2013-11-12T19:13:49-06:00 2012-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2012-01-01 131740114 MONTEFIORE MEDICAL CENTER % DAVID INGBER MONT 9143786480 111 East 210th St Suite Bronx NY 10467 JOEL PERLMAN 2013-10-31 2127733000 2012 2016-02-24 21:20:13Z STEVEN SAFYER MD 111 EAST 210TH STREET BRONX NY 10467 2837681374 false X www.montefiore.org X 1884 NY delivering outstanding healthcare in a manner that advances the health of those served through research, education, wellness, disease management and integrated clinical and community service programs. 49 47 19316 750 26353817 -820811 73711408 71677328 2584134162 2719390351 17832952 24656953 5897843 17872526 2681576365 2833597158 6313294 5030688 0 0 1724435736 1821358595 60000 34000 2048902 906960942 896408502 2637769972 2722831785 43806393 110765373 2513816770 2709151358 1948268039 2003672576 565548731 705478782 X TO HEAL, TO TEACH, TO DISCOVER AND TO ADVANCE THE HEALTH OF THE COMMUNITIES WE SERVE. MONTEFIORE'S UNIQUE FOUR PART MISSION FOCUSES ON DELIVERING OUTSTANDING CARE IN A MANNER THAT ADVANCES THE HEALTH OF THOSE WE SERVE - THROUGH EDUCATION, WELLNESS, DISEASE MANAGEMENT AND OTHER INTEGRATED CLINICAL AND COMMUNITY SERVICE PROGRAMS, EDUCATING THE NEXT GENERATION OF CAREGIVERS AND CREATING NEW KNOWLEDGE THROUGH RESEARCH. MONTEFIORE IS DISTINGUISHED BY ITS UNIQUE COMMITMENT TO COMMUNITY SERVICE AS AN ACADEMIC MEDICAL CENTER. false false 2018239313 2313982 2527030527 Patient Care Established in 1884 as a hospital for patients with chronic illnesses, Montefiore has grown and evolved to become a full-service integrated healthcare delivery system serving a large and complex urban population, a distinguished academic medical center with renowned faculty, an innovative research center pioneering scientific breakthroughs and medical "firsts" and an exceptionally dedicated community partner with an unparalleled roster of innovative programs and services that address needs ranging far beyond medical care. Montefiore's mission is to heal, to teach, to discover and to advance the health of the communities it serves. To this mission Montefiore brings a unique synergy of strengths and resources. The Montefiore delivery system offers a full range of healthcare services (preventive, primary, specialty, acute and post acute) to the nearly 2 million residents of the Bronx, New York and nearby Westchester County. Montefiore serves also as a tertiary care referral center for patients from across the entire metropolitan area, the nation and the world, and is known for advanced care in numerous specialties, including cardiology and cardiac surgery, cancer care, children's health, tissue and organ transplantation, women's health, surgery and surgical subspecialties. Montefiore combines its deep commitment to the community with nationally-renowned expertise to reach people in locations most convenient for them. Through the Montefiore School Health Program (the largest and most comprehensive school-based health program in the country), Primary Care at Home programs, mobile medical and dental health vans and health education initiatives, Montefiore provides primary care services in non-traditional settings. To help patients, especially those with chronic diseases, achieve a better quality of life and reduced hospitalization, Montefiore goes beyond fragmented fee-for-service payments, assuming total responsibility for the quality and costs of care for some of its sickest patients. Through the Montefiore IPA and the CMO, The Care Management Company, LLC (CMO), a global prepayment strategy is used to manage care for about one-third of our patients over the continuum, including hospital care, rehabilitation, outpatient care, professional services, remote patient monitoring and many other programs. Through the CMO proactive approach to care management, insights and strategies are developed that help improve integrated, accountable and affordable care throughout our entire health system. At the center of the Montefiore system are four hospitals with a total of 1,469 beds: - The 670 bed Henry and Lucy Moses Division; - the 400 bed Jack D. Weiler Hospital of Albert Einstein College of Medicine; - the 120 bed Children's Hospital at Montefiore, recognized as one of "america's Best Children's Hospitals" in U.S. News & World Report's rankings; and - the 279 bed Wakefield Division (formerly the North Division renamed to reflect its anchor role in the community). Together, these hospitals provide over 87,000 inpatient admissions annually, including over 5,600 births. Montefiore also operates extensive ambulatory care services connected by a robust health information technology system (HIT) through a network of more than 100 locations - from community-based ambulatory care centers to school-based health centers to mobile clinics: - Montefiore's Emergency Departments, among the busiest in the nation, have more than 296,000 total visits a year - The hospital based clinics provide over 247,000 visits a year - The Physician practices provide more than 1.1 million office visits annually - Montefiore Medical Group, a network with over 350 primary care physicians at 22 community based locations throughout the Bronx and Westchester, provide over 823,000 visits a year - The Montefiore School Health Program, the largest in the nation, with 20 school-based health centers serves approximately 24,751 children annually - A system of mobile pediatric centers, operated in partnership with the Children's Health Fund, cares for homeless children and families at locations throughout the city - Montefiore Home Care provides approximately 516,000 visits each year to homebound patients. At the intersection of Einstein science and Montefiore medicine are Centers of Excellence in Cancer Care, Cardiovascular services, the Children's hospital, transplantation and neurosciences. In these centers, renowned investigators and multidisciplinary clinical teams collaborate to develop and deliver the advanced, innovative care available only at premier academic medical centers and the seamless continuum of services that ensures an ideal patient experience. Montefiore Medical Center is guided by a mission to provide high quality care for all its patients, including those in our service area who lack health insurance coverage and who cannot pay for all or part of the essential care they receive. The Medical Center is committed to maintaining charity care policies that are consistent with its mission and values of advancing the health of the communities that it serves regardless of ability to pay. Montefiore is increasingly recognized for success in delivering high-quality care to a large urban community, harnessing the power of health information technology and using care management tools to improve quality, safety and outcomes while controlling costs. Montefiore is continuously ranked among the top hospitals nationally and regionally by "US News and World Report". In October 2012, the New York area was severly impacted by Super Storm Sandy. Its storm surge hit New York City on October 29, 2012 flooding streets, tunnels and subway lines and cutting power in and around the city forcing a number of New York City hospitals to close. Montefiore's staff and volunteers displayed extraordinary skill, spirit, determination and compassion throughout Super Storm Sandy. Hundreds of staff members slept in accommodations onsite in order to ensure continuous care for all patients. Through their efforts, all four hospitals and the emergency rooms remained open throughout the storm and the Home Care Programs and most other ambulatory services were up and running the next day. Montefiore was also actively involved in the evacuation effort for a number of hospitals impacted by the Storm. Twenty patients from New York Downtown Hospital, as well as a number of patients from Bellevue Hospital and nursing homes across the region, were seamlessly transferred to Montefiore for continuation of their care. In addition, six babies were transferred to the Weiler Neonatal Intensive Care Unit (NICU) from other New York City hospitals. Most of these babies needed to be manually ventilated and monitored closely to ensure they were breathing properly. Through Montefiore's unwavering efforts, a potential disaster in the making was adverted. For more than a 100 years, Montefiore has been a leader in innovations, new treatments, new procedures and new approaches to patient care that has produced stellar outcomes and helped to raise the bar for medical centers in the region and around the world. As Montefiore builds on this momentum and these accomplishments, we continue to strive to advance the practice of medicine and set the standards for excellence. 