2011-11-14T18:12:52-05:00 2010-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2010-01-01 111635081 Maimonides Medical Center MAIM 7182833900 4802 Tenth Avenue Brooklyn NY 11219 Pamela Brier 7182833900 2011-11-14 3176817000 2010 2016-02-24 21:20:13Z PAMELA S BRIER 4802 TENTH AVENUE BROOKLYN NY 11219 1001522639 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 36 32 6682 1750 -181457 0 7945453 10603575 913385522 984950720 5039730 53169 1144756 919811 927515461 996527275 214748 261564 0 0 564233608 608105688 219067 69765 762491 347635097 357342623 912302520 965779640 15212941 30747635 668153525 759347718 530245993 574380934 137907532 184966784 X 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. false false 645935921 0 689028470 INPATIENT SERVICES - This is further described in Schedule O. 59291783 0 46180818 MATERNITY SERVICES - This is further described in ScHEDULE O. 49200983 0 43065134 EMERGENCY DEPARTMENT - This is further described in Schedule O. 103338756 261564 206676298 857767443 true true false true false false false false true true false true true true false true false false false true false false true true false true false true false true true true false false false false false false false false true false false false false false true true true false false true 454 8 true 6682 true true true false false false false true true false false false false X 36 32 false false false false true true true true true false false false true true true true false true true false NY X ROBERT NALDI EXEC VP CFO 7182833900 4802 TENTH AVENUE BROOKLYN NY 11219 John Abi-Habib 0.5 X 0 0 0 Paul Addison 0.5 X 0 0 0 Steven Adelsberg 0.5 X 0 0 0 Donna Astion MD 0.5 X 0 0 0 Abraham Biderman 0.5 X 0 0 0 Irwin Birnbaum 0.5 X 0 0 0 Monsignor David Cassato 0.5 X 0 0 0 Richard Forman 0.5 X 0 0 0 Marvin Hellman 0.5 X 0 0 0 Jack A Hidary 0.5 X 0 0 0 Michael Karfunkel 0.5 X 0 0 0 Mortimer N Klaus 0.5 X 0 0 0 Elly Kleinman 0.5 X 0 0 0 andrew kohen 0.5 X 0 0 0 c herbert leshkowitz 0.5 X 0 0 0 Robert Machinist 0.5 X 0 0 0 Joseph C Manfredi 0.5 X 0 0 0 Frank Naccarato 0.5 X 0 0 0 Daniel Z Nelson 0.5 X 0 0 0 Norman A Ohrwashel 0.5 X 0 0 0 Steven Oppenheim 0.5 X 0 0 0 Martin Payson 0.5 X 0 0 0 Peter Rebenwurzel 0.5 X 0 0 0 Erminia Rivera 0.5 X 0 0 0 Gwen A Rowdem 0.5 X 0 0 0 Veronica Santilli MD 0.5 X 0 0 0 Alfred Schonberger 0.5 X 0 0 0 Steven R Shamah 0.5 X 0 0 0 Al Sutton 0.5 X 0 0 0 Isaac M Sutton 0.5 X 0 0 0 Aaron D Twerski 0.5 X 0 0 0 Howard Weiss 0.5 X 0 0 0 Moshe H Wieder 0.5 X 0 0 0 Herbert Wolff 0.5 X 0 0 0 Michael L Ziegler Esq 0.5 X 0 0 0 Herbert Wasserman MD 0.5 X X 40000 0 0 Warren Wexelman md 40.0 X X 137719 0 26984 Pamela Brier 40.0 X X 1112798 0 66108 Mark McDougle 40.0 X 832473 0 40119 Robert Naldi 40.0 X 690628 0 20718 Joyce Leahy 40.0 X 400611 0 24317 Enrico Ascher MD 40.0 X 4133907 0 22601 Patrick Borgen MD 40.0 X 1646755 0 35458 Israel Jacobowitz MD 40.0 X 1300274 0 22601 Amit Schwartz MD 40.0 X 1028571 0 39458 Jacob Shani MD 40.0 X 995320 0 35458 12319056 0 333822 1061 false true false DELOITTE TOUCHE LLP PO BOX 7247-6446 PHILADELPHIA PA 19170 CONSULTING SRVCS 1577500 THE CENTER FOR WOUND HEALING 155 WHITE PLAINS ROAD TARRYTOWN NY 10591 HYPERBARIC OXYGEN 1475001 MSI SURGICAL SOLUTIONS LLC 751 SUMMA AVE WESTBURY NY 11590 STERILIZATION SRVCS. 984102 Blum Shapiro Consulting Group LLC 29 South Main St PO BOX 2720 W HARTFORD CT 06127 consulting SRVCS 672049 PROSKAUER ROSE LLP 1585 BROADWAY NEW YORK NY 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6130315 BAD DEBT 18770180 18770180 MAINTENANCE CONTRACTS 11420059 11420059 OUTSIDE CONTRACTS 10157972 10157972 BILLING FEES 5773243 5773243 FUND OVERHEAD EXPENSES 5400134 5400134 23824728 18085846 5393905 344977 965779640 857767443 107249706 762491 12794895 18974601 99003433 116508825 884558 762493 108388588 119692901 3071758 2713770 9563177 9948215 9209309 11956140 862130175 530465973 320188125 331664202 25136818 27505834 53858746 57770496 26054118 61850241 668153525 759347718 125486026 138442991 179394647 195162826 18108000 16408000 207257320 224367117 530245993 574380934 X 122546290 169219274 14228959 14615227 1132283 1132283 137907532 184966784 668153525 759347718 X 30747635 16311617 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 1074 true 383073 384147 false SUPPLEMENTAL INFORMATIONPART II-B PART II-B, LINE 1G Direct visit to Albany $1,074 Other activities: Payments made to lobbyists $121,274 Lobbying portion of dues paid $261,799 15361242 2863808 2477540 15747510 16096993 2883855 0 0 3619606 0 15361242 15352310 2882195 76718 0 2214230 0 16096993 0.07000 