2015-11-11T12:20:01-06:00 2014-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2014-01-01 462929888 SCHAFFER EXTENDED CARE CENTER % DAVID INGBER - MONTEFIORE SCHA 9143498400 16 Guion Place New Rochelle NY 10801 JOEL A PERLMAN Executive VP & CFO 2015-10-29 CHRISTOPHER B BOGGS P00032493 2127733000 2014 2016-02-25 16:41:14Z STEVEN SAFYER MD 111 East 210th Street Bronx NY 10467 17617224 false X WWW.MONTEFIOREHEALTHSYSTEM.ORG X 2013 NY TO HEAL, TO TEACH, TO DISCOVER AND TO ADVANCE THE HEALTH OF THE COMMUNITIES WE SERVE. 47 46 185 15 0 0 475000 2723529 17140575 0 0 16 1649 2723545 17617224 0 0 0 0 2537121 11539034 0 0 0 1002232 9113151 3539353 20652185 -815808 -3034961 6607289 7150993 7313097 10891762 -705808 -3740769 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. THE SCHAFFER EXTENDED CARE CENTER AT MONTEFIORE NEW ROCHELLE HOSPITAL IS A 150-BED, COMPREHENSIVE SKILLED NURSING FACILITY OFFERING SHORT-TERM REHABILITATION/SUB-ACUTE CARE AND SKILLED LONG-TERM CARE, AS WELL AS AN ADULT DAY SERVICES PROGRAM THAT PROVIDES A WIDE RANGE OF HEALTHCARE AND SOCIAL SERVICES FOR MEDICALLY FRAIL SENIORS AND THOSE WITH CHRONIC CONDITIONS OR DISABILITIES. SCHAFFER'S REHABILITATION PROGRAM HAS BEEN HELPING CARDIOPULMONARY, ORTHOPAEDIC, AND SURGERY PATIENTS RETURN TO THEIR HOMES AND FAMILIES. THE SHORT-TERM PROGRAM SPECIALIZES IN CARDIOPULMONARY REHABILITATION, POST-SURGERY AND STROKE RECOVERY, AS WELL AS FRACTURE, FALL AND FRAIL PATIENT CARE. SCHAFFER EXTENDED CARE CENTER I false false 15780532 15942263 SCHAFFER EXTENDED CARE CENTER BEGAN OPERATIONS ON NOVEMBER 6, 2013 AT THE SITE OF THE FORMER HOWE AVENUE NURSING HOME IN NEW ROCHELLE, NEW YORK. SCHAFFER EXTENDED CARE CENTER PROVIDED 47,304 DAYS OF SKILLED NURSING AND RESIDENTIAL HEALTH CARE DURING CALENDAR YEAR 2014. THE CENTER MAINTAINED AN AVERAGE DAILY CENSUS OF 131 AND OPERATED AT AN 88% OCCUPANCY. 1186155 1198312 SCHAFFER EXTENDED CARE CENTER OPERATES A LICENSED OUTPATIENT ADULT DAY CARE PROGRAM FOR NON-RESIDENTS OF THE CARE CENTER. THE CENTER PROVIDED 7,107 ADULT DAY CARE PROGRAM VISITS IN CALENDAR YEAR 2014. 16966687 true false false false false false false false false false true false false true true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 4 0 true 185 true false false false false false false false false false false X 47 46 true false false false true true true true true false false true true true true true true false false false NY X DAVID INGBER - MONTEFIORE 9143498400 HLTH SYS INC 555 S BDWY TARRYTOWN NY 10591 ODED ABOODI VICE CHAIRMAN & TREASURER 0.1 2.4 X 0 0 0 MARGARET HAYES ADAME TRUSTEE 0.1 1.9 X 0 0 0 GEORGE ASCH TRUSTEE 0.1 1.4 X 0 0 0 JOSEPH W BARTLETT TRUSTEE 0.1 1.4 X 0 0 0 PATRICIA BAUMAN TRUSTEE 0.1 1.4 X 0 0 0 ROBERT A BERNHARD TRUSTEE(TRUSTEE EMERITUS 6/14) 0.1 1.4 X 0 0 0 JAMES M BUTLER TRUSTEE 0.1 2.4 X 0 0 0 LAWRENCE B BUTTENWEISER TRUSTEE(TRUSTEE EMERITUS 6/14) 0.1 1.4 X 0 0 0 GEORGE CAMPBELL JRPHD TRUSTEE 0.1 1.4 X 0 0 0 BRUCE DONIGER TRUSTEE 0.1 1.4 X 0 0 0 KAREN L FINERMAN TRUSTEE (RESIGNED 