2020-11-11T14:09:47-06:00 2019-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2019-01-01 131740114 MONTEFIORE MEDICAL CENTER % EVAN RESNICK MONT 9143498455 111 EAST 210TH STREET BRONX NY 104672401 COLLEEN M BLYE EXEC V.P. & C.F.O. 7189207602 2020-10-29 true NICOLE M SOKOLOWSKI P01683199 2127733000 108.206.163.59 26308520203165000015 2020-11-11 P 24558E047A149CE0743DDA4F89040DC2FD5B7974 770194AAF055F9EA87E64CA02E08FE540289067F 2019 2021-01-29 14:40:06Z PHILIP O OZUAH MD PHD 111 EAST 210TH STREET BRONX NY 104672401 4201932959 false X www.montefiore.org X 1884 NY TO HEAL, TO TEACH, TO DISCOVER AND TO ADVANCE THE HEALTH OF THE COMMUNITIES WE SERVE. 42 41 20667 2122 32286442 0 76505104 74466124 3782769775 4008713728 46557020 94717020 20503804 18838163 3926335703 4196735035 3293185 1996735 0 0 2419224142 2555105645 0 0 5051357 1461446976 1600834261 3883964303 4157936641 42371400 38798394 3879369750 4535777435 3167533194 3809913167 711836556 725864268 MISSION: TO HEAL, TO TEACH, TO DISCOVER AND TO ADVANCE THE HEALTH OF THE COMMUNITIES WE SERVE. VISION: TO BE A PREMIER ACADEMIC MEDICAL CENTER THAT TRANSFORMS HEALTH AND ENRICHES LIVES. VALUES: HUMANITY, INNOVATION, TEAMWORK, DIVERSITY AND EQUITY - OUR VALUES DEFINE OUR PHILOSOPHY OF CARE. THEY SHAPE OUR ACTIONS AND MOTIVATE AND INSPIRE US TO PURSUE EXCELLENCE AND ACHIEVE OUR GOALS. SINCE 1884, MONTEFIORE HAS CARED FOR THE CHRONICALLY ILL AND HAS MADE IT A PRIORITY TO IMPROVE THE QUALITY OF LIFE FOR UNDERSERVED POPULATIONS. THIS FOUNDING BELIEF IS THE CORNERSTONE OF OUR MISSION, VISION AND VALUES. MONTEFIORE'S MISSION IS ROOTED IN OUR ENDURING COMMITMENT TO PROVIDE ONE STANDARD OF EXCELLENT CARE TO ALL PATIENTS REGARDLESS OF THEIR BACKGROUNDS OR ABILITY TO PAY. MONTEFIORE, THE UNIVERSITY HOSPITAL FOR ALBERT EINSTEIN COLLEGE OF MEDICINE, COMBINES NATIONALLY-RENOWNED CLINICAL AND RESEARCH EXPERTISE WITH COMPASSIONATE, PATIENT-CENTERED CARE. BUILDING UPON OUR RICH HISTORY OF INNOVATION AN false false 3207003191 59855 3779178082 Patient Care DOING MORE - It's how we created our history of firsts. It's why we developed the world's first transvenous cardiac pacemaker and performed the world's first coronary bypass. Doing more put us at the forefront of treating cancer with highly targeted therapies. It made us one of only a few hospitals in the U.S. performing surgeries on babies before they're born. It built one of the most active and successful transplant centers in the country. Doing more - It's how we are creating the future of healthcare. Established in 1884 as a hospital for patients with chronic illnesses, Montefiore is a full-service integrated healthcare delivery system serving a large and complex urban population, a distinguished academic medical center with renowned faculty, an innovative research center pioneering scientific breakthroughs and medical "firstsan exceptionally dedicated community partner with an unparalleled roster of innovative programs and services that address needs ranging far beyond medical care. Montefiore's mission is to heal, to teach, to discover and to advance the health of the communities it serves. To this mission Montefiore brings a unique synergy of strengths and resources. The Montefiore delivery system offers a full range of healthcare services (preventive, primary, specialty, acute and post acute) to the nearly 2 million residents of the Bronx, New York and nearby Westchester County. Montefiore also serves as a tertiary care referral center for patients across the metropolitan area, the nation and the world, and is known for advanced care in numerous specialties, including cardiology and cardiac surgery, cancer care, children's health, tissue and organ transplantation, women's health, surgery and surgical subspecialties. Montefiore combines its deep commitment to the community with nationally-renowned expertise to reach people at convenient locations. Through the Montefiore School Health Program (the largest and most comprehensive school-based health program in the country), Primary Care at Home programs, mobile medical and dental health vans and health education initiatives, Montefiore provides primary care services in non-traditional settings. Montefiore is increasingly recognized for success in delivering high-quality care to a large urban community, harnessing the power of health information technology and using care management tools to improve quality, safety and outcomes while controlling costs. To help patients, especially those with chronic diseases, achieve a better quality of life and reduced hospitalizations, Montefiore goes beyond the fragmented fee-for-service payment system, assuming total responsibility for the quality and costs of care for some of its sickest patients. Through the Montefiore IPA, Inc. (MIPA), The Care Management Company, LLC (CMO) and Bronx Accountable Healthcare Network IPA, Inc., dba Montefiore Accountable Care Organization IPA (ACO), a global prepayment strategy is used to manage care over the continuum, including hospital care, rehabilitation, outpatient care, professional services, remote patient monitoring and other programs. The CMO and ACO takes a proactive approach to care management by developing strategies that help improve integrated, accountable and affordable care throughout the health system with the objective of reducing expensive hospital based care. Our approach to care management stresses the importance of early identification of patients at risk working with a collaborative, interdisciplinary team to develop and oversee individualized care plans and promote patient self-monitoring and education. Our strategy emphasizes the interaction and communication among patients, healthcare providers, case managers, mental health agencies and other allied health professionals along with programs provided to reinforce health education, promote compliance with treatment and preventative care guildlines, monitor health status, and promote timely intervention when needed. Our Care Management Programs are developed to anticipate an individual's healthcare needs, to provide and coordinate the scope of necessary health services and to involve the patient in establishing goals and individual care plans. At the center of the Medical system are six main campuses with a total of 1,558 licensed beds that provide over 91,000 inpatient admissions annually, including over 4,300 births and multiple ambulatory services: - The 680 bed Henry and Lucy Moses Division; - the 421 bed Jack D. Weiler Hospital of Albert Einstein College of Medicine; - the 136 bed Children's Hospital at Montefiore, recognized as one of "america's Best Children's Hospitals" in U.S. News & World Report's rankings; - the 321 bed Wakefield Division (formerly the North Division renamed to reflect its anchor role in the community); - Montefiore Westchester Square (The former New York Westchester Square Hospital) operating as a Free standing Emergency Department and Ambulatory Surgery Facility; - The Montefiore Hutchinson Campus - The innovative "hospital without beds" providing world-class treatment with the latest technology and the best of multidisciplinary approach to care, enabling patients to be treated effectively and safely without being hospitalized. Montefiore also operates extensive ambulatory care services connected by a robust health information technology system through a network of more than 175 locations - from community-based ambulatory care centers to school-based health centers to mobile clinics: - Montefiore's Emergency Departments, among the busiest in the nation, treats more than 320,000 patients annually; - The hospital based clinics provides over 469,000 visits a year; - The Physician practices provides more than 1.5 million office visits annually; - Montefiore Medical Group, a network with over 350 distinguished physicians at more than 20 community based locations throughout the Bronx and Westchester, provides over 900,000 visits a year; - Montefiore Home Care Program provides over 205,000 visits each year to homebound patients; - The Montefiore School Health Program, the largest in the nation, with 31 school-based health centers serves more than 22,600 children annually; - The Montefiore Substance Abuse and Treatment Program operating 11 site substance abuse treatment programs offers drug treatment and rehabilitation services and comprehensive primary care to a population of 4,500 recovering abusers in communities across the Bronx; - Targeted outreach services to at-risk populations including programs serving the homeless and victims of domestic violence, mothers at risk of premature birth, as well as services to homebound and/or fragile seniors in community-based settings throughout the Bronx. At the intersection of Albert Einstein College of Medicine and Montefiore are Centers of Excellence in Cancer Care, Cardiovascular services, the Children's hospital, transplantation and neurosciences. In these centers, renowned investigators and multidisciplinary clinical teams collaborate to develop and deliver the advanced, innovative care available only at premier academic medical centers and the seamless continuum of services that ensures an ideal patient experience. Montefiore Medical Center is guided by a mission to provide high quality care for all its patients, including those in our service area who lack health insurance coverage and who cannot pay for all or part of the essential care they receive. The Medical Center is committed to maintaining charity care policies that are consistent with its mission and values of advancing the health of the communities that it serves in providing one standard of excellent care to all patients regardless of their background or ability to pay. For more than 100 years, Montefiore has been a leader in innovations, new treatments, new procedures and new approaches to patient care that has produced stellar outcomes and helped to raise the bar for medical centers in the region and nationally. As Montefiore builds on this momentum and these accomplishments, we continue to strive to advance the practice of medicine and set the standards for excellence. 393452251 776441 229535646 Medical Education & Research Medical Education Montefiore is the University Hospital for Albert Einstein College of Medicine, one of the nation's premier institutions for medical education, basic research and clinical investigations. This strong alignment enables Montefiore to advance clinical and translational research results more rapidly to the bedside and to the medical community, and educate the next generation of physicians, healthcare leaders and investigators. In place are extensive training programs for medical students, residents and fellows. Annually, over 1,400 residents and fellows are trained in more than 106 accredited residency and fellowship programs making Montefiore the second largest residency program in the country. Montefiore and Einstein's partnership provides residents and fellows with an exceptional environment for research training and participation in basic, translational and clinical activities. Montefiore provides the doctors of tomorrow a unique opportunity for education and training in one of the most diverse urban areas in the country caring for a global population where the disease burden is high and the need for quality care is great. Montefiore is dedicated to cultivating the ethical and professional development of all of its trainees. Montefiore's physicians are at the forefront of their fields, actively mentoring and cultivating a new generation of physicians and scientists committed to our mission and values of advancing the front line of health and leading the way in twenty-first century medicine and patient care. Montefiore training experience - clinically advanced and grounded in our organizational values of humanity, innovation, teamwork and equity - extends to all disciplines. In 2019, over 1,750 undergraduate and graduate nursing staff trained at Montefiore as did hundreds of social workers, nutritionists and pharmacists. Montefiore training also extends beyond the graduate level. The Center for Continuing Medical Education (CCME) at Montefiore Medical Center and Albert Einstein College of Medicine, founded in 1976, is accredited by the Accreditation Council for Continuing Medical Education (ACCME). The Center has provided hundreds of CME activities and CME credits to thousands of practitioners. Recognizing the vital importance of developing and embracing innovative techniques and treatments, Montefiore is committed to the utilization of resources for the advancement of physicians' education and delivery of care. Research Montefiore's large biomedical and clinical research initiatives include inquiry into a range of medical and health care delivery issues, including basic research into the fundamental process of disease and its treatment in humans, clinical trials and related clinical research and research into the organization and management of health care services. Montefiore is among 38 academic medical centers nationwide, at that time, to be awarded the Prestigious clinical and translational science award (CTSA) by the National Institutes of Health (NIH). The National Institutes of Health, along with other Federal, State and other funding, supports research in such areas as Aids, Oncology, Pediatrics, Anesthesiology, Emergency Medicine, Neurology, Pathology, Social Medicine and other clinical programs. Montefiore and Einstein are aligned around shared goals, with special emphasis on advancing clinical and translational research to accelerate the pace at which new discoveries become the treatments and therapies of today. Since 1963, Montefiore has served as the University Hospital of Albert Einstein College of Medicine (Einstein), a powerful collaboration between two of the nation's preeminent medical institutions that fosters the creation of knowledge by attracting world-renowned leaders in their fields and promoting opportunities for basic translational and clinical research. This bond was strengthen further by the September 9, 2015 agreement with Yeshiva University where Montefiore assumed operational and financial control of the Albert Einstein College of Medicine and, more recently, when Montefiore Medicine Academic Health System, Inc., the parent organization of the Montefiore Health System, Inc., became the sole member of the College. Montefiore and Einstein together have successfully collaborated to secure a National Institute of Health funded $22.5 million clinical and translational Science award to create a research infrastructure to support and promote clinical and translational research. Montefiore researchers are currently involved in more than 400 clinical trials and research studies, helping to translate scientific breakthroughs into cutting edge diagnostics and innovative treatments. 126371677 1160439 0 Community Services Services to the community are an explicit and essential component of Montefiore's mission and one of its most valued traditions. The Medical Center has a long history of reaching beyond the walls of its hospitals to identify and meet the needs of its community and has been a national leader in organizing and expanding community-based services. Montefiore's commitment to the community has required a multifaceted, continually evolving response, in which the unique capacities of the academic medical center are mobilized to improve the lives of the people and the communities served-not just medically, but socially, economically and environmentally, wherever and whenever resources can make a difference. The Medical Center has maintained and expanded its range of community services, reaching out to and serving un-met health needs, including those with poor access to comprehensive primary care, at-risk and hard to reach children and their families, underserved and at-risk senior citizens, those affected by cancer, those affected by the continuing HIV epidemic in the Bronx, persons with or at-risk for tuberculosis infection, persons affected with problems of substance abuse, the homeless, adults and children with limited access to primary dental care and those affected by chronic health care diseases such as congestive heart failure, diabetes and asthma. Embracing its social responsibility to the community, Montefiore is nationally known as a pioneer in programs that are tailored to the specific needs of the community. Montefiore has been in the vanguard of intervention to combat such conditions as HIV disease, tuberculosis and lead poisoning prevention. Montefiore has sharpened the focus on such issues as childhood obesity, diabetes, improving community access to fresh, healthy foods at green markets and reducing healthcare disparities. Montefiore is aligning components of the delivery system to help improve public outcomes and building behavioral and population-based research to identify best practices. The community served by Montefiore, by several measures, faces many challenges. It is ranked the poorest urban county in the country, leads the nation in rates of diabetes and obesity and other chronic conditions and leads New York City in a host of significant markers: people in "fair or poor health", low birth weight, teen pregnancy, children in poverty, disabled individuals and families living below the poverty line. Montefiore is continuously working to help the community maintain a sense of security and economic stability, as well as to improve such quality-of-life fundamentals as education and affordable housing. Montefiore seeks to advance life in the Bronx beyond the traditional bounds of healthcare, by leading development efforts, promoting safe and productive neighborhoods and taking a leadership role in community business development. Montefiore is an advocate and partner with our neighbors in the Bronx, helping to sustain the community that sustains us. 3726827119 true true false true false false false true true true true true false true true false false true false false true true false false true true true true true false true true false false false false false false false false true false true true false false true true true true true false true 1266 0 true 20667 true true true false false false false true true false false false false true false X 42 41 false false true false true true true true true false true true true true true true true true false false true true NY X EVAN RESNICK 9143498455 555 SOUTH BROADWAY BLDG A FL 1 Tarrytown NY 105916301 STEVEN SAFYER MD CEO (Resigned 11/14/19) 42.5 17.5 X 0 8635569 8197338 PHILIP O OZUAH MD president & CEO (eff 11/15/19) 40.8 19.2 X X 0 7058335 43570 ROBERT MICHLER MD CHAIR-Surg/Cardiothoracic Surg 60.0 0.0 X 3869857 0 46514 Lynn Richmond EVP-CSO (Resigned 11/14/19) 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100525821 711836556 725864268 3879369750 4535777435 X 38798394 45619385 -70390067 X false true X true true true X 81313923 76668354 70646717 75979040 74395294 379003328 0 0 81313923 76668354 70646717 75979040 74395294 379003328 0 379003328 22605763 17759729 20961442 37030018 50355089 148712041 0 15177914 16090246 19979281 21313472 19238951 91799864 619515233 18156389768 0.61177 0.64722 X Form 990, Schedule A, Part II The Schedule A, Part II support schedule has been completed and demonstrates that Montefiore Medical Center meets the 170(b)(1)(A)(vi) public support test as required to use the Schedule B, Special Rule. Montefiore Medical Center is not classified as a 170(b)(1)(A)(vi) entity, as it meets its public charity status requirement as a Hospital under section 170(b)(1)(A)(iii). RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 519452 false true 739625 1259077 false Schedule C, Part II-B, Line 1G THE MEDICAL CENTER'S LOBBYING EXPENDITURES INCLUDED THE FOLLOWING: AMOUNTS PAID TO Welsh Rose, LLC FOR FEDERAL LOBBYING, The MirRam Group, LLC and Tonio Burgos & Associates for NYS and NYC lobbying RELATED to REGULATIONS AND LEGISLATION IMPACTING THE MEDICAL CENTER'S PROGRAMS. Schedule C, Part II-B, Line 1i Other Lobbying activities were for indirect cost associated with a PERCENTAGE OF MEMBERSHIP DUES used by THE FOLLOWING ORGANIZATIONS for LOBBYING EFFORTS: - GREATER NEW YORK HOSPITAL ASSOCIATION - AMERICAN HOSPITAL ASSOCIATION - ASSOCIATION OF AMERICAN MEDICAL COLLEGES - HEALTH CARE ASSOCIATION OF NYS - 1199/SEIU - GNYHA HEALTH EDUCATION PROJECT - 340B Health - FOCUSED ON 340B ISSUES. 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The fine art Program directs seven rotating gallery exhibition spaces, including but not limited to: - ARTView Gallery at the Moses, Wakefield and Weiler campuses; - The Gallery of Artful Medicine at the Hutch, Tower one campus; - The Queen City Art Gallery at Montefiore New Rochelle Hospital and - the Yes Gallery at the Moses Campus. A new gallery was launched in the lobby of the Hutch, Tower Two Lobby in May 2019 with a special exhibition featuring Tiffany lamps by acclaimed artist, Louis Comfort Tiffany. Schedule D, Part IV, line 2b Montefiore Medical Center holds security deposits from tenants in escrow pursuant to the individual lease agreements between the tenants and the organization. These deposits are returned to the tenants once they vacate their rental unit less any amounts, if any, due from the tenants for damages or unpaid rent. Schedule D, Part V, Line 4 The organization's endowments were established pursuant to donor gifts received over time so the earnings can provide support to the Medical center's activities, specifically its clinical programs and related research as designated by the individual donors. true Sub-Saharan Africa Grantmaking 59855 Central America and the Caribbean Investments 60270523 60330378 60330378 Sub-Saharan Africa EDUCATIONAL SUPPORT 59855 wire 1 0 true false true false true false Part I, Line 2 The organization's procedures for monitoring the use of grant funds outside the United STates includes regular financial reporting and analysis and review by medical center employees associated with the grant programs to confirm funds are being used in accordance with the awards. Gala 1837605 1392765 444840 127000 282085 285631 Golf Outing 884450 497725 386725 273875 104648 5 551850 355658 196192 201937 12091 1899 57311 3273905 2246148 1027757 602812 294176 1899 447590 1346477 -318720 19475 false 19475 19475 NY false The organization licensing for gaming activities is pending with the State of New York on an appeal. false false false 0.00000 1.00000 Nadine Vatau 111 East 210th Street bronx NY 10467 false Pamela Geiger 663 Administration of the golf event raffle X false true true X true X true X 500. true true true false true true 51984469 10619585 41364884 0.01000 1395551607 1109738267 285813340 0.06940 1447536076 1120357852 327178224 0.07940 65132244 33684707 31447537 0.00760 343529059 216652944 126876115 0.03080 131432761 80409914 51022847 0.01240 49070245 21947064 27123181 0.00660 60000000 0 60000000 0.01460 649164309 352694629 296469680 0.07200 2096700385 1473052481 623647904 0.15140 511472 0 511472 0.00010 8413 0 8413 0.00000 719548 0 719548 0.00020 1239433 0 1239433 0.00030 false 7491969 4156584 406200296 329409443 76790853 X true true 1 1 MONTEFIORE MEDICAL CENTER 111 EAST 210TH STREET BRONX NY 10467 www.Montefiore.org 7000006H X X X X X X MONTEFIORE MEDICAL CENTER 1 false false true X X X X X X X X X 19 true false false true X See Part V - Section C X true 19 true See Part V - Section C false true X 100 500. X X true true X X X X true X See Part V - Section C X See Part V - Section C X See Part V - Section C X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 In conducting its most recent CHNA, the hospital facility took into account input from persons who represented the broad interests of the community served by the hospital facility including those with special knowledge of or expertise in public health. Montefiore Medical Center, in partnership with multiple Bronx hospital and healthcare providers, community stakeholders including the New York City Department of Health and Mental Hygienes Bronx Bureau, community organizations and community residents conducted its 2019 Community Health Needs Assessment to identify the significant health concerns of the Bronx County. Montefiore Medical Center facilitated strong relationships with community groups. The Montefiore Community Advisory Boards, which serve the Montefiore Medical Center Acute Care campuses in the Bronx consist of membership serving the twelve Bronx Community Boards and represent key constituencies in those communities including local police precinct councils, large faith based organizations and major social service providers. The staff of Montefiores Office of Community and Population Health and Montefiores Office of Government and Community Relations also engages with the Bronx Borough Presidents duly appointed representatives of the official twelve Bronx Community Boards. In addition to receiving input from these regional boards and their community membership, the staff also solicits information from elected leaders through health focused legislative breakfasts which allow the sharing of secondary data with the local elected officials to receive confirmation or alternate opinion on the impacts felt by their constituencies. In addition, Montefiore also participates with a number of coalitions, most notably the #Not 62 Coalition-The Campaign for a Health Bronx in obtaining information representing broad interest of the community. The preparation of the 2019-2021 Community Health Needs Assessment was an inter-organizational and community collaborative process, initiated with the goal of developing an assessment that was reflective of the needs of the community including the clinical and social determinants of health. Given the complexity and diversity of the populations of the Bronx, a collection of secondary and primary data was used to identify the significant Health concerns of the Bronx community. The collection of primary data was made from a representative sample of Bronx residents. To capture the voices of various sectors of Bronx community residents and workers from various perspectives, a multi-lingual electronic survey directed through partnering Bronx organizations was used in the spring and early summer of 2019. The NYCDOHMHs provision of comprehensive borough specific data assisted the process of interpreting areas of need across the borough. In addition to data provided from New York City sources, multiple additional secondary data sources were used to support the identification and selection of the priority items that were selected and reviewed with the partners and enhanced through the input from the New York City Department of Health and Mental Hygienes Bureau of Bronx Neighborhood Health. Through the process of completing and reviewing data obtained through the primary and secondary sources, engaging with community stakeholders and key partners and a review of resources available within the Medical Center and through its partnerships, an implementation Strategy was developed to address the significant needs identified. With the previous community health assessments, Montefiore did not receive any written feedback; however, Montefiore was invited to explain its Community Benefit spending to a group of key community stakeholders led by the North West Bronx Community and Clergy Coalition (NWBCC). The NWBCC directly questioned the allocation of resources and recommended that resources be directed towards addressing the social determinants of health, specifically violence prevention efforts in the communities along the Jerome Avenue Corridor. This meeting led to an evaluation of available data on local violence, including shootings, and has resulted in a financial resources being identified from DSRIP and other budgeted sources to support a St. Barnabas Hospital Health System led violence prevention effort which is a part of St. Barnabas Hospital's Prevention Agenda efforts and in which Montefiore is a partner. Schedule H, Part V, Section B, Line 6a Montefiore Medical Center consists of the Montefiore Health System facilities within the Bronx County. The Community Health Needs Assessment conducted included the three hospital campuses (Moses, Weiler/Einstein and Wakefield), the Childrens Hospital at Montefiore (CHAM), the off campus hospital based Emergency Department at Montefiore Westchester Square, the Montefiore Hutchinson Campus and the sites of the Montefiore Medical Group and the Montefiore School Health Program. Schedule H, Part V, Section B, Line 7a The CHNA is available on the hospital facility's website: URL: https://www.montefiore.org/documents/communityservices/MMC-Community-Healt h-Needs-Report-2019-2021.pdf Schedule H, Part V, Section B, Line 10a The hospital facility's most recent adopted implementation strategy is posted on the website: URL:https://www.montefiore.org/documents/communityservices/MMC-Community-H ealth-Needs-Report-2019-2021.pdf Schedule H, Part V, Section B, Line 11 Based on the reported and documented health needs that were important across the populations surveyed and reflected in the data as critical and in alignment with the New York State Prevention Agenda, two priority areas were identified for the 2019-2021 report. One of the Priority Areas selected in 2016 have been re-selected in 2019, though the focus areas have expanded to include food security. This cycles Priority Areas also includes work on mental and substance use disorders that is in alignment with the DSRIP work at Montefiore. DSRIP has a very strong focus on both the prevention and management of chronic diseases and behavioral health issues including substance abuse. Given that these priorities represent significant risk factors for the residents of the Bronx, we believe that it is important to continue our chronic disease prevention work in our clinics and extending our reach into the community. The first of the two priority areas identified is to prevent chronic disease with the focus on healthy eating and food security and preventive care and management. The goals for the first focus area are to increase access to healthy and affordable foods and beverages, increase the skills and knowledge to support healthy food and beverage choices and increase food security. The Montefiore Healthy Store Initiative (MHSI) is engaging bodega owners in increasing the supply and promotion of healthier food and beverage options, engaging local groups around advocacy for improved food access and nutrition education and technical assistance to drive demand for healthier food and beverage options. The Medical Center will also implement social determinants of health screener in outpatient and inpatient settings to screen for social needs, including food insecurity, and use community resource directory/referral tool to connect patients to appropriate resources. The goals of the second focus area are to increase early detection of cardiovascular disease, diabetes, pre-diabetes and obesity and to promote evidence-based care to prevent and manage chronic diseases including asthma, arthritis, cardiovascular disease, diabetes and pre diabetes and obesity. The Medical Center serves an ethnically diverse and income challenged community where the risk for diabetes is greater than in any other NYC boroughs and targets a higher percentage of hispanic and non-hispanic blacks. The Medical Center is engaging its clinical partners in the HbA1c screening protocol, aligning clinical and community-based resources to address the level of patient health status, increasing screening and intervention across the ambulatory settings and expanding the opportunities for clinical evaluation of diabetes Bronx residents. Providers will screen patients for diabetes and refer patients who identify as pre-diabetes into the Montefiore Diabetes Prevention program to help those at high risk of developing diabetes make lifestyle changes in order to delay the disease onset. The second of the two Priority Areas selected is to Promote Well-Being and Prevent Mental and Substance Use Disorders with the goal of preventing opioid overdose deaths. The Medical Center intervention will include training medical providers and staff on opioid overdose prevention education and naloxone distribution for at-risk patients at Montefiore Medical Group primary care clinics, providing free opioid overdose prevention education and naloxone take-home kits for community based organizations, and integrating opioid prevention education and naloxone distribution in Montefiores mental health and substance use treatment programs. Montefiore is also partnering with community based organizations, emergency rooms and hospitals to accept patient referrals and to provide training and support to providers and community groups. Obesity and its related behaviors are important contributors to the substantial rise in premature deaths and illness among the residents in the Bronx. These issues also contribute directly to such varied health problems as diabetes, hypertension, asthma and cardiovascular disease. Montefiore has a number of existing efforts under way to help tackle these health issues, starting with education. The Medical Center has longstanding and effective partnerships and partner support for plans to expand on what has already been successfully done to date. The Medical Center is also improving Bronx residents access to healthy food by sponsoring and supporting a weekly farmers market and green carts throughout the borough and partnering with the City on its healthy Bodega initiative. In addition, we are participating in the Academy of nutrition and Dietetics annual nutrition education and information campaign designed to focus attention on the importance of making informed food choices and developing sound eating and physical activity habits. Montefiores well-being promotion and mental health and substance use prevention strategy includes several prongs. The first is Montefiores opioid overdose prevention education that targets medical providers, at-risk patients, community members and community-based organizations to increase access to information and resources. These activities will be implemented with the goal of reducing overdose deaths in the Bronx. The second prong of our strategy is provider education and support for providers through opioid management trainings, electronic consults, assessments for patients prescribed long-term opioids, and integration of opioid use disorder treatment programs into primary care clinics. Montefiore will partner with community-based organizations, emergency rooms, and hospitals for referrals. In addition to the multiple resources that have been developed at Montefiore independently and through partnership with other organizations, there continues to be a need for community-based programs and resources that can augment Montefiores programs and services. Multiple free and low cost internet databases have entered the public sphere such as www.auntbertha.com, www.hitesite.org, www.nowpow.com, among others, that have reduced the need for quickly obsolete and expensive-to-produce information and community resources referral guides. Since the previous version of this report in 2016, Montefiore has begun using the internet database platform www.nowpow.com, to connect patients to needed resources, which has been a challenge for the health care sector in the past. This online tool is a much more comprehensive and practical alternative to the hard to keep up-to-date and difficult to search homegrown referral guides that many health care providers have had to use in the past. Many Montefiore sites have been introduced to this new online resource and work is underway to more seamlessly integrate this kind of solution into the various workflows across the ambulatory, ED and inpatient settings. The use of an internet database will allow Montefiore to connect patients to important community resources provided outside of the health system by many of our community partners to address community needs such as housing (quality and affordability), transportation, employment, and education. Montefiore recognizes the importance of addressing the social determinants of health in our mission of advancing the health of the communities that we serve. Schedule H, Part V, Section B, Line 13H Family size is factored into the eligibility criteria for financial assistance. Schedule H, Part V, Section B, Line 15e The Medical Center's FAP provides addresses, locations and phone numbers for offices within Montefiore to assist with completing applications. The financial aid and Medicaid staff at these locations are also certified application counselors that assist with Market place and Medicaid applications. Schedule H, Part V, Section B, Lines 16a-16c The FAP information can be found on the website: https://www.Montefiore.org/financial-aid-policy 182 Greene Medical Arts Pavillion 3400 Bainbridge Avenue Bronx NY 10467 Hospital Outpatient Dept Hutchinson Campus 1250 Waters Place Bronx NY 10461 Specialty Care Extension MMG - MAP GREENE MEDICAL ARTS PAVILION 3400 Bainbridge Avenue Bronx NY 10467 Primary Care Practice Certified Home Health Agency 1 Fordham Plaza Bronx NY 10458 Certified Home Health Care Agency MMC-MONTEFIORE EINS CTR FR CANCER CARE 1695 Eastchester Road Bronx NY 10461 Specialty Care Ext Clinic MMG-Comprehensive Family Care Ctr 1621 Eastchester Rd Bronx NY 10461 Primary Care Extension Clinic MMG-Comprehensive Health Care Ctr 305 East 161st Street Bronx NY 10451 Primary Care Extension Clinic Montefiore Muscoloskeletal Center 1250 Waters Place Bronx NY 10461 SPECIALTY CARE PRACTICE MONTEFIORE ADVANCED IMAGING MAP 3400 BAINBRIDGE AVENUE Bronx NY 10467 Imaging Center MMG-BRONX EAST 2300 WESTCHESTER AVENUE Bronx NY 10462 Primary Care PRACTICE MMG-FAMILY HEALTH CENTER One Fordham Plaza Bronx NY 10458 Primary Care EXTENSION CLINIC MMG-GRAND CONCOURSE 2532 GRAND CONCOURSE Bronx NY 10458 PRIMARY CARE PRACTICE MMC-CENTER FOR RADIATION THERAPY 1625 Poplar Street Bronx NY 10461 Specialty Care Ext Clinic MONTEFIORE ADVANCED IMAGING MMP 1635 POPLAR STREET Bronx NY 10461 SPECIALTY CARE EXT CLINIC MMG-UNIVERSITY AVENUE FAMILY PRACTICE 105 WEST 188TH STREET Bronx NY 10468 Primary Care Extension Clinic MMG-fAMILY CARE CENTER 3444 KOSSUTH AVE BRONX NY 10467 PRIMARY CARE EXTENSION CLINIC MMG-CROSS COUNTY 1010 CENTRAL PARK AVE yONKERS NY 10704 PRIMARY CARE PRACTICE CARDIOLOGY Associates 3201 GRAND CONCOURSE bRONX NY 10468 Specialty Care Practice Scarsdale Women's Center 1075 Central Park Avenue Scarsdale NY 10583 sPECIALTY CARE PRACTICE MMP-OUTPATIENT REHABILITATION SERVICES 1500 Blondell Avenue Bronx NY 10461 Specialty Care eXT CLINIC MONTEFIORE DPT OF CARDIOTHORACIC SURGERY 1575 BLONDELL AVENUE BRONX NY 10461 Specialty Care Practice SUBSTANCE ABUSE TREATMENT PROG UNIT 3 2058 JEROME AVENUE Bronx NY 10453 SUBSTANCE Use Disorders clinic MMG-WEST FARMS FAMILY PRACTICE 1055 EAST TREMONT AVENUE Bronx NY 10460 Primary Care Extension Clinic MMG-WILLIAMBRIDGE 3011 BOSTON ROAD Bronx NY 10469 Primary Care Extension Clinic MMG-Co-op City 2100 bARTOW aVENUE Bronx NY 10475 PRIMARY CARE EXTENSION CLINIC MMG-CO-OP CITY (Closed 2119) 115 DREISER LOOP Bronx NY 10475 Primary Care PRACTICE SO BRONX HEALTH CTR FOR CHILD & FAMILIES 871 PROSPECT AVENUE Bronx NY 10459 PRIMARY CARE EXTENSION CLINIC MONTEFIORE WAKEFIELD MENTAL HLTH CLINIC 4401 BRONX BOULEVARD BRONX NY 10470 MENTAL HEALTH EXT CLINIC Hartsdale Family and Fetal Medicine Inst 141 s CENTRAL AVE HARTSDALE NY 10530 SPECIALTY CARE PRACTICE MMG-ASTOR AVE PEDIATRICS 1500 ASTOR AVENUE BRONX NY 10469 PRIMARY CARE PRACTICE MMG Marble Hill Family Practice 5525 Broadway Bronx NY 10463 Primary Care Extension Clinic Tarrytown CARDIOLOGY ASSOCIATES 150 WHITE PLAINS ROAD Tarrytown NY 10591 Specialty Care Practice MMG-Eastchester 440 White Plains Road Eastchester NY 10709 Primary Care Practice MMG-Castle Hill Family Practice 2175 Westchester Avenue Bronx NY 10462 Primary Care Extension Clinic SUBSTANCE ABUSE TREATMENT CENTER UNIT 1 3550 Jerome Avenue Bronx NY 10467 Substance use disorders clinic Montefiore Med Park ORTHODONTIC CENTER 1625 Poplar Street Bronx NY 10461 Specialty Care Ext Clinic MMG-Riverdale 3510 Johnson Avenue Bronx NY 10463 Primary Care Practice MONTEFIORE EAST TREMONT FAMILY PRACTICE 3101 E Tremont Avenue Bronx NY 10461 Primary Care Practice JE& ZB BUTLER Child Advocacy Center 3314 Steuben Avenue Bronx NY 10467 Specialty Care Ext Clinic Bronx Health Collective 853 Longwood Avenue Bronx NY 10459 Homeless Shelter Ext Clinic MSHP - STEVENSON HIGH SCHOOL 1980 Lafayette Avenue Bronx NY 10461 School Health Clinic MSHP-De Witt Clinton High School 100 W Mosholu Parkway So Bronx NY 10468 School Health Clinic MSHP-Herbert H Lehman Campus 3000 East Tremont Avenue Bronx NY 10461 School Health Clinic MONTEFIORE Medical Specialists 495 Central Park Avenue Yonkers NY 10704 Specialty Care Practice MSHP-PS 8 3010 Briggs Avenue Bronx NY 10458 School Health Clinic Inst fr Women's Hlth Genetics & Hum Rep 1695 Eastchester Road Bronx NY 10461 Specialty Care Practice MSHP-Evander Childs Campus 800 East Gun Hill Road Bronx NY 10467 School Health Clinic MSHP-John Philip Sousa MS 142 3750 Baychester Avenue Bronx NY 10466 School Health Clinic MONTEFIORE DIVISION OF GASTROENTEROLOGY 1500 Waters Place Bronx NY 10461 Specialty Care Practice MSHP-PS 105 725 Brady Avenue Bronx NY 10462 School Health Clinic MSHP-Walton Campus 2780 Reservoir Avenue Bronx NY 10468 School Health Clinic MSHP-THEODORE ROOSEVELT CAMPUS 500 EAST FORDHAM ROAD BRONX NY 10458 SCHOOL HEALTH CLINIC MSHP-PS 28 1861 ANTHONY AVENUE Bronx NY 10457 School Health Clinic MSHP-MS 45 2502 LORRILARD AVENUE Bronx NY 10458 School Health Clinic MSHP-PS 55 450 ST PAULS PLACE Bronx NY 10456 School Health Clinic MSHP-PS 85 2400 MARION AVENUE Bronx NY 10458 School Health Clinic SAFE HOUSE FOR LEAD POISONING PREV PROG 91 EAST MOSHOLU PARKWAY Bronx NY 10467 SPECIALTY CARE EXT CLINIC MSHP-SOUTH BRONX CAMPUS 701 ST ANNS AVENUE 3RD FLOOR Bronx NY 10455 SCHOOL HEALTH CLINIC MSHP-IS 217 ENTRADA 977 FOX STREET BRONX NY 10459 SCHOOL HEALTH CLINIC MONTEFIORE WAKEFIELD CHEM DEP OP PROG 4401 BRONX BOULEVARD Bronx NY 10470 Substance Use Disorders Clinic MSHP-PSMS 95 3961 HILLMAN AVENUE Bronx NY 10463 School Health ClinIc MSHP-BRONX REGIONAL HIGH SCHOOL 1010 REV JA POLITE AVENUE Bronx NY 10459 sCHOOL hEALTH cLINIC CENTER FOR CHILD HEALTH AND RESILIENCY 890 PROSPECT AVENUE Bronx NY 10459 PRIMARY CARE EXTENSION CLINIC MONTEFIORE DENTAL CENTER 951 PROSPECT AVENUE Bronx NY 10459 Dental Center MSHP-MOTT HAVEN HS campus 730 CONCOURSE VILLAGE east Bronx NY 10451 SCHOOL HEALTH CLINIC MONTEFIORE STD INITIATIVE 3230 Bainbridge Avenue Bronx NY 10467 Specialty Care Ext Clinic MSHP-William Howard Taft Campus 240 East 172nd Street Bronx NY 10457 School Health Clinic MONTEFIORE Gottscho Child Dialysis CTR Frost Valley YMCA Camp Claryville NY 12725 Chronic Dialysis Ext Clinic Saratoga Interfaith Family Shelter 175-15 Rockaway Boulevard Queens NY 11434 Homeless Shelter Ext Clinic Help Bronx Crotona 785 Crotona Park North Bronx NY 10460 Homeless Shelter Pt Clinic American Red Cross Family ShelterICAHN 4 East 28th Street New York NY 10016 Homeless Shelter Ext Clinic Montefiore Breast Center 1500 Blondell Avenue Bronx NY 10461 Imaging Center Saint John's Family Shelter 1630 Saint Johns Place Brooklyn NY 11233 Homeless Shelter Ext Clinic Wellness Center at Port Morris 804 East 138th Street Bronx NY 10454 Substance Use Disorders Clinic Streetwork's Project Drop-In Center 209 W 125th Street New York NY 10016 Homeless Shelter Ext Clinic Wellness Center at Waters Place 1510 Waters Place Bronx NY 10461 Substance use Disorders Clinic Wakefield-Dept of Ophthalmology 4141 Carpenter Avenue Bronx NY 10466 Specialty Care Wellness Center at Melrose 260 East 161st street Bronx NY 10451 Substance Use Disorders Clinic Wakefield-Dept of Orthropedic Surgery 4141 Carpenter Avenue Bronx NY 10466 Specialty Care MONTEFIORE WELLNESS CENTER 1180 MORRIS PARK AVENUE BRONX NY 10461 SPECIALTY CARE PRACTICE RIVERDALE MEDICAL ASSOCIATES 2711 HENRY HUDSON PARKWAY BRONX NY 10463 SPECIALTY CARE Practice NEUROSCIENCE CENTER 3316 ROEHAMBEAU aVENUE BRONX NY 10467 IMAGING CENTER MONTEFIORE GENERAL CLINICAL RESEARCH CTR 1300 MORRIS PARK AVENUE BRONX NY 10461 CLINIC RESEARCH EXT CLINIC GENERAL CLINICAL RESEARCH CENTER 111 e 210TH STREET-MRT BRONX NY 10467 CLINICAL RESEARCH EXT CLINIC MONTEFIORE-EINSTEIN CTR FOR CANCER CARE 1521 JARRETT PLACE BRONX NY 10461 CANCER SERVICES MONTEFIORE CARDIOLOGY 1628 Eastchester 1628 EASTCHESTER ROAD BRONX NY 10461 SPECIALTY PRACTICE MONTEFIORE JARRETT PEDIATRIC DENTAL CTR 1516 JARRETT AVENUE BRONX NY 10456 DENTAL CENTER MONTEFIORE DEPARTMENT OF DENTISTRY 3332 rOCHAMBEAU AVENUE BRONX NY 10467 dENTAL cENTER MONTEFIORE ADVANCED IMAGING GUNHILL 200 EAST GUNHILL ROAD BRONX NY 10467 IMAGING CENTER MONTEFIORE WAKEFIELD CHILD PSYCH CTR 4401 BRONX BOULEVARD BRONX NY 10470 MENTAL HEALTH CLINIC ADOLESCENT AIDS PROGRAM 3415 WAYNE AVENUE BRONX NY 10467 PEDIATRIC SPECIALTY CENTER MONTEFIORE DEPARTMENT OF NEUROLOGY 140 LOCKWOOD AVENUE NEW ROCHELLE NY 10801 SPECIALTY CENTER EINSMONTEFIORE AUTISM EVAL & TREAT CTR 6 EXECUTIVE PLAZA YONKERS NY 10701 SPECIALTY CENTER CENTENNIAL WOMEN'S CENTER 3332 ROCHAMBEAU AVE BRONX NY 10467 WOMEN'S HEALTH CENTER DEPT OF OB & GYNWOMEN'S HEALTH 4170 BRONX BOULEVARD BRONX NY 10466 WOMEN'S HEALTH CENTER MONTEFIORE CHILDADOL MENTAL HLTH CLINIC 3340 BAINBRIDGE AVENUE BRONX NY 10467 MENTAL HELATH CLINIC Montefiore Riverdale Cardiology Practice 2711 HENRY HUDSON PARKWAY BRONX NY 10463 SPECIALTY CARE PRACTICE REHABILITATION MEDICINE PRIVATE PRACTICE 3329 BAINBRIDGE AVENUE BRONX NY 10467 SPECIALTY CARE PRACTICE MONTEFIORE DIVISION OF DERMATOLOGY 3514 BAINBRIDGE AVENUE BRONX NY 10467 SPECIALTY CARE PRACTICE SLEEPWAKE DISORDERS 3411 WAYNE AVENUE BRONX NY 10467 SPECIALTY CARE PRACTICE MONTEFIORE BEHAVIORAL HEALTH CTR AT WS 2527 GLEBE AVENUE BRONX NY 10461 MENTAL HEALTH CLINIC ADVANCED ONCOLOGY ASSOCIATES 50 GUION PLACE NEW ROCHELLE NY 10801 SPECIALTY CARE PRACTICE ADVANCED ONCOLOGY ASSOCIATES 18 ASHFORD AVENUE DOBBS FERRY NY 10522 SPECIALTY CARE PRACTICE ADVANCED ONCOLOGY ASSOCIATES 75 EAST GUN HILL ROAD BRONX NY 10467 SPECIALTY CARE PRACTICE ADVANCED ONCOLOGY ASSOCIATES 1578 WILLIAMSBRIDGE ROAD BRONX NY 10461 SPECIALTY CARE PRACTICE ADVANCED ONCOLOGY ASSOCIATES 984 NORTH BROADWAY YONKERS NY 10701 SPECIALTY CARE PRACTICE BRONX RIVER MEDICAL ASSOCIATES-BX OFF 60 EAST 208TH sTREET BRONX NY 10467 SPECIALTY CARE PRACTICE BRONX RIVER MEDICAL ASSOC-YONKERS OFFICE 1915 CENTRAL PARK AVENUE YONKERS NY 10710 SPECIALTY CARE PRACTICE MMC-WAKEFIELD CARDIOVASCULAR CENTER 4256 BRONX BOULEVARD BRONX NY 10466 SPECIALTY CARE PRACTICE RIDGE HILL CARDIOLOGY 73 MARKET STREET SUITE 178b YONKERS NY 10710 SPECIALTY CARE PRACTICE WILLIAMSBRIDGE CARDIOLOGY 1578 WILLIAMSBRIDGE ROAD BRONX NY 10461 SPECIALTY CARE PRACTICE MMG-VIA VERDE 730 BROOK AVENUE BRONX NY 10455 PRIMARY CARE EXTENSION CTR MSHP-MORRIS CAMPUS 1110 BOSTON ROAD BRONX NY 10456 SCHOOL HEALTH CLINIC MSHP-NEW SETTLEMENT COMMUNITY CAMPUS 1501 JEROME AVENUE BRONX NY 10452 SCHOOL HEALTH CLINIC BROADWAY DENTAL CENTER 5500 BROADWAY SUITE 102 BRONX NY 10463 DENTAL CENTER MONTEFIORE MOSES OP MENTAL HLTH CLINIC 111 EAST 210TH STREET BRONX NY 10467 MENTAL HEALTH CLINIC MONTEFIORE RAD ONC AT ST BARNABAS 4487 THIRD AVENUE LEVEL B Bronx NY 10466 RADIATION ONCOLOGY PRACTICE MMC PLASTIC SURGERY PRACTICE 182 210TH STREET BRONX NY 10467 SPECIALTY CARE PRACTICE ROSE KENNEDY CHILD EVALUATION & REHAB CT 1225 MORRIS PARK AVENUE BRONX NY 10461 DEVELOPMENTAL DISABILITY CLINIC CHRISTOPHER COLUMBUS CAMPUS 925 ASTOR AVENUE BRONX NY 10469 SCHOOL HEALTH CLINIC LONG TERM HEALTH CARE PROGRAM ONE FORDHAM PLAZA BRONX NY 10458 LONG TERM HEALTH CARE AGENCY MMC PEDIATRIC-FAMILY IMMUNOLOGY CLINIC 1621 EASTCHESTER ROAD BRONX NY 10461 SPECIALTY CARE EXT CLINIC MMC PEDIATRICS CARDIOLOGY AT MNR 16 GUION PLACE NEW ROCHELLE NY 10801 SPECIALTY CARE PRACTICE AOA 1624 CROSBY AVENUE BRONX NY 10461 SPECIALTY CARE PRACTICE SOUND SHORE CARDIOLOGY ASSOCIATES 933 MAMARONECK AVENUE MAMARONECK NY 10543 SPECIALTY CARE PRACTICE MMC ORTHOPEDICS MANHATTAN PRACTICE 73 EAST 71ST STREET New York NY 10021 SPECIALTY CARE PRACTICE MMC ORTHOPEDICS MANHATTAN PRACTICE 215 EAST 73RD STREET NEW YORK NY 10021 SPECIALTY CARE PRACTICE MMC UROLOGY - CLINICA MODELO 44 SHERMAN AVENUE NEW YORK NY 10040 SPECIALTY CARE PRACTICE MMC TRANSPLANT HEPATOLOGY 3100 BROADWAY FAIRLAWN NJ 07410 SPECIALTY CARE PRACTICE MMC TRANSPLANT HEPATOLOGY 170 MAPLE AVENUE WHITE PLAINS NY 10601 SPECIALTY CARE PRACTICE MMC ABDOMINAL TRANSPLANT AT SJRH 967 BROADWAY YONKERS NY 10701 SPECIALTY CARE PRACTICE MMC TRANSPLANT HEPATOLOGY 60 WEST 68TH STREET NEW YORK NY 10023 SPECIALTY CARE PRACTICE MMC COLLEGE EYE INSTITUTE 1180 MORRIS PARK AVENUE BRONX NY 10461 SPECIALTY CARE PRACTICE MMC DIABETES PREVENTION PROGRAM 3514 DEKALB AVENUE BRONX NY 10467 SPECIALTY CARE PRACTICE Wakefield Ambulatory Care Center 4234 Bronx Boulevard Bronx NY 10466 Primary Care Practice MHP-MS145 Arturo Toscanini 1000 Teller Avenue Bronx NY 10456 School Health Clinic MSMP-PS18 John Peter Zenger 502 Morris Avenue Bronx NY 10451 School Health Clinic Rose Hill Pre-K Center 2512 Marion Avenue Bronx NY 10457 Homeless Shelter Ext Clinic CERC Gabi Catholic Charities 1165 Rockaway Avenue Brooklyn NY 11236 Mental Health Ext Clinic CERC Gabi - Queens 161-10 Jamaica Avenue Suite 413 Queens NY 11432 Mental Health Ext Clinic CERC Gabi - Staten Island 358 St Marks Place 5th floor Staten Island NY 10301 Mental Health Ext Clinic CERC Gabi-East Harlem 116 124th Street New York NY 10035 Mental Health Ext Clinic NY Harm Reduction Center 104-106 E 126th Street New York NY 10035 Part Time Clinic/Specialty Care Montefiore Einstein Ctr for Aging Brain 6 Executive Plaza Suite 297 Yonkers NY 10701 Specialty Care Practice Montefiore NY Assoc in Gastroenterology 1250 Waters Place Suite 1201 Towe Bronx NY 10461 Specialty Care Practice Montefiore NY Assoc in Gastroenterology 688 White Plains Road Suite 220 Scarsdale NY 10583 Specialty Care Practice WELLNESS CENTER SATELITE AT ACS 1200 WATERS PALACE 3RD FLOOR BRONX NY 10461 SUBSTANCE USE DISORDER CLINIC CERC GABI-BRONX 1020 GRAND CONSCOURSE 3RD FLOOR BRONX NY 10451 MENTAL HEALTH EXT CLINIC CERC GABI-RFK 1731 SEMINOLE AVENUE BRONX NY 10461 MENTAL HEALTH EXT CLINIC CERC GABI-BROOKLYN 485 THROOP AVENUE BROOKLYN NY 11221 MENTAL HEALTH EXT CLINIC X113 3710 BARNES AVENUE BRONX NY 10467 SCHOOL HEALTH CLINIC X174 456 WHITE PLAINS ROAD BRONX NY 10473 SCHOOL HEALTH CLINIC X198 1180 TINTON AVENUE BRONX NY 10456 SCHOOL HEALTH CLINIC X147 1600 WEBSTER AVENUE BRONX NY 10457 SCHOOL HEALTH CLINIC MONTEFIORE NEW ROCHELLE CARDIOLOGY 20 CEDAR STREET NEW ROCHELLE NY 10801 SPECIALTY CARE PRACTICE MEDICAL PAVILION AT 4256 BRONX BOULEVARD 4256 BRONX BOULEVARD BRONX NY 10466 SPECIALTY CARE PRACTICE IMMUNOLOGIC DISEASE CENTER 150 WHITE PLAINS ROAD TARRYTOWN NY 10591 SPECIALTY CARE PRACTICE MONTEFIORE YONKERS RADIATION ONCOLOGY 970 BROADWAY YONKERS NY 10701 SPECIALTY CARE PRACTICE CARDIOLOGY IMAGING AND VEIN CENTER 2814 MIDDLETOWN ROAD BRONX NY 10461 SPECIALY CARE PRACTICE SCHIFF DENTAL 3444 KOSSUTH AVENUE BRONX NY 10467 DENTAL CENTER MMC UROLOGY AT RIVERDALE FAMILY PRACTICE 2050 CORLEAR AVENUE BRONX NY 10463 SPECIALTY CARE PRACTICE MMC UROLOGY AT HARTSDALE 141 SOUTH CENTRAL AVENUE 3RD FLOOR HARTSDALE NY 10530 SPECIALTY CARE PRACTICE MONTEFIORE NEUROPSYCHOLOGY AT BURKE 785 MAMARONECK AVENUE WHITE PLAINS NY 10605 SPECIALTY CARE PRACTICE MONTEFIORE DEPARTMENT OF PM&R 150 EAST 210TH STREET BRONX NY 10467 SPECIALTY CARE PRACTICE MONTEFIORE AT HEBREW HOME (SUBACUTE) 5901 PALISADE AVENUE BRONX NY 10471 SPECIALTY CARE PRACTICE NEUROLOGY AT WAKEFIELD MEDICAL VILLAGE 4170 BRONX BOULVARD BRONX NY 10466 SPECIALTY CARE PRACTICE SLEEP CENTER AT WESCHESTER SQUARE 2475 SAINT RAYMONDS AVENUE BRONX NY 10461 SPECIALTY CARE PRACTICE MONTEFIORE REHABILITATION (CLOSED 2019) 3199 BAINBRIDGE AVENUE BRONX NY 10467 SPECIALTY CARE PRACTICE X151 250 E 156TH STREET BRONX NY 10451 SCHOOL HEALTH CLINIC X098 1619 BOSTON ROAD BRONX NY 10460 SCHOOL HEALTH CLINIC PS 199 1449 SHAKESPEARE AVENUE BRONX NY 10452 SCHOL HEALTH CLINIC DV SHELTER ADDRESS WITHHELD BRONX NY 10451 DOMESTIC VIOLENCE SHELTER PART TIME CLINIC UNIVERSITY AVE FAMILY RESIDENCE 1041 UNIVERSITY AVENUE BRONX NY 10452 HOMELESS SHELTER EXTENSION CLINIC CHAM SPECIALISTS IN WESTCHESTER 141 SOUTH CENTRAL AVENUE SUITE 300 HARTSDALE NY 10530 SPECIALTY CARE PRACTICE LASIK AND EYE CARE CENTER 141 SOUTH CENTRAL AVENUE HARTSDALE NY 10530 SPECIALTY CARE PRACTICE MONTEFIORE AT 141 SOUTH CENTRAL AVENUE 141 SOUTH CENTRAL AVENUE HARTSDALE NY 10530 SPECIALTY CARE PRACTICE MONTEFIORE OUTREACH 629 WEST 185TH STREET NEW YORK NY 10033 SPECIALTY CARE PRACTICE EINSTEIN STUDENT BEHAVIORAL HEALTH CTR 1225 MORRIS PARK AVENUE BRONX NY 10461 MENTAL HEALTH CLINIC MONTEEFIORE SOUTH BRONX CANCER CENTER 951 BROOK AVENUE BRONX NY 10451 SPECIALTY CARE PRACTICE CRYSTAL RUN - GYN ONC 855 ROUTE 17M MONROE NY 10941 SPECIALTY CARE PRACTICE GRUSS MAGNETIC RESONANCE RESEARCH CENTER 1300 MORRIS PARK AVENUE BRONX NY 10461 IMAGING CENTER MONTEFIORE NUCLEAR MEDICINE 1695 A EASTCHESTER ROAD BRONX NY 10461 imaging center PART I, LINE 7 TABLE: THE FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST table IS BASED ON THE MEDICAL CENTER'S ACTIVITIES ONLY. SINCE THE ACTIVITIES OF THE DISREGARDED ENTITIES ARE QUITE UNIQUE AND NOT REPRESENTATIVE OF A HOSPITAL FACILITY, THE ACTIVITIES FROM THESE ENTITIES WERE EXCLUDED FROM CONSIDERATION IN THE TABLE. fORM 990, PART IX, LINE 25, COLUMN A EXPENSES USED TO CALCULATE THE BENEFIT PERCENTAGES WAS ADJUSTED to EXCLUDE THE DISREGARDED ENTITIES SINCE ONLY THE HOSPITAL FACILITY ACTIVITIES WERE REPORTED. 1. PART I, LINE 7: THE COST-TO-CHARGE RATIO METHODOLOGY WAS UTILIZED TO CALCULATE THE AMOUNT INCLUDED IN THE TABLE. THE CALCULATION OF THIS RATIO WAS DERIVED FROM RATIO OF PATIENT CARE COST-TO-CHARGE. 1. PART II - COMMUNITY BUILDING ACTIVITIES: THE MEDICAL CENTER IS ACTIVELY INVOLVED WITH COMMUNITY-BASED ORGANIZATIONS AND SPECIAL COMMUNITY HEALTH PROGRAMS AS PART OF ITS MISSION TO ADVANCE THE HEALTH OF THE COMMUNITIES IT SERVES. THE MEDICAL CENTER'S COMMUNITY BUILDING ACTIVITIES INCLUDE COMMUNITY SUPPORT OF THE BRONX AIDS VOLUNTEERS ORGANIZATION, THE LEAD POISONING PREVENTION PROGRAM AND RECRUITMENT OF MUCH NEEDED MEDICAL PROFESSIONALS TO THE HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) OF THE BRONX, among other INITIATIVES. MONTEFIORE'S LEAD POISONING PREVENTION Program is a designated NEW YORK State Resource Center for Lead poisoning prevention, and consists of a multidisciplinary team in medicine, research, social services, environmental investigation and public advocacy. It serves as a referral center for the medical management of lead poisoning, links families to safe housing during home abatement procedures, provides bilingual educational workshops, advocates for lead poisoned children during local and state legislative reviews and collaborates with city and private agencies in enviromnental intervention. PROJECT BRAVO is a hospital-based volunteer program managed by Montefiore's Aids Center that provides support to HIV and Aids patients. The program renders outreach services in the community, provides friendly visits to hospitalized patients and staffs the BRAVO food pantry. 1. PART III, Section A, LINE 2: The cost of bad debt expense included in the transaction price is estimated based on the bad debt provision at charge, applied to the ratio of total patient care expenses to total charges for all services rendered. Any payments or discounts are excluded from bad debt expense. 1. Part III, Section A., Line 3 THE ESTIMATED AMOUNT OF THE ORGANIZATIONS'S BAD DEBT EXPENSE (AT COST) attributed to PATIENTS UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS based ON RESULTS OF PREDICTIVE ANALYSIS. BAD DEBT SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE THE organization PROVIDES MUCH NEEDED HEALTH CARE SERVICES INDISCRIMINATELY to the COMMUNITY-AT-LARGE WITHOUT REGARD TO WHETHER OR NOT THE PATIENT has insurance or if THE BILL WILL EVER BE PAID. 1. Part III, Section A., Line 4 AS REPORTED IN MONTEFIORE HEALTH SYSTEM'S AUDITED CONSOLIDATED FINANCIAL statements, BAD DEBT EXPENSE IS DESCRIBED AS FOLLOWS: "Subsequent changes to the estimate of the transaction price (determined on a portfolio basis when applicable) are generally recorded as adjustments to patient service revenue in the period of the change. For the years ended December 31, 2019 and 2018, changes in the Medical Center's estimates of expected payments for performance obligations satisfied in prior years were not significant. Portfolio collection estimates are updated based on collection trends. Subsequent changes that are determined to be the result of an adverse change in the patients ability to pay (determined on a portfolio basis when applicable) are recorded as bad debt expense. Bad debt expense for the years ended December 31, 2019 and 2018 was not significant". 1. PART III, Section B, LINE 8: Medicare allowable costs reported on Part III, line 6, per Schedule H instructions, were derived using the Medicare Cost Report cost-finding methodology, which apportions routine costs to Medicare using days and ancillary costs to Medicare using departmental ratios of costs to charges (RCCs). THE FOLLOWING TABLE REPRESENTS A RECONCILIATION OF MEDICARE revenue AND COSTS INCLUDED ON LINES 5, 6, AND 7 IN PART III TO THE TOTAL actual MEDICARE REVENUE AND COSTS OF THE MEDICAL CENTER. AS HIGHLIGHTED in this TABLE, INCLUDING THE ADJUSTMENTS DESCRIBED BELOW WOULD HAVE resulted in A MEDICARE Shortfall OF $10,283,973. REVENUE Allowable SURPLUS COSTS (SHORTFALL) Part 111, LINES 5-7: 406,200,296 $329,409,443 $76,790,853 ADD: COSTS NOT INCLUDED IN MEDICARE COST REPORT: - 21,985,235 (21,985,235) ADD: MEDICARE DME: 32,952,573 64,395,493 (31,442,920) ADD: EMP PHYS SERV: 50,354,343 71,895,628 (21,541,285) ADD: MED SUBSID HLTH SERV: 11,959,623 24,065,009 (12,105,386) MEDICARE Shortfall: $501,466,835 $511,750,808 ($10,283,973) MEDICARE REVENUE AND ALLOWABLE COSTS REPORTED IN PART III, SECTION B, were DERIVED FROM THE MEDICARE COST REPORT. HOWEVER, LINES 5, 6, AND 7 IN Part III DO NOT INCLUDE CERTAIN MEDICARE REVENUE AND COSTS, AND does NOT present THE ENTIRE FINANCIAL impact OF THE MEDICAL CENTER'S PARTICIPATION in the MEDICARE PROGRAM. IN ADDITION, THE MEDICARE COST REPORT cost-finding METHODOLOGY IS INCONSISTENT WITH THE REST OF SCHEDULE h, whereby costs ARE CALCULATED USING THE MEDICAL CENTER'S OVERALL RATIO OF COSTs TO charges (RCC) FROM WORKSHEET 2. ACCORDINGLY, THE MEDICARE SURPLUS reflected IN PART III, LINE 7 BEFORE THE ADJUSTMENTS described BELOW IS significantly OVERSTATED. FOR EXAMPLE, PART III EXCLUDES CERTAIN MEDICAL center EXPENSES THAT ARE NOT PART OF THE MEDICARE COST FINDING process. These COSTS INCLUDE CERTAIN CONSULTING AND MARKETING EXPENSES, COSTS related TO NURSE PRACTITIONERS, NURSE MIDWIVES, PHYSICIAN assistants, and Hospitalists WHO BILL THE MEDICARE PROGRAM FOR PART B SERVICES AND physician COSTS EXCEEDING THE MEDICARE REASONABLE compensation equivalent (RCE) LIMITS. INCLUDING THE MEDICARE SHARE OF these COSTS WOULD HAVE reduced THE MEDICARE SURPLUS ON LINE 7 BY $21,985,235. PART III ALSO EXCLUDES MEDICARE REVENUE AND ALLOWABLE COSTS FROM THE MEDICARE COST REPORT RELATED TO DIRECT MEDICAL EDUCATION (DME), WHICH WERE REPORTED IN PART I, LINE 7F AS REQUIRED BY THE SCHEDULE H INSTRUCTIONS. IF THE MEDICARE SHARE OF DME LOSSES HAD BEEN REPORTED IN PART III, THE MEDICARE SURPLUS ON LINE 7 WOULD HAVE BEEN REDUCED BY $31,442,920. (SEE ABOVE RECONCILIATION TABLE) ADDITIONALLY, PART III EXCLUDES MEDICARE REVENUE AND COSTS FOR SERVICES BILLED FOR THE MEDICAL CENTER'S EMPLOYED PHYSICIANS THAT ARE PART OF THE RCC CALCULATION IN WORKSHEET 2 BUT ARE NOT REFLECTED IN THE MEDICAL CENTER'S MEDICARE COST REPORT. INCLUDING THE MEDICARE LOSSES FROM THE MEDICAL CENTER'S EMPLOYED PHYSICIAN SERVICES WOULD HAVE REDUCED THE MEDICARE SURPLUS ON LINE 7 BY AN ADDITIONAL $21,541,285. (SEE ABOVE RECONCILIATION TABLE) PART III ALSO EXCLUDED MEDICARE REVENUE AND COSTS FROM THE MEDICARE COST REPORT ASSOCIATED WITH SUBSIDIZED HEALTH SERVICES WHICH WERE REPORTED IN PART I, LINE 7G AS REQUIRED BY THE SCHEDULE H INSTRUCTIONS. IF THE MEDICARE LOSSES FROM THE MEDICAL CENTER'S SUBSIDIZED HEALTH SERVICES HAD BEEN REPORTED IN PART III, THE MEDICARE SURPLUS IN LINE 7 WOULD HAVE BEEN REDUCED BY AN ADDITIONAL $12,105,386. (SEE ABOVE RECONCILIATION TABLE) 1. Part III, Section C., line 9b The Medical Center uses predictive analysis to assist in charity care determinations in the absence of completed financial aid applications. Such findings will not deem patients ineligible for financial assistance. If a patient completes a financial aid application with documentation demonstrating that his income is lower than the category determined using predictive analysis, the patient's financial responsibility will be further reduced to the lower amount. Financial screening/Presumption Charity uses financial information that is contained in a patient's credit report and other patient specific attributes to estimate a patient's income level and where they are in relation to the Federal Poverty Level to qualify under the Hospital's Charity Care Policy. Presumptive eligibility may also be based on prior FAP eligibility or enrollment in certain specified means-tested public programs to presumptively determine if an individual is FAP eligible. 2. NEEDS ASSESSMENT: MONTEFIORE ASSESSES COMMUNITY NEEDS BY: A) COMMUNITY ADVISORY BOARDS THE PRIMARY APPROACH USED TO GAIN INPUT AND COMMUNITY INVOLVEMENT IS THROUGH A VARIETY OF COMMUNITY ADVISORY BOARDS (CABS). MONTEFIORE MEDICAL CENTER WORKS EXTENSIVELY WITH REPRESENTATIVES OF THE COMMUNITIES THROUGH THE CABS TO IDENTIFY HEALTH CARE NEEDS AND DETERMINE THE APPROPRIATE CONFIGURATION OF SERVICES. ON A REGULAR BASIS, MONTEFIORE REPORTS TO THESE VARIOUS COMMUNITY GROUPS ON THE MEDICAL CENTER'S PERFORMANCE AND SERVICES, THE STATUS OF PROGRAMS, FINANCIAL AND UTILIZATION STATISTICS, THE FOR AND IMPLEMENTATION OF COMMUNITY SERVICES, AND PLANS FOR THE FUTURE. B) COMMUNITY SERVICES COMMMITTEE MONTEFIORE HEALTH SYSTEM HAS A BOARD COMMITTEE, THAT IS FOCUSED ON COMMUNITY SERVICES. IT IS RESPONSIBLE FOR OVERSEEING MONTEFIORE'S COMMUNITY SERVICES AND COMMUNITY BENEFIT ACTIVITIES TO ENSURE THEY ARE FORMULATED TO FACILITATE THE FULFILLMENT OF THE MEDICAL CENTER'S MISSION AND MEET THE NEEDS OF THE COMMUNITY. THE COMMITTEE MEETS REGULARY TO BECOME FAMILIAR WITH AND ASSESS MONTEFIORE'S community service pROGRAMS AND THE EXTENT TO WHICH THEY ADDRESS AND MAKE A MEANINGFUL IMPACT ON PRESSING COMMUNITY NEEDS. THE COMMITTEE WORKS CLOSELY WITH MONTEFIORE LEADERSHIP AND/OR RELEVANT BOARD COMMITTEES THAT ARE RESPONSIBLE FOR OVERSEEING THE MEDICAL CENTER'S MISSION TO ASSESS AND IMPROVE THE HEALTH OF THE COMMUNITIES SERVED. C) PARTNERSHIPS AND COLLABORATIONS BEYOND THE FORMAL STRUCTURE THAT MONTEFIORE HAS ESTABLISHED TO GAIN INPUT FROM THE COMMUNITIES IT SERVES, THE MEDICAL CENTER PARTICIPATES IN A VARIETY OF ORGANIZED PARTNERSHIPS AND COLLABORATIVES, WORKING WITH OTHER PROVIDERS IN THE BRONX, THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE, COMMUNITY-BASED ORGANIZATIONS IN THE BRONX AND MEMBERS OF THE COMMUNITY IN PLANNING AND DEVELOPING INITIATIVES AIMED AT IMPROVING THE HEALTH OF PEOPLE IN THE BRONX. EXAMPLES OF SUCH Partnerships INCLUDES: - THE BRONX HEALTH LINK - THE BRONX RHIO - THE BRONX COLLABORATIVE - THE BRONX BREATHES INITIATIVE - THE BRONX HIV PLANNING COUNCIL - SOUTH BRONX ENVIRONMENTAL JUSTICE PARTNERSHIP (SBEJP) - CITIWIDE HARM REDUCTION PROGRAM - BRONX COMMUNITY PALLIATIVE CARE INITIATIVE - BRONX SCIENCE AND HEALTH OPPORTUNITIES PARTNERSHIP - HISPANIC CENTER OF EXCELLENCE - BRONX CENTER TO REDUCE AND ELIMINATE ETHNIC AND RACIAL HEALTH DISPARITIES (BRONX CREED). D) The office of community and population health Montefiore continues to partner with a variety of community-based organizations to work to advance the health of the community. The Montefiore Office of Community and Population Health was set up to maximize the impact of the Medical Center's community services and helps to assess community needs by its various initiatives, including, - supporting and coordinating Montefiore's diverse portfiolio of community health improvement programs and activities; - enhancing Montefiore's capacity to assess and measure the health needs of the communities it serves; - Identifying and selecting a limited number of top-priority health needs in the communities Montefiore serves for specific focus; - Leading and coordinating Montefiore-wide efforts and working with community partners to measurably improve the health of the communities served; - The to your Health! Program, a community and worksite wellness initiative seeking to reduce the growing burden of chronic disease in the community through a number of public health programs to educate patients, vistors, staff and local residents on how to live healthier lives. Through collaborations with local community based organizations, the Office of Community Health will identify specific interventions that can be worked on both collaboratively and independently to transform the community health. Using data collected through Montefiore, the District Public Health Office and other sources, the impact on the community health by the particular intervention can than be measured and analyzed. 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: ALL INTAKE, REGISTRATION, AND COLLECTION AGENCY STAFF IS TRAINED ON THE MEDICAL CENTER'S FINANCIAL AID POLICY AND HOW TO PROVIDE PATIENTS WITH ASSISTANCE. MONTEFIORE MEDICAL CENTER HAS A POLICY THAT ESTABLISHES GUIDeLINES FOR THE BILLING OFFICE TO FOLLOW WHEN WORKING WITH INDIVIDUALS WHO ARE HAVING DIFFICULTY PAYING THEIR MEDICAL BILLS. A REFERRAL IS MADE TO THE MEDICAL CENTER'S FINANCIAL AID OFFICE AND A FINANCIAL COUNSELOR WILL HELP THE PATIENT APPLY FOR FREE OR LOW-COST INSURANCE. IF THE FINANCIAL COUNSELOR DETERMINES THAT THE PATIENT DOES NOT QUALIFY FOR LOW-COST INSURANCE, the counselor WILL HELP THE patient APPLY FOR A FINANCIAL AID DISCOUNT BASED ON INCOME LEVEL. THE MEDICAL CENTER MAKES ITS FINANCIAL AID POLICY KNOWN TO THE PUBLIC BY PROVIDING WRITTEN INFORMATION AVAILABLE IN BOTH ENGLISH AND SPANISH, including brochures AT all patient service areas, information posted on the intranet and internet, and information sent out on patient's bills. THERE ARE ALSO SIGNS POSTED AT THE MAIN ENTRANCE TO THE MEDICAL CENTER IN ENGLISH AND SPANISH ADVISING PATIENTS OF THE ROOM LOCATION FOR FINANCIAL AID ASSISTANCE. 4. COMMUNITY INFORMATION: THE MEDICAL CENTER HAS OUTREACH SERVICES RESPONDING TO THE HEALTH CARE and social NEEDS THROUGHOUT THE BRONX AND SOUTHERN WESTCHESTER. IT HAS become a MAJOR COMMUNITY RESOURCE TO A POPULATION WHICH IS AMONG THE country's most ECONOMICALLY AND SOCIALLY DISADVANTAGED and to a community that is full of great challenges. The Bronx, with its 1.43 million residents, is ranked the poorest urban county in the country, leads the nation in rates of diabetes and obesity and other chronic conditions, and leads New York City in a list of significant markers: people in "fair or poor health", low birth weight, teen pregnancy, children in poverty, disabled individuals and families living below the poverty level. The Bronx has a poverty rate of 28% (compared to 15.9% city-wide), household median income of $37,397 (compared to $56,942 in Brooklyn, $64,509 in Queens, $79,201 in Staten Island and $85,071 in Manhattan) and one of the highest child poverty rates in the United States with 40% of Bronx children living below poverty; the eight highest proportion for any county in the United States, and the highest for any urban county. THE BRONX IS ALSO THE YOUNGEST county IN NEW YORK STATE WITH a median age of 33.6 and 25.3% of its population under the age of 18. The Bronx has the 4th highest proportion of single-parent headed households with children (59.5%) among US counties. COMMUNITY HEALTH PROFILES OF THE BRONX SHOW POOR HEALTH STATUS, HIGHER than AVERAGE INCIDENCE AND PREVALENCE OF HIV AND TUBERCULOSIS, POORER than average BIRTH OUTCOMES, WORSE THAN AVERAGE ACCESS TO PRIMARY CARE, and high HOSPITAL ADMISSION RATES FOR DIABETES, CARDIOVASCULAR, cerebrovascular, PERIPHERAL VASCULAR AND RENAL DISEASES. The Bronx has been an epicenter of the asthma, HIC/Aids and drug epidemics and also has excess mortality rates from heart disease, stroke, and diabetes compared to city-wide and national averages. 5. PROMOTION OF COMMUNITY HEALTH: MONTEFIORE IS A LEADER IN COMMUNITY HEALTH AND HAS A LONG HISTORY OF DEVELOPING INNOVATIVE APPROACHES TO CARE AND TAILORING PROGRAMS TO BEST SERVE THE CHANGING NEEDS OF ITS COMMUNITY. MONTEFIORE EMBRACES ITS SOCIAL RESPONSIBILITY AND DEFINES ITS ROLE BROADLY, PROMOTING WELLNESS IN ADDITION TO TREATING DISEASE AND ADDRESSING NEEDS RANGING FAR BEYOND MEDICAL CARE. MONTEFIORE EXTENDS THIS RESPONSIBILITY TO THE CARE OF ITS EMPLOYEES AND MEDICAL STAFF, many WHOM LIVE IN THE SURROUNDING COMMUNITY. THE POPULATION MONTEFIORE SERVES IS ONE OF THE MOST DIVERSE IN THE NATION. MONTEFIORE HAS BEEN AN INCUBATOR FOR PROGRAMS THAT IMPROVE PATIENTS' ACCESS TO CULTURALLY APPROPRIATE SERVICES, AND ITS PROGRESSIVE FINANCIAL AID POLICY AND ROBUST ENTITLEMENT ENROLLMENT PROGRAM SUPPORT ACCESS TO CARE FOR THOSE IN NEED. HISTORICALLY, MONTEFIORE HAS EMBRACED COMMUNITY SERVICE AND COMMUNITY HEALTH IMPROVEMENT AS A DELIVERY SYSTEM CHALLENGE, REACHING OUT TO SERVE THE UNDER-RESOURCED THROUGH ITS EXTENSIVE PRIMARY CARE DELIVERY SYSTEM, INCLUDING A NUMBER OF FEDERALLY-QUALIFIED COMMUNITY HEALTH CENTERS (FQHC). IN ADDITION, MONTEFIORE HAS DEVELOPED A WIDE RANGE OF SERVICES TARGETED TO SPECIFIC GROUPS IN NEED: THE YOUNG, THE ELDERLY, THE HIV INFECTED AND AFFECTED, THE MENTALLY ILL, THOSE STRUGGLING WITH SUBSTANCE USE, HOMELESSNESS AND VIOLENCE AND THOSE LIVING WITH CHRONIC DISEASES. THE MEDICAL CENTER HAS MAINTAINED AND EXPANDED ITS RANGE OF COMMUNITY SERVICES, REACHING OUT TO AND SERVING POPULATIONS WITH UNMET HEALTH CARE NEEDS, INCLUDING: - THOSE WITH POOR ACCESS TO COMPREHENSIVE CARE - UNDERSERVED, AT-RISK AND HARD TO REACH CHILDREN & THEIR FAMILIES - UNDERSERVED AND AT-RISK SENIOR CITIZENS - THOSE AFFECTED BY CANCER - THOSE AFFECTED BY THE CONTINUING HIV EPIDEMIC IN THE BRONX - PERSONS WITH OR AT-RISK FOR TUBERCULOSIS INFECTION - PERSONS AFFECTED WITH PROBLEMS OF SUBSTANCE ABUSE - THE HOMELESS - ADULTS AND CHILDREN WITH LIMITED ACCESS TO PRIMARY DENTAL CARE - THOSE AFFECTED BY CHRONIC HEALTH CARE DISEASE SUCH AS CONGESTIVE HEART FAILURE, DIABETES AND ASThMA. THE MEDICAL CENTER RUNS PROGRAMS for COMMUNITY HEALTH SERVICES THAT ARE AMONG THE NATION'S MOST EXTENSIVE PROVIDING PRIMARY CARE TO UNDERSERVED POPULATIONS including: - MONTEFIORE'S NETWORK OF PRIMARY CARE CENTERS IN THE BRONX INCLUDING SEVERAL FEDERALLY-QUALIFIED HEALTH CARE CENTERS (FQHC) PROVIDES ACCESS TO HIGH QUALITY PRIMARY HEALTH CARE SERVICES AND A VARIETY OF PRACTICE-BASED AND COMMUNITY OUTREACH PROGRAMS TO SOME OF THE NATION'S POOREST AND MOST UNDERSERVED COMMUNITIES. - MONTEFIORE OPERATES ONE OF THE NATION'S LARGEST PROGRAMS OF SCHOOL-BASED PRIMARY CARE, SERVING over 22,600 STUDENTS AT 31 ELEMENTARY, MIDDLE AND HIGH SCHOOLS IN THE BRONX, PROVIDING OVER 97,200 MEDICAL, MENTAL HEALTH, DENTAL, REPRODUCTIVE AND HEALTH PROMOTION SERVICES. THIS MODEL PROGRAM IS ABLE TO PROVIDE SERVICES TO ALL STUDENTS IN THESE SCHOOLS, INCLUDING THE ROUGHLY HALF OF ALL STUDENTS WITHOUT INSURANCE. - MONTEFIORE PROVIDES much NEEDED HEALTH CARE SERVICES TO HOMELESS CHILDREN AND FAMILIES IN VARIOUS LOCATIONS IN THE BRONX AND THROUGHOUT NEW YORK CITY USING A FLEET OF MOBILE MEDICAL UNITS AND A MOBILE DENTAL UNIT AND USING TEAMS OF PROFESSIONALS PROVIDING SERVICES WITHIN HOMELESS AND DOMESTIC VIOLENCE SHELTERS. MONTEFIORE PROVIDES COMPREHENSIVE CARE AND A RANGE OF INNOVATIVE PROGRAMS FOR HIGH-RISK CHILDREN IN THE BRONX, INCLUDING: - A HIGHLY REGARDED PREVENTION, COUNSELING AND TREATMENT PROGRAM FOR ABUSED CHILDREN AND THEIR FAMILIES, BASED IN MONTEFIORE'S CHILD ADVOCACY CENTER. - A NATIONALLY RECOGNIZED LEAD POISONING PREVENTION, SCREENING AND TREATMENT PROGRAM SERVING POPULATIONS AT HIGHEST RISK FOR LEAD POISONING. ITS SAFE HOUSE IS A MODEL HOUSING PROGRAM TO SHELTER FAMILIES OF CHILDREN WITH HIGH LEAD LEVELS WHILE THEIR DWELLINGS ARE MADE LEAD FREE. - AN INNOVATIVE, MULTI-LEVEL PROGRAM OF CARE FOR CHILDREN WITH AND AT-RISK FOR OBESITY AND DIABETES, INCLUDING INITIATIVES IN THE SCHOOL-BASED HEALTH CENTERS, IN THE COMMUNITY-BASED PRIMARY CARE SITES AND AT THE CHILDREN'S HOSPITAL division AT MONTEFIORE (CHAM). - HEALTH PROFESSIONS EDUCATION PROGRAMS FOR HIGH SCHOOL STUDENTS CONDUCTED IN COLLABORATION WITH AREA HIGH SCHOOLS. THE MEDICAL CENTER OPERATES ONE OF THE NATION'S LARGEST AND MOST COMPREHENSIVE PROGRAMS FOR THE DIAGNOSIS, CARE AND ONGOING MANAGEMENT OF POPULATIONS WITH AND AT-RISK FOR HIV INFECTION, INCLUDING: - A HOSPITAL-BASED, STATE-DESIGNATED COMPREHENSIVE AIDS CENTER THAT SERVES INDIVIDUALS WITH HIV/AIDS WITH A BROAD PROGRAM OF AMBULATORY AND INPATIENT CARE. - A COMMUNITY-BASED PROGRAM THAT SERVES INDIVIDUALS WITH HIV/AIDS, OPERATING IN THE MEDICAL CENTER'S PRIMARY CARE SITES. - LONGSTANDING PROGRAMS FOCUSED ON THE PREVENTION, EARLY IDENTIFICATION AND ONGOING CARE AND MANAGEMENT OF CHILDREN AND ADOLESCENTS WITH OR AT RISK FOR HIV INFECTION. - AN INNOVATIVE PROGRAM OF OUTREACH HIV PRIMARY AND SPECIALTY CARE SERVICES, THAT ARE LOCATED IN MONTEFIORE'S SUBSTANCE ABUSE TReATMENT PROGRAM, WHICH SERVES OPIATE-ADDICTED INDIVIDUALS, HALF OF WHOM ARE hiv-INFECTED, IN SEVERAL DRUG TREATMENT CENTERS LOCATED THROUGHOUT THE BRONX. THIS SERVICE INFRASTRUCTURE HAS PROVEN INVALUABLE IN MOUNTING EFFECTIVE PUBLIC HEALTH, DIAGNOSIS AND CARE PROGRAMS RESPONDING TO THE TWO OTHER INFECTIOUS DISEASE EPIDEMICS THAT HAVE ALSO AFFLICTED THE BRONX: TUBERCULOSIS AND HEPATITIS-C infection. MONTEFIORE PROVIDES A WIDE RANGE OF ON-SITE AND OUTREACH PROGRAMS TO SERVE THE BOROUGH'S FRAIL AND AT-RISK ELDERLY, INCLULDING: - A COMPRHENSIVE, MULTIDISCIPLINARY GERIATRIC AMBULATORY PRACTICE, INCLUDING GERIATRIC MEDICINE AND GERIATRIC PSYCHIATRY, SOCIAL SERVICES, PHARMACY AND NUTRITIONAL COUNSELING, WITH SERVICE SITES IN THE EAST AND WEST BRONX; - AN AGING AND MEMORY CENTER THAT PROVIDES ASSESSMENTS, AMBULATORY CARE AND HOME VISITS BY GERIATRIC PSYCHIATRISTS; - ONE OF THE NATION'S LARGEST HOSPITAL-BASED HOMECARE PROGRAMS, PROVIDING IN-HOME SERVICES TO INNER CITY SENIORS LIVING IN NEIGHBORHOODS THAT ARE AMONG THE COUNTRY'S MOST DISADVANTAGED; - AN EXTENSIVE PROGRAM TO IDENTIFY, PREVENT AND RESPOND TO SUSPECTED ELDER ABUSE; - PHYSICIAN HOME VISIT PROGRAMS SERVING THE ELDERLY LIVING IN PUBLICLY SUBSIDIZED HOUSING PROJECTS ACROSS THE BRONX, A PROGRAM MOUNTED IN PARTNERSHIP WITH THE NYC HOUSING AUTHORITY AND LOCAL COMMUNITY AND SOCIAL SERVICES AGENCIES IN "NATURALLY OCCURRING RETIREMENT COMMUNITIES - AN INNOVATIVE FEDERALLY-FUNDED DEMONSTRATION PROGRAM THAT USES A COMBINATION OF CARE AND CASE MANAGEMENT, A PHYSICIAN HOME VISITING PROGRAM, HOME-BASED TELEMONITORING AND PATIENT/FAMILY SUPPORT TO MANAGE AND IMPROVE THE CARE AND HEALTH OF SENIORS IDENTIFIED BY CMS AS THEIR "HIGH-COST BENEFICIARIES" (MEDICARE BENEFICIARIES WITH COMPLEX MEDICAL AND PSYCHOSOCIAL NEEDS). THE DEPARTMENT OF OB-GYN AND WOMEN'S HEALTH IS INVOLVED IN A RANGE OF PROGRAMS FOCUSED ON THE HEALTH NEEDS OF WOMEN IN THE BRONX AND SURRROUNDING COMMUNITIES that INCLUDES PARTNERING WITH NY STATE, NY CITY AND LOCAL PROVIDERS iN THE DEVELOPMENT OF A REGIONAL PERINATAL SYSTEM IN THE BRONX, WHICH HAS one of THE COUNTRY'S HIGHEST RATES OF INFANT MORTALITY AND DISABILITY AND LOW BIRTH WEIGHT. MONTEFIORE AS A COMMUNITY LEADER IS RESPONDING TO THE UNIQUE AND PRESSING NEEDS OF ITS COMMUNITY reflected in various outreach programs: - THE MONTEFIORE-EINSTEIN CANCER CARE OPERATES THE COMMUNITY OUTREACH PROGRAM, A RESEARCH BASED CANCER PREVENTION, EDUCATION, AND SUPPORT PROGRAM THAT PROVIDES SUPPORT AND EDUCATIONAL SERVICES TO PATIENTS, FAMILIES, STAFF, AND COMMUNITY MEMBERS FACING THE CHALLENGES OF CANCER. THE CENTER ALSO PARTICIPATES IN CANCER SCREENING, CANCER EDUCATION AND AWARENESS, AND SUPPORT PROGRAMS. - MONTEFIORE'S COMMUNITY DENTISTRY PROGRAM PROVIDES DENTAL SERVICES TO A MULTITUDE OF UNDERSERVED AND MEDICALLY COMPROMISED PATIENTS AT ON-SITE DENTAL FACILITIES, ONE COMMUNITY SITE, AND THE INFECTIOUS DISEASE CLINIC AT THE MOSES DIVISION. A MOBILE DENTAL VAN PROVIDES MOBILE DENTAL SERVICES TO THE UNDERSERVED AT A VARIETY OF MONTEFIORE PRIMARY CARE SITES ACROSS THE BRONX. - MONTEFIORE has been DESIGNATED BY NY STATE AS ONE OF FOUR DIABETES CENTERS OF EXCELLENCE IN THE STATE. MONTEFIORE HAS IMPLEMENTED A COMPREHENSIVE ARRAY OF PROGRAMS RESPONDING TO THE "NEXT EPIDEMIC" IN THE BRONX: THE EXTRAORDINARILY HIGH AND INCREASING RATES OF DIABETES AND OBESITY AND THE COMMON CARDIOVASCULAR COMPLICATIONS AND COMORBIDITIES. MONTEFIORE IS TAKING A NETWORK-WIDE QUALITY IMPROVEMENT APPROACH TO ORGANIZING AND IMPROVING THE PREVENTION, CARE AND MANAGEMENT OF THIS DISEASE CLUSTER, IN ITS PRIMARY CARE AND SCHOOL-BASED SITES, IN ITS SPECIALTY SERVICES AND HOSPITAL divisions. Montefiore has taken a leadership position in neighborhood and community development, creating and supporting the Mosholu Preservation Corporation (MPC). MPC is a community redevelopment corporation that has successfully rehabilitated housing stock in the depressed neighborhoods in the northwest Bronx and has been involved in a number of economic de 6. AFFILIATED HEALTH CARE SYSTEM: Montefiore Medical Center IS AN AFFILIATE OF MONTEFIORE HEALTH SYSTEM, INC. The Health System is a leader in community and population health and has a long history of developing innovative approaches to care and tailoring programs to best serve the changing needs of its community. These include, but are not limited to the following: Community service plan, Community Service Strategy, Accountable Care Organization, Patient-centered medical home, disease management programs and community outreach. The integration of these innovative approaches supports Montefiore well in its provision of service to the community. See line 5, Promotion of Community Health, for how the Health System along with Montefiore Medical Center promotes community Health. 7. STATE FILING OF COMMUNITY BENEFIT REPORT: Montefiore Medical Center files a Community Service Plan with the State of New York. true Albert Einstein College of Medicine 1300 morris park avenue bronx NY 10468 472209056 501(c)(3) 60000000 operating subsidies Innocence Project 156 Fifth Avenue New York NY 10011 320077563 501(c)(3) 20000 Event sponsorship Bronx Overall Economic Development 851 Grand Concourse Bronx NY 10451 133079387 501(c)(3) 40000 Sponsorship Renewal of Life Inc 5904 13th Avenue Brooklyn NY 11219 900772896 501(c)(3) 30000 Sponsorship Urban Health Plan Inc 1515 Southern Blvd Bronx NY 10460 237360305 501(c)(3) 45000 Sponsorship Wildlife Conservation Society 2300 Southern Blvd Bronx NY 10460 131740011 501(c)(3) 50000 Sponsorship United Hospital Fund 1411 Broadway 12th Fl New York NY 10018 131562656 501(c)(3) 25000 sponsorship University of Virginia PO Box 400195 Charlottesville VA 22904 546001796 501(c)(3) 33921 Grant Subrecipient The New York Academy of Medicine 1216 Fifth Avenue New York NY 10029 131656674 501(c)(3) 17000 Sponsorship American Liver Foundation 50 Broadway New York NY 10004 362883000 501(c)(3) 20000 Sponsorship Children's Health Fund 215 west 125th street New York NY 10027 133468427 501(c)(3) 15000 Sponsorship Mosholu Montefiore Community Ctr 3450 Dekalb Ave Bronx NY 10467 133622107 501(c)(3) 10000 Sponsorship Mosholu Preservation Corporation 3400 Reservoir Oval East Bronx NY 10467 133109387 501(c)(3) 19989 Donation 1199 SEIU BILL MICHELSON HOME CARE EDUCATION FD TIMES SQ ST PO BOX 2673 New York NY 10108 131510821 501(c)(5) 5750 Sponsorship American Cancer Society 2330 Eastchester Rd 3rd fl Bronx NY 10469 160743902 501(c)(3) 30000 sponsorship New York Health Collaborative Inc 40 Worth Street 5th Fl New york NY 10013 208022336 501(c)(3) 20000 sponsorship St Lukes Cornwall Health System 70 Dubois Street Newburgh NY 12550 223026263 501(c)(3) 10000 Sponsorship YMCA of Greater New York 2 Castle Hill Avenue Bronx NY 10473 131624228 501(c)(3) 25000 Sponsorship The Hebrew Home at Riverdale Foundation 5901 Palisade Ave Bronx NY 10471 204352212 501(c)(3) 27500 Sponsorship HUDSON RIVER HEALTHCARE Foundation 1037 MAIN STREET PEEKSKILL NY 10566 200151252 501(C)(3) 10000 SPONSORSHIP NYU FORENSIC MEDICINE SUPPORT FUND 520 FIRST AVENUE NEW YORK NY 10016 135562308 501(c)(3) 25000 CONTRIBUTION ST JOHN'S RIVERSIDE HOSPITAL 967 NORTH BROADWAY YONKERS NY 10701 131740126 501(C)(3) 50000 SPONSORSHIP MEDICARE RIGHTS CENTER 520 EIGHTH AVENUE NEW YORK NY 10018 133505372 501(C)(3) 10000 SPONSORSHIP Dana-Farber Cancer Institute Inc 450 Brookline Avenue Boston MA 02115 042263040 501(c)(3) 12977 Grant Subrecipient Weill Medical College of Cornell University 1300 York Avenue New York NY 10065 131623978 501(c)(3) 34941 Grant Subrecepient BURKE REHABILITATION HOSPITAL 785 MAMARONECK AVE WHITE PLAINS NY 10605 131739937 501(C)(3) 10000 SPONSORSHIP PHIPPS NEIGHBORHOOD 902 BROADWAY NEW YORK NY 10010 132707665 501(C)(3) 20000 SPONSORSHIP ST JOSEPH'S HEALTH FUND 127 SOUTH BROADWAY YONKERS NY 10701 133833645 501(C)(3) 37000 SPONSORSHIP THE BRONX TOURISM COUNCIL 851 GRAND CONCOURSE BRONX NY 10451 133079387 501(C)(3) 25000 SPONSORSHIP MEMORIAL SLOAN KETTERING CANCER CENTER PO BOX 27084 NEW YORK NY 10087 131624082 501(C)(3) 17370 GRANT SUBRECIPIENT NEW YORK CITY HEALTH & HOSPITALS CORP 160 WATER STREET NEW YORK NY 10038 134172958 501(C)(3) 379157 GRANT SUBRECIPIENT White Plains Hospital Medical Center 41 East Post Road White Plains NY 10601 131740130 501(c)(3) 1156417 Contributions St Jude Children's Research PO Box 1000 Dept 949 Memphis TN 38105 620646012 501(c)(3) 79319 Grant Subrecipient FRIENDS OF MT VERNON ARTS RECREATION YOUTH PROGRAM 1 ROOSEVELT SQUARE MOUNT VERNON NY 10550 900910967 501(c)(3) 25000 SPONSORSHIP GREATER NYC AFFILIATE-SUSAN G KOMEN FR CURE 248 WEST 38TH STREET NEW YORK NY 10018 912049420 501(c)(3) 20000 SPONSORSHIP THE COUNTY CHAMBER OF COMMERCE INC 800 WESTCHESTER AVENUE RYE BROOK NY 10573 131701636 501(c)(6) 5500 SPONSORSHIP ALZHEIMERS ASSOCIATION INC 2 JEFFERSON PLAZA POUGHKEEPSIE NY 12601 133039601 501(c)(3) 7500 SPONSORSHIP BOYS & GIRL CLUB OF MT VERNON INC 350 S SIXTH AVENUE MOUNT VERNON NY 10550 131739925 501(C)(3) 10000 SPONSORSHIP JACOBI MEDICAL CENTER AUX INC 1400 PELHAM PARKWAY SOUTH BRONX NY 10461 131849594 501(C)(3) 10000 SPONSORSHIP MONTEFIORE NYACK HOSPITAL FOUNDATION 160 NORTH MIDLAND AVENUE NYACK NY 10960 133245804 501(C)(3) 15000 SPONSORSHIP PHYSICIANS FOR HUMAN RIGHTS 256 WEST 38TH STREET NEW YORK NY 10018 222488437 501(C)(3) 15000 SPONSORSHIP THE LEUKEMIA & LYMPHOMA SOCIETY INC 3 LANDMARK SQUARE STAMFORD CT 06901 135644916 501(C)(3) 20000 SPONSORSHIP ACCESS SUPPORTS FOR LIVING FOUNDATION INC 15 FORTUNE ROAD WEST MIDDLETOWN NY 10941 205404423 501(C)(3) 10000 SPONSORSHIP HUB-THIRD AVENUE MERCHANTS DISTRICT 2825 THIRD AVENUE BRONX NY 10455 133455415 501(C)(3) 15000 SPONSORSHIP REACH OUT & READ OF GREATER NEW YORK 75 MAIDEN LANE NEW YORK NY 10038 134080045 501(C)(3) 10000 SPONSORSHIP UNITED STATES OF CARE CAMPAIGN PO BOX 32025 WASHINGTON DC 20007 822860302 501(C)(3) 100000 SPONSORSHIP BECHMAN RESEARCH INSTITUTE 1500 EAST DURANTE RD DURANTE CA 910103000 953432210 501(C)(3) 50304 GRANT SUBRECIPEINT BRONX CARE HEALTH SYSTEM 1276 FULTON AVENUE BRONX NY 10456 131974191 501(C)(3) 168453 GRANT SUBRECIPIENT 1199 CHILD CARE FUND TIMES SQ ST PO BOX 2673 NEW YORK NY 10108 131510821 501(C)(3) 8000 SPONSORSHIP 1199 SEIU HEALTHCARE INDUSTRY GRANT CORP TIMES SQ ST PO BOX 2673 NEW YORK NY 10108 131510821 501(C)(3) 35000 SPONSORSHIP AABR FOUNDATION 15-08 COLLEGE PT BLVD COLLEGE PT NY 11356 112218979 501(C)(3) 6000 SPONSORSHIP B'NAI B'RITH INTERNATION 1120 20TH STREET WASHINGTON DC 20036 530179971 501(c)(3) 25000 SPONSORSHIP HARBORING HEARTS HOUSING FOUNDATION 510 5TH AVE NEW YORK NY 10036 943433059 501(C)(3) 25000 SPONSORSHIP LATINO COMMISSION ON AIDS INC 24 WEST 25TH STREET NEW YORK NY 10010 133629466 501(C)(3) 10000 SPONSORSHIP LIVEONNY FOUNDATION INC 460 WEST 34TH STREET NEW YORK NY 10001 475156525 501(C)(3) 6000 SPONSORSHIP METHODIST HOME FOR NURSING & REHABILITATION 4499 MANHATTAN COLLEGE PW BRONX NY 10471 131740003 501(C)(3) 5500 SPONSORSHIP ORANGE COUNTY CITIZENS FOUNDATION PO BOX 525 SUGAR LOAF NY 10981 132751473 501(C)(3) 10000 SPONSORSHIP TRANSPLANT LIFE FOUNDATION INC 1595 GALBRAITH AVE GRAND RAPIDS MI 49546 461252372 501(C)(3) 25000 SPONSORSHIP WESTCHESTER CHAMBER EDUCATIONAL FOUNDATION 800 WESTCHESTER AVE RYE BROOKE NY 10573 820562830 501(C)(3) 10000 SPONSORSHIP WESTCHESTER PARKS FOUNDATION INC 155 LAFAYETTE AVE WHITE PLAINS NY 10603 132937499 501(C)(3) 10000 SPONSORSHIP 58 2 Schedule I, Part I, Line 2 The procedure for monitoring subrecipients of federal awards for compliance is to obtain and review the subrecipient's audited Circular A-133 single Audit report which includes their respective schedule of expenditures to ensure that funds are being used for their intended purpose. The Medical Center also provides support to various organizations as part of its many local community health program endeavors. Contributions and sponsorships are made to deserving charitable organizations to support Montefiore mission of advancing the health and welfare of the communities that we serve. X X true true X X X X X X true true false false false false false false false ROBERT MICHLER MD CHAIR-Surg/Cardiothoracic Surg 3868273 0 0 0 1584 0 17000 0 29514 0 3916371 0 0 0 RICHARD KRAUT DDS CHAIRMAN-DENTISTRY 500104 0 1365985 0 1187 0 17000 0 26570 0 1910846 0 0 0 SUSAN GREEN-LORENZEN RN System Senior VP-OPERations 0 1091431 0 397700 0 720761 0 17000 0 27220 0 2254112 0 0 Christopher Panczner Asst Sec.-SVP & Gen Counsel 0 903133 0 321200 0 46034 0 17000 0 9913 0 1297280 0 0 PHILIP O OZUAH MD PHD president & CEO (eff 11/15/19) 0 2192717 0 3287300 0 1578318 0 17000 0 26570 0 7101905 0 0 Joseph De Rose MD Dir Min Invasive/Robotic Surg 1361811 0 195322 0 0 0 17000 0 27846 0 1601979 0 0 0 Daniel Goldstein MD Vice Chair-Cardiothoracic Surg 1364112 0 164425 0 552 0 17000 0 0 0 1546089 0 0 0 Lynn Richmond EVP-CSO (Resigned 11/14/19) 0 1028990 0 529100 0 2060653 0 16346 0 23915 0 3659004 0 1918556 STEVEN SAFYER MD CEO (Resigned 11/14/19) 0 2019153 0 2082300 0 4534116 0 8170157 0 27181 0 16832907 0 0 COLLEEN M BLYE Exec VP & CFO 0 1154118 0 660000 0 1032 0 698856 0 11181 0 2525187 0 0 EMAD ESKANDAR CHAIR-NEUROLOGICAL SURGERY 1989471 0 200000 0 488 0 15039 0 26793 0 2231791 0 0 0 Schedule J, Part I, Line 1a One trustee was provided services of a driver for business purposes and incidental transportation. A portion was included in taxable income. An officer was provided Car service for business purposes and incidental transportation. The car service costs were included in taxable income. Two officers and one trustee traveled first class as provided for under Medical center policy. All such travel was for Medical Center business purposes, accordingly, the cost of such travel were not included in taxable income. Schedule J, Part I, Line 4a Steven Safyer, M.D., Chief Executive Officer and a trustee, received severance in the amount of $8,393,621 from a related organization. $239,156 of this amount was received in 2019 and is reflected in the total reported for column (B)(III) other compensation. The remainder of the severance is to be paid over the next two years and is included in the deferred compensation reported in column (C). Schedule J, Part I, Lines 3, 4b & Part II - Columns (B)(i), (ii) and (iii) As it relates to compensation from Montefiore Medicine Academic Health System, Inc. and Montefiore Health System, Inc. for all officers and key employees: The Compensation Committee reviews and approves all forms of compensation and benefits provided to each executive with the assistance of a national independent compensation consulting firm. The consulting firm assists the Compensation Committee with its decision-making process to ensure executive compensation levels are reasonable and appropriate relative to those of other similar organizations. Base salaries in Column B(i) are determined based on competitive market practices for comparable positions with similar sized organizations and scope of responsibilities. Bonus and incentive compensation in Column B(ii) is based on the achievement of performance goals. The executives' compensation program has a significant pay-at-risk component to ensure the alignment of pay and organizational performance. Goals are set in advance in areas such as quality of patient care, patient satisfaction, community services and financial performance. Comensation is at risk if the goals established by the Compensation Committee are not met. Other reportable compensation in column B(III) includes distributions from the supplemental executive retirement plan. In a manner designed to qualify for the "rebuttable presumption of reasonableness" the Compensation Committee of the Board of Trustees expressly reviewed and approved these retirement benefit arrangements for senior executives in a manner that qualified under the intermediate sanctions rules of the Federal tax law, and in recognition of (a) the executives' years of service to the organization and (b) the significant contributions to enhancing the ability of the organization to achieve its charitable mission in a manner consistent with financial solvency. Accordingly, this benefit should be viewed as applying to years of service for the organization. Pooled Supplemental Executive Retirement Plan distributions based on multiple years of service: Steven Safyer, M.D. - $3,797,607 Susan Green-Lorenzen, R.N. - $698,175 Philip O. Ozuah, M.D., PH.D - $1,420,693 Lynn Richmond - $2,040,314 Supplemental Executive Retirement Plan accrued and unpaid service costs: Colleen Blye - $681,856. Schedule J, Part II - Compensation from related organizations All officers and key employees of Montefiore Medical Center are paid by either Montefiore Medicine Academic Helath System, Inc., the parent company of Montefiore Health System, Inc. or Montefiore Health System, Inc., the parent of Montefiore Medical Center. The organization, in turn, reimburses the health systems for its expenses through the membership fees that are assessed for each of the benefitting entities. A BUILD NYC RESOURCE CORPORATION 454040561 000000000 2018-06-27 64534657 Refund prior issue (4/19/13) false false false B DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649902V83 2010-10-14 19400000 CONSTRUCTION PROJECT false false true C DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64990E2Y2 2016-09-16 13002448 FACILITY IMPROVEMENTS false false false D DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64990GGH9 2018-08-01 341889620 REFINANCE/REFUND OF PRIOR ISSUES false false false A 6453466 0 64534657 6479902 0 0 0 0 0 64534657 0 0 2015 true false true true B 6077100 0 19400000 0 0 0 97877 0 0 18987378 314745 0 2010 false false true true C 903953 0 13343651 0 0 0 22614 0 0 0 13321037 0 2018 false false true true D 0 0 351842551 0 0 226051778 3521580 0 0 0 122269193 0 1998 true true true true A false false true false false 0.00450 0.00000 0.00450 false false false true B false false false false 0 false false false true C false false false false 0.00000 0.00000 0.00000 false false false true D false false true false false 0.00365 0.00000 0.00365 false false false true A false true true false true false 0 false 0 false true B false false true true false false 0 false 0 false true C false true true false false false 0 false 0 false true D false true true false false false 0 false 0 false true A true B true C true D true Mortgages & Facility Improvements - Issue date - Part I, C(e) The bonds issue date was 9/16/16. The bonds were floated in 2016 and the organization did not close on the mortgage loan with DASNY until December 2018. Mortgages & Facility Improvements - Description of purposes - Part I, D(f) Current issue refunded prior tax exempt debt (6/17/93, 12/22/05, 2/7/08 and 10/1/14) and taxable debt (7/29/09, 5/19/11, 5/12/16 and 11/2/16). Mortgages & Facility Improvements - PROCEEDS - PART II, COLUMN A, LINE 3 The total proceeds do not equal the summation of lines 4-12 due to transferred or replacement proceeds in line 4. Mortgages & Facility Improvements - Proceeds - Part II, Column B, Line 3 DASNY'S $562,510,000 STATE PERSONAL INCOME TAX REVENUE BOND (GENERAL PURPOSE), SERIES 2010E, PROVIDED FINANCING FOR SEVERAL BORROWERS. OF THIS AMOUNT, $19,400,000 REPRESENTS THE AMOUNT OF THE BOND PROCEEDS ORIGINALLY ALLOCATED TO YESHIVA UNIVERSITY OF WHICH THE REMAINING $16.4 MILLION OF THE DEBT WAS ASSUMED BY MONTEFIORE MEDICAL CENTER IN 2015. Mortgages & Facility Improvements - Proceeds - Part II, Column D, Line 3 The total proceeds do not agree to the issue price in Part 1, column (e) due to investment earnings. Mortgages & Facility Improvements - Arbitrage - Part IV, Column B, Line 2c The rebate computation was performed 12/18/18. A Dormitory Authority of the State of New York 146000293 000000000 2017-01-30 33685553 IT SYSTEM IMPLEMENTATION false false false B DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 000000000 2017-06-29 17827755 EQUIPMENT LEASING false false false C DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 000000000 2017-12-12 9990258 EQUIPMENT LEASING false false false A 3562889 0 33685553 0 0 0 114000 0 0 33571553 0 0 2016 false false true true B 6123210 0 17827755 0 0 0 93977 0 0 17733778 0 0 2017 false false true true C 2718562 0 9990258 0 0 0 61723 0 0 9928535 0 0 2017 false false true true A false false false false 0.00000 0.00000 0.00000 false false false true B false false false false 0.00000 0.00000 0.00000 false false false true C false false false false 0.00000 0.00000 0.00000 false false false true A false true false false 0 false 0 false true B false true false false 0 false 0 false true C false true false false 0 false 0 false true A true B true C true Paula Marcus Family Member of Steven Safyer, M.D., Trustee & officer 147462 Employment false Theresa P Ozuah Family Member of Philip O. Ozuah, M.D., Ph.D, officer 187080 Employment false Jaime M Butler Family Member of James M. Butler, Chair of the Board 121776 Employment false X 25 0 X 15 2947565 current market value 0 false true false Schedule M, Part I, line 1 During 2019, the Medical Center received various donations of artwork. On Form 990, Part VIII, Statement of Revenue, line 1g, a $0 amount was reported for these donations as allowed under SFAS 116 for artworks not capitalized and held for public exhibition rather than financial gain. Form 990, Part VI, Section A, Line 4: The organization's bylaws was amended December 19, 2019 for a change in the selection process of the Board. The Montefiore Medical Center Board was given the authority to elect 51% of the Board members from a slate of candidates approved by its parent, Montefiore Health System, Inc. The other 49% of the Board members are to be appointed directly by the Health System. Form 990, Part VI, Section A, Line 6: Montefiore Health System, Inc. is the sole member of Montefiore Medical Center. Form 990, Part VI, Section A, Line 7A: The board of trustees of Montefiore Health System, Inc., the sole member of Montefiore Medical Center, has the authority to appoint 49% of the Board of trustees of Montefiore Medical Center. The other 51% of the Board is elected by the Board of Trustees of the Medical Center from a slate of candidates approved by the sole member. Form 990, Part VI, Section A, Line 7B: The board of trustees of Montefiore Health System, Inc., the sole member of Montefiore Medical Center, has the authority to approve the operating and capital budgets of Montefiore Medical Center. Form 990, Part VI, Section B, Line 11B: THE FORM 990 WAS PREPARED BY THE MONTEFIORE'S FINANCE DEPARTMENT WITH THE assistance OF VARIOUS DEPARTMENTS THROUGHOUT THE MEDICAL CENTER. THE FORM 990 WAS REVIEWED AND APPROVED BY THE VICE PRESIDENT-FINANCE AND THE MEDICAL CENTER'S SENIOR LEADERSHIP TEAM INCLUDING THE CHIEF FINANCIAL OFFICER. IN ADDITION, AN INDEPENDENT ACCOUNTING FIRM WAS ENGAGED TO REVIEW THE FORM 990. UPON COMPLETION OF THE VARIOUS REVIEWS, THE FORM 990 WAS PRESENTED TO THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES FOR REVIEW AND APPROVAL. ONCE APPROVED BY THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES, THE FORM 990 WAS PROVIDED TO ALL MEMBERS OF MONTEFIORE MEDICAL CENTER'S GOVERNING BODY before filing. Form 990, Part VI, Section B, Line 12C: The organization regularly and consistently monitors and enforces compliance with the disclosure policy by means of a survey developed by counsel and approved by the Legal and Compliance Committees of the Board of Trustees. The survey is sent to all trustees, officers and key employees for completion. All survey responses are reviewed by the Compliance Officer. Any potential conflicts identified in the responses are discussed with senior management and/or the Legal and Compliance Committees of the Board of Trustees. Potential actions to be taken in response to a conflict is one or more of the following: 1)disclosure of conflict; 2)individual recusal from decisions for transactions where that individual may have a conflict; 3)request the individual to alleviate the conflict; OR 4)removal of the individual from the board of trustees. Form 990, Part VI, Section B, Line 15A & Line 15B: All officers and Key Employees are employed and paid by either Montefiore Medicine Academic Health System, Inc. or Montefiore Health System, Inc., the parent company of Montefiore Health System, Inc. and Montefiore Medical Center, respectively. Montefiore is committed to ensuring that its executive compensation program adheres to the highest standards of regulatory compliance and best corporate governance. The Montefiore Board of Trustees has charged the Compensation Committee of the Board (which is comprised of independent Board members with no conflicts of interest in regards to executive compensation) with making all decisions related to compensation for officers and certain key employees. All decisions made by the Compensation Committee are appropriately and timely documented in meeting minutes. The compensation committee's review process follows the intermediate Sanctions guidelines for qualifying for the rebuttable presumption of reasonableness. The Committee retains an independent compensation consultant to assist it with this process. Compensation levels are established considering data for comparable organizations, an assessment of management performance (including the services provided to the community), and other business judgment factors, consistent with Montefiore's executive compensation philosophy. The Committee's decisions are made in the best interest of Montefiore, and are intended to ensure the recruitment and retention of key executive talent, consistent with the market practices of other not-for-profit healthcare organizations of comparable scope, mission and complexity. On an annual basis, the Committee provides the full Board of Trustees with a description of the Committee's review and approval process and its decisions. Form 990, Part VI, Section C, Line 19: THE CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS and montefiore Medical Center's audited consolidated financial statements ARE MADE AVAILABLE UPON REQUEST. Form 990, Part XI, Line 9: The Other change in net assets reduction of $70,390,067 was due to the following: - Increase in defined pension and other postretirement plan liabilities to be recognized in future periods ($6,560,319) - Affiliate equity transfers ($98,867,504) - Change resulting from adoption of ASC 842 $35,037,756 Montefiore Proton Acquisition LLC 111 East 210th St Bronx NY 10467 273994795 Proton Ther NY 0 0 mmc CMO THE CARE MANAGEMENT COMPANY LLC 111 EAST 210TH STREET BRONX NY 10467 133991307 CARE MGMT SER NY 76119377 -92198729 MMC MONTEFIORE HUDSON VALLEY COLLABORATIVE 111 EAST 210TH STREET BRONX NY 10467 473389736 Perform Prov NY 10299074 75981034 MMC MMC Corporation 111 East 210th street bronx NY 10467 133430322 real estate NY 501(c)(3) 12A Type I MMC true MMC Residential Corp I Inc 3411 Wayne Avenue bronx NY 10467 911943271 staff housing NY 501(c)(2) MMC true Montefiore Hosp Housing Section II Inc 3450 wayne avenue bronx NY 10467 237160641 staff housing NY 501(c)(2) MMC true Mosholu Preservation Corporation 3400 reservoir oval East bronx NY 10467 133109387 Community Ser NY 501(c)(3) 12A type I MMC true Gun Hill MRI PC 200 East Gunhill Road Bronx NY 10467 133734486 diag services NY 501(c)(3) 12A type I MMC true Montefiore Health System Inc 555 South Broadway BLDG A FL 1 Tarrytown NY 10591 201615393 PARENT NY 501(c)(3) 12B type II MMAHS true Montefiore New Rochelle Hospital 16 Guion Place New Rochelle NY 10801 462931956 Hospital NY 501(c)(3) 3 MHS true Montefiore Mount Vernon Hospital 12 North Seventh Avenue Mount Vernon NY 10550 462916938 Hospital NY 501(c)(3) 3 MHS true Schaffer Extended Care Center 16 Guion Place New Rochelle NY 10801 462929888 Nursing Home NY 501(c)(3) 3 MHS true MONTEFIORE FOUNDATION INC 111 EAST 210TH STREET BRONX NY 10467 471600439 Inactive NY 501(c)(3) 7 MMAHS true Albert Einstein College of Medicine Inc 1300 Morris Park Avenue BRONX NY 10461 472209056 Med College NY 501(C)(3) 2 MMAHS true MONTEFIORE MEDICINE ACADEMIC HEALTH SYST 555 SOUTH BROADWAY BLDG A FL 1 TARRYTOWN NY 10591 471582973 System Parent NY 501(C)(3) 12B Type II NA true MONTEFIORE NYACK HOSPITAL 160 NORTH MIDLAND AVENUE NYACK NY 10960 131740119 HOSPITAL NY 501(C)(3) 3 MHS true White Plains Hospital Medical Center 41 East Post Road White Plains NY 10601 131740130 Hospital NY 501(c)(3) 3 MHS true AECOM Student Housing Co Inc 1300 Morris Park Avenue Bronx NY 10461 237075620 Student Hous NY 501(C)(2) AECOM true Montefiore CERC Operations Inc 111 East 210th Street Bronx NY 10467 474853506 Rehab Center NY 501(c)(3) 3 MMC true White Plains Hospital Ctr Foundation 41 East Post Road Davis Ave White Plains NY 10601 133281507 FUNDRAISING NY 501(c)(3) 12A TYPE I WPHMC true Montefiore Nyack Hospital Foundation 160 North Midland Avenue Nyack NY 10960 133245804 FUNDRAISING NY 501(c)(3) 7 Nyack Hosp true The Winifred Masterson Burke Rehab Hosp 785 Mamaroneck Avenue White Plains NY 10605 131739937 Rehab Hosp NY 501(c)(3) 3 MHS true St Luke's Cornwall Hospital 70 Dubois Street Newburgh NY 12550 141340054 Hospital NY 501(c)(3) 3 MHS true Hudson Vista Medical PC 70 Dubois Street Newburgh NY 12550 452526738 Healthcare NY 501(c)(3) 12A Type I SLCH true Hudson Vista Physician Services PC 70 Dubois Street Newburgh NY 12550 272020746 Healthcare NY 501(c)(3) 12A Type I SLCH true St Luke's Cornwall Health System Inc 70 Dubois Street Newburgh NY 12550 223026261 Holding Comp NY 501(c)(3) 12A Type I MHS true St Luke's Cornwall Health SysTEM FDN 70 Dubois Street Newburgh NY 12550 223026263 Fundraising NY 501(c)(3) 7 SLCHS true Amos and Sarah Holden Home 70 Dubois Street Newburgh NY 12550 141365995 Asst Living NY 501(c)(3) PF SLCHS true MONTEFIORE MED ACAD HLTH SYS SELF INS TR 555 SOUTH BROADWAY TARRYTOWN NY 10591 824019223 INS TRUST NY 501(C)(3) 12A TYPE I MMAHS true ALBERT EINSTEIN COLLEGE OF MEDICINE 1300 MORRIS PARK AVENUE BRONX NY 10461 830621846 MED COLLEGE NY 501(C)(3) 2 MMAHS true The Montefiore IPA Inc 111 East 210th street bronx NY 10467 134114915 Integ Provr Assoc NY NA c corp true MMC GI Holdings East Inc 111 East 210th street bronx NY 10467 721610013 holding company NY NA c corp true MMC GI Holdings West Inc 111 East 210th street bronx NY 10467 721610015 holding company NY NA c corp true Montefiore Behavioral Care IPA No 1 inc 111 East 210th street bronx NY 10467 133952750 Integ provr assoc NY NA c corp true BRONX ACCOUNTABLE Care Network IPA Inc 111 EAST 210TH STREET BRONX NY 10467 300689571 Integ Provr Assoc NY NA C CORP true MONTEFIORE CONSOLIDATED VENTURES INC 111 EAST 210TH STREET BRONX NY 10467 611728539 holding company NY NA C CORP true MONTEFIORE INSURANCE COMPANY INC 111 EAST 210TH STREET BRONX NY 10467 320436594 Inactive NY na C CORP true HUDSON VALLEY IPA INC 111 EAST 210TH STREET BRONX NY 10467 383978087 INTEG PROVR ASSOC NY NA C CORP true MONTEFIORE INNOVATIONS INC 111 EAST 210TH STREET BRONX NY 10467 475106910 HOLDING COMPANY NY na C CORP true HIGHLAND MEDICAL PC 160 NORTH MIDLAND Avenue NYACK NY 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NY na C Corp true White Plains Physician Services PC Davis Avenue at East Post Road White Plains NY 10601 815309615 Healthcare Serv. NY na c corp true Charitable Remainder Trust (4) Char Remr Trust NY na Trust true CRHT ACQUISITION INC 555 SOUTH BROADWAY BLDG A FL 1 TARRYOWN NY 10591 815220651 HOLDING COMPANY NY NA C CORP true QUANTUM BIOTHERAPEUTICS LLC 111 EAST 210TH STREET BRONX NY 10467 611793667 INACTIVE NY NA C CORP true WHITE PLAINS PHYSICIAN MEDICAL SERV PC DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS NY 10601 830519787 INACTIVE NY NA C CORP true EAST POST ROAD MEDICAL SERVICES PC DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS NY 10601 830535258 Healthcare Serv. 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