MONTEFIORE NEW ROCHELLE HOSPITAL: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- MONTEFIORE NEW ROCHELLE HOSPITAL (EIN 46-2931956)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-09
- IRS object ID
- 201603149349300215
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-09T08:45:32-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5 TIMES SQUARE | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 462931956 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONTEFIORE NEW ROCHELLE HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % DAVID INGBER MONTEFIORE | InCareOfNm |
| Business Name Control | MONT | BusinessNameControlTxt |
| Phone | 9143498400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16 Guion Place | AddressLine1Txt |
| City | New Rochelle | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10801 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | COLLEEN M BLYE | PersonNm |
| Person Title | EXECUTIVE VP & CFO | PersonTitleTxt |
| Phone | 7189207602 | PhoneNum |
| Signature | 2016-11-06 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CHRISTOPHER B BOGGS | PreparerPersonNm |
| PTIN | P00032493 | PTIN |
| Phone | 2127733000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEVEN SAFYER MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 East 210th Street | AddressLine1Txt |
| City | Bronx | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10467 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $163,342,614 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | http://www.montefiorehs.org/landing.cfm?id=16 | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2013 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO HEAL, TO TEACH, TO DISCOVER AND TO ADVANCE THE HEALTH OF THE COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 43 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 42 | VotingMembersIndependentCnt |
| Total Employee | 1332 | TotalEmployeeCnt |
| Total Volunteers | 52 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $25,217,422 | PYContributionsGrantsAmt |
| CY Contributions Grants | $17,224,007 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $128,551,048 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $136,088,535 | CYProgramServiceRevenueAmt |
| PY Investment Income | $539,127 | PYInvestmentIncomeAmt |
| CY Investment Income | $900,250 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,942,313 | PYOtherRevenueAmt |
| CY Other Revenue | $4,105,290 | CYOtherRevenueAmt |
| PY Total Revenue | $158,249,910 | PYTotalRevenueAmt |
| CY Total Revenue | $158,318,082 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $100,220,479 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $103,743,099 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $14,406 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $69,835,229 | PYOtherExpensesAmt |
| CY Other Expenses | $69,138,430 | CYOtherExpensesAmt |
| PY Total Expenses | $170,055,708 | PYTotalExpensesAmt |
| CY Total Expenses | $172,881,529 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$11,805,798 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$14,563,447 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $72,229,883 | TotalAssetsBOYAmt |
| Total Assets EOY | $71,255,961 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $69,497,711 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $84,203,018 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,732,172 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$12,947,057 | NetAssetsOrFundBalancesEOYAmt |
| Mission | 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. MONTEFIORE NEW ROCHELLE HOSPITAL IS A 223-BED, COMMUNITY-BASED TEACHING HOSPITAL OFFERING PRIMARY, ACUTE AND EMERGENCY CARE TO THE RESIDENTS OF SOUTHERN WESTCHESTER. MONTEFIORE NEW ROCHELLE HOSPITAL PROVIDES FOR THE DIVERSE MEDICAL NEEDS OF THE COMMUNITIES AND REGION IT SERVES. THE HOSPITAL IS PART OF MONTEFIORE HEALTH SYSTEM, THE UNIVERSITY HOSPITAL SYSTEM FOR ALBERT EINSTEIN COLLEGE OF MEDICINE. MONTEFIORE NEW ROCHELLE 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, INCLUDING: - DESIGNATED AS A CENTER OF EXCELLENCE BY THE AMERICAN SOCIETY OF METABOL | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $106,673,672 | ExpenseAmt |
| Revenue | $92,577,602 | RevenueAmt |
| Desc | MONTEFIORE NEW ROCHELLE HOSPITAL IS THE ONLY HOSPITAL IN THE CITY OF NEW ROCHELLE, WITH 223-BEDS, THE HOSPITAL IS COMPRISED OF 164 MEDICAL/SURGICAL BEDS, 8 CORONARY CARE BEDS, 12 INTENSIVE CARE BEDS, 24 MATERNITY BEDS, 10 NEOTATAL INTENSIVE CARE BEDS, AND 5 PEDIATRICS BEDS. MONTEFIORE NEW ROCHELLE IS A COMMUNITY-BASED TEACHING HOSPITAL OFFERING PRIMARY, ACUTE AND EMERGENCY CARE TO THE RESIDENTS OF SOUTHERN WESTCHESTER REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ANNUALLY, THE HOSPITAL HAS APPROXIMATELY 8,060 INPATIENT ADMISSIONS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $50,136,005 | ExpenseAmt |
| Revenue | $43,510,933 | RevenueAmt |
