MONTEFIORE NEW ROCHELLE HOSPITAL: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- MONTEFIORE NEW ROCHELLE HOSPITAL (EIN 46-2931956)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-12
- IRS object ID
- 201713169349300606
- Schema version
- 2016v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-12T12:06:59-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5 TIMES SQUARE | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 100366527 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 462931956 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONTEFIORE NEW ROCHELLE HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % EVAN RESNICK | InCareOfNm |
| Business Name Control | MONT | BusinessNameControlTxt |
| Phone | 9143498400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16 GUION PLACE | AddressLine1Txt |
| City | NEW ROCHELLE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 108015502 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | COLLEEN M BLYE | PersonNm |
| Person Title | EXEC V.P. & C.F.O. | PersonTitleTxt |
| Phone | 7189207602 | PhoneNum |
| Signature | 2017-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CHRISTOPHER B BOGGS | PreparerPersonNm |
| PTIN | P00032493 | PTIN |
| Phone | 2127733000 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 108.206.163.59 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 26308520173165000003 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2017-11-12 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 723A92BD6066970D9DF2371F65DCD51A2FC70B05 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 582F47EFACDD6166E52205D1FBFEA2601660FA18 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEVEN SAFYER MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 EAST 210TH STREET | AddressLine1Txt |
| City | BRONX | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 104672401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $174,440,106 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | http://www.montefiorehs.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2013 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO HEAL, TO TEACH, TO DISCOVER AND TO ADVANCE THE HEALTH OF THE COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 44 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 43 | VotingMembersIndependentCnt |
| Total Employee | 1309 | TotalEmployeeCnt |
| Total Volunteers | 95 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $17,224,007 | PYContributionsGrantsAmt |
| CY Contributions Grants | $24,748,007 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $136,088,535 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $147,484,409 | CYProgramServiceRevenueAmt |
| PY Investment Income | $900,250 | PYInvestmentIncomeAmt |
| CY Investment Income | $977,547 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,105,290 | PYOtherRevenueAmt |
| CY Other Revenue | $1,230,143 | CYOtherRevenueAmt |
| PY Total Revenue | $158,318,082 | PYTotalRevenueAmt |
| CY Total Revenue | $174,440,106 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $16,800 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $103,743,099 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $99,256,267 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $69,138,430 | PYOtherExpensesAmt |
| CY Other Expenses | $75,539,735 | CYOtherExpensesAmt |
| PY Total Expenses | $172,881,529 | PYTotalExpensesAmt |
| CY Total Expenses | $174,812,802 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$14,563,447 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$372,696 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $71,255,961 | TotalAssetsBOYAmt |
| Total Assets EOY | $74,333,511 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $84,203,018 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $87,949,080 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$12,947,057 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$13,615,569 | NetAssetsOrFundBalancesEOYAmt |
| Mission | MISSION: TO HEAL, TO TEACH, TO DISCOVER AND TO ADVANCE THE HEALTH OF THE COMMUNITIES WE SERVE. VALUES: HUMANITY, INNOVATION, TEAMWORK, DIVERSITY AND EQUITY - OUR VALUES DEFINE OUR PHILOSOPHY OF CARE. THEY SHAPE OUR ACTIONS AND MOTIVATE AND INSPIRE US TO PURSUE EXCELLENCE AND ACHIEVE OUR GOALS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $146,906,145 | ExpenseAmt |
| Grant | $16,800 | GrantAmt |
| Revenue | $136,586,932 | RevenueAmt |
| Desc | Patient Care Montefiore New Rochelle Hospital is a 242-bed, community based teaching hospital offering primary, acute and emergency care to the residents of southern Westchester that has been providing for the diverse Medical need of the communities that it serves. Montefiore New Rochells has a number of leading-edge services and programs that have earned distinction by State and National organizations for achieving and maintaining the highest quality of care within the specialty. Among its distinctions: - Designated as a center of excellence by the American Society of Metabolic and Bariatric Surgery; - New York State desinated stroke center; - Designated as a New York perinatal hospital with a level 3 neonatal intensive care unit that provides state-of-the-art care for fragile newborns; - Receipt of American College of Surgeons Commission of Cancer (COC) cancer program accreditation and; - Gold Seal of approval from the Joint Commission as a certified center of excellence in both hip and knee joint replacement. MONTEFIORE NEW ROCHELLE HOSPITAL, part of the Montefiore Health System, the university hospital system for the Albert Einstein College of Medicine, IS THE ONLY HOSPITAL IN THE CITY OF NEW ROCHELLE. In 2016, THE HOSPITAL HAd 7,782 INPATIENT ADMISSIONS and 94,158 ambulatory visits. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $14,554,894 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $10,897,477 | RevenueAmt |
