2022-02-10T11:09:48-06:00 2020-12-31 PricewaterhouseCoopers LLP 300 Madison Avenue New York NY 10017 990 2020-01-01 111635081 Maimonides Medical Center % JOHN MALLIA EXECUTIVE VP/CF MAIM 7182833900 4802 Tenth Avenue Brooklyn NY 11219 JOHN MALLIA Executive VP & CFO 7182833900 2021-12-22 true JOHN MALLIA 999009999 LAURA J PARELLO P01080295 6464713000 3 2020 2022-09-23 18:48:47Z KENNETH D GIBBS 4802 TENTH AVENUE BROOKLYN NY 11219 1401797579 false X www.maimonidesmed.org X 1947 NY SEE SCHEDULE O 28 26 7194 1106 8440 0 35016414 274761097 1239946880 1100070103 24218573 16365825 5697063 10350392 1304878930 1401547417 2045753 1460395 0 0 846768141 902223505 0 0 1644865 448528184 468180090 1297342078 1371863990 7536852 29683427 1584622513 1813379005 1125069465 1310819863 459553048 502559142 X SEE SCHEDULE O false false 729354955 0 661531058 INPATIENT SERVICES. This is further described in Schedule O. 103396038 0 28457485 EMERGENCY SERVICES. 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This is further described in SCHEDULE O. 258926432 1460395 353859554 1165056669 true true false true false false false false false true true false false true true false false true false true true false false false true false true true true true true true false false false false false false false true false true true false false false false true true true false false true 582 0 true 7194 true true true false false false false true true false false false false true false X 28 26 true false false false true true true true true false false true true true true true true true true true true NY X JOHN MALLIA EXECUTIVE VPCF 7182833900 4802 TENTH AVENUE BROOKLYN NY 11219 X JACOB SHANI MD Chair, Heart & Vascular Center 40.0 0.0 X 3498724 0 38730 KENNETH D GIBBS PRESIDENT & CEO 40.0 0.0 X X 3188998 0 50871 PATRICK I BORGEN MD Chairman, Dept of Surgery 40.0 0.0 X 1989629 0 48607 GREG H RIBAKOVE MD Chief, Cardiothoracic Surgery 40.0 0.0 X 1794058 0 38730 ROBERT A FRANKEL MD Dir, Interventional 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ASSETS 2627175 ESTIMATED INSURANCE CLAIMS REC 185840000 OTHER NONCURRENT ASSETS 3257431 RIGHT OF USE ASSETS OPER LEASE 89327970 464734745 0 ESTIMATED INSURANCE CLAIMS PAY 185840000 THIRD PARTY LIABILITIES 156342801 ACCRUED POSTRETIREMENT BENEFIT 77550762 PROFESSIONAL LIABILITIES 36315070 INSURANCE PREMIUM DEF. & LIAB. 24288685 DUE TO DSRIP PARTICIPANTS 62552834 OTHER LIABILITIES 14023651 LEASE LIABILITY 93327970 650241773 PART V, LINE 4 TEMPORARILY RESTRICTED NET ASSETS ARE AVAILABLE FOR THE FOLLOWING PURPOSES RESEARCH AND EDUCATION - $ 1,295,000 PLANT REPLACEMENT AND EXPANSION - $19,220,595 TOTAL - $20,515,595 PERMANENTLY RESTRICTED NET ASSETS -$ 1,132,283 (Consisting of investments to be held in perpetuity, the income from which is to be used for health care related services.) Grand Total - $21,647,848 PART X, Line 2 There was no liability for uncertain tax position under FIN 48 making the footnote unnecessary. 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X X X X X true true X X X true X see Section C X see Section C X see Section C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V #3e Describe the significant health needs of the community. The significant health needs of the community identified in the CHNA are prioritized based on several factors, including: the scope and significance of the need as indicated by New York City and State data sources; opportunities for Maimonides Medical Center to provide effective interventions; the importance of the need as described by community members; and the relevance of the need to New York States Prevention Agenda Priorities. #3j Describe other content contained in the CHNA The CHNA also satisfies New York States requirement to complete a Community Service Plan (CSP). As such, it includes a section describing Maimonides work plan for addressing New York State Prevention Agenda Priorities. #5 Describe how the hospital took into account input from persons who represent the community and identify the persons consulted. To more deeply understand the health challenges and needs facing our communities, Maimonides sought input from members of the community who represent the broad interests of the community through multiple mechanisms including: * Convening a meeting of the Council of Community Organizations (COCO) to gain feedback from community and faith-based leaders, elected officials, healthcare providers and public health specialists; * Participatory Action Research (PAR) focus group and survey activities in neighborhoods across the Maimonides service area, led by Community Care of Brooklyn (CCB) and described below; * Focus groups and ongoing collaborative relationships with community-based healthcare providers; and * Meetings and information submissions of the internal Maimonides Community Health Coordinating Committee. Participatory Action Research (PAR) Beginning in 2016, CCB has been the leading sponsor of a series of participatory action research (PAR) projects in Brooklyn neighborhoods. The PAR model "is a framework for creating knowledge that is rooted in the belief that those most impacted by research should take the lead in framing the questions, design, methods, analysis and determining what products and actions might be the most useful in effecting change" (Torre 2009). In practice, this means that PAR is designed and executed largely by high school and college student researchers who live and study in the neighborhoods where PAR is undertaken. As of 2019, four PAR projects have been completed with CCB sponsorship; the projects conducted in summer 2018 and summer 2019 focused on parts of the Maimonides service area and directly inform the Maimonides CHNA/CSP. PAR projects benefit from the insights of their research teams and serve to strengthen the capacity of community members to