0.93000 false false 4980000 4980000 336741964 98717918 238024046 520408211 431748055 88660156 331664202 CAPTIVE INSURANCE CO 47256108 F SELF-INSURANCE TRUST 3958370 F VAR HEALTH CARE RELATED ENT 5171908 F LT INVESTMENT FUNDS 1384110 F 57770496 DUE FROM AFFILIATES 4919205 OTHER CURRENT ASSETS 35815070 PREPAID CAPITAL ASSETS 20556897 DEPOSITS 559069 61850241 0 THIRD PARTY REIMBUR LIABILITIES 152876791 ACCRUED POSTRETIREMENT BENEFITS 46346654 PROFESSIONAL LIABILITIES 25143672 224367117 996527275 965779640 30747635 15966143 345474 16311617 47059252 997255924 4191140 4191140 993064784 3462491 3462491 996527275 969281065 6835241 6835241 962445824 3333816 3333816 965779640 PART V, LINE 4 INTENDED USES OF ENDOWNMENT FUNDS Part V - Endownment Funds Line 4. Intended uses of endownment funds: A. Temporarily restricted net assets are available for the following purposes Research and education 1,346,000 Plant replacement and expansion 13,269,227 Total 14,615,227 B. Permanently restricted net assets $1,132,283 Consist of investments to be held in perpetuity, the income from which is to be used for health care related services. Total $15,747,510 PART XI, LINE 8 RECONCILIATION OF CHANGE IN NET ASSETS FROM FORM 990 TO FINANCIAL STMTS Net difference between tax and book partnership revenue & expenses $345,474 PART XII, LINE 2D RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STMTS W/REVENUE PER RETURN Net assets released from restrictions $2,337,428 Net difference between tax & book prtshp revenue & expenses $267,471 Direct expenses attributable to fundraising events $620,379 Unrelated rental expenses netted against rental revenue $965,862 NET ASSETS RELEASED FROM RESTRICTIONS $4,191,140 PART XII, LINE 4B RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STMTS W/REVENUE PER RETURN RESTRICTED CONTRIBUTIONS, GRANTS, AND OTHER RECEIPTS - $2,863,808 INVESTMENT FEES RECLASSED TO OTHER EXPENSES - $348,683 GRANTS RECEIVED RECLASSED FROM EXPENSES - $250,000 TOTAL OF OTHER ADDITIONS - $3,462,491 PART XIII, LINE 2D RECONCILIATION OF EXPENSES PER AUDITED FIN STMTS W/ EXPENSES PER RETURN Captive insurance program interest rate shortfall $5,249,000 Direct expenses attributable to fundraising events $620,379 Unrelated rental expenses netted against rental revenue $965,862 DIRECT EXPENSES ATTRIBUTABLE TO FUNDRAISING EVENTS - $6,835,241 PART XIII, LINE 4B RECONCILIATION OF EXPENSES PER AUDITED FIN STMTS W/ EXPENSES PER RETURN CHANGE IN ACCruED PENSION & POSTRETIREMENT BENEFITS LIAB - $2,658,130 GRANT RECEIVED RECLASSED FROM EXPENSES - $250,000 INVESTMENT FEES RECLASSED TO OTHER EXPENSES - $348,683 SCHEDULE K-1 FLOW THROUGH EXPENSES - $77,003 TOTAL OF OTHER - $3,333,816 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 INSURANCE 47256000 South America 0 0 Program Services Medical Conference 153940 2 0 2 0 47409940 47409940 false false true false true false Schedule F, Part I Line 3(1) The primary coverage of professional and general liability incidents has been provided through participation in a pooled program with certain other health care facilities (principally hospitals) affiliated with the Federation of Jewish Philanthropies of New York. This occurrence basis insurance coverage participation is with captive insurance companies and commercial insurance companies. The Captive Insurance companies have two offices in the Caribbean, specifically Bermuda and Barbados. The companies were incorporated in Bermuda and Barbados in 1982 and 1986 respectively and are licensed under the Insurance Act of both countries. Since the Hospital is a shareholder of the captive insurance companies, the Hospital follows the equity method of accounting for its interest in the insurance companies associated with its medical malpractice insurance program. Additionally, Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporation, has been filed with the Hospital's 990T. X X X X X X true SANKY COMMUNICATIONS 589 Eighth Ave New York NY 10018 DIRECT MAIL false 38414 53282 -14868 CONVIO 11501 Domain Drive Austin TX 78758 ONLINE contrib. false 287 16483 -16196 38701 69765 -31064 NY Annual Ball 558096 407046 151050 0 0 133218 113900 9250 204482 Golf Classic 155405 111930 43475 0 9979 41167 0 0 30413 1 94440 74865 19575 0 0 8250 38075 1050 30595 807941 593841 214100 0 9979 182635 151975 10300 265490 620379 -406279 Addresses for Professional fundraisers Sanky Communications 589 Eighth Avenue New York, New York 10018 Convio 11501 Domain Drive Austin, Texas 78758 true true true X 300. true X true true true false true true 11981906 11981906 0.01270 112075049 88544296 23530853 0.02480 170902813 167088582 3814231 0.00400 294959768 255632878 39326990 0.04150 7352513 25847 7326666 0.00770 95162998 55302444 39860554 0.04210 35370541 27220206 8150335 0.00860 612726 612726 0.00060 299701 299701 0.00030 138798479 82548497 56249982 0.05930 433758247 338181375 95576972 0.10080 true 18770180 15174272 266985757 303706087 -36720330 X true true 1 1 MAIMONIDES MEDICAL CENTER