| Desc | MONTEFIORE NEW ROCHELLE HOSPITAL HAD 94,898 AMBULATORY VISITS DURING CALENDAR YEAR 2015, COMPRISED OF 27,917 PRIVATE REFERRED VISITS , 32,823 EMERGENCY DEPARTMENT VISITS, 27,938 ADULT AND PEDIATRIC MEDICAL, SPECIALTY CLINIC VISITS AND 6,220 AMBULATORY SURGERY VISITS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $156,809,677 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 40 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1332 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 43 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 42 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID INGBER MONTEFIORE | PersonNm |
| Phone | 9143498400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | HLTH SYS INC 555 S BDWY | AddressLine1Txt |
| City | TARRYTOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10591 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (57 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| ODED ABOODI | |||||||||
| VICE CHAIRMAN & TREASURER | 0.2 | 2.3 | Yes (X) | $0 | $0 | $0 | |||
| JAY B ABRAMSON | |||||||||
| TRUSTEE | 0.2 | 2.3 | Yes (X) | $0 | $0 | $0 | |||
| MARGARET HAYES ADAME | |||||||||
| TRUSTEE | 0.2 | 1.8 | Yes (X) | $0 | $0 | $0 | |||
| GEORGE ASCH | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| JOSEPH W BARTLETT | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA BAUMAN | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| JAMES M BUTLER | |||||||||
| TRUSTEE | 0.2 | 2.3 | Yes (X) | $0 | $0 | $0 | |||
| GEORGE CAMPBELL JR PHD | |||||||||
| TRUSTEE | 0.2 | 2.3 | Yes (X) | $0 | $0 | $0 | |||
| BRUCE DONIGER | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| RUTH L GOTTESMAN EDD | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| DAVID C GOTTLIEB | |||||||||
| TRUSTEE (resigned 6/15) | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| BARRY W GRAY | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA GREEN | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| JOHN H GUTFREUND | |||||||||
| TRUSTEE(trustee emeritus 6/15) | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS L HARRISON | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| JOHN HEFFER | |||||||||
| TRUSTEE | 0.2 | 2.3 | Yes (X) | $0 | $0 | $0 | |||
| LEWIS HENKIND | |||||||||
| SECRETARY | 0.2 | 3.3 | Yes (X) | $0 | $0 | $0 | |||
| HELEN A JOHNSON | |||||||||
| TRUSTEE | 0.2 | 2.3 | Yes (X) | $0 | $0 | $0 | |||
| DAVID B KEIDAN | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| BRUCE J KLATSKY | |||||||||
| TRUSTEE (resigned 2/15) | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| ALAN M KLEIN | |||||||||
| TRUSTEE | 0.2 | 3.3 | Yes (X) | $0 | $0 | $0 | |||
| STACEY R LANE | |||||||||
| TRUSTEE | 0.2 | 2.3 | Yes (X) | $0 | $0 | $0 | |||
| JAY B LANGNER | |||||||||
| TRUSTEE/CHAIRMAN EMERITUS | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTOPHER D MCFADDEN | |||||||||
| TRUSTEE (resigned 11/15) | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| MARGARET L NATHAN | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| PETER J NEUFELD | |||||||||
| TRUSTEE | 0.2 | 2.3 | Yes (X) | $0 | $0 | $0 | |||
| GAYLE F ROBINSON | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| JON W ROTENSTREICH | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| HON FELICE K SHEA | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| EDWIN H STERN III | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| DAVID A TANNER | |||||||||
| CHAIRMAN | 0.2 | 7.8 | Yes (X) | $0 | $0 | $0 | |||
| CYNTHIA KING VANCE | |||||||||
| TRUSTEE | 0.2 | 2.3 | Yes (X) | $0 | $0 | $0 | |||
| JIDE J ZEITLIN | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| JENNIE EMIL | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| JONTHAN A LIPTON | |||||||||
| THRUSTE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| ZITA G ROSENTHAL | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| GREGG S HYMOWITZ | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| NATHAN GANTCHER | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| CATHERINE KLEMA | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| MELISSA CERIALE | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| MARK MLOTEK | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| BARRY S BLATTMAN | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| MARK E BROSSMAN | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| MATTHEW H NORD | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL A STOCKER MD | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| ROGER EINIGER | |||||||||
| TRUSTEE | 0.2 | 1.3 | Yes (X) | $0 | $0 | $0 | |||
| STEVEN M SAFYER MD | |||||||||
| PRESIDENT & CEO | 1.5 | 58.5 | Yes (X) | $0 | $4,283,893 | $51,255 | Yes (X) | ||
| PHILIP O OZUAH MD PHD | |||||||||
| EXECUTIVE VP & COO | 1.5 | 58.5 | $0 | $2,285,645 | $697,133 | Yes (X) | |||
| CHRISTOPHER S PANCZNER | |||||||||
| SENIOR VP & GENERAL COUNSEL | 1.5 | 58.5 | $0 | $1,110,866 | $232,140 | Yes (X) | |||
| JOEL A PERLMAN | |||||||||
