2025-11-13T15:29:13-06:00 2024-12-31 PwC US Tax LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2024-01-01 111635081 MAIMONIDES MEDICAL CENTER % ROBERT PALERMO EVP & CFO MAIM 7182833900 4802 TENTH AVENUE BROOKLYN NY 11219 ROBERT PALERMO EVP,CFO & ASST TREAS 7182833900 2025-11-13 true true MEREDITH MONROE P01441362 2673303000 2025-11-12 2024 2025-03-06 01:10:19Z KENNETH GIBBS 4802 TENTH AVENUE BROOKLYN NY 11219 1848635570 false X WWW.MAIMO.ORG X 1947 NY SEE SCHEDULE O 25 23 8119 1639 0 0 97350075 157800271 1517259643 1633326796 5623857 10191538 3987378 6312066 1624220953 1807630671 1770676 2242063 0 0 1029097055 1151115506 0 0 2446489 626562692 702044171 1657430423 1855401740 -33209470 -47771069 1741180827 1951547415 1448782134 1712866827 292398693 238680588 X SEE SCHEDULE O false false 1004359631 0 860920994 INPATIENT SERVICES. THIS IS FURTHER DESCRIBED IN SCHEDULE O. 138934630 0 72802959 EMERGENCY SERVICES. 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THIS IS FURTHER DESCRIBED IN SCHEDULE O. 253641997 2242063 645230517 1488889510 true true false true false false false false false true true false false true true false false true false true true false false false true false true true true true true true false false false false false false false true false true true false false false false true true true false false true 465 0 true 8119 true false false false false false true true false false false false true false X 25 23 true false false false true true true true true false false true true true true true true true true true true NY X ROBERT PALERMO EVP CFO 7182833900 4802 TENTH AVE BROOKLYN NY 11219 JACOB SHANI MD CHAIR, CARDIOLOGY 40.0 0.0 X 3498724 0 52836 PATRICK BORGEN MD CHAIR, DEPARTMENT OF SURGERY 40.0 0.5 X 1992061 0 66239 AMIT SCHWARTZ MD DIRECTOR, NEUROSURGERY 40.0 0.0 X 1908023 0 58459 ROBERT FRANKEL MD DIR, INTERVENTIONAL CARDIOLOGY 40.0 0.0 X 1879116 0 51564 JOSHUA KERSTEIN MD ASSOC DIR, CLINICAL CARDIOLOGY 40.0 0.0 X 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STREET BROOKLYN NY 11219 MEDICAL SERVICES 27827631 BARR BARR INC 462 7TH AVENUE 9TH FLOOR NEW YORK NY 10018 CONSTRUCTION SRVCS 19921999 LOYAL SOURCE GOVERNMENT SERVICES LL 12612 CHALLENGER PKWY 365 ORLAND FL 32826 STAFFING SERVICES 8379730 ALLSCRIPTS HEALTHCARE LLC 24630 NETWORK PLACE CHICAGO IL 60673 IT SERVICES 7550646 OXFORD GLOBAL RESOURCES LLC 100 CUMMINGS CENTER SUITE 206L BEVERLY MA 01915 STAFFING SERVICES 6444399 304 898930 486728 152823079 3591534 2060793 157800271 PATIENT SERVICE REVENUE 621110 1539118977 1539118977 INSURANCE COMPANY SURPLUS DISTRIB. 524298 91526502 91526502 RENTAL INCOME 531390 2681317 2681317 1633326796 10036492 10036492 0 0 0 0 0 40909000 40753954 155046 155046 155046 193195 898930 250945 -57750 -57750 0 0 0 0 0 0 CORPORATE REBATES 900099 4009532 4009532 PARKING 812930 939642 939642 CAFETERIA INCOME 722310 474764 474764 945878 945878 6369816 1807630671 1633326796 0 16503604 274222 274222 1967841 1967841 0 0 8855599 3247542 5608057 0 863869302 738381264 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178514415 166001702 0 0 842568772 1098360180 1448782134 1712866827 X 290188610 233982329 2210083 4698259 292398693 238680588 1741180827 1951547415 X -47771069 170441 -6117477 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 709547 709547 false 0 SUPPLEMENTAL INFORMATION PART II-B PART II-B - DESCRIPTION OF OTHER LOBBYING ACTIVITIES: $433,547 - LOBBYING PORTION OF DUES PAID $276,000 - PAYMENTS TO LOBBYISTS RELATING TO CAPITAL FUNDING FOR HOSPITAL EQUIPMENT, STATUS OF MEDICAID PAYMENTS & FUNDING FOR SAFETY NET HOSPITALS. 2210082 3075177 587000 4698259 2697809 0 487727 2210082 3004000 166033 472224 2697809 21647878 618637 19262515 3004000 22267372 394746 1014240 21647878 0.76000 0.24000 false false 4980000 4980000 877984990 491783263 386201727 872291304 757293742 114997562 506179289 ESTIMATED INSURANCE CLAIMS REC 211315000 INVESTMENT IN PHYS PRACTICES 210886670 RIGHT OF USE ASSETS OPER LEASE 159917104 OTHER CURRENT ASSETS 83493882 DUE FROM AFFILIATES 38566583 THIRD PARTY RECEIVABLES 20145795 OTHER NONCURRENT ASSETS 2924058 727249092 0 DPT ADVANCE 503784758 ESTIMATED INSURANCE CLAIMS PAYABLE 211315000 LEASE LIABILITY 159917104 THIRD PARTY LIABILITIES 66254789 PROFESSIONAL LIABILITIES 63143341 OTHER LIABILITIES 55436238 ACCRUED POSTRETIREMENT BENEFIT 36814431 DUE TO DSRIP PARTICIPANTS 1694519 1098360180 PART V, LINE 4 TEMPORARILY RESTRICTED NET ASSETS ARE AVAILABLE FOR THE FOLLOWING PURPOSES PLANT REPLACEMENT AND EXPANSION $3,498,976 RESEARCH AND EDUCATION $ 67,000 PERMANENTLY RESTRICTED NET ASSETS $1,132,283 (CONSISTING OF INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS TO BE USED FOR HEALTH CARE RELATED SERVICES.) GRAND TOTAL $4,698,259 PART X, LINE 2 THERE WAS NO LIABILITY FOR UNCERTAIN TAX POSITION UNDER FIN 48 MAKING THE FOOTNOTE UNNECESSARY. Central America and the Caribbean 4 0 Program Services CAPT INSURANCE-INVEST. 10651010 Central America and the Caribbean 0 0 Program Services MALPRACTICE INSURANCE 2488400 4 0 4 0 13139410 13139410 true false true false true false PROJECTS PLUS INC FUNDRAISING false PINK RUNWAY 572714 498539 74175 88462 49905 2609 4573 GOLF CLASSIC 325443 259223 66220 11803 1250 25543 2 193968 141168 52800 53800 7000 6000 1092125 898930 193195 11803 88462 103705 10859 36116 250945 -57750 SCHEDULE G, PART II ADDITIONAL REVENUE HAS BEEN RECEIVED IN 2025 FOR THE 2024 FUNDRAISING EVENTS. true true X true X 300. true X true true true false true true 58474746 58474746 0.03150 563777449 514401123 49376326 0.02660 4619704 4064284 555420 0.00030 626871899 518465407 108406492 0.05840 10347218 5133791 5213427 0.00280 137767280 62336198 75431082 0.04070 127529931 95037045 32492886 0.01750 889377 862125 27252 0.00000 56741 0 56741 0.00000 276590547 163369159 113221388 0.06100 903462446 681834566 221627880 0.11940 231722 231722 0.00010 299771 299771 0.00020 531493 531493 0.00030 false 6418477 265753637 314688037 -48934400 X true true 1 1 MAIMONIDES MEDICAL CENTER 4802 TENTH AVE BROOKLYN NY 11219 www.maimonidesmed.org 700102OH X X X X X X MAIMONIDES MEDICAL CENTER 1 false false true X X X X X X X X X 22 true true false true X SEE PART V DISCLOSURE X true 22 true SEE PART V DISCLOSURE false true X 300. 