4802 TENTH AVENUE BROOKLYN NY 11219

X X X X X X MAIMONIDES MEDICAL CENTER 1 12 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 1. Required Descriptions Part I, line 7, column (f) The amount of bad debt expense that was excluded in determining the percentages shown in Column (f) was $18,770,180. Part I, line 7 A cost to charge ratio was utilized. This ratio was derived from Worksheet 2, Ratio of Patient Care Cost to Charges. Part III, Line 4 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. 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. In 2009, 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. The application of the 2009 amended charity care and financial aid policy resulted in additional patients qualifying for charity care and a reduction to bad debt expense of approximately $10.5 million and $9.7 million for 2010 and 2009 respectively. Total uncompensated care for all patient services approximated $79 million and $98 million in 2010 and 2009, respectively. Included in supplies and other expenses is the provision for bad debt expense of approximately $19 million and $38 million for the years ended December 31, 2010 and 2009, respectively." Bad Debt is recorded at cost. Part III, line 8 The shortfall costs should be treated a community benefit as we are treating the elderly patients of the community. The costing methodology applies the statewide average ratio of cost to charge as Maimonides Medical Center is a flat rate institution and does not process unit charges or file a Schedule D on the Medicare 2552 report. 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. 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. 7. State filing of community benefit report NY true United Hospital Fund 350 Fifth Ave New York NY 10118 131562656 501(c)(3) 36000 General Support Chevra Hatzalah of Crown Heigh 383 Kingston Ave Bklyn NY 11213 112420013 501(C)(3) 26000 General Support Hatzolah of Williamsburg 183 Wilson St Bklyn NY 11211 113376135 501(c)(3) 20000 General Support Brooklyn Information & Culture 647 Fulton St Bklyn NY 11217 112547268 501(c)(3) 17500 General Support Pesha Elias Bikur Cholim 1525 47 Street Brooklyn NY 11219 112513453 501(C)(3) 15000 General Support Hatzolah of Staten Island 22 Niles Pl Staten Isln NY 10314 020738155 501(c)(3) 10000 General Support Hatzolah of Mill Basin 6363 Avenue U Bklyn NY 11234 364600064 501(c)(3) 10000 General Support Guardians of the Sick 5216 11 Ave Bklyn NY 11219 116003433 501(C)(3) 9740 General Support Sephardic Geriatric Foundation 2266 Cropsey Ave Bklyn NY 11214 111694718 501(C)(3) 8000 General Support Nachas Health & Family Network 1310 48 Street Brooklyn NY 11219 113067201 501(c)(3) 8000 General Support Ladies Bikur Cholim D'Satmor 5422 14 Ave Brooklyn NY 11219 116081323 501(c)(3) 6000 General Support 11 0 Schedule I, Part I description of procedures for monitoring the use of grant funds General support is given to various health related organizations whose activities have been determined are compatible and complimentary to those of Maimonides Medical Center. X X X X X false true false false false true false false false Warren Wexelman md 137719 0 0 0 0 0 9175 0 17809 0 164703 0 0 0 Pamela Brier 877236 0 150000 0 85562 0 15925 0 50183 0 1178906 0 0 0 Mark McDougle 662766 0 100000 0 69707 0 15925 0 24194 0 872592 0 0 0 Robert Naldi 535651 0 100000 0 54977 0 15925 0 4793 0 711346 0 0 0 Joyce Leahy 331745 0 50000 0 18866 0 15925 0 8392 0 424928 0 0 0 Enrico Ascher MD 4132323 0 0 0 1584 0 15925 0 6676 0 4156508 0 0 0 Patrick Borgen MD 1578236 0 50000 0 18519 0 15925 0 19533 0 1682213 0 0 0 Israel Jacobowitz MD 1281365 0 0 0 18909 0 15925 0 6676 0 1322875 0 0 0 Amit Schwartz MD 872388 0 156000 0 183 0 15925 0 23533 0 1068029 0 0 0 Jacob Shani MD 993736 0 0 0 1584 0 15925 0 19533 0 1030778 0 0 0 Supplemental Information Part I, Line 4B THE FOLLOWING PERSONS PARTICIPATED IN A 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: PAMELA S BRIER - $42,575 MARK MCDOUGLE - $43,949 ROBERT NALDI - $40,541 JOYCE LEAHY - $17,318 PART I, LINE 6A THE ORGANIZATION PAYS, PURSUANT TO INDIVIDUAL EMPLOYMENT CONTRACT AGREEMENTS, A PORTION OF FACULTY PRACTICE EARNINGS, NET