2020-11-11T14:09:47-06:00 2019-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2019-01-01 462929888 SCHAFFER EXTENDED CARE CENTER % EVAN RESNICK SCHA 9143498400 16 GUION PLACE NEW ROCHELLE NY 108015502 COLLEEN M BLYE EXEC V.P. & C.F.O. 9149207602 2020-10-29 true NICOLE M SOKOLOWSKI P01683199 2127733000 108.206.163.59 26308520203165000017 2020-11-11 P 24558E047A149CE0743DDA4F89040DC2FD5B7974 770194AAF055F9EA87E64CA02E08FE540289067F 2019 2021-01-29 14:40:06Z PHILIP O OZUAH MD PHD 111 EAST 210TH STREET Bronx NY 104672401 15049640 false X See Form 990, Schedule O X 2013 NY TO HEAL, TO TEACH, TO DISCOVER AND TO ADVANCE THE HEALTH OF THE COMMUNITIES WE SERVE. 42 41 192 10 0 0 1415 284467 15434732 14488869 109558 109943 69524 166361 15615229 15049640 0 0 0 0 12894416 12746998 0 0 0 8107357 8859436 21001773 21606434 -5386544 -6556794 13229760 11416806 35580289 16777947 -22350529 -5361141 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. false false 20557521 0 14488869 THE SCHAFFER EXTENDED CARE CENTER AT MONTEFIORE NEW ROCHELLE HOSPITAL IS part of Montefiore Health System, the University Hospital system for Albert Einstein College of Medicine. The Center operates A 150-BED COMPREHENSIVE SKILLED NURSING FACILITY OFFERING SHORT-TERM REHABILITATION/SUB-ACUTE CARE AND SKILLED LONG-TERM CARE providing A WIDE RANGE OF HEALTHCARE AND SOCIAL SERVICES FOR MEDICALLY FRAIL SENIORS AND THOSE WITH CHRONIC CONDITIONS OR DISABILITIES. Since our beginning, our REHABILITATION PROGRAM HAS BEEN HELPING cardIOPULMONARY, ORTHOPAEDIC, AND SURGERY PATIENTS to return to their HOMES AND FAMILIES AS QUICKLY AS POSSIBLE. Our SHORT-TERM PROGRAM SPECIALIZES IN CARDIOPULMONARY REHABILITATION, POST-SURGERY AND STROKE RECOVERY, AS WELL AS FRACTURE, FALL AND FRAIL PATIENT CARE. SCHAFFER EXTENDED CARE CENTER BEGAN OPERATIONS ON NOVEMBER 6, 2013 AT THE SITE OF THE FORMER HOWE AVENUE NURSING HOME IN NEW ROCHELLE, NEW YORK. SCHAFFER EXTENDED CARE CENTER PROVIDED 49,834 DAYS OF SKILLED NURSING AND RESIDENTIAL HEALTH CARE DURING CALENDAR YEAR 2019. 20557521 true false false true false false false false true false true false false true true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 8 0 true 192 true false false false false false false false false false false false false X 42 41 false false false false true true true true true false false true true true true true true false false false NY X EVAN RESNICK 9143498455 555 SO BROADWAY BLDG A FL 1 TARRYTOWN NY 105916301 Steven M Safyer MD Chief Executive Officer 2.0 58.0 X 0 8635569 8197338 PHILIP OZUAH MD PH President & CEO 2.0 58.0 X X 0 7058335 43570 LYNN RICHMOND Exec VP-CSO(Resigned 11/14/19) 2.0 58.0 X 0 3618743 40261 Colleen Blye Exec VP & CFO 2.0 58.0 X 0 1815150 710037 SUSAN GREEN-LORENZEN System SENIOR VP-OPERATIONS 2.0 58.0 X 0 2209892 44220 CHRISTOPHER S PANCZNE Assistant Secretary 2.0 58.0 X 0 1270367 26913 RAJ SAINI Registered Nurse 50.0 0.0 X 184536 0 24006 JOHN MASTRONARDI ADMINISTRATOR 50.0 0.0 X 160962 0 25958 Victoria Tan Ass't Nurse care Coordinator 50.0 0.0 X 146108 0 24006 Susamma Thomas Registered Nurse 50.0 0.0 X 142436 0 24006 George Stivala MD