2017-11-15T18:16:13-06:00 2016-12-31 BDO USA LLP 401 BROADHOLLOW ROAD STE 201 MELVILLE NY 11747 990 2016-01-01 112626155 Interfaith Medical Center Inc % ANGELA MURDOCK-RIDLEY INTE 7186134000 1545 Atlantic Avenue Brooklyn NY 11213 JULIAN JOHN CFO 7186134000 2017-11-15 true Angelo Pirozzi CPA P00446022 6315019600 74.101.3.200 12894920173195000018 2017-11-15 P EE057800E4A178E9AC3AFE9F4334FD4004F4CA47 D8D2773B6DEE36DB3E4555968D37FA63861E8FAB 2016 2017-02-10 21:41:12Z JULIAN JOHN 1545 Atlantic Avenue Brooklyn NY 11213 216199322 false X WWW.INTERFAITHMEDICAL.COM X 1984 NY INTERFAITH MEDICAL CENTER'S MISSION IS TO PROVIDE HIGH-QUALITY, COST-EFFECTIVE HEALTH SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF BROOKLYN RESIDENTS. 7 7 1829 50 0 50325879 52984316 143360530 152009505 3369428 1567659 6106998 9637842 203162835 216199322 0 0 0 0 139369597 151251651 0 0 0 76103337 67225903 215472934 218477554 -12310099 -2278232 72377742 74550103 51947055 56474148 20430687 18075955 INTERFAITH MEDICAL CENTER'S MISSION IS TO PROVIDE HIGH-QUALITY, COST EFFECTIVE HEALTH SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF BROOKLYN RESIDENTS. false false 200323056 160240740 THE TOP THREE SERVICE LINES ARE BEHAVIORAL HEALTH, MEDICAL SURGICAL AND AMBULATORY CARE. BEHAVIORAL HEALTH INCLUDES PSYCHIATRY, ALCOHOL DETOX, AND DRUG REHABILITATION. IN 2016, PSYCHIATRY DISCHARES WERE 2,033; ALCOHOL DETOX DISCHARGES WERE 1,419; DRUG REHAB DISCHARGES WERE 323. THE VOLUME TREND FOR THESE SERVICE AREAS IS POSITIVE COMPARED TO BUDGET. MEDICAL SURGICAL DISCHARGES WERE 5,162 WHICH IS APPROXIMATELY 2% LESS THAN BUDGETED AND THE AVERAGE LENGTH OF STAY OF PATIENTS IS HIGHER THAN BUDGET (5.51 DAYS VERSUS 5.19 DAYS). THIS DECREASE IN DISCHARGES IS IN LINE WITH FEDERAL AND STATE POLICY DIRECTION AND GOALS TO REDUCE AVOIDABLE INPATIENT ADMISSIONS. THE HOSPITAL AND ITS COMMUNITY CLINIC SITES PROVIDE AN ARRAY OF AMBULATORY CARE SERVICES. THE TOTAL NUMBER OF AMBULATORY CARE VISITS WERE 109,920. 200323056 true true false true false false false false false true true false false true true true true false false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 273 0 true 1829 true false false false false false false false false false false X 7 7 false true false false false false false true true false false true true true true true true true true false NY X ANGELA MURDOCK-RIDLEY 7186134003 1545 ATLANTIC AVENUE BROOKLYN NY 11213 REV ROBERT WATERMAN CHAIRMAN 5.0 0.0 X X 0 0 0 RUTH BROWN TRUSTEE 5.0 0.0 X 0 0 0 MICHAEL IRWIN TRUSTEE 5.0 0.0 X 0 0 0 BARBARA MICH TRUSTEE 5.0 0.0 X 0 0 0 FRED SANDERS TRUSTEE 5.0 0.0 X 0 0 0 MICHAEL NAIRNE TRUSTEE 5.0 0.0 X 0 0 0 DAPHNEE SURPRIS TRUSTEE 5.0 0.0 X 0 0 0 STEVEN KORF CEO 1/1/16 - 2/8/16 40.0 0.0 X 0 0 0 Robert Mariani CFO 1/1/16 - 6/30/16 40.0 0.0 X 706296 0 0 JULIAN JOHN CFO 6/27/16 12/31/16 40.0 0.0 X 184420 0 0 LARAY BROWN CEO 2/8/16 - 12/31/16 40.0 0.0 X 685924 0 0 Pradeep Chandra CMO 40.0 0.0 X 495266 0 0 PRISSANA ALSTON CNO 40.0 0.0 X 295787 0 15887 CHARLIE