| EXECUTIVE VICE PRESIDENT & CFO | 1.5 | 58.5 | $0 | $1,529,529 | $51,011 | Yes (X) | |||
| SUSAN GREEN-LORENZEN RN | |||||||||
| SENIOR VP-OPERATIONS | 1.5 | 58.5 | $0 | $1,194,177 | $296,068 | Yes (X) | |||
| LYNN RICHMOND | |||||||||
| Executive Vice President | 1.5 | 58.5 | $0 | $1,256,752 | $282,642 | Yes (X) | |||
| JOHN OLSEWSKI MD | |||||||||
| ORTHOPEDIC SURGEON | 60.0 | 0.0 | $519,869 | $0 | $33,410 | Yes (X) | |||
| STEVEN B ZELICOF MD | |||||||||
| CHIEF, ORTHOPEDIC SURGERY | 60.0 | 0.0 | $549,890 | $0 | $30,899 | Yes (X) | |||
| MADHU RANGRAJ MD | |||||||||
| DIRECTOR, SURGERY | 60.0 | 0.0 | $522,853 | $0 | $30,792 | Yes (X) | |||
| PATRICIA DEVINE MD | |||||||||
| DIRECTOR OF OB/GYN | 60.0 | 0.0 | $383,608 | $0 | $30,860 | Yes (X) | |||
| STEPHEN JESMAJIAN MD | |||||||||
| CHIEF & RESIDENT PROG DIRECTOR | 60.0 | 0.0 | $375,420 | $0 | $33,410 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,351,640 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $11,660,862 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,769,620 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 209 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Allscripts LLC | |||||
| 24630 Network Place | CHICAGO | IL | 60673 | Information | $2,886,706 |
| Fastaff Inc | |||||
| PO Box 911452 | DENVER | CO | 80291 | Traveling nurses | $2,018,460 |
| Cauldwell Windgate Co LLC | |||||
| 380 Lexington Avenue | NEW YORK | NY | 10168 | Construction | $1,913,045 |
| National Government Services Inc | |||||
| PO Box 809366 | CHICAGO | IL | 60680 | Administrator | $1,270,673 |
| Quest Diagnostics Inc | |||||
| 7402 Collection Center Drive | CHICAGO | IL | 60693 | Medical lab testing | $1,262,541 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 64 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $17,180,196 | GovernmentGrantsAmt |
| All Other Contributions | $43,811 | AllOtherContributionsAmt |
| Total Contributions | $17,224,007 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| INPATIENT REVENUE | 623000 | $92,577,601 | $92,577,601 | $0 |
| OUTPATIENT REVENUE | 621400 | $43,510,934 | $43,510,934 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $136,088,535 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $394,751 | TotalRevenueColumnAmt |
| Exclusion | $394,751 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,530,032 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,024,532 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $505,500 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $505,499 | TotalRevenueColumnAmt |
| Exclusion | $505,499 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| MISCELLANEOUS INCOME | 900099 | $1,362,844 | $0 | $1,362,844 |
| SCHOOL OF NURSING TUITION | 611430 | $1,392,177 | $0 | $1,392,177 |
| CAFETERIA/COFFEE SHOP & VENDING INCOME | 722514 | $480,709 | $0 | $480,709 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $869,560 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $869,560 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,105,290 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $158,318,082 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $136,088,535 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,005,540 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,583,668 | TotalAmt |
| Program Services | $71,764,793 | ProgramServicesAmt |
| Management And General | $7,816,554 | ManagementAndGeneralAmt |
| Fundraising | $2,321 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,312,300 | TotalAmt |
| Program Services | $16,036,073 | ProgramServicesAmt |
| Management And General | $2,275,455 | ManagementAndGeneralAmt |
| Fundraising | $772 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,847,131 | TotalAmt |
| Program Services | $5,262,418 | ProgramServicesAmt |
| Management And General | $584,713 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,082,982 | TotalAmt |
| Program Services | $1,047,935 | ProgramServicesAmt |
| Management And General | $35,047 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,129 | TotalAmt |
| Management And General | $38,129 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $269,745 | TotalAmt |
| Management And General | $269,745 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,488 | TotalAmt |
| Management And General | $31,488 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,468 | TotalAmt |
| Management And General | $119,468 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,601,880 | TotalAmt |
| Program Services | $5,540,726 | ProgramServicesAmt |
| Management And General | $61,154 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,867 | TotalAmt |
| Program Services | $17,375 | ProgramServicesAmt |
| Management And General | $14,492 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,562,584 | TotalAmt |
| Program Services | $10,293,683 | ProgramServicesAmt |
| Management And General | $1,267,326 | ManagementAndGeneralAmt |
