NEW YORK COMMUNITY HOSPITAL OF BROOKLYN INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
NEW YORK COMMUNITY HOSPITAL OF BROOKLYN INC (EIN 11-1986351)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-14
IRS object ID
202313189349303011
Schema version
2022v5.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-14T09:18:44-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORVIS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11155 Avenue of the Americas 1200AddressLine1Txt
CityNew YorkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10036ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN111986351EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The New York Community Hospital of BrooklynBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% BARRY STERNInCareOfNm
Business Name ControlNEWYBusinessNameControlTxt
Phone7186925300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12525 Kings HighwayAddressLine1Txt
CityBrooklynCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11229ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBARRY STERNPersonNm
Person TitleCEO/PRESIDENTPersonTitleTxt
Phone7186925385PhoneNum
Signature2023-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstbarryPersonFirstNm
Person LaststernPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAaron ShapiroPreparerPersonNm
PTINP01333816PTIN
Phone2128674000PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Maimonides Midwood Community HospitaBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerBARRY STERNPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12525 Kings HighwayAddressLine1Txt
CityBrooklynCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11229ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$119,686,549GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressNYCH.COM/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1947FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionMaimonides Midwood Community hospital is committed to providing quality care with compassion and dignity to all patients and to the community.ActivityOrMissionDesc
Voting Members Governing Body36VotingMembersGoverningBodyCnt
Voting Members Independent32VotingMembersIndependentCnt
Total Employee891TotalEmployeeCnt
Total Volunteers32TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$24,800,195PYContributionsGrantsAmt
CY Contributions Grants$337,200CYContributionsGrantsAmt
PY Program Service Revenue$117,052,751PYProgramServiceRevenueAmt
CY Program Service Revenue$117,742,952CYProgramServiceRevenueAmt
PY Investment Income$641,749PYInvestmentIncomeAmt
CY Investment Income$411,622CYInvestmentIncomeAmt
PY Other Revenue$1,245,888PYOtherRevenueAmt
CY Other Revenue$1,140,710CYOtherRevenueAmt
PY Total Revenue$143,740,583PYTotalRevenueAmt
CY Total Revenue$119,632,484CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$83,678,043PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$85,587,659CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$53,269,032PYOtherExpensesAmt
CY Other Expenses$44,729,889CYOtherExpensesAmt
PY Total Expenses$136,947,075PYTotalExpensesAmt
CY Total Expenses$130,317,548CYTotalExpensesAmt
PY Revenues Less Expenses$6,793,508PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$10,685,064CYRevenuesLessExpensesAmt
Total Assets BOY$101,696,668TotalAssetsBOYAmt
Total Assets EOY$82,260,057TotalAssetsEOYAmt
Total Liabilities BOY$63,806,353TotalLiabilitiesBOYAmt
Total Liabilities EOY$41,643,979TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$37,890,315NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$40,616,078NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMaimonides Midwood Community Hospital IS A VOLUNTARY, NON-PROFIT HOSPITAL SERVING THE PATIENTS OF BROOKLYN. THE HOSPITAL PRIDES ITSELF ON PROVIDING THE HIGHEST QUALITY HEALTHCARE ALONG WITH COMPASSION, RESPECT AND DIGNITY TO ALL OUR PATIENTS AND TO THE COMMUNITY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$116,882,024ExpenseAmt
Revenue$117,742,952RevenueAmt
DescMAIMONIDES MIDWOOD COMMUNITY HOSPITAL (MMCH) IS A VOLUNTARY, NOT FOR PROFIT COMMUNITY HOSPITAL SERVING THE PATIENT COMMUNITY OF BROOKLYN, NY. IT IS ORGANIZED AS A 501(C)(3) CORPORATION. MMCH PROVIDES NEEDED MEDICAL CARE REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. SERVICES INCLUDE INPATIENT, ANCILLARY AND OUTPATIENT CARE IN KEEPING WITH THE HOSPITAL'S MISSION STATEMENT. DURING 2022, MMCH SERVICED APPROXIMATLY 5,900 INPATIENTS, PROVIDING APPROXIMATLY 35,600 PATIENT DAYS. THE EMERGENCY ROOM HAD APPROXIMATLY 23,000 VISITS AND AMBULATORY SURGERY HAD APPROXIMATLY 3,900 VISITS. MONOCOLONIAL ANTIBODY TREATMENTS WERE ADMINISTERED FOR THOSE THAT QUALIFIED. SEE SCHEDULE H FOR INFORMATION ON CHARITY CARE.Desc
Total Program Service Expenses$116,882,024TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (true)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document114IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee891EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
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 PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members36GoverningBodyVotingMembersCnt
Independent Voting Member32IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
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 BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBARRY STERNPersonNm
Phone7186925301PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12525 KINGS HIGHWAYAddressLine1Txt
CityBROOKLYNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11229ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (55 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
RALPH MADEB
CO-CHIEF MEDICAL OFFICER60.00.0Yes (X)$1,850,920$0$19,629
KENNETH GIBBS
PRESIDENT AND CEO2.557.5$0$1,760,796$49,237Yes (X)Yes (X)
MICHAEL ANTONIADES
EVP & COO (through 10/22)2.540.0Yes (X)$0$1,163,311$26,423
LAURIE WEINSTEIN
ASSISTANT SECRETARY2.540.0$0$929,129$49,238Yes (X)
HARRY ADLER MD
MED STAFF PRES (through 6/22)1.040.0$0$781,062$47,988Yes (X)
JOHN MALLIA
EVP & CFO (through 3/22)2.557.5$0$683,359$8,859Yes (X)
ROBERT PALERMO
EVP/CFO (3/22), Asst Treasurer2.540.0$0$612,512$36,023Yes (X)
BARRY STERN
PRESIDENT AND CEO57.52.5$554,434$0$53,337Yes (X)Yes (X)
EDWIN KO
MEDICAL DIRECTOR OF PATHOLOGY35.00.0$361,314$0$76,673Yes (X)
SAMIR FARHAT
PHYSICIAN35.00.0Yes (X)$336,325$0$91,444
ANNADA DAS
PHYSICIAN35.00.0$347,185$0$72,658Yes (X)
DZHEYMZ LASHKIN
SURGEON35.00.0$395,089$0$9,592Yes (X)
DONNA FITZMARTIN
SR VICE PRESIDENT/COO60.00.0Yes (X)$288,500$0$85,590
JULIUS DERDIK
Former CHIEF ADMIN OFFICER57.52.5Yes (X)$301,844$0$70,404
EDWARD STOLYAR
CHIEF INFORMATION OFFICER60.00.0Yes (X)$294,824$0$56,516
MONICA GHITAN MD
MEDICAL STAFF PRESIDENT1.040.0$0$267,946$57,062Yes (X)
Sumit K De
General Surgeon35.00.0$275,474$0$33,471Yes (X)
Diana Immel
VP of Perioperative Services35.00.0$262,204$0$30,897Yes (X)
JUDY BACHMAN
EXECUTIVE VP AND INTERIM COO2.540.0Yes (X)$0$277,147$145
ROBERT REN
CHIEF ADMINISTRATIVE OFFICER60.00.0Yes (X)$250,079$0$20,739
BORIS MOLCHANSKIY
CHIEF NURSING OFFICER60.00.0Yes (X)$233,137$0$28,968
JOYCE LEAHY
FORMER ASSISTANT SECRETARY0.010.01$0$192,622$3,119Yes (X)
Eugene Keilin
Board Chair0.10.4$0$0$0Yes (X)Yes (X)
ALEX ROVT PHD
VICE CHAIR0.10.4$0$0$0Yes (X)Yes (X)
ERMINIA RIVERA
VICE CHAIR0.10.4$0$0$0Yes (X)Yes (X)
PETER REBENWURZEL
VICE CHAIR0.10.4$0$0$0Yes (X)Yes (X)
Mary Singh
Vice Chair0.10.4$0$0$0Yes (X)Yes (X)
Paul Addison
Treasurer0.10.4$0$0$0Yes (X)Yes (X)
C Herbert Leshkowitz
Treasurer (through 6/22)0.10.4$0$0$0Yes (X)Yes (X)
Frank Naccarato
Secretary0.10.4$0$0$0Yes (X)Yes (X)
RICHARD D FORMAN
TRUSTEE0.10.4$0$0$0Yes (X)
YOHOSHUA FRUCHTHANDLER
TRUSTEE0.10.4$0$0$0Yes (X)
JEREMY GLICK
TRUSTEE0.10.4$0$0$0Yes (X)
JACK A HIDARY
TRUSTEE0.10.4$0$0$0Yes (X)
LOFTON HOLDER
TRUSTEE0.10.4$0$0$0Yes (X)
MORTIMER N KLAUS
TRUSTEE0.10.4$0$0$0Yes (X)
GEORGE LIU MD
TRUSTEE0.10.4$0$0$0Yes (X)
ROBERT MACHINIST
TRUSTEE0.10.4$0$0$0Yes (X)
DONALD MELTZER
TRUSTEE0.10.4$0$0$0Yes (X)
Chaim Fischer
TRUSTEE0.10.4$0$0$0Yes (X)
AZZAM OBEID
TRUSTEE0.10.4$0$0$0Yes (X)
MARTIN PAYSON
TRUSTEE0.10.4$0$0$0Yes (X)
TREVOR PRICE
TRUSTEE0.10.4$0$0$0Yes (X)
AVI SCHRON
TRUSTEE0.10.4$0$0$0Yes (X)
DAVID SPIRA
TRUSTEE0.10.4$0$0$0Yes (X)
AARON D TWERSKI
TRUSTEE0.10.4$0$0$0Yes (X)
MARTY WAISBROD
TRUSTEE0.10.4$0$0$0Yes (X)
GEORGE WEINBERGER
TRUSTEE0.10.4$0$0$0Yes (X)
MICHAEL L ZIEGLER ESQ
TRUSTEE0.10.4$0$0$0Yes (X)
Jeffrey Fenster
trustee0.10.4$0$0$0Yes (X)
JOSEPH BRUNO
TRUSTEE0.10.4$0$0$0Yes (X)
IRWIN BIRNBAUM
TRUSTEE0.10.4$0$0$0Yes (X)
RICHARD BARASCH
TRUSTEE0.10.4$0$0$0Yes (X)
DONNA ASTION MD
TRUSTEE0.10.4$0$0$0Yes (X)
David Cassato Msgr
TRUSTEE0.10.4$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,751,329TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$6,667,884TotReportableCompRltdOrgAmt
Total Other Compensation$928,012TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K232IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
FORVIS
1155 AVENUE OF THE AMERICAS SUITE 1NEW YORKNY10036ACCOUNTING$278,372
DENSHELS LLC
508 E 56 STREETBROOKLYNNY11203BUILDING CONTRACTOR$1,235,907
GATEWAY DIALYSIS CENTER
1170 EAST 98TH STREETBROOKLYNNY11236DIALYSIS SERVICES$799,910
UNITED NYC MEDICAL ASSOCIATES LLC
73 SUSSEX DRIVEMANHASSETNY11030ANESTHESIOLOGISTS$1,380,801
BROOKLYN DIAGNOSTIC IMAGING
427 7TH STREETBROOKLYNNY11215RADIOLOGY SERVICES$402,612
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K19CntrctRcvdGreaterThan100KCnt
Fundraising$137,200FundraisingAmt
Government Grants$200,000GovernmentGrantsAmt
Total Contributions$337,200TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business622110BusinessCd
Total Revenue Column$117,742,952TotalRevenueColumnAmt
Related Or Exempt Func Income$117,742,952RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$117,742,952TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$411,622TotalRevenueColumnAmt
Exclusion$411,622ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$24,010FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$137,200ContriRptFundraisingEventAmt
Fundraising Direct Expenses$54,065FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$30,055TotalRevenueColumnAmt
Exclusion-$30,055ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MEDICAL ABSTRACT FEES900099$58,987$58,987
OTHER900099$1,111,778$1,111,778
FieldValueIRS element (for citing)
Other Revenue Total$1,170,765OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$119,632,484TotalRevenueColumnAmt
Related Or Exempt Func Income$117,742,952RelatedOrExemptFuncIncomeAmt
