2023-11-10T15:37:23-06:00 2022-12-31 PwC US Tax LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2022-01-01 111635081 Maimonides Medical Center % ROBERT PALERMO EVPCFO&ASST MAIM 7182833900 4802 Tenth Avenue Brooklyn NY 11219 ROBERT PALERMO EVP,CFO & ASST TREAS 7182833900 2023-11-10 true ROBERT PALERMO 999009999 MEREDITH MONROE P01441362 2673303000 2023-11-10 2 2022 2023-04-26 12:10:37Z KENNETH D GIBBS 4802 TENTH AVENUE BROOKLYN NY 11219 1451553524 false X www.maimonidesmed.org X 1947 NY SEE SCHEDULE O 32 30 7998 1233 0 0 47081065 22195934 1267608297 1421789333 7349048 2540425 5186496 4689474 1327224906 1451215166 1834507 1892326 0 0 917987527 932566900 0 0 2516172 573301654 582022890 1493123688 1516482116 -165898782 -65266950 1684839092 1708014796 1279469417 1403602130 405369675 304412666 X SEE SCHEDULE O false false 790943943 0 834147531 INPATIENT SERVICES. This is further described in Schedule O. 123133253 0 61098652 EMERGENCY SERVICES. This is further described in Schedule O. 105319050 0 63884962 MATERNITY SERVICES. This is further described in SCHEDULE O. 171918504 1892326 462658188 1191314750 true true false true false false false false false true true false false true true false false true false true true false false false true false true true true true true true false false false false false false false true false true true false false false false true true true false false true 592 0 true 7998 true false false false false false true true false false false false true false X 32 30 true false false false true true true true true false false true true true true true true true true true true NY X ROBERT PALERMO EVPCFOASST 7182833900 4802 TENTH AVENUE BROOKLYN NY 11219 JACOB SHANI MD CHAIR, CARDIOLOGY 40.0 0.0 X 3498724 0 46488 PATRICK I BORGEN MD CHAIR, DEPT OF SURGERY 40.0 0.0 X 1989629 0 58080 DAVID EDELSTEIN MD ORTHOPEDIC SURGERY 40.0 0.0 X 1928500 0 54039 GREG H RIBAKOVE MD CHIEF CARDIOTHORACIC SURGERY 40.0 0.0 X 1794058 0 46488 ROBERT A FRANKEL MD DIR, INTERVENTIONAL CARDIOLOGY 40.0 0.0 X 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CASSATO MSGR TRUSTEE 0.5 0.0 X 0 0 0 JEFFERY FENSTER TRUSTEE 0.5 0.0 X 0 0 0 CHAIM FISCHER TRUSTEE 0.5 0.0 X 0 0 0 RICHARD D FORMAN TRUSTEE THROUGH 7/22 0.5 0.0 X 0 0 0 YEHOSHUA FRUCHTHANDLER TRUSTEE 0.5 0.0 X 0 0 0 JEREMY GLICK TRUSTEE 0.5 0.0 X 0 0 0 JACK A HIDARY TRUSTEE 0.5 0.0 X 0 0 0 LOFTON HOLDER TRUSTEE 0.5 0.0 X 0 0 0 EUGENE KEILIN TRUSTEE & BOARD CHAIR 0.5 0.0 X X 0 0 0 MORTIMER N KLAUS TRUSTEE 0.5 0.0 X 0 0 0 C HERBERT LESHKOWITZ TRUSTEE & TREASURER THRU 6/22 0.5 0.0 X X 0 0 0 GEORGE LIU MD TRUSTEE 0.5 0.0 X 0 0 0 ROBERT MACHINIST TRUSTEE 0.5 0.0 X 0 0 0 DONALD MELTZER TRUSTEE 0.5 0.0 X 0 0 0 FRANK NACCARATO TRUSTEE & SECR AS OF 6/22 0.5 0.0 X X 0 0 0 AZZAM OBEID TRUSTEE 0.5 0.0 X 0 0 0 MARTIN PAYSON TRUSTEE 0.5 0.0 X 0 0 0 TREVOR PRICE TRUSTEE 0.5 0.0 X 0 0 0 PETER REBENWURZEL TRUSTEE & VICE CHAIR 0.5 0.0 X 0 0 0 ERMINIA RIVERA TRUSTEE & VICE CHAIR 0.5 0.0 X 0 0 0 ALEX ROVT PHD TRUSTEE & VICE CHAIR 0.5 0.0 X 0 0 0 AVI SCHRON TRUSTEE 0.5 0.0 X 0 0 0 MARY SINGH TRUSTEE & SECR THROUGH 6/22 0.5 0.0 X X 0 0 0 DAVID SPIRA TRUSTEE 0.5 0.0 X 0 0 0 AARON D TWERSKI TRUSTEE 0.5 0.0 X 0 0 0 MARTY WAISBROD TRUSTEE 0.5 0.0 X 0 0 0 GEORGE WEINBERGER TRUSTEE 0.5 0.0 X 0 0 0 MICHAEL L ZIEGLER ESQ TRUSTEE 0.5 0.0 X 0 0 0 19524288 0 595596 2279 true true false ANESTHESIOLOGY ASSOC OF BORO PARK L 931 48 STREET BROOKLYN NY 11219 MEDICAL SERVICES 15270827 ALLSCRIPTS HEALTHCARE LLC 24630 NETWORK PLACE CHICAGO IL 60673 IT SERVICES 12493257 ALVAREZ MARSAL HLTHCARE IND GROUP 600 MADISON AVENUE NEW YORK NY 10022 HEALTHCARE CONSULTNG 5548990 BLUE HILL DATA SERVICES 2 BLUE HILL PLAZA PEARL RIVER NY 10965 IT SERVICES 5158770 ALLIANCE HEALTHCARE SERVICES 100 BAYVIEW CIRCLE NEWPORT BEACH CA 92660 MEDICAL SERVICES 3859379 217 487480 435702 17007486 4265266 1634358 22195934 PATIENT SERVICE REVENUE 621110 1392941474 1392941474 INSURANCE COMPANY SURPLUS DISTRIB. 524298 25307984 25307984 RENTAL INCOME 531390 3539875 3539875 1421789333 2540425 2540425 0 0 0 0 0 0 179895 487480 338358 -158463 -158463 0 0 0 0 0 0 CORPORATE REBATES 900099 3156274 3156274 PARKING 812930 1397248 1397248 RECORD & ABSTRACT FEES 900099 273997 273997 20418 20418 4847937 1451215166 1421789333 7229899 287190 287190 1605136 1605136 0 0 8677315 3078018 5599297 0 714268468 610294523 102720486 1253459 51362873 43917360 7356152 89361 110359197 94548331 15619052 191814 47899047 40927479 6888465 83103 1255116 1255116 3187016 3187016 1549373 1549373 613333 613333 0 338313 338313 74618996 39995597 34236719 386680 4765174 4601970 163204 6414306 3670719 2737466 6121 32287076 2276698 30010378 0 50610716 17830520 32780196 252476 14335 238141 0 2645680 2485534 160146 7226448 7226448 0 59118858 45042300 14076558 55318137 51177484 4140653 MEDICAL EXPENSES 213054690 201193509 11861181 MAINTENANCE CONTRACTS 25353297 10828134 14525163 BILLING FEES 9352163 9352163 UBI TAX 250 250 34061472 12789720 20929322 342430 1516482116 1191314750 322651194 2516172 15734972 33016344 79661901 71779619 2930503 1984672 155089325 265990409 0 0 0 0 0 0 17012599 18547038 9840113 6469848 1562622445 1130431634 402833953 432190811 360899330 199329431 0 0 107969719 82170234 0 0 532866677 596536390 1684839092 1708014796 238990061 270555471 0 0 0 0 135845000 135845000 0 0 0 0 254441171 243765493 25516143 0 624677042 753436166 1279469417 1403602130 X 402365675 301714857 3004000 2697809 405369675 304412666 1684839092 1708014796 X -65266950 -6868278 -28821781 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 613333 613333 false SUPPLEMENTAL INFORMATION PART II-B Part II-B - Description of other lobbying activities: Payments made to lobbyists $277,333 - LOBBYING PORTION OF DUES PAID $276,000 - PAYMENTS TO LOBBYISTS RELATING TO NYS AND NYC CAPITAL FUNDING FOR HOSPITAL EQUIPMENT AND HEALTHCARE ISSUES. $60,000 - Payments to lobbyists relating to provider relief funding from the federal government 3004000 166033 472224 2697809 21647878 618637 19262515 3004000 22267372 394746 1014240 21647878 20876037 2078739 687404 22267372 17891633 4343233 1358829 20876037 0.41970 0.58030 false false 4980000 4980000 734457602 442454386 292003216 823184843 687977248 135207595 432190811 DUE FROM AFFILIATES 11439368 INVESTMENT IN PHYS PRACTICES 167733485 OTHER CURRENT ASSETS 19698706 ESTIMATED INSURANCE CLAIMS REC 169963000 RIGHT OF USE ASSETS OPER LEASE 199256870 THIRD PARTY RECEIVABLES 26230294 OTHER NONCURRENT ASSETS 2214667 596536390 0 ESTIMATED INSURANCE CLAIMS PAYABLE 169963000 THIRD PARTY LIABILITIES 59586369 ACCRUED POSTRETIREMENT BENEFIT 58706594 PROFESSIONAL LIABILITIES 56783010 DUE TO DSRIP PARTICIPANTS 24072522 OTHER LIABILITIES 25411194 LEASE LIABILITY 199256870 DPT ADVANCE 159656607 753436166 PART V, LINE 4 TEMPORARILY RESTRICTED NET ASSETS ARE AVAILABLE FOR THE FOLLOWING PURPOSES RESEARCH AND EDUCATION - $ 544,000 PLANT REPLACEMENT AND EXPANSION - $1,021,526 TOTAL - $1,565,526 PERMANENTLY RESTRICTED NET ASSETS -$1,132,283 (Consisting of investments to be held in perpetuity, the income from which is to be used for health care related services.) Grand Total - $2,697,809 PART X, Line 2 There was no liability for uncertain tax position under FIN 48 making the footnote unnecessary. 