2022-11-14T18:34:03-06:00 2021-12-31 PricewaterhouseCoopers LLP 300 Madison Avenue New York NY 10017 990 2021-01-01 111635081 Maimonides Medical Center % ROBERT PALERMO EVPCFO&ASST MAIM 7182833900 4802 Tenth Avenue Brooklyn NY 11219 ROBERT PALERMO EVP, CFO&ASST TREAS 7182833900 2022-11-14 true ROBERT PALERMO 999009999 MEREDITH MONROE P01441362 6464713000 2022-11-14 3 2021 2022-09-23 18:48:47Z KENNETH D GIBBS 4802 TENTH AVENUE BROOKLYN NY 11219 1327626464 false X www.maimonidesmed.org X 1947 NY SEE SCHEDULE O 35 33 7343 1025 0 0 274761097 47081065 1100070103 1267608297 16365825 7349048 10350392 5186496 1401547417 1327224906 1460395 1834507 0 0 902223505 917987527 0 0 1539242 468180090 573301654 1371863990 1493123688 29683427 -165898782 1813379005 1684839092 1310819863 1279469417 502559142 405369675 X SEE SCHEDULE O false false 670815837 0 744869832 INPATIENT SERVICES. This is further described in Schedule O. 98433325 0 23611049 EMERGENCY SERVICES. This is further described in Schedule O. 77956790 0 53161456 MATERNITY SERVICES. This is further described in SCHEDULE O. 346442240 1834507 445965960 1193648192 true true false true false false false false false true true false true 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 606 0 true 7343 true false false false false false true true false false false false true false X 35 33 true false true false true true true true true false false true true true true true true true true true true NY X ROBERT PALERMO EVPCFOASST 7182833900 4802 TENTH AVENUE BROOKLYN NY 11219 JACOB SHANI MD CHAIR, HEART & VASCULAR CENTER 40.0 0.0 X 3498724 0 45363 RICHARD GRAZI MD DIR REPROD ENDOCRIN &FERTILITY 40.0 0.0 X 2887380 0 51977 PATRICK I BORGEN MD CHAIRMAN, DEPT OF SURGERY 40.0 0.0 X 1989630 0 56955 GREG H RIBAKOVE MD VCHR SURG/CHF CARDIO THOR SURG 40.0 0.0 X 1794058 0 45363 ROBERT A FRANKEL MD DIR, INTERVENTIONAL CARDIOLOGY 40.0 0.0 X 1786955 0 45363 KENNETH GIBBS PRESIDENT & CEO 40.0 0.0 X X 1755478 0 48113 DAVID COHEN MD EVP,POP HEALTH& ACADEM AFFAIRS 40.0 0.0 X 941522 0 44482 MICHAEL ANTONIADES EXECUTIVE VP & COO 40.0 0.0 X 768877 0 184111 ROBERT PRESS MD EXECUTIVE VP, MEDICAL AFFAIRS 40.0 0.0 X 917130 0 23177 HARRY ADLER MD DIRECTOR, MEDICAL STAFF PRES 40.0 0.0 X 781062 0 46863 JOYCE LEAHY FORMER OFFICER 40.0 0.0 X 737889 0 34970 LAURIE WENSTEIN EVP & CHIEF LEGAL OFFICER 40.0 0.0 X 724525 0 45363 JOHN MALLIA EXECUTIVE VP & CFO 40.0 0.0 X 589456 0 56955 PAUL ADDISON TRUSTEE 0.5 0.0 X 0 0 0 DONNA ASTION MD TRUSTEE 0.5 0.0 X 0 0 0 RICHARD BARASCH TRUSTEE 0.5 0.0 X 0 0 0 IRWIN BIRNBAUM TRUSTEE 0.5 0.0 X 0 0 0 JOSEPH BRUNO TRUSTEE 0.5 0.0 X 0 0 0 DAVID CASSATO MSGR TRUSTEE 0.5 0.0 X 0 0 0 JEFFERY FENSTER TRUSTEE AS OF NOVEMBER 2021 0.5 0.0 X 0 0 0 CHAIM FISCHER TRUSTEE 0.5 0.0 X 0 0 0 RICHARD D FORMAN TRUSTEE 0.5 0.0 X 0 0 0 YEHOSHUA FRUCHTHANDLER TRUSTEE AS OF NOVEMBER 2021 0.5 0.0 X 0 0 0 JEREMY GLICK TRUSTEE 0.5 0.0 X 0 0 0 JACK A HIDARY TRUSTEE 0.5 0.0 X 0 0 0 LOFTON HOLDER TRUSTEE 0.5 0.0 X 0 0 0 EUGENE KEILIN TRUSTEE & BOARD CHAIR 0.5 0.0 X 0 0 0 MORTIMER N KLAUS TRUSTEE 0.5 0.0 X 0 0 0 C HERBERT LESHKOWITZ TRUSTEE & TREASURER 0.5 0.0 X 0 0 0 GEORGE LIU MD TRUSTEE 0.5 0.0 X 0 0 0 ROBERT MACHINIST TRUSTEE 0.5 0.0 X 0 0 0 DONALD MELTZER TRUSTEE 0.5 0.0 X 0 0 0 FRANK NACCARATO TRUSTEE 0.5 0.0 X 0 0 0 AZZAM OBEID TRUSTEE 0.5 0.0 X 0 0 0 MARTIN PAYSON TRUSTEE 0.5 0.0 X 0 0 0 TREVOR PRICE TRUSTEE AS OF FEBRUARY 2021 0.5 0.0 X 0 0 0 PETER REBENWURZEL TRUSTEE & VICE CHAIR 