| Desc | Medical Education The Department of Medicine at New Rochelle Hospital offers training programs for residents and students that reflects a deep institutional and departmental commitment to medical education in a supportive community-based environment that provides a full spectrum of care to a diverse patient population. As the University hospital for Albert College of Medicine, Montefiore consistently breaks ground with innovative treatments, procedures and approaches to patient care with a focus on producing stellar outcomes and raising the bar for medical centers in the region and around the world. Montefiore also operates a School of Nursing Program based in Mount Vernon, New York that offers a two year associate's degree. Graduates are eligible to sit for the National Council Licensure Examination for registered nurses and the school is accredited by the Accreditation Commission for Education in Nursing, Inc. Though a strong theoretical and clinically based program, Montefiore School of Nursing graduates receive the skills and confidence to provide the community with competent, quality nursing care. Learning in a hospital environment prepares our students to work in a variety of clinical settings. Our nurses secure employment in hospitals, home healthcare, education, long-term care, public health administration, forensic nursing, occupational health and research. Montefiore School of Nursing provides the foundation for nurses who are committed to excellence and are prepared to embark on a career that provides a professional challenge and a personal sence of satisfaction. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $161,461,039 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 51 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1309 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 44 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 43 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | EVAN RESNICK | PersonNm |
| Phone | 9143498455 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 SO BROADWAY BLDG A FL 1 | AddressLine1Txt |
| City | TARRYTOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 105916301 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (58 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| ODED ABOODI | |||||||||
| VICE CHAIRMAN & TREASURER | 0.3 | 2.2 | Yes (X) | $0 | $0 | $0 | |||
| JAY B ABRAMSON | |||||||||
| TRUSTEE | 0.3 | 2.2 | Yes (X) | $0 | $0 | $0 | |||
| MARGARET HAYES ADAME | |||||||||
| TRUSTEE | 0.2 | 1.8 | Yes (X) | $0 | $0 | $0 | |||
| GEORGE ASCH | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| JOSEPH W BARTLETT | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA BAUMAN | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| JAMES M BUTLER | |||||||||
| TRUSTEE | 0.3 | 2.7 | Yes (X) | $0 | $0 | $0 | |||
| GEORGE CAMPBELL JR PHD | |||||||||
| TRUSTEE(Trustee Emeritus 6/16) | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| BRUCE DONIGER | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| RUTH L GOTTESMAN EDD | |||||||||
| TRUSTEE | 0.2 | 1.8 | Yes (X) | $0 | $0 | $0 | |||
| BARRY W GRAY | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA GREEN | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS L HARRISON | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| JOHN HEFFER | |||||||||
| TRUSTEE | 0.3 | 2.2 | Yes (X) | $0 | $0 | $0 | |||
| LEWIS HENKIND | |||||||||
| SECRETARY | 0.3 | 3.2 | Yes (X) | $0 | $0 | $0 | |||
| HELEN A JOHNSON | |||||||||
| TRUSTEE | 0.3 | 2.2 | Yes (X) | $0 | $0 | $0 | |||
| DAVID B KEIDAN | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| ALAN M KLEIN | |||||||||
| TRUSTEE | 0.4 | 3.1 | Yes (X) | $0 | $0 | $0 | |||
| STACEY R LANE | |||||||||
| TRUSTEE | 0.3 | 2.2 | Yes (X) | $0 | $0 | $0 | |||
| JAY B LANGNER | |||||||||
| TRUSTEE/CHAIRMAN EMERITUS | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| MARGARET L NATHAN | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| PETER J NEUFELD | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| GAYLE F ROBINSON | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| JON W ROTENSTREICH | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| HON FELICE K SHEA | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| EDWIN H STERN III | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| DAVID A TANNER | |||||||||
| CHAIRMAN | 0.2 | 8.05 | Yes (X) | $0 | $0 | $0 | |||
| CYNTHIA KING VANCE | |||||||||
| TRUSTEE | 0.3 | 2.2 | Yes (X) | $0 | $0 | $0 | |||
| JIDE J ZEITLIN | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| JENNIE EMIL | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| JONTHAN A LIPTON | |||||||||
| THRUSTE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| ZITA G ROSENTHAL | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| GREGG S HYMOWITZ | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| NATHAN GANTCHER | |||||||||
| TRUSTEE | 0.2 | 1.8 | Yes (X) | $0 | $0 | $0 | |||
| CATHERINE KLEMA | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| MELISSA CERIALE | |||||||||
| TRUSTEE | 0.4 | 3.1 | Yes (X) | $0 | $0 | $0 | |||
| MARK MLOTEK | |||||||||
| TRUSTEE (resigned 6/14/16) | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| BARRY S BLATTMAN | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| MARK E BROSSMAN | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| MATTHEW H NORD | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL A STOCKER MD | |||||||||
| TRUSTEE | 0.3 | 2.7 | Yes (X) | $0 | $0 | $0 | |||
| ROGER EINIGER | |||||||||
