2014-11-12T17:05:27-06:00 2013-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2013-01-01 201615393 MONTEFIORE HEALTH SYSTEM Inc % DAVID INGBER MONT 9143786480 555 South Broadway Suite Tarrytown NY 10591 JOEL PERLMAN Treasurer & CFO 2014-11-12 2013 2015-11-30 17:44:51Z X Steven Safyer MD 111 East 210th Street Bronx NY 10467 4124143 false X N/A X 2004 NY To heal, to teach, to discover and to advance the health of the communities we serve. 7 6 0 0 0 0 0 0 167255 4021959 0 102184 0 0 167255 4124143 0 0 0 0 148631 2847581 0 0 0 18624 2314616 167255 5162197 -1038054 149234 112830626 8486 103227932 140748 9602694 X To heal, to teach, to discover and to advance the health of the communities we serve. Montefiore builds upon our rich history of medical innovation and community service to improve the lives of those in our care. Our mission is exemplified in our exceptional, compassionate care and dedication to improve the well-being of those we serve. true false 2104920 0 3005969 Montefiore Health System, Inc. operates in furtherance and support of Montefiore Medical Center, Montefiore New Rochelle Hospital, Montefiore Mount Vernon Hospital, Schaffer Extended Care Center, Montefiore North Ambulatory Care Center, Inc. as well as the other not-for profit entities that have been formed in connection with the charitable, educational and scientific activities and objectives of the System Health Care Facilities. Overall, MHS' goal is to improve and enhance the general health and well-being of the communities served by the Montefiore Health System, which it seeks to accomplish by providing various governance and support services to the constituent entities of the Montefiore Health System. 1414855 0 112615 Montefiore HMO, LLC ("MHMO"), a New York limited liability company, is a disregarded entity of Montefiore Health System, Inc. and operates as a managed long term care plan in the State of New York. MHMO contracts with the New York State Department of Health (NYSDOH) to provide health and long-term care services to chronically ill or disabled individuals who require more than 120 days of continuous care. The plan arranges for and pays for certain health and social services, the majority of which are personal care services. MHMO contracts with a number of certified home health agencies and licensed home care service agencies and operates within the New York State counties of Westchester and the Bronx. MHMO commenced operations as a managed long term care plan on November 1, 2013 to provide health and long-term care services to its enrollees. 302637 0 903375 MONTEFIORE SS HOLDINGS, LLC, MONTEFIORE MV HOLDINGS, LLC AND MONTEFIORE HA HOLDINGS, LLC, DISREGARDED ENTITIES OF MONTEFIORE HEALTH SYSTEM, INC., ARE THE HOLDING COMPANIES ESTABLISHED IN 2013 TO OWN THE LAND AND BUILDINGS LEASED TO MONTEFIORE NEW ROCHELLE HOSPITAL, MONTEFIORE MOUNT VERNON HOSPITAL AND THE SCHAFFER EXTENDED CARE CENTER. THESE ORGANIZATIONS are comprised of TWO HOSPITALS and a nursing home AND HAVE FILED FOR TAX EXEMPT STATUS. 3822412 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 true true true true false false true 0 0 0 false false false false false false false false false false X 7 6 false false true false true true false true true false false true true true true true false false false false NY X DAVID INGBER 9143786480 6 EXECUTIVE PLAZA SUITE 112A Yonkers NY 10701 X Oded Aboodi Trustee 0.5 2.0 X 0 0 0 Joseph W Bartlett Trustee 0.5 1.0 X 0 0 0 Robert A Bernhard Trustee 0.5 1.0 X 0 0 0 Lewis Henkind Trustee 0.5 3.0 X 0 0 0 Edwin H Stern III Trustee 0.5 1.0 X 0 0 0 David A Tanner Chairman & Trustee 2.0 5.5 X 0 0 0 Steven M Safyer MD President & Trustee 1.0 59.0 X X 0 4083858 51079 Philip O Ozuah MDPhD Executive VP 1.0 59.0 X 0 1645012 819429 Christopher Panczner