| Fundraising | $1,575 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,464,190 | TotalAmt |
| Program Services | $6,773,961 | ProgramServicesAmt |
| Management And General | $682,846 | ManagementAndGeneralAmt |
| Fundraising | $7,383 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,329 | TotalAmt |
| Program Services | $81,203 | ProgramServicesAmt |
| Management And General | $11,126 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,399 | TotalAmt |
| Program Services | $79,123 | ProgramServicesAmt |
| Management And General | $4,276 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,915,940 | TotalAmt |
| Program Services | $1,915,940 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,502,906 | TotalAmt |
| Program Services | $2,502,906 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,023,121 | TotalAmt |
| Program Services | $11,023,121 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES & EXPENSES | $23,794,607 | $22,599,166 | $1,193,086 | $2,355 |
| MEMBERSHIP DUES | $1,337,679 | $1,271,254 | $66,425 | |
| APARTMENT RENTAL (TRVL NURSE) | $378,251 | $378,251 | ||
| COLLECTION FEES | $1,804,865 | $600,000 | $1,204,865 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,000 | TotalAmt |
| Management And General | $3,000 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,881,529 | TotalAmt |
| Program Services | $156,809,677 | ProgramServicesAmt |
| Management And General | $16,057,446 | ManagementAndGeneralAmt |
| Fundraising | $14,406 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,367,956 | BOYAmt |
| EOY | $1,379,563 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,694,262 | BOYAmt |
| EOY | $28,117,113 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,798,442 | BOYAmt |
| EOY | $2,401,324 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $324,687 | BOYAmt |
| EOY | $931,935 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $26,047,930 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,539,060 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,026,881 | BOYAmt |
| EOY | $21,508,870 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,867,096 | BOYAmt |
| EOY | $16,826,130 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,150,559 | BOYAmt |
| EOY | $91,026 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,229,883 | BOYAmt |
| EOY | $71,255,961 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,759,064 | BOYAmt |
| EOY | $33,308,583 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,667,587 | BOYAmt |
| EOY | $4,434,363 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,071,060 | BOYAmt |
| EOY | $46,460,072 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,497,711 | BOYAmt |
| EOY | $84,203,018 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$14,362,875 | BOYAmt |
| EOY | -$30,073,543 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $31,439 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,095,047 | BOYAmt |
| EOY | $17,095,047 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,732,172 | BOYAmt |
| EOY | -$12,947,057 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,229,883 | BOYAmt |
| EOY | $71,255,961 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$14,563,447 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,147,221 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $31,439 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $31,488 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $31,488 | TotalLobbyingExpendituresAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE G | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL'S LOBBYING EXPENDITURES INCLUDES A PERCENTAGE OF MEMBERSHIP DUES PAID TO THE GREATER NEW YORK HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION AND THE HEALTH CARE ASSOCIATION OF NYS, THAT ARE USED FOR LOBBYING EFFORTS. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,095,047 | BeginningYearBalanceAmt |
| End Year Balance | $17,095,047 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,095,047 | BeginningYearBalanceAmt |
| End Year Balance | $17,095,047 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| CY Minus2 Yr Endwmt Fund | CYMinus2YrEndwmtFundGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | false | RelatedOrgListSchRInd |
| Land | LandGrp | |
| Buildings | BuildingsGrp |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,600,114 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,539,060 | DepreciationAmt |
| Book Value | $15,061,054 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Equipment | EquipmentGrp |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,447,816 | OtherCostOrOtherBasisAmt |
| Book Value | $6,447,816 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $21,508,870 | TotalBookValueLandBuildingsAmt |
| Financial Derivatives | FinancialDerivativesGrp | |
| Closely Held Equity Interests | CloselyHeldEquityInterestsGrp |
Other Securities OtherSecuritiesGrp (5 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| EQUITY SECURITIES | $2,473,763 | F |
