2017-11-12T11:51:12-06:00 2016-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2016-01-01 471582973 MONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM INC % EVAN RESNICK MONT 9143498455 555 SOUTH BROADWAY BLDG A FL 1 TARRYTOWN NY 105916301 COLLEEN M BLYE EXEC V.P. & C.F.O. 7189207602 2017-11-10 true CHRISTOPHER B BOGGS P00032493 2127733000 108.206.163.59 26308520173165000004 2017-11-12 P 723A92BD6066970D9DF2371F65DCD51A2FC70B05 582F47EFACDD6166E52205D1FBFEA2601660FA18 2016 2018-03-14 21:41:22Z STEVEN SAFYER MD 111 EAST 210TH STREET BRONX NY 104672401 27228543 false X www.montefiorehealthsystem.org X 2014 NY To Heal, to teach, to discover and to advance the health of the communities we serve. 18 17 28 0 0 0 0 0 0 27228543 0 0 0 0 0 27228543 0 0 0 0 0 26297650 0 0 0 0 930893 0 27228543 0 0 1500 6700359 1500 6700359 0 0 To heal, to teach, to discover and to advance the health of the communities we serve. Montefiore builds upon our rich history of medical innovation and community service to improve the lives of those in our care. Our mission is exemplified in our exceptional, compassionate care and dedication to improve the well-being of those we serve. false false 16031452 0 27228543 MONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM, INC. OPERATES EXCLUSIVELY FOR THE CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES OF PROMOTING, FACILITATING AND ENHANCING THE DELIVERY OF QUALITY, EFFICIENT, EFFECTIVE AND ECONOMICAL HEALTH CARE AND RELATED SERVICES TO, AND IMPROVING AND ENHANCING THE GENERAL HEALTH AND WELL BEING OF, THE COMMUNITIES SERVED BY THE MONTEFIORE HEALTH SYSTEM. 16031452 true false 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 false false true false false false false false false false false false false false false false true true true false false true 0 0 28 true false false false false false false false false false false X 18 17 false false true false false false false true true false false true true true true true true true true false NY X EVAN RESNICK 9143498455 555 SO BROADWAY BLDG A FL 1 TARRYTOWN NY 105916301 STEVEN M SAFYER MD PRESIDENT & CEO 14.0 46.0 X X 4327957 0 51831 ODED ABOODI VICE CHAIRMAN 0.5 2.0 X 0 0 0 JAY A ABRAMSON TRUSTEE 0.5 2.0 X 0 0 0 JAMES M BUTLER TRUSTEE 0.5 2.5 X 0 0 0 MELISSA CERIALE TRUSTEE 0.75 2.75 X 0 0 0 NATHAN GANTCHER TRUSTEE 0.25 1.75 X 0 0 0 JOHN HEFFER TRUSTEE 0.5 2.0 X 0 0 0 ALAN M KLEIN TRUSTEE 0.75 2.75 X 0 0 0 CATHERINE KLEMA TRUSTEE 0.25 1.25 X 0 0 0 STACEY R LANE TRUSTEE 0.5 2.0 X 0 0 0 JONATHAN LIPTON TRUSTEE 0.25 1.25 X 0 0 0 MATTHEW H NORD TRUSTEE 0.25 1.25 X 0 0 0 MICHAEL A STOCKER MD TRUSTEE 0.5 2.5 X 0 0 0 DAVID A TANNER CHAIRMAN 0.5 8.0 X 0 0 0 DANIEL R TISHMAN TRUSTEE 0.5 0.0 X 0 0 0 CYNTHIA KING VANCE TRUSTEE 0.5 2.0 X 0 0 0 Roger Einiger Trustee 0.25 1.75 X 0 0 0 Barry Blattman Trustee (elected 10/18/16) 0.25 1.25 X 0 0 0 CHRISTOPHER S PANCZNER ASSISTANT SECRETARY 12.5 47.5 X 1041654 0 187726 Philip O Ozuah MD Executive VP & COO 13.5 46.5 X 2492636 0 538092 Colleen Blye Exec VP & CFO (Effect 1-6-16) 14.0 46.0 X 1313840 0 429032 Joel Perlman Exec VP & CFO(Resigned 1-6-16) 13.5 46.5 X 1454254 0 51654 Lynn Richmond Executive Vice President 13.5 46.5 X 1393009 0 420068 Alfredo Cabrera SVP-Chief Human Resources Off 60.0 0.0 X 931735 0 258567 David Ingber Vice President - Finance 54.6 5.4 X 781747 0 50288 Edward Pfleging Senior Vice President 57.0 3.0 X 733327 0 51348 Drew Swiss VP - Finance 60.0 0.0 X 694900 0 51655 Charles Agins Exec Director BIS / VP-Finance 60.0 0.0 X 645563 0 49104 15810622 0 2139365 28 false true false 0 0 MEMBERSHIP DUES 561000 27228543 27228543 0 0 27228543 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27228543 27228543 0 0 0 0 0 0 13533942 10176158 3357784 0 9908913 4529364 5379549 515889 235813 280076 1786817 816754 970063 552089 252360 299729 0 0 0 0 0 0 1882 0 1882 0 4454 0 4454 882554 0 882554 0 0 42003 