Secretary 1.0 59.0 X 0 868085 274473 Joel Perlman Treasurer 1.0 59.0 X 0 1940008 50861 David G Ingber VP, Finance 1.0 59.0 X 0 553743 50861 Robert B Conaty Former Executive VP 0.0 19.0 X 0 244701 50361 Stanley Jacobson Former Secretary 0.0 40.0 X 0 557889 51019 0 9893296 1348083 0 true true false 0 0 MEMBERSHIP FEES 561000 3005856 3005856 0 0 RENTAL INCOME 531120 903375 903375 0 0 MANAGED LONG TERM HOME HEALTH CARE SERV 621610 112615 112615 0 0 MISCELLANEOUS 900099 113 113 0 0 4021959 102184 0 0 102184 0 0 0 0 0 0 0 0 0 0 4124143 4021959 0 102184 X 0 0 0 0 0 0 2172068 1191691 980377 0 0 675513 370616 304897 0 0 700000 700000 0 0 0 48979 0 48979 0 0 0 0 735356 735356 0 0 0 5482 0 5482 0 0 0 0 0 0 0 525257 525257 0 0 0 282137 282137 0 0 0 ADMINISTRATIVE EXPENSES 17405 17355 50 0 5162197 3822412 1339785 0 149234 149724 0 23623359 0 0 0 429623 0 0 0 0 0 22801869 0 0 0 0 54277977 282137 0 53995840 0 0 0 0 0 0 0 0 0 11830211 149234 112830626 0 708054 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8486 102519878 8486 103227932 X 140748 9602694 0 0 0 0 140748 9602694 149234 112830626 X -1038054 10500000 X false true X true false X X X false false false MONTEFIORE MEDICAL CENTER 131740114 03 true true true 0 MONTEFIORE NORTH AMB CARE CENTER INC 010796859 03 true true true 0 MONTEFIORE NEW ROCHELLE HOSPITAL 462931956 03 true true true 300000 MONTEFIORE MOUNT VERNON HOSPITAL 462916938 03 true true true 150000 SCHAFFER EXTENDED CARE CENTER 462929888 03 true true true 50000 5 500000 Part 1, line 11 h, col (vii) Montefiore Health System provided the financing for the 11/6/13 purchase of land and buildings by Montefiore SS Holdings, LLC, Montefiore MV Holdings, LLC and Montefiore HA Holdings, LLC for the benefit of its supported organizations. The land and buildings were previously owned by Sound Shore Medical Center of Westchester, The Mount Vernon Hospital and the Howe Avenue Nursing Home. The land and buildings are currently operated by Montefiore Health System subsidiaries; Montefiore New Rochelle Hospital, Montefiore Mount Vernon Hospital and Schaffer Extended Care Center, respectively. 39970000 39970000 14307977 282137 14025840 53995840 AMTS DUE FROM RELATED ENTITIES 11830211 11830211 0 INTERCOMPANY NOTES PAYABLE 102519878 102519878 X false true false false false false false false false Steven M Safyer MD President & Trustee 0 1462527 0 984300 0 1637031 0 17000 0 34079 0 4134937 0 0 Philip O Ozuah MDPhD Executive VP 0 1059887 0 529100 0 56025 0 780568 0 38861 0 2464441 0 0 Christopher Panczner Secretary 0 624199 0 241000 0 2886 0 274473 0 0 0 1142558 0 0 Joel Perlman Treasurer 0 1017982 0 447600 0 474426 0 17000 0 33861 0 1990869 0 0 David G Ingber VP, Finance 0 448591 0 104120 0 1032 0 17000 0 33861 0 604604 0 0 Robert B Conaty Former Executive VP 0 241653 0 0 0 3048 0 17000 0 33361 0 295062 0 0 Stanley Jacobson Former Secretary 0 372002 0 184700 0 1187 0 17000 0 34019 0 608908 0 0 As it relates to the compensation from Montefiore Medical Center 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 Montefiore's Medical Center supplemental executive retirement plan. In a manner designed to qualify for the "rebuttable presumption of reasonableness" the Board of Trustees of Montefiore Medical Center 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 M Safyer, MD - Supplemental Executive Retirement Plan distribution of $1,626,140. Philip O Ozuah, MD, PhD - Supplemental Executive Retirement Plan accrued and unpaid service cost of $763,568. Christopher Panczner - Supplemental Executive Retirement Plan accrued and unpaid service cost of $257,473. Joel Perlman - Supplemental Executive Retirement Plan distribution of $468,946. Form 990, Part III, line 2 Montefiore Health System provided the financing for the 11/6/13 purchase of