2019-11-13T06:05:14-06:00 2018-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2018-01-01 462931956 MONTEFIORE NEW ROCHELLE HOSPITAL % EVAN RESNICK MONT 9143498400 16 GUION PLACE NEW ROCHELLE NY 108015502 COLLEEN M BLYE EXEC V.P. & C.F.O. 7189207602 2019-11-11 true NICOLE M SOKOLOWSKI P01683199 2127733000 173.56.229.42 26308520193175000001 2019-11-13 P 24558E047A149CE0743DDA4F89040DC2FD5B7974 047C777BBD395ADD529156C75D94AFF56594489C 2018 2020-03-31 21:24:44Z STEVEN SAFYER MD 111 EAST 210TH STREET BRONX NY 104672401 187952657 false X SEE FORM 990, SCHEDULE O X 2013 NY TO HEAL, TO TEACH, TO DISCOVER AND TO ADVANCE THE HEALTH OF THE COMMUNITIES WE SERVE. 43 42 1304 60 0 11868 24911977 35085183 147087911 149933663 1210429 1530749 744993 1215123 173955310 187764718 45400 83957 0 0 105268780 102480310 0 0 0 78076916 71546663 183391096 174110930 -9435786 13653788 106643193 116454583 129556889 129390856 -22913696 -12936273 MISSION: TO HEAL, TO TEACH, TO DISCOVER AND TO ADVANCE THE HEALTH OF THE COMMUNITIES WE SERVE. 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. false false 141431844 83957 138610401 Patient Care Montefiore New Rochelle Hospital is a 242-bed, community based teaching hospital offering primary, acute and emergency care to the residents of southern Westchester. Since its beginning, Montefiore New Rochelle Hospital has provided for the diverse Medical need of the communities that it serves. Montefiore New Rochells has a number of leading-edge services and programs that have earned distinction by State and National organizations for achieving and maintaining the highest quality of care within the specialty. Among its distinctions: - Designated as a center of excellence by the American Society of Metabolic and Bariatric Surgery; - New York State desinated stroke center; - Designated as a New York perinatal hospital with a level 3 neonatal intensive care unit that provides state-of-the-art care for fragile newborns; - Receipt of American College of Surgeons Commission of Cancer (COC) cancer program accreditation and; - Gold Seal of approval from the Joint Commission as a certified center of excellence in both hip and knee joint replacement. MONTEFIORE NEW ROCHELLE HOSPITAL, part of the Montefiore Health System, the university hospital system for the Albert Einstein College of Medicine, IS THE ONLY HOSPITAL IN THE CITY OF NEW ROCHELLE. The hospital is currently undergoing extensive renovations to its emergency and Community Health Center. The project will re-design and increase the size of the existing emergency deapartment as well as creating a connector to other subspecialty care, including behavioral Health and other ambulatory services. 15977911 0 11323262 Medical and Nursing Education The Department of Medicine at New Rochelle Hospital offers training programs for residents and students that reflects a deep institutional and departmental commitment to medical education in a supportive community-based environment that provides a full spectrum of care to a diverse patient population. 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 the medical community, and educate the next generation of physicians, healthcare leaders and investigators. Montefiore New Rochelle Hospital also operates a School of Nursing based in Mount Vernon, New York accredited by the Accreditation Commission for Education in Nursing offering a two year degree program. This program prepares students for professional nursing careers while laying the foundation for further education and advancement. Montefiore School of Nursing provides the foundation for nurses committed to excellence to prepare to embark on a career that provides many professional challenges. Though a strong theoretical and clinically based program, our Nursing graduates receive the skills and confidence to provide the community with competent, quality nursing care. Learning in a hospital environment prepares our students to work in a variety of clinical settings securing employment in hospitals, home healthcare, education, long-term care, public health administration, forensic nursing, occupational health and research. 