TY 2015 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Lynda Anderson...................................................................... Trustee	1.00 .................	X
(2) ANDREW BROTMAN...................................................................... TRUStee	1.00 .................	X
(3) Andrew Burch...................................................................... Trustee	1.00 .................	X
(4) Michael Burke...................................................................... trustee	1.00 .................	X
(5) Maria Carlson...................................................................... Trustee	1.00 .................	X
(6) Dale C Christensen ESQ...................................................................... Trustee	1.00 .................	X
(7) Martha Bakos Dietz...................................................................... Trustee	1.00 .................	X
(8) Thomas J Edwards...................................................................... Trustee	1.00 .................	X
(9) Emma Graeber Porter...................................................................... Trustee, Chair	1.00 .................	X	X
(10) Brenda Grandell...................................................................... Trustee	1.00 .................	X
(11) Rabbi Robert Kaplan...................................................................... Trustee	1.00 .................	X
(12) Miriam Katowitz...................................................................... Trustee	1.00 .................	X
(13) Joseph Lodato...................................................................... Trustee	1.00 .................	X
(14) joseph lhota...................................................................... trustee	1.00 .................	X
(15) Gerarld Luterman...................................................................... Trustee, Treasurer	1.00 .................	X	X
(16) John Nuzum...................................................................... Trustee	1.00 .................	X
(17) Randolph Peers...................................................................... Trustee, Secretary	1.00 .................	X	X

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(18) douglas phillips........................................................................ trustee	1.00 .......................	X			0	0
(19) Bishop Robert Rimbo........................................................................ Trustee	1.00 .......................	X			0	0
(20) gabriel rincon........................................................................ trustee	1.00 .......................	X			0	0
(21) Vincent Rohan........................................................................ Trustee	1.00 .......................	X			0	0
(22) Rev David Rommereim........................................................................ Trustee	1.00 .......................	X			0	0
(23) Lucy Sanabria........................................................................ Trustee	1.00 .......................	X			0	0
(24) Carla Solomon........................................................................ trustee	1.00 .......................	X			0	0
(25) Martha Wolfgang........................................................................ Trustee, Vice Chair	1.00 .......................	X	X		0	0
(26) Kathryn S Wylde........................................................................ Trustee	1.00 .......................	X			0	0
(27) Wendy Z Goldstein........................................................................ President & CEO	35.00 .......................1.00	X	X		1,278,102	756,807
(28) Claudia Caine........................................................................ Chief Operating Officer	35.00 .......................1.00		X		1,415,252	158,265
(29) Richard Langfelder........................................................................ EVP/Chief Financial Officer	35.00 .......................1.00		X		615,893	59,756
(30) Barbara Arky........................................................................ EVP/General Counsel	35.00 .......................1.00		X		528,181	62,464
(31) Karen Lennon........................................................................ EVP/External Affairs	35.00 .......................1.00			X	402,230	57,569
(32) John K Fitzpatrick MD........................................................................ Chair OB/Gyn	40.00 .......................			X	730,134	46,032
(33) Claudia Lyon........................................................................ Chair Family Medicine	40.00 .......................			X	437,787	43,414
(34) Audrey Saitta MD........................................................................ Chair Radiation Oncology	40.00 .......................			X	541,167	48,129
(35) Frank Scheets........................................................................ SVP Human Resources	35.00 .......................1.00			X	446,293	45,482

(A) Name and business address	(B) Description of services	(C) Compensation
LMC Physician Services 150 55th St Brooklyn,NY11220	Physician Services	28,529,360
University Physicians of Brooklyn 450 Clarkson Ave Brooklyn,NY11203	Physician Services	7,288,038
Mount Sinai Hospital 1 Gustove Levy Pl New York,NY10029	Physician Services	4,174,475
MANATT PHELPS & PHILLIPS LLP 11355 W Olympic Blvd Los Angeles,CA90064	LEGAL SERVICES	3,923,218
Shore Road Radiology 150 55th St Brooklyn,NY11220	Physician Services	3,356,342
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 68

- TIN:

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

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

NYU LUTHERAN MEDICAL CENTER

Employer identification number

11-1839567

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross 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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

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)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.)..
11	Total support. Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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) 2015

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)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513...
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

NYU LUTHERAN MEDICAL CENTER

Employer identification number

11-1839567

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... 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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization NYU LUTHERAN MEDICAL CENTER

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization NYU LUTHERAN MEDICAL CENTER		Employer identification number 11-1839567

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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization NYU LUTHERAN MEDICAL CENTER			Employer identification number 11-1839567
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose 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

(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

(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

(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) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

NYU LUTHERAN MEDICAL CENTER

Employer identification number

11-1839567

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................
c	Total lobbying expenditures (add lines 1a and 1b) .......................................................................
d	Other exempt purpose expenditures .........................................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ..............................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Yes

4,005

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

3,451

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Yes

22,697

Other activities? ...................................................................................................................

Yes

27,832

Total. Add lines 1c through 1i ....................................................................................................

57,985

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Part II-B, Line 1:	LUTHERAN EMPLOYS A PERSON WHO AS PART OF THEIR FUNCTION ADVOCATES AND LOBBIES IN ALBANY AND WASHINGTON ON BEHALF OF THE HOSPITAL WITH RESPECT TO GOVERNMENTAL POLICIES AND LEGISLATION IMPORTANT TO THE HOSPITAL. Line 1I - OTHER ACTIVITIES IS THE COST REPORTED BY SEVERAL ASSOCIATIONS THE HOSPITAL BELONGS TO AS LOBBYING COSTS CONDUCTED BY THE ASSOCIATIONS ON BEHALF OF ITS MEMBER ORGANIZATIONS, THIS INCLUDES THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA), THE HOSPITAL ASSOCIATION OF NEW YORK (HANYS) AND THE NATIONAL ASSOCIATION OF URBAN HOSPITALS (NAUH).

Return Reference

Explanation

Part II-B, Line 1:

LUTHERAN EMPLOYS A PERSON WHO AS PART OF THEIR FUNCTION ADVOCATES AND LOBBIES IN ALBANY AND WASHINGTON ON BEHALF OF THE HOSPITAL WITH RESPECT TO GOVERNMENTAL POLICIES AND LEGISLATION IMPORTANT TO THE HOSPITAL. Line 1I - OTHER ACTIVITIES IS THE COST REPORTED BY SEVERAL ASSOCIATIONS THE HOSPITAL BELONGS TO AS LOBBYING COSTS CONDUCTED BY THE ASSOCIATIONS ON BEHALF OF ITS MEMBER ORGANIZATIONS, THIS INCLUDES THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA), THE HOSPITAL ASSOCIATION OF NEW YORK (HANYS) AND THE NATIONAL ASSOCIATION OF URBAN HOSPITALS (NAUH).

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

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

2015

Open to Public Inspection

Name of the organization
NYU LUTHERAN MEDICAL CENTER

Employer identification number

11-1839567

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

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? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

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)	(f) Total expenditures for and investments in region
	Central America and the Caribbean	0	0	Investments	10,117,318
















3a	Sub-total .....	0	0		10,117,318
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		10,117,318

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2015

Schedule F (Form 990) 2015

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)	(a)(c) Region	(b)(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 .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2015

Schedule F (Form 990) 2015Page 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) 2015

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2015

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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
NYU LUTHERAN MEDICAL CENTER

Employer identification number

11-1839567

Part I

Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

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?

YesNo

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
	susan shapiro associates LLC 245 5th ave new york, NY100168716	fundraising & building donor database		No	249,433	75,284	174,149









Total . . . . . . . . . . . . . . . . . . . .					249,433	75,284	174,149

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 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2015

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on 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 (event type)	(b) Event #2 (event type)	(c) Other events (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .
2	Less: Contributions . . . .
3	Gross income (line 1 minus line 2) . . . . . .

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .
7	Food and beverages . . .
8	Entertainment . . . .
9	Other direct expenses . . .
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2015

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

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? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

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

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

NYU LUTHERAN MEDICAL CENTER

Employer identification number

11-1839567

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

100% 150% 200% Other %

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: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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.

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"? . . . . . . . . . . . . .

Yes

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

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

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? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(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) . . .	8,665,477	2,760,802	5,904,675	3.460 %
b	Medicaid (from Worksheet 3, column a) . . . . .	68,130,766	57,675,370	10,455,396	6.120 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	69,996	17,589	52,407	0.030 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	76,866,239	60,453,761	16,412,478	9.610 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	233,462	0	233,462	0.140 %
f	Health professions education (from Worksheet 5) . . .	19,381,794	5,280,506	14,101,288	8.260 %
g	Subsidized health services (from Worksheet 6) . . . .	10,141,675	0	10,141,675	5.940 %
h	Research (from Worksheet 7) .	313,255	0	313,255	0.180 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	39,269	0	39,269	0.020 %
j	Total. Other Benefits . .	30,109,455	5,280,506	24,828,949	14.540 %
k	Total. Add lines 7d and 7j .	106,975,694	65,734,267	41,241,427	24.150 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

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.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	29,248	29,248	0.020 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	9,394	9,394	0.010 %
7	Community health improvement advocacy	13,634	13,634	0.010 %
8	Workforce development
9	Other
10	Total	52,276	52,276	0.040 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

3,518,132

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. ......

195,692

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

Enter total revenue received from Medicare (including DSH and IME).....

49,844,764

Enter Medicare allowable costs of care relating to payments on line 5.....

55,626,042

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-5,781,278

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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 .........................

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) 2015

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?1 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)							Other (Describe)
1	NYU LUTHERAN MEDICAL CENTER 150 55TH STREET BROOKLYN,NY11220 www.lutheranhealthcare.org/main/commun NYS #7001019H	X	X	X	X	X	PSYCH & REHAB EXCLUDED UNITS

Schedule H (Form 990) 2015

Page 4

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)

	NYU LUTHERAN MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

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 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.LUTHERANHEALTHCARE.ORG

Other website (list url): WWW.HEALTH.NY.GOV/PREVENTION/PREVENTION

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): http://www.lutheranhealthcare.org/Main/CommunityServicePlan.aspx

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	NYU LUTHERAN MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V

The FAP application form was widely available on a website (list url):

SEE PART V

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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 all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	NYU LUTHERAN MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized 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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

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? ...............................