land and buildings by Montefiore SS Holdings, LLC, Montefiore MV Holdings, LLC and Montefiore HA Holdings, LLC for the benefit of its supported organizations. The land and buildings were previously owned by Sound Shore Medical Center of Westchester, The Mount Vernon Hospital and the Howe Avenue Nursing Home. The land and buildings are currently operated by Montefiore Health System subsidiaries; Montefiore New Rochelle Hospital, Montefiore Mount Vernon Hospital and Schaffer Extended Care Center, respectively. Montefiore MHO, LLC, a disregarded entity of the Montefiore Health System, commenced operations as a managed long-term care plan in the State of New York on November 1, 2013. Form 990, Part VI, Section A, Line 4 Montefiore Health System, Inc.'s Certificate of Incorporation previously stated that the members of Montefiore Health System, Inc. would be the individuals who were on the Executive Committee of Montefiore Medical Center. In 2013, Montefiore medical Center merged its Executive Committtee into its full Board, and therefore, the Executive Committee ceased to exist. In light of this change, it was necessary to amend Montefiore Health System, Inc.'s Certificate of Incorporation and bylaws to specify that the members of Montefiore Health System, Inc. would be those individuals who serve as officers of the Board of Trustees of Montefiore Medical Center. Form 990, Part VI, Section A, Line 6 The members of Montefiore Health System, Inc. are the individuals who are appointed to serve as Officers of the Board of Trustees of Montefiore Medical Center. Form 990, Part VI, Section A, Line 7A The members of Montefiore Health System, Inc. have the authority to appoint the board of trustees of Montefiore Health System, Inc. Form 990, Part Vi, Section B, Line 11b The form 990 was prepared by Montefiore's Finance Department with the assistance of various departments. The form 990 was reviewed and approved by the corporate controller and the Vice-president-Finance, Accounting and Financial Reporting and the Montefiore's senior leadership team including the chief financial officer. In addition, an independent accounting firm was engaged to review the form 990. Upon completion of the various reviews, the form 990 was prsented to the board of trustees for review and approval. Form 990, Part Vi, Section B, Line 12C The organization regularly and consistently monitors and enforces compliance with the disclosure policy by means of a survey form developed by counsel and approved by the Legal and Compliance Committees of the Board of Trustees. The survey is sent to all trustees, officers and key employees for completion. All survey responses are reviewed by the compliance officer. Any potential conflicts identified in the responses are discussed with senior management and/or the Legal and Compliance Committees of the Board of Trustees. Potential actions to be taken in response to a conflict would be one or more of the following: 1)Disclosure of conflict; 2)Individual recusal from decisions for transactions where that individual may have a conflict; 3) Request the individual to alleviate the conflict; or 4)Removal of the individual from the Board of Trustees. Form 990, Part VI, Section B, Line 14 Due to the limited activities of Montefiore Health System, Inc. (MHS) in 2013, there was not a written document retention and destruction policy that was specifically applicable to MHS. However, MHS subsidiary, Montefiore Medical Center, has a written document retention and destruction policy and the procedures set forth in that policy were applied to the corporate, financial and other records of MHS. Given that MHS has expanded its activities and now has employees, it has adopted a written document retention destruction policy in 2014. Form 990, Part