KINGSBROOK JEWISH MEDICAL CENTER INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: KINGSBROOK JEWISH MEDICAL CENTER INC (EIN 11-1631759)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-14
IRS object ID: 201403189349308175
Schema version: 2013v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-11-14T15:51:53-06:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	420714325	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	MCGLADREY LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1185 AVENUE OF THE AMERICAS	AddressLine1
City	NEW YORK	City
State	NY	State
ZIP Code	100362602	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	111631759	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KINGSBROOK JEWISH MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	KING	BusinessNameControlTxt
Phone	7186045532	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	585 SCHENECTADY AVENUE	AddressLine1
City	BROOKLYN	City
State	NY	State
ZIP Code	11203	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOHN SCHMITT	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	7186045532	PhoneNum
Signature	2014-11-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	STEVEN LAPSKER	PreparerPersonNm
PTIN	P00850484	PTIN
Phone	2123721000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	LINDA BRADY MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	585 SCHENECTADY AVENUE	AddressLine1
City	BROOKLYN	City
State	NY	State
ZIP Code	11203	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$182,811,079	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.KINGSBROOK.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1926	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	OUR MISSION IS TO PARTNER WITH OUR CULTURALLY DIVERSE COMMUNITIES TO PROVIDE A CONTINUUM OF OUTSTANDING HEALTH CARE SERVICES TO INDIVIDUALS AND FAMILIES THROUGH A CARING AND TRUSTWORTHY STAFF.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	2690	TotalEmployeeCnt
Total Volunteers	210	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,245,543	PYContributionsGrantsAmt
CY Contributions Grants	$4,502,772	CYContributionsGrantsAmt
PY Program Service Revenue	$193,724,883	PYProgramServiceRevenueAmt
CY Program Service Revenue	$176,268,481	CYProgramServiceRevenueAmt
PY Investment Income	$197,351	PYInvestmentIncomeAmt
CY Investment Income	$86,942	CYInvestmentIncomeAmt
PY Other Revenue	$3,519,103	PYOtherRevenueAmt
CY Other Revenue	$1,952,884	CYOtherRevenueAmt
PY Total Revenue	$201,686,880	PYTotalRevenueAmt
CY Total Revenue	$182,811,079	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$133,337,661	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$127,146,890	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$183,116	CYTotalFundraisingExpenseAmt
PY Other Expenses	$60,951,742	PYOtherExpensesAmt
CY Other Expenses	$61,511,037	CYOtherExpensesAmt
PY Total Expenses	$194,289,403	PYTotalExpensesAmt
CY Total Expenses	$188,657,927	CYTotalExpensesAmt
PY Revenues Less Expenses	$7,397,477	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$5,846,848	CYRevenuesLessExpensesAmt
Total Assets BOY	$132,899,915	TotalAssetsBOYAmt
Total Assets EOY	$125,228,842	TotalAssetsEOYAmt
Total Liabilities BOY	$101,583,573	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$97,056,494	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$31,316,342	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$28,172,348	NetAssetsOrFundBalancesEOYAmt
Mission	OUR MISSION IS TO PARTNER WITH OUR CULTURALLY DIVERSE COMMUNITIES TO PROVIDE A CONTINUUM OF OUTSTANDING HEALTH CARE SERVICES TO INDIVIDUALS AND FAMILIES THROUGH A CARING AND TRUSTWORTHY STAFF.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$163,060,891	ExpenseAmt
Revenue	$176,268,481	RevenueAmt
Desc	THE KINGSBROOK JEWISH MEDICAL CENTER ("KJMC") IS A 326-BED MULTI-SPECIALTY TEACHING HOSPITAL BASED IN BROOKLYN, NY. KJMC PROVIDES A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES, MEDICAL AND SURGICAL DIAGNOSTIC TREATMENT SERVICES, PHYSICAL MEDICINE AND REHABILITATION, GERIATRIC PSYCHIATRIC MEDICINE, AS WELL AS AN AMBULATORY SURGERY CENTER, A 24-HOUR EMERGENCY ROOM, AND OUTPATIENT GENERAL AND SPECIALTY CLINICS.	Desc
Total Program Service Expenses	$163,060,891	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	230	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2690	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JOHN SCHMITT	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	7186045532	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	585 SCHENECTADY AVENUE	AddressLine1
City	BROOKLYN	City
State	NY	State
ZIP Code	11203	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
HENNA WHITE
BOARD CHAIR	3.00	5.50	Yes (X)	Yes (X)	$0	$0	$0
LINDA BRADY MD
PRESIDENT & BOARD DIRECTOR	35.00	13.50	Yes (X)	Yes (X)	$1,213,063	$0	$66,818
SEEMA GOLDSTEIN
SECRETARY	1.50	2.00	Yes (X)	Yes (X)	$0	$0	$0
EDWARD LIEBERSTEIN
BOARD TRUSTEE	1.00	3.00	Yes (X)		$0	$0	$0
ERICA GRUEN
BOARD TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
JEFFREY DUNSTON
BOARD TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
LEIBESH NASH
BOARD TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
MICHAEL PORETSKY
BOARD TRUSTEE	2.00	1.00	Yes (X)		$0	$0	$0
ROBERT REISS
BOARD TRUSTEE	1.50	2.00	Yes (X)		$0	$0	$0
VALERIE BYNOE-KASDEN ESQ
BOARD TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
VICTOR AYALA PHD
BOARD TRUSTEE	2.00	3.00	Yes (X)		$0	$0	$0
PATRICK COONAN RN EDD
BOARD TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
GEOFFREY PATRICE MD
BOARD TRUSTEE	1.00		Yes (X)		$3,731	$0	$0
JOHN SCHMITT CPA
ASSISTANT TREASURER & CFO	35.00	13.50		Yes (X)	$376,433	$0	$66,818
MICHAEL MCDERMOTT
GENERAL COUNSEL	35.00	13.50		Yes (X)	$256,516	$0	$63,592
HAROLD MCDONALD
COO	35.00	12.00		Yes (X)	$477,313	$0	$27,637
SIBTE BURNEY MD
CHIEF MEDICAL OFFICER	40.00				$408,292	$0	$60,906	Yes (X)
KURT KODROFF
VICE PRESIDENT	40.00				$388,567	$0	$68,534	Yes (X)
ROBERT DUBICKI
SENIOR VP	40.00				$333,791	$0	$63,263	Yes (X)
JANE LEDERER
CHIEF NURSING OFFICER	40.00				$247,867	$0	$41,607	Yes (X)
WILLIAM LOIS
DIRECTOR SURGERY	40.00				$426,404	$0	$60,906		Yes (X)
MARC ROSS MD
DIR REHAB MED	40.00				$420,509	$0	$66,472		Yes (X)
MARK SMITH
PHYSICIAN	40.00				$358,987	$0	$62,286		Yes (X)
CHARLES LAWRENCE
PHYSICIAN	40.00				$314,589	$0	$56,645		Yes (X)
ARON PINKHASOV
DIR PSYCHIATRY	40.00				$304,988	$0	$61,672		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,531,050	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$767,156	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	259	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
EMPIRE GENERAL CONTRACTING
74 MAIN STREET SUITE 2	TUCKAHOE	NY	10707	CONSTRUCTION	$3,791,516
SIEMENS MEDICAL SOLUTIONS
51 VALLEY STREAM PARKWAY	MALVERN	PA	19175	EMR UPGRADE AND IT/RADIOLOGY CONSULTING	$2,592,163
JZANUS CONSULTING INC
515 HEMPSTEAD TURNPIKE	WEST HEMPSTEAD	NY	11552	INPATIENT CODING SERVICES	$1,256,814
GE MEDICAL SYSTEMS
PO BOX 96483	CHICAGO	IL	60693	BIOMEDICAL ENGINEERING COVERAGE	$1,132,225
BIK ORTHOPEDICS
234 BRIARWOOD CROSSING	LAWRENCE	NY	11559	MEDICAL SERVICES - ORTHOPEDICS	$1,122,921

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	69	CntrctRcvdGreaterThan100KCnt
Government Grants	$2,714,068	GovernmentGrantsAmt
All Other Contributions	$1,788,704	AllOtherContributionsAmt
Total Contributions	$4,502,772	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621300	$170,790,840	$170,790,840
INCENTIVE INCOME	900099	$3,066,762	$3,066,762
AFFIL INCOME - AUA MEDICAL	900099	$1,859,825	$1,859,825
AFFIL INCOME - NY DOWNTOWN	900099	$273,254	$273,254
AFFIL INCOME - ST. GEORGE U	900099	$270,850	$270,850

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,950	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,950	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$176,268,481	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,781	TotalRevenueColumnAmt
Exclusion	$6,781	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$356,968	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$356,968	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$356,968	TotalRevenueColumnAmt
Exclusion	$356,968	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$80,161	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$80,161	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$80,161	TotalRevenueColumnAmt
Exclusion	$80,161	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	MISC. INCOME	Desc
Business	900099	BusinessCd
Total Revenue Column	$1,595,916	TotalRevenueColumnAmt
Exclusion	$1,595,916	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,595,916	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$182,811,079	TotalRevenueColumnAmt
Related Or Exempt Func Income	$176,268,481	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$2,039,826	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,073,016	TotalAmt
Program Services	$3,519,086	ProgramServicesAmt
Management And General	$553,930	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$88,554,338	TotalAmt
Program Services	$76,375,643	ProgramServicesAmt
Management And General	$12,043,390	ManagementAndGeneralAmt
Fundraising	$135,305	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,582,553	TotalAmt
Program Services	$7,406,938	ProgramServicesAmt
Management And General	$1,167,227	ManagementAndGeneralAmt
Fundraising	$8,388	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$18,822,155	TotalAmt
Program Services	$16,233,516	ProgramServicesAmt
Management And General	$2,559,813	ManagementAndGeneralAmt
Fundraising	$28,826	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,114,828	TotalAmt
Program Services	$6,138,267	ProgramServicesAmt
Management And General	$967,617	ManagementAndGeneralAmt
Fundraising	$8,944	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,019,227	TotalAmt
Program Services	$2,348,959	ProgramServicesAmt
Management And General	$670,268	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$163,263	TotalAmt
Management And General	$163,263	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$302,828	TotalAmt
Program Services	$235,600	ProgramServicesAmt
Management And General	$67,228	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$12,135,410	TotalAmt
Program Services	$9,568,368	ProgramServicesAmt
Management And General	$2,567,042	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$649,557	TotalAmt
Program Services	$503,932	ProgramServicesAmt
Management And General	$143,972	ManagementAndGeneralAmt
Fundraising	$1,653	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,352,245	TotalAmt
Program Services	$2,608,047	ProgramServicesAmt
Management And General	$744,198	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$182,637	TotalAmt
Program Services	$142,092	ProgramServicesAmt
Management And General	$40,545	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$586,346	TotalAmt
Program Services	$456,177	ProgramServicesAmt
Management And General	$130,169	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$7,915,161	TotalAmt
Program Services	$6,157,995	ProgramServicesAmt
Management And General	$1,757,166	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$725,482	TotalAmt
Program Services	$564,425	ProgramServicesAmt
