SCHAFFER EXTENDED CARE CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
SCHAFFER EXTENDED CARE CENTER (EIN 46-2929888)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-13
IRS object ID
201933179349300018
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-11-13T06:04:09-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15 TIMES SQUAREAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10036ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN462929888EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SCHAFFER EXTENDED CARE CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% EVAN RESNICKInCareOfNm
Business Name ControlSCHABusinessNameControlTxt
Phone9143498400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line116 GUION PLACEAddressLine1Txt
CityNEW ROCHELLECityNm
State AbbreviationNYStateAbbreviationCd
ZIP108015502ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCOLLEEN M BLYEPersonNm
Person TitleEXEC V.P. & C.F.O.PersonTitleTxt
Phone9149207602PhoneNum
Signature2019-11-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNICOLE M SOKOLOWSKIPreparerPersonNm
PTINP01683199PTIN
Phone2127733000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address173.56.229.42IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id26308520193175000009FederalOriginalSubmissionId
Federal Original Submission Id2019-11-13FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id24558E047A149CE0743DDA4F89040DC2FD5B7974AtSubmissionCreationDeviceId
At Submission Filing Device Id047C777BBD395ADD529156C75D94AFF56594489CAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-04-17 16:48:07ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEVEN SAFYER MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1111 EAST 210TH STREETAddressLine1Txt
CityBronxCityNm
State AbbreviationNYStateAbbreviationCd
ZIP104672401ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,615,229GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressSee Form 990, Schedule OWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2013FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO HEAL, TO TEACH, TO DISCOVER AND TO ADVANCE THE HEALTH OF THE COMMUNITIES WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body43VotingMembersGoverningBodyCnt
Voting Members Independent42VotingMembersIndependentCnt
Total Employee189TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$223,657PYContributionsGrantsAmt
CY Contributions Grants$1,415CYContributionsGrantsAmt
PY Program Service Revenue$16,984,910PYProgramServiceRevenueAmt
CY Program Service Revenue$15,434,732CYProgramServiceRevenueAmt
PY Investment Income$100,227PYInvestmentIncomeAmt
CY Investment Income$109,558CYInvestmentIncomeAmt
PY Other Revenue$54,865PYOtherRevenueAmt
CY Other Revenue$69,524CYOtherRevenueAmt
PY Total Revenue$17,363,659PYTotalRevenueAmt
CY Total Revenue$15,615,229CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$14,004,793PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$12,894,416CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,490,050PYOtherExpensesAmt
CY Other Expenses$8,107,357CYOtherExpensesAmt
PY Total Expenses$22,494,843PYTotalExpensesAmt
CY Total Expenses$21,001,773CYTotalExpensesAmt
PY Revenues Less Expenses-$5,131,184PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$5,386,544CYRevenuesLessExpensesAmt
Total Assets BOY$13,945,187TotalAssetsBOYAmt
Total Assets EOY$13,229,760TotalAssetsEOYAmt
Total Liabilities BOY$30,896,861TotalLiabilitiesBOYAmt