21003 21000 0 0 0 0 0 0 27228543 16031452 11197091 0 1500 620304 0 0 0 0 0 13460 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6066595 1500 6700359 0 6700359 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1500 0 1500 6700359 X 0 0 0 0 0 0 0 0 1500 6700359 0 X false true X true false X X X 9 MONTEFIORE MEDICAL CENTER 131740114 3 true 0 0 MONTEFIORE NEW ROCHELLE HOSPITAL 462931956 3 true 0 0 MONTEFIORE MOUNT VERNON HOSPITAL 462916938 3 true 0 0 SCHAFFER EXTENDED CARE CENTER 462929888 3 true 0 0 MONTEFIORE NORTH AMBULATORY CARE CENTER 010796859 3 true 0 0 NYACK HOSPITAL 131740119 3 true 0 0 WHITE PLAINS HOSPITAL MEDICAL CENTER 131740130 3 true 0 0 THE WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL 131739937 3 true 0 0 ST LUKE'S CORNWALL HOSPITAL 141340054 3 true 0 0 9 0 0 true false false false true true false false false false false false false false false false false Part IV, Section A, Line 5A During 2016, The Winifred Masterson Burke Rehabilitation Hospital, EIN #13-1739937, and St Luke's Cornwall Hospital, EIN # 14-1340054, became a member and supported organizations of the Health System. The Health System Certificate of incorporation and bylaws were amended and restated to include these entities as supported organizations. Part IV, Section C, Line 1 Montefiore Medicine Academic Health System, Inc.(System Parent) qualifies as a Type II supporting organization under Section 509(a)(3), consistent with the foregoing IRS guidelines, in a number of ways. First, there is generally expected to be significant overlap among the Officers, Trustees and other leadership of the System Parent with the Officers, Trustees and other leadership of the Supported Organizations. Currently, each of the Trustees and Officers serve as Directors, Trustees and/or Officers of one or more of the Supported Organizations. Given the overlap among the individuals responsible for the governance of both the System Parent and the Supported Organizations, and the regular coordination and interaction among the boards, officers, and other leadership of all of the entities within the Montefiore system, the System Parent will inherently have the information necessary to ensure that the System Parent will be aware of and responsive to the needs of the Supported Organizations. The nature of the System Parent's purposes and activities also demonstrate that it can and will be responsive to the needs or demands of each of its Supported Organizations and that it can and will be an integral part of, or maintain a significant involvement in, the operations of each Supported Organization. In addition, The System Parent was formed to function as the parent entity of the entire Montefiore system, in such capacity, to oversee, supervise and coordinate the missions, governance, policy making, resource allocation and strategic planning for, and provide other forms of support for the benefit of the Supported Organizations and for the Montefiore System as a whole. DUE FROM AFFILIATES 6066595 6066595 X X X X X X false true false false false false false true false STEVEN M SAFYER MD PRESIDENT & CEO 1779978 0 1231200 0 1316779 0 17000 0 34831 0 4379788 0 0 0 CHRISTOPHER S PANCZNER ASSISTANT SECRETARY 700000 0 320100 0 21554 0 187726 0 0 0 1229380 0 0 0 Philip O Ozuah MD Executive VP & COO 1549814 0 806800 0 136022 0 503897 0 34195 0 3030728 0 0 0 Colleen Blye Exec VP & CFO (Effect 1-6-16) 938840 0 375000 0 0 0 396934 0 32098 0 1742872 0 0 0 Joel Perlman Exec VP & CFO(Resigned 1-6-16) 748920 0 483300 0 222034 0 17000 0 34654 0 1505908 0 0 0 Lynn Richmond Executive Vice President 884855 0 486600 0 21554 0 387008 0 33060 0 1813077 0 0 0 Alfredo Cabrera SVP-Chief Human Resources Off 614749 0 294400 0 22586 0 253824 0 4743 0 1190302 0 0 0 David Ingber Vice President - Finance 499121 0 150000 0 132626 0 17000 0 33288 0 832035 0 0 0 Edward Pfleging Senior Vice President 