300. X X X X X true true X X X true X see Section C X see Section C X see Section C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V #3E - DESCRIBE THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY. THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA ARE PRIORITIZED BASED ON SEVERAL FACTORS, INCLUDING: THE SCOPE AND SIGNIFICANCE OF THE NEED AS INDICATED BY NEW YORK CITY AND STATE DATA SOURCES; OPPORTUNITIES FOR MAIMONIDES MEDICAL CENTER AND ITS PARTNERS TO PROVIDE EFFECTIVE INTERVENTIONS; THE IMPORTANCE OF THE NEED AS DESCRIBED BY COMMUNITY MEMBERS; AND THE RELEVANCE OF THE NEED TO NEW YORK STATE'S PREVENTION AGENDA PRIORITIES. #3J - DESCRIBE OTHER CONTENT CONTAINED IN THE CHNA. THE CHNA ALSO SATISFIES NEW YORK STATE'S REQUIREMENT TO COMPLETE A COMMUNITY SERVICE PLAN (CSP). AS SUCH, IT INCLUDES A SECTION DESCRIBING MAIMONIDES' WORK PLAN FOR ADDRESSING NEW YORK STATE PREVENTION AGENDA PRIORITIES IN THE YEAR THE CHNA WAS PREPARED. SCHEDULE H, PART V #5 - DESCRIBE HOW THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY AND IDENTIFY THE PERSONS CONSULTED. A LONGSTANDING FOCUS OF MAIMONIDES' STRATEGY FOR DELIVERING HIGH QUALITY HEALTH SERVICES IS IDENTIFYING AND PARTNERING WITH COMMUNITY-BASED HEALTHCARE PROVIDERS AND ORGANIZATIONS. RECOGNIZING THE IMPORTANCE OF THE RELATIONSHIPS MAIMONIDES HAS BUILT WITH THE COMMUNITY BASED ORGANIZATIONS IN OUR AREA, WE REACHED OUT TO THEM TO GARNER THEIR RESPONSES TO OUR COMMUNITY HEALTH ASSESSMENT SURVEY IN SERVICE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. THE COMMUNITY HEALTH ASSESSMENT SURVEY WAS DESIGNED TO DETERMINE WHAT HEALTH NEEDS ARE MOST IMPORTANT TO COMMUNITY MEMBERS, AS WELL AS HOW SATISFIED THEY ARE WITH ACCESS TO RESOURCES THAT ADDRESS THOSE NEEDS. THE CBOS WHICH WERE INVITED TO PARTICIPATE ARE ORGANIZATIONS THAT ARE WELL-EQUIPPED AND POSITIONED TO UNDERSTAND WHICH HEALTH ISSUES ARE PRIORITIES, THE RESOURCE GAPS THAT ADVERSELY IMPACT COMMUNITY HEALTH, AND WHAT MAIMONIDES CAN DO TO ADDRESS THOSE NEEDS. TO BROADEN OUR UNDERSTANDING OF THE STATE OF THE COMMUNITY, WE ALSO PROVIDED THE SURVEY TO THE MAIMONIDES COMMUNITY INSIGHTS PANEL, A GROUP OF PATIENTS WHO HAVE AGREED TO GIVE LONG-FORM FEEDBACK TO MAIMONIDES ON A WIDE-RANGE OF TOPICS SURROUNDING PATIENT AND COMMUNITY ENGAGEMENT. THE FEEDBACK PROVIDED BY THE COMMUNITY INSIGHTS PANEL ENSURED THAT WE HAD PARTICIPATION FROM THOSE WE SERVE DIRECTLY, IN ADDITION TO THE INVALUABLE FEEDBACK PROVIDED BY OUR PARTNER CBOS. FINALLY, THE SURVEY WAS ADMINISTERED BY OUR COMMUNITY ENGAGEMENT TEAM AT A NUMBER OF STREET FESTIVALS THROUGHOUT BROOKLYN IN THE FALL OF 2022 SO THAT WE COULD GAUGE THE NEEDS OF THOSE WHO LIVE IN OUR COMMUNITIES BUT MAY NOT OTHERWISE ENGAGE WITH OUR HEALTH NETWORK. THE SURVEY WAS CREATED IN COLLABORATION WITH THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA) AND WAS INITIALLY ADMINISTERED TO PATIENTS IN THE MAIMONIDES SERVICE AREA. WHEN THE GNYHA SURVEY WAS COMPLETE, WE ADMINISTERED IT TO THE GROUPS DESCRIBED IN THE PREVIOUS PARAGRAPH SO THAT OUR PROGRAMS WOULD BE INFORMED BY AS WIDE A GROUP OF STAKEHOLDERS AS POSSIBLE. #6A - WAS THE HOSPITAL FACILITY'S CHNA CONDUCTED WITH ONE OR MORE OTHER HOSPITAL FACILITIES? IF "YES," LIST THE OTHER ORGANIZATIONS. THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH NEW YORK COMMUNITY HOSPITAL D/B/A MAIMONIDES MIDWOOD COMMUNITY HOSPITAL. # 7A - THE CHNA REPORT IS AVAILABLE: HTTPS://MAIMO.ORG/WP-CONTENT/UPLOADS/2023/01/MAIMONIDES-HEALTH-CHNA-CSP-WO RKPLAN-2022.PDF # 10A - THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS AVAILABLE: HTTPS://MAIMO.ORG/WP-CONTENT/UPLOADS/2023/01/MAIMONIDES-HEALTH-CHNA-CSP-WO RKPLAN-2022.PDF # 11 - DESCRIPTION OF HOW THE SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA ARE BEING ADDRESSED. MAIMONIDES DEVOTES STAFFING AND FINANCIAL RESOURCES TO SUSTAIN THE PROGRAMS AND ACTIVITIES DESCRIBED BELOW IN OUR IMPLEMENTATION PLAN, INCLUDING RESOURCES FROM THE FOLLOWING AREAS: * PATIENT AND COMMUNITY RELATIONS * EXECUTIVE OFFICE * ACADEMIC AFFAIRS (RESIDENTS, FELLOWS, AND THE COMMITTEE OF INTERNS & RESIDENTS) * FOUNDATION AND GOVERNMENT GRANTS, WITH WHICH STAFF ARE HIRED TO CONDUCT HEALTH INTERVENTIONS * CLINICAL DEPARTMENTS IN ALIGNMENT WITH THE FOUR PRIORITY AREAS THAT MAIMONIDES HAS SELECTED - PREVENT CHRONIC DISEASES; PROMOTE A HEALTHY AND SAFE ENVIRONMENT; PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN; AND PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS; - MAIMONIDES HAS DEVELOPED STRATEGIES FOR HEALTH PROMOTION AND SERVICE PROVISION FOR ITS PATIENTS AND COMMUNITY MEMBERS THROUGH A VARIETY OF VENUES, BOTH CLINICAL AND COMMUNITY-BASED. THESE EFFORTS INCLUDE STRATEGIC ALIGNMENT WITH PARTNER ORGANIZATIONS AND ACTIVE PARTICIPATION IN CONVENING ACTIVITIES RELATED TO COMMUNITY HEALTH IN THE MAIMONIDES HEALTH SERVICE AREA, SUCH AS MEETINGS OF THE GREATER NEW YORK HOSPITAL ASSOCIATION. MAIMONIDES ALSO LEVERAGES ITS RELATIONSHIP WITH ACADEMIC AND CLINICAL AFFILIATES - NAMELY NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, SUNY DOWNSTATE HEALTH SCIENCES UNIVERSITY, AND NORTHWELL HEALTH - WHERE APPROPRIATE TO COORDINATE AND INTEGRATE HEALTH SERVICES AND HEALTH PROMOTION ACTIVITIES. MAIMONIDES HAS A LONGSTANDING HISTORY OF COMMUNITY ENGAGEMENT AND OFFERING CULTURALLY DIVERSE AND APPROPRIATE HEALTH EDUCATION AND TREATMENT, WHICH ARE CORE TO ITS MISSION. BEYOND PROVIDING DIRECT PATIENT CARE SERVICES, MAIMONIDES IS DEEPLY INVESTED IN PROVIDING SERVICE TO THE GREATER COMMUNITY THAT ADDRESS THE NEEDS OF RESIDENTS. MAJOR PROGRAMS DEPLOYED BY MAIMONIDES INCLUDE HEALTH EDUCATION AND SCREENING EVENTS CO-HOSTED WITH COMMUNITY ORGANIZATIONS; CARE COORDINATION AND CASE MANAGEMENT SERVICES; TRAUMA AND ACCIDENT PREVENTION TRAININGS FOR HIGH-RISK POPULATIONS; AND SUPPORT GROUP SERVICES FOR PATIENTS EXPERIENCING OR RECOVERING FROM ILLNESS. IN THE COMING YEARS, MAIMONIDES WILL CONTINUE EXISTING INTERVENTIONS AND PROGRAMS AND IMPLEMENT ADDITIONAL COMMUNITY-BASED STRATEGIES TO ADVANCE HEALTH PROMOTION AND PREVENTIVE CARE. HALLMARKS OF THESE EFFORTS TO FOSTER HEALTHY COMMUNITIES INCLUDE: * EDUCATION OF COMMUNITY MEMBERS, PATIENTS, AND THEIR FAMILIES * PROVIDING PREVENTIVE CARE AND HEALTH EDUCATION IN BOTH CLINICS AND COMMUNITY SETTINGS * LEADING COLLABORATIVE EFFORTS AMONG GOVERNMENT, COMMUNITY, AND HEALTHCARE PROVIDER PARTNERS TO TRANSFORM THE HEALTHCARE DELIVERY SYSTEM SECTION B, LINE 16A - THE FAP IS AVAILABLE: https://maimo.org/wp-content/uploads/2023/01/FIN-028_2024-07-24_Financial- Assistance-Policy.pdf SECTION B, LINE 16B - THE FAP APPLICATION FORM IS AVAILABLE: HTTPS://MAIMO.ORG/WP-CONTENT/UPLOADS/2025/07/MAIMO_NY_UNIFORMHFAL-E0525.PD F SECTION B, LINE 16C - THE PLAIN LANGUAGE SUMMARY OF FAP IS AVAILABLE: https://maimo.org/wp-content/uploads/2025/07/Hospital-Financial-Assistance -Plain-Language-Summary-Eng-FINAL.pdf 16 MAIMONIDES CANCER CENTER 6300 Eighth Avenue Brooklyn NY 11220 CANCER CENTER MAIMONIDES CARDIOLOGY OUTPATIENT CENTER 850 49TH STREET BROOKLYN NY 11219 CARDIOLOGY OUTPATIENT CENTER MAIMONIDES WOMEN'S SERVICES 9TH AVENUE 4422 9th Avenue Brooklyn NY 11219 Womens' Primary Care Center MAIMONIDES SLEEP DISORDER CLINIC 6405 7TH AVENUE brooklyn NY 11219 SLEEP DISORDER CLINIC Maimonides ADULT & PED CARE NEWKIRK AVE 1401 Newkirk Avenue Brooklyn NY 11226 Family Health Center MAIMONIDES PEDIATRIC CARE 57TH STREET 1301 57th Street Brooklyn NY 11219 Ambulatory Care Center MAIMONIDES ADULT AND PEDIATRIC CARE 7TH 6323 Seventh Avenue Brooklyn NY 11220 PRIMARY HEALTH SERVICES Maimonides Adlt Primary Care Ctr 57th ST 1250 57th Street Brooklyn NY 11219 Adult Primary Care Center Maimonides Rehabilitation Services 883 65th Street Brooklyn NY 11219 Rehabilitation Services