VI, Section C, Line 19 The Conflict of interest policy and governing documents are made available upon request. Form 990, Part VII, Section A Montefiore Health System, Inc. does not have its own employees. An allocation of Salaries and Employee Benefits based on the amount of time spent on MHS activities is made for the senior leadership who are employees of Montefiore Medical Center, a member of the Montefiore Health System. Form 990, Part XI, Line 9 The other change in net assets of $10,500,000 relates to equity tranfers from Montefiore Medical Center to its parent, Montefiore Health System, Inc. FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING EXPENSES TOTAL FEES:20500 FORM 990 PART IX LINE 11G DESCRIPTION:MANAGED CARE EXPENSES TOTAL FEES:714856 Montefiore SS Holdings LLC 111 East 210th Street Bronx NY 10467 320412092 Holding Comp NY -59472 28904705 MHS Montefiore MV Holdings LLC 111 East 210th Street Bronx NY 10467 352478922 Holding Comp NY 133536 20464966 MHS Montefiore HA Holdings LLC 111 East 210th Street Bronx NY 10467 900995466 Holding Comp NY 24362 10173418 MHS Montefiore HMO LLC 111 East 210th Street Bronx NY 10467 383880401 Managed Care NY -1302224 -1204434 MHS Montefiore Medical Center 111 East 210th Street Bronx NY 10467 131740114 Hospital NY 501(c)(3) 3 MHS true MMC Corporation 111 East 210th Street Bronx NY 10467 133430322 Real Estate NY 501(c)(3) 11 type 1 MMC true MMC Residential Corp No 1 Inc 3411 Wayne Avenue Bronx NY 10467 911943271 Staff Housing NY 501(c)(2) MMC true Montefiore Hosp Housing Section II Inc 3450 Wayne Avenue Bronx NY 10467 237160641 Staff Housing NY 501(c)(2) MMC true Mosholu Preservation Corporation 3400 Resevoir Oval East Bronx NY 10467 133109387 Community Ser NY 501(c)(3) 11 Type 2 MMC true Gunhill MRI PC 200 East Gunhill Road Bronx NY 10467 133734486 Diag Services NY 501(c)(3) 11 Type 1 MMC true Montefiore North Ambulatory Care Center 4134 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 Schaffer Extended Care Center 16 Guion Place New Rochelle NY 10801 462929888 Nursing Home NY 501(c)(3) 9 MHS true Univerity Behavioral Associates Inc 111 East 210th Street Bronx NY 10467 133877781 Mgmt Services NY MHS C Corp 5396006 4454064 1.00000 true The Montefiore IPA Inc 111 East 210th Street Bronx NY 10467 134114915 Managed Care NY MMC C Corp true MMC GI Holdings East Inc 111 East 210th Street Bronx NY 10467 721610013 Holding Company NY MMC C Corp true MMC GI Holdings West Inc 111 East 210th Street Bronx NY 10467 721610015 Holding Company NY MMC C Corp true Montefiore Behavioral Care IPA NO 1 Inc 111 East 210th Street Bronx NY 10467 133952750 Integ Prov Assos NY MMC C Corp true Bronx Accountable Care Network IPA Inc 111 East 210th Street Bronx NY 10467 300689571 Managed Care NY MMC C Corp true true true true true true false false false false true false true true false false true true false true MONTEFIORE MEDICAL CENTER C 11060000 COST MONTEFIORE MEDICAL CENTER S 22386666 COST MONTEFIORE MEDICAL CENTER L 2816921 COST MONTEFIORE NEW ROCHELLE HOSPITAL L 129716 COST MONTEFIORE MEDICAL CENTER E 86219878 COST MONTEFIORE NEW ROCHELLE HOSPITAL D 13809784 COST MONTEFIORE MOUNT VERNON HOSPITAL D 7148590 COST SCHAFFER EXTENDED CARE CENTER D 1843495 COST MONTEFIORE NEW ROCHELLE HOSPITAL J 427777 COST MONTEFIORE MOUNT VERNON HOSPITAL J 325417 COST SCHAFFER EXTENDED CARE CENTER J 150181 COST MONTEFIORE NEW ROCHELLE HOSPITAL A 65166 COST MONTEFIORE MEDICAL CENTER M 700000 COST MONTEFIORE MEDICAL CENTER P 673072 COST MONTEFIORE NEW ROCHELLE HOSPITAL Q 7172871 COST MONTEFIORE MOUNT VERNON HOSPITAL Q 7270841 COST SCHAFFER EXTENDED CARE CENTER Q 3863971 COST MONTEFIORE NEW ROCHELLE HOSPITAL B 300000 COST MONTEFIORE MOUNT VERNON HOSPITAL B 150000 COST SCHAFFER EXTENDED CARE CENTER B 110000 COST