4/14) 0.1 1.4 X 0 0 0 RUTH L GOTTESMAN EDD TRUSTEE 0.1 1.4 X 0 0 0 DAVID C GOTTLIEB TRUSTEE 0.1 1.4 X 0 0 0 BARRY W GRAY TRUSTEE 0.1 1.4 X 0 0 0 PATRICIA GREEN TRUSTEE 0.1 1.4 X 0 0 0 JOHN H GUTFREUND TRUSTEE 0.1 1.4 X 0 0 0 THOMAS L HARRISON TRUSTEE 0.1 1.4 X 0 0 0 JOHN HEFFER TRUSTEE 0.1 2.4 X 0 0 0 LEWIS HENKIND SECRETARY 0.1 3.4 X 0 0 0 HELEN A JOHNSON TRUSTEE 0.1 2.4 X 0 0 0 DAVID B KEIDAN TRUSTEE 0.1 1.4 X 0 0 0 BRUCE J KLATSKY TRUSTEE 0.1 1.4 X 0 0 0 ALAN M KLEIN TRUSTEE 0.1 3.4 X 0 0 0 STACEY R LANE TRUSTEE 0.1 2.4 X 0 0 0 JAY B LANGNER TRUSTEE/CHAIRMAN EMERITUS 0.1 1.4 X 0 0 0 CHRISTOPHER D MCFADDEN TRUSTEE 0.1 1.4 X 0 0 0 ALAN G MNUCHIN TRUSTEE (RESIGNED 12/14) 0.1 1.4 X 0 0 0 MARGARET S NATHAN TRUSTEE 0.1 1.4 X 0 0 0 PETER J NEUFELD TRUSTEE 0.1 2.4 X 0 0 0 NED S OFFIT TRUSTEE (RESIGNED 3/14) 0.1 1.4 X 0 0 0 GAYLE F ROBINSON TRUSTEE 0.1 1.4 X 0 0 0 JON W ROTENSTREICH TRUSTEE 0.1 1.4 X 0 0 0 RUTH SAPORTA TRUSTEE (RESIGNED 1/14) 0.1 1.4 X 0 0 0 HON FELICIA K SHEA TRUSTEE 0.1 1.4 X 0 0 0 EDWIN H STERN III TRUSTEE 0.1 1.4 X 0 0 0 DAVID A TANNER CHAIRMAN 0.1 7.9 X 0 0 0 CYNTHIA KING VANCE TRUSTEE 0.1 2.4 X 0 0 0 KENNETH D WEISER TREAS (TRUSTEE EMERITUS 6/14) 0.1 1.4 X 0 0 0 JIDE J ZEITLIN TRUSTEE 0.1 1.4 X 0 0 0 JENNIE EMIL TRUSTEE 0.1 1.4 X 0 0 0 JONATHAN A LIPTON TRUSTEE 0.1 1.4 X 0 0 0 ZITA G ROSENTHAL TRUSTEE 0.1 1.4 X 0 0 0 GREGG S HYMOWITZ TRUSTEE 0.1 1.4 X 0 0 0 NATHAN GANTCHER TRUSTEE 0.1 1.4 X 0 0 0 CATHERINE KLEMA TRUSTEE 0.1 1.4 X 0 0 0 MELISSA CERIALE TRUSTEE 0.1 1.4 X 0 0 0 MARK MLOTEK TRUSTEE 0.1 1.4 X 0 0 0 BARRY S BLATTMAN TRUSTEE (ELECTED 9/14) 0.1 1.4 X 0 0 0 MARK E BROSSMAN TRUSTEE 0.1 1.4 X 0 0 0 MATTHEW H NORD TRUSTEE (ELECTED 9/14) 0.1 1.4 X 0 0 0 MICHAEL A STOCKER MD TRUSTEE 0.1 1.4 X 0 0 0 ROGER EINIGER TRUSTEE (ELECTED 10/14) 0.1 1.4 X 0 0 0 JAY B ABRAMSON TRUSTEE 0.1 2.4 X 0 0 0 STEVEN M SAFYER MD PRESIDENT & CEO 0.5 59.5 X X 0 4805927 51099 PHILIP OZUAH MD PHD Executive VP & COO 0.5 59.5 X 0 1957165 2036117 CHRISTOPHER S PANCZNER SENIOR VP & GENERAL COUNSEL 0.5 59.5 X 0 979499 271790 JOEL A PERLMAN EXECUTIVE VICE PRESIDENT & CFO 0.5 59.5 X 0 2166792 50882 SUSAN GREEN-LORENZEN RN SENIOR VP-OPERATIONS 0.5 59.5 X 0 984089 514115 LYNN RICHMOND Executive Vice President 0.5 59.5 X 0 969231 373414 SUSAN SALES SENIOR DIRECTOR 60.0 0.0 X 150560 0 23900 RAJ SAINI RN 60.0 0.0 X 148115 0 20318 BEATRIX MORAN RN 60.0 0.0 X 117208 0 7256 JEAN BARTLEY-CHRISTIE DIRECTOR-NURSING LONG TERM 60.0 0.0 X 112506 0 8679 SUSAMMA THOMAS RN 60.0 0.0 X 112305 0 20578 640694 11862703 3378148 17 false true false 0 475000 475000 INPATIENT SERVICES 621300 15942263 15942263 OUTPATIENT SERVICES 621400 1198312 1198312 17140575 0 0 0 0 0 0 0 0 0 0 MISCELLANEOUS INCOME 900099 1649 1649 1649 17617224 17140575 1649 0 0 0 0 0 0 8650567 6919374 1731193 0 2217336 1669061 548275 671131 536821 134310 0 58794 51909 6885 107563 107563 0 0 0 100172 90674 9498 16579 16579 677289 516493 160796 0 0 6208363 5581632 626731 6068 2827 3241 0 0 101205 101205 0 107273 107273 381004 349250 31754 MEDICAL