Management And General	$161,057	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL & PHARMACEUTICA	$16,468,426	$16,468,426
MAINT & REPAIRS	$6,056,397	$4,711,877	$1,344,520
BAD DEBT EXPENSE	$5,600,000	$5,600,000
FOOD COSTS	$2,193,510	$2,193,510

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,160,548	TotalAmt
Program Services	$1,828,033	ProgramServicesAmt
Management And General	$332,515	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$188,657,927	TotalAmt
Program Services	$163,060,891	ProgramServicesAmt
Management And General	$25,413,920	ManagementAndGeneralAmt
Fundraising	$183,116	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,691,365	BOYAmt
EOY	$167,324	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$7,893,078	BOYAmt
EOY	$5,288,578	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$26,482,335	BOYAmt
EOY	$19,754,720	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,266,717	BOYAmt
EOY	$2,837,926	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,496,486	BOYAmt
EOY	$2,501,620	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$201,180,606	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$164,085,908	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$38,186,326	BOYAmt
EOY	$37,094,698	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$620,429	BOYAmt
EOY	$620,443	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$50,263,179	BOYAmt
EOY	$56,963,533	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$132,899,915	BOYAmt
EOY	$125,228,842	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$50,845,146	BOYAmt
EOY	$46,785,493	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$232,980	BOYAmt
EOY	$177,031	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,776,220	BOYAmt
EOY	$5,268,820	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$4,054,957	BOYAmt
EOY	$5,181,815	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$39,674,270	BOYAmt
EOY	$39,643,335	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$101,583,573	BOYAmt
EOY	$97,056,494	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$31,316,342	BOYAmt
EOY	$28,172,348	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$31,316,342	BOYAmt
EOY	$28,172,348	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$132,899,915	BOYAmt
EOY	$125,228,842	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$5,846,848	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$2,702,854	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$185,150	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$117,678	OtherActivitiesAmt
Total Lobbying Expenditures	$302,828	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	OTHER ACTIVITIES DESCRIPTION: KINGSBROOK JEWISH MEDICAL CENTER PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA), THE HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS), GREATER NY HOSPITAL ASSOCIATION AND THE LEAGUE OF VOLUNTEER HOSPITALS. IN ACCORDANCE WITH SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY THE DUES RECIPIENTS, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE LOBBYING ACTIVITIES APPLICABLE TO THE 2013 ANNUAL DUES WAS $117,678. ADDITIONALLY, THE ORGANIZATION HAS CONTRACTS WITH LOBBYISTS WHO WERE ENGAGED TO LOBBY LEGISLATORS ON BEHALF OF THE ORGANIZATION REGARDING POLICIES WHICH IMPACT THE ORGANIZATION'S EXEMPT PURPOSE AND WHICH PERTAIN TO PUBLIC HEALTH CARE. DURING 2013 KINGSBROOK JEWISH MEDICAL CENTER PAID $185,150 IN CONNECTION WITH THESE SERVICES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,100,695	OtherCostOrOtherBasisAmt
Book Value	$1,100,695	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$57,110,725	OtherCostOrOtherBasisAmt
Depreciation	$38,551,627	DepreciationAmt
Book Value	$18,559,098	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$47,493,912	OtherCostOrOtherBasisAmt
Depreciation	$42,318,880	DepreciationAmt
Book Value	$5,175,032	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$95,475,274	OtherCostOrOtherBasisAmt
Depreciation	$83,215,401	DepreciationAmt
Book Value	$12,259,873	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$37,094,698	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM RELATED ORGANIZATION	$51,264,120
DEBT SERVICE RESERVE FUND	$2,446,612
RECEIVABLE - INV. IN HEALTHFIRST	$67,937
OTHER RECEIVABLES	$1,408,178
INTEREST IN KJMC FOUNDATION	$1,776,686

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$56,963,533	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
SELF INSURANCE LIABILITIES	$18,880,111
ESTIMATED THIRD PARTY SETTLEMENTS	$7,588,508
FIN 47 LIABILITY	$2,390,783
LTIP & SERP LIABILITY	$1,902,000
SECURITY DEPOSITS - OTHER	$3,173,144
ACCRUED POSTRETIREMENT BENEFIT COST	$1,577,330
ACCRUED PENSION LIABILITY	$4,131,459

Field	Value	IRS element (for citing)
Total Liability	$39,643,335	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE COMPANY IS EXEMPT FROM INCOME TAXES UNDER SECTIONS 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE"). ADDITIONALLY, THE COMPANY, AS A NONPROFIT ENTITY, IS SUBJECT TO UNRELATED BUSINESS INCOME TAX ("UBIT"), IF APPLICABLE. FOR THE TAX YEARS ENDED DECEMBER 31, 2013 AND 2012, THE COMPANY DID NOT OWE ANY UBIT. MANAGEMENT EVALUATED THE COMPANY'S TAX POSITIONS FOR ALL OPEN TAX YEARS AND HAS CONCLUDED THAT THE COMPANY HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ACCOUNTING STANDARDS CODIFICATION ("ASC") 740, ACCOUNTING FOR INCOME TAXES. GENERALLY, THE COMPANY IS SUBJECT TO U.S. FEDERAL AND STATE EXAMINATIONS BY TAX AUTHORITIES FOR FISCAL YEARS ENDED DECEMBER 31, 2010 AND THEREAFTER. PER THE REQUIREMENT TO ASSESS FOR TAX UNCERTAINTY, MANAGEMENT HAS DETERMINED THAT IT DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	0	FinancialAssistanceBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,723,494	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,612,066	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,111,428	NetCommunityBenefitExpnsAmt
Total Expense	0.01650	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$61,558,097	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,194,713	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,363,384	NetCommunityBenefitExpnsAmt
Total Expense	0.17150	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$67,281,591	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,806,779	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,474,812	NetCommunityBenefitExpnsAmt
Total Expense	0.18800	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$119,547	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,585	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$93,962	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,400,125	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,550,368	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$849,757	NetCommunityBenefitExpnsAmt
Total Expense	0.00450	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,403,100	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,920,768	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,482,332	NetCommunityBenefitExpnsAmt
Total Expense	0.04500	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,922,772	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,496,721	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,426,051	NetCommunityBenefitExpnsAmt
Total Expense	0.05000	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$95,204,363	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$50,303,500	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,900,863	NetCommunityBenefitExpnsAmt
Total Expense	0.23800	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,600,000	BadDebtExpenseAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KINGSBROOK JEWISH MEDICAL CENTER	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	585 SCHENECTADY AVENUE	AddressLine1
City	BROOKLYN	City
State	NY	State
ZIP Code	11203	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.KINGSBROOK.ORG	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	KINGSBROOK JEWISH MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.KINGSBROOK.ORG	OwnWebsiteURLTxt
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	Yes (1)	AllNeedsAddressedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (1)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (1)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Provided On Admission	Yes (X)	ProvidedOnAdmissionInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
KINGSBROOK JEWISH MEDICAL CENTER	PART V, SECTION B, LINE 3: NEED INFO
KINGSBROOK JEWISH MEDICAL CENTER	PART V, SECTION B, LINE 4: NEED INFO IF APPLICABLE
KINGSBROOK JEWISH MEDICAL CENTER	PART V, SECTION B, LINE 10: CRITERIA USED TO DETERMINE ELIGIBILITY FOR PROVIDING FREE CARE:DESPITE THE CURRENT ECONOMIC CHALLENGES AND THE NUMEROUS CLOSINGS OF AFFILIATED HEALTH CARE CENTERS, KINGSBROOK REMAINS FLEXIBLE, ESPECIALLY AS IT PERTAINS TO DOCUMENTATION REQUESTS FOR CHARITY CARE ELIGIBILITY. KINGSBROOK'S FINANCIAL ASSISTANCE PROGRAM EVALUATES THOSE WHO ARE UNDERINSURED, HAVE EXHAUSTED THEIR INSURANCE BENEFITS OR ARE FULLY UNINSURED. KINGSBROOK JEWISH MEDICAL CENTER'S FINANCIAL ASSISTANCE PROGRAM IS BASED UPON UP TO 300% OF THE MARCH 2012 DEPARTMENT OF HEALTH AND HUMAN SERVICES FEDERAL POVERTY GUIDELINES CURRENT. CURRENT CLINIC PATIENTS WITHOUT ADEQUATE FINANCIAL RESOURCES CAN RECEIVE CARE IN OUR PRIMARY/SPECIALTY CLINICS FOR FEE SCHEDULES BASED UPON THEIR INCOME AND FAMILY SIZE. A DETERMINATION WILL BE MADE IF THE PATIENT IS ELIGIBLE FOR REDUCED FEES.
KINGSBROOK JEWISH MEDICAL CENTER	PART V, SECTION B, LINE 11: CRITERIA USED TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE: KINGSBROOK JEWISH MEDICAL CENTER HAS IMPLEMENTED A FINANCIAL ASSISTANCE PROGRAM WHICH EVALUATES THOSE WHO ARE UNDERINSURED, HAVE EXHAUSTED THEIR INSURANCE BENEFITS OR ARE FULLY UNINSURED. CURRENT CLINIC PATIENTS WITHOUT ADEQUATE FINANCIAL RESOURCES CAN RECEIVE CARE IN OUR PRIMARY / SPECIALTY CLINICS FOR FEE SCHEDULES BASED ON THEIR INCOME AND FAMILY SIZE. A DETERMINATION WILL BE MADE IF THE PATIENT IS ELIGIBLE FOR REDUCED FEES. NON-CLINIC PATIENTS SEEN IN THE EMERGENCY DEPARTMENT, INPATIENT, OR FOR OUTPATIENT SERVICES CAN APPLY FOR ASSISTANCE, BASED ON FINANCIAL NEED, THROUGH THE FINANCIAL ASSISTANCE PROCESS IN PATIENT ACCOUNTS, PATIENT ACCESS SERVICES/FINANCIAL COUNSELING OR AMBULATORY CARE.EVERYONE IN NEW YORK STATE WHO NEEDS EMERGENCY SERVICES CAN RECEIVE CARE AND GET A DISCOUNT IF THEY MEET THE INCOME LIMITS. ANY INDIVIDUALS RESIDING IN KINGSBROOK JEWISH MEDICAL CENTER'S PRIMARY SERVICE AREA, WHICH IS DEFINED AS: EAST FLATBUSH, FLATBUSH, CANARSIE, FLATLANDS, BEDFORD-STUYVESANT, CROWN HEIGHTS AND/OR EAST NEW YORK (ZIP CODES 11203, 11236, 11213, 11226, 11212, 11208, 11207, 11225, 11216), CAN GET A DISCOUNT ON NON-EMERGENCY, MEDICALLY NECESSARY SERVICES AT KINGSBROOK JEWISH MEDICAL CENTER IF THEY MEET THE INCOME LIMITS. KINGSBROOK JEWISH MEDICAL CENTER WILL NEVER DENY MEDICALLY NECESSARY CARE BECAUSE YOU MAY NEED FINANCIAL ASSISTANCE. YOU MAY APPLY FOR A DISCOUNT REGARDLESS OF YOUR IMMIGRATION STATUS.THE AMOUNT OF THE DISCOUNT VARIES BASED ON YOUR INCOME AND THE SIZE OF YOUR FAMILY. KINGSBROOK JEWISH MEDICAL CENTER'S FINANCIAL ASSISTANCE PROGRAM IS BASED UPON UP TO 300% OF THE JANUARY 2012 DEPARTMENT OF HEALTH AND HUMAN SERVICES FEDERAL POVERTY GUIDELINES.
