2018-11-12T13:34:58-06:00 2017-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2017-01-01 462929888 SCHAFFER EXTENDED CARE CENTER % EVAN RESNICK SCHA 9143498400 16 GUION PLACE NEW ROCHELLE NY 108015502 COLLEEN M BLYE EXEC V.P. & C.F.O. 9149207602 2018-11-02 true CHRISTOPHER BOGGS P00032493 2127733000 164.57.159.254 26308520183165000015 2018-11-12 P 24558E047A149CE0743DDA4F89040DC2FD5B7974 D7645E384763AEB8339B885771554B833BC3ADBE 2017 2019-02-21 02:37:17Z STEVEN SAFYER MD 111 EAST 210TH STREET Bronx NY 104672401 17363659 false X http://www.montefiorehs.org X 2013 NY TO HEAL, TO TEACH, TO DISCOVER AND TO ADVANCE THE HEALTH OF THE COMMUNITIES WE SERVE. 44 43 185 15 0 0 614916 223657 17773001 16984910 269 100227 57143 54865 18445329 17363659 0 0 0 0 14061030 14004793 0 0 0 7560733 8490050 21621763 22494843 -3176434 -5131184 9230990 13945187 21051480 30896861 -11820490 -16951674 MISSION: TO HEAL, TO TEACH, TO DISCOVER AND TO ADVANCE THE HEALTH OF THE COMMUNITIES WE SERVE. VALUES: HUMANITY, INNOVATION, TEAMWORK, DIVERSITY AND EQUITY - OUR VALUES DEFINE OUR PHILOSOPHY OF CARE. THEY SHAPE OUR ACTIONS AND MOTIVATE AND INSPIRE US TO PURSUE EXCELLENCE AND ACHIEVE OUR GOALS. false false 20854579 0 16984910 THE SCHAFFER EXTENDED CARE CENTER AT MONTEFIORE NEW ROCHELLE HOSPITAL IS part of Montefiore Health System, the University Hospital system for Albert Einstein College of Medicine. The Center operates A 150-BED COMPREHENSIVE SKILLED NURSING FACILITY OFFERING SHORT-TERM REHABILITATION/SUB-ACUTE CARE AND SKILLED LONG-TERM CARE, AS WELL AS AN ADULT DAY SERVICES PROGRAM providing A WIDE RANGE OF HEALTHCARE AND SOCIAL SERVICES FOR MEDICALLY FRAIL SENIORS AND THOSE WITH CHRONIC CONDITIONS OR DISABILITIES. Since our beginning, SCHAFFER'S REHABILITATION PROGRAM HAS BEEN HELPING CARDIOPULMONARY, ORTHOPAEDIC, AND SURGERY PATIENTS RECOVERY SO THAT THESE individuals CAN 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 51,076 DAYS OF SKILLED NURSING AND RESIDENTIAL HEALTH CARE DURING CALENDAR YEAR 2017 as well as 5,454 ADULT DAY CARE PROGRAM VISITS for non-residents of the Center. 20854579 true false false true false false false false true false true false false true true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 7 0 true 185 true false false false false false false false false false false X 44 43 false false true false true true true true true false false true true true true true true false false false NY X EVAN RESNICK 9143498455 555 SO BROADWAY BLDG A FL 1 TARRYTOWN NY 105916301 ODED ABOODI VICE CHAIRMAN & TREASURER 0.15 2.35 X 0 0 0 MARGARET HAYES ADAME TRUSTEE 0.1 1.65 X 0 0 0 GEORGE ASCH TRUSTEE 0.1 1.15 X 0 0 0 JOSEPH W BARTLETT TRUSTEE (emeritus 6/20/17) 0.1 1.15 X 0 0 0 PATRICIA BAUMAN TRUSTEE 0.1 1.15 X 0 0 0 JAMES M BUTLER CHAIRMAN 0.25 4.25 X 0 0 0 BRUCE DONIGER TRUSTEE 0.1 1.15 X 0 0 0 RUTH L GOTTESMAN EDD TRUSTEE 0.1 1.65 X 0 0 0 BARRY W GRAY TRUSTEE 0.1 1.15 X 0 0 0 PATRICIA GREEN TRUSTEE 0.1 1.15 X 0 0 0 THOMAS L HARRISON TRUSTEE 0.1 1.15 X 0 0 0 JOHN HEFFER TRUSTEE 0.15 2.35 X 0 0 0 LEWIS HENKIND SECRETARY 0.15 2.85 X 0 0 0 HELEN A JOHNSON TRUSTEE 0.15 1.85 X 0 0 0 DAVID B KEIDAN TRUSTEE 0.1 1.15 