Total Liabilities EOY$35,580,289TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$16,951,674NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$22,350,529NetAssetsOrFundBalancesEOYAmt
MissionMISSION: 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$19,449,046ExpenseAmt
Grant$0GrantAmt
Revenue$15,434,732RevenueAmt
DescTHE 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. The center also operated an adult day service program for non-residents that was discontinued in early 2018. 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 51,519 DAYS OF SKILLED NURSING AND RESIDENTIAL HEALTH CARE DURING CALENDAR YEAR 2018 as well as 376 ADULT DAY CARE PROGRAM VISITS for non-residents of the Center.Desc
Total Program Service Expenses$19,449,046TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingYes (true)CreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee189EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members43GoverningBodyVotingMembersCnt
Independent Voting Member42IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonEVAN RESNICKPersonNm
Phone9143498455PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 SO BROADWAY BLDG A FL 1AddressLine1Txt
CityTARRYTOWNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP105916301ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (57 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ODED ABOODI
VICE CHAIRMAN & TREASURER0.152.35Yes (X)$0$0$0
MARGARET HAYES ADAME
TRUSTEE0.11.65Yes (X)$0$0$0
GEORGE ASCH
TRUSTEE (Term ended 6/19/18)0.11.15Yes (X)$0$0$0
PATRICIA BAUMAN
TRUSTEE0.11.15Yes (X)$0$0$0
JAMES M BUTLER
CHAIRMAN0.254.25Yes (X)$0$0$0
BRUCE DONIGER
TRUSTEE0.11.15Yes (X)$0$0$0
RUTH L GOTTESMAN EDD
TRUSTEE0.11.65Yes (X)$0$0$0
BARRY W GRAY
TRUSTEE0.11.15Yes (X)$0$0$0
PATRICIA GREEN
TRUSTEE0.11.15Yes (X)$0$0$0
THOMAS L HARRISON
TRUSTEE0.11.15Yes (X)$0$0$0
JOHN HEFFER
TRUSTEE0.152.35Yes (X)$0$0$0
LEWIS HENKIND
SECRETARY0.152.85Yes (X)$0$0$0
HELEN A JOHNSON
TRUSTEE0.151.85Yes (X)$0$0$0
DAVID B KEIDAN
TRUSTEE0.11.15Yes (X)$0$0$0
ALAN M KLEIN
TRUSTEE0.23.3Yes (X)$0$0$0
STACEY R LANE
TRUSTEE0.152.35Yes (X)$0$0$0
JAY B LANGNER
TRUSTEE/CHAIRMAN EMERITUS0.11.15Yes (X)$0$0$0
MARGARET S NATHAN
TRUSTEE0.11.15Yes (X)$0$0$0
PETER J NEUFELD
TRUSTEE (term ended 6/19/18)0.11.15Yes (X)$0$0$0
GAYLE F ROBINSON
TRUSTEE0.11.15Yes (X)$0$0$0
JON W ROTENSTREICH
TRUSTEE0.11.15Yes (X)$0$0$0
HON FELICIA K SHEA
TRUSTEE0.11.15Yes (X)$0$0$0
EDWIN H STERN III
TRUSTEE0.11.15Yes (X)$0$0$0
DAVID A TANNER
TRUSTEE0.11.9Yes (X)$0$0$0
CYNTHIA KING VANCE
TRUSTEE0.152.35Yes (X)$0$0$0
JENNIE EMIL
TRUSTEE0.11.15Yes (X)$0$0$0
JONATHAN A LIPTON
TRUSTEE0.152.35Yes (X)$0$0$0
ZITA G ROSENTHAL
TRUSTEE0.11.15Yes (X)$0$0$0
NATHAN GANTCHER
TRUSTEE0.12.4Yes (X)$0$0$0
CATHERINE KLEMA
TRUSTEE0.152.35Yes (X)$0$0$0
MELISSA CERIALE
TRUSTEE0.152.35Yes (X)$0$0$0
BARRY S BLATTMAN
TRUSTEE0.152.35Yes (X)$0$0$0
MARK E BROSSMAN
TRUSTEE (Term ended 6/19/18)0.11.15Yes (X)$0$0$0
MATTHEW H NORD
TRUSTEE0.11.4Yes (X)$0$0$0
MICHAEL A STOCKER MD
TRUSTEE0.152.85Yes (X)$0$0$0
ROGER EINIGER
TRUSTEE0.12.4Yes (X)$0$0$0
JAY B ABRAMSON
TRUSTEE0.152.35Yes (X)$0$0$0
Emanuel Chirico
Trustee0.11.15Yes (X)$0$0$0
Joel Braun
Trustee0.11.15Yes (X)$0$0$0
W Norman Milner
Trustee0.11.15Yes (X)$0$0$0
Steven M Safyer MD
Chief Executive Officer2.058.0Yes (X)$0$7,985,351$45,244Yes (X)
Alisa R Doctoroff
Trustee0.11.9Yes (X)$0$0$0
John P Gutfreund
Trustee0.11.15Yes (X)$0$0$0
Ronald L Moelis
Trustee0.11.15Yes (X)$0$0$0
Alan N Suna