157409755 true true false true false false false false false true true false false true true false false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 37 0 true 1304 true true true false false false false false false false false false false false X 43 42 false false true false true true true true true false false true true true true true true false false false NY X EVAN RESNICK 9143498455 555 SO BROADWAY BLDG A FL 1 TARRYTOWN NY 105916301 ODED ABOODI VICE CHAIRMAN & TREASURER 0.3 2.2 X 0 0 0 JAY B ABRAMSON TRUSTEE 0.3 2.2 X 0 0 0 MARGARET HAYES ADAME TRUSTEE 0.2 1.55 X 0 0 0 GEORGE ASCH TRUSTEE (TERM ENDED 6/19/18) 0.2 1.05 X 0 0 0 PATRICIA BAUMAN TRUSTEE 0.2 1.05 X 0 0 0 JAMES M BUTLER CHAIRMAN 0.5 4.0 X 0 0 0 BRUCE DONIGER TRUSTEE 0.2 1.05 X 0 0 0 RUTH L GOTTESMAN EDD TRUSTEE 0.2 1.55 X 0 0 0 BARRY W GRAY TRUSTEE 0.2 1.05 X 0 0 0 PATRICIA GREEN TRUSTEE 0.2 1.05 X 0 0 0 THOMAS L HARRISON TRUSTEE 0.2 1.05 X 0 0 0 JOHN HEFFER TRUSTEE 0.3 2.2 X 0 0 0 LEWIS HENKIND SECRETARY 0.3 2.7 X 0 0 0 HELEN A JOHNSON TRUSTEE 0.3 1.7 X 0 0 0 DAVID B KEIDAN TRUSTEE 0.2 1.05 X 0 0 0 ALAN M KLEIN TRUSTEE 0.4 3.1 X 0 0 0 STACEY R LANE TRUSTEE 0.3 2.2 X 0 0 0 JAY B LANGNER TRUSTEE/CHAIRMAN EMERITUS 0.2 1.05 X 0 0 0 MARGARET L NATHAN TRUSTEE 0.2 1.05 X 0 0 0 PETER J NEUFELD TRUSTEE (TERM ENDED 6/19/18) 0.2 1.05 X 0 0 0 GAYLE F ROBINSON TRUSTEE 0.2 1.05 X 0 0 0 JON W ROTENSTREICH TRUSTEE 0.2 1.05 X 0 0 0 HON FELICE K SHEA TRUSTEE 0.2 1.05 X 0 0 0 EDWIN H STERN III TRUSTEE 0.2 1.05 X 0 0 0 DAVID A TANNER TRUSTEE 0.2 1.8 X 0 0 0 CYNTHIA KING VANCE TRUSTEE 0.3 2.2 X 0 0 0 JENNIE EMIL TRUSTEE 0.2 1.05 X 0 0 0 JONTHAN A LIPTON TRUSTEE 0.3 2.2 X 0 0 0 ZITA G ROSENTHAL TRUSTEE 0.2 1.05 X 0 0 0 NATHAN GANTCHER TRUSTEE 0.2 2.3 X 0 0 0 CATHERINE KLEMA TRUSTEE 0.3 2.2 X 0 0 0 MELISSA CERIALE TRUSTEE 0.3 2.2 X 0 0 0 BARRY S BLATTMAN TRUSTEE 0.3 2.2 X 0 0 0 MARK E BROSSMAN TRUSTEE (TERM ENDED 6/19/18) 0.2 1.05 X 0 0 0 MATTHEW H NORD TRUSTEE 0.2 1.3 X 0 0 0 MICHAEL A STOCKER MD TRUSTEE 0.3 2.7 X 0 0 0 ROGER EINIGER TRUSTEE 0.2 2.3 X 0 0 0 JOEL BRAUN TRUSTEE 0.2 1.05 X 0 0 0 EMANUEL CHIRICO Trustee 0.2 1.05 X 0 0 0 W NORMAN MILNER TRUSTEE 0.2 1.05 X 0 0 0 Steven M Safyer MD CHIEF EXECUTIVE OFFICER 5.0 55.0 X X 0 7985351 45244 Alisa R Doctoroff Trustee 0.2 1.8 X 0 0 0 John P Gutfreund Trustee 0.2 1.05 X 0 0 0 RONALD L MOELIS TRUSTEE 0.2 1.05 X 0 0 0 ALAN N SUNA TRUSTEE (EFFECTIVE 11/1/18) 0.2 1.05 X 0 0 0 DANIEL R TISHMAN TRUSTEE (EFFECTIVE 5/15/18) 0.2 3.05 X 0 0 0 PHILIP O OZUAH MD PHD PRESIDENT 5.0 55.0 X 0 13316550 45068 CHRISTOPHER S PANCZNER Assistant Secretary 5.0 55.0 X 0 1284291 627752 COLLEEN BLYE EXEC VP & CFO 5.0 55.0 X 0 1773397 535728 SUSAN GREEN-LORENZEN RN System SENIOR VP-OPERATIONS 5.0 55.0 X 0 1813543 42968 LYNN RICHMOND Exec VP-Chief Strategy Officer 5.0 55.0 X 0 1700958 335589 Anthony Alfano VP & Exec Director MNR 60.0 0.0 X 0 450002 42694 STEVEN B ZELICOF MD CHIEF, ORTHOPEDIC SURGERY 60.0 0.0 X 548771 0 36313 MADHU RANGRAJ MD DIRECTOR, SURGERY 60.0 0.0 X 542419 0 34329 Roger Coron MD Chief of Gastroenterology 60.0 0.0 X 683076 0 32562 Mark Liss MD Physician-Gastroentrology 60.0 0.0 X 738290 0 34868 Ared Garan MD Physician-Obstetric 60.0 0.0 X 576312 0 31879 JOEL A PERLMAN Former Officer 0.0 0.0 X 0 252113 45068 3088868 28576205 1890062 246 true true false Diker A V Contracting Corp 20 Elvira Court STATEN ISLAND NY 10306 Construction 11181080 Allscripts Healthcare LLC 24630 Network Place CHICAGO IL 60673 Health records mgmt 2274440 Radiology Advantage New Jersey PA 3805 East Bell Road PHOENIX AZ 85032 Radiology services 1388521 Fastaff LLC PO Box 911452 DENVER CO 80291 temporary nurses 1379189 Perkins Eastman Architects PC 115 Fifth Avenue NEW YORK NY 10003 Architectural design 879666 51 4790 34995935 84458 12037 35085183 INPATIENT REVENUE 623000 100325767 100325767 0 0 OUTPATIENT REVENUE 621400 45654612 45654612 0 0 MEDICAL/NURSING EDUCATION 611699 2806700 2806700 