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X X X X X true true X X X true X see Section C X see Section C X see Section C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V #3e - Describe the significant health needs of the community. The significant health needs of the community identified in the CHNA are prioritized based on several factors, including: the scope and significance of the need as indicated by New York City and State data sources; opportunities for Maimonides Medical Center and its partners to provide effective interventions; the importance of the need as described by community members; and the relevance of the need to New York State's Prevention Agenda Priorities. #3J - DESCRIBE OTHER CONTENT CONTAINED IN THE CHNA THE CHNA ALSO SATISFIES NEW YORK STATE'S REQUIREMENT TO COMPLETE A COMMUNITY SERVICE PLAN (CSP). AS SUCH, IT INCLUDES A SECTION DESCRIBING MAIMONIDES' WORK PLAN FOR ADDRESSING NEW YORK STATE PREVENTION AGENDA PRIORITIES. SCHEDULE H, PART V #5 - DESCRIBE HOW THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY AND IDENTIFY THE PERSONS CONSULTED. A longstanding focus of Maimonides's strategy for delivering high quality health services is identifying and partnering with community-based healthcare providers and organizations. Recognizing the importance of the relationships Maimonides has built with the Community Based Organizations in our area, we reached out to them to garner their responses to our Community Health Assessment survey in service of the Community Health Needs Assessment report. The Community Health Assessment survey was designed to determine what health needs are most important to community members, as well as how satisfied they are with access to resources that address those needs. The CBOs which were invited to participate are organizations that are well-equipped and positioned to understand which health issues are priorities, the resource gaps that adversely impact community health, and what Maimonides can do to address those needs. To broaden our understanding of the state of the community, we also provided the survey to the Maimonides Community Insights Panel, a group of patients who have agreed to give long-form feedback to Maimonides on a wide-range of topics surrounding patient and community engagement. The feedback provided by the Community Insights Panel ensured that we had participation from those we serve directly, in addition to the invaluable feedback provided by our partner CBOs. Finally, the survey was administered by our community engagement team at a number of street festivals throughout Brooklyn in the fall of 2022 so that we could gauge the needs of those who live in our communities but may not otherwise engage with our health network. The survey was created in collaboration with the Greater New York Hospital Association (GNYHA) and was initially administered to patients in the Maimonides service area. When the GNYHA survey was complete, we administered it to the groups described in the previous paragraph so that our programs would be informed by as wide a group of stakeholders as possible. #6A - WAS THE HOSPITAL FACILITY'S CHNA CONDUCTED WITH ONE OR MORE OTHER HOSPITAL FACILITIES? IF "YES," LIST THE OTHER ORGANIZATIONS. THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH NEW YORK COMMUNITY HOSPITAL D/B/A MAIMONIDES MIDWOOD COMMUNITY HOSPITAL. # 7a - The CHNA report is available: https://maimo.org/wp-content/uploads/2023/01/Maimonides-Health-CHNA-CSP-Wo rkplan-2022.pdf. # 10A - THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS AVAILABLE: https://maimo.org/wp-content/uploads/2023/01/Maimonides-Health-CHNA-CSP-Wo rkplan-2022.pdf. # 11 - DESCRIPTION OF HOW THE SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA ARE BEING ADDRESSED MAIMONIDES DEVOTES STAFFING AND FINANCIAL RESOURCES TO SUSTAIN THE PROGRAMS AND ACTIVITIES DESCRIBED BELOW IN OUR IMPLEMENTATION PLAN, INCLUDING RESOURCES FROM THE FOLLOWING AREAS: * PATIENT & COMMUNITY RELATIONS * EXECUTIVE OFFICE * ACADEMIC AFFAIRS (RESIDENTS, FELLOWS, AND THE COMMITTEE OF INTERNS & RESIDENTS) * FOUNDATION AND GOVERNMENT GRANTS, WITH WHICH STAFF ARE HIRED TO CONDUCT HEALTH INTERVENTIONS * CLINICAL DEPARTMENTS IN ALIGNMENT WITH THE FOUR PRIORITY AREAS THAT MAIMONIDES HAS SELECTED - PREVENT CHRONIC DISEASES; PROMOTE A HEALTHY AND SAFE ENVIRONMENT; PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN; AND PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS; - MAIMONIDES HAS DEVELOPED STRATEGIES FOR HEALTH PROMOTION AND SERVICE PROVISION FOR ITS PATIENTS AND COMMUNITY MEMBERS THROUGH A VARIETY OF VENUES, BOTH CLINICAL AND COMMUNITY-BASED. THESE EFFORTS INCLUDE STRATEGIC ALIGNMENT WITH PARTNER ORGANIZATIONS AND ACTIVE PARTICIPATION IN CONVENING ACTIVITIES RELATED TO COMMUNITY HEALTH IN THE MAIMONIDES HEALTH SERVICE AREA, SUCH AS MEETINGS OF THE GREATER NEW YORK HOSPITAL ASSOCIATION. MAIMONIDES ALSO LEVERAGES ITS RELATIONSHIPS WITH ACADEMIC AND CLINICAL AFFILIATES - NAMELY NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, SUNY DOWNSTATE HEALTH SCIENCES UNIVERSITY, AND NORTHWELL HEALTH - WHERE APPROPRIATE TO COORDINATE HEALTH SERVICES AND HEALTH PROMOTION ACTIVITIES. MAIMONIDES HAS A LONGSTANDING HISTORY OF COMMUNITY ENGAGEMENT AND OFFERING CULTURALLY DIVERSE AND APPROPRIATE HEALTH EDUCATION AND TREATMENT, WHICH ARE CORE TO ITS MISSION. BEYOND PROVIDING DIRECT PATIENT CARE SERVICES, MAIMONIDES IS DEEPLY INVESTED IN PROVIDING SERVICE TO THE GREATER COMMUNITY THAT ADDRESS THE NEEDS OF RESIDENTS. MAJOR PROGRAMS DEPLOYED BY MAIMONIDES INCLUDE HEALTH EDUCATION AND SCREENING EVENTS CO-HOSTED WITH COMMUNITY ORGANIZATIONS; CARE COORDINATION AND CASE MANAGEMENT SERVICES; TRAUMA AND ACCIDENT PREVENTION TRAININGS FOR HIGH-RISK POPULATIONS; AND SUPPORT GROUP SERVICES FOR PATIENTS EXPERIENCING OR RECOVERING FROM ILLNESS. IN THE COMING YEARS, MAIMONIDES WILL CONTINUE EXISTING INTERVENTIONS AND PROGRAMS AND IMPLEMENT ADDITIONAL COMMUNITY-BASED STRATEGIES TO ADVANCE HEALTH PROMOTION AND PREVENTIVE CARE. HALLMARKS OF THESE EFFORTS TO FOSTER HEALTHY COMMUNITIES INCLUDE: * EDUCATION OF COMMUNITY MEMBERS, PATIENTS, AND THEIR FAMILIES * PROVIDING PREVENTIVE CARE AND HEALTH EDUCATION IN BOTH CLINICAL AND COMMUNITY SETTINGS * LEADING COLLABORATIVE EFFORTS AMONG GOVERNMENT, COMMUNITY, AND HEALTHCARE PROVIDER