Medical Director 26.0 0.0 X 126061 0 15062 ODED ABOODI VICE CHAIRMAN & TREASURER 0.15 2.35 X 0 0 0 MARGARET HAYES ADAME TRUSTEE (passed 4/27/19) 0.1 1.65 X 0 0 0 PATRICIA BAUMAN TRUSTEE 0.1 1.15 X 0 0 0 JAMES M BUTLER CHAIRMAN 0.25 4.25 X 0 0 0 BRUCE DONIGER TRUSTEE 0.1 1.15 X 0 0 0 RUTH L GOTTESMAN ED TRUSTEE 0.1 2.15 X 0 0 0 BARRY W GRAY TRUSTEE 0.1 1.15 X 0 0 0 PATRICIA GREEN TRUSTEE 0.1 1.15 X 0 0 0 THOMAS L HARRISON TRUSTEE 0.1 1.15 X 0 0 0 JOHN HEFFER TRUSTEE 0.15 2.35 X 0 0 0 LEWIS HENKIND Trustee 0.1 2.15 X 0 0 0 HELEN A JOHNSON TRUSTEE 0.15 1.85 X 0 0 0 DAVID B KEIDAN TRUSTEE 0.1 1.15 X 0 0 0 ALAN M KLEIN TRUSTEE 0.2 3.3 X 0 0 0 STACEY R LANE TRUSTEE 0.15 2.35 X 0 0 0 JAY B LANGNER TRUSTEE/CHAIRMAN EMERITUS 0.1 1.15 X 0 0 0 MARGARET S NATHAN TRUSTEE 0.1 1.15 X 0 0 0 GAYLE F ROBINSON TRUSTEE 0.1 1.15 X 0 0 0 JON W ROTENSTREICH TRUSTEE 0.1 1.15 X 0 0 0 HON FELICIA K SHEA TRUSTEE 0.1 1.15 X 0 0 0 EDWIN H STERN III TRUSTEE 0.1 1.15 X 0 0 0 DAVID A TANNER TRUSTEE 0.1 1.4 X 0 0 0 CYNTHIA KING VANCE TRUSTEE 0.15 2.35 X 0 0 0 JENNIE EMIL TRUSTEE 0.1 1.15 X 0 0 0 JONATHAN A LIPTON TRUSTEE 0.1 1.4 X 0 0 0 ZITA G ROSENTHAL TRUSTEE 0.1 1.15 X 0 0 0 NATHAN GANTCHER TRUSTEE 0.1 2.4 X 0 0 0 CATHERINE KLEMA TRUSTEE 0.15 2.35 X 0 0 0 MELISSA CERIALE TRUSTEE 0.15 2.35 X 0 0 0 BARRY S BLATTMAN TRUSTEE 0.15 2.35 X 0 0 0 MATTHEW H NORD TRUSTEE 0.1 1.4 X 0 0 0 MICHAEL A STOCKER M TRUSTEE 0.15 3.35 X 0 0 0 ROGER EINIGER TRUSTEE 0.1 2.4 X 0 0 0 JAY B ABRAMSON TRUSTEE 0.15 2.35 X 0 0 0 Emanuel Chirico Trustee 0.15 1.85 X 0 0 0 Joel Braun Trustee 0.1 1.15 X 0 0 0 W Norman Milner Trustee 0.1 1.15 X 0 0 0 Alisa R Doctoroff Trustee 0.1 1.4 X 0 0 0 John P Gutfreund Trustee 0.1 1.15 X 0 0 0 Ronald L Moelis Trustee 0.1 1.15 X 0 0 0 Alan N Suna Trustee 0.1 1.15 X 0 0 0 Daniel R Tishman Trustee 0.1 3.15 X 0 0 0 760103 24608056 9175377 18 false true false Servco Industries Inc 1315 Blondell Avenue BRONX NY 10461 cleaning services 417500 Securitas Security Services USA In PO Box 403412 ATLANTA GA 30384 Security services 227963 Mario Bulfamante Sons Landscaping 75 Portman Road NEW ROCHELLE NY 10801 Landscaping services 170920 3 281398 3069 284467 RESIDENTIAL NURSING CARE 623110 14443748 14443748 0 0 INTECOMPANY SHARED SERVICES 561439 45121 45121 0 0 14488869 109943 0 0 109943 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CONTRACTUAL MEDICAL PERSONNEL 621990 159846 0 0 159846 MISCELLANEOUS INCOME 900099 6515 0 0 6515 166361 15049640 14488869 0 276304 0 0 0 0 0 0 9147716 8895411 252305 0 840985 822415 18570 0 2080836 2034889 45947 0 677461 662502 14959 0 8564 8564 0 0 21704 950 20754 0 0 0 0 0 594216 543733 50483 0 0 784751 761776 22975 0 81787 65457 16330 0 0 1473839 1473839 0 0 1815 1685 130 0 0 4780 4780 0 0 321670 321670 0 0 0 317163 271920 45243 0 337361 327390 9971 0 INTERCOMPANY SHARED SERVICES 3494914 3090890 404024 0 MEDICAL SUPPLIES 1007894 1007894 0 0 MEMBERSHIP DUES 291224 224275 66949 0 BILLING & COLLECTION 80013 0 80013 0 37741 37481 260 21606434 20557521 1048913 0 350 350 281636 394736 0 0 5529593 3758447 0 0 0 0 2281308 2281308 0 0 140559 126068 4952343 1615490 3375747 3336853 0 0 0 0 0 0 0 0 