| FIXED INCOME SECURITIES | $2,777,853 | F |
| REAL ESTATE | $10,673,264 | F |
| COMMODITIES | $136,450 | F |
| CASH & SHORT TERM INVESTMENTS | $764,800 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $16,826,130 | TotalBookValueSecuritiesAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| EQUIPMENT LOAN PAYABLE TO PARENT | $20,661,682 |
| DUE TO AFFILIATES | $5,167,084 |
| REVOLVING LOAN FROM PARENT | $19,110,372 |
| RETIREE HEALTH LIABILITY | $1,520,934 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $46,460,072 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE D, PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 500. | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,806,852 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,774,390 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $32,462 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $49,867,588 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,328,889 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,538,699 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11310 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $54,674,440 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $35,103,279 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,571,161 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11330 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,626,642 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,810,312 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,816,330 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02210 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,891,190 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,465,575 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,425,615 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03140 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,517,832 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,275,887 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,241,945 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05350 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $83,192,272 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $54,379,166 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,813,106 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16680 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,440,462 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $2,220,820 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $46,110,656 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $43,259,089 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $2,851,567 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Montefiore New Rochelle Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16 Guion Place | AddressLine1Txt |
| City | New Rochelle | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.montefiorehealthsystem.org | WebsiteAddressTxt |
| State License | 5904001H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Montefiore New Rochelle Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | MONTEFIORE.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | MONTEFIORE.ORG | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 500. | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.montefiorehealthsystem.org | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | (same as above) | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | (same as above) | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B, LINE 5: | Montefiore New Rochelle Hospital WIC Community Advisory Group was utilized to gather input from community stakeholders on the health of the community. This key stakeholder group is made up of consumer participants as well as a select number of members from civic, municipal and non-governmental service providers, leaders in the business and faith communities and non-affiliated community residents. The community advisory group participated in an extensive data review session examining over 400 data categories specifically related to the indicators overall health status as well as indicators of the social, environmental, and economic determinants of health. Montefiore New Rochelle Hospital also met with the Deputy Commissioner, Dr. Cheryl Archibald to gain a greater understanding of the process for the county in selecting health priorities. |