KINGSBROOK JEWISH MEDICAL CENTER	PART V, SECTION B, LINE 14G: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:IT IS THE POLICY OF KINGSBROOK JEWISH MEDICAL CENTER TO PROVIDE COMPREHENSIVE QUALITY HEALTH CARE AND MEDICALLY ESSENTIAL SERVICES WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY OR THEIR IMMIGRATION STATUS. KINGSBROOK JEWISH MEDICAL CENTER RECOGNIZES THAT THERE ARE TIMES WHEN PATIENTS IN NEED OF MEDICAL CARE MAY HAVE DIFFICULTY PAYING FOR THE SERVICES PROVIDED. KINGSBROOK JEWISH MEDICAL CENTERS FINANCIAL ASSISTANCE PROGRAM PROVIDES DISCOUNTS TO QUALIFYING INDIVIDUALS BASED ON YOUR INCOME. IN ADDITION, WE CAN HELP YOU APPLY FOR FREE OR LOW-COST INSURANCE IF YOU QUALIFY. PLEASE CONTACT OUR FINANCIAL COUNSELORS AT (718) 604-5499 OR GO TO THE ADMISSIONS DEPARTMENT (PATIENT ACCESS SERVICES DEPARTMENT), LOCATED IN THE KATZ BUILDING, FIRST FLOOR FOR FREE, CONFIDENTIAL ASSISTANCE.KINGSBROOK JEWISH MEDICAL CENTER HAS IMPLEMENTED A FINANCIAL ASSISTANCE PROGRAM WHICH EVALUATES THOSE WHO ARE UNDERINSURED, HAVE EXHAUSTED THEIR INSURANCE BENEFITS OR ARE FULLY UNINSURED. CURRENT CLINIC PATIENTS WITHOUT ADEQUATE FINANCIAL RESOURCES CAN RECEIVE CARE IN OUR PRIMARY / SPECIALTY CLINICS FOR FEE SCHEDULES BASED ON THEIR INCOME AND FAMILY SIZE. A DETERMINATION WILL BE MADE IF THE PATIENT IS ELIGIBLE FOR REDUCED FEES. NON-CLINIC PATIENTS SEEN IN THE EMERGENCY DEPARTMENT, INPATIENT, OR FOR OUTPATIENT SERVICES CAN APPLY FOR ASSISTANCE, BASED ON FINANCIAL NEED, THROUGH THE FINANCIAL ASSISTANCE PROCESS IN PATIENT ACCOUNTS, PATIENT ACCESS SERVICES/FINANCIAL COUNSELING OR AMBULATORY CARE.EVERYONE IN NEW YORK STATE WHO NEEDS EMERGENCY SERVICES CAN RECEIVE CARE AND GET A DISCOUNT IF THEY MEET THE INCOME LIMITS. ANY INDIVIDUALS RESIDING IN KINGSBROOK JEWISH MEDICAL CENTERS PRIMARY SERVICE AREA, WHICH IS DEFINED AS: EAST FLATBUSH, FLATBUSH, CANARSIE, FLATLANDS, BEDFORD-STUYVESANT, CROWN HEIGHTS AND/OR EAST NEW YORK (ZIP CODES 11203, 11236, 11213, 11226, 11212, 11208, 11207, 11225, 11216), CAN GET A DISCOUNT ON NON-EMERGENCY, MEDICALLY NECESSARY SERVICES AT KINGSBROOK JEWISH MEDICAL CENTER IF THEY MEET THE INCOME LIMITS. KINGSBROOK JEWISH MEDICAL CENTER WILL NEVER DENY MEDICALLY NECESSARY CARE BECAUSE YOU MAY NEED FINANCIAL ASSISTANCE. YOU MAY APPLY FOR A DISCOUNT REGARDLESS OF YOUR IMMIGRATION STATUS.

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	NOT APPLICABLE
PART I, LN 7 COL(F):	KINGSBROOK JEWISH MEDICAL CENTER'S COSTING METHODOLOGY WAS BASED UPON THE 2012 NEW YORK STATE INSTITUTIONAL COST REPORT AND THE 2012 (FORM 2552)COST REPORT. THESE COST REPORTS ARE FILED WITH THE NEW YORK STATE DEPARTMENT OF HEALTH AND THE APPLICABLE CMS INTERMEDIARY, RESPECTIVELY. THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT COST-TO-CHARGE, WAS USED FOR THE VARIOUS SUB-LINE ITEMS OF LINE 7.
PART III, LINE 4:	EXPLANATION OF FINANCIAL STATEMENT FOOTNOTES THAT DESCRIBES BAD DEBT EXPENSE:NET PATIENT AND RESIDENT SERVICE REVENUE, ACCOUNTS RECEIVABLE AND ALLOWANCE FOR DOUBTFUL ACCOUNTSKINGSBROOK JEWISH MEDICAL CENTER HAS AGREEMENTS WITH THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO THE MEDICAL CENTER AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES (I.E., GROSS CHARGES). PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COSTS, DISCOUNTED CHARGES, AND PER DIEM PAYMENTS.BILLINGS RELATING TO SERVICES RENDERED ARE RECORDED AS NET PATIENT SERVICE REVENUES IN THE PERIOD IN WHICH THE SERVICE IS PERFORMED, NET OF CONTRACTUAL AND OTHER ALLOWANCES WHICH REPRESENT DIFFERENCES BETWEEN GROSS CHARGES AND THE ESTIMATED RECEIPTS UNDER SUCH PROGRAMS. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED.ACCOUNTS RECEIVABLE ARE ALSO REDUCED FOR ALLOWANCES FOR DOUBTFUL ACCOUNTS. THE PROCESS FOR ESTIMATING THE ULTIMATE COLLECTION OF RECEIVABLES INVOLVES SIGNIFICANT ASSUMPTIONS AND JUDGMENTS. ACCOUNT BALANCES ARE WRITTEN OFF AGAINST THE ALLOWANCE WHEN MANAGEMENT DETERMINES IT IS PROBABLE THE RECEIVABLE WILL NOT BE RECOVERED. HISTORICAL COLLECTION AND PAYOR REIMBURSEMENT EXPERIENCE IS AN INTEGRAL PART OF THE ESTIMATION PROCESS RELATED TO RESERVES FOR UNCOLLECTIBLE ACCOUNTS. REVISIONS IN RESERVE FOR DOUBTFUL ACCOUNTS ESTIMATES ARE RECORDED AS AN ADJUSTMENT TO THE PROVISION FOR BAD DEBTS.FEDERAL AND STATE LAW REQUIRES THAT HOSPITALS PROVIDE EMERGENCY SERVICES REGARDLESS OF A PATIENT'S ABILITY TO PAY. UNINSURED PATIENTS SEEN IN THE EMERGENCY DEPARTMENT, INCLUDING PATIENTS SUBSEQUENTLY ADMITTED FOR INPATIENT SERVICES, OFTEN DO NOT PROVIDE INFORMATION NECESSARY TO ALLOW THE MEDICAL CENTER TO QUALIFY SUCH PATIENTS FOR CHARITY CARE. UNCOLLECTIBLE AMOUNTS DUE FROM SUCH UNINSURED PATIENTS REPRESENT THE SUBSTANTIAL PORTION OF THE PROVISION FOR BAD DEBTS REFLECTED IN THE ACCOMPANYING COMBINED STATEMENTS OF OPERATIONS. THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED.A SUMMARY OF THE PAYMENT ARRANGEMENTS WITH MAJOR THIRD-PARTY PAYORS IS AS FOLLOWS:- MEDICARE: INPATIENT ACUTE CARE AND CERTAIN NONACUTE CARE SERVICES AND OUTPATIENT SERVICES RENDERED TO MEDICARE PROGRAM BENEFICIARIES ARE PAID AT PROSPECTIVELY DETERMINED RATES. THESE RATES VARY ACCORDING TO A PATIENT CLASSIFICATION SYSTEM THAT IS BASED ON CLINICAL, DIAGNOSTIC, AND OTHER FACTORS. CERTAIN INPATIENT NONACUTE SERVICES AND DEFINED MEDICAL EDUCATION COSTS RELATED TO MEDICARE BENEFICIARIES ARE PAID BASED ON A COST REIMBURSEMENT METHODOLOGY. THE COMPANY IS REIMBURSED FOR COST REIMBURSABLE ITEMS AT A TENTATIVE RATE WITH FINAL SETTLEMENT DETERMINED AFTER SUBMISSION OF ANNUAL COST REPORTS AND AUDITS THEREOF BY THE MEDICARE FISCAL INTERMEDIARY.- NON-MEDICARE PAYMENTS: THE NEW YORK HEALTH CARE REFORM ACT OF 1996, AS UPDATED, GOVERNS PAYMENTS TO HOSPITALS IN NEW YORK STATE. UNDER THIS SYSTEM, HOSPITALS AND ALL NON-MEDICARE PAYORS, EXCEPT MEDICAID, WORKERS' COMPENSATION AND NO-FAULT INSURANCE PROGRAMS, NEGOTIATE HOSPITALS' PAYMENT RATES. IF NEGOTIATED RATES ARE NOT ESTABLISHED, PAYORS ARE BILLED AT HOSPITALS' ESTABLISHED CHARGES. MEDICAID, WORKERS' COMPENSATION AND NO-FAULT PAYORS PAY HOSPITAL RATES PROMULGATED BY THE NEW YORK STATE DEPARTMENT OF HEALTH ON A PROSPECTIVE BASIS. ADJUSTMENTS TO CURRENT AND PRIOR YEARS' RATES FOR THESE PAYORS WILL CONTINUE TO BE MADE IN THE FUTURE.THERE ARE VARIOUS PROPOSALS AT THE FEDERAL AND STATE LEVELS THAT COULD, AMONG OTHER THINGS, REDUCE PAYMENT RATES AND INCREASE MANAGED CARE PENETRATION, INCLUDING MEDICAID. THE ULTIMATE OUTCOME OF THESE PROPOSALS AND OTHER MARKET CHANGES CANNOT PRESENTLY BE DETERMINED.REVENUE FROM THE MEDICARE AND MEDICAID PROGRAMS ACCOUNTED FOR APPROXIMATELY 36% AND 37% OF THE MEDICAL CENTER'S GROSS PATIENT SERVICE REVENUE FOR THE YEAR ENDED DECEMBER 31, 2012.THE MEDICAL CENTER'S COST REPORT HAS BEEN AUDITED AND FINALIZED BY THE MEDICARE FISCAL INTERMEDIARY THROUGH DECEMBER 31, 2007.THE CURRENT MEDICAID, MEDICARE AND OTHER THIRD-PARTY PAYOR PROGRAMS ARE BASED UPON EXTREMELY COMPLEX LAWS AND REGULATIONS THAT ARE SUBJECT TO INTERPRETATION. AS A RESULT, THERE IS AT LEAST A REASONABLE POSSIBILITYTHAT RECORDED ESTIMATES WILL CHANGE BY A MATERIAL AMOUNT IN THE NEAR TERM. ADDITIONALLY, NONCOMPLIANCE WITH SUCH LAWS AND REGULATIONS COULD RESULT IN REPAYMENT OF AMOUNTS IMPROPERLY REIMBURSED, FINES, PENALTIES AND EXCLUSION FROM SUCH PROGRAMS. KINGSBROOK JEWISH MEDICAL CENTER IS NOT AWARE OF ANY ALLEGATIONS OF NONCOMPLIANCE THAT COULD HAVE A MATERIAL ADVERSE EFFECT ON THE FINANCIAL STATEMENTS AND BELIEVES THAT IT IS IN COMPLIANCE, IN ALL MATERIAL RESPECTS, WITH ALL APPLICABLE LAWS AND REGULATIONS AND IS NOT AWARE OF ANY PENDING OR THREATENED INVESTIGATIONS INVOLVING ALLEGATIONS OF POTENTIAL WRONGDOING.SIMILAR TO MOST HEALTHCARE ORGANIZATIONS, THE COMPANY GRANTS CREDIT WITHOUT COLLATERAL TO ITS PATIENTS, MOST OF WHOM ARE RESIDENTS OF BROOKLYN AND ARE INSURED UNDER THIRD-PARTY PAYOR AGREEMENTS. 2012 PROVISION FOR BAD DEBTS FOR KINGSBROOK JEWISH MEDICAL CENTER 5,609,000 (ROUNDED TO NEAREST THOUSAND)
PART III, LINE 8:	COSTING METHODOLOGY:THE AMOUNT REPORTED ON LINE 7 WAS DERIVED BY USING THE MEDICARE ALLOWABLE COSTS AS REPORTED ON THE HOSPITAL'S NEW YORK STATE INSTITUTIONAL COST REPORT AND THE APPLICABLE ADJUSTMENT FROM WORKSHEET B.
