MONTEFIORE MOUNT VERNON HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
MONTEFIORE MOUNT VERNON HOSPITAL (EIN 46-2916938)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-12
IRS object ID
201843169349303289
Schema version
2017v2.3
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)
Return2018-11-12T13:34:28-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

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 Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN462916938EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MONTEFIORE MOUNT VERNON HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% EVAN RESNICKInCareOfNm
Business Name ControlMONTBusinessNameControlTxt
Phone9143498455PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line112 NORTH SEVENTH AVENUEAddressLine1Txt
CityMOUNT VERNONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP105502026ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCOLLEEN M BLYEPersonNm
Person TitleEXEC V.P. & C.F.O.PersonTitleTxt
Phone7189207602PhoneNum
Signature2018-11-02SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHRISTOPHER B BOGGSPreparerPersonNm
PTINP00032493PTIN
Phone2127733000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address164.57.159.254IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id26308520183165000019FederalOriginalSubmissionId
Federal Original Submission Id2018-11-12FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id24558E047A149CE0743DDA4F89040DC2FD5B7974AtSubmissionCreationDeviceId
At Submission Filing Device IdD7645E384763AEB8339B885771554B833BC3ADBEAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

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$86,404,275GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttp://www.montefiorehs.orgWebsiteAddressTxt
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 Body44VotingMembersGoverningBodyCnt
Voting Members Independent43VotingMembersIndependentCnt
Total Employee688TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$26,345,293PYContributionsGrantsAmt
CY Contributions Grants$15,146,677CYContributionsGrantsAmt
PY Program Service Revenue$67,917,403PYProgramServiceRevenueAmt
CY Program Service Revenue$70,894,596CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$611,371PYOtherRevenueAmt
CY Other Revenue$352,768CYOtherRevenueAmt
PY Total Revenue$94,874,067PYTotalRevenueAmt
CY Total Revenue$86,394,041CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,050CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$50,489,123PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$54,203,435CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$34,514,873PYOtherExpensesAmt
CY Other Expenses$44,296,983CYOtherExpensesAmt
PY Total Expenses$85,003,996PYTotalExpensesAmt
CY Total Expenses$98,502,468CYTotalExpensesAmt
PY Revenues Less Expenses$9,870,071PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$12,108,427CYRevenuesLessExpensesAmt
Total Assets BOY$27,887,014TotalAssetsBOYAmt
Total Assets EOY$40,976,302TotalAssetsEOYAmt
Total Liabilities BOY$32,893,825TotalLiabilitiesBOYAmt
Total Liabilities EOY$58,091,540TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$5,006,811NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$17,115,238NetAssetsOrFundBalancesEOYAmt
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$82,164,909ExpenseAmt
Grant$2,050GrantAmt
Revenue$70,894,596RevenueAmt
DescMontefiore Mount Vernon Hospital is a 121 licensed bed, community-based, teaching hospital that has been serving the medical needs of the community and region. Montefiore Mount Vernon provides inpatient, critical care and ambulatory services to residents of lower Westchester County. The hospital is part of Montefiore Health System, the University hospital for the Albert Einstein College of Medicine. Montefiore MOUNT VERNON HOSPITAL BEGAN OPERATIONS ON NOVEMBER 6, 2013. MONTEFIORE MOUNT VERNON'S MISSION IS TO HEAL, TO TEACH, TO DISCOVER AND TO ADVANCE THE HEALTH OF THE COMMUNITIES IT SERVES. To this mission Montefiore Mount Vernon brings a unique synergy of strengths and resources that has helped define healthcare delivery in the area and have earned Mount Vernon the distinction of being a designated New York stroke and HIV/aids Center. Mount Vernon hospital is also home to the Beale Chronic Wound treatment and hyperbaric center and the Montefiore School of Nursing. During, 2017 Montefiore Mount Vernon hospital had 3,371 admissions and provided over 49,000 ambulatory services.Desc
Total Program Service Expenses$82,164,909TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
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 HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