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
NYU LUTHERAN MEDICAL CENTER	Part V, Section B, Line 5: INTERNAL STAKEHOLDER COMMITTEETHE INTERNAL STAKEHOLDER COMMITTEE WAS COMPRISED OF NYU LUTHERAN EMPLOYEES REPRESENTING VARIOUS FACETS OF THE HOSPITAL AND HEALTH CENTER SYSTEM, INCLUDING MEDICAL EDUCATION, EMERGENCY MEDICINE, COMMUNITY RELATIONS AND DEVELOPMENT, COMMUNITY BASED PROGRAMS, CULTURAL COMPETENCE, MISSION AND SPIRITUAL CARE, AND HEALTH CENTERS. THESE INDIVIDUALS ARE DEPARTMENT DIRECTORS AND ADMINISTRATORS WITH THE BACKGROUND, KNOWLEDGE AND PROFESSIONAL INTEREST IN HEALTH PROMOTION AND COMMUNITY INTERVENTIONS. THIS GROUP MET THREE TIMES OVER A 6-MONTH PERIOD TO REVIEW AND ANALYZE DATA, SET PRIORITIES AND MAKE RECOMMENDATIONS ABOUT THE LMC'S COMMUNITY HEALTH IMPROVEMENT PLAN. BOARD MEMBERS TO SEEK FURTHER GUIDANCE ON THE COMMUNITY SERVICE PLAN, PRESENTATIONS WERE CONDUCTED WITH THE NYU LUTHERAN BOARD OF TRUSTEES' MISSION AND STRATEGIC PLANNING COMMITTEES AS WELL AS THE LUTHERAN FAMILY HEALTH CENTERS' BOARD OF DIRECTORS, STRATEGIC PLANNING COMMITTEE. BOTH COMMITTEES INCLUDE REPRESENTATION FROM COMMUNITY RESIDENTS WHO USE LUTHERAN'S SERVICES, INDIVIDUALS WHO REPRESENT COMMUNITY BASED ORGANIZATIONS, FAITH COMMUNITY LEADERSHIP, OR PROFESSIONALS IN RELEVANT FIELDS. RESEARCH ON COMMUNITY STRENGTHS AND NEEDS WAS PRESENTED IN COMBINATION WITH INITIAL SURVEY RESULTS AND HOSPITAL UTILIZATION DATA. AFTER REVIEWING THE INFORMATION, THE COMMITTEES RECOMMENDED FOCUSING ON HEALTH ISSUES CONCERNING ACCESS TO CARE AND PREVENTION.PUBLIC HEALTH AGENCY REPRESENTATIVESCITY AND STATE PUBLIC HEALTH AGENCY REPRESENTATIVES JOINED THE INTERNAL STAKEHOLDERS COMMITTEE TO HELP GUIDE THE COMMUNITY PLANNING PROCESS. IN MAY, THE COMMITTEE WAS JOINED BY CAMELLIA MORTEZAZADEH, DIRECTOR, TAKE CARE NEW YORK, NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE. MORTEZAZADEH PRESENTED ON THE HEALTH PRIORITIES OF NEW YORK CITY, HIGHLIGHTING HEALTH DATA FOR NEIGHBORHOODS SURROUNDING NYU LUTHERAN MEDICAL CENTER. IN JULY, THE COMMITTEE WAS JOINED BY LLOYD BISHOP AND AMY OSORIO FROM GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA). BISHOP AND OSORIO HELPED ALIGN THE CITY PRIORITIES WITH THE STATE AND FEDERAL PRIORITIES.COMMUNITY SURVEYIN AUGUST 2013, COMMUNITY RESIDENTS, NYU LUTHERAN EMPLOYEES, COMMUNITY BASED ORGANIZATIONS, BUSINESS OWNERS, EDUCATORS AND FAITH LEADERS WERE AMONG THE INDIVIDUALS TARGETED TO COMPLETE THE 11-QUESTION COMMUNITY HEALTH ASSESSMENT SURVEY. THEIR ROLE WAS TO GIVE THEIR OPINIONS AND PERSPECTIVES OF THE STRENGTHS, HEALTH ISSUES, SOCIAL CONCERNS AND BARRIERS TO HEALTH CARE IN THEIR COMMUNITY. OF THE 1,010 RESPONDENTS, 736 (73%) WERE RESIDENTS. OVER 240 WERE NYU LUTHERAN EMPLOYEES, MANY OF WHOM ALSO IDENTIFIED THEMSELVES AS COMMUNITY RESIDENTS. SEE APPENDIX D FOR THE LOCAL HEALTH NEEDS SURVEY.FOCUS GROUPSFIVE FOCUS GROUPS WERE CONDUCTED TO TARGET SPECIFIC POPULATIONS AND ASSESS THEIR NEEDS AND PROGRAM IDEAS. THE ROLE OF THE PARTICIPANTS IN THE FOCUS GROUPS WAS TO ENGAGE IN DIALOGUE TO OFFER MORE IN-DEPTH LEARNING ABOUT THE COMMUNITY AND THE COMMUNITY'S IDENTIFIED NEEDS. PARTICIPANTS WERE ABLE TO CHOOSE THE GROUP THEY MOST IDENTIFIED WITH -- COMMUNITY BASED ORGANIZATIONS; LUTHERAN EMPLOYEES; YOUTH; COMMUNITY RESIDENTS; AND FAITH LEADERS. COMMUNITY RESIDENT AND YOUTH PARTICIPANTS REPRESENTED MEDICALLY UNDERSERVED POPULATIONS: POPULATIONS THAT ARE EXPERIENCING HEALTH DISPARITIES, OR AT RISK OF NOT RECEIVING ADEQUATE MEDICAL CARE AS A RESULT OF BEING UNINSURED OR UNDERINSURED, OR DUE TO LANGUAGE, FINANCIAL OR OTHER BARRIERS. FAITH LEADERS, COMMUNITY BASED ORGANIZATIONS, AND LUTHERAN EMPLOYEES OFTEN WORK WITH THESE VULNERABLE POPULATIONS IN OUR COMMUNITY. PARTICIPANTS WERE ASKED TO REVIEW AND PROVIDE FEEDBACK ON FIVE EVIDENCE-BASED PROGRAMS THAT CENTERED ON ACCESS TO CARE AND PREVENTION.
NYU LUTHERAN MEDICAL CENTER	Part V, Section B, Line 7d: THE CHNA WAS PRINTED AND DISSEMINATION TO INTERNAL AND EXTERNAL STAKEHOLDERS INCLUDING LOCAL HEALTH CENTERS, COMMUNITY BASED ORGANIZATIONS, FAITH-BASED INSTITUTIONS, SCHOOLS, COMMUNITY RESIDENTS, AND OTHER INTERESTED PARTNERS. NYU LUTHERAN CREATED AN ABBREVIATED DOCUMENT THAT SHARES THE RESEARCH AND CONCLUSIONS IN A MORE DIGESTIBLE FORMAT TO A LARGER CONSTITUENCY. THE ABBREVIATED DOCUMENT WAS WRITTEN AT A LITERACY LEVEL THAT ALLOWS YOUTH AND ADULTS WITH LOWER LITERACY LEVELS TO LEARN MORE ABOUT THE COMMUNITY WE SERVE.
NYU LUTHERAN MEDICAL CENTER	Part V, Section B, Line 11: STAKEHOLDERS REVIEWED THE TOP HEALTH CONCERNS IDENTIFIED BY THE COMMUNITY SURVEY - DIABETES, CANCER, ASTHMA, MENTAL HEALTH, AND OBESITY - TO DECIDE HEALTH PRIORITIES AND ACTIONS. PRIORITIZATION WAS CONDUCTED USING THE FOLLOWING CRITERIA: (1) MAGNITUDE - ASSESSING THE PERCENT OF THE POPULATION IMPACTED BY THE ISSUE; (2) ALIGNMENT WITH MISSION, KEY STRATEGIES, AND PRIORITIES; (3) AVAILABILITY OF RESOURCES NEEDED TO ADDRESS THE ISSUE; AND (4) HOSPITAL'S ABILITY TO IMPACT - CAN PROVIDE A SERVICE LIKELY TO MEASURABLY IMPROVE COMMUNITY HEALTH STATUS.BASED ON THE CLOSE ALIGNMENT OF THE MAJOR DATA SOURCES, THE STAKEHOLDERS IDENTIFIED ACCESS TO CARE AND OBESITY REDUCTION AS FOCUS AREAS, ASSERTING THAT THE HIGH RATES OF CHRONIC DISEASE COUPLED WITH BEHAVIORAL RISK FACTORS COULD BE EFFECTIVELY MANAGED OR PREVENTED BY IMPROVED ACCESS TO PRIMARY CARE PROVIDERS, HEALTH SCREENINGS, OR HEALTHY LIFESTYLE AND NUTRITION PROGRAMS. THESE FOCUS AREAS COVER MULTIPLE PRESSING HEALTH DISPARITIES IN THE COMMUNITY.THIS CONCLUSION ALIGNS WITH THE NEW YORK STATE PREVENTION AGENDA PRIORITY TO PREVENT CHRONIC DISEASES. OUR TWO PRIORITY AREAS ARE: (1) INCREASE ACCESS TO HIGH-QUALITY CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT IN BOTH CLINICAL AND COMMUNITY SETTINGS; AND (2) REDUCE OBESITY IN CHILDRENAND ADULTS.THE ISSUE OF ACCESS TO CARE IS ADDRESSED THROUGH THE TRANSITIONS IN CARE (TIC) PROGRAM. TIC PROVIDES COMMUNITY CASE MANAGEMENT SERVICES TO HIGH-RISK COMMUNITY RESIDENTS WITH THE GOAL OF IMPROVING HEALTH OUTCOMES AND REDUCING UNNECESSARY EMERGENCY ROOM AND HOSPITAL ADMISSIONS. TIC HELPS COMMUNITY RESIDENTS WHO ARE STRUGGLING TO MANAGE CHRONIC DISEASES TO SUCCESSFULLY TRANSITION FROM CARE AT AN EMERGENCY DEPARTMENT (ED) TO A MEDICAL HOME AND OTHER SOCIAL SERVICES IN THE COMMUNITY. THESE PATIENTS' FRAGILE HEALTH STATUS IS OFTEN COMPROMISED BY OTHER DESTABILIZING PSYCHOSOCIAL FACTORS THAT REQUIRE ADDITIONAL SUPPORT.TO ADDRESS CHILDHOOD OBESITY, THE DEPARTMENT OF COMMUNITY BASED PROGRAMS CONVENED A DESIGN TEAM TO DEVELOP A PEDIATRIC OBESITY PROGRAM. THE TEAM - CONSISTING OF A MEDICAL DOCTOR, NUTRITIONISTS, COMMUNITY PLANNERS, AND SOCIAL WORKERS - USED THE NATIONAL INITIATIVE FOR CHILDREN'S HEALTHCARE QUALITY 2007 CHILD AND OBESITY PREVENTION RECOMMENDATIONS AS A GUIDELINEFOR THE INTERVENTION AND ADOPTED IDEAS FROM THE FOLLOWING EVIDENCE-BASED, MULTI-COMPONENT PROGRAMS AND CURRICULA: MEDIA SMART YOUTH; WE CAN! ENERGIZE OUR FAMILIES; NUTRITION TO GROW ON; AND EAT HEALTHY, BE ACTIVE. IN ADDITION, THE PROGRAM INTENTIONALLY INCLUDES PARENTS, AS EVIDENCE SHOWS PROGRAMS THAT INCLUDE FAMILY MEMBERS HAVE SIGNIFICANT EFFECTS ON STABILIZING OR REDUCING PERCENTAGE BMI-FOR-AGE. IN 2015, NYULFHC PILOTED THE HEALTHY FAMILIES PROGRAM, A 12-SESSION MULTI-DISCIPLINARY PROGRAM FOR 10 TO 11 YEAR OLD OBESE HISPANIC CHILDREN AND THEIR PARENT(S). THE INTERVENTION FOCUSES ON THIS AGE GROUP BECAUSE IT IS THE TIME WHEN CHILDREN BECOME MORE INDEPENDENT FROM THEIR PARENTS AND ARE ABLE TO EVALUATE AND ALTER THEIR DIETARY HABITS AND ATTITUDES. THE CURRICULUM IS CULTURALLY RELEVANT TO THE LOCAL HISPANIC POPULATION AND SESSIONS ARE CONDUCTED IN ENGLISH AND SPANISH. WE BEGAN RECRUITMENT FOR THE PROGRAM IN 2014, AND A PILOT CYCLE WAS LAUNCHED IN EARLY 2015. THE TARGET PROGRAM SIZE IS 12 CHILDREN (AND ONE PARENT OR CAREGIVER). TWENTY CHILDREN WERE RECRUITED FOR THE PILOT, NINE ENROLLED AND SIX COMPLETED NINE OR MORE SESSIONS. THE PILOT PROGRAM PROVED TO BE ADMINISTRATIVELY FEASIBLE AND WAS WELL-RECEIVED BY PARTICIPANTS. SELF-REPORTS INDICATED BEHAVIOR CHANGE IN TARGET AREAS. MEASUREMENTS AT THE END OF THE 12-WEEK INTERVENTION INDICATED STABILIZATION OF BMI. CHILDREN REPORTED INCREASED INTAKE OF FRUITS AND VEGETABLES (AFFIRMED BY PARENT REPORTS), AND, ACCORDING TO PARENTS, CHILDREN'S EXERCISE REGIMENS ALSO INCREASED. DATA FROM FOLLOW-UP MEASUREMENTS AT 3, 6 AND 12 MONTHS POST- INTERVENTION ARE BEING ANALYZED TO DETERMINE THE PROGRAM'S LONGER-TERM IMPACT ON WEIGHT AND BMI.MENTAL HEALTH, ASTHMA AND CANCER WERE ALSO IDENTIFIED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT; HOWEVER, THEY WERE NOT PRIORITIZED OR ADDRESSED. THESE AREAS DO NOT CURRENTLY ALIGN WITH CURRENT STRATEGIC PRIORITIES AND THE ORGANIZATION HAS LIMITED RESOURCES TO ALLOCATE TO THESE AREAS TOACHIEVE SIGNIFICANT IMPACT.
NYU LUTHERAN MEDICAL CENTER	Part V, Section B, Line 13b: FREE CARE IS PROVIDED UNDER THE FOLLOWING CIRCUMSTANCES: FOR PRE-NATAL, PEDIATRIC SERVICES INCLUDING PEDIATRIC ER WHERE INCOME IS AT OR BELOW 100% OF THE FPL.
NYU LUTHERAN MEDICAL CENTER	Part V, Section B, Line 13h: NYU LUTHERAN USES FAMILY SIZE AS AN ADDITIONAL FACTOR IN DETERMINING ELIGIBILITY FOR DISCOUNTED CARE.
NYU LUTHERAN MEDICAL CENTER	Part V, Section B, Line 16i: HTTP://WWW.LUTHERANHEALTHCARE.ORG/MAIN/LUTHERANMEDICALCENTERSFINANCIALASSISTANCEPOLICY.ASPX
NYU LUTHERAN MEDICAL CENTER	Part V, Section B, Line 22d: THE MAXIMUM CHARGE TO ANY FAP-ELIGIBLE PATIENT FOR EMERGENCY OR MEDICALLY NECESSARY CARE IS SET AT THE COMPRABLE MEDICAID RATE.

Schedule H (Form 990) 2015

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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?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2015