Trustee (effective 11/1/18)0.11.15Yes (X)$0$0$0
Daniel R Tishman
Trustee (Effective 5/15/18)0.13.15Yes (X)$0$0$0
PHILIP OZUAH MD PHD
President2.058.0$0$13,316,550$45,068Yes (X)
CHRISTOPHER S PANCZNER
Assistant Secretary2.058.0$0$1,284,291$627,752Yes (X)
Colleen Blye
Exec VP & CFO2.058.0$0$1,773,397$535,728Yes (X)
SUSAN GREEN-LORENZEN RN
System SENIOR VP-OPERATIONS2.058.0$0$1,813,543$42,968Yes (X)
LYNN RICHMOND
Exec VP-Chief Strategy Officer2.058.0$0$1,700,958$335,589Yes (X)
RAJ SAINI
Registered Nurse50.00.0$176,208$0$23,121Yes (X)
LOVELYAMMA VARGHESE
DIRECTOR OF NURSING50.00.0$165,744$0$6,321Yes (X)
JOHN MASTRONARDI
ADMINISTRATOR50.00.0$158,747$0$24,877Yes (X)
Victoria Tan
Ass't Nurse care Coordinator50.00.0$140,817$0$23,121Yes (X)
Susamma Thomas
Registered Nurse50.00.0$140,749$0$23,121Yes (X)
JOEL A PERLMAN
Former officer0.00.0$0$252,113$45,068Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$782,265TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$28,126,203TotReportableCompRltdOrgAmt
Total Other Compensation$1,777,978TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K23IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Century Protective Services Inc
150 Grand Street 4th floorWHITE PLAINSNY10601Security Services$264,347
Mario Bulfamante Sons Landscaping
75 Portman RoadNEW ROCHELLENY10801landscaping Services$142,907
Winston Support Services LLC
122 East 42nd StreetNEW YORKNY10168Temporary Personnel$134,852
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$1,415AllOtherContributionsAmt
Total Contributions$1,415TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
RESIDENTIAL NURSING CARE623110$15,390,078$15,390,078$0$0
OUTPATIENT ADULT DAY CARE624120$44,654$44,654$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$15,434,732TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$109,558TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$109,558ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
OTHER MEDICAL SERVICES REVENUE621999$50,004$0$0$50,004
MISCELLANEOUS INCOME900099$19,520$0$0$19,520
FieldValueIRS element (for citing)
Other Revenue Total$69,524OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,615,229TotalRevenueColumnAmt
Related Or Exempt Func Income$15,434,732RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$179,082ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,412,385TotalAmt
Program Services$8,889,293ProgramServicesAmt
Management And General$523,092ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$813,586TotalAmt
Program Services$775,086ProgramServicesAmt
Management And General$38,500ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,930,712TotalAmt
Program Services$1,839,348ProgramServicesAmt
Management And General$91,364ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$737,733TotalAmt
Program Services$702,823ProgramServicesAmt
Management And General$34,910ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$27,352TotalAmt
Program Services$0ProgramServicesAmt
Management And General$27,352ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$818,954TotalAmt
Program Services$630,006ProgramServicesAmt
Management And General$188,948ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,162,833TotalAmt
Program Services$776,741ProgramServicesAmt
Management And General$386,092ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$114,349TotalAmt
Program Services$86,029ProgramServicesAmt
Management And General$28,320ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,044,167TotalAmt