346094154 2112956 171395582 Medical Education & Research Medical Education Montefiore is the University Hospital for Albert Einstein College of Medicine, one of the nation's premier institutions for medical education, basic research and clinical investigations. This strong alignment enables Montefiore to advance clinical and translational research results more rapidly to the bedside and to the medical community, and educate the next generation of physicians, healthcare leaders and investigators. In place are extensive training programs for medical students, residents and fellows. Over 800 medical students and over 1,200 residents and fellows are trained in more than 84 accredited residency and fellowship programs at The Children's Hospital at Montefiore and the Moses and Einstein's Divisions sponsored by Albert Einstein College of Medicine and 4 residency and fellowship programs at the Wakefield Division sponsored by New York Medical College through June 30, 2012 and now by Albert Einstein College of Medicine making Montefiore the second largest residency program in the country. Montefiore and Einstein's partnership provides residents and fellows with an exceptional environment for research training and participation in basic, translational and clinical activities. Montefiore provides the doctors of tomorrow a unique opportunity for education and training in one of the most diverse urban areas in the country caring for a global population where the disease burden is high and the need for quality care is great. Montefiore is dedicated to cultivating the ethical and professional development of all of its trainees. Montefiore's physicians are at the forefront of their fields, actively mentoring and cultivating a new generation of physicians and scientists committed to our mission and values of advancing the front line of health and leading the way in twenty-first century medicine and patient care. Montefiore training experience - clinically advanced and grounded in our organizational values of humanity, innovation, teamwork and equity - extends to all disciplines. In 2012, over 1,200 undergraduate and graduate nursing staff trained at Montefiore as did hundreds of social workers, nutritionists and pharmacists. Montefiore training also extends beyond the graduate level. The Center for Continuing Medical Education (CCME) at Montefiore Medical Center and Albert Einstein College of Medicine, founded in 1976, is accredited by the Accreditation Council for Continuing Medical Education (ACCME). The Center has provided hundreds of CME activities and CME credits to thousands of practitioners. Recognizing the vital importance of developing and embracing innovative techniques and treatments, Montefiore is committed to the utilization of resources for the advancement of physicians' education and delivery of care. Research Montefiore's large biomedical and clinical research initiatives include inquiry into a range of medical and health care delivery issues, including basic research into the fundamental process of disease and its treatment in humans, clinical trials and related clinical research and research into the organization and management of health care services. National Institutes of Health (NIH) and other Federal funding of over $25 million supports research in such areas as Aids, Oncology, Pediatrics, Anesthesiology, Emergency Medicine, Neurology, Pathology and Social Medicine. Additional federal, state and other funding supports a variety of research and clinical programs. Montefiore and Einstein are aligned around shared goals, with special emphasis on advancing clinical and translational research to accelerate the pace at which new discoveries become the treatments and therapies of today. Montefiore is among 38 academic medical centers nationwide to be awarded the prestigious Clinical and Translational Science Award (CTSA) by the National Institutes of Health. Montefiore is a recipient of a $22 million Clinical and Translational science award to establish the Einstein-Montefiore Institute for clinical and Translational Research where our researchers are involved in more than 400 clinical trials and research studies, translating scientific breakthroughs into cutting edge diagnostics and treatments. 71965437 603750 20964242 Community Services Services to the community are an explicit and essential component of Montefiore's mission and one of its most valued traditions. The Medical Center has a long history of reaching beyond the walls of its hospitals to identify and meet the needs of its community and has been a national leader in organizing and expanding community-based services. MMC commitment to the community has required a multifaceted, continually evolving response, in which the unique capacities of the academic medical center are mobilized to improve the lives of the people and the communities served-not just medically, but socially, economically and environmentally, wherever and whenever resources can make a difference. The Medical Center has maintained and expanded its range of community services, reaching out to and serving un-met health needs, including those with poor access to comprehensive primary care, at-risk and hard to reach children and their families, underserved and at-risk senior citizens, those affected by cancer, those affected by the continuing HIV epidemic in the Bronx, persons with or at-risk for tuberculosis infection, persons affected with problems of substance abuse, the homeless, adults and children with limited access to primary dental care and those affected by chronic health care diseases such as congestive heart failure, diabetes and asthma. Embracing its social responsibility to the community, Montefiore is nationally known as a pioneer in programs that are tailored to the specific needs of the community. Montefiore has been in the vanguard of intervention to combat such conditions as HIV disease, tuberculosis and lead poisoning prevention. Recently Montefiore has sharpened the focus on such issues as childhood obesity, diabetes, improving community access to fresh, healthy foods at green markets and reducing healthcare disparities. Montefiore is aligning components of the delivery system to help improve public outcomes and building behavioral and population-based research to identify best practices. The community served by Montefiore, by several measures, faces many challenges. It is ranked the poorest urban county in the country, leads the nation in rates of diabetes and obesity and other chronic conditions and leads New York City in a host of significant markers: people in "fair or poor health", low birth weight, teen pregnancy, children in poverty, disabled individuals and families living below the poverty line. Montefiore is continuously working to help the community maintain a sense of security and economic stability, as well as to improve such quality-of-life fundamentals as education and affordable housing. We are seeking to advance life in the Bronx beyond the traditional bounds of healthcare, by leading development efforts, promoting safe and productive neighborhoods and taking a leadership role in community business development. Montefiore is an advocate and partner with our neighbors in the Bronx, helping to sustain the community that sustains us. 2436298904 true true false true false false false false false true true true false true true false false true false true true true false true true false true true true false true true false false false false false false false false false true true false false false true true true true true false true 712 0 true 19316 true true true false false false false true true false false false false X 49 47 true false false false true true true true true false true true true true true true true true true true false NY X DAVID INGBER 9143786480 6 EXECUTIVE PLAZA SUITE 112A yonkers NY 10701 ODED ABOODI 2.0 0.5 X 0 0 0 JAY B ABRAMSON 2.0 0.0 X 0 0 0 MARGARET HAYES ADAME 1.0 0.5 X 0 0 0 GEORGE ASCH 2.0 0.0 X 0 0 0 JOSEPH W BARTLETT 1.0 0.5 X 0 0 0 PATRICIA BAUMAN 1.0 0.0 X 0 0 0 ROBERT A BERNHARD 1.0 0.5 X 0 0 0 JAMES M BUTLER 1.0 0.0 X 0 0 0 LAWRENCE B BUTTENWEISER 1.0 0.0 X 0 0 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A PERCENTAGE OF MEMBERSHIP DUES PAID TO THE FOLLOWING ORGANIZATIONS THAT ARE USED BY SUCH ORGANIZATIONS FOR LOBBYING EFFORTS: - GREATER NEW YORK HOSPITAL ASSOCIATION - AMERICAN HOSPITAL ASSOCIATION - HEALTH CARE ASSOCIATION OF NYS - 1199/SEIU - GNYHA HEALTH EDUCATION PROJECT. 2. aMOUNTS PAID TO tHE cARMEN gROUP and Health Policy Source, Inc. FOR FEDERAL LOBBYING AND MANATT, PHELPS & pHILLIPS, LLP FOR NYS LOBBYING RELATED TO REGULATIONS AND LEGISLATION IMPACTING MMC'S PROGRAMS. 3. Amounts paid to Akerman Senterfitt, LLP for NYC lobbying related to certain construction Projects. 25350033 25350033 25350033 25350033 25350033 25350033 25350033 25350033 25350033 25350033 1.00000 false false 14481267 14481267 1277820053 795254268 482565785 1003036546 818601557 184434989 40810984 40810984 722293025 MALPRACTICE INSURANCE COS. 67697870 F LIMITED PARTNERSHIPS 28367000 F EMPLOYEE DEFERRED COMP ASSETS 15219837 F MANAGED CARE COMPANIES 46151634 C 157436341 AMTS DUE FROM RELATED COS. 36744827 ESTIMATED INSURANCE CLAIMS REC 487929000 524673827 0 RETIREE HEALTH LIABILITIES 115423008 MALPRACTICE INSURANCE LIABILITIES 128738308 EMPLOYEE DEFERRED COMP LIABILITIES 15219837 PENSION LIABILITIES 13092048 ESTIMATED INSURANCE CLAIMS LIABILITIES 487929000 OTHER LONG-TERM LIABILITIES 245338037 CONSTRUCTION LIABILITIES 8710496 1014450734 Part V, line 4 The organization's endowments were established pursuant to donor gifts received over time so the earnings can provide support to the Medical Center's activities, specifically its clinical programs and related research as designated by the individual donors. true Sub-Saharan Africa Grantmaking Aids Program 771414 Central America and the Caribbean Investments 20735473 21506887 21506887 Sub-Saharan Africa Aids Project 500000 wire Sub-Saharan Africa Aids Project 217700 wire Sub-Saharan Africa AIDS PROJECT 33351 WIRE Sub-Saharan Africa AIDS PROJECT 20363 WIRE 4 true false true false true false Part I, Line 2 The organization's procedures for monitoring the use of grant funds outside the United STates includes regular financial reporting and analysis and field investigations by medical center employees associated with the grant programs to confirm funds are being used in accordance with the awards. 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School Health Clinic MONTEFIORE DIVISION OF GASTROENTEROLOGY