SUPPLIES & EXPENSES 1208573 1038518 170055 MEMEBRSHIP DUES 103218 1650 101568 COLLECTION FEES 37050 37050 20652185 16966687 3685498 0 3004740 172523 0 0 0 0 2521389 3619352 0 0 0 0 0 0 0 0 105000 112382 2563645 117495 173778 2446150 0 0 0 0 0 0 0 0 802382 800586 6607289 7150993 1627930 2903032 0 0 0 0 0 0 0 0 0 0 5685167 0 0 0 0 7988730 7313097 10891762 X -705808 -3740769 0 0 0 0 -705808 -3740769 6607289 7150993 -3034961 X false true X true false X 0.00000 675203 117495 557708 1888442 1888442 2446150 ASSETS LIMITED TO USE 40737 TRADEMARK 224200 NURSING HOME BED LICENSE 535649 800586 0 DUE TO RELATED PARTIES 6359886 LEASEHOLD IMPROVEMENT EQUIP LOANS 1589366 PATIENT RESOURCE FUNDS LIABILITY 39478 7988730 false true false false false false false false false PHILIP OZUAH MD PHD Executive VP & COO 0 1154628 0 712400 0 90137 0 1998481 0 37636 0 3993282 0 0 CHRISTOPHER S PANCZNER SENIOR VP & GENERAL COUNSEL 0 624900 0 343800 0 10799 0 271790 0 0 0 1251289 0 0 JOEL A PERLMAN EXECUTIVE VICE PRESIDENT & CFO 0 1019110 0 610000 0 537682 0 17000 0 33882 0 2217674 0 0 SUSAN GREEN-LORENZEN RN SENIOR VP-OPERATIONS 0 636460 0 336400 0 11229 0 482033 0 32082 0 1498204 0 0 LYNN RICHMOND Executive Vice President 0 612082 0 346400 0 10749 0 340020 0 33394 0 1342645 0 0 SUSAN SALES SENIOR DIRECTOR 150558 0 0 0 2 0 0 0 23900 0 174460 0 0 0 RAJ SAINI RN 148115 0 0 0 0 0 0 0 20318 0 168433 0 0 0 STEVEN M SAFYER MD PRESIDENT & CEO 0 1464159 0 1303100 0 2038668 0 17000 0 34099 0 4857026 0 0 PART I, LINE 4B & PART II - COLUMNS (B)(I), (II) AND (III) As it relates to Compensation from 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 $2,021,844 based on approximately 32 years of service at Montefiore. Joel Perlman - Pooled Supplemental Executive Retirement Plan distribution of $534,534 based on more than 25 years of service at Montefiore. Christopher Panczner - Accrued and unpaid service costs of $254,790. Philip O. Ozuah, MD, PHD. - Accrued and unpaid service costs of $1,981,481. Susan Green Lorenzen, RN - Accrued and unpaid service costs of $465,033. Lynn Richmond - Accrued and unpaid service costs of $323,020. FORM 990, PART VI, SECTION A, LINE 2: 1) DAVID C. GOTTLIEB (TRUSTEE) IS RELATED TO JAY B. LANGNER (TRUSTEE)FAMILY RELATIONSHIP. 2) PETER J. NEUFELD (TRUSTEE) IS RELATED TO ROBERT A. BERNHARD (TRUSTEE) FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6: MONTEFIORE HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF SCHAFFER EXTENDED CARE CENTER. FORM 990, PART VI, SECTION A, LINE 7A: THE BOARD OF TRUSTEES OF MONTEFIORE HEALTH SYSTEM, INC., THE SOLE MEMBER OF SCHAFFER EXTENDED CARE CENTER, HAS THE AUTHORITY TO APPOINT THE BOARD OF TRUSTEES OF SCHAFFER EXTENDED CARE CENTER. FORM 990, PART VI, SECTION A, LINE 7B: THE BOARD OF TRUSTEES OF MONTEFIORE HEALTH SYSTEM, INC., THE SOLE MEMBER OF SCHAFFER EXTENDED CARE CENTER, HAS THE AUTHORITY TO APPROVE THE OPERATING AND CAPITAL BUDGETS OF SCHAFFER EXTENDED CARE CENTER. FORM 990, PART VI, SECTION B, LINE 11B: THE FORM 990 WAS PREPARED BY THE