BOVE COO 40.0 0.0 X 357440 0 0 MICHAEL PIRO CIO 40.0 0.0 X 201980 0 0 KAREN CAREY CCO 40.0 0.0 X 196789 0 9369 ANGELA MURDOCK-RIDLEY DEPUTY CFO 40.0 0.0 X 254662 0 0 FRANCESCA TINTI SVP, HUMAN RESOURCES 40.0 0.0 X 215192 0 28108 CHARLES LAWRENCE CHAIR, ED 1/1/16 - 11/14/16 40.0 0.0 X 418163 0 23423 JEFFREY CHEUNG INT CHAIR ED 10/29/16-12/31/16 40.0 0.0 X 386816 0 26479 KATHLEEN EDOUARD ER PHYSICIAN 36.0 0.0 X 421762 0 8826 DEVENDRA SHRIVASTAVA CHAIRMAN, MEDICINE 40.0 0.0 X 395398 0 28108 EVARISTO AKERELE CHAIR PSYCHIATRY 40.0 0.0 X 372324 0 16865 5588219 0 157065 301 false true false ADVANCED MEDICAL STAFFING CORP 331 RUTLEDGE STREET SUITE 204 BROOKLYN NY 11211 NURSING & CLINICAL 1659495 SECURITAS SECURITY SERVICES USA IN PO BOX 403412 ATLANTA GA 303843412 SECURITY SERVICES 3039115 UNIVERSITY PHYSICIANS OF BROOKLYN 450 CLARKSON AVE BROOKLYN NY 11203 ANESTHESIOLOGY SVCS 3147019 NTHRIVE INC PO BOX 405652 ATLANTA GA 30384 REV. CYCLE CONSULTIN 1434305 VIRTUAL RADIOLOGIC PROFESSIONALS 25983 NETWORK PLACE CHICAGO IL 60673 RADIOLOGY SERVICES 1381538 36 52309449 674867 52984316 NET PATIENT SERVICE REVENUE 621990 158328503 158328503 PROVISION FOR BAD DEBTS 621990 -6318998 -6318998 152009505 1567659 1567659 0 0 422779 422779 0 422779 422779 0 0 0 0 0 0 0 0 0 39733 39733 MEDICAL RESIDENT/STUDENT TRAINING 900099 2036350 2036350 CAPITATION REVENUE 900099 5007595 5007595 340(B) PROGRAM 900099 580203 580203 1551182 607087 944095 9175330 216199322 160240740 2974266 0 0 0 0 3647120 3647120 0 0 114166747 107471457 6695290 5729272 5228691 500581 19383945 17739019 1644926 8324567 7597228 727339 168961 154199 14762 706875 706875 169835 169835 60300 60300 0 0 27430202 25719705 1710497 0 4358590 3977768 380822 0 0 13413236 12241286 1171950 116542 106359 10183 0 105088 95906 9182 155666 142065 13601 0 4072415 3716597 355818 3256644 2972102 284542 MEDICAL SUPPLIES 11438401 11438401 COLLECTION FEES 1190871 1190871 REPAIRS 582277 531402 50875 218477554 200323056 18154498 0 250 750 4619570 3249707 1020795 2160555 17269631 17738416 0 0 0 0 0 0 455873 826617 1882900 1567166 119777369 99758381 19493517 20018988 5703734 2378734 0 0 0 0 0 0 21931472 26609170 72377742 74550103 29092869 35479013 0 0 0 0 0 0 0 0 0 0 9496059 8746059 0 0 13358127 12249076 51947055 56474148 X 20317458 17822226 113229 253729 0 0 20430687 18075955 72377742 74550103 X -2278232 -36767 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 17116 17116 false false PART II-B, LINE 1I INTERFAITH MEDICAL CENTER PAYS DUES TO THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA). IN ACCORDANCE WITH SECTION 6033 (E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY GNYHA, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE LOBBYING ACTIVITIES APPLICABLE TO 2016 GNYHA ANNUAL DUES WAS $15,851. IN CONNECTION WITH COLLECTIVE BARGAINING NEGOTIATIONS BETWEEN INTERFAITH MEDICAL CENTER AND 1199/SEIU, CERTAIN EMPLOYER CONTRIBUTION AMOUNTS THAT GO TO THE LABOR MANAGEMENT INITIATIVE (FORMERLY CALLED THE PLANNING AND PLACEMENT FUND) AND THE JOB SECURITY FUND ARE ALLOCATED TO HEALTHCARE EDUCATION PROJECT(HEP) FOR ITS PROGRAMS, SERVICES, AND ACTIVITIES. A PORTION OF SUCH FUNDS THAT HEP RECEIVES IS USED FOR LOBBYING PURPOSES IN CONNECTION WITH NEW YORK STATE AND FEDERAL POLICY ISSUES. INTERFAITH MEDICAL CENTER'S PRO-RATED SHARE OF HEP LOBBYING EXPENSES FOR 2016 IS $1,265. 