MONTEFIORE MEDICINE ACADEMIC HEALTH SELF INSURANCE TRIST: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: MONTEFIORE MEDICINE ACADEMIC HEALTH SELF INSURANCE TRIST (EIN 82-4019223)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-13
IRS object ID: 201923179349304362
Schema version: 2018v3.1
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
Form 990
Schedule A
Schedule D
Schedule F
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-13T12:11:45-06:00	ReturnTs
Tax Period End	2018-12-31	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	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	824019223	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM	BusinessNameLine1Txt
Business Name Line2	SELF INSURANCE TRUST	BusinessNameLine2Txt

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	111 EAST 210TH STREET	AddressLine1Txt
City	BRONX	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	104672401	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	9143498455	PhoneNum
Signature	2019-11-11	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	164.57.159.253	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	26308520193175000011	FederalOriginalSubmissionId
Federal Original Submission Id	2019-11-13	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	24558E047A149CE0743DDA4F89040DC2FD5B7974	AtSubmissionCreationDeviceId
At Submission Filing Device Id	047C777BBD395ADD529156C75D94AFF56594489C	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Initial Return	Yes (X)	InitialReturnInd
Principal Officer	COLLEEN M BLYE	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	$68,486,248	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.montefiorehealtsystem.org	WebsiteAddressTxt
Type Of Organization Trust	Yes (X)	TypeOfOrganizationTrustInd
Formation	2018	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	To provide for the discharge of liabilities of the settlements of claims against, and the reimbursement of losses suffered by the Grantor's controlled entities.	ActivityOrMissionDesc
Voting Members Governing Body	1	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$0	PYProgramServiceRevenueAmt
CY Program Service Revenue	$68,486,248	CYProgramServiceRevenueAmt
PY Investment Income	$0	PYInvestmentIncomeAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$0	PYTotalRevenueAmt
CY Total Revenue	$68,486,248	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$0	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$0	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$0	PYOtherExpensesAmt
CY Other Expenses	$66,996,706	CYOtherExpensesAmt
PY Total Expenses	$0	PYTotalExpensesAmt
CY Total Expenses	$66,996,706	CYTotalExpensesAmt
PY Revenues Less Expenses	$0	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,489,542	CYRevenuesLessExpensesAmt
Total Assets BOY	$0	TotalAssetsBOYAmt
Total Assets EOY	$71,983,582	TotalAssetsEOYAmt
Total Liabilities BOY	$0	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$70,588,216	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$0	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,395,366	NetAssetsOrFundBalancesEOYAmt
Mission	To provide for the discharge of liabilities of the settlement of claims against, and the reimbursement of losses suffered by, the Grantor and its controlled entities in connection with it charitable operations.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$66,996,706	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$68,486,248	RevenueAmt
Desc	Montefiore Medicine Academic Health System Self Insurance Trust is a Section 501(c)(3) supporting organization, organized and operated for the benefit of Montefiore Medicine Academic Health System (MMAHS) and its controlled entities, the supported organizations. Montefiore Medicine Academic Health System Self Insurance Trust was formed by MMAHS, a section 501(c)(3) parent of an integrated healthcare delivery system, comprised primarily of section 501(c)(3) hospital organizations. The trust was formed to satisfy the malpractice claims of MMAHS and its controlled entities and to protect MMAHS, it controlled entities and covered persons against loss and expense arising from medical malpractice liability. The sole purpose of the trust is to provide for the discharge of liabilities of the settlement of claims against, and the reimbursement of losses suffered by MMAHS and its controlled entities.	Desc
Total Program Service Expenses	$66,996,706	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	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
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	false	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	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	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	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	false	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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
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	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
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	1	GoverningBodyVotingMembersCnt
Independent Voting Member	0	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	false	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	false	MinutesOfGoverningBodyInd
Minutes Of Committees	false	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	false	ConflictOfInterestPolicyInd
Whistleblower Policy	false	WhistleblowerPolicyInd
Document Retention Policy	false	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 SOUTH BROADWAY BLDG A	AddressLine1Txt
City	Tarrytown	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	105916301	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp

Field	Value	IRS element (for citing)
Person	Comerica Bank Trust	PersonNm
Title	Sole corporate trustee	TitleTxt
Average Hours Per Week	0.5	AverageHoursPerWeekRt
Average Hours Per Week Rltd Org	0.0	AverageHoursPerWeekRltdOrgRt
Institutional Trustee	Yes (X)	InstitutionalTrusteeInd
Reportable Comp From Org	$4,500	ReportableCompFromOrgAmt
Reportable Comp From Rltd Org	$0	ReportableCompFromRltdOrgAmt
Other Compensation	$0	OtherCompensationAmt

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,500	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	false	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Total Contributions	$0	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	INSURANCE PREMIUMS	Desc
Business	524150	BusinessCd
Total Revenue Column	$68,486,248	TotalRevenueColumnAmt
Related Or Exempt Func Income	$68,486,248	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$68,486,248	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