1500 Waters Place Bronx NY 10461

Specialty Care Practice MSHP-PS 105

725 Brady Avenue Bronx NY 10462

School Health Clinics MSHP-Walton Campus

2780 Reservoir Avenue Bronx NY 10468

School Health Clinic MSHP-THEODORE ROOSEVELT CAMPUS

500 EAST FORDHAM ROAD BRONX NY 10458

SCHOOL HEALTH CLINIC MSHP-PS 28

1861 ANTHONY AVENUE Bronx NY 10457

School Health Clinic MSHP-MS 45

2502 LORRILARD AVENUE Bronx NY 10458

School Health Clinic MSHP-PS 55

450 ST PAULS PLACE Bronx NY 10456

School Health Clinic MSHP-PS 85

2400 MARION AVENUE Bronx NY 10458

School Health Clinic SAFE HOUSE FOR LEAD POISONING PREV PROG

91 EAST MOSHOLU PARKWAY Bronx NY 10467

SPECIALTY CARE EXT CLINIC MSHP-SOUTH BRONX CAMPUS

701 ST ANNS AVENUE 3RD FLOOR Bronx NY 10455

SCHOOL HEALTH CLINIC MSHP-IS 217 ENTRADA

977 FOX STREET BRONX NY 10459

SCHOOL HEALTH CLINIC MONTEFIORE WAKEFIELD CHEM DEP OP PROG

4401 BRONX BOULEVARD Bronx NY 10470

CHEMICAL DEPENDENCY EXT CLINIC MSHP-PSMS 95

3961 HILLMAN AVENUE Bronx NY 10463

School Health ClinIc BRONX REGIONAL HIGH SCHOOL

1010 REV JA POLITE AVENUE Bronx NY 10459

sCHOOL hEALTH cLINIC CENTER FOR CHILD HEALTH AND RESILIENCY

890 PROSPECT AVENUE Bronx NY 10459

PRIMARY CARE EXTENSION CLINIC MONTEFIORE DENTAL CENTER

951 PROSPECT AVENUE Bronx NY 10459

SPECIALTY CARE PRACTICE MSHP-MOTT HAVEN HS campus

730 CONCOURSE VILLAGE east Bronx NY 10451

SCHOOL HEALTH CLINIC MONTEFIORE STD INITIATIVE

3230 Bainbridge Avenue Bronx NY 10467

Specialty Care Ext Clinic MSHP-William Howard Taft Campus

240 East 172nd Street Bronx NY 10457

School Health Clinic MSHP-PS 64

1425 Walton Avenue Bronx NY 10452

School Health Clinic MONTEFIORE Gottscho Child Dialysis CTR

Frost Valley YMCA Camp Claryville NY 12725

Chronic Dialysis Ext Clinic Saratoga Interfaith Family Shelter

175-15 Rockaway Boulevard Queens NY 11434

Homeless Shelter Ext Clinic Help Bronx Crotona

785 Crotona Park North Bronx NY 10460

Homeless Shelter Pt Clinic New Day Domestic Violence Shelter

PO Box 6310 Bronx NY 10451

Homeless Shelter Pt Clinic American Red Cross Family ShelterICAHN

4 East 28th Street New York NY 10016

Homeless Shelter Ext Clinic University Avenue Family Residence

1041 University Avenue Bronx NY 10452

Homeless Shelter Ext Clinic Women in Need-Suzanne's Place

25 Junius Street Brooklyn NY 11212

Homeless Shelter Ext Clinic Saint John's Family Shelter

1630 Saint Johns Place Brooklyn NY 11233

Homeless Shelter Ext Clinic Lydia E Hoffman Family Residence

855 East 175th Street Bronx NY 10460

Homeless Shelter Ext Clinic Streetwork's Project Drop-In Center

209 W 125th Street New York NY 10016

Homeless Shelter Ext Clinic Streetwork's Residential-Mobile

1868 Amsterdam Avenue New York NY 10018

Homeless Shelter Ext Clinic Sarah Burke House-DOMESTIC VIOLENCE SHEL

PO Box 1783 First Floor Bronx NY 10451

Homeless Shelter Ext Clinic ICAHN House Family Shelter

1520 Brook Avenue Bronx NY 10457

Homeless Shelter Ext Clinic Prospect Interfaith Center

730 Kelly Street Bronx NY 10455

Homeless Shelter Ext Clinic MONTEFIORE Riverdale Practice

3333 Henry Hudson Parkway Bronx NY 10463

Specialty Care Practice MONTEFIORE WELLNESS CENTER

1180 MORRIS PARK AVENUE BRONX NY 10461

SPECIALTY CARE PRACTICE RIVERDALE MEDICAL ASSOCIATES

2711 HENRY HUDSON PARKWAY BRONX NY 10463

SPECIALTY CARE FACULTY PRACTICE JENNIE CLARK RESIDENCE-WOMEN IN NEED

183 E 100TH STREET NEW YORK NY 10029

HOMELESS SHELTER EXT CLINIC MONTEFIORE GENERAL CLINIC RESEARCH CTR

1300 MORRIS PARK AVENUE BRONX NY 10461

CLINIC RESEARCH EXT CLINIC GENERAL CLINIC RESEARCH CENTER

111 e 210TH STREET-MRT BRONX NY 10467

CLINICAL RESEARCH EXT CLINIC MONTEFIORE-EINSTEIN CTR FOR CANCER CARE

1521 JARRETT PLACE BRONX NY 10461

CANCER SERVICES MONTEFIORE CARDIOLOGY

1628 EASTCHESTER ROAD BRONX NY 10461

SPECIALTY PRACTICE MONTEFIORE JARRETT PEDIATRIC DENTAL CTR

1516 JARRETT AVENUE BRONX NY 10456

DENTAL CENTER MONTEFIORE DEPARTMENT OF DENTISTRY

3332 rOCHAMBEAU AVENUE BRONX NY 10467

dENTAL cENTER MONTEFIORE ADVANCED IMAGING GUNHILL

200 EAST GUNHILL ROAD BRONX NY 10467

IMAGING CENTER MONTEFIORE WAKEFIELD CHILD pSYCH CTR

4141 cARPENTER aVENUE BRONX NY 10466

MENTAL HEALTH CLINIC ADOLESCENT AIDS PROGRAM

3415 WAYNE AVENUE BRONX NY 10467

PEDIATRIC SPECIALTY CENTER MONTEFIORE DEPARTMENT OF NEUROLOGY

140 LOCKWOOD AVENUE NEW ROCHELLE NY 10801

SPECIALTY CENTER MONTEFIORE DEPARTMENT OF NEUROSURGERY

3316 ROCHAMBEAU AVENUE BRONX NY 10467

SPECIALTY CENTER EINSMONTEFIORE AUTISM EVAL & TREAT CTR

6 EXECUTIVE PLAZA YONKERS NY 10701

SPECIALTY CENTER WOMEN'S MEDICAL ASSOCIATES

1180 MORRIS PARK AVENUE BRONX NY 10461

WOMEN'S HEALTH CENTER CENTENNIAL WOMEN'S CENTER

3332 ROCHAMBEAU AVE BRONX NY 10467

WOMEN'S HEALTH CENTER RIVERDALE WOMEN'S CENTER

3333 HENRY HUDSON PARKWAY BRONX NY 10463

wOMEN'S HEALTH CENTER DEPT OF OB & GYNWOMEN'S HEALTH

4170 BRONX BOULEVARD BRONX NY 10466

WOMEN'S HEALTH CENTER WOODLAWN WOMEN'S CENTER

4350 vAN cORTLANDT PK EAST BRONX NY 10470

WOMEN'S HEALTH CENTER GENETICS & PERINATAL CONSULTANTS OF NY

700 WHITE PLAINS ROAD SCARSDALE NY 10583

WOMEN'S HEALTH CENTER CHILD ADVOCACY CENTER

260 E 188TH STREET BRONX NY 10458

SPECIALTY CARE PRACTICE CARDIOLOGY ASSOCIATES

2711 HENRY HUDSON PARKWAY BRONX NY 10463

SPECIALTY CARE PRACTICE REHABILITATION MEDICINE PRIVATE PRACTICE

3329 BAINBRIDGE AVENUE BRONX NY 10467

SPECIALTY CARE PRACTICE MONTEFIORE DIVISION OF DERMATOLOGY

3514 BAINBRIDGE AVENUE BRONX NY 10467

SPECIALTY CARE PRACTICE SLEEPWAKE DISORDERS

3411 WAYNE AVENUE BRONX NY 10467

SPECIALTY CARE PRACTICE MSHP-NEW SETTLEMENT COMMUNITY CAMPUS

1501 JEROME AVE BRONX NY 10452

SCHOOL HEALTH CLINIC BROADWAY DENTAL CENTER

5500 BROADWAY SUITE 102 BRONX NY 10463

DENTAL CENTER FULTON FAMILY RESIDENCE AGUILA INC

1625 FULTON AVENUE BRONX NY 10457

HOMELESS SHELTER EXT CLINIC CHILD ADVOCACY PREVENTION SERVICES

3880 RESERVIOR OVAL BRONX NY 10467

SPECIALTY CARE PRACTICE 1. PART I, LINE 7G: INCLUDED WITHIN SUBSIDIZED HEALTH SERVICES IS APPROXIMATELY $606,000 OF NET COMMUNITY BENEFIT EXPENSES THAT WERE PROVIDED BY FREE STANDING CLINICS FOR SCHOOL BASED HEALTH PROGRAM SERVICES. THESE SUBSIDIZED HEALTH SERVICES WERE PROVIDED TO DELIVER CRITICALLY NEEDED HEALTH CARE TO A POPULATION THAT WOULD NOT HAVE ACCESS TO HEALTH SERVICES IF THIS PROGRAM WAS NOT IN PLACE. 1. PART I, LINE 7: THE COST-TO-CHARGE RATIO METHODOLOGY WAS UTILIZED TO CALCULATE THE AMOUNT INCLUDED IN THE TABLE. THE CALCULATION OF THIS RATIO WAS DERIVED FROM RATIO OF PATIENT CARE COST-TO-CHARGE (worksheet 2). 1. PART II - COMMUNITY BUILDING ACTIVITIES THE MEDICAL CENTER IS ACTIVELY INVOLVED WITH COMMUNITY-BASED ORGANIZATIONS AND SPECIAL COMMUNITY HEALTH PROGRAMS AS PART OF ITS MISSION TO ADVANCE THE HEALTH OF THE COMMUNITIES IT SERVES. THE MEDICAL CENTER'S COMMUNITY BUILDING ACTIVITIES INCLUDE COMMUNITY SUPPORT OF THE BRONX AIDS VOLUNTEERS ORGANIZATION, THE LEAD POISONING PREVENTION PROGRAM AND RECRUITMENT OF MUCH NEEDED MEDICAL PROFESSIONALS TO THE HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) OF THE BRONX, among other initiatives. MONTEFIORE'S LEAD POISONING PREVENTION Program is a designated NEW YORK STATE Resource Center for Lead poisoning prevention, and consists of a multidisciplinary team in medicine, research, social services, environmental investigation and public advocacy. It serves as a referral center for the medical management of lead poisoning, links families to safe housing during home abatement procedures, provides bilingual educational workshops, advocates for lead poisoned children during local and state legislative reviews and collaborates with city and private agencies in enviromnental intervention. PROJECT BRAVO is a hospital-based volunteer program managed by Montefiore's Aids Center that provides support to HIV and Aids patients. The program renders outreach services in the community, provides friendly visits to hospitalized patients and staffs the BRAVO food pantry. 1. PART III, Section A., LINE 2 The cost of bad debt expense is estimated based on the charges, applied to the ratio of total patient care expenses to total charges for all services rendered. Any payments or discounts are excluded from bad debt expense. 1. Part III, Section A., Line 3 THE ESTIMATED AMOUNT OF THE ORGANIZATIONS'S BAD DEBT EXPENSE (AT COST) ATTRIBUTED TO PATIENTS UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS BASED ON RESULTS OF PREDICTIVE ANALYSIS. BAD DEBT IS INCLUDED AS A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION PROVIDES MUCH NEEDED HEALTH CARE SERVICES INDISCRIMINATELY TO THE COMMUNITY-AT-LARGE WITHOUT REGARD TO WHETHER OR NOT THE PATIENT HAS INSURANCE AND THE BILL WILL EVER BE PAID. 1. Part III, Section A., Line 4 AS REPORTED IN MONTEFIORE MEDICAL CENTER'S AUDITED FINANCIAL STATEMENTS, BAD DEBT EXPENSE IS DESCRIBED AS FOLLOWS: "CARE PROVIDED TO PATIENTS IDENTIFIED AS HAVING THE MEANS TO PAY, BUT FOR WHICH PAYMENT IS NOT RECEIVED, IS CLASSIFIED AS BAD DEBT EXPENSE. THE MEDICAL CENTER USES INFORMATION FROM PATIENTS AND OTHER SOURCES, FOR THOSE WHO ARE UNABLE TO PROVIDE FINANCIAL INFORMATION, TO DETERMINE ELIGIBILITY FOR CHARITY CARE TO CLASSIFY ACTIVITY BETWEEN CHARITY CARE AND BAD DEBT EXPENSE. BAD DEBT EXPENSE IS INCLUDED AS A DEDUCTION FROM PATIENT SERVICE REVENUE IN THE ACCOMPANYING STATEMENTS OF OPERATIONS. FOR PUPOSES OF THE COMMUNITY BENEFIT COSTS DISCLOSED IN THE FOLLOWING TABLE, THE COST OF BAD DEBT EXPENSE IS ESTIMATED BASED ON THE CHARGES, APPLIED TO THE RATIO OF TOTAL PATIENT CARE EXPENSES TO TOTAL CHARGES FOR ALL SERVICES RENDERED. 