212981 46748 6000 253729 1221779 100050 1108848 212981 1234779 13000 1221779 1235774 46 1041 1234779 1269363 1010 34599 1235774 1.00000 false false 2298402 1914259 384143 112665315 93835000 18830315 4813652 4009122 804530 20018988 OTHER LONG TERM ASSET 7482076 OTHER RECEIVABLES 2971513 HEALTHFIRST RETAINED PAYMENTS 15742796 SECURITY DEPOSITS 412785 26609170 0 DUE TO THIRD PARTY PAYORS 3394000 SELF-INSURED PROFESSIONAL LIAB 8855076 12249076 X 216122822 216122822 36767 36767 216159589 218477554 218477554 218477554 PART V, LINE 4 INTERFAITH MEDICAL CENTER'S ENDOWMENT FUNDS ARE FOR SPECIFIC PURPOSES DEFINED UNDER INTERNAL DESIGNATION OR TERMS OF AGREEMENT. PART X, LINE 2 INTERFAITH MEDICAL CENTER ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECONITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2016 AND 2015. Part XI, Line 4b Represents uncollectible pledge from prior year. true true true X true X true true false true true 5265749 9629838 0.00000 114577388 139754777 119843137 149384615 0.00000 925141 925141 0.00420 23997712 9535049 14462663 0.06620 13562371 13562371 0.06210 38485224 9535049 28950175 0.13250 158328361 158919664 28950175 0.13250 true 6318998 4087083 25124879 20574278 4550601 X true true 1 1 Interfaith Medical Center Inc 1545 Atlantic Avenue Brooklyn NY 11213 X X X X Interfaith Medical Center Inc false false true X X X X X X X X 16 true false false true X http://www.interfaithmedical.com X X true 16 true HTTP://WWW.INTERFAITHMEDICAL.COM/ABOUT/COMMUN false true X 100 300. X X true true X X X true X interfaithmedicalcenter.org X X X true X false X X X X true X false false PART V, LINE 5 All community participants of the survey and data collection process were provided with a list of common health issues in NYC that are specific to the population served and of the surrounding community. Participants were asked to select which issues they felt affected their community and to other health concerns. Identified were Cancer, Diabetes, Aging Issues, HIV/Aids and Mental Health as primary health concerns. PART V, LINE 7D SHARED WITH COMMUNITY PARTNER, E.G. COALITION TO TRANSFORM INTERFAITH, BED-STUY RESTORATION, NYC DOHMH NEIGHBORHOOD HEALTH ACTION CENTER. PART V, LINE 11 IMC has selected the following evidence-based interventions (EBI) to implement throughout the 2016-2018 period: * Mental Health First Aid; Screening, Assessment and Treatment Services; and Nutrition Standards. * The Mental Health First Aid public education program has been selected by IMC as the evidence-based intervention to be deployed to address Promote Mental Health & Prevent Substance Abuse Priority Focus Area 1: Promote Mental, Emotional, and