self-advocate and promote improved health outcomes. Each PAR has employed 40-50 local student researchers, providing paid work experience in the theory and practice of social determinants of health research. Since the advent of CCB's PAR work, the group of researchers involved have organized into a distinct entity, Wellness Empowerment for Brooklyn. To date, PAR projects have surveyed over 2,500 Brooklyn residents; PAR III and IV each collected over 1,000 surveys. Street surveys, key stakeholder interviews, and focus groups hosted in collaboration with community-based organizations are typical methodologies of a CCB-led PAR project. Development of a central research question - different for each PAR project - is led by the student researchers and supported by their knowledge of the community, as well as by DOHMH Community Health Profiles and similar public datasets. Dissemination of PAR findings is central to the research model, and projects generally conclude with community-facing "report back" sessions to share research results directly with local residents and policymakers. The PAR projects conducted in Canarsie, Flatbush, and Flatlands and in Bay Ridge, Borough Park, and Sunset Park provide meaningful insight into the health and social needs and priorities of residents in Maimonides' service area. In PAR III and IV, researchers assessed community assets, health challenges, housing and transportation issues, civic infrastructure and engagement, education, social services, healthy food access, and immigration and citizenship issues. # 7a - The CHNA report is available: https://maimo.org/wp-content/uploads/2020/09/2019-Maimonides-CHNA-CSP-Work plan-Submission.pdf # 10a - The most recently adopted implementation strategy is available: https://maimo.org/wp-content/uploads/2020/09/2019-Maimonides-CHNA-CSP-Work plan-Submission.pdf # 11 - Description of how the significant needs identified in the most recently conducted CHNA are being addressed Maimonides devotes staffing and financial resources to sustain the programs and activities described below in our Implementation Plan, including resources from the following areas: * Patient & Community Relations * Executive Office * Academic Affairs (residents, fellows, and the Committee of Interns & Residents) * Foundation and government grants, with which staff are hired to conduct health interventions * Clinical departments * DSRIP funding from New York State, which helps to staff the Central Service Organization, which manages and coordinates all DSRIP projects In alignment with the four priority areas that Maimonides has selected - Prevent Chronic Diseases; Promote Healthy Women, Infants and Children; Promote Well-Being and Prevent Mental and Substance Use Disorders; and Prevent Communicable Diseases - Maimonides 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 MMC service area, such as meetings of the Greater New York Hospital Association and NYC DOHMH task forces. Maimonides also leverages its relationships with academic and clinical affiliates - namely SUNY Downstate Health Sciences University, New York Community Hospital of Brooklyn, and Northwell Health - where appropriate to coordinate and integrate health services and health promotion activities. Maimonides has a longstanding history of community engagement and offering culturally diverse and appropriate health education and treatment, which are core to its mission. Beyond providing direct patient care services, Maimonides is deeply invested in providing service to the greater community that address the needs of residents. Major programs deployed by Maimonides include health education and screening events co-hosted with community organizations; care coordination and case management services; trauma and accident prevention trainings for high-risk populations; and support group services for patients experiencing or recovering from illness. In the coming years, Maimonides will continue existing interventions and programs and implement additional community-based strategies to advance health promotion and preventive care. Hallmarks of these efforts to foster healthy communities include: * Education of community members, patients, and their families * Providing preventive care and health education in both clinical and community settings * Training of health professionals and lay people in health-related roles, i.e. birth doulas * Leading collaborative efforts among government, community, and healthcare provider partners to transform the healthcare delivery system Section B, Line 16a - The FAP is available: https://maimo.org/wp-content/uploads/2020/09/FIN028English17September2018. pdf Section B, Line 16b - The FAP application form is available: https://maimo.org/wp-content/uploads/2020/10/EN-Revised-Financial-Assistan ce-Application-31.pdf Section B, Line 16c - The plain language summary of FAP is available: https://maimo.org/patients-visitors/paying-for-care/ 15 Maimonides Cancer Center 6300 Eighth Avenue Brooklyn NY 11220 Cancer Center MAIMONIDES CARDIOLOGY OUTPATIENT CENTER 850 49TH STREET BROOKLYN NY 11219 CARDIOLOGY OUTPATIENT CENTER MAIMONIDES WOMEN'S SERVICES 9TH AVENUE 4422 9th Avenue Brooklyn NY 11219 Womens' Primary Care Center MAIMONIDES SLEEP DISORDER CLINIC 6405 7TH AVENUE brooklyn NY 11219 SLEEP DISORDER CLINIC Maimonides ADULT & PED CARE NEWKIRK AVE 1401 Newkirk Avenue Brooklyn NY 11226 Family Health Center MAIMONIDES PEDIATRIC CARE 57TH STREET 1301 57th Street Brooklyn NY 11219 Ambulatory Care Center MAIMONIDES ADULT AND PEDIATRIC CARE 7TH 6323 Seventh Avenue Brooklyn NY 11220 PRIMARY HEALTH SERVICES Maimonides Adlt Primary Care Ctr 57th ST 1250 57th Street Brooklyn NY 11219 Adult Primary Care Center Maimonides Rehabilitation Services 883 65th Street Brooklyn NY 11219 Rehabilitation Services MAIMONIDES BREAST CENTER 745 64TH STREET BROOKLYN NY 