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 Document12IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee688EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members44GoverningBodyVotingMembersCnt
Independent Voting Member43IndependentVotingMemberCnt
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 (59 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 & TREASURER0.32.2Yes (X)$0$0$0
JAY B ABRAMSON
TRUSTEE0.32.2Yes (X)$0$0$0
MARGARET HAYES ADAME
TRUSTEE0.21.55Yes (X)$0$0$0
GEORGE ASCH
TRUSTEE0.21.05Yes (X)$0$0$0
JOSEPH W BARTLETT
TRUSTEE (Emeritus 6/20/17)0.21.05Yes (X)$0$0$0
PATRICIA BAUMAN
TRUSTEE0.21.05Yes (X)$0$0$0
JAMES M BUTLER
CHAIRMAN0.54.0Yes (X)$0$0$0
BRUCE DONIGER
TRUSTEE0.21.05Yes (X)$0$0$0
RUTH L GOTTESMAN EDD
TRUSTEE0.21.55Yes (X)$0$0$0
BARRY W GRAY
TRUSTEE0.21.05Yes (X)$0$0$0
PATRICIA GREEN
TRUSTEE0.21.05Yes (X)$0$0$0
THOMAS L HARRISON
TRUSTEE0.21.05Yes (X)$0$0$0
JOHN HEFFER
TRUSTEE0.32.2Yes (X)$0$0$0
LEWIS HENKIND
SECRETARY0.32.7Yes (X)$0$0$0
HELEN A JOHNSON
TRUSTEE0.31.7Yes (X)$0$0$0
DAVID B KEIDAN
TRUSTEE0.21.05Yes (X)$0$0$0
ALAN M KLEIN
TRUSTEE0.43.1Yes (X)$0$0$0
STACEY R LANE
TRUSTEE0.32.2Yes (X)$0$0$0
JAY B LANGNER
TRUSTEE/CHAIRMAN EMERITUS0.21.05Yes (X)$0$0$0
MARGARET S NATHAN
TRUSTEE0.21.05Yes (X)$0$0$0
PETER J NEUFELD
TRUSTEE0.21.05Yes (X)$0$0$0
GAYLE F ROBINSON
TRUSTEE0.21.05Yes (X)$0$0$0
JON W ROTENSTREICH
TRUSTEE0.21.05Yes (X)$0$0$0
HON FELICIA K SHEA
TRUSTEE0.21.05Yes (X)$0$0$0
EDWIN H STERN III
TRUSTEE0.21.05Yes (X)$0$0$0
DAVID A TANNER
TRUSTEE0.43.35Yes (X)$0$0$0
CYNTHIA KING VANCE
TRUSTEE0.32.2Yes (X)$0$0$0
JIDE J ZEITLIN
TRUSTEE (Resigned 6/20/17)0.21.05Yes (X)$0$0$0
JENNIE EMIL
TRUSTEE0.21.05Yes (X)$0$0$0
JONATHAN A LIPTON
TRUSTEE0.21.3Yes (X)$0$0$0
ZITA G ROSENTHAL
TRUSTEE0.21.05Yes (X)$0$0$0
GREGG S HYMOWITZ
TRUSTEE (Resigned 6/20/17)0.21.05Yes (X)$0$0$0
NATHAN GANTCHER
TRUSTEE0.22.3Yes (X)$0$0$0
CATHERINE KLEMA
TRUSTEE0.21.3Yes (X)$0$0$0
MELISSA CERIALE
TRUSTEE0.43.1Yes (X)$0$0$0
BARRY S BLATTMAN
TRUSTEE0.21.3Yes (X)$0$0$0
MARK E BROSSMAN
TRUSTEE0.21.05Yes (X)$0$0$0
MATTHEW H NORD
TRUSTEE0.21.3Yes (X)$0$0$0
MICHAEL A STOCKER MD
TRUSTEE0.32.7Yes (X)$0$0$0
ROGER EINIGER
TRUSTEE0.22.3Yes (X)$0$0$0
JOEL BRAUN
TRUSTEE0.21.05Yes (X)$0$0$0
EMANUEL CHIRICO
TRUSTEE0.21.05Yes (X)$0$0$0
W NORMAN MILNER
TRUSTEE0.21.05Yes (X)$0$0$0
STEVEN M SAFYER MD
PRESIDENT & CEO5.055.0Yes (X)$0$5,417,628$43,471Yes (X)
ALISA R DOCTOROFF
TRUSTEE (ELECTED 3/21/17)0.21.8Yes (X)$0$0$0
JOHN P GUTFREUND
TRUSTEE (ELECTED 3/21/17)0.21.05Yes (X)$0$0$0
RONALD L MOELIS
TRUSTEE (ELECTED 3/21/17)0.21.05Yes (X)$0$0$0
PHILIP O OZUAH MDPHD
EXECUTIVE VP & COO5.055.0$0$2,578,552$1,226,969Yes (X)
CHRISTOPHER S PANCZNER
Assistant Secretary5.055.0$0$1,211,511$599,277Yes (X)
COLLEEN BLYE
EXEC VP & CFO5.055.0$0$1,521,625$577,343Yes (X)
SUSAN GREEN-LORENZEN RN
System SENIOR VP-OPERATIONS5.055.0$0$3,344,342$41,544Yes (X)
LYNN RICHMOND
Exec VP-Chief Strategy Officer5.055.0$0$1,451,131$588,672Yes (X)
Jaccel Kouns
VP & Exc Director MMV60.00.0$0$368,110$42,312Yes (X)
Bentley A Ogoke MD
Anesthesiologist60.00.0$472,088$0$29,020Yes (X)
BALASA PRASAD MD
CHAIRMAN-ANESTHESIA60.00.0$464,518$0$6,800Yes (X)
FRANCIS AGBONKPOLO MD
ANESTHESIOLOGIST60.00.0$403,387$0$23,447Yes (X)
Nadeem Hussain MD
Psychiatrist60.00.0$420,891$0$22,967Yes (X)
CLAUS P VON SCHORN MD
PHYSICIAN60.00.0$307,737$0$14,736Yes (X)
JOEL A PERLMAN
former officer0.01.0$0$500,700$43,294Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,068,621TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$16,393,599TotReportableCompRltdOrgAmt
Total Other Compensation$3,259,852TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K104IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Excel Emergency Physician Services
484 Temple Hill Road Suite 102NEW WINDSORNY12553Physician Services$1,985,878
Cauldwell Wingate Co LLC
380 Lexington AvenueNEW YORKNY10168Construction$863,663
Radiology Advantage New Jersey PA
3805 East Bell Road Suite 5500PHOENIXAZ85032Radiology Services$754,114
Healogics Wound Care Hyperbaric
28525 Network PlaceCHICAGOIL606731285Hyperbaric Services$711,262
Century Protective Serivces Inc
150 Grand Street 4th FloorWHITE PLAINSNY10601Security Services$665,980
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K18CntrctRcvdGreaterThan100KCnt
Government Grants$15,110,177GovernmentGrantsAmt
All Other Contributions$36,500AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$15,146,677TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
INPATIENT SERVICES623000$46,379,331$46,379,331$0$0
OUTPATIENT SERVICES621400$22,177,933$22,177,933$0$0
RENTAL INCOME FROM EXEMPT AFFILIATE531120$1,308,000$1,308,000$0$0
MEDICAL EDUCATION611699$690,800$690,800$0$0
OTHER HEALTH CARE SERVICES REVENUE621999$338,532$338,532$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$70,894,596TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

