MONTEFIORE MOUNT VERNON HOSPITAL: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- MONTEFIORE MOUNT VERNON HOSPITAL (EIN 46-2916938)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-11
- IRS object ID
- 202023169349303892
- Schema version
- 2019v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-11T14:09:47-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5 TIMES SQUARE | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 462916938 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONTEFIORE MOUNT VERNON HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % EVAN RESNICK | InCareOfNm |
| Business Name Control | MONT | BusinessNameControlTxt |
| Phone | 9143498455 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12 NORTH SEVENTH AVENUE | AddressLine1Txt |
| City | MOUNT VERNON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 105502026 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | COLLEEN M BLYE | PersonNm |
| Person Title | EXEC V.P. & C.F.O. | PersonTitleTxt |
| Phone | 7189207602 | PhoneNum |
| Signature | 2020-10-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | NICOLE M SOKOLOWSKI | PreparerPersonNm |
| PTIN | P01683199 | PTIN |
| Phone | 2127733000 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 108.206.163.59 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 26308520203165000018 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2020-11-11 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 24558E047A149CE0743DDA4F89040DC2FD5B7974 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 770194AAF055F9EA87E64CA02E08FE540289067F | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PHILIP O OZUAH MD PHD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 EAST 210TH STREET | AddressLine1Txt |
| City | BRONX | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 104672401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $95,080,203 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | See Form 990, Schedule O | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2013 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO HEAL, TO TEACH, TO DISCOVER AND TO ADVANCE THE HEALTH OF THE COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 42 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 41 | VotingMembersIndependentCnt |
| Total Employee | 692 | TotalEmployeeCnt |
| Total Volunteers | 22 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $17,699,475 | PYContributionsGrantsAmt |
| CY Contributions Grants | $24,616,348 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $69,168,831 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $69,903,995 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,611 | CYInvestmentIncomeAmt |
| PY Other Revenue | $792,754 | PYOtherRevenueAmt |
| CY Other Revenue | $541,253 | CYOtherRevenueAmt |
| PY Total Revenue | $87,661,060 | PYTotalRevenueAmt |
| CY Total Revenue | $95,066,207 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $600 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,500 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $53,013,944 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $54,695,814 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $40,820,577 | PYOtherExpensesAmt |
| CY Other Expenses | $42,548,836 | CYOtherExpensesAmt |
| PY Total Expenses | $93,835,121 | PYTotalExpensesAmt |
| CY Total Expenses | $97,247,150 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$6,174,061 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,180,943 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $41,538,527 | TotalAssetsBOYAmt |
| Total Assets EOY | $45,354,488 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $64,878,793 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $57,675,349 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$23,340,266 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$12,320,861 | NetAssetsOrFundBalancesEOYAmt |
| Mission | MISSION: TO HEAL, TO TEACH, TO DISCOVER AND TO ADVANCE THE HEALTH OF THE COMMUNITIES WE SERVE. VALUES: HUMANITY, INNOVATION, TEAMWORK, DIVERSITY AND EQUITY - OUR VALUES DEFINE OUR PHILOSOPHY OF CARE. THEY SHAPE OUR ACTIONS AND MOTIVATE AND INSPIRE US TO PURSUE EXCELLENCE AND ACHIEVE OUR GOALS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $84,105,627 | ExpenseAmt |
| Grant | $2,500 | GrantAmt |
| Revenue | $69,903,995 | RevenueAmt |
| Desc | Montefiore Mount Vernon Hospital is a 176 bed, community-based teaching hospital that has been serving the medical needs of the community. Montefiore Mount Vernon provides inpatient, critical care and ambulatory services to residents of lower Westchester County. The hospital is part of Montefiore Health System, the University hospital for the Albert Einstein College of Medicine. Montefiore MOUNT VERNON HOSPITAL BEGAN OPERATIONS ON NOVEMBER 6, 2013 as part of the Montefiore Health System. MONTEFIORE MOUNT VERNON'S MISSION IS TO HEAL, TO TEACH, TO DISCOVER AND TO ADVANCE THE HEALTH OF THE COMMUNITIES IT SERVES. To this mission, the health system brings a unique synergy of strengths and resources that has helped define healthcare delivery in the area and have earned Mount Vernon the distinction of being a designated New York stroke and HIV/aids Center. Mount Vernon hospital is also home to the Beale Chronic Wound treatment and hyperbaric center and the Montefiore School of Nursing. The hospital provides a range of diagnostic and therapeutic medical and surgical services in addition to specialty programs and services. It operates a family health and wellness center with more than 20 specialized ambulatory care clinics as well as an inpatient and outpatient behavioral health program offering psychiatric services. The hospital also operates a chronic wound treatment and hyperbaric medicine center that offers advance wound management as well as hyperbaric oxygen therapy helping to reduce the risk of amputation for individuals suffering from traumatic injuries. Montefiore Mount Vernon Hospital also operates a drug and alcohol addiction rehabilitation facility located in close proximity to their main campus committed to helping those addicted in getting the treatment that they need. The center offers personalized treatment program specifically designed for the patient including group counseling, 12-step programs, medically assisted detoxification, and individual counseling, among others, that can help to give our patients the confidence that is needed to successfully overcome their addiction to drugs or alcohol. | Desc |
| Total Program Service Expenses | $84,105,627 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 11 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 692 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 42 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 41 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | EVAN RESNICK | PersonNm |
| Phone | 9143498455 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 SO BROADWAY BLDG A FL 1 | AddressLine1Txt |
| City | TARRYTOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 105916301 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (54 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| STEVEN M SAFYER MD | |||||||||
| CEO (Resigned 11/14/19) | 5.0 | 55.0 | Yes (X) | $0 | $8,635,569 | $8,197,338 | |||
| PHILIP O OZUAH MD | |||||||||
| President & CEO (Eff 11/15/19) | 5.0 | 55.0 | Yes (X) | $0 | $7,058,335 | $43,570 | Yes (X) | ||
| LYNN RICHMOND | |||||||||
| Exec VP-CSO(Resigned 11/14/19) | 5.0 | 55.0 | $0 | $3,618,743 | $40,261 | Yes (X) | |||
| COLLEEN BLYE | |||||||||
| EXEC VP & CFO | 5.0 | 55.0 | $0 | $1,815,150 | $710,037 | Yes (X) | |||
| SUSAN GREEN-LORENZEN | |||||||||
| System SENIOR VP-OPERATIONS | 5.0 | 55.0 | $0 | $2,209,892 | $44,220 | Yes (X) | |||
| CHRISTOPHER S PANCZNE | |||||||||
| Assistant Secretary | 5.0 | 55.0 | $0 | $1,270,367 | $26,913 | Yes (X) | |||
| Bentley A Ogoke MD | |||||||||
| Anesthesiologist | 50.0 | 0.0 | $451,906 | $0 | $32,834 | Yes (X) | |||
| BALASA PRASAD MD | |||||||||
| CHAIRMAN-ANESTHESIA | 50.0 | 0.0 | $474,274 | $0 | $6,800 | Yes (X) | |||
| FRANCIS AGBONKPOLO M | |||||||||
| ANESTHESIOLOGIST | 50.0 | 0.0 | $416,667 | $0 | $26,849 | Yes (X) | |||
| Jaccel Kouns | |||||||||
| VP & Exc Director MMV | 60.0 | 0.0 | $0 | $372,223 | $46,137 | Yes (X) | |||