Exclusion$1,552,332ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,536,690TotalAmt
Management And General$4,536,690ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$58,426,842TotalAmt
Program Services$56,066,193ProgramServicesAmt
Management And General$2,360,649ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,859,090TotalAmt
Program Services$5,511,596ProgramServicesAmt
Management And General$347,494ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$12,250,822TotalAmt
Program Services$11,106,962ProgramServicesAmt
Management And General$1,143,860ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,514,215TotalAmt
Program Services$4,047,128ProgramServicesAmt
Management And General$467,087ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$125,042TotalAmt
Management And General$125,042ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$255,232TotalAmt
Management And General$255,232ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$35,160TotalAmt
Management And General$35,160ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$17,261,602TotalAmt
Program Services$15,507,062ProgramServicesAmt
Management And General$1,754,540ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,250TotalAmt
Program Services$3,810ProgramServicesAmt
Management And General$440ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,037,603TotalAmt
Program Services$626,918ProgramServicesAmt
Management And General$1,410,685ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$204,288TotalAmt
Program Services$183,150ProgramServicesAmt
Management And General$21,138ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,667,040TotalAmt
Program Services$1,494,551ProgramServicesAmt
Management And General$172,489ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$285,810TotalAmt
Program Services$256,237ProgramServicesAmt
Management And General$29,573ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,295,870TotalAmt
Program Services$3,851,375ProgramServicesAmt
Management And General$444,495ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,319,687TotalAmt
Program Services$2,079,668ProgramServicesAmt
Management And General$240,019ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$15,359,495$15,359,495
FOOD$878,810$787,879$90,931

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$130,317,548TotalAmt
Program Services$116,882,024ProgramServicesAmt
Management And General$13,435,524ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$17,937,839BOYAmt
EOY$793,261EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$22,569,187BOYAmt
EOY$15,418,030EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$18,734,107BOYAmt
EOY$15,657,111EOYAmt

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,596,117BOYAmt
EOY$2,610,638EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,277,960BOYAmt
EOY$485,009EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$117,448,697LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$77,890,424LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$31,914,768BOYAmt
EOY$39,558,273EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,602,131BOYAmt
EOY$3,652,291EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,064,559BOYAmt
EOY$4,085,444EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$101,696,668BOYAmt
EOY$82,260,057EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$29,181,486BOYAmt
EOY$23,181,385EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$13,693,893BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,930,974BOYAmt
EOY$18,462,594EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$63,806,353BOYAmt
EOY$41,643,979EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$37,890,315BOYAmt
EOY$40,616,078EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$37,890,315BOYAmt
EOY$40,616,078EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$101,696,668BOYAmt
EOY$82,260,057EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$10,685,064ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,123,239NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$14,534,066OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$35,160OtherActivitiesAmt
Total Lobbying Expenditures$35,160TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, line 1IFormAndLineReferenceDesc
ExplanationTrade organizations lobby on behalf of the hospital for healthcare issues.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,700,000OtherCostOrOtherBasisAmt
Book Value$7,700,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$50,681,708OtherCostOrOtherBasisAmt
Depreciation$38,047,599DepreciationAmt
Book Value$12,634,109BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$51,223,291OtherCostOrOtherBasisAmt
Depreciation$39,842,825DepreciationAmt
Book Value$11,380,466BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,843,698OtherCostOrOtherBasisAmt
Book Value$7,843,698BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$39,558,273TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
SELF INSURANCE AGAINST MALPRACTICE CLAIMS$15,791,000
DUE TO THIRD PARTY PAYORS$2,671,594
FieldValueIRS element (for citing)
Total Liability$18,462,594TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART X, LINE 2FormAndLineReferenceDesc
ExplanationASC 740 FOOTNOTE MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1MMCH GOLF CLASSEvent1Nm
Gross Receipts Event1$161,210GrossReceiptsEvent1Amt
Charitable Contri Event1$137,200CharitableContriEvent1Amt
Gross Revenue Event1$24,010GrossRevenueEvent1Amt
Non Cash Prizes Event1$5,385NonCashPrizesEvent1Amt
Rent Facility Costs Event1$24,200RentFacilityCostsEvent1Amt
Entertainment Event1$5,645EntertainmentEvent1Amt
Other Direct Expenses Event1$18,835OtherDirectExpensesEvent1Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$161,210GrossReceiptsTotalAmt
Charitable Contributions Tot$137,200CharitableContributionsTotAmt
Gross Revenue Total Events$24,010GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$5,385NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$24,200RentFcltyCostsTotalEventsAmt
Entertainment Total Events$5,645EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$18,835OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$54,065DirectExpenseSummaryEventsAmt
Net Income Summary-$30,055NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CarefalseFPGReferenceFreeCareInd
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,891,819TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,146,212DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,745,607NetCommunityBenefitExpnsAmt
Total Expense0.03600TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,572,411TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,611,410DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,961,001NetCommunityBenefitExpnsAmt
Total Expense0.13800TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,464,230TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,757,622DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,706,608NetCommunityBenefitExpnsAmt
Total Expense0.17400TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$697,234TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$538,282DirectOffsettingRevenueAmt
Net Community Benefit Expns$158,952NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,920,899TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,419,650DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,501,249NetCommunityBenefitExpnsAmt
Total Expense0.01200TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,618,133TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,957,932DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,660,201NetCommunityBenefitExpnsAmt
Total Expense0.01300TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$42,082,363TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,715,554DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,366,809NetCommunityBenefitExpnsAmt
Total Expense0.18700TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$19,295,284BadDebtExpenseAmt
Bad Debt Expense Attributable$11,890,855BadDebtExpenseAttributableAmt
Reimbursed By Medicare$50,829,187ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$51,882,013CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,052,826MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NEW YORK COMMUNITY HOSPITAL OF BKLYNBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12525 KINGS HIGHWAYAddressLine1Txt
CityBROOKLYNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11229ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.NYCH.COMWebsiteAddressTxt
State License7001008HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NEW YORK COMMUNITY HOSPITAL OF BKLYNBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.nych.comOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLNYCH.COM/COMMUNITY-SERVICE-PLAN/StrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care0.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Other MethodYes (X)OtherMethodInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLsee supplemental informationFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLsee supplemental informationFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLsee supplemental informationFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 6AMAIMONIDES MEDICAL CENTER
PART V, SECTION B, LINE 5THE MAIMONIDES MIDWOOD COMMUNITY HOSPITAL IN CONJUNCTION WITH MAIMONIDES MEDICAL CENTER MEETS WITH LOCAL VOLUNTEER AMBULANCES SERVICES (HATZALAH) ON MONTHLY BASIS TO BETTER UNDERSTAND THE NEED OF THE COMMUNITY AS WELL AS DISCUSS WAYS TO IMPROVE ACCESS TO HEALTHCARE. MAIMONIDES HOSPITAL GRACEFULLY SHARED THE INFORMATION OF THEIR EFFORTS TO IDENTIFY AND ADDRESS RISK FACTORS WITHIN THEIR OWN SERVICE AREAS. MAIMONIDES SERVICE AREA INCLUDEs SOME OF THE SAME COMMUNITIES WHICH REPRESENT OUR SERVICE AREA: BOROUGH PARK, CONEY ISLAND, SHEEPSHEAD BAY, FLATBUSH/MIDWOOD, AND BAY RIDGE/DYKER HEIGHTS. IN SEEKING INPUT FROM PUBLIC HEALTH OFFICIALS AT THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE'S (DOHMH), MAIMONIDES CONSULTED WITH STAFF AT THE BROOKLYN NEIGHBORHOOD HEALTH ACTION CENTER AND ALSO INCORPORATED RESULTS FROM THE COMMUNITY CONSULTATIONS. THE QUANTITATIVE COMPONENT OF THIS ASSESSMENT DRAWS ON THE NYC DOHMH COMMUNITY HEALTH PROFILES PUBLISHED IN 2019. THE DOHMH PROFILES DEFINE COMMUNITIES BASED ON THE SAME BOUNDARIES USED BY NEW YORK CITY COMMUNITY BOARD DISTRICTS; THERE IS ONE PROFILE FOR EACH COMMUNITY District.