| TRUSTEE | 0.2 | 1.8 | Yes (X) | $0 | $0 | $0 | |||
| JOEL BRAUN | |||||||||
| TRUSTEE (ELECTED 10/18/16) | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| EMANUEL CHIRRICO | |||||||||
| Trustee (elected 10/18/16) | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| W NORMAN MILNER | |||||||||
| TRUSTEE (ELECTED 2/9/16) | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| Steven M Safyer MD | |||||||||
| President & CEO | 1.0 | 59.0 | Yes (X) | $0 | $4,327,957 | $51,831 | Yes (X) | ||
| PHILIP O OZUAH MD PHD | |||||||||
| EXECUTIVE VP & COO | 1.0 | 59.0 | $0 | $2,492,636 | $538,092 | Yes (X) | |||
| CHRISTOPHER S PANCZNER | |||||||||
| SENIOR VP & GENERAL COUNSEL | 1.0 | 59.0 | $0 | $1,041,654 | $187,726 | Yes (X) | |||
| JOEL A PERLMAN | |||||||||
| EXEC VP & CFO(RESIGNED 1/6/16) | 1.0 | 59.0 | $0 | $1,454,254 | $51,654 | Yes (X) | |||
| COLLEEN BLYE | |||||||||
| EXEC VP & CFO (ELECTED 1/6/16) | 1.0 | 59.0 | $0 | $1,313,840 | $429,032 | Yes (X) | |||
| SUSAN GREEN-LORENZEN RN | |||||||||
| SENIOR VP-OPERATIONS | 1.0 | 59.0 | $0 | $1,163,388 | $366,879 | Yes (X) | |||
| LYNN RICHMOND | |||||||||
| Executive Vice President | 1.0 | 59.0 | $0 | $1,393,009 | $420,068 | Yes (X) | |||
| Anthony Alfano | |||||||||
| Vice President | 60.0 | 0.0 | $0 | $428,652 | $49,245 | Yes (X) | |||
| JOHN OLSEWSKI MD | |||||||||
| ORTHOPEDIC SURGEON | 60.0 | 0.0 | $742,577 | $0 | $33,199 | Yes (X) | |||
| STEVEN B ZELICOF MD | |||||||||
| CHIEF, ORTHOPEDIC SURGERY | 60.0 | 0.0 | $549,211 | $0 | $29,323 | Yes (X) | |||
| MADHU RANGRAJ MD | |||||||||
| DIRECTOR, SURGERY | 60.0 | 0.0 | $531,862 | $0 | $30,792 | Yes (X) | |||
| Roger Coron MD | |||||||||
| Chief of Gastroenterology | 60.0 | 0.0 | $557,022 | $0 | $29,284 | Yes (X) | |||
| Mark Liss MD | |||||||||
| Attending Gastroentrology | 60.0 | 0.0 | $392,727 | $0 | $31,732 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,773,399 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $13,615,390 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,248,857 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 227 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Cauldwell Wingate Co LLC | |||||
| 380 Lexington Avenue | NEW YORK | NY | 10168 | Boiler Replacement | $4,823,245 |
| Fastaff Inc | |||||
| PO Box 911452 | DENVER | CO | 80291 | Temporary Nurses | $2,088,225 |
| Radiology Advantage New Jersey PA | |||||
| 3805 East Bell Road Suite 5500 | PHOENIX | AZ | 85032 | Radiology Services | $1,407,749 |
| Jzanus LTD | |||||
| 170 Jericho Turnpike | FLORAL PARK | NY | 11001 | Collection Fees | $933,140 |
| Allegiance Billing and ConsultingL | |||||
| 333 Jericho Turnpike Suite 102 | JERICHO | NY | 11753 | Collection fees | $693,556 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 52 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $24,661,232 | GovernmentGrantsAmt |
| All Other Contributions | $86,775 | AllOtherContributionsAmt |
| Total Contributions | $24,748,007 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| INPATIENT REVENUE | 623000 | $97,070,452 | $97,070,452 | $0 | $0 |
| OUTPATIENT REVENUE | 621400 | $47,511,820 | $47,511,820 | $0 | $0 |
| MEDICAL/NURSING EDUCATION | 611699 | $2,560,505 | $2,560,505 | $0 | $0 |
| OTHER HEALTH CARE SERVICES | 621999 | $341,632 | $341,632 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $147,484,409 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $457,541 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $457,541 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $520,006 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $520,006 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $520,006 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $520,006 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| CAFETERIA/COFFEE SHOP & VENDING INCOME | 722514 | $501,646 | $0 | $0 | $501,646 |
| NON-INVESTMENT PROPERTY RENTAL INCOME | 531120 | $435,432 | $0 | $435,432 | |
| ANTIQUE SHOP REVENUE | 453310 | $178,938 | $0 | $178,938 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $114,127 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $114,127 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,230,143 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $174,440,106 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $147,484,409 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,207,690 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,800 | TotalAmt |
| Program Services | $16,800 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,444,096 | TotalAmt |
| Program Services | $72,109,909 | ProgramServicesAmt |
| Management And General | $5,334,187 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,496,695 | TotalAmt |
| Program Services | $4,186,761 | ProgramServicesAmt |
| Management And General | $309,934 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,895,199 | TotalAmt |
| Program Services | $11,075,441 | ProgramServicesAmt |
| Management And General | $819,758 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,420,277 | TotalAmt |
| Program Services | $5,046,741 | ProgramServicesAmt |
| Management And General | $373,536 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,000 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $42,000 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,684 | TotalAmt |
| Program Services | $43,522 | ProgramServicesAmt |
| Management And General | $140,162 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,000 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $150,000 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,513 | TotalAmt |
| Program Services | $33,513 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,485 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $98,485 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,066,955 | TotalAmt |