| PART V, SECTION B, LINE 11: | The two areas of most significant need that were identified in the CHNA were following: (1) The prevention of chronic disease. (2) The promotion of healthy women, Infants, and children. Prevention of Chronic Disease: Montefiore New Rochelle Hospital has selected to focus on reducing the racial disparities by decreasing the percentage of Blacks and Hispanics dying prematurely from heart related diseases by concentrating on reducing tobacco and nicotine consumption among these populations in the service area. Tobacco and nicotine consumption, among these populations in the service area is a leading causal indicator in heart related disease. The strategic plan is to increase screening rates for cardiovascular disease as well as for diabetes, breast, cervical, and colorectal cancers. In conjunction with the screening process the plan is to influence patients to quit smoking and to reduce the prevalence of smoking in the service area. By providing 100% of the inpatient population with information on the New York State Quit Line, by expanding the smoke free campus to all locations, and by being an ardent supporter of supplemental nicotine replacement therapy there is a strong likelihood of reducing the racial disparity of rates of premature death from heart related and other diseases. Promotion of Healthy Women, Infants, and Children: The increase in the proportion of infants that are exclusively breastfed for the first six months of life is an important factor in the promotion of healthy women, infants, and children. The Montefiore Westchester Hospitals are committed to achieving the goals of the Baby Friendly Hospital initiative. The following objectives have been identified to achieve this initiative: 1. Enforcement of New York State Hospital regulation to not supplement breastfeeding infants with formula feeding unless medically indicated and documented within the infant's medical record. 2. Provide physical restrictions to infant formula by hospital staff including the tracking of infant formula distribution with the Health Department. 3. Discontinue the distribution of free promotional formula 4. Prohibit the display and distribution of infant formula promotion materials in any hospital location. Montefiore New Rochelle Hospital will support the New Rochelle commitment to support mothers who choose to breastfeed by providing additional resources to breastfeeding mothers and to minimize practices that can interfere with that choice such as supplementing breastfeeding infants with formula, unless medically indicated or at the mother's specific request. |
| PART V, SECTION B, LINE 22D: | CONSISTENT WITH THE PROVISIONS OF THE JUNE 22, 2012 IRS RULE REGARDING THE ESTABLISHMENT AND IMPLEMENTATION OF FINANCIAL AID POLICIES (FAPS) UNDER SECTION 501 (R) OF THE INTERNAL REVENUE CODE, THE HOPITAL USES THE LOOK-BACK METHOD TO CALCULATE A SEPARATE AMOUNTS GENERALLY BILLED (AGB) PERCENTAGE FOR EACH CATEGORY OF CARE PROVIDED TO FAP-ELIGIBLE INDIVIDUALS. THE HOSPITAL LIMITS THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE AT THE FOLLOWING LEVELS: - FOR PATIENTS BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) - CAPPED AT THE LOWER OF THE AMOUNTS GENERALLY BILLED OR NOMINAL PAYMENT AMOUNT SET FORTH IN THE NEW YORK STATE HOSPITAL FINANCIAL ASSISTANCE LAW (HFAL) PURSUANT TO SUBDIVISION 9-A OF SECTION 2807-K OF THE NEW YORK PUBLIC HEALTH LAW. - FOR PATIENTS BETWEEN 100% AND 300% OF FEDERAL POVERTY LEVEL - CAPPED AT THE LOWER OF THE AGB OR SLIDING FEE SCALE AMOUNTS RANGING FROM 20% TO 100% OF THE AVERAGE MEDICAID RATE CONSISTENT WITH THE PROVISIONS OF THE NEW YORK STATE HOSPITAL FINANCIAL ASSISTANCE LAW. - FOR PATIENTS BETWEEN 300% AND 500% OF FEDERAL POVERTY LEVEL (FPL) - CAPPED AT THE AMOUNTS GENERALLY BILLED. |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 1. Required Description: | 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 COSTS-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: "THE COLLECTION OF PATIENT SERVICE REVENUE DUE FROM PATIENTS, INCLUDING COPAYMENTS AND DEDUCTIBLES, FROM THOSE WHO ARE INELIGIBLE FOR CHARITY CARE, IS SUBJECT TO UNCERTAINTY. THE HOSPITAL RECORDS BAD DEBT EXPENSE IN THE PERIOD SERVICES ARE RENDERED BASED ON PAST EXPERIENCE, TO ACCOUNT FOR AMOUNTS THAT PATIENTS MAY ULTIMATELY BE UNABLE OR UNWILLING TO PAY. FOR SELF-PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH CO-PAYMENTS AND DEDUCTIBLES AFTER THIRD-PARTY COVERAGE, THE HOSPITAL RECORDS AN ESTIMATE FOR BAD DEBT EXPENSE IN THE CURRENT PERIOD BASED ON PAST EXPERIENCE. AMOUNTS ULTIMATELY WRITTEN OFF AS UNCOLLECTIBLE AND RECOVERIES OF SUCH AMOUNTS ARE DEDUCTED FROM, OR ADDED TO, THE ALLOWANCE FOR DOUBTFUL ACCOUNTS." |
| 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 $6,953,188. REVENUE ALLOWABLE SURPLUS COSTS (SHORTFALL) PART III, LINES 5-7: $46,110,656 $43,259,089 $2,851,567 ADD: MED. CENTERS COSTS: - 3,633,757 (3,633,757) ADD: MEDICARE DME: 5,712,021 7,021,907 (1,309,886) ADD: MED. CENTER EMPL. PHY.: 1,135,751 3,128,703 (1,992,952) ADD: MED. SUBSID. HLTH. SERV.: 2,059,238 4,927,398 (2,868,160) TOTAL OVERALL MEDICARE SHORTFALL:$55,017,666 $61,970,854 (6,953,188) |
| 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 NEW ROCHELLE HOSPITAL INITIATED OPERATIONS ON NOVEMBER 6, 2013. AS A NEW FACILITY, BOTH A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT AND A NEW YORK COMMUNITY SERVICE PLAN OUTLINING COMMUNITY NEEDS WERE DEVELOPED AND COMPLETED BY DECEMBER 31, 2014. |
| 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 DETAILED IDENTIFICATION OF THE COMMUNITY'S DEMOGRAPHICS AND SPECIFIC NEEDS ARE DOCUMENTED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. |
