MONTEFIORE MEDICINE ACADEMIC HEALTH SELF INSURANCE TRIST: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
MONTEFIORE MEDICINE ACADEMIC HEALTH SELF INSURANCE TRIST (EIN 82-4019223)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-14
IRS object ID
202413199349308721
Schema version
2023v5.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-14T13:55:55+00:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1ONE MANHATTAN WESTAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP100018604ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN824019223EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Montefiore Medicine Academic Health System Self Insurance TrustBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMONTBusinessNameControlTxt
Phone9143498455PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1111 EAST 210TH STREETAddressLine1Txt
CityBRONXCityNm
State AbbreviationNYStateAbbreviationCd
ZIP104672401ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCOLLEEN M BLYEPersonNm
Person TitleOfficerPersonTitleTxt
Phone9143498455PhoneNum
Signature2024-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNicole SokolowskiPreparerPersonNm
PTINP01683199PTIN
Phone2127733000PhoneNum
Preparation2024-11-14PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1COLLEEN M BLYEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1111 EAST 210TH STREETAddressLine1Txt
CityBRONXCityNm
State AbbreviationNYStateAbbreviationCd
ZIP104672401ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$76,517,409GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation2018FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO PROVIDE FOR THE DISCHARGE OF LIABILITIES OF THE SETTLEMENTS OF CLAIMS AGAINST, AND THE REIMBURSEMENT OF LOSSES SUFFERED BY THE GRANTOR'S CONTROLLED ENTITIES.ActivityOrMissionDesc
Voting Members Governing Body1VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$74,840,098PYProgramServiceRevenueAmt
CY Program Service Revenue$76,517,409CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$74,840,098PYTotalRevenueAmt
CY Total Revenue$76,517,409CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,888PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,220CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$85,360,281PYOtherExpensesAmt
CY Other Expenses$86,890,285CYOtherExpensesAmt
PY Total Expenses$85,367,169PYTotalExpensesAmt
CY Total Expenses$86,900,505CYTotalExpensesAmt
PY Revenues Less Expenses-$10,527,071PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$10,383,096CYRevenuesLessExpensesAmt
Total Assets BOY$326,684,703TotalAssetsBOYAmt
Total Assets EOY$400,515,243TotalAssetsEOYAmt
Total Liabilities BOY$340,218,080TotalLiabilitiesBOYAmt
Total Liabilities EOY$399,616,834TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$13,533,377NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$898,409NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE FOR THE DISCHARGE OF LIABILITIES OF THE SETTLEMENT OF CLAIMS AGAINST, AND THE REIMBURSEMENT OF LOSSES SUFFERED BY, THE GRANTOR AND ITS CONTROLLED ENTITIES IN CONNECTION WITH ITS CHARITABLE OPERATIONS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$86,900,505ExpenseAmt
Revenue$76,517,409RevenueAmt
DescMONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM SELF INSURANCE TRUST IS A SECTION 501(C)(3) SUPPORTING ORGANIZATION, ORGANIZED AND OPERATED FOR THE BENEFIT OF MONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM (MMAHS) AND ITS CONTROLLED SUPPORTED ORGANIZATIONS. MONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM SELF INSURANCE TRUST WAS FORMED BY MMAHS, A SECTION 501(C)(3) PARENT OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM, COMPRISED PRIMARILY OF SECTION 501(C)(3) HOSPITAL ORGANIZATIONS. THE TRUST WAS FORMED TO SATISFY THE MALPRACTICE CLAIMS OF MMAHS AND ITS CONTROLLED ENTITIES AND TO PROTECT MMAHS, ITS CONTROLLED ENTITIES AND COVERED PERSONS AGAINST LOSSES AND EXPENSES ARISING FROM MEDICAL MALPRACTICE LIABILITIES. THE SOLE PURPOSE OF THE TRUST IS TO PROVIDE FOR THE DISCHARGE OF LIABILITIES OF THE SETTLEMENT OF CLAIMS AGAINST, AND THE REIMBURSEMENT OF LOSSES SUFFERED BY MMAHS AND ITS CONTROLLED ENTITIES.Desc
Total Program Service Expenses$86,900,505TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
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Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
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Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
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Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
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Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members1GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyfalseMinutesOfGoverningBodyInd
Minutes Of CommitteesfalseMinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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Business Name Line1EVAN RESNICKBusinessNameLine1Txt
