Lutheran Medical Center

“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.”

“Effective april 1, 2015, the taxpayer entered into an affiliation with nyu hospitals center (nyuhc), under which, nyu langone health system, inc., an affiliate of nyuhc and new york university, became the sole corporate member of the taxpayer. As sole corporate member, nyu langone health system, inc. Exercises certain reserved powers over the taxpayer.”

“Lmc health system, inc., a new york state not-for-profit corporation, is the sole member of nyu lutheran medical center ("lmc"). Effective april 1, 2015, the taxpayer entered into an affiliation with nyu hospitals center (nyuhc), under which, nyu langone health system, inc., an affiliate of nyuhc and new york university, became the sole corporate member of the taxpayer.”

“As sole member, lmc health system, inc. Elects the governing body of lmc. Effective april 1, 2015, the taxpayer entered into an affiliation with nyu hospitals center (nyuhc), under which, nyu langone health system, inc., an affiliate of nyuhc and new york university, became the sole corporate member of the taxpayer.”

“The powers reserved to members under the new york not-for-profit corporation law are held by lmc health system, inc. Such powers include: the right to elect and remove members of the governing body; approval of amendments to lmc's certificate of incorporation; and the right to approve significant corporate transactions (e.g. Mergers, consolidations, and dissolution). Effective april 1, 2015, the taxpayer entered into an affiliation with nyu hospitals center (nyuhc), under which, nyu langone health system, inc., an affiliate of nyuhc and new york university, became the sole corporate member of the taxpayer.”

“A copy of the form 990 will be provided to each member of the nyu lutheran medical center board of directors prior to its filing with the internal revenue service (in either an electronic or paper format). The form 990 will be presented to the nyu lutheran medical center audit & legal committee on november 17, 2015, the audit & legal committee will then provide an overview of the form 990 to the full nyu lutheran medical center board.”

“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.”

“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.”

“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.”

“Nyu lutheran medical center is a comprehensive health care and social support system serving the diverse and growing communities of southwest brooklyn.”

“Lutheran healthcare 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.”

“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 2014, the medical center admitted, treated and discharged 15,646 patients from the medical/surgical program. These patients remained in-house on average for 5.0 days, resulting in approximately 78,695 days of medical/surgical care provided. A significant portion of these patients just over 3.8%, presented without any form of insurance coverage or the ability to pay for the care received. In cy 2014, these uninsured medical/surgical patients generated in excess of $18.6 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 45% 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.”

“The emergency room service and trauma center is a vital service provided to the residents of southwest brooklyn. Emergency treatment services are available to all those that present on a 24-hour/365-day per year basis. The emergency room is staffed by a multi-lingual, diverse team of highly trained physicians, nurses, physician assistants, nurse practitioners and social workers, who work closely with trauma surgeons and stroke specialists and all other staff to provide high quality health care services around the clock 365 days per year. The emergency room service is a major gateway to inpatient services and in 2014, 14,689 or 21% of the total of 69,216 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 in cy 2014.”

“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 34 patients per day and treated and discharged 4,010 patients. The average length of stay for patients in this program was approximately 2.6 days, which translated into 10,587 days of maternity care provided in 2014. Approximately 2.5% 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.”

“Nyu lutheran medical center is included in a combined audited financial statement for the year ending december 31st, 2014. The combined financial statements are prepared in accordance with generally accepted accounting principles in the united states of america ("gaap"). The combined financial statements include the accounts of nyu lutheran medical center and all of its affiliated organizations. Per the instructions to the form 990, the organization is required to respond "yes" to part iv, question 12b if the organization is part of a consolidated financial statement. Since selecting "yes" to this question may be misconstrued, lutheran is attaching this explanation to its form 990.”

“Defined benefit plan adjustments -60,887,000. Transfer of net assets from related parties 44,438,000. Gnyha purchasing alliance, llc 2,475. Rounding adjustment -1,346.”