MAIMONIDES BREAST CENTER 745 64TH STREET BROOKLYN NY 11220 BREAST CENTER MAIMONIDES ADULTPED DENTAL CENTER 4303-4305 13th Avenue Brooklyn NY 11219 Adult/Ped. Dental Center MAIMONIDES CARDIOLOGY OUTPATIENT CENTER 421 OCEAN PARKWAY BROOKLYN NY 11218 CARDIOLOGY OUTPATIENT CENTER MAPLETON CLINIC TREATMENT PROGRAM 1083 MCDONALD AVENUE BROOKLYN NY 11230 CLINIC TREATMENT PROGRAM Fort Hamilton Clinic Treatment Program 8710 Fifth Avenue Brooklyn NY 11209 Clinic Treatment Program Bensonhurst Clinic Treatment Program 8620 18th Avenue Brooklyn NY 11214 Clinic Treatment Program MAIMONIDES HEALTH BAY RIDGE EMERG DEPT 9036 7TH AVENUE BROOKLYN NY 11228 OFF- CAMPUS EMERG DEPT PART I, LINE 7 THE RATIO OF PATIENT CARE COST TO CHARGES IS USED IN THE COSTING METHODOLOGY AS OUTLINED IN WORKSHEET 2 INSTRUCTIONS FOR SCHEDULE H; TOTAL HOSPITAL COST IS DIVIDED BY TOTAL CHARGES. PART II - COMMUNITY BUILDING GENERAL SUPPORT IS GIVEN TO VARIOUS NONPROFIT HEALTH RELATED, RELIGIOUS AND COMMUNITY ORGANIZATIONS THAT ARE IN FURTHERANCE OF THE CORPORATE PURPOSES AND IN THE HOSPITAL'S BEST INTEREST. MAIMONIDES MEDICAL CENTER IS A MEMBER OF VARIOUS HEALTH CARE ASSOCIATIONS THAT PROMOTE HIGH QUALITY, MORE AFFORDABLE HEALTH CARE. THROUGH OUR SUPPORT OF COLLECTIVE ADVOCACY, WE PARTICIPATE IN STRENGTHENING THE ROLE MODERN HEALTH CARE HAS IN THE IMPROVEMENT OF THE HEALTH OF OUR COMMUNITIES. PART III, LINE 2 BAD DEBT IS RECORDED AT COST. PART III, LINE 3 A SOFT CREDIT CHECK IS PERFORMED ON THE BAD DEBT FILE IN ORDER TO DETERMINE IF ANY OF THE DEBT MEETS CRITERIA FOR ELIGIBILITY UNDER FINANCIAL ASSISTANCE POLICY. PART III, LINE 4 THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE IS ON PAGE 12 OF THE ATTACHED AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF MAIMONIDES MEDICAL CENTER AND ITS SUBSIDIARIES IN THE CHARITY AND UNCOMPENSATED CARE SECTION. PART III, LINE 8 THE SHORTFALL COSTS SHOULD BE TREATED AS A COMMUNITY BENEFIT AS WE ARE TREATING THE ELDERLY PATIENTS OF THE COMMUNITY. THE COSTING METHODOLOGY APPLIES THE WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES AS MAIMONIDES MEDICAL CENTER BECAME A CHARGE STRUCTURE INSTITUTION IN 2011. PART III, LINE 9B IF MAIMONIDES DETERMINES THAT A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE ("FAP-ELIGIBLE"), MAIMONIDES WILL: -IF THE PATIENT IS DETERMINED TO BE ELIGIBLE FOR ASSISTANCE OTHER THAN FREE CARE, PROVIDE THE PATIENT WITH A BILLING STATEMENT THAT INDICATES THE AMOUNT THE PATIENT OWES FOR THE CARE AS A FAP-ELIGIBLE PATIENT, HOW THAT AMOUNT WAS DETERMINED, AND DESCRIBES HOW THE PATIENT CAN GET INFORMATION REGARDING THE AMOUNT GENERALLY BILLED (MAXIMUM CHARGE THAT MAY BE BILLED TO A PATIENT WHO RECEIVES EMERGENCY OR OTHER MEDICALLY NECESSARY CARE). -REFUND TO THE PATIENT ANY AMOUNT THE PATIENT HAS PAID FOR THE CARE (WHETHER TO MAIMONIDES OR ANY OTHER PARTY TO WHOM MAIMONIDES HAS REFERRED THE PATIENT'S DEBT FOR CARE) THAT EXCEEDS THE AMOUNT THE PATIENT IS DETERMINED TO BE PERSONALLY RESPONSIBLE FOR PAYING AS A FAP-ELIGIBLE INDIVIDUAL, UNLESS THE EXCESS AMOUNT IS LESS THAN $5, OR AN AMOUNT SET IN OTHER GUIDANCE PUBLISHED BY THE IRS. -TAKE ALL REASONABLY AVAILABLE MEASURES TO REVERSE ANY ACTION TAKEN AGAINST THE PATIENT TO OBTAIN PAYMENT FOR CARE. 2 NEEDS ASSESSMENT MAIMONIDES MEDICAL CENTER HAS A LONG HISTORY OF COMMUNITY ENGAGEMENT AND A ROBUST PROGRAM OF OUTREACH AND INTERACTION WITH THE COMMUNITIES THAT UTILIZE OUR SERVICES, ON WHICH WE CONTINUE TO BUILD TO KEEP OUR COMMUNITIES ENGAGED AND HEALTHY. EXECUTIVE LEADERSHIP MEETS REGULARLY WITH REPRESENTATIVES OF LOCAL EMS PROVIDERS SUCH AS HATZOLAH AMBULANCE CORPS OF BOROUGH PARK AND FLATBUSH IN BROOKLYN TO DISCUSS COMMUNITY HEALTH NEEDS AND WAYS TO IMPROVE EMERGENT AND URGENT CARE SERVICES FOR OUR PATIENTS. MAIMONIDES' LEADERS ALSO MAINTAIN CLOSE RELATIONSHIPS WITH COMMUNITY-BASED HEALTH CARE PROVIDERS, WHO ARE FRONT-LINE PARTNERS IN ACHIEVING PREVENTION AND PUBLIC HEALTH GOALS. IN 2024, MAIMONIDES ORGANIZED OR PARTICIPATED IN OVER 100 COMMUNITY-BASED EVENTS, STREET FESTIVALS, WORKSHOPS, AND HEALTH FAIRS WHICH HAD 55,000+ ATTENDEES IN AGGREGATE. WE USED THESE FORUMS TO ENGAGE WITH MEMBERS OF THE PUBLIC, COMMUNITY LEADERS, CLERGY, ELECTED OFFICIALS, CURRENT AND FORMER PATIENTS, AND FAMILY MEMBERS OF PATIENTS. THESE EVENTS ALLOWED US NOT ONLY TO PARTICIPATE AND BE PRESENT IN MOMENTS OF CULTURAL IMPORTANCE TO OUR MANY SUB-POPULATIONS, BUT ALSO ALLOWED US TO COMMUNICATE WITH INDIVIDUALS THROUGHOUT OUR BOROUGH. THESE OPPORTUNITIES FOR DIRECT ENGAGEMENT ARE POWERFUL AND EFFECTIVE TOOLS FOR HELPING US TO SERVE ALL OF OUR COMMUNITIES IN A THOUGHTFUL, RESPONSIVE MANNER. BEGINNING IN 2020, THE COVID-19 PANDEMIC DRAMATICALLY IMPACTED THE HEALTH NEEDS OF OUR COMMUNITIES. MAIMONIDES UNDERTOOK A NUMBER OF EFFORTS TO ASSESS THIS RAPIDLY CHANGING SITUATION, INCLUDING OPERATIONALIZING A 24/7 COMMUNICATIONS CENTER AVAILABLE TO THE PUBLIC; PRODUCING THRICE-DAILY SITUATION REPORTS USING THE LATEST PUBLIC HEALTH AND INTERNAL DATA; AND HOSTING VIRTUAL MEETINGS WITH MEMBERS OF OUR BOARD, COMMUNITY-BASED HEALTH CARE PROVIDERS, ELECTED OFFICIALS, AND OTHER COMMUNITY STAKEHOLDERS. IN RESPONSE TO THE AFFORDABLE CARE ACT REQUIREMENT THAT TAX-EXEMPT HOSPITALS MUST CONDUCT AN IN-DEPTH COMMUNITY HEALTH NEEDS ASSESSMENT, MAIMONIDES APPLIED A RIGOROUS APPROACH. IN COORDINATION WITH OUR PARTNERS AT THE RESEARCH AND EVALUATION ORGANIZATION THE NEW YORK ACADEMY OF MEDICINE (NYAM), OUR INITIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMPLETED AND APPROVED BY OUR BOARD IN 2013 AND PUBLISHED ON OUR WEB SITE AND DISTRIBUTED IN EARLY 2014. IN 2015, USING FUNDING AWARDED BY THE AGENCY FOR HEALTHCARE QUALITY AND RESEARCH (AHRQ), MAIMONIDES AGAIN PARTNERED WITH NYAM, THIS TIME TO CONDUCT AN IN-DEPTH PUBLIC DELIBERATION STUDY WITH RESIDENTS OF COMMUNITIES IN SOUTHWEST BROOKLYN. MAIMONIDES SUPPLEMENTED THE PUBLIC DELIBERATION SESSIONS WITH A RANGE OF QUANTITATIVE DATA ABOUT THE HEALTH STATUS AND NEEDS OF THE COMMUNITIES IT SERVES. IN PARTICULAR, MAIMONIDES DREW HEAVILY FROM THE COMMUNITY HEALTH PROFILES PUBLISHED BY THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE IN 2015 TO PRODUCE AN UPDATED CHNA WHICH WAS COMPLETED AND APPROVED BY THE BOARD IN DECEMBER 2016. SEVERAL YEARS AGO, MAIMONIDES DEVELOPED A COUNCIL OF COMMUNITY ORGANIZATIONS (COCO), AN ONGOING FORUM AND VEHICLE FOR COMMUNICATION WITH LOCAL COMMUNITY LEADERS, COMMUNITY GROUPS, BUSINESSES, AND ELECTED OFFICIALS. PRESENT AT THESE MEETINGS ARE RELIGIOUS LEADERS, COMMUNITY-BASED ORGANIZATION REPRESENTATIVES, HEALTH CARE PROVIDERS, AREA RESIDENTS, PUBLIC SAFETY WORKERS, AND ELECTED OFFICIALS AND STAFF. AGENDA ITEMS COVER NEW INITIATIVES AT THE HOSPITAL AND IN THE COMMUNITY AIMED AT IMPROVING HEALTH AND WELLBEING, INCLUDING PREVENTION-ORIENTED PROGRAMMING, AND OPEN DIALOGUE ABOUT HEALTH-RELATED ISSUES. MEMBERS OF THE COCO ARE IN REGULAR CONTACT WITH MAIMONIDES LEADERSHIP AND STAFF, CONTRIBUTING VALUABLE INSIGHT AND RELAYING COMMUNITY CONCERNS AS THEY ARISE. AFTER PLACING THE COCO ON HIATUS BETWEEN 2020-2022 AS A RESULT OF THE PUBLIC HEALTH EMERGENCY, MAIMONIDES RECONVENED THE COUNCIL ONCE AGAIN IN JUNE OF 2023. IN 2019, MAIMONIDES COLLABORATED WITH COMMUNITY CARE OF BROOKLYN (CCB), THE DSRIP PPS FOR WHICH THE MEDICAL CENTER IS A PARTICIPANT AND FIDUCIARY, IN ORDER TO USE PARTICIPATORY ACTION RESEARCH (PAR) AS A CORNERSTONE OF OUR HEALTH NEEDS ASSESSMENT PROCESS. THE PAR METHODOLOGY IS YOUTH-LED AND COMMUNITY-BASED, HAVING BEEN ADAPTED AND HONED BY CCB OVER SEVERAL YEARS. MAIMONIDES DRAWS ON FOCUS GROUPS, SURVEYS, AND STAKEHOLDER INPUT GATHERED BY PAR RESEARCHERS IN CANARSIE, FLATBUSH, FLATLANDS, BAY RIDGE, BOROUGH PARK, AND SUNSET PARK - A DIVERSE GROUP OF NEIGHBORHOODS THAT SPAN OUR SERVICE AREA. IN 2022, MAIMONIDES UNDERTOOK EFFORTS TO COLLABORATE WITH OUR COMMUNITY PARTNERS FOR OUR CHNA IN A MANNER THAT WAS SUBSTANTIVE BUT MINDFUL OF THE INHERENT RISK RESULTING FROM THE COVID-19 PUBLIC HEALTH EMERGENCY. WITH THIS IN MIND, WE COLLABORATED WITH THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA) TO COMPILE A COMMUNITY HEALTH ASSESSMENT AND DISTRIBUTED IT TO COMMUNITY MEMBERS IN MAIMONIDES' SERVICE AREA. THE SURVEY WAS THEN DISTRIBUTED TO THE LEADERSHIP OF FORTY-NINE COMMUNITY-BASED ORGANIZATIONS THAT MAIMONIDES HAS PARTNERED WITH IN THE PAST AND WHICH WE RELY ON TO GAIN AN UNDERSTANDING OF THE NEEDS OF BROOKLYN'S MANY SUB-POPULATIONS. THE SURVEY, WHICH ASKED PARTICIPANTS TO RANK HEALTH ISSUES BY THEIR SATISFACTION WITH TREATMENT OPTIONS AVAILABLE AND IMPORTANCE TO THEM, WAS USED TO MAP OUT MAIMONIDES' ONGOING RESPONSE TO THE NEW YORK STATE (NYS) PREVENTION AGENDA. THOSE HEALTH ISSUES WHICH HELD A RELATIVELY HIGH RATIO OF PERCEIVED IMPORTANCE COMPARED TO SATISFACTION WERE PRIORITIZED, WITH MAIMONIDES' HISTORICAL COMPETENCIES ALSO TAKEN INTO ACCOUNT IN SELECTING THE NYS AGENDA MEASURES THAT WE WOULD TAKE ON. THE SURVEY WAS MADE AVAILABLE IN NINE LANGUAGES INCLUDING ENGLISH, ARABIC, CHINESE, HAITIAN-CREOLE, ITALIAN, POLISH, RUSSIAN, SPANISH, AND YIDDISH. 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE FINANCIAL COUNSELORS WORK WITH UNINSURED PATIENTS WHO ARE SCREENED FOR ELIGIBILITY FOR PUBLIC SPONSORED PROGRAMS SUCH AS MEDICAID ETC. IF THEY ARE NOT ELIGIBLE, THEY ARE AUTOMATICALLY INFORMED OF AND SCREENED FOR ELIGIBILITY UNDER THE MAIMONIDES FINANCIAL ASSISTANCE POLICY. ACCESS TO INFORMATION - ALL WRITTEN INFORMATION IS AVAILABLE IN MULTIPLE LANGUAGES. PATIENTS ARE INFORMED OF THE HOSPITAL'S FINANCIAL ASSISTANCE VIA THE FOLLOWING METHODS: * MULTI-LINGUAL SIGNAGE * SUMMARY BROCHURE OF THE FINANCIAL ASSISTANCE POLICY AVAILABLE AT POINTS OF PATIENT SERVICE * INFORMATION DISTRIBUTED DURING THE INTAKE AND REGISTRATION PROCESS * THE HOSPITAL WEBSITE * INFORMATION ON BILLS AND STATEMENTS SENT TO PATIENTS * RESPONSES TO DIRECT INQUIRIES MADE TO THE HOSPITAL 4 COMMUNITY INFORMATION MAIMONIDES' SERVICE AREA GOES WELL BEYOND ITS IMMEDIATE NEIGHBORHOOD. THE AREAS WHERE THE TOP 75% OF EACH OF OUR HOSPITALS' OUTPATIENT VISITS ORIGINATED ARE WHAT WE DEFINE AS OUR SERVICE AREA. THIS DEFINITION WAS USED TO ENSURE WE ACCOUNT FOR PATIENTS SEEKING ALL FORMS OF HEALTHCARE AND THAT NONE OF THE AREAS OUR NETWORK SERVES WOULD BE EXCLUDED FROM THE COMMUNITY ASSESSMENT. THE ZIP CODES THAT FALL WITHIN THIS AREA ARE 11219, 11220, 11230, 11214, 11204, 11218, 11235, 11223, 11229, 11234, 11226, 11209, 11224, 11210, 11228, 11236, 11232, 11203, 11212, AND 11225. THESE ZIP CODES CORRESPOND ROUGHLY TO THE FOLLOWING NEW YORK CITY COMMUNITY DISTRICTS, FOR WHICH THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE (DOHMH) PRODUCES COMMUNITY HEALTH PROFILES THAT INFORM MAIMONIDES' CHNA: SUNSET PARK (7), BAY RIDGE & DYKER HEIGHTS (10), BENSONHURST (11), BOROUGH PARK (12), CONEY ISLAND (13), FLATBUSH & MIDWOOD (14), SHEEPSHEAD BAY (15), FLATLANDS & CANARSIE (18), BROWNSVILLE (16), AND SOUTH CROWN HEIGHTS & LEFFERTS GARDENS (9). MAIMONIDES SERVES A RICHLY DIVERSE CATCHMENT AREA COMPRISED OF NUMEROUS IMMIGRANT COMMUNITIES, FAITHS, AND ETHNICITIES. AS OF THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, NEARLY HALF (43%) OF THE POPULATION IS FOREIGN-BORN, INCLUDING MANY UNDOCUMENTED IMMIGRANTS. 43% ARE WHITE, 18% ARE ASIAN, 15% ARE HISPANIC/LATINO, AND 22% ARE BLACK. THE NEIGHBORHOODS MAIMONIDES SERVES HAVE A HIGHER HOUSEHOLD POVERTY RATE AND LOWER HIGH SCHOOL COMPLETION RATE THAN CITYWIDE AVERAGES. APPROXIMATELY 30% OF THE RESIDENTS IN THESE COMMUNITIES HAVE LIMITED ENGLISH PROFICIENCY. MAIMONIDES MEDICAL CENTER IS MINDFUL OF THE NEW YORK STATE DEPARTMENT OF HEALTH DEFINITION OF THE HOSPITAL PRIMARY SERVICE AREAS AS THE FIVE COUNTIES OF NEW YORK CITY FOR PURPOSES OF SERVICE AND FINANCIAL AID PURSUANT TO PHL 2807 (K) (9-A). 5 PROMOTION OF COMMUNITY HEALTH MAIMONIDES MEDICAL CENTER IS GOVERNED BY A BOARD OF TRUSTEES, OF WHICH MANY MEMBERS RESIDE IN THE SURROUNDING COMMUNITIES THAT FORM ITS SERVICE AREA. BOARD MEMBERS SERVE ON A VOLUNTARY BASIS WITHOUT COMPENSATION. MAIMONIDES REGULARLY HOLDS FREE AND ACCESSIBLE COMMUNITY OUTREACH AND EDUCATION SYMPOSIA ACROSS A NUMBER OF COMMUNITIES IN SOUTHWEST AND CENTRAL BROOKLYN THAT FOCUS ON INJURY AND DISEASE PREVENTION, SCREENING, AND TREATMENT FOR CHRONIC DISEASES, WITH A PARTICULAR FOCUS ON CARDIOVASCULAR DISEASES, OBESITY AND STROKE. THESE SYMPOSIA AND HEALTH FAIR EVENTS, WHICH OFTEN INCLUDE ON-SITE SCREENINGS AND REFERRALS, ARE TYPICALLY HELD 3-5 TIMES PER MONTH IN A VARIETY OF SETTINGS: COMMUNITY CENTERS, FAITH-BASED INSTITUTIONS, AND SENIOR CENTERS AND ARE FACILITATED BY MAIMONIDES PHYSICIANS AND NURSING STAFF. IN 2020 AND 2021, MAIMONIDES PIVOTED TO OFFER VIRTUAL VERSIONS OF OUR USUAL IN-PERSON PROGRAMMING, WITH IN-PERSON SCREENING AND EDUCATION EVENTS RESUMING IN 2022. MAIMONIDES STAFF PARTICIPATED IN 60+ SUCH HEALTH FAIRS, SYMPOSIA, AND SCREENING EVENTS IN 2024. MAIMONIDES DIRECTLY FUNDS OR PROVIDES A NUMBER OF SERVICES THAT PROMOTE COMMUNITY HEALTH. MAIMONIDES PROVIDES SCREENINGS FOR BREAST CANCER, COLON CANCER, AND LUNG CANCER, IRRESPECTIVE OF PATIENTS' ABILITY TO PAY. IN ADDITION TO THESE ACTIVITIES, MANY OF MAIMONIDES' CLINICAL DEPARTMENTS INCLUDING OBSTETRICS & GYNECOLOGY, PEDIATRICS, PSYCHIATRY, MEDICINE, CARDIOLOGY, AND NURSING ARE INVOLVED IN ACTIVITIES THAT PROVIDE HEALTH OR WELLNESS SERVICES AT NO COST TO THE PATIENT. MAIMONIDES ENDEAVORS TO MAINTAIN AN OPEN MEDICAL STAFF TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY EXCEPT IN CIRCUMSTANCES OF EXTREME CONSTRAINTS ON CAPACITY. THE DEPARTMENT OF MEDICINE HAS DEVELOPED AN AFFILIATE STATUS AND A HIGHLY EFFECTIVE HOSPITALIST SERVICE TO ASSIST PHYSICIANS IN JOINING OR RETAINING MEMBERSHIP ON THE MEDICAL STAFF, PROVIDING FOR ACCESS AND CONTINUITY OF CARE FOR THEIR PATIENTS. MAIMONIDES ALSO ALIGNS AND BUILDS PARTNERSHIPS WITH COMMUNITY-BASED PRIMARY AND SPECIALTY CARE PROVIDERS ACROSS SOUTHERN AND CENTRAL BROOKLYN AND SERVES AS THE TERTIARY CARE HUB FOR THE PATIENTS OF MANY OF THESE PHYSICIANS. IN EARLY 2012, MAIMONIDES, ALONG WITH