PARTNERS TO TRANSFORM THE HEALTHCARE DELIVERY SYSTEM Section B, Line 16a - The FAP is available: https://maimo.org/wp-content/uploads/2023/01/Financial-Assistance-Policy-1 .pdf Section B, Line 16b - The FAP application form is available: https://maimo.org/wp-content/uploads/2023/01/Financial-Assistance-Policy-1 .pdf Section B, Line 16c - THE PLAIN LANGUAGE SUMMARY OF FAP IS AVAILABLE: https://maimo.org/wp-content/uploads/2023/01/Financial-Assistance-Policy-1 .pdf 15 Maimonides Cancer Center 6300 Eighth Avenue Brooklyn NY 11220 Cancer Center MAIMONIDES CARDIOLOGY OUTPATIENT CENTER 850 49TH STREET BROOKLYN NY 11219 CARDIOLOGY OUTPATIENT CENTER MAIMONIDES WOMEN'S SERVICES 9TH AVENUE 4422 9th Avenue Brooklyn NY 11219 Womens' Primary Care Center MAIMONIDES SLEEP DISORDER CLINIC 6405 7TH AVENUE brooklyn NY 11219 SLEEP DISORDER CLINIC Maimonides ADULT & PED CARE NEWKIRK AVE 1401 Newkirk Avenue Brooklyn NY 11226 Family Health Center MAIMONIDES PEDIATRIC CARE 57TH STREET 1301 57th Street Brooklyn NY 11219 Ambulatory Care Center MAIMONIDES ADULT AND PEDIATRIC CARE 7TH 6323 Seventh Avenue Brooklyn NY 11220 PRIMARY HEALTH SERVICES Maimonides Adlt Primary Care Ctr 57th ST 1250 57th Street Brooklyn NY 11219 Adult Primary Care Center Maimonides Rehabilitation Services 883 65th Street Brooklyn NY 11219 Rehabilitation Services MAIMONIDES BREAST CENTER 745 64TH STREET BROOKLYN NY 11220 BREAST CENTER MAIMONIDES ADULTPED DENTAL CENTER 4303-4305 13th Avenue Brooklyn NY 11219 Adult/Ped. Dental Center MAIMONIDES CARDIOLOGY OUTPATIENT CENTER 421 OCEAN PARKWAY BROOKLYN NY 11218 CARDIOLOGY OUTPATIENT CENTER MAPLETON CLINIC TREATMENT PROGRAM 1083 MCDONALD AVENUE BROOKLYN NY 11230 CLINIC TREATMENT PROGRAM Fort Hamilton Clinic Treatment Program 8710 Fifth Avenue Brooklyn NY 11209 Clinic Treatment Program Bensonhurst Clinic Treatment Program 8620 18th Avenue Brooklyn NY 11214 Clinic Treatment Program PART I, LINE 7 The ratio of patient care cost to charges is used in the costing methodology as outlined in Worksheet 2 Instructions for Schedule H; total hospital cost is divided by total charges. PART II - COMMUNITY BUILDING General support is given to various nonprofit health related, religious and community organizations that are in furtherance of the corporate purposes and in the hospital's best interest. Maimonides Medical Center is a member of various health care associations that promote high quality, more affordable health care. Through our support of collective advocacy we participate in strengthening the role modern health care has in the improvement of the health of our communities. PART III, LINE 2 Bad Debt is recorded at cost. PART III, LINE 3 A soft credit check is performed on the bad debt file in order to determine if any of the debt meets criteria for eligibility under financial assistance policy. PART III, LINE 4 The Footnote that describes bad debt expense is on Page 13 of the attached Audited consolidated financial statements of Maimonides Medical Center and its subsidiaries. PART III, LINE 8 The costing methodology applies the worksheet 2 ratio of patient care cost to charges as Maimonides Medical Center became a charge structure institution in 2011. PART III, LINE 9B If Maimonides determines that a patient is eligible for financial assistance ("FAP-eligible"), Maimonides will: -If the patient is determined to be eligible for assistance other than free care, provide the patient with a billing statement that indicates the amount the patient owes for the care as a FAP-eligible patient, how that amount was determined, and describes how the patient can get information regarding the Amount Generally Billed (maximum charge that may be billed to a patient who receives emergency or other medically necessary care). -Refund to the patient any amount the patient has paid for the care (whether to Maimonides or any other party to whom Maimonides has referred the patient's debt for care) that exceeds the amount the patient is determined to be personally responsible for paying as a FAP-eligible individual, unless the excess amount is less than $5, or an amount set in other guidance published by the IRS. -Take all reasonably available measures to reverse any action taken against the patient to obtain payment for care. 2 NEEDS ASSESSMENT Maimonides Medical Center has a long history of community engagement and a robust program of outreach and interaction with the communities that utilize our services, on which we continue to build to keep our communities engaged and healthy. Executive leadership meets regularly with representatives of local EMS providers such as Hatzolah Ambulance Corps of Borough Park and Flatbush in Brooklyn to discuss community health needs and ways to improve emergent and urgent care services for our patients. Maimonides' leaders also maintain close relationships with community-based health care providers, who are front-line partners in achieving prevention and public health goals. In 2022, Maimonides organized or participated in over 50 community-based events through which we have engaged with members of the public, community leaders, clergy, elected officials, current and former patients, and family members of patients. These events allowed us not only to participate and be present in moments of cultural importance to our many sub-populations, but also allowed us to communicate with individuals throughout our borough. These opportunities for direct engagement are powerful and effective tools for helping us to serve all of our communities in a thoughtful, responsive manner. Beginning in 2020, the COVID-19 pandemic dramatically impacted the health needs of our communities. Maimonides undertook a number of efforts to assess this rapidly changing situation, including operationalizing a 24/7 communications center available to the public; producing thrice-daily situation reports using the latest public health and internal data; and hosting virtual meetings with members of our Board, community-based health care providers, elected officials, and other community stakeholders. In response to the Affordable Care Act requirement that tax-exempt hospitals must conduct an in-depth community health needs assessment, Maimonides applied a rigorous approach. In coordination with our partners at the research and evaluation organization the New York Academy of Medicine (NYAM), our initial community health needs assessment (CHNA) was completed and approved by our Board in 2013 and published on our web site and distributed in early 2014. In 2015, using funding awarded by the Agency for Healthcare Quality and Research (AHRQ), Maimonides again partnered with NYAM, this time to conduct an in-depth public deliberation study with residents of communities in Southwest Brooklyn. Maimonides supplemented the