| Program Services | $9,781,370 | ProgramServicesAmt |
| Management And General | $1,285,585 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,151 | TotalAmt |
| Program Services | $18,151 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,627,338 | TotalAmt |
| Program Services | $8,571,437 | ProgramServicesAmt |
| Management And General | $1,055,901 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,519,011 | TotalAmt |
| Program Services | $2,663,256 | ProgramServicesAmt |
| Management And General | $855,755 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,816,371 | TotalAmt |
| Program Services | $9,547,456 | ProgramServicesAmt |
| Management And General | $1,268,915 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,796 | TotalAmt |
| Program Services | $108,185 | ProgramServicesAmt |
| Management And General | $9,611 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,714 | TotalAmt |
| Program Services | $39,846 | ProgramServicesAmt |
| Management And General | $2,868 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,117,688 | TotalAmt |
| Program Services | $2,117,688 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,886,479 | TotalAmt |
| Program Services | $2,827,157 | ProgramServicesAmt |
| Management And General | $59,322 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,163,082 | TotalAmt |
| Program Services | $10,090,687 | ProgramServicesAmt |
| Management And General | $72,395 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $19,957,505 | $19,950,664 | $6,841 | $0 |
| MEMBERSHIP DUES | $2,119,637 | $1,524,216 | $595,421 | $0 |
| BAD DEBT-STUDENT NURS LOANS | $856,439 | $856,439 | $0 | $0 |
| BILLING & COLLECTIONS | $705,173 | $0 | $705,173 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,017,714 | TotalAmt |
| Program Services | $851,800 | ProgramServicesAmt |
| Management And General | $165,914 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,812,802 | TotalAmt |
| Program Services | $161,461,039 | ProgramServicesAmt |
| Management And General | $13,351,763 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,379,563 | BOYAmt |
| EOY | $1,083 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,770,001 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $5,752,858 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,117,113 | BOYAmt |
| EOY | $18,952,272 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $177,006 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,401,324 | BOYAmt |
| EOY | $2,637,025 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $931,935 | BOYAmt |
| EOY | $991,364 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $35,599,996 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,425,094 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,508,870 | BOYAmt |
| EOY | $28,174,902 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $15,877,000 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,826,130 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,026 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,255,961 | BOYAmt |
| EOY | $74,333,511 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,308,583 | BOYAmt |
| EOY | $45,942,055 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,434,363 | BOYAmt |
| EOY | $326,487 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,460,072 | BOYAmt |
| EOY | $41,680,538 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,203,018 | BOYAmt |
| EOY | $87,949,080 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$30,073,543 | BOYAmt |
| EOY | -$29,943,905 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,439 | BOYAmt |
| EOY | $31,439 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,095,047 | BOYAmt |
| EOY | $16,296,897 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$12,947,057 | BOYAmt |
| EOY | -$13,615,569 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,255,961 | BOYAmt |
| EOY | $74,333,511 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$372,696 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $502,333 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$798,149 | PriorPeriodAdjustmentsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $33,513 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $33,513 | TotalLobbyingExpendituresAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART II-B, LINE B | THE Organization's LOBBYING EXPENDITURES INCLUDED $458 OF HEALTH SYSTEM MEMBERSHIP DUES THAT WERE PAID FOR STAFF COMPENSATION SPENT ON CALLS, MEETINGS, LETTERS, MEMOS AND OTHER COMMUNICATIONS WITH ELECTED AND OTHER GOVERNMENTAL OFFICIALS IN AN ATTEMPT TO INFLUENCE CERTAIN HEALTH CARE OUTCOMES. |
| Part II-B, Line G | THE HOSPITAL'S LOBBYING EXPENDITURES INCLUDES A PERCENTAGE OF MEMBERSHIP DUES PAID TO THE GREATER NEW YORK HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION, THE HEALTH CARE ASSOCIATION OF NYS and Montefiore Medicine Academic Health System, Inc. THAT ARE USED FOR LOBBYING EFFORTS. |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,095,047 | BeginningYearBalanceAmt |
| Other Expenditures | $798,150 | OtherExpendituresAmt |
| End Year Balance | $16,296,897 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,095,047 | BeginningYearBalanceAmt |
| End Year Balance | $17,095,047 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,095,047 | BeginningYearBalanceAmt |
| End Year Balance | $17,095,047 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
| Land | LandGrp | |
| Buildings | BuildingsGrp |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,274,074 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,417,555 | DepreciationAmt |