| Nadeem Hussain MD | |||||||||
| Psychiatrist | 50.0 | 0.0 | $363,635 | $0 | $26,315 | Yes (X) | |||
| Sanford Taffet MD | |||||||||
| Physician | 50.0 | 0.0 | $332,299 | $0 | $32,236 | Yes (X) | |||
| ODED ABOODI | |||||||||
| VICE CHAIRMAN & TREASURER | 0.3 | 2.2 | Yes (X) | $0 | $0 | $0 | |||
| JAY B ABRAMSON | |||||||||
| TRUSTEE | 0.3 | 2.2 | Yes (X) | $0 | $0 | $0 | |||
| MARGARET HAYES ADAME | |||||||||
| TRUSTEE (Passed 11/14/19) | 0.2 | 1.55 | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA BAUMAN | |||||||||
| TRUSTEE | 0.2 | 1.05 | Yes (X) | $0 | $0 | $0 | |||
| JAMES M BUTLER | |||||||||
| CHAIRMAN | 0.5 | 4.0 | Yes (X) | $0 | $0 | $0 | |||
| BRUCE DONIGER | |||||||||
| TRUSTEE | 0.2 | 1.05 | Yes (X) | $0 | $0 | $0 | |||
| RUTH L GOTTESMAN ED | |||||||||
| TRUSTEE | 0.2 | 2.05 | Yes (X) | $0 | $0 | $0 | |||
| BARRY W GRAY | |||||||||
| TRUSTEE | 0.2 | 1.05 | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA GREEN | |||||||||
| TRUSTEE | 0.2 | 1.05 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS L HARRISON | |||||||||
| TRUSTEE | 0.2 | 1.05 | Yes (X) | $0 | $0 | $0 | |||
| JOHN HEFFER | |||||||||
| TRUSTEE | 0.3 | 2.2 | Yes (X) | $0 | $0 | $0 | |||
| LEWIS HENKIND | |||||||||
| Trustee | 0.2 | 2.05 | Yes (X) | $0 | $0 | $0 | |||
| HELEN A JOHNSON | |||||||||
| TRUSTEE | 0.3 | 1.7 | Yes (X) | $0 | $0 | $0 | |||
| DAVID B KEIDAN | |||||||||
| TRUSTEE | 0.2 | 1.05 | Yes (X) | $0 | $0 | $0 | |||
| ALAN M KLEIN | |||||||||
| TRUSTEE | 0.4 | 3.1 | Yes (X) | $0 | $0 | $0 | |||
| STACEY R LANE | |||||||||
| TRUSTEE | 0.3 | 2.2 | Yes (X) | $0 | $0 | $0 | |||
| JAY B LANGNER | |||||||||
| TRUSTEE/CHAIRMAN EMERITUS | 0.2 | 1.05 | Yes (X) | $0 | $0 | $0 | |||
| MARGARET S NATHAN | |||||||||
| TRUSTEE | 0.2 | 1.05 | Yes (X) | $0 | $0 | $0 | |||
| GAYLE F ROBINSON | |||||||||
| TRUSTEE | 0.2 | 1.05 | Yes (X) | $0 | $0 | $0 | |||
| JON W ROTENSTREICH | |||||||||
| TRUSTEE | 0.2 | 1.05 | Yes (X) | $0 | $0 | $0 | |||
| HON FELICIA K SHEA | |||||||||
| TRUSTEE | 0.2 | 1.05 | Yes (X) | $0 | $0 | $0 | |||
| EDWIN H STERN III | |||||||||
| TRUSTEE | 0.2 | 1.05 | Yes (X) | $0 | $0 | $0 | |||
| DAVID A TANNER | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| CYNTHIA KING VANCE | |||||||||
| TRUSTEE | 0.3 | 2.2 | Yes (X) | $0 | $0 | $0 | |||
| JENNIE EMIL | |||||||||
| TRUSTEE | 0.2 | 1.05 | Yes (X) | $0 | $0 | $0 | |||
| JONATHAN A LIPTON | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| ZITA G ROSENTHAL | |||||||||
| TRUSTEE | 0.2 | 1.05 | Yes (X) | $0 | $0 | $0 | |||
| NATHAN GANTCHER | |||||||||
| TRUSTEE | 0.2 | 2.3 | Yes (X) | $0 | $0 | $0 | |||
| CATHERINE KLEMA | |||||||||
| TRUSTEE | 0.3 | 2.2 | Yes (X) | $0 | $0 | $0 | |||
| MELISSA CERIALE | |||||||||
| TRUSTEE | 0.3 | 2.2 | Yes (X) | $0 | $0 | $0 | |||
| BARRY S BLATTMAN | |||||||||
| TRUSTEE | 0.3 | 2.2 | Yes (X) | $0 | $0 | $0 | |||
| MATTHEW H NORD | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL A STOCKER M | |||||||||
| TRUSTEE | 0.3 | 3.2 | Yes (X) | $0 | $0 | $0 | |||
| ROGER EINIGER | |||||||||
| TRUSTEE | 0.2 | 2.3 | Yes (X) | $0 | $0 | $0 | |||
| JOEL BRAUN | |||||||||
| TRUSTEE | 0.2 | 1.05 | Yes (X) | $0 | $0 | $0 | |||
| EMANUEL CHIRICO | |||||||||
| TRUSTEE | 0.3 | 1.7 | Yes (X) | $0 | $0 | $0 | |||
| W NORMAN MILNER | |||||||||
| TRUSTEE | 0.2 | 1.05 | Yes (X) | $0 | $0 | $0 | |||
| ALISA R DOCTOROFF | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| JOHN P GUTFREUND | |||||||||
| TRUSTEE | 0.2 | 1.05 | Yes (X) | $0 | $0 | $0 | |||
| RONALD L MOELIS | |||||||||
| TRUSTEE | 0.2 | 1.05 | Yes (X) | $0 | $0 | $0 | |||
| Alan N Suna | |||||||||
| Trustee | 0.2 | 1.05 | Yes (X) | $0 | $0 | $0 | |||
| Daniel R Tishman | |||||||||
| trustee | 0.2 | 3.05 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,038,781 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $24,980,279 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $9,233,510 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 108 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Excel Emergency Physician Services | |||||
| 484 Temple Hill Road Suite 102 | NEW WINDSOR | NY | 12553 | Physician Services | $1,432,825 |
| Century Protective Services Inc | |||||
| 150 Grant Street | WHITE PLAINS | NY | 10601 | Security Services | $987,971 |
| Healogics Wound Care Hyperbaric S | |||||
| 28525 Network place | CHICAGO | IL | 60673 | Hyperbaric services | $815,238 |
| Medicus Psychiatry Services LLC | |||||
| 22 Rouiston Road | WINDHAM | NH | 03087 | Psychiatric Services | $780,277 |
| Radiology Advantage New Jersey PA | |||||
| PO Box 744881 | ATLANTA | GA | 30374 | Radiology Services | $685,095 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 20 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $24,615,848 | GovernmentGrantsAmt |
| All Other Contributions | $500 | AllOtherContributionsAmt |
| Total Contributions | $24,616,348 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| INPATIENT SERVICES | 622000 | $45,894,522 | $45,894,522 | $0 | $0 |
| OUTPATIENT SERVICES | 621400 | $20,964,278 | $20,964,278 | $0 | $0 |
| RENTAL INCOME FROM EXEMPT AFFILIATE | 531120 | $1,456,625 | $1,456,625 | $0 | $0 |
| OTHER HEALTH CARE SERVICES REVENUE | 621999 | $1,068,290 | $1,068,290 | $0 | $0 |
| INTERCOMPANY SHARED SERVICES | 561439 | $360,067 | $360,067 | $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $160,213 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $160,213 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $69,903,995 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,611 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,611 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $23,126 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $13,996 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $9,130 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,130 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $9,130 | ExclusionAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| CAFETERIA/COFFEE SHOP & VENDING INCOME | 722514 | $332,393 | $0 | $0 | $332,393 |
| PARKING INCOME | 812930 | $185,340 | $0 | $0 | $185,340 |
| MEDICAL RECORD'S COPIES | 541900 | $14,112 | $0 | $0 | $14,112 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $278 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $278 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $532,123 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $95,066,207 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $69,903,995 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $545,864 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,500 | TotalAmt |
| Program Services | $2,500 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,367,075 | TotalAmt |
| Program Services | $39,673,113 | ProgramServicesAmt |
| Management And General | $1,693,962 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,975,394 | TotalAmt |
| Program Services | $2,856,530 | ProgramServicesAmt |
| Management And General | $118,864 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,436,097 | TotalAmt |
| Program Services | $7,139,032 | ProgramServicesAmt |
| Management And General | $297,065 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,917,248 | TotalAmt |
| Program Services | $2,800,707 | ProgramServicesAmt |
| Management And General | $116,541 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,305 | TotalAmt |
| Program Services | $111,305 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $452,123 | TotalAmt |
| Program Services | $238 | ProgramServicesAmt |
| Management And General | $451,885 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,012,950 | TotalAmt |
| Program Services | $6,954,711 | ProgramServicesAmt |
| Management And General | $58,239 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,916,978 | TotalAmt |
| Program Services | $3,813,497 | ProgramServicesAmt |
| Management And General | $103,481 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,633,653 | TotalAmt |
| Program Services | $2,152,342 | ProgramServicesAmt |
| Management And General | $481,311 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,740,716 | TotalAmt |
| Program Services | $2,617,528 | ProgramServicesAmt |
| Management And General | $1,123,188 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,108 | TotalAmt |
