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 private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 01-01-2013 , 2013, and ending 12-31-2013
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 province, country, and ZIP or foreign postal code
NEW YORK, NY10025
D Employer identification number

13-2997301
E Telephone number

G Gross receipts $ 1,173,532,137
F Name and address of principal officer:
DONALD SCANLON
633 THIRD AVE 10TH FL
NEW YORK,NY10019
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
http://www.mountsinaihealth.org/
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
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 NY COMMUNITY THRU PRIMARY&TERTIARY CARE SVCS TO INPATIENTS & OUTPATIENTS WHILE ALSO PROVIDING CLINICAL EDUCATION&ENGAGING IN CLINICAL RESEARCH.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 45
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 43
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 7,210
6 Total number of volunteers (estimate if necessary) ............. 6 472
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 4,641,990
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 5,945,736 5,525,043
9 Program service revenue (Part VIII, line 2g) ......... 1,134,388,844 1,073,870,146
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 2,446,479 2,783,021
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 88,363,006 91,314,695
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 1,231,144,065 1,173,492,905
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) 727,223,167 738,959,343
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).... 498,173,575 473,164,418
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,225,396,742 1,212,123,761
19 Revenue less expenses. Subtract line 18 from line 12....... 5,747,323 -38,630,856
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 986,322,226 897,497,021
21 Total liabilities (Part X, line 26)............. 1,008,681,548 938,086,283
22 Net assets or fund balances. Subtract line 21 from line 20..... -22,359,322 -40,589,262
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 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line 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 $ 1,135,723,181 including grants of $   ) (Revenue $ 1,094,222,787 )
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 397,655 CLINIC VISITS AND 163,114 EMERGENCY ROOM VISITS. OVER 75% OF THE APPROXIMATELY 231,526 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 $71,323,968 OF CHARITY CARE SERVICES AND INCURRED $43,903,424 BAD DEBTS DURING 2013.
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 expensesMediumBullet1,135,723,181
Form 990 (2013)
Form 990 (2013)
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 other assistance to or for any foreign organization? 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 other assistance to or for foreign individuals? 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 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government 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 or 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 25a................ 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........ Click to see attachment
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................... Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II.................... Click to see attachment
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......... Click to see attachment
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 .......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV
..................... Click to see attachment
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... Click to see attachment
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 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
645
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
7,210
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” to line 3b, 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 (2013)
Form 990 (2013)
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 or note to any line 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
45
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
43
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
Yes
 