0.5 0.0 X 0 0 0 ERMINIA RIVERA TRUSTEE & VICE CHAIR 0.5 0.0 X 0 0 0 ALEX ROVT PHD TRUSTEE& VICE CHR AS OF NOV 21 0.5 0.0 X 0 0 0 AVI SCHRON TRUSTEE AS OF NOVEMBER 2021 0.5 0.0 X 0 0 0 MARY SINGH TRUSTEE & SECRETARY 0.5 0.0 X 0 0 0 DAVID SPIRA TRUSTEE AS OF FEBRUARY 2021 0.5 0.0 X 0 0 0 AARON D TWERSKI TRUSTEE 0.5 0.0 X 0 0 0 MARTY WAISBROD TRUSTEE AS OF NOVEMBER 2021 0.5 0.0 X 0 0 0 GEORGE WEINBERGER TRUSTEE AS OF JUNE 2021 0.5 0.0 X 0 0 0 MICHAEL L ZIEGLER ESQ TRUSTEE 0.5 0.0 X 0 0 0 19172686 0 729055 2193 true true false ALLSCRIPTS HEALTHCARE LLC 24630 NETWORK PLACE CHICAGO IL 60673 IT SERVICES 16327410 ALVAREZ MARSAL HEALTHCARE 600 MADISON AVENUE NEW YORK NY 10022 HEALTHCARE CONSULTNG 12047662 ANESTHESIOLOGY ASSOC OF BORO PARK L 931 48 STREET BROOKLYN NY 11219 MEDICAL SERVICES 9724433 BLUE HILL DATA SERVICES 2 BLUE HILL PLAZA PEARL RIVER NY 10965 IT SERVICES 4551902 ALLIANCE HEALTHCARE SERVICES 100 BAYVIEW CIRCLE NEWPORT BEACH CA 92660 MEDICAL SERVICES 4015893 234 1675060 280268 39188282 5937455 1489495 47081065 PATIENT SERVICE REVENUE 621110 1248324503 1248324503 INSURANCE COMPANY SURPLUS DISTRIB. 524298 16075576 16075576 RENTAL INCOME 531390 3208218 3208218 1267608297 7348560 7348560 0 0 0 0 0 50681 50193 488 488 488 132504 1675060 351365 -218861 -218861 0 0 0 0 0 0 CORPORATE REBATES 900099 3624911 3624911 PARKING 812930 1468571 1468571 RECORD & ABSTRACT FEES 900099 277393 277393 34482 34482 5405357 1327224906 1267608297 12535544 395205 395205 1439302 1439302 0 0 7699971 2754236 4945735 0 705733445 607804461 97086419 842565 51344163 44414285 6868843 61035 108632205 93667726 14835881 128598 44577743 38392585 6132476 52682 1379745 381166 998579 3595643 3595643 990183 990183 786051 786051 0 478961 478961 64871581 33634806 30955109 281666 5932566 5876106 56460 6503095 4329690 2168357 5048 31535333 2766087 28769246 0 43184381 16365077 26819304 173309 133043 40266 0 1585495 1482005 103490 7488456 13011 7475445 0 58392761 43659428 14733333 57088764 53522769 3565995 MEDICAL EXPENSES 206279973 198940210 7339763 0 MAINTENANCE CONTRACTS 21132858 9403140 11729718 0 COVID-19 EXPENSES 14034346 14034346 0 0 UBI TAX -208750 0 -208750 0 48076903 26115614 21850101 111188 1493123688 1193648192 297936254 1539242 11108617 15734972 227869146 79661901 2524483 2930503 133382103 155089325 0 0 0 0 0 0 18939808 17012599 10381580 9840113 1474146729 1071312776 361848048 402833953 535313406 360899330 0 0 47277069 107969719 0 0 464734745 532866677 1813379005 1684839092 225966932 238990061 0 0 0 0 135845000 135845000 0 0 0 0 273250015 254441171 25516143 25516143 650241773 624677042 1310819863 1279469417 X 480911264 402365675 21647878 3004000 502559142 405369675 1813379005 1684839092 X -165898782 -5225321 73934636 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 786051 786051 false SUPPLEMENTAL INFORMATION PART II-B Part II-B - Description of other lobbying activities: Payments made to lobbyists $154,051 - LOBBYING PORTION OF DUES PAID $252,000 - PAYMENTS TO LOBBYISTS RELATING TO NYS AND NYC CAPITAL FUNDING FOR HOSPITAL EQUIPMENT AND HEALTHCARE ISSUES. $380,000 - Payments to lobbyists relating to provider relief funding from the federal government 21647878 618637 19262515 3004000 22267372 394746 1014240 21647878 20876037 2078739 687404 22267372 17891633 4343233 1358829 20876037 18139018 634589 881974 17891633 0.37690 0.62310 false false 4980000 4980000 575895993 417458215 158437778 893270736 653854561 239416175 402833953 