Program Services$1,044,167ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,004TotalAmt
Program Services$4,604ProgramServicesAmt
Management And General$400ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,021TotalAmt
Program Services$2,021ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$409,417TotalAmt
Program Services$409,417ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$341,848TotalAmt
Program Services$254,672ProgramServicesAmt
Management And General$87,176ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$276,199TotalAmt
Program Services$266,405ProgramServicesAmt
Management And General$9,794ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
INTERCOMPANY FOOD SERVICE$2,405,088$2,405,088$0$0
MEDICAL SUPPLIES$1,144,391$1,144,391$0$0
MEMBERSHIP DUES$198,599$163,932$34,667$0
BILLING & COLLECTION$101,328$0$101,328$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$55,807TotalAmt
Program Services$55,023ProgramServicesAmt
Management And General$784ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$21,001,773TotalAmt
Program Services$19,449,046ProgramServicesAmt
Management And General$1,552,727ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$350BOYAmt
EOY$350EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$479,502BOYAmt
EOY$281,636EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,318,108BOYAmt
EOY$5,529,593EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$2,281,308BOYAmt
EOY$2,281,308EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$106,088BOYAmt
EOY$140,559EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,674,075LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,298,328LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,514,898BOYAmt
EOY$3,375,747EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,244,933BOYAmt
EOY$1,620,567EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$13,945,187BOYAmt
EOY$13,229,760EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,005,711BOYAmt
EOY$2,289,194EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$76,933BOYAmt
EOY$65,567EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$27,814,217BOYAmt
EOY$33,225,528EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$30,896,861BOYAmt
EOY$35,580,289EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$16,951,674BOYAmt
EOY-$22,350,529EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$16,951,674BOYAmt
EOY-$22,350,529EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,945,187BOYAmt
EOY$13,229,760EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$5,386,544ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$12,311OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$30,657OtherActivitiesAmt
Total Lobbying Expenditures$30,657TotalLobbyingExpendituresAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1IFormAndLineReferenceDesc
ExplanationTHE Other Activities INCLUDEs indirect lobbying cost for MEMBERSHIP DUES PAID TO THE CONTINUING CARE LEADERSHIP COALITION, LEADING AGE NEW YORK and 1199/SEIU - GNYHA Health Education Project THAT were USED FOR LOBBYING EFFORTS.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
Agent Trustee EtcfalseAgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (true)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,673,178OtherCostOrOtherBasisAmt
Depreciation$665,782DepreciationAmt
Book Value$3,007,396BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,000,897OtherCostOrOtherBasisAmt