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 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line 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; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) BOBBIE ABRAMS........................................................................
BOARD MEMBER
1.0
.......................4.5
X           0 0 0
(2) THOMAS ACOSTA........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(3) ANDREW M ALPER........................................................................
BOARD MEMBER SINCE SEPT 2013
1.0
.......................5.0
X           0 0 0
(4) ALAN R BATKIN........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(5) PHILIP BERNEY........................................................................
BOARD MEMBER
1.0
.......................4.5
X           0 0 0
(6) FRANK BISIGNANO........................................................................
BOARD MEMBER
1.0
.......................4.5
X           0 0 0
(7) JEFF T BLAU........................................................................
BOARD MEMBER SINCE SEPT 2013
1.0
.......................6.0
X           0 0 0
(8) HOWARD BLITMAN........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(9) DAVID BOIES........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(10) HENRY M CALDERON........................................................................
BOARD MEMBER SINCE SEPT 2013
1.0
.......................4.0
X           0 0 0
(11) BRENT CHABUS MD........................................................................
BOARD MEMBER THRU SEP 2013
1.0
.......................56.0
X           0 64,390 0
(12) MILTON S COHN........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(13) MICHAEL CRAMES........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(14) PETER CROWLEY........................................................................
BOARD MEMBER
1.0
.......................5.5
X           0 0 0
(15) EDGAR M CULLMAN JR........................................................................
BOARD MEMBER SINCE SEPT 2013
1.0
.......................4.0
X           0 0 0
(16) SUSAN R CULLMAN........................................................................
BOARD MEMBER SINCE SEPT 2013
1.0
.......................5.0
X           0 0 0
(17) MARY DEBARE........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
Form 990 (2013)
Form 990 (2013)
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; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) JOEL S EHRENKRANTZ........................................................................
BOARD MEMBER SINCE SEPT 2013
1.0
.......................13.0
X           0 0 0
(19) BRUCE FADER........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(20) FRED FARKOUH........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(21) JAMES E FLYNN........................................................................
BOARD MEMBER
1.0
.......................6.5
X           0 0 0
(22) PETER FRELINGHUYSEN........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(23) JANE FRIEDMAN........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(24) CHARLES GARNER........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(25) DONALD J GOGEL........................................................................
BOARD MEMBER SINCE SEPT 2013
1.0
.......................13.0
X           0 0 0
(26) DAVID A GOLDBERG........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(27) LEE GOLDMAN........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................0.0
X           0 0 0
(28) JEROME R GOLDSTEIN........................................................................
BOARD MEMBER
1.0
.......................4.5
X           0 0 0
(29) RICHARD A GOLDSTEIN........................................................................
BOARD MEMBER
1.0
.......................5.5
X           0 0 0
(30) JANET GREEN........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(31) JUDAH GRIBETZ........................................................................
BOARD MEMBER SINCE SEPT 2013
1.0
.......................5.0
X           0 0 0
(32) MERRIL M HALPERN........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(33) DANIEL HEBERT........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(34) LENORE HECHT........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(35) JOHN B HESS........................................................................
BOARD MEMBER SINCE SEPT 2013
1.0
.......................4.0
X           0 0 0
(36) ELIE HIRSCHFELD........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(37) STEPHEN A HOCHMAN ESQ........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................2.5
X           0 0 0
(38) PATRICIA KARPAS........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(39) SUZANNE T KARPAS........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(40) MARTIN JR KARPEH MD........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................54.0
X           0 1,011,762 53,533
(41) ELLEN KATZ........................................................................
BOARD MEMBER SINCE SEPT 2013
1.0
.......................13.0
X           0 0 0
(42) JAMES KEMPNER........................................................................
BOARD MEMBER SINCE SEPT 2013
1.0
.......................4.0
X           0 0 0
(43) BRADFORD KLATT........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(44) KENNETH C KNUCKLES........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................2.5
X           0 0 0
(45) ANDREW S KOMAROFF........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(46) STANLEY KOMAROFF ESQ........................................................................
BOARD MEMBER
1.0
.......................5.5
X           0 0 0
(47) WILLIAM LERNER........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(48) JOHN A LEVIN........................................................................
BOARD MEMBER SINCE SEPT 2013
1.0
.......................13.0
X           0 0 0
(49) PATRICIA S LEVINSON........................................................................
BOARD MEMBER SINCE SEPT 2013
1.0
.......................5.0
X           0 0 0
(50) EDWIN LEVY........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(51) MARC S LIPSCHULTZ........................................................................
BOARD MEMBER SINCE SEPT 2013
1.0
.......................5.0
X           0 0 0
(52) W BRIAN MAILLIAN........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(53) MARTIN MARCUS........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(54) CAROL MASLOW........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................3.5
X           0 0 0
(55) EUGENE MERCY........................................................................
BOARD MEMBER
1.0
.......................6.5
X           0 0 0
(56) MORGAN MILLER........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(57) ERIC MINDICH........................................................................
BOARD MEMBER SINCE SEPT 2013
1.0
.......................13.0
X           0 0 0
(58) MICHAEL MINIKES........................................................................
BOARD MEMBER SINCE SEPT 2013
1.0
.......................13.0
X           0 0 0
(59) ALAN MIRKEN........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(60) HARRIS NAGLER MD........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................57.0
X           0 1,064,590 62,237
(61) JAMES NEARY........................................................................
BOARD MEMBER
1.0
.......................4.5
X           0 0 0
(62) RUTH NERKEN........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(63) ALICE NETTER........................................................................
BOARD MEMBER
1.0
.......................5.5
X           0 0 0
(64) BERNARD W NUSSBAUM........................................................................
BOARD MEMBER SINCE SEPT 2013
1.0
.......................6.0
X           0 0 0
(65) LEW PELL........................................................................
BOARD MEMBER
1.0
.......................4.5
X           0 0 0
(66) DAVID PICKET........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................13.5
X           0 0 0
(67) RICHARD RAVITCH........................................................................
BOARD MEMBER SINCE SEPT 2013
1.0
.......................13.0
X           0 0 0
(68) BURTON P RESNICK........................................................................
BOARD MEMBER THRU JUNE 2013
1.0
.......................2.5
X           0 0 0
(69) IRA S RIMERMAN........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(70) GAE RODGE MD........................................................................
BOARD MEMBER THRU SEPT 2013
54.0
.......................1.0
X           0 0 0
(71) JUDITH O RUBIN........................................................................
BOARD MEMBER SINCE SEPT 2013
1.0
.......................6.0
X           0 0 0
(72) ARTHUR SARNOFF........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(73) JOAN G SARNOFF........................................................................
BOARD MEMBER
1.0
.......................4.5
X           0 0 0
(74) WILLIAM SARNOFF........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(75) ANDREW M SAUL........................................................................
BOARD MEMBER SINCE SEPT 2013
1.0
.......................14.0
X           0 0 0
(76) ROBERT F SAVAGE JR........................................................................
BOARD MEMBER
1.0
.......................11.5
X           0 0 0
(77) DONALD SCHNABEL........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................3.5
X           0 0 0
(78) BARRY SIADAT PHD........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(79) SHELDON SIMON MD........................................................................
BOARD MEMBER THRU JAN 2013
1.0
.......................54.0
X           0 584,593 30,663
(80) MAURY L SPANIER........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(81) WHITNEY STEVENS........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(82) THOMAS W STRAUSS........................................................................
BOARD MEMBER SINCE SEPT 2013
1.0
.......................13.0
X           0 0 0
(83) JAMES S TISCH........................................................................
BOARD MEMBER SINCE SEPT 2013
1.0
.......................13.0
X           0 0 0
(84) DANIEL WIENER MD........................................................................
BOARD MEMBER THRU SEPT 2013
54.0
.......................1.0
X           615,835 0 45,192
(85) DAVID WINDREICH........................................................................
BOARD MEMBER SINCE SEPT 2013
1.0
.......................5.0
X           0 0 0
(86) JOHN S WINKLEMAN........................................................................
BOARD MEMBER SINCE SEPT 2013
1.0
.......................4.0
X           0 0 0
(87) WILLIAM H WRIGHT II........................................................................
BOARD MEMBER
1.0
.......................5.5
X           0 0 0
(88) BETTY YARMON........................................................................
BOARD MEMBER THRU SEPT 2013
1.0
.......................1.5
X           0 0 0
(89) MICHAEL ZIMMERMAN........................................................................
BOARD MEMBER
1.0
.......................3.5
X           0 0 0
(90) STANLEY BREZENOFF........................................................................
CEO&BRD MEMBER THRU SEPT 2013
27.5
.......................30.0
X   X       0 2,026,915 56,691
(91) FRANK J CRACOLICI........................................................................
PRESIDENT & BOARD MEMBER
55.0
.......................2.0
X   X       865,134 0 44,081
(92) BLAINE V FOGG........................................................................
SECR/TREAS,BRDMBR SINCE 9/2013
2.0
.......................14.0
X   X       0 0 0
(93) STEVEN HOCHBERG........................................................................
CHAIRMAN,SR V CHAIR & BRD MBR
2.0
.......................16.5
X   X       0 0 0
(94) LAWRENCE S HUNTINGTON........................................................................
CHAIRMAN EM/BRD MBR THRU9/2013
1.0
.......................4.5
X   X       0 0 0
(95) MORTON P HYMAN........................................................................
CHAIRMAN EMER/BOARD MEMBER
1.0
.......................14.5
X   X       0 0 0
(96) SORRELL MATHES........................................................................
V CHAIR,BRD MBR THRU SEPT 2013
2.0
.......................2.5
X   X       0 0 0
(97) PETER W MAY........................................................................
CHRMAN,BRD MBR SINCE SEPT 2013
2.0
.......................14.0
X   X       0 0 0
(98) JOEL I PICKET........................................................................
VICE CHAIRMAN, BOARD MEMBER
1.0
.......................6.5
X   X       0 0 0
(99) JEREMY BOAL MD SINCE SEPT 2013........................................................................
EVP, CHIEF MEDICAL OFFICER
16.0
.......................41.0
    X       47,219 702,362 14,039
(100) MICHAEL BRUNO........................................................................
SVP, CHIEF FINANCIAL OFFICER
27.5
.......................32.5
    X       0 694,354 54,676
(101) LOUIS JR BRUSCOMD THRU 913........................................................................
SVP / CHIEF MEDICAL OFFICER
52.0
.......................3.0
    X       544,514 0 38,881
(102) GREGORY CALLISTE........................................................................
CAO ST. LUKE'S THRU OCT 2013
55.0
.......................0.0
    X       378,628 0 39,299
(103) MARK CALLAHAN MD SINCE SEPT13........................................................................
EVP, CHIEF AMBULATORY OFFICER
8.5
.......................48.5
    X       17,597 680,833 33,403
(104) DENNIS S CHARNEY SINCE SEPT13........................................................................
PRESIDENT ACADEMIC AFFAIRS
5.0
.......................54.0
    X       0 1,523,643 44,090
(105) JILL CLAYTON THRU SEPT 2013........................................................................
ASSISSTANT SECRETARY
27.5
.......................29.5
    X       0 377,716 62,541
(106) JOHN COLLURA........................................................................
EVP/CFO, TREAS THRU SEPT 2013
27.5
.......................32.5
    X       0 2,180,372 40,485
(107) KENNETH L DAVIS MD........................................................................
CEO SINCE SEPT 2013
8.5
.......................48.5
    X       161,298 3,925,306 59,500
(108) TIM DAY........................................................................
SVP, CHIEF OPERATING OFFICER
55.0
.......................0.0
    X       651,512 0 52,671
(109) GAIL DONOVAN........................................................................
SR EVP FOR SYSTEM AFFAIRS
14.0
.......................46.0
    X       0 1,277,130 55,374
(110) BETH ESSIG........................................................................
EVP/GEN COUNSEL, SECRETARY
8.5
.......................49.0
    X       0 831,504 39,160
(111) ADAM LAWRENCE HENICK THRU 913........................................................................
SVP AMB CARE & MEDICAL ENTERPR
1.0
.......................54.0
    X       0 574,138 56,638
(112) KENNETH HOLDEN THRU SEPT13........................................................................
SVP REAL ESTATE SVCS &FACILITY
27.5
.......................31.5
    X       0 494,092 53,931
(113) KATHLEEN KEARNS THRU SEPT13........................................................................
SVP DEVELOPMENT & EXT AFFAIRS
16.0
.......................40.0
    X       0 616,913 45,714
(114) ARTHUR KLEIN MD SINCE SEPT13........................................................................
EVP, PRESIDENT HEALTH NETWORK
18.0
.......................41.0
    X       104,924 1,164,177 9,049
(115) MICHELLE LEONE THRU SEPT2013........................................................................
SVP REVENUE CYCLE OPS& MGD CAR
27.5
.......................27.5
    X       0 692,261 49,666
(116) BRENDAN LOUGHLIN THRU 913........................................................................
SVP STRATEGIC FINANCE PLANNING
27.5
.......................27.5
    X       0 684,992 59,642
(117) JOANN MILLER RN........................................................................
SVP, CHIEF NURSING OFFICER
55.0
.......................0.0
    X       384,021 0 37,950
(118) MARK MOROSES........................................................................
SVP CIO THRU OCT 2013
27.5
.......................27.5
    X       0 547,978 40,014
(119) MARGARET PASTUSZKO SINCE 913........................................................................
EVP,CHIEF INTEGRATION OFFICER
9.0
.......................47.0
    X       39,561 892,557 53,368
(120) DENISE PELLE THRU SEPT 2013........................................................................
SVP CORPORATE INITIATIVES
27.5
.......................27.5
    X       0 367,465 35,280
(121) ERIC POGUE........................................................................
SVP HUMAN RES THRU OCT 2013
27.5
.......................27.5
    X       0 557,720 47,507
(122) DONALD SCANLON SINCE SEPT 2013........................................................................
EVP, FINANCE&CHIEF CORP SVCS
8.5
.......................54.0
    X       63,285 1,530,795 55,432
(123) JEFFREY SILBERSTEIN SINCE 913........................................................................
EVP, CHIEF ADMIN OFFICER
8.5
.......................47.5
    X       42,489 1,029,021 42,090
(124) LEONARD ACHAN SINCE SEPT 2013........................................................................
SVP,CHIEF MRKTNG&ACCESS OFFICE
11.0
.......................45.0
    X       25,378 468,605 49,274
(125) MARK KOSTEGAN SINCE SEPT 2013........................................................................
SVP, CHIEF DEVELOPMENT OFFICER
5.5
.......................52.5
    X       34,826 1,352,365 45,562
(126) FRANK CINO SINCE SEPT 2013........................................................................
SVP, CHIEF RISK OFFICER
14.0
.......................42.0
    X       0 542,762 49,358
(127) JANE MAKSOUD SINCE SEPT 2013........................................................................
SVP, CHIEF H.R. OFFICER
11.5
.......................44.5
    X       0 749,206 58,436
(128) MICHAEL MCCARRY RN SINCE 913........................................................................
SVP,CHIEF PERIOPERATIVE SVCS
16.0
.......................40.0
    X       0 455,256 34,397
(129) MARC NAPP MD SINCE SEPT 2013........................................................................
SVP,CHIEF MED AFFAIRS OFFICER
16.0
.......................41.0
    X       0 243,124 14,466
(130) BRUCE POLSKY........................................................................
CHIEF OF GENERAL MEDICINE
40.0
.......................0.0
      X     384,187 0 7,208
(131) KUMAR CHATANI SINCE 913........................................................................
SVP, CHIEF INFORMATION OFFICER
12.5
.......................43.5
      X     43,341 722,573 43,010
(132) ROBERT GOODMAN........................................................................
PHYSICIAN
40.0
.......................0.0
        X   2,456,235 0 292
(133) MARTIN KELTZ........................................................................
PHYSICIAN
40.0
.......................0.0
        X   2,558,131 0 18,535
(134) FARR NEZHAT........................................................................
PHYSICIAN
40.0
.......................0.0
        X   1,657,974 0 19,314
(135) WILLIAM SAMSON........................................................................
PHYSICIAN
40.0
.......................0.0
        X   1,954,700 0 10,779
(136) DANIEL STEIN........................................................................
PHYSICIAN
40.0
.......................0.0
        X   2,536,807 0 44,703
(137) RUSSELL PORTENOY MD........................................................................
FORMER BOARD MEMBER
0.0
.......................0.0
          X 0 495,215 40,787
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 15,567,596 31,126,685 1,848,918
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet1,649
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
Yes
 