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Phone9143498455PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 SOUTH BROADWAYAddressLine1Txt
CityBLDG A TARRYTOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP105916301ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMERICA BANK & TRUSTBusinessNameLine1Txt
FieldValueIRS element (for citing)
TitleSOLE CORPORATE TRUSTEETitleTxt
Average Hours Per Week0.5AverageHoursPerWeekRt
Institutional TrusteeYes (X)InstitutionalTrusteeInd
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Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescINSURANCE PREMIUMSDesc
Business524150BusinessCd
Total Revenue Column$76,517,409TotalRevenueColumnAmt
Related Or Exempt Func Income$76,517,409RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
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Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$76,517,409TotalProgramServiceRevenueAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

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Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
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Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$76,517,409TotalRevenueColumnAmt
Related Or Exempt Func Income$76,517,409RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$10,220TotalAmt
Program Services$10,220ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
INSURANCE CLAIMS EXPENSE$86,872,669$86,872,669
ACTUARIAL SERVICES$17,616$17,616

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$86,900,505TotalAmt
Program Services$86,900,505ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$0LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$0LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$5,294,110BOYAmt
EOY$9,652,609EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$176,875,193BOYAmt
EOY$244,395,470EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$144,515,400BOYAmt
EOY$146,467,164EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$326,684,703BOYAmt
EOY$400,515,243EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$26,950BOYAmt
EOY$27,475EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,153,051BOYAmt
EOY$3,190,516EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$337,038,079BOYAmt
EOY$396,398,843EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$340,218,080BOYAmt
EOY$399,616,834EOYAmt

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$13,533,377BOYAmt
EOY$898,409EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$13,533,377BOYAmt
EOY$898,409EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$326,684,703BOYAmt
EOY$400,515,243EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$10,383,096ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$24,814,882NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
Supported Organizations8SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (8 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
MONTEFIORE MEDICAL CENTER
1317401143Yes (true)$0$0
MONTEFIORE NEW ROCHELLE HOSPITAL
4629319563Yes (true)$0$0
MONTEFIORE MOUNT VERNON HOSPITAL
4629169383Yes (true)$0$0
SCHAFFER EXTENDED CARE CENTER
4629298883Yes (true)$0$0
MONTEFIORE NYACK HOSPITAL
1317401193Yes (true)$0$0
WHITE PLAINS HOSPITAL MEDICAL CENTER
1317401303Yes (true)$0$0
THE WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL
1317399373Yes (true)$0$0
MONTEFIORE ST LUKE'S HOSPITAL
1413400543Yes (true)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total8SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocfalseListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgfalseMajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By NameTHE ORGANIZATION'S SUPPORTED ORGANIZATIONS ARE DESIGNATED IN THE TRUST AGREEMENT AS THE GRANTOR'S (MONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM) SUPPORTED ORGANIZATIONS. THESE SUPPORTED ENTITIES ARE ALL 501(C)(3) HOSPITAL ORGANIZATIONS THAT ARE AFFILIATED WITH THE MONTEFIORE HEALTH SYSTEM.
Schedule A, Part IV, Section C, Line 1 Majority director detailCOMERICA BANK, THE INSTITUTIONAL TRUSTEE, IS SUPERVISED AND CONTROLLED IN CONNECTION WITH THE GRANTOR, MONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM, AN INTERMEDIARY SUPPORTING ORGANIZATION, WHOSE SUPPORTED ORGANIZATIONS ARE THOSE SUPPORTED ORGANIZATION OF THE TRUST. CURRENTLY, EACH OF THE TRUSTEES AND OFFICERS OF MONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM, INC. (MMAHS) SERVE AS DIRECTORS, TRUSTEES AND /OR OFFICERS OF ONE OR MORE OF THE TRUST SUPPORTED ORGANIZATIONS. GIVEN THE OVERLAP AMONG THE INDIVIDUALS RESPONSIBLE FOR THE GOVERNANCE OF BOTH MMAHS AND THE SUPPORTED ORGANIZATIONS, AND THE REGULAR COORDINATION AND INTERACTION AMONG THE BOARDS AND OFFICERS, THE TRUST WILL INHERENTLY HAVE THE INFORMATION NECESSARY TO ENSURE THAT IT IS AWARE OF AND RESPONSIVE TO THE NEEDS OF THE SUPPORTED ORGANIZATIONS.