11220 BREAST CENTER MAIMONIDES ADULTPED DENTAL CENTER 4303-4305 13th Avenue Brooklyn NY 11219 Adult/Ped. Dental Center MAIMONIDES CARDIOLOGY OUTPATIENT CENTER 421 OCEAN PARKWAY BROOKLYN NY 11218 CARDIOLOGY OUTPATIENT CENTER MAPLETON CLINIC TREATMENT PROGRAM 1083 MCDONALD AVENUE BROOKLYN NY 11230 CLINIC TREATMENT PROGRAM Fort Hamilton Clinic Treatment Program 8710 Fifth Avenue Brooklyn NY 11209 Clinic Treatment Program Bensonhurst Clinic Treatment Program 8620 18th Avenue Brooklyn NY 11214 Clinic Treatment Program PART I, LINE 7 The ratio of patient care cost to charges is used in the costing methodology as outlined in Worksheet 2 Instructions for Schedule H; total hospital cost is divided by total charges. PART II - COMMUNITY BUILDING Cash donations are given to various nonprofit organizations whose activities related to community support have been determined to be compatible and complimentary to those of Maimonides Medical Center. Maimonides Medical Center is a member of various health care associations that promote high quality, more affordable health care. Through our support of collective advocacy we participate in strengthening the role modern health care has in the improvement of the health of our communities. PART III, LINE 2 Bad Debt is recorded at cost. PART III, LINE 3 A soft credit check is performed on the bad debt file in order to determine if any of the debt meets criteria for eligibility under financial assistance policy. PART III, LINE 4 The Medical Center's Footnote for Net Patient Service Revenue and accounts receivable is on pages 10-11 of the attached audited financial statements. The Medical Center provides care to patients who meet certain criteria defined by the New York State Department of Health without charge or at amounts less than its established rates. The Medical Center maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges foregone for services and supplies furnished. The Medical Center's estimated costs for charity care were $43.0 million for 2020 and $52.8 million for 2019. This does not include the loss of treating the Medicaid population. The cost of charity care includes the direct and indirect cost of providing charity care services. The cost is estimated by utilizing a ratio of cost to gross charges applied to the gross uncompensated charges associated with providing charity care. Net of pool contributions, funds received from the New York State Indigent Care Pool to offset bad debts and charity care provided totaled $11.5 million (including $4.7 million related to 2019 and $4.1 million related to 2018) and $3.1 million (including $0.5 million related to 2018) for the years ended December 31, 2020 and 2019, respectively. The charity care component of the indigent care pool payments is estimated utilizing a ratio of charity care charges to total charity care and bad debt charges applied to the indigent care pool reimbursement and excludes amounts designated for teaching programs. PART III, LINE 8 The shortfall costs should be treated as community benefit as we are treating the elderly patients of the community. The costing methodology applies the worksheet 2 ratio of patient care cost to charges as Maimonides Medical Center became a charge structure institution in 2011. PART III, LINE 9B If Maimonides determines that a patient is eligible for financial assistance ("FAP-eligible"), Maimonides will: -If the patient is determined to be eligible for assistance other than free care, provide the patient with a billing statement that indicates the amount the patient owes for the care as a FAP-eligible patient, how that amount was determined, and describes how the patient can get information regarding the Amount Generally Billed (maximum charge that may be billed to a patient who receives emergency or other medically necessary care). -Refund to the patient any amount the patient has paid for the care (whether to Maimonides or any other party to whom Maimonides has referred the patient's debt for care) that exceeds the amount the patient is determined to be personally responsible for paying as a FAP-eligible individual, unless the excess amount is less than $5, or an amount set in other guidance published by the IRS. -Take all reasonably available measures to reverse any action taken against the patient to obtain payment for care. 2 NEEDS ASSESSMENT Maimonides Medical Center has a long history of community engagement and a robust program of outreach and interaction with the communities that utilize our services, on which we continue to build to keep our communities engaged and healthy. Several years ago, Maimonides developed a Council of Community Organizations (COCO), an ongoing forum and vehicle for communication with local community leaders, community groups, businesses, and elected officials. Present at these meetings are religious leaders, community-based organization representatives, health care providers, area residents, public safety workers, and elected officials and staff. Agenda items cover new initiatives at the hospital and in the community aimed at improving health and wellbeing, including prevention-oriented programming, and open dialogue about health-related issues. Members of the COCO are in regular contact with Maimonides leadership and staff, contributing valuable insight and relaying community concerns as they arise. The most recent COCO meeting took place in April 2019. In addition, executive leadership meets regularly with representatives of local EMS providers such as Hatzolah Ambulance Corps of Borough Park and Flatbush in Brooklyn to discuss community health needs and ways to improve emergent and urgent care services for our patients. Maimonides' leaders also maintain close relationships with community-based health care providers, who are front-line partners in achieving prevention and public health