CAPTIVE INSURANCE COMPANY 36900678 F INVSTMT HEALTHCARE RELATED ENT 71069041 F 107969719 DUE FROM AFFILIATES 13479856 INVESTMENT IN PHYS PRACTICES 144533485 OTHER CURRENT ASSETS 20544240 ESTIMATED INSURANCE CLAIMS REC 150353000 OTHER NONCURRENT ASSETS 2139586 RIGHT OF USE ASSETS OPER LEASE 201816510 532866677 0 ESTIMATED INSURANCE CLAIMS PAY 150353000 THIRD PARTY LIABILITIES 83675827 ACCRUED POSTRETIREMENT BENEFIT 64756530 PROFESSIONAL LIABILITIES 59554030 DUE TO DSRIP PARTICIPANTS 40882568 OTHER LIABILITIES 19638577 LEASE LIABILITY 205816510 624677042 PART V, LINE 4 TEMPORARILY RESTRICTED NET ASSETS ARE AVAILABLE FOR THE FOLLOWING PURPOSES RESEARCH AND EDUCATION - $ 341,000 PLANT REPLACEMENT AND EXPANSION - $1,530,717 TOTAL - $1,871,717 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 - $3,004,000 PART X, Line 2 There was no liability for uncertain tax position under FIN 48 making the footnote unnecessary. Central America and the Caribbean 4 0 Program Services CAPT INSURANCE-INVEST. 36900678 Central America and the Caribbean 0 0 Program Services MALPRACTICE INSURANCE 3738994 4 0 4 0 40639672 40639672 true false true false true false PROJECTS PLUS INC FUNDRAISING false 110TH GALA 1146498 1146498 91000 PINK RUNWAY 264696 236696 28000 84355 68850 3 396370 291866 104504 58939 29529 18692 1807564 1675060 132504 58939 113884 178542 351365 -218861 true true X true X 300. true X true true true false true true 43594446 0 43594446 0.02920 469403470 284453011 184950459 0.12390 3152015 2034606 1117409 0.00070 516149931 286487617 229662314 0.15380 6357428 2789115 3568312 0.00240 153007318 52847280 100160038 0.06710 79472144 37046134 42426010 0.02840 1016034 1016034 0 292052 0 292052 0.00020 240144976 93698563 146446412 0.09810 756294907 380186180 376108726 0.25190 116185 116185 0.00010 235002 235002 0.00020 351187 351187 0.00030 false 67272200 276687640 273646522 3041118 X true true 1 1 MAIMONIDES MEDICAL CENTER 4802 TENTH AVE BROOKLYN NY 11219 www.maimonidesmed.org 700102OH X X X X X X MAIMONIDES MEDICAL CENTER 1 false false true X X X X X X X X X 19 true false false true X SEE PART V DISCLOSURE X true 19 true SEE PART V DISCLOSURE false true X 300. 300. 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. SCHEDULE H, PART V # 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 had 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 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/2020/10/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/wp-content/uploads/2021/01/EN_Summary_Brochure_FAQS_DOC_ FAP-Plain-Language-Summary_01_15_2016FINALdo.pdf 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 relating 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 page 12 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 $48.0 million for 2021 and $43.0 million for 2020. 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 $12.2 million (including $7.9 million related to 2020) and $15.2 million (including $7.9 million related to 2019 and $4.1 million related to 2018) for the years ended December 31, 2021 and 2020, 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. Due to COVID-related considerations and the inherently in-person nature of the council, it did not convene in 2020 or 2021. 