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

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$38,045RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$10,234RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$27,811RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,811TotalRevenueColumnAmt
Exclusion$27,811ExclusionAmt

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 (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
CAFETERIA/COFFEE SHOP & VENDING INCOME722514$220,840$0$0$220,840
PARKING INCOME812930$95,260$0$0$95,260
COPIES OF MEDICAL RECORDS541900$8,682$0$0$8,682

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$175TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$175ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$324,957OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$86,394,041TotalRevenueColumnAmt
Related Or Exempt Func Income$70,894,596RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$352,768ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,050TotalAmt
Program Services$2,050ProgramServicesAmt

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$40,377,863TotalAmt
Program Services$37,579,375ProgramServicesAmt
Management And General$2,798,488ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,587,169TotalAmt
Program Services$2,415,159ProgramServicesAmt
Management And General$172,010ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,232,448TotalAmt
Program Services$7,685,106ProgramServicesAmt
Management And General$547,342ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,005,955TotalAmt
Program Services$2,806,101ProgramServicesAmt
Management And General$199,854ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$26,658TotalAmt
Program Services$26,658ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$96,141TotalAmt
Program Services$4,118ProgramServicesAmt
Management And General$92,023ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$77,256TotalAmt
Program Services$0ProgramServicesAmt
Management And General$77,256ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

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$7,116,541TotalAmt
Program Services$6,347,978ProgramServicesAmt
Management And General$768,563ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,720TotalAmt
Program Services$1,720ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,762,668TotalAmt
Program Services$4,216,886ProgramServicesAmt
Management And General$545,782ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,463,869TotalAmt
Program Services$1,870,598ProgramServicesAmt
Management And General$593,271ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,603,800TotalAmt
Program Services$3,036,215ProgramServicesAmt
Management And General$567,585ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$52,290TotalAmt
Program Services$45,080ProgramServicesAmt
Management And General$7,210ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$16,334TotalAmt
Program Services$16,334ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$881,320TotalAmt
Program Services$881,320ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,666,712TotalAmt
Program Services$1,370,610ProgramServicesAmt
Management And General$296,102ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,568,866TotalAmt
Program Services$3,494,809ProgramServicesAmt
Management And General$74,057ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
INTERCOMPANY ADMIN OVERHEAD$8,929,719$0$8,929,719$0
MEDICAL SUPPLIES$7,844,460$7,843,912$548$0
UNPROCESSED INVOICES$1,391,742$1,239,542$152,200$0
MEMBERSHIP FEES$1,101,238$840,395$260,843$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$695,649TotalAmt
Program Services$440,943ProgramServicesAmt
Management And General$254,706ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$98,502,468TotalAmt
Program Services$82,164,909ProgramServicesAmt
Management And General$16,337,559ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$650BOYAmt
EOY$700EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$399,082BOYAmt
EOY$2,477,712EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,041,505BOYAmt
EOY$157,193EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,414,064BOYAmt
EOY$4,220,682EOYAmt

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$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,262,344BOYAmt
EOY$971,310EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$252,112BOYAmt
EOY$358,274EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$18,723,685LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,942,947LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$12,999,251BOYAmt
EOY$12,780,738EOYAmt

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$6,518,006BOYAmt
EOY$20,009,693EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$27,887,014BOYAmt
EOY$40,976,302EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$17,713,928BOYAmt
EOY$20,191,563EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$299,823EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

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$15,179,897BOYAmt
EOY$37,600,154EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$32,893,825BOYAmt
EOY$58,091,540EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$5,006,811BOYAmt
EOY-$17,115,238EOYAmt

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-$5,006,811BOYAmt
EOY-$17,115,238EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$27,887,014BOYAmt
EOY$40,976,302EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$12,108,427ReconcilationRevenueExpnssAmt
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 RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

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$24,233OtherActivitiesAmt
Total Lobbying Expenditures$24,233TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