Depreciation$632,546DepreciationAmt
Book Value$368,351BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$3,375,747TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
TENANT TRUST ACCOUNTS$65,567
EST INSURANCE CLAIMS RECEIV$1,555,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,620,567TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DUE TO RELATED PARTIES$23,835,276
NOTES PAYABLE TO PARENT$7,822,941
EST INSURANCE CLAIMS LIABILITIES$1,555,000
PENSION & POSTRETIREMENT LIAB.$12,311
FieldValueIRS element (for citing)
Total Liability$33,225,528TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part IV, Line 2BFormAndLineReferenceDesc
ExplanationSchaffer Extended Care Center holds patient resource funds in a custodial account to be used by these residents for discretionary spending.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PHILIP OZUAH MD PHD
President$0$2,809,306$0$1,588,300$0$8,918,944$0$17,000$0$28,068$0$13,361,618$0$5,573,098
CHRISTOPHER S PANCZNER
Assistant Secretary$0$856,837$0$405,900$0$21,554$0$621,174$0$6,578$0$1,912,043$0$0
JOEL A PERLMAN
Former officer$0$0$0$0$0$252,113$0$17,000$0$28,068$0$297,181$0$0
SUSAN GREEN-LORENZEN RN
System SENIOR VP-OPERATIONS$0$1,051,346$0$470,100$0$292,097$0$17,000$0$25,968$0$1,856,511$0$0
LYNN RICHMOND
Exec VP-Chief Strategy Officer$0$1,049,204$0$630,200$0$21,554$0$308,475$0$27,114$0$2,036,547$0$0
RAJ SAINI
Registered Nurse$176,208$0$0$0$0$0$0$0$23,121$0$199,329$0$0$0
Colleen Blye
Exec VP & CFO$0$1,113,565$0$658,800$0$1,032$0$509,118$0$26,610$0$2,309,125$0$0
Steven M Safyer MD
Chief Executive Officer$0$2,077,600$0$2,455,500$0$3,452,251$0$17,000$0$28,244$0$8,030,595$0$0
LOVELYAMMA VARGHESE
DIRECTOR OF NURSING$165,465$0$0$0$279$0$5,769$0$552$0$172,065$0$0$0
JOHN MASTRONARDI
ADMINISTRATOR$157,868$0$0$0$879$0$6,326$0$18,551$0$183,624$0$0$0
Victoria Tan
Ass't Nurse care Coordinator$140,817$0$0$0$0$0$0$0$23,121$0$163,938$0$0$0
Susamma Thomas
Registered Nurse$140,749$0$0$0$0$0$0$0$23,121$0$163,870$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4aFormAndLineReferenceDesc
ExplanationJoel Perlman, a former officer, was paid severance by a related organization in the amount of $247,169. PART I, LINES 3, 4B & PART II - COLUMNS (B)(I), (II) AND (III) As it relates to Compensation from Montefiore Medicine Academic Health Sytem, 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 sancions rules 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. - $3,444,107 Susan Green-Lorenzen, R.N. - $270,063 Philip O. Ozuah, M.D., PH.D - $8,741,113 Supplemental Executive Retirement Plan accrued and unpaid service costs: Christopher Panczner - $604,174 Lynn Richmond - $291,475 Colleen Blye - $492,118 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.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4:THE ORGANIZATION's BYLAWS WAS AMENDED MARCH 2018 FOR A CHANGE IN THE DUTIES OF THE CHIEF EXECUTIVE OFFICER FROM A CORPORATE TO A BOARD OFFICER POSITION. 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 9The other decrease in net assets of $12,311 was due to the change in net assets related to defined benefit pension and postretirement plans to be recognized in future periods.
FORM 990, PAGE 1, BOX J WEBSITE:HTTP://WWW.MONTEFIOREHEALTHSYSTEM.ORG/SCHAFFER
FROM 990, SCHEDULE HAN EXTENDED CARE CENTER IS NOT A HOSPITAL AS DEFINED BY THE STATE OF NEW YORK, THEREFORE SCHEDULE H IS NOT APPLICABLE FOR THE ORGANIZATION.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
MMC Corporation