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 and 2021, 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. Throughout 2020 and 2021, 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 leveraged the expertise of our Population Health department and the CCB network to deliver tailored COVID testing, contact tracing, and vaccination interventions throughout Brooklyn. Those vaccination efforts were aided by our Population Health, Ambulance Services, Nursing, and Community Relations departments using their collective expertise to create easy access points for community members. Starting with an initial mandate to vaccinate eligible healthcare workers, Maimonides' "POD Squad" expanded its operations throughout 2021 to administer vaccines to those eligible according to CDC and New York State DOH guidelines. The team accomplished its ultimate mandate through vaccinations delivered on-campus, through home visits, and through events at public, private, and community partner sites. During 2021 we conducted 166 PODs (points of distribution events) and administered 52,687 doses of the COVID-19 vaccines. 6 AFFILIATED HEALTH CARE SYSTEM N/A true 1199SEIU Employer Child Care Corp 330 West 42nd St New York NY 10036 134063281 501(c)(3) 10000 General Support American Lung Association 21 West 38th St 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 Hatzolah 5215 16th Ave Brooklyn NY 11204 113043090 501(c)(3) 85000 GENERAL SUPPORT Brooklyn Pride Inc 475 Atlantic Ave Brooklyn NY 11217 113357221 501(c)(3) 10000 GENERAL SUPPORT CAIPA Foundation Inc 202 Canal St STE 500 NEW YORK NY 10013 262791755 501(c)(3) 5620 GENERAL SUPPORT Hatzolah of Flatbush 1880 Ocean Ave BROOKLYN NY 11230 133213138 501(c)(3) 90000 GENERAL SUPPORT Islamic Society of Bay Ridge 6807 5th Ave Brooklyn NY 11220 113144804 501(c)(3) 15000 GENERAL SUPPORT Mesifta Yeshiva Rabbi Chaim Berlin 1605 Coney Island Ave Brooklyn NY 11230 112225154 501(c)(3) 25000 GENERAL SUPPORT Metropolitan Jewish Health System Fdn 6323 Seventh Ave BROOKLYN NY 11220 111630753 501(c)(3) 6275 GENERAL SUPPORT New York Community Hospital 2513 Avenue O BROOKLYN NY 11210 111986351 501(c)(3) 8925 GENERAL SUPPORT Rofeh Cholim Cancer Society 762 Bedford Avenue BROOKLYN NY 11205 113355081 501(c)(3) 18000 GENERAL SUPPORT United Hospital Fund 350 Fifth Ave NEW YORK NY 10118 131562656 501(c)(3) 7500 GENERAL SUPPORT 13 FEDERAL VACCINES DISPENSED UNDER CFDA 93.268 6850 1439302 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 21750 0 23613 0 3544087 0 0 0 RICHARD GRAZI MD DIR REPROD ENDOCRIN &FERTILITY 2866089 0 0 0 21291 0 21750 0 30227 0 2939357 0 0 0 PATRICK I BORGEN MD CHAIRMAN, DEPT OF SURGERY 1967754 0 0 0 21876 0 21750 0 35205 0 2046585 0 0 0 GREG H RIBAKOVE MD VCHR SURG/CHF CARDIO THOR SURG 1772767 0 0 0 21291 0 21750 0 23613 0 1839421 0 0 0 ROBERT A FRANKEL MD DIR, INTERVENTIONAL CARDIOLOGY 1765871 0 0 0 21084 0 21750 0 23613 0 1832318 0 0 0 KENNETH GIBBS PRESIDENT & CEO 1258061 0 0 0 497417 0 21750 0 26363 0 1803591 0 0 0 DAVID COHEN MD EVP,POP HEALTH& ACADEM AFFAIRS 725857 0 0 0 215665 0 21750 0 22732 0 986004 0 0 0 MICHAEL ANTONIADES EXECUTIVE VP & COO 596614 0 150000 0 22263 0 148906 0 35205 0 952988 0 0 0 ROBERT PRESS MD EXECUTIVE VP, MEDICAL AFFAIRS 588329 0 150000 0 178801 0 21750 0 1427 0 940307 0 0 0 HARRY ADLER MD DIRECTOR, MEDICAL STAFF PRES 759771 0 0 0 21291 0 21750 0 25113 0 827925 0 0 0 JOYCE LEAHY FORMER OFFICER 581616 0 0 0 156273 0 21750 0 13220 0 772859 0 0 0 LAURIE WENSTEIN EVP & CHIEF LEGAL OFFICER 572767 0 0 0 151758 0 21750 0 23613 0 769888 0 0 0 JOHN MALLIA EXECUTIVE VP & CFO 568714 0 0 0 20742 0 21750 0 35205 0 646411 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 