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 a PERCENTAGE OF MEMBERSHIP DUES PAID TO THE GREATER NEW YORK HOSPITAL ASSOCIATION, THE HEALTH CARE ASSOCIATION OF NYS 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
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,014,261OtherCostOrOtherBasisAmt
Depreciation$1,114,406DepreciationAmt
Book Value$6,899,855BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,408,321OtherCostOrOtherBasisAmt
Depreciation$4,828,541DepreciationAmt
Book Value$5,579,780BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$301,103OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$301,103BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$12,780,738TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$2,129,693
EST INSURANCE CLAIMS RECEIV$17,880,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$20,009,693TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
LOANS PAYABLE - PARENT$17,091,160
DUE TO THIRD PARTY PAYORS$2,356,332
MALPRACTICE INSURANCE LIABILITIES$272,662
EST INSURANCE CLAIMS LIABILITIES$17,880,000
FieldValueIRS element (for citing)
Total Liability$37,600,154TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,666,626TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,608,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$42,417,380TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,458,492DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,958,888NetCommunityBenefitExpnsAmt
Total Expense0.18230TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$46,084,006TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$32,066,492DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,958,888NetCommunityBenefitExpnsAmt
Total Expense0.18230TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$466,728TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$466,728NetCommunityBenefitExpnsAmt
Total Expense0.00470TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,466,456TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,751,557DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,714,899NetCommunityBenefitExpnsAmt
Total Expense0.03770TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,276,331TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,128,646DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,147,685NetCommunityBenefitExpnsAmt
Total Expense0.01170TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,209,515TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,880,203DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,329,312NetCommunityBenefitExpnsAmt
Total Expense0.05410TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$59,293,521TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$39,946,695DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,288,200NetCommunityBenefitExpnsAmt
Total Expense0.23640TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$849,755BadDebtExpenseAmt
Bad Debt Expense Attributable$807,267BadDebtExpenseAttributableAmt
Reimbursed By Medicare$17,533,696ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$13,550,834CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$3,982,862MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Montefiore Mount Vernon HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line112 North Seventh AvenueAddressLine1Txt
CityMount VernonCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10550ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.montefiorehealthsystem.orgWebsiteAddressTxt
State License5903001HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Montefiore Mount Vernon HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V - Section COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSee Part V - Section CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.FPGFamilyIncmLmtDscntCarePct
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Other MethodYes (X)OtherMethodInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Part V - Section CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part V - Section CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part V - Section CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, PART V, SECTION B, LINE 5The process to identify the needs of the community involved the collection of both secondary and primary data. Multiple conversations and meetings were convened internally and with external partners and a thorough review of the data was conducted. Multiple data sources were used to support the identification and selection of the priority items which were identified, selected and reviewed with the partners. The collection of primary data from a sample of the Westchester County residents was an important element of the development of the Community Health Needs Assessment. Montefiore engaged with the Westchester County Department of Health's online Community Resident and Provider Health Surveys to facilitate the implementation of the primary data collection process for the Community Health Needs Assessment for Westchester County and to assist in the facilitation of these community level connections thereby alleviating additional surveying overload. An online survey was collaboratively developed and made available across Westchester County over the summer of 2016. During this process, Westchester County compiled feedback from over 1,300 responders and identified community concerns by municipality to support CHNA efforts of hospitals for inclusion into their implementation plans. in addition to collaborative input from the local Department of Health, Montefiore worked closely with it communities including the Mount Vernon Community Advisory Board, organized partnerships and collaboratives and other providers in lower Westchester as well as extensive work with representatives of the affected communities to help Montefiore to identify health care needs and determine the appropriate configuration of services.
Schedule H, Part V, Section B, Line 6AMONTEFIORE MOUNT VERNON HOSPITAL CHNA WAS CONDUCTED ALONG WITH MONTEFIORE NEW ROCHELLE HOSPITAL.
Schedule H, Part V, Section B, Line 7aThe CHNA report is available to the public on Montefiore's website: http://www.montefiore.org/documents/communityservices/Community-Health-Nee ds-Assessment-MNR-MMV.pdf
Schedule H, Part V, Section B, Line 10aThe hospital facility's most recently adopted implementation strategy is posted on the website: http://www.montefiore.org/documents/communityservices/Community-Health-Nee ds-Assessment-MNR-MMV.pdf