goals. Beginning in 2020, the COVID-19 pandemic dramatically impacted the health needs of our communities. Maimonides undertook a number of efforts to assess this rapidly changing situation, including operationalizing a 24/7 communications center available to the public; producing thrice-daily situation reports using the latest public health and internal data; and hosting virtual meetings with members of our Board, community-based health care providers, elected officials, and other community stakeholders. In response to the Affordable Care Act requirement that tax-exempt hospitals must conduct an in-depth community health needs assessment, Maimonides applied a rigorous approach. In coordination with our partners at the research and evaluation organization the New York Academy of Medicine (NYAM), our initial community health needs assessment (CHNA) was completed and approved by our Board in 2013 and published on our web site and distributed in early 2014. In 2015, using funding awarded by the Agency for Healthcare Quality and Research (AHRQ), Maimonides again partnered with NYAM, this time to conduct an in-depth public deliberation study with residents of communities in Southwest Brooklyn. Maimonides supplemented the public deliberation sessions with a range of quantitative data about the health status and needs of the communities it serves. In particular, Maimonides drew heavily from the Community Health profiles published by the New York City Department of Health and Mental Hygiene in 2015 to produce an updated CHNA which was completed and approved by the Board in December 2016. In 2019, Maimonides collaborated with Community Care of Brooklyn (CCB), the DSRIP PPS for which the Medical Center is a participant and fiduciary, in order to use Participatory Action Research (PAR) as a cornerstone of our health needs assessment process. The PAR methodology is youth-led and community-based, having been adapted and honed by CCB over several years. Maimonides draws on focus groups, surveys, and stakeholder input gathered by PAR researchers in Canarsie, Flatbush, Flatlands, Bay Ridge, Borough Park, and Sunset Park - a diverse group of neighborhoods that span our service area. 3 Patient education of eligibility for assistance Financial Counselors work with uninsured patients who are screened for eligibility for public sponsored programs such as Medicaid etc. If they are not eligible, they are automatically informed of and screened for eligibility under the Maimonides Financial Assistance Policy. Access To Information - All written information is available in multiple languages. Patients are informed of the hospital's financial assistance via the following methods: * Multi-lingual signage * Summary brochure of the financial assistance policy available at points of PATIENT Service * Information distributed during the intake and registration process * The hospital website * Information on bills and statements sent to patients * Responses to direct inquiries made to the hospital 4 COMMUNITY INFORMATION Maimonides Medical Center historically has used a commonly accepted planning definition of service area for acute care hospitals based on the aggregation of inpatient discharges from surrounding zip codes. The zip codes comprising the first 50% inpatient zip codes are defined as the primary service area. The next group of zip codes comprising the next 25% of zip codes is defined as the secondary service area. Based on this planning definition the primary service area for Maimonides Medical Center is comprised of the following 6 zip codes; 11219, 11230, 11204, 11214, 11218, 11220. The following 6 zip codes comprise the secondary service area for Maimonides Medical Center; 11223, 11235, 11229, 11226, 11224, 11234, 11228. Approximately 93% of the inpatient discharges at Maimonides Medical Center are patients with a Brooklyn address. These zip codes correspond roughly to the following New York City Community Districts, for which the New York City Department of Health and Mental Hygiene (DOHMH) produces community health profiles that inform Maimonides CHNA: Sunset Park (7), Bay Ridge & Dyker Heights (10), Bensonhurst (11), Borough Park (12), Coney Island (13), Flatbush & Midwood (14), Sheepshead Bay (15), and Flatlands & Canarsie (18). Maimonides serves a richly diverse catchment area comprised of numerous immigrant communities, faiths, and ethnicities. Nearly half (44%) of the population is foreign-born, including many undocumented immigrants. 48% are white, 20% are Asian, 15% are Hispanic/Latino, and 15% are Black. The neighborhoods Maimonides serves have a higher household poverty rate and lower high school completion rate than citywide averages. Approximately 33% of the residents in these communities have limited English proficiency. Maimonides Medical Center is mindful of the New York State Department of Health definition of the hospital primary service areas as the five counties of New York City for purposes of service and financial aid pursuant to PHL 2807 (k) (9-a). 