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

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$68,486,248	TotalRevenueColumnAmt
Related Or Exempt Func Income	$68,486,248	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

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	$0	TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

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	$0	TotalAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

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	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
INSURANCE CLAIMS EXPENSE	$66,994,000	$66,994,000
MISCELLANEOUS EXPENSES	$2,706	$2,706

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$66,996,706	TotalAmt
Program Services	$66,996,706	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	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	$0	BOYAmt
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$7,622,753	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	$0	BOYAmt
EOY	$64,360,829	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$71,983,582	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$1,771	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	$0	BOYAmt
EOY	$1,934,393	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	$0	BOYAmt
EOY	$68,652,052	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$70,588,216	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$1,395,366	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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	$0	BOYAmt
EOY	$1,395,366	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$71,983,582	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$1,489,542	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$94,176	NetUnrlzdGainsLossesInvstAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	false	FSAuditedInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type2	Yes (X)	SupportingOrgType2Ind
IRS Written Determination	Yes (X)	IRSWrittenDeterminationInd
Supported Organizations	8	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (8 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
MONTEFIORE MEDICAL CENTER
131740114	3	Yes (true)	$0	$0
MONTEFIORE NEW ROCHELLE HOSPITAL
462931956	3	Yes (true)	$0	$0
MONTEFIORE MOUNT VERNON HOSPITAL
462916938	3	Yes (true)	$0	$0
SCHAFFER EXTENDED CARE CENTER
462929888	3	Yes (true)	$0	$0
MONTEFIORE NYACK HOSPITAL
131740119	3	Yes (true)	$0	$0
WHITE PLAINS HOSPITAL MEDICAL CENTER
131740130	3	Yes (true)	$0	$0
THE WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL
131739937	3	Yes (true)	$0	$0
MONTEFIORE ST LUKE'S HOSPITAL
141340054	3	Yes (true)	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	8	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	false	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	false	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Qualified	false	SupportedOrgQualifiedInd
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	Yes (true)	OrganizationChangeSuprtOrgInd
Supported Org Class Designated	Yes (true)	SupportedOrgClassDesignatedInd
Support Non Supported Org	false	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Field	Value	IRS element (for citing)
Majority Dir Trst Supported Org	false	MajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part IV, Section A., line 1

The organization's supported organizations are designated in the trust agreement as the Grantor's (Montefiore Medicine Academic Health System) supported organizations. These supported entities are all 501(C)(3) hospital organization that are affiliated with the Montefiore Health System. Part IV, Section A., Line 5A During, the tax year, the organization removed Montefiore North Ambulatory Care Center, Inc., EIN 01-0796859, as a supported organization. The entity was dissolved in 2017 and its activities merged into Montefiore Medical Center, another supported organization of the trust.

Part IV, Section C., Line 1

The trustee, Comerica Bank & Trust, the institutional trustee, is supervised and controlled in connection with the Grantor, Montefiore Medicine Academic Health System, an intermediary supporting organization, whose supported organizations are those supported organization of the trust. Currently, each of the Trustees and Officers of Montefiore Medicine Academic Health System, Inc. (MMAHS) serve as Directors, Trustees and / or Officers of one or more of the Trust supported organizations. Given the overlap among the individuals responsible for the governance of both MMAHS and the supported organizations, and the regular coordination and interaction among the boards and officers, the Trust will inherently have the information necessary to ensure that it is aware of and responsive to the needs of the supported organizations.

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
Equipment		EquipmentGrp
Other Land Buildings		OtherLandBuildingsGrp

Other Assets Org OtherAssetsOrgGrp

Field	Value	IRS element (for citing)
Desc	PREMIUMS RECEIVABLE	Desc
Book Value	$64,360,829	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$64,360,829	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
INSURANCE LOSSES & LAE LIABILITIES	$61,494,000
LONG TERM MALPRACTICE LIABILITIES	$5,500,000
UNEARNED PREMIUMS	$1,658,052