CENTER'S FINANCE DEPARTMENT WITH THE ASSISTANCE OF VARIOUS DEPARTMENTS. THE FORM 990 WAS REVIEWED AND APPROVED BY THE VICE PRESIDENT-FINANCE, ACCOUNTING AND FINANCIAL REPORTING AND THE CENTER'S SENIOR LEADERSHIP TEAM INCLUDING THE CHIEF FINANCIAL OFFICER. IN ADDITION, AN INDEPENDENT ACCOUNTING FIRM WAS ENGAGED TO REVIEW THE FORM 990. UPON COMPLETION OF THE VARIOUS REVIEWS, THE FORM 990 WAS PRESENTED TO THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES FOR REVIEW AND APPROVAL. ONCE APPROVED BY THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES, THE FORM 990 WAS PROVIDED TO ALL MEMBERS OF SCHAFFER EXTENDED CARE CENTER'S GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 12C: ORGANIZATION COMPLIANCE POLICY MONITORING AND ENFORCEMENT: THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICTS OF INTEREST POLICY BY MEANS OF A SURVEY THAT WAS DEVELOPED BY MONTEFIORE'S COUNSEL. SCHAFFER EXTENDED CARE CENTER'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 SCHAFFER EXTENDED CARE CENTER'S BOARD OF TRUSTEES REGARDING PARTICULAR CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A & 15B: DETERMINATION OF OFFICER'S COMPENSATION: The Officers presented in Part VII and Schedule J are not employed and paid by the organization rather are employed and paid by Montefiore Health System, Inc. Montefiore Health System, Inc. is committed to ensuring that its executive compensation program adheres to the highest standards of regulatory compliance and best corporate governance. The Board of Trustees has charged the Compensation Committee of the Board (which is comprised of independent Board members with no conflicts of interest in regards to executive compensation) with making all decisions related to compensation for officers and key employees. All decisions made by the Compensation Committee are appropriately and timely documented in meeting minutes. The compensation committee's review process follows the Intermediate Sanctions guidelines for qualifying for the rebuttable presumption of reasonableness. The Committee retains an independent compensation consultant to assist it with this process. Compensation levels are established considering data for comparable organizations, an assessment of management performance (including the services provided to the community), and other business judgment factors, consistent with Montefiore's executive compensation philosophy. The Committee's decisions are made in the best interest of Montefiore, and are intended to ensure the recruitment and retention of key executive talent, consistent with the market practices of other not-for-profit healthcare organizations of comparable scope, mission and complexity. On an annual basis, the Committee provides the full Board of Trustees with a description of the committee's review and approval process and its decisions. FORM 990, PART VI, SECTION C, LINE 19: THE CONFLICTS OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. MMC Corporation 111 East 210th Street Bronx NY 10467 133430322 Real Estate