5 PROMOTION OF COMMUNITY HEALTH Maimonides Medical Center is governed by a Board of Trustees, of which many members reside in the surrounding communities that form its primary service area. Board members serve on a voluntary basis without compensation. Maimonides regularly holds free and accessible community outreach and education symposia across a number of communities in Southwest Brooklyn that focus on injury and disease prevention, screening, and treatment for chronic diseases, with a particular focus on cardiovascular diseases, obesity and stroke. These symposia, which often include on-site screenings and referrals, are typically held 2-3 times per month in a variety of settings: community centers, faith-based institutions, and senior centers and are facilitated by Maimonides physicians and nursing staff. In 2020, Maimonides pivoted to offer virtual versions of our usual in-person programming. Maimonides directly funds or provides a number of services that promote community health. Maimonides provides screenings for breast cancer, colon cancer, and lung cancer, irrespective of patients' ability to pay. In addition to these activities, many of Maimonides' clinical departments including Obstetrics & Gynecology, Pediatrics, Psychiatry, Medicine, Cardiology, and Nursing are involved in activities that provide health or wellness services at no cost to the patient. Maimonides endeavors to maintain an open medical staff to all qualified physicians in the community except in circumstances of extreme constraints on capacity. The Department of Medicine has developed an Affiliate status and a highly effective hospitalist service to assist physicians in joining or retaining membership on the medical staff, providing for access and continuity of care for their patients. Maimonides also aligns and builds partnerships with community-based primary and specialty care providers across Southern and Central Brooklyn and serves as the tertiary care hub for the patients of many of these physicians. In early 2012, Maimonides established the Southwest Brooklyn Health Home (dba Brooklyn Health Home) which was subsequently reorganized as an independent LLC for which Maimonides holds the management contract. The Brooklyn Health Home contracts with a network of 30+ providers and community-based organizations to provide care management services for Medicaid beneficiaries who have high-cost and complex chronic conditions. In this program, medical and social services are coordinated by specially trained care managers using a dynamic care management platform to ensure that patients' comprehensive care needs are met. Services may include housing, social services, medical and behavioral health, substance use, home care, and family support and education, which are coordinated and integrated to avoid preventable emergency department visits and hospitalizations, control future health care costs, and improve health outcomes for this population. Maimonides also acted as the fiduciary for Community Care of Brooklyn (CCB), which was the largest Performing Provider System (PPS) in Brooklyn. PPS were established as part of New York State's Delivery System Reform Incentive Payment (DSRIP) program. CCB managed care for 650,000 Medicaid beneficiaries - nearly 10% of the total Medicaid population of New York State. Key accomplishments of CCB include reducing avoidable hospitalizations by more 30% over five years; training over 1,500 staff from 156 organizations; and conducting six youth-led participatory action research projects in a diverse set of Brooklyn neighborhoods. The CCB network, which Maimonides continues to support, is comprised of over 1,000 partner entities, including more than 4,000 medical practitioners, seven hospitals, many federally qualified health centers (FQHCs), and 350 social service and community based organizations. Together, this consortium is implementing a coordinated approach to achieving high quality coordinated care for the Medicaid population, including through the development of NCQA-recognized Patient-Centered Medical Homes. Throughout 2020, Maimonides developed new services and interventions in response to the COVID-19 pandemic. Community education was central to this effort, including the 24/7 operation of a COVID-19 information center which responded to calls and emails from the general public, community-based health care providers, other community organizations, and the media. Maimonides also partnered with local community organizations, including Chevra Hatzalah, to publish and distribute COVID safety information throughout southern Brooklyn neighborhoods critically affected by the pandemic. As a major health care provider for Borough Park and surrounding neighborhoods which have consistently had above-average COVID test positivity rates, Maimonides joined the NYC Department of Health and Mental Hygiene's Testing Provider Partnership program. With this program, Maimonides is leveraging the expertise of our Population Health department and the CCB network to deliver tailored COVID testing, contact tracing, and vaccination interventions throughout Brooklyn. 6 AFFILIATED HEALTH CARE SYSTEM N/A true American Lung Association 21 WEST 38TH STREET New York NY 10018 060646594 501(c)(3) 10000 General Support Arthur Ashe Institute for Urban Health 450 Clarkson Ave Brooklyn NY 11203 113185372 501(c)(3) 10000 GENERAL SUPPORT Boro Park Community Council 204 Avenue M Brooklyn NY 11230 113475993 501(c)(3) 20000 GENERAL SUPPORT Catskills Hatzalah 1070 McDonald Avenue Brooklyn NY 11230 113107848 501(c)(3) 10000 GENERAL SUPPORT Chinese American Medical Society 383 Kingston AvE Brooklyn NY 11213 112420013 501(c)(3) 10000 GENERAL SUPPORT Mesifta Yeshiva Rabbi Chaim Berlin 1605 Coney Island Ave Brooklyn NY 11230 112225154 501(c)(3) 18000 GENERAL SUPPORT Nurses House 2113 Western Ave Guilderland NY 12084 131927913 501(c)(3) 14780 GENERAL SUPPORT Ohel Children's Home & Family Services 3611 14th Avenue Brooklyn NY 11218 116078704 501(c)(3) 5400 GENERAL SUPPORT Rivkah Laufer Bikur Cholim 1406 57th Street Brooklyn NY 11219 116111320 501(c)(3) 10000 GENERAL SUPPORT United Hospital Fund 350 Fifth Ave New York NY 10118 131562656 501(c)(3) 15000 GENERAL SUPPORT 10 FEDERAL VACCINES DISPENSED UNDER CFDA 93.268 6815 1264496 NYC DOHMH DETERMINED CHILDRENS VACCINES Schedule I, Part I, LINE 2 GENERAL SUPPORT IS GIVEN TO VARIOUS NONPROFIT HEALTH RELATED ORGANIZATIONS WHOSE ACTIVITIES HAVE BEEN DETERMINED ARE COMPATIBLE AND COMPLIMENTARY TO THOSE OF MAIMONIDES MEDICAL CENTER. THE MEDICAL CENTER PERIODICALLY REVIEWS ITS GENERAL SUPPORT OF THESE NONPROFIT ORGANIZATIONS IN ORDER TO ENSURE THAT THE