1620567 1519044 13229760 11416806 2289194 2505996 0 0 0 0 0 0 65567 16044 0 0 0 0 0 0 33225528 14255907 35580289 16777947 X -22350529 -5361141 0 0 -22350529 -5361141 13229760 11416806 X -6556794 23546182 X false true X true false X false false false false false false false false true 9510 9510 Schedule C, Part II-B, Line 1I THE Other Activities INCLUDEs indirect lobbying cost for MEMBERSHIP DUES paid TO LEADING AGE NEW YORK and 1199/SEIU - GNYHA Health Education Project THAT were USED FOR LOBBYING EFFORTS. false true X 3860585 916908 2943677 1091758 698582 393176 3336853 TENANT TRUST ACCOUNTS 16044 EST INSURANCE CLAIMS RECEIV 1503000 1519044 0 DUE TO RELATED PARTIES 6903193 NOTES PAYABLE TO PARENT 5822941 EST INSURANCE CLAIMS LIABILITIES 1503000 PENSION & POSTRETIREMENT LIAB. 26773 14255907 Schedule D, Part IV, Line 2B Schaffer Extended Care Center holds patient resource funds in a custodial account to be used by these residents for discretionary spending. true true false false false false false false false PHILIP OZUAH MD PHD President & CEO 0 2192717 0 3287300 0 1578318 0 17000 0 26570 0 7101905 0 0 CHRISTOPHER S PANCZNER Assistant Secretary 0 903133 0 321200 0 46034 0 17000 0 9913 0 1297280 0 0 SUSAN GREEN-LORENZEN RN System SENIOR VP-OPERATIONS 0 1091431 0 397700 0 720761 0 17000 0 27220 0 2254112 0 0 LYNN RICHMOND Exec VP-CSO(Resigned 11/14/19) 0 1028990 0 529100 0 2060653 0 16346 0 23915 0 3659004 0 1918556 RAJ SAINI Registered Nurse 184536 0 0 0 0 0 0 0 24006 0 208542 0 0 0 Colleen Blye Exec VP & CFO 0 1154118 0 660000 0 1032 0 698856 0 11181 0 2525187 0 0 Steven M Safyer MD Chief Executive Officer 0 2019153 0 2082300 0 4534116 0 8170157 0 27181 0 16832907 0 0 JOHN MASTRONARDI ADMINISTRATOR 160083 0 0 0 879 0 6389 0 19569 0 186920 0 0 0 Victoria Tan Ass't Nurse care Coordinator 146108 0 0 0 0 0 0 0 24006 0 170114 0 0 0 Susamma Thomas Registered Nurse 142436 0 0 0 0 0 0 0 24006 0 166442 0 0 0 PART I, LINE 4a 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. for all officers and key employees: 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, M.D., 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, Schaffer Extended Care Center. 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. FORM 990, PART VI, SECTION A, LINE 6: MONTEFIORE HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF SCHAFFER EXTENDED CARE CENTER. FORM 990, PART VI, SECTION A, LINE 7A: THE BOARD OF TRUSTEES OF MONTEFIORE HEALTH SYSTEM, INC., THE SOLE MEMBER OF SCHAFFER EXTENDED CARE CENTER, HAS THE AUTHORITY TO APPOINT THE BOARD OF TRUSTEES OF SCHAFFER EXTENDED CARE CENTER. FORM 990, PART VI, SECTION A, LINE 7B: THE BOARD OF TRUSTEES OF MONTEFIORE HEALTH SYSTEM, INC., THE SOLE MEMBER OF SCHAFFER EXTENDED CARE CENTER, HAS THE AUTHORITY TO APPROVE THE OPERATING AND CAPITAL BUDGETS OF SCHAFFER EXTENDED CARE CENTER. FORM 990, PART VI, SECTION B, LINE 11B: THE FORM 990 WAS PREPARED BY MONTEFIORE'S FINANCE DEPARTMENT WITH THE ASSISTANCE OF VARIOUS DEPARTMENTS. THE FORM 990 WAS REVIEWED AND APPROVED BY THE VICE PRESIDENT-FINANCE, AND MONTEFIORE'S SENIOR LEADERSHIP TEAM INCLUDING THE CHIEF FINANCIAL OFFICER. IN ADDITION, AN INDEPENDENT ACCOUNTING FIRM WAS ENGAGED TO REVIEW THE FORM 990. 