OF EXPENSES. Dormitory Authority of the State of New York 146000293 64983TWB5 2004-06-24 114252556 See Schedule O false false false New York City Capital Resource Corporation 204099098 649437AA8 2006-05-25 31200000 See Schedule O false false false 7620000 0 114252556 8635000 10230124 0 1356852 1340270 0 94473876 913556 0 2009 false false true true 3770000 0 31200000 0 0 0 460698 51200 0 30688102 0 0 2007 false false true true false false true true true true false false true false true true false false false false false true MBIA 29.1 true true false false true true Bank of America 19.6 false false false false true Part I, Bond Issues A (f) Description of purpose - Financing of hospital campus modernization, through construction of a new 9-floor building, renovation of existing facilities and purchase of equipment and furnishings, funding of reserves and paying of costs of issuance B (f) Description of purpose - Financing of hospital campus renovation and repairs, funding costs related to the modernization project not previously funded through the bonds referenced in Part I(A), purchasing of equipment and information systems and paying costs of issuance Part IV, Arbitrage See Schedule O 745-64TH REALTY ASSOC INC ANDREW KOHEN,TRUSTEE/OWN 884538 REAL ESTATE RENTAL false RMNDS REALTY ASSOC ANDREW KOHEN,TRUSTEE/OWN 706874 REAL ESTATE RENTAL false Form 990 Supplemental Information PART I, Line 1 & Line 6 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 2010 At Maimonides we are fortunate to have a large corps of dedicated volunteers who enhance the services provided by our staff. There were approximately 1,750 volunteers in 2010 who served around 220,000 hours. All volunteer records are kept in a computer database system. Volunteers at Maimonides sign in and out using a touch screen computer. Accordingly the number of volunteers and hours served are tracked by the system. The Department of Volunteer Services works very closely with youth agencies and provides a worksite for various youth employment programs. We coordinate internship programs with business schools and colleges (both undergraduate and graduate programs). This has developed successful relationships with community agencies and organizations. Some of the service areas the volunteers work in are labor coach (doula), postpartum support, interpretation, greeters, ladies auxiliary, patient library, surgical lounge, refreshment carts, humor cart, feeders, chaplaincy, clerical support and other support services. Form 990 Supplemental Information Part III, Line 4 - Description of exempt purpose achievements 2010 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. 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. 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. In 2009, 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. The application of the 2009 amended charity care and financial aid policy resulted in additional patients qualifying for charity care and a reduction to bad debt expense of approximately $10.5 million and $9.7 million for 2010 and 2009, respectively. Total uncompensated care for all patient services approximated $79 million and $98 million in 2010 and 2009 respectively. Included in supplies and other expenses is the provision for bad debt expense of approximately $19 million and $38 million for the years ended December 31, 2010 and 2009, respectively During 2010, the Medical Center provided approximately 46,000 inpatient discharges and 400,000 outpatient visits which included 124,000 emergency room visits. We provided care to persons covered by government programs and the uninsured at payment rates below cost. Our surgeons performed 9,440 inpatient and 12,595 outpatient procedures in a full range of surgical specialties. Our tertiary cardiology and cardiac surgery programs serve all of Brooklyn and are widely recognized in the region for excellence in interventional cardiology. A comprehensive array of cancer services is also provided. Maimonides, a designated regional perinatal center, operates one of the busiest obstetrical services on the East Coast with 7,662 deliveries in 2010. 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 450 interns and residents. Form 990 Supplemental Information Form 990, Part VI, Governance, Management, and Disclosure 2010 Section A. Governing Body and Management 6. The organization has a member, Maimonides Health Resources, Inc. (MHRI) a not-for-profit 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. Section B. Policies 11b. A copy of the Form 990 is reviewed by senior executive staff, outside bond and the outside tax preparer who signs off on the return. The reviewed return and attachments are then presented to the President and Audit and Legal Committee of the Board of Trustees to whom the responsibility for reviewing the Form 990 has been delegated for their comments and questions prior to filing. 