RECIPIENT'S ACTIVITIES REMAIN COMPATIBLE WITH THOSE OF THE HOSPITAL. SCHEDULE I, PART III, LINE 1(B) MAIMONIDES CLINICS ADMINISTER THE VACCINES DISPENSED THROUGH THE FREE VACCINES PROGRAM AND TRACK THE NUMBER OF RECIPIENTS WHO ARE PROVIDED WITH THESE VACCINES. X X X X X false true false false false true false false false JACOB SHANI MD Chair, Heart & Vascular Center 3471808 0 0 0 26916 0 18525 0 20205 0 3537454 0 0 0 KENNETH D GIBBS PRESIDENT & CEO 1255617 0 0 0 1933381 0 18525 0 32346 0 3239869 0 1377379 0 PATRICK I BORGEN MD Chairman, Dept of Surgery 1969715 0 0 0 19914 0 18525 0 30082 0 2038236 0 0 0 GREG H RIBAKOVE MD Chief, Cardiothoracic Surgery 1772767 0 0 0 21291 0 18525 0 20205 0 1832788 0 0 0 ROBERT A FRANKEL MD Dir, Interventional Cardiology 1763171 0 0 0 21018 0 18525 0 22905 0 1825619 0 0 0 ALEXANDER SHAKNOVICH MD DIR OF I&I CARDIOLOGY 1692267 0 0 0 1584 0 18525 0 20205 0 1732581 0 0 0 DAVID COHEN MD EVP,POP HEALTH &ACADEM AFFAIRS 740273 0 0 0 198239 0 18525 0 24105 0 981142 0 0 0 Michael Antoniades EVP & COO 596614 0 150000 0 3576 0 145681 0 30082 0 925953 0 0 0 Harry Adler MD DIR &PRES MED STAFF as of 7/20 734026 0 0 0 21291 0 18525 0 21205 0 795047 0 0 0 ROBERT PRESS MD EXEC VP, MEDICAL AFFAIRS 606160 0 150000 0 11124 0 18525 0 2451 0 788260 0 0 0 JOYCE LEAHY EVP,LEGAL AFFAIRS &GNL COUNSEL 498393 0 0 0 149339 0 18525 0 12436 0 678693 0 0 0 John Mallia EXECUTIVE VICE PRES & CFO 602374 0 0 0 0 0 0 0 0 0 602374 0 0 0 EDWARD CHAPNICK MD DIR & PRES MED STAFF THRU 6/20 383308 0 0 0 1584 0 18525 0 31686 0 435103 0 0 0 Laurie Weinstein EVP,LEGAL AFFAIRS &GNL COUNSEL 148711 0 0 0 594 0 3088 0 3432 0 155825 0 0 0 Schedule J, Part I, Line 4B The following persons participated in a 457(F) supplemental nonqualified retirement plan, pursuant to which contributions were made for 2020: Kenneth Gibbs, Michael Antoniades, and Joyce Leahy THE MAIMONIDES MEDICAL CENTER SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENTS (THE "CEO & EVP SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN") PROVIDES ADDITIONAL RETIREMENT BENEFITS TO SUPPLEMENT OTHER SOURCES OF RETIREMENT INCOME. THE EVP PLAN WAS EFFECTIVE AS OF JANUARY 1, 2012 AND WAS AMENDED AND RESTATED AS CEO & EVP SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN AS OF JANUARY 1, 2016, TO ADD THE CEO AS A PARTICIPANT, AND FURTHER AMENDED, EFFECTIVE JANUARY 1, 2017. 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 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. WITH RESPECT TO THE CEO, THE PLAN AS AMENDED PROVIDES FOR AN ADDITIONAL 10% OF BASE SALARY TO BE CREDITED WITH REGARD TO THE 2017 PLAN YEAR AND THAT THE MEDICAL CENTER'S COMPENSATION COMMITTEE MAY APPROVE ADDITIONAL SERP CONTRIBUTIONS UP TO 10% OF BASE SALARY AND AS DETERMINED BY THE COMMITTEE FOR PLAN YEARS AFTER 2017. THE COMPENSATION COMMITTEE MET ON JULY 31, 2018 AND APPROVED AN ADDITIONAL 10% FOR 2018. The Compensation Committee approved an additional 10% for 2019 on December 20, 2019. The Compensation Committee approved an additional 10% for 2020 on December 23, 2020. IN ACCORDANCE WITH THE TERMS OF THE CEO & EVP SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN, BENEFITS WERE VESTED AND PAID OUT IN 2020 TO THE FOLLOWING PARTICIPANTS: Kenneth Gibbs $1,837,741 Joyce Leahy $109,201 David Cohen $157,334 The amount of supplemental nonqualified deferred compensation provided 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 6A The organization pays, pursuant to individual employment contract agreements, a portion of faculty practice earnings, net of expenses. A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64990G3B6 2020-08-06 149892729 SEE PART VI false false false A 0 0 149916651 8690000 175972 0 1278170 2753439 0 9288332 0 128631669 false false false true A false false false false 0.00000 0.00000 0.00000 false false false true A false true false false false false 0 false 0 false true A true PART I - A(F) - DESCRIPTION OF PURPOSE: The proceeds will be used to modernize the emergency department, the neonatal intensive care unit, the post anesthesia care unit, the cardiac catheterization labs and supporting pre and post procedure areas, the cardiothoracic intensive care unit and various infrastructure projects including electrical, plumbing, mechanical and emergency generator support systems and the acquisition of updated information systems and medical equipment. PART II - LINE 3 Total proceeds of issue are the sum of the issue price and current year investment earnings. Contributor No 4 Substantial Contributor 1001391 Legal consulting false Contributor No 19 Substantial Contributor 2244649 Contractor false Contributor No 20 Substantial Contributor 608849 IT Services false Contributor No 29 Substantial Contributor 182786 Legal Consulting false Contributor No 30 Substantial Contributor 5229158 Consulting false Contributor No 54 Substantial Contributor 191584 Legal consulting false Contributor No 63 Substantial Contributor 9009790 Contractor false Contributor No 72 Substantial Contributor 779457 Legal Consulting false Contributor No 88 Substantial Contributor 1262515 Contractor false Contributor No 101 Substantial Contributor 1627969 Contractor false Contributor No 108 Substantial Contributor 246789 Legal Consulting false MINERVA CONSULTING LLC SEE PART V 156500 CONSULTING false SCHEDULE L, PART IV 35% controlled entity of family member of Donald Meltzer, trustee X 2 50530 FMV X 22107 1264496 NYC DOH DETERMINAT. false false false SCHEDULE M, PART I, LINE 20 - DRUGS AND MEDICAL SUPPLIES: The Medical Center participated in the City of New York Department of Health and Mental Hygiene Vaccines for Children Program through the provision of vaccinations. The U.S. Department of Health and Human Services, the federal agency that sponsors this program has determined that the vaccines administered are considered "property