111 East 210th StreetBronxNY10467133430322Real EstateNY501(C)(3)12A TYPE IMMCYes (true)
MMC Residential Corp I Inc
3411 Wayne AvenueBronxNY10467911943271Staff HousingNY501(C)(2)MMCYes (true)
Montefiore Hospital Housing Sect IIInc
3450 Wayne AvenueBronxNY10467237160641Staff HousingNY501(C)(2)MMCYes (true)
Mosholu Preservation Corporation
3400 Reservoir Oval EastBronxNY10467133109387Community SerNY501(C)(3)12A TYPE IMMCYes (true)
Gun Hill MRI PC
200 EAST GUNHILL ROADBRONXNY10467133734486DIAG SERVICESNY501(C)(3)12A TYPE IMMCYes (true)
Montefiore Health Systems INC
555 South Broadway BLDG A FL 1TarrytownNY10591201615393PARENTNY501(C)(3)12B Type IIMMAHSYes (true)
Montefiore New Rochelle Hospital
16 GUION PLACENEW ROCHELLENY10801462931956HOSPITALNY501(C)(3)3MHSYes (true)
Montefiore Mount Vernon Hospital
12 NORTH SEVENTH AVENUEMOUNT VERNONNY10550462916938HOSPITALNY501(C)(3)3MHSYes (true)
Montefiore Medical Center
111 East 210th StreetBRONXNY10467131740114ACAD MED CTRNY501(C)(3)3MHSYes (true)
Albert Einstein College of Medicine Inc
1300 Morris Park AvenueBronxNY10461472209056MED COLLEGENY501(c)(3)2MMAHSYes (true)
Montefiore Medicine ACADEMIC HEALTH SYST
555 South Broadway BLDG A FL 1TarrytownNY10591471582973SYS PARENTNY501(c)(3)12B Type IINAYes (true)
Montefiore Nyack Hospital
160 North Midland AvenueNyackNY10960131740119HospitalNY501(C)(3)3MHSYes (true)
MONTEFIORE FOUNDATION INC
111 EAST 210TH STREETBRONXNY10467471600439INACTIVENY501(C)(3)7MMAHSYes (true)
White Plains Hospital Medical Center
41 East Post RoadWhite PlainsNY10601131740130HOSPITALNY501(C)(3)3MHSYes (true)
AECOM Student Housing Co Inc
1300 Morris Park AvenueBronxNY10461237075620Student HousNY501(C)(2)AecomYes (true)
Montefiore CERC Operations Inc
111 East 210th StreetBronxNY10467474853506REHAB CENTERNY501(c)(3)3MMCYes (true)
White Plains Hospital Ctr FoundationInc
41 East Post Rd Davis AveWhite PlainsNY10601133281507FundraisingNY501(C)(3)12A Type IWPHMCYes (true)
Nyack Hospital Foundation
160 North Midland AvenueNyackNY10960133245804FundraisingNY501(C)(3)7NYACK HOSPYes (true)
The Winifred Masterson Burke Rehab Hosp
785 Mamaroneck AvenueWhite PlainsNY10605131739937Rehab HospNY501(c)(3)3MHSYes (true)
St Luke's Cornwall Hospital
70 Dubois StreetNewburghNY12550141340054hospitalNY501(c)(3)3MHSYes (true)
Hudson Vista Medical PC
70 Dubois StreetNewburghNY12550452526738HealthcareNY501(C)(3)12A Type ISLCHYes (true)
Hudson Vista Physician Services PC
70 Dubois StreetNewburghNY12550272020746HealthcareNY501(c)(3)12A Type ISLCHYes (true)
St Luke's Cornwall Health System Inc
70 Dubois StreetNewburghNY12550223026261Holding CompNY501(c)(3)12A Type IMHSYes (true)
St Luke's Cornwall Health Sys Foundation
70 Dubois StreetNewburghNY12550223026263FundraisingNY501(c)(3)7SLCHSYes (true)
Amos And Sarah Holden Home
70 Dubois StreetNewburghNY12550141365995Asst LivingNY501(c)(3)PFSLCHSYes (true)
Goldsmith D and Mary B Johnes Home
70 Dubois StreetNewburghNY12550141364666Home for AgedNY501(c)(3)10SLCHSYes (true)
MONTEFIORE MED ACAD HLTH SYS SELF INS TR
555 SOUTH BROADWAYTARRYTOWNNY105916301824019223INS TRUSTNY501(C)(3)12A TYPE IMMAHSYes (true)
ALBERT EINSTEIN COLLEGE OF MEDICINE
1300 MORRIS PARK AVENUEBRONXNY104611975830621846MED COLLEGENY501(C)(3)2MMAHSYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (27 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
UNIVERSITY BEHAVIORAL ASSOCIATES INC
111 EAST 210TH STREETBRONXNY10467133877781MGMT SERVICESNYNAC CORPYes (true)
THE MONTEFIORE IPA INC