| Program Services | $48,259 | ProgramServicesAmt |
| Management And General | $4,849 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,625 | TotalAmt |
| Program Services | $18,131 | ProgramServicesAmt |
| Management And General | $494 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $709,817 | TotalAmt |
| Program Services | $709,817 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,526,451 | TotalAmt |
| Program Services | $1,372,125 | ProgramServicesAmt |
| Management And General | $154,326 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,412,048 | TotalAmt |
| Program Services | $3,301,791 | ProgramServicesAmt |
| Management And General | $110,257 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| INTERCOMPANY SHARED SERVICES | $9,715,792 | $1,911,515 | $7,804,277 | $0 |
| MEDICAL SUPPLIES | $7,487,370 | $7,476,472 | $10,898 | $0 |
| MEMBERSHIP FEES | $1,208,338 | $932,747 | $275,591 | $0 |
| BILLING AND COLLECTION | $331,530 | $0 | $331,530 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218,032 | TotalAmt |
| Program Services | $213,267 | ProgramServicesAmt |
| Management And General | $4,765 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,247,150 | TotalAmt |
| Program Services | $84,105,627 | ProgramServicesAmt |
| Management And General | $13,141,523 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $700 | BOYAmt |
| EOY | $700 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,957,708 | BOYAmt |
| EOY | $6,922,274 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $216,804 | BOYAmt |
| EOY | $302,711 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,782,995 | BOYAmt |
| EOY | $4,820,342 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,430,671 | BOYAmt |
| EOY | $1,285,825 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $456,304 | BOYAmt |
| EOY | $287,208 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $20,020,947 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $9,237,459 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,861,345 | BOYAmt |
| EOY | $10,783,488 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,832,000 | BOYAmt |
| EOY | $20,951,940 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,538,527 | BOYAmt |
| EOY | $45,354,488 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,098,306 | BOYAmt |
| EOY | $17,801,917 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $320,168 | BOYAmt |
| EOY | $772,692 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,460,319 | BOYAmt |
| EOY | $39,100,740 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,878,793 | BOYAmt |
| EOY | $57,675,349 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$23,340,266 | BOYAmt |
| EOY | -$12,320,861 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$23,340,266 | BOYAmt |
| EOY | -$12,320,861 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,538,527 | BOYAmt |
| EOY | $45,354,488 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,180,943 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $13,200,348 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $7,641 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $7,641 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1i | FormAndLineReferenceDesc |
| Explanation | THE other activities includes indirect lobbying cost for the organization's pro-rata share of Healthcare Education Project (HEP) Lobbying expenses. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,376,457 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,217,466 | DepreciationAmt |
| Book Value | $6,158,991 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,620,727 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,019,993 | DepreciationAmt |
| Book Value | $4,600,734 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,763 | OtherCostOrOtherBasisAmt |
| Book Value | $23,763 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,783,488 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| EST INSURANCE CLAIMS RECEIV | $20,858,000 |
| RIGHT OF USE OPER LEASE ASSETS | $93,940 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $20,951,940 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| LOANS PAYABLE - PARENT | $6,550,000 |
| DUE TO THIRD PARTY PAYORS | $2,356,332 |
| MALPRACTICE INSURANCE LIABILITIES | $538,536 |
| EST INSURANCE CLAIMS LIABILITIES | $20,858,000 |
| DUE TO AFFILIATES | $8,617,742 |
| PENSION LIABILITIES | $84,445 |
| RIGHT OF USE OPER LEASE LIAB. | $95,685 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $39,100,740 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 500. | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,314,108 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,084,363 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $229,745 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,367,529 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,604,017 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,763,513 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.18270 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $46,681,637 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,688,380 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,993,258 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.18510 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $496,088 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $496,088 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00510 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,736,653 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,385,274 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,351,379 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06530 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,232,741 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,385,274 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,847,467 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07040 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $54,914,378 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,073,654 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,840,725 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.25550 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $227,323 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $5,933 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $11,305,049 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $12,757,949 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,452,900 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Montefiore Mount Vernon Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12 North Seventh Avenue | AddressLine1Txt |
| City | Mount Vernon | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10550 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.montefiorehealthsystem.org | WebsiteAddressTxt |
| State License | 5903001H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Montefiore Mount Vernon Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V - Section C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part V - Section C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 500. | FPGFamilyIncmLmtDscntCarePct |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Part V - Section C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V - Section C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part V - Section C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, PART V, SECTION B, LINE 5 | The process for preparing the 2019-2021 Community Health Needs Assessment was an inter-organizational and community collaborative process, initiated with the goal of developing an assessment that was reflective of the needs of the community including the clinical and social determinants of health. The 2019-2021 Community Health Needs Assessment involved a primary data collection strategy in conjunction with secondary data. Community input on health priorities in Westchester County was gathered through a community survey and an in-person summit with stakeholders. Multiple approaches to primary data collection were used to make use of existing and cost-efficient data collection activities and to employ multiple methods at gathering community input, so that no single group was over represented in the identification of community concerns. Montefiore