1. PART 111, Section B., LINE 8: Medicare allowable costs reported on Part III, line 6, per Schedule H instructions, were derived using the Medicare Cost Report cost-finding methodology, which apportions routine costs to Medicare using days and ancillary costs to Medicare using departmental ratios of costs to charges (RCCs). THE FOLLOWING TABLE REPRESENTS A RECONCILIATION OF MEDICARE REVENUE AND COSTS INCLUDED ON LINES 5, 6, AND 7 IN PART III TO THE TOTAL ACTUAL MEDICARE REVENUE AND COSTS OF THE MEDICAL CENTER. AS HIGHLIGHTED IN THIS TABLE, INCLUDING THE ADJUSTMENTS DESCRIBED BELOW WOULD HAVE RESULTED IN A MEDICARE Surplus OF $6,004,434. ALLOWABLE SURPLUS REVENUE COSTS (SHORTFALL) SCH H, PART III LINES 5, 6, 7 $385,720,715 $271,543,260 $114,177,455 ADD: COSTS NOT INCLUDED IN MEDICARE COST REPORT - 13,136,637 (13,136,637) ADD: MEDICARE DME 34,344,068 73,356,778 (39,012,710) ADD: EMP PHYS SERV 35,258,000 60,498,912 (25,240,912) ADD: MED SUBSID HLTH SERV 11,248,000 26,700,151 (15,452,151) SUBTRACT MEDICARE DSH (15,330,611) - (15,330,611) TOTAL OVERALL MEDICARE Surplus $451,240,172 $445,235,738 $6,004,434 MEDICARE REVENUE AND ALLOWABLE COSTS REPORTED IN PART III, SECTION B, WERE DERIVED FROM THE MEDICARE COST REPORT. HOWEVER, LINES 5, 6, AND 7 IN PART III DO NOT INCLUDE CERTAIN MEDICARE REVENUE AND COSTS, AND does NOT PRESENT THE ENTIRE FINANCIAL impact OF THE MEDICAL CENTER'S PARTICIPATION IN THE MEDICARE PROGRAM. IN ADDITION, THE MEDICARE COST REPORT COST-FINDING METHODOLOGY IS INCONSISTENT WITH THE REST OF SCHEDULE h, WHEREBY COSTS ARE CALCULATED USING THE MEDICAL CENTER'S OVERALL RATIO OF COSTs TO CHARGES (RCC) FROM WORKSHEET 2. ACCORDINGLY, THE MEDICARE SURPLUS REFLECTED iN PART III, LINE 7 BEFORE THE ADJUSTMENTS described BELOW IS SIGNIFICANTLY OVERSTATED. fOR EXAMPLE, PART III EXCLUDES CERTAIN MEDICAL CENTER EXPENSES THAT ARE NOT PART OF THE MEDICARE COST FINDING PROCESS. tHESE COSTS INCLUDE CERTAIN CONSULTING AND MARKETING EXPENSES, COSTS RELATED TO NURSE PRACTITIONERS, NURSE MIDWIVES, PHYSICIAN ASSISTANTS, AND HOSPITALISTS WHO BILL THE MEDICARE PROGRAM FOR PART B SERVICES AND PHYSICIAN COSTS EXCEEDING THE MEDICARE REASONABLE COMPENSATION EQUIVALENT (RCE) LIMITS. INCLUDING THE MEDICARE SHARE OF THESE COSTS WOULD HAVE REDUCED THE MEDICARE SURPLUS ON LINE 7 BY $13,136,637. PART III ALSO EXCLUDES MEDICARE REVENUE AND ALLOWABLE COSTS FROM THE MEDICARE COST REPORT RELATED TO DIRECT MEDICAL EDUCATION (DME), WHICH WERE REPORTED IN PART I, LINE 7F AS REQUIRED BY THE SCHEDULE H INSTRUCTIONS. IF THE MEDICARE SHARE OF DME LOSSES HAD BEEN REPORTED IN PART III, THE MEDICARE SURPLUS ON LINE 7 WOULD HAVE BEEN REDUCED BY $39,012,710 (SEE ABOVE RECONCILIATION TABLE). ADDITIONALLY, PART III EXCLUDES MEDICARE REVENUE AND COSTS FOR SERVICES BILLED FOR THE MEDICAL CENTER'S EMPLOYED PHYSICIANS THAT ARE PART OF THE RCC CALCULATION IN WORKSHEET 2 BUT ARE NOT REFLECTED IN THE MEDICAL CENTER'S MEDICARE COST REPORT. INCLUDING THE MEDICARE LOSSES FROM THE MEDICAL CENTER'S EMPLOYED PHYSICIAN SERVICES WOULD HAVE REDUCED THE MEDICARE SURPLUS ON LINE 7 BY AN ADDITIONAL $25,240,912 (SEE ABOVE RECONCILIATION TABLE). PART III ALSO EXCLUDED MEDICARE REVENUE AND COSTS FROM THE MEDICARE COST REPORT ASSOCIATED WITH SUBSIDIZED HEALTH SERVICES WHICH WERE REPORTED IN PART I, LINE 7G AS REQUIRED BY THE SCHEDULE H INSTRUCTIONS. IF THE MEDICARE LOSSES FROM THE MEDICAL CENTER'S SUBSIDIZED HEALTH SERVICES HAD BEEN REPORTED IN PART III, THE MEDICARE SURPLUS IN LINE 7 WOULD HAVE BEEN REDUCED BY AN ADDITIONAL $15,452,151 (SEE ABOVE RECONCILIATION TABLE). PART III INCLUDES $15,330,611 of MEDICARE DISPROPORTIONATE SHARE HOSPITAL (DSH) REVENUE THAT IS not recognized in the 2012 Financial statements. THE MEDICAL CENTER IS ONE OF 24 PLAINTIFF HOSPITALS IN THE ALLINA hEALTH SERVICES Vs. SEBELIUS LAWSUIT CHALLENGING THE DISPROPORTIONATE PATIENT PERCENTAGE (DPP) CALCULATION USED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) TO MAKE MEDICARE DSH PAYMENTS TO ELIGIBLE HOSPITALS. IN JANUARY 2013, THE DISTRICT OF COLUMBIA (D.C.) CIRCUIT COURT RULED IN FAVOR OF THE PLAINTIFF HOSPITALS, RESULTING IN AN INCREASE OF $15.3 MILLION IN MEDICARE DSH PAYMENTS CLAIMED BY THE MEDICAL CENTER IN ITS 2012 COST REPORT. HOWEVER, THE FEDERAL GOVERNMENT HAS APPEALED THIS RULING TO THE D.C. COURT OF APPEALS. DUE TO THE UNCERTAINTY SURROUNDING THE STATUS OF THIS APPEAL, THE MEDICAL CENTER HAS NOT RECOGNIZED THESE ADDITIONAL DSH PAYMENTS AS REVENUE IN ITS 2012 FINANCIAL STATEMENTS. THEREFORE, THE MEDICARE SURPLUS IN LINE 7 SHOULD BE REDUCED BY $15,330,611. 1. Part III, Section C., line 9b For patients who are known to qualify for financial assistance, all collection activity is halted and the patient is referred for financial aid. If an account is in collection and the patient requests financial aid or if the agency determines that the patient is eligible for financial assistance, the account is referred back to the Medical Center where the patient is provided help with completing an application for assistance. 1. Part V, Section B., line 3 Montefiore assesses community needs by: - Reviewing publicly-available data sources and need assessment reports (such as the NYCDOHMH community health assessment and the GNYHA health care statistics); conducting focused assessments of statistical measures related to the health status of the communities served and the high-risk populations in those communities; and through discussions with, and presentations to the Montefiore Community Advisory Boards. - Partnering with other organizations and public agencies like the NYC department of health and mental hygiene, to evaluate needs and structure responses, as part of an organized "Community Health Assessment" process; and - working with specific constituencies-geographic, age-specific and/or diagnosis-specific to assess their particular needs, and ways to more effectively target programs and initiatives to meet their needs. 1. Part V, section b., line 4 The needs assessment was conducted with the four hospital divisions that comprise Montefiore Medical Center: - Moses division, weiler division, wakefield division and the Children's hospital division at Montefiore. In addition, Montefiore is a member of the Greater New York Hospital Association, which provides resources for the member hospitals to utilize, to help provide a community-wide view of the needs of the hospital communities. Part V, Section B, line 4 1. Part V, Section B., line 20d Consistent with the provisions of the June 22, 2012 IRS proposed rule regarding the establishment and implementation of financial aid policies (FAPs) under Section 501(r) of the Internal Revenue Code, the Medical Center uses the look-back method to calculate a separate amounts generally billed (AGB) percentage for each category of care provided to FAP-eligible individuals. The Medical Center limits the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care at the following levels: - For patients below 100% of the Federal poverty Level (FPL)- Capped at the lower of the AGB or nominal payment amount set forth in the New York State Hospital Financial Assistance Law (HFAL) pursuant to Subdivision 9-a of Section 2807-k of the New York Public Health Law. - For Patients between 100% and 300% of FPL - Capped at the lower of the AGB or sliding fee scale amounts ranging from 20% to 100% of the average Medicaid rate consistent with the provisions of the New York State HFAL. - For Patients between 300% and 500% of FPL - Capped at the AGB. 2. NEEDS ASSESSMENT MONTEFIORE ASSESSES COMMUNITY NEEDS BY: A) COMMUNITY ADVISORY BOARDS THE PRIMARY APPROACH USED TO GAIN INPUT AND COMMUNITY INVOLVEMENT IS THROUGH A VARIETY OF COMMUNITY ADVISORY BOARDS (CABS). MONTEFIORE MEDICAL CENTER WORKS EXTENSIVELY WITH REPRESENTATIVES OF THE COMMUNITIES THROUGH THE CABS TO IDENTIFY HEALTH CARE NEEDS AND DETERMINE THE APPROPRIATE CONFIGURATION OF SERVICES. ON A REGULAR BASIS, MONTEFIORE REPORTS TO THESE VARIOUS COMMUNITY GROUPS ON THE MEDICAL CENTER'S PERFORMANCE AND SERVICES, THE STATUS OF PROGRAMS, FINANCIAL AND UTILIZATION STATISTICS, THE PLAN FOR AND IMPLEMENTATION OF COMMUNITY SERVICES, AND PLANS FOR THE FUTURE. - EACH OF MMC'S HOSPITAL Divisions HAS AN ORGANIZED CAB, MADE UP OF RESIDENTS OF THE COMMUNITIES WHICH EACH SERVES. - EACH OF MMC'S FEDERALLY-QUALIFIED COMMUNITY HEALTH CENTERS HAS A SIMILAR CAB, MADE UP OF FAMILIES SERVED BY THESE FACILITIES. - THE SCHOOL HEALTH PROGRAM HAS ITS OWN, WELL DEVELOPED MECHANISM TO obtain LOCAL INPUT from the COMMUNITY FOR ITS PROGRAMS. THE PROGRAMS AT EACH OF THE 