public deliberation sessions with a range of quantitative data about the health status and needs of the communities it serves. In particular, Maimonides drew heavily from the Community Health profiles published by the New York City Department of Health and Mental Hygiene in 2015 to produce an updated CHNA which was completed and approved by the Board in December 2016. Several years ago, Maimonides developed a Council of Community Organizations (COCO), an ongoing forum and vehicle for communication with local community leaders, community groups, businesses, and elected officials. Present at these meetings are religious leaders, community-based organization representatives, health care providers, area residents, public safety workers, and elected officials and staff. Agenda items cover new initiatives at the hospital and in the community aimed at improving health and wellbeing, including prevention-oriented programming, and open dialogue about health-related issues. Members of the COCO are in regular contact with Maimonides leadership and staff, contributing valuable insight and relaying community concerns as they arise. The most recent COCO meeting took place in April 2019;due to COVID-related considerations and the inherently in-person nature of the council, it did not convene in 2020-2022. In 2019, Maimonides collaborated with Community Care of Brooklyn (CCB), the DSRIP PPS for which the Medical Center is a participant and fiduciary, in order to use Participatory Action Research (PAR) as a cornerstone of our health needs assessment process. The PAR methodology is youth-led and community-based, having been adapted and honed by CCB over several years. Maimonides draws on focus groups, surveys, and stakeholder input gathered by PAR researchers in Canarsie, Flatbush, Flatlands, Bay Ridge, Borough Park, and Sunset Park - a diverse group of neighborhoods that span our service area. In 2022, Maimonides undertook efforts to collaborate with our community partners for our CHNA in a manner that was substantive but mindful of the inherent risk resulting from the COVID-19 public health emergency. With this in mind, we collaborated with the Greater New York Hospital Association (GNYHA) to compile a Community Health Assessment and distributed it to community members in Maimonides' service area. The survey was then distributed to the leadership of forty-nine Community-Based Organizations that Maimonides has partnered with in the past and which we rely on to gain an understanding of the needs of Brooklyn's many sub-populations. The survey, which asked participants to rank health issues by their satisfaction with treatment options available and importance to them, was used to map out Maimonides' ongoing response to the New York State (NYS) Prevention Agenda. Those health issues which held a relatively high ratio of perceived importance compared to satisfaction were prioritized, with Maimonides' historical competencies also taken into account in selecting the NYS agenda measures that we would take on. The survey was made available in nine languages including English, Arabic, Chinese, Haitian-Creole, Italian, Polish, Russian, Spanish, and Yiddish. 3 Patient education of eligibility for assistance Financial Counselors work with uninsured patients who are screened for eligibility for public sponsored programs such as Medicaid etc. If they are not eligible, they are automatically informed of and screened for eligibility under the Maimonides Financial Assistance Policy. 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' service area goes well beyond its immediate neighborhood. The areas where the top 75% of each of our hospitals' outpatient visits originated are what we define as our service area. This definition was used to ensure we account for patients seeking all forms of healthcare and that none of the areas our network serves would be excluded from the community assessment. The zip codes that fall within this area are 11219, 11220, 11230, 11214, 11204, 11218, 11235, 11223, 11229, 11234, 11226, 11209, 11224, 11210, 11228, 11236, 11232, 11203, 11212, and 11225. These zip codes correspond roughly to the following New York City Community Districts, for which the New York City Department of Health and Mental Hygiene (DOHMH) produces community health profiles that inform Maimonides' CHNA: Sunset Park (7), Bay Ridge & Dyker Heights (10), Bensonhurst (11), Borough Park (12), Coney Island (13), Flatbush & Midwood (14), Sheepshead Bay (15), Flatlands & Canarsie (18), Brownsville (16), and South Crown Heights & Lefferts Gardens (9). Maimonides serves a richly diverse catchment area comprised of numerous immigrant communities, faiths, and ethnicities. Nearly half (43%) of the population is foreign-born, including many undocumented immigrants. 43% are White, 18% are Asian, 15% are Hispanic/Latino, and 22% are Black. The neighborhoods Maimonides serves have a higher household poverty rate and lower high school completion rate than citywide averages. Approximately 30% of the residents in these communities have limited English proficiency. 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). 5 PROMOTION OF COMMUNITY HEALTH Maimonides Medical Center is governed by a Board of Trustees, of which many members reside in the surrounding communities that form its service area. Board members serve on a voluntary basis without compensation. Maimonides regularly holds free and accessible community outreach and education symposia across a number of communities in Southwest Brooklyn that focus on injury and disease prevention, screening, and treatment for chronic diseases, with a particular focus on cardiovascular diseases, obesity and stroke. These symposia, which often include on-site screenings and referrals, are typically held 2-3 times per month in a variety of settings: community centers, faith-based institutions, and senior centers and are facilitated by Maimonides physicians and nursing staff. In 2020 and 2021, Maimonides pivoted to offer virtual versions of our usual in-person programming, with in-person screening and education events resuming in 2022. Maimonides directly funds or provides a number of services that promote community health. Maimonides provides screenings for breast cancer, colon cancer, and lung cancer, irrespective of patients' ability to pay. In addition to these activities, many of Maimonides' clinical departments including Obstetrics & Gynecology, Pediatrics, Psychiatry, Medicine, Cardiology, and Nursing are involved in activities that provide health or wellness services at no cost to the patient. Maimonides 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. Maimonides also aligns and builds partnerships with community-based primary and specialty care providers across Southern