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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 I, Line 3c:	NYU LUTHERAN MEDICAL CENTER USES THE FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE TO LOW-INCOME PATIENTS.
Part I, Line 7:	NYU LUTHERAN MEDICAL CENTER USED VARIOUS COSTING METHODS IN CALCULATING THE AMOUNTS LISTED ON PART I, LINE 7. LMC UTILIZED FIGURES FROM ITS POWERHEALTH DECISION SUPPORT SYSTEM WHICH CALCULATES COSTS BASED ON A COST ACCOUNTING SYSTEM. FOR HEALTH PROFESSIONS EDUCATION, LMC USED INTERNAL DATA AND DIRECTLY COSTING OUT SOME OF THESE EXPENSES BY IDENTIFYING THE ACTUAL DIRECT EXPENSE AND ADDING IN INDIRECT PROGRAM EXPENSE.
Part I, Line 7g:	NYU LUTHERAN MEDICAL CENTER ("LMC") CONTROLS SEVERAL AFFILIATED TAX-EXEMPT PHYSICIAN GROUPS THAT, PURSUANT TO A SERVICE AGREEMENT, PROVIDE TEACHING ADMINISTRATIVE, SUPERVISORY AND DIRECT PATIENT CARE SERVICES TO LMC'S PATIENTS. LMC PAYS THESE PHYSICIAN GROUPS FOR THEIR SERVICES AT FAIR MARKET VALUE. LMC ALSO PROVIDES A MISSION SUPPORT PAYMENT TO THE PHYSICIAN GROUPS TO RECOGNIZE THE UN-REIMBURSED CHARITY CARE AND UNDER-REIMBURSED MEDICAID SERVICES THE GROUPS PROVIDE TO LMC PATIENTS IN SUPPORT OF LMC'S MISSION. IN 2014 LMC SUPPORTED THE LMC PC'S IN THE AMOUNT OF $17,739,901 FOR PHYSICIAN RELATED UN-REIMBURSED AND UNDER-REIMBURSED SERVICES PROVIDED TO CHARITY CARE AND MEDICAID PATIENTS.
Part II, Community Building Activities:	LMC DIRECTLY PARTICIPATES IN VARIOUS COMMUNITY BUILDING ACTIVITIES TO HELP PROMOTE THE HEALTH OF ALL OF THE MEMBERS OF THE COMMUNITY IT SERVES. EXAMPLES OF THESE INCLUDE THE FACT THAT LMC DIRECTLY EMPLOYS A PERSON WHOSE ROLE IS TO PROMOTE AND ADVOCATE ON BEHALF OF LUTHERAN TO ALL OTHER COMMUNITY GROUPS, AND ROUTINELY PARTICIPATES IN VARIOUS COMMUNITY MEETINGS AND EVENTS. IN ADDITION THE HOSPITAL SUPPORTS AND PROMOTES VARIOUS COALITION BUILDING ACTIVITIES AND AN EXAMPLE OF THIS IS THE FAITH BASED COMMUNITY COALITION GROUP STARTED BY THE HOSPITAL'S SVP OF SPIRITUAL CARE & MISSION. THERE ARE MANY OTHER COMMUNITY GROUPS PARTICIPATING IN THIS COALITION. INDIRECTLY LMC SUPPORTS COMMUNITY BUILDING ACTIVITIES THROUGH ITS AFFILIATE THE LUTHERAN FAMILY HEALTH CENTER WHICH PROVIDES AN INTEGRATIVE APPROACH TO COMMUNITY BASED SERVCIES. DESIGNED TO SUPPORT COMMUNITY-BUILDING AND THE STRENGTHENING OF FAMILIY TIES. THE CENTER PROVIDES A HOST OF CULTURALLY COMPETENT SERVICES INCLUDING ADULT AND FAMILY EDUCATION CLASSES, MENTAL HEALTH COUNSELING FOR CHILDREN AND FAMILIES IN TRAUMA THROUGH ITS HEALTHY CONNECTIONS PROGRAM, ADULT AND FAMILY EDUCATION, WIC NUTRITION SERVICES, PEDIATRIC LITERACY SERVICES THROUGH THE REACH OUT AND READ PROGRAM, AND VOLUNTEERISM AND LEADERSHIP DEVELOPMENT THROUGH A SPONSORED AMERICORP PROGRAM, CALLED THE SUNSET PARK COMMUNITY HEALTHCORPS. AT THE CENTER'S CORE IS THE FAMILY SUPPORT SERVICES (FSS) PROGRAM, WHICH SERVES AS THE HUB FOR OUTREACH, EDUCATION, SUPPORTIVE COUNSELING, AND CARE MANAGEMENT. THE FSS PROGRAM UTILIZES A CARE MANAGEMENT MODEL TO PROVIDE A HOST OF SUPPORTIVE SERVICES TO CLIENTS INCLUDING SHORT-TERM COUNSELING, INFORMATION AND REFERRAL, IMMIGRATION COUNSELING, CAREER COUNSELING, ADVOCACY, LIFE SKILLS WORKSHOPS AND ASSISTANCE WITH ENROLLMENT IN VARIOUS ENTITLEMENTS AND PUBLIC BENEFITS. THE FSS PROGRAM HAS OVER 5,500 PARTICIPANTS. LMC STAFF ALSO PARTICIPATE IN MANY DIFFERENT COMMUNITY GROUPS AND VARIOUS ORGANIZATIONS TO PROVIDE SUPPORT AND TO ADVOCATE COMMUNITY HEALTH IMPROVEMENT.
Part III, Line 2:	IN ORDER TO ESTIMATE BAD DEBT LMC EMPLOYS A MODEL THAT DETERMINES THE BAD DEBT BASED ON HISTORICAL TRENDS APPLIED BY PAYER TO THE CURRENT YEAR. THIS DATA IS EVALUATED BY PAYER IN ORDER TO BREAK OUT THOSE THAT HAVE COVERAGE VERSUS THOSE THAT DO NOT I.E., CHARITY CARE. THOSE THAT HAVE INSURANCE COVERAGE THE BAD DEBT IS TYPICALLY THE UNPAID AMOUNT THAT IS DETERMINED TO BE THE PATIENTS RESPONSIBILITY, I.E., CO-INSURANCE AND DEDUCTIBLE AMOUNTS. PATIENTS THE ARE FINANCIALLY SCREENED AND DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AND DO NOT HAVE COVERAGE AND ARE NOT ELIGIBLE FOR COVERAGE THE PATIENT RESPONSIBILITY IS ESTABLISHED AT MINIMAL AMOUNTS AS THESE PATIENTS ARE SUBJECT TO CHARITY CARE DEDUCTIONS. ANY AMOUNT WHAT WAS DETERMINED TO BE THE PATIENT'S RESPONSIBILITY AFTER THE CHARITY CARE DEDUCTIONS AND IS UNPAID IS DETERMINED TO BE BAD DEBT.
Part III, Line 3:	SEE LINE 2 EXPLANATION ABOVE.
Part III, Line 8:	THE COST WAS DETERMINED USING THE HOSPITAL'S DECISION SUPPORT AND COST ACCOUNTING SYSTEM KNOWN AS POWERHEALTH. THE SHORTFALL IN PART IS A RESULT OF PROVIDING SERVICES TO LOW INCOME OR INDIGENT PATIENTS COMBINED WITH MEDICARE COVERAGE AND MEDICARE RATE REDUCTIONS IMPACTING THE REPORTING YEAR.
Part III, Line 9b:	ACCOUNTS ARE REFERRED TO COLLECTION AT THE DISCOUNTED AMOUNTS AND ANY FINANCIAL ASSISTANCE ACCOUNTS ARE SO NOTED. ALL AGENCIES COLLECTING ON BEHALF OF THE HOSPITAL RECEIVE AND ARE REQUIRED TO FOLLOW THE HOSPITAL'S GUIDELINES FOR COLLECTIONS.
Part VI, Line 5:	IN ORDER TO ESTIMATE BAD DEBT LMC EMPLOYS A MODEL THAT DETERMINES THE BAD DEBT BASED ON HISTORICAL TRENDS APPLIED BY PAYER TO THE CURRENT YEAR. THIS DATA IS EVALUATED BY PAYER IN ORDER TO BREAK OUT THOSE THAT HAVE COVERAGE VERSUS THOSE THAT DO NOT I.E., CHARITY CARE. THOSE THAT HAVE INSURANCE COVERAGE THE BAD DEBT IS TYPICALLY THE UNPAID AMOUNT THAT IS DETERMINED TOBE THE PATIENTS RESPONSIBILITY, I.E., CO-INSURANCE AND DEDUCTIBLE AMOUNTS. PATIENTS THE ARE FINANCIALLY SCREENED AND DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AND DO NOT HAVE COVERAGE AND ARE NOT ELIGIBLE FOR COVERAGE THE PATIENT RESPONSIBILITY IS ESTABLISHED AT MINIMAL AMOUNTS AS THESE PATIENTS ARE SUBJECT TO CHARITY CARE DEDUCTIONS. ANY AMOUNT WHAT WAS DETERMINED TO BE THE PATIENT'S RESPONSIBILITY AFTER THE CHARITY CARE DEDUCTIONS AND IS UNPAID IS DETERMINED TO BE BAD DEBT.
Part VI, Line 2:	THROUGHOUT LUTHERAN HEALTHCARE'S (LHC) 130-YEAR HISTORY, NEEDS ASSESSMENT AND STRATEGIC PLANNING HAVE EVOLVED INTO A COLLABORATIVE PROCESS IN WHICH STAKEHOLDERS AT EVERY LEVEL PLAY A CRITICAL ROLE IN THE DETERMINATION OF A STRATEGIC RESPONSE TO COMMUNITY NEEDS. LUTHERAN'S PARTICIPATORY PROCESS IS DIRECTED BY AND IN COOPERATION WITH SENIOR LEADERSHIP, COMMUNITY PARTNERS, PATIENTS, AND STAFF REPRESENTATIVES FROM CLINICAL, RESEARCH, ADMINISTRATIVE, AND COMMUNITY OUTREACH DIVISIONS.LHC USES DEMOGRAPHIC AND DIAGNOSTIC DATA FROM HOSPITAL ADMISSIONS; AMBULATORY CARE VISITS, UTILIZATION RATES AND COMMUNITY-LEVEL DATA SETS AND REPORTS. THESE INCLUDE BUT ARE NOT LIMITED TO: THE FEDERAL DECENNIAL CENSUS AND AMERICAN COMMUNITY SURVEY (ISSUED BY THE NYS DEPARTMENT OF CITY PLANNING); "STATISTICS AND DATA" PROVIDED BY THE NEW YORK STATE DEPARTMENT OF HEALTH(HTTP://WWW.HEALTH.STATE.NY.US/STATISTICS/) INCLUDING PQI, QARR, BRFSS, AND NYS CANCER REGISTRY; PREVENTION QUALITY INDICATOR DATA; "COMMUNITY HEALTH PROFILES, AND NUMEROUS OTHER REFERENCE MATERIALS COMPILED BY THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE.BASED ON THE 2013 NEEDS ASSESSMENT, THE INTERNAL STAKEHOLDER COMMITTEE MADE A DATA DRIVEN RECOMMENDATION TO FOCUS EFFORTS ON SUNSET PARK AND NORTHERN BAY RIDGE (ZIP CODES 11220 AND 11232). THE DATA PRESENTED DEMONSTRATED THAT THE AREA HAS THE GREATEST NEED BASED ON THE SOCIAL DETERMINANTS, HEALTH CONDITIONS, RISK FACTORS. SCHOOL BASED HEALTH CENTERS (PS 24, PS 169, PS 503/506), LUTHERAN FAMILY HEALTH CENTERS (BROOKLYN-CHINESE, FAMILY PHYSICIAN, SUNSET PARK AND SUNSET TERRACE) AND MAIMONIDES MEDICAL CENTER ARE AVAILABLE TO RESPOND TO THE HEALTH NEEDS OF THE COMMUNITY IN SUNSET PARK AND NORTHERN BAY RIDGE.ADDITIONAL COMMUNITY BASED ORGANIZATIONS THAT OFFER HEALTH SERVICES INCLUDE: TURNING POINT, CENTER FOR FAMILY LIFE, DIASPORA COMMUNITY SERVICES, MIXTECA, HEARTSHARE AND VISITING NURSING SERVICES OF NEW YORK HOME CARE.FOR A MORE COMPREHENSIVE LIST OF COMMUNITY PARTNERS PLEASE SEE THE COMPLETE COMMUNITY HEALTH NEEDS ASSESSMENT DOCUMENT. NYU LUTHERAN MEDICAL CENTER INITIATED THE DEVELOPMENT OF ITS COMMUNITY SERVICE PLAN BY REVIEWING EXISTING FEDERAL, STATE, CITY, AND HOSPITAL DATA SETS AND COMPARING NEIGHBORHOODS THAT COMPRISE THE LMC SERVICE AREA, USING GEOGRAPHIC DESIGNATIONS BY ZIP CODE AND UNITED HOSPITAL FUND-DESIGNATION. ZIP CODE LEVEL DATA FROM THE 2010 CENSUS AND THE 2008-2010 AMERICAN COMMUNITY SURVEY WERE ANALYZED TO DEMONSTRATE THE DEMOGRAPHICS OF SURROUNDING POPULATIONS, INCLUDING AGE, SEX AND ETHNIC/RACIAL BREAKDOWN, AS WELL AS SOCIAL DETERMINANTS OF HEALTH SUCH AS EDUCATIONAL ATTAINMENT, SOCIOECONOMIC STATUS, COUNTY OF ORIGIN AND POVERTY LEVELS.THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE 2011 COMMUNITY HEALTH SURVEY NEIGHBORHOOD DATA WAS EVALUATED TO PROVIDE ESTIMATES ON A BROAD RANGE OF CHRONIC DISEASES AND RISK FACTORS. THE SURVEY RESULTS HELPED INCREASE THE UNDERSTANDING OF THE RELATIONSHIP BETWEEN HEALTH BEHAVIORS AND HEALTH STATUS IN NYU LUTHERAN MEDICAL CENTER'S SURROUNDING AREA.NYU LUTHERAN MEDICAL CENTER HOSPITAL ADMISSION, EMERGENCY DEPARTMENT, AND HEAVY AND FREQUENT USER DATA WAS EXAMINED TO DETERMINE THE POPULATIONS THAT MOST COMMONLY UTILIZE THE SYSTEMS SERVICES. THESE DATA SETS ALSO SHOWED THE MOST COMMON HEALTH CONDITIONS TREATED THROUGH EMERGENCY DEPARTMENT VISITS AND INPATIENT ADMISSIONS.COMMUNITY DATA OBTAINED THROUGH THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE SHOWED THAT THE TARGET COMMUNITY HAD A LOWER PERCENTAGE OF RESIDENTS REPORTING A PERSONAL DOCTOR (77%) AND A HIGHER PERCENTAGE REPORTING BEING UNINSURED (37%) AS COMPARED TO NEW YORK CITY (83% HAVE A PERSONAL DOCTOR; 19% UNINSURED).THE COMMUNITY SURVEY ALSO DEMONSTRATED THAT OUR COMMUNITY'S GREATEST STRENGTH IS HAVING GOOD ACCESS TO CARE, YET WHEN ASKED THE GREATEST BARRIERS TO CARE RESPONDENTS STATED BEING UNINSURED (45%), LACK OF KNOWLEDGE OF AVAILABLE SERVICES (37%), LANGUAGE AND CULTURAL DIFFERENCES (34%) AND THE COST OF HEALTH CARE (32%).ALL DATA SOURCES IDENTIFIED HIGH RATES OF AMBULATORY CARE SENSITIVE CONDITIONS, INCLUDING CHRONIC DISEASE DIAGNOSES SUCH AS HYPERTENSION, DIABETES, OBESITY, AND ASTHMA; AND HIGH RATES OF RISK FACTORS THAT EXACERBATE POOR HEALTH STATUS INCLUDING SMOKING, BINGE DRINKING AND OTHER SUBSTANCE USE, MULTIPLE SEXUAL PARTNERS, AND HIGH-SUGAR DIET. THIS IS ECHOED BY COMMUNITY SURVEY DATA, WHICH LISTS THE TOP FIVE HEALTH CONCERNS AS DIABETES (43%), CANCER (33%), ASTHMA (31%), DEPRESSION/ANXIETY/STRESS (26%), AND OBESITY (26%).
Stakeholders reviewed the top health concerns identified by the community	SURVEY - DIABETES, CANCER, ASTHMA, MENTAL HEALTH, AND OBESITY - TO DECIDE HEALTH PRIORITIES AND ACTIONS. BASED ON THE CLOSE ALIGNMENT OF THE MAJOR DATA SOURCES, THE STAKEHOLDERS IDENTIFIED ACCESS TO CARE AND OBESITY REDUCTION AS FOCUS AREAS, ASSERTING THAT THE HIGH RATES OF CHRONIC DISEASE COUPLED WITH BEHAVIORAL RISK FACTORS COULD BE EFFECTIVELY MANAGED OR PREVENTED BY IMPROVED ACCESS TO PRIMARY CARE PROVIDERS, HEALTH SCREENINGS, OR HEALTHY LIFESTYLE AND NUTRITION PROGRAMS. THESE FOCUS AREAS COVER MULTIPLE PRESSING HEALTH DISPARITIES IN THE COMMUNITY.ALL DATA SOURCES IDENTIFIED HIGH RATES OF AMBULATORY CARE SENSITIVE CONDITIONS FOR UNINSURED, LOW INCOME, MEDICALLY UNDERSERVED, AND MINORITY POPULATIONS. THIS INCLUDES CHRONIC DISEASE DIAGNOSES SUCH AS HYPERTENSION, DIABETES, OBESITY, AND ASTHMA; AND HIGH RATES OF RISK FACTORS THAT EXACERBATE POOR HEALTH STATUS INCLUDING SMOKING, BINGE DRINKING AND OTHER SUBSTANCE USE, MULTIPLE SEXUAL PARTNERS, AND HIGH-SUGAR DIET. THIS IS ECHOED BY COMMUNITY SURVEY DATA, WHICH LISTS THE TOP FIVE HEALTH CONCERNS AS DIABETES (43%), CANCER (33%), ASTHMA (31%), DEPRESSION/ANXIETY/STRESS (26%), AND OBESITY (26%). PRIORITIZATION WAS CONDUCTED USING THE FOLLOWING CRITERIA:1. MAGNITUDE - ASSESSING THE PERCENT OF THE POPULATION IMPACTED BY THE ISSUE;2. ALIGNMENT WITH MISSION, KEY STRATEGIES, AND PRIORITIES3. AVAILABILITY OF RESOURCES NEEDED TO ADDRESS THE ISSUE; AND4. HOSPITAL'S ABILITY TO IMPACT - CAN PROVIDE A SERVICE LIKELY TO MEASURABLY IMPROVE COMMUNITY HEALTH STATUS.THE HOSPITAL DID NOT EXPERIENCE ANY GAPS IN DATA THAT WOULD LIMIT ABILITIES TO ASSESS THE COMMUNITY NEEDS. INTERNAL STAKEHOLDER COMMITTEE THE INTERNAL STAKEHOLDER COMMITTEE WAS COMPRISED OF NYU LUTHERAN EMPLOYEES REPRESENTING VARIOUS FACETS OF THE HOSPITAL AND HEALTH CENTER SYSTEM, INCLUDING MEDICAL EDUCATION, EMERGENCY MEDICINE, COMMUNITY RELATIONS AND DEVELOPMENT, COMMUNITY BASED PROGRAMS, CULTURAL COMPETENCE, MISSION AND SPIRITUAL CARE, AND HEALTH CENTERS. THESE INDIVIDUALS ARE DEPARTMENT DIRECTORS AND ADMINISTRATORS WITH THE BACKGROUND, KNOWLEDGE AND PROFESSIONAL INTEREST IN HEALTH PROMOTION AND COMMUNITY INTERVENTIONS. THIS GROUP MET THREE TIMES OVER A 6-MONTH PERIOD TO REVIEW AND ANALYZE DATA, SET PRIORITIES AND MAKE RECOMMENDATIONS ABOUT THE LMC'S COMMUNITY HEALTH IMPROVEMENT PLAN.BOARD MEMBERSTO SEEK FURTHER GUIDANCE ON THE COMMUNITY SERVICE PLAN, PRESENTATIONS WERE CONDUCTED WITH THE LUTHERAN HEALTH CARE BOARD OF TRUSTEES' MISSION AND STRATEGIC PLANNING COMMITTEES AS WELL AS THE LUTHERAN FAMILY HEALTH CENTERS' BOARD OF DIRECTORS, STRATEGIC PLANNING COMMITTEE. BOTH COMMITTEES INCLUDE REPRESENTATION FROM COMMUNITY RESIDENTS WHO USE LUTHERAN'S