Behavioral Well-Being. This intervention was selected based on observed mental health disparities in Central Brooklyn and multiple key stakeholders at community events requesting mental health interventions directly in the community, with one faith-based representative requesting the intervention by name. * The Screening, Assessment and Treatment Services recommended intervention for local action has been selected by IMC as the evidence-based intervention to address Promote Mental Health & Prevent Substance Abuse Priority Focus Area 2: Prevent Substance Abuse and Other Mental Emotional Behavioral Disorders. This intervention will promote the coordination of mental health practitioners with other care providers through the hospitals DSRIP-related programs and activities overseen by its Performing Provider System (PPS) that institutionalize the use of screenings such as the PHQ-9, DAST, and AUDIT through the Patient-Centered Medical Home (PCMH+) Initiative. This intervention was selected based on IMCs developing population health work with its Maimonides-led PPS: Community Care of Brooklyn. * The Nutrition Standards recommended intervention for local action has been selected by IMC as the evidence-based intervention to address Prevent Chronic Diseases Priority Focus Area 1: Reduce Obesity in Children and Adults. This intervention will increase the number of institutions with nutrition standards for healthy food and beverage procurement and was selected based on obesity, diabetes, and other nutrition-related illness surveillance data and community feedback (both in workgroups and listening sessions) on access to healthy foods. While several health issues, unhealthy behaviors, and social determinants of health that merit prioritization and action were identified through the CHNA, the hospital will not address the following issues specifically through its 2016-2018 CSP: * Angry Behavioral/Violence: the hospital is unable to single-handedly confront violence directly like law enforcement, but through mental health and substance abuse programs the hospital will address these issues. * Child Abuse: it is not the hospitals specialty to address child abuse directly like the Administration for Childrens Services, but through mandated reporter requirements for healthcare professionals the hospital will address this issue. * Domestic Violence: because of limited hospital resources IMC utilizes NYC and NYS public health resources like Partner Services to assess, aid, and address people in need of services. 7 BISHOP ORRIS G WALKER JR HEALTH CENTER 528 PROSPECT PLACE BROOKLYN NY 11238 CLINIC PRIMARY CARE DESIG AIDS TREATMENT CENTER 880 BERGEN STREET BROOKLYN NY 11238 AIDS TREATMENT CENTER DENTAL CENTER 1536 BEDFORD AVENUE BROOKLYN NY 11216 DENTAL CLINIC ALTERNATIVE HOUSINGAPT PROGRAM 1366 EAST NEW YORK AVENUE BROOKLYN NY 11233 BEHAVIORAL HEALTH CLINIC METHADONE MAINTENANCE TREATMENT PROGRAM 882 BERGEN STREET BROOKLYN NY 11238 DETOX AND CONSULTATION BEHAVIORAL