0 0 OTHER HEALTH CARE SERVICES 621999 1146584 1146584 0 0 149933663 545242 0 0 545242 0 0 99766 106371 -6605 0 -6605 0 0 -6605 985507 0 985507 985507 0 0 985507 0 0 0 0 0 0 172428 81568 90860 0 0 90860 CAFETERIA/COFFEE SHOP & VENDING INCOME 722514 952879 0 0 952879 PARKING INCOME 812930 163188 0 0 163188 MEDICAL RECORDS & X-RAY COPIES 541900 12058 0 0 12058 2743 0 0 2743 1130868 187764718 149933663 0 2745872 83957 83957 0 0 0 0 0 79172809 74714761 4458048 0 5384674 5060243 324431 0 12336693 11593396 743297 0 5586134 5249564 336570 0 164329 118329 46000 0 149847 12882 136965 0 0 0 0 94054 0 94054 0 9387173 7944303 1442870 0 144975 71844 73131 0 7240246 5943583 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true 19164 19164 Schedule C, Part II-B, Line 1i THE Other Activities includes indirect Lobbying cost for A PERCENTAGE OF membership DUES PAID TO THE HEALTH CARE ASSOCIATION OF NYS used for lobbying efforts and the organization's pro-rata share of Healthcare Education Project (HEP) lobbying expenses. 16296897 16296897 16296897 16296897 17095047 798150 16296897 17095047 17095047 17095047 17095047 1.00000 false false 33552361 4718129 28834232 17711863 8410717 9301146 8269549 0 8269549 46404927 AMTS DUE FROM AFFILIATES 2832297 ESTIMATED INSURANCE CLAIMS REC 30481000 33313297 0 LOAN PAYABLE TO PARENT 38890087 LOAN PAYABLE TO AFFILIATE 2281308 DUE TO THIRD PARTIES PAYORS 2893797 EST INSURANCE CLAIMS LIABILITIES 30481000 MALPRACTICE INSURANCE LIABILITIES 2762504 POSTRETIREMENT BENEFITS LIAB. 1037216 78345912 FORM 990, SCHEDULE D, PART V, LINE 4: The organization's endowments were established pursuant to donor gifts transferred from the bankrupt Sound Shore Medical Center Estate. The earnings can provide support to the Montefiore New Rochelle Hospital general activities, specifically treatment, hospitalization and care of needy patients as designated by individual donors. true true X true X true X 500. true true true false true true 6278690 4685359 1593331 0.00920 40979273 27217827 13761446 0.07900 47257963 31903186 15354777 0.08820 5845440 3425411 2420029 0.01390 16529845 10439324 6090521 0.03500 22375285 13864735 8510550 0.04890 69633248 45767921 23865327 0.13710 false 792467 325328 36446888 39058303 -2611415 X true true 1 1 Montefiore New Rochelle Hospital 16 Guion Place New Rochelle NY 10801 www.montefiorehealthsystem.org 5904001H X X X X Montefiore New Rochelle Hospital 1 false false true X X X X X X X X 16 true true false true X See Part V - Section C X true 16 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 The process to identify the needs of the community involved the collection of both secondary and primary data. Multiple conversations and meetings were convened internally and with external partners and a thorough review of the data was conducted. Multiple data sources were used to support the identification and selection of the priority items which were identified, selected and reviewed with the partners. The collection of primary data from a sample of the Westchester County residents was an important element of the development of the Community Health Needs Assessment. Montefiore engaged with the Westchester County Department of Health's online Community Resident and Provider Health Surveys to facilitate the implementation of the primary data collection process for the Community Health Needs Assessment for Westchester County and to assist in the facilitation of these community level connections thereby alleviating additional surveying overload. An online survey was collaboratively developed and made available across Westchester County over the summer of 2016. During this process, Westchester County compiled feedback from over 1,300 responders and identified community concerns by municipality to support CHNA efforts of hospitals for inclusion into their implementation plans. In addition to collaborative input from the local Department of Health, Montefiore worked closely with it communities, organized partnerships and collaboratives and other