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 6,844,228
SLR DIAGNOSTIC RADIOLOGY PC, 1780 BROADWAY 11TH FLOORNEW YORKNY10019 PHYSICIAN SERVICES 4,511,669
SCIENTIAE LLC, 30 BROAD STREET 25TH FLNEW YORKNY10004 EDUCATIONAL SERVICES 3,821,710
WINSTON STAFFING SERVICES LLC, 122 EAST 42ND STREETNEW YORKNY10168 STAFFING SERVICES 2,997,686
NEXERA INC, DBA GNYHA CONSULTING 555 WEST 57THNEW YORKNY10019 PURCHASING SERVICES 2,897,827
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet269
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 62,625
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above
1f
5,462,418
g Noncash contributions included in lines
1a-1f:$
132,278
h Total. Add lines 1a-1f.......MediumBullet 5,525,043
 Program Service RevenueAmt Business Code
2a PATIENT SERVICE REVENUE 621110 908,233,104 908,233,104    
b FACULTY PRACTICE REVENUE 621300 143,561,808 143,561,808    
c PATHOLOGY LAB 621500 20,179,758 15,537,768 4,641,990  
d COMMUNITY MENTAL HEALTH ALCOHOL INCOME 624100 1,895,476 1,895,476    
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 1,073,870,146
 OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 2,783,021     2,783,021
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 5,157,058  
b Less: rental expenses    
c Rental income or (loss) 5,157,058 0
d Net rental income or (loss).......MediumBullet 5,157,058     5,157,058
(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
$ 62,625
of contributions reported on line 1c). See Part IV, line 18 ..
a 35,250
b Less: direct expenses ...b 39,232
c Net income or (loss) from fundraising events..MediumBullet -3,982   -3,982
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 11,075,834 11,075,834    
b REVENUE FROM DRUG STUDIES & NIH GRANTS 900099 13,918,797 13,918,797    
c CAFETERIA/VENDING INCOME 531390 1,995,796     1,995,796
d All other revenue .... 59,171,192     59,171,192
e Total. Add lines 11a–11d ...... MediumBullet 86,161,619
12 Total revenue. See Instructions......MediumBullet 1,173,492,905 1,094,222,787 4,641,990 69,103,085
Form 990 (2013)
Form 990 (2013)
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 or note to any line 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 .... 4,686,098 4,230,609 455,489  
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 576,714,815 520,671,230 56,043,585  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 20,553,818 18,498,436 2,055,382  
9 Other employee benefits ....... 137,004,612 123,304,151 13,700,461  
10 Payroll taxes ........... 0      
11 Fees for services (non-employees):        
a Management ...... 3,388,988 3,388,988    
b Legal ......... 2,408,627 2,193,875 214,752  
c Accounting ........... 1,753,178   1,753,178  
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) ........ 61,407,251 61,407,251    
12 Advertising and promotion .... 1,777,765 1,777,765    
13 Office expenses ....... 41,029,730 39,029,786 1,999,944 0
14 Information technology ...... 9,535,899 9,535,899    
15 Royalties .. 0      
16 Occupancy ........... 34,081,841 34,081,841    
17 Travel ............ 3,133,857 3,050,330 83,527  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 635,022 578,140 56,882  
20 Interest ........... 18,529,462 18,529,462    
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 47,668,526 47,668,526    
23 Insurance .............. 21,851,785 21,851,785    
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 153,217,477 153,217,477    
b BAD DEBT 43,903,424 43,903,424    
c PASS THROUGH EXPENSES 4,816,855 4,816,855    
d DUES AND MEMBERSHIPS 3,209,825 3,209,825    
e All other expenses 20,814,906 20,777,526 37,380  
25 Total functional expenses. Add lines 1 through 24e 1,212,123,761 1,135,723,181 76,400,580 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 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 73,584,714 1 57,852,070
2 Savings and temporary cash investments ......... 0 2 0
3 Pledges and grants receivable, net ........... 9,027,776 3 5,019,579
4 Accounts receivable, net ............. 164,153,394 4 139,574,206
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 .............. 12,631,995 8 12,133,135
9 Prepaid expenses and deferred charges .......... 11,040,091 9 11,189,177
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,312,693,410
b Less: accumulated depreciation ..... 10b 960,591,271 369,725,315 10c 352,102,139
11 Investments—publicly traded securities .......... 14,699,855 11 10,932,222
12 Investments—other securities. See Part IV, line 11 ..... 34,324,141 12 26,743,779
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 ........... 297,134,945 15 281,950,714
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 986,322,226 16 897,497,021
Liabilities 17 Accounts payable and accrued expenses ......... 192,833,920 17 171,754,632
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 0 19 0
20 Tax-exempt bond liabilities ............. 265,807,126 20 256,340,867
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 .. 55,144,666 23 45,188,957
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.................... 494,895,836 25 464,801,827
26 Total liabilities. Add lines 17 through 25......... 1,008,681,548 26 938,086,283
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 .............. -101,606,260 27 -124,713,085
28 Temporarily restricted net assets ........... 19,457,501 28 24,321,336
29 Permanently restricted net assets ........... 59,789,437 29 59,802,487
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 ........... -22,359,322 33 -40,589,262
34 Total liabilities and net assets/fund balances ........ 986,322,226 34 897,497,021
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,173,492,905
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,212,123,761
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-38,630,856
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
-22,359,322
5
Net unrealized gains (losses) on investments ...............
5
1,011,348
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
19,389,568
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
-40,589,262
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line 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 (2013)
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.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. 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) 2013

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.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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 its Form 990PF, Part I, line 2, 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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
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, RESTRICTEDRESTRICTED

$RESTRICTED


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

   
 
 

$  


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

   
 
 

$  


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

   
 
 

$  


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

   
 
 

$  


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

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
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) (2013)

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. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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) 2013