Schedule H, Part V, Section B, Line 11Montefiore Mount Vernon Hopital's most recently conducted CHNA illuminated two major categories of health needs that were important across the population surveyed, reflected in the data as critical, and in alignment with the New York State Prevention Agenda. The two priority areas identified were (1)Preventing Chronic Disease and (2)Promoting Healthy Women, Infants and Children. As part of the submission for the New York State Health Improvement Plan for 2016-2018, required by the New York State Department of Health, Montefiore has elected to retain these two priority areas, Prevent Chronic Disease and Promote Healthy Women, Infants and Children and has selected three broad focus areas to implement programs. These broad focus areas are (1)reducing obesity in children and adults, (2)Increase access to high quality chronic disease Preventive care and management in both clinical and community settings and (3) Improving maternal and infant Health. Across these focus areas, various goals, with specific interventions, performance measures and time frames, were delineated; - Create community environments that promote and support healthy food and beverage choices and physical activity; - Increase screening rates for cardiovascular disease, diabetes and breast, cervical and colorectal cancers, especially among disparate populations. - Reduce premature births. Despite the different methods and approached to primary data collection in gathering community input, there was a consistent focus on obesity and related behaviors and outcomes among the main community health concerns. Obesity and its related behaviors have significant impact on chronic disease, therefore, it is intended that the programs that are detailed specifically for the reduction of obesity will also impact the prevalence of diabetes, hypertension, asthma, cancer and cardiovascular disease in Westchester County. Montefiore has a vast portfolio of programs and services that address a majority of the significant community health needs identified in the Community Health Needs Assessment. The breadth and depth of the programs and services vary, but each address a need identified in the community. In particular, there are programs underway in collaboration with Hudson River Healthcare and Westchester Local Government units to work with bodegas on healthy snack displays and creating walking paths in parks and communities. In addition to the multiple resources that have been developed at Montefiore independently and through partnership with other organizations, there is an extensive need for community-based programs and resources that can augment Montefiore's program and services. Knowing how to access those resources is a particular challenge for the health care sector. However, since the last CHNA report in 2013, multiple free and low cost online search tools have been developed, such as www.auntbertha.com, www.hitesite.org, www.nowpow.com, among others. These are a much more comprehensive and practical alternative to the home-grown referral guides that many health care providers have had to use in the past. Those were hard to keep-up-to date and difficult to search, a problem that is largely addressed by the online version. Many Montefiore sites have been introduced to these new online resources and work is underway to more seamlessly integrate this kind of solution into the various workflows across the ambulatory, ED and inpatient settings.
Schedule H, Part V, Section B, Line 13HFamily size is factored into the eligibility criteria for financial assistance. Schedule H, Part V, Section B, Line 15E The organization's FAP provides addresses, locations and phone numbers for offices within Montefiore to assist with completing applications. The financial aid and Medicaid staff at these locations are also certified application counselors that assist with market place and Medicaid applications.
Schedule H, Part V, Section B, Lines 16a-16cThe direct website where the FAP is publicized: http://www.montefiorehealthsystem.org/body.cfm?id=68
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
MONTEFIORE MT VERNON METHADONE PROGRAM
3 SOUTH SIXTH AVENUEMOUNT VERNONNY10550SUBSTANCE ABUSE EXTENSION CLINIC
MONTEFIORE MT VERNON ID CLINIC
16 GUION PLACENEW ROCHELLENY10801SPECIAL CARE EXTENSION CLINIC
MONTEFIORE MT VERNON HOSP ACT PROGRAM
3 SOUTH SIXTH AVENUEMOUNT VERNONNY10550MENTAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
1. REQUIRED DESCRIPTIONS:PART I, LINE 7: THE COST-TO-CHARGE RATIO METHODOLOGY WAS UTILIZED TO CALCULATE THE AMOUNT INCLUDED IN THE TABLE. THE CALCULATION OF THIS RATIO WAS DERIVED FROM RATIO OF PATIENT CARE COSTS-TO-CHARGES.
PART III, SECTION A, LINE 2:THE COST OF BAD DEBT EXPENSE WAS ESTIMATED BASED ON THE CHARGES, APPLIED TO THE RATIO OF TOTAL PATIENT CARE EXPENSES TO TOTAL CHARGES FOR ALL SERVICES RENDERED. ANY PAYMENTS OR DISCOUNTS ARE EXCLUDED FROM BAD DEBT EXPENSE. PART III, SECTION A, LINE 3: THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) ATTRIBUTED TO PATIENTS UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS BASED ON RESULTS OF PREDICTIVE ANALYSIS. BAD DEBT SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION PROVIDES MUCH NEEDED HEALTH CARE SERVICES INDISCRIMINATELY TO THE COMMUNITY-AT-LARGE WITHOUT REGARD TO WHETHER OR NOT THE PATIENT HAS INSURANCE AND IF THE BILL WILL EVER BE PAID.
PART III, SECTION A, LINE 4:AS REPORTED IN MONTEFIORE HEALTH SYSTEM'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS, BAD DEBT EXPENSE IS DESCRIBED AS FOLLOWS: "THE COLLECTION OF PATIENT SERVICE REVENUE DUE FROM PATIENTS, INCLUDING COPAYMENTS AND DEDUCTIBLES, FROM THOSE WHO ARE INELIGIBLE FOR CHARITY CARE, IS SUBJECT TO UNCERTAINTY. THE Health System RECORDS BAD DEBT EXPENSE IN THE PERIOD SERVICES ARE RENDERED BASED ON PAST EXPERIENCE, TO ACCOUNT FOR AMOUNTS THAT PATIENTS MAY ULTIMATELY BE UNABLE OR UNWILLING TO PAY. FOR SELF-PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH COPAYMENTS AND DEDUCTIBLES AFTER THIRD-PARTY COVERAGE, THE HOSPITAL RECORDS AN ESTIMATE FOR BAD DEBT EXPENSE IN THE CURRENT PERIOD BASED ON PAST EXPERIENCE. AMOUNTS ULTIMATELY WRITTEN OFF AS UNCOLLECTIBLE AND RECOVERIES OF SUCH AMOUNTS ARE DEDUCTED FROM, OR ADDED TO, THE ALLOWANCE FOR DOUBTFUL ACCOUNTS."