Mount Vernon Hospital engaged with the Westchester County Department of Healths online Community Resident Survey in the winter and spring of 2019 to facilitate the implementation of the primary data collection process for the Community Health Needs Assessment for Westchester County and to assist in the facilitation of these community level connections thereby alleviating additional surveying overload. The community survey could be completed via a web-based tool (SurveyMonkey) or on paper. The paper surveys were available in English and Spanish and other languages by request. The primary distribution of the survey was conducted through the Westchester County Department of Healths Office of the Administrator and was made available through its website. The Montefiore Hudson Valley Collaborative also distributed the survey to its membership of over 900 hospitals, community based organizations, faith-based organizations and other social service providers. The survey was disseminated through multiple distribution points including other hospitals, health care providers, community-based organizations and others. A Community Health Survey of the Hudson Valley was created and administered by Siena College Research Institute on behalf of the CHA Collaborative. The survey was conducted in all seven counties in the region. Additionally, in March and April of 2019, Members of the Local Health Department Prevention Agenda collaborative conducted 10 focus groups with health and service providers to identify the most pressing barriers and issues facing the populations they serve. The Local Health Department Prevention Agenda collaborative designed the focus groups as a supplement to the Community Health Survey acknowledging that certain populations, mainly those who speak English as a second language, those experiencing homelessness, members of the LGBTQ community, and children may have been under represented in the original data collection process. In addition to collaborative input from the local Department of Health, Montefiore worked closely with it communities, organized partnership and collaborates, and other providers in lower Westchester as well as extensive work with representatives of the affected communities to help Montefiore to identify health care needs and determine the appropriate configuration of services. While the exact priorities identified through each of these approaches varied somewhat, there was a consistent placement of healthy eating and food security, and its related environmental factors of access to healthier food and the health consequences of chronic disease care and screening as the top community health priorities. Montefiore Mount Vernon meets regularly with the local Department of Health, and continues to participate in a MHVC DSRIP aligned Collaborative with membership from St. Josephs Medical Center (including St. Vincents Hospital Westchester), St. Johns Riverside Hospital, White Plains Hospital, and Burke Rehabilitation Hospital working to ensure that the Community Service Plan and DSRIP goals retain their alignment. As the CHNA process was conducted simultaneously with the New York State Community Service Plan (CSP) review, there is strong alignment between the areas of focus in this report and the areas presented in the CSP. Montefiore will continue to work with its partners on existing program initiatives in its mission of advancing healthcare to the communities that it serves. The Hospital has not received any written comments concerning it most recent conducted CHNA and implementation strategies. |
| Schedule H, Part V, Section B, Line 6A | Montefiore Mount Vernon Hospitals CHNA was conducted along with Montefiore New Rochelle Hospital. The reporting data between the two facilities are essentially the same, even though demographically distinct, due to the close proximity of each facility to the other, the high migration of patients between facilities and the sharing of employees. Both organizations are also members of the Montefiore Health System, the premier academic health system and the University Hospital for Albert Einstein College of Medicine, serving the 3.1 million people living in the New York City region and the Hudson Valley. |
| Schedule H, Part V, Section B, Line 7a | The CHNA report is available to the public on Montefiore's website: https://www.montefiore.org/documents/communityservices/MNR-MMV-Community-H ealth-Needs-Report-2019-2021.pdf |
| Schedule H, Part V, Section B, Line 10a | The hospital facility's most recently adopted implementation strategy is posted on the website: https://www.montefiore.org/documents/communityservices/MNR-MMV-Community-H ealth-Needs-Report-2019-2021.pdf |
| Schedule H, Part V, Section B, Line 11 | In the Comprehensive Community Services plan developed for 2016-2018, the priority areas selected were Prevent Chronic Disease and Promote Healthy Women Infants and Children. Through the projects and activities initiated during that plan, Montefiore Mount Vernon was able to contribute to the overall trend improvements in those areas for New York State. However, although Westchester County has continued to be among the top five and has shown improvements along with the rest of New York State, the rates for conditions identified in the communities of Mount Vernon remains higher in most cases than the countywide and statewide averages. The Priority Areas that were selected in 2016 have been expanded upon to have greater alignment with the initiatives of the Delivery System Reform Incentive Payment Program (DSRIP). Montefiore Mount Vernon choose to continue its work on Maternal and Child Health with an emphasis on breastfeeding. Furthermore, Montefiore Mount Vernon will continue their participation with the Westchester County Department of Healths Community Service Plan Collaborative to coordinate their alignment with the Countys other healthcare providers. Montefiore has elected to retain these two priority areas, Prevent Chronic Disease and Promote Healthy Women Infants and Children for the 2019-2021 plan. Montefiore Mount Vernon Hospital has also added a new priority area for this cycle: Prevent Communicable Disease with a focus on vaccine preventable disease, specifically HPV. The first Priority area selected was preventing chronic Disease with a specific focus on preventive Care and Management. This hospital is addressing this need by providing access to a range of preventive, maintenance and self-management programs for individuals across the pre-diabetes and diabetes spectrum with assistance from our partners in providing technical Assistance, opportunities for neighborhood based culture/linguistic specific classes and opportunities for data sharing and collaboration. Our goal is to increase early detection of cardiovascular disease, diabetes, pre-diabetes and obesity. The targeted community is mainly low-income individuals that includes a high proportion of Hispanic and non-Hispanic black. The second priory area selected was to promote healthy women, infants and children with a focus on perinatal and infant health. The hospital will address this need by engagement and referral into appropriate clinical or community programs to support mothers with breastfeeding. Our partners will also provide technical assistance and supportive community programming. Our goal is to increase the percentage of all infants who are exclusively breastfed in the hospital by 10% from 47.0% to 51.7%. The third and new priority area added for the 2019-2021 plan is to prevent communicable disease focusing on vaccine preventable diseases. We plan to support outreach efforts through education and advocacy of the importance of HPV vaccination with parents of children and adolescents age 9-13 and provide vaccinations with the goal of increasing the percentage of NYS 13-year-old adolescents with a complete HPV vaccine series by 10% to 37.4%. The targeted community is mainly low-income individuals including a large Hispanic or non-Hispanic black population. Despite each of the different methods and approaches to primary data collection in gathering community input, there was a consistent focus on obesity and related behaviors and outcomes among the main community health concerns. Obesity and its related behaviors have significant impact in chronic