Schedule D (Form 990) 2013
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 .... 59,789,437 59,764,637 59,761,035 59,659,980 59,561,023
b Contributions ........ 13,050 24,800 3,602 101,055 98,957
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 ...... 59,802,487 59,789,437 59,764,637 59,761,035 59,659,980
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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. 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 ................ 30,699,249 761,708,087 555,964,662 236,442,674
c Leasehold improvements ............   70,853,416 64,224,491 6,628,925
d Equipment ................   430,234,844 340,221,694 90,013,150
e Other .................   14,373,784 180,424 14,193,360
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 352,102,139
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) SECURITY DEPOSIT RECEIVABLE 524,172
(2) OTHER DEPOSITS RECEIVABLE 35,400
(3) MORTGAGE RESERVE FUND 47,272,925
(4) BOARD-DESIG DEPRECIATION FUND 2,000,000
(5) REAL ESTATE ESCROW 6,689,066
(6) ESCROW FUND AS REQUIRED 3,852,914
(7) SPECIFIC PURPOSE FUNDS 30,976,329
(8) REINSURANCE RECEIVABLES 190,599,908

Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 281,950,714
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
OTHER CURRENT LIABILITIES 15,933,521
OTHER NON-CURRENT LIABILITIES 186,020,791
ACCRUED PENSION & POSTRETIREMENT 45,139,762
DUE TO AFFILIATED ORGANIZATION 12,111,389
DUE TO THIRD PARTY PAYERS 14,996,456
INSURED LIABILITIES 190,599,908



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 464,801,827
2. Liability for uncertain tax positions 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) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 1,176,416,028
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a 1,011,348
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d 8,163,918
e Add lines 2a through 2d ..................... 2e 9,175,266
3 Subtract line 2e from line 1..................... 3 1,167,240,762
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 6,252,143
c Add lines 4a and 4b....................... 4c 6,252,143
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 1,173,492,905
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 1,199,692,451
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 -12,431,310
e Add lines 2a through 2d...................... 2e -12,431,310
3 Subtract line 2e from line 1..................... 3 1,212,123,761
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  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 1,212,123,761
Part XIII
Supplemental Information
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.
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: $1,414,491 FPP DIFFERENTIAL : $6,749,427 ------------- TOTAL $8,183,918
SCHEDULE D, PART XI, LINE 4B - PER TAX NOT BOOKS PERMANENTLY RESTRICTED CONTRIBUTIONS: $ 13,050 TEMPORARILY RESTRICTED CONTRIBUTIONS: $2,926,287 APPRECIATION OF TEMPORARILY RESTRICTED NET ASSETS: $3,352,038 SPECIAL EVENT EXPENSE: ($ 39,232) ------------- TOTAL $6,252,143
SCHEDULE D, PART XII, LINE 2D - PER BOOKS NOT TAX FPP DIFFERENTIAL: $ 5,271,566 SPECIAL EVENTS EXPENSE: $ 39,232 PENSION AND POST-RETIREMENT BENEFITS: ($17,742,108) --------------- TOTAL ($12,431,310)
Schedule D (Form 990) 2013

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.Right pointing arrow large image Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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 its grants and
other 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 its grants and other assistance 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   9,163,378
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .....     9,163,378
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)     9,163,378
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
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 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) 2013
Schedule F (Form 990) 2013Page 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) 2013
Schedule F (Form 990) 2013
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 organization may 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, Information 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) 2013
Schedule F (Form 990) 2013
Page 5
Part V
Supplemental Information
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).
ReturnReference Explanation
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2013
Additional Data


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SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
right arrowInformation about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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.
Form 990-EZ filers are not required to complete this part.
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 contributions 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) 2013
Schedule G (Form 990 or 990-EZ) 2013
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

 
(event type)
(c) Other events

0
(total number)
(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 97,875     97,875
2 Less: Contributions . . 62,625     62,625
3 Gross income (line 1
minus line 2) . . .
35,250     35,250
VerticalDirectExpenses 4 Cash prizes . . .        
5 Noncash prizes . .        
6 Rent/facility costs . .        
7 Food and beverages .        
8 Entertainment . . .        
9 Other direct expenses . 39,232     39,232
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 39,232
11 Net income summary. Subtract line 10 from line 3, column (d)........... right arrow -3,982
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. Subtract line 7 from line 1, 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) 2013
Schedule G (Form 990 or 990-EZ) 2013
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. 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).
Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2013
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.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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) ..
    25,296,014 9,272,933 16,023,081 1.370 %
b Medicaid (from Worksheet 3,
column a) ....
    271,635,874 190,162,205 81,473,669 6.970 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
           