| Book Value | $16,856,519 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,541,660 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,007,539 | DepreciationAmt |
| Book Value | $7,534,121 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,784,262 | OtherCostOrOtherBasisAmt |
| Book Value | $3,784,262 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $28,174,902 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| LOAN PAYABLE TO PARENT | $36,103,129 |
| DUE TO AFFILIATES | $637,706 |
| DUE TO THIRD PARTIES PAYORS | $2,893,797 |
| MALPRACTICE INSURANCE LIABILITIES | $2,045,906 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $41,680,538 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE D, PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | The organization's endowments were established pursuant to donor gifts transferred from the bankrupt Sound Shore Medical Center Estate. The earnings can provide support to the Montefiore New Rochelle Hospital general activities, specifically treatment, hospitalization and care of needy patients as designated by individual donors. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 500. | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,040,651 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,216,927 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $41,349,666 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,700,537 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,649,129 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07240 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $46,390,317 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $35,917,464 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,649,129 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07240 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,814,913 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,407,463 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,407,450 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01380 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,554,894 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,897,477 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,657,417 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02090 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,718,969 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,047,996 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,670,973 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01530 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,088,776 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $27,352,936 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,735,840 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05000 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $82,479,093 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $63,270,400 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,384,969 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12240 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,329,726 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,263,240 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $49,613,572 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $44,010,676 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $5,602,896 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Montefiore New Rochelle Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16 Guion Place | AddressLine1Txt |
| City | New Rochelle | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.montefiorehealthsystem.org | WebsiteAddressTxt |
| State License | 5904001H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Montefiore New Rochelle Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 14 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V - Section C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part V - Section C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 500. | FPGFamilyIncmLmtDscntCarePct |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Part V - Section C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V - Section C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part V - Section C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, PART V, SECTION B, LINE 5 | The 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. In addition to collaborative input from the local Department of Health, Montefiore worked closely with it communities, 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. |
| PART V, SECTION B, LINE 11: | A review of the results from the primary and secondary data collection in Montefiore New Rochelle Hospital most recent 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 |
| Schedule H, Part V, Section B, Line 6A | Montefiore New Rochelle Hospital's CHNA was conducted along with Montefiore Mount Vernon Hospital. |
| Schedule H, Part V, Section B, Line 7a | The website that the hospital facility makes its CHNA report widely available to the public: https://www.montefiore.org/documents/communityservices/Comprehensive-NR-CH NA-IR-2014.pdf |
| Schedule H, Part V, Section B, Line 10a | The website that the hospital facility's most recently adopted implementation strategy is posted: https://www.montefiore.org/documents/communityservices/Comprehensive-NR-CH NA-IR-2014.pdf |
| Schedule H, Part V, Section B, Lines 11 | A review of the results from the primary and secondary data collection in Montefiore New Rochelle Hospital's most recent 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 |
| Schedule H, Part V, Section B, Line 13H | Family size is factored into the eligibility criteria for financial assistance. |