disease, therefore, it is intended that the programs that are detailed specifically for the reduction of obesity will also affect the prevalence of Diabetes, hypertension, asthma, cancer and cardiovascular disease in Westchester County. Montefiore has a vast portfolio of programs and services that address a majority of the significant community health needs identifies in the community health needs assessment. The breadth and depth of the programs and service vary, but each address a need identifies in the community. In particular, there are programs underway in collaboration with Hudson River Healthcare and Westchester local government units to work with bodegas on healthy snack displays and creating walking paths in parks and communities. In addition to the multiple resources that have been developed at Montefiore independently and through partnership with other organizations, there continues to be a need for community-based programs and resources that can augment Montefiores programs and services. Montefiore continues to engage in cross-sector partnerships with government, community organizations, hospitals, and businesses to address the health and social needs of our patient population. Since the previous version of this report in 2016, Montefiore has begun using the internet database platform www.nowpow.com, to connect patients to needed resources, which has been a challenge for the health care sector. This online tool is a much more comprehensive and practical alternative to the homegrown referral guides that many health care providers have had to use in the past, which were difficult to search and keep-up-to-date, a problem that is largely addressed by the online version. Many Montefiore sites have been introduced to this new online resource and work is underway to more seamlessly integrate this kind of solution into the various workflows across the ambulatory, ED and inpatient setting. The use of an internet database will allow Montefiore to connect patients to important community resources provided outside of the health system by many of our community partners to address community needs such as housing (quality and affordability), transportation, employment, and education. Montefiore recognizes the importance of addressing the social determinants of Health as part of our mission of advancing the health of the communities that we serve. |
| Schedule H, Part V, Section B, Line 13H | Family size is factored into the eligibility criteria for financial assistance. Schedule H, Part V, Section B, Line 15E The organization's FAP provides addresses, locations and phone numbers for offices within Montefiore to assist with completing applications. The financial aid and Medicaid staff at these locations are also certified application counselors that assist with market place and Medicaid applications. |
| Schedule H, Part V, Section B, Lines 16a-16c | The direct website where the FAP is publicized: http://www.montefiorehealthsystem.org/body.cfm?id=68 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| MONTEFIORE MT VERNON METHADONE PROGRAM | ||||
| 3 SOUTH SIXTH AVENUE | MOUNT VERNON | NY | 10550 | SUBSTANCE ABUSE EXTENSION CLINIC |
| MONTEFIORE MT VERNON HOSP ACT PROGRAM | ||||
| 3 SOUTH SIXTH AVENUE | MOUNT VERNON | NY | 10550 | MENTAL HEALTH CLINIC |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 1. REQUIRED DESCRIPTIONS: | PART I, LINE 7: THE COST-TO-CHARGE RATIO METHODOLOGY WAS UTILIZED TO CALCULATE THE AMOUNT INCLUDED IN THE TABLE. THE CALCULATION OF THIS RATIO WAS DERIVED FROM RATIO OF PATIENT CARE COSTS-TO-CHARGES. |
| PART III, SECTION A, LINE 2: | THE COST OF BAD DEBT EXPENSE WAS ESTIMATED BASED ON THE CHARGES, APPLIED TO THE RATIO OF TOTAL PATIENT CARE EXPENSES TO TOTAL CHARGES FOR ALL SERVICES RENDERED. ANY PAYMENTS OR DISCOUNTS ARE EXCLUDED FROM BAD DEBT EXPENSE. PART III, SECTION A, LINE 3: THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) ATTRIBUTED TO PATIENTS UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS BASED ON RESULTS OF PREDICTIVE ANALYSIS. BAD DEBT SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION PROVIDES MUCH NEEDED HEALTH CARE SERVICES INDISCRIMINATELY TO THE COMMUNITY-AT-LARGE WITHOUT REGARD TO WHETHER OR NOT THE PATIENT HAS INSURANCE AND IF THE BILL WILL EVER BE PAID. |
| PART III, SECTION A, LINE 4: | AS REPORTED IN MONTEFIORE HEALTH SYSTEM'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS, BAD DEBT EXPENSE IS DESCRIBED AS FOLLOWS: "Subsequent changes to the estimate of the transaction price (determined on a portfolio basis when applicable) are generally recorded as adjustments to patient service revenue in the period of the change. For the years ended December 31, 2019 and 2018, changes in the Health Systems estimates of expected payments for performance obligations satisfied in prior years were not significant. Portfolio collection estimates are updated based on collection trends. Subsequent changes that are determined to be the result of an adverse change in the patients ability to pay (determined on a portfolio basis when applicable) are recorded as bad debt expense. Bad debt expense for the years ended December 31, 2019 and 2018 was not significant". |
| PART III, SECTON B, LINE 8: | MEDICARE REVENUE AND ALLOWABLE COSTS REPORTED IN PART III, SECTION B, were derived FROM THE MEDICARE COST REPORT. MEDICARE ALLOWABLE COSTS REPORTED on PART III, LINE 6, PER SCHEDULE H INSTRUCTIONS, WERE DERIVED USING THE Medicare COST REPORT COST-FINDING METHODOLOGY, WHICH APPORTIONS ROUTINE costs TO MEDICARE USING DAYS AND ANCILLARY COSTS TO MEDICARE USING departmental RATIOS OF COSTS TO CHARGES. THE FOLLOWING TABLE REPRESENTS a reconciliation OF MEDICARE REVENUE AND COSTS INCLUDED ON LINES 5, 6, AND 7 IN PART III TO THE TOTAL ACTUAL MEDICARE REVENUE AND COSTS OF THE Hospital. AS HIGHLIGHTED IN THIS TABLE, INCLUDING THE ADJUSTMENTS described BELOW WOULD HAVE increased the MEDICARE Shortfall to $4,353,946. ALLOWABLE Surplus/ Revenue costs (Shortfall) PART III, LINE 5-7: $11,305,049 $12,757,949 ($1,452,900) ADD: Cost not included: 1,418,303 (1,418,303) ADD: MEDICARE DME: 275,458 1,758,201 (1,482,743) Adjusted MEDICARE Shortfall: $11,580,507 $15,934,453 ($4,353,946) |
| PART III, SECTION C, LINE 9B: | FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS HALTED AND THE PATIENT IS REFERRED FOR FINANCIAL AID. IF AN ACCOUNT IS IN COLLECTION AND THE PATIENT REQUESTS FINANCIAL AID OR IF THE AGENCY DETERMINES THAT THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE ACCOUNT IS REFERRED BACK TO THE HOSPITAL WHERE THE PATIENT IS PROVIDED ASSISTANCE WITH COMPLETING AN APPLICATION FOR ASSISTANCE. |
| 2. NEEDS ASSESSMENT: | In addition to collaborative input from the local Department of Health and clinical partners, Montefiore works closely with its communities including the Mount Vernon Community Advisory Board (MVCAB). Working with a variety of organized partnerships and collaboratives and other providers in lower Westchester as well as extensive work with representatives of the affected communities has helped Montefiore to identify health care needs and determine the appropriate configuration of services. Beyond the formal structures that Montefiore established to gain input from the communities it serves, Montefiores Office of Community and Population Health participates in a variety of informal organized partnerships and collaboratives, working with other providers in the Westchester, the Westchester County Department of Health, community-based organizations and others, using a community level approach that involves relevant community based organizations interested in planning and developing initiatives aimed at improving the health of the residents of Westchester County. |
| 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: | ALL INTAKE, REGISTRATION, AND COLLECTION AGENCY STAFF IS TRAINED ON THE HOSPITAL'S FINANCIAL AID POLICY AND HOW TO PROVIDE PATIENTS WITH ASSISTANCE. MONTEFIORE MOUNT VERNON HOSPITAL HAS A POLICY THAT ESTABLISHES GUIDELINES FOR THE BILLING OFFICE TO FOLLOW WHEN WORKING WITH INDIVIDUALS WHO ARE HAVING DIFFICULTY PAYING THEIR MEDICAL BILLS. A REFERRAL IS MADE TO THE HOSPITAL'S FINANCIAL AID OFFICE AND A FINANCIAL COUNSELOR WILL HELP THE PATIENT APPLY FOR FREE OR LOW-COST INSURANCE. IF THE FINANCIAL COUNSELOR DETERMINES THAT THE PATIENT DOES NOT QUALIFY FOR LOW-COST INSURANCE, THE COUNSELOR WILL HELP THE PATIENT APPLY FOR A FINANCIAL AID DISCOUNT BASED ON INCOME LEVEL. THE HOSPITAL MAKES ITS FINANCIAL AID POLICY KNOWN TO THE PUBLIC BY PROVIDING WRITTEN INFORMATION AVAILABLE IN BOTH ENGLISH AND SPANISH, INCLUDING BROCHURES AT ALL PATIENT SERVICE AREAS, INFORMATION POSTED ON THE INTRANET AND INTERNET, AND INFORMATION SENT OUT ON PATIENTS' BILLS. THERE ARE ALSO SIGNS POSTED AT THE MAIN ENTRANCE TO THE HOSPITAL IN ENGLISH AND SPANISH ADVISING PATIENTS OF THE ROOM LOCATION FOR ASSISTANCE WITH FINANCIAL AID. |