X 0 0 0 ALAN M KLEIN TRUSTEE 0.2 3.3 X 0 0 0 STACEY R LANE TRUSTEE 0.15 2.35 X 0 0 0 JAY B LANGNER TRUSTEE/CHAIRMAN EMERITUS 0.1 1.15 X 0 0 0 MARGARET S NATHAN TRUSTEE 0.1 1.15 X 0 0 0 PETER J NEUFELD TRUSTEE 0.1 1.15 X 0 0 0 GAYLE F ROBINSON TRUSTEE 0.1 1.15 X 0 0 0 JON W ROTENSTREICH TRUSTEE 0.1 1.15 X 0 0 0 HON FELICIA K SHEA TRUSTEE 0.1 1.15 X 0 0 0 EDWIN H STERN III TRUSTEE 0.1 1.15 X 0 0 0 DAVID A TANNER TRUSTEE 0.2 3.55 X 0 0 0 CYNTHIA KING VANCE TRUSTEE 0.15 2.35 X 0 0 0 JIDE J ZEITLIN TRUSTEE (Resigned 6/20/17) 0.1 1.15 X 0 0 0 JENNIE EMIL TRUSTEE 0.1 1.15 X 0 0 0 JONATHAN A LIPTON TRUSTEE 0.1 1.4 X 0 0 0 ZITA G ROSENTHAL TRUSTEE 0.1 1.15 X 0 0 0 GREGG S HYMOWITZ TRUSTEE (Resigned 12/5/17) 0.1 1.15 X 0 0 0 NATHAN GANTCHER TRUSTEE 0.1 2.4 X 0 0 0 CATHERINE KLEMA TRUSTEE 0.1 1.4 X 0 0 0 MELISSA CERIALE TRUSTEE 0.2 3.3 X 0 0 0 BARRY S BLATTMAN TRUSTEE 0.1 1.4 X 0 0 0 MARK E BROSSMAN TRUSTEE 0.1 1.15 X 0 0 0 MATTHEW H NORD TRUSTEE 0.1 1.4 X 0 0 0 MICHAEL A STOCKER MD TRUSTEE 0.15 2.85 X 0 0 0 ROGER EINIGER TRUSTEE 0.1 2.4 X 0 0 0 JAY B ABRAMSON TRUSTEE 0.15 2.35 X 0 0 0 Emanuel Chirico Trustee 0.1 1.15 X 0 0 0 Joel Braun Trustee 0.1 1.15 X 0 0 0 W Norman Milner Trustee 0.1 1.15 X 0 0 0 Steven M Safyer MD President & CEO 2.0 58.0 X X 0 5417628 43471 Alisa R Doctoroff Trustee (elected 3/21/17) 0.1 1.9 X 0 0 0 John P Gutfreund Trustee (Elected 3/21/17) 0.1 1.15 X 0 0 0 Ronald L Moelis Trustee (Elected 3/21/17) 0.1 1.15 X 0 0 0 PHILIP OZUAH MD PHD Executive VP & COO 2.0 58.0 X 0 2578552 1226969 CHRISTOPHER S PANCZNER Assistant Secretary 2.0 58.0 X 0 1211511 599277 Colleen Blye Exec VP & CFO 2.0 58.0 X 0 1521625 577343 SUSAN GREEN-LORENZEN RN System SENIOR VP-OPERATIONS 2.0 58.0 X 0 3344342 41544 LYNN RICHMOND Exec VP-Chief Strategy Officer 2.0 58.0 X 0 1451131 588672 RAJ SAINI RN 50.0 0.0 X 163542 0 20091 Anna Liza Sim Gil RN 50.0 0.0 X 124818 0 20091 GEORGE STIVALA MD MEDICAL DIRECTOR 50.0 0.0 X 130641 0 5123 LOVELYAMMA VARGHESE DIRECTOR OF NURSING 50.0 0.0 X 187683 0 231 JOHN MASTRONARDI ADMINISTRATOR 50.0 0.0 X 153883 0 20573 JOEL A PERLMAN Former officer 0.0 1.0 X 0 500700 43294 760567 16025489 3186679 24 true true false Jabbie Contractor Corp 1241 Harrod Avenue BRONX NY 10472 Contracting services 262565 Century Protective Services Inc 150 Grand Street 4th floor WHITE PLAINS NY 10601 Security Services 174319 Mario Bulfamante Sons Landscaping 75 Portman Road NEW ROCHELLE NY 10801 landscaping Services 158511 Dripless Plumbing Heating Inc PO Box 200 HASTINGS ON HUDSON NY 10706 Plumbing services 101762 4 223122 535 223657 RESIDENTIAL NURSING CARE 623110 16335881 16335881 0 0 OUTPATIENT ADULT DAY CARE 624120 649029 649029 0 0 16984910 100227 0 0 100227 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 OTHER MEDICAL SERVICES REVENUE 621999 50004 0 0 50004 MISCELLANEOUS INCOME 900099 4861 0 0 4861 54865 17363659 16984910 0 155092 0 0 0 0 0 0 9990350 9438680 551670 794807 760260 34547 2432479 2326748 105731 787157 752942 34215 0 0 25752 0 25752 0 0 0 753406 552338 201068 0 142 142 0 1502364 1148252 354112 134241 95736 38505 0 1364869 1297580 67289 3217 2747 470 0 2702 2702 0 522431 522431 0 0 324163 236987 