| Schedule H, Part V, Section B, Lines 16a-16c | The FAP was publicized on the hospital facility's direct website: http://www.montefiorehealthsystem.org/body.cfm?id=68 |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 1. Required Description: | 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 CO-PAYMENTS 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, SECTION 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(RCCS). 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 SHORTFALL OF $2,547,410. REVENUE ALLOWABLE COSTS SHORTFALL PART III, LINES 5-7: $49,613,572 $44,010,676 5,602,896 ADD: MED. CENTERS COSTS: - 5,168,315 (5,168,315) ADD: MEDICARE DME: 3,491,152 4,451,894 (960,742) ADD: MED. CENTER EMPL. PHY.: 1,114,000 1,892,471 (778,471) ADD: MED. SUBSID. HLTH. SERV.: 2,807,653 4,050,431 (1,242,778) TOTAL OVERALL MEDICARE SHORTFALL:$57,026,377 $59,573,787 (2,547,410) |
| 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 involves 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 NEW ROCHELLE 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 New Rochelle is the anchor city for the Long Island Sound region in Westchester County and has approximately 78,400 residents. New Rochelle is ethnically diverse. Its population is 28.5% Hispanic, 17.8% African-American, 69.6% white, 4% Asian and 7% other. Almost one-third (26.3%) of its residents are foreign-born. Among these immigrants, more people speak only English at home than any other language. New Rochelle is one of Westchester County's more affuent cities. 1% of New Rochelle households are on public assistance; less than Westchester County (2.2%) and New York State (3.4%) percentage. About 10% of New Rochelle's population lives below the poverty line and the median income is $66,656 compared to $77,293 countywide. There are 12.2% of New Rochelle children living below poverty. |
| 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 collaborates with the Director of WIC initiatives for events in New Rochelle. These events are focused on a variety of issues, ranging from chronic disease management and prevention, cancer screenings and promotion of healthy food comsumption. Events range from farmers market walks, workshops in the community, walkathons, health fair and community-based health screens. Engaging local community members in our efforts enables us to employ the health care institution and the community in the activities of national health advocacy organizations, including walks, festivals, and other awaremess-raising activities for health issues that impact the community. |
| 6. AFFILIATED HEALTH CARE SYSTEM: | MONTEFIORE NEW ROCHELLE HOSPITAL IS AN AFFILIATE OF MONTEFIORE HEALTH SYSTEM, INC. |
| 7. STATE FILING OF COMMUNITY BENEFIT REPORT: | MONTEFIORE NEW ROCHELLE HOSPITAL FILES A COMMUNITY SERVICE PLAN WITH THE STATE OF NEW YORK. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNITED HEBREW GERIATRIC CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 391 PELHAM ROAD | AddressLine1Txt |
| City | NEW ROCHELLE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10805 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 131663975 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $9,500 | CashGrantAmt |
| Purpose Of Grant | SPONSORSHIP | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART 1, LINE 2 | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PROVIDES SUPPORT TO VARIOUS CHARITABLE ORGANIZATIONS AS PART OF ITS MANY LOCAL COMMUNITY HEALTH AND BUILDING PROGRAMS INITIATIVES. THESE DONATIONS ARE AWARDED TO LOCAL ESTABLISHED 501(C)(3) ORGANIZATIONS AS PART OF Montefiore New Rochelle Hospital CHARITABLE MISSION TO IMPROVE THE HEALTH AND WELFARE OF THE COMMUNITITIES THAT IT SERVES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHILIP O OZUAH MD PHD | ||||||||||||||
| EXECUTIVE VP & COO | $0 | $1,549,814 | $0 | $806,800 | $0 | $136,022 | $0 | $503,897 | $0 | $34,195 | $0 | $3,030,728 | $0 | $0 |
| CHRISTOPHER S PANCZNER | ||||||||||||||
| SENIOR VP & GENERAL COUNSEL | $0 | $700,000 | $0 | $320,100 | $0 | $21,554 | $0 | $187,726 | $0 | $0 | $0 | $1,229,380 | $0 | $0 |
| JOEL A PERLMAN | ||||||||||||||
| EXEC VP & CFO(RESIGNED 1/6/16) | $0 | $748,920 | $0 | $483,300 | $0 | $222,034 | $0 | $17,000 | $0 | $34,654 | $0 | $1,505,908 | $0 | $0 |
| SUSAN GREEN-LORENZEN RN | ||||||||||||||
| SENIOR VP-OPERATIONS | $0 | $789,754 | $0 | $351,600 | $0 | $22,034 | $0 | $333,825 | $0 | $33,054 | $0 | $1,530,267 | $0 | $0 |
| LYNN RICHMOND | ||||||||||||||
| Executive Vice President | $0 | $884,855 | $0 | $486,600 | $0 | $21,554 | $0 | $387,008 | $0 | $33,060 | $0 | $1,813,077 | $0 | $0 |
| JOHN OLSEWSKI MD | ||||||||||||||
| ORTHOPEDIC SURGEON | $741,545 | $0 | $0 | $0 | $1,032 | $0 | $6,800 | $0 | $26,399 | $0 | $775,776 | $0 | $0 | $0 |
| STEVEN B ZELICOF MD | ||||||||||||||
| CHIEF, ORTHOPEDIC SURGERY | $548,179 | $0 | $0 | $0 | $1,032 | $0 | $6,800 | $0 | $22,523 | $0 | $578,534 | $0 | $0 | $0 |
| MADHU RANGRAJ MD | ||||||||||||||
| DIRECTOR, SURGERY | $528,814 | $0 | $0 | $0 | $3,048 | $0 | $6,800 | $0 | $23,992 | $0 | $562,654 | $0 | $0 | $0 |
| Roger Coron MD | ||||||||||||||
| Chief of Gastroenterology | $556,806 | $0 | $0 | $0 | $216 | $0 | $6,800 | $0 | $22,484 | $0 | $586,306 | $0 | $0 | $0 |
| Mark Liss MD | ||||||||||||||
| Attending Gastroentrology | $392,727 | $0 | $0 | $0 | $0 | $0 | $6,800 | $0 | $24,932 | $0 | $424,459 | $0 | $0 | $0 |
| COLLEEN BLYE | ||||||||||||||
| EXEC VP & CFO (ELECTED 1/6/16) | $0 | $938,840 | $0 | $375,000 | $0 | $0 | $0 | $396,934 | $0 | $32,098 | $0 | $1,742,872 | $0 | $0 |
| Steven M Safyer MD | ||||||||||||||
| President & CEO | $0 | $1,779,978 | $0 | $1,231,200 | $0 | $1,316,779 | $0 | $17,000 | $0 | $34,831 | $0 | $4,379,788 | $0 | $0 |
| Anthony Alfano | ||||||||||||||