in lieu of money". FORM 990, PART I, LINE 1 Maimonides Medical Center, a 711 bed thriving non-profit hospital, is a vital access provider of safe, high quality and compassionate patient care and community services to people of all faiths and backgrounds from the incredibly diverse population of Brooklyn. Form 990, PART I, LINE 6 At Maimonides, we are fortunate to have a large corps of dedicated volunteers who enhance the services provided by our staff. In 2020, there were 1,106 volunteers who served 89,509 hours. The numbers are significantly lower than in the past due to the COVID pandemic. All volunteer records are kept in Voltrak, a volunteer computer database system. Volunteers at Maimonides sign in and out using a touch screen computer. Accordingly, the number of volunteers and hours served are tracked by the system. The Department of Volunteer and Student Services works very closely with youth agencies and provides a worksite for various youth employment programs. We coordinate internship programs with business schools and colleges (both undergraduate and graduate programs). This has developed successful relationships with community agencies and organizations. Some of the service areas the volunteers work in are labor coach (doula), postpartum support, companions to patients, feeders, hospitality, child life, NICU cuddlers, pastoral care, refreshment carts, ladies' auxiliary, patient library, research, clerical support, patient transport, and other support services. FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION MAIMONIDES MEDICAL CENTER IS DEDICATED TO FOSTERING HEALTHY COMMUNITIES. WE PROVIDE HIGH QUALITY, COMPASSIONATE PATIENT CARE AND COMPREHENSIVE COMMUNITY SERVICES. AS A PREMIER ACADEMIC MEDICAL CENTER, WE ARE DEVOTED TO EDUCATING HEALTH CARE PROFESSIONALS, PATIENTS, FAMILIES, EMPLOYEES AND THE COMMUNITIES WE SERVE. WE CONDUCT RESEARCH THAT IMPROVES THE LIVES OF OUR PATIENTS. WELCOMING PATIENTS OF ALL FAITHS, THE HOSPITAL IS UNIQUELY COMMITTED TO SERVING THE SPECIAL HEALTH CARE NEEDS OF THE ORTHODOX JEWISH COMMUNITY, WHOSE RELIGIOUS AND CULTURAL TRADITIONS HELP TO GUIDE THE PROVISION OF OUR SERVICES. Form 990, Part III, LINE 4 4a - Inpatient Services 4b - Maternity Services 4c - Emergency Services 4d - Other Program Services Maimonides Medical Center, a 711 bed acute care voluntary not-for profit hospital, offers a wide array of inpatient and outpatient healthcare services. Our commitment has always been to serve the community providing quality healthcare services and healthcare education regardless of race, creed, sex, natural origin, age, handicap or ability to pay. During 2020, the Medical Center provided 37,896 inpatient discharges and 382,882 outpatient visits which included 65,755 emergency room visits. We provided care to persons covered by government programs and the uninsured at payment rates below cost. Our surgeons performed 7,851 inpatient and 9,717 outpatient procedures in a full range of surgical specialties. Our tertiary cardiology and cardiac surgery programs serve all of Brooklyn and are widely recognized in the region for excellence in interventional cardiology. A comprehensive array of cancer services is also provided. Maimonides, a designated regional perinatal center, operates one of the busiest obstetrical services on the East Coast performing 7,127 deliveries in 2020. A Level 3 Neonatal Intensive Care Unit provides highly specialized care for babies born prematurely or with birth defects. The adult and child psychiatric outpatient programs provide walk-in services for any members of the surrounding communities. Maimonides Medical Center is a 9.39 designated psychiatric receiving hospital. We provide full-time (24 hours/365 days per year) emergency services regardless of ability to pay and operate a 911 paramedic ambulance service under contract with the New York City Fire Department to an 800-block area including all of Boro Park and sections of Flatbush, Bensonhurst and Bay Ridge. Other program services include grants that supported over 70 various nonprofit health related and community based organizations. The Medical Center dispensed Federal vaccines received under the Immunization CFDA 93.268 program to 6,815 recipients. The Medical Center supports a program of health promotion and education activities for employees and residents of its surrounding communities, including mammography, lung, cardiac and colon cancer screenings. The Medical Center is a teaching affiliate of New York College of Osteopathic Medicine, NYU School of Medicine, and SUNY Downstate Medical Center. Maimonides has fully accredited residency-training programs with over 450 interns and residents. Form 990, Part VI, Governance, Management, and Disclosure 2. One 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 ("the Medical Center".) 6. The organization has a member, Maimonides Health Resources, Inc. ("MHRI") a not-for-profit corporation, which is its sole corporate member. 7a. MHRI elects the trustees. The boards of trustees of Medical Center and MHRI are identical. 7b.The powers of MHRI are described below: MHRI is a New York not-for-profit corporation. It is the sole 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 requires MHRI's consent. Section B. Policies 11b. A copy of the Form 990 is reviewed by senior executive staff and the outside tax preparer who signs off on the return. The reviewed return and attachments are then presented to the President and Audit and Legal Committee of the Board of Trustees to whom the responsibility for reviewing the Form 990 has been delegated for their comments and questions prior to filing. Upon their final review a complete copy of the Form 990 is provided to the entire Board prior to filing. 