PART III, SECTON B, LINE 8:MEDICARE REVENUE AND ALLOWABLE COSTS REPORTED IN PART III, SECTION B, WERE DERIVED FROM THE MEDICARE COST REPORT. MEDICARE ALLOWABLE COSTS REPORTED ON PART III, LINE 6, PER SCHEDULE H INSTRUCTIONS, WERE DERIVED USING THE MEDICARE COST REPORT COST-FINDING METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS TO MEDICARE USING DAYS AND ANCILLARY COSTS TO MEDICARE USING DEPARTMENTAL RATIOS OF COSTS TO CHARGES. THE FOLLOWING TABLE REPRESENTS A RECONCILIATION OF MEDICARE REVENUE AND COSTS INCLUDED ON LINES 5, 6, AND 7 IN PART III TO THE TOTAL ACTUAL MEDICARE REVENUE AND COSTS OF THE HOSPITAL. AS HIGHLIGHTED IN THIS TABLE, INCLUDING THE ADJUSTMENTS DESCRIBED BELOW WOULD HAVE RESULTED IN A MEDICARE Surplus OF $1,468,796. REVENUE ALLOWABLE COST Surplus PART III, LINE 5-7: $17,533,696 $13,550,834 $3,982,862 ADD: Cost not included: 897,966 (897,966) ADD: MEDICARE DME: 764,929 1,876,430 (1,111,501) ADD: MED. SUBSID. HLTH. 695,829 1,200,428 (504,599) Adjusted MEDICARE SURPLUS: $18,994,454 $17,525,658 $1,468,796
PART III, SECTION C, LINE 9B:FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS HALTED AND THE PATIENT IS REFERRED FOR FINANCIAL AID. IF AN ACCOUNT IS IN COLLECTION AND THE PATIENT REQUESTS FINANCIAL AID OR IF THE AGENCY DETERMINES THAT THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE ACCOUNT IS REFERRED BACK TO THE HOSPITAL WHERE THE PATIENT IS PROVIDED ASSISTANCE WITH COMPLETING AN APPLICATION FOR ASSISTANCE.
2. NEEDS ASSESSMENT:MONTEFIORE participates in a variety of organized partnership and collaborative, working with other providers in Westchester County, including the Westchester County Department of Health, community-based organizations and members of the community in planning and developing initiatives aimed at improving the health of the people of Westchester County. The process to identify the needs of the community also involved the collection of both primary and secondary data. Through multiple conversations and meetings with external partners, the data is reviewed and analyzed in the development of implementation strategies tailored to best serve the changing needs of the community.
3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:ALL INTAKE, REGISTRATION, AND COLLECTION AGENCY STAFF IS TRAINED ON THE HOSPITAL'S FINANCIAL AID POLICY AND HOW TO PROVIDE PATIENTS WITH ASSISTANCE. MONTEFIORE MOUNT VERNON HOSPITAL HAS A POLICY THAT ESTABLISHES GUIDELINES FOR THE BILLING OFFICE TO FOLLOW WHEN WORKING WITH INDIVIDUALS WHO ARE HAVING DIFFICULTY PAYING THEIR MEDICAL BILLS. A REFERRAL IS MADE TO THE HOSPITAL'S FINANCIAL AID OFFICE AND A FINANCIAL COUNSELOR WILL HELP THE PATIENT APPLY FOR FREE OR LOW-COST INSURANCE. IF THE FINANCIAL COUNSELOR DETERMINES THAT THE PATIENT DOES NOT QUALIFY FOR LOW-COST INSURANCE, THE COUNSELOR WILL HELP THE PATIENT APPLY FOR A FINANCIAL AID DISCOUNT BASED ON INCOME LEVEL. THE HOSPITAL MAKES ITS FINANCIAL AID POLICY KNOWN TO THE PUBLIC BY PROVIDING WRITTEN INFORMATION AVAILABLE IN BOTH ENGLISH AND SPANISH, INCLUDING BROCHURES AT ALL PATIENT SERVICE AREAS, INFORMATION POSTED ON THE INTRANET AND INTERNET, AND INFORMATION SENT OUT ON PATIENTS' BILLS. THERE ARE ALSO SIGNS POSTED AT THE MAIN ENTRANCE TO THE HOSPITAL IN ENGLISH AND SPANISH ADVISING PATIENTS OF THE ROOM LOCATION FOR ASSISTANCE WITH FINANCIAL AID.
4. COMMUNITY INFORMATION:The city of Mount Vernon has the highest proportion of Black/African American residents in Westchester County at 66%, with 34% of all residents being foreign born. Additionally, it is the seat of Westchester County's homeless services and senior services programs housing a disporportionate number of economically challenged residents. The City is 4.4 square miles located north of the Bronx and is the 8th largest city and 2nd most populated city in the state of New York. The city has one of the highest percentage of resident living below poverty in Westchester County. The poverty rate is 17.1% compared to 9.7% countywide and the median income is $49,395 compared to $84,220 countywide. 22% of Mount Vernon children are living below poverty; higher than the countywide percentage of 13.3%. As of January 6, 2014, the New York State Education Department, through the Board of Regents at the request of the New York Department of Health reaffirmed the City of Mount Vernon to be an identified Primary Care Health Professions Shortage Areas.
5. PROMOTION OF COMMUNITY HEALTH:MONTEFIORE HEALTH SYSTEM, INC. IS A LEADER IN COMMUNITY HEALTH AND HAS A LONG HISTORY OF DEVELOPING INNOVATIVE APPROACHES TO CARE AND CREATING PROGRAMS TO BEST SERVE THE CHANGING NEEDS OF ITS COMMUNITY. MONTEFIORE's Office of Community & Population Health has a dedicated community educator who spearheads initiatives in the city of Mt Vernon. These events are focused on a variety of issues, ranging from chronic disease management and prevention, cancer screenings and promotion of healthy food consumption. Events range from farmers market walks, workshops in the community, walkathons, health fair and community-based health screens. The Mount Vernon Facility has focused its engagement across multiple health indicators; diabetes, breast, cervical and colorectal cancers while addressing cardiovascular disease in the older adult population. To increase screening rates for cardiovascular disease the team coordinates screening services and educational workshops to older adults at frequently occurring points of congregation, including senior centers and naturally occurring retirement communities. These workshops provide a gateway to engage the community in health programming that ensures that our work is targeted towards high needs/high impact activities.
6. AFFILIATED HEALTH CARE SYSTEM:MONTEFIORE MOUNT VERNON HOSPITAL IS AN AFFILIATE OF MONTEFIORE HEALTH SYSTEM, INC. The Health System is a leader in community and population health and has a long history of developing innovative approaches to care and tailoring programs to best serve the changing needs of its community. These include, but are not limited to the following: Community Service Plan, Community Service Strategy, Accountable Care Organization, Patient-centered medical home, disease management programs and community outreach. The integration of these innovative approaches supports Montefiore well in its provision of service to the community.
7. STATE FILING OF COMMUNITY BENEFIT REPORT:MONTEFIORE MOUNT VERNON HOSPITAL FILES A COMMUNITY SERVICE PLAN WITH THE STATE OF NEW YORK.