Schedule D IRS990ScheduleD

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescDESIGNATED MALPRACTICE FUNDSDesc
Book Value$244,395,470BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$244,395,470TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescPREMIUMS RECEIVABLEDesc
Book Value$146,467,164BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$146,467,164TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
INSURANCE LOSSES & LAE LIABILITIES$366,774,888
UNALLOC. LOSS ADJ EXPENSES RESERVE$25,775,779
UNEARNED PREMIUMS$3,848,176
FieldValueIRS element (for citing)
Total Liability$396,398,843TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedInvestmentsTypeOfActivitiesConductedTxt
Specific Services ProvidedMALPRACTICE INSURANCESpecificServicesProvidedTxt
Region Total Expenditures$244,395,470RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$244,395,470SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$244,395,470TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipfalseForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (true)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (true)ForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule F, Part I, Line 3 Method used to account for expenditures on org's financial statementsFormAndLineReferenceDesc
ExplanationCENTRAL AMERICA AND THE CARIBBEAN-AccrualExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyTHE GRANTOR, MONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM, INC., HAS THE RIGHT TO REPLACE THE TRUSTEE AT ANY TIME UPON (90) DAYS PRIOR NOTICE, OR UPON SHORTER NOTICE IF ACCEPTABLE TO THE TRUSTEE. UPON THE RESIGNATION OR REMOVAL OF THE TRUSTEE, THE GRANTOR HAS THE AUTHORITY TO NAME A SUCCESSOR TRUSTEE WHO SHALL BECOME A SIGNATORY TO AND BE BOUND BY THE TERMS AND PROVISIONS OF THE TRUST AGREEMENT AS IT MAY BE AMENDED CONTEMPORANEOUSLY WITH THE APPOINTMENT OF A SUCCESSOR TRUSTEE.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersMONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM, INC. CONTROLS THE TRUST BY VIRTUE OF ITS POWERS AND STATUS AS THE TRUST'S GRANTOR.
Form 990, Part VI, Line 8a Documentation of meetings held by governing bodyTHE SOLE CORPORATE TRUSTEE OF THE ORGANIZATION IS COMERICA BANK AND TRUST, A NATIONAL BANKING ASSOCIATION THAT ACTS AT THE DIRECTION OF THE HOSPITAL SYSTEM, MONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM, INC. FOR THE PURPOSE OF HOLDING FUNDS AND USING THEM TO SATISFY MALPRACTICE CLAIMS AGAINST THE MEMBER HOSPITALS. SINCE THE SOLE TRUSTEE IS A NATIONAL BANKING ASSOCIATION, THERE ARE NO REGULAR SCHEDULED BOARD MEETINGS OR DOCUMENTATIONS CONCERNING THE BANK'S REGULAR BUSINESS ACTIVITIES.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE FORM 990 WAS PREPARED BY MONTEFIORE'S FINANCE DEPARTMENT WITH THE ASSISTANCE OF VARIOUS DEPARTMENTS. THE FORM 990 WAS REVIEWED AND APPROVED BY THE VICE-PRESIDENT-FINANCE AND MONTEFIORE'S SENIOR LEADERSHIP TEAM INCLUDING THE CHIEF FINANCIAL OFFICER. IN ADDITION, AN INDEPENDENT ACCOUNTING FIRM WAS ENGAGED TO REVIEW THE FORM 990 PRIOR TO FILING OF THE RETURN.
Form 990, Part VI, Line 19 Required documents available to the publicTHE FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART VI, LINE 12A - CONFLICT OF INTEREST POLICYTHE TRUST ADHERES TO A CONFLICT OF INTEREST POLICY THAT HAS BEEN ADOPTED AND IMPLEMENTED BY MONTEFIORE MEDICAL CENTER. MONTEFIORE MEDICAL CENTER REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY, ENSURING THAT NO PERSONS WHO HAVE A CONFLICT OF INTEREST WILL HAVE INFLUENCE OVER THE TRUST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MONTEFIORE MEDICINE ACADEMIC HEALTH SYST