FIVE HEALTHCARE PARTNERS, ESTABLISHED THE SOUTHWEST BROOKLYN HEALTH HOME (DBA BROOKLYN HEALTH HOME) AS AN INDEPENDENT LLC FOR WHICH MAIMONIDES HOLDS THE MANAGEMENT CONTRACT. THE BROOKLYN HEALTH HOME CONTRACTS WITH A NETWORK OF 30+ PROVIDERS AND COMMUNITY-BASED ORGANIZATIONS TO PROVIDE CARE MANAGEMENT SERVICES FOR MEDICAID BENEFICIARIES WHO HAVE HIGH-COST AND COMPLEX CHRONIC CONDITIONS. IN THIS PROGRAM, MEDICAL AND SOCIAL SERVICES ARE COORDINATED BY SPECIALLY TRAINED CARE MANAGERS USING A DYNAMIC CARE MANAGEMENT PLATFORM TO ENSURE THAT PATIENTS' COMPREHENSIVE CARE NEEDS ARE MET. SERVICES MAY INCLUDE HOUSING, TRANSPORTATION, SOCIAL SERVICES, MEDICAL AND BEHAVIORAL HEALTH, SUBSTANCE USE, HOME CARE, AND FAMILY SUPPORT AND EDUCATION, WHICH ARE COORDINATED AND INTEGRATED TO AVOID PREVENTABLE EMERGENCY DEPARTMENT VISITS AND HOSPITALIZATIONS, CONTROL FUTURE HEALTH CARE COSTS, AND IMPROVE HEALTH OUTCOMES FOR THIS POPULATION. MAIMONIDES ALSO ACTED AS THE FIDUCIARY FOR COMMUNITY CARE OF BROOKLYN (CCB), WHICH WAS THE LARGEST PERFORMING PROVIDER SYSTEM (PPS) IN BROOKLYN. PPS WERE ESTABLISHED AS PART OF NEW YORK STATE'S DELIVERY SYSTEM REFORM INCENTIVE PAYMENT (DSRIP) PROGRAM. CCB MANAGED CARE FOR 650,000 MEDICAID BENEFICIARIES - NEARLY 10% OF THE TOTAL MEDICAID POPULATION OF NEW YORK STATE. KEY ACCOMPLISHMENTS OF CCB INCLUDE REDUCING AVOIDABLE HOSPITALIZATIONS BY MORE THAN 30% OVER FIVE YEARS; TRAINING OVER 1,500 STAFF FROM 156 ORGANIZATIONS; AND CONDUCTING SIX YOUTH-LED PARTICIPATORY ACTION RESEARCH PROJECTS IN A DIVERSE SET OF BROOKLYN NEIGHBORHOODS. THE CCB NETWORK, WHICH MAIMONIDES CONTINUES TO SUPPORT, IS COMPRISED OF OVER 1,000 PARTNER ENTITIES, INCLUDING MORE THAN 4,000 MEDICAL PRACTITIONERS, SEVEN HOSPITALS, MANY FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), AND 350 SOCIAL SERVICE AND COMMUNITY BASED ORGANIZATIONS. THROUGHOUT 2020 AND 2021, MAIMONIDES DEVELOPED NEW SERVICES AND INTERVENTIONS IN RESPONSE TO THE COVID-19 PANDEMIC. COMMUNITY EDUCATION WAS CENTRAL TO THIS EFFORT, INCLUDING THE 24/7 OPERATION OF A COVID-19 INFORMATION CENTER WHICH RESPONDED TO CALLS AND EMAILS FROM THE GENERAL PUBLIC, COMMUNITY-BASED HEALTH CARE PROVIDERS, OTHER COMMUNITY ORGANIZATIONS, AND THE MEDIA. MAIMONIDES ALSO PARTNERED WITH LOCAL COMMUNITY ORGANIZATIONS, INCLUDING CHEVRA HATZALAH, TO PUBLISH AND DISTRIBUTE COVID SAFETY INFORMATION THROUGHOUT SOUTHERN BROOKLYN NEIGHBORHOODS CRITICALLY AFFECTED BY THE PANDEMIC. AS A MAJOR HEALTH CARE PROVIDER FOR BOROUGH PARK AND SURROUNDING NEIGHBORHOODS WHICH HAVE CONSISTENTLY HAD ABOVE-AVERAGE COVID TEST POSITIVITY RATES, MAIMONIDES JOINED THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE'S TESTING PROVIDER PARTNERSHIP PROGRAM. WITH THIS PROGRAM, MAIMONIDES LEVERAGED THE EXPERTISE OF OUR POPULATION HEALTH DEPARTMENT AND THE CCB NETWORK TO DELIVER TAILORED COVID TESTING, CONTACT TRACING, AND VACCINATION INTERVENTIONS THROUGHOUT BROOKLYN. THOSE VACCINATION EFFORTS WERE AIDED BY OUR POPULATION HEALTH, AMBULANCE SERVICES, NURSING, AND COMMUNITY RELATIONS DEPARTMENTS USING THEIR COLLECTIVE EXPERTISE TO CREATE EASY ACCESS POINTS FOR COMMUNITY MEMBERS. STARTING WITH AN INITIAL MANDATE TO VACCINATE ELIGIBLE HEALTHCARE WORKERS, MAIMONIDES' "POD SQUAD" EXPANDED ITS OPERATIONS THROUGHOUT 2021 TO ADMINISTER VACCINES TO THOSE ELIGIBLE ACCORDING TO CDC AND NEW YORK STATE DOH GUIDELINES. THE TEAM ACCOMPLISHED ITS ULTIMATE MANDATE THROUGH VACCINATIONS DELIVERED ON-CAMPUS, THROUGH HOME VISITS, AND THROUGH EVENTS AT PUBLIC, PRIVATE, AND COMMUNITY PARTNER SITES. DURING 2021 WE CONDUCTED 166 PODS (POINTS OF DISTRIBUTION EVENTS) AND ADMINISTERED 52,687 DOSES OF THE COVID-19 VACCINES. IN 2021, MAIMONIDES PARTNERED WITH BROOKLYN COMMUNITIES COLLABORATIVE TO DISTRIBUTE $1 MILLION IN GRANTS TO 14 COMMUNITY-BASED ORGANIZATIONS (CBOS) TO INCREASE COVID-19 TESTING AND COMBAT VACCINE HESITANCY. FROM JANUARY TO AUGUST OF 2022, THESE ORGANIZATIONS INCREASED COVID-19 TESTING AND VACCINATION IN BROOKLYN NEIGHBORHOODS WITH HIGH TRANSMISSION AND LOW VACCINATION. THROUGHOUT THE GRANT PERIOD, OVER 100,000 BROOKLYNITES WERE ENGAGED THROUGH EVENTS, WEBINARS, PHONE AND IN-PERSON OUTREACH, SOCIAL MEDIA AND MORE, AND MORE THAN 2,500 BROOKLYN RESIDENTS WERE VACCINATED AS A DIRECT OUTCOME OF GRANTEES' EFFORTS. IN 2023, COMMUNITY CARE OF BROOKLYN EXPANDED THE CCB NAVIGATOR RESOURCE, WHICH LAUNCHED IN LATE 2022. CCB NAVIGATOR IS A ONE-STOP CARE COORDINATION REFERRAL SERVICE CONNECTING PATIENTS FROM MAIMONIDES AND OTHER PARTNER PRACTICES TO CARE MANAGEMENT AND SOCIAL CARE SERVICES. THE TEAM USES A CUSTOM NEEDS ASSESSMENT SCREENING TOOL AND CLOSED-LOOP REFERRAL PLATFORM TO CONNECT INDIVIDUALS WITH HEALTHCARE PROVIDERS AND COMMUNITY-BASED ORGANIZATIONS (CBOS) THAT ADDRESS HEALTH-RELATED SOCIAL NEEDS. SINCE LAUNCHING, 747 UNIQUE CLIENTS HAVE UTILIZED CCB NAVIGATOR WITH MORE THAN 1300 CLIENT CALLS/ENCOUNTERS. THE MOST COMMON ASSESSED NEEDS ARE FOOD ASSISTANCE, HOUSING AND SHELTER, AND BENEFITS NAVIGATION. THIS INFORMATION ENABLES US TO WORK WITH COMMUNITY-BASED ORGANIZATIONS AND OTHER PARTNERS TO LOCATE APPROPRIATE RESOURCES OR ASSISTANCE. IN 2023, THE TEAM EXPANDED CAPACITY FOR BY HIRING THREE ADDITIONAL FULL-TIME NAVIGATORS. TO EXPAND ACCESS TO CARE MANAGEMENT SERVICES IN 2023, COMMUNITY CARE OF BROOKLYN BEGAN AN EFFORT TO CO-LOCATE CARE MANAGERS FROM PARTNER CARE MANAGEMENT AGENCIES AT PRIMARY CARE SITES. THIS CO-LOCATION ALLOWS FOR WARM HANDOFFS BY THE PROVIDER AND ON-SITE ENROLLMENT WHEN AN ELIGIBLE PATIENT IS PRESENT AT THE SITE, REDUCING COMMON BARRIERS TO VIRTUAL CARE MANAGEMENT ENGAGEMENT. ADDITIONALLY, CARE TEAMS AT THE PRIMARY CARE SITE HAVE THE OPPORTUNITY TO FORM A MEANINGFUL RELATIONSHIP WITH THEIR CARE MANAGER, ALLOWING FOR INCREASED CASE CONFERENCES AND COLLABORATION. ON THE GROUND INTERACTIONS WITH PATIENTS PROVIDE VALUABLE AND REAL-TIME INSIGHTS TO CHANGING NEEDS OF A COMMUNITY. INITIAL FEEDBACK ON THIS INITIATIVE IS ENCOURAGING, WITH PARTNERS REPORTING HIGHER THAN AVERAGE ENROLLMENT INTO CARE MANAGEMENT. IN JANUARY 2024, BROOKLYN COMMUNITIES COLLABORATIVE RECEIVED AN AWARD OF $1.4 MILLION TO ADDRESS THE MATERNAL HEALTH CRISIS IN CENTRAL AND EAST BROOKLYN FROM THE ROBERT WOOD JOHNSON FOUNDATION (RWJF). THROUGH ITS STRONG COMMUNITIES FUND, BCC AWARDED $963,670 IN GRANTS TO TEN COMMUNITY-BASED ORGANIZATIONS (CBOS) WORKING TO ADDRESS THE MATERNAL HEALTH CRISIS IN BROOKLYN. BCC TAKES A PARTICIPATORY APPROACH AT EVERY STEP OF THE GRANTMAKING PROCESS, WORKING CLOSELY WITH GRANTEES TO ENSURE SUCCESSFUL IMPLEMENTATION, AND MAKING FUNDING MORE ACCESSIBLE TO SMALLER ORGANIZATIONS WORKING ON THE GROUND IN BROOKLYN COMMUNITIES. GRANTEES WERE SELECTED BY A MULTI-DISCIPLINARY, COMMUNITY-LED REVIEW COMMITTEE COMPOSED OF NONPROFIT LEADERS, MATERNAL HEALTH CARE PROVIDERS, AND COMMUNITY MEMB 6 AFFILIATED HEALTH CARE SYSTEM N/A 7 ALL STATES WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT NY true ARTHUR ASHE INSTITUTE FOR URBAN HEALTH 450 CLARKSON AVE BROOKLYN NY 11203 113185372 