SERVICES, INDIVIDUALS WHO REPRESENT COMMUNITY BASED ORGANIZATIONS, FAITH COMMUNITY LEADERSHIP, OR PROFESSIONALS IN RELEVANT FIELDS. RESEARCH ON COMMUNITY STRENGTHS AND NEEDS WAS PRESENTED IN COMBINATION WITH INITIAL SURVEY RESULTS AND HOSPITAL UTILIZATION DATA. AFTER REVIEWING THE INFORMATION, THE COMMITTEES RECOMMENDED FOCUSING ON HEALTH ISSUES CONCERNING ACCESS TO CARE AND PREVENTION.PUBLIC HEALTH AGENCY REPRESENTATIVESCITY AND STATE PUBLIC HEALTH AGENCY REPRESENTATIVES JOINED THE INTERNAL STAKEHOLDERS COMMITTEE TO HELP GUIDE THE COMMUNITY PLANNING PROCESS. IN MAY, THE COMMITTEE WAS JOINED BY CAMELLIA MORTEZAZADEH, DIRECTOR, TAKE CARE NEW YORK, NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE. MORTEZAZADEH PRESENTED ON THE HEALTH PRIORITIES OF NEW YORK CITY, HIGHLIGHTING HEALTH DATA FOR NEIGHBORHOODS SURROUNDING NYU LUTHERAN MEDICAL CENTER. IN JULY, THE COMMITTEE WAS JOINED BY LLOYD BISHOP AND AMY OSORIO FROM GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA). BISHOP AND OSORIO HELPED ALIGN THE CITY PRIORITIES WITH THE STATE AND FEDERAL PRIORITIES.COMMUNITY SURVEYIN AUGUST 2013, COMMUNITY RESIDENTS, NYU LUTHERAN EMPLOYEES, COMMUNITY BASED ORGANIZATIONS, BUSINESS OWNERS, EDUCATORS AND FAITH LEADERS WERE AMONG THE INDIVIDUALS TARGETED TO COMPLETE THE 11-QUESTION COMMUNITY HEALTH ASSESSMENT SURVEY. THEIR ROLE WAS TO GIVE THEIR OPINIONS AND PERSPECTIVES OF THE STRENGTHS, HEALTH ISSUES, SOCIAL CONCERNS AND BARRIERS TO HEALTH CARE IN THEIR COMMUNITY. OF THE 1,010 RESPONDENTS, 736 WERE RESIDENTS. OVER 240 WERE NYU LUTHERAN EMPLOYEES, MANY OF WHOM ALSO IDENTIFIED THEMSELVES AS COMMUNITY RESIDENTS. SEE APPENDIX D FOR THE LOCAL HEALTH NEEDS SURVEY.FOCUS GROUPSFIVE FOCUS GROUPS WERE CONDUCTED TO TARGET SPECIFIC POPULATIONS AND ASSESS THEIR NEEDS AND PROGRAM IDEAS. THE ROLE OF THE PARTICIPANTS IN THE FOCUS GROUPS WAS TO ENGAGE IN DIALOGUE TO OFFER MORE IN-DEPTH LEARNING ABOUT THE COMMUNITY AND THE COMMUNITY'S IDENTIFIED NEEDS. PARTICIPANTS WERE ABLE TO CHOOSE THE GROUP THEY MOST IDENTIFIED WITH -- COMMUNITY BASED ORGANIZATIONS; LUTHERAN EMPLOYEES; YOUTH; COMMUNITY RESIDENTS; AND FAITH LEADERS. COMMUNITY RESIDENT AND YOUTH PARTICIPANTS REPRESENTED MEDICALLY UNDERSERVED POPULATIONS: POPULATIONS THAT ARE EXPERIENCING HEALTH DISPARITIES, OR AT RISK OF NOT RECEIVING ADEQUATE MEDICAL CARE AS A RESULT OF BEING UNINSURED OR UNDERINSURED, OR DUE TO LANGUAGE, FINANCIAL OR OTHER BARRIERS. FAITH LEADERS, COMMUNITY BASED ORGANIZATIONS, AND LUTHERAN EMPLOYEES OFTEN WORK WITH THESE VULNERABLE POPULATIONS IN OUR COMMUNITY. PARTICIPANTS WERE ASKED TO REVIEW AND PROVIDE FEEDBACK ON FIVE EVIDENCE-BASED PROGRAMS THAT CENTERED ON ACCESS TO CARE AND PREVENTION.
PART VI, LINE 3:	THE EDUCATION AND INFORMATION REGARDING THE AVAILABLE GOVERNMENTAL ASSISTANCE PROGRAMS. I.E., MEDICAID AND OTHERS, AS WELL AS THE FACILITY'S FINANCIAL ASSISTANCE POLICY IS MADE WIDELY AVAILABLE TO PATIENTS THROUGH VARIOUS VENUES. FIRST, THIS INFORMATION IS POSTED IN KEY AREAS THROUGHOUT THE FACILITY INCLUDING THE ER, AND OUTPATIENT AREAS. IN ADDITION TO THE POSTED INFORMATION THERE ARE VARIOUS BROCHURES AVAILABLE THROUGHOUT THE HOSPITAL AS WELL. BOTH THE POSTED INFORMATION AND BROCHURES ARE AVAILABLE IN SEVERAL DIFFERENT LANGUAGES INCLUDING THOSE LANGUAGES THAT HAVE BEEN DEFINED BY LOCAL CENSUS STUDIES AS THE MAIN LANGUAGES FOR THE LMC SERVICE AREA. THERE IS ALSO A FREQUENTLY ASKED QUESTIONS (FAQS) DOCUMENT REGARDING THESE SERVICES IN THE SAME FORMATS AND VENUES AS ABOVE AND ON THE HOSPITAL'S WEBSITE AS WELL. ANOTHER KEY AREA IS THE TRAINING OF THE LMC FRONT LINE STAFF (ADMITTING, REGISTRATION AND PATIENT ACCOUNT STAFF) IN TERMS OF THE AVAILABLE GOVERNMENTAL ASSISTANCE PROGRAMS, APPLICATION PROCEDURES AND THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAMS.
Part VI, Line 4:	SUNSET PARK/NORTHERN BAY RIDGE IS A MIXED RESIDENTIAL, INDUSTRIAL, AND COMMERCIAL AREA LOCATED ON BROOKLYN'S WATERFRONT, ITS POPULATION IS 151,077 PEOPLE. NEARLY ONE-QUARTER OF ITS RESIDENTS (26%) ARE UNDER THE AGE OF 19. THIS AREA IS A DESTINATION FOR NEW IMMIGRANTS - 48% OF CURRENT RESIDENTS INDICATE THAT THEY ARE FOREIGN BORN. THERE ARE TWO MAJOR IMMIGRANT GROUPS - LATINOS (45%) AND ASIANS (36%). ACCORDING TO 2010 CENSUS DATA, 23% OF FAMILIES ARE LIVING BELOW THE POVERTY LINE COMPARED TO 17% OF FAMILIES IN NEW YORK CITY AS A WHOLE. OVER ONE-QUARTER OF RESIDENTS (30%) REPORT BEING IN "FAIR" TO "POOR" HEALTH ACCORDING TO THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE'S 2011 COMMUNITY HEALTH SURVEY. ONE OF THE MOST SIGNIFICANT CHALLENGES TO GOOD HEALTH IS THE FACT THAT 37% OF RESIDENTS DO NOT HAVE HEALTH INSURANCE.LEVELS OF EDUCATIONAL ATTAINMENT ARE LOW. FORTY-ONE PERCENT OF RESIDENTS LACK A HIGH SCHOOL CREDENTIAL FROM THE US OR THEIR HOME COUNTRY - 24% HAVE LESS THAN AN 8TH GRADE EDUCATION, AND 17% ATTENDED BUT DID NOT COMPLETE HIGH SCHOOL. TWENTY-ONE PERCENT OF RESIDENTS HAVE A HIGH SCHOOL CREDENTIAL; 9% HAVE SOME COLLEGE EDUCATION; 4% HAVE ASSOCIATES DEGREES, AND 24% HAVE A BACHELOR'S DEGREE OR HIGHER. LEVELS OF HIGH SCHOOL, POST-SECONDARY, AND COLLEGE EDUCATION FALL BELOW LEVELS ACHIEVED ACROSS THE BOROUGH AND ACROSS NEW YORK CITY AS A WHOLE. ENGLISH PROFICIENCY IS A MAJOR BARRIER FOR RESIDENTS OF THE TARGET COMMUNITY: 75% OF RESIDENTS SPEAK A PRIMARY LANGUAGE OTHER THAN ENGLISH AT HOME AND 47% OF CHILDREN BETWEEN THE AGES OF 0 AND 13 IN 2007 WERE LIVING IN LINGUISTICALLY-ISOLATED HOMES. BASED ON LEVELS OF FOREIGN-BORN RESIDENTS AND GRADUATION RATES, IT IS CONSERVATIVELY ESTIMATED THAT 40% OF RESIDENTS OVER AGE 16 LACK BASIC LITERACY SKILLS.
Part VI, Line 5:	NYU LUTHERAN MEDICAL CENTER (LMC) DEVELOPS NEW HEALTH INITIATIVES BASED ON COMMUNITY NEED. IN 2013 LUTHERAN CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT AND IDENTIFIED ACCESS TO CARE AND PEDIATRIC OBESITY AS SIGNIFICANT COMMUNITY HEALTH ISSUES IN OUR CATCHMENT AREA.THE ISSUE OF ACCESS TO CARE WILL BE ADDRESSED THROUGH THE TRANSITIONS IN CARE, COMMUNITY CASE MANAGEMENT PROGRAM. THIS PROGRAM TARGETS HIGH-RISK INDIVIDUALS TO OBTAIN AND MAINTAIN CONNECTION TO PREVENTATIVE AND ROUTINE CARE AT A MEDICAL HOME, IN ORDER TO PREVENT UNNECESSARY EMERGENCY ROOM VISITS AND HOSPITALIZATIONS. BY COORDINATING CARE ANDWORKING WITHIN OUR CARE TEAMS, COMMUNITY CASE MANAGEMENT STAFF AIM TO IMPROVE THE HEALTH OF OUR POPULATION, IMPROVE THE PATIENT EXPERIENCE, REDUCE THE COST OF HEALTH CARE BY AVOIDING UNNECESSARY EMERGENCY ROOM VISITS AND HOSPITALIZATION, AND LINK COMMUNITY MEMBERS TO A MEDICAL HOME.SINCE ITS INCEPTION, OVER 1,838 PATIENTS HAVE BEEN REFERRED TO THE PROGRAM. THE PROGRAM HAS IMPROVED CHRONIC DISEASE MANAGEMENT, AND HELPED STOP THE UPWARD TRAJECTORY OF EMERGENCY DEPARTMENT VISITS AND HOSPITAL ADMISSIONS. TIC HAS ALSO EXPANDED ITS SCOPE TO ADDRESS PATIENT POPULATION MANAGEMENT EFFORTS ACROSS THE LUTHERAN FAMILY HEALTH CENTER NETWORK. THIS INCLUDES PROVIDING TRANSITIONAL SUPPORT FOR PATIENTS WHO ARE DISCHARGED FROM HOSPITAL AND PROVIDING CARE MANAGEMENT TO HIGH-RISK PATIENTS. AN ADDITIONAL EXPANSION TO TIC'S WORK IS THE INTEGRATION OF THE CHRONIC AND PERSISTENTLY MENTAL ILL PATIENTS INTO THEIR SCOPE. CURRENTLY, 22% OF TIC PATIENTS (105 OUT OF 481 ENROLLED PATIENTS) FALL INTO THIS SPECIALIZED CATEGORY.TO ADDRESS CHILDHOOD OBESITY, THE DEPARTMENT OF COMMUNITY BASED PROGRAMS CONVENED A DESIGN TEAM TO DEVELOP A PEDIATRIC OBESITY PROGRAM. THE TEAM - CONSISTING OF A MEDICAL DOCTOR, NUTRITIONISTS, COMMUNITY PLANNERS, AND SOCIAL WORKERS - USED THE NATIONAL INITIATIVE FOR CHILDREN'S HEALTHCARE QUALITY 2007 CHILD AND OBESITY PREVENTION RECOMMENDATIONS AS A GUIDELINE FOR THE INTERVENTION AND ADOPTED IDEAS FROM THE FOLLOWING EVIDENCE-BASED, MULTI-COMPONENT PROGRAMS AND CURRICULA: MEDIA SMART YOUTH; WE CAN! ENERGIZE OUR FAMILIES; NUTRITION TO GROW ON; AND EAT HEALTHY, BE ACTIVE. IN ADDITION, THE PROGRAM INTENTIONALLY INCLUDES PARENTS, AS EVIDENCE SHOWS PROGRAMS THAT INCLUDE FAMILY MEMBERS HAVE SIGNIFICANT EFFECTS ON STABILIZING OR REDUCING PERCENTAGE BMI-FOR-AGE. IN 2015, NYULFHC PILOTED THE HEALTHY FAMILIES PROGRAM, A 12-SESSION MULTI-DISCIPLINARY PROGRAM FOR 10 TO 11 YEAR OLD OBESE HISPANIC CHILDREN AND THEIR PARENT(S). THE INTERVENTION FOCUSES ON THIS AGE GROUP BECAUSE IT IS THE TIME WHEN CHILDREN BECOME MORE INDEPENDENT FROM THEIR PARENTS AND ARE ABLE TO EVALUATE AND ALTER THEIR DIETARY HABITS AND ATTITUDES. THE CURRICULUM IS CULTURALLY RELEVANT TO THE LOCAL HISPANIC POPULATION AND SESSIONS ARE CONDUCTED IN ENGLISH AND SPANISH. WE BEGAN RECRUITMENT FOR THE PROGRAM IN 2014, AND A PILOT CYCLE WAS LAUNCHED IN EARLY 2015. THE TARGET PROGRAM SIZE IS 12 CHILDREN (AND ONE PARENT OR CAREGIVER). TWENTY CHILDREN WERE RECRUITED FOR THE PILOT, NINE ENROLLED AND SIX COMPLETED NINE OR MORE SESSIONS. THE PILOT PROGRAM PROVED TO BE ADMINISTRATIVELY FEASIBLE AND WAS WELL-RECEIVED BY PARTICIPANTS. SELF-REPORTS INDICATED BEHAVIOR CHANGE IN TARGET AREAS. MEASUREMENTS AT THE END OF THE 12-WEEK INTERVENTION INDICATED STABILIZATION OF BMI. CHILDREN REPORTED INCREASED INTAKE OF FRUITS AND VEGETABLES (AFFIRMED BY PARENT REPORTS), AND, ACCORDING TO PARENTS, CHILDREN'S EXERCISE REGIMENS ALSO INCREASED. DATA FROM FOLLOW-UP MEASUREMENTS AT 3, 6 AND 12 MONTHS POST-INTERVENTION ARE BEING ANALYZED TO DETERMINE THE PROGRAM'S LONGER-TERM IMPACT ON WEIGHT AND BMI.TO ADDRESS THE BROADER SOCIAL, EDUCATIONAL AND EMOTIONAL NEEDS OF THE COMMUNITY, LUTHERAN HAS DEVELOPED ITS COMMUNITY SERVICES DEPARTMENT - AT THE HEART OF WHICH IS THE FAMILY SUPPORT CENTER. WITH MORE THAN 5,500 INDIVIDUALS PARTICIPATING IN VARIOUS FAMILY SUPPORT CENTER PROGRAMS AND SERVICES EACH YEAR, THE CENTER PROVIDES CRITICAL RESOURCES TO HELP COMMUNITY RESIDENTS ACHIEVE HEALTH, FAMILY STABILITY AND ECONOMIC SELF-SUFFICIENCY.THE CENTER PROVIDES SERVICES IN ENGLISH, SPANISH, AND CHINESE TO REDUCE CULTURAL AND LINGUISTIC BARRIERS THAT OFTEN PREVENT OUR PATIENTS FROM MEETING THEIR GOALS. PROGRAMS AND SERVICES INCLUDE:FAMILY SUPPORT - PROVIDES SUPPORTIVE COUNSELING, CRISIS INTERVENTION, CASE MANAGEMENT, ACCESS TO PUBLIC BENEFITS, INFORMATION AND REFERRALS TO OVER 800 INDIVIDUALS ANNUALLYADULT EDUCATION AND WORKFORCE DEVELOPMENT - THE COMMUNITY EMPOWERMENT PROGRAM HELPS OVER 500 COMMUNITY MEMBERS TO ADVANCE THEIR SKILLS AND LIFE OPPORTUNITIES EACH YEAR THROUGH ENGLISH, HSE AND ADULT LITERACY CLASSES, CAREER COUNSELING AND JOB TRAININGMENTAL HEALTH COUNSELING - THE HEALTHY CONNECTIONS PROGRAM PROVIDES MENTAL HEALTH COUNSELING FOR CHILDREN AND FAMILIES AFFECTED BY TRAUMA, GRIEF, OR LOSSCOMMUNITY DEVELOPMENT - THE SUNSET PARK PROMISE NEIGHBORHOOD ENGAGES RESIDENTS, SCHOOLS AND OVER 30 LOCAL ORGANIZATIONS TO FOSTER CHILDREN'S EDUCATIONAL SUCCESS FROM CRADLE TO CAREER, ENHANCING EARLY CHILDHOOD AND SCHOOL-BASED EDUCATIONAL OPPORTUNITIES FOR OVER 500 CHILDREN EACH YEAR.FAMILY LITERACY - 2 FAMILY LITERACY PROGRAMS OFFER EDUCATIONAL SUPPORT FOR THE ENTIRE FAMILY - SUPPORTING PARENTS IN BECOMING THEIR CHILD'S FIRST TEACHER AND PREPARING CHILDREN FOR FUTURE SCHOOL SUCCESS THROUGH INTENSIVE HANDS-ON SUPPORT AND BOOK DISTRIBUTIONS TO 6,000 FAMILIES.INFANT/MATERNAL HEALTH - 2 PROGRAMS SUPPORT THIS PRIORITY. THE WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM PROVIDES NUTRITION EDUCATION, SUPPLEMENTAL FOODS, HEALTH CARE REFERRALS AND BREAST FEEDING SUPPORT TO LOW-INCOME PREGNANT WOMEN, INFANTS AND CHILDREN UP TO 5 YEARS OF AGE. THE HEALTHY FAMILIES SUNSET PARK PROGRAM PROVIDES INTENSIVE HOME VISITING TO SUPPORT HIGH RISK FAMILIES.COMMUNITY SERVICE AND VOLUNTEERISM - THE TWO AMERICORPS NATIONAL SERVICE PROGRAMS PLACE 36 COMMUNITY SERVICE VOLUNTEERS IN FULL-YEAR SERVICE OPPORTUNITIES ANNUALLY.LFHC'S COMMUNITY SERVICES ALSO EXTEND BEYOND THE FAMILY SUPPORT CENTER TO INCLUDE FOUR EARLY CHILDHOOD CENTERS AND TWO AFTER-SCHOOL PROGRAMS SERVING 650 CHILDREN; OUR PROJECT REACH YOUTH CENTER THAT PROVIDES EDUCATION, SUPPORT AND LEADERSHIP PROGRAMMING TO OVER 500 YOUTH ANNUALLY; AND A RANGE OF HEALTH, WELLNESS AND NUTRITION PROGRAMMING TO OVER 1,500 OLDER ADULTS EACH YEAR.
Part VI, line 6:	LUTHERAN HEALTHCARE (LHC) IS AN ACADEMIC, COMMUNITY HEALTH CARE AND SOCIAL SUPPORT ORGANIZATION COMMITTED TO EXCELLENCE. THE PRINCIPAL PROVIDER OF HEALTH CARE FOR THE RESIDENTS OF SOUTHWEST AND CENTRAL BROOKLYN, THE SYSTEM PROVIDES SUPERB PRIMARY AND SUPPORTIVE CARE. THIS UNIQUELY INTEGRATED HEALTH CARE SYSTEM INCLUDES NYU LUTHERAN MEDICAL CENTER (LMC), LUTHERAN FAMILY HEALTH CENTERS (LFHC), LUTHERAN AUGUSTANA CENTER FOR EXTENDED CARE AND REHABILITATION (LAC), SENIOR HOUSING AND COMMUNITY CARE ORGANIZATION.IN 2013, ACCESS TO CARE EXPANDED SIGNIFICANTLY SYSTEM-WIDE, OUR 916 PHYSICIANS AND 3,984 EMPLOYEES SERVED 182,347 PEOPLE. NYU LUTHERAN MEDICAL CENTER (LMC) MANAGING NEARLY 69,451 EMERGENCY VISITS, 15,996 SURGICAL PROCEDURES AND 27,930 INPATIENT DISCHARGES. THE LUTHERAN FAMILY HEALTH CENTERS (LFHC) HANDLED NEARLY 618,426 PATIENT VISITS AND PROVIDED HEALTH AND DENTAL SERVICES TO OVER 10,000 CHILDREN IN 28 SCHOOLS. LUTHERAN'S THREE SENIOR HOUSING FACILITIES HAVE MORE THAN 800 RESIDENTS. WHILE AUGUSTANA PROVIDES LONG TERM CARE AND REHABILITATION PROVIDES SERVICES TO APPROXIMATELY 1,255 RESIDENTS.
PART VI, LINE 7:	NEW YORK