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 filing. 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 or Montefiore Health System, Inc., the parent organization of Montefiore Health System, Inc. and Schaffer Extended Care Center, respectively. Montefiore 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 judgment 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 UPON REQUEST. Form 990, Part XI, Line 9 The other increase in net assets of $23,546,182 was mainly due to a $23,556,000 extinguishment of debt by affiliates, partially offset, by defined pension and postretirement plans to be recognized in future periods ($9,818). FORM 990, PAGE 1, BOX J WEBSITE: HTTP://WWW.MONTEFIOREHEALTHSYSTEM.ORG/SCHAFFER FROM 990, SCHEDULE H AN EXTENDED CARE CENTER IS NOT A HOSPITAL AS DEFINED BY THE STATE OF NEW YORK, THEREFORE SCHEDULE H IS NOT APPLICABLE FOR THE ORGANIZATION. MMC Corporation 111 East 210th Street Bronx NY 10467 133430322 Real Estate NY 501(C)(3) 12A TYPE I MMC true MMC Residential Corp I Inc 3411 Wayne Avenue Bronx NY 10467 911943271 Staff Housing NY 501(C)(2) MMC true Montefiore Hosp Housing Sect II Inc 3450 Wayne Avenue Bronx NY 10467 237160641 Staff Housing NY 501(C)(2) MMC true Mosholu Preservation Corporation 3400 Reservoir Oval East Bronx NY 10467 133109387 Community Ser NY 501(C)(3) 12A TYPE I MMC true Gun Hill MRI PC 200 EAST GUNHILL ROAD BRONX NY 10467 133734486 DIAG SERVICES NY 501(C)(3) 12A TYPE I MMC 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 true Montefiore New Rochelle Hospital 16 GUION PLACE NEW ROCHELLE NY 10801 462931956 HOSPITAL NY 501(C)(3) 3 MHS true Montefiore Mount Vernon Hospital 12 NORTH SEVENTH AVENUE MOUNT VERNON NY 10550 462916938 HOSPITAL NY 501(C)(3) 3 MHS true Montefiore Medical Center 111 East 210th Street BRONX NY 10467 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SERV PC DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS NY 10601 830563325 INACTIVE NY NA C CORP true DAVIS AVENUE MEDICAL SERVICES PC DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS NY 10601 830579310 INACTIVE NY NA C CORP true WPH HOLDINGS INC DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS NY 10601 833893119 HOLDING COMPANY NY NA C CORP true Innovator Acqusition Corp 111 East 210th Street Bronx NY 104672401 833394059 Holding Company NY NA C Corp true true false false false false false false false false false true true true false true true false false true MONTEFIORE HEALTH SYSTEM INC K 503598 COST MONTEFIORE HEALTH SYSTEM INC M 142083 COST MONTEFIORE MEDICAL CENTER M 515388 COST MONTEFIORE NEW ROCHELLE HOSPITAL M 2981879 COST MONTEFIORE MEDICAL CENTER L 1541688 COST MONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM M 164340 COST THE MONTEFIORE IPA INC L 328489 COST MONTEFIORE NEW ROCHELLE HOSPITAL A 109500 cost THE WINIFRED MASTERSON BURKE REHAB HOSPITAL M 150571 cost MONTEFIORE HEALTH SYSTEM INC S 4584000 cost MONTEFIORE MEDICAL CENTER S 2619000 COST MONTEFIORE NEW ROCHELLE HOSPITAL S 15724000 COST MONTEFIORE MOUNT VERNON HOSPITAL S 2246000 COST