PART III, LINE 9B:	PROVISION ON COLLECTION PRACTICES FOR QUALIFIED PATIENTSPOLICY:IT IS THE POLICY OF KINGSBROOK JEWISH MEDICAL CENTER TO PROVIDE COMPREHENSIVE QUALITY HEALTH CARE AND MEDICALLY ESSENTIAL SERVICES WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY. KINGSBROOK JEWISH MEDICAL CENTER HAS IMPLEMENTED A FINANCIAL ASSISTANCE PROGRAM WHICH EVALUATES THOSE WHO ARE UNDERINSURED, HAVE EXHAUSTED THEIR INSURANCE BENEFITS OR ARE FULLY UNINSURED. CURRENT CLINIC PATIENTS WITHOUT ADEQUATE FINANCIAL RESOURCES CAN RECEIVE CARE IN OUR PRIMARY / SPECIALTY CLINICS FOR FEE SCHEDULES BASED ON THEIR INCOME AND FAMILY SIZE. A DETERMINATION WILL BE MADE IF THE PATIENT IS ELIGIBLE FOR REDUCED FEES. NON-CLINIC PATIENTS SEEN IN THE EMERGENCY DEPARTMENT, INPATIENT, OR FOR OUTPATIENT SERVICES CAN APPLY FOR ASSISTANCE, BASED ON FINANCIAL NEED, THROUGH THE FINANCIAL ASSISTANCE PROCESS IN PATIENT ACCOUNTS, PATIENT ACCESS SERVICES/FINANCIAL COUNSELING OR AMBULATORY CARE.PROCEDURE:ESTABLISHED CLINIC PATIENT- THE FINANCIAL ASSISTANCE FEE SCHEDULE MUST BE USED TO ESTABLISH A FEE SCALE FOR NEW CLINIC PATIENTS WHO HAVE NO APPLICABLE INSURANCE COVERAGE.- PATIENTS ARE INFORMED, AT THE TIME OF SCHEDULING, TO BRING THE FOLLOWING DOCUMENTATION, AS AVAILABLE OR APPLICABLE, TO THEIR FIRST VISIT IN ORDER TO BE ASSIGNED A FEE SCALE:- PICTURE IDENTIFICATION- PROOF OF ADDRESS (LETTER/BILL MAILED TO THE PATIENT AT THEIR ADDRESS)- INCOME TAX 1040 (TO VERIFY DEPENDENTS)- PROOF OF INCOME- 4 MOST RECENT PAY STUBS (OR)- A LETTER FROM THE PATIENT'S EMPLOYER (OR)- A STATEMENT FROM THE PATIENT STATING INCOME (OR)- IF THE PATIENT DOES NOT WORK, A LETTER FROM THE PERSON SUPPORTING THEM- THE HIGHEST INCOME LEVEL ON THE FINANCIAL ASSISTANCE FEE SCHEDULE IS 300% OF THE FEDERAL POVERTY LEVEL.- WHEN AN EXISTING CLINIC PATIENT PRESENTS FOR THEIR FIRST VISIT UNDER THIS POLICY, THE REGISTRAR WILL FEE SCALE THE PATIENT USING THE FINANCIAL ASSISTANCE FEE SCHEDULE AND INPUT "CHC" AS THE REGISTRATION FINANCIAL CLASS AND COMMENT IN GNE NOTES.- ALL FEE SCALES FOR CLINIC PATIENTS MUST BE RE-EVALUATED ANNUALLY USING THE FINANCIAL ASSISTANCE FEE SCHEDULE.- A FEE SCALE APPROVAL IS GOOD FOR 1 YEAR FROM THE DATE OF APPLICATION AND MUST BE NOTED AS SUCH IN THE INSURANCE COMMENTS BY THE APPROVING CLINIC REGISTRAR.- MOST ANCILLARY TESTING RELATED TO A CLINIC VISIT IS INCLUDED IN THE KJMC FINANCIAL ASSISTANCE PROGRAM. EXCLUSIONS ARE PET SCANS, MRI'S, CT SCANS AND ULTRASOUNDS.- ALL ANCILLARY TESTING RELATED TO A CLINIC VISIT, PERFORMED ON THE SAME DAY AS THE CLINIC VISIT, MUST BE PUT ON THE CLINIC ACCOUNT.- ALL ANCILLARY TESTING DONE ON A DAY BESIDES THE CLINIC VISIT, THE REGISTRAR WILL PERFORM A DISTINCT P/A REGISTRATION AND ASSIGN THE "CHC" FINANCIAL CLASS AND ADD IN GNE NOTES THE DATE OF THE RELATED CLINIC VISIT. CLINIC PATIENTS (WITH ESTABLISHED FEE SCALES) SCHEDULED FOR AMBULATORY SURGERY PROCEDURES - WHEN A CLINIC PATIENT, WHO IS ALREADY QUALIFIED FOR FINANCIAL ASSISTANCE, SCHEDULES AN AMBULATORY SURGERY PROCEDURE THE PATIENT IS RESPONSIBLE FOR A PERCENTAGE OF THE ESTIMATED SELF-PAY/MEDICAID RATE. THE RATES ARE AS FOLLOWS:- ALL AMBULATORY SURGICAL PROCEDURES = $2,500.00- COLONOSCOPY, ENDOSCOPY, BRONCHOSCOPY = $1,000.00 - THE PERCENTAGE OF THE MEDICAID RATE THE PATIENT WILL BE RESPONSIBLE FOR IS DETERMINED BY THE PATIENT'S FAMILY SIZE AND TOTAL FAMILY INCOME.- EXISTING CLINIC PATIENTS, WHO ARE ALREADY QUALIFIED FOR FINANCIAL ASSISTANCE AND WHOSE INCOME AND FAMILY SIZE ARE ABOVE 300% OF THE POVERTY LEVEL WILL BE RESPONSIBLE FOR THE HIGHEST PERCENTAGE (35%) OF THE SELF-PAY/MEDICAID RATE.- THE CLINIC STAFF ARRANGING THE AMBULATORY SURGERY PROCEDURE WILL FILL OUT A RESPONSIBILITY CONTRACT AND INDICATE THE QUALIFIED LEVEL OF FINANCIAL ASSISTANCE THE PATIENT IS ELIGIBLE FOR AND FORWARD A COPY TO PATIENT ACCESS SERVICES. THE ORIGINAL FORM WILL BE KEPT ON FILE IN THE ORIGINATING CLINIC.- AT THE TIME OF PRE-REGISTRATION OR REGISTRATION FOR THE PROCEDURE, THE PATIENT ACCESS SCHEDULED IV STAFF WILL CONFIRM THE PATIENT'S CHARITY CARE STATUS AS A REGISTERED CLINIC PATIENT WITH A CURRENT VALID FINANCIAL ASSISTANCE PROGRAM APPROVAL.- THE PATIENT WILL BE REGISTERED WITH THE "CHC" FINANCIAL CLASS AND THE APPROPRIATE PAYMENT AMOUNT COLLECTED AT THE TIME OF SERVICE.- IF THERE IS NO RESPONSIBILITY CONTRACT ON FILE, THE PRE-REGISTRATION/REGISTRATION STAFF WILL REFER THE PATIENT TO PATIENT ACCESS FINANCIAL COUNSELING FOR A FINANCIAL ASSISTANCE ELIGIBILITY SCREEN.- THE PATIENT ACCESS FINANCIAL COUNSELING STAFF WILL REVIEW AND ENTER THEIR COMMENTS IN THE GNE NOTES. - IF QUALIFIED, THE STAFF WILL REGISTER THAT PATIENT WITH FINANCIAL CLASS "CHC" AND NOTE THE SAME IN GNE. - THE REGISTRATION STAFF WILL ASK THE PATIENT FOR THE REDUCED PAYMENT AMOUNT AT THE TIME OF THE PROCEDURE/PST.- WHEN THE PATIENT HAS BEEN REGISTERED, THE REGISTRATION STAFF WILL FORWARD A COPY OF THE REGISTRATION FACE SHEET TO THE RESPECTIVE INPATIENT OR OUTPATIENT PATIENT FINANCIAL SERVICES MANAGER, WITH A COPY TO THE DIRECTOR OF PATIENT FINANCIAL SERVICES.- WHEN THE PROCEDURE HAS BEEN CODED, PATIENT ACCOUNTS WILL CONFIRM THE ALLOWANCE ON THE ACCOUNT TO THE PERCENTAGE OF THE MEDICAID RATE APPROVED.- THE BILL WILL GO OUT TO THE PATIENT AT THE REDUCED RATE.
PART VI, LINE 2:	DESCRIPTION OF HOW KINGSBROOK JEWISH MEDICAL CENTER ASSESSESS THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES:AS IN PRIOR YEARS, KINGSBROOK JEWISH MEDICAL CENTER (KINGSBROOK) DID A REVIEW OF ITS PATIENT DATABASE AND DETERMINED THAT TO BEST MEET THE NEEDS OF ITS COMMUNITY, THE HOSPITAL WOULD CONTINUE TO FOCUS ON THE AREAS WHERE THE MAJORITY OF THE PATIENTS RESIDE. AS SUCH, THE IMMEDIATE CATCHMENT AREA OF THE HOSPITAL CONTINUED TO CONSIST OF THE FOLLOWING NEIGHBORHOODS OF BROOKLYN CROWN HEIGHTS (11213), BROWNSVILLE (11212), FLATBUSH (11203) AND CANARSIE (11236). THIS AFFIRMATION OF THE CATCHMENT AREA WAS DONE IN CONSULTATION WITH THE KJMC COMMUNITY ADVISORY BOARD AS WELL AS THE HEALTH ASSESSMENT NEEDS REPORT DEVELOPED BY COMMUNITY BOARDS 9 AND 17 (BROOKLYN).ONCE ITS CATCHMENT AREA WAS DETERMINED, KINGSBROOK REVIEWED THE LATEST HEALTH, SOCIOECONOMIC AND SOCIO-DEMOGRAPHIC INFORMATION FROM THE 2010 CENSUS. THAT INFORMATION, ALONG WITH REPORTS PRODUCED BY THE NEW YORK STATE DEPARTMENT OF HEALTH ("NYS DOH") AND THE NEW YORK CITY DEPARTMENT OF HEALTH ("NYC DOH") SUCH AS THE COUNTY HEALTH RANKINGS FOR KINGS COUNTY 2013, ALLOWED KINGSBROOK TO IDENTIFY KEY AREAS ON WHICH TO FOCUS. THE RESULT OF THIS ASSESSMENT GAVE US THE FOLLOWING STATISTICAL INFORMATION: 1. 11% OF OUR COMMUNITY MEMBERS LIVE WITH DIABETES2. IN OUR CATCHMENT AREA OF CENTRAL BROOKLYN, 35% OF HIV DIAGNOSES ARE LATE STAGE3. 32% OF THE RESIDENTS IN OUR CATCHMENT AREA HAVE BEEN DIAGNOSED WITH HIGH BLOOD PRESSURE4. 