2021: Kenneth Gibbs, Michael Antoniades, David Cohen, Robert Press and Joyce Leahy THE MAIMONIDES MEDICAL CENTER SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENTS (THE "SERP PLAN"), AS AMENDED FROM TIME 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 2021. IN ACCORDANCE WITH TERMS OF THE SERP PLAN, VESTED BENEFITS WERE PAID OUT IN 2021 TO THE FOLLOWING PARTICIPANTS: Kenneth Gibbs - $398,380 Laurie Weinstein - $125,400 David Cohen - $157,334 Robert Press - $127,156 Joyce Leahy - $117,601 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 6A The organization pays, pursuant to individual physician 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 28490415 0 109429586 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 21 Substantial Contributor 287403 Sponsorships false Contributor No 29 Substantial Contributor 1129391 IT Services false Contributor No 31 Substantial Contributor 447005 Contractor false Contributor No 35 Substantial Contributor 3202397 Office Furniture false Contributor No 37 Substantial Contributor 158351 Legal false Contributor No 70 Substantial Contributor 13825930 Contractor false Contributor No 82 Substantial Contributor 2545589 Contractor false Contributor No 98 Substantial Contributor 415474 Cabinetry false Contributor No 99 Substantial Contributor 481788 Fire Safety false Contributor No 111 Substantial Contributor 1896269 Contractor false BATTLE BORO CORP SEE PART V 1486540 Real Estate Rental false MINERVA CONSULTING LLC SEE PART V 300000 CONSULTING false SCHEDULE L, PART IV Battle Boro Corp: 35% controlled entity of George Weinberger, trustee Minerva Consulting: 35% controlled entity of family member of Donald Meltzer, trustee X 2 50193 FMV X 22831 1439302 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 - DESCRIPTION OF SIGNIFICANT ACTIVITIES Maimonides Medical Center is an anchor of the healthcare system for residents of Brooklyn. It encompasses the borough's largest hospital, a 711-bed tertiary teaching facility that serves as a destination center for high-quality, compassionate and culturally-competent care; as well as a broad range of outpatient and community services. FORM 990, PART I, line 6 - VOLUNTEERS At Maimonides, we are fortunate to have a large corps of dedicated volunteers who enhance the services provided by our staff. In 2021, 1,025 volunteers served 139,667 hours. The number of volunteers and students decreased due to the suspension of most programs during the COVID pandemic. We have resumed most of the programs. Even though there were fewer volunteers in 2021, they contributed significantly more hours due to their increased commitment. 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 allowed us to develop successful relationships with community agencies and organizations. Some of the service areas the volunteers worked in were labor coaching (doula), postpartum support, companions and feeders to patients, hospitality, child life, pastoral care, research, clerical support, and 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 - PROGRAM SERVICE ACCOMPLISHMENTS 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 2021, the Medical Center provided 39,860 inpatient discharges and 498,958 outpatient visits which included 76,599 emergency room visits. We provided care to persons covered by government programs and the uninsured at payment rates below cost. Our surgeons performed 8,589 inpatient and 12,974 outpatient procedures in a full range of surgical specialties. Many of our tertiary programs serve all of Brooklyn, including our cardiology and cardiac surgery services which are widely recognized in the region for excellence. 