611773 0 100000 0 21554 0 17000 0 34348 0 784675 0 0 0 Drew Swiss VP - Finance 585708 0 108160 0 1032 0 17000 0 34655 0 746555 0 0 0 Charles Agins Exec Director BIS / VP-Finance 544139 0 99840 0 1584 0 17000 0 32104 0 694667 0 0 0 Part I, Lines 3, 4B & Part II - Columns (B) (I), (II) and (III) 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 position 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. STEVEN SAFYER, M.D. - POOLED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN DISTRIBUTION OF $1,309,525 BASED ON OVER 30 YEARS OF SERVICE AT MONTEFIORE. SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ACCRUED AND UNPAID SERVICE COSTS: PHILIP O OZUAH, M.D., PH.D - $486,897 CHRISTOPHER PANCZNER - $170,726 LYNN RICHMOND - $370,008 COLLEEN BLYE - $396,934 ALFREDO CABRERA - $236,824 Part I, Line 7 Part of the annual incentive awards in Column (B)(II) paid by the organization to persons listed on Form 990, part VII, Section A, Line 1A are based on the compensation Board Discretion. Form 990, Part VI, Section A, Line 4 The organization's bylaws were amended during 2016 to include two additional supporting organizations. Form 990, Part VI, Section B, Line 11B The form 990 was prepared by Montefiore's Finance Department with the assistance of various departments. The form 990 was reviewed and approved by the Vice-president-Finance and Montefiore's senior leadership team including the chief financial officer. In addition, an independent accounting firm was engaged to review the form 990. Upon completion of the various reviews, the form 990 was presented to the board of trustees for review and approval. Form 990, Part VI, Section B, Line 12C The organization regularly and consistently monitors and enforces compliance with the disclosure policy by means of a survey form developed by counsel and approved by the 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 would be 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 & Line 15B Montefiore Medicine Academic 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 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. Montefiore Health System Inc 555 South Broadway Tarrytown NY 10591 201615393 Support Servc NY 501(c)(3) 12B Type II MMAHS true Montefiore Medical Center 111 East 210th Street Bronx NY 10467 131740114 Acad Med Ctr NY 501(C)(3) 3 MHS true MMC Corporation 111 East 210th Street Bronx NY 10467 133430322 Real Estate NY 501(C)(3) 12A Type I MMC true MMC Residential Corp No 1 Inc 3411 Wayne Avenue Bronx NY 10467 911943271 Staff Housing NY 501(C)(2) MMC true Montefiore Hosp Housing Section II Inc 3450 Wayne Avenue Bronx NY 10467 237160641 Staff Housing NY 501(C)(2) MMC true Mosholu Preservation Corporation 3400 Resevoir Oval East Bronx NY 10467 133109387 Community Ser NY 501(C)(3) 12B Type II MMC true Gun Hill MRI PC 200 East Gun Hill Road Bronx NY 10467 133734486 Diag Services NY 501(C)(3) 12A Type I MMC 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 Avenue Mount Vernon NY 10550 462916938 Hospital NY 501(C)(3) 3 MHS true Schaffer Extended Care Center 16 Guion Place New Rochelle NY 10801 462929888 Nursing Home NY 501(C)(3) 3 MHS true Montefiore Foundation Inc 111 East 210th Street Bronx NY 10467 471600439 Inactive NY 501(C)(3) 12A Type I MMAHS true Albert Einstein College of Medicine 1300 Morris Park Avenue Bronx NY 10461 472209056 Med College NY 501(C)(3) 2 MMAHS true The Nyack Hospital 160 North Midland Avenue Nyack NY 10960 131740119 Hospital NY 501(C)(3) 3 MHS true White Plains Hospital Medical Center 41 East Post Road White Plains NY 10601 131740130 Hospital NY 501(C)(3) 3 MHS true AECOM Staff Housing Co Inc 1300 Morris Park Avenue Bronx NY 10461 237075620 Staff Housing NY 501(C)(2) AECOM true Montefiore CERC Operations Inc 111 East 210th Street Bronx NY 10467 474853506 Rehab Center NY 501(c)(3) 3 MMC true White Plains Hosp Ctr Foundation Inc 41 East Post Road