2013-01-30T00:06:55-06:00 2011-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2011-01-01 111635081 Maimonides Medical Center % ROBERT NALDI EXEC VP & CFO MAIM 7182833900 4802 Tenth Avenue Brooklyn NY 11219 ROBERT NALDI 2013-01-29 3176817000 2011 2016-02-25 16:41:14Z PAMELA S BRIER 4802 TENTH AVENUE BROOKLYN NY 11219 1003564147 false X www.maimonidesmed.org X 1945 NY Maimonides Medical Center, a 711-bed acute care voluntary, not-for PROFIT HOSPITAL, OFFERS A WIDE ARRAY OF INPATIENT AND OUTPATIENT HEALTHCARE SERVICES. See Schedule O 34 31 6826 1720 -150534 0 10603575 20565009 984950720 970399141 53169 10017220 919811 812564 996527275 1001793934 261564 428374 0 0 608105688 629440346 69765 49000 257309 357342623 377066560 965779640 1006984280 30747635 -5190346 946015718 970174815 761048934 791952793 184966784 178222022 X SEE SCHEDULE O false false 671093089 0 673116157 INPATIENT SERVICES - This is further described in Schedule O. 58601012 0 40673637 MATERNITY SERVICES - This is further described in SCHEDULE O. 48615277 0 39671242 EMERGENCY DEPARTMENT - This is further described in Schedule O. 111807940 428374 216938105 890117318 true true false true false false false false false true true false true true true false true false false false true false false true true false true true true false true true true false false false false false false false false true true false false false false true true true false false true 48 2 true 6826 true true true false false false false true true false false false false X 34 31 false false false false true true true true true false false false true true true true true true true false NY X ROBERT NALDI EXEC VP CFO 7182833900 4802 TENTH AVENUE BROOKLYN NY 11219 John Abi-Habib 0.5 X Paul Addison 0.5 X Steven Adelsberg 0.5 X Donna Astion MD 0.5 X Abraham Biderman 0.5 X Irwin Birnbaum 0.5 X Monsignor David Cassato 0.5 X Richard Forman 0.5 X Marvin Hellman 0.5 X Jack A Hidary 0.5 X Michael Karfunkel 0.5 X Mortimer N Klaus 0.5 X Elly Kleinman 0.5 X andrew kohen 0.5 X c herbert leshkowitz 0.5 X Robert Machinist 0.5 X Frank Naccarato 0.5 X Daniel Z Nelson 0.5 X Norman A Ohrwashel 0.5 X Steven Oppenheim 0.5 X Martin Payson 0.5 X Peter Rebenwurzel 0.5 X Erminia Rivera 0.5 X Gwen A Rowden 0.5 X Veronica Santilli MD 0.5 X Alfred Schonberger 0.5 X Steven R Shamah 0.5 X Al Sutton 0.5 X Isaac M Sutton 0.5 X Aaron D Twerski 0.5 X Howard Weiss 0.5 X Moshe H Wieder 0.5 X Herbert Wolff 0.5 X Michael L Ziegler Esq 0.5 X Herbert Wasserman MD 40.0 X X 51500 0 0 Pamela Brier 40.0 X X 1270503 63796 Mark McDougle 40.0 X 352839 13170 Robert Naldi 40.0 X 818770 21365 Joyce Leahy 40.0 X 451026 24849 Dominick Stanzione 40.0 X 283415 26439 Enrico Ascher MD 40.0 X 3161357 23121 Patrick Borgen MD 40.0 X 1642890 40477 Israel Jacobowitz MD 40.0 X 1300017 23121 Amit Schwartz MD 40.0 X 1481596 40477 Jack Choueka MD 40.0 X 1035991 36477 11849904 0 313292 1069 false true false BROOKLYN HEALTH INFORMATION EXCHANG 6323 Seventh Avenue BROOKLYN NY 11220 INFORMATION TECH. 1489432 Deloitte Touche LLP 2 BELFORD/HARBOR WAY-WORLD FINANCIA NEW YORK NY 10281 CONSULTING 1295655 MSI SURGICAL SOLUTIONS 751 SUMMA AVE WESTBURY NY 11590 STERILIZATION 799994 P1 BILLING LLC 25 ROBERT PITT DR MONSEY NY 10952 BILLING & TRANSCRIP. 748046 THE CENTER FOR WOUND HEALING 155 WHITE PLAINS ROAD TARRYTOWN NY 10591 HYPERBARIC OXYGEN 626087 46 638935 266881 16727753 2931440 1075413 20565009 NET PAT SVC REV 622110 966520116 966520116 RENTAL INCOME 531390 3879025 3879025 970399141 3032019 3032019 0 0 824312 974846 -150534 -150534 -150534 954546 6030655 954546 6030655 6985201 6985201 301055 638935 795367 -494312 -494312 0 0 PARKING 812930 417826 417826 CAFETERIA 722310 1039584 1039584 1457410 1001793934 970399141 -150534 10980318 428374 428374 0 0 0 3377672 51500 3326172 0 0 472820089 420190315 52515581 114193 48948900 43274586 5662555 11759 72002311 63629797 8355224 17290 32291374 28513656 3777718 0 1315035 0 1315035 0 1889346 0 1889346 0 500569 0 500569 0 470440 470440 0 0 49000 49000 337233 0 337233 0 30954483 28544275 2410208 0 2563535 2563535 0 0 17475433 14480866 2994567 0 9821353 8672368 1148985 0 0 28059527 26598383 1461144 0 524404 463055 61349 0 0 1005994 888304 117690 0 10312483 8898705 1413778 0 0 45995474 39689779 6305695 0 59481501 51326955 8154546 0 MEDICAL SUPPLIES 100482702 100482702 0 0 BAD DEBT 15121090 15121090 0 0 MAINTENANCE CONTRACTS 14388704 14388704 0 0 OUTSIDE CONTRACTS 9980549 9980549 0 0 26386705 11459380 14862258 65067 1006984280 890117318 116609653 257309 18974601 19463234 116508825 123017804 762493 694144 119692901 131916057 0 0 0 0 2713770 2624902 9948215 8851064 11956140 6776141 917517987 576563707 331664202 340954280 27505834 29269824 0 0 57770496 69108026 0 0 248518241 237499339 946015718 970174815 138442991 136391369 0 0 0 0 195162826 179712653 0 0 0 0 16408000 18408000 0 0 411035117 457440771 761048934 791952793 X 169219274 162652388 14615227 14437351 1132283 1132283 184966784 178222022 946015718 970174815 X -5190346 -1554416 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 470440 470440 false SUPPLEMENTAL INFORMATION PART II-B PART II-B, LINE 1G Other activities: Payments made to lobbyists $170,665 Lobbying portion of dues paid $299,775 --------- Total $470,440 Payments made to lobbyists were in relation to capital funding for hospital equipment and ambulance, as well as modification to large scale community facility plan. 15747510 1936968 2114844 15569634 15361242 2863808 2477540 15747510 16096993 2883855 0 0 3619606 0 15361242 15352310 2882195 76718 0 2214230 0 16096993 0.07000 0.93000 false false 4980000 4980000 358911086 107009152 251901934 553626901 469554555 84072346 340954280 CAPTIVE INSURANCE CO 52706906 F SELF-INSURANCE TRUST 3916901 F VAR HEALTH CARE RELATED ENT 11382158 F LT INVESTMENT FUNDS 1102061 F 69108026 DUE FROM AFFILIATES 7300004 OTHER CURRENT ASSETS 42236271 PREPAID CAPITAL ASSETS 1295064 ESTIMATED INSURANCE CLAIMS REC 186668000 237499339 0 THIRD PARTY REIMBUR LIABILITIE 169690960 ACCRUED POSTRETIREMENT BENEFIT 59169795 PROFESSIONAL LIABILITIES 41912016 ESTIMATED INSURANCE CLAIMS PAYABLE 186668000 457440771 1001793934 1006984280 -5190346 -479000 -1075413 -1554413 -6744759 993216377 3885057 3885057 989331320 12462614 12462614 1001793934 986685216 1770213 1770213 984915003 22069277 22069277 1006984280 PART V, LINE 4 INTENDED USES OF ENDOWNMENT FUNDS A. Temporarily restricted net assets are available for the following purposes: Research and education $1,115,000 Plant replacement and expansion $13,322,351 SUBTOTAL: $14,437,351 B. Permanently restricted net assets $1,132,283 ConsistS of investments to be held in perpetuity, the income from which is to be used for health care related services. SUBTOTAL: $1,132,283 Total $15,569,634 PART XI, LINE 8 RECONCILIATION OF CHANGE IN NET ASSETS FROM FORM 990 TO FINANCIAL STMTS NON-CASH CONTRIBUTIONS ($1,075,413) PART XII, LINE 2D RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STMTS W/REVENUE PER RETURN Net assets released from restrictions $1,764,873 CAPITAL ASSET ACQUISITIONS $349,971 Direct expenses attributable to fundraising events $795,367 Unrelated rental expenses netted against rental revenue $974,846 NET ASSETS RELEASED FROM RESTRICTIONS: $3,885,057 PART XII, LINE 4B RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STMTS W/REVENUE PER RETURN RESTRICTED CONTRIBUTIONS, GRANTS, AND OTHER RECEIPTS $1,936,968 Grant for capital asset acquisitions $8,863,000 Noncash contributions $1,075,413 INVESTMENT FEES RECLASSED TO OTHER EXPENSES $337,233 GRANTS RECEIVED RECLASSED FROM EXPENSES $250,000 TOTAL OF OTHER ADDITIONS $12,462,614 PART XIII, LINE 2D RECONCILIATION OF EXPENSES PER AUDITED FIN STMTS W/ EXPENSES PER RETURN Direct expenses attributable to fundraising events $795,367 Unrelated rental expenses netted against rental revenue $974,846 DIRECT EXPENSES ATTRIBUTABLE TO FUNDRAISING EVENTS: $1,770,213 PART XIII, LINE 4B RECONCILIATION OF EXPENSES PER AUDITED FIN STMTS W/ EXPENSES PER RETURN Captive insurance program interest rate shortfall $10,382,840 Change in accrued pension & postretirement benefits $11,099,204 GRANT RECEIVED RECLASSED FROM EXPENSES $250,000 INVESTMENT FEES RECLASSED TO OTHER EXPENSES $337,233 TOTAL OF OTHER $22,069,277 PART X FIN 48 FOOTNOTE THERE WAS NO LIABILITY FOR UNCERTAIN TAX POSITION UNDER FIN 48 MAKING THE FOOTNOTE UNNECESSARY. Central America and the Caribbean 2 0 Program Services SELF INSURANCE-INVEST. 52706906 Central America and the Caribbean 2 0 Program Services SELF INSURANCE-EXPENSE 51546547 South America 0 0 Program Services MEDICAL CONFERENCE 124910 4 0 4 0 104378363 104378363 false false true false true false Schedule F, Part I Line 3(1) The primary coverage of professional and general liability incidents has been provided through participation in a pooled program with certain other health care facilities (principally hospitals) affiliated with the Federation of Jewish Philanthropies of New York. This occurrence basis insurance coverage participation is with captive insurance companies and commercial insurance companies. The Captive Insurance companies have two offices in the Caribbean, specifically Bermuda and Barbados. The companies were incorporated in Bermuda and Barbados in 1982 and 1986 respectively and are licensed under the Insurance Act of both countries. Since the Hospital is a shareholder of the captive insurance companies, the Hospital follows the equity method of accounting for its interest in the insurance companies associated with its medical malpractice insurance program. Additionally, Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporation, has been filed with the Hospital's 990T. X X X X X X true SANKY COMMUNICATIONS DIRECT MAIL false 8296 21000 -12704 CONVIO ONLINE contrib. false 7800 28000 -20200 16096 49000 -32904 NY ANNUAL BALL 613581 462381 151200 159592 160088 71500 183921 GOLF CLASSIC 150559 100079 50480 18316 49800 11063 1 175850 76475 99375 89914 1500 9800 39873 939990 638935 301055 18316 299306 161588 81300 234857 795367 -494312 Addresses for Professional fundraisers Sanky Communications 589 Eighth Avenue New York, New York 10018 Convio 11501 Domain Drive Austin, Texas 78758 true true true X 300. true X true true true false true true 35784789 0 35784789 0.03610 114034767 61089413 52945354 0.05340 196937686 164255263 32682423 0.03300 346757242 225344676 121412566 0.12250 11780340 11611 11768729 0.01190 94680512 45769313 48911199 0.04930 31649939 25481601 6168338 0.00620 480043 0 480043 0.00050 442379 0 442379 0.00040 139033213 71262525 67770688 0.06830 485790455 296607201 189183254 0.19080 190584 190584 0.00020 190584 190584 0.00020 true 15121090 10205224 241879004 269003914 -27124910 X true true 1 1 MAIMONIDES MEDICAL CENTER

4802 TENTH AVENUE BROOKLYN NY 11219

X X X X X X MAIMONIDES MEDICAL CENTER 1 true true 300. true 300. true X X X X X X X true true X X X X X X true false true X false false 13 9th Ave Women's Primary Care Center

4422 9th Avenue Brooklyn NY 11219

Womens' Primary Care Center MAIMONIDES ADULTPED DENTAL CENTER

4303-4305 13th Avenue Brooklyn NY 11219

Adult/Ped. Dental Center Bensonhurst Clinic Treatment Program

8620 18th Avenue Brooklyn NY 11214

Clinic Treatment Program Maimonides Ambulatory Care Center

1301 57th Street Brooklyn NY 11219

Ambulatory Care Center Fort Hamilton Clinic Treatment Program

8710 Fifth Avenue Brooklyn NY 11209

Clinic Treatment Program Maimonides Cancer Center

6300 Eighth Avenue Brooklyn NY 11220

Cancer Center Maimonides Adult Primary Care Center

1250 57th Street Brooklyn NY 11219

Adult Primary Care Center Maimonides Family Health Center

1401 Newkirk Avenue Brooklyn NY 11226

Family Health Center Maimonides Primary Health Services

6323 Seventh Avenue Brooklyn NY 11220

Primary Health Services Maimonides Rehabilitation Services

883 65th Street Brooklyn NY 11219

Rehabilitation Services MAIMONIDES SLEEP DISORDER CLINIC

6405 7TH AVENUE brooklyn NY 11219

SLEEP DISORDER CLINIC MAPLETON CLINIC TREATMENT PROGRAM

1083 MCDONALD AVENUE BROOKLYN NY 11230

CLINIC TREATMENT PROGRAM MAIMONIDES BREAST CENTER

745 64TH STREET BROOKLYN NY 11220

BREAST CENTER 1. Required Descriptions Part I, line 7, column (f) The amount of bad debt expense that was excluded in determining the percentages shown in Column (f) was $15,121,090. Part I, line 7 A cost to charge ratio was utilized. This ratio was derived from Worksheet 2, Ratio of Patient Care Cost to Charges. Part II, Line 7 - Community Health Improvement Advocacy Maimonides Medical Center is a member of various health care associations that promote high quality, more affordable health care. Through our support of collective advocacy we participate in strengthening the role modern health care has in the improvement of the health of our communities. Part III, Line 4 - Uncompensated Care For financial reporting purposes, Maimonides Medical Center (the Medical Center) reports as uncompensated care amounts related to care provided for which the patient's payment obligation has not been fully satisfied. Uncompensated care is the sum of the Medical Center's charity care, including free and reduced price medical care, and bad debt expense. During the registration, billing and collection process, a patient's eligibility for charity care is determined. For patients who are determined to be eligible for charity care under the Medical Center's charity care and financial aid policy, care given but not paid for is classified as charity care. The Medical Center amended its charity care and financial aid policy in order to authorize use of additional financial information for uninsured or under-insured patients who have not supplied the requisite information to qualify for charity care. The additional information obtained is used by the Medical Center to determine whether to qualify patients for charity care and/or financial aid in accordance with the Medical Center's policies. For patients who were determined by the Medical Center to have the ability to pay but did not, the uncollected amounts are classified as bad debt expense. Distinguishing between bad debt and charity care is difficult in part because services are often rendered prior to full evaluation of a patient's ability to pay. Bad Debt is recorded at cost. Part III, line 8 - Shortfall Costs The shortfall costs should be treated a community benefit as we are treating the elderly patients of the community. The costing methodology applies the worksheet 2 ratio of patient care cost to charges as Maimonides Medical Center became a charge structure institution in 2011. Part III, line 9b - Fair Billing and Collection Practices Maimonides Medical Center is committed to fair billing and collections practices. A patient account will not be sent to collection if the patient has submitted a completed application for financial aid, including any required supporting documentation, for the time that the hospital is considering the application. A patient is provided at least thirty days written notice on the bill before debts are referred to collection. By contract the Medical Center's collection agencies are not permitted to: freeze the debtor's bank account, garnish the debtor's payroll check, report debtor to credit agencies, seek civil arrest, seek a forced sale or foreclosure of a primary residence, unless authorized by a vice president of the medical center. Collection agencies are required to obtain the Medical Center's written consent prior to commencing legal action. Part V, Section B, line 19d - Individuals Eligible for Financial Assistance The hospital uses Medicare rates for outpatient services rendered and Medicaid DRG rates for inpatient services rendered. 2. Needs Assessment The New York City Department of Health and Mental Hygiene is an increasingly effective, real time source of information about health status and health care needs at the community and neighborhood level. Maimonides Medical Center also has a robust program of outreach and interaction with the communities that utilize our services. Maimonides Medical Center actively seeks participation of community residents and leaders on the Board of Trustees. Maimonides Medical Center actively engages its medical staff, community leaders, community organizations and health service delivery partners in discussions on improving coordination and access to services. Maimonides Medical Center developed a Council of Community Organizations (COCO), an ongoing forum and vehicle for communication with local community leaders, community groups, businesses, politicians. Over 350 people from the neighborhoods that comprise southwestern Brooklyn are personally invited to participate in the meetings. The group meets at least annually, is presided over by, Pamela Brier, President of Maimonides Medical Center, and includes discussion of new programs and initiatives focused on community service. Executive leadership also meets regularly with representatives of Hatzolah Ambulance Corps of Boro Park to discuss community health needs. These meetings are held quarterly and focus on community health needs and activities to improve clinical outcomes especially as they relate to effective and appropriate utilization of emergency services. 3. Patient education of eligibility for assistance ACCESS TO INFORMATION - All written information is available in multiple languages. Patients are informed of the hospital's financial assistance via the following methods: - Multi-lingual signage - Summary brochure of the financial assistance policy available at points of patient service - Information distributed during the intake and registration process - The hospital website - Information on bills and statements sent to patients - Responses to direct inquiries made to the hospital 4. Community Information Maimonides Medical Center historically has used a commonly accepted planning definition of service area for acute care hospitals based on the aggregation of inpatient discharges from surrounding zip codes. The zip codes comprising the first 50% inpatient zip codes are defined as the primary service area. The next group of zip codes comprising the next 25% of zip codes is defined as the secondary service area. Based on this planning definition the primary service area for Maimonides Medical Center is comprised of the following 6 zip codes; 11219, 11230, 11218, 11204, 11220, 11214. The following 6 zip codes comprise the secondary service area for Maimonides Medical Center; 11223, 11235, 11229, 11224, 11228, 11209. Approximately 95% of the inpatient discharges at Maimonides Medical Center are patients with a Brooklyn address. Maimonides Medical Center is mindful of the New York State Department of Health definition of the hospital primary service areas as the five counties of New York City for purposes of service and financial aid pursuant to PHL 2807 (k) (9-a). According to the New York City Department of Health and Mental Hygiene, the neighborhoods of southwestern Brooklyn that comprise this primary and secondary service area are described socio-economically as low to medium poverty (10-30%). The population of Brooklyn is very ethnically diverse and southwest Brooklyn's current population is rich in that diversity. One indicator of that diversity is Maimonides signage and translation of documents into eleven languages in addition to English: Italian, French, Russian, Spanish, Urdu, Arabic, Yiddish, Bengali, Polish, Chinese and Creole. 5. Promotion of community health Maimonides Medical Center is governed by a Board of Trustees that is largely comprised of persons who reside in the surrounding communities and neighborhoods that form its primary service area. Board members serve on a voluntary basis without compensation. Maimonides Medical Center does not have the very important benefit of significant endowment from philanthropy; hence, it is very dependent on generating surplus funds to grow clinical programs and replace equipment, develop new services, acquire new technology and keep facilities up to contemporary standards. Maimonides Medical Center endeavors to maintain an open medical staff to all qualified physicians in the community except in circumstances of extreme constraints on capacity. The Department of Medicine has utilized the affiliate status permitted by the medical staff by-laws; providing for access and continuity of care for their patients, without the burden of time requirements associated with full Medical Staff privileges. Maimonides Medical Center has played a central support and leadership role in the development of the Brooklyn Health Information Exchange (BHIX), a regional health information organization (RHIO) that offers an information exchange platform and comprehensive services to support care coordination through an efficient and meaningful exchange of health information. 7. State filing of community benefit report NY true United Hospital Fund 350 Fifth Ave New York NY 10118 131562656 501(c)(3) 34700 General Support Chevra Hatzalah of Crown Heights 383 Kingston Ave BROOKLYN NY 11213 112420013 501(C)(3) 26000 General Support Hatzolah of Williamsburg 183 Wilson St Bklyn NY 11211 113376135 501(c)(3) 25000 General Support Hatzolah of Staten Island 22 Niles Pl Staten ISLAND NY 10314 020738155 501(c)(3) 25000 General Support Hatzolah of Mill Basin 6363 Avenue U Bklyn NY 11234 364600064 501(c)(3) 10000 General Support HATZOLAH OF FLATBUSH 1880 OCEAN AVE BROOKLYN NY 11230 133213138 501(c)(3) 70000 GENERAL SUPPORT YAD EPHRAIM 1274 49TH ST BOX 69 BROOKLYN NY 11219 542196301 501(c)(3) 25000 GENERAL SUPPORT Rivkah Laufer Bikur Cholim 1406 57th St BROOKLYN NY 11219 116111320 501(C)(3) 18000 GENERAL SUPPORT New York eHealth Collaborative NYeC 40 WORTH ST NEW YORK NY 10013 208022336 501(c)(3) 14800 GENERAL SUPPORT Nachas Health & Family Network Inc 1310 48TH ST BROOKLYN NY 11219 113067201 501(C)(3) 10500 GENERAL SUPPORT Hunter College Foundation 695 PARK AVENUE NEW YORK NY 10065 133598671 501(c)(3) 9825 GENERAL SUPPORT Haitian Solidarity 415 E 17TH ST STE 35 BROOKLYN NY 11226 272590851 501(c)(3) 9540 GENERAL SUPPORT Primary Care Development Corp 22 CORTLAND ST NEW YORK NY 10007 133711803 501(c)(3) 8500 GENERAL SUPPORT Metropolitan Jewish Health System 6323 Seventh Ave BROOKLYN NY 11220 113538607 501(C)(3) 5850 GENERAL SUPPORT Satmar Bikur Cholim 5422 14TH AVE BROOKLYN NY 11219 116081323 501(C)(3) 7500 GENERAL SUPPORT St Athanasius Church 2154 61ST ST BROOKLYN NY 11204 111639837 501(C)(3) 5500 GENERAL SUPPORT COMMUNITY HEALTH PROJECT DBA CALLEN-LORDE 365 WEST 18TH ST NEW YORK NY 10011 133409680 501(C)(3) 10500 GENERAL SUPPORT 17 Schedule I, Part I description of procedures for monitoring the use of grant funds General support is given to various health related organizations whose activities have been determined are compatible and complimentary to those of Maimonides Medical Center. X X X X X false true false false false true false true false Pamela Brier 978528 200000 91975 15925 47871 1334299 Mark McDougle 193754 125000 34085 8667 4503 366009 Robert Naldi 645589 125000 48181 15925 5440 840135 Joyce Leahy 386101 50000 14925 15925 8924 475875 Enrico Ascher MD 3159839 0 1518 15925 7196 3184478 Patrick Borgen MD 1573924 50000 18966 15925 24552 1683367 Israel Jacobowitz MD 1275745 0 24272 15925 7196 1323138 Amit Schwartz MD 1227356 254000 240 15925 24552 1522073 Jack Choueka MD 960269 50000 25722 15925 20552 1072468 Dominick Stanzione 274399 0 9016 15925 10514 309854 Supplemental Information Part I, Line 4B THE FOLLOWING PERSONS PARTICIPATED IN THE ORGANIZATION'S 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND EARNED VESTED BENEFITS DURING 2011 WHICH ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(iii): PAMELA S BRIER - $42,575 MARK MCDOUGLE - $28,903 ROBERT NALDI - $30,991 JOYCE LEAHY - $13,377 PART I, LINE 6A THE ORGANIZATION PAYS, PURSUANT TO INDIVIDUAL EMPLOYMENT CONTRACT AGREEMENTS, A PORTION OF FACULTY PRACTICE EARNINGS, NET OF EXPENSES. PART I, LINE 7 Non fixed payments are paid based upon the approval from the compensation committe of the Board. DORMITORY AUTHORITY OF THE STATE OF NY 146000293 64983TWB5 2004-06-24 114252556 SEE BELOW false false false NEW YORK CITY CAPITAL RESOURCE CORPORATION 204099098 649437AA8 2006-05-25 31200000 SEE BELOW false false false 10235000 0 114252556 8831111 10230124 0 1356852 1340270 0 92494199 0 0 2009 false false true true 4855000 0 31200000 0 0 0 460698 31200 0 30708102 0 0 2007 false false true true false false true true true false 0.00000 0.00000 0.00000 true false false true true false 0 true false false false 0 false false true MBIA 29.1 true true false false true true BANK OF AMERICA 19.6 false false false 0 false true SEE SCHEDULE O 0 745-64TH REALTY ASSOC INC ANDREW KOHEN,TRUSTEE/OWN 1041586 REAL ESTATE RENTAL false RMNDS REALTY ASSOC ANDREW KOHEN,TRUSTEE/OWN 1222750 REAL ESTATE RENTAL false X 29735 1075413 QUANTIFIED BY DONOR false false false SCHEDULE M, PART II VACCINES ARE RECEIVED ANNUALLY THROUGH U.S. DEPARTMENT OF HEALTH AND HUMAN RESOURCES PASS THROUGH PROGRAMS FROM THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE FOR IMMUNIZATION COOPERATIVE AGREEMENTS: VACCINES FOR CHILDREN AS REPORTED ON THE FINANCIAL STATEMENTS AND AUDIT REPROT RELATED TO U.S. OFFICE OF MANAGEMENT AND BUDGET CIRCULAR A-133. Form 990 Supplemental Information PART I, Line 1 OUR COMMITMENT HAS ALWAYS BEEN TO SERVE THE COMMUNITY PROVIDING QUALITY HEALTHCARE SERVICES AND HEALTHCARE EDUCATION REGARDLESS OF RACE, CREED, SEX, NATURAL ORIGIN, AGE, HANDICAP OR ABILITY TO PAY. Form 990, Part I, Line 6 - Volunteers 2011 At Maimonides we are fortunate to have a large corps of dedicated volunteers who enhance the services provided by our staff. There were approximately 1,720 volunteers in 2011 who served around 220,000 hours. All volunteer records are kept in a computer database system. Volunteers at Maimonides sign in and out using a touch screen computer. Accordingly the number of volunteers and hours served are tracked by the system. The Department of Volunteer Services works very closely with youth agencies and provides a worksite for various youth employment programs. We coordinate internship programs with business schools and colleges (both undergraduate and graduate programs). This has developed successful relationships with community agencies and organizations. Some of the service areas the volunteers work in are labor coach (doula), postpartum support, interpretation, greeters, ladies auxiliary, patient library, surgical lounge, refreshment carts, humor cart, feeders, chaplaincy, clerical support and other support services. Form 990 Supplemental Information FORM 990, PART III, LINE 1 MAIMONIDES MEDICAL CENTER IS DEDICATED TO FOSTERING HEALTHY COMMUNITIES. WE PROVIDE HIGH QUALITY COMPASSIONATE PATIENT CARE AND COMPREHENSIVE COMMUNITY SERVICES. AS A PREMIER ACADEMIC MEDICAL CENTER, WE ARE DEVOTED TO EDUCATING HEALTH CARE PROFESSIONALS, PATIENTS, FAMILIES, EMPLOYEES AND THE COMMUNITIES WE SERVE. WE CONDUCT RESEARCH THAT IMPROVES THE LIVES OF OUR PATIENTS. WE WELCOME ALL PATIENTS OF ALL FAITHS AND AT THE SAME TIME REMAIN UNIQUELY COMMITTED TO SERVING THE SPECIAL HEALTHCARE NEEDS OF THE ORTHODOX JEWISH COMMUNITY, WHOSE RELIGIOUS AND CULTURAL TRADITIONS HELP GUIDE THE PROVISION OF MAIMONIDES SERVICES. Form 990 Supplemental Information Form 990, Part III, LINE 4 Maimonides Medical Center, a 711 bed acute care voluntary, not-for profit hospital, offers a wide array of inpatient and outpatient healthcare services. Our commitment has always been to serve the community providing quality healthcare services and healthcare education regardless of race, creed, sex, natural origin, age, handicap or ability to pay. The Medical Center's estimated costs for charity care were $37.0 million for 2011. This does not include the service loss of treating the Medicaid population. Additionally, patients who do not qualify for charity care and all uninsured inpatients who do not qualify for Medicaid assistance are billed at the Medical Center's rates. Uncollected balances for these patients are categorized as bad debts. Total uncompensated are as a result of bad debts for all patient services approximated $15.0 million in 2011. For financial reporting purposes, the Medical Center reports as uncompensated care amounts related to care provided for which the patient's payment obligation has not been fully satisfied. Uncompensated care is the sum of the Medical Center's charity care, including free and reduced price medical care, and bad debt expense. During the registration, billing and collection process, a patient's eligibility for charity care is determined. For patients who are determined to be eligible for charity care under the Medical Center's charity care and financial aid policy, care given but not paid for is classified as charity care. The Medical Center amended its charity care and financial aid policy in order to authorize use of additional financial information for uninsured or under-insured patients who have not supplied the requisite information to qualify for charity care. The additional information obtained is used by the Medical Center to determine whether to qualify patients for charity care and/or financial aid in accordance with the Medical Center's policies. For patients who were determined by the Medical Center to have the ability to pay but did not, the uncollected amounts are classified as bad debt expense. Distinguishing between bad debt and charity care is difficult in part because services are often rendered prior to full evaluation of a patient's ability to pay. During 2011, the Medical Center provided 46,114 inpatient discharges and 406,054 outpatient visits which included 113,515 emergency room visits. We provided care to persons covered by government programs and the uninsured at payment rates below cost. Our surgeons performed 8,612 inpatient and 11,664 outpatient procedures in a full range of surgical specialties. Our tertiary cardiology and cardiac surgery programs serve all of Brooklyn and are widely recognized in the region for excellence in interventional cardiology. A comprehensive array of cancer services is also provided. Maimonides, a designated regional perinatal center, operates one of the busiest obstetrical services on the East Coast with 7,955 deliveries in 2011. A Level 3 Neonatal Intensive Care Unit provides highly specialized care for babies born prematurely or with birth defects. The adult and child psychiatric outpatient programs provide walk-in services for any members of the surrounding communities. Maimonides Medical Center is a 9.39 designated psychiatric receiving hospital. We provide full-time (24 hours/365 days per year) emergency services regardless of ability to pay and operate a 911 paramedic ambulance service under contract with the New York City Fire Department to an 800-block area including all of Boro Park and sections of Flatbush, Bensonhurst and Bay Ridge. The Medical Center supports a program of health promotion and education activities for employees and residents of its surrounding communities, including mammography and colon cancer screenings. The Medical Center is a teaching affiliate of SUNY Downstate Medical Center, St. George's University and Ross University School of Medicine. Maimonides has fully accredited residency-training programs with over 460 interns and residents. Form 990 Supplemental Information Form 990, Part VI, Governance, Management, and Disclosure 2010 Section A. Governing Body and Management 6. The organization has a member, Maimonides Health Resources, Inc. (MHRI) a not-for-profit, federally tax exempt corporation which is its sole corporate member. 7a. MHRI elects the trustees. The board of trustees of Maimonides Medical Center (MMC) is its governing body. 7b. The powers of MHRI are described below: MHRI is a New York not-for-profit corporation. It is the sole member of MMC. MHRI has the following powers pursuant to the MMC bylaws: (1) MHRI elects trustees to the governing body of MMC at the annual meeting. (Vacancies between annual meetings are filled by the board of trustees of MMC, not MHRI.) (2) MHRI has the power to amend, modify or repeal the bylaws of MMC. The board of trustees of MMC also has such power. MHRI has the following power under New York's not-for-profit corporation law: (1) Authorization of merger or consolidation requires MHRI's consent. (2) Non-judicial dissolution requires MHRI's consent. (3) MHRI has the power to petition the court for judicial dissolution. (4) The sale or other disposition of all or substantially all of the assets of MMC requires MHRI's consent. (5) The two boards are identical. Section B. Policies 11b. A copy of the Form 990 is reviewed by senior executive staff, outside bond counsel and the outside tax preparer who signs off on the return. The reviewed return and attachments are then presented to the President and Audit and Legal Committee of the Board of Trustees to whom the responsibility for reviewing the Form 990 has been delegated for their comments and questions prior to filing. 12c. It is the responsibility of all trustees, officers, employees and members of the medical staff to familiarize themselves with the conflicts of interest policy and to comply and ensure compliance of family members where applicable. They are required to disclose in detail any activities or interests which may conflict or appear to conflict with the Medical Center's best interest. The following are required to complete a conflict of interest certificate: (1) trustees and officers of the Board, (2) non-trustee officers, chairmen and division chiefs and members of the purchasing department, (3) employees and members of the medical staff, who are in a position to influence vendor selection, to approve a transaction with a third party or approve the expenditure of funds, and (4) such other employees or members of the medical staff as determined from time to time by the President. Employees and members of the medical staff who violate this policy are subject to disciplinary action up to and including termination or removal from the staff. Members of the Board of Trustees and officers are subject to removal. The Audit and Legal Committee of the Board of Trustees advises the President and the Chairman of the Board concerning specific conflicts of interest referred to it by the Senior Vice President for Legal Affairs and General Counsel. The Committee decides particular matters referred to them for review, and assists in the overall administration and monitoring of the implementation of the policy. The Corporate Compliance Department assists in ensuring compliance with completion of the Certificate by all relevant employees. The Senior Vice President for Legal Affairs and General Counsel is responsible for reviewing apparent conflicts of interest and other potentially improper activities as referred by the Corporate Compliance Officer and/or the Audit and Legal Committee. A report of all conflicts of interest is made by the Chairman of the Audit and Legal Committee at least annually to the Board of Trustees. 15. The process for determining compensation includes the following: The Medical Center's compensation committee reviews compensation surveys from independent consultants and data obtained from the Greater New York Hospital organization. Approval for all decisions must be agreed upon by the compensation committee and is then recorded in the minutes of that committee. This process was last done in 2010 for the COO, CEO and VP for legal Affairs/General Counsel/Assistant Secretary and in 2011 for the CFO (there were no other raises in 2011). Section C. Disclosure 19. The organization's articles of incorporation may be obtained from the NYS Secretary of State's office. They are also available together with the by-laws upon special request to the Executive Office of Maimonides Medical Center at 4802 Tenth Ave, Admin Bldg, 2nd floor, Brooklyn, NY 11219. The conflict of interest policy is available on the Medical Center's website "maimonidesmed.org" in the vendor information section. The audited financial statements are available upon request to the Medical Center's Executive Office and are posted on the NYS Charitable Bureau website, oag.state.ny.us. Part VI, Line 5 - Other changes in net assets ROUNDING $(3) Net change in unrealized gains and losses on investments $1,248,000 Change in equity in captive insurance program $(1,727,000) Noncash Contributions $(1,075,413) Total of other changes in net assets $(1,554,416) FORM 990 SUPPLEMENTAL INFORMATION PART X, LINES 15 & 25 THE AMOUNTS REPORTED IN PART X, LINES 15 AND 25 INCLUDE AN ADDITIONAL $188,031,000 WHICH WAS NOT REPORTED ON THE PRIOR YEARS RETURN. THESE AMOUNTS ARE RELATED TO ESTIMATED INSURANCE CLAIMS RECEIVABLE AND PAYABLE, RESPECTIVELY, AND ARE ADDED DUE TO A CHANGE IN ACCOUNTING PRESENTATION. Schedule K, Part I, Bond Issues A (a) Issuer name - Dormitory Authority of the State of New York A (f) Description of purpose - Financing of hospital campus modernization, through construction of a new 9-floor building, renovation of existing facilities and purchase of equipment and furnishings, funding of reserves and paying of costs of issuance B (a) Issuer name - New York City Capital Resource Corporation B (f) Description of purpose - Financing of hospital campus renovation and repairs, funding costs related to the modernization project not previously funded through the bonds referenced in Part I(A), purchasing of equipment and information systems and paying costs of issuance Maimonides Medical Center has established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations, however these procedures were not put in place until Maimonide's 2012 fiscal year. As a result, Part V of Schedule K is marked "no" for 2011 Part IV, Arbitrage Line 5 - Gross proceeds invested beyond an available temporary period At closing, the modernization project was expected to take approximately thirty months to construct. Several issues arose during the construction period resulting in an elongation of the construction period beyond the expected thirty months. The first substantive delay was the result of a city-wide strike by the steel workers union. This strike occurred during the erection of steel and, as such, after the strike was over the steel workers on the job had to be remobilized. The second substantive delay was the result of a dispute between the design engineer and subcontractor over the HVAC system design and constructability of the system which was subsequently resolved. The third substantive delay was the result of the principal manufacturer of HVAC ductwork declaring bankruptcy during the manufacture of the project materials resulting in delays obtaining ducts already manufactured and then commissioning a new manufacturer for the remaining ductwork. These delays had a cascade effect on delaying other trades whose work could not proceed as originally anticipated and scheduled. The fourth substantive delay was the result of the untimely demise of the project manager on the job which, although he was quickly replaced by the construction manager, was disruptive to normal job coordination and management. In spite of these unforeseen delays, the modernization project was completed in April 2009, which was approximately two years past the available temporary period. 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