Schedule H (Form 990) 2015

Additional Data

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- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
NYU LUTHERAN MEDICAL CENTER

Employer identification number
11-1839567

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) UNITED HOSPITAL FUND 1411 BROADWAY NEW YORK,NY10018	13-1562656	501(c)(3)	8,500		n/A	n/A	GENERAL SUPPORT
(2) FAITHHEALTH INNOVATIONS INC MEDICAL CENTER BLVD WINSTON SALEM,NC27157	23-7526944	501(c)(3)	8,000		N/A	n/A	GENERAL SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of non-cash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of non-cash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

Part I, Line 2:

NYU LUTHERAN MEDICAL CENTER MAKES GRANTS TO CHARITABLE ORGANIZATIONS LOCATED IN ITS NEIGHBORING COMMUNITY. THESE FUNDS ARE USED TO SUPPORT THE TAX EXEMPT MISSION AND COMMUNITY IMPROVEMENT AIMS OF EACH ORGANIZATION. LUTHERAN REQUIRES EACH APPLICANT FOR GRANT SUPPORT TO PROVIDE A DETAILED DESCRIPTION OF THE USE OF THE INTENDED FUNDS AND SUCH AMOUNTS ARE GRANTED AFTER LUTHERAN HAS VERIFIED THAT THE INTENDED PROJECT SUPPORTS THE COMMUNITY.