| 4. COMMUNITY INFORMATION: | Mount Vernon is the third most populous city in Westchester County. The city is 4.4 square miles and is the 2nd most densely populated city in New York State, trailing only New York City. According to the 2017 American Community Survey, Mount Vernon has 68,671 residents and has experienced 0.4% population growth from 2000 to 2017. The city has the highest proportion of non-Hispanic black residents in Westchester County at 64% (compared to 13.5% countywide). One-third of all residents are foreign born. Additionally, it is the seat of Westchester Countys homeless services and senior services programs, housing a disproportionate number of lower-income residents. Mount Vernon is located just north of the Bronx and bordered by Pelham, Bronxville, Eastchester, and Yonkers. Mount Vernon is among the most ethnically diverse communities in Westchester County. Its population is 64.3% non-Hispanic black, 16.1% non-Hispanic white, 15.4% Hispanic, 2.0% non-Hispanic Asian and 1.9% non-Hispanic other. One-third (33%) of its residents are foreign-born. Among the foreign-born population, more people (55%) speak only English at home than Spanish (19%) and other languages (26%). The city has the second highest percentages of residents living below poverty in Westchester County. About 15% (14.8%) of the population lives below the poverty level (9.4% countywide) and the median household income is $54,573 (compared to $89,968 countywide). Twenty-percent of Mount Vernon children live below poverty; nearly twice the countywide proportion (11.7%). While Westchester County remains among the healthiest counties in New York State, several of its individual municipalities continue to have significant health gaps. Portions of lower Westchester, specifically Mount Vernon, Yonkers, New Rochelle and White Plains are hot spots for various health outcomes, such as asthma and preterm births in the County. Additionally, certain groups, such as some racial/ethnic minorities or those with less education, experience poorer health outcomes. The City of Mount Vernon has been deemed to have a geography that meets the criteria as a medically underserved area, with respect to its access to primary care services. This categorization is based on an index value that includes the infant mortality rate, the poverty rate, the percentage of elderly population and the primary care physician to population ratio. |
| 5. PROMOTION OF COMMUNITY HEALTH: | MONTEFIORE HEALTH SYSTEM, INC. IS A LEADER IN COMMUNITY HEALTH AND HAS A LONG HISTORY OF DEVELOPING INNOVATIVE APPROACHES TO CARE AND CREATING PROGRAMS TO BEST SERVE THE CHANGING NEEDS OF ITS COMMUNITY. MONTEFIORE's Office of Community & Population Health has a dedicated community educator who spearheads initiatives in the city of Mt Vernon. These events are focused on a variety of issues, ranging from chronic disease management and prevention, cancer screenings and promotion of healthy food consumption. Events range from farmers market walks, workshops in the community, walkathons, health fair and community-based health screens. The Mount Vernon Facility has focused its engagement across multiple health indicators; diabetes, breast, cervical and colorectal cancers while addressing cardiovascular disease in the older adult population. To increase screening rates for cardiovascular disease the team coordinates screening services and educational workshops to older adults at frequently occurring points of congregation, including senior centers and naturally occurring retirement communities. These workshops provide a gateway to engage the community in health programming that ensures that our work is targeted towards high needs/high impact activities. |
| 6. AFFILIATED HEALTH CARE SYSTEM: | MONTEFIORE MOUNT VERNON HOSPITAL IS AN AFFILIATE OF MONTEFIORE HEALTH SYSTEM, INC. The Health System is a leader in community and population health and has a long history of developing innovative approaches to care and tailoring programs to best serve the changing needs of its community. These include, but are not limited to the following: Community Service Plan, Community Service Strategy, Accountable Care Organization, Patient-centered medical home, disease management programs and community outreach. The integration of these innovative approaches supports Montefiore well in its provision of service to the community. |
| 7. STATE FILING OF COMMUNITY BENEFIT REPORT: | MONTEFIORE MOUNT VERNON HOSPITAL FILES A COMMUNITY SERVICE PLAN WITH THE STATE OF NEW YORK. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHILIP O OZUAH MDPHD | ||||||||||||||
| President & CEO (Eff 11/15/19) | $0 | $2,192,717 | $0 | $3,287,300 | $0 | $1,578,318 | $0 | $17,000 | $0 | $26,570 | $0 | $7,101,905 | $0 | $0 |
| CHRISTOPHER S PANCZNER | ||||||||||||||
| Assistant Secretary | $0 | $903,133 | $0 | $321,200 | $0 | $46,034 | $0 | $17,000 | $0 | $9,913 | $0 | $1,297,280 | $0 | $0 |
| Bentley A Ogoke MD | ||||||||||||||
| Anesthesiologist | $450,322 | $0 | $0 | $0 | $1,584 | $0 | $6,800 | $0 | $26,034 | $0 | $484,740 | $0 | $0 | $0 |
| BALASA PRASAD MD | ||||||||||||||
| CHAIRMAN-ANESTHESIA | $474,274 | $0 | $0 | $0 | $0 | $0 | $6,800 | $0 | $0 | $0 | $481,074 | $0 | $0 | $0 |
| FRANCIS AGBONKPOLO MD | ||||||||||||||
| ANESTHESIOLOGIST | $415,083 | $0 | $0 | $0 | $1,584 | $0 | $6,800 | $0 | $20,049 | $0 | $443,516 | $0 | $0 | $0 |
| Nadeem Hussain MD | ||||||||||||||
| Psychiatrist | $363,094 | $0 | $0 | $0 | $541 | $0 | $6,746 | $0 | $19,569 | $0 | $389,950 | $0 | $0 | $0 |
| SUSAN GREEN-LORENZEN RN | ||||||||||||||
| System SENIOR VP-OPERATIONS | $0 | $1,091,431 | $0 | $397,700 | $0 | $720,761 | $0 | $17,000 | $0 | $27,220 | $0 | $2,254,112 | $0 | $0 |
| LYNN RICHMOND | ||||||||||||||
| Exec VP-CSO(Resigned 11/14/19) | $0 | $1,028,990 | $0 | $529,100 | $0 | $2,060,653 | $0 | $16,346 | $0 | $23,915 | $0 | $3,659,004 | $0 | $1,918,556 |
| COLLEEN BLYE | ||||||||||||||
| EXEC VP & CFO | $0 | $1,154,118 | $0 | $660,000 | $0 | $1,032 | $0 | $698,856 | $0 | $11,181 | $0 | $2,525,187 | $0 | $0 |
| STEVEN M SAFYER MD | ||||||||||||||
| CEO (Resigned 11/14/19) | $0 | $2,019,153 | $0 | $2,082,300 | $0 | $4,534,116 | $0 | $8,170,157 | $0 | $27,181 | $0 | $16,832,907 | $0 | $0 |
| Jaccel Kouns | ||||||||||||||
| VP & Exc Director MMV | $0 | $296,671 | $0 | $75,000 | $0 | $552 | $0 | $17,000 | $0 | $29,137 | $0 | $418,360 | $0 | $0 |
| Sanford Taffet MD | ||||||||||||||
| Physician | $327,973 | $0 | $0 | $0 | $4,326 | $0 | $6,800 | $0 | $25,436 | $0 | $364,535 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule J, PART I, LINE 4a | FormAndLineReferenceDesc |