501(C)(3) 12000 GENERAL SUPPORT BANGLADESHI AMERICAN FRIENDSHIP SOCIETY 1105 DORCHESTER ROAD BROOKLYN NY 11218 812379613 501(C)(3) 7500 GENERAL SUPPORT BAY RIDGE CENTER INC 411 OVINGTON AVE BROOKLYN NY 11209 800559714 501(C)(3) 20000 GENERAL SUPPORT BEIT EL-MAQDIS ISLAMIC CENTER 6206 6TH AVE BROOKLYN NY 11220 113474081 501(C)(3) 14800 GENERAL SUPPORT CAIPA FOUNDATION INC 202 CANAL ST SUITE 500 NEW YORK NY 10013 262791755 501(C)(3) 12120 GENERAL SUPPORT 1199SEIU EMPLOYER CHILD CARE CORP 330 WEST 42ND ST BROOKLYN NY 10036 134063281 501(C)(3) 7100 GENERAL SUPPORT GUARDIANS OF THE SICK INC 5216 11TH AVENUE BROOKLYN NY 11219 116003433 501(C)(3) 10000 GENERAL SUPPORT HEARTSHARE HUMAN SERVICES OF NEW YORK 12 METROTECH CTR 29TH FL BROOKLYN NY 11201 111633549 501(C)(3) 10000 GENERAL SUPPORT JEWISH COMMUNITY COUNCIL OF MARINE PARK 3415 QUENTIN ROAD BROOKLYN NY 11234 262647383 501(C)(3) 7500 GENERAL SUPPORT NIA COMMUNITY SERVICES NETWORK 6614 11TH AVENUE BROOKLYN NY 11219 112697931 501(C)(3) 20000 GENERAL SUPPORT PAKISTANI AMERICAN MERCHANT ASSOC 1095 CONEY ISLAND AVE BROOKLYN NY 11230 873025980 501(C)(3) 15000 GENERAL SUPPORT THE GILBERT RIVERA CHARITABLE FOUNDATION 2120 ATLANTIC AVE BROOKLYN NY 11233 770700480 501(C)(3) 6000 GENERAL SUPPORT UNITED HOSPITAL FUND 350 FIFTH AVE NEW YORK NY 10118 131562656 501(C)(3) 12500 GENERAL SUPPORT 13 0 FEDERAL VACCINES DISPENSED UNDER CFDA 93.268 9283 1967841 NYC DOHMH DETERMINED CHILDRENS VACCINES Schedule I, Part I, LINE 2 GENERAL SUPPORT IS GIVEN TO VARIOUS NONPROFIT HEALTH RELATED, RELIGIOUS AND COMMUNITY ORGANIZATIONS THAT ARE IN FURTHERANCE OF THE CORPORATE PURPOSES AND IN THE HOSPITAL'S BEST INTEREST. SCHEDULE I, PART III, LINE 1(B) MAIMONIDES CLINICS ADMINISTER THE VACCINES DISPENSED THROUGH THE FREE VACCINES PROGRAM AND TRACK THE NUMBER OF RECIPIENTS WHO ARE PROVIDED WITH THESE VACCINES. X X X X X true true false false false true false false false JACOB SHANI MD CHAIR, CARDIOLOGY 3491308 0 0 0 7416 0 24908 0 27928 0 3551560 0 0 0 PATRICK BORGEN MD CHAIR, DEPARTMENT OF SURGERY 1987489 0 0 0 4572 0 24908 0 41331 0 2058300 0 0 0 AMIT SCHWARTZ MD DIRECTOR, NEUROSURGERY 1857471 0 50000 0 552 0 16775 0 41684 0 1966482 0 0 0 ROBERT FRANKEL MD DIR, INTERVENTIONAL CARDIOLOGY 1877325 0 0 0 1791 0 23636 0 27928 0 1930680 0 0 0 JOSHUA KERSTEIN MD ASSOC DIR, CLINICAL CARDIOLOGY 1491968 0 366550 0 1584 0 24908 0 41684 0 1926694 0 0 0 KENNETH GIBBS PRESIDENT & CEO 1258857 0 0 0 498700 0 26442 0 31127 0 1815126 0 0 0 JOHN MARSHALL MD EVP, MEDICAL AFFAIRS 1081522 0 0 0 341912 0 24658 0 42764 0 1490856 0 0 0 JUDY BACHMAN EVP & COO 1071875 0 0 0 278127 0 11202 0 415 0 1361619 0 0 0 ROBERT PALERMO EVP/CFO & ASSISTANT TREASURER 863213 0 125000 0 227647 0 26441 0 42884 0 1285185 0 0 0 LAURIE WEINSTEIN EVP,CHIEF LEGAL OFFIC,ASST SEC 864524 0 0 0 224183 0 26441 0 30978 0 1146126 0 0 0 DAVID COHEN MD EVP,POP HEALTH& ACADEM AFFAIRS 744957 0 0 0 194965 0 26441 0 18572 0 984935 0 0 0 MONICA GHITAN MD MED STAFF PRESIDENT THRU 6/24 354045 0 0 0 992 0 19298 0 20606 0 394941 0 0 0 JUAN KUPFERMAN MD MED STAFF PRESIDENT AS OF 7/24 329531 0 20900 0 1462 0 21189 0 3728 0 376810 0 0 0 MICHAEL ANTONIADES FORMER EVP & COO 0 0 0 0 180000 0 0 0 0 0 180000 0 0 0 ROBERT PRESS FORMER EVP, MEDICAL AFFAIRS 54034 458341 0 0 512375 0 SCHEDULE J, PART I, LINE 4A THE FOLLOWING PERSONS RECEIVED A SEVERANCE PAYMENT IN 2024: ROBERT PRESS - $311,020 MICHAEL ANTONIADES - $180,000 SCHEDULE J, PART I, LINE 4B THE MAIMONIDES MEDICAL CENTER SUPPLEMENTAL EXECUTIVE BENEFIT PLAN (THE "SEBP PLAN"), AS AMENDED FROM TIME TO TIME, WAS EFFECTIVE AS OF JANUARY 1, 2006. TO PARTICIPATE, AN EMPLOYEE MUST HOLD THE TITLE OF PRESIDENT, EXECUTIVE VICE PRESIDENT, SENIOR VICE PRESIDENT OR VICE PRESIDENT. THE SEBP PLAN PROVIDES FOR AN ANNUAL EMPLOYER CONTRIBUTION OF 6.5% OF COMPENSATION IN EXCESS OF THE AMOUNTS WHICH CAN BE RECOGNIZED BY THE MAIMONIDES MEDICAL CENTER TAX DEFERRED RETIREMENT PLAN PURSUANT TO CODE SECTION 401(a)(17). THE PARTICIPANT MUST BE AN ELIGIBLE EMPLOYEE ON THE LAST DAY OF THE CALENDAR YEAR TO RECEIVE THE CONTRIBUTION FOR THAT YEAR. IN ACCORDANCE WITH TERMS OF THE SEBP PLAN, THE FOLLOWING PERSONS RECEIVED AN ANNUAL EMPLOYER CONTRIBUTION IN 2024. KENNETH GIBBS - $60,174 JUDY BACHMAN - $47,247 JOHN MARSHALL, MD - $35,425 ROBERT PALERMO - $34,450 LAURIE WEINSTEIN - $34,450 DAVID COHEN, MD - $26,507 ROBERT PRESS - $20,166 THE MAIMONIDES MEDICAL CENTER SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENTS (THE "SERP PLAN"), AS AMENDED FROM TIME TO TIME, WAS EFFECTIVE AS OF JANUARY 1, 2012. TO PARTICIPATE, AN EMPLOYEE MUST HOLD THE TITLE OF CEO OR EVP, BE A KEY EMPLOYEE WITHIN THE MEANING OF THE INTERNAL REVENUE CODE AND BE DESIGNATED AS A PARTICIPANT BY THE COMPENSATION COMMITTEE OF THE BOARD. THE SERP PLAN PROVIDES FOR AN ANNUAL EMPLOYER ACCRUED CONTRIBUTION OF 20% OF BASE SALARY FOR THAT CALENDAR YEAR INCLUDING INTEREST OF 4.5%. THE PARTICIPANT MUST BE AN ELIGIBLE EMPLOYEE ON THE LAST DAY OF THE CALENDAR YEAR TO ACCRUE THE CONTRIBUTION FOR THAT YEAR. THE SERP PLAN PROVIDES THAT THE MEDICAL CENTER'S COMPENSATION COMMITTEE MAY APPROVE AN ANNUAL SUPPLEMENTAL SERP CONTRIBUTION FOR THE CEO UP TO 10% OF BASE SALARY FOR EACH PLAN YEAR AFTER 2017. THE COMPENSATION COMMITTEE APPROVED A SUPPLEMENTAL 10% CONTRIBUTION FOR THE CEO FOR THE YEARS 2018 THROUGH 2024. IN ACCORDANCE WITH TERMS OF THE SERP PLAN, VESTED BENEFITS WERE PAID OUT IN 2024 TO THE FOLLOWING PARTICIPANTS: KENNETH GIBBS - $398,380 JUDY BACHMAN - $224,022 ROBERT PALERMO - $182,875 LAURIE WEINSTEIN, ESQ - $182,875 JOHN MARSHALL, MD - $304,552 DAVID COHEN, MD - $157,334 ROBERT PRESS - $127,156 THE AMOUNT OF SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION IS INCLUDED IN THE COMPENSATION AMOUNT DISCLOSED IN PART II, COLUMN (B)(III). THE COMPENSATION COMMITTEE OF THE BOARD REVIEWED AND APPROVED ALL PAYMENTS IN ADVANCE AND CONDUCTED ITS REVIEW AND APPROVAL PROCESS IN A MANNER INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE. SCHEDULE J, PART I, LINE 6A THE ORGANIZATION PAYS, PURSUANT TO INDIVIDUAL PHYSICIAN EMPLOYMENT CONTRACT AGREEMENTS, A PORTION OF FACULTY PRACTICE EARNINGS, NET OF EXPENSES. 