d Total Financial Assistance
and Means-Tested
Government Programs .
    296,931,888 199,435,138 97,496,750 8.340 %
Other Benefits
    16,670,171 0 16,670,171 1.430 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
    114,420,366 31,959,492 82,460,874 7.060 %
g Subsidized health services
(from Worksheet 6) ..
    23,227,002 19,392,359 3,834,643 0.330 %
h Research (from Worksheet 7)     6,599,614 6,599,614 0  
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
    81,275 0 81,275 0.010 %
j Total. Other Benefits ..     160,998,428 57,951,465 103,046,963 8.830 %
k Total. Add lines 7d and 7j .     457,930,316 257,386,603 200,543,713 17.170 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
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
43,903,424
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
31,352,407
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
150,603,747
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
155,987,241
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-5,383,494
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) 2013
Schedule H (Form 990) 2013
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, primary website address, and state license number
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 ST LUKE'S HOSPITAL
1111 AMSTERDAM AVENUE
NEW YORK,NY10025
www.stlukeshospitalnyc.org
7002032H
X X   X   X X      
2 ROOSEVELT HOSPITAL
1000 TENTH AVENUE
NEW YORK,NY10019
WWW.ROOSEVELTHOSPITALNYC.ORG
7002032H
X X   X   X X      
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
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  
If reporting on Part V, Section B for a single hospital facility 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 Yes  
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 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests 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 Yes  
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 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
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   No
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   No
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) 2013
Schedule H (Form 990) 2013
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
i
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 individual’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 individual’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) 2013
Schedule H (Form 990) 2013
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 individual 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 individual 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) 2013
Schedule H (Form 990) 2013
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  
If reporting on Part V, Section B for a single hospital facility 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 Yes  
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 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests 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 Yes  
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 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
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   No
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   No
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) 2013
Schedule H (Form 990) 2013
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
i
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 individual’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 individual’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) 2013
Schedule H (Form 990) 2013
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 individual 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 individual 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) 2013
Schedule H (Form 990) 2013
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference Explanation
PART V, LINE 3 TO ASSESS THE OVERALL HEALTH NEEDS OF THE COMMUNITIES SERVED BY ST. LUKE'S-ROOSEVELT HOSPITAL CENTER, DATA AND INFORMATION WAS COLLECTED FROM SEVERAL SOURCES. THE MEANS BY WHICH SLR COLLECTED THE DATA INCLUDED SURVEYS, INTERVIEWS, ATTENDANCE OF COMMUNITY MEETINGS, AND WRITTEN CORRESPONDENCE. THE FOLLOWING IS A LIST OF THE RELEVANT SOURCES: -NEW YORK CITY DEPARTMENT OF HEALTH SURVEY (2011) -NEW YORK CITY COMMUNITY BOARDS SERVED BY ST. LUKE'S-ROOSEVELT HOSPITAL CENTER WHOSE MEMBERSHIP CONTAIN REPRESENTATIVES OF COMMUNITY BASED ORGANIZATIONS, EMPLOYEES OF FHQC'S, CONCERNED RESIDENTS. -WILLIAM F. RYAN HEALTH CENTERS / RYAN CHELSEA CLINTON -HATZOLAH AMBULANCE SERVICE -ST. LUKE'S AND ROOSEVELT HOSPITALS' COMMUNITY ADVISORY BOARD -CONTINUUM PHYSICIAN REFERRAL SERVICE -COMMUNITY HEALTH EDUCATION DEPARTMENT AT ST. LUKE'S AND ROOSEVELT HOSPITALS -ST. LUKE'S AND ROOSEVELT HOSPITALS' EMERGENCY DEPARTMENT DISCHARGE DATA -ACTOR'S FUND -ST. VINCENT'S CATHOLIC MEDICAL CENTER'S CLOSURE STUDY
PART V, LINE 4 - ST. LUKE'S HOSPITAL NAME OF OTHER FACILITY: ROOSEVELT HOSPITAL
PART V, LINE 4 - ROOSEVELT HOSPITAL NAME OF OTHER FACILITY: ST. LUKE'S HOSPITAL
PART V, LINE 7 AS OF THE END OF THE TAX YEAR, THE HOSPITAL FACILITY WAS NOT ABLE TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA FOR A NUMBER OF REASONS. FIRSTLY, 2013 WAS THE FIRST YEAR DURING WHICH A CHNA WAS CONDUCTED. NOT ONLY IS THAT INSUFFICIENT TIME TO ADDRESS THE NEEDS, UNDER THE 501(R) PROPOSED REGULATIONS, TRANSITION RELIEF WAS PROVIDED SO THAT AN IMPLEMENTATION STRATEGY WAS NOT REQUIRED TO BE FULLY ADOPTED AT YEAR END, AND PROGRAM SERVICES WERE STILL BEING ALIGNED TO MEET THE IDENTIFIED COMMUNITY NEEDS.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section D. 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) 2013
Schedule H (Form 990) 2013
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.
Form and Line Reference Explanation
PART V, LINE 3 TO ASSESS THE OVERALL HEALTH NEEDS OF THE COMMUNITIES SERVED BY ST. LUKE'S-ROOSEVELT HOSPITAL CENTER, DATA AND INFORMATION WAS COLLECTED FROM SEVERAL SOURCES. THE MEANS BY WHICH SLR COLLECTED THE DATA INCLUDED SURVEYS, INTERVIEWS, ATTENDANCE OF COMMUNITY MEETINGS, AND WRITTEN CORRESPONDENCE. THE FOLLOWING IS A LIST OF THE RELEVANT SOURCES: -NEW YORK CITY DEPARTMENT OF HEALTH SURVEY (2011) -NEW YORK CITY COMMUNITY BOARDS SERVED BY ST. LUKE'S-ROOSEVELT HOSPITAL CENTER WHOSE MEMBERSHIP CONTAIN REPRESENTATIVES OF COMMUNITY BASED ORGANIZATIONS, EMPLOYEES OF FHQC'S, CONCERNED RESIDENTS. -WILLIAM F. RYAN HEALTH CENTERS / RYAN CHELSEA CLINTON -HATZOLAH AMBULANCE SERVICE -ST. LUKE'S AND ROOSEVELT HOSPITALS' COMMUNITY ADVISORY BOARD -CONTINUUM PHYSICIAN REFERRAL SERVICE -COMMUNITY HEALTH EDUCATION DEPARTMENT AT ST. LUKE'S AND ROOSEVELT HOSPITALS -ST. LUKE'S AND ROOSEVELT HOSPITALS' EMERGENCY DEPARTMENT DISCHARGE DATA -ACTOR'S FUND -ST. VINCENT'S CATHOLIC MEDICAL CENTER'S CLOSURE STUDY
PART V, LINE 4 - ST. LUKE'S HOSPITAL NAME OF OTHER FACILITY: ROOSEVELT HOSPITAL
PART V, LINE 4 - ROOSEVELT HOSPITAL NAME OF OTHER FACILITY: ST. LUKE'S HOSPITAL
PART V, LINE 7 AS OF THE END OF THE TAX YEAR, THE HOSPITAL FACILITY WAS NOT ABLE TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA FOR A NUMBER OF REASONS. FIRSTLY, 2013 WAS THE FIRST YEAR DURING WHICH A CHNA WAS CONDUCTED. NOT ONLY IS THAT INSUFFICIENT TIME TO ADDRESS THE NEEDS, UNDER THE 501(R) PROPOSED REGULATIONS, TRANSITION RELIEF WAS PROVIDED SO THAT AN IMPLEMENTATION STRATEGY WAS NOT REQUIRED TO BE FULLY ADOPTED AT YEAR END, AND PROGRAM SERVICES WERE STILL BEING ALIGNED TO MEET THE IDENTIFIED COMMUNITY NEEDS.
Schedule H (Form 990) 2013
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, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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
directors, trustees, officers, including 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
Yes
 
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) 2013

Schedule J (Form 990) 2013
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 THRU SEPT 2013 (i)
(ii)
0
1,010,599
0
 
0
1,163
0
21,420
0
32,113
0
1,065,295
0
0
(2)HARRIS NAGLER MDBOARD MEMBER THRU SEPT 2013 (i)
(ii)
0
894,693
0
138,125
0
31,772
0
21,420
0
40,817
0
1,126,827
0
0
(3)RUSSELL PORTENOY MDFORMER BOARD MEMBER (i)
(ii)
0
494,016
0
 
0
1,199
0
20,580
0
20,207
0
536,002
0
0
(4)SHELDON SIMON MDBOARD MEMBER THRU JAN 2013 (i)
(ii)
0
581,351
0
2,500
0
742
0
13,440
0
17,223
0
615,256
0
0
(5)DANIEL WIENER MDBOARD MEMBER THRU SEPT 2013 (i)
(ii)
590,701
0
 
0
25,134
0
21,420
0
23,772
0
661,027
0
0
0
(6)STANLEY BREZENOFFCEO&BRD MEMBER THRU SEPT 2013 (i)
(ii)
0
1,634,334
0
350,625
0
41,956
0
21,420
0
35,271
0
2,083,606
0
0
(7)FRANK J CRACOLICIPRESIDENT & BOARD MEMBER (i)
(ii)
697,742
0
148,750
0
18,642
0
21,420
0
22,661
0
909,215
0
0
0
(8)JEREMY BOAL MD SINCE SEPT 2013EVP, CHIEF MEDICAL OFFICER (i)
(ii)
28,478
423,603
14,489
215,511
4,252
63,248
0
0
884
13,155
48,103
715,517
0
0
(9)MICHAEL BRUNOSVP, CHIEF FINANCIAL OFFICER (i)
(ii)
0
560,560
0
108,537
0
25,257
0
21,420
0
33,256
0
749,030
0
0
(10)LOUIS JR BRUSCOMD THRU 913SVP / CHIEF MEDICAL OFFICER (i)
(ii)
486,032
0
57,375
0
1,107
0
10,200
0
28,681
0
583,395
0
0
0
(11)GREGORY CALLISTECAO ST. LUKE'S THRU OCT 2013 (i)
(ii)
291,055
0
61,066
0
26,507
0
21,420
0
17,879
0
417,927
0
0
0
(12)MARK CALLAHAN MD SINCE SEPT13EVP, CHIEF AMBULATORY OFFICER (i)
(ii)
5,344
206,753
4,409
170,591
7,844
303,489
534
20,675
307
11,887
18,438
713,395
0
0
(13)DENNIS S CHARNEY SINCE SEPT13PRESIDENT ACADEMIC AFFAIRS (i)
(ii)
0
750,000
0
420,000
0
353,643
0
25,500
0
18,590
0
1,567,733
0
0
(14)JILL CLAYTON THRU SEPT 2013ASSISSTANT SECRETARY (i)
(ii)
0
318,599
0
42,713
0
16,404
0
21,420
0
41,121
0
440,257
0
0
(15)JOHN COLLURAEVP/CFO, TREAS THRU SEPT 2013 (i)
(ii)
0
778,241
0
696,469
0
705,662
0
21,420
0
19,065
0
2,220,857
0
0
(16)KENNETH L DAVIS MDCEO SINCE SEPT 2013 (i)
(ii)
94,728
2,305,272
0
0
66,570
1,620,034
1,006
24,494
1,342
32,658
163,646
3,982,458
0
0
(17)TIM DAYSVP, CHIEF OPERATING OFFICER (i)
(ii)
518,045
0
100,406
0
33,061
0
21,420
0
31,251
0
704,183
0
0
0
(18)GAIL DONOVANSR EVP FOR SYSTEM AFFAIRS (i)
(ii)
0
1,043,045
0
223,125
0
10,960
0
21,420
0
33,954
0
1,332,504
0
0
(19)BETH ESSIGEVP/GEN COUNSEL, SECRETARY (i)
(ii)
0
665,000
0
141,313
0
25,191
0
21,420
0
17,740
0
870,664
0
0
(20)ADAM LAWRENCE HENICK THRU 913SVP AMB CARE & MEDICAL ENTERPR (i)
(ii)
0
455,407
0
88,644
0
30,087
0
21,420
0
35,218
0
630,776
0
0
(21)KENNETH HOLDEN THRU SEPT13SVP REAL ESTATE SVCS &FACILITY (i)
(ii)
0
405,045
0
78,795
0
10,252
0
21,420
0
32,511
0
548,023
0
0
(22)KATHLEEN KEARNS THRU SEPT13SVP DEVELOPMENT & EXT AFFAIRS (i)
(ii)
0
515,412
0
100,503
0
998
0
21,420
0
24,294
0
662,627
0
0
(23)ARTHUR KLEIN MD SINCE SEPT13EVP, PRESIDENT HEALTH NETWORK (i)
(ii)
58,562
649,771
45,472
504,528
890
9,878
0
0
748
8,301
105,672
1,172,478
0
0
(24)MICHELLE LEONE THRU SEPT2013SVP REVENUE CYCLE OPS& MGD CAR (i)
(ii)
0
570,484
0
109,969
0
11,808
0
21,420
0
28,246
0
741,927
0
0
(25)BRENDAN LOUGHLIN THRU 913SVP STRATEGIC FINANCE PLANNING (i)
(ii)
0
560,560
0
108,537
0
15,895
0
21,420
0
38,222
0
744,634
0
0
(26)JOANN MILLER RNSVP, CHIEF NURSING OFFICER (i)
(ii)
323,448
0
48,344
0
12,229
0
21,420
0
16,530
0
421,971
0
0
0
(27)MARK MOROSESSVP CIO THRU OCT 2013 (i)
(ii)
0
339,199
0
86,063
0
122,716
0
21,420
0
18,594
0
587,992
0
0
(28)MARGARET PASTUSZKO SINCE 913EVP,CHIEF INTEGRATION OFFICER (i)
(ii)
19,014
428,986
19,817
447,109
730
16,462
866
19,534
1,399
31,569
41,826
943,660
0
0
(29)DENISE PELLE THRU SEPT 2013SVP CORPORATE INITIATIVES (i)
(ii)
0
305,565
0
59,287
0
2,613
0
21,420
0
13,860
0
402,745
0
0
(30)ERIC POGUESVP HUMAN RES THRU OCT 2013 (i)
(ii)
0
344,342
0
96,188
0
117,190
0
21,420
0
26,087
0
605,227
0
0
(31)DONALD SCANLON SINCE SEPT 2013EVP, FINANCE&CHIEF CORP SVCS (i)
(ii)
31,442
760,558
27,790
672,210
4,053
98,027
1,012
24,488
1,188
28,744
65,485
1,584,027
0
0
(32)JEFFREY SILBERSTEIN SINCE 913EVP, CHIEF ADMIN OFFICER (i)
(ii)
27,123
656,877
11,896
288,104
3,470
84,040
1,011
24,489
658
15,932
44,158
1,069,442
0
0
(33)BRUCE POLSKYCHIEF OF GENERAL MEDICINE (i)
(ii)
383,132
0
 