12c. It is the responsibility of all trustees, officers, employees and members of the medical staff to familiarize themselves with the conflicts of interest policy and to comply and ensure compliance of family members where applicable. They are required to disclose in detail any activities or interests which may conflict or appear to conflict with the Medical Center's best interest. The following are required to complete a conflict of interest certificate: (1) trustees and officers of the Board, (2) non-trustee officers, chairmen and division chiefs and members of the purchasing department, (3) employees and members of the medical staff, who are in a position to influence vendor selection, to approve a transaction with a third party or approve the expenditure of funds, and (4) such other employees or members of the medical staff as determined from time to time by the President. Employees and members of the medical staff who violate this policy are subject to disciplinary action up to and including termination or removal from the staff. Members of the Board of Trustees and officers are subject to removal. The Audit and Legal Committee of the Board of Trustees advises the President and the Chairman of the Board concerning specific conflicts of interest referred to it by the Vice President for Legal Affairs and General Counsel 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 Vice President for Legal Affairs and General Counsel is responsible for reviewing apparent conflicts of interest and other potentially improper activities as referred by the Corporate Compliance Officer and/or the Audit and Legal Committee. A report of all conflicts of interest is made by the Chairman of the Audit and Legal Committee at least annually to the Board of Trustees. 15. The process for determining compensation includes the following: The Medical Center's compensation committee reviews compensation surveys from independent consultants and data obtained from the Greater New York Hospital organization. Approval for all decisions must be agreed upon by the compensation committee and is then recorded in the minutes of that committee. This process was last done in 2010 for the CEO, COO, CFO and VP 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. Part VI, Line 5 - Other changes in net assets Change in equity in captive insurance program 5,073,716 Medical residents FICA refund 10,723,117 Net change in unrealized gains and losses on investments and change in fair value of interest rate swap agreements 169,310 Partnership Form K-1 net revenue adjustments 345,474 Total of other changes in net assets 16,311,617 Schedule K, Part IV, Arbitrage Line 5 gross proceeds invested beyond an available temporary period. At closing, the modernization project was expected to take approximately thirty months to construct. Several issues arose during the construction period resulting in an elongation of the construction period beyond the expected thirty months. The first substantive delay was the result of a city-wide strike by the steel workers union. This strike occurred during the erection of steel and, as such, after the strike was over the steel workers on the job had to be remobilized. The second substantive delay was the result of a dispute between the design engineer and subcontractor over the HVAC system design and constructability of the system which was subsequently resolved. The third substantive delay was the result of the principal manufacturer of HVAC ductwork declaring bankruptcy during the manufacture of the project materials resulting in delays obtaining ducts already manufactured and then commissioning a new manufacturer for the remaining ductwork. These delays had a cascade effect on delaying other trades whose work could not proceed as originally anticipated and scheduled. The fourth substantive delay was the result of the untimely demise of the project manager on the job which, although he was quickly replaced by the construction manager, was disruptive to normal job coordination and management. In spite of these unforeseen delays, the modernization project was completed in April, 2009, which was approximately two years past the available temporary period. 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