providers in lower Westchester as well as extensive work with representatives of the affected communities to help Montefiore to identify health care needs and determine the appropriate configuration of services. Schedule H, Part V, Section B, Line 6A Montefiore New Rochelle Hospital's CHNA was conducted along with Montefiore Mount Vernon Hospital. Schedule H, Part V, Section B, Line 7a The website that the hospital facility makes its CHNA report widely available to the public: http://www.montefiore.org/documents/communityservices/Community-Health-Nee ds-Assessment-MNR-MMV.pdf Schedule H, Part V, Section B, Line 10a The website that the hospital facility's most recently adopted implementation strategy is posted: http://www.montefiore.org/documents/communityservices/Community-Health-Nee ds-Assessment-MNR-MMV.pdf Schedule H, Part V, Section B, Lines 11 A review of the results from the primary and secondary data collection in Montefiore New Rochelle Hospital's most recent conducted CHNA illuminated two major categories of health needs that were important across the population surveyed, reflected in the data as critical, and in alignment with the New York State Prevention Agenda. The two priority areas identified were (1)Preventing Chronic Disease and (2)Promoting Healthy Women, Infants and Children. As part of the submission for the New York State Health Improvement Plan for 2016-2018, required by the New York State Department of Health, Montefiore has elected to retain these two priority areas, Prevent Chronic Disease and Promote Healthy Women, Infants and Children and has selected three broad focus areas to implement programs. These broad focus areas are (1)reducing obesity in children and adults, (2)Increase access to high quality chronic disease Preventive care and management in both clinical and community settings and (3) Improving maternal and infant Health. Across these focus areas, various goals, with specific interventions, performance measures and time frames, were delineated; - Create community environments that promote and support healthy food and beverage choices and physical activity; - Increase screening rates for cardiovascular disease, diabetes and breast, cervical and colorectal cancers, especially among disparate populations; - Reduce premature births. Despite each of the different methods and approached to primary data collection in gathering community input, there was a consistent focus on obesity and related behaviors and outcomes among the main community health concerns. Obesity and its related behaviors have significant impact on chronic disease, therefore, it is intended that the programs that are detailed specifically for the reduction of obesity will also impact the prevalence of diabetes, hypertension, asthma, cancer and cardiovascular disease in Westchester County. Montefiore has a vast portfolio of programs and services that address a majority of the significant community health needs identified in the Community Health Needs Assessment. The breadth and depth of the programs and services vary, but each address a need identified in the community. In particular, there are programs underway in collaboration with Hudson River Healthcare and Westchester Local Government units to work with bodegas on healthy snack displays and creating walking paths in parks and communities. In addition to the multiple resources that have been developed at Montefiore independently and through partnership with other organizations, there is an extensive need for community-based programs and resources that can augment Montefiore's program and services. Knowing how to access those resources is a particular challenge for the health care sector. However, since the last CHNA report in 2013, multiple free and low cost online search tools have been developed, such as www.auntbertha.com, www.hitesite.org, www.nowpow.com, among others. These are a much more comprehensive and practical alternative to the home-grown referral guides that many health care providers have had to use in the past. Those were hard to keep-up-to date and difficult to search, a problem that is largely addressed by the online version. Many Montefiore sites have been introduced to these new online resources and work is underway to more seamlessly integrate this kind of solution into the various workflows across the ambulatory, ED and inpatient settings. 