| 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 NEW ROCHELLE HOSPITAL'S COMMUNITY HEALTH PROGRAMS ARE IN DEVELOPMENT WITH THE OVERALL COMMUNITY HEALTH NEEDS ASSESSMENT. |
| 6. AFFILIATED HEALTH CARE SYSTEM: | MONTEFIORE NEW ROCHELLE HOSPITAL IS AN AFFILIATE OF MONTEFIORE HEALTH SYSTEM, INC. |
| 7. STATE FILING OF COMMUNITY BENEFIT REPORT: | MONTEFIORE NEW ROCHELLE HOSPITAL FILES A COMMUNITY SERVICE PLAN WITH THE STATE OF NEW YORK. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHILIP O OZUAH MD PHD | ||||||||||||||
| EXECUTIVE VP & COO | $0 | $1,539,345 | $0 | $619,200 | $0 | $127,100 | $0 | $663,122 | $0 | $34,011 | $0 | $2,982,778 | $0 | $0 |
| CHRISTOPHER S PANCZNER | ||||||||||||||
| SENIOR VP & GENERAL COUNSEL | $0 | $697,112 | $0 | $392,200 | $0 | $21,554 | $0 | $232,140 | $0 | $0 | $0 | $1,343,006 | $0 | $0 |
| JOEL A PERLMAN | ||||||||||||||
| EXECUTIVE VICE PRESIDENT & CFO | $0 | $1,018,981 | $0 | $507,500 | $0 | $3,048 | $0 | $17,000 | $0 | $34,011 | $0 | $1,580,540 | $0 | $0 |
| SUSAN GREEN-LORENZEN RN | ||||||||||||||
| SENIOR VP-OPERATIONS | $0 | $785,243 | $0 | $386,900 | $0 | $22,034 | $0 | $263,986 | $0 | $32,082 | $0 | $1,490,245 | $0 | $0 |
| LYNN RICHMOND | ||||||||||||||
| Executive Vice President | $0 | $782,898 | $0 | $446,300 | $0 | $27,554 | $0 | $249,178 | $0 | $33,464 | $0 | $1,539,394 | $0 | $0 |
| JOHN OLSEWSKI MD | ||||||||||||||
| ORTHOPEDIC SURGEON | $518,837 | $0 | $0 | $0 | $1,032 | $0 | $6,800 | $0 | $26,610 | $0 | $553,279 | $0 | $0 | $0 |
| STEVEN B ZELICOF MD | ||||||||||||||
| CHIEF, ORTHOPEDIC SURGERY | $548,858 | $0 | $0 | $0 | $1,032 | $0 | $6,800 | $0 | $24,099 | $0 | $580,789 | $0 | $0 | $0 |
| MADHU RANGRAJ MD | ||||||||||||||
| DIRECTOR, SURGERY | $519,805 | $0 | $0 | $0 | $3,048 | $0 | $6,800 | $0 | $23,992 | $0 | $553,645 | $0 | $0 | $0 |
| PATRICIA DEVINE MD | ||||||||||||||
| DIRECTOR OF OB/GYN | $383,056 | $0 | $0 | $0 | $552 | $0 | $6,800 | $0 | $24,060 | $0 | $414,468 | $0 | $0 | $0 |
| STEPHEN JESMAJIAN MD | ||||||||||||||
| CHIEF & RESIDENT PROG DIRECTOR | $373,836 | $0 | $0 | $0 | $1,584 | $0 | $6,800 | $0 | $26,610 | $0 | $408,830 | $0 | $0 | $0 |
| STEVEN M SAFYER MD | ||||||||||||||
| PRESIDENT & CEO | $0 | $1,768,651 | $0 | $1,203,200 | $0 | $1,312,042 | $0 | $17,000 | $0 | $34,255 | $0 | $4,335,148 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART 1 LINES 3, 4B & PART II - COLUMNS (b)(i), (ii) AND (iii) | FormAndLineReferenceDesc |
| Explanation | As it relates to Compensation from Montefiore Health System, Inc. The Compensation Committee reviews and approves all forms of compensation and benefits provided to each executive with the assistance of a national independent compensation consulting firm. The consulting firm assists the Compensation Committee with its decision-making process to ensure executive compensation levels are reasonable and appropriate relative to those of other similar organizations. Base salaries in Column B(i) are determined based on competitive market practices for comparable positions with similar 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. Steven Safyer, MD - Pooled Supplemental Executive Retirement Plan distribution of $1,300,859 based on over 30 years of service at Montefiore. Christopher Panczner - Accrued and unpaid service costs of $215,140. Philip O. Ozuah, MD, PHD. - Accrued and unpaid service costs of $646,122. Susan Green Lorenzen, RN - Accrued and unpaid service costs of $246,986. Lynn Richmond - Accrued and unpaid service costs of $232,178. The Directors, Officers and Key Employees listed in Part II Lines 1(ii), 2(ii), 3(ii), 4(ii), 5(ii) and 11(ii) are not employees of this filing organization, Montefiore New Rochelle Hospital. These individuals are employed and their compensation is paid by Montefiore Health System, Inc. EIN 20-1615393. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2: | David C. Gottlieb (trustee - resigned 6/15) is related to Jay B. Langner (trustee) - Family relationship. 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, ACCOUNTING AND FINANCIAL REPORTING 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 CONFLICTS OF INTEREST POLICY BY MEANS OF A SURVEY THAT WAS DEVELOPED BY MONTEFIORE'S COUNSEL. MONTEFIORE NEW ROCHELLE HOSPITAL'S BOARD OF TRUSTEES ADOPTED A POLICY THAT COMPORTS TO FEDERAL AND STATE CONFLICTS OF INTEREST REQUIREMENTS. THE GENERAL APPROACH WHEN A POTENTIAL CONFLICT OF INTEREST ARISES IS TO DISCLOSE THE POSSIBLE CONFLICT TO THE COMPLIANCE OFFICER. THE COMPLIANCE OFFICER WILL MAKE EVERY EFFORT TO PROVIDE GUIDANCE TO PERMIT RESOLUTION OF ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE COMPLIANCE OFFICER WILL TAKE APPROPRIATE ACTIONS, INCLUDING ADVISING MONTEFIORE NEW ROCHELLE HOSPITAL'S BOARD OF TRUSTEES REGARDING PARTICULAR CONFLICTS OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15A & 15B: | DETERMINATION OF COMPENSATION: The Officers presented in Part VII and Schedule J are not employed and paid by the organization rather are employed and paid by Montefiore Health System, INC. Montefiore Health System, Inc. 