Schedule I (Form 990) 2015

Additional Data

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- TIN:

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

NYU LUTHERAN MEDICAL CENTER

Employer identification number

11-1839567

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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 .........

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? ..

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on 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 ............

Yes

Were any amounts reported on 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 .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

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 on 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 in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Wendy Z GoldsteinPresident & CEO	(i) (ii)	1,235,097 ------------- 0	0 ------------- 0	43,005 ------------- 0	728,319 ------------- 0	28,488 ------------- 0	2,034,909 ------------- 0	0 ------------- 0
2Claudia CaineChief Operating Officer	(i) (ii)	866,229 ------------- 0	533,047 ------------- 0	15,976 ------------- 0	146,167 ------------- 0	12,098 ------------- 0	1,573,517 ------------- 0	0 ------------- 0
3Richard LangfelderEVP/Chief Financial Officer	(i) (ii)	579,377 ------------- 0	0 ------------- 0	36,516 ------------- 0	33,319 ------------- 0	26,437 ------------- 0	675,649 ------------- 0	0 ------------- 0
4Barbara ArkyEVP/General Counsel	(i) (ii)	456,537 ------------- 0	40,000 ------------- 0	31,644 ------------- 0	33,319 ------------- 0	29,145 ------------- 0	590,645 ------------- 0	0 ------------- 0
5Karen LennonEVP/External Affairs	(i) (ii)	371,884 ------------- 0	0 ------------- 0	30,346 ------------- 0	33,319 ------------- 0	24,250 ------------- 0	459,799 ------------- 0	0 ------------- 0
6John K Fitzpatrick MDChair OB/Gyn	(i) (ii)	679,147 ------------- 0	50,000 ------------- 0	987 ------------- 0	15,900 ------------- 0	30,132 ------------- 0	776,166 ------------- 0	0 ------------- 0
7Claudia LyonChair Family Medicine	(i) (ii)	421,663 ------------- 0	14,068 ------------- 0	2,056 ------------- 0	15,900 ------------- 0	27,514 ------------- 0	481,201 ------------- 0	0 ------------- 0
8Audrey Saitta MDChair Radiation Oncology	(i) (ii)	540,700 ------------- 0	0 ------------- 0	467 ------------- 0	15,900 ------------- 0	32,229 ------------- 0	589,296 ------------- 0	0 ------------- 0
9Frank ScheetsSVP Human Resources	(i) (ii)	374,026 ------------- 0	40,909 ------------- 0	31,358 ------------- 0	15,900 ------------- 0	29,582 ------------- 0	491,775 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

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
Part I, Line 4b	THE PRESIDENT AND CEO, WENDY GOLDSTEIN, AS WELL AS THE HOSPITAL COO, CLAUDIA C. CAINE, BOTH PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (457F PLAN) AND THE REPORTING YEAR DEFERRALS ARE INCLUDED IN THE FORM 990, SCHEDULE J, PART II, COLUMN (C).
Part I, Line 7	NYU LUTHERAN MEDICAL CENTER DOES NOT HAVE A FORMAL EXECUTIVE BONUS PROGRAM IN PLACE. EXECUTIVE BONUSES ARE DISCRETIONARY AND PROVIDED AT THE APPROVAL OF THE BOARD OF DIRECTORS FOR THE CEO AND THE CEO MAKES RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES BASED ON WORK PERFORMANCE DURING THE YEAR. THE BOARD OF DIRECTORS RETAIN THE RIGHT TO APPROVE OR DISAPPROVE ALL BONUSES AND TYPICALLY BASES ITS DECISION UPON THE MARKET DATA PROVIDED BY THE EXTERNAL CONSULTING FIRM THE MEDICAL CENTER ENGAGES TO DETERMINE EXECUTIVE COMPENSATION.
Part II	Compensation reported herein is for the entire calendar year 2015, while the form 990 is reporting the activity of the final 4 months of 2015.

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

NYU LUTHERAN MEDICAL CENTER

Employer identification number

11-1839567

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) 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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

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?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No










Total ............... $

Part III

Grants or Assistance Benefiting 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) 2015

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) Donor # 2	substantial contributor	2,529,325	bus transaction		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE N
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Liquidation, Termination, Dissolution, or Significant Disposition of Assets

Complete if the organization answered "Yes" on Form 990, Part IV, lines 31 or 32; or Form 990-EZ, line 36.

Attach certified copies of any articles of dissolution, resolutions, or plans.
bullet

Attach to Form 990 or 990-EZ.
bullet

Information about Schedule N (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
NYU LUTHERAN MEDICAL CENTER

Employer identification number
11-1839567

Part I

Liquidation, Termination, or Dissolution. Complete this part if the organization answered "Yes" on Form 990, Part IV, line 31, or Form 990-EZ, line 36.
Part I can be duplicated if additional space is needed.

1(a) Description of asset(s) distributed or transaction expenses paid	(b) Date of distribution	(c) Fair market value of asset(s) distributed or amount of transaction expenses	(d) Method of determining FMV for asset(s) distributed or transaction expenses	(e) EIN of recipient	(f) Name and address of recipient	(g) IRC section of recipient(s) (if tax-exempt) or type of entity

Cash	12-31-2015	42,554,171	FMV	13-3971298	NYU Hospitals Center 550 FIRST AVENUE new york,NY10016	501(c)(3)
Pledges and Grants Receivable	12-31-2015	1,028,313	FMV	13-3971298	NYU Hospitals Center 550 FIRST AVENUE new york,NY10016	501(c)(3)
ACCOUNTS RECEIVABLE	12-31-2015	94,989,068	FMV	13-3971298	NYU Hospitals Center 550 FIRST AVENUE new york,NY10016	501(c)(3)
iNVESTMENTS	12-31-2015	127,446,329	FMV	13-3971298	NYU Hospitals Center 550 FIRST AVENUE new york,NY10016	501(c)(3)
INVENTORIES	12-31-2015	7,200,113	FMV	13-3971298	NYU Hospitals Center 550 FIRST AVENUE new york,NY10016	501(c)(3)
PREPAID EXPENSES	12-31-2015	33,289,912	FMV	13-3971298	NYU Hospitals Center 550 FIRST AVENUE new york,NY10016	501(c)(3)
PLANT, PROPERTY & EQUIPMENT	12-31-2015	164,590,493	FMV	13-3971298	NYU Hospitals Center 550 FIRST AVENUE new york,NY10016	501(c)(3)
INTANGIBLE ASSETS	12-31-2015	12,472,267	FMV	13-3971298	NYU Hospitals Center 550 FIRST AVENUE new york,NY10016	501(c)(3)
DUE FROM AFFILIATES	12-31-2015	10,949,680	FMV	13-3971298	NYU Hospitals Center 550 FIRST AVENUE new york,NY10016	501(c)(3)
OTHER RECEIVABLES	12-31-2015	2,616,381	FMV	13-3971298	NYU Hospitals Center 550 FIRST AVENUE new york,NY10016	501(c)(3)
ESTIMATED REC FROM 3RD PARTY PAYORS	12-31-2015	5,811,926	FMV	13-3971298	NYU Hospitals Center 550 FIRST AVENUE new york,NY10016	501(c)(3)

Yes

Did or will any officer, director, trustee, or key employee of the organization:

Become a director or trustee of a successor or transferee organization? .........................

Become an employee of, or independent contractor for, a successor or transferee organization? .....................

Become a direct or indirect owner of a successor or transferee organization? .....................

Receive, or become entitled to, compensation or other similar payments as a result of the organization's liquidation, termination, or dissolution? ........

If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or Form 990-EZ.

Cat. No. 50087Z

Schedule N (Form 990 or 990-EZ) (2015)

Page 2

Part I

Liquidation, Termination, or Dissolution (continued)

Note. If the organization distributed all of its assets during the tax year, then Form 990, Part X, column (B), line 16 (Total assets), and line 26 (Total liabilities), should equal -0-.

Yes

Did the organization distribute its assets in accordance with its governing instrument(s)? If "No," describe in Part III .............

Yes

Is the organization required to notify the attorney general or other appropriate state official of its intent to dissolve, liquidate, or terminate? ......

Yes

If "Yes," did the organization provide such notice? .....................

Yes

Did the organization discharge or pay all of its liabilities in accordance with state laws? .....................

Yes

Did the organization have any tax-exempt bonds outstanding during the year? .....................

If "Yes" on line 6a, did the organization discharge or defease all of its tax-exempt bond liabilities during the tax year in accordance with the Internal Revenue Code and state laws?

If "Yes" on line 6b, describe in Part III how the organization defeased or otherwise settled these liabilities. If "No" on line 6b, explain in Part III.

Part II

Sale, Exchange, Disposition, or Other Transfer of More Than 25% of the Organization's Assets. Complete this part if the organization answered "Yes" on Form 990, Part IV, line 32, or Form 990-EZ, line 36. Part II can be duplicated if additional space is needed.

1(a) Description of asset(s) distributed or transaction expenses paid	(b) Date of distribution	(c) Fair market value of asset(s) distributed or amount of transaction expenses	(d) Method of determining FMV for asset(s) distributed or transaction expenses	(e) EIN of recipient	(f) Name and address of recipient	(g) IRC section of recipient(s) (if tax-exempt) or type of entity

Yes

Did or will any officer, director, trustee, or key employee of the organization:

Become a director or trustee of a successor or transferee organization? .....................

Become an employee of, or independent contractor for, a successor or transferee organization? .....................

Become a direct or indirect owner of a successor or transferee organization? .....................

Receive, or become entitled to, compensation or other similar payments as a result of the organization’s significant disposition of assets? .....................

If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. bullet

Schedule N(Form 990 or 990-EZ) (2015)

Schedule N (Form 990 or 990-EZ) (2015)

Page 3

Part III

Supplemental Information. Provide the information required by Part I, lines 2e and 6c, and Part II, line 2e. Also complete this part to provide any additional information.

Return Reference	Explanation

Schedule N (Form 990 or 990-EZ) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

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 990-EZ 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