0
1,055
0
5,104
0
2,104
0
391,395
0
0
0
(34)ROBERT GOODMANPHYSICIAN (i)
(ii)
2,455,000
0
 
0
1,235
0
0
0
292
0
2,456,527
0
0
0
(35)MARTIN KELTZPHYSICIAN (i)
(ii)
2,557,951
0
 
0
180
0
12,600
0
5,935
0
2,576,666
0
0
0
(36)FARR NEZHATPHYSICIAN (i)
(ii)
1,657,182
0
 
0
792
0
12,600
0
6,714
0
1,677,288
0
0
0
(37)WILLIAM SAMSONPHYSICIAN (i)
(ii)
1,954,640
0
 
0
60
0
8,400
0
2,379
0
1,965,479
0
0
0
(38)DANIEL STEINPHYSICIAN (i)
(ii)
2,536,703
0
 
0
104
0
19,740
0
24,963
0
2,581,510
0
0
0
(39)KUMAR CHATANI SINCE 913SVP, CHIEF INFORMATION OFFICER (i)
(ii)
25,464
424,536
8,488
141,512
9,389
156,525
1,443
24,057
991
16,519
45,775
763,149
0
0
(40)LEONARD ACHAN SINCE SEPT 2013SVP,CHIEF MRKTNG&ACCESS OFFICE (i)
(ii)
16,029
295,971
7,706
142,294
1,643
30,340
1,048
19,352
1,483
27,391
27,909
515,348
0
0
(41)MARK KOSTEGAN SINCE SEPT 2013SVP, CHIEF DEVELOPMENT OFFICER (i)
(ii)
12,553
487,447
19,394
753,125
2,879
111,793
640
24,860
504
19,558
35,970
1,396,783
0
0
(42)FRANK CINO SINCE SEPT 2013SVP, CHIEF RISK OFFICER (i)
(ii)
0
385,000
0
130,000
0
27,762
0
20,400
0
28,958
0
592,120
0
0
(43)JANE MAKSOUD SINCE SEPT 2013SVP, CHIEF H.R. OFFICER (i)
(ii)
0
508,000
0
175,000
0
66,206
0
25,500
0
32,936
0
807,642
0
0
(44)MICHAEL MCCARRY RN SINCE 913SVP,CHIEF PERIOPERATIVE SVCS (i)
(ii)
0
290,000
0
160,488
0
4,768
0
20,400
0
13,997
0
489,653
0
0
(45)MARC NAPP MD SINCE SEPT 2013SVP,CHIEF MED AFFAIRS OFFICER (i)
(ii)
0
241,414
0
0
0
1,710
0
0
0
14,466
0
257,590
0
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
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.
Return Reference Explanation
SCHEDULE J, PART I, LINE 4A - SEVERANCE GREGORY CALLISTE: $24,562 JOHN COLLURA: $688,010 MARK MOROSES: $103,846 ERIC POGUE: $103,846
Schedule J (Form 990) 2013

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.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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) 2013
Schedule K (Form 990) 2013
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 the hedge terminated? . . . . . .                
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
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
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. Provide additional information for responses to questions on Schedule K (see instructions).
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 INCLUDES INVESTMENT PROCEEDS OF $6,938
SCHEDULE K, PART IV, LINE 1 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 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 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 WRITTEN PROCEDURES HAVE NOT YET BEEN ESTABLISHED, HOWEVER ONGOING MONITORING TAKES PLACE THROUGH A THIRD PARTY CONSULTANT.
Schedule K (Form 990) 2013

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
ST LUKE'S-ROOSEVELT HOSPITAL CENTER
 
Employer identification number

13-2997301
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2013
Schedule L (Form 990 or 990-EZ) 2013
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) US FOODSERVICE DONALD GOGEL, BOARD MBR 2,199,990 SEE PART V   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
SCHEDULE L, PART IV, LINE 1 - DONALD GOGEL SLR PURCHASES A PORTION OF ITS FOOD FROM US FOODSERVICE. ALL SUCH PURCHASES ARE MADE UNDER A GROUP PURCHASING ORGANIZATION (GPO) ARRANGEMENT THAT HAS BEEN NEGOTIATED WITH US FOODS. THESE GPO PRICES ARE AVAILABLE TO SLR AND ALL OTHER MEMBERS OF THE LOCAL HEALTHCARE ASSOCIATION. MR. DONALD J. GOGEL IS CEO OF A FIRM THAT IS INDIRECTLY A GREATER-THAN-35% OWNER OF US FOODS. MR. GOGEL WAS NOT INVOLVED IN DECISIONS RELATED TO THE ORGANIZATION'S PURCHASES FROM U.S. FOODS.
Schedule L (Form 990 or 990-EZ) 2013

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.