and Central Brooklyn and serves as the tertiary care hub for the patients of many of these physicians. In early 2012, Maimonides established the Southwest Brooklyn Health Home (dba Brooklyn Health Home) which was subsequently reorganized as an independent LLC for which Maimonides holds the management contract. The Brooklyn Health Home contracts with a network of 30+ providers and community-based organizations to provide care management services for Medicaid beneficiaries who have high-cost and complex chronic conditions. In this program, medical and social services are coordinated by specially trained care managers using a dynamic care management platform to ensure that patients' comprehensive care needs are met. Services may include housing, social services, medical and behavioral health, substance use, home care, and family support and education, which are coordinated and integrated to avoid preventable emergency department visits and hospitalizations, control future health care costs, and improve health outcomes for this population. Maimonides acted as the fiduciary for the receipt of DSRIP funds from the State of New York for the Community Care of Brooklyn (CCB) Program, which was the largest Performing Provider System (PPS) in Brooklyn. PPS were established as part of New York State's Delivery System Reform Incentive Payment (DSRIP) program. CCB managed care for 650,000 Medicaid beneficiaries - nearly 10% of the total Medicaid population of New York State. Key accomplishments of CCB include reducing avoidable hospitalizations by more 30% over five years; training over 1,500 staff from 156 organizations; and conducting six youth-led participatory action research projects in a diverse set of Brooklyn neighborhoods. The CCB network, which Maimonides continues to support, is comprised of over 1,000 partner entities, including more than 4,000 medical practitioners, seven hospitals, many federally qualified health centers (FQHCs), and 350 social service and community based organizations. Throughout 2020 and 2021, Maimonides developed new services and interventions in response to the COVID-19 pandemic. Community education was central to this effort, including the 24/7 operation of a COVID-19 information center which responded to calls and emails from the general public, community-based health care providers, other community organizations, and the media. Maimonides also partnered with local community organizations, including Chevra Hatzalah, to publish and distribute COVID safety information throughout southern Brooklyn neighborhoods critically affected by the pandemic. As a major health care provider for Borough Park and surrounding neighborhoods which have consistently had above-average COVID test positivity rates, Maimonides joined the NYC Department of Health and Mental Hygiene's Testing Provider Partnership program. With this program, Maimonides leveraged the expertise of our Population Health department and the CCB network to deliver tailored COVID testing, contact tracing, and vaccination interventions throughout Brooklyn. Those vaccination efforts were aided by our Population Health, Ambulance Services, Nursing, and Community Relations departments using their collective expertise to create easy access points for community members. Starting with an initial mandate to vaccinate eligible healthcare workers, Maimonides' "POD Squad" expanded its operations throughout 2021 to administer vaccines to those eligible according to CDC and New York State DOH guidelines. The team accomplished its ultimate mandate through vaccinations delivered on-campus, through home visits, and through events at public, private, and community partner sites. During 2021 we conducted 166 PODs (points of distribution events) and administered 52,687 doses of the COVID-19 vaccines. In 2021, Maimonides partnered with Brooklyn Communities collaborative to distribute $1 Million in grants to 14 community-based organizations (CBOs) to increase COVID-19 testing and combat vaccine hesitancy. From January to August of 2022, these organizations increased COVID-19 testing and vaccination in Brooklyn neighborhoods with high transmission and low vaccination. Throughout the grant period, over 100,000 Brooklynites were engaged through events, webinars, phone and in-person outreach, social media and more, and more than 2,500 Brooklyn residents were vaccinated as a direct outcome of grantees' efforts. 6 AFFILIATED HEALTH CARE SYSTEM N/A true AMERICAN LUNG ASSOCIATION 21 West 38th Street New York NY 1 New York NY 10018 060646594 501(c)(3) 10000 General Support ARAB AMERICAN ASSOC OF NY 7111 5th Ave Brooklyn NY 11209 BROOKLYN NY 11209 113604756 501(c)(3) 9000 GENERAL SUPPORT BANGLADESHI AMERICAN FRIENDSHIP SOCIETY 1105 Dorchester Roa Bklyn NY 1121 Brooklyn NY 11218 812379613 501(c)(3) 6000 GENERAL SUPPORT BAY RIDGE CENTER 6935 4th Ave Brooklyn NY 11209 Brooklyn NY 11209 800559714 501(c)(3) 10000 GENERAL SUPPORT BEDFORD STUYVESANT RESTORATION CORP 1368 Fulton St Brooklyn NY 11216 Brooklyn NY 11216 116083182 501(c)(3) 8690 GENERAL SUPPORT BEIT EL-MAQDIS ISLAMIC CENTER 6206 6th Ave Brooklyn NY 11220 BROOKLYN NY 11220 113474081 501(c)(3) 9000 GENERAL SUPPORT BROOKLYN PRIDE INC 475 Atlantic Ave Brooklyn NY 1121 BROOKLYN NY 11217 113357221 501(c)(3) 12500 GENERAL SUPPORT CHINESE AMERICAN MEDICAL SOCIETY 383 Kingston Av Brooklyn NY 11213 Brooklyn NY 11213 112420013 501(c)(3) 9000 GENERAL SUPPORT EZER M'ZION 5225 New Utrecht Ave 3 Bklyn NY Brooklyn NY 11219 133660421 501(c)(3) 10000 GENERAL SUPPORT FUTURES IN EDUCATION 243 Prospect Park West Bklyn NY 1 BROOKLYN NY 11215 205496382 501(c)(3) 8800 GENERAL SUPPORT HOLY CROSS GREEK ORTHODOX CHURCH 8401 Ridge Blvd Bklyn NY 11209 BROOKLYN NY 11209 116046464 501(c)(3) 11000 GENERAL SUPPORT GUARDIANS OF THE SICK BIKUR CHOLIM 5216 11 Ave Bklyn NY 11219 BROOKLYN NY 11219 116003433 501(c)(3) 10100 GENERAL SUPPORT NEW YORK COMMUNITY HOSPITAL 2525 Kings Highway Brooklyn NY 11 BROOKLYN NY 11229 111986351 501(c)(3) 9425 GENERAL SUPPORT NACHAS HEALTH & FAMILY NETWORK INC 1310 48 St Brooklyn NY 11219 BROOKLYN NY 11219 113067201 501(c)(3) 10000 NIA COMMUNITY SERVICES 6614 11th Avenue Brooklyn NY 1121 BROOKLYN NY 11219 112697931 501(c)(3) 6000 UNITED HOSPITAL FUND 350 Fifth Ave New York NY 10118 NEW YORK NY 10118 131562656 501(c)(3) 10900 YESHIVA AND MESIVTA TORAH VODAATH 425 East 9th St Brooklyn NY 11218 BROOKLYN NY 11218 113091709 501(c)(3) 10000 CAIPA FOUNDATION INC 202 Canal St Suite 500 New York NEW YORK NY 10013 262791755 501(c)(3) 13000 18 FEDERAL VACCINES DISPENSED UNDER CFDA 93.268 7252 1605136 NYC DOHMH DETERMINED CHILDRENS VACCINES Schedule I, Part I, LINE 2 General support is given to various nonprofit health related, religious and community organizations that are in furtherance