20 SCHOOLS ARE DEFINED AND GUIDED BY ACTIVE SCHOOL-BASED ADVISORY COMMITTEES AND WELLNESS COUNCILS, WHOSE MEMBERS INCLUDE PRINCIPALS, TEACHERS, ADMINISTRATORS, PARENTS, STUDENTS AND REPRESENTATIVES FROM COMMUNITY AGENCIES. - WITH REGARD TO THE CHILDREN'S HOSPITAL division, MONTEFIORE WENT A STEP FURTHER, INVOLVING CHILDREN AND FAMILIES IN THE ACTUAL DESIGN OF THE FACILITY, AND INCLUDING PARENTS AND FAMILY MEMBERS IN GROUPS SETTING POLICIES AND PROCEDURES FOR THE CHILDREN'S HOSPITAL division. THAT EFFORT TO INCLUDE CHILDREN AND FAMILIES IN THE CHILDREN'S HOSPITAL division OPERATIONS CONTINUES, THROUGH THE FUNCTION OF THE FAMILY ADVISORY COMMITTEE. - THE INFECTIOUS DISEASE (ID) CLINIC HAS A CONSUMER ADVISORY COMMITTEE OF PEOPLE LIVING WITH HIV AND AIDS. THE COMMITTEE MEETS MONTHLY WITH REPRESENTATIVES FROM PATIENTS, CLINIC STAFF, AND ID CLINIC LEADERSHIP. PATIENTS ON THE COMMITTEE EVALUATE THE DELIVERY OF SERVICES AND CARE IN THE ID CLINIC AND PROVIDE FEEDBACK used for THE PLANNING OF NEW PROGRAMS. PATIENTS ARE WELCOME TO ATTEND ANY OF THE MEETINGS AS A GUEST. B) COMMUNITY SERVICES COMMMITTEE MONTEFIORE MEDICAL CENTER HAS A BOARD COMMITTEE, THAT IS FOCUSED ON COMMUNITY SERVICES. IT IS RESPONSIBLE FOR OVERSEEING MONTEFIORE'S COMMUNITY SERVICES AND COMMUNITY BENEFIT ACTIVITIES TO ENSURE THEY ARE FORMULATED TO FACILITATE THE FULFILLMENT OF THE MEDICAL CENTER'S MISSION AND MEET THE NEEDS OF THE COMMUNITY. THE COMMITTEE MEETS REGULARY TO: - BECOME FAMILIAR WITH AND ASSESS MONTEFIORE'S community service pROGRAMS AND THE EXTENT TO WHICH THEY ADDRESS AND MAKE A MEANINGFUL IMPACT ON PRESSING COMMUNITY NEEDS; - REVIEW ASSESSMENTS OF THE HEALTH CARE NEEDS OF THE COMMUNITIES MONTEFIORE SERVES; - REVIEW AND APPROVE MONTEFIORE'S COMMUNITY SERVICE PLAN, WHICH IS SUBMITTED TO NEW YORK STATE; AND - PARTICIPATE IN THE REGULAR ASSESSMENT OF AND REPORTING ON PROGRAMS/SERVICES THAT REPRESENT INVESTMENTS BY THE MEDICAL CENTER IN "COMMUNITY BENEFITS". THE COMMITTEE WORKS CLOSELY WITH MONTEFIORE LEADERSHIP AND/OR RELEVANT BOARD COMMITTEES THAT ARE RESPONSIBLE FOR OVERSEEING THE MEDICAL CENTER'S MISSION TO ASSESS AND IMPROVE THE HEALTH OF THE COMMUNITIES SERVEd. C) PARTNERSHIPS AND COLLABORATIONS BEYOND THE FORMAL STRUCTURE THAT MONTEFIORE HAS ESTABLISHED TO GAIN INPUT FROM THE COMMUNITIES IT SERVES, THE MEDICAL CENTER PARTICIPATES IN A VARIETY OF ORGANIZED PARTNERSHIPS AND COLLABORATIVES, WORKING WITH OTHER PROVIDERS IN THE BRONX, THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE, COMMUNITY-BASED ORGANIZATIONS IN THE BRONX AND MEMBERS OF THE COMMUNITY IN PLANNING AND DEVELOPING INITIATIVES AIMED AT IMPROVING THE HEALTH OF PEOPLE IN THE BRONX. EXAMPLES OF SUCH EFFORTS INCLUDES: - THE BRONX HEALTH LINK - THE BRONX RHIO - THE BRONX COLLABORATIVE - THE BRONX BREATHES INITIATIVE - THE BRONX HIV PLANNING COUNCIL - SOUTH BRONX ENVIRONMENTAL JUSTICE PARTNERSHIP (SBEJP) - CITIWIDE HARM REDUCTION PROGRAM - BRONX COMMUNITY PALLIATIVE CARE INITIATIVE - BRONX SCIENCE AND HEALTH OPPORTUNITIES PARTNERSHIP - HISPANIC CENTER OF EXCELLENCE - BRONX CENTER TO REDUCE AND ELIMINATE ETHNIC AND RACIAL HEALTH DISPARITIES (BRONX CREED). D) Participation with the office of community health Montefiore continues to partner with a variety of community-based organizations to work to advance the health of the community. The Montefiore Office of Community Health was set up to maximize the impact of the Medical Center's community services and helps to assesses community needs by its various initiatives, including - supporting and coordinating Montefiore's diverse portfiolio of community health improvement programs and activities - enhancing Montefiore's capacity to assess and measure the health needs of the communities it serves - Identifying and selecting a limited number of top-priority health needs in the communities Montefiore serves for specific focus - Leading and coordinating Montefiore-wide efforts and working with community partners to measurably improve the health of the communities served - The to your Health! Program, a community and worksite wellness initiative seeking to reduce the growing burden of chronic disease in the community through a number of public health programs to educate patients, visitors, staff and local residents on how to live healthier lives. Through collaborations with local community based organizations, the Office of Community Health will identify specific interventions that can be worked on both collaboratively and independently to transform the community health. Using data collected through Montefiore, the District Public Health Office and other sources, the impact on the community health by the particular intervention can be measured and analyzed. 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE ALL INTAKE, REGISTRATION, AND COLLECTION AGENCY STAFF IS TRAINED ON THE MEDICAL CENTER'S FINANCIAL AID POLICY AND HOW TO PROVIDE PATIENTS WITH ASSISTANCE. MONTEFIORE MEDICAL CENTER HAS A POLICY THAT ESTABLISHES GUIDeLINES FOR THE BILLING OFFICE TO FOLLOW WHEN WORKING WITH INDIVIDUALS WHO ARE HAVING DIFFICULTY PAYING THEIR MEDICAL BILLS. A REFERRAL IS MADE TO THE MEDICAL CENTER'S FINANCIAL AID OFFICE AND A FINANCIAL COUNSELOR WILL HELP THE PATIENT APPLY FOR FREE OR LOW-COST INSURANCE. IF THE FINANCIAL COUNSELOR DETERMINES THAT THE PATIENT DOES NOT QUALIFY FOR LOW-COST INSURANCE, the counselor WILL HELP THE patient APPLY FOR A FINANCIAL AID DISCOUNT BASED ON INCOME LEVEL. THE MEDICAL CENTER MAKES ITS FINANCIAL AID POLICY KNOWN TO THE PUBLIC BY PROVIDING WRITTEN INFORMATION AVAILABLE IN BOTH ENGLISH AND SPANISH AT THE ADMITTING OFFICES, REGISTRATION OFFICES, ON ITS WEBSITE, BY MAIL UPON REQUEST OR BY THE CALL CENTER. FINANCIAL AID AVAILABILITY AND OFFICE PHONE NUMBERS ARE PRINTED AT THE BOTTOM OF ALL OF THE MEDICAL CENTER'S BILLS. THERE ARE ALSO SIGNS POSTED AT THE MAIN ENTRANCE TO THE MEDICAL CENTER IN ENGLISH AND SPANISH ADVISING PATIENTS OF THE ROOM LOCATION FOR ASSISTANCE WITH FINANCIAL AID. 4. COMMUNITY INFORMATION THE MEDICAL CENTER HAS OUTREACH SERVICES RESPONDING TO THE HEALTH CARE AND SOCIAL NEEDS THROUGHOUT THE BRONX AND SOUTHERN WESTCHESTER. IT HAS BECOME A MAJOR COMMUNITY RESOURCE TO A POPULATION WHICH IS AMONG THE COUNTRY'S MOST ECONOMICALLY AND SOCIALLY DISADVANTAGED and to a community that is full of great challenges. The Bronx, with its 1.4 million residents, is ranked the poorest urban county in the country, leads the nation in rates of diabetes and obesity and other chronic conditions, and leads New York City in a list of significant markers: people in "fair or poor health", low birth weight, teen pregnancy, children in poverty, disabled individuals and families living below the poverty level. The 16th congressional district in the south bronx had the highest poverty RATE (40.2%), LOWEST MEDIAN INCOME AND HIGHEST PROPORTION OF CHILDREN LIVING BELOW POVERTY (50.1%) IN THE UNITED STATES. THE BRONX IS ALSO THE YOUNGEST COUNTY IN NEW YORK STATE WITH 29.8% CHILDREN AND ONE OF ONLY FIVE U.S. COUNTIES WITH MORE THAN 30% SINGLE FAMILY HOUSEHOLDS. COMMUNITY HEALTH PROFILES OF THE BRONX SHOW POOR HEALTH STATUS, HIGHER THAN AVERAGE INCIDENCE AND PREVALENCE OF HIV AND TUBERCULOSIS, POORER THAN AVERAGE BIRTH OUTCOMES, WORSE THAN AVERAGE ACCESS TO PRIMARY CARE, AND HIGH HOSPITAL ADMISSION RATES FOR DIABETES, CARDIOVASCULAR, CEREBROVASCULAR, PERIPHERAL VASCULAR AND RENAL DISEASES. 5. PROMOTION OF COMMUNITY HEALTH MONTEFIORE IS A LEADER IN COMMUNITY HEALTH AND HAS A LONG HISTORY OF DEVELOPING INNOVATIVE APPROACHES TO CARE AND TAILORING PROGRAMS TO BEST SERVE THE CHANGING NEEDS OF ITS COMMUNITY. MONTEFIORE EMBRACES ITS SOCIAL RESPONSIBILITY AND DEFINES ITS ROLE BROADLY, PROMOTING WELLNESS IN ADDITION TO TREATING DISEASE AND ADDRESSING NEEDS RANGING FAR BEYOND MEDICAL CARE. MONTEFIORE EXTENDS THIS RESPONSIBILITY TO THE CARE OF ITS EMPLOYEES AND MEDICAL STAFF, 65% OF WHOM LIVE IN THE SURROUNDING COMMUNITY. THE POPULATION MONTEFIORE SERVES IS ONE OF THE MOST DIVERSE IN THE NATION. MONTEFIORE HAS BEEN AN INCUBATOR FOR PROGRAMS THAT IMPROVE PATIENTS' ACCESS TO CULTURALLY APPROPRIATE SERVICES, AND ITS PROGRESSIVE FINANCIAL AID POLICY AND ROBUST ENTITLEMENT ENROLLMENT PROGRAM SUPPORT ACCESS TO CARE FOR THOSE IN NEED. HISTORICALLY, MONTEFIORE HAS EMBRACED COMMUNITY SERVICE AND COMMUNITY HEALTH IMPROVEMENT AS A DELIVERY SYSTEM CHALLENGE, REACHING OUT TO SERVE THE UNDER-RESOURCED THROUGH ITS EXTENSIVE PRIMARY CARE DELIVERY SYSTEM, INCLUDING A NUMBER OF FEDERALLY-QUALIFIED COMMUNITY HEALTH CENTERS (FQHC). IN ADDITION, MONTEFIORE HAS DEVELOPED A WIDE RANGE OF SERVICES TARGETED TO SPECIFIC GROUPS IN NEED: THE YOUNG, THE ELDERLY, THE HIV INFECTED AND AFFECTED, THE MENTALLY ILL, THOSE STRUGGLING WITH SUBSTANCE USE, HOMELESSNESS AND VIOLENCE AND THOSE LIVING WITH CHRONIC DISEASES. THE MEDICAL CENTER HAS MAINTAINED AND EXPANDED ITS RANGE OF COMMUNITY SERVICES, REACHING OUT TO AND SERVING POPULATIONS WITH UNMET HEALTH CARE NEEDS, INCLUDING: - THOSE WITH POOR ACCESS TO COMPREHENSIVE CARE - UNDERSERVED, AT-RISK AND HARD TO REACH CHILDREN & THEIR FAMILIES - UNDERSERVED AND AT-RISK SENIOR CITIZENS - THOSE AFFECTED BY CANCER - THOSE AFFECTED BY THE CONTINUING HIV EPIDEMIC IN THE BRONX - PERSONS WITH OR AT-RISK FOR TUBERCULOSIS INFECTION - PERSONS AFFECTED WITH PROBLEMS OF SUBSTANCE ABUSE - THE HOMELESS - ADULTS AND CHILDREN WITH LIMITED ACCESS TO PRIMARY DENTAL CARE - THOSE AFFECTED BY CHRONIC HEALTH CARE DISEASE SUCH AS CONGESTIVE HEART FAILURE, DIABETES AND ASThMA. THE MEDICAL CENTER RUNS PROGRAMS for COMMUNITY HEALTH SERVICES THAT ARE AMONG THE NATION'S MOST EXTENSIVE INCLUDING: - MONTEFIORE'S NETWORK OF PRIMARY CARE CENTERS IN THE BRONX INCLUDING SEVERAL FEDERALLY-QUALIFIED HEALTH CARE CENTERS (FQHC) PROVIDES ACCESS TO HIGH QUALITY PRIMARY HEALTH CARE SERVICES AND A VARIETY OF PRACTICE-BASED AND COMMUNITY OUTREACH PROGRAMS TO SOME OF THE NATION'S POOREST AND MOST UNDERSERVED COMMUNITIES. - MONTEFIORE OPERATES ONE OF THE NATION'S LARGEST PROGRAMS OF SCHOOL-BASED PRIMARY CARE, SERVING OVER 24,750 STUDENTS AT 20 ELEMENTARY, MIDDLE AND HIGH SCHOOLS IN THE BRONX, PROVIDING OVER 75,000 HEALTH, MENTAL HEALTH AND DENTAL VISITS. THIS MODEL PROGRAM IS ABLE TO PROVIDE SERVICES TO ALL STUDENTS IN THESE SCHOOLS, INCLUDING THE ROUGHLY HALF OF ALL STUDENTS WITHOUT INSURANCE. - MONTEFIORE PROVIDES NEEDED HEALTH CARE SERVICES TO HOMELESS CHILDREN AND FAMILIES IN VARIOUS LOCATIONS IN THE BRONX AND THROUGHOUT NEW YORK CITY USING A FLEET OF MOBILE MEDICAL UNITS AND A MOBILE DENTAL UNIT AND USING TEAMS OF PROFESSIONALS PROVIDING SERVICES WITHIN HOMELESS SHELTERS AND DOMESTIC VIOLENCE SHELTERS. MONTEFIORE PROVIDES COMPREHENSIVE CARE AND A RANGE OF INNOVATIVE PROGRAMS FOR HIGH-RISK CHILDREN IN THE BRONX, INCLUDING: - A HIGHLY REGARDED PREVENTION, COUNSELING AND TREATMENT PROGRAM FOR ABUSED CHILDREN AND THEIR FAMILIES, BASED IN MONTEFIORE'S CHILD ADVOCACY CENTER. - AN INNOVATIVE, MULTI-LEVEL PROGRAM OF CARE FOR CHILDREN WITH AND AT-RISK FOR OBESITY AND DIABETES, INCLUDING INITIATIVES IN THE SCHOOL-BASED HEALTH CENTERS, IN THE COMMUNITY-BASED PRIMARY CARE SITES AND AT THE CHILDREN'S HOSPITAL division AT MONTEFIORE (CHAM). - HEALTH PROFESSIONS EDUCATION PROGRAMS FOR HIGH SCHOOL STUDENTS CONDUCTED IN COLLABORATION WITH AREA HIGH SCHOOLS. THE MEDICAL CENTER OPERATES ONE OF THE NATION'S LARGEST AND MOST COMPREHENSIVE PROGRAMS FOR THE DIAGNOSIS, CARE AND ONGOING MANAGEMENT OF POPULATIONS WITH AND AT-RISK FOR HIV INFECTION, INCLUDING: - A HOSPITAL-BASED, STATE-DESIGNATED COMPREHENSIVE AIDS CENTER THAT SERVES INDIVIDUALS WITH HIV/AIDS WITH A BROAD PROGRAM OF AMBULATORY AND INPATIENT CARE. - A COMMUNITY-BASED PROGRAM THAT SERVES INDIVIDUALS WITH HIV/AIDS, OPERATING IN THE MEDICAL CENTER'S PRIMARY CARE SITES. - LONGSTANDING PROGRAMS FOCUSED ON THE PREVENTION, EARLY IDENTIFICATION AND ONGOING CARE AND MANAGEMENT OF CHILDREN AND ADOLESCENTS WITH OR AT RISK FOR HIV INFECTION. - AN INNOVATIVE PROGRAM OF OUTREACH HIV PRIMARY AND SPECIALTY CARE SERVICES, THAT ARE LOCATED IN MONTEFIORE'S SUBSTANCE ABUSE TReATMENT PROGRAM, WHICH SERVES APPROXIMATELY 1,050 OPIATE-ADDICTED INDIVIDUALS IN TWO DRUG TREATMENT CENTERS LOCATED THROUGHOUT THE BRONX. THIS SERVICE INFRASTRUCTURE HAS PROVEN INVALUABLE IN MOUNTING EFFECTIVE PUBLIC HEALTH, DIAGNOSIS AND CARE PROGRAMS RESPONDING TO THE TWO OTHER INFECTIOUS DISEASE EPIDEMICS THAT HAVE ALSO AFFLICTED THE BRONX: TUBERCULOSIS AND HEPATITIS-C. MONTEFIORE PROVIDES A WIDE RANGE OF ON-SITE AND OUTREACH PROGRAMS TO SERVE THE BOROUGH'S FRAIL AND AT-RISK ELDERLY, INCLULDING: - A COMPRHENSIVE, MULTIDISCIPLINARY GERIATRIC AMBULATORY PRACTICE, INCLUDING GERIATRIC MEDICINE AND GERIATRIC PSYCHIATRY, SOCIAL SERVICES, PHARMACY AND NUTRITIONAL COUNSELING, WITH SERVICE SITES IN THE EAST AND WEST BRONX. - AN AGING AND MEMORY CENTER THAT PROVIDES ASSESSMENTS, AMBULATORY CARE AND HOME VISITS BY GERIATRIC PSYCHIATRISTS. - ONE OF THE NATION'S LARGEST HOSPITAL-BASED HOMECARE PROGRAMS, PROVIDING IN-HOME SERVICES TO INNER CITY SENIORS LIVING IN NEIGHBORHOODS THAT ARE AMONG THE COUNTRY'S MOST DISADVANTAGED. - AN EXTENSIVE PROGRAM TO IDENTIFY, PREVENT AND RESPOND TO SUSPECTED ELDER ABUSE. - PHYSICIAN HOME VISIT PROGRAMS SERVING THE ELDERLY LIVING IN PUBLICLY SUBSIDIZED HOUSING PROJECTS ACROSS THE BRONX, A PROGRAM MOUNTED IN PARTNERSHIP WITH THE NYC HOUSING AUTHORITY AND LOCAL COMMUNITY AND SOCIAL SERVICES AGENCIES IN "NATURALLY OCCURRING RETIREMENT COMMUNITIES" - A PROGRAM, PARTNERING WITH THE WESTCHESTER COUNTY DEPARTMENT OF SOCIAL SERVICES THAT REACHES OUT TO ELDERLY RESIDENTS LIVING IN SUBSIDIZED HOUSING PROJECTS IN SOUTHERN WESTCHESTER COUNTY, TO IMPROVE THE MANAGEMENT OF DIABETES AND CARDIOVASCULAR DISEASE THROUGH EDUCATION, DISEASE SCREENING AND REFERRALS. THE DEPARTMENT OF OB-GYN AND WOMEN'S HEALTH IS INVOLVED IN A RANGE OF PROGRAMS FOCUSED ON THE HEALTH NEEDS OF WOMEN IN THE BRONX AND SURRROUNDING COMMUNITIES, INCLUDING: - PARTNERING WITH NY STATE, NY CITY AND LOCAL PROVIDERS iN THE DEVELOPMENT OF A REGIONAL PERINATAL SYSTEM IN THE BRONX, WHICH HAS AMONG THE COUNTRY'S HIGHEST RATES OF INFANT MORTALITY AND DISABILITY AND LOW BIRTH WEIGHT. - PROVISION OF OUTREACH PRIMARY CARE SERVICES TO DOMESTIC VIOLENCE SHELTERS IN THE BRONX. THE CANCER CENTER OPERATES A COMMUNITY OUTREACH PROGRAM, A RESEARCH BASED CANCER PREVENTION, EDUCATION, AND SUPPORT PROGRAM THAT PROVIDES SUPPORT AND EDUCATIONAL SERVICES TO PATIENTS, FAMILIES, STAFF, AND COMMUNITY MEMBERS FACING THE CHALLENGES OF CANCER. THE CENTER ALSO PARTICIPATES IN CANCER SCREENING, CANCER EDUCATION AND AWARENESS, AND SUPPORT PROGRAMS. MONTEFIORE'S COMMUNITY DENTISTRY PROGRAM PROVIDES DENTAL SERVICES TO A MULTITUDE OF UNDERSERVED AND MEDICALLY COMPROMISED PATIENTS AT ON-SITE DENTAL FACILITIES, ONE COMMUNITY SITE, AND THE INFECTIOUS DISEASE CLINIC AT THE MOSES DIVISION. A MOBILE DENTAL VAN PROVIDES MOBILE DENTAL SERVICES TO THE UNDERSERVED AT A VARIETY OF MONTEFIORE PRIMARY CARE SITES ACROSS THE BRONX. MONTEFIORE has been DESIGNATED BY NY STATE AS ONE OF FOUR DIABETES CENTERS OF EXCELLENCE IN THE STATE. MONTEFIORE HAS IMPLEMENTED A COMPREHENSIVE ARRAY OF PROGRAMS RESPONDING TO THE "NEXT EPIDEMIC" IN THE BRONX: THE EXTRAORDINARILY HIGH AND INCREASING RATES OF DIABETES AND OBESITY AND THE COMMON CARDIOVASCULAR COMPLICATIONS AND COMORBIDITIES. MONTEFIORE IS TAKING A NETWORK-WIDE QUALITY IMPROVEMENT APPROACH TO ORGANIZING AND IMPROVING THE PREVENTION, CARE AND MANAGEMENT OF THIS DISEASE CLUSTER, IN ITS PRIMARY CARE AND SCHOOL-BASED SITES, IN ITS SPECIALTY SERVICES AND HOSPITAL divisions. Montefiore has taken a leadership position in neighborhood and community development, creating and supporting the Mosholu Preservation Corporation (MPC). MPC is a community redevelopment corporation that has successfully rehabilitated housing stock in the depressed neighborhoods in the northwest Bronx and has been involved in a number of economic development and community development activities. The Medical Center Office of Community Health and Wellness is actively seeking to reduce the growing burden of chronic diseases in the community through a number of public health programs to educate patients, visitors, staff and local residents on how to live healthier lives. The To Your Health! Program offers: - Free fitness and exercise classes; - Health screenings; - Community-based health fairs; and - Informative workshops tackling various health issues, including dia 7. STATE FILING OF COMMUNITY BENEFIT REPORT Montefiore Medical Center files a Community Benefit Report with the State of New York. true Albert Einstein College of Medicine 1300 morris park avenue bronx NY 10468 131624225 501(c)(3) 451345 Grant subrecipient Bronx Aids Services Inc 540 E fordham road bronx NY 10458 133599121 501(c)(3) 62523 grant subrecipient bronx lebanon hospital center 1276 fulton avenue bronx NY 10456 131974191 501(c)(3) 136655 grant subrecipient duke university medical center DUMC 3018 durham NC 27710 560532129 501(c)(3) 736554 grant subrecipient jacobi medical center 1400 pelham parkway south bronx NY 10461 132655001 501(c)(3) 183903 grant subrecipient lincoln medical center 234 east 149th street bronx NY 10451 132655001 501(c)(3) 209635 grant subrecipient Rutgers the state university of nj 3 rutgers plaza new brunswick NJ 08901 226001086 501(c)(3) 115836 grant subrecipient the university of vermont po box 1389 williston VT 05495 030179440 501(c)(3) 30274 grant subrecipient virginia commonwealth university PO Box 843039 richmond VA 23284 546001758 501(c)(3) 617047 grant subrecipient CORNELL UNIVERSITY MEDICAL COLLEGE 1300 york avenue new york NY 10021 131623978 501(c)(3) 38960 grant subrecipient Hackensack University Medical Center 30 Prospect Avenue Hackensack NJ 07601 221487576 501(c)(3) 8122 grant subrecipient Mount Sinai School of Medicine 1 Gustave L Levy Place New York NY 10029 136171197 501(c)(3) 12746 Grant Subrecipient Pharmaceutical Research Associates PO Box 200072 Dallas TX 75320 541204111 501(c)(3) 161712 Grant subrecipient University of Florida PO Box 113001 Gainesville FL 32611 596002052 501(c)(3) 63041 Grant subrecipient Baylor Research