| Vice President | $0 | $350,660 | $0 | $75,000 | $0 | $2,992 | $0 | $17,000 | $0 | $32,245 | $0 | $477,897 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART 1 LINES 3, 4B & PART II - COLUMNS (b)(i), (ii) AND (iii) | FormAndLineReferenceDesc |
| Explanation | As it relates to Compensation from either Montefiore Medicine Academic Health System, Inc. or 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. Steven Safyer, MD - 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: Christopher Panczner - $170,726 Philip O. Ozuah, MD, PH.D - $486,897 Susan Green Lorenzen, RN - $316,825 Lynn Richmond - $370,008 Colleen Blye - $396,934. The Officers and Key Employees listed in Part II, column A are not employees of this filing organization, Montefiore New Rochelle Hospital. These individuals are employed and their compensation is paid by either Montefiore Medicine Academic Health System, Inc., EIN 47-1582973, or by Montefiore Health System, Inc., EIN 20-1615393. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6: | MONTEFIORE HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF MONTEFIORE NEW ROCHELLE HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7A: | THE BOARD OF TRUSTEES OF MONTEFIORE HEALTH SYSTEM, INC., THE SOLE MEMBER OF MONTEFIORE NEW ROCHELLE HOSPITAL, HAS THE AUTHORITY TO APPOINT THE BOARD OF TRUSTEES OF MONTEFIORE NEW ROCHELLE HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7B: | THE BOARD OF TRUSTEES OF MONTEFIORE HEALTH SYSTEM, INC., THE SOLE MEMBER OF MONTEFIORE NEW ROCHELLE HOSPITAL, HAS THE AUTHORITY TO APPROVE THE OPERATING AND CAPITAL BUDGETS OF MONTEFIORE NEW ROCHELLE HOSPITAL. |
| FORM 990, PART VI, SECTION B, LINE 11B: | THE FORM 990 WAS PREPARED BY THE HOSPITAL'S FINANCE DEPARTMENT WITH THE ASSISTANCE OF VARIOUS DEPARTMENTS. THE FORM 990 WAS REVIEWED AND APPROVED BY THE VICE PRESIDENT-FINANCE 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 NEW ROCHELLE 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 CONFLICTS OF INTEREST POLICY BY MEANS OF A SURVEY THAT WAS DEVELOPED BY MONTEFIORE'S COUNSEL. MONTEFIORE NEW ROCHELLE HOSPITAL'S BOARD OF TRUSTEES ADOPTED A POLICY THAT COMPORTS TO FEDERAL AND STATE CONFLICTS OF INTEREST REQUIREMENTS. THE GENERAL APPROACH WHEN A POTENTIAL CONFLICT OF INTEREST ARISES IS TO DISCLOSE THE POSSIBLE CONFLICT TO THE COMPLIANCE OFFICER. THE COMPLIANCE OFFICER WILL MAKE EVERY EFFORT TO PROVIDE GUIDANCE TO PERMIT RESOLUTION OF ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE COMPLIANCE OFFICER WILL TAKE APPROPRIATE ACTIONS, INCLUDING ADVISING MONTEFIORE NEW ROCHELLE HOSPITAL'S BOARD OF TRUSTEES REGARDING PARTICULAR CONFLICTS OF INTEREST. |
| 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 company of Montefiore Health System, Inc. and Montefiore New Rochelle Hospital, respectively. The Montefiore Health System 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 judgement 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)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MMC Corporation | ||||||||||
| 111 East 210th Street | Bronx | NY | 10467 | 133430322 | Real Estate | NY | 501 (C)(3) | 12A TYPE I | MMC | Yes (true) |
| Montefiore Medical Center | ||||||||||
| 111 East 210th Street | Bronx | NY | 10467 | 131740114 | Acad Med Ctr | NY | 501 (C)(3) | 3 | MHS | Yes (true) |
| MMC Residential Corp I Inc | ||||||||||
| 3411 Wayne Avenue | Bronx | NY | 10467 | 911943271 | Staff Housing | NY | 501 (C)(2) | MMC | Yes (true) | |
| Montefiore Hospital Housing Sect IIInc | ||||||||||
| 3450 Wayne Avenue | Bronx | NY | 10467 | 237160641 | Staff Housing | NY | 501 (C)(2) | MMC | Yes (true) | |
| Montefiore North Amb Care Ctr Inc | ||||||||||
| 4234 Bronx Boulevard | Bronx | NY | 10466 | 010796859 | Amb. Services | NY | 501 (C)(3) | 3 | MHS | Yes (true) |
| Mosholu Preservation Corporation | ||||||||||
| 3400 Reservoir Oval East | Bronx | NY | 10467 | 133109387 | Community Ser | NY | 501 (C)(3) | 12B TYPE II | MMC | Yes (true) |
| GUN HILL MRI PC | ||||||||||
| 200 EAST GUN HILL ROAD | BRONX | NY | 10467 | 133734486 | DIAG SERVICES | NY | 501 (C)(3) | 12A TYPE I | MMC | Yes (true) |
| MONTEFIORE HEALTH SYSTEM INC | ||||||||||
| 555 SOUTH BROADWAY | TARRYTOWN | NY | 10591 | 201615393 | Support Serv | NY | 501(C)(3) | 12B Type II | MMAHS | Yes (true) |
| MONTEFIORE MOUNT VERNON HOSPITAL | ||||||||||
| 12 NORTH SEVENTH AVENUE | MOUNT VERNON | NY | 10550 | 462916938 | HOSPITAL | NY | 501(C)(3) | 3 | MHS | Yes (true) |
| SCHAFFER EXTENDED CARE CENTER | ||||||||||
| 16 GUION PLACE | NEW ROCHELLE | NY | 10801 | 462929888 | NURSING HOME | NY | 501(C)(3) | 3 | MHS | Yes (true) |
| Albert Einstein College of MedicineInc | ||||||||||
| 1300 Morris Park Avenue | Bronx | NY | 10461 | 472209056 | Med College | NY | 501(c)(3) | 2 | MMAHS | Yes (true) |
| Montefiore Medicine Acad Hlth Sys Inc | ||||||||||
| 555 South Broadway | Tarrytown | NY | 10591 | 471582973 | SYS PARENT | NY | 501(c)(3) | 12B Type II | NA | Yes (true) |
| The Nyack Hospital | ||||||||||
| 160 North Midland Avenue | NYACK | NY | 10960 | 131740119 | Hospital | NY | 501(c)(3) | 3 | MHS | Yes (true) |
| Montefiore Foundation INC | ||||||||||
| 111 East 210th Street | Bronx | NY | 10467 | 471600439 | INACTIVE | NY | 501(c)(3) | 7 | MHS | Yes (true) |
| White Plains Hospital Medical Center | ||||||||||
| 41 East Post Road | White Plains | NY | 10601 | 131740130 | HOSPITAL | NY | 501(C)(3) | 3 | MHS | Yes (true) |
| AECOM Staff Housing Co Inc | ||||||||||
| 1300 Morris Park Avenue | Bronx | NY | 10461 | 237075620 | STAFF HOUSING | NY | 501(C)(2) | AECOM | Yes (true) | |
| Montefiore CERC Operations Inc | ||||||||||
| 111 East 210th Street | Bronx | NY | 10467 | 474853506 | REHAB CENTER | NY | 501(c)(3) | 3 | MMC | Yes (true) |