26% OF THE RESIDENTS IN OUR CATCHMENT AREA HAVE BEEN DIAGNOSED WITH HIGH CHOLESTEROLBASED UPON THESE FACTS, KINGSBROOK WORKED WITH THE FOLLOWING GROUPS TO BEST DETERMINE THE NEEDS OF OUR COMMUNITY1. CARIBBEAN WOMEN'S HEALTH ASSOCIATION, INC. (CWHA) THIS ASSOCIATION WAS FOUNDED IN 1982. FOR OVER TWENTY YEARS CWHA HAS SERVED AS AN ADVOCACY GROUP AND SERVICE PROVIDER IN THE COMMUNITY. CWHA STRONGLY RELIES ON COMMUNITY INVOLVEMENT IN PLANNING, IMPLEMENTATION AND EVALUATION OF PROGRAMS THAT MEET THE HEALTH AND SOCIAL SUPPORT NEEDS OF THE COMMUNITY. THERE IS CONTINUOUS INTERACTION WITH THE COMMUNITY TO REVIEW THE APPROPRIATENESS OF THE EDUCATIONAL AND PROMOTIONAL MATERIALS PRODUCED BY CWHA. CWHA IS ACCREDITED BY THE UNITED NATIONS ECONOMIC AND SOCIAL COUNCIL. THE AGENCY'S EXCELLENCE IN SERVICE DELIVERY IS WIDELY ACCLAIMED AND RECOGNIZED FOR THE QUALITY, BREADTH AND IMPACT OF ITS WORK. THIS ORGANIZATION IS LOCATED IN KINGSBROOK'S PRIMARY SERVICE AREA. 2. BROOKLYN PERINATAL NETWORK (BPN) ESTABLISHED IN 1988 FROM A COMMUNITY TASK FORCE TO ADDRESS HIGH INFANT MORTALITY, THE PURPOSE OF THE ORGANIZATION IS TO PREVENT AND REDUCE INFANT/MATERNAL ILLNESS AND DEATH, WHICH FOR SEVERAL YEARS HAVE BEEN EXCESSIVELY HIGH IN THE COMMUNITY. BY ENABLING AT-RISK RESIDENTS TO ACCESS VITAL INFORMATION, COORDINATE CARE, SUPPORTIVE HEALTH AND SOCIAL SUPPORTIVE SERVICES AND ASSISTING FAMILIES TO SECURE PUBLIC HEALTH BENEFITS AND RESOURCES NEEDED TO MAINTAIN HEALTH. THE ORGANIZATION HAS SEEN A SIGNIFICANT REDUCTION IN INFANT DEATH AND IMPROVED MATERNAL AND CHILD HEALTH STATUS. BPN IS A NETWORK OR COLLABORATIVE OF SEVERAL COMMUNITY ORGANIZATIONS THAT PROVIDE MEDICAL CARE, OFFERING A WIDE RANGE OF PRIMARY PREVENTATIVE AN CLINICAL SERVICES INCLUDING PREGNANCY, OB/GYN CARE, PEDIATRIC, ADOLESCENT HEALTH CARE, GENERAL FAMILY PRACTICE AND ADULT MEDICINE; AS WELL AS SPECIALTY CARE IN AREAS SUCH AS MENTAL HEALTH, FAMILY PLANNING, SUBSTANCE ABUSE TREATMENT AND COUNSELING, HIV/AIDS CARE AND MORE. THIS ORGANIZATION IS LOCATED IN KINGSBROOK'S PRIMARY SERVICE AREA. 3. BROWNSVILLE MULTI SERVICE CENTER (BMS) A COMMITMENT TO TREATING THE "WHOLE PERSON" IS REFLECTED IN BMS' "INTEGRATED PRIMARY CARE COMMUNITY BASED HEALTH SERVICE MATRIX;" A MODEL OF PRIMARY CARE THAT IS PATTERNED ON A PROGRESSIVE PRIVATE PRACTICE. EACH MEDICAL TEAM TAKES AN INTERDISCIPLINARY AND INTEGRATIVE APPROACH TO COORDINATE THE PATIENT'S CARE. THE ON-SITE CLINICAL AREAS INCLUDE: ADULT INTERNAL MEDICINE, INFECTIOUS DISEASE, PEDIATRICS, OB/GYN, DENTISTRY, PSYCHOLOGY, PSYCHIATRY, SOCIAL SERVICES. THIS ORGANIZATION IS LOCATED IN KINGSBROOK'S PRIMARY SERVICE AREA. ON A WEEKLY BASIS, KINGSBROOK STAFFS AN HOURLY PULMONARY/ASTHMA CLINIC WITH ONE OF OUR STAFF PHYSICIANS.4. BROOKLYN DISTRICT PUBLIC HEALTH OFFICE (DPHO), NYC DOH THE MISSION OF THIS OFFICE IS TO REDUCE HEALTH DISPARITIES AND PROMOTE HEALTHY EQUITY BY TARGETING RESOURCES, PROGRAMS AND ATTENTION TO HIGH-NEED NEIGHBORHOODS IN NORTH AND CENTRAL BROOKLYN. 5. BROOKLYN HEALTHCARE IMPROVEMENT PROJECT (BHIP) SINCE 2009, KINGSBROOK HAS PARTNERED WITH SUNY DOWNSTATE AND SEVERAL OTHER REGIONAL MEDICAL FACILITIES TO FORM A COALITION OF 29 MEMBERS FOCUSED ON LOCAL HEALTH PLANNING INITIATIVES. MEMBERS RANGE FROM HOSPITALS AND COMMUNITY BOARDS TO COMMUNITY-BASED ORGANIZATIONS AND HEALTH INSURANCE PLANS. THIS FORUM FOCUSES ON THE CREATION OF A UNIQUE AND CURRENTLY UNAVAILABLE INVENTORY OF PRIMARY CARE SERVICES PROVIDERS AND A UTILIZATION DATABASE FOR CENTRAL BROOKLYN. THIS PROJECT SUPPORTS EFFECTIVE COMMUNITY LEVEL PLANNING AND WILL PROVIDE THE COALITION WITH THE NECESSARY INFORMATION TO MAKE RECOMMENDATIONS TO THE NEW YORK STATE DOH ON THE SERVICES NEEDED IN OUR COMMUNITIES.WORKING IN CONJUNCTION WITH THE NYS DOH AND THE AFOREMENTIONED GROUPS, KINGSBROOK HAS FOCUSED ITS RESOURCES ON TWO MAIN AREAS. FIRST, IS TO WORK ON THE PREVENTION OF CHRONIC DISEASE BY INCREASING THE ACCESS TO HIGH QUALITY CHRONIC DISEASE PREVENTION CARE AND MANAGEMENT IN BOTH CLINICAL AND COMMUNITY SETTINGS. THIS IS DONE THROUGH THE HOSPITAL'S CLINICS. SECOND IS THE PREVENTION OF INFECTIOUS DISEASE AND THE CONTINUING CARE OF CURRENTLY INFECTED HIV PATIENTS. THIS IS BEING DONE TO HELP DECREASE HIV MORBIDITY AND INCREASE EARLY ACCESS TO AND RETENTION OF HIV CARE THROUGH OUR DESIGNATED AIDS CENTS (DAC).
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:IT IS THE POLICY OF KINGSBROOK JEWISH MEDICAL CENTER TO PROVIDE COMPREHENSIVE QUALITY HEALTH CARE AND MEDICALLY ESSENTIAL SERVICES WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY OR THEIR IMMIGRATION STATUS. KINGSBROOK JEWISH MEDICAL CENTER RECOGNIZES THAT THERE ARE TIMES WHEN PATIENTS IN NEED OF MEDICAL CARE MAY HAVE DIFFICULTY PAYING FOR THE SERVICES PROVIDED. KINGSBROOK JEWISH MEDICAL CENTER'S FINANCIAL ASSISTANCE PROGRAM PROVIDES DISCOUNTS TO QUALIFYING INDIVIDUALS BASED ON YOUR INCOME. IN ADDITION, WE CAN HELP YOU APPLY FOR FREE OR LOW-COST INSURANCE IF YOU QUALIFY. PLEASE CONTACT OUR FINANCIAL COUNSELOR'S AT (718) 604-5499 OR GO TO THE ADMISSIONS DEPARTMENT (PATIENT ACCESS SERVICES DEPARTMENT), LOCATED IN THE KATZ BUILDING, FIRST FLOOR FOR FREE, CONFIDENTIAL ASSISTANCE.WHO QUALIFIES FOR A DISCOUNT?KINGSBROOK JEWISH MEDICAL CENTER HAS IMPLEMENTED A FINANCIAL ASSISTANCE PROGRAM WHICH EVALUATES THOSE WHO ARE UNDERINSURED, HAVE EXHAUSTED THEIR INSURANCE BENEFITS OR ARE FULLY UNINSURED. CURRENT CLINIC PATIENTS WITHOUT ADEQUATE FINANCIAL RESOURCES CAN RECEIVE CARE IN OUR PRIMARY / SPECIALTY CLINICS FOR FEE SCHEDULES BASED ON THEIR INCOME AND FAMILY SIZE. A DETERMINATION WILL BE MADE IF THE PATIENT IS ELIGIBLE FOR REDUCED FEES. NON-CLINIC PATIENTS SEEN IN THE EMERGENCY DEPARTMENT, INPATIENT, OR FOR OUTPATIENT SERVICES CAN APPLY FOR ASSISTANCE, BASED ON FINANCIAL NEED, THROUGH THE FINANCIAL ASSISTANCE PROCESS IN PATIENT ACCOUNTS, PATIENT ACCESS SERVICES/FINANCIAL COUNSELING OR AMBULATORY CARE.EVERYONE IN NEW YORK STATE WHO NEEDS EMERGENCY SERVICES CAN RECEIVE CARE AND GET A DISCOUNT IF THEY MEET THE INCOME LIMITS. ANY INDIVIDUALS RESIDING IN KINGSBROOK JEWISH MEDICAL CENTER'S PRIMARY SERVICE AREA, WHICH IS DEFINED AS: EAST FLATBUSH, FLATBUSH, CANARSIE, FLATLANDS, BEDFORD-STUYVESANT, CROWN HEIGHTS AND/OR EAST NEW YORK (ZIP CODES 11203, 11236, 11213, 11226, 11212, 11208, 11207, 11225, 11216), CAN GET A DISCOUNT ON NON-EMERGENCY, MEDICALLY NECESSARY SERVICES AT KINGSBROOK JEWISH MEDICAL CENTER IF THEY MEET THE INCOME LIMITS. KINGSBROOK JEWISH MEDICAL CENTER WILL NEVER DENY MEDICALLY NECESSARY CARE BECAUSE YOU MAY NEED FINANCIAL ASSISTANCE. YOU MAY APPLY FOR A DISCOUNT REGARDLESS OF YOUR IMMIGRATION STATUS.WHAT ARE THE INCOME LIMITS?THE AMOUNT OF THE DISCOUNT VARIES BASED ON YOUR INCOME AND THE SIZE OF YOUR FAMILY. KINGSBROOK JEWISH MEDICAL CENTER'S FINANCIAL ASSISTANCE PROGRAM IS BASED UPON UP TO 300% OF THE JANUARY 2013 DEPARTMENT OF HEALTH AND HUMAN SERVICES FEDERAL POVERTY GUIDELINES. (CHART PROVIDED)WHAT IF I DO NOT MEET THE INCOME LIMITS?IF YOU CANNOT PAY YOUR BILL, KINGSBROOK JEWISH MEDICAL CENTER OFFERS AN EXTENDED, INTEREST-FREE, PAYMENT PLAN TO THOSE PATIENTS THAT MEET THE INCOME LIMITS. THE AMOUNT OF YOUR PAYMENT INSTALLMENT DEPENDS ON AMOUNT OF YOUR INCOME AND ABILITY TO PAY.CAN SOMEONE EXPLAIN THE DISCOUNT? CAN SOMEONE HELP ME APPLY?YES, FREE, CONFIDENTIAL HELP IS AVAILABLE. PLEASE CONTACT OUR FINANCIAL COUNSELOR'S AT (718) 604-5499 OR GO TO THE ADMISSIONS DEPARTMENT (PATIENT ACCESS SERVICES DEPARTMENT, LOCATED IN THE KATZ BUILDING, FIRST FLOOR FOR FREE, CONFIDENTIAL ASSISTANCE. IF YOU DO NOT SPEAK ENGLISH, SOMEONE WILL HELP YOU IN YOUR OWN LANGUAGE. THE FINANCIAL COUNSELOR CAN TELL YOU IF YOU QUALIFY FOR FREE OR LOW-COST INSURANCE, SUCH AS MEDICAID, CHILD HEALTH PLUS AND FAMILY HEALTH PLUS. IF THE FINANCIAL COUNSELOR FINDS THAT YOU DONT QUALIFY FOR LOW-COST INSURANCE OR MEDICAID, THEY WILL ASSIST YOU IN ACCESSING THE MEDICAL CENTER'S FINANCIAL ASSISTANCE PROGRAM FOR ANY APPLICABLE DISCOUNTS, INCLUDING HELPING YOU WITH THE APPROPRIATE FORMS AND DOCUMENTATION REQUIREMENTS.WHAT DO I NEED TO APPLY FOR A DISCOUNT?PATIENTS ARE REQUESTED TO PROVIDE THE FOLLOWING DOCUMENTATION, AS AVAILABLE OR APPLICABLE, IN ORDER TO BE EVALUATED FOR FINANCIAL ASSISTANCE:- PICTURE IDENTIFICATION- PROOF OF ADDRESS (LETTER/BILL MAILED TO THE PATIENT AT THEIR ADDRESS)- INCOME TAX 1040 (TO VERIFY DEPENDENTS)- PROOF OF INCOME? FOUR (4) MOST RECENT PAY STUBS (AND/OR)? A LETTER FROM THE PATIENTS EMPLOYER (AND/OR)? A STATEMENT FROM THE PATIENT STATING INCOME (AND/OR) ? IF THE PATIENT DOES NOT WORK, A LETTER FROM THE PERSON SUPPORTING THEMIF YOU CANNOT PROVIDE ANY OF THESE DOCUMENTS, PLEASE LET US KNOW SO WE CAN DETERMINE HOW TO HELP YOU APPLY FOR FINANCIAL ASSISTANCE.WHAT SERVICES ARE COVERED?ALL MEDICALLY NECESSARY SERVICES PROVIDED BY KINGSBROOK JEWISH MEDICAL CENTER ARE COVERED BY THE FINANCIAL ASSISTANCE PROGRAM. THIS INCLUDES OUTPATIENT SERVICES, EMERGENCY CARE AND INPATIENT ADMISSIONS. CHARGES FROM PRIVATE DOCTORS WHO PROVIDE SERVICES IN THE HOSPITAL MAY NOT BE COVERED BY THIS PROGRAM. YOU SHOULD TALK TO PRIVATE DOCTORS TO SEE IF THEY OFFER A DISCOUNT OR PAYMENT PLAN. HOW MUCH DO I HAVE TO PAY?THE AMOUNT FOR OUTPATIENT SERVICE OR THE EMERGENCY ROOM STARTS FROM $43.60 TO $501.60, DEPENDING ON YOUR FINANCIAL ASSISTANCE QUALIFICATION CATEGORY. OUR FINANCIAL COUNSELOR WILL GIVE YOU THE DETAILS ABOUT YOUR SPECIFIC DISCOUNT(S) ONCE YOUR APPLICATION IS PROCESSED. HOW DO I GET THE DISCOUNT? YOU HAVE TO FILL OUT AN APPLICATION FORM. AS SOON AS WE HAVE PROOF OF YOUR INCOME, WE CAN PROCESS YOUR APPLICATION FOR A DISCOUNT ACCORDING TO YOUR INCOME LEVEL. YOU CAN APPLY FOR A DISCOUNT BEFORE YOU HAVE AN APPOINTMENT, WHEN YOU COME TO THE HOSPITAL TO GET CARE, OR WHEN THE BILL COMES IN THE MAIL.SEND THE COMPLETED FORM AND SUPPORTING DOCUMENTATION TO OUR FINANCIAL COUNSELORS IN THE PATIENT ACCESS SERVICES (ADMISSIONS) DEPARTMENT OR BRING IT TO THE PATIENT ACCESS SERVICES (ADMISSIONS) DEPARTMENT, LOCATED IN THE KATZ BUILDING, FIRST FLOOR.HOW WILL I KNOW IF I WAS APPROVED FOR THE DISCOUNT?KINGSBROOK JEWISH MEDICAL CENTER WILL SEND YOU A LETTER, WITHIN 30 BUSINESS DAYS, AFTER RECEIPT OF YOUR COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION, TELLING YOU IF YOU HAVE BEEN APPROVED FOR FINANCIAL ASSISTANCE AND THE LEVEL OF DISCOUNT YOU ARE ELIGIBLE FOR. WHAT IF I RECEIVE A BILL WHILE IM WAITING TO HEAR IF I CAN GET A DISCOUNT?YOU CANNOT BE REQUIRED TO PAY A HOSPITAL BILL WHILE YOUR APPLICATION FOR A DISCOUNT IS BEING CONSIDERED. IF YOUR APPLICATION IS TURNED DOWN, KINGSBROOK JEWISH MEDICAL CENTER WILL TELL YOU WHY AND PROVIDE YOU WITH A WAY TO APPEAL THIS DECISION TO A HIGHER LEVEL WITHIN THE HOSPITAL.WHAT IF I HAVE A PROBLEM I CANNOT RESOLVE WITH THE HOSPITAL?YOU MAY CALL THE NEW YORK STATE DEPARTMENT OF HEALTH COMPLAINT HOTLINE AT 1-800-804-5447.
PART VI, LINE 4:	DESCRIPTION OF COMMUNITY INFORMATIONKINGSBROOK JEWISH MEDICAL CENTER ("KINGSBROOK") IS LOCATED IN BROOKLYN, NEW YORK. KINGSBROOK IS DEDICATED TO MEETING THE HEALTHCARE NEEDS OF ONE OF BROOKLYN'S MOST CULTURALLY DIVERSE COMMUNITIES. LOCATED IN THE EAST FLATBUSH SECTION OF CENTRAL BROOKLYN, KINGSBROOK WAS FOUNDED IN 1925 AS A CHRONIC CARE FACILITY TO SERVE THE JEWISH COMMUNITY WITHIN A CULTURAL CONTEXT. WHILE STILL RETAINING TIES TO THE SURROUNDING SHRINKING JEWISH COMMUNITY, KINGSBROOK HAS EXPANDED ITS PROGRAMS AND SERVICES TO MEET THE NEEDS OF THE LARGE IMMIGRANT AND ETHNIC MINORITY POPULATION IN ITS CATCHMENT AREA, INCLUDING A SIGNIFICANT NUMBER OF CARIBBEAN AND AFRICAN-AMERICANS.KINGSBROOK'S CURRENT SERVICE AREA CONSISTS OF THE FOLLOWING ZIP CODES: 1) 11203 - FLATBUSH; 2) 11212 BROWNSVILLE; 3) 11213 CROWN HEIGHTS; 4) 11236 CANARSIE. BASED UPON 2010 CENSUS INFORMATION, THIS CATCHMENT AREA HAS A TOTAL POPULATION OF 318,318 PEOPLE, WHICH BREAKS DOWN TO 8.2% WHITE, 84.0% BLACK AND 7.8% OTHER. ADDITIONALLY, 21.5% OF THIS POPULATION IS SHOWN AS BEING BELOW THE FEDERAL POVERTY LEVEL.CENTRAL BROOKLYN RESIDENTS EXPERIENCE MORE BARRIERS TO HEALTH CARE ACCESS THAN THOSE IN NYC OVERALL. ADDITIONALLY, THE UNDERINSURED POPULATION IN THIS REGION HAS NEARLY DOUBLED WITHIN THE PAST FEW YEARS. LIMITED ACCESS TO HEALTHCARE SERVICES CONTRIBUTE TO THE OVERWHELMING DISEASE RATES, WHICH ARE MORE THAN DOUBLE THE STATE AND NATIONAL AVERAGES FOR THE LOWER INCOME RACIALLY DIVERSE RESIDENTS OF CENTRAL BROOKLYN. REPORTS, SUCH AS "TAKE CARE NEW YORK" PREPARED BY NEW YORK CITY DEPARTMENT OF HEALTH IDENTIFY MANY OF THE KEY ISSUES CONCERNING HEALTHCARE IN CENTRAL BROOKLYN. THE AFOREMENTIONED REPORT SHOWS THAT CENTRAL BROOKLYN RESIDENTS EXPERIENCE MORE BARRIERS TO HEALTHCARE ACCESS THAN THOSE IN NYC OVERALL, WITH NEARLY 3 IN 10 RESIDENTS NOT HAVING A REGULAR DOCTOR.WITHIN OUR PRIMARY SERVICES AREAS (CENTRAL BROOKLYN, EAST NEW YORK AND FLATBUSH) CLOSE TO 12% OF ADULTS HAVE DIABETES. ADDITIONALLY, 29% OF THE ADULT POPULATION IN CENTRAL BROOKLYN IS CONSIDERED OBESE WHICH CAN ALSO LEAD TO A VARIETY OF HEALTH PROBLEMS INCLUDING HEART DISEASE AND DIABETES. THE HIV RELATED DEATH RATE IN THIS REGION IS STILL MORE THAN TWICE BOTH THE BROOKLYN AND NEW YORK CITY OVERALL RATES. IN TOTAL, THERE ARE OVER 7,000 PERSONS LIVING WITH HIV/AIDS IN OUR PRIMARY SERVICE AREA. ADDITIONALLY, HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL CONTRIBUTE TO HEART DISEASE. AS SUCH, 31% OF RESIDENTS WITHIN OUR PRIMARY SERVICE AREA HAVE BEEN DIAGNOSED WITH HIGH BLOOD PRESSURE AND 24% WITH HIGH CHOLESTEROL. IN AN EFFORT TO COMBAT THESE DISPARITIES, OUR CENTRAL FOCUSES ARE ACCESS TO QUALITY HEALTH CARE, CHRONIC DISEASE MANAGEMENT AND INFECTIOUS DISEASE COUNSELING.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTH:PROMOTION OF COMMUNITY HEALTH - ACCESS TO QUALITY HEALTH CARERESIDENTS IN OUR SERVICE REGION OF CENTRAL BROOKLYN FACE HEALTH DISPARITIES THAT SURPASS STATE AND NATIONAL AVERAGES IN THE AREAS OF DIABETES, STROKE, HYPERTENSION AND ASTHMA. ADDITIONALLY, THE UNDERINSURED POPULATION IN THIS REGION HAS DOUBLED WITHIN THE PAST FEW YEARS. IN ORDER TO ADDRESS THIS HEALTH CRISIS, KINGSBROOK, INDEPENDENTLY AND SOMETIMES IN CONJUNCTION WITH LOCAL COMMUNITY ORGANIZATIONS, OFFERS A NUMBER OF SCREENING AND PREVENTIVE SERVICES TO HELP ALLEVIATE SOME OF THE PRESSING HEALTHCARE ISSUES. OUR EFFORTS INCLUDE OFF-SITE EVENTS IN PARTNERSHIP WITH LOCAL CLERGY, SCHOOLS AND COMMUNITY BASED ORGANIZATIONS, AS WELL AS ON-SITE EVENTS BASED ON A PUBLISHED YEAR-LONG SCREENING CALENDAR, WITH SERVICES PROVIDED AT OUR MAIN HOSPITAL CAMPUS AS WELL AS OUR OFF-SITE PIERRE TOUSSAINT FAMILY HEALTH CENTER. ADDITIONALLY, KINGSBROOK HAS PUT MORE EMPHASIS ON THE CHRONIC DISEASES WHICH ARE MORE PREVALENT IN OUR SURROUNDING COMMUNITY. SCREENINGINCREASED SCREENING AND EDUCATIONAL OPPORTUNITIES FOR OUR COMMUNITY RESIDENTS IS VITAL TO THE TREATMENT AND MANAGEMENT OF CHRONIC DISEASE. ALL KJMC FREE SCREENINGS SPEAK TO THE CHRONIC DISEASE ISSUES MOST PREVALENT IN OUR COMMUNITY WHICH INCLUDE HYPERTENSION, DIABETES, CHOLESTEROL, STROKE, ASTHMA AND PROSTATE. TO ACHIEVE THESE OBJECTIVES, KINGSBROOK COLLABORATES WITH OTHER COMMUNITY PROVIDERS, NOT-FOR-PROFIT ENTITIES, MEDIA OUTLETS AND FOUNDATIONS TO PROVIDE THESE SCREENING AND PREVENTATIVE TREATMENT SERVICES TO ITS COMMUNITY MEMBERS. UNDERSTANDING THE NEED FOR ADDITIONAL EARLY DETECTION SERVICES AND HEALTH CARE INFORMATION, THE PUBLIC AFFAIRS DIVISION AT KINGSBROOK WORKS TO PROVIDE A CONSISTENT SCHEDULE OF SCREENINGS THROUGHOUT THE YEAR. SCREENINGS ARE COORDINATED MONTHLY VIA OUR ON-SITE AND OFF-SITE AMBULATORY CARE CENTERS. ADDITIONALLY, FOR THOSE IN THE COMMUNITY WHO ARE UNABLE TO ATTEND THE SCHEDULED SCREENINGS EFFORTS, WE OFFER AN ON-LINE FREE SCREENING COUPON. THIS COUPON ALLOWS FOR PRIVATE SCREENING APPOINTMENTS VIA OUR AMBULATORY CARE DIVISION, COORDINATED IN CONJUNCTION WITH THE DEPARTMENT OF PUBLIC AFFAIRS. LASTLY, KINGSBROOK PARTICIPATES IN BETWEEN 50-60 HEALTH FAIRS, EDUCATIONAL SESSIONS AND COMMUNITY EVENTS ANNUALLY WITH A MYRIAD OF SCREENING OPTIONS. THESE EVENTS ARE COORDINATED BY OUR COMMUNITY PARTNERS, LOCAL CLERGY AND ELECTED OFFICIALS. THESE EFFORTS ALLOW US A BROADER ARENA BY WHICH TO PROVIDE EARLY DETECTION AND HEALTH EDUCATION SERVICES. ADDITIONALLY, WE HAVE ENGAGED ADDITIONAL COMMUNITY PARTNERS TO HELP DRIVE THIS PREVENTION AGENDA FOCUS AND ASSIST US IN CO-PARTNERING EFFORTS TO EXTEND OUR REACH FOR CHRONIC DISEASE EARLY DETECTION SERVICES. THESE PARTNERSHIPS HAVE PROVIDED US THE ABILITY TO OFFER BREAST CANCER WORKSHOPS, EXTERNAL EDUCATIONAL EFFORTS FOR DIABETES, STROKE, HYPERTENSION AND KIDNEY DISEASE. OUR GOAL IS TO CONTINUE EXTENDING THESE PARTNERSHIP OPPORTUNITIES WITHIN THE COMMUNITY. SOME OF THE CURRENT GROUPS AND EVENTS WHICH WE HAVE PARTNERED WITH INCLUDE: WOMEN IN NEED, GIRLS SCOUTS OF AMERICA, PS 326, PS 316, PS 243, BROOKLYN ADULT LEARNING CENTER, EAST NEW YORK LEARNING CENTER, BROOKLYN ADULT LEARNING CENTER, ST. GABRIEL'S SENIOR CENTER, MARTIN LUTHER KING CONCERT SERIES, BETHEL TABERNACLE, NEW DIMENSION, NEW GENESIS CHRISTIAN CHURCH, 25TH STREET BLOCK ASSOCIATION, GLENWOOD SENIOR CENTER, VICTORIOUS CHURCH GOD, CHRISTIAN CULTURAL CENTER, PANAMANIAN ASSOCIATION, BEULAH CHURCH OF NAZARENE, CHURCH OF ST. MARK'S, ST. STEPHENS CHURCH, WOMEN OF FAITH, ANGLICAN CHURCH, ST. AUGUSTINE'S, BEDFORD CENTRAL PRESBYTERIAN, MT. OLIVES, AND GOD'S BATTALION OF PRAYER.IN 2012, KINGSBROOK PROVIDED EARLY DETECTION OPPORTUNITIES TO OVER 3,000 INDIVIDUALS. SCREENINGS FOR ASTHMA, STROKE DIABETES, HYPERTENSION, HIV, PROSTATE AND BREAST CANCER WERE OF SPECIAL FOCUS. OUR TOTAL COMMUNITY BENEFIT, INCLUDING FREE SCREENINGS, EDUCATION AND MENTORSHIP IMPACTED OVER 7,586 RESIDENTS. DESPITE THE EVER GROWING FINANCIAL CHALLENGES FOR HEALTHCARE ORGANIZATIONS, KINGSBROOK HAS BEEN ABLE TO MAINTAIN ITS AGGRESSIVE OUTREACH AND ANNUAL SCREENING SCHEDULE FACILITATING A NUMBER OF PRIVATE AND PARTNERED EVENTS IN AN EFFORT TO ADDRESS THE COMMUNITY'S ACCESS TO QUALITY CARE AND INTERVENTION FOR CHRONIC DISEASES, AS WE HAVE DETAILED OUT FURTHER BELOW. PROSTATEPROSTATE CANCER REMAINS THE 2ND HIGHEST CANCER AMONG MEN IN OUR CATCHMENT REGION. DATA FURTHER REVEALS THAT LACK OF EDUCATION AND MOTIVATION TO PARTICIPATE IN EARLY DETECTION INITIATIVES CONTRIBUTE TO THE HIGH MORTALITY RATE EXPERIENCED BY OUR COMMUNITY. MEN IN OUR PRIMARY SERVICE AREA (ESPECIALLY THOSE OF AFRICAN AMERICAN AND/OR CARIBBEAN DESCENT) EXPERIENCE THE HIGHEST NEW YORK CITY DEATH RATE DUE TO PROSTATE CANCER. THESE STATISTICS ARE ATTRIBUTED TO THE MEN IN OUR COMMUNITY WHO HAVE MIGRATED FROM THE CARIBBEAN. KINGSBROOK'S AMBULATORY CARE PROGRAM PROVIDES FREE PROSTATE CANCER SCREENING EXAMINATIONS TO MEN 40 AND OVER. THESE SCREENINGS ARE AVAILABLE BY APPOINTMENT THROUGHOUT THE YEAR. THESE SCREENINGS ARE PROMOTED AT ALL OF OUR COMMUNITY HEALTH EVENTS WITH FREE SCREENING COUPON HANDOUTS, AS WELL AS ON-LINE VIA OUR FREE SCREENING COUPON OPTION. TO FURTHER PUBLICIZE OUR SCREENINGS AND THE IMPORTANCE OF EARLY DETECTION, KINGSBROOK IN PARTNERSHIP WITH THE NEW YORK DAILY NEWS HAS FOR THE LAST SIX YEARS ADVERTIZED PROSTATE AWARENESS WEEK. WITH THIS WELL ADVERTISED INITIATIVE, KINGSBROOK HAS SOUGHT TO EDUCATE ITS COMMUNITY ABOUT THE BENEFITS OF EARLY DETECTION AND TREATMENT FOR PROSTATE CANCER. IN 2012, KINGSBROOK'S PROSTATE CANCER INITIATIVE SCREENED 800 MEN. OF THAT NUMBER 80 (10%) RESULTED IN ABNORMAL FINDINGS AND WERE REFERRED FOR FOLLOW-UP CARE. BREAST CANCERSINCE THE INCEPTION OF KINGSBROOK BREAST HEALTH EDUCATION PROGRAM IN 2008, KINGSBROOK HAS SUCCESSFULLY EDUCATED 14,000 WOMEN ON THE IMPORTANCE OF BREAST HEALTH. THIS EDUCATION PROGRAM IS BROKEN DOWN INTO TWO COMPONENTS. THESE COMBINED BREAST HEALTH PROGRAMS WERE PACKAGED AND AGGRESSIVELY PROMOTED AS A PART OF OUR COMMUNITY OUTREACH AND EDUCATION THRUST THAT POSITIONED US TO CONTINUE THESE SERVICES INTO THE FUTURE. KINGSBROOK MAINTAINS A BREAST HEALTH EDUCATION PROGRAM FUNDED BY THE SUSAN G. KOMEN BREAST GREATER NEW YORK CITY AFFILIATE RACE FOR THE CURE AND THE AVON FOUNDATION FOR WOMEN. KINGSBROOKS COMMUNITY BREAST CANCER SCREENING ("CBCS") PROGRAM IS DESIGNED TO INCREASE ACCESS TO BREAST HEALTH SERVICES (INCLUDING MAMMOGRAPHY) IN KINGSBROOK'S MEDICALLY UNDERSERVED COMMUNITY. IN AN EFFORT TO FILL THE GAP FOR BREAST CANCER DETECTION, EDUCATION SERVICES AND TREATMENT SERVICES, KINGSBROOK HAS IMPLEMENTED A SOLID OUTREACH SCOPE FOR BREAST CANCER THAT TARGETS WOMEN FROM A BROAD CROSS SECTION OF OUR COMMUNITY, BE THEY INSURED, UNDERINSURED OR NON-INSURED. THE PROGRAM PROVIDES OUTREACH, EDUCATION, SCREENING COORDINATION, AND MAMMOGRAPHY TO HIGH RISK WOMEN AGE 40 AND OLDER. THE PROGRAM IS MODIFIED TO INCLUDE EXTENDED OUTREACH AND EDUCATION TO SPREAD THE WORD ABOUT THE PROGRAMS OFFERINGS AND TO CAPTURE WOMEN IN THIS CATEGORY OF NEED. THE PROGRAM PROVIDED BREAST HEALTH EDUCATION TO 4,386 WOMEN IN 2012. ADDITIONALLY, 684 MAMMOGRAMS WERE GIVEN. KINGSBROOK'S WOMEN'S WELLNESS CENTER HAS MAINTAINED A VALUABLE RELATIONSHIP WITH THE CANCER SERVICE PROGRAM ("CSP"). THIS PARTNERSHIP HELPED TO INCREASE ACCESS TO MAMMOGRAPHY SERVICES TO RESIDENTS OF KINGSBROOK'S COMMUNITY. THE PARTNERSHIP WITH CSP PROVIDES FUNDING FOR FREE OUTREACH, EDUCATION, MAMMOGRAPHY, CLINICAL BREAST EXAMS, PAP TEST, PELVIC EXAMS AND THE TAKE HOME FECAL TEST (FIT OR FOBT) FOR COLORECTAL CANCER SCREENING. KINGSBROOK'S PARTNERSHIP WITH THE CSP, PROVIDED FREE MAMMOGRAPHY SERVICES TO 235 WOMEN IN 2012. THE EFFORTS OF THIS PROGRAM WERE SUPPORTED AND UTILIZED BY THE FOLLOWING COMMUNITY BASED ORGANIZATIONS: BROOKLYN ADULT LEARNING CENTER, ST. AUGUSTINE'S CHURCH, ST. LUKE'S GUILD, WOMEN OF FAITH, DISTRICT 41, ST. BARNABAS, BROOKLYN COLLEGE, NEW TABERNACLE, MARTIN LUTHER KING CONCERT SERIESSENATOR ERIC ADAMS OFFICE, HEALTH & HUMAN SERVICES, GOD'S BATTALION OF PRAYER, CHRISTIAN CULTURAL CENTER, PANAMANIAN AMERICAN ASSOCIATION, BROOKLYN FAITH SEVEN AND BETHEL TABERNACLE.