HEALTH PROGRAM - ADULT CLINIC 1038 BROADWAY BROOKLYN NY 11221 BEHAVIORAL HEALTH CLINIC ATLANTIC AVENUE MENS SHELTER 1322 BEDFORD AVENUE BROOKLYN NY 11216 SHELTER PART I, LINE 7 INTERFAITH MEDICAL CENTER USES PATIENT COST TO CHARGES RATIO FROM THE NEW YORK STATE DEPARTMENT OF HEALTH INSTITUTIONAL COST REPORT. PART III, LINE 2 THE AMOUNT REPORTED ON LINE 2 IS EQUAL TO THE PROVISION FOR BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS ("AFS"). THE EXPLANATION OF THE METHODOLOGY USED TO ESTIMATE THIS AMOUNT CAN BE FOUND IN FOOTNOTE 3 ON PAGE 10 OF THE ATTACHED AFS. PART III, LINE 4 THE TEXT OF THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8 MEDICARE'S COST FINDING IS THE DETERMINATION OF THE ALLOCATION OF DIRECT COSTS AND PRORATION OF INDIRECT COSTS. THE COST REPORT ALLOWS FOR THE ALLOCATION OF GENERAL SERVICE COST CENTERS, INPATIENT ROUTINE SERVICE COST CENTERS, ANCILLARY SERVICE COST CENTERS, OUTPATIENT SERVICE COST CENTERS, OTHER REIMBURSABLE COST CENTERS, SPECIAL PURPOSE COST CENTERS AND NONREIMBURSABLE COST CENTERS. MOST COST CENTERS ARE ALLOCATED ON DIFFERENT STATISTICAL BASES. AFTER THE ALLOCATION OF THESE COSTS, MEDICARE ALLOWABLE COST IS DERIVED. THE HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE. MEDICARE IS OUR SECONDARY PAYOR AND HOSPITALS MUST ACCEPT THESE PATIENTS REGARDLESS OF WHETHER THEY MAKE A SURPLUS OR DEFICIT FROM PROVIDING SUCH SERVICES. MEDICARE SERVICES PROMOTE ACCESS TO HEALTH CARE SERVICES. PART III, LINE 9B INTERFAITH MEDICAL CENTER ADOPTS A WRITTEN COLLECTION POLICY TO FOLLOW UP ON SELF PAY ACCOUNTS CONSISTENTLY TO ENSURE MAXIMIZATION OF CASH FLOW AND FOR TIMELY IDENTIFICATION OF BAD DEBT ACCOUNTS. SELF-PAY PATIENTS WILL BE MAILED AN ITEMIZED COPY OF THEIR HOSPITAL BILL, ALONG WITH FINANCIAL ASSISTANCE INFORMATION. PAYMENT IS EXPECTED WITHIN 30 DAYS OF BILLING. IF THE BALANCE CAN NOT BE PAID WITHIN 30 DAYS, THE PATIENT IS ASKED TO CALL THE ACCOUNT REPRESENTATIVE. AFTER ALL OTHER METHODS OF PAYMENT HAVE BEEN EXHAUSTED, A CONTRACT PAYMENT AGREEMENT MAY BE ACCEPTED. A SERIES OF BILLING STATEMENTS ARE MAILED TO THE GUARANTOR WITH EACH MESSAGE PROGRESSIVELY STRONGER. TELEPHONE COLLECTION ACTIVITY OCCURS FOR INPATIENT SELF-PAY ACCOUNTS THAT ARE GREATER THAN $1,000. ONCE THE BILLING STATEMENTS AND FINAL LETTER HAVE BEEN SENT, THE ACCOUNT WILL CYCLE FOR A PRE-COLLECTION LETTER. AFTER 120 DAYS, ANY SELF-PAY ACCOUNTS DETERMINED TO BE UNCOLLECTIBLE WILL BE WRITTEN OFF TO BAD DEBT AND IMMEDIATELY PLACED WITH A COLLECTION AGENCY. PART VI, LINE 2 INTERFAITH MEDICAL CENTER RELIES ON DATA PROVIDED BY THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE COMMUNITY HEALTH PROFILES, AND THE NEW YORK STATE DEPARTMENT OF HEALTH. IT HAS BEEN FEDERALLY DESIGNATED AS LOCATED WITHIN A HEALTH PROFESSIONAL SHORTAGE AREA AND MEDICALLY UNDERSERVED AREA. THE HOSPITAL ALSO PARTICIPATES IN HEALTH PLANNING AND EVALUATION COALITIONS IN BROOKLYN, I.E. BHIX - BROOKLYN HEALTH INFORMATION EXCHANGE AND SIMILAR PLANNING GROUPS. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY OF ASSISTANCE: INTERFAITH MEDICAL CENTER HAS DEVELOPED A FINANCIAL ASSISTANCE POLICY THAT PROVIDES MEDICAL/FINANCIAL ASSISTANCE TO ALL. THE POLICY IS UPDATED ANNUALLY ESPECIALLY THE PORTIONS REGARDING CURRENT FEDERAL POVERTY LEVELS AND THAT INFORMATION IS DISTRIBUTED TO ALL THE REGISTRATION AREAS. A COPY OF THE FINANCIAL ASSISTANCE APPLICATION IS INCLUDED IN THE PATIENT'S REGISTRATION PACKAGE AND EACH UNINSURED PERSON IS ADVISED OF THE PROCESS FOR BECOMING ENROLLED AND IF ELIGIBLE ASSISTANCE IS PROVIDED WITH MEDICAID ENROLLING AT THE FACILITY INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY IS POSTED IN THE ADMITTING DEPARTMENT AND AT ALL OUTPATIENT REGISTRATION LOCATIONS. TRANSLATION SERVICES ARE AVAILABLE FOR THOSE FOR WHOM ENGLISH IS NOT THEIR FIRST LANGUAGE. PART VI, LINE 4 INTERFAITH MEDICAL CENTER IS LOCATED IN CENTRAL BROOKLYN, NEW YORK. IMC draws at least 75% of its patients from the Central Brooklyn neighborhoods of BedfordStuyvesant,Crown Heights, Prospect Heights, and Brownsville located in in Kings County, which include the primary ZIP codes of 11233, 11213, 11216, 11221, and 11212 and secondary ZIP codes of 11238, 11207, 12206, 11208, and 11225. The service areas are also defined as Brooklyn Community Districts 3 and 8. According to the 2015 NYC Community Health Profile for Brooklyn Community District 3, the population totaled 154,332 with 64% of residents identifying as black or African-American and 32% were ages 25 to 44. The 2015 NYC Community Health Profile for Brooklyn Community District 8 reported a population of 97,772 with 64% of residents identifying as black or African-American and 36% were ages 25 to 44. The hospital provides healthcare to approximately 40,000 unique patients each year, including more than 9,000 inpatient stays, 130,000 outpatient visits, and 36,000 adult & pediatric emergency visits. In 2015, IMC served 175,514 patients (38,924 unduplicated). More than half(51%) of the hospitals patients were female, 36% were ages 18 to 39, 4% were homeless, 80% were African American, 6% were White Hispanic, 4% were Black Hispanic, 4% were white; 65% were covered by Medicaid or a Medicaid HMO, and 5% were uninsured; 13% abused substances, and 21% had mental health issues. Another distinct aspect of the community that IMC serves is the high percentage of individuals who have had incarceration experiences or have been on parole, which exacerbates the observed mental health and substance abuse disparities. According to the Justice Mapping Centers Justice Atlas of Sentencing and Corrections, NYC neighborhoods that are home to 18% of the citys adult population account for more than 50% of prison admission each year. The parolee rate is also disproportionately high for Central Brooklyn. This demographic profile reflects Central Brooklyn as a whole, which is a designated Medically Underserved Area and Health Professional Shortage Area for Dental Health, Mental Health, and Primary Care. PART VI, LINE 5 