Right pointing arrow large imageInformation about Schedule M (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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 5 132,278 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 through 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) (2013)
Schedule M (Form 990) (2013)
Page 2
Part II
Supplemental Information. 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.
Return Reference Explanation
Schedule M (Form 990) (2013)
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.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
ST LUKE'S-ROOSEVELT HOSPITAL CENTER
 
Employer identification number

13-2997301
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. TRUSTEES EDGAR CULLMAN, JR AND SUSAN CULLMAN ARE SIBLINGS 2. TRUSTEES JAMES FLYNN AND STEVE HOCHBERG ARE EMPLOYED AT THE SAME FIRM 3. TRUSTEES JOEL PICKET AND MICHAEL ZIMMERMAN ARE BOARD MEMBERS OF THE SAME FIRM 4. TRUSTEE JOAN G SARNOFF AND FORMER TRUSTEE ARTHUR SARNOFF ARE MARRIED TO EACH OTHER 5. TRUSTEE STANLEY KOMAROFF IS FORMER TRUSTEE ANDREW KOMAROFF'S FATHER 6. TRUSTEE JOEL PICKET IS FORMER TRUSTEE DAVID PICKET'S FATHER 7. FORMER TRUSTEE SUZANNE KARPAS IS FORMER TRUSTEE PATRICIA KARPAS'S MOTHER FORM 990, PART VI, LINE 4 - CHANGE IN GOVERNING DOCUMENTS ON SEPTEMBER 23, 2013, THE ORGANIZATION'S CHARTER WAS AMENDED TO PROVIDE THAT THE IDENTITY AND RIGHTS AND OBLIGATIONS OF THE SOLE MEMBER OF THE ORGANIZATION SHALL BE AS SET FORTH IN THE ORGANIZATION'S BYLAWS. EFFECTIVE AS OF SEPTEMBER 30, 2013, THE BYLAWS OF THE ORGANIZATION WERE RESTATED TO PROVIDE THAT MOUNT SINAI HEALTH SYSTEM, INC. (THE "MEMBER") WAS TO BE THE MEMBER OF THE ORGANIZATION AND WOULD HAVE THE POWER TO APPOINT TRUSTEES TO THE ORGANIZATION'S BOARD OF TRUSTEES. IN ADDITION, THE BYLAWS OF THE ORGANIZATION WERE FURTHER REVISED TO RESTRUCTURE THE MEMBERSHIP OF ITS BOARDS OF TRUSTEES, TO PROVIDE THAT THE BOARD OF TRUSTEES OF THE ORGANIZATION COULD NOT AMEND THE BYLAWS WITHOUT THE CONSENT OF THE MEMBER IF SUCH AMENDMENT REMOVED ANY POWERS OF THE MEMBER, TO REVISE THE DESCRIPTION OF THE ORGANIZATION'S COMMITTEE STRUCTURE, TO REVISE THE DESCRIPTION OF THE ORGANIZATION'S OFFICERS, AND TO OTHERWISE CONFORM THE ORGANIZATION'S BYLAWS TO THOSE OF THE OTHER MOUNT SINAI HEALTH SYSTEM ENTITIES.
FORM 990, PART VI, LINE 6 - MEMBERS OF THE ORGANIZATION MOUNT SINAI HOSPITALS GROUP, INC. IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, LINE 7A - ELECTION OF THE GOVERNING BODY THE MEMBER HAS THE POWER TO ELECT THE MEMBERS OF THE GOVERNING BODY OF THE ORGANIZATION.
FORM 990, PART VI, LINE 7B - DECISIONS OF THE GOVERNING BODY THE MEMBER HAS THE POWER TO ELECT THE MEMBERS OF THE GOVERNING BODY OF THE ORGANIZATION. IN ADDITION, THE BOARD OF TRUSTEES OF THE ORGANIZATION CANNOT AMEND THE BYLAWS WITHOUT THE CONSENT OF THE MEMBER IF SUCH AMENDMENT REMOVED ANY POWERS OF THE MEMBER.
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, PRICEWATERHOUSE COOPERS ("PWC"), 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 AND THE COMPLIANCE DEPARTMENT WITH RESPECT TO THE QUESTIONNAIRES SUBMITTED BY OTHER OFFICERS AND KEY EMPLOYEES. - THE TAX RETURNS WERE PRESENTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES, WITH THE PARTICIPATION OF PWC, THE FINANCE DEPARTMENT, THE GENERAL COUNSEL'S OFFICE, AND THE AUDIT AND COMPLIANCE DEPARTMENT. THE AUDIT COMMITTEE REVIEWED AND 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, 2014, BE PROVIDED TO ALL TRUSTEES VIA THE TRUSTEES' CONFIDENTIAL WEBSITE, AND THOSE RETURNS WERE SO PROVIDED BEFORE BEING FILED.
FORM 990, PART VI, LINE 12C - CONFLICT OF INTEREST POLICY COMPLIANCE WITH THE ORGANIZATION'S BUSINESS CONFLICTS OF INTEREST POLICY (THE "POLICY") IS REQUIRED OF TRUSTEES, EMPLOYEES, MEDICAL STAFF AND NON-EMPLOYEE MEMBERS OF INSTITUTIONAL COMMITTEES AND INCLUDES AN ONGOING DUTY TO DISCLOSE POTENTIAL CONFLICTS. COMPLIANCE WITH THE POLICY IS MONITORED AND ENFORCED REGULARLY AND CONSISTENTLY. ALL DISCLOSURES WITH THE POTENTIAL FOR CONFLICT ARE REVIEWED BY AN APPROPRIATE COMMITTEE WHERE THEY ARE CAREFULLY EVALUATED. WHEN APPROPRIATE, A PLAN, WHICH MAY INVOLVE MEASURES INCLUDING, BUT NOT LIMITED TO, RECUSAL FROM PARTICIPATING IN AFFECTED TRANSACTIONS, IS DEVELOPED TO MANAGE THE POTENTIAL CONFLICT.
FORM 990, PART VI, LINE 15A & 15B - COMPENSATION POLICY THE COMPENSATION, EMPLOYEE BENEFITS AND EMPLOYEE RELATIONS COMMITTEE OF THE BOARDS OF TRUSTEES (THE "COMPENSATION COMMITTEE") DETERMINES THE COMPENSATION FOR THE CEO AND REVIEWS AND MODIFIES OR APPROVES THE CEO'S RECOMMENDATIONS FOR COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES, INCLUDING PHYSICIAN LEADERS, WHO ARE OR MAY BE "DISQUALIFIED PERSONS" AS THAT TERM IS DEFINED IN IRC SECTION 4958. THE COMPENSATION COMMITTEES' OPERATING PROCEDURES ARE DESIGNED TO ENSURE THAT THE COMPENSATION OF ALL SUCH OFFICERS AND KEY EMPLOYEES IS REASONABLE (I.E. THE VALUE OF SERVICES IS THE AMOUNT THAT WOULD ORDINARILY BE PAID FOR LIKE SERVICES BY LIKE ENTERPRISES UNDER LIKE CIRCUMSTANCES), AND TO FOLLOW THE SPECIFIC STEPS OUTLINED IN THE IRC REGULATIONS FOR ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS THAT A TRANSACTION IS NOT AN EXCESS BENEFIT TRANSACTION. THE COMPENSATION COMMITTEE CONSISTS EXCLUSIVELY OF INDEPENDENT TRUSTEES WITHOUT ANY CONFLICT OF INTEREST (AS DEFINED IN THE APPLICABLE IRC REGULATIONS) WITH REGARD TO THE COMPENSATION ARRANGEMENTS BEING REVIEWED OR APPROVED. THE ABSENCE OF ANY CONFLICT OF INTEREST WITH RESPECT TO ITEMS ON THAT MEETING'S AGENDA IS CONFIRMED AT THE BEGINNING OF EACH MEETING OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE SELECTS AND ENGAGES AN INDEPENDENT, QUALIFIED COMPENSATION CONSULTANT WHICH PERFORMS SUCH VALUATIONS ON A REGULAR BASIS TO PROVIDE APPROPRIATE COMPARABILITY DATA. COMPARABILITY DATA INCLUDES, BUT IS NOT LIMITED TO, COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR FUNCTIONALLY COMPARABLE POSITIONS; THE AVAILABILITY OF SIMILAR SERVICES IN SLR'S GEOGRAPHIC AREA; CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; CUSTOMIZED SURVEYS IN SPECIFIC CIRCUMSTANCES, AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE DISQUALIFIED PERSON. THE SOURCES OF THE COMPARABILITY DATA USED BY THE COMPENSATION CONSULTANT ARE PROVIDED TO THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE RECEIVES AND REVIEWS THE COMPARABILITY DATA AND ANY ANALYSIS PROVIDED BY THE CONSULTANT, AS WELL AS INFORMATION PROVIDED BY MANAGEMENT OR, IN THE CASE OF THE CEO, BY THE CHAIRMAN OF THE BOARD OF TRUSTEES, INCLUDING INFORMATION ABOUT THE CEO'S PERFORMANCE. FOR THE CEO, THE COMMITTEE THEN DETERMINES AN APPROPRIATE LEVEL OF TOTAL COMPENSATION IN RELATION TO THE COMPARABILITY DATA. FOR THE OTHER EXECUTIVES AND KEY EMPLOYEES, THE COMMITTEE ALSO REVIEWS THE POSITION DESCRIPTION, THE CREDENTIALS OF THE INCUMBENT OR THE CANDIDATE FOR THE POSITION, AN INCUMBENT'S PERFORMANCE APPRAISAL, AND THE CEO'S (OR CHAIRMAN OF THE BOARD'S, WITH RESPECT TO THE CEO) RECOMMENDATION, IN RELATION TO THE COMPARABILITY DATA, AND DECIDES WHETHER TO APPROVE THE RECOMMENDED COMPENSATION OR TO MODIFY IT. THE COMPENSATION COMMITTEE DISCUSSES AND VOTES ON THE COMPENSATION ARRANGEMENTS FOR THE CEO, CFO AND OTHER SENIOR EXECUTIVE STAFF MEMBERS IN EXECUTIVE SESSION. THE COMPENSATION COMMITTEE CONTEMPORANEOUSLY DOCUMENTS IN WRITTEN MINUTES THE TERMS OF THE TRANSACTION THAT WAS APPROVED AND THE DATE IT WAS APPROVED; THE MEMBERS OF THE COMPENSATION COMMITTEE WHO WERE PRESENT DURING DEBATE ON THE TRANSACTION THAT WAS APPROVED AND THOSE WHO VOTED ON IT; THE COMPARABILITY DATA AND INFORMATION FROM MANAGEMENT OBTAINED AND RELIED ON, AND HOW THE COMPARABILITY DATA WAS OBTAINED; AND THE COMPENSATION COMMITTEE'S BASIS FOR THE DECISIONS, IF THE APPROVED COMPENSATION IS OUTSIDE THE RANGE OF COMPARABILITY DATA. THESE MINUTES ARE PREPARED BEFORE THE LATER OF THE NEXT MEETING OF THE COMPENSATION COMMITTEE OR 60 DAYS AFTER THE FINAL ACTIONS OF THE COMPENSATION COMMITTEE ARE TAKEN WITH RESPECT TO THE COMPENSATION DECISIONS MADE. THE MINUTES ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE WITHIN A REASONABLE TIME THEREAFTER.
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: $17,742,108 FPP DIFFERENTIAL: $ 1,477,861 BI AMBULATORY JOINT VENTURE: $ 169,598 ---------------- TOTAL: $19,389,568
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet
Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
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" on 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 7,353,865 43,688,113 SLR
 