Schedule J IRS990ScheduleJ

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 (13 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 O OZUAH MDPHD
EXECUTIVE VP & COO$0$1,594,386$0$855,885$0$128,281$0$1,200,675$0$26,294$0$3,805,521$0$0
CHRISTOPHER S PANCZNER
Assistant Secretary$0$720,193$0$469,785$0$21,533$0$599,277$0$0$0$1,810,788$0$0
JOEL A PERLMAN
former officer$0$0$0$0$0$500,700$0$17,000$0$26,294$0$543,994$0$0
Bentley A Ogoke MD
Anesthesiologist$471,056$0$0$0$1,032$0$6,800$0$22,220$0$501,108$0$0$0
BALASA PRASAD MD
CHAIRMAN-ANESTHESIA$464,518$0$0$0$0$0$6,800$0$0$0$471,318$0$0$0
FRANCIS AGBONKPOLO MD
ANESTHESIOLOGIST$401,803$0$0$0$1,584$0$6,800$0$16,647$0$426,834$0$0$0
Nadeem Hussain MD
Psychiatrist$420,619$0$0$0$272$0$6,800$0$16,167$0$443,858$0$0$0
CLAUS P VON SCHORN MD
PHYSICIAN$304,689$0$0$0$3,048$0$6,800$0$7,936$0$322,473$0$0$0
SUSAN GREEN-LORENZEN RN
System SENIOR VP-OPERATIONS$0$812,981$0$346,285$0$2,185,076$0$17,000$0$24,544$0$3,385,886$0$1,462,485
LYNN RICHMOND
Exec VP-Chief Strategy Officer$0$917,213$0$500,385$0$33,533$0$565,475$0$23,197$0$2,039,803$0$0
COLLEEN BLYE
EXEC VP & CFO$0$1,013,757$0$506,885$0$983$0$552,424$0$24,919$0$2,098,968$0$0
STEVEN M SAFYER MD
PRESIDENT & CEO$0$1,831,679$0$1,882,500$0$1,703,449$0$17,000$0$26,471$0$5,461,099$0$0
Jaccel Kouns
VP & Exc Director MMV$0$280,558$0$75,000$0$12,552$0$17,000$0$25,312$0$410,422$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 $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. 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, MD, 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, Montefiore Mount Vernon Hospital. These individuals are employed and their compensation is paid by either Montefiore Medicine Academic Health System, Inc., EIN 47-1582973, or Montefiore Health System, Inc., EIN 20-1615393.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4:THE ORGANIZATION'S BYLAWS WAS AMENDED 12/2017 FOR THE REORGANIZATION OF ITS BOARD COMMITTEES. FORM 990, PART VI, SECTION A, lINE 6: MONTEFIORE HEALTH SYSTEM, INC IS THE SOLE MEMBER OF MONTEFIORE MOUNT VERNON HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7A:THE BOARD OF TRUSTEES OF MONTEFIORE HEALTH SYSTEM, INC., THE SOLE MEMBER OF MONTEFIORE MOUNT VERNON HOSPITAL, HAS THE AUTHORITY TO APPOINT THE BOARD OF TRUSTEES OF MONTEFIORE MOUNT VERNON HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7B:THE BOARD OF TRUSTEES OF MONTEFIORE HEALTH SYSTEM, INC., THE SOLE MEMBER OF MONTEFIORE MOUNT VERNON HOSPITAL, HAS THE AUTHORITY TO APPROVE THE OPERATING AND CAPITAL BUDGETS OF MONTEFIORE MOUNT VERNON HOSPITAL.
FORM 990, PART VI, SECTION B, LINE 11B:THE FORM 990 WAS PREPARED BY MONTEFIORE HEALTH SYSTEM'S FINANCE DEPARTMENT WITH THE ASSISTANCE OF VARIOUS DEPARTMENTS. THE FORM 990 WAS REVIEWED AND APPROVED BY THE VICE PRESIDENT FINANCE - FINANCIAL REPORTING AND THE HOSPITAL'S SENIOR LEADERSHIP TEAM INCLUDING THE CHIEF FINANCIAL OFFICER. IN ADDITION, AN INDEPENDENT ACCOUNTING FIRM WAS ENGAGED TO REVIEW THE FORM 990. UPON COMPLETION OF THE VARIOUS REVIEWS, THE FORM 990 WAS PRESENTED TO THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES FOR REVIEW AND APPROVAL. ONCE APPROVED BY THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES, THE FORM 990 WAS PROVIDED TO ALL MEMBERS OF MONTEFIORE MOUNT VERNON HOSPITAL'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, Inc. or Montefiore Health System, Inc., The parent Companies of Montefiore Health Sytem, Inc. and Montefiore Mount Vernon Hospital, respectively. Montefiore Health System, Inc. is committed to ensuring that its executive compensation program adheres to the highest standards of regulatory compliance and best corporate governance. The Board of Trustees has charged the Compensation Committee of the Board (which is comprised of independent Board members with no conflicts of interest in regards to executive compensation) with making all decisions related to compensation for officers and certain key employees. All decisions made by the Compensation Committee are appropriately and timely documented in meeting minutes. The compensation committee's review process follows the Intermediate Sanctions guidelines for qualifying for the rebuttable presumption of reasonableness. The Committee retains an independent compensation consultant to assist it with this process. Compensation levels are established considering data for comparable organizations, an assessment of management performance (including the services provided to the community), and other business judegment factors, consistent with Montefiore's executive compensation philosophy. The Committee's decisions are made in the best interest of Montefiore, and are intended to ensure the recruitment and retention of key executive talent, consistent with the market practices of other not-for-profit healthcare organizations of comparable scope, mission and complexity. On an annual basis, the Committee provides the full Board of Trustees with a description of the committee's review and approval process and its decisions.
FORM 990, PART VI, SECTION C, LINE 19:THE CONFLICTS OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (27 entries)