87176 291704 286417 5287 INTERCOMPANY FOOD SERVICE 2074458 2074458 0 0 MEDICAL SUPPLIES 1146269 1146269 0 0 MEMBERSHIP DUES 161295 127500 33795 0 BILLING & COLLECTION 100475 0 100475 82562 82390 172 22494843 20854579 1640264 0 350 350 171674 479502 0 0 5234921 6318108 0 0 0 0 0 2281308 0 0 105000 106088 4471377 956479 3593476 3514898 0 0 0 0 0 0 0 0 125569 1244933 9230990 13945187 1740838 3005711 0 0 0 0 0 0 73673 76933 0 0 0 0 0 0 19236969 27814217 21051480 30896861 X -11820490 -16951674 0 0 0 0 -11820490 -16951674 9230990 13945187 -5131184 X false true X true false X false false false false false false false false true 28481 28481 Schedule C, Part II-B, Line 1I THE 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. false true X 0 3481921 427279 3054642 0 989456 529200 460256 0 0 3514898 TENANT TRUST ACCOUNTS 76933 EST INSURANCE CLAIMS RECEIV 1168000 1244933 0 DUE TO RELATED PARTIES 15616501 NOTES PAYABLE TO PARENT 11029716 EST INSURANCE CLAIMS LIABILITIES 1168000 27814217 Schedule D, Part IV, Line 2B Schaffer Extended Care Center holds patient resource funds in a custodial account to be used by these residents for discretionary spending. true true false false false false false false false PHILIP OZUAH MD PHD Executive VP & COO 0 1594386 0 855885 0 128281 0 1200675 0 26294 0 3805521 0 0 CHRISTOPHER S PANCZNER Assistant Secretary 0 720193 0 469785 0 21533 0 599277 0 0 0 1810788 0 0 JOEL A PERLMAN Former officer 0 0 0 0 0 500700 0 17000 0 26294 0 543994 0 0 SUSAN GREEN-LORENZEN RN System SENIOR VP-OPERATIONS 0 812981 0 346285 0 2185076 0 17000 0 24544 0 3385886 0 1462485 LYNN RICHMOND Exec VP-Chief Strategy Officer 0 917213 0 500385 0 33533 0 565475 0 23197 0 2039803 0 0 RAJ SAINI RN 163542 0 0 0 0 0 0 0 20091 0 183633 0 0 0 Colleen Blye Exec VP & CFO 0 1013757 0 506885 0 983 0 552424 0 24919 0 2098968 0 0 Steven M Safyer MD President & CEO 0 1831679 0 1882500 0 1703449 0 17000 0 26471 0 5461099 0 0 LOVELYAMMA VARGHESE DIRECTOR OF NURSING 187672 0 0 0 11 0 231 0 0 0 187914 0 0 0 JOHN MASTRONARDI ADMINISTRATOR 153358 0 0 0 525 0 4406 0 16167 0 174456 0 0 0 PART I, LINE 4a Joel Perlman, a former officer, was paid severance by a related organization in the amount of $497,770. PART I, LINES 3, 4B & PART II - COLUMNS (B)(I), (II) AND (III) As it relates to Compensation from Montefiore Medicine Academic Health System, Inc. and Montefiore Health System, Inc. for all officers and certain key employees: The Compensation Committee reviews and approves all forms of compensation and benefits provided to each executive with the assistance of a national independent compensation consulting firm. The consulting firm assists the Compensation Committee with its decision-making process to ensure executive compensation levels are reasonable and appropriate relative to those of other similar organizations. Base salaries in Column B(i) are determined based on competitive market practices for comparable positions with similar size organizations and scope of responsibilities. Bonus and incentive compensation in Column B(ii) is based on the achievement of performance goals. The executives' compensation program has a significant