PART V, SECTION B, LINE 11IN PRIORITIZING THE HEALTH NEEDS OF THE COMMUNITY, MAIMONIDIES MIDWOOD COMMUNITY HOSPITAL TOOK INTO ACCOUNT SEVERAL FACTORS, INCLUDING THEIR SCOPE/SIGNIFICANCE; OPPORTUNITIES AND ESTIMATED EFFECTIVENESS OF POSSIBLE INTERVENTIONS; THE IMPORTANCE THE COMMUNITY PLACES ON ADDRESSING THE NEEDS AS ALIGNMENT WITH THE NEW YORK STATE PREVENTION AGENDA. THE PRIMARY HEALTH CONCERNS THAT PUBLIC DELIBERATIONS PARTICIPANTS AND KEY INFORMANT INTERVIEWS CITED, ARE RELATED TO CHRONIC DISEASES, INCLUDING DIABETES, HEART DISEASE AND CANCER, LARGELY ASSOCIATED WITH INADEQUATE NUTRITION AND INCREASED OBESITY RATES, LACK OF REGULAR PHYSICAL ACTIVITY, SMOKING, AND HIGH STRESS LEVELS. THESE NEEDS MIRROR THE CHALLENGES MAIMONIDES MIDWOOD COMMUNITY HOSPITAL SEES REFLECTED IN ITS PATIENTS. MANY PATIENTS, INCLUDING NEW IMMIGRANT COMMUNITIES, DO NOT ACCESS PRIMARY HEALTHCARE ROUTINELY, BUT RATHER SEEK CARE AT THE HOSPITAL FOR LATE-STAGE CANCER, HEART DISEASE, AND OTHER ILLNESSES THAT ARE PROGRESSED AND REQUIRE TERTIARY ACUTE CARE. LACK OF HEALTH INSURANCE, HIGH OUT-OF-POCKET HEALTHCARE COSTS, LINGUISTIC AND CULTURAL BARRIERS TO SEEKING CARE, AND PERCEIVED CHALLENGES OF ACCESSING CARE ALSO PRESENT SIGNIFICANT NEEDS FACING OUR COMMUNITIES, PARTICULARLY AMONG IMMIGRANT COMMUNITIES. IT IS THEREFORE CRITICAL THAT MAIMONIDES MIDWOOD COMMUNITY HOSPITAL PRIORITIZE PREVENTION AND EARLY INTERVENTION OF CHRONIC DISEASE AND ENHANCE ACCESS TO, AND UTILIZATION OF, PREVENTIVE SERVICES THAT ARE CULTURALLY APPROPRIATE AND TAILORED TO MEET THE NEEDS OF DIVERSE COMMUNITIES. GIVEN THE SOCIAL, LINGUISTIC, AND FINANCIAL BARRIERS TO GOOD HEALTH RESIDENTS FACE, MAIMONIDES MIDWOOD COMMUNITY HOSPITAL IS WORKING TO ENHANCE ACCESS TO AND UTILIZATION OF PRIMARY AND PREVENTIVE HEALTHCARE AND FACILITATE ENHANCED ENGAGEMENT IN HEALTHY BEHAVIORS - SPECIFICALLY NUTRITION, PHYSICAL ACTIVITY, AND SMOKING CESSATION TO REDUCE THE RISK OF DEVELOPING CARDIOVASCULAR DISEASE, HIGH BLOOD PRESSURE, DIABETES, AND SOME CANCERS. LIMITATIONS: WE ARE NOT ABLE TO ADDRESS A NUMBER OF THE ISSUES, THAT ARE FACED BY MEMBERS OF THE COMMUNITY IN OUR PRIMARY SERVICE AREA AT THIS TIME DUE TO LIMITATIONS ON FUNCTIONAL SPACE, EMPLOYEE TRAINING AND TIME COMMITMENTS. IN ADDITION WE CURRENTLY DO NOT PROVIDE FOR; OUTPATIENT CLINICS, OBGYN SERVICES, PEDIATRIC AND PSYCHIATRIC DEPARTMENTS. IDENTIFICATION OF RESOURCES TO ADDRESS COMMUNITY HEALTH NEEDS: IN ALIGNMENT WITH THE THREE PRIORITIES THAT MAIMONIDES MIDWOOD COMMUNITY HOSPITAL HAS SELECTED TO PRIORITIZE - TOBACCO PREVENTION, HEALTHY EATING AND FOOD SECURITY, PREVENTIVE CARE AND MANAGEMENT, MMCH HAS DEVELOPED STRATEGIES FOR HEALTH PROMOTION AND SERVICE PROVISION FOR ITS PATIENTS AND COMMUNITY MEMBERS THROUGH A VARIETY OF VENUES, BOTH CLINICAL AND COMMUNITY BASED. THESE EFFORTS INCLUDE STRATEGIC ALIGNMENT WITH PARTNER ORGANIZATIONS AND ACTIVE PARTICIPATION IN CONVENING ACTIVITIES RELATED TO COMMUNITY HEALTH IN THE MMCH'S SERVICE AREA, SUCH AS MEETINGS OF THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA) AND NYC DOHMH TASK FORCES. MAIMONIDES MIDWOOD COMMUNITY HOSPITAL ALSO LEVERAGES ITS RELATIONSHIPS WITH MAIMONIDES MEDICAL CENTER - WHERE APPROPRIATE, TO COORDINATE AND INTEGRATE HEALTH SERVICES AND HEALTH PROMOTION ACTIVITIES. COMMUNITY OUTREACH AND NON-AGENDA PRIORITIES: MAIMONIDIES MIDWOOD COMMUNITY HOSPITAL PHYSICIANS, ALLIED HEALTH PROFESSIONALS, CLINICAL AND SUPPORT STAFF PARTICIPATE IN HEALTH FAIRS, SCREENINGS, LECTURES AND COMMUNITY PROGRAMS IN CONJUNCTION WITH LOCAL OR BOROUGH WIDE HEALTHCARE ORGANIZATIONS, LEGISLATIVE OFFICIALS, CIVIC, SENIOR AND RELIGIOUS ORGANIZATIONS. MAIMONIDIES MIDWOOD COMMUNITY HOSPITAL AS PART OF THE GREATER SOUTHERN BROOKLYN HEALTH COALITION, HAS BEEN AN ACTIVE PARTICIPANT IN THE BOROUGH WIDE HEALTH CONFERENCE. AS COMMUNITY LEADERS, PEOPLE LOOK TO OUR HOSPITAL TO RAISE AWARENESS ABOUT HEALTH ISSUES AND OTHER CONCERNS SUCH AS THE ENVIRONMENT, HOUSING, TRANSPORTATION AND SAFETY AND HOW THESE ISSUES AFFECT THEIR LIVES. WE ENDEAVOR TO CREATE A SENSE OF COMMUNITY FOR THE COMMON GOOD OF OUR NEIGHBORS AND TO ASSURE THEM THAT OUR PROGRAMS ARE FOCUSED ON KEEPING THEM HEALTHY AS WE GUIDE THEM THROUGH EDUCATIONAL PROGRAM ENCOURAGING PREVENTIVE HEALTH MEASURES. THE HOSPITAL IS ACTIVELY WORKING WITH MMCH QUALITY DEPARTMENT AS WELL AS MMC QUALITY DEPARTMENT TO INTEGRATE METHODS THAT WILL TO IMPROVE QUALITY AND REDUCE 30-DAY READMISSIONS AS WELL AS TO CREATE AN EMERGENCY DEPARTMENT TRIAGE INITIATIVE SPECIFICALLY FOR THE AT-RISK POPULATION OF THE COMMUNITY. OUR INVOLVEMENT WITH COMMUNITY OUTREACH HAS ALLOWED THE HOSPITAL TO PARTNER WITH MULTIPLE HEALTHCARE PROVIDERS IN ADDRESSING THE HEALTHCARE NEEDS OF THE COMMUNITY AS PART OF A GROUP EFFORT. THROUGH PARTICIPATION IN THE RUSSIAN PROGRAM PROJECTS WE ARE HELPING TO CONNECT PATIENTS WITH PRIMARY CARE PROVIDERS AND COMMUNITY ASSISTANCE TO HELP PREVENT UNNECESSARY TRIPS TO THE ER AND MAINTAIN HEALTHIER LIFESTYLES. HEALTH FAIRS, SCREENINGS, LECTURES AND VISITS TO SENIOR CENTERS ARE ARRANGED ACCORDINGLY AND HELD THROUGHOUT THE YEAR. THE PROGRAMS CLEARLY DEMONSTRATE AN ADDED SENSE OF RESPONSIBILITY OF OUR HOSPITAL PHYSICIANS, STAFF AND OUR ADVISORY COMMITTEE, FOR OUR PATIENTS AND THE COMMUNITY WHO ARE OUR NEIGHBORS AND FRIENDS. EXISTING AND CONTINUING PROGRAMS AND INTERVENTIONS: TOBACCO PREVENTION: PROMOTE TOBACCO USE CESSATION AS TOBACCO USAGE AND DEPENDENCY IS THE LEADING PREVENTABLE CAUSE OF MORBIDITY AND MORTALITY IN NEW YORK, IT SEEMS APPROPRIATE FOR ALL INSTITUTIONS, AGENCIES AND ORGANIZATIONS, TO WORK TOGETHER TO ENCOURAGE SMOKERS TO STOP, AND TO DISCOURAGE YOUNG PEOPLE FROM STARTING. AS IT IS NEVER TOO LATE TO STOP, OUR PATIENT IN-HOSPITAL POPULATION IS INCLUDED AS PART OF OUR COMMUNITY EFFORTS. THIS PRIORITY REPRESENTS A CONTINUOUS EFFORT ON THE PART OF THE HOSPITAL AND THE COMMUNITY ASSOCIATED AGENCIES. THE GOAL BEING TO EDUCATE THOSE WILLING TO PARTICIPATE IN ANY IN-HOUSE PROGRAMS AS WELL AS HAVE OUR PARTNERS DISSEMINATE AS MUCH INFORMATION AS AVAILABLE TO US IN THE SCOPE OF OUR RESOURCES AND ABILITY TO ACCOMPLISH THE SAME. THE HOSPITAL, WITH ITS VERY SUBSTANTIAL NUMBER OF RUSSIAN-SPEAKING PATIENTS AND PROFESSIONAL STAFF MEMBERS, HAS DEVELOPED RELATIONSHIPS WITH HEALTHCARE PROVIDERS AND WITH INFLUENTIAL PUBLIC MEDIA IN THE RUSSIAN COMMUNITY THAT WE BELIEVE CAN BE USED TO PROMOTE SMOKING REDUCTION AND CESSATION THROUGH PERSONAL COUNSELING AND PUBLIC EDUCATION. IN ADDITION, ALL HOSPITAL IN-PATIENTS ARE COUNSELED REGARDING SMOKING CESSATION PRIOR TO DISCHARGE. PARTICIPATION BY OUR UTILIZATION REVIEW DISCHARGE PLANNING/SOCIAL WORK TEAM IS ROUTINE. MAIMONIDIES MIDWOOD COMMUNITY HOSPITAL HAS DEVELOPED AN INPATIENT EVALUATION SYSTEM FOR TOBACCO CESSATION SUPPORT PROGRAM. -TOBACCO USE SCREENING IS PERFORMED FOR ALL ADMITTED PATIENTS DURING INPATIENT ADMISSION ASSESSMENT BY NURSING-TOBACCO CESSATION COUNSELING AND TOBACCO TREATMENT MEDICATIONS ARE PROVIDED AND/OR OFFERED TO SMOKERS -MAIMONIDES MIDWOOD COMMUNITY HOSPITAL HAS IDENTIFIED PATIENT MATERIALS AND RESOURCES AND HAS IMPLEMENTED AN ONLINE REFERRAL PROCESS TO NYS QUIT LINE -SMOKING CESSATION PRE-WRITTEN DISCHARGE INSTRUCTIONS ARE PROVIDED TO ALL PATIENTS WHO SMOKE UPON DISCHARGE THE DATA COLLECTION INCLUDES: -TOBACCO USE SCREENING -TOBACCO USE TREATMENT PROVIDED OR OFFERED DURING HOSPITAL STAY AND UPON DISCHARGE -NUMBER OF PATIENTS PRESCRIBED/RECEIVED TOBACCO TREATMENT MEDICATIONS -NUMBER OF REFERRALS SUBMITTED TO NEW YORK STATE SMOKERS QUIT LINE MAIMONIDIES MIDWOOD COMMUNITY HOSPITAL HAS MADE THE ENTIRE AREA AROUND THE HOSPITAL SMOKE-FREE. WE WILL CONDUCT HEALTH RISK ASSESSMENT AMONG OUR EMPLOYEES IN ORDER TO IDENTIFY THOSE EMPLOYEES WHO USE TOBACCO SO THAT WE MAY OFFER TO INCLUDE THEM IN OUR TOBACCO CESSATION SUPPORT PROGRAM. THE HOSPITAL HAS PARTICIPATED IN VARIOUS EXTERNAL FAIRS IN ORDER TO DISSEMINATE INFORMATION REGARDING SMOKING AND TOBACCO USAGE. PREVENTIVE CARE AND MANAGEMENT: HYPERTENSION SCREENING AND STROKE PREVENTION AND EDUCATION CHRONIC DISEASES WITH HIGH PREVALENCE IN OUR ELDERLY POPULATION INCLUDE DIABETES, CORONARY ARTERY DISEASE, CONGESTIVE HEART FAILURE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, HYPERTENSION AND STROKE, ALL CONDITIONS IN WHICH COMPLIANCE WITH RECOMMENDED TREATMENT REGIMENS HAS A POSITIVE EFFECT ON MORBIDITY AND MORTALITY. THE FACT THAT OVER 70% OF ALL DEATHS THAT OCCURRED IN NY STATE WERE DUE TO CHRONIC DISEASES, AND THE NATURE OF OUR PATIENT POPULATION IS SUCH, MAKE IT A CLEAR HOSPITAL AND COMMUNITY INSPIRED CHOICE AS A HEALTH PRIORITY AGENDA FOR MMCH. WE ARE ATTRACTING PATIENTS WITH SUSPECTED OR IMPENDING STROKE, AND THAT WITH OUR STRONG LINKS TO COMMUNITY-BASED PRE-HOSPITAL CARE PROVIDERS LIKE THE HATZALAH AMBULANCE SERVICE, IS AN AREA WHERE WE COULD MAKE A SIGNIFICANT CONTRIBUTION TO THE COMMUNITY BY PROVIDING TIMELY AND COORDINATED CARE AND COMMUNITY AWARENESS. WE DECIDED, THEREFORE, IN COLLABORATION WITH THE HOSPITAL'S CLINICAL LEADERSHIP AND ADMINISTRATION, TO CONCENTRATE OUR EFFORTS ON MAJOR HEALTH CONCERN, THA
Part V, Section B, Line 15EWE HAVE TRAINED ON-SITE FINANCIAL COUNSELORS TO ASSIST PATIENTS AND THEIR FAMILY MEMBERS IN APPLYING FOR MEDICAID AND/OR FINANCIAL ASSISTANCE. THE COUNSELORS WILL ADVISE THEM OF THE NECESSARY DOCUMENTATION NEEDED AND THE RULES OF THE PROGRAM. THEY WILL ALSO INITIATE ANY PHONE CALLS ON THE PATIENT'S BEHALF TO HELP EXPEDITE THE PROCESS. IT IS AN OPEN DOOR POLICY AND APPOINTMENTS ARE NOT REQUIRED. IT IS ALSO THE PRACTICE THAT THE COUNSELORS, UPON REQUEST, WILL VISIT PATIENTS WHILE IN-HOUSE TO ASSIST THEM IN THEIR FINANCIAL NEEDS.