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MMC Corporation
111 East 210th StreetBronxNY10467133430322Real EstateNY501(C)(3)12A TYPE IMMCYes (true)
Montefiore Medical Center
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Montefiore Hospital Housing Sect IIInc
3450 Wayne AvenueBronxNY10467237160641Staff HousingNY501(C)(2)MMCYes (true)
Montefiore North Amb Care Ctr Inc
4234 Bronx BoulevardBronxNY10466010796859Amb ServicesNY501(C)(3)3MHSYes (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 System Inc
555 SOUTH BROADWAY BLDG A FL 1TARRYTOWNNY10591201615393Support ServNY501(C)(3)12B Type IIMMAHSYes (true)
MMC Residential Corp I Inc
3411 Wayne AvenueBronxNY10467911943271Staff HousingNY501(C)(2)MMCYes (true)
Schaffer Extended Care Center
16 Guion PlaceNew RochelleNY10801462929888Nursing HomeNY501(C)(3)3MHSYes (true)
Montefiore New Rochelle Hospital
16 Guion PlaceNew RochelleNY10801462931956HospitalNY501(C)(3)3MHSYes (true)
Albert 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)
The 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 Road Davis AvenueWhite 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 StreetNewburghNY125504851141340054HospitalNY501(c)(3)3MHSYes (true)
Hudson Vista Medical PC
70 Dubois StreetNewburghNY125504851452526738HealthcareNY501(c)(3)12A Type ISLCHYes (true)
Hudson Vista Physician Services PC
70 Dubois StreetNewburghNY125504851272020746HealthcareNY501(c)(3)12A Type ISLCHYes (true)
St Luke's Cornwall Health System Inc
70 Dubois StreetNewburghNY125504851223026261Holding CompNY501(c)(3)12A Type IMHSYes (true)
St Luke's Cornwall Health SYSTEM FOUNDAT
70 Dubois StreetNewburghNY125504851223026263FundraisingNY501(c)(3)7SLCHSYes (true)
Amos and Sarah Holden Home
70 Dubois StreetNewburghNY125504851141365995Asst LivingNY501(c)(3)PFSLCHSYes (true)
Goldsmith D and Mary B Johnes Home
70 Dubois StreetNewburghNY125504851141364666Home for AgedNY501(c)(3)10SLCHSYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (22 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 StreetBronxNY10467383978087InactiveNYNAC CORPYes (true)
Montefiore Innovations Inc
111 East 210th StreetBronxNY10467475106910InactiveNYNAC CORPYes (true)
Highland Medical PC
160 North Midland AvenueNyackNY10960134034481Healthcare ServNYNAC CORPYes (true)
8 Longview Development Corp
Davis Avenue at East Post RoadWhite PlainsNY10601263321278HOUSINGNYNAC CORPYes (true)
White Plains Medical Diagnostic Service
41 East Post RoadWhite PlainsNY10601453164626Healthcare ServNYNAC CORPYes (true)
Cancer and Blood Medical Services of NY
41 East 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
Davis Avenue at East Post RoadWhite PlainsNY10601815309615Healthcare ServNYNAC 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 STREETBRONXNJ10467611793667INACTIVENYNAC CORPYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
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 OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
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 (13 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MONTEFIORE HEALTH SYSTEM INC
E$4,467,436COST
MONTEFIORE HEALTH SYSTEM INC
K$840,668COST
Montefiore Health System Inc
M$1,508,079COST
Montefiore Medical Center
Q$273,948COST
Montefiore Medical Center
M$835,830cost
Montefiore Medical Center
P$698,917Cost
Montefiore New Rochelle Hospital
J$1,308,000Cost
Montefiore New Rochelle Hospital
P$570,034Cost
Montefiore Medicine Academic Health System
M$412,332Cost
THE MONTEFIORE IPA INC
L$1,686,894COST
Montefiore New Rochelle Hospital
O$1,673,334cost
MONTEFIORE MEDICAL CENTER
N$8,929,719COST
Montefiore Behavioral Care IPA No 1 Inc
L$69,376cost

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