555 SOUTH BROADWAYTARRYTOWNNY10591471582973SYSTEM PARENTNY501(c)(3)Type III-FIN/AYes (true)
MONTEFIORE HEALTH SYSTEM INC
555 SOUTH BROADWAYTARRYTOWNNY10591201615393SUPPORT SERVNY501(c)(3)Type IIYes (true)MMAHS
MONTEFIORE MEDICAL CENTER
111 EAST 210TH STREEBRONXNY10467131740114ACD MED CTRNY501(c)(3)3Yes (true)MHS
MMC CORPORATION
111 EAST 210TH STREETBRONXNY10467133430322REAL ESTATENY501(c)(3)Type IYes (true)MMC
MMC RESIDENTIAL CORP I INC
3411 WAYNE AVENUEBRONXNY10467911943271STAFF HOUSINGNY501(c)(2)Yes (true)MMC
MONTEFIORE HOSP HOUSING SECTION II INC
3450 WAYNE AVENUEBRONXNY10467237160641STAFF HOUSINGNY501(c)(2)Yes (true)MMC
MOSHOLU PRESERVATION CORPORATION
3400 RESERVOIR OVAL EASTBRONXNY10467133109387COMMUNITY SERNY501(c)(3)Type IYes (true)MMC
MONTEFIORE NEW ROCHELLE HOSPITAL
16 GUION PLACENEW ROCHELLENY10801462931956HOSPITALNY501(c)(3)3Yes (true)MHS
MONTEFIORE MOUNT VERNON HOSPITAL
12 NORTH SEVENTH AVENUEMOUNT VERNONNY10550462916938HOSPITALNY501(c)(3)3Yes (true)MHS
SCHAFFER EXTENDED CARE CENTER
16 GUION PLACENEW ROCHELLENY10801462929888NURSING HOMENY501(c)(3)3Yes (true)MHS
MONTEFIORE FOUNDATION INC
111 EAST 210TH STREETBRONXNY10467471600439INACTIVENY501(c)(3)7Yes (true)MHAHS
MONTEFIORE NYACK HOSPITAL
160 NORTH MIDLAND AVENUENYACKNY10960131740119HOSPITALNY501(c)(3)3Yes (true)MHS
WHITE PLAINS HOSPITAL MEDICAL CENTER
41 EAST POST ROAD DAVIS AVEWHITE PLAINSNY10601131740130HOSPITALNY501(c)(3)3Yes (true)MHS
AECOM STUDENT HOUSING CO INC
1300 MORRIS PARK AVENUEBRONXNY10461237075620STUDENT HOUSNY501(c)(2)Yes (true)AECOM
MONTEFIORE CERC OPERATIONS INC
111 EAST 210TH STREETBRONXNY10467474853506REHAB CENTERNY501(c)(3)3Yes (true)MMC
WHITE PLAINS HOSPITAL CTR FDN INC
41 EAST POST ROAD DAVIS AVEWHITE PLAINSNY10601133281507FUNDRAISINGNY501(c)(3)Type IYes (true)WPHMC
MONTEFIORE NYACK HOSPITAL FOUNDATION
160 NORTH MIDLAND AVENUENYACKNY10960133245804FUNDRAISINGNY501(c)(3)7Yes (true)NYACK HOSP
THE WINIFRED MASTERSON BURKE REHAB HOSP
785 MAMARONECK AVENUEWHITE PLAINSNY10605131739937REHAB HOSPNY501(c)(3)3Yes (true)MHS
ST LUKE'S CORNWALL HOSPITAL
70 DUBOIS STREETNEWBURGHNY12550141340054HOSPITALNY501(c)(3)3Yes (true)MHS
HUDSON VISTA MEDICAL PC
70 DUBOIS STREETNEWBURGHNY12550452526738HEALTHCARENY501(c)(3)Type IYes (true)SLCH
HUDSON VISTA PHYSICIAN SERVICES PC
70 DUBOIS STREETNEWBURGHNY12550272020746HEALTHCARENY501(c)(3)Type IYes (true)SLCH
ST LUKE'S CORNWALL HEALTH SYSTEM INC
70 DUBOIS STREETNEWBURGHNY12550223026261HOLDING COMPNY501(c)(3)Type IYes (true)MHS
ST LUKE'S CORNWALL HEALTH SYSTEM FDN
70 DUBOIS STREETNEWBURGHNY12550223026263FUNDRAISINGNY501(c)(3)7Yes (true)SLCHS
ALBERT EINSTEIN COLLEGE OF MEDICINE
1300 MORRIS PARK AVENUEBRONXNY10461830621846MED COLLEGENY501(c)(3)2Yes (true)MMAHS
MONTEFIORE COMMUNITY SERVICES INC
111 EAST 210TH STREETBRONXNY10467863368007INACTIVENY501(c)(3)3Yes (true)MMC
MONTEFIORE EINSTEIN ADVANCED CARE
555 SOUTH BROADWAYTARRYTOWNNY10591863090734HEALTHCARENY501(c)(3)3Yes (true)MHS
MONTEFIORE ACTION FUND INC
111 EAST 210TH STREETBRONXNY10467872215301INACTIVENY501(c)(4)N/AYes (true)
MNH GARAGECO INC
160 NORTH MIDLAND AVENUENYACKNY10960880573052PARKINGNY501(c)(2)Yes (true)NYACK HOSP

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (31 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