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PART II - LINE 3 TOTAL PROCEEDS OF ISSUE ARE THE SUM OF THE ISSUE PRICE AND CURRENT YEAR INVESTMENT EARNINGS CONTRIBUTOR No 06 Substantial Contributor 27827631 HEALTHCARE false Contributor No 10 Substantial Contributor 19921999 CONSTRUCTION false Contributor No 12 Substantial Contributor 399188 HEALTHCARE false Contributor No 15 Substantial Contributor 3827727 IT SERVICES false Contributor No 22 Substantial Contributor 3239880 MAINTENANCE false Contributor No 23 Substantial Contributor 5240444 ENV & BIOMED SERVICES false Contributor No 27 Substantial Contributor 535781 IT SERVICES false Contributor No 38 Substantial Contributor 623389 LEGAL false Contributor No 46 Substantial Contributor 2350409 FACILITIES MAINTENANCE false Contributor No 60 Substantial Contributor 332766 ELEVATOR MAINTENANCE false Contributor No 62 Substantial Contributor 5299007 CONSTRUCTION false Contributor No 75 Substantial Contributor 1246470 FACILITIES MAINTENANCE false Contributor No 84 Substantial Contributor 500008 PROJECT MANAGEMENT false Contributor No 85 Substantial Contributor 461998 FACILITIES MAINTENANCE false Contributor No 90 Substantial contributor 218389 HEALTHCARE false Contributor No 91 Substantial contributor 2747991 FACILITIES MAINTENANCE false Contributor No 98 Substantial contributor 1328993 HR SERVICES false Battle Boro Corp SEE PART V 1470730 REAL ESTATE RENTAL false SCHEDULE L, PART IV BATTLE BORO CORP: TRUSTEE GEORGE WEINBERGER CONTROLS 35% OR MORE OF BATTLE BORO CORP X 4 81149 FMV X 27065 1967841 NYC DOH DETERMINAT. X PRIZES 23 11803 FMV false true false SCHEDULE M, PART I, LINE 20 - DRUGS AND MEDICAL SUPPLIES: THE MEDICAL CENTER PARTICIPATED IN THE CITY OF NEW YORK DEPARTMENT OF HEALTH AND MENTAL HYGIENE - VACCINES FOR CHILDREN PROGRAM THROUGH THE PROVISION OF VACCINATIONS. THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, THE FEDERAL AGENCY THAT SPONSORS THIS PROGRAM HAS DETERMINED THAT THE VACCINES ADMINISTERED ARE CONSIDERED "PROPERTY IN LIEU OF MONEY". SCHEDULE M, PART I, COLUMN B: CONTRIBUTIONS ARE BASED ON THE NUMBER OF ITEMS CONTRIBUTED. FORM 990, PART I, LINE 1 - DESCRIPTION OF SIGNIFICANT ACTIVITIES MAIMONIDES MEDICAL CENTER IS AN ANCHOR OF THE HEALTHCARE SYSTEM FOR RESIDENTS OF BROOKLYN. IT ENCOMPASSES THE BOROUGH'S LARGEST HOSPITAL, A 711-BED TERTIARY TEACHING FACILITY THAT SERVES AS A DESTINATION CENTER FOR HIGH-QUALITY, COMPASSIONATE AND CULTURALLY-COMPETENT CARE, AS WELL AS A BROAD RANGE OF OUTPATIENT AND COMMUNITY SERVICES. FORM 990, PART I, LINE 6 - VOLUNTEERS AT MAIMONIDES, WE ARE FORTUNATE TO HAVE A LARGE CORPS OF DEDICATED VOLUNTEERS WHO ENHANCE THE SERVICES PROVIDED BY OUR STAFF. IN 2024, 1,639 VOLUNTEERS SERVED 205,237 HOURS. THERE WAS A 3% INCREASE IN THE NUMBER OF VOLUNTEERS AND 6% INCREASE IN THE NUMBER OF HOURS OF SERVICE. ALL VOLUNTEER RECORDS WERE KEPT IN VOLTRAK, VOLUNTEER COMPUTER DATABASE SYSTEM. VOLUNTEERS AT MAIMONIDES SIGN IN AND OUT USING A TOUCH SCREEN COMPUTER. ACCORDINGLY, THE NUMBER OF VOLUNTEERS AND HOURS SERVED ARE TRACKED BY THE SYSTEM. THE DEPARTMENT OF VOLUNTEER AND STUDENT SERVICES WORKS VERY CLOSELY WITH YOUTH AGENCIES AND PROVIDES A WORKSITE FOR VARIOUS YOUTH EMPLOYMENT PROGRAMS. WE COORDINATE INTERNSHIP PROGRAMS WITH BUSINESS SCHOOLS AND COLLEGES (BOTH UNDERGRADUATE AND GRADUATE PROGRAMS). THIS HAS DEVELOPED SUCCESSFUL RELATIONSHIPS WITH COMMUNITY AGENCIES AND ORGANIZATIONS. SOME OF THE SERVICE AREAS THE VOLUNTEERS WORKED IN WERE LABOR COACH (DOULA), POSTPARTUM SUPPORT, COMPANIONS AND FEEDERS TO PATIENTS, HOSPITALITY, FAMILY AMBASSADORS, CHILD LIFE, CUDDLERS IN NICU, PASTORAL CARE, RESEARCH, CLERICAL SUPPORT, AND SUPPORT SERVICES. FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION MAIMONIDES MEDICAL CENTER IS DEDICATED TO FOSTERING HEALTHY COMMUNITIES. WE PROVIDE HIGH QUALITY, COMPASSIONATE PATIENT CARE AND COMPREHENSIVE COMMUNITY SERVICES. AS A PREMIER ACADEMIC MEDICAL CENTER, WE ARE DEVOTED TO EDUCATING HEALTH CARE PROFESSIONALS, PATIENTS, FAMILIES, EMPLOYEES AND THE COMMUNITIES WE SERVE. WE CONDUCT RESEARCH THAT IMPROVES THE LIVES OF OUR PATIENTS. WELCOMING PATIENTS OF ALL FAITHS, THE HOSPITAL IS UNIQUELY COMMITTED TO SERVING THE SPECIAL HEALTH CARE NEEDS OF THE ORTHODOX JEWISH COMMUNITY, WHOSE RELIGIOUS AND CULTURAL TRADITIONS HELP TO GUIDE THE PROVISION OF OUR SERVICES. FORM 990, PART III, LINE 4 - PROGRAM SERVICE ACCOMPLISHMENTS 4A - INPATIENT SERVICES 4B - MATERNITY SERVICES 4C - EMERGENCY SERVICES 4D - OTHER PROGRAM SERVICES MAIMONIDES MEDICAL CENTER, A 711 BED ACUTE CARE VOLUNTARY NOT-FOR PROFIT HOSPITAL, OFFERS A WIDE ARRAY OF INPATIENT AND OUTPATIENT HEALTHCARE SERVICES. OUR COMMITMENT HAS ALWAYS BEEN TO SERVE THE COMMUNITY PROVIDING QUALITY HEALTHCARE SERVICES AND HEALTHCARE EDUCATION REGARDLESS OF RACE, COLOR, RELIGION, SEX, GENDER IDENTITY, NATIONAL ORIGIN, DISABILITY, SEXUAL ORIENTATION, AGE OR SOURCE OF PAYMENT. DURING 2024, THE MEDICAL CENTER PROVIDED 34,533 INPATIENT DISCHARGES AND 582,318 OUTPATIENT VISITS WHICH INCLUDED 100,022 EMERGENCY ROOM VISITS. WE PROVIDED CARE TO PERSONS COVERED BY GOVERNMENT PROGRAMS AND THE UNINSURED AT PAYMENT RATES BELOW COST. OUR SURGEONS PERFORMED 9,720 INPATIENT AND 15,135 OUTPATIENT PROCEDURES IN A FULL RANGE OF SURGICAL SPECIALTIES. MANY OF OUR TERTIARY PROGRAMS SERVE ALL OF BROOKLYN, INCLUDING OUR CARDIOLOGY AND CARDIAC SURGERY SERVICES WHICH ARE WIDELY RECOGNIZED IN THE REGION FOR EXCELLENCE. A COMPREHENSIVE ARRAY OF CANCER SERVICES IS ALSO PROVIDED. MAIMONIDES, A DESIGNATED REGIONAL PERINATAL CENTER, OPERATES ONE OF THE BUSIEST OBSTETRICAL SERVICES ON THE EAST COAST PERFORMING 5,618 DELIVERIES IN 2024. A LEVEL 3 NEONATAL INTENSIVE CARE UNIT PROVIDES HIGHLY SPECIALIZED CARE FOR BABIES BORN PREMATURELY OR WITH BIRTH DEFECTS. THE ADULT AND CHILD PSYCHIATRIC OUTPATIENT PROGRAMS PROVIDE WALK-IN SERVICES FOR ANY MEMBERS OF THE SURROUNDING COMMUNITIES. MAIMONIDES MEDICAL CENTER IS A 9.39 DESIGNATED PSYCHIATRIC RECEIVING HOSPITAL. WE PROVIDE FULL-TIME (24 HOURS/365 DAYS PER YEAR) EMERGENCY SERVICES REGARDLESS OF ABILITY TO PAY AND OPERATE A 911 PARAMEDIC AMBULANCE SERVICE UNDER CONTRACT WITH THE NEW YORK CITY FIRE DEPARTMENT TO AN 800-BLOCK AREA INCLUDING ALL OF BORO PARK AND SECTIONS OF FLATBUSH, BENSONHURST AND BAY RIDGE. OTHER PROGRAM SERVICES INCLUDE GRANTS THAT SUPPORTED OVER 85 VARIOUS NONPROFIT HEALTH RELATED AND COMMUNITY BASED ORGANIZATIONS. THE MEDICAL CENTER DISPENSED FEDERAL VACCINES RECEIVED UNDER THE IMMUNIZATION CFDA 93.268 PROGRAM TO 7,252 RECIPIENTS. THE MEDICAL CENTER SUPPORTS A PROGRAM OF HEALTH PROMOTION AND EDUCATION ACTIVITIES FOR EMPLOYEES AND RESIDENTS OF ITS SURROUNDING COMMUNITIES, INCLUDING MAMMOGRAPHY, LUNG, CARDIAC AND COLON CANCER SCREENINGS. THE MEDICAL CENTER IS A MAJOR AFFILIATE TEACHING HOSPITAL AND CLINICAL SITE OF SUNY DOWNSTATE COLLEGE OF MEDICINE AND A TEACHING AFFILIATE OF NEW YORK COLLEGE OF OSTEOPATHIC MEDICINE AND NYU SCHOOL OF MEDICINE. MAIMONIDES HAS FULLY ACCREDITED RESIDENCY-TRAINING PROGRAMS WITH OVER 470 INTERNS AND RESIDENTS. FORM 990, PART VI, GOVERNANCE, MANAGEMENT & DISCLOSURE SECTION A SECTION A - GOVERNING BODY AND MANAGEMENT 2. ONE OF THE TRUSTEES, MORTIMER KLAUS IS A LIMITED PARTNER IN REAL ESTATE VENTURES FOR WHICH ANOTHER TRUSTEE, PETER REBENWURZEL, IS A MANAGING MEMBER. THIS BUSINESS RELATIONSHIP IS NOT RELATED TO ANY OF THE ACTIVITIES OF MAIMONIDES MEDICAL CENTER ("THE MEDICAL CENTER".) 4. THE MEDICAL CENTER MADE NO CHANGES TO ITS GOVERNING DOCUMENTS SINCE THE PRIOR FORM 990 WAS FILED. 6. THE ORGANIZATION HAS A SOLE CORPORATE MEMBER, MAIMONIDES HEALTH RESOURCES, INC. ("MHRI") A NOT-FOR-PROFIT CORPORATION. 7A. MHRI ELECTS THE TRUSTEES OF THE MEDICAL CENTER. THE BOARDS OF TRUSTEES OF THE MEDICAL CENTER AND MHRI ARE IDENTICAL. 