2015

Open to Public
Inspection

Name of the organization

NYU LUTHERAN MEDICAL CENTER

Employer identification number

11-1839567

Return Reference	Explanation
FORM 990, PART I, LINE 1	NYU LUTHERAN MEDICAL CENTER IS A COMPREHENSIVE HEALTH CARE AND SOCIAL SUPPORT SYSTEM SERVING THE DIVERSE AND GROWING COMMUNITIES OF SOUTHWEST BROOKLYN.
FORM 990, PART III, LINE 1	NYU LUTHERAN EXISTS TO SERVE ITS NEIGHBORS. WE ARE DEDICATED TO CARING FOR WHOLE PERSONS THROUGHOUT WHOLE COMMUNITIES. AS A STABILIZING FOUNDATION FOR THESE COMMUNITIES, LUTHERAN IS COMMITTED TO MEETING OUR NEIGHBORS' CHANGING PHYSICAL, EMOTIONAL, SPIRITUAL, INTELLECTUAL AND SOCIAL NEEDS. On April 1, 2015, NYU Lutheran Medical Center completed an affiliation agreement with NYU Hospitals Center. In December 2015, the affiliated organizations received approval from the New York State Department of Health to enter into a full asset merger, with NYU Hospitals Center as the successor entity. The merger became effective January 1, 2016.
Form 990, Part III Line 4a	THE LARGEST PROGRAM OFFERED BY LUTHERAN IS THE MEDICAL/SURGICAL INPATIENT SERVICE, WHICH CAN ACCOMMODATE APPROXIMATELY 248 PATIENTS ON A DAILY BASIS. MANY RESIDENTS OF THE SOUTHWEST AREA OF BROOKLYN RELY ON LUTHERAN AS ITS MAIN HEALTH CARE PROVIDER ESPECIALLY FOR INPATIENT CARE SERVICES. DURING SEPTEMBER TO DECEMBER 2015, THE MEDICAL CENTER ADMITTED, TREATED AND DISCHARGED 6,011 PATIENTS FROM THE MEDICAL/SURGICAL PROGRAM. THESE PATIENTS REMAINED IN-HOUSE ON AVERAGE FOR 4.5 DAYS, RESULTING IN APPROXIMATELY 27,349 DAYS OF MEDICAL/SURGICAL CARE PROVIDED. A SIGNIFICANT PORTION OF THESE PATIENTS JUST OVER 2.1%, PRESENTED WITHOUT ANY FORM OF INSURANCE COVERAGE OR THE ABILITY TO PAY FOR THE CARE RECEIVED. IN THE PERIOD SEPTEMBER TO DECEMBER 2015, THESE UNINSURED MEDICAL/SURGICAL PATIENTS GENERATED IN EXCESS OF $6.2 MILLION OF CHARGES FOR SERVICES THAT WILL GO UN-REIMBURSED BY THE PATIENT OR ANY THIRD PARTY PAYER. IN ADDITION TO THE UNINSURED PATIENTS, LMC TREATS A HIGH NUMBER OF WHAT IS CONSIDERED MEDICALLY INDIGENT OR 'UNDER-INSURED' PATIENTS. THESE PATIENTS INCLUDING THOSE WITH MEDICAID COVERAGE MAKE UP A SIGNIFICANT PORTION OF THE PATIENTS SERVED BY LMC. IN THE INPATIENT MEDICAL/SURGICAL PROGRAM ALONE, APPROXIMATELY 47.4% OF THE TOTAL PATIENTS TREATED WERE CONSIDERED MEDICALLY INDIGENT. ALTHOUGH THIS CAN BE FINANCIALLY CHALLENGING TO A HEALTH CARE PROVIDER, LUTHERAN VIEWS THIS CHALLENGE AS PART OF ITS OVERALL MISSION, IN THAT IT EXISTS ONLY TO SERVE THE NEEDS OF ITS NEIGHBORS AND TO KEEP PEOPLE HEALTHY AND TO THE EXTENT POSSIBLE, AND OUT OF THE HOSPITAL. LUTHERAN HAS SUCCESSFULLY INCREASED ACCESS TO HIGH QUALITY COMMUNITY BASED HEALTH CARE SERVICES AND HAS WORKED HARD TO REDUCE MEDICAL DISPARITIES IN THE COMMUNITY IT SERVES, WHILE ALSO STAYING CURRENT WITH PATIENT SAFETY INITIATIVES AND ADVANCED TECHNOLOGY, ALL WHICH ARE NECESSARY TO CONTINUE ITS MISSION TO PROVIDE A HIGH QUALITY SERVICE TO THOSE IN NEED IN ITS SURROUNDING COMMUNITIES.
Form 990, Part III Line 4b	THE EMERGENCY ROOM SERVICE AND TRAUMA CENTER IS A VITAL SERVICE PROVIDED TO THE RESIDENTS OF SOUTHWEST BROOKLYN. EMERGENCY TREATMENT SERVICES ARE AVAILABLE TO ALL THOSE THAT PRESENT ON A 24-HOUR/365-DAY PER YEAR BASIS. THE EMERGENCY ROOM IS STAFFED BY A MULTI-LINGUAL, DIVERSE TEAM OF HIGHLY TRAINED PHYSICIANS, NURSES, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS AND SOCIAL WORKERS, WHO WORK CLOSELY WITH TRAUMA SURGEONS AND STROKE SPECIALISTS AND ALL OTHER STAFF TO PROVIDE HIGH QUALITY HEALTH CARE SERVICES AROUND THE CLOCK 365 DAYS PER YEAR. THE EMERGENCY ROOM SERVICE IS A MAJOR GATEWAY TO INPATIENT SERVICES AND FOR THE PERIOD SEPTEMBER TO DECEMBER 2015, 5,809 OR 24.7% OF THE TOTAL OF 23,496 INDIVIDUAL PATIENT ENCOUNTERS RESULTED IN AN ADMISSION TO AN INPATIENT SERVICE. WITH THE RECENT CLOSINGS AND/OR DOWNSIZING OF OTHER HOSPITALS IN THE AREA, LMC CONTINUES TO EXPERIENCE AN INCREASE IN PATIENT VOLUME WITH HIGHER ACUITY LEVELS, I.E., SICKER PATIENTS SEEKING EMERGENCY SERVICES. DUE TO THE EPISODIC NATURE OF THIS SERVICE THE UNDOCUMENTED, UNINSURED AND UNDERINSURED PATIENTS TEND TO BE HIGHER PERCENTAGE-WISE THAN IN ANY OTHER SERVICE. THE MAJORITY OF THE PATIENTS THAT DO PRESENT WITH INSURANCE TEND TO BE MEDICAID FEE-FOR-SERVICE OR MEDICAID HMO, WHICH IS CONSIDERED MEDICALLY INDIGENT. WHEN COMBINED WITH THE UNINSURED THE DATA REVEALS THAT JUST ABOUT 64% OF ALL PATIENTS PRESENTING TO THE ER FOR EMERGENCY SERVICES WERE EITHER, UNDOCUMENTED, UNINSURED OR UNDERINSURED FOR THE PERIOD SEPTEMBER TO DECEMBER 2015.
Form 990, Part III Line 4c	THE THIRD LARGEST PROGRAM OF THE MEDICAL CENTER IS THE INPATIENT MATERNITY SERVICE. DURING 2014, THE MEDICAL CENTER WAS ABLE TO ACCOMMODATE, ON AVERAGE, APPROXIMATELY 31 PATIENTS PER DAY AND TREATED AND DISCHARGED 1,422 PATIENTS. THE AVERAGE LENGTH OF STAY FOR PATIENTS IN THIS PROGRAM WAS APPROXIMATELY 2.7 DAYS, WHICH TRANSLATED INTO 3,802 DAYS OF MATERNITY CARE PROVIDED FOR THE PERIOD SEPTEMBER TO DECEMBER 2015. APPROXIMATELY 3.3% OF THE OB PATIENTS WERE SELF-PAY AND/OR CHARITY-CARE PATIENTS, I.E., MEANING THEY PRESENTED WITHOUT INSURANCE OR THE ABILITY TO PAY AND WERE CONSIDERED 'UNINSURED'. THE MAJORITY OF THE PATIENTS IN THIS SERVICE, ABOUT 83% WERE CONSIDERED MEDICALLY INDIGENT. THIS SERVICE TENDS TO HAVE LESS UNINSURED AS NYS INSURANCE COVERAGE FOR PREGNANT WOMEN, NEWBORNS AND CHILDREN IS PROBABLY THE BEST IN THE COUNTRY, BUT IT DID HAVE A SIGNIFICANT PERCENTAGE OF 'UNDERINSURED' PATIENTS. THE OBJECTIVES FOR THE OBSTETRICS PROGRAM IS TO OFFER THE FINEST CARE TO OUR NEIGHBORS BY PROVIDING HIGHLY QUALIFIED PHYSICIANS, PERINATOLOGISTS, NEONATOLOGISTS AND NURSING STAFF.
FORM 990, PART IV, LINE 12B	NYU LUTHERAN MEDICAL CENTER did not obtain an audit for the period September to December 2015. NYU LUTHERAN MEDICAL CENTER merged with NYU Hospitals Center effective January 1, 2016 with NYU Hospitals Center the surviving company. An audit of NYU Hospitals Center for their fiscal year September 1, 2015 to August 31, 2016 will include NYU LUTHERAN MEDICAL CENTER for the period September to December 2015.
Form 990, Part VI, Section A, line 2	TWO OR MORE PERSONS LISTED IN THIS FORM 990 PART VII HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER BY VIRTUE OF CONCURRENTLY SERVING ON ONE OR MORE BOARDS OF DIRECTORS/TRUSTEES OR BY SERVING IN AN EMPLOYMENT RELATIONSHIP ON ONE OR MORE ENTITIES WITHIN THE LUTHERAN AFFILIATES.
Form 990, Part VI, Section A, line 4	Effective April 1, 2015, NYU Langone Health System (no ", fka NYULMC, Inc., became the sole member of NYU Lutheran Medical Center. (see the attached bylaws). NYU Langone Health System is a subsidiary of New York University and is the parent of NYU Hospitals Center.
Form 990, Part VI, Section A, line 6	SEE RESPONSE TO PART VI, SECTION A, LINE 4
Form 990, Part VI, Section A, line 7a	Effective April 1, 2015, NYU Langone Health System, fka NYULMC, Inc., became the sole member of NYU Lutheran Medical Center. NYU Langone Health System is a subsidiary of New York University and is the parent of NYU Hospitals Center. As Sole Member, NYU Langone Health System elects the governing body of LMC.
Form 990, Part VI, Section A, line 7b	SEE RESPONSE TO PART VI, SECTION A, LINE 4
Form 990, Part VI, Section B, line 11	DESCRIPTION OF THE PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW THE FORM 990: 1. THE ORGANIZATION'S FINANCE DEPARTMENT GATHERS THE SUPPORTING INFORMATION BASED ON THE FISCAL YEAR'S FINANCIAL ACTIVITY AND PRIOR YEAR REPORTING. 2. THE SUPPORTING INFORMATION IS PROVIDED TO THE ORGANIZATION'S EXTERNAL TAX ADVISOR FOR REVIEW AND COMMENT. 3. THE EXTERNAL TAX ADVISOR PREPARES A DRAFT RETURN WHICH IS THEN REVIEWED BY THE ORGANIZATION'S FINANCE DEPARTMENT AND THE NYU LANGONE HEALTH SYSTEM'S VICE PRESIDENT OF FINANCE AND CHIEF FINANCIAL OFFICER FOR COMPLETENESS AND ACCURACY. THIS IS AN ITERATIVE PROCESS WHICH MAY INVOLVE MORE THAN ONE REVIEW BY THE ORGANIZATION'S EXTERNAL TAX ADVISOR. 4. THE REVIEWED DRAFT IS PRESENTED TO THE NYU LANGONE HEALTH SYSTEM BOARD OF TRUSTEES' AUDIT COMMITTEE, AS WELL AS CERTAIN OTHER OFFICERS FOR REVIEW. 5. ONCE APPROVED BY THE AUDIT COMMITTEE, THE FORM 990 IS MADE AVAILABLE TO THE FULL BOARD AND THEN IT IS FORWARDED TO THE IRS.
Form 990, Part VI, Section B, line 12c	NYU LUTHERAN MEDICAL CENTER REQUIRES ALL BOARD OF TRUSTEES MEMBERS TO COMPLETE AN ANNUAL CONFLICT OF INTEREST AND RELATED MATTERS DISCLOSURE STATEMENT PRIOR TO SERVING ON THE BOARD FOR THE CURRENT YEAR. THIS DISCLOSURE STATEMENT IS MONITORED AND REVIEWED BY LUTHERAN'S GENERAL COUNSEL.
Form 990, Part VI, Section B, line 15	THE NYU LUTHERAN MEDICAL CENTER BOARD OF TRUSTEES ENGAGES SULLIVAN COTTER & ASSOCIATES, INC TO PROVIDE ANNUAL REPORTS AND SUPPORTING DATA RELATIVE TO EXECUTIVE COMPENSATION. THE COMPENSATION COMMITTEE, ACTING ON BEHALF OF THE FULL LUTHERAN BOARD OF TRUSTEES, RECEIVES AND REVIEWS THESE REPORTS WHICH CONTAIN A. A MARKET ANALYSIS OF THE TOTAL COMPENSATION LEVELS OF SENIOR EXECUTIVES IN RELATION TO THEIR PEERS IN THE MARKETPLACE, B. A REVIEW OF CURRENT COMPENSATION AND BENEFIT PLAN DESIGNS TO ENSURE COMPETITIVENESS TO THE MARKETPLACE, AND C. COMPLIANCE WITH STATE AND/OR FEDERAL REGULATIONS THE COMPENSATION COMMITTEE RELIES UPON THE DATA AND RECOMMENDATIONS PROVIDEO BY SULLIVAN COTTER & ASSOCIATES TO DETERMINE THE COMPENSATION LEVEL OF THE CEO. FOR THE OTHER KEY EXECUTIVE POSITIONS, THE CEO RECOMMENDS ADJUSTMENTS TO THE COMMITTEE WHO IN TURN REVIEW THESE RECOMMENDATIONS UTILIZING THE SULLIVAN COTTER & ASSOCIATES REPORTS AND APPROVES, DISAPPROVES OR ALTERS THE PROPOSALS OF THE CEO FOR THE OTHER SENIOR EXECUTIVES.
Form 990, Part VI, Section C, line 19	NYU LUTHERAN MEDICAL CENTER POSTS ITS CURRENT ANNUAL REPORT ON ITS WEBSITE, WWW.LUTHERANMEDLCALCENTER.COM. THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND AT THE DISCRETION OF THE MEDICAL CENTER'S GENERAL COUNSEL.
Form 990, Part XI, line 9:	Transfer of Net Assets from Related Entity 10,681,867. Transfer of Net Assets due to Merger -201,137,507.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

NYU LUTHERAN MEDICAL CENTER

Employer identification number

11-1839567

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (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