Part V, Section B, Line 16A, B & CHTTP://NYCH.COM/ABOUT-US/FINANCIAL-AIDCHARITY-CARE/
Part V, Section B, Line 16JTHE HOSPITAL PROVIDES A SUMMARY OF THE FINANCIAL AID POLICY ON ITS WEBSITE (IN ENGLISH, RUSSIAN AND SPANISH), EMERGENCY ROOM, ADMITTING DEPARTMENT AND ON THE PATIENT BILLS. THE HOSPITAL EDUCATES AND PROVIDES PUBLIC AWARENESS REGARDING FINANCIAL ASSISTANCE TO THE COMMUNITY BY TRAINING APPROPRIATE STAFF MEMBERS WHO ARE TO IMPLEMENT THIS POLICY. ALL STAFF ARE EDUCATED ABOUT THE AVAILABILITY OF CHARITY CARE/FINANCIAL AID AND HOW TO DIRECT PATIENTS TO OBTAIN FURTHER INFORMATION ABOUT THE PROCESS. INFORMATION REGARDING THE POLICY IS MADE AVAILABLE IN THE EMERGENCY ROOM AND ALL REGISTRATION AND PATIENT WAITING AREAS THROUGH THE USE OF SIGNS AND DISTRIBUTION OF LITERATURE. INFORMATION TO CONTACT US FOR FINANCIAL ASSISTANCE CAN ALSO BE FOUND ON OUR PATIENT BILLS. OUR FINANCIAL ASSISTANCE POLICY SUMMARY AND APPLICATIONS ARE POSTED ON THE HOSPITAL'S WEBSITE AND INFORMATION WILL BE PROVIDED TO ANYONE WHO CALLS, WRITES, OR REQUESTS A COPY IN PERSON. THE HOSPITAL WILL SHARE INFORMATION ABOUT OUR POLICY WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICE AGENCIES AND OTHER LOCAL ORGANIZATIONS THAT HELP PEOPLE IN NEED. EMERGENCY ROOM AND ALL REGISTRATION AND PATIENT WAITING AREAS THROUGH THE USE OF SIGNS AND DISTRIBUTION OF LITERATURE. INFORMATION TO CONTACT US FOR FINANCIAL ASSISTANCE CAN ALSO BE FOUND ON OUR PATIENT BILLS. OUR FINANCIAL ASSISTANCE POLICY SUMMARY AND APPLICATIONS ARE POSTED ON THE HOSPITAL'S WEBSITE AND INFORMATION WILL BE PROVIDED TO ANYONE WHO CALLS, WRITES, OR REQUESTS A COPY IN PERSON. THE HOSPITAL WILL SHARE INFORMATION ABOUT OUR POLICY WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICE AGENCIES AND OTHER LOCAL ORGANIZATIONS THAT HELP PEOPLE IN NEED WRITE, OR REQUESTS A COPY IN PERSON.

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6AN/A
PART I, LINE 7GINCLUDED IN SUBSIDIZED HEALTH SERVICE IS EMERGENCY ROOM SERVICES.
PART I, LINE 7, COLUMN FBAD DEBT IS OFFSET AGAINST REVENUE AND NOT INCLUDED IN EXPENSES.
PART I, LINE 7THE FOLLOWING IS A DETAIL OF THE SOURCES USED FOR DETERMINING THE AMOUNTS REPORTED ON SCHEDULE H: LINE 7A - ADJUSTED RATIO OF PATIENT CARE COST TO CHARGES LINE 7B - ADJUSTED RATIO OF PATIENT CARE COST TO CHARGES LINE 7E - ACTUAL EXPENSES LINE 7F - INSTITUTIONAL COST REPORT LINE 7G - ADJUSTED RATIO OF PATIENT CARE COST TO CHARGES
PART III, SECTION A, LINE 2FOR PATIENTS WHO WERE DETERMINED BY THE HOSPITAL TO HAVE THE ABILITY TO PAY BUT DID NOT, THE UNCOLLECTED AMOUNTS ARE BAD DEBT EXPENSE.
PART III, SECTION A, LINE 3THE AMOUNT INCLUDED REPRESENTS PATIENTS WHO QUALIFY FOR CHARITY CARE AND ALSO HAVE A BAD DEBT WRITEOFF. BAD DEBT EXPENSE ASSOCIATED WITH PATIENTS THAT RECEIVED CHARITY CARE IS REPRESENTED IN THIS FIGURE. THESE PATIENTS WENT THROUGH OUR CHARITY CARE PROCESS AND WERE DETERMINED TO HAVE FINANCIAL NEED. AS A RESULT WE PROVIDED THEM WITH A DISCOUNT BASED ON OUR SLIDING SCALE CHARITY CARE POLICY. IF THEY WERE UNABLE TO PAY THE REDUCED BALANCES THEY WERE WRITTEN OFF AS BAD DEBT AND INCLUDED AS A COMMUNITY BENEFIT.
PART III, SECTION A, LINE 4THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2022. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.
PART III, SECTION B, LINE 8THE HOSPITAL'S COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT ON PART III, LINE 7 IS THE CMS-2552 MEDICARE COST REPORT.
PART III, SECTION C, LINE 9BPOLICY AND PURPOSE: THE PURPOSE OF THE COLLECTION POLICY (POLICY) IS TO PROMOTE PATIENT ACCESS TO QUALITY HEALTH CARE WHILE MINIMIZING BAD DEBT AT MAIMONIDES MIDWOOD COMMUNITY HOSPITAL. THIS POLICY PLACES REQUIREMENTS UPON THE HOSPITAL AND THOSE AGENCIES AND ATTORNEYS UNDERTAKING DEBT COLLECTION ACTIVITIES THAT ARE CONSISTENT WITH THE CORE MISSION, VALUES, AND PRINCIPLES OF HOSPITAL INCLUDING, BUT NOT LIMITED TO, HOSPITAL'S CHARITY CARE POLICY (HEREAFTER CHARITY CARE POLICY). APPLICABILITY: THIS POLICY APPLIES TO THE HOSPITAL AND ANY AGENCY, LAWYER, OR LAW FIRM ASSISTING THE HOSPITAL IN THE COLLECTION OF AN OUTSTANDING PATIENT ACCOUNT DEBT. PROCEDURE: A. GENERAL GUIDELINES HOSPITAL, COLLECTION AGENCIES (AGENCY), AND LAWYERS AND LAW FIRMS (OUTSIDE COUNSEL) WILL COMPLY WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND ACCREDITING AGENCY REQUIREMENTS GOVERNING THE COLLECTION OF DEBTS INCLUDING, BUT NOT LIMITED TO, THE FAIR DEBT COLLECTION PRACTICES ACT (FDCPA), THE FAIR CREDIT BILLING ACT, THE CONSUMER CREDIT PROTECTION ACTS, PUBLIC HEALTH LAW SECTION 2807-K-9-A, INTERNAL REVENUE SERVICE CODE 50L(R), ARTICLE 52 OF THE NEW YORK CIVIL PRACTICE LAW AND RULES, AND THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA). THE HOSPITAL, AGENCY AND OUTSIDE COUNSEL WILL ALSO COMPLY WITH THE HOSPITAL'S CHARITY CARE POLICY. TO THE EXTENT THAT THERE ARE ANY INCONSISTENCIES BETWEEN THE HOSPITAL'S COLLECTION POLICY AND CHARITY CARE POLICY, THE CHARITY CARE POLICY SHALL SUPERSEDE AND CONTROL. THE HOSPITAL SHALL ENTER LEGALLY BINDING WRITTEN AGREEMENTS WITH ANY PARTIES (INCLUDING AGENCY OR OUTSIDE COUNSEL) TO WHICH IT REFERS AN INDIVIDUAL'S DEBT RELATED TO CARE THAT ARE REASONABLY DESIGNED TO PREVENT EXTRAORDINARY COLLECTION ACTIONS(ECAS) FROM BEING TAKEN TO OBTAIN PAYMENT FOR THE CARE, UNTIL REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR CHARITY CARE.