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 Compensation Committee are appropriately and timely documented in meeting minutes. The compensation committee's review process follows the Intermediate Sanctions guidelines for qualifying for the rebuttable presumption of reasonableness. The Committee retains an independent compensation consultant to assist it with this process. Compensation levels are established considering data for comparable organizations, an assessment of management performance (including the services provided to the community), and other business 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 CHANGE IN NET ASSETS OF $31,439 WAS RELATED TO THE RECEIPT OF A SETTLEMENT BETWEEN THE ESTATE OF THE BANKRUPT SOUND SHORE MEDICAL CENTER AND TRANSFER TO MONTEFIORE NEW ROCHELLE HOSPITAL. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MMC Corporation | ||||||||||
| 111 East 210th Street | Bronx | NY | 10467 | 133430322 | Real Estate | NY | 501 (C)(3) | 11 TYPE I | MMC | Yes (true) |
| Montefiore Medical Center | ||||||||||
| 111 East 210th Street | Bronx | NY | 10467 | 131740114 | Acad Med Ctr | NY | 501 (C)(3) | 3 | MHS | Yes (true) |
| MMC Residential Corp I Inc | ||||||||||
| 3411 Wayne Avenue | Bronx | NY | 10467 | 911943271 | Staff Housing | NY | 501 (C)(2) | MMC | Yes (true) | |
| Montefiore Hospital Housing Sect IIInc | ||||||||||
| 3450 Wayne Avenue | Bronx | NY | 10467 | 237160641 | Staff Housing | NY | 501 (C)(2) | MMC | Yes (true) | |
| Montefiore North Amb Care Ctr Inc | ||||||||||
| 4234 Bronx Boulevard | Bronx | NY | 10466 | 010796859 | Amb. Services | NY | 501 (C)(3) | 3 | MHS | Yes (true) |
| Mosholu Preservation Corporation | ||||||||||
| 3400 Reservoir Oval East | Bronx | NY | 10467 | 133109387 | Community Ser | NY | 501 (C)(3) | 11 TYPE II | MMC | Yes (true) |
| GUN HILL MRI PC | ||||||||||
| 200 EAST GUN HILL ROAD | BRONX | NY | 10467 | 133734486 | DIAG SERVICES | NY | 501 (C)(3) | 11 TYPE I | MMC | Yes (true) |
| MONTEFIORE HEALTH SYSTEM INC | ||||||||||
| 555 SOUTH BROADWAY | TARRYTOWN | NY | 10591 | 201615393 | PARENT CO. | NY | 501(C)(3) | 11 TYPE III | MMAHS | false |
| MONTEFIORE MOUNT VERNON HOSPITAL | ||||||||||
| 12 NORTH SEVENTH AVENUE | MOUNT VERNON | NY | 10550 | 462916938 | HOSPITAL | NY | 501(C)(3) | 3 | MHS | Yes (true) |
| SCHAFFER EXTENDED CARE CENTER | ||||||||||
| 16 GUION PLACE | NEW ROCHELLE | NY | 10801 | 462929888 | NURSING HOME | NY | 501(C)(3) | 3 | MHS | Yes (true) |
| Albert College of Medicine Inc | ||||||||||
| 111 East 210th Street | Bronx | NY | 10467 | 472209056 | Inactive | NY | 501(c)(3) | 2 | MMAHS | false |
| Montefiore Medicine Acad Hlth Sys Inc | ||||||||||
| 555 South Broadway | Tarrytown | NY | 10591 | 471582973 | SYS PARENT | NY | 501(c)(3) | 11 Type III | NA | false |
| The Nyack Hospital | ||||||||||
| 160 North Midland Avenue | NYACK | NY | 10960 | 131740119 | Hospital | NY | 501(c)(3) | 3 | MHS | Yes (true) |
| Montefiore Foundation INC | ||||||||||
| 111 East 210th Street | Bronx | NY | 10467 | 471600439 | INACTIVE | NY | 501(c)(3) | 11 TYPE I | MHS | Yes (true) |
| White Plains Hospital Medical Center | ||||||||||
| 41 East Post Road | White Plains | NY | 10601 | 131740130 | HOSPITAL | NY | 501 (C)(3) | 3 | MHS | Yes (true) |
| Einstein College of Med Housing Co Inc | ||||||||||
| 1300 Morris Park Avenue | Bronx | NY | 10461 | 237075620 | STAFF HOUSING | NY | 501(C)(2) | MMAHS | false | |
| Montefiore CERC Operations Inc | ||||||||||
| 111 East 210th Street | Bronx | NY | 10467 | 474853506 | REHAB CENTER | NY | 501 (c)(3) | II TYPE I | MMC | Yes (true) |
| White Plains Hospital Center Foundation | ||||||||||
| 41 East Post Road Davis Avenue | White Plains | NY | 10601 | 133281507 | FOUNDATION | NY | 501 (C)(3) | 7 | WPH | false |
| Nyack Hospital Foundation | ||||||||||
| 160 North Midland Avenue | Nyack | NY | 10960 | 133245804 | FOUNDATION | NY | 501 (C)(3) | 7 | NYACK HOSP | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (21 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| UNIVERSITY BEHAVIORAL ASSOCIATES INC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 133877781 | MGMT SERVICES | NY | NA | C Corp | Yes (true) |
| THE MONTEFIORE IPA INC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 134114915 | MANAGED CARE | NY | NA | C CORP | Yes (true) |
| MMC GI HOLDINGS EAST INC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 721610013 | HOLDING COMPA | NY | NA | C CORP | Yes (true) |
| MMC GI HOLDINGS WEST INC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 721610015 | HOLDING COMPA | NY | NA | C CORP | Yes (true) |
| MONTEFIORE BEHAVIORAL CARE IPA NO 1INC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 133952750 | INTEG PROV AS | NY | NA | C CORP | Yes (true) |
| BRONX ACCOUNTABLE CARE NETWORK IPA INC | |||||