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 organization'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 was publicized on the hospital facility's direct website: http://www.montefiorehealthsystem.org/body.cfm?id=68 1. Required Descriptions: 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-CHARGES. PART III, SECTION A, LINE 2: THE COST OF BAD DEBT EXPENSE WAS ESTIMATED BASED ON THE CHARGES, APPLIED TO THE RATIO OF TOTAL PATIENT CARE EXPENSES TO TOTAL CHARGES FOR ALL SERVICES RENDERED. ANY PAYMENTS OR DISCOUNTS ARE EXCLUDED FROM BAD DEBT EXPENSE. PART III, SECTION A, LINE 3: THE ESTIMATED AMOUNT OF 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 AND IF THE BILL WILL EVER BE PAID. 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 year ended December 31, 2018, changes in the Health Systems 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 year ended December 31, 2018 was not significant". PART III, SECTION B, LINE 8: MEDICARE REVENUE AND ALLOWABLE COSTS REPORTED IN PART III, SECTION B, WERE DERIVED FROM THE MEDICARE COST REPORT. 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 HOSPITAL. AS HIGHLIGHTED IN THIS TABLE, INCLUDING THE ADJUSTMENTS DESCRIBED BELOW WOULD HAVE RESULTED IN A MEDICARE SHORTFALL OF $12,071,044. REVENUE ALLOWABLE COSTS SHORTFALL PART III, LINES 5-7: $36,446,888 $39,058,303 (2,611,415) ADD: COST not included: - 7,588,378 (7,588,378) ADD: MEDICARE DME: 3,215,021 5,086,272 (1,871,251) ADJUSTED MEDICARE SHORTFALL: $39,661,909 $51,732,953 ($12,071,044) PART III, SECTION C, LINE 9B: FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS HALTED AND THE PATIENT IS REFERRED FOR FINANCIAL AID. IF AN ACCOUNT IS IN COLLECTION AND THE PATIENT REQUESTS FINANCIAL AID OR IF THE AGENCY DETERMINES THAT THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE ACCOUNT IS REFERRED BACK TO THE HOSPITAL WHERE THE PATIENT IS PROVIDED ASSISTANCE WITH COMPLETING AN APPLICATION FOR ASSISTANCE. 2. NEEDS ASSESSMENT: MONTEFIORE participates in a variety of organized partnership and collaborative, working with other providers in Westchester County, including the Westchester County Department of Health, community-based organizations and members of the community in planning and developing initiatives aimed at improving the health of the people of Westchester County. The process to identify the needs of the community also involves the collection of both primary and secondary data. Through multiple conversations and meetings with external partners, the data is reviewed and analyzed in the development of implementation strategies tailored to best serve the changing needs of the community. 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: ALL INTAKE, REGISTRATION, AND COLLECTION AGENCY STAFF IS TRAINED ON THE HOSPITAL'S FINANCIAL AID POLICY AND HOW TO PROVIDE PATIENTS WITH ASSISTANCE. MONTEFIORE NEW ROCHELLE HOSPITAL 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 HOSPITAL'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 HOSPITAL 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 PATIENTS' BILLS. THERE ARE ALSO SIGNS POSTED AT THE MAIN ENTRANCE TO THE HOSPITAL IN ENGLISH AND SPANISH ADVISING PATIENTS OF THE ROOM LOCATION FOR ASSISTANCE WITH FINANCIAL AID. 4. COMMUNITY INFORMATION: The City of New Rochelle is the anchor city for the Long Island Sound region in Westchester County and has approximately 79,946 residents. New Rochelle is ethnically diverse. Its population is 29.4% Hispanic, 18.5% African-American, 45.0% white, 4.5% Asian and 2.6% other. Almost one-third (29.6%) of its residents are foreign-born. Among these immigrants, more people speak only English at home than any other language. New Rochelle is one of Westchester County's more affuent cities. 