111 EAST 210TH STREETBRONXNY10467134114915Integ Provr ASSOCNYNAC CORPYes (true)
MMC GI HOLDINGS EAST INC
111 EAST 210TH STREETBRONXNY10467721610013HOLDING COMPANYNYNAC CORPYes (true)
MMC GI HOLDINGS WEST INC
111 EAST 210TH STREETBRONXNY10467721610015HOLDING COMPANYNYNAC CORPYes (true)
MONTEFIORE BEHAVIORAL CARE IPA NO 1INC
111 EAST 210TH STREETBRONXNY10467133952750INTEG PROVR ASSOCNYNAC CORPYes (true)
BRONX ACCOUNTABLE CARE NETWORK IPA INC
111 EAST 210TH STREETBRONXNY10467300689571Integ Provr AssocNYNAC CORPYes (true)
Montefiore Consolidated Ventures Inc
111 East 210th StreetBronxNY10467611728539Holding CompanyNYNAC CorpYes (true)
Montefiore Insurance Company Inc
111 East 210th StreetBronxNY10467320436594InactiveNYNAC CorpYes (true)
Hudson Valley IPA Inc
111 East 210th StreetBronxNY10467383978087Integ Provr AssocNYNAC CORPYes (true)
Montefiore Innovations Inc
111 East 210th StreetBronxNY10467475106910Holding CompanyNYNAC CORPYes (true)
Highland Medical PC
160 North MidlandNyackNY10960134034481Healthcare ServNYNAC CORPYes (true)
8 Longview Development Corp
Davis Avenue at East Post RoadWhite PlainsNY10601263321278HOUSINGNYNAC CORPYes (true)
White Plains Medical Diagnostic Svcs PC
41 East Post RoadWhite PlainsNY10601453164626Healthcare ServNYNAC CORPYes (true)
Cancer and Blood Medical Services of NY
41 Post RoadWhite PlainsNY10601462021804Healthcare ServNYNAC CORPYes (true)
Davis Avenue Corp
Davis Avenue at East Post RoadWhite PlainsNY10601133331643InactiveNYNAC CORPYes (true)
White Plains Management Co Inc
41 East Post RoadWhite PlainsNY10601133331641InactiveNYNAC CORPYes (true)
WPHC Building Corp
41 East Post RoadWhite PlainsNY10601133676932InactiveNYNAC CORPYes (true)
White Plains Medical Services
Davis Avenue at East Post RoadWhite PlainsNY10601815369152Healthcare ServNYNAC CorpYes (true)
White Plains Physician Services PC
Davis Avenue at East Post RoadWhite PlainsNY10601815309615InactiveNYNAC corpYes (true)
Charitable Remainder Trust (5)
Char Remr TrustNYNATrustYes (true)
CRHT ACQUISITION INC
555 SOUTH BROADWAY BLDG A FL 1TARRYTOWNNY10591815220651HOLDING COMPANYNYNAC CORPYes (true)
QUANTUM BIOTHERAPEUTICS LLC
111 EAST 210TH STREETBRONXNY10467611793667INACTIVENYNAC CORPYes (true)
WHITE PLAINS PHYSICIAN MEDICAL SERV PC
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601830519787INACTIVENYNAC CORPYes (true)
EAST POST ROAD MEDICAL SERVICES PC
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601830535258INACTIVENYNAC CORPYes (true)
EAST POST ROAD PHYSICAN SERV PC
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601830563325INACTIVENYNAC CORPYes (true)
DAVIS AVENUE MEDICAL SERVICES PC
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601830579310INACTIVENYNAC CORPYes (true)
WPH HOLDING COMPANY
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601833893119HOLDING COMPANYNYNAC CORPYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MONTEFIORE HEALTH SYSTEM INC
K$493,724COST
MONTEFIORE HEALTH SYSTEM INC
M$70,628COST
MONTEFIORE MEDICAL CENTER
M$346,342COST
MONTEFIORE NEW ROCHELLE HOSPITAL
N$2,405,088COST
MONTEFIORE NEW ROCHELLE HOSPITAL
O$877,194COST
MONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM
M$111,996COST
THE MONTEFIORE IPA INC
L$228,060COST
MONTEFIORE NEW ROCHELLE HOSPITAL
A$109,500cost
MONTEFIORE MEDICAL CENTER
Q$389,475cost
MONTEFIORE NEW ROCHELLE HOSPITAL
P$283,002cost
THE WINIFRED MASTERSON BURKE REHAB HOSPITAL
M$125,771COST

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