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 6,650 deliveries in 2021. 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 75 various nonprofit health related and community based organizations. The Medical Center dispensed Federal vaccines received under the Immunization CFDA 93.268 program to 6,850 recipients. During 2021 we conducted 166 PODs (points of distribution events) and administered 52,687 doses of the COVID-19 vaccines. 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 major affiliate teaching hospital and clinical site of SUNY Downstate College of Medicine and a teaching affiliate of New York College of Osteopathic Medicine and NYU School of Medicine. Maimonides has fully accredited residency-training programs with over 450 interns and residents. Form 990, Part VI, Governance, Management & Disclosure SECTION A GOVERNING BODY AND MANAGEMENT 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".) One of the trustees, Yehoshua 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. 4. The Medical Center made changes to its governing documents since the prior Form 990 was filed. The organization amended its by-laws on June 28, 2021. Key changes were as follows: The organization updated its by-laws to comply with the closing of the affiliation agreement it had signed with The New York Community Hospital Of Brooklyn, Inc., ("NYCH"). Accordingly, the organization became the sole corporate member and co-operator of NYCH. The amendments to the by-laws granted NYCH the right to designate a trustee to serve on the Board of Trustees of the organization for a period of 5 years. The by-laws were also updated to clarify that the organization has the right to appoint trustees and officers for any of its subsidiary corporations. 6. The organization has a sole corporate member, Maimonides Health Resources, Inc. ("MHRI") a not-for-profit corporation. 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 require MHRI's consent. FORM 990, PART VI, GOVERNANCE, MANAGEMENT & disclosure 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 of the organization and the Finance and Audit 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, 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 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 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 Chief Legal Officer is responsible for reviewing apparent conflicts of interest and other potentially improper activities as referred by the Corporate Compliance Officer and/or the Compliance and Governance Committee. A report of all conflicts of interest is made to the Compliance and Governance Committee on an annual basis by the Compliance Officer. A report of all conflicts of interest is made by the Chairman of the Compliance and Governance Committee at least annually to the Board of Trustees. 