Field	Value	IRS element (for citing)
Total Liability	$68,652,052	TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Specific Services Provided	malpractice insurance	SpecificServicesProvidedTxt
Region Total Expenditures	$7,378,461	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$7,378,461	SubtotalSpentAmt
Total Spent	$7,378,461	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part VI, Section A., Line 7a	The grantor, Montefiore Medicine Academic Health System, Inc., has the right to replace the Trustee at any time upon (90) days prior notice, or upon shorter notice if acceptable to the Trustee. Upon the resignation or removal of the Trustee, the grantor has the authority to name a successor Trustee who shall become a signatory to and be bound by the terms and provision of the Trust agreement as it may be amended contemporaneously with the appointment of a successor Trustee.
Part VI, Section A., Line 7b	Montefiore Medicine Academic Health System, Inc. controls the Trust by virtue of its powers and status as the Trust's grantor.
Part VI, Section A., Lines 8a & 8b	The sole corporate trustee of the organization is Comerica Bank and Trust, a national banking association that acts at the direction of the Hospital System, Montefiore Medicine Academic Health System, Inc. for the purpose of holding funds and using them to satisfy malpractice claims against the hospital. Since the sole trustee is a national banking association, there are no regular scheduled Board meetings or documentation concerning the bank's regular business activities.
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 prior to filing of the return.
Part VI, Section B, Line 12a	The trust adheres to a conflict of interest policy that has been adopted and implemented by Montefiore Medical Center. Montefiore Medical Center regularly and consistently monitors and enforces compliance with the policy, ensuring that no persons who has a conflict of interest will have influence over the Trust.
Form 990, Part VI, Section C., Line 19	The financial statements and governing documents are made available upon request.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 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
MONTEFIORE MEDICINE ACADEMIC HEALTH SYST
555 SOUTH BROADWAY	TARRYTOWN	NY	10591	471582973	SYS PARENT	NY	501(C)(3)	12b TYPE II	NA	Yes (true)
MONTEFIORE HEALTH SYSTEM INC
555 SOUTH BROADWAY	TARRYTOWN	NY	10591	201615393	SUPPORT SERV	NY	501(C)(3)	12B TYPE II	MMAHS	Yes (true)
MONTEFIORE MEDICAL CENTER
111 EAST 210TH STREET	BRONX	NY	10467	131740114	ACD MED CTR	NY	501(C)(3)	3	MHS	Yes (true)
MMC CORPORATION
111 EAST 210TH STREET	BRONX	NY	10467	133430322	REAL ESTATE	NY	501(C)(3)	12A TYPE I	MMC	Yes (true)
MMC RESIDENTIAL CORP I INC
3411 WAYNE AVENUE	BRONX	NY	10467	911943271	STAFF HOUSING	NY	501(C)(2)		MMC	Yes (true)
MONTEFIORE HOSP HOUSING SECTION 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)
GUNHILL MRI PC
200 EAST GUNHILL ROAD	BRONX	NY	10467	133734486	DIAG SERVICES	NY	501(C)(3)	12A TYPE I	MMC	Yes (true)
MONTEFIORE NEW ROCHELLE HOSPITAL
16 GUION PLACE	NEW ROCHELLE	NY	10801	462931956	HOSPITAL	NY	501(C)(3)	3	MHS	Yes (true)
MONTEFIORE MOUNT VERNON HOSPITAL
12 NORTH SEVENTH AVENUE	MOUNT VERNON	NY	10550	462916938	HOSPITAL	NY	501(C)(3)	3	MHS	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 FOUNDATION INC
111 EAST 210TH STREET	BRONX	NY	10467	471600439	INACTIVE	NY	501(C)(3)	7	MHAHS	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 NYACK HOSPITAL
160 NORTH MIDLAND AVENUE	NYACK	NY	10960	131740119	HOSPITAL	NY	501(C)(3)	3	MHS	Yes (true)
WHITE PLAINS HOSPITAL MEDICAL CENTER
41 EAST POST ROAD DAVIS AVE	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 FOUNDATION
41 EAST POST ROAD DAVIS AVE	WHITE PLAINS	NY	10601	133281507	FUNDRAISING	NY	501(C)(3)	12a TYPE I	WPHMC	Yes (true)
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)
MONTEFIORE 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)
GOLDSMITH D AND MARY B JOHNES HOME
70 DUBOIS STREET	NEWBURGH	NY	12550	141364666	HOME FOR AGED	NY	501(C)(3)	10	SLCHS	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 (27 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
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 MEDIAL DIAGNOSTIC SERV PC
41 EAST POST ROAD	WHITE PLAINS	NY	10601	453164626	HEALTHCARE SERV	NY	NA	C CORP	Yes (true)
CANCER AND BLOOD MEDICAL SERVICES OF NY
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	INACTIVE	NY	NA	C CORP	Yes (true)
WHITE PLAINS MANAGEMENT CO INC
41 EAST POST ROAD	WHITE PLAINS	NY	10601	133331641	INACTIVE	NY	NA	C CORP	Yes (true)
WPHC BUILDING CORP
41 EAST POST ROAD	WHITE PLAINS	NY	10601	133676932	INACTIVE	NY	NA	C CORP	Yes (true)
UNIVERSITY BEHAVIORAL ASSOCIATES INC
111 EAST 210TH STREET	BRONX	NY	10467	133877781	MANAGEMENT SERV	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	INACTIVE	NY	NA	C CORP	Yes (true)
CHARITABLE REMAINDER TRUST (5)
					CHAR REMR TRUST	NY	NA	TRUST	Yes (true)
CRHT ACQUISITION INC
555 SOUTH BROADWAY	TARYTOWN	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	INACTIVE	NY	NA	C CORP	Yes (true)
EAST POST ROAD PHYSICIAN SERV 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 HOLDING COMPANY
DAVIS AVENUE AT EAST POST ROAD	WHITE PLAINS	NY	10601	833893119	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	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd