2013-11-12T07:07:58-06:00 2012-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE STE 2600 INDIANAPOLIS IN 46204 990 2012-01-01 111635081 Maimonides Medical Center % ROBERT NALDI EXEC VP & CFO MAIM 7182833900 4802 Tenth Avenue Suite Brooklyn NY 11219 ROBERT NALDI 2013-11-11 3176817000 2013-11-11 2012 2016-02-24 21:20:13Z PAMELA S BRIER 4802 TENTH AVENUE BROOKLYN NY 11219 1018834293 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 33 30 6951 1660 -130645 -130645 20565009 18680758 970399141 983916591 10017220 10098851 812564 4667830 1001793934 1017364030 428374 514117 0 0 629440346 658524513 49000 0 163865 377066560 350976947 1006984280 1010015577 -5190346 7348453 970174815 1008285010 791952793 814769380 178222022 193515630 X SEE SCHEDULE O false false 667687661 0 636786050 INPATIENT SERVICES. This is further described in Schedule O. 57244196 0 41545712 MATERNITY SERVICES. This is further described in SCHEDULE O. 61669781 0 45264724 EMERGENCY DEPARTMENT. This is further described in Schedule O. 88387322 514117 260320105 874988960 true true false true false false false false false true true false true true true false true false false true true false false false 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 529 0 true 6951 true true true false false false false true true false false false false X 33 30 false false false false true true true true true false false true 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 0.0 X Paul Addison 0.5 0.0 X Steven Adelsberg 0.5 0.0 X Donna Astion MD 0.5 0.0 X Abraham Biderman 0.5 0.0 X Irwin Birnbaum 0.5 0.0 X Monsignor David Cassato 0.5 0.0 X DAVID DIAMOND MD 0.5 0.0 X RICHARD FORMAN 0.5 0.0 X MARVIN HELLMAN 0.5 0.0 X JACK A HIDARY 0.5 0.0 X Mortimer N Klaus 0.5 0.0 X Elly Kleinman 0.5 0.0 X andrew kohen 0.5 0.0 X c herbert leshkowitz 0.5 0.0 X Robert Machinist 0.5 0.0 X Frank Naccarato 0.5 0.0 X Daniel Z Nelson 0.5 0.0 X Norman A Ohrwashel 0.5 0.0 X Steven Oppenheim 0.5 0.0 X Martin Payson 0.5 0.0 X Peter Rebenwurzel 0.5 0.0 X Erminia Rivera 0.5 0.0 X ALEX ROVT PHD 0.5 0.0 X VERONICA SANTILLI MD 0.5 0.0 X ALFRED SCHONBERGER 0.5 0.0 X STEVEN R SHAMAH 0.5 0.0 X AL SUTTON 0.5 0.0 X ISAAC M SUTTON 0.5 0.0 X AARON D TWERSKI 0.5 0.0 X HOWARD WEISS 0.5 0.0 X MOSHE H WIEDER 0.5 0.0 X HERBERT WOLFF 0.5 0.0 X MICHAEL L ZIEGLER ESQ 0.5 0.0 X HERBERT WASSERMAN MD 40.0 0.0 X X 26500 0 0 EDWARD FITZPATRICK MD 40.0 0.0 X X 50223 0 2927 PAMELA BRIER 40.0 0.0 X X 1337503 0 232307 DOMINICK STANZIONE 40.0 0.0 X 775032 0 193365 ROBERT NALDI 40.0 0.0 X 681934 0 148302 JOYCE LEAHY 40.0 0.0 X 422972 0 58180 ENRICO ASCHER MD 40.0 0.0 X 1219265 0 17564 PATRICK BORGEN MD 40.0 0.0 X 1832976 0 40365 ISRAEL JACOBOWITZ MD 40.0 0.0 X 1293965 0 23630 AMIT SCHWARTZ MD 40.0 0.0 X 1284825 0 50788 JACK CHOUEKA MD 40.0 0.0 X 1081498 0 37365 10006693 0 804793 1187 false true false ALLSCRIPTS HEALTHCARE LLC 24630 NETWORK PLACE CHICAGO IL 60673 PROFESSIONAL FEES 4310778 GSI HEALTH LLC 7715 CRITTENDEN STREET PHILADELPHIA PA 19118 PROFESSIONAL FEES 2208721 THE CENTER FOR WOUND HEALING 155 WHITE PLAINS RD TARRYTOWN NY 10591 HYPERBARIC THERAPY 1966767 BROOKLYN HEALTH INFORMATION EXCHANG 6323 SEVENTH AVENUE BROOKLYN NY 11220 INFO. TECHNOLOGY 1936723 LAW OFFICE OF NORMAN L HOROWITZ LL 38-50 BELL BOULEVARD BAYSIDE NY 11361 LEGAL 1742254 52 449795 475289 15552886 2202788 1155845 18680758 PATIENT SERVICE REV-NET OF BAD DEBT 621110 973613623 973613623 MEANINGFUL USE EHR 900099 6066366 6066366 RENTAL INCOME 531390 4236602 4236602 983916591 2791983 2791983 0 0 715709 846354 -130645 0 -130645 -130645 29779 7277089 29779 7277089 7306868 7306868 341420 449795 623909 -282489 -282489 0 0 PARKING 812930 436106 436106 CAFETERIA 722514 992858 992858 MEDICAL RESIDENTS FICA REFUND 900099 3652000 3652000 5080964 1017364030 983916591 -130645 14897326 514117 514117 0 0 0 3929245 26500 3902745 0 501654961 440569002 60968340 117619 48213243 42539114 5662773 11356 70304945 61428576 8859970 16399 34422119 30043184 4378935 1908325 1908325 2495144 2495144 317867 317867 252594 252594 0 326932 326932 35149498 22704107 12445391 3141252 3141252 14144513 12152561 1991952 11520425 9898020 1622405 0 26388636 22672362 3716274 487901 425834 62067 0 1049343 915853 133490 11013000 11013000 0 50201358 43131572 7069786 37145567 35310892 1834675 MEDICAL EXPENSES 111151710 111151710 MAINTENANCE CONTRACTS 15760449 13540927 2219522 OUTSIDE CONTRACTS 10382273 8920152 1462121 BILLING FEES 6149533 6149533 11990627 4637631 7334505 18491 1010015577 874988960 134862752 163865 19463234 284738 123017804 143367451 694144 829295 131916057 141247000 0 0 0 0 2624902 2874803 8851064 9271069 6776141 7179611 974322233 626765064 340954280 347557169 29269824 30487472 0 0 69108026 75971786 0 0 237499339 249214616 970174815 1008285010 136391369 156577138 0 0 0 0 179712653 207986108 0 0 0 0 18408000 15976143 0 0 457440771 434229991 791952793 814769380 X 162652388 178479940 14437351 13903407 1132283 1132283 178222022 193515630 970174815 1008285010 X 7348453 -514000 -1155845 9615000 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 252594 252594 false SUPPLEMENTAL INFORMATION PART II-B PART II-B, LINE 1I Other activities: PAYMENTS MADE TO LOBBYISTS $135,569 LOBBYING PORTION OF DUES PAID $117,025 -------- TOTAL $252,594 PAYMENTS MADE TO LOBBYISTS WERE IN RELATION TO CAPITAL FUNDING FOR HOSPITAL EQUIPMENT AND AMBULANCES, AS WELL AS MODIFICATION TO LARGE SCALE COMMUNITY DEVELOPMENT. 15569634 1800447 2334391 15035690 15747510 1936968 2114844 15569634 15361242 2863808 2477540 15747510 16096993 2883855 0 0 3619606 0 15361242 15352310 2882195 76718 0 2214230 0 16096993 0.00000 0.08000 0.92000 false false 4980000 4980000 381784056 114990007 266794049 587558177 511775057 75783120 347557169 CAPTIVE INSURANCE CO 62321750 F SELF-INSURANCE TRUST 4295836 F INVEST HEALTH CARE RELATED ENT 9354200 F 75971786 DUE FROM AFFILIATES 9375873 OTHER CURRENT ASSETS 22194543 PREPAID CAPITAL ASSETS 6770108 ESTIMATED INSURANCE CLAIMS REC 194144000 MEDICAL RES FICA REFUND REC 12508000 DEFERRED FINANCING 3013491 OTHER NONCURRENT ASSETS 1208601 249214616 0 THIRD PARTY LIABILITIES 92731745 ACCRUED POSTRETIREMENT BENEFITS 68093883 PROFESSIONAL LIABILITIES 31996245 ESTIMATED INSURANCE CLAIMS PAYABLE 194144000 INSURANCE PREMIUM DEF & LIABILITY 23554616 MEDICAL RES FICA REFUND PAYABLE 13211986 OTHER LIABILITIES 10497516 434229991 1012790312 1994426 1994426 1010795886 6568144 6568144 1017364030 1011581896 8451226 8451226 1003130670 6884907 6884907 1010015577 PART V, LINE 4 INTENDED USES OF ENDOWNMENT FUNDS A. Temporarily restricted net assets are available for the following purposes: Research and education $1,098,000 Plant replacement and expansion $12,805,407 SUBTOTAL: $13,903,407 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 $15,035,690 RECONCILIATION OF REVENUE PER AFS TO RETURN SCHEDULE D, PART XI LINE 2 - AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: 2D CAPITAL ASSET ACQUISITIONS $524,162 2D DIRECT EXPENSES ATTRIBUTABLE TO FUNDRAISING EVENTS $623,909 2D UNRELATED RENTAL EXPENSES NETTED AGAINST RENTAL REV $846,355 2E TOTAL SUBTRACTIONS $1,994,426 LINE 4 - AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: 4B GRANT FOR CAPITAL ASSET ACQUISITIONS $1,183,367 4B NONCASH CONTRIBUTIONS $1,155,845 4B MEDICAL RESIDENTS FICA REFUND $3,652,000 4B INVESTMENT FEES RECLASSED $326,932 4B GRANTS RECEIVED RECLASSED FROM EXPENSES $250,000 4C TOTAL ADDITIONS $6,568,144 SCHEDULE D, PART XII RECONCILIATION OF EXPENSES PER AFS TO RETURN LINE 2 - AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: 2D Captive insurance program interest rate shortfall $6,980,962 2D Direct expenses attributable to fundraising events $623,909 2D Unrelated rental expenses netted against rental rev $846,355 2E TOTAL SUBTRACTIONS $8,451,226 LINE 4 - AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: 4B CHANGE IN ACCRUED PENSION & POSTRETIREMENT BENEFITS $6,307,975 4B GRANTS RECEIVED RECLASSED FROM EXPENSES $250,000 4B INVESTMENT FEES RECLASSED $326,932 4C TOTAL ADDITIONS $6,884,907 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. 62321750 Central America and the Caribbean 0 0 Program Services SELF INSURANCE-EXPENSe 29752887 2 0 2 0 92074637 92074637 false false true false true false Schedule F, Part I Line 3(1) & 3(2) 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 990. ANNUAL BALL 494800 275500 219300 2503 141213 129750 10600 150240 GOLF CLASSIC 135745 89785 45960 11422 50530 743 7813 1 160670 84510 76160 72602 9800 36693 791215 449795 341420 13925 264345 130493 20400 194746 623909 -282489 true true true X 300. true X true true true false true true 27018137 27018137 0.02680 313537445 208466212 105071233 0.10400 340555582 208466212 132089370 0.13080 14530789 14530789 0.01440 101155055 44412609 56742446 0.05620 41348712 32971899 8376813 0.00830 478005 478005 0.00050 499557 499557 0.00050 158012118 77384508 80627610 0.07990 498567700 285850720 212716980 0.21070 true 11344408 9424296 249377498 272483751 -23106253 X true true 1 1 MAIMONIDES MEDICAL CENTER

4802 TENTH AVE BROOKLYN NY 11219

www.maimonidesmed.org X X X X X X MAIMONIDES MEDICAL CENTER 1 true true 300. true 300. true X X X X X X X X true true X X X X X X true false X X X X 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 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 as 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 unless authorized by a Vice President of the Medical Center, seek civil arrest, seek a forced sale or foreclosure of a primary residence. Collection agencies are required to obtain the Medical Center's written consent prior to commencing legal action. Part V Facility Information Section B, Line 20d - Individuals Eligible for Financial Assistance The hospital uses Medicare rates for outpatient services rendered and Medicaid DRG rates for inpatient services rendered. PART VI SUPPLEMENTAL INFORMATION 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 ten languages in addition to English: Italian, French, Russian, Spanish, Urdu, Arabic, Yiddish, Hebrew, 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 developed an Affiliate status and a highly effective hospitalist service to assist physicians in joining or retaining membership on the medical staff, 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. In early 2012, Maimonides was designated a Medicaid Health Home by New York State. As a Health Home, Maimonides partners with a network of 50+ providers and community-based organizations to coordinate services for Medicaid beneficiaries who have high-cost and complex chronic conditions. This is done primarily through a "care manager" who oversees and helps access all of the services an individual needs to assure that they receive everything necessary to stay healthy, out of the emergency room and out of the hospital. These services include housing, social services, medical and behavioral health, substance use, home care, and family support and education, which are coordinated and integrated to control future health care costs and improve health outcomes for this population. In 2012, Maimonides received a Health Care Innovation Award from the Center for Medicare and Medicare Innovation to improve the care and lives of 7,500 adults with serious mental illness in southwest Brooklyn. This population experiences a disproportionate burden of chronic disease and co-morbidities, and often receives care that is fragmented and inefficient, leading to poor health outcomes and shortened life expectancy. This Project virtually co-locates medical and mental health providers through accessible health information technology tools and functionalities that advance care coordination and planning to holistically address the needs of these patients. Working with a group of other providers and community based organizations, the Project is establishing a model of care delivery that will transform how healthcare services for this population are provided and reimbursed, while developing new jobs and career paths for the community. 7. State filing of community benefit report NEW YORK true BORO PARK HATZOLAH 5215 16TH AVENUE BROOKLYN NY 11204 113043090 501(c)(3) 75000 GENERAL SUPPORT HATZOLAH OF FLATBUSH 1880 OCEAN AVENUE BROOKLYN NY 11230 133213138 501(C)(3) 70000 General Support Hatzolah of Williamsburg 183 Wilson STREET BROOKLYN NY 11211 113376135 501(c)(3) 50000 General Support AGUDATH ISRAEL (SIYUM HASHAS OF DAF YOMI) 42 BROADWAY NEW YORK NY 10004 135604164 501(c)(3) 50000 General Support BORO PARK COMMUNITY COUNCIL 4912 14TH AVENUE Brooklyn NY 11219 113475993 501(C)(3) 40000 General Support NEW YORK EHEALTH COLLABORATIVE NYEC 40 WORTH STREET NEW YORK NY 10013 208022336 501(c)(3) 30000 General Support SEPHARDIC GERIATRIC FOUNDATION 2266 CROPSEY AVENUE BROOKLYN NY 11214 111694718 501(c)(3) 26000 General Support Guardians of the Sick 5216 11th AVENUE BROOKLYN NY 11219 116003433 501(C)(3) 20000 General Support OHEL CHILDREN'S HOME & FAMILY SERVICES 4510 16TH AVENUE BROOKLYN NY 11204 116078704 501(C)(3) 20000 General Support NAMI - NYC METRO 505 EIGHTH AVE STE 1103 NEW YORK NY 10018 133077692 501(c)(3) 15000 General Support UNITED HOSPITAL FUND 350 FIFTH AVENUE NEW YORK NY 10118 131562656 501(c)(3) 15000 General Support LEAGUE OF WOMEN VOTERS 4 WEST 43RD ST STE 615 NEW YORK NY 10036 133100525 501(c)(3) 12500 GENERAL SUPPORT 1199SEIUEMPLOYER CHILD CARE CORP 330 WEST 42ND STREET NEW YORK NY 10036 134063281 501(c)(3) 10000 GENERAL SUPPORT BOWERY RESIDENTS COMMITTEE 127 WEST 25TH STREET NEW YORK NY 10001 132736659 501(C)(3) 10000 GENERAL SUPPORT BROOKLYN INFORMATION & CULTURE 647 FULTON STREET BROOKLYN NY 11217 112547268 501(c)(3) 10000 GENERAL SUPPORT COUNCIL OF JEWISH ORGANIZATIONS OF FLATBUSH 1523 AVE M BROOKLYN NY 11230 112864728 501(C)(3) 10000 GENERAL SUPPORT LADIES BIKUR CHOLIM D'SATMOR 5422 14TH AVENUE BROOKLYN NY 11219 116081323 501(c)(3) 10000 GENERAL SUPPORT LUTHERAN MEDICAL CENTER 150 55TH STREET BROOKLYN NY 11220 111839567 501(c)(3) 10000 GENERAL SUPPORT Primary Care Development Corp 22 CORTLAND STREET NEW YORK NY 10007 133711803 501(c)(3) 7500 GENERAL SUPPORT WOMEN IN HEALTH MANAGEMENT 152 MADISON AVE STE 801 NEW YORK NY 10016 133588691 501(C)(3) 7500 GENERAL SUPPORT HAITIAN SOLIDARITY 415 EAST 17TH ST STE 35 BROOKLYN NY 11226 272590851 501(C)(3) 9617 GENERAL SUPPORT METROPOLITAN JEWISH HEALTH SYSTEM 6323 SEVENTH AVENUE BROOKLYN NY 11220 111630753 501(C)(3) 6000 GENERAL SUPPORT 22 Schedule I, Part I description of procedures for monitoring the use of grant funds GENERAL SUPPORT IS GIVEN TO VARIOUS NONPROFIT HEALTH RELATED ORGANIZATIONS WHOSE ACTIVITIES HAVE BEEN DETERMINED ARE COMPATIBLE AND COMPLIMENTARY TO THOSE OF MAIMONIDES MEDICAL CENTER. THE MEDICAL CENTER PERIODICALLY REVIEWS ITS GENERAL SUPPORT OF THESE NONPROFIT ORGANIZATIONS IN ORDER TO ENSURE THAT THE RECIPIENT'S ACTIVITIES REMAIN COMpatible WITH THOSE OF THE MEDICAL CENTER. X X X X X false true false false false true false true false PAMELA BRIER 1043233 0 200000 0 94270 0 175014 0 57293 0 1569810 0 0 0 DOMINICK STANZIONE 738471 0 0 0 36561 0 169250 0 24115 0 968397 0 0 0 ROBERT NALDI 628922 0 0 0 53012 0 142917 0 5385 0 830236 0 0 0 JOYCE LEAHY 406162 0 0 0 16810 0 49050 0 9130 0 481152 0 0 0 ENRICO ASCHER MD 1219001 0 0 0 264 0 16250 0 1314 0 1236829 0 0 0 PATRICK BORGEN MD 1798066 0 0 0 34910 0 16250 0 24115 0 1873341 0 0 0 ISRAEL JACOBOWITZ MD 1274127 0 0 0 19838 0 16250 0 7380 0 1317595 0 0 0 AMIT SCHWARTZ MD 1284585 0 0 0 240 0 16250 0 34538 0 1335613 0 0 0 JACK CHOUEKA MD 1056566 0 0 0 24932 0 16250 0 21115 0 1118863 0 0 0 Supplemental Information Part I, Line 4B THE FOLLOWING PERSONS PARTICIPATED IN A 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: PAMELA S. BRIER - $49,075 DOMINICK STANZIONE - $2,541 ROBERT NALDI - $34,899 JOYCE LEAHY - $15,262 IN ADDITION, mmc MAINTAINS A SERP PLAN FOR the OFFICERS LISTED ON SCHEDULE J, PART II. CURRENT contributions ARE INCLUDED IN COLUMN C FOR 2012. ANNUAL CONTRIBUTIONS ARE NONTAXABLE EVENTS AND UPON VESTING AT RETIREMENT, THE SERP WILL BE INCLUDED IN THE OFFICERS' TAXABLE COMPENSATION. CEO, PAMELA S BRIER'S CUMULATIVE DEFERRED SERP THROUGH 2011 TOTALS $523,774, AND WAS ACCRUED AND INCLUDED ON THE FORM 990'S PART IX (STATEMENT OF FUNCTIONAL EXPENSES) ON LINE 8, PENSION PLAN ACCRUALS AND CONTRIBUTIONS. HOWEVER, PRIOR TO 2012, ALTHOUGH THE CUMULATIVE DEFERRED SERP WAS INCLUDED IN PART IX OF THE 990 IT WAS NOT REPORTED AS DEFERRED COMPENSATION ON SCHEDULE J AND ON THE FORM 990'S PART VII. 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 COMMITTEE OF THE BOARD. A DORMITORY AUTHORITY OF THE STATE OF NY 146000293 64983TWB5 2004-06-24 114252556 SEE BELOW false false false A 12950000 0 114252556 8830576 10230124 0 1356852 1340270 0 92494199 0 0 2009 false false true true A false false true true true false 0 false false false false A false false false true false false 0 true MBIA 29.1 true true true A true SEE SCHEDULE O 0 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 A (g) Defeased - On March 21, 2013, this bond issue was defeased in an amount of $97,695,000 to be redeemed on August 1, 2014. B The New York City Capital Resource Corporation's bond issue disclosed in prior years was redeemed on June 1, 2012. Part III, Private Business Use 3d - In August 2013, the organization determined that it would engage bond counsel or other outside counsel to review any particularly complex, unusual or large research agreements relating to the financed property. 9 - In October 2013, the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2. Part IV, Arbitrage Line 6 - 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. 745-64TH REALTY ASSOC INC ANDREW KOHEN,TRUSTEE/OWN 1558599 REAL ESTATE RENTAL false RMNDS REALTY ASSOC ANDREW KOHEN,TRUSTEE/OWN 1171174 REAL ESTATE RENTAL false X 28890 1155845 FMV BY DONOR false false false SCHEDULE M, PART II FEDERALLY FUNDED 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 REPORT RELATED TO U.S. OFFICE OF MANAGEMENT AND BUDGET CIRCULAR A-133. Form 990 Supplemental Information FORM 990, 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 2012 At Maimonides we are fortunate to have a large corps of dedicated volunteers who enhance the services provided by our staff. There were 1,660 volunteers in 2012 who served 232,689 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, companions to patients, feeders, child life, interpreters, greeters, refreshment carts, ladies auxiliary, patient library, chaplaincy, clerical support, patient transport, 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. During 2012, the Medical Center provided 45,616 inpatient discharges and 416,514 outpatient visits which included 118,297 emergency room visits. We provided care to persons covered by government programs and the uninsured at payment rates below cost. Our surgeons performed 8,260 inpatient and 12,486 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 8,387 deliveries. 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. The Medical Center's estimated costs for charity care were $45.0 million for 2012. 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 $11.0 million in 2012. 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. Form 990 Supplemental Information Form 990, Part VI, Governance, Management, and Disclosure Section A. Governing Body and Management 6. The organization has a member, Maimonides Health Resources, Inc. (MHRI) a not-for-profit, 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. UPON THEIR FINAL REVIEW A complete copy of the Form 990 is PROVIDED to the board 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 ASSOCIATION. 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 2012 for the CEO, COO, CFO and SVP for Legal Affairs/General Counsel/Assistant Secretary. 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. OTHER CHANGES IN FUND BALANCE FORM 999, PART XI, LINE 9 CHANGE IN EQUITY IN CAPTIVE INSURANCE PROGRAM: $9,615,000 MAIMONIDES RESEARCH & DEVELOPMENT FND 4802 TENTH AVENUE BROOKLYN NY 11219 112608229 RESEARCH NY 501(c)(3) 11a MAIMONIDES M true MAIMONIDES HEALTH RESOURCES INC 4802 TENTH AVENUE BROOKLYN NY 11219 113018258 SUPPORT ORG NY 501(c)(3) 11a NA false MMC HOLDING OF BROOKLYN INC 4510 16TH AVENUE BROOKLYN NY 11204 112683298 ADMIN SERVICE NY NA C CORP false false true false false false false false false true true false false false false true true false true MMC HOLDING OF BROOKLYN INC j 751386 COST MMC HOLDING OF BROOKLYN INC P 19534360 COST MMC HOLDING OF BROOKLYN INC S 153930 COST MAIMONIDES RESEARCH & DEVELOPMENT FOUNDATION C 475289 COST MAIMONIDES RESEARCH & DEVELOPMENT FOUNDATION k 515000 COST MAIMONIDES RESEARCH & DEVELOPMENT FOUNDATION Q 117624 COST