PERSON WITH THE TITLE OF CORPORATE VICE PRESIDENT WHOSE TOTAL COMPENSATION IS IN EXCESS OF $300,000; ANY PHYSICIAN WITH THE TITLE OF CHAIRMAN; ANY PHYSICIAN WITH THE TITLE OF CHIEF WHOSE BASE SALARY PLUS GUARANTEE TOGETHER ARE IN EXCESS OF $750,000 AND ANY PERSON WHO IS A FAMILY MEMBER OF ANY OF THE ABOVE INDIVIDUALS.
FORM 990, PART VI, LINE 19 DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII AVERAGE HOURS AVERAGE HOURS PER WEEK REPORTED ON PART VII REPRESENT TOTAL AVERAGE HOURS FOR THE FILING ORGANIZATION AND ALL RELATED ORGANIZATIONS.
FORM 990, PART XI, LINE 3A & 3B CIRCULAR A-133 AUDIT THE ORGANIZATION'S FEDERAL AWARDS WERE AUDITED ON A CONSOLIDATED BASIS.
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS CHANGE IN PENSION AND POST-RETIREMENT BENEFITS: ($14,150,557) FPP DIFFERENTIAL: $ 407,945 BI AMBULATORY JOINT VENTURE: ($ 169,598) ---------------- TOTAL: ($13,912,210)
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

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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
2012
Open to Public Inspection
Name of the organization
ST LUKE'S-ROOSEVELT HOSPITAL CENTER
 
Employer identification number

13-2997301
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) 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
(1) SLRHC 425 WEST 59TH ST CONDO LLC
555 WEST 57TH STREET 18TH FL
NEW YORK,NY10019
 real estate NY 7,407,859 43,903,849 SLR
 










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to 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 entity?
Yes No
(1) CONTINUUM HEALTH PARTNERS INC

555 WEST 57TH STREET 5TH FL

NEW YORK,NY10019
13-3939476 		HOLDING CO NY 501(C)(3) 11A - I NA
 
Yes
 
(2) BETH ISRAEL MEDICAL CENTER

FIRST AVENUE AT 16TH STREET

NEW YORK,NY10003
13-5564934 		HOSPITAL NY 501(C)(3) 3 CHP
 
Yes
 
(3) BIMC FOUNDATION INC

555 WEST 57TH STREET 5TH FL

NEW YORK,NY10019
13-3255377 		FUNDRAISING DE 501(C)(3) 11A - I BIMC
 
Yes
 
(4) BIMC HOLDING CORPORATION

FIRST AVENUE AT 16TH STREET

NEW YORK,NY10003
13-3444730 		HOLDING CO NY 501(C)(3) 11A - I BIMC
 
Yes
 
(5) BETH ISRAEL AMBULATORY CARE SERVICES

555 WEST 57TH STREET 5TH FL

NEW YORK,NY10019
13-3838460 		SURGICENTER NY 501(C)(3) 3 BIMC HOLDCO
 
Yes
 
(6) BI NURSING HOME COMPANY

327 EAST 17TH STREET

NEW YORK,NY10003
13-3627753 		NURSING HOME NY 501(C)(3) 3 BIMC HOLDCO
 
Yes
 
(7) EAST 17TH STREET PROPERTIES INC

555 WEST 57TH STREET 5TH FL

NEW YORK,NY10019
13-3547502 		REAL ESTATE NY 501(C)(3) 9 BIMC HOLDCO
 
Yes
 
(8) THE LONG ISLAND COLLEGE HOSPITAL

555 WEST 57TH STREET 5TH FL

NEW YORK,NY10019
11-1018985 		HOSPITAL NY 501(C)(3) 3 CHP
 
Yes
 
(9) AUGUSTUS & JAMES CORPORATION

555 WEST 57TH STREET

NEW YORK,NY10019
13-3392851 		REAL ESTATE NY 501(C)(3) 11B - II SLR
 
Yes
 
(10) ST LUKE'S-ROOSEVELT INSTITUTE FOR HEALTH

1111 AMSTERDAM AVENUE

NEW YORK,NY10025
13-2914343 		RESEARCH NY 501(C)(3) 4 SLR
 
Yes
 
(11) NEW YORK EYE AND EAR INFIRMARY

310 EAST 14TH STREET

NEW YORK,NY10003
13-5562304 		HOSPITAL NY 501(C)(3) 3 CHP
 
Yes
 
(12) NEW YORK EYE & EAR INFIRMARY FOUNDATION

310 EAST 14TH STREET

NEW YORK,NY10003
13-4012469 		PRIVATE FDN NY 501(C)(3) PF NYEE
 
Yes
 
(13) NYEEI HOUSING COMPANY INC

317-327 EAST 13TH STREET

NEW YORK,NY10003
31-1696826 		REAL ESTATE NY 501(C)(2) N/A NYEE
 
Yes
 
(14) BETH ISRAEL MEDICAL CENTER FDN INC

555 WEST 57TH STREET

NEW YORK,NY10019
30-0571387 		FUNDRAISING NY 501(C)(3) 7 BIMC
 
Yes
 
(15) ST LUKE'S-ROSEVELT HOSPITAL CENTER FDN

555 WEST 57TH STREET

NEW YORK,NY10019
30-0571390 		FUNDRAISING NY 501(C)(3) 7 SLR
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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
(1) CONTINUUM PROVIDER PARTNERS IPA LLC

 
 
HEALTHCARE NY BIMCSLR
  		RELATED -171,137 47,035   No 0   No 45.000 %












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to 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
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) GREATER METROPOLITAN IPA II

555 WEST 57TH STREET 5TH FL
NEW YORK,NY10019
13-3977019 		INACTIVE NY BIMCSLR
  		C 0 0 50.000 % Yes  
(2) GREATER METROPOLITAN IPA V

555 WEST 57TH STREET 5TH FL
NEW YORK,NY10019
13-4141695 		INACTIVE NY BIMCSLR
  		C 0 1,587 50.000 % Yes  
(3) MANHATTAN MANAGEMENT SERVICES

1780 BROADWAY 7TH FL
NEW YORK,NY10019
13-3618543 		MGMT SERVICES NY SLR
  		C 3,307,615 391,675 100.000 % Yes  
(4) SLR MANAGEMENT SERVICES

555 WEST 57TH STREET 5TH FL
NEW YORK,NY10019
13-3853145 		MGMT SERVICES NY SLR
  		C 5,152,346 7,711,221 100.000 % Yes  
(5) WEST CARE MEDICAL PC

555 WEST 57TH STREET 5TH FL
NEW YORK,NY10019
13-3811203 		INACTIVE NY SLR
  		C 3,975,000 33,621 100.000 % Yes  
(6) CHP VENTURES INC

555 WEST 57TH STREET
NEW YORK,NY10019
46-0953126 		HEALTH CARE MGT NY BIMC HOLDCO
  		C         No


Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
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 or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
Yes
 
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
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-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) BETH ISRAEL MEDICAL CENTER

 K 6,334,245 FMV
(2) BETH ISRAEL MEDICAL CENTER

 R 1,274,178 FMV
(3) MANHATTAN MANAGEMENT SERVICES INC

 R 7,692,095 FMV
(4) AUGUSTUS & JAMES

 K 150,570 FMV
(5) AUGUSTUS & JAMES

 R 730,000 FMV

Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(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 Yes No






























Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
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
SCHEDULE R, PART III, LINE (1), COLUMN (A) NAME OF RELATED ORGANIZATION CONTINUUM PROVIDER PARTNERS IPA, LLC

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