12c. It 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 conflict or appear to conflict with the Medical Center's best interest. The following are required to complete a conflict of interest certificate: (1) trustees and officers of the Board, (2) non-trustee officers, chairmen 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 Audit and Legal Committee of the Board of Trustees advises the President and the Chairman of the Board concerning specific conflicts of interest referred to it by the Executive Vice President for Legal Affairs and General Counsel. 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 Audit and Legal Committee also annually reviews all potential conflicts of interest disclosed by members of the board of trustees and employees who are in a position to influence vendor selection on their conflict of disclosure forms. The Corporate Compliance Department assists in ensuring compliance with completion of the Certificate by all relevant employees. The Executive Vice President for Legal Affairs and General Counsel is responsible for reviewing apparent conflicts of interest and other potentially improper activities as referred by the Corporate Compliance Officer and/or the Audit and Legal Committee. A report of all conflicts of interest is made to the Audit and Legal Committee on an annual basis by the Compliance Officer. A report of all conflicts of interest is made by the Chairman of the Audit and Legal Committee at least annually to the Board of Trustees. 15. The process for determining compensation for the CEO was done in December 2019 and again in May 2020. The process for determining compensation for the COO position, which was filled effective June 24, 2019, was done in July 2019 and again in November 2019. The process for determining compensation for the Chief Financial Officer was done in 2020. The process for determining compensation for the EVP, General Counsel was approved in December 2020. The process for determining compensation for the EVP, Medical Affairs was done in July 2019. The process for determining compensation for other key employees was last done in 2014. The Committee's review and approval process is intended to be in compliance with applicable federal tax and New York State laws and regulations, including, (a) Sections 515(b) and 715 of the New York Not-for-Profit Corporation Law, and (b) the regulations issued under New York State Executive Order 38. In addition, the Committee's review and approval process is intended to qualify for the "rebuttable presumption of reasonableness" under the intermediate sanctions rules of federal tax law. The Committee will use the following process (intended to qualify for the rebuttable presumption of reasonableness under the federal tax law intermediate sanctions rules) to consider and approve compensation arrangements for executives: 1. The Committee, which will consist entirely of independent trustees who do not have a conflict of interest with respect to any compensation arrangement under consideration, will approve in advance the compensation of the executives, without any executive present during the deliberation or vote on his or her compensation. 2. The Committee will obtain and rely upon appropriate data as to comparable compensation arrangements, with appropriate data consisting of information sufficient to determine whether each compensation arrangement in its entirety is reasonable, and including, but not limited to, compensation levels paid by similarly situated organizations, both taxable and tax-exempt, for functionally comparable positions, the availability of similar services in the New York metropolitan area, current compensation surveys compiled by independent consulting firms, and actual written offers from similar organizations. 3. The Committee will adequately and contemporaneously document the basis for its approval in meeting minutes. In June 2017, the organization was required to report for the first time since inception of the New York State Executive Order 38, key executive compensation and overhead costs. Since the organization was under the threshold for both compensation and overhead expenses, no waivers were required. For 2019, it was determined that we are not a covered provider under Executive Order 38. SECTION C. DISCLOSURE 19. The organization's articles of incorporation may be obtained from the NYS Secretary of State's office. They are also available together with the by-laws upon special request to the Executive Office of Maimonides Medical Center at 4802 Tenth Ave, Admin Bldg, 2nd floor, Brooklyn, NY 11219. The conflict of interest policy is available on the Medical Center's website "maimonidesmed.org" in the vendor information section. The audited financial statements are available upon request to the Medical Center's Executive Office and are posted on the NYS Charitable Bureau website, oag.state.ny.us. FORM 990, PART VII, SECTION A Kenneth Gibb's reportable compensation (line 2, column D) includes, in accordance with the terms of the Supplemental Executive Retirement Plan for Chief Executive Officer and Executive Vice Presidents (the "SERP"), a one-time multi year payout of $1,837,741 from the SERP as he became vested in the plan. This amount is included on Schedule J, column B(iii) Other Compensation. $1,377,379 was previously reported as deferred compensation on prior Form 990s and is disclosed on Schedule J, column (F). David Cohen's reportable compensation (line 7, column D) includes a yearly payout of $157,334, and Joyce Leahy's reportable compensation (line 11, column D) includes a yearly payout of $109,201, both in accordance with the terms of the Supplemental Executive Retirement Plan for Chief Executive Officer and Executive Vice Presidents (the "SERP"), and both as vested employees in the SERP. These amounts are included on Schedule J, column B(iii) Other Compensation. 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