INTERFAITH MEDICAL CENTER STRIVES TO BE A GOOD NEIGHBOR AND TO MAINTAIN OPEN COMMUNICATIONS WITH ITS COMMUNITY AND BEYOND. THE HOSPITAL READILY MAKES ITS CONFERENCE ROOM AND CAFETERIA AVAILABLE TO NEIGHBORHOOD GROUPS FOR MEETINGS, RECEPTIONS AND COMMUNITY FORUM. IN ADDITION TO MAKING SPACE AVAILABLE, THE MEDICAL STAFF GRACIOUSLY OFFERS FREE CLINICS AND SCREENINGS THROUGHOUT THE YEAR AT CHURCHES, SENIOR CENTERS, DAY CARE CENTER, HIGH SCHOOLS AND COLLEGE MENTORING SESSIONS AND ANY NUMBER OF STREET FAIRS. IN ADDITION, INTERFAITH MEDICAL CENTER OFFERS WORKSHOPS IN STRESS REDUCTION, HEALTHY LIVING/COOKING, AND PROVIDES FACILITIES FOR JOB SEARCHES AND HELP WITH AT RISK YOUTH. PART VI, LINE 6 NOT APPLICABLE X X X true false false false false false false false false Robert Mariani CFO 1/1/16 - 6/30/16 381300 0 0 0 324996 0 0 0 0 0 706296 0 0 0 Pradeep Chandra CMO 495266 0 0 0 0 0 0 0 0 0 495266 0 0 0 PRISSANA ALSTON CNO 295787 0 0 0 0 0 0 0 15887 0 311674 0 0 0 CHARLES LAWRENCE CHAIR, ED 1/1/16 - 11/14/16 418163 0 0 0 0 0 0 0 23423 0 441586 0 0 0 JULIAN JOHN CFO 6/27/16 12/31/16 184420 0 0 0 0 0 0 0 0 0 184420 0 0 0 CHARLIE BOVE COO 357440 0 0 0 0 0 0 0 0 0 357440 0 0 0 MICHAEL PIRO CIO 201980 0 0 0 0 0 0 0 0 0 201980 0 0 0 LARAY BROWN CEO 2/8/16 - 12/31/16 685924 0 0 0 0 0 0 0 0 0 685924 0 0 0 KAREN CAREY CCO 196789 0 0 0 0 0 0 0 9369 0 206158 0 0 0 JEFFREY CHEUNG INT CHAIR ED 10/29/16-12/31/16 386816 0 0 0 0 0 0 0 26479 0 413295 0 0 0 ANGELA MURDOCK-RIDLEY DEPUTY CFO 254662 0 0 0 0 0 0 0 0 0 254662 0 0 0 KATHLEEN EDOUARD ER PHYSICIAN 421762 0 0 0 0 0 0 0 8826 0 430588 0 0 0 DEVENDRA SHRIVASTAVA CHAIRMAN, MEDICINE 395398 0 0 0 0 0 0 0 28108 0 423506 0 0 0 EVARISTO AKERELE CHAIR PSYCHIATRY 372324 0 0 0 0 0 0 0 16865 0 389189 0 0 0 FRANCESCA TINTI SVP, HUMAN RESOURCES 215192 0 0 0 0 0 0 0 28108 0 243300 0 0 0 Part III Executive Steven Korf was employed by the management company, Toney Korf Partners (SK), through February 28, 2016. Interfaith Medical Center paid Toney Korf Partners $257,938 for the executive and other consulting staff services during this period. Part I, Line 4A DURING 2016, FORMER CFO ROBERT MARIANI RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $324,996. FORM 990, PART VI, LINE 3 INTERFAITH MEDICAL CENTER ENGAGED THE SERVICES OF TONEY KORF PARTNERS, LLC ("T&K") (STEVEN KORF - CEO AND OTHER STAFF MEMBERS), AN UNRELATED COMPANY, TO PROVIDE MANAGEMENT SERVICES. FORM 990, PART VI, LINE 11B THE INTERFAITH MEDICAL CENTER BOARD IS NOTIFIED WHEN THE FORM 990 IS AVAILABLE AND THEY HAVE THE OPPORTUNITY TO REVIEW THE FORM. THE CHIEF FINANCIAL OFFICER AND DEPUTY CFO REVIEWS THE FORM 990 BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, LINE 12C ANNUAL QUESTIONNAIRE IS SENT TO ALL DIRECTORS AND MANAGEMENT PERSONNEL. QUESTIONNAIRES ARE REVIEWED BY THE EXECUTIVE STAFF. ANY DISCREPANCIES ARE SENT TO THE BOARD. FORM 990, PART VI, LINE 15A THE CEO WAS PAID BY TONEY KORF PARTNERS ("T&K"), AN UNRELATED COMPANY, WHO PROVIDED MANAGEMENT SERVICES THROUGH FEBRUARY 