PART VI, LINE 2NEEDS ASSESSMENT/ASSESSMENT OF PUBLIC HEALTH PRIORITIES: THE COMMUNITY SERVICE PLAN COMMITTEE IS COMPRISED OF THE HOSPITAL GOVERNING BODY, ADMINISTRATIVE AND MEDICAL STAFF LEADERSHIP AND PROFESSIONAL/CLINICAL STAFF. THIS COMMITTEE ANALYZES INTERNAL AND EXTERNAL HEALTH RELATED INFORMATION TO OBTAIN A BROAD VIEW OF ACTIVITIES IN ORDER TO DETERMINE COMMUNITY NEEDS AND HOW BEST TO MEET THESE NEEDS. THE HOSPITAL HAS UTILIZED INFORMATION PROVIDED BY THE DEPARTMENT OF HEALTH DURING VISITS (UNDER ARTICLE 28), AS A MEANS FOR ASSESSMENT AND IMPROVEMENT OF PROCESSES AND SERVICES TO PATIENTS, FAMILIES, PHYSICIANS, AND THE COMMUNITY. THIS INFORMATION IS DEVELOPED IN AN ONGOING COLLABORATIVE AND INTERDISCIPLINARY EFFORT BY WAY OF VARIOUS WORKGROUPS AND ADMINISTRATIVE AND MEDICAL STAFF CONFERENCES, ONGOING EVALUATION THAT PROVIDES A MECHANISM FOR UPDATE AND CHANGE. IN ADDITION, LEADERSHIP AND STAFF PARTICIPATION IN DEPARTMENT OF HEALTH EXTERNAL PROGRAMS (NYPORTS) HAS ENHANCED THE HOSPITAL'S EDUCATION AND THEREBY CONTRIBUTED TO THE DEVELOPMENT OF OUR COMMUNITY SERVICE PLAN. ANALYSIS OF DATA THAT IS OBTAINED FROM OUR INFORMATION SYSTEMS AS WELL AS RESEARCH INTO DATA PROVIDED BY THE DEPARTMENT OF HEALTH AND ONGOING COMMUNICATION WITH LOCAL COMUNITY MEMBERS ENABLES THE HOSPITAL TO IDENTIFY OUR PATIENTS NEEDS. THE INFORMATION IS BASED ON THE HIGH VOLUME DIAGNOSES THAT ARE PRESENTED FOR TREATMENT IN EMERGENCY MEDICAL SERVICES AND FOR INPATIENT ADMISSIONS AS WELL AS CULTURAL NEEDS OF COMMUNITY MEMBERS AND LOCAL HEALTH DISPARITIES. HEALTH CARE TEAM: DELIVERY OF QUALITY PATIENT CARE IS ASSURED THROUGH A CONTINUOUS PROCESS OF QUALITY ASSESSMENT AND EVALUATION OF PATIENT CARE NEEDS. THE COMPOSITION OF OUR HEALTH CARE TEAM IS IN KEEPING WITH TRADITIONAL HEALTH ORGANIZATIONS, BUT WITH A SIGNIFICANT DIFFERENCE IN A PHILOSOPHICAL APPROACH TO PATIENT CARE. AT MAIMONIDES MIDWOOD COMMUNITY HOSPITAL WE ENDEAVOR TO ASSESS, PLAN, IMPLEMENT AND EVALUATE THE OUTCOME OF DAILY OPERATIONS THAT REVOLVE AROUND THE PATIENT. IT IS OUR BELIEF THAT PATIENTS WHO PARTICIPATE IN THEIR HEALTH CARE PLANNING HAVE AN IMPROVED OUTCOME. PLANNING FOR MOST HOSPITALIZATIONS BEGINS ON THE DAY OF ADMISSION. ASSURING QUALITY PATIENT CARE IS OUR PRIMARY GOAL AND IS A CONTINUOUS COMMITMENT ON THE PART OF EACH HEALTH CARE TEAM MEMBER. THE LEADERSHIP AT MAIMONIDIES MIDWOOD COMMUNITY HOSPITAL MANAGES ONGOING FORUMS TO DEVELOP METHODS TO MEET THE STANDARDS OF THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS, THE STATE DEPARTMENT OF HEALTH AND OTHER REGULATORY BODIES. THIS EXERCISE HAS PROVIDED A STATE TO DISCUSS AND ADDRESS ISSUES IN THE DELIVERY OF SERVICES THAT AFFECT THE ORGANIZATION BOTH IN CLINICAL AND FINANCIAL AREAS. AMONG OUR ACCOMPLISHMENTS, WE IMPROVED OUR EMPLOYEE'S MORALE, WE MADE OUR HOSPITAL A BETTER PLACE TO WORK, WE ARE CONTINUALLY IMPROVING OUR PHYSICAL FACILITY, WE ENHANCED OUR MEDICAL EQUIPMENT, AND MOST IMPORTANT, WE IMPROVED OUR SERVICES. WE WERE MORE CARING TO OUR PATIENTS. WE RESPONDED AND SERVED OUR DOCTORS BETTER. WE PROVIDED BETTER QUALITY CARE TO OUR PATIENTS. ASSESSMENT OF PUBLIC HEALTH PRIORITIES: IN KEEPING WITH THE N.Y.S. DEPARTMENT HEALTH'S STRATEGIC PLAN TO IMPROVE THE HEALTH OF NEW YORKERS, MAIMONIDIES MIDWOOD COMMUNITY HOSPITAL HAS ADOPTED TWO PRIORITY FOCUS AREAS BASED ON OUR ANALYSIS OF COMMUNITY HEALTH PROBLEMS AND THE CONCERNS OF AN ELDERLY RUSSIAN IMMIGRANT POPULATION. THE TWO SIGNIFICANT PREVENTION AGENDA PRIORITY AREAS CURRENTLY BEING FOCUSED UPON ARE: 1. REDUCE ILLNESS, DISABILITY AND DEATH RELATED TO TOBACCO USE AND SECONDHAND SMOKE. 2. INCREASE ACCESS TO HIGH QUALITY CHRONIC DISEASE PREVENTATIVE CARE AND MANAGEMENT IN BOTH CLINICAL AND COMMUNITY SETTINGS.
PART VI, LINE 3PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: WRITTEN MATERIALS, INCLUDING THE APPLICATION, FULL POLICY, AND PLAIN LANGUAGE SUMMARY (SUMMARY), SHALL BE AVAILABLE TO PATIENTS IN THE HOSPITAL'S PRIMARY LANGUAGES, UPON REQUEST AND WITHOUT CHARGE, FROM ADMITTING AND EMERGENCY DEPARTMENTS AT THE HOSPITAL DURING THE INTAKE AND REGISTRATION PROCESS, AT DISCHARGE AND/OR BY MAIL. ADDITIONALLY, THOSE MATERIALS SHALL BE AVAILABLE ON THE HOSPITAL'S WEBSITE (WWW.NYCH.COM). ALSO, NOTIFICATION TO PATIENTS REGARDING THIS POLICY SHALL BE MADE THROUGH CONSPICUOUS POSTING OF LANGUAGE APPROPRIATE INFORMATION IN EMERGENCY ROOMS AND ADMITTING DEPARTMENTS OF THE HOSPITAL, AND INCLUSION OF INFORMATION ON BILLS AND STATEMENTS SENT TO PATIENTS EXPLAINING THAT FINANCIAL AID MAY BE AVAILABLE TO QUALIFIED PATIENTS AND HOW TO OBTAIN FURTHER INFORMATION.
PART VI, LINE 4MAIMONIDIES MIDWOOD COMMUNITY HOSPITAL SERVICE AREA GOES WELL BEYOND ITS IMMEDIATE NEIGHBORHOOD. IT TREATS A LARGE NUMBER OF PATIENTS FROM ALL PARTS OF SOUTHERN BROOKLYN, AND SERVES PATIENTS FROM ACROSS THE BOROUGH, AND BEYOND. THE NEIGHBORHOOD IN WHICH THE MAJORITY OF MAIMONIDIES MIDWOOD COMMUNITY HOSPITAL'S PATIENTS COLLECTIVELY LIVE, AND WHICH COMPOSE MAIMONIDIES MIDWOOD COMMUNITY HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREAS INCLUDE MARINE PARK, SHEEPSHEAD BAY, MIDWOOD, FLATBUSH, CONEY ISLAND, CANARSIE AND BOROUGH PARK. THE MAIMONIDIES MIDWOOD COMMUNITY HOSPITAL'S SERVICE AREA IS RACIALLY AND ETHNICALLY DIVERSE. MMCH'S PATIENT POPULATION INCLUDES LARGE NUMBERS OF RUSSIAN, CARIBBEAN, ORTHODOX JEWS, CHINESE, LATINO, AND SOUTH AND SOUTHEAST ASIAN (PRIMARILY PAKISTANI, BANGLADESHI, INDIAN, LAOTIAN, FILIPINO, AND INDONESIAN) RESIDENTS. THE BOROUGH'S RICH DIVERSITY IS REFLECTED IN MAIMONIDIES MIDWOOD COMMUNITY HOSPITAL'S INPATIENT AND OUTPATIENT POPULATIONS. OVER 1.0 MILLION PEOPLE LIVE IN THESE SEVEN (BROOKLYN) COMMUNITIES AND ROCKAWAY/ BROAD CHANNEL (QUEENS) COMMUNITY. NEARLY HALF (APPROXIMATELY 40%) OF THE POPULATION IS FOREIGN-BORN, INCLUDING MANY UNDOCUMENTED IMMIGRANTS. THE AREAS MAIMONIDIES MIDWOOD COMMUNITY HOSPITAL SERVES RANK CONSISTENTLY HIGH IN RATES OF HOUSEHOLD POVERTY AND LOWER LEVELS OF EDUCATION. APPROXIMATELY 30% OF THE RESIDENTS IN THESE COMMUNITIES HAVE LIMITED ENGLISH PROFICIENCY. HIGH POVERTY RATES POSE A PERSISTENT CHALLENGE TO HEALTHY LIVING, PARTICULARLY IN BOROUGH PARK AND CONEY ISLAND, WHERE APPROXIMATELY 28% AND 24% OF RESIDENTS, RESPECTIVELY, LIVE IN POVERTY, COMPARED TO APPROXIMATELY 21% OF RESIDENTS IN BROOKLYN AND 20% IN NEW YORK CITY OVERALL. LOWER EDUCATIONAL ATTAINMENT IN BOROUGH PARK AND BEDFORD STUYVESANT ALSO CONTRIBUTE TO POORER HEALTH OUTCOMES. LIMITED ACCESS TO SUPERMARKETS, OFTEN LINKED WITH DIMINISHED ACCESS TO FRESH, AFFORDABLE AND HEALTHY FOODS WAS ALSO FOUND TO BE A BARRIER, PARTICULARLY IN BAY RIDGE/DYKER HEIGHTS, BENSONHURST, AND CONEY ISLAND, ACCORDING TO THE DOHMH HEALTH PROFILES. HIGH RATES OF POVERTY AND LOWER LEVELS OF EDUCATIONAL ATTAINMENT - IN BOROUGH PARK AND BEDFORD STUYVESANT IN PARTICULAR - AS WELL AS INSUFFICIENT ACCESS TO SUPERMARKETS AND FRESH FOODS - PARTICULARLY IMPACTING BEDFORD STUYVESANT, CONEY ISLAND, FLATBUSH, AND SHEEPSHEAD BAY - PLAY A SUBSTANTIAL ROLE IN THE HEALTH OF COMMUNITIES AND IMPACT ACCESS TO HEALTHY ENVIRONMENTS AND LIFESTYLES.
PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH: PATIENT EDUCATION AND COMMUNITY OUTREACH PROGRAMS PRESENTED WITHIN THE HOSPITAL AND OUT IN THE COMMUNITY HELP US FIND A NEW WAY TO BETTER SERVE OUR PATIENTS AND ENABLE US TO CONTINUE OUR DIALOGUE WITH THE COMMUNITY. MOST SIGNIFICANTLY, WE ACHIEVED A COMMON SET OF SHARED VALUES THAT WILL FRAME THE FUTURE SUCCESS OF MMCH. IN 2023, WE WILL CONTINUE TO AGGRESSIVELY PURSUE OUR COMMON GOALS - TO BE MORE CARING TO OUR PATIENTS AND CONTINUE TO MAKE OUR HOSPITAL A SUCCESS. OF ALL OUR ACHIEVEMENTS, THE HOSPITAL HAS REGAINED ITS REPUTATION IN THE COMMUNITY AS A CARING PLACE, AND, OF THIS, WE ARE MOST PROUD. THE HOSPITAL MAINTAINS A CONSISTENT MECHANISM TO ACKNOWLEDGE AND RESPOND TO EACH OF THE LETTERS WE RECEIVE. PATIENT SATISFACTION QUESTIONNAIRES ARE MAILED TO OUR PATIENTS FOLLOWING THEIR DISCHARGE TO ENSURE WE ARE MEETING OUR PATIENTS EXPECTATIONS AND TO ASSIST THE HOSPITAL ADMINISTRATION IN OUR GROWTH AND CONTINUOUS IMPROVEMENTS. PATIENT SATISFACTION SURVEY RESULTS ARE REPORTED TO THE QUALITY IMPROVEMENT COMMITTEE AND UTILIZED IN THE LONG RANGE PLANNING PROCESS FOR NEEDS ASSESSMENT AS WELL AS DISCUSSION FOR PREVENTION AGENDA PRIORITIES. SINCE 2006, THE HOSPITAL HAS PARTICIPATED IN THE HOSPITAL CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (HCAHPS) INITIATIVE IN ORDER TO HELP PROVIDE A STANDARDIZED SURVEY INSTRUMENT FOR DATA COLLECTION AND COMPARE DATA AGAINST MANY OTHER HOSPITALS. HCAHPS WILL IN ESSENCE BE A REPORT CARD OF A SET OF CORE VALUES THAT CAN BE COMBINED WITH A CUSTOMIZED SET OF HOSPITAL SPECIFIC ITEMS WITH THE DATA UTILIZED TO SUPPORT IMPROVEMENTS IN INTERNAL CUSTOMER SERVICES AND QUALITY RELATED ACTIVITIES. COMPLEMENTARY LETTERS ARE FORWARDED TO ALL THE INDIVIDUALS INVOLVED AND POSTED ON OUR APPRECIATION BULLETIN BOARD FOR ALL TO SEE. OUR GOAL IS TO ENSURE TOTAL PATIENT SATISFACTION. WITH THE GOAL OF IMPROVING PATIENT SATISFACTION AS WELL AS ACHIEVE CULTURE OF SAFETY AND TRANSPARENCY, THE FORMAL VOICE OF OUR PUBLIC (OUR PATIENTS) WILL BE HEARD THROUGH THESE SURVEYS. RESULTS ARE DISTRIBUTED TO ALL MEMBERS OF THE HOSPITAL AND POSTED ACCORDINGLY. AS DISSEMINATED FROM THE SURVEY, RESULTS WITH HEALTH ISSUES RELATED TO OUR PRIORITY AGENDA MAY BE DISCUSSED IN OPEN FORUM WITH OUR PARTNERING COMMUNITY RELATIONSHIPS. WEBSITE REQUEST FOR PUBLIC PARTICIPATION: BY WAY OF THE HOSPITAL WEBSITE COMMUNITY MEMBERS ARE ASKED FOR THEIR OPINION REGARDING THE TOP HEALTH PRIORITIES AS DESIGNATED BY THE NYS DOH'S AGENDA FOR A HEALTHIER STATE. CONTINUED MODIFICATION AND DEVELOPMENT OF THE HOSPITAL'S COMMUNITY SERVICE PLAN WILL REMAIN A CONTINUOUS PROCESS OVER THE NEXT SEVERAL YEARS AND INTO THE FORESEEABLE FUTURE. INPUT FROM OUR COMMUNITY, NOW, AND INTO THE FUTURE, HAS BEEN INVITED IN ORDER TO CONSIDER IDEAS AND GENERAL INPUT FOR OUR COMMUNITY SERVICE PLAN. WE HAVE REQUESTED THIS INPUT FOR OUR CONTINUOUS EFFORT IN PROVIDING THE BEST HEALTHCARE TO MEET THE HEALTH NEEDS OF THE COMMUNITY WE SERVE. MEMBERS OF THE COMMUNITY ARE SPECIFICALLY ASKED TO CONSIDER THE NYS DOH'S FIVE PREVENTION AGENDA PRIORITIES THAT THEY MAY FEEL ARE SIGNIFICANT FOR OUR HOSPITAL TO ADDRESS. PASTORAL CARE PROGRAM: MMCH'S PASTORAL CARE PROGRAM IS REACHING OUT TO BECOME MORE INCLUSIVE OF LOCAL CLERGY. IT OFFERS A WONDERFUL FORUM FOR INVITING TWO-WAY COMMUNICATION ABOUT MMCH WITH BOTH LOCAL CLERGY MEMBERS AND THEIR CONGREGATIONS. MEMBERS OF THE CLERGY ARE ACTIVE MEMBERS OF THE HOSPITAL'S ADVISORY BOARD AND CONTRIBUTE TO THE NEEDS OF THE HOSPITAL ON AN ONGOING BASIS. INPUT REGARDING THE HEALTH NEEDS OF OUR COMMUNITY HAVE BEEN ASCERTAINED ON A REGULAR BASIS BY WAY OF THE HOSPITAL'S CONTINUED ASSOCIATION WITH THE RELIGIOUS ORGANIZATIONS OF OUR COMMUNITY. GLATT KOSHER KITCHEN: THE HOSPITAL SERVES GLATT KOSHER FOOD TO ALL PATIENTS AND THUS MAINTAINS A GLATT KOSHER KITCHEN AS SUPERVISED BY THE VAAD OF FLATBUSH, BROOKLYN. A CONSTANT FORM OF COMMUNICATION EXISTS BETWEEN COMMUNITY MEMBERS, PATIENT IN HOUSE POPULATION, VISITORS AND FAMILY MEMBERS, AND THE VAAD SUPERVISORS WORKING IN CONJUNCTION WITH THEIR DAILY ONSITE RABBINICAL STAFF. PATIENTS AS WELL AS CULTURAL SENSITIVITY NEEDS ARE ENHANCED BY WAY OF THIS ON-GOING PROGRAM. HOSPITAL WEBSITE: THIS USER FRIENDLY SITE ALLOWS EASY ACCESS TO BASIC INFORMATION ABOUT THE HOSPITAL AS WELL AS THE ABILITY TO RESEARCH MANY TOPICS OF MEDICAL INFORMATION. COMMENTS, QUESTIONS, AND SUGGESTIONS FOR THE HOSPITAL MAY BE ADDRESSED TO THE HOSPITAL BY WAY OF THE WEBSITE'S EMAIL WEBMASTER ADDRESS. THE MMCH WEBSITE HAS BEEN COMPLETELY REDESIGNED AND WILL BE EXPANDED IN THE NEAR FUTURE FOR HAPPENINGS AND NEWS AT THE HOSPITAL AS WELL AS THE ABILITY TO ALLOW FOR THE EASE OF PUBLIC INPUT NECESSARY TO PROVIDE A CONSTANT DIALOGUE ASSOCIATED WITH THE HEALTH NEEDS OF THE COMMUNITY AND THOSE PROVIDED BY OUR HOSPITAL. IN ADDITION, WE HAVE NOW MADE ACCESS TO SPECIFIC PHYSICIAN INFORMATION ON MANY OF OUR ATTENDING STAFF DOCTORS ASSOCIATED WITH OUR HOSPITAL AVAILABLE ON LINE. THE COMMUNITY SERVICE PLAN WILL BE PLACED ONTO THE WEBSITE FOR PUBLIC INFORMATION. THIS WILL BE A SIMPLE MECHANISM FOR SHARING FEEDBACK REGARDING THE COMMUNITY SERVICE PLAN AND/OR SUGGESTIONS REGARDING ANY ASPECT OF THE HOSPITAL, ITS PRIORITIES, AND PERFORMANCE. THE WEBSITE ADDRESS IS GENERALLY INCLUDED IN ALL ADVERTISING, MAILINGS, AND PRINT MATERIAL GENERATED BY THE HOSPITAL, ALLOWING FOR ENHANCEMENT OF PUBLIC PARTICIPATION AND CONTINUED INPUT REGARDING ALL HEALTH ISSUES. LOCAL AGENCIES, SCHOOLS, COMMUNITY LEADERS: THE COMMUNITY SERVICE PLAN AS UPDATED EACH YEAR WILL BE MAILED TO A LIST OF LOCAL AGENCIES, SCHOOLS, COMMUNITY LEADERS, AND OTHER COMMUNITY PARTNERS WHO CAN BE HELPFUL IN OUR NEEDS ASSESSMENT. MMCH IS WORKING TO BECOME INCREASINGLY PLAN-DRIVEN, AND PUBLIC PARTICIPATION IS ESSENTIAL AS CONCERNS EFFECTIVE PLANNING. INFORMATION SHARING IN THIS MANNER SHOULD ALSO IMPROVE MMCH'S ABILITY TO COORDINATE EFFECTIVELY AND SHARE RESOURCES WITH OTHER HEALTH AND HEALTH RELATED AGENCIES. IN MEETING WITH LOCAL AGENCIES AND COMMUNITY HEALTH PARTNERS MMCH WILL BE ABLE TO ACHIEVE SUCCESSFUL RESULTS AND OUTCOMES IN THE GOALS SET FORTH FOR THE NY HEALTHIEST STATE INITIATIVES. MMCH CONTINUES TO MEET WITH ITS HEALTH PARTNERS FORMALLY AND INFORMALLY DURING THE COURSE OF THE YEAR. THE HOSPITAL MAINTAINS INTERACTION WITH LOCAL, PRIVATE, AND GOVERNMENTAL CITY AND STATE AGENCIES IN ORDER TO MEET THE GOALS FOR INCREASED HEALTH AWARENESS AND IMPROVEMENTS DIRECTLY RELATED TO ITS PREVENTION AND NON-PREVENTION AGENDA ITEMS