15. The process for determining compensation for the CEO was done in December 2019, again in May 2020, and is being undertaken in September 2022. The process for determining compensation for the COO position was done in July 2019, again in November 2019, and is being undertaken again in September, 2022. The process for determining compensation for the Chief Financial Officer was done in 2020, and is being undertaken in September, 2022. The process for determining compensation for the EVP, and Chief Legal Counsel was done in December, 2020, and is being undertaken again in September, 2022. The process for determining compensation for the EVP, Medical Affairs was done in July 2019, and is being undertaken again in September, 2022. The process for determining compensation for other key employees is currently being undertaken in September, 2022. The Compensation Committee's review and approval process is intended to comply 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 Compensation 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 Compensation 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 Compensation 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 the compensation of the executives, without any executive present during the deliberation or vote on his or her compensation. 2. The Compensation 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 Compensation Committee will adequately and contemporaneously document the basis for its approval in meeting minutes. FORM 990, PART VI, GOVERNANCE, MANAGEMENT & DISCLOSURE SECTION C Section C Dislosure 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 XI, LINE 9 Change in equity in captive insurance program : $14,300,557 Contribution revenue from NYCH acquisition : $39,430,198 Net Transfers from Affiliate : $20,203,881 --------------- TOTAL LINE 9 : $73,934,636 MAIMONIDES RESEARCH & DEVELOPMENT FDN 4802 TENTH AVENUE BROOKLYN NY 11219 112608229 RESEARCH NY 501(c)(3) 12b Type ii MMC true MAIMONIDES HEALTH RESOURCES INC 4802 TENTH AVENUE BROOKLYN NY 11219 113018258 SUPPORT ORG NY 501(c)(3) 12a, type i NA false NEW YORK COMMUNITY HOSPITAL OF BROOKLYN 2525 KINGS HIGHWAY Brooklyn NY 11229 111986351 HOSPITAL NY 501(c)(3) 3 MMC true MMC Holding of Brooklyn Inc 4510 16th Avenue Brooklyn NY 11204 112683298 Admin services NY NA C corp 0 0 true M2 Medical Community Practice PC 4802 Tenth Ave Brooklyn NY 11219 463556230 Medical services NY NA C corp 97712765 11978182 1.00000 true Radiology Imaging Consultants PC 4802 Tenth Ave Brooklyn NY 11219 113528432 Medical services NY NA C corp 769040 13917 1.00000 true Dosik Hematology & Oncology PC 4802 Tenth Ave Brooklyn NY 11219 455511550 Medical services NY NA C corp 11228017 196113 1.00000 true Halper Medical Service PC 40 W Brighton Ave Brooklyn NY 11224 112662660 Medical services NY NA C corp 3117856 90644 0.99000 true Ocean Renal Care PC 40 W Brighton Ave Brooklyn NY 11224 611452496 Medical services NY NA C corp 415757 19779 0.99000 true Brooklyn Eye & Ear Medical PC 40 W Brighton Ave Brooklyn NY 11224 200814864 Medical services NY NA C corp 1412780 30699 0.99000 true Ocean Eye Care Medical PC 40 W Brighton Ave Brooklyn NY 11224 113496374 Medical services NY NA C corp 760255 63279 0.99000 true Berkowitz Medical PC 4802 Tenth Ave Brooklyn NY 11219 465660609 Medical services NY NA C corp 747710 1470 1.00000 true M2C Affiliated Phyicians PC-FKA Ezrick 4802 Tenth Ave Brooklyn NY 11219 465508251 Medical services NY NA C corp 5914499 761619 1.00000 true Moshe Katzenelenbogan MD PC 4802 Tenth Ave Brooklyn NY 11219 474302815 Medical services NY NA C corp 411093 56531 0.99000 true Diamond Medical Assoc PC 440 Avenue U Brooklyn NY 11223 731676883 Medical services NY NA C corp 4258649 0 0.98000 true Ilya Blokh MD PC 3319 Kings Highway Brooklyn NY 11234 270373597 Medical services NY NA C corp 984714 