Institute 3310 Live Oak Suite 501 Dallas TX 75204 751921898 501(c)(3) 32827 Grant subrecipient Cleveland Clinic Foundation 9500 Euclid Avenue Cleveland OH 44195 340714585 501(c)(3) 8970 Grant Subrecipient Medical College of Wisconsin 8701 Watertown Plank Rd Milwaukee WI 53226 390806261 501(c)(3) 8074 Grant Subrecipient Bronx Overall Economic Development 851 Grand Concourse Bronx NY 10451 133079387 501(c)(3) 146000 Sponsorship University of California 1855 Folsom Street San Francisco CA 94143 946036493 501(c)(3) 31136 Grant Subrecipient Urban Health Plan Inc 1515 Southern Blvd Bronx NY 10460 237360305 501(c)(3) 30500 Sponsorship Wildlife Conservation Society 2300 Southern Blvd Bronx NY 10460 131740011 501(c)(3) 40000 Sponsorship United Hospital Fund 1411 Broadway 12th Fl New York NY 10018 131562656 501(c)(3) 50000 sponsorship Morris Hights health center 85 west burnside ave bronx NY 10453 061081232 501(c)(3) 30000 sponsorship Bronx Children's Museum PO Box 1381 bronx NY 10451 260579140 501(c)(3) 8000 sponsorship Medical University of South Carolina 19 Hagood Ave Charleston SC 29425 571031624 501(c)(3) 10105 Grant Subrecipient Research Foundation SUNY at Stony Brook Frank melville lib Stony Brook NY 11794 116077945 501(c)(3) 91204 Grant Subrecipient Research Foundation-SUNY at Binghamton PO Box 6000 Binghamton NY 13902 141368361 501(c)(3) 77356 grant subrecipient University of Southern California 2250 Alcazar St Los Angeles CA 90033 951642394 501(c)(3) 148500 grant subrecipient Coalition to Protect America's Health Care PO Box 30211 Bethesda MD 20824 522253225 501(c)(3) 15000 Donation The New York Academy of Medicine 1216 Fifth Avenue New York NY 10029 131656674 501(c)(3) 10100 Sponsorship Children's Health Fund 215 west 125th street New York NY 10027 133468427 501(c)(3) 10000 Sponsorship Cong Refuah Helpline Inc 9 Meron Dr Monroe NY 10950 208216686 501(c)(3) 30000 Sponsorship Mosholu Montefiore Community Ctr 3450 Dekalb Ave Bronx NY 10467 133622107 501(c)(3) 70000 Grants Rhode Island Hospital 593 Eddy Street Providence RI 02903 050258954 501(c)(3) 106517 Grant Subrecipient Mosholu Preservation Corporation 3400 Reservoir Oval East Bronx NY 10467 133109387 501(c)(3) 24000 General Support Ann & Robert H Lurie Children's Hospital 225 E Chicago Avenue Chicago IL 60611 362170833 501(c)(3) 235435 Grant Subrecepient Children's Hospital Medical Center 3333 Burnet Ave Cincinnati OH 45229 310833936 501(c)(3) 6284 Grant Subrecipient University of Pittsburgh Physicians PO Box 371220 Pittsburgh PA 152517220 232919472 501(c)(3) 5471 Grant Subrecipent 1199 SEIU Employer Child Care Corp 330 West 42nd St New York NY 10036 131510821 501(c)(3) 7500 Sponsorship needler's foundation 1384 Broadway 16th Fl New York NY 10018 112543741 501(c)(3) 10000 sponsorship Agudath Israel of America 42 Broadway New York NY 10004 135604164 501(c)(3) 6000 Sponsorship The Children Aids Society 232 Madison Ave St 1107 New York NY 10016 135562191 501(c)(3) 10000 Sponsorship Carcinoid Cancer Awareness Network 2480 Hull Ave North Bellmore NY 11710 201544357 501(c)(3) 15000 Support American Cancer Society 2330 Eastchester Rd 3rd fl Bronx NY 10469 160743902 501(c)(3) 7500 sponsorship New York Health Collaborative Inc 40 Worth Street 5th Fl New york NY 10013 208022336 501(c)(3) 30000 sponsorship Bread & roses cultural Project PO Box 2612 New York NY 10108 132935188 501(c)(3) 7500 Sponsorship 46 0 Part I, Line 2 The procedure for monitoring subrecipients of federal awards is to obtain and review for compliance the subrecipient's audited Circular A-133 single Audit report which includes their respective schedule of expenditures of federal awards by major program. The Medical Center provides support to various organizations as part of local community health programs. Support provided is approved by senior management. X true true X X X X X X false true false false false true true false false Spencer Foreman MD 0 0 0 0 175000 0 0 0 0 0 175000 0 0 0 Robert B Conaty 315524 0 335700 0 224865 0 17000 0 32501 0 925590 0 0 0 Donald L Ashkenase 314673 0 0 0 118981 0 17000 0 30853 0 481507 0 0 0 JOEL PERLMAN 985266 0 321100 0 570471 0 17000 0 33987 0 1927824 0 0 0 ROBERT MICHLER MD 2745910 0 0 0 1746 0 17000 0 34438 0 2799094 0 0 0 RICHARD KRAUT DDS 499213 0 1385984 0 8367 0 17000 0 31313 0 1941877 0 0 0 STEVEN SAFYER MD 1416932 0 763400 0 2214518 0 17000 0 34204 0 4446054 0 0 0 SUSAN GREEN-LORENZEN RN 506027 0 165400 0 6934 0 148596 0 28923 0 855880 0 0 0 Christopher Panczner 605741 0 194800 0 4429 0 213343 0 249 0 1018562 0 0 0 PHILIP O OZUAH MD PHD 1017311 0 0 0 2884 0 528355 0 37302 0 1585852 0 0 0 RICHARD CELIBERTI 727166 0 238500 0 416982 0 17000 0 35158 0 1434806 0 0 0 Shalom Kalnicki MD 1103327 0 700000 0 2680 0 17000 0 31144 0 1854151 0 0 0 Neil Cobelli MD 886866 0 300000 0 2680 0 17000 0 33661 0 1240207 0 0 0 Part I, Line 1a Steven Safyer, MD, President & CEO - services of a driver are provided for business purposes and incidental transportation. Part I, Line 4b & Part II - Columns (B)(i), (ii) and (iii) The Compensation Committee reviews and approves all forms of compensation and benefits provided to each executive (except those generally provided to all management level employees) 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 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 benefits 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 mandatory distributions from Montefiore's supplemental executive retirement plan. In a manner designed to qualify for the "rebuttable presumption of reasonableness" the Board of Trustees expressly reviewed and approved these retirement benefit arrangements for senior executives in a manner that qualified under the intermediate sanctions rules of the Federal tax law, and in recognition of (a) the executives' years of service to the organization and (b) the significant contributions to enhancing the ability of the organization to achieve its charitable mission in a manner consistent with financial solvency. Accordingly, this benefit should be viewed as applying to years of service for the organization. Steven Safyer, MD - Supplemental Executive Retirement Plan distribution of $2,201,953. Joel Perlman - Supplemental Executive Retirement Plan distribution of $562,330. Christopher Panczner - Accrued and unpaid service costs of $196,343. Philip O. Ozuah, MD, PHD. - Accrued and unpaid service costs of $511,355. Richard Celiberti - Supplemental Executive Retirement Plan distribution of $406,424. Susan Green Lorenzen, RN - Accrued and unpaid service costs of $131,596. Part I, Lines 6a and 6b All of the officers and key employees listed in Schedule J, Part II, participate in a board approved incentive compensation plan. Among the performance measures (approved in advance by the compensation committee of the board of trustees) is income from operations together with achievement of other important performance measures, including an assessment of community benefits. These criteria result in the awarding of specified percentages of base salary as incentive compensation. All awards are approved by the compensation committee of the board of trustees. A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64983TV26 2004-12-15 194451180 Construction & Renovation Project false false false B DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64983QMLO 2005-09-22 160222851 Refund Prior Issue (1/1/97) false false false C DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649903ZD6 2008-02-07 134395945 Refund Prior Issue (5/11/95) false false false D DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 2008-12-11 9955257 Equipment Leasing false false false A 21895000 0 201432940 34739952 14188158 0 1963773 3066929 0 168209080 0 0 2007 false false true true B 32000000 0 169489102 35267017 0 0 1584084 867080 37769 2746265 151988905 0 1989 false true true true C 25140000 0 134602903 29795717 0 0 1403668 0 35000 4372719 116561516 0 1998 true false true true D 7873949 0 9955505 0 0 0 37794 0 0 9917711 0 0 2009 false false true true A false true true false true false 0.00300 0.00000 0.00300 false false false true B false true true false true false 0.00500 0.00000 0.00500 false false false true C false true true false true false 0.00400 0.00000 0.00400 false false false true D false false false 0.00000 0.00000 0.00000 false false false true A false false false true false true merrill lynch 26.6 false true true see Par VI true true true B false false false true false false 0 true AIG MFC 22.4 true true true C false false true true false true merrill lynch 15.5 false true true DEPFA Bank 16.5 true false true D false false true false false 0 false 0 false true A true B true C true D true TERMINATION OF HEDGE - PART IV, COLUMN A, LINE 4C 0 HEDGE WAS TERMINATED PRIOR TO EFFECTIVE DATE ON 12/15/2004. GIC PROVIDER - PART IV, COLUMN A, LINE 5B 0 RESERVE FUND - AIG MATCHED FUNDING CORP PROJECT FUND - BAYERISCHE LANDESBANK TERM OF HEDGE - PART IV, COLUMN A, LINE 5C 0 RESERVE FUND - 28.6 YEARS PROJECT FUND - 3.1 YEARS PROCEEDS - PART