Davis Ave White Plains NY 10601 133281507 Fundraising NY 501(C)(3) 12A Type I WPHMC true Nyack Hospital Foundation 160 North Midland Avenue Nyack NY 10960 133245804 Fundraising NY 501(C)(3) 7 Nyack Hosp true The Winifred Masterson Burke Rehab Hosp 785 Mamaroneck Avenue White Plains NY 10605 131739937 Rehab Hosp NY 501(C)(3) 3 MHS true St Luke's Cornwall Hospital 70 Dubois Street Newburgh NY 125504851 141340054 Hospital NY 501(C)(3) 3 MHS true Hudson Vista Medical PC 70 Dubois Street Newburgh NY 125504851 452526738 Healthcare NY 501(C)(3) 12A Type I SLCH true Hudson Vista Physician Services PC 70 Dubois Street Newburgh NY 125504851 272020746 Healthcare NY 501(C)(3) 12A Type I SLCH true St Luke's Cornwall Health System Inc 70 Dubois Street Newburgh NY 125504851 223026261 Holding Comp NY 501(C)(3) 12A Type I MHS true St Luke's Cornwall Health Sys Foundation 70 Dubois Street Newburgh NY 125504851 223026263 Fundraising NY 501(C)(3) 7 SLCHS true Amos and Sarah Holden Home 70 Dubois Street Newburgh NY 125504851 141365995 Asst Living NY 501(C)(3) PF SLCHS true Goldsmith D and Mary B Johnes Home 70 Dubois Street Newburgh NY 125504851 141364666 Home For Aged NY 501(C)(3) 10 SLCHS true University Behavioral Associates Inc 111 East 210th Street Bronx NY 10467 133877781 Mgmt Services NY NA C Corp true The Montefiore IPA Inc 111 East 210th Street Bronx NY 10467 134114915 Integ Provr Assoc NY NA C Corp true MMC GI Holdings East Inc 111 East 210th Street Bronx NY 10467 721610013 Holding Company NY NA C Corp true MMC GI Holding West Inc 111 East 210th Street Bronx NY 10467 721610015 Holding Company NY NA C Corp true Montefiore Behavioral Care IPA No 1 Inc 111 East 210th Street Bronx NY 10467 133952750 Integ Provr Assoc NY NA C Corp true Bronx Accountable Care Network IPA Inc 111 East 210th Street Bronx NY 10467 300689571 Integ Provr Assoc NY NA C Corp true Montefiore Consolidated Ventures Inc 111 East 210th Street Bronx NY 10467 611728539 Holding Comp NY NA C Corp true Montefiore Insurance Company Inc 111 East 210th Street Bronx NY 10467 320436594 Inactive NY NA C Corp true Hudson Valley IPA Inc 111 East 210th Street Bronx NY 10467 383978087 Inactive NY NA C Corp true Montefiore Innovations Inc 111 East 210th Street Bronx NY 10467 475106910 Inactive NY NA C Corp true Highland Medical PC 160 North Midland Avenue Nyack NY 10960 134034481 Healthcare Serv NY NA C Corp true 8 Longview Development Corporation Davis Avenue at East Post Road White Plains NY 10601 263321278 Housing NY NA C Corp true White Plains Medical Diagnostic Svcs PC 41 East Post Road White Plains NY 10601 453164626 Healthcare Serv NY NA C Corp true Cancer and Blood Medical Services of NY 41 East Post Road White Plains NY 10601 462021804 Healthcare Serv NY NA C Corp true Davis Avenue Corp Davis Avenue at East Post Road White Plains NY 10601 133331643 Inactive NY NA C Corp true White Plains Management Co Inc 41 East Post Road White Plains NY 10601 133331641 Inactive NY NA C Corp true WPHC Buildings Corp 41 East Post Road White Plains NY 10601 133676932 Inactive NY NA C Corp true White Plains Medical Services Davis Avenue at East Post Road White Plains NY 10601 815369152 Healthcare Serv NY NA C Corp true White Plains Physician Services Davis Avenue at East Post Road White Plains NY 10601 815309615 Healthcare Serv NY NA C Corp true Charitable Remainder Trust (5) Charit Remr Trust NY NA Trust true SLCH Corporation 70 Dubois Street Newburgh NY 122504851 141765661 Inactive NY NA C Corp true false false false false false false false false false false false true false false false true false false true Montefiore Medical Center L 25528275 Cost Montefiore New Rochelle Hospital L 945984 Cost Montefiore Mount Vernon Hospital L 456408 Cost Schaffer Extended Care Center L 104928 Cost The Nyack Hospital L 159540 Cost Montefiore Medical Center P 6778992 cost Montefiore Medical Center S 22697428 cost