41188 0.99000 true Joseph Yellin DO PC 4802 Tenth Ave Brooklyn NY 11219 811892434 Medical services NY NA C corp 127143 3486 0.99000 true Edward Fitzpatrick MD PLLC 4802 Tenth Ave Brooklyn NY 11219 230631628 Medical services NY NA C corp 532175 39473 0.99000 true Larry Tetsoti MD LLC 1009 Brighton Bch Ave Brooklyn NY 11235 542084042 Medical services NY NA C corp 1139645 24740 0.99000 true Yan Medical PC 2511 Ocean Ave Brooklyn NY 11229 435531085 Medical services NY NA C corp 1565349 49196 0.99000 true August Feola MD 763 East 83rd St Brooklyn NY 11236 133533674 Medical services NY NA C corp 327171 162874 0.99000 true Seymour Leonard Edelstein MD PC 2382 E 13th St Brooklyn NY 11229 815461423 Medical services NY NA C corp 518210 32984 0.99000 true Dr Weiner & Dr Gallo PLLC 2352 Ralph Ave Brooklyn NY 11234 261135083 Medical services NY NA C corp 897027 93282 0.99000 true Jeffrey C Marc Physician PLLC 1711 Sheepshd Bay Rd Brooklyn NY 11235 472587374 Medical services NY NA C corp 571903 13399 0.99000 true Hematology Onc Assoc of Bklyn LLP 1660 E 14th St Brooklyn NY 11229 113509474 Medical services NY NA C corp 25704258 71420 0.96000 true Allied Medical Assoc PC 1687 Ralph Ave Brooklyn NY 11236 352258722 Medical services NY NA C corp 1646952 197190 0.98000 true Just Right Medicine PC 4802 Tenth Ave Brooklyn NY 11219 201952187 Medical services NY NA C corp 411827 155143 0.99000 true Traube Marush & Plawes MD PC 2270 Kimball St Brooklyn NY 11234 113433376 Medical services NY NA C corp 8980839 569194 1.00000 true Starosta Medical PC 2114 Gravesend Neck Rd Brooklyn NY 11229 113470413 Medical services NY NA C corp 1113944 118130 0.99000 true Abbate & Sharaby MD PC 770 Oean Parkway Brooklyn NY 11230 112406940 Medical services NY NA C corp 1357613 6465 0.99000 true Yashar HirshhautMD PC 99 Harbor View West Lawrence NY 11559 133312873 Medical services NY NA C corp 533075 5056 0.99000 true Brooklyn Cardiology 1664 E 14 St Ste 201 Brooklyn NY 11229 300099587 Medical services NY NA C corp 2796293 13887 0.99000 true Dailey & Burack Medical Assoc PC 535 Clinton Ave Brooklyn NY 11238 113593324 Medical services NY NA C corp 3497716 169158 0.99000 true Kings Highway Orthopedics 3131 Kings Highway Brooklyn NY 11234 112723626 Medical services NY NA C corp 4680044 74994 0.99000 true Vadim Nakhamiyayev 2155 Ocean Ave Brooklyn NY 11229 274332871 Medical services NY NA C corp 822648 8891 0.99000 true AARON BERGER MD PC 1203-1205 AVENUE J BROOKLYN NY 11230 264291603 Medical services NY NA C CORP 648928 16771 0.99000 true Preventive Cardiology - NY PC 4802 Tenth Ave Brooklyn NY 11219 113584036 Medical services NY NA C CORP 808325 2525 0.99000 true Victor J Masi DO PC 4802 Tenth Ave Brooklyn NY 11219 113612945 Medical services NY NA C CORP 228173 182312 0.99000 true false false true false false false false false false true true false true false true true true true false MAIMONIDES RESEARCH & DEVELOPMENT FOUNDATION C 280268 COST MMC HOLDING OF BROOKLYN INC j 1619277 COST MAIMONIDES RESEARCH & DEVELOPMENT FOUNDATION K 275000 cost MMC HOLDING OF BROOKLYN INC M 22301056 COST M2 Medical Community Practice PC M 805000 cost NEW YORK COMMUNITY HOSPITAL O 615000 COST MMC Holding of Brooklyn Inc P 23445183 COST NEW YORK COMMUNITY HOSPITAL P 1849718 COST MMC Holding of Brooklyn Inc Q 36217104 COST NEW YORK COMMUNITY HOSPITAL Q 22053599 COST MAIMONIDES RESEARCH & DEVELOPMENT FOUNDATION Q 115011 COST M2 MEDICAL COMMUNITY PRACTICE PC R 25400000 COST