PART VI, LINE 6:	AFFILIATED HEALTH CARE SYSTEM:KINGSBROOK JEWISH MEDICAL CENTER IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
PART VI, LINE 7, REPORTS FILED WITH STATES	NY

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LINDA BRADY MD
PRESIDENT & BOARD DIRECTOR	$744,562	$0	$383,461	$0	$85,040	$0	$24,225	$0	$42,593	$0	$1,279,881	$0	$0	$0
JOHN SCHMITT CPA
ASSISTANT TREASURER & CFO	$329,171	$0	$25,460	$0	$21,802	$0	$24,225	$0	$42,593	$0	$443,251	$0	$0	$0
MICHAEL MCDERMOTT
GENERAL COUNSEL	$239,224	$0	$15,605	$0	$1,687	$0	$23,787	$0	$39,805	$0	$320,108	$0	$0	$0
HAROLD MCDONALD
COO	$415,234	$0	$30,860	$0	$31,219	$0	$24,225	$0	$3,412	$0	$504,950	$0	$0	$0
SIBTE BURNEY MD
CHIEF MEDICAL OFFICER	$392,629	$0	$0	$0	$15,663	$0	$24,225	$0	$36,681	$0	$469,198	$0	$0	$0
KURT KODROFF
VICE PRESIDENT	$372,725	$0	$0	$0	$15,842	$0	$24,225	$0	$44,309	$0	$457,101	$0	$0	$0
ROBERT DUBICKI
SENIOR VP	$314,099	$0	$0	$0	$19,692	$0	$24,225	$0	$39,038	$0	$397,054	$0	$0	$0
JANE LEDERER
CHIEF NURSING OFFICER	$228,613	$0	$17,567	$0	$1,687	$0	$22,406	$0	$19,201	$0	$289,474	$0	$0	$0
WILLIAM LOIS
DIRECTOR SURGERY	$424,717	$0	$0	$0	$1,687	$0	$24,225	$0	$36,681	$0	$487,310	$0	$0	$0
MARC ROSS MD
DIR REHAB MED	$418,822	$0	$0	$0	$1,687	$0	$24,225	$0	$42,247	$0	$486,981	$0	$0	$0
MARK SMITH
PHYSICIAN	$357,007	$0	$0	$0	$1,980	$0	$22,641	$0	$39,645	$0	$421,273	$0	$0	$0
CHARLES LAWRENCE
PHYSICIAN	$314,139	$0	$0	$0	$450	$0	$24,919	$0	$31,726	$0	$371,234	$0	$0	$0
ARON PINKHASOV
DIR PSYCHIATRY	$303,301	$0	$0	$0	$1,687	$0	$24,225	$0	$37,447	$0	$366,660	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 7	FormAndLineReferenceDesc
Explanation	THE FOLLOWING INDIVIDUALS RECEIVED BOTH FIXED AND NON-FIXED BONUSES AND INCENTIVE COMPENSATION PAYMENT IN 2013: DR. LINDA BRADY JOHN SCHMITT MICHAEL MCDERMOTT HAROLD MCDONALD ROBERT DUBICKI JANE LEDERER THE TOTAL AMOUNTS OF THESE PAYMENTS, ALONG WITH ANY FIXED RETENTION PAYMENTS, WHICH WERE PAID IN 2013, ARE SHOWN IN SCHEDULE J PART II COLUMN B(II).	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	MEMBERS OR STOCKHOLDERS: KINGSBROOK HEALTHCARE SYSTEM ("KHS") IS THE SOLE MEMBER OF KINGSBROOK JEWISH MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 7A	MEMBERS OF THE GOVERNING BODY: MEMBERS MAY ELECT AND APPOINT MEMBERS OF THE GOVERNING BOARD AND BOARD OFFICERS OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7B	DECISIONS OF THE GOVERNING BODY: KHS IS THE SOLE MEMBER OF KINGSBROOK JEWISH MEDICAL CENTER, AND IT HAS RESERVED POWERS THAT ARE DELINEATED IN THE BYLAWS OF KINGSBROOK JEWISH MEDICAL CENTER.
FORM 990, PART VI, SECTION B, LINE 11	REVIEW PROCESS FOR FORM 990: THE CFO HAS CONDUCTED A DETAIL REVIEW OF FORM 990 WITH THE HOSPITAL'S TAX ACCOUNTANT AND ALL APPROPRIATE CHANGES HAVE BEEN MADE. FORM 990 IS THEN REVIEWED WITH THE CEO FOR ANY ADDITIONAL COMMENTARY, OBSERVATIONS, OR RECOMMENDATIONS. FORM 990 IS THEN REVIEWED WITH THE CHAIRMAN OF THE AUDIT AND COMPLIANCE COMMITTEE AND THEN PRESENTED TO THE AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW FOR ANY ADDITIONAL COMMENTARY, OBSERVATIONS, OR RECOMMENDATIONS. ONCE COMPLETED AND FILED, FORM 990 IS MADE AVAILABLE TO THE FULL BOARD BY THE CHAIRMAN OF THE AUDIT AND COMPLIANCE COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY ALL CONFLICTS OF INTEREST ARE REVIEWED BY THE COMPLIANCE OFFICER. ANY POTENTIAL CONFLICTS INVOLVING BOARD MEMBERS ARE REFERRED TO THE AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW AND/OR ACTION, AS NECESSARY.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION POLICY CONSISTENT WITH BEST PRACTICES IN GOVERNANCE AND FIDUCIARY OVERSIGHT OF TAX EXEMPT FUNDS, KINGSBROOK JEWISH MEDICAL CENTER (KJMC) HAS INSTITUTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY AND COMPENSATION COMMITTEE CHARTER. THE COMPENSATION COMMITTEE IS AUTHORIZED BY THE BOARD TO DEVELOP AND RECOMMEND FOR BOARD APPROVAL THE COMPENSATION OF THE PRESIDENT AND CEO AND MEMBERS OF SENIOR MANAGEMENT (SENIOR VICE PRESIDENTS, VICE PRESIDENTS AND VICE PRESIDENTS). ONLY INDEPENDENT MEMBERS OF THE BOARD SHALL PARTICIPATE IN COMPENSATION DELIBERATIONS AND DECISIONS (I.E., EMPLOYEES, MEMBERS OF THE MEDICAL STAFF AND CONSULTANTS ARE NOT DEEMED INDEPENDENT FOR THESE PURPOSES). ALL EXECUTIVE COMPENSATION DECISIONS ARE BASED ON COMPETITIVE MARKET DATA, ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE RESULTS, AND ALIGNMENT WITH KJMC'S EXECUTIVE COMPENSATION PHILOSOPHY. THE BOARD'S COMPENSATION COMMITTEE REVIEWS AND APPROVES ALL EXECUTIVE COMPENSATION TO ENSURE LEGAL AND REGULATORY COMPLIANCE AND ADHERENCE TO GOVERNANCE BEST PRACTICES AND PROPER FIDUCIARY OVERSIGHT AS STEWARDS OF TAX EXEMPT ASSETS. THE EXECUTIVE COMPENSATION PHILOSOPHY STATES ITS INTENT IS TO MAINTAIN A COMPETITIVE EXECUTIVE COMPENSATION PROGRAM IN ORDER TO ATTRACT, RETAIN AND MOTIVATE QUALIFIED EMPLOYEES TO SUPPORT THE MISSION AND BUSINESS GOALS OF KJMC. THE COMPENSATION COMMITTEE RETAINS OUTSIDE LEGAL COUNSEL WHO REVIEWS COMPLIANCE WITH TAX AND REGULATORY REQUIREMENTS AS WELL AS THE SERVICES OF AN INDEPENDENT QUALIFIED COMPENSATION CONSULTANT WHO COMPILES AND ANALYZES PUBLISHED SURVEY DATA FOR BASE SALARIES AND TOTAL COMPENSATION PROVIDED BY TAX EXEMPT HOSPITALS AND MEDICAL CENTERS SIMILAR TO KJMC IN SIZE, OPERATIONS AND LOCATION. THE COMMITTEE'S REVIEW OF COMPENSATION OCCURS ANNUALLY SUCH THAT EXECUTIVE COMPENSATION AND BENEFITS CONTINUE TO BE COMPETITIVE AND REASONABLE. BY FOLLOWING THE PRECEDING GOVERNANCE AND FIDUCIARY PRACTICES, THE COMMITTEE QUALIFIES FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS REGULATIONS OF THE INTERNAL REVENUE CODE SUCH THAT THE TOTAL COMPENSATION PROVIDED TO THE EXECUTIVES IS COMPARED TO WHAT IS "ORDINARILY PAID FOR LIKE SERVICES BY LIKE ENTERPRISES UNDER LIKE CIRCUMSTANCES", AS DEFINED IN THE INTERMEDIATE SANCTIONS REGULATIONS. BASE PAY FOR EACH EXECUTIVE IS EASED ON FACTORS INCLUDING MARKET DATA, TENURE, EXPERIENCE, AND INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE. EXECUTIVE BASE PAY IS REVIEWED AND SET ANNUALLY BY THE INDEPENDENT MEMBERS OF THE COMPENSATION COMMITTEE OF THE INDEPENDENT DIRECTORS OF KINGSBROOK JEWISH MEDICAL CENTER [KJMC], BASED ON THE EXECUTIVE COMPENSATION PHILOSOPHY AND COMPENSATION COMMITTEE CHARTER. AS DESCRIBED IN KJMC'S EXECUTIVE COMPENSATION PHILOSOPHY AND COMPENSATION COMMITTEE CHARTER, KJMC SUPPORTS PERFORMANCE BASED COMPENSATION AND THEREFORE HAS IMPLEMENTED AN ANNUAL INCENTIVE PAY PROGRAM (EXECUTIVE MANAGEMENT ANNUAL INCENTIVE PLAN) FOR THE EXECUTIVES AND A LONG TERM INCENTIVE PAY PROGRAM (ANNUALIZED STRATEGIC PERFORMANCE INCENTIVE) FOR THE PRESIDENT AND CEO. THE ANNUAL AND LONG-TERM INCENTIVE PAY PROGRAMS ARE DESIGNED TO SUPPORT THE ATTAINMENT OF ANNUAL AND STRATEGIC PERFORMANCE OBJECTIVES AND REFLECT A COMBINATION OF FORMULAIC WEIGHTINGS PROVIDING FOR THRESHOLD, TARGET AND MAXIMUM BONUS LEVELS AND DISCRETIONARY JUDGMENT AS DETERMINED BY THE COMPENSATION COMMITTEE. THE PERFORMANCE MEASURES ARE SET PRIOR TO THE BEGINNING OF EACH PLAN YEAR AND PLAN PAYMENTS ARE DETERMINED BASED ON AUDITED FINANCIAL RESULTS AND OTHER MEASURES. FORM 990, PART VI, LINE 15B COMPENSATION REVIEW THE PROCESS USED FOR DETERMINING THE COMPENSATION OF THE CEO ALSO APPLIES TO MEMBERS OF THE EXECUTIVE STAFF, DEPARTMENT CHAIRS AND OTHER HIGHLY COMPENSATED STAFF EXCEPT THAT THE PRESIDENT AND CEO MAKES COMPENSATION RECOMMENDATIONS TO THE COMPENSATION SUBCOMMITTEE FOR THOSE EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE ONLY THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS.
FORM 990, PART VII	THE COMPENSATION RECEIVED BY DR. PATRICE WAS ON-CALL PAY FOR NEPHROLOGY COVERAGE. HE WAS NOT COMPENSATED FOR HIS BOARD SERVICE.
FORM 990, PART XI, LINE 9:	PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COSTS 2,702,854.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
RUTLAND NURSING HOME INC
585 SCHENECTADY AVENUE	BROOKLYN	NY	11203	112164674	NURSING HOME	NY	501(C)(3)	LINE 9	KHS	0
KINGSBROOK JEWISH MEDICAL CENTER AUXILIARIES
585 SCHENECTADY AVENUE	BROOKLYN	NY	11203	113016121	SUPPORT ORG	NY	501(C)(3)	LINE 11A, I	KJMC	0
KINGSBROOK HEALTHCARE SYSTEM INC (KHS)
585 SCHENECTADY AVENUE	BROOKLYN	NY	11203	030464734	SUPPORT ORG	NY	501(C)(3)	LINE 11A, I		0	N/A
KINGSBROOK HEALTHCARE FOUNDATION INC
585 SCHENECTADY AVENUE	BROOKLYN	NY	11203	112845058	SUPPORT ORG	NY	501(C)(3)	LINE 11A, I	KHS	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
KSI INC
585 SCHENECTADY AVENUE	BROOKLYN	NY	11203	562327654	INACTIVE	NY	KHS	C	0
SINGULAB INC
585 SCHENECTADY AVENUE	BROOKLYN	NY	11203	562327669	INACTIVE	DE	KSI INC	C	0
ATM NURSE REGISTRY
585 SCHENECTADY AVENUE	BROOKLYN	NY	11203	562327649	INACTIVE	NY	KSI INC		0
KINGSBROOK LTACH INC
585 SCHENECTADY AVENUE	BROOKLYN	NY	11203	800712226	INACTIVE	NY	KHS	C	0
KINGSBROOK MEDICAL ASSOCIATES PC
585 SCHENECTADY AVENUE	BROOKLYN	NY	11203	452351859	BILLING & COLLECTION	NY	KJMC	C	Yes (1)	$4,532,640	$105,729	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
KINGSBROOK MEDICAL ASSOCIATES PC
S	$1,311,701	ACTUAL AMOUNT
KINGSBROOK MEDICAL ASSOCIATES PC
D	$27,299	ACTUAL AMOUNT