SELECTED. COMMUNITY OUTREACH AND NON-AGENDA PRIORITIES: MMCH PHYSICIANS, ALLIED HEALTH PROFESSIONALS, CLINICAL AND SUPPORT STAFF PARTICIPATE IN HEALTH FAIRS, SCREENINGS, LECTURES, AND COMMUNITY PROGRAMS IN CONJUNCTION WITH LOCAL OR BOROUGH-WIDE HEALTHCARE ORGANIZATIONS, LEGISLATIVE OFFICIALS, CIVIC, SENIOR, AND RELIGIOUS ORGANIZATIONS. MMCH AS PART OF THE GREATER SOUTHERN BROOKLYN HEALTH COALITION, HAS BEEN AN ACTIVE PARTICIPANT IN THE BOROUGHWIDE HEALTH CONFERENCE. AS COMMUNITY LEADERS, PEOPLE LOOK TO OUR HOSPITAL TO RAISE AWARENESS ABOUT HEALTH ISSUES AND OTHER CONCERNS SUCH AS THE ENVIRONMENT, HOUSING, TRANSPORTATION, AND SAFETY AND HOW THESE ISSUES AFFECT THEIR LIVES. WE ENDEAVOR TO CREATE A SENSE OF COMMUNITY FOR THE COMMON GOOD OF OUR NEIGHBORS AND TO ASSURE THEM THAT OUR PROGRAMS ARE FOCUSED ON KEEPING THEM HEALTHY AS WE ENCOURAGE THEM THROUGH EDUCATION PROGRAM ENCOURAGING PREVENTATIVE HEALTH MEASURES. HEALTH FAIRS, SCREENINGS, LECTURES, VISITS TO SENIOR CENTERS ARE ARRANGED ACCORDINGLY AND HELD THROUGHOUT THE YEAR. THE PROGRAMS CLEARLY DEMONSTRATE AN ADDED SENSE OF RESPONSIBILITY OF OUR HOSPITAL PHYSICIANS, STAFF, AND OUR MEDICAL BOARD, FOR OUR PATIENTS AND THE COMMUNITY WHO ARE OUR NEIGHBORS AND FRIENDS. MMCH HAS ATTENDED NUMEROUS SCREENING EVENTS AND HEALTH FAIRS IN THE COMMUNITY. OUTREACH PROGRAMS ARE PRESENTED AT SENIOR CENTERS, RELIGIOUS ORGANIZATIONS, CIVIC GROUPS, BANKS, AND OTHER LOCATIONS. COMMUNITY PREPAREDNESS: COMMUNITY PREPAREDNESS INVOLVES TRAINING AND NETWORKING IN ANTICIPATION OF NATURAL DISASTER, SUCH AS FLOODING, AN INFECTIOUS DISEASE EPIDEMIC OR A MAN-MADE DISASTER THAT WOULD AFFECT A LARGE NUMBER OF INDIVIDUALS. PLANNING AND PREPARATION ARE CLEARLY ESSENTIAL PREREQUISITES FOR EFFECTIVE RESPONSE AND RECOVERY. HOSPITALS, AS MAJOR COMMUNITY RESOURCES, WOULD BE IMPORTANT PARTNERS IN INTEGRATED AND COORDINATED EFFORTS TO RESPOND EFFECTIVELY TO A MAJOR DISASTER. AS STATED BY THE DOH OF THE STATE OF NY, SINCE SEPTEMBER 11, 2001, IT HAS BECOME CLEAR THAT PUBLIC HEALTH HAS A CRUCIAL ROLE TO PLAY IN ANY EMERGENCY, WHETHER NATURALLY OCCURRING OR RESULTING FROM A DELIBERATE ACT. WE SAW THIS HAPPEN DURING COVID SURGE, MMCH WAS CRUCIAL IN CARING FOR COVID PATIENTS, AS WELL AS GIVING MONOCLONAL ANTIBODIES. PUBLIC HEALTH IS NOW INTEGRATED INTO THE EMERGENCY RESPONSE SYSTEM AS A FULL PARTNER, AND OFTEN, AS THE LEAD PLAYER. THAT IS BECAUSE ANY TYPE OF HAZARD OR EMERGENCY CAN EFFECT THE HEALTH AND SAFETY OF NEW YORKERS SUCH AS COVID. NATURAL DISASTERS,
PART VI, LINE 6N/A
PART VI, LINE 7N/A
Part I, Line 3cThe hospital does not provide free care. It uses federal poverty guidelines to determine eligibility for providing discounted care.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BARRY STERN
PRESIDENT AND CEO$547,020$0$0$0$7,414$0$53,337$0$0$0$607,771$0
JULIUS DERDIK
Former CHIEF ADMIN OFFICER$297,993$0$0$0$3,851$0$52,490$0$17,914$0$372,248$0
KENNETH GIBBS
PRESIDENT AND CEO$0$1,259,307$0$0$0$501,489$0$22,875$0$26,362$0$1,810,033
JOHN MALLIA
EVP & CFO (through 3/22)$0$308,698$0$0$0$374,661$0$0$0$8,859$0$692,218
MICHAEL ANTONIADES
EVP & COO (through 10/22)$0$447,460$0$150,000$0$565,851$0$0$0$26,423$0$1,189,734$254,312
JUDY BACHMAN
EXECUTIVE VP AND INTERIM COO$0$259,647$0$17,500$0$0$0$0$0$145$0$277,292
ROBERT PALERMO
EVP/CFO (3/22), Asst Treasurer$0$610,770$0$0$0$1,742$0$6,672$0$29,351$0$648,535
HARRY ADLER MD
MED STAFF PRES (through 6/22)$0$759,771$0$0$0$21,291$0$22,875$0$25,113$0$829,050
MONICA GHITAN MD
MEDICAL STAFF PRESIDENT$0$266,914$0$0$0$1,032$0$21,857$0$35,205$0$325,008
LAURIE WEINSTEIN
ASSISTANT SECRETARY$0$568,721$0$187,500$0$172,908$0$22,875$0$26,363$0$978,367
JOYCE LEAHY
FORMER ASSISTANT SECRETARY$0$0$0$0$192,622$0$0$0$3,119$0$195,741
ANNADA DAS
PHYSICIAN$344,899$0$0$0$2,286$0$41,761$0$30,897$0$419,843$0
RALPH MADEB
CO-CHIEF MEDICAL OFFICER$1,850,920$0$0$0$0$0$19,629$0$0$0$1,870,549$0
EDWIN KO
MEDICAL DIRECTOR OF PATHOLOGY$357,606$0$0$0$3,708$0$59,916$0$16,757$0$437,987$0
DZHEYMZ LASHKIN
SURGEON$395,089$0$0$0$0$0$9,592$0$0$0$404,681$0
SAMIR FARHAT
PHYSICIAN$335,551$0$0$0$774$0$60,547$0$30,897$0$427,769$0
EDWARD STOLYAR
CHIEF INFORMATION OFFICER$294,554$0$0$0$270$0$24,538$0$31,978$0$351,340$0
DONNA FITZMARTIN
SR VICE PRESIDENT/COO$287,312$0$0$0$1,188$0$67,661$0$17,929$0$374,090$0
BORIS MOLCHANSKIY
CHIEF NURSING OFFICER$232,950$0$0$0$187$0$10,408$0$18,560$0$262,105$0
ROBERT REN
CHIEF ADMINISTRATIVE OFFICER$250,079$0$0$0$0$0$0$0$20,739$0$270,818$0
Sumit K De
General Surgeon$275,225$0$0$0$249$0$14,962$0$18,509$0$308,945$0
Diana Immel
VP of Perioperative Services$262,204$0$0$0$0$0$0$0$30,897$0$293,101$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4aThe following persons received a severance payment from a related organization: Michael Antoniades: $180,000 John Mallia: $300,000 Joyce Leahy: $152,394
Schedule J, Part I, Line 4bTHE FOLLOWING PERSONS PARTICIPATED IN A 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: KENNETH GIBBS, JOHN MALLIA, JOYCE LEAHY, Michael Antoniades, AND LAURIE E WEINSTEIN. THE MAIMONIDES MEDICAL CENTER SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENTS (THE TO TIME, WAS EFFECTIVE AS OF JANUARY 1, 2012. TO PARTICIPATE, AN EMPLOYEE MUST HOLD THE TITLE OF CEO OR EVP, BE A KEY EMPLOYEE WITHIN THE MEANING OF THE INTERNAL REVENUE CODE AND BE DESIGNATED AS A PARTICIPANT BY THE COMPENSATION COMMITTEE OF THE BOARD. THE SERP PLAN PROVIDES FOR AN ANNUAL EMPLOYER ACCRUED CONTRIBUTION OF 20% OF BASE SALARY FOR THAT CALENDAR YEAR INCLUDING INTEREST OF 4.5%. THE PARTICIPANT MUST BE AN ELIGIBLE EMPLOYEE ON THE LAST DAY OF THE CALENDAR YEAR TO ACCRUE THE CONTRIBUTION FOR THAT YEAR. THE SERP PLAN PROVIDES THAT THE MEDICAL CENTER'S COMPENSATION COMMITTEE MAY APPROVE AN ANNUAL SUPPLEMENTAL SERP CONTRIBUTION FOR THE CEO UP TO 10% OF BASE SALARY FOR EACH PLAN YEAR AFTER 2017. THE COMPENSATION COMMITTEE APPROVED A SUPPLEMENTAL 10% CONTRIBUTION FOR THE CEO FOR THE YEARS 2018 THROUGH 2022. IN ACCORDANCE WITH THE TERMS OF THE SERP PLAN, as amended from time to time, VESTED BENEFITS WERE PAID OUT IN 2022 TO THE FOLLOWING PARTICIPANTS: KENNETH GIBBS - $398,380 MICHAEL ANTONIADES - $332,132; LAURIE E WEINSTEIN - $125,400; THE AMOUNT OF SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION IS INCLUDED IN THE COMPENSATION AMOUNT DISCLOSED IN PART II, COLUMN (B)(III). THE COMPENSATION COMMITTEE OF THE BOARD REVIEWED AND APPROVED ALL PAYMENTS IN ADVANCE AND CONDUCTED ITS REVIEW AND APPROVAL PROCESS IN A MANNER INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE.