of the corporate purposes and in the hospital's best interest. SCHEDULE I, PART III, LINE 1(B) MAIMONIDES CLINICS ADMINISTER THE VACCINES DISPENSED THROUGH THE FREE VACCINES PROGRAM AND TRACK THE NUMBER OF RECIPIENTS WHO ARE PROVIDED WITH THESE VACCINES. X X X X X true true false false false true false false false JACOB SHANI MD CHAIR, CARDIOLOGY 3490058 0 0 0 8666 0 22875 0 23613 0 3545212 0 0 0 PATRICK I BORGEN MD CHAIR, DEPT OF SURGERY 1967580 0 0 0 22049 0 22875 0 35205 0 2047709 0 0 0 DAVID EDELSTEIN MD ORTHOPEDIC SURGERY 1928140 0 0 0 360 0 18942 0 35097 0 1982539 0 0 0 GREG H RIBAKOVE MD CHIEF CARDIOTHORACIC SURGERY 1772067 0 0 0 21991 0 22875 0 23613 0 1840546 0 0 0 ROBERT A FRANKEL MD DIR, INTERVENTIONAL CARDIOLOGY 1762371 0 0 0 22581 0 22875 0 26113 0 1833940 0 0 0 KENNETH D GIBBS PRESIDENT & CEO 1259307 0 0 0 501489 0 22875 0 26362 0 1810033 0 0 0 MICHAEL ANTONIADES EVP, COO THROUGH 10/22 447460 0 150000 0 565851 0 0 0 26423 0 1189734 0 254312 0 DAVID I COHEN MD EVP,POP HEALTH& ACADEM AFFAIRS 724696 0 0 0 219040 0 22875 0 16242 0 982853 0 0 0 LAURIE E WEINSTEIN EVP,CHIEF LEGAL OFFIC,ASST SEC 568721 0 187500 0 172908 0 22875 0 26363 0 978367 0 0 0 ROBERT PRESS MD EVP, MEDICAL AFFAIRS 587329 0 150000 0 179476 0 22875 0 1427 0 941107 0 0 0 HARRY ADLER MD MED STAFF PRES THROUGH 6/22 759771 0 0 0 21291 0 22875 0 25113 0 829050 0 0 0 ROBERT PALERMO EVP/CFO 3/22 & Asst Treasurer 610770 0 0 0 1742 0 6672 0 29351 0 648535 0 0 0 JOHN MALLIA EVP & CFO THROUGH 3/22 308698 0 0 0 374661 0 0 0 8859 0 692218 0 0 0 MONICA GHITAN MD MED STAFF PRES AS OF 7/22 266914 0 0 0 1032 0 21857 0 35205 0 325008 0 0 0 JUDY BACHMAN CTO 8/22 & Interim COO 9/22 259647 0 17500 0 0 0 0 0 145 0 277292 0 0 0 JOYCE LEAHY FORMER EVP,GNL COUNSEL,AST SEC 0 0 0 0 192622 0 0 0 3119 0 195741 0 0 0 Schedule J, Part I, Line 4A THE FOLLOWING PERSONS RECEIVED A SEVERANCE PAYMENT: MICHAEL ANTONIADES - $180,000 JOHN MALLIA - $300,000 JOYCE LEAHY- $152,394 Schedule J, Part I, Line 4B THE FOLLOWING PERSONS PARTICIPATED IN A 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: KENNETH GIBBS, MICHAEL ANTONIADES, JOHN MALLIA, DAVID COHEN, ROBERT PRESS, JOYCE LEAHY AND LAURIE E WEINSTEIN THE MAIMONIDES MEDICAL CENTER SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENTS (THE "SERP PLAN"), AS AMENDED FROM TIME TO TIME, WAS EFFECTIVE AS OF JANUARY 1, 2012. TO PARTICIPATE, AN EMPLOYEE MUST HOLD THE TITLE OF CEO OR EVP, BE A KEY EMPLOYEE WITHIN THE MEANING OF THE INTERNAL REVENUE CODE AND BE DESIGNATED AS A PARTICIPANT BY THE COMPENSATION COMMITTEE OF THE BOARD. THE SERP PLAN PROVIDES FOR AN ANNUAL EMPLOYER ACCRUED CONTRIBUTION OF 20% OF BASE SALARY FOR THAT CALENDAR YEAR INCLUDING INTEREST OF 4.5%. THE PARTICIPANT MUST BE AN ELIGIBLE EMPLOYEE ON THE LAST DAY OF THE CALENDAR YEAR TO ACCRUE THE CONTRIBUTION FOR THAT YEAR. THE SERP PLAN PROVIDES THAT THE MEDICAL CENTER'S COMPENSATION COMMITTEE MAY APPROVE AN ANNUAL SUPPLEMENTAL SERP CONTRIBUTION FOR THE CEO UP TO 10% OF BASE SALARY FOR EACH PLAN YEAR AFTER 2017. THE COMPENSATION COMMITTEE APPROVED A SUPPLEMENTAL 10% CONTRIBUTION FOR THE CEO FOR THE YEARS 2018 THROUGH 2022. IN ACCORDANCE WITH TERMS OF THE SERP PLAN, VESTED BENEFITS WERE PAID OUT IN 2022 TO THE FOLLOWING PARTICIPANTS: Kenneth Gibbs - $398,380 Michael Antoniades - $332,132 Laurie E Weinstein - $125,400 David Cohen - $157,334 Robert Press - $127,156 THE AMOUNT OF SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION IS INCLUDED IN THE COMPENSATION AMOUNT DISCLOSED IN PART II, COLUMN (B)(III). THE COMPENSATION COMMITTEE OF THE BOARD REVIEWED AND APPROVED ALL PAYMENTS IN ADVANCE AND CONDUCTED ITS REVIEW AND APPROVAL PROCESS IN A MANNER INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE. Schedule J, Part I, Line 6A The organization pays, pursuant to individual physician employment contract agreements, a portion of faculty practice earnings, net of expenses. A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64990G3B6 2020-08-06 149892729 SEE PART VI false false false A 0 0 149916651 8690000 175972 0 1278170 2753439 0 47967846 0 89952155 false false false true A false true false false 0.00000 0.00000 0.00000 false false false true A false true false false false false 0 false 0 false true A true PART I - A(F) - DESCRIPTION OF PURPOSE: The proceeds will be used to modernize the emergency department, the neonatal intensive care unit, the post anesthesia care unit, the cardiac catheterization labs and supporting pre and post procedure areas, the cardiothoracic intensive care unit and various infrastructure projects including electrical, plumbing, mechanical and emergency generator support systems and the acquisition of updated information systems and medical equipment. PART II - LINE 3 Total proceeds of issue are the sum of the issue price and current year investment earnings. CONTRIBUTOR No 7 Substantial Contributor 15270827 HEALTHCARE false Contributor No 9 Substantial Contributor 16359515 construction false Contributor No 10 Substantial Contributor 799511 Consulting false Contributor No 12 Substantial Contributor 260686 Healthcare false Contributor No 17 Substantial Contributor 261082 Sponsorships false Contributor No 20 Substantial Contributor 3614343 Medical Supplies false Contributor No 22 Substantial Contributor 1793037 Medical Supplies false Contributor No 24 Substantial Contributor 177450 Consulting false Contributor No 32 Substantial Contributor 258840 Legal false Contributor No 51 Substantial Contributor 6809315 Contractor false Contributor No 64 Substantial Contributor 984176 Contractor false Contributor No 72 Substantial Contributor 3147310 Contractor false Contributor No 77 Substantial Contributor 439010 Legal false Contributor No 82 Substantial Contributor 2228659 Contractor false BATTLE BORO CORP SEE PART V 1507940 REAL ESTATE RENTAL false MINERVA CONSULTING SEE PART V 200000 CONSULTING false SCHEDULE L, PART IV Battle Boro Corp: Trustee George Weinberger controls 35% or more of Battle Boro Corp Minerva Consulting: Family member of Trustee Donald Meltzer controls 35% or more of Minerva Consulting X 1 29222 FMV X 23280 1605136 NYC DOH DETERMINAT. false false false SCHEDULE M, PART I, LINE 20 - DRUGS AND MEDICAL SUPPLIES: The Medical Center participated in the City of New York Department of Health and Mental Hygiene - Vaccines for Children Program through the provision of vaccinations. The U.S. Department of Health and Human Services, the federal agency that sponsors this program has determined that the vaccines administered are considered "property in lieu of money". FORM 990, PART I, LINE 1 - DESCRIPTION OF SIGNIFICANT ACTIVITIES Maimonides Medical Center is an anchor of the healthcare system for residents of Brooklyn. It encompasses the borough's largest hospital, a 711-bed tertiary