| White Plains Hospital Center Foundation | ||||||||||
| 41 East Post Road Davis Avenue | White Plains | NY | 10601 | 133281507 | Fundraising | NY | 501(C)(3) | 12A Type I | WPHMC | Yes (true) |
| Nyack Hospital Foundation | ||||||||||
| 160 North Midland Avenue | Nyack | NY | 10960 | 133245804 | Fundraising | NY | 501(C)(3) | 7 | NYACK HOSP | Yes (true) |
| The Winifred Masterson Burke Rehab Hosp | ||||||||||
| 785 Mamaroneck Avenue | White Plains | NY | 10605 | 131739937 | Rehab Hosp | NY | 501(c)(3) | 3 | MHS | Yes (true) |
| St Luke's Cornwall Hospital | ||||||||||
| 70 Dubois Street | Newburgh | NY | 125504851 | 141340054 | Hospital | NY | 501(C)(3) | 3 | mhs | Yes (true) |
| Hudson Vista Medical PC | ||||||||||
| 70 Dubois Street | Newburgh | NY | 125504851 | 452526738 | Healthcare | NY | 501(c)(3) | 12A Type I | SLCH | Yes (true) |
| Hudson Vista Physician Services PC | ||||||||||
| 70 Dubois Street | Newburgh | NY | 125504851 | 272020746 | Healthcare | NY | 501(c)(3) | 12A Type I | SLCH | Yes (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 | Yes (true) |
| St Luke's Cornwall Health Sys Foundation | ||||||||||
| 70 Dubois Street | Newburgh | NY | 125504851 | 223026263 | Fundraising | NY | 501(c)(3) | 7 | SLCHS | Yes (true) |
| Amos and Sarah Holden Home | ||||||||||
| 70 Dubois Street | Newburgh | NY | 125504851 | 141365995 | Asst Living | NY | 501(c)(3) | PF | SLCHS | Yes (true) |
| Goldsmith D and Mary B Johnes Home | ||||||||||
| 70 Dubois Street | Newburgh | NY | 125504851 | 141364666 | Home for Aged | NY | 501(c)(3) | 10 | SLCHS | Yes (true) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (21 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| UNIVERSITY BEHAVIORAL ASSOCIATES INC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 133877781 | MGMT SERVICES | NY | NA | C Corp | Yes (true) |
| THE MONTEFIORE IPA INC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 134114915 | Integ Provr Assoc | NY | NA | C CORP | Yes (true) |
| MMC GI HOLDINGS EAST INC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 721610013 | HOLDING COMPANY | NY | NA | C CORP | Yes (true) |
| MMC GI HOLDINGS WEST INC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 721610015 | HOLDING COMPANY | NY | NA | C CORP | Yes (true) |
| MONTEFIORE BEHAVIORAL CARE IPA NO 1INC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 133952750 | INTEG PROVR ASSOC | NY | NA | C CORP | Yes (true) |
| BRONX ACCOUNTABLE CARE NETWORK IPA INC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 300689571 | Integ Provr Assoc | NY | NA | C CORP | Yes (true) |
| Montefiore Consolidated Ventures Inc | |||||||||
| 111 East 210th Street | Bronx | NY | 10467 | 611728539 | Holding CompaNY | NY | NA | C Corp | Yes (true) |
| Montefiore Insurance Company Inc | |||||||||
| 111 East 210th Street | Bronx | NY | 10467 | 320436594 | Inactive | NY | NA | C Corp | Yes (true) |
| Hudson Valley IPA Inc | |||||||||
| 111 East 210th Street | Bronx | NY | 10467 | 383978087 | Inactive | NY | NA | C CORP | Yes (true) |
| Montefiore Innovations Inc | |||||||||
| 111 East 210th Street | Bronx | NY | 10467 | 475106910 | Inactive | NY | NA | C CORP | Yes (true) |
| Highland Medical PC | |||||||||
| 160 North Midland | Nyack | NY | 10960 | 134034481 | Healthcare Serv | NY | NA | C CORP | Yes (true) |
| 8 Longview Development Corp | |||||||||
| Davis Avenue at East Post Road | White Plains | NY | 10601 | 263321278 | HOUSING | NY | NA | C CORP | Yes (true) |
| White Plains Medical Diagnostic Service | |||||||||
| 41 East Post Road | White Plains | NY | 10601 | 453164626 | Prof Services | NY | NA | C CORP | Yes (true) |
| Cancer and Blood Medical Services of NY | |||||||||
| 41 Post Road | White Plains | NY | 10601 | 462021804 | Healthcare Serv | NY | NA | C CORP | Yes (true) |
| Davis Avenue Corp | |||||||||
| Davis Avenue at East Post Road | White Plains | NY | 10601 | 133331643 | Inactive | NY | NA | C CORP | Yes (true) |
| White Plains Management Co Inc | |||||||||
| 41 East Post Road | White Plains | NY | 10601 | 133331641 | Inactive | NY | NA | C CORP | Yes (true) |
| WPHC Building Corp | |||||||||
| 41 East Post Road | White Plains | NY | 10601 | 133676932 | Inactive | NY | NA | C CORP | Yes (true) |
| White Plains Medical Services | |||||||||
| Davis Avenue at East Post Road | White Plains | NY | 10601 | 815369152 | Healthcare Serv | NY | NA | C Corp | Yes (true) |
| White Plains Physician Services | |||||||||
| Davis Avenue at East Post Road | White Plains | NY | 10601 | 815309615 | Healthcare Serv | NY | NA | C Corp | Yes (true) |
| Charitable Remainder Trust (5) | |||||||||
| Char Remr Trust | NY | NA | Trust | Yes (true) | |||||
| SLCH Corporation | |||||||||
| 70 Dubois Street | Newburgh | NY | 122504851 | 141765661 | inactive | NY | NA | C Corp | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (12 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MONTEFIORE HEALTH SYSTEM INC | ||
| E | $5,289,446 | COST |
| MONTEFIORE HEALTH SYSTEM INC | ||
| K | $3,471,036 | COST |
| MONTEFIORE HEALTH SYSTEM INC | ||
| M | $2,749,685 | COST |
| MONTEFIORE Health System Inc | ||
| R | $8,958,371 | COST |
| MONTEFIORE MEDICAL CENTER | ||
| M | $6,607,595 | COST |
| MONTEFIORE MEDICAL CENTER | ||
| P | $383,463 | COST |
| MONTEFIORE MOUNT VERNON HOSPITAL | ||
| K | $1,308,000 | COST |
| MONTEFIORE MOUNT VERNON HOSPITAL | ||
| L | $2,476,334 | COST |
| SCHAFFER EXTENDED CARE CENTER | ||
| L | $1,223,232 | COST |
| SCHAFFER EXTENDED CARE CENTER | ||
| Q | $2,384,136 | COST |
| MONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM | ||
| M | $945,984 | COST |
| THE MONTEFIORE IPA INC | ||
| L | $3,695,733 | COST |
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