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


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled 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
 
 
No
(2) BETH ISRAEL MEDICAL CENTER

FIRST AVENUE AT 16TH STREET

NEW YORK,NY10003
13-5564934
HOSPITAL NY 501(C)(3) 3 MSHG
 
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
 
 
No
(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 MSHG
 
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
 
(16) THE MOUNT SINAI MEDICAL CENTER INC

ONE GUSTAVE L LEVY PLACE

NEW YORK,NY10029
13-6271888
SUPPORT NY 501(C)(3) 11B- II MSHS
 
 
No
(17) THE MOUNT SINAI HOSPITAL

ONE GUSTAVE L LEVY PLACE

NEW YORK,NY10029
13-1624096
HOSPITAL NY 501(C)(3) 3 MSHG
 
Yes
 
(18) MITRAL FOUNDATION

1190 FIFTH AVENUE

NEW YORK,NY10029
80-0468600
RESEARCH NY 501(C)(3) 11B- II ISMMS
 
 
No
(19) THE MOUNT SINAI CHILDREN'S CENTER FND

ONE GUSTAVE L LEVY PLACE

NEW YORK,NY10029
22-3059294
SUPPORT NY 501(C)(3) 11B- II ISMMS
 
 
No
(20) MSMC REALTY CORPORATION

ONE GUSTAVE L LEVY PLACE

NEW YORK,NY10029
13-3852596
REAL ESTATE NY 501(C)(3) 11B- II SEE PART VII
 
Yes
 
(21) MSMC RESIDENTIAL REALTY LLC

1425 MADISON AVENUE

NEW YORK,NY10029
20-0244426
REAL ESTATE NY 501(C)(3) 11B- II SEE PART VII
 
Yes
 
(22) MOUNT SINAI DIAGNOSTIC &TREATMENT CENTER

ONE GUSTAVE L LEVY PLACE

NEW YORK,NY10029
45-0537391
DIAG CLINIC NY 501(C)(3) 3 MSH
 
Yes
 
(23) MSMC RESIDENTIAL REALTY MANAGER INC

1425 MADISON AVENUE

NEW YORK,NY10029
20-1289396
MANAGEMENT NY 501(C)(3) 11B- II SEE PART VII
 
Yes
 
(24) VALENTIN FUSTER MT SIANI FND FOR SCIENCE

ONE GUSTAVE L LEVY PLACE

NEW YORK,NY10029
80-0952088
SUPPORT NY 501(C)(3) 11B- II ISMMS & MSH
 
Yes
 
(25) MOUNT SINAI HEALTH SYSTEM INC

ONE GUSTAVE L LEVY PLACE

NEW YORK,NY10029
46-4248304
HOLDING CO NY 501(C)(3) 11A- I NA
 
 
No
(26) MOUNT SINAI HOSPITAL GROUP INC

ONE GUSTAVE L LEVY PLACE

NEW YORK,NY10029
46-4242915
HOLDING CO NY 501(C)(3) 11A- I MSHS
 
 
No
(27) ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

ONE GUSTAVE L LEVY PLACE

NEW YORK,NY10029
13-6171197
SCHOOL NY 501(C)(3) 2 MSHS
 
 
No
(28) FOJP SERVICE CORPORATION

28 EAST 28TH STREET

NEW YORK,NY10016
13-2914141
RISK MGMT NY 501(C)(3) 11C- III NA
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



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

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




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



(k)
Percentage
ownership


Yes No Yes No
(1) SEE PART VII 46-0710331

 
 
HEALTHCARE NY BIMCSLR
 
RELATED -609,158 87,445   No 0   No 45.000 %












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(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 %   No
(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 %   No
(3) MANHATTAN MANAGEMENT SERVICES

1780 BROADWAY 7TH FL
NEW YORK,NY10019
13-3618543
MGMT SERVICES NY SLR
 
C 2,737,901 606,304 100.000 % Yes  
(4) SLR MANAGEMENT SERVICES

555 WEST 57TH STREET 5TH FL
NEW YORK,NY10019
13-3853145
MGMT SERVICES NY SLR
 
C 6,468,290 7,718,706 100.000 % Yes  
(5) WEST CARE MEDICAL PC

555 WEST 57TH STREET 5TH FL
NEW YORK,NY10019
13-3811203
INACTIVE NY SLR
 
C 0 31,010 100.000 % 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) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on 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 related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) BETH ISRAEL MEDICAL CENTER

K 273,228 FMV
(2) BETH ISRAEL MEDICAL CENTER

R 228,786 FMV
(3) MANHATTAN MANAGEMENT SERVICES INC

R 7,750,276 FMV
(4) AUGUSTUS & JAMES

K 150,570 FMV
(5) AUGUSTUS & JAMES

S 9,900 FMV
(6) MOUNT SINAI HOSPITAL

S 546,720 FMV
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 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) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
SCHEDULE R, PART II, COLUMN (F) DIRECT CONTROLLING ENTITY OF MSMC REALTY CORPORATION: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL AND THE MSMC REALTY CORPORATION ARE ALL MEMBERS OF THIS ENTITY.
SCHEDULE R, PART II, COLUMN (F) DIRECT CONTROLLING ENTITY OF MSMC RESIDENTIAL REALTY LLC: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, THE MSMC REALTY CORPORATION AND THE MSMC RESIDENTIAL REALTY MANAGER, INC. ARE ALL MEMBERS OF THIS ENTITY.
SCHEDULE R, PART II, COLUMN (F) DIRECT CONTROLLING ENTITY OF MSMC RESIDENTIAL REALTY MANAGER, INC: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL AND THE MSMC REALTY CORPORATION ARE ALL MEMBERS OF THIS ENTITY.
SCHEDULE R, PART III, LINE (1), COLUMN (A) NAME OF RELATED ORGANIZATION CONTINUUM PROVIDER PARTNERS IPA, LLC
Schedule R (Form 990) 2013
Additional Data


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