II, COLUMN A-C, LINE 3 0 THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN(E) DUE TO INVESTMENT EARNINGS. PROCEEDS - PART II, COLUMN A-C, LINE 3 0 THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINE 4-12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4. ARBITRAGE - PART IV, COLUMN A-C, LINE 2C 0 A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 2010-12-16 12406093 EQUIPMENT LEASING false false false B DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 2010-01-15 12981544 EQUIPMENT LEASING false false false C DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 2011-08-18 17528118 EQUIPMENT LEASING false false false D DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 2012-12-19 24964788 EQUIPMENT LEASING false false false A 4822530 0 12406093 0 0 0 70922 0 0 12335171 0 0 2010 false false true true B 7317365 0 12981544 0 0 0 48333 0 0 12933211 0 0 2010 false false true true C 4536552 0 17528118 0 0 0 86333 0 0 17004206 437579 0 2011 false false false true D 0 0 24964788 0 0 3453217 108204 0 0 21403367 0 0 2012 false false true true A false false false 0 false false false true B false false false 0 false false false true C false false false 0 false false false true D false false false 0 false false false true A false true false false 0 false 0 false true B false true false false 0 false 0 false true C false true false false 0 false 0 false true D false true false false 0 false 0 false true A true B true C true D true BOND ISSUES - PART I 0 THE BONDS IN A THROUGH D ARE LEASE AGREEMENTS WITH THE DORMITORY AUTHORITY OF THE STATE OF NEW YORK. Page 1, Column D-In December 2008, Montefiore entered into a Schedule under a Master Lease and Sublease Agreement in the amount of $9,955,257 between Chase Equipment Leasing Inc. (Lessor) and the Dormitory Authority of the State of New York, to fund equipment purchases. This capital lease carries an annual interest rate of 2.25% with monthly level debt payments for 60 months. Under the term of the Agreement, the Lessor has a first lien on the equipment financed. Page 2, Column A-In December 2010, Montefiore entered into a Schedule under a Master Lease and Sublease Agreement in the amount of $12,406,093 between Banc of America Public Capital Corp. (Lessor) and the Dormitory Authority of the State of New York, to fund equipment purchases. This capital lease carries an annual interest rate of 1.887% with monthly level debt payments for 60 months. Under the term of the Agreement, the Lessor has a first lien on the equipment financed. Page 2, Column B-In January 2010, Montefiore entered into a Schedule under a Master Lease and Sublease Agreement in the amount of $12,981,544 between Chase Equipment Leasing Inc. (Lessor) and the Dormitory Authority of the State of New York, to fund equipment purchases. This capital lease carries an annual interest rate of 3.227% with monthly level debt payments for 60 months. Under the term of the Agreement, the Lessor has a first lien on the equipment financed. Page 2, Column C-In August 2011, Montefiore entered into a Schedule under a Master Lease and Sublease Agreement in the amount of $17,528,118 between Banc of America Public Capital Corp. (Lessor) and the Dormitory Authority of the State of New York, to fund equipment purchases. This capital lease carries an annual interest rate of 1.617% with monthly level debt payments for 60 months. Under the term of the Agreement, the Lessor has a first lien on the equipment financed. Page 2, Column D - In December 2012, Montefiore entered into a Schedule under a Master Lease and Sublease Agreement in the amount of $24,964,788 between JPMorgan Chase Bank (Lessor) and the Dormitory Authority of the State of New York, to fund equipment purchases. This capital lease carries an annual interest rate of 1.0600% with monthly level debt payments for 60 months. Under the term of the Agreement, the Lessor has a first lien on the equipment financed. Con Edison Trustee 10493814 Con Edison energy services false Schedule L, Part IV, Line 1 George Campbell, JR.,PHD is a trustee of Montefiore Medical Center and a Director of Con Edison. He was not involved in any of the transactions between Con Edison and the Medical Center. The purchase of energy from Con Edison was made in the ordinary course of business and the rates are set by a regulatory commission and generally not subject to negotiation. Con Edison is the primary provider of utilities to New York City and Westchester County businesses and residences. The Medical Center's 2012 payments to Con Edison of $10.5 million represented .09% of Con Edison's 2012 revenue of $12.2 billion. X 11 1265288 current market value false true false Form 990, Part VI, Section A, Line 2 David C. Gottlieb (trustee) is related to Jay B. Langner (trustee) - Family relationship. Peter J. Neufeld (trustee) is related to Robert A. Bernhard (trustee) - Family relationship. Form 990, Part VI, Section A, Line 6 Montefiore Health Services, Inc. is the sole member of Montefiore Medical Center. Form 990, Part VI, Section A, Line 7a The board of trustees of the Montefiore Health System, Inc., the sole member of Montefiore Medical Center, has the authority to appoint the board of trustees of Montefiore Medical Center. Form 990, Part VI, Section A, Line 7b The board of trustees of the Montefiore Health System, Inc., the sole member of Montefiore Medical Center, has the authority to approve the operating and capital budgets of Montefiore Medical Center. Form 990, Part VI, Section B, Line 11A The form 990 was prepared by the Medical Center's finance department with the assistance of representatives from various departments throughout the medical center. The Form 990 was reviewed and approved by the corporate controller and the Vice President-Finance, Accounting and Financial Reporting and the Medical Center's senior management team including the Chief Financial Officer. In addition, an independent accounting firm was engaged to review the Form 990. Upon completion of the various reviews, the Form 990 was presented to the Finance Committee of the Board of trustees for review and approval. Once approved by the finance committee of the board of trustees, THE FORM 990 WAS PROVIDED TO ALL MEMBERS OF MONTEFIORE MEDICAL CENTER'S GOVERNING BODY. 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 that was 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 15A & line 15B Montefiore Medical Center is committed to ensuring that its executive compensation program adheres to the highest standards of regulatory compliance and best corporate governance. The Montefiore Board of Trustees has charged the Compensation Committee of the Board (which is comprised of independent Board members with no conflicts of interest in regards to executive compensation) with making all decisions related to compensation for officers and key employees. All decisions by the Compensation Committee are appropriately and timely documented in meeting minutes. The compensation committee's review process follows the Intermediate Sanctions guidelines for qualifying for the rebuttable presumption of reasonableness. The Committee retains an independent compensation consultant to assist it with this process. Compensation levels are established considering data for comparable organizations, an assessment of management performance (including the services provided to the community), and other business judgment factors, consistent with Montefiore's executive compensation philosophy. The Committee's decisions are made in the best interest of Montefiore, and are intended to ensure the recruitment and retention of key executive talent, consistent with the market practices of other not-for-profit healthcare organizations of comparable scope, mission and complexity. On an annual basis, the Committee provides the full Board of Trustees with a description of the committee's review and approval process and its decisions. Form 990, Part VI, Section C, Line 19 THE CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. Emerging Health Information Technology 3 odell avenue yonkers NY 10701 134179243 info tech NY 73681243 7573000 MMC Montefiore Proton Acquisition LLC 111 East 210th St Bronx NY 10467 273994795 Proton Ther NY 0 0 mmc CMO THE CARE MANAGEMENT COMPANY LLC 111 EAST 210TH STREET BRONX NY 10467 133859895 MGMT SERV NY 53703309 2604670 MMC MMC INITIATIVES LLC 111 East 210th Street Bronx NY 10467 453962827 HIV Services NY 0 0 MMC MMC Corporation 111 East 210th street bronx NY 10467 133430322 real estate NY 501(c)(3) 11 Type 1 MMC true Montefiore 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 reservoir 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 Health System Inc 111 East 210th street bronx NY 10467 201615393 parent NY 501(c)(3) 11 type 3 NA false Montefiore North Ambulatory Care Center 4134 Bronx Blvd bronx NY 10466 010796859 amb services NY 501(c)(3) 3 MHS true Bronx News Network 3400 Reservoir Oval East Bronx NY 10467 270218689 Comm Serv. 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