pay-at-risk component to ensure the alignment of pay and organizational performance. Goals are set in advance in areas such as quality of care, patient satisfaction, community services and financial performance. Compensation is at risk if the goals established by the Compensation Committee are not met. Other reportable compensation in column B(III) includes distributions from the supplemental executive retirement plan. In a manner designed to qualify for the "rebuttable presumption of reasonableness" the Compensation Committee of the Board of Trustees expressly reviewed and approved these retirement benefit arrangements for senior executives in a manner that qualified under the intermediate sanctions rules of the Federal tax law, and in recognition of (a) the executives' years of service to the organization and (b) the significant contributions to enhancing the ability of the organization to achieve its charitable mission in a manner consistent with financial solvency. Accordingly, this benefit should be viewed as applying to years of service for the organization. Pooled Supplemental Executive Retirement Plan distributions: Steven Safyer, M.D. - $1,696,025 Susan Green-Lorenzen, R.N. - $2,163,042 Supplemental Executive Retirement Plan accrued and unpaid service costs: Christopher Panczner - $582,277 Philip O. Ozuah, M.D., PH.D. - $1,183,675 Lynn Richmond - $548,475 Colleen Blye - $535,424 The Officers and Key Employees listed in Part II, column A are not employees of this filing organization, Schaffer Extended Care Center. These individuals are employed and their compensation is paid by either Montefiore Medicine Academic Health System, Inc., EIN 47-1582973 or Montefiore Health System, Inc., EIN 20-1615393. FORM 990, PART VI, SECTION A, LINE 4: THE ORGANIZATION's BYLAWS WAS MODIFIED IN 2017 FOR THE REORGANIZATIONS OF ITS BOARD COMMITTEES. 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, ACCOUNTING AND FINANCIAL REPORTING 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 SCHAFFER EXTENDED CARE CENTER'S GOVERNING BODY. 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. MMC Corporation 111 East 210th Street Bronx NY 10467 133430322 Real Estate NY 501(C)(3) 12A TYPE I MMC true MMC Residential Corp I Inc 3411 Wayne Avenue Bronx NY 10467 911943271 Staff Housing NY 501(C)(2) MMC true Montefiore Hospital Housing Sect IIInc 3450 Wayne Avenue Bronx NY 10467 237160641 Staff Housing NY 501(C)(2) MMC true Mosholu Preservation Corporation 3400 Reservoir Oval East Bronx NY 10467 133109387 Community Ser NY 501(C)(3) 12A TYPE I MMC true Gun Hill MRI PC 200 EAST GUNHILL ROAD BRONX NY 10467 133734486 DIAG SERVICES NY 501(C)(3) 12A TYPE I MMC true Montefiore Health Systems INC 555 South Broadway BLDG A FL 1 Tarrytown NY 10591 201615393 Support Serv NY 501(C)(3) 12B Type II MMAHS true Montefiore North Ambulatory Care Center 4234 BRONX BOULEVARD BRONX NY 10466 010796859 AMB SERVICES NY 501(C)(3) 3 MHS true Montefiore New Rochelle Hospital 16 GUION PLACE NEW ROCHELLE NY 10801 462931956 HOSPITAL NY 501(C)(3) 3 MHS true Montefiore Mount Vernon Hospital 12 NORTH SEVENTH 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