UNIVERSITY BEHAVIORAL ASSOCIATES INC
111 EAST 210TH STREETBRONXNY10467133877781MGMT SERVICESNYNAC CorporationYes (true)
THE MONTEFIORE IPA INC
111 EAST 210TH STREETBRONXNY10467134114915INTEG PROVR ASSOCNYNAC CorporationYes (true)
MMC GI HOLDINGS EAST INC
111 EAST 210TH STREETBRONXNY10467721610013HOLDING COMPANYNYNAC CorporationYes (true)
MMC GI HOLDINGS WEST INC
111 EAST 210TH STREETBRONXNY10467721610015HOLDING COMPANYNYNAC CorporationYes (true)
MONTEFIORE BEHAVIORAL CARE IPA NO1 INC
111 EAST 210TH STREETBRONXNY10467133952750INTEG PROVR ASSOCNYNAC CorporationYes (true)
BRONX ACCOUNTABLE CARE NETWORK IPA INC
111 EAST 210TH STREETBRONXNY10467300689571INTEG PROVR ASSOCNYNAC CorporationYes (true)
MONTEFIORE CONSOLIDATED VENTURES INC
111 EAST 210TH STREETBRONXNY10467611728539HOLDING COMPANYNYNAC CorporationYes (true)
MONTEFIORE INSURANCE COMPANY INC
111 EAST 210TH STREETBRONXNY10467320436594INACTIVENYNAC CorporationYes (true)
HUDSON VALLEY IPA INC
111 EAST 210TH STREETBRONXNY10467383978087INTEG PROVR ASSOCNYNAC CorporationYes (true)
MONTEFIORE INNOVATIONS INC
111 EAST 210TH STREETBRONXNY10467475106910HOLDING COMPANYNYNAC CorporationYes (true)
HIGHLAND MEDICAL PC
160 NORTH MIDLAND AVENUENYACKNY10960134034481HEALTHCARE SERV.NYNAC CorporationYes (true)
WHITE PLAINS MEDICAL DIAGNOSTIC SERV PC
41 EAST POST ROADWHITE PLAINSNY10601453164626HEALTHCARE SERV.NYNAC CorporationYes (true)
CANCER AND BLOOD MEDICAL SERV OF NY PC
41 EAST POST ROADWHITE PLAINSNY10601462021804HEALTHCARE SERV.NYNAC CorporationYes (true)
DAVIS AVENUE CORP
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601133331643PROPERTY HOLDINGNYNAC CorporationYes (true)
WHITE PLAINS MANAGEMENT CO INC
41 EAST POST ROADWHITE PLAINSNY10601133331641PROPERTY HOLDINGNYNAC CorporationYes (true)
WPHC BUILDING CORP
41 EAST POST ROADWHITE PLAINSNY10601133676932PROPERTY HOLDINGNYNAC CorporationYes (true)
WHITE PLAINS MEDICAL SERVICES PC
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601815369152HEALTHCARE SERV.NYNAC CorporationYes (true)
WHITE PLAINS PHYSICIAN SERVICES PC
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601815309615HEALTHCARE SERV.NYNAC CorporationYes (true)
CHARITABLE REMAINDER TRUST (4)
CHARIT REMR TRUSTNYNATrustYes (true)
CRHT ACQUISITION INC
555 SOUTH BROADWAY BLDG A FL 1TARRYTOWNNY10591815220651HOLDING COMPANYNYNAC CorporationYes (true)
QUANTUM BIOTHERAPEUTICS LLC
111 EAST 210TH STREETBRONXNY10467611793667INACTIVENYNAC CorporationYes (true)
WHITE PLAINS PHYSICIAN MEDICAL SERV PC
830519787INACTIVENYNAC CorporationYes (true)
EAST POST ROAD MEDICAL SERVICES PC
830535258HEALTHCARE SERV.NYNAC CorporationYes (true)
EAST POST ROAD PHYSICIAN SERVICES PC
830563325INACTIVENYNAC CorporationYes (true)
DAVIS AVENUE MEDICAL SERVICES PC
830579310INACTIVENYNAC CorporationYes (true)
WPH HOLDINGS INC
833893119HOLDING COMPANYNYNAC CorporationYes (true)
INNOVATOR ACQUSITION CORP
833394059HOLDING COMPANYNYNAC CorporationYes (true)
PY DEVELOPMENT CORP
863880241REITNYNAC CorporationYes (true)
SPECIALTY SURGEONS OF CONNECTICUT PC
871352135INACTIVECTNAC CorporationYes (true)
CMO THE CARE MANAGEMENT COMPANY LLC
133991307CARE MANAGEMENTNYNAC CorporationYes (true)
Hudson River Medical Practice PLLC
497 Greenwich StNew YorkNY10013922939271Healthcare ServicesNYNAC CorporationYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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