| Explanation | Steven Safyer, M.D., Chief Executive Officer and a trustee, received severance in the amount of $8,393,621 from a related organization. $239,156 of this amount was received in 2019 and is reflected in the total reported for column (B)(III) other compensation. The remainder of the severance is to be paid over the next two years and is included in the deferred compensation reported in column (C). PART I LINES 3, 4B & PART II - COLUMNS (B)(I), (II) AND (III) As it relates to Compensation from Montefiore Medicine Academic Health System, Inc. and Montefiore Health System, Inc. The Compensation Committee reviews and approves all forms of compensation and benefits provided to each executive with the assistance of a national independent compensation consulting firm. The consulting firm assists the Compensation Committee with its decision-making process to ensure executive compensation levels are reasonable and appropriate relative to those of other similar organizations. Base salaries in Column B(i) are determined based on competitive market practices for comparable positions with similar size organizations and scope of responsibilities. Bonus and incentive compensation in Column B(ii) is based on the achievement of performance goals. The executives' compensation program has a significant pay-at-risk component to ensure the alignment of pay and organizational performance. Goals are set in advance in areas such as quality of care, patient satisfaction, community services and financial performance. Compensation is at risk if the goals established by the Compensation Committee are not met. Other reportable compensation in column B(III) includes distributions from the supplemental executive retirement plan. In a manner designed to qualify for the "rebuttable presumption of reasonableness" the Compensation Committee of the Board of Trustees expressly reviewed and approved these retirement benefit arrangements for senior executives in a manner that qualified under the intermediate sanctions rules of the Federal tax law, and in recognition of (a) the executives' years of service to the organization and (b) the significant contributions to enhancing the ability of the organization to achieve its charitable mission in a manner consistent with financial solvency. Accordingly, this benefit should be viewed as applying to years of service for the organization. Pooled Supplemental Executive Retirement Plan distributions: Steven Safyer, M.D. - $3,797,607 Susan Green-Lorenzen, R.N. - $698,175 Philip O. Ozuah, MD, Ph.D - $1,420,693 Lynn Richmond - $2,040,314 ($1,918,556 of this amount was reported as accrued benefits in prior years) Supplemental Executive Retirement Plan accrued and unpaid service costs: Colleen Blye - $681,856. The officers and Key Employees listed in Part II, Column A are not employees of this filing organization, Montefiore Mount Vernon Hospital. These individuals are employed and their compensation is paid by either Montefiore Medicine Academic Health System, Inc., EIN 47-1582973, or Montefiore Health System, Inc., EIN 20-1615393. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6: | MONTEFIORE HEALTH SYSTEM, INC IS THE SOLE MEMBER OF MONTEFIORE MOUNT VERNON HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7A: | THE BOARD OF TRUSTEES OF MONTEFIORE HEALTH SYSTEM, INC., THE SOLE MEMBER OF MONTEFIORE MOUNT VERNON HOSPITAL, HAS THE AUTHORITY TO APPOINT THE BOARD OF TRUSTEES OF MONTEFIORE MOUNT VERNON HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7B: | THE BOARD OF TRUSTEES OF MONTEFIORE HEALTH SYSTEM, INC., THE SOLE MEMBER OF MONTEFIORE MOUNT VERNON HOSPITAL, HAS THE AUTHORITY TO APPROVE THE OPERATING AND CAPITAL BUDGETS OF MONTEFIORE MOUNT VERNON HOSPITAL. |
| FORM 990, PART VI, SECTION B, LINE 11B: | THE FORM 990 WAS PREPARED BY MONTEFIORE HEALTH SYSTEM'S FINANCE DEPARTMENT WITH THE ASSISTANCE OF VARIOUS DEPARTMENTS. THE FORM 990 WAS REVIEWED AND APPROVED BY THE VICE PRESIDENT FINANCE - FINANCIAL REPORTING AND THE HOSPITAL'S SENIOR LEADERSHIP TEAM INCLUDING THE CHIEF FINANCIAL OFFICER. IN ADDITION, AN INDEPENDENT ACCOUNTING FIRM WAS ENGAGED TO REVIEW THE FORM 990. UPON COMPLETION OF THE VARIOUS REVIEWS, THE FORM 990 WAS PRESENTED TO THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES FOR REVIEW AND APPROVAL. ONCE APPROVED BY THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES, THE FORM 990 WAS PROVIDED TO ALL MEMBERS OF the governing BODY before being filed. |
| FORM 990, PART VI, SECTION B, LINE 12C: | ORGANIZATION COMPLIANCE POLICY MONITORING AND ENFORCEMENT: The organization regularly and consistently monitors and enforces compliance with the disclosure policy by means of a survey developed by counsel and approved by the Montefiore Legal and Compliance Committees of the Board of Trustees. The survey is sent to all trustees, officers and key employees for completion. All survey responses are reviewed by the Compliance Officer. Any potential conflicts identified in the responses are discussed with senior management and/or the Legal and Compliance Committees of the Board of Trustees. Potential actions to be taken in response to a conflict is one or more of the following: 1)disclosure of conflict; 2)individual recusal from decisions for transactions where that individual may have a conflict; 3)request the individual to alleviate the conflict; OR 4)removal of the individual from the board of trustees. |
| FORM 990, PART VI, SECTION B, LINE 15A & 15B: | All officers and key employees are employed and paid by either Montefiore Medicine Academic Health System, Inc. or Montefiore Health System, Inc., The parent Companies of Montefiore Health Sytem, Inc. and Montefiore Mount Vernon Hospital, respectively. Montefiore Health System, Inc. is committed to ensuring that its executive compensation program adheres to the highest standards of regulatory compliance and best corporate governance. The Board of Trustees has charged the Compensation Committee of the Board (which is comprised of independent Board members with no conflicts of interest in regards to executive compensation) with making all decisions related to compensation for officers and certain key employees. All decisions made by the Compensation Committee are appropriately and timely documented in meeting minutes. The compensation committee's review process follows the Intermediate Sanctions guidelines for qualifying for the rebuttable presumption of reasonableness. The Committee retains an independent compensation consultant to assist it with this process. Compensation levels are established considering data for comparable organizations, an assessment of management performance (including the services provided to the community), and other business judegment factors, consistent with Montefiore's executive compensation philosophy. The Committee's decisions are made in the best interest of Montefiore, and are intended to ensure the recruitment and retention of key executive talent, consistent with the market practices of other not-for-profit healthcare organizations of comparable scope, mission and complexity. On an annual basis, the Committee provides the full Board of Trustees with a description of the committee's review and approval process and its decisions. |
| FORM 990, PART VI, SECTION C, LINE 19: | THE CONFLICTS OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE MADE AVAILABLE UNPON REQUEST. |
| FORM 990, PART XI, LINE 9 | The other increase in net assets of $13,200,348 was mainly due to a $13,214,504 intercompany extinguishment of debt, partially offset, by defined benefit pension and postretirement plans to be recognized in future periods ($14,156). |
| FROM 990, PAGE 1, BOX J WEBSITE: | HTTP://MONTEFIOREHEALTHSYSTEM.ORG/MOUNTVERNON |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (27 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MMC Corporation | ||||||||||
| 111 East 210th Street | Bronx | NY | 10467 | 133430322 | Real Estate | NY | 501(C)(3) | 12A TYPE I | MMC | Yes (true) |
| Montefiore Medical Center | ||||||||||
| 111 East 210th Street | Bronx | NY | 10467 | 131740114 | acad med ctr | NY | 501(C)(3) | 3 | MHS | Yes (true) |
| Montefiore Hosp Housing Sect II Inc | ||||||||||
| 3450 Wayne Avenue | Bronx | NY | 10467 | 237160641 | Staff Housing | NY | 501(C)(2) | MMC | Yes (true) | |
| Mosholu Preservation Corporation | ||||||||||
| 3400 Reservoir Oval East | Bronx | NY | 10467 | 133109387 | Community Ser | NY | 501(C)(3) | 12A TYPE I | MMC | Yes (true) |
| Gun Hill MRI PC | ||||||||||
| 200 EAST GUNHILL ROAD | BRONX | NY | 10467 | 133734486 | DIAG SERVICES | NY | 501(C)(3) | 12A TYPE I | MMC | Yes (true) |
| Montefiore Health System Inc | ||||||||||
| 555 SOUTH BROADWAY BLDG A FL 1 | TARRYTOWN | NY | 10591 | 201615393 | PARENT | NY | 501(C)(3) | 12B Type II | MMAHS | Yes (true) |
| MMC Residential Corp I Inc | ||||||||||
| 3411 Wayne Avenue | Bronx | NY | 10467 | 911943271 | Staff Housing | NY | 501(C)(2) | MMC | Yes (true) | |
| Schaffer Extended Care Center | ||||||||||
| 16 Guion Place | New Rochelle | NY | 10801 | 462929888 | Nursing Home | NY | 501(C)(3) | 3 | MHS | Yes (true) |
| Montefiore New Rochelle Hospital | ||||||||||
| 16 Guion Place | New Rochelle | NY | 10801 | 462931956 | Hospital | NY | 501(C)(3) | 3 | MHS | Yes (true) |
| Albert Einstein College of Medicine Inc | ||||||||||
| 1300 Morris Park Avenue | Bronx | NY | 10461 | 472209056 | MED COLLEGE | NY | 501(C)(3) | 2 | MMAHS | Yes (true) |