NY 501 (C)(3) 11 TYPE I MMC true MMC Residential Corp NO I Inc 3411 Wayne Avenue Bronx NY 10467 911943271 Staff Housing NY 501 (C)(2) MMC true Montefiore Hospital Housing Sect IIInc 3450 Wayne Avenue Bronx NY 10467 237160641 Staff Housing NY 501 (C)(2) MMC true Mosholu Preservation Corporation 3400 Reservoir Oval East Bronx NY 10467 133109387 Community Ser NY 501 (C)(3) 11 TYPE II MMC true Gunhill MRI PC 200 EAST GUNHILL ROAD BRONX NY 10467 133734486 DIAG SERVICES NY 501 (C)(3) 11 TYPE I MMC true Montefiore Health Systems INC 555 South Broadway Tarrytown NY 10591 201615393 PARENT NY 501 (C)(3) 11 TYPE III MMAHS false Montefiore North Ambulatory Care Center 4234 BRONX BLVD BRONX NY 10466 010796859 AMB SERVICES NY 501 (C)(3) 3 MHS true Montefiore New Rochelle Hospital 16 GUION PLACE NEW ROCHELLE NY 10801 462931956 HOSPITAL NY 501 (C)(3) 3 MHS true Montefiore Mount Vernon Hospital 12 NORTH SEVENTH AVENUE MOUNT VERNON NY 10550 462916938 HOSPITAL NY 501 (C)(3) 3 MHS true Montefiore Medical Center 111 East 210th Street BRONX NY 10467 131740114 ACAD MED CTR NY 501 (C)(3) 3 MHS true COM Affiliation Inc 111 East 210th Street Bronx NY 10467 472209056 Inactive NY 501 (c)(3) 2 MMAHS false Montefiore Medicine Acad Hlth SystInc 555 South Broadway Tarrytown NY 10591 471582973 SYS PARENT NY 501 (c)(3) 11 Type III NA false Nyack Hospital 160 North Midland Avenue Nyack NY 10960 131740119 Hospital NY 501 (C)(3) 3 MHS true MONTEFIORE FOUNDATION INC 111 EAST 210TH STREET BRONX NY 10467 471600439 INACTIVE NY 501 (C)(3) 11 TYPE I MHS true UNIVERSITY BEHAVIORAL ASSOCIATES INC 111 EAST 210TH STREET BRONX NY 10467 133877781 MGMT SERVICES NY N/A C CORP true THE MONTEFIORE IPA INC 111 EAST 210TH STREET BRONX NY 10467 134114915 MANAGED CARE NY N/A C CORP true MMC GI HOLDINGS EAST INC 111 EAST 210TH STREET BRONX NY 10467 721610013 HOLDING COMPANY NY N/A C CORP true MMC GI HOLDINGS WEST INC 111 EAST 210TH STREET BRONX NY 10467 721610015 HOLDING COMPANY NY N/A C CORP true MONTEFIORE BEHAVIORAL CARE IPA NO 1INC 111 EAST 210TH STREET BRONX NY 10467 133952750 INTEG PROV ASSOC NY N/A C CORP true BRONX ACCOUNTABLE CARE NETWORK IPA INC 111 EAST 210TH STREET BRONX NY 10467 300689571 MANAGED CARE NY N/A C CORP true Montefiore Consolidated Ventures Inc 111 East 210th Street Bronx NY 10467 611728539 Holding Company NY N/A C Corp true MMC Contract Management Org No 1 Inc 111 East 210th Street Bronx NY 10467 133859895 Contract Mgmt NY N/A C Corp true Montefiore Insurance Company Inc 111 East 210th Street Bronx NY 10467 320436594 INACTIVE NY N/A C Corp true Montefiore Community Network LLC 111 East 210th Street Bronx NY 10467 461374475 INACTIVE NY N/A C Corp true false false false false true false false false false false true false true false false true false false false MONTEFIORE HEALTH SYSTEM INC E 600286 COST MONTEFIORE HEALTH SYSTEM INC K 472982 COST MONTEFIORE HEALTH SYSTEM INC M 295009 COST MONTEFIORE MEDICAL CENTER P 55560 COST MONTEFIORE MEDICAL CENTER M 542992 COST MONTEFIORE NEW ROCHELLE HOSPITAL P 4849168 COST