28,2016. THE BOARD OF DIRECTORS IS RESPONSIBLE FOR HIRING AND ESTABLISHING THE COMPENSATION (SALARY AND BENEFITS) OF THE EXECUTIVE DIRECTOR/CHIEF EXECUTIVE OFFICER ("CEO") BY IDENTIFYING COMPENSATION THAT IS "REASONABLE AND NOT EXCESSIVE," BUT THAT ALSO IS ATTRACTIVE ENOUGH TO RETAIN THE BEST POSSIBLE TALENT TO LEAD THE ORGANIZATION. THE PROCESS IS TO CONDUCT A REVIEW OF WHAT SIMILARLY SIZED PEER ORGANIZATIONS IN THE SAME GEOGRAPHIC LOCATION OFFER THEIR SENIOR LEADERS. SELECTED BOARD MEMBERS ALSO TAKE ON THE TASK AS MEMBERS OF THE COMPENSATION COMMITTEE TO BE RESPONSIBLE FOR THE REVIEW AND TO CONDUCT A "COMPARABILITY REVIEW". FINAL DOCUMENTATION IS PRESENTTED TO THE FULL BOARD FOR REVIEW AND APPROVAL. ONCE APPROVED, A WRITTEN CONTRACT IS DELIVERED TO THE CEO AND BOARD MEMBERS FOR SIGNATURE. BOARD DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED BY THE BOARD. FORM 990, PART VI, LINE 15B When determining if compensation was fair value for the services, Interfaith Medical Center, Inc. compared current compensation to compensation that had been paid previously to an employee for similar services. BOARD DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED BY THE BOARD. FORM 990, PART VI, LINE 19 UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE ONLY THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS. Form 990, Part XI, line 9 OTHER CHANGE IN NET ASSETS REPRESENTS UNCOLLECTIBLE PLEDGE FROM A PRIOR YEAR. FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:5985798 FORM 990 PART IX LINE 11G DESCRIPTION:TEMPORARY HELP TOTAL FEES:2480430 FORM 990 PART IX LINE 11G DESCRIPTION:INDEPENDENT CONTRACT TOTAL FEES:1394424 FORM 990 PART IX LINE 11G DESCRIPTION:LAB SERVICES TOTAL FEES:1237521 FORM 990 PART IX LINE 11G DESCRIPTION:RECRUITMENT TOTAL FEES:590758 FORM 990 PART IX LINE 11G DESCRIPTION:LAUNDRY SERVICES TOTAL FEES:396581 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:3155927 FORM 990 PART IX LINE 11G DESCRIPTION:SERVICE CONTRACTS TOTAL FEES:7029535 FORM 990 PART IX LINE 11G DESCRIPTION:GARBAGE & WASTE TOTAL FEES:402612 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICE TOTAL FEES:4593382 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER TOTAL FEES:163234 Interfaith Emergency Medicine PC 1545 Atlantic Avenue Brooklyn NY 11213 452480633 Physician Bil NY IMC C Corp 0 0 true Interfaith Professional Physician Svc PC 1545 Atlantic Avenue Brooklyn NY 11213 451861648 Physician Bil NY IMC C Corp 0 0 true Interfaith Psychiatry Services PC 1545 Atlantic Avenue Brooklyn NY 11213 274297404 Physician Bil NY IMC C Corp 0 0 true Smile Brooklyn Dental PC 1545 Atlantic Avenue Brooklyn NY 11213 474320438 Physician Bil NY IMC C Corp 0 0 true false false false false false false false false false false false false false false true false false false INTERFAITH PSYCHIATRY SERVICES PC P 2781544 COST INTERFAITH EMERGENCY MEDICINE PC P 6540346 COST INTERFAITH PROFESSIONAL PHYSICIAN SERVICES PC P 5198575 COST SMILE BROOKLYN DENTAL PC P 1167101 COST