| Montefiore Medicine ACADEMIC HEALTH SYST | ||||||||||
| 555 South Broadway BLDG A FL 1 | Tarrytown | NY | 10591 | 471582973 | SYSTEM PARENT | NY | 501(c)(3) | 12B Type II | NA | Yes (true) |
| Montefiore Nyack Hospital | ||||||||||
| 160 North Midland Avenue | Nyack | NY | 10960 | 131740119 | Hospital | NY | 501(c)(3) | 3 | MHS | Yes (true) |
| MONTEFIORE FOUNDATION INC | ||||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 471600439 | Inactive | NY | 501(C)(3) | 7 | MMAHS | Yes (true) |
| White Plains Hospital Medical Center | ||||||||||
| 41 East Post Road | White Plains | NY | 10601 | 131740130 | HOSPITAL | NY | 501(C)(3) | 3 | MHS | Yes (true) |
| AECOM Student Housing Co Inc | ||||||||||
| 1300 Morris Park Avenue | Bronx | NY | 10461 | 237075620 | STUDENT HOUS | NY | 501(C)(2) | AECOM | Yes (true) | |
| Montefiore CERC Operations Inc | ||||||||||
| 111 East 210th Street | Bronx | NY | 10467 | 474853506 | REHAB CENTER | NY | 501(c)(3) | 3 | MMC | Yes (true) |
| White Plains Hospital Ctr FoundationInc | ||||||||||
| 41 East Post Road Davis Ave | White Plains | NY | 10601 | 133281507 | Fundraising | NY | 501(C)(3) | 12A Type I | WPHMC | Yes (true) |
| Montefiore Nyack Hospital Foundation | ||||||||||
| 160 North Midland Avenue | Nyack | NY | 10960 | 133245804 | Fundraising | NY | 501(C)(3) | 7 | NYACK HOSP | Yes (true) |
| The Winifred Masterson Burke Rehab Hosp | ||||||||||
| 785 Mamaroneck Avenue | White Plains | NY | 10605 | 131739937 | Rehab Hosp | NY | 501(c)(3) | 3 | MHS | Yes (true) |
| St Luke's Cornwall Hospital | ||||||||||
| 70 Dubois Street | Newburgh | NY | 12550 | 141340054 | Hospital | NY | 501(c)(3) | 3 | MHS | Yes (true) |
| Hudson Vista Medical PC | ||||||||||
| 70 Dubois Street | Newburgh | NY | 12550 | 452526738 | Healthcare | NY | 501(c)(3) | 12A Type I | SLCH | Yes (true) |
| Hudson Vista Physician Services PC | ||||||||||
| 70 Dubois Street | Newburgh | NY | 12550 | 272020746 | Healthcare | NY | 501(c)(3) | 12A Type I | SLCH | Yes (true) |
| St Luke's Cornwall Health System Inc | ||||||||||
| 70 Dubois Street | Newburgh | NY | 12550 | 223026261 | Holding Comp | NY | 501(c)(3) | 12A Type I | MHS | Yes (true) |
| St Luke's Cornwall Health SYSTEM Fdn | ||||||||||
| 70 Dubois Street | Newburgh | NY | 12550 | 223026263 | Fundraising | NY | 501(c)(3) | 7 | SLCHS | Yes (true) |
| Amos and Sarah Holden Home | ||||||||||
| 70 Dubois Street | Newburgh | NY | 12550 | 141365995 | Asst Living | NY | 501(c)(3) | PF | SLCHS | Yes (true) |
| MONTEFIORE MED ACAD HLTH SYS SELF INS TR | ||||||||||
| 555 SOUTH BROADWAY | TARRYTOWN | NY | 10591 | 824019223 | INS TRUST | NY | 501(C)(3) | 12A TYPE I | MMAHS | Yes (true) |
| ALBERT EINSTEIN COLLEGE OF MEDICINE | ||||||||||
| 1300 MORRIS PARK AVENUE | BRONX | NY | 10461 | 830621846 | MED COLLEGE | NY | 501(C)(3) | 2 | MMAHS | Yes (true) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (28 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| UNIVERSITY BEHAVIORAL ASSOCIATES INC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 133877781 | MGMT SERVICES | NY | NA | C Corp | Yes (true) |
| THE MONTEFIORE IPA INC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 134114915 | Integ Provr Assoc | NY | NA | C CORP | Yes (true) |
| MMC GI HOLDINGS EAST INC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 721610013 | Holding Company | NY | NA | C CORP | Yes (true) |
| MMC GI HOLDINGS WEST INC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 721610015 | HOLDING COMPANY | NY | NA | C CORP | Yes (true) |
| MONTEFIORE BEHAVIORAL CARE IPA NO 1 INC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 133952750 | INTEG PROVR ASSOC | NY | NA | C CORP | Yes (true) |
| BRONX ACCOUNTABLE CARE NETWORK IPA INC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 300689571 | Integ Provr Assoc | NY | NA | C CORP | Yes (true) |
| Montefiore Consolidated Ventures Inc | |||||||||
| 111 East 210th Street | Bronx | NY | 10467 | 611728539 | Holding Company | NY | NA | C Corp | Yes (true) |
| Montefiore Insurance Company Inc | |||||||||
| 111 East 210th Street | Bronx | NY | 10467 | 320436594 | Inactive | NY | NA | C Corp | Yes (true) |
| Hudson Valley IPA Inc | |||||||||
| 111 East 210th Street | Bronx | NY | 10467 | 383978087 | Integ Provr Assoc | NY | NA | C CORP | Yes (true) |
| Montefiore Innovations Inc | |||||||||
| 111 East 210th Street | Bronx | NY | 10467 | 475106910 | Holding Company | NY | NA | C CORP | Yes (true) |
| Highland Medical PC | |||||||||
| 160 North Midland Avenue | Nyack | NY | 10960 | 134034481 | Healthcare Serv | NY | NA | C CORP | Yes (true) |
| 8 Longview Development Corp | |||||||||
| Davis Avenue at East Post Road | White Plains | NY | 10601 | 263321278 | HOUSING | NY | NA | C CORP | Yes (true) |
| White Plains Medical Diagnostic Serv PC | |||||||||
| 41 East Post Road | White Plains | NY | 10601 | 453164626 | Healthcare Serv | NY | NA | C CORP | Yes (true) |
| Cancer and Blood Medical Serv of NY PC | |||||||||
| 41 East Post Road | White Plains | NY | 10601 | 462021804 | Healthcare Serv | NY | NA | C CORP | Yes (true) |
| Davis Avenue Corp | |||||||||
| Davis Avenue at East Post Road | White Plains | NY | 10601 | 133331643 | Property holding | NY | NA | C CORP | Yes (true) |
| White Plains Management Co Inc | |||||||||
| 41 East Post Road | White Plains | NY | 10601 | 133331641 | Property holding | NY | NA | C CORP | Yes (true) |
| WPHC Building Corp | |||||||||
| 41 East Post Road | White Plains | NY | 10601 | 133676932 | Property Holding | NY | NA | C CORP | Yes (true) |
| White Plains Medical Services PC | |||||||||
| Davis Avenue at East Post Road | White Plains | NY | 10601 | 815369152 | Healthcare Serv | NY | NA | C Corp | Yes (true) |
| White Plains Physician Services PC | |||||||||
| Davis Avenue at East Post Road | White Plains | NY | 10601 | 815309615 | Healthcare Serv | NY | NA | C Corp | Yes (true) |
| Charitable Remainder Trust (4) | |||||||||
| Char Remr Trust | NY | NA | Trust | Yes (true) | |||||
| CRHT ACQUISITION INC | |||||||||
| 555 SOUTH BROADWAY BLDG A FL 1 | TARRYTOWN | NY | 10591 | 815220651 | HOLDING COMPANY | NY | NA | C CORP | Yes (true) |
| QUANTUM BIOTHERAPEUTICS LLC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 611793667 | INACTIVE | NY | NA | C CORP | Yes (true) |
| WHITE PLAINS PHYSICIAN MEDICAL SERV PC | |||||||||
| DAVIS AVENUE AT EAST POST ROAD | WHITE PLAINS | NY | 10601 | 830519787 | INACTIVE | NY | NA | C CORP | Yes (true) |
| EAST POST ROAD MEDICAL SERVICES PC | |||||||||
| DAVIS AVENUE AT EAST POST ROAD | WHITE PLAINS | NY | 10601 | 830535258 | Healthcare Serv | NY | NA | C CORP | Yes (true) |
| EAST POST ROAD PHYSICIAN SERVICES PC | |||||||||
| DAVIS AVENUE AT EAST POST ROAD | WHITE PLAINS | NY | 10601 | 830563325 | INACTIVE | NY | NA | C CORP | Yes (true) |
| DAVIS AVENUE MEDICAL SERVICES PC | |||||||||
| DAVIS AVENUE AT EAST POST ROAD | WHITE PLAINS | NY | 10601 | 830579310 | INACTIVE | NY | NA | C CORP | Yes (true) |
| WPH HOLDINGS INC | |||||||||
| DAVIS AVENUE AT EAST POST ROAD | WHITE PLAINS | NY | 10601 | 833893119 | HOLDING COMPANY | NY | NA | C CORP | Yes (true) |
| Innovator Acquisition Corp | |||||||||
| 111 East 210th Street | bronx | NY | 104672401 | 833394059 | Holding Company | NY | NA | C Corp | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (14 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MONTEFIORE HEALTH SYSTEM INC | ||
| S | $15,460,504 | COST |
| MONTEFIORE HEALTH SYSTEM INC | ||
| K | $435,864 | COST |
| Montefiore Health System Inc | ||
| M | $1,580,563 | COST |
| Montefiore Medical Center | ||
| Q | $144,444 | COST |
| Montefiore Medical Center | ||
| M | $8,185,292 | cost |
| Montefiore Medical Center | ||
| P | $815,914 | Cost |
| Montefiore New Rochelle Hospital | ||
| J | $1,456,625 | Cost |
| Montefiore New Rochelle Hospital | ||
| L | $350,245 | Cost |
| Montefiore Medicine Academic Health System | ||
| M | $679,896 | Cost |
| THE MONTEFIORE IPA INC | ||
| L | $2,188,276 | COST |
| Montefiore New Rochelle Hospital | ||
| M | $1,723,255 | cost |
| MONTEFIORE MEDICAL CENTER | ||
| S | $1,380,139 | COST |
| THE WINIFRED MASTERSON BURKE REHAB HOSPITAL | ||
| M | $100,115 | COST |
| Schaffer Extended Care Center | ||
| R | $2,246,000 | cost |
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