Schedule J, Part I, Line 6bDR. RALPH MADEB RECEIVES 70% OF NET PROCEEDS FROM LAKE COUNTRY UROLOGY.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
Personsubstantial contributorPersonNm
FieldValueIRS element (for citing)
Relationship Descriptionsubstantial contributorRelationshipDescriptionTxt
Transaction$1,235,907TransactionAmt
TransactionCONSTRUCTION SERVICESTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2ONE OF THE TRUSTEES, MORTIMER KLAUS IS A LIMITED PARTNER IN REAL ESTATE VENTURES FOR WHICH ANOTHER TRUSTEE, PETER REBENWURZEL, IS A MANAGING MEMBER. THIS BUSINESS RELATIONSHIP IS NOT RELATED TO ANY OF THE ACTIVITIES OF MAIMONIDES MEDICAL CENTER. ONE OF THE TRUSTEES, YOHOSHUA FRUCHTHANDLER, AND HIS FAMILY HAVE JOINT INVESTMENT INTERESTS IN A REAL ESTATE COMPANY WITH ANOTHER TRUSTEE, AVI SCHRON AND HIS FAMILY. THIS BUSINESS RELATIONSHIP IS NOT RELATED TO ANY OF THE ACTIVITIES OF THE MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 7AIN JUNE 2021, MAIMONIDES MEDICAL CENTER BECAME THE SOLE CORPORATE MEMBER OF MAIMONIDES MIDWOOD COMMUNITY HOSPITAL. THE MMCH BOARD WAS REPLACED by a MIRROR BOARD WHICH IS THE SAME AS MAIMONIDES MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 7BTHE POWERS OF MHRI ARE DESCRIBED BELOW: MHRI IS A NEW YORK NOT-FOR-PROFIT CORPORATION. IT IS THE SOLE CORPORATE MEMBER OF THE MEDICAL CENTER. MHRI HAS THE FOLLOWING POWERS PURSUANT TO THE MEDICAL CENTER'S BYLAWS: (1) MHRI ELECTS TRUSTEES TO THE GOVERNING BODY OF THE MEDICAL CENTER AT THE ANNUAL MEETING. (VACANCIES BETWEEN ANNUAL MEETINGS ARE FILLED BY THE BOARD OF TRUSTEES OF THE MEDICAL CENTER, NOT MHRI. (2) MHRI HAS THE POWER TO AMEND, MODIFY OR REPEAL THE BYLAWS OF THE MEDICAL CENTER. THE BOARD OF TRUSTEES OF THE MEDICAL CENTER ALSO HAS SUCH POWER. MHRI HAS THE FOLLOWING POWER UNDER NEW YORK'S NOT-FOR-PROFIT CORPORATION LAW: (1) AUTHORIZATION OF MERGER OR CONSOLIDATION REQUIRES MHRI'S CONSENT. (2) NON-JUDICIAL DISSOLUTION REQUIRES MHRI'S CONSENT. (3) MHRI HAS THE POWER TO PETITION THE COURT FOR JUDICIAL DISSOLUTION. (4) THE SALE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE MEDICAL CENTER REQUIRE MHRI'S CONSENT.
FORM 990, PART VI, SECTION B, LINE 11BFINANCE COORDINATED AND COMPLETED ALL OF THE INFORMATION REQUIRED FOR FORM 990 BY ACCESSING VARIOUS RESOURCES INCLUDING LEGAL, HUMAN RESOURCES, DEVELOPMENT, AND OTHER DEPARTMENTS AS NEEDED. SENIOR FINANCE EXECUTIVES COMPLETE A REVIEW OF THE RETURN IN CONJUNCTION WITH FORVIS, LLP, PAID PREPARER, PRIOR TO SUBMISSION TO THE BOARD. A COPY OF FORM 990 WAS MADE AVAILABLE TO THE GOVERNING BODY FOR REVIEW AND APPROVAL. ANY QUESTIONS BY THE BOARD WERE ADDRESSED BY THE FINANCE DEPARTMENT. THE MAIMONIDES MIDWOOD COMMUNITY HOSPITAL FILES THE 990 UPON FINAL APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12CIT IS THE RESPONSIBILITY OF ALL TRUSTEES, OFFICERS, EMPLOYEES AND MEMBERS OF THE MEDICAL STAFF TO FAMILIARIZE THEMSELVES WITH THE CONFLICTS OF INTEREST POLICY AND TO COMPLY AND ENSURE COMPLIANCE OF FAMILY MEMBERS WHERE APPLICABLE. THEY ARE REQUIRED TO DISCLOSE IN DETAIL ANY ACTIVITIES OR INTERESTS WHICH MAY BE A CONFLICT OF INTEREST AS DEFINED IN THE MEDICAL CENTER'S POLCIES. THE FOLLOWING ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST CERTIFICATE: (1) TRUSTEES AND OFFICERS OF THE BOARD, (2) NON-TRUSTEE OFFICERS, CHAIRS AND DIVISION CHIEFS AND MEMBERS OF THE PURCHASING DEPARTMENT, (3) EMPLOYEES AND MEMBERS OF THE MEDICAL STAFF, WHO ARE IN A POSITION TO INFLUENCE VENDOR SELECTION, TO APPROVE A TRANSACTION WITH A THIRD PARTY OR APPROVE THE EXPENDITURE OF FUNDS, AND (4) SUCH OTHER EMPLOYEES OR MEMBERS OF THE MEDICAL STAFF AS DETERMINED FROM TIME TO TIME BY THE PRESIDENT. EMPLOYEES AND MEMBERS OF THE MEDICAL STAFF WHO VIOLATE THIS POLICY ARE SUBJECT TO DISCIPLINARY ACTION UP TO AND INCLUDING TERMINATION OR REMOVAL FROM THE STAFF. MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS ARE SUBJECT TO REMOVAL BY THE BOARD OF TRUSTEES. THE COMPLIANCE AND GOVERNANCE COMMITTEE OF THE BOARD OF TRUSTEES ADVISES THE PRESIDENT AND THE CHAIR OF THE BOARD CONCERNING SPECIFIC CONFLICTS OF INTEREST REFERRED TO IT BY THE CHIEF COMPLIANCE OFFICER AND THE EXECUTIVE VICE PRESIDENT FOR LEGAL AFFAIRS AND CHIEF LEGAL OFFICER. THE COMMITTEE DECIDES PARTICULAR MATTERS REFERRED TO THEM FOR REVIEW, AND ASSISTS IN THE OVERALL ADMINISTRATION AND MONITORING OF THE IMPLEMENTATION OF THE POLICY. THE COMPLIANCE AND GOVERNANCE COMMITTEE ALSO ANNUALLY REVIEWS ALL POTENTIAL CONFLICTS OF INTEREST DISCLOSED BY MEMBERS OF THE BOARD. THE CORPORATE COMPLIANCE DEPARTMENT ASSISTS IN ENSURING COMPLIANCE WITH COMPLETION OF THE DISCLOSURE FORM BY ALL RELEVANT EMPLOYEES.
FORM 990, PART VI, SECTION B, LINE 15ATHERE IS AN EXECUTIVE COMPENSATION WORKGROUP MADE UP OF THE CHAIRMAN, A TRUSTEE, AND A THIRD INDEPENDENT PARTY THAT REVIEWS AND DETERMINES THE COMPENSATION, ANNUAL MERIT RAISE AND PERFORMANCE BONUS OF THE PRESIDENT AND CEO OF THE HOSPITAL. THE EXECUTIVE COMPENSATION WORKGROUP USES COMPARABLE DATA THAT DOCUMENTS THE COMPENSATION OF PERSONS HOLDING SIMILAR POSITIONS IN SIMILAR ORGANIZATIONS. THE CEO'S RAISE AND BONUS IS BASED ON HIS PERFORMANCE AND ALSO THE HOSPITAL'S FINANCIAL PERFORMANCE. NEITHER RAISE NOR BONUS IS GUARANTEED. THIS PROCESS LAST TOOK PLACE IN 2021 FOR 2022 COMPENSATION.
FORM 990, PART VI, SECTION B, LINE 15BTHE PRESIDENT AND CEO OF THE HOSPITAL THEN DECIDE ALL MERIT INCREASES FOR NON UNION EMPLOYEES BASED ON THE HOSPITAL'S FINANCIAL PERFORMANCE. THE WORKGROUP MEETS ANNUALLY AND ALSO APPROVES A GENERAL BONUS POOL, WHEN AVAILABLE, FOR THE KEY SENIOR EMPLOYEES AND ADMINISTRATIVE STAFF OF THE ORGANIZATION. THE BONUSES ARE DISTRIBUTED AT THE CEO'S DISCRETION BASED ON THE ANNUAL PERFORMANCE REVIEW OF THE INDIVIDUAL AND FINANCIAL PERFORMANCE OF THE HOSPITAL IN THE YEAR THE PERFORMANCE REVIEW OF THE EMPLOYEE IS RELATED TO. THIS POLICY AND PROCEDURE IS SUBJECT TO ANNUAL REVIEW AND IN NO WAY IMPLIES GUARANTEED CONTINUATION OF A GENERAL BONUS POOL. THIS PROCESS LAST TOOK PLACE IN 2021 FOR 2022 COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19EXTERNAL REQUESTS FOR OUR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE REVIEWED FOR VALIDITY. THESE REQUESTS ARE THEN GRANTED IF DEEMED APPROPRIATE.
Form 990, Part XI, Line 9Other changes in net assets: Change in defined benefit pension plan: $ 4,238,783 Net periodic pension costs: $ 117,833 Capital project transfer from affiliate: $10,177,450 ----------- Total: $14,534,066
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN FEES TOTAL FEES:3868486
FORM 990 PART IX LINE 11GDESCRIPTION:SERVICE CONTRACTS TOTAL FEES:5726347
FORM 990 PART IX LINE 11GDESCRIPTION:COLLECTIONS EXPENSE TOTAL FEES:577561
FORM 990 PART IX LINE 11GDESCRIPTION:CONSULTING FEES TOTAL FEES:928286
FORM 990 PART IX LINE 11GDESCRIPTION:TYPING/TRANSCRIPT SERVICES TOTAL FEES:124092
FORM 990 PART IX LINE 11GDESCRIPTION:ADMIN SERVICE FEES TOTAL FEES:21228
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:173423
FORM 990 PART IX LINE 11GDESCRIPTION:RADIATION PHYSICS/MONITOR TOTAL FEES:12602
FORM 990 PART IX LINE 11GDESCRIPTION:COVID PROFESSIONAL SVCS TOTAL FEES:4458487
FORM 990 PART IX LINE 11GDESCRIPTION:CLEANING/JANITORIAL TOTAL FEES:129417
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:1241673

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1NEW YORK COMMUNITY MEDICAL & SURGICAL PCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12525 KINGS HIGHWAYAddressLine1Txt
CityBROOKLYNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11229ZIPCd
FieldValueIRS element (for citing)
EIN814675401EIN
Primary ActivitiesMED CLINICPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NY COMM HOSPBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1MAIMONIDES MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14802 TENTH AVENUEAddressLine1Txt
CityBROOKLYNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11219ZIPCd
FieldValueIRS element (for citing)
EIN111635081EIN
Primary ActivitiesHOSPITALPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Exempt Code Section501(C)3ExemptCodeSectionTxt
Public Charity Status3PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1LAKE COUNTRY UROLOGY PLLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line140 5TH AVENUEAddressLine1Txt
CityBROOKLYNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11215ZIPCd
FieldValueIRS element (for citing)
EIN273273842EIN
Primary ActivitiesMEDICAL SERVICESPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MMCHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC-CORPEntityTypeTxt
Share Of Total Income$321,335ShareOfTotalIncomeAmt
Share Of EOY Assets$53,102ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
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 SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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