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?
(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	Yes	No
(1)NEW YORK UNIVERSITY 726 BROADWAY NEW YORK,NY10003 13-5562308	UNIVERSITY	NY	501(c)(3)	LINE 2	N/A		No
(2)NYU LANGONE HEALTH SYSTEM 550 FIRST AVENUE MSB 153 NEW YORK,NY10016 47-2613531	SUPPORTING ORG.	NY	501(c)(3)	LINE 11B, II	NEW YORK UNIVERSITY		No
(3)NYU HOSPITALS CENTER 550 FIRST AVENUE NEW YORK,NY10016 13-3971298	Healthcare	NY	501(c)(3)	LINE 3	NYU Langone Health System		No
(4)34TH STREET CANCER CENTER INC C/O NYUHC 550 FIRST AVENUE NEW YORK,NY10016 30-0262470	CANCER CARE	NY	501(c)(3)	LINE 11C, III-FI	NYU HOSPITAL CENTER		No
(5)HAROLD ACTON TRUST 726 BROADWAY 9TH FLOOR NEW YORK,NY10003 13-7050560	SUPPORT OF NYU'S CAMPUS IN FLORENCE, ITALY	NY	501(c)(3)	LINE 11A, I	NEW YORK UNIVERSITY		No
(6)HORTENSE ACTON TRUST 70 WASHINGTON SQ S NEW YORK,NY10013 36-7110976	SUPPORT OF NYU'S CAMPUS IN FLORENCE, ITALY	NY	501(c)(3)	PF	NEW YORK UNIVERSITY		No
(7)INSTITUTE OF FINE ARTS FOUNDATION 1 EAST 78TH STREET NEW YORK,NY10021 23-7184242	SUPP NYU'S INSTITUTE OF FINE ARTS	NY	501(c)(3)	LINE 11A, I	NEW YORK UNIVERSITY		No
(8)NATIONAL CENTER ON PHILANTHROPY AND THE LAW 110 WEST 3RD ST 2ND FL NEW YORK,NY10012 13-3954405	STUDY,RESEARCH, EDUCATION ON PHILANTHROPY & THE LAW	NY	501(c)(3)	LINE 11A, I	NEW YORK UNIVERSITY		No
(9)NEW YORK UNIVERSITY IN ABU DHABI CORP 70 WASHINGTON SQ S NEW YORK,NY10013 26-2652713	SUPPORT NYU COLLEGE IN ABU DHABI	NY	501(c)(3)	LINE 2	NEW YORK UNIVERSITY		No
(10)NEW YORK UNIV SCHOOL OF BUSINESS FDN 44 WEST 4TH ST STE 11-160 NEW YORK,NY10012 13-4168015	SUPPORTS NYU'S L.N. STERN SCHOOL OF BUSINESS	NY	501(c)(3)	LINE 11A, I	NEW YORK UNIVERSITY		No
(11)NYU IMAGING INC 545 FIRST AVENUE NEW YORK,NY10016 13-4000622	SUPPORT NYU SCHOOL OF MEDICINE	NY	501(c)(3)	LINE 11A, I	NEW YORK UNIVERSITY		No
(12)NYU REAL ESTATE CORPORATION 70 WASHINGTON SQ S 11TH NEW YORK,NY10013 13-4141728	OWNS REAL PROPERTY	NY	501(C)(25)		NEW YORK UNIVERSITY		No
(13)NYU SCHOOL OF LAW FOUNDATION 161 AVE OF THE AMERICAS 504 NEW YORK,NY10013 13-6161036	SUPPORT NYU'S SCHOOL OF LAW	NY	501(c)(3)	LINE 11A, I	NEW YORK UNIVERSITY		No
(14)NYU SCHOOL OF LAW HOUSING ASSISTANCE CO 161 AVE OF THE AMERICAS 504 NEW YORK,NY10013 13-4043221	SUPPORT NYU'S SCHOOL OF LAW	NY	501(c)(3)	LINE 11A, I	NYU'S SCHOOL OF LAW FOUNDATION		No
(15)NYU SCHOOL OF LAW RECRUITMENT ASSIST CO 161 AVE OF THE AMERICAS 504 NEW YORK,NY10013 13-4043182	SUPPORT NYU'S SCHOOL OF LAW	NY	501(c)(3)	LINE 11A, I	NYU'S SCHOOL OF LAW FOUNDATION		No
(16)NYU SCHOOL OF LAW RETENTION ASSIST CORP 161 AVE OF THE AMERICAS 504 NEW YORK,NY10013 13-4047911	SUPPORT NYU'S SCHOOL OF LAW	NY	501(c)(3)	LINE 11A, I	NYU'S SCHOOL OF LAW FOUNDATION		No
(17)POLYTECHNIC INSTITUTE OF NEW YORK UNIVERSITY 6 METROTECH CENTER Brooklyn,NY11201 11-1630820	ENGINEERING COLLEGE	NY	501(c)(3)	LINE 2	NEW YORK UNIVERSITY		No
(18)WASHINGTON SQUARE LEGAL SERVICES INC 161 AVE OF THE AMERICAS 504 NEW YORK,NY10013 23-7392120	CERTAIN PUBLIC INTEREST ACTIVITIES OF NYU SCHOOL OF LAW	NY	501(c)(3)	LINE 11A, I	NEW YORK UNIVERSITY		No
(19)JURODIN FUND PO BOX 6089 NEWARK,DE197146089 13-6169166	SILVER FUNDS	DE	501(c)(3)	PF	NEW YORK UNIVERSITY		No
(20)METROTECH AREA DISTRICT MANAGEMENT ASSOC 1 METROTECH CENTER NORTH Brooklyn,NY11201 13-3601854	REAL ESTATE	NY	501(c)(3)	LINE 9	NEW YORK UNIVERSITY		No
(21)Lutheran Augustana CECR Inc 5434 2nd Ave Brooklyn,NY11220 11-2150953	Extended Care	NY	501(C)(3)	LINE 9	NYU LUTHERAN MEDICAL CENTER		No
(22)OHP PHSP INC 5800 3rd Avenue Brooklyn,NY11220 11-3245559	Insurance	NY	501(C)(4)		NYU LUTHERAN MEDICAL CENTER	Yes
(23)SHORE HILL HOUSING COMPANY INC 9000 Shore Road Brooklyn,NY11209 23-7405105	Housing	NY	501(C)(3)	LINE 9	NYU LUTHERAN MEDICAL CENTER		No
(24)HARBOR HILL HOUSING 150 55th Street Brooklyn,NY11220 11-3152691	Housing	NY	501(C)(3)	LINE 9	NYU LUTHERAN MEDICAL CENTER		No
(25)Sunset Bay Community Services 150 55th Street Brooklyn,NY11220 11-2439925	DAY CARE & SENIOR SERVICES	NY	501(C)(3)	LINE 7	NYU LUTHERAN MEDICAL CENTER		No
(26)COMMUNITY CARE ORGANIZATION 246 55TH Street APT Aa4 Brooklyn,NY11220 11-3001682	Home Health	NY	501(C)(3)	LINE 9	NYU LUTHERAN MEDICAL CENTER		No
(27)SUNSET GARDENS HOUSING CORP 150 55th Street brooklyn,NY11220 20-3461755	housing	NY	501(C)(3)	LINE 9	NYU LUTHERAN MEDICAL CENTER		No
(28)LMC HEALTH SYSTEM INC 150 55th Street brooklyn,NY11220 11-3589771	Support Org.	NY	501(C)(3)	LINE 11A, I	NYU LUTHERAN MEDICAL CENTER		No
(29)LMC PHYSICIAN SERVICES PC 150 55th Street brooklyn,NY11220 11-3192423	Phys. Service	NY	501(C)(3)	LINE 11C, III-FI	NYU LUTHERAN MEDICAL CENTER		No
(30)SHORE ROAD RADIOLOGY ASSOCIATES PC 150 55th Street brooklyn,NY11220 11-2665457	HEALTHCARE	NY	501(C)(3)	LINE 11C, III-FI	NYU LUTHERAN MEDICAL CENTER		No
(31)LUTHERAN CHHAINC DBA LUTHERAN CARE AT 5407 2ND AVENUE BRooklyn,NY11220 46-2559181	HOME HEALTH AIDE AGENCY	NY	501(C)(3)	LINE 9	NYU LUTHERAN MEDICAL CENTER		No
(32)SOUTHWEST BROOKLYN DENTAL PRACTICE PLLC 150 55th Street brooklyn,NY11220 47-2932907	DENTAL SERVICES	NY	501(C)(3)	LINE 9	NYU LUTHERAN MEDICAL CENTER		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2015

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	(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?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(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	Yes	No
(1) CCC 550 INSURANCE SCC 550 FIRST AVENUE NEW YORK,NY10016	PROF LIAB COVERAGE	BB	N/A	C				No
(2) INTERNATIONAL ART FUND C/O NYU 726 BROADWAY NEW YORK,NY10003	HOLDS STOCK IN LA PIETRA CORP.	PM	N/A	C				No
(3) LA PIETRA CORPORATION VIA BOLOGNESE 120 FLORENCE 50139 IT	HOLDS PROPERTY COMPRISING NYU'S FLORENCE CAMPUS	IT	N/A	C				No
(4) NEW YORK UNIVERSITY IN FRANCE 56 RUE DE PASSY PARIS 75016 FR	SUPPORT NYU'S PROGRAM IN FRANCE	FR	N/A	C				No
(5) NIU DA ED INFOR CONSULTING CO LTD 3663 ZHONGSHAN RD N SHANGHAI 200062 CH	SUPPORT NYU'S PROGRAM IN CHINA	CH	N/A	C				No
(6) NYU IN LONDON 6 BEDFORD SQUARE LONDON WC1B 3RA UK	SUPPORT NYU'S PROGRAM IN LONDON	UK	N/A	C				No
(7) NYU IN TEL-AVIV LTD TUVAL 13 TEL AVIV 52522 IS	SUPPORT NYU'S PROGRAM IN TEL-AVIV	IS	N/A	C				No
(8) NYU TISCH SCH OF ARTS ASIA LTD 3 KAY SIANG ROAD 248923 SN	SUPPORT NYU'S TSOA'S PROGRAM IN SINGAPORE	SN	N/A	C				No
(9) CENTER FOR THE FORMATION OF NYU SHANGHAI 3663 ZHONGSHAN RD N SHANGHAI 200062 CH	SUPPORT NYU'S PROGRAM IN CHINA	CH	N/A	C				No
(10) SHORE HILL HOUSING ASSOCIATES GP INC 150 55TH STREET BROOKLYN,NY11220	HOUSING	NY	N/A	C				No

Schedule R (Form 990) 2015

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

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 .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

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

Schedule R (Form 990) 2015

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)	(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	27
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	26
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	4,730
6	Total number of volunteers (estimate if necessary) .............	6	345
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	53,668
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	9,881,035	249,433
9	Program service revenue (Part VIII, line 2g) .........	304,385,730	179,403,628
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-995,691	957,537
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,955,033	1,519,191
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	317,226,107	182,129,789
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	80,700	33,975
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)	189,550,769	96,303,117
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	138,366	75,284
b	Total fundraising expenses (Part IX, column (D), line 25) 219,830
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	127,692,124	74,370,568
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	317,461,959	170,782,944
19	Revenue less expenses. Subtract line 18 from line 12.......	-235,852	11,346,845
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	526,195,000	0
21	Total liabilities (Part X, line 26).............	345,692,000	0
22	Net assets or fund balances. Subtract line 21 from line 20.....	180,503,000	0

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 38,147,391 including grants of $ 33,975 ) (Revenue $ 36,894,498 )
	SEE SCHEDULE O.

4b	(Code: ) (Expenses $ 12,304,065 including grants of $ ) (Revenue $ 15,839,269 )
	SEE SCHEDULE O.

4c	(Code: ) (Expenses $ 4,423,196 including grants of $ ) (Revenue $ 4,103,346 )
	SEE SCHEDULE O.

	(Code: ) (Expenses $ 94,007,350 including grants of $ ) (Revenue $ 123,676,392 )
	ALL OTHER GENERAL MEDICAL & RELATED PROGRAM SERVICES PROVIDED BY THE HOSPITAL.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 94,007,350 including grants of $ ) (Revenue $ 123,676,392 )
4e	Total program service expenses148,882,002

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	6,395,039	0	1,277,918

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	249,433

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		249,433

		Business Code
2a	PATIENT SERVICE REV.	622110	110,934,691	110,934,691
b	MEDICARE FFS REVENUE	923130	49,844,764	49,844,764
c	MEDICAID FFS REVENUE	923130	13,284,551	13,284,551
d	NEIGHBORHOOD HEALTH CE	900099	4,183,022	4,183,022
e	MEDICAL EDUCATION PROG	900099	904,427	904,427
f	All other program service revenue.			252,173	252,173
g Total.Add lines 2a–2f.....			179,403,628

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			966,021			966,021
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		395,646
b	Less: rental expenses		0
c	Rental income or (loss)		395,646
d	Net rental income or (loss)......			395,646		40,000	355,646
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		19,677,319
b	Less: cost or other basis and sales expenses		19,685,803
c	Gain or (loss)		-8,484
d	Net gain or (loss).....			-8,484			-8,484
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
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..
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..
Business Code			Miscellaneous Revenue
11a	Rebates		900099	188,291	188,291
b	INterco Overhead chgs		900099	161,747	161,747
c	Medical Abstract Fees		900099	39,765	39,765
d	All other revenue ....			733,742	720,074	13,668
e	Total. Add lines 11a–11d ......			1,123,545
12	Total revenue. See Instructions......			182,129,789	180,513,505	53,668	1,313,183

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	33,975	33,975
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	1,282,647	1,115,903	166,744
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	70,374,449	61,081,020	9,210,844	82,585
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	5,575,685	4,839,583	729,660	6,442
9	Other employee benefits .......	14,024,889	12,173,323	1,835,379	16,187
10	Payroll taxes ...........	5,045,447	4,379,347	660,319	5,781
11	Fees for services (non-employees):
a	Management ......	1,727,100	512,979	1,212,155	1,966
b	Legal .........	611,815	15,517	596,298
c	Accounting ...........	100,000		100,000
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17	75,284			75,284
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	356,977	120,932	236,045
12	Advertising and promotion ....	56,851	53,872	429	2,550
13	Office expenses .......	21,801,806	20,170,975	1,603,555	27,276
14	Information technology ......	2,797	2,154	643
15	Royalties ..
16	Occupancy ...........	2,561,447	2,081,010	480,437
17	Travel ............	95,032	50,832	44,156	44
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	436,120	436,120
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	4,797,757	4,797,757
23	Insurance ...	7,190,075	7,190,075
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	Physician payments	22,557,670	22,557,670
b	Purchased services	8,407,310	5,067,511	3,338,084	1,715
c	Repairs and maintenance	3,667,811	2,201,447	1,466,364
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	170,782,944	148,882,002	21,681,112	219,830
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 if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			3,475	1	0
2	Savings and temporary cash investments .........			16,503,525	2	0
3	Pledges and grants receivable, net ......			334,065	3	0
4	Accounts receivable, net .............			69,660,000	4	0
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
					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
					6	0
7	Notes and loans receivable, net ....				7	0
8	Inventories for sale or use ........			7,216,047	8	0
9	Prepaid expenses and deferred charges ......			8,833,953	9	0
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	0
b	Less: accumulated depreciation	10b	0	162,186,268	10c	0
11	Investments—publicly traded securities .			117,902,208	11	0
12	Investments—other securities. See Part IV, line 11 .....			22,758,398	12	0
13	Investments—program-related. See Part IV, line 11 ..				13	0
14	Intangible assets ...............			90,567,394	14	0
15	Other assets. See Part IV, line 11 ...........			30,229,667	15	0
16	Total assets. Add lines 1 through 15 (must equal line 34)...			526,195,000	16	0

17	Accounts payable and accrued expenses .....	47,533,000	17	0
18	Grants payable ...		18
19	Deferred revenue .........	2,600,000	19	0
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
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..		22
23	Secured mortgages and notes payable to unrelated third parties ..	52,226,000	23	0
24	Unsecured notes and loans payable to unrelated third parties ..		24
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	243,333,000	25	0
26	Total liabilities. Add lines 17 through 25..	345,692,000	26	0

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	176,263,000	27	0
28	Temporarily restricted net assets ...........	4,240,000	28	0
29	Permanently restricted net assets	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	180,503,000	33	0
34	Total liabilities and net assets/fund balances ........	526,195,000	34	0

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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately 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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
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). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
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) .	Yes	No
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
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 separately file Form 5713, International Boycott Report (see Instructions for Form 5713).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No