7B.THE POWERS OF MHRI ARE DESCRIBED BELOW: MHRI IS A NEW YORK NOT-FOR-PROFIT CORPORATION. IT IS THE SOLE CORPORATE MEMBER OF THE MEDICAL CENTER. MHRI HAS THE FOLLOWING POWERS PURSUANT TO THE MEDICAL CENTER'S BYLAWS: (1) MHRI ELECTS TRUSTEES TO THE GOVERNING BODY OF THE MEDICAL CENTER AT THE ANNUAL MEETING. (VACANCIES BETWEEN ANNUAL MEETINGS ARE FILLED BY THE BOARD OF TRUSTEES OF THE MEDICAL CENTER, NOT MHRI.) (2) MHRI HAS THE POWER TO AMEND, MODIFY OR REPEAL THE BYLAWS OF THE MEDICAL CENTER. THE BOARD OF TRUSTEES OF THE MEDICAL CENTER ALSO HAS SUCH POWER. MHRI HAS THE FOLLOWING POWER UNDER NEW YORK'S NOT-FOR-PROFIT CORPORATION LAW: (1) AUTHORIZATION OF MERGER OR CONSOLIDATION REQUIRES MHRI'S CONSENT. (2) NON-JUDICIAL DISSOLUTION REQUIRES MHRI'S CONSENT. (3) MHRI HAS THE POWER TO PETITION THE COURT FOR JUDICIAL DISSOLUTION. (4) THE SALE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE MEDICAL CENTER REQUIRE MHRI'S CONSENT. FORM 990, PART VI, GOVERNANCE, MANAGEMENT & disclosure SECTION B SECTION B - POLICIES 11B. A COPY OF THE FORM 990 IS REVIEWED BY SENIOR EXECUTIVE STAFF AND THE OUTSIDE TAX PREPARER WHO SIGNS OFF ON THE RETURN. THE REVIEWED RETURN AND ATTACHMENTS ARE THEN PRESENTED TO THE PRESIDENT OF THE ORGANIZATION AND THE FINANCE AND AUDIT COMMITTEE OF THE BOARD OF TRUSTEES TO WHOM THE RESPONSIBILITY FOR REVIEWING THE FORM 990 HAS BEEN DELEGATED FOR THEIR COMMENTS AND QUESTIONS PRIOR TO FILING. UPON THEIR FINAL REVIEW A COMPLETE COPY OF THE FORM 990 IS PROVIDED TO THE ENTIRE BOARD PRIOR TO FILING. 12C. IT IS THE RESPONSIBILITY OF ALL TRUSTEES, OFFICERS, EMPLOYEES AND MEMBERS OF THE MEDICAL STAFF TO FAMILIARIZE THEMSELVES WITH THE CONFLICTS OF INTEREST POLICY AND TO COMPLY AND ENSURE COMPLIANCE OF FAMILY MEMBERS WHERE APPLICABLE. THEY ARE REQUIRED TO DISCLOSE IN DETAIL ANY ACTIVITIES OR INTERESTS WHICH MAY BE A CONFLICT OF INTEREST AS DEFINED IN THE MEDICAL CENTER'S POLICIES. THE FOLLOWING ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST CERTIFICATE: (1) TRUSTEES AND OFFICERS OF THE BOARD, (2) NON-TRUSTEE OFFICERS, CHAIRS AND DIVISION CHIEFS AND MEMBERS OF THE PURCHASING DEPARTMENT, (3) EMPLOYEES AND MEMBERS OF THE MEDICAL STAFF, WHO ARE IN A POSITION TO INFLUENCE VENDOR SELECTION, TO APPROVE A TRANSACTION WITH A THIRD PARTY OR APPROVE THE EXPENDITURE OF FUNDS, AND (4) SUCH OTHER EMPLOYEES OR MEMBERS OF THE MEDICAL STAFF AS DETERMINED FROM TIME TO TIME BY THE PRESIDENT. EMPLOYEES AND MEMBERS OF THE MEDICAL STAFF WHO VIOLATE THIS POLICY ARE SUBJECT TO DISCIPLINARY ACTION UP TO AND INCLUDING TERMINATION OR REMOVAL FROM THE STAFF. MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS ARE SUBJECT TO REMOVAL BY THE BOARD OF TRUSTEES. THE COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES ADVISES THE PRESIDENT AND THE CHAIR OF THE BOARD CONCERNING SPECIFIC CONFLICTS OF INTEREST REFERRED TO IT BY THE CHIEF COMPLIANCE OFFICER AND THE EXECUTIVE VICE PRESIDENT FOR LEGAL AFFAIRS AND CHIEF LEGAL OFFICER. THE COMMITTEE REVIEWS PARTICULAR MATTERS REFERRED TO THEM FOR, AND ASSISTS IN THE OVERALL ADMINISTRATION AND MONITORING OF THE IMPLEMENTATION OF THE POLICY. THE COMPLIANCE COMMITTEE ALSO ANNUALLY REVIEWS ALL ACTUAL AND POTENTIAL CONFLICTS OF INTEREST DISCLOSED BY MEMBERS OF THE BOARD OF TRUSTEES AND EMPLOYEES ON THEIR CONFLICT OF DISCLOSURE FORMS. THE CORPORATE COMPLIANCE DEPARTMENT ASSISTS IN ENSURING COMPLIANCE WITH COMPLETION OF THE DISCLOSURE FORM BY ALL RELEVANT EMPLOYEES AND TRUSTEES. A REPORT ON CONFLICTS OF INTEREST IS MADE TO THE COMPLIANCE COMMITTEE ON AN ANNUAL BASIS BY THE CHIEF COMPLIANCE OFFICER. A REPORT ON CONFLICTS OF INTEREST IS MADE BY THE CHAIRMAN OF THE COMPLIANCE COMMITTEE AT LEAST ANNUALLY TO THE BOARD OF TRUSTEES. 15. THE PROCESS FOR DETERMINING COMPENSATION FOR THE CEO WAS DONE IN DECEMBER 2019, MAY 2020, SEPTEMBER 2022, MARCH 2023, AND AGAIN IN JANUARY 2024. THE PROCESS FOR DETERMINING COMPENSATION FOR THE COO POSITION WAS DONE IN JULY 2019, NOVEMBER 2019, SEPTEMBER 2022, AND AGAIN IN OCTOBER 2023. THE PROCESS FOR DETERMINING COMPENSATION FOR THE CHIEF FINANCIAL OFFICER WAS DONE IN 2020, SEPTEMBER 2022, AND AGAIN IN OCTOBER, 2023. THE PROCESS FOR DETERMINING COMPENSATION FOR THE EVP, AND CHIEF LEGAL OFFICER WAS DONE IN DECEMBER 2020, SEPTEMBER 2022, AND AGAIN IN OCTOBER 2023. THE PROCESS FOR DETERMINING COMPENSATION FOR THE EVP, MEDICAL AFFAIRS WAS DONE IN JULY 2019, SEPTEMBER 2022, OCTOBER 2023, AND AGAIN IN JANUARY 2024. THE PROCESS FOR DETERMINING COMPENSATION FOR OTHER KEY EMPLOYEES WAS UNDERTAKEN IN SEPTEMBER 2022 AND UPDATED IN OCTOBER 2023. THE COMPENSATION COMMITTEE'S REVIEW AND APPROVAL PROCESS IS INTENDED TO COMPLY WITH APPLICABLE FEDERAL TAX AND NEW YORK STATE LAWS AND REGULATIONS. IN ADDITION, THE COMPENSATION COMMITTEE'S REVIEW AND APPROVAL PROCESS IS INTENDED TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE INTERMEDIATE SANCTIONS RULES OF FEDERAL TAX LAW. THE COMPENSATION COMMITTEE WILL USE THE FOLLOWING PROCESS (INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL TAX LAW INTERMEDIATE SANCTIONS RULES) TO CONSIDER AND APPROVE COMPENSATION ARRANGEMENTS FOR EXECUTIVES: 1. THE COMPENSATION COMMITTEE, WHICH WILL CONSIST ENTIRELY OF INDEPENDENT TRUSTEES WHO DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO ANY COMPENSATION ARRANGEMENT UNDER CONSIDERATION, WILL APPROVE THE COMPENSATION OF THE EXECUTIVES, WITHOUT ANY EXECUTIVE PRESENT DURING THE DELIBERATION OR VOTE ON HIS OR HER COMPENSATION. 2. THE COMPENSATION COMMITTEE WILL OBTAIN AND RELY UPON APPROPRIATE DATA AS TO COMPARABLE COMPENSATION ARRANGEMENTS, WITH APPROPRIATE DATA CONSISTING OF INFORMATION SUFFICIENT TO DETERMINE WHETHER EACH COMPENSATION ARRANGEMENT IN ITS ENTIRETY IS REASONABLE, AND INCLUDING, BUT NOT LIMITED TO, COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR COMPARABLE POSITIONS, AND CURRENT LOCAL, REGIONAL AND NATIONAL COMPENSATION SURVEYS COMPILED BY INDEPENDENT CONSULTING FIRMS. 3. THE COMPENSATION COMMITTEE WILL ADEQUATELY AND CONTEMPORANEOUSLY DOCUMENT THE BASIS FOR ITS APPROVAL IN MEETING MINUTES. FORM 990, PART VI, GOVERNANCE, MANAGEMENT & DISCLOSURE SECTION C SECTION C - DISLOSURE 19. THE ORGANIZATION'S ARTICLES OF INCORPORATION MAY BE OBTAINED FROM THE NYS SECRETARY OF STATE'S OFFICE. THEY ARE ALSO AVAILABLE TOGETHER WITH THE BY-LAWS UPON SPECIAL REQUEST TO THE EXECUTIVE OFFICE OF MAIMONIDES MEDICAL CENTER AT 4802 TENTH AVE, ADMIN BLDG, 2ND FLOOR, BROOKLYN, NY 11219. THE CONFLICT OF INTEREST POLICY IS AVAILABLE ON THE MEDICAL CENTER'S WEBSITE "MAIMO.ORG" IN THE VENDOR INFORMATION SECTION. THE AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST TO THE MEDICAL CENTER'S EXECUTIVE OFFICE AND ARE POSTED ON THE NYS CHARITABLE BUREAU WEBSITE, OAG.STATE.NY.US. FORM 990, PART XI, LINE 9 PENSION AND POST RETIREMENT RELATED ADJUSTMENTS : $16,086,527 CHANGE IN EQUITY IN CAPTIVE INSURANCE PROGRAM : $1,498,098 PENSION AND POST RETIREMENT PLAN LOSS : ($188,802) NET TRANSFERS TO AFFILIATES : ($23,513,300) .............. 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