teaching facility that serves as a destination center for high-quality, compassionate and culturally-competent care; as well as a broad range of outpatient and community services. FORM 990, PART I, line 6 - VOLUNTEERS At Maimonides, we are fortunate to have a large corps of dedicated volunteers who enhance the services provided by our staff. In 2022, 1,233 volunteers served 163,973 hours. All volunteer records are kept in Voltrak, volunteer 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 and Student 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 worked in were labor coach (doula), postpartum support, companions and feeders to patients, hospitality, child life, pastoral care, research, clerical support, and support services. FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION 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. WELCOMING PATIENTS OF ALL FAITHS, THE HOSPITAL IS UNIQUELY COMMITTED TO SERVING THE SPECIAL HEALTH CARE NEEDS OF THE ORTHODOX JEWISH COMMUNITY, WHOSE RELIGIOUS AND CULTURAL TRADITIONS HELP TO GUIDE THE PROVISION OF OUR SERVICES. Form 990, Part III, LINE 4 - PROGRAM SERVICE ACCOMPLISHMENTS 4a - Inpatient Services 4b - Maternity Services 4c - Emergency Services 4d - Other Program Services 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, color, religion, sex, gender identity, national origin, disability, sexual orientation, age or source of payment. During 2022, the Medical Center provided 36,971 inpatient discharges and 514,548 outpatient visits which included 81,482 emergency room visits. We provided care to persons covered by government programs and the uninsured at payment rates below cost. Our surgeons performed 9,951 inpatient and 15,457 outpatient procedures in a full range of surgical specialties. Many of our tertiary programs serve all of Brooklyn, including our cardiology and cardiac surgery services which are widely recognized in the region for excellence. 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 performing 6,328 deliveries in 2022. 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. Other program services include grants that supported over 85 various nonprofit health related and community based organizations. The Medical Center dispensed Federal vaccines received under the Immunization CFDA 93.268 program to 7,252 recipients. The Medical Center supports a program of health promotion and education activities for employees and residents of its surrounding communities, including mammography, lung, cardiac and colon cancer screenings. The Medical Center is a major affiliate teaching hospital and clinical site of SUNY Downstate College of Medicine and a teaching affiliate of New York College of Osteopathic Medicine and NYU School of Medicine. Maimonides has fully accredited residency-training programs with over 470 interns and residents. Form 990, Part VI, Governance, Management & Disclosure SECTION A SECTION A - GOVERNING BODY AND MANAGEMENT 2. ONE OF THE TRUSTEES, MORTIMER KLAUS IS A LIMITED PARTNER IN REAL ESTATE VENTURES FOR WHICH ANOTHER TRUSTEE, PETER REBENWURZEL, IS A MANAGING MEMBER. THIS BUSINESS RELATIONSHIP IS NOT RELATED TO ANY OF THE ACTIVITIES OF MAIMONIDES MEDICAL CENTER ("THE MEDICAL CENTER".) ONE OF THE TRUSTEES, YEHOSHUA FRUCHTHANDLER AND HIS FAMILY HAVE JOINT INVESTMENT INTERESTS IN A REAL ESTATE COMPANY WITH ANOTHER TRUSTEE, AVI SCHRON AND HIS FAMILY. THIS BUSINESS RELATIONSHIP IS NOT RELATED TO ANY OF THE ACTIVITIES OF THE MEDICAL CENTER. 4. THE MEDICAL CENTER MADE NO CHANGES TO ITS GOVERNING DOCUMENTS SINCE THE PRIOR FORM 990 WAS FILED. 6. THE ORGANIZATION HAS A SOLE CORPORATE MEMBER, MAIMONIDES HEALTH RESOURCES, INC. ("MHRI") A NOT-FOR-PROFIT CORPORATION. 7A. MHRI ELECTS THE TRUSTEES OF THE MEDICAL CENTER. THE BOARDS OF TRUSTEES OF THE MEDICAL CENTER AND MHRI ARE IDENTICAL. 7B.THE POWERS OF MHRI ARE DESCRIBED BELOW: MHRI IS A NEW YORK NOT-FOR-PROFIT CORPORATION. IT IS THE SOLE CORPORATE MEMBER OF THE MEDICAL CENTER. MHRI HAS THE FOLLOWING POWERS PURSUANT TO THE MEDICAL CENTER'S BYLAWS: (1) MHRI ELECTS TRUSTEES TO THE GOVERNING BODY OF THE MEDICAL CENTER AT THE ANNUAL MEETING. (VACANCIES BETWEEN ANNUAL MEETINGS ARE FILLED BY THE BOARD OF TRUSTEES OF THE MEDICAL CENTER, NOT MHRI.) (2) MHRI HAS THE POWER TO AMEND, MODIFY OR REPEAL THE BYLAWS OF THE MEDICAL CENTER. THE BOARD OF TRUSTEES OF THE MEDICAL CENTER 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 THE MEDICAL CENTER REQUIRE MHRI'S CONSENT. FORM 990, PART VI, GOVERNANCE, MANAGEMENT & disclosure SECTION B SECTION B - POLICIES 11B. A COPY OF THE FORM 990 IS REVIEWED BY SENIOR EXECUTIVE STAFF AND THE OUTSIDE TAX PREPARER WHO SIGNS OFF ON THE RETURN. THE REVIEWED RETURN AND ATTACHMENTS ARE THEN PRESENTED TO THE PRESIDENT OF THE ORGANIZATION AND THE FINANCE AND AUDIT COMMITTEE OF THE BOARD OF TRUSTEES TO WHOM THE RESPONSIBILITY FOR REVIEWING THE FORM 990 HAS BEEN DELEGATED FOR THEIR COMMENTS AND QUESTIONS PRIOR TO FILING. UPON THEIR FINAL REVIEW A COMPLETE COPY OF THE FORM 990 IS PROVIDED TO THE ENTIRE BOARD PRIOR TO FILING. 12C. IT IS THE RESPONSIBILITY OF ALL TRUSTEES, OFFICERS, EMPLOYEES AND MEMBERS OF THE MEDICAL STAFF TO FAMILIARIZE THEMSELVES WITH THE CONFLICTS OF INTEREST POLICY AND TO COMPLY AND ENSURE COMPLIANCE OF FAMILY MEMBERS WHERE APPLICABLE. THEY ARE REQUIRED TO DISCLOSE IN DETAIL ANY ACTIVITIES OR INTERESTS WHICH MAY BE A CONFLICT OF INTEREST AS DEFINED IN THE MEDICAL CENTER'S POLICIES. THE FOLLOWING ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST CERTIFICATE: (1) TRUSTEES AND OFFICERS OF THE BOARD, (2) NON-TRUSTEE OFFICERS, CHAIRS 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 BY THE BOARD OF TRUSTEES. THE COMPLIANCE AND GOVERNANCE COMMITTEE OF THE BOARD OF TRUSTEES ADVISES THE PRESIDENT AND THE CHAIR OF THE BOARD CONCERNING SPECIFIC CONFLICTS OF INTEREST REFERRED TO IT BY THE CHIEF COMPLIANCE OFFICER AND THE EXECUTIVE VICE PRESIDENT FOR LEGAL AFFAIRS AND CHIEF LEGAL OFFICER. THE COMMITTEE DECIDES PARTICULAR MATTERS REFERRED TO THEM FOR REVIEW, AND ASSISTS IN THE OVERALL ADMINISTRATION AND MONITORING OF THE IMPLEMENTATION OF THE POLICY. THE COMPLIANCE AND GOVERNANCE COMMITTEE ALSO ANNUALLY REVIEWS ALL POTENTIAL CONFLICTS OF INTEREST DISCLOSED BY MEMBERS OF THE BOARD OF TRUSTEES AND EMPLOYEES ON THEIR CONFLICT OF DISCLOSURE FORMS. THE CORPORATE COMPLIANCE DEPARTMENT ASSISTS IN ENSURING COMPLIANCE WITH COMPLETION OF THE DISCLOSURE FORM BY ALL RELEVANT EMPLOYEES. A REPORT ON CONFLICTS OF INTEREST IS MADE TO THE COMPLIANCE AND GOVERNANCE COMMITTEE ON AN ANNUAL BASIS BY THE CHIEF COMPLIANCE OFFICER. A REPORT ON CONFLICTS OF INTEREST IS MADE BY THE CHAIRMAN OF THE COMPLIANCE AND GOVERNANCE COMMITTEE AT LEAST ANNUALLY TO THE BOARD OF TRUSTEES. 15. THE PROCESS FOR DETERMINING COMPENSATION FOR THE CEO WAS DONE IN DECEMBER 2019, MAY 2020, SEPTEMBER 2022, AND AGAIN IN MARCH 2023. THE PROCESS FOR DETERMINING COMPENSATION FOR THE COO POSITION WAS DONE IN JULY 2019, NOVEMBER 2019, SEPTEMBER 2022, AND AGAIN IN OCTOBER 2023. THE PROCESS FOR DETERMINING COMPENSATION FOR THE CHIEF FINANCIAL OFFICER WAS DONE IN 2020, SEPTEMBER 2022, AND AGAIN IN OCTOBER, 2023 . THE PROCESS FOR DETERMINING COMPENSATION FOR THE EVP, AND CHIEF LEGAL OFFICER WAS DONE IN DECEMBER 2020, SEPTEMBER 2022, AND AGAIN IN OCTOBER 2023. THE PROCESS FOR DETERMINING COMPENSATION FOR THE EVP, MEDICAL AFFAIRS WAS DONE IN JULY 2019, AND AGAIN IN SEPTEMBER 2022. THE PROCESS FOR DETERMINING COMPENSATION FOR OTHER KEY EMPLOYEES WAS UNDERTAKEN IN SEPTEMBER 2022, AND UPDATED IN OCTOBER 2023. THE COMPENSATION COMMITTEE'S REVIEW AND APPROVAL PROCESS IS INTENDED TO COMPLY WITH APPLICABLE FEDERAL TAX AND NEW YORK STATE LAWS AND REGULATIONS. IN ADDITION, THE COMPENSATION COMMITTEE'S REVIEW AND APPROVAL PROCESS IS INTENDED TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE INTERMEDIATE SANCTIONS RULES OF FEDERAL TAX LAW. THE COMPENSATION COMMITTEE WILL USE THE FOLLOWING PROCESS (INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL TAX LAW INTERMEDIATE SANCTIONS RULES) TO CONSIDER AND APPROVE COMPENSATION ARRANGEMENTS FOR EXECUTIVES: 1. THE COMPENSATION COMMITTEE, WHICH WILL CONSIST ENTIRELY OF INDEPENDENT TRUSTEES WHO DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO ANY COMPENSATION ARRANGEMENT UNDER CONSIDERATION, WILL APPROVE THE COMPENSATION OF THE EXECUTIVES, WITHOUT ANY EXECUTIVE PRESENT DURING THE DELIBERATION OR VOTE ON HIS OR HER COMPENSATION. 2. THE COMPENSATION COMMITTEE WILL OBTAIN AND RELY UPON APPROPRIATE DATA AS TO COMPARABLE COMPENSATION ARRANGEMENTS, WITH APPROPRIATE DATA CONSISTING OF INFORMATION SUFFICIENT TO DETERMINE WHETHER EACH COMPENSATION ARRANGEMENT IN ITS ENTIRETY IS REASONABLE, AND INCLUDING, BUT NOT LIMITED TO, COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR COMPARABLE POSITIONS, AND CURRENT LOCAL, REGIONAL AND NATIONAL COMPENSATION SURVEYS COMPILED BY INDEPENDENT CONSULTING FIRMS. 3. THE COMPENSATION COMMITTEE WILL ADEQUATELY AND CONTEMPORANEOUSLY DOCUMENT THE BASIS FOR ITS APPROVAL IN MEETING MINUTES. FORM 990, PART VI, GOVERNANCE, MANAGEMENT & DISCLOSURE SECTION C SECTION C - DISLOSURE 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. FORM 990, PART XI, LINE 9 Change in equity in captive insurance program : ($18,644,331) Net Transfers from Affiliate : ($10,177,450) --------------- TOTAL LINE 9 : ($28,821,781) MAIMONIDES RESEARCH & DEVELOPMENT FDN 4802 TENTH AVENUE BROOKLYN NY 11219 112608229 RESEARCH NY 501(c)(3) 12b Type ii MMC true MAIMONIDES HEALTH RESOURCES INC 4802 TENTH AVENUE BROOKLYN NY 11219 113018258 SUPPORT ORG NY 501(c)(3) 12a, type i NA false NEW YORK COMMUNITY HOSPITAL OF BROOKLYN 2525 KINGS HIGHWAY Brooklyn NY 11229 111986351 HOSPITAL NY 501(c)(3) 3 MMC true MMC Holding of Brooklyn Inc 4510 16th Avenue Brooklyn NY 11204 112683298 Admin services NY NA C corp 0 0 true M2 Medical Community Practice PC 4802 Tenth Ave Brooklyn NY 11219 463556230 Medical services NY NA C corp 86109175 8072435 1.00000 true Radiology Imaging Consultants PC 4802 Tenth Ave Brooklyn NY 11219 113528432 Medical services NY NA C corp 0 5494 1.00000 true Dosik Hematology & Oncology PC 4802 Tenth Ave Brooklyn NY 11219 455511550 Medical services NY NA C corp 15706688 437570 1.00000 true Halper Medical Service PC 40 W Brighton Ave Brooklyn NY 11224 112662660 Medical services NY NA C corp 3250938 93108 0.99000 true Ocean Renal Care PC 40 W Brighton Ave Brooklyn NY 11224 611452496 Medical services NY NA C corp 433503 17698 0.99000 true Brooklyn Eye & Ear Medical PC 40 W Brighton Ave Brooklyn NY 11224 200814864 Medical services NY NA C corp 1438750 14393 0.99000 true Ocean Eye Care Medical PC 40 W Brighton Ave Brooklyn NY 11224 113496374 Medical services NY NA C corp 768818 55218 0.99000 true Berkowitz Medical PC 4802 Tenth Ave Brooklyn NY 11219 465660609 Medical services NY NA C corp 193507 895 0.99000 true M2C Affiliated Phyicians PC-FKA Ezrick 4802 Tenth Ave Brooklyn NY 11219 465508251 Medical services NY NA C corp 5505984 72397 1.00000 true Moshe Katzenelenbogan MD PC 4802 Tenth Ave Brooklyn NY 11219 474302815 Medical services NY NA C corp 266812 35179 0.99000 true Ilya Blokh MD PC 3319 Kings Highway Brooklyn NY 11234 270373597 Medical services NY NA C corp 904831 23385 0.99000 true Edward Fitzpatrick MD PLLC 4802 Tenth Ave Brooklyn NY 11219 230631628 Medical services NY NA C corp 669030 7534 0.99000 true Larry Tetsoti MD LLC 1009 Brighton Bch Ave Brooklyn NY 11235 542084042 Medical services NY NA C corp 1143374 8084 0.99000 true Yan Medical PC 2511 Ocean Ave Brooklyn NY 11229 435531085 Medical services NY NA C corp 1472285 7660 0.99000 true August Feola MD 763 East 83rd St Brooklyn NY 11236 133533674 Medical services NY NA C corp 469468 293501 0.99000 true Dr Weiner & Dr Gallo PLLC 2352 Ralph Ave Brooklyn NY 11234 261135083 Medical services NY NA C corp 808783 145695 0.99000 true Jeffrey C Marc Physician PLLC 1711 Sheepshd Bay Rd Brooklyn NY 11235 472587374 Medical services NY NA C corp 592410 1630 0.99000 true Hematology Onc Assoc of Bklyn LLP 1660 E 14th St Brooklyn NY 11229 113509474 Medical services NY NA C corp 22142994 122106 0.96000 true Allied Medical Assoc PC 1687 Ralph Ave Brooklyn NY 11236 352258722 Medical services NY NA C corp 1623894 200564 0.98000 true Just Right Medicine PC 4802 Tenth Ave Brooklyn NY 11219 201952187 Medical services NY NA C corp 392738 145105 0.99000 true Traube Marush & Plawes MD PC 2270 Kimball St Brooklyn NY 11234 113433376 Medical services NY NA C corp 8527762 433692 1.00000 true Starosta Medical PC 2114 Gravesend Neck Rd Brooklyn NY 11229 113470413 Medical services NY NA C corp 1109984 156555 0.99000 true Abbate & Sharaby MD PC 770 Oean Parkway Brooklyn NY 11230 112406940 Medical services NY NA C corp 1274736 84338 0.99000 true Yashar HirshhautMD PC 99 Harbor View West Lawrence NY 11559 133312873 Medical services NY NA C corp 531635 7640 0.99000 true Brooklyn Cardiology 1664 E 14 St Ste 201 Brooklyn NY 11229 300099587 Medical services NY NA C corp 3195501 29102 0.99000 true Dailey & Burack Medical Assoc PC 535 Clinton Ave Brooklyn NY 11238 113593324 Medical services NY NA C corp 3459810 201423 0.99000 true Kings Highway Orthopedics 3131 Kings Highway Brooklyn NY 11234 112723626 Medical services NY NA C corp 4048644 94012 0.99000 true Vadim Nakhamiyayev 2155 Ocean Ave Brooklyn NY 11229 274332871 Medical services NY NA C corp 864644 360 0.99000 true AARON BERGER MD PC 1203-1205 AVENUE J BROOKLYN NY 11230 264291603 Medical services NY NA C CORP 663357 24068 0.99000 true Preventive Cardiology - 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