1% of New Rochelle households are on public assistance; less than Westchester County (2.2%) and New York State (3.4%) percentage. About 11.2% of New Rochelle's population lives below the poverty line and the median income is $66,656 compared to $77,293 countywide. There are 12.2% of New Rochelle children living below poverty. 5. PROMOTION OF COMMUNITY HEALTH: MONTEFIORE HEALTH SYSTEM, INC. IS A LEADER IN COMMUNITY HEALTH AND HAS A LONG HISTORY OF DEVELOPING INNOVATIVE APPROACHES TO CARE AND CREATING PROGRAMS TO BEST SERVE THE CHANGING NEEDS OF ITS COMMUNITY. Montefiore's Office of Community & Population Health has a dedicated community educator who collaborates with the Director of WIC initiatives for events in New Rochelle. These events are focused on a variety of issues, ranging from chronic disease management and prevention, cancer screenings and promotion of healthy food comsumption. Events range from farmers market walks, workshops in the community, walkathons, health fair and community-based health screens. Engaging local community members in our efforts enables us to employ the health care institution and the community in the activities of national health advocacy organizations, including walks, festivals, and other awareness-raising activities for health issues that impact the community. 6. AFFILIATED HEALTH CARE SYSTEM: MONTEFIORE NEW ROCHELLE HOSPITAL 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. 7. STATE FILING OF COMMUNITY BENEFIT REPORT: MONTEFIORE NEW ROCHELLE HOSPITAL FILES A COMMUNITY SERVICE PLAN WITH THE STATE OF NEW YORK. true UNITED HEBREW GERIATRIC CENTER 391 PELHAM ROAD NEW ROCHELLE NY 10805 131663975 501(C)(3) 6500 SPONSORSHIP Wartburg Adult Care Program Inc One Wartburg Place Mount Vernon NY 10552 131740497 501(c)(3) 25000 sponsorship City of New Rochelle 515 North Avenue New Rochelle NY 10801 136013979 170(C)(1) 25000 Support 2 0 PART 1, LINE 2 THE ORGANIZATION PROVIDES SUPPORT TO VARIOUS CHARITABLE ORGANIZATIONS AS part Of ITS MANY LOCAL COMMUNITY HEALTH AND BUILDING PROGRAMS initiatives. THESE DONATIONS ARE AWARDED TO LOCAL ESTABLISHED 501(C)(3)ORGANIZATIONS AS PART OF Montefiore New Rochelle Hospital CHARITABLE MISSION TO IMPROVE THE HEALTH AND WELFARE OF THE COMMUNITITIES THAT IT SERVES. true true false false false false false false false PHILIP O OZUAH MD PHD PRESIDENT 0 2809306 0 1588300 0 8918944 0 17000 0 28068 0 13361618 0 5573098 CHRISTOPHER S PANCZNER Assistant Secretary 0 856837 0 405900 0 21554 0 621174 0 6578 0 1912043 0 0 JOEL A PERLMAN Former Officer 0 0 0 0 0 252113 0 17000 0 28068 0 297181 0 0 SUSAN GREEN-LORENZEN RN System SENIOR VP-OPERATIONS 0 1051346 0 470100 0 292097 0 17000 0 25968 0 1856511 0 0 LYNN RICHMOND Exec VP-Chief Strategy Officer 0 1049204 0 630200 0 21554 0 308475 0 27114 0 2036547 0 0 STEVEN B ZELICOF MD CHIEF, ORTHOPEDIC SURGERY 547739 0 0 0 1032 0 6800 0 29513 0 585084 0 0 0 MADHU RANGRAJ MD DIRECTOR, SURGERY 538093 0 0 0 4326 0 6800 0 27529 0 576748 0 0 0 Roger Coron MD Chief of Gastroenterology 682860 0 0 0 216 0 6800 0 25762 0 715638 0 0 0 Mark Liss MD Physician-Gastroentrology 738290 0 0 0 0 0 6800 0 28068 0 773158 0 0 0 COLLEEN BLYE EXEC VP & CFO 0 1113565 0 658800 0 1032 0 509118 0 26610 0 2309125 0 0 Steven M Safyer MD CHIEF EXECUTIVE OFFICER 0 2077600 0 2455500 0 3452251 0 17000 0 28244 0 8030595 0 0 Anthony Alfano VP & Exec Director MNR 0 371954 0 75000 0 3048 0 17000 0 25694 0 492696 0 0 Ared Garan MD Physician-Obstetric 575641 0 0 0 671 0 6705 0 25174 0 608191 0 0 0 PART 1, LINE 4a Joel Perlman, a former officer, was paid severance by a related organization in the amount of $247,169. PART I, LINES 3, 4B & PART II - COLUMNS (B)(i), (ii) and (iii) As it relates to Compensation from either Montefiore Medicine Academic Health System, Inc. or Montefiore Health System, Inc. The Compensation Committee reviews and approves all forms of compensation and benefits provided to all officers and certain key employees with the assistance of a national independent compensation consulting firm. The consulting firm assists the Compensation Committee with its decision-making process to ensure executive compensation levels are reasonable 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 size organizations and scope of responsibilities. Bonus and incentive compensation in Column B(ii) is based on the achievement of performance goals. The executives' compensation program has a significant pay-at-risk component to ensure the alignment of pay and organizational performance. Goals are set in advance in areas such as quality of care, patient satisfaction, community services and financial performance. Compensation is at risk if the goals established by the Compensation Committee are not met. Other reportable compensation in column B(III) includes 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: Steven Safyer, M.D. - $3,444,107 Susan Green-Lorenzen, R.N. - $270,063 Philip Ozuah, M.D., Ph.D. - $8,741,113 Supplemental Executive Retirement Plan accrued and unpaid service costs: Christopher Panczner - $604,174 Lynn Richmond - $291,475 Colleen Blye - $492,118 The Officers and Key Employees listed in Part II, column A are not employees of this filing organization, Montefiore New Rochelle Hospital. These individuals are employed and their compensation is paid by either Montefiore Medicine Academic Health System, Inc., EIN 47-1582973, or by Montefiore Health System, Inc., EIN 20-1615393, the parent organizations of the Health System. FORM 990, PART VI, SECTION A, LINE 4: The organization's bylaws was amended March 2018 for a change in the duties of the Chief Executive Officer from a corporate to a board officer position. Form 990, Part VI, Section A, Line 6: MONTEFIORE HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF MONTEFIORE NEW Rochelle HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A: THE BOARD OF TRUSTEES OF MONTEFIORE HEALTH SYSTEM, INC., THE SOLE MEMBER OF MONTEFIORE NEW ROCHELLE HOSPITAL, HAS THE AUTHORITY TO APPOINT THE BOARD OF TRUSTEES OF MONTEFIORE NEW ROCHELLE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B: THE BOARD OF TRUSTEES OF MONTEFIORE HEALTH SYSTEM, INC., THE SOLE MEMBER OF MONTEFIORE NEW ROCHELLE HOSPITAL, HAS THE AUTHORITY TO APPROVE THE OPERATING AND CAPITAL BUDGETS OF MONTEFIORE NEW ROCHELLE HOSPITAL. FORM 990, PART VI, SECTION B, LINE 11B: THE FORM 990 WAS PREPARED BY THE HOSPITAL'S FINANCE DEPARTMENT WITH THE ASSISTANCE OF VARIOUS DEPARTMENTS. THE FORM 990 WAS REVIEWED AND APPROVED BY THE VICE PRESIDENT-FINANCE AND THE HOSPITAL'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 NEW ROCHELLE HOSPITAL'S GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 12C: ORGANIZATION COMPLIANCE POLICY MONITORING AND ENFORCEMENT: 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 Montefiore 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 & 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 companies of Montefiore Health System, Inc and Montefiore New Rochelle Hospital, respectively. Montefiore Health System is committed to ensuring that its executive compensation program adheres to the highest standards of regulatory compliance and best corporate governance. The Board of Trustees has charged the Compensation Committee of the Board (which is comprised of independent Board members with no conflicts of interest in regards to executive compensation) with making all decisions related to compensation for officers and key employees. All decisions made by the Compenstion 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 judgement 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 CONFLICTS OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 The other decrease in net assets of $1,037,216 was due to the change in net assets related to defined benefit pension and postretirement plans to be recognized in future periods. FORM 990, PAGE 1, BOX J WEBSITE: HTTP://MONTEFIOREHEALTHSYSTEM.ORG/NEWROCHELLE MMC Corporation 111 East 210th Street Bronx NY 10467 133430322 Real Estate NY 501 (C)(3) 12A TYPE I MMC true Montefiore Medical Center 111 East 210th Street Bronx NY 10467 131740114 Acad Med Ctr NY 501 (C)(3) 3 MHS true MMC Residential Corp I Inc 3411 Wayne Avenue Bronx NY 10467 911943271 Staff Housing NY 501 (C)(2) MMC true Montefiore Hospital Housing Sect IIInc 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 GUN HILL 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 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 Albert Einstein College of MedicineInc 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 SYS 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 Montefiore Foundation INC 111 East 210th Street Bronx NY 10467 471600439 INACTIVE NY 501(c)(3) 7 MMAHS 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 Center Foundation 41 East Post Rd Davis Ave White Plains NY 10601 133281507 Fundraising NY 501(C)(3) 12A Type I WPHMC true 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 Goldsmith D and Mary B Johnes Home 70 Dubois Street Newburgh NY 12550 141364666 Home for Aged NY 501(c)(3) 10 SLCHS true MONTEFIORE MED ACAD HLTH SYS SELF INS TR 555 SOUTH BROADWAY TARRYTOWN NY 105916301 824019223 INS TRUST NY 501(C)(3) 12A TYPE I MMAHS true ALBERT EINSTEIN COLLEGE OF MEDICINE 1300 MORRIS PARK AVENUE BRONX NY 104611975 830621846 MED COLLEGE NY 501(C)(3) 2 MMAHS true UNIVERSITY BEHAVIORAL ASSOCIATES INC 111 EAST 210TH STREET BRONX NY 10467 133877781 MGMT SERVICES NY NA C Corp 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 1INC 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 10960 134034481 Healthcare Serv. NY NA C CORP true 8 Longview Development Corp Davis Avenue at East Post Road White Plains NY 10601 263321278 HOUSING NY NA C CORP true White Plains Medical Diagnostic Serv PC 41 East Post Road White Plains NY 10601 453164626 Healthcare Serv. NY NA C CORP true Cancer and Blood Medical Services of NY 41 Post Road White Plains NY 10601 462021804 Healthcare Serv. NY NA C CORP true Davis Avenue Corp Davis Avenue at East Post Road White Plains NY 10601 133331643 Inactive NY NA C CORP true White Plains Management Co Inc 41 East Post Road White Plains NY 10601 133331641 Inactive NY NA C CORP true WPHC Building Corp 41 East Post Road White Plains NY 10601 133676932 Inactive NY NA C CORP true White Plains Medical Services PC Davis Avenue at East Post Road White Plains NY 10601 815369152 Healthcare Serv. NY NA C Corp true White Plains Physician Services PC Davis Avenue at East Post Road White Plains NY 10601 815309615 Inactive NY NA C Corp true Charitable Remainder Trust (5) Char Remr Trust NY NA Trust true CRHT ACQUISITION INC 555 SOUTH BROADWAY BLDG A FL 1 TARRYTOWN 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 PHYSCIAN 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 INACTIVE NY NA C CORP true EAST POST ROAD PHYSICIAN SERVICES PC DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS NY 10601 830563325 INACTIVE NY NA C CORP true DAVIS AVENUE MEDICAL SERVICES PC DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS NY 10601 830579310 INACTIVE NY NA C CORP true WPH HOLDING COMPANY DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS NY 10601 833893119 HOLDING COMPANY NY NA C CORP true false false false false false false false false false false true true true true true true true false false MONTEFIORE MEDICAL CENTER L 56100 COST MONTEFIORE HEALTH SYSTEM INC K 3623304 COST MONTEFIORE HEALTH SYSTEM INC M 2530265 COST MONTEFIORE MEDICAL CENTER Q 714285 COST MONTEFIORE MEDICAL CENTER M 7222019 COST MONTEFIORE MEDICAL CENTER P 931527 COST MONTEFIORE MOUNT VERNON HOSPITAL K 1308000 COST MONTEFIORE MOUNT VERNON HOSPITAL O 1959281 COST SCHAFFER EXTENDED CARE CENTER O 877194 COST SCHAFFER EXTENDED CARE CENTER Q 283002 COST MONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM M 934320 COST THE MONTEFIORE IPA INC L 3299225 COST SCHAFFER EXTENDED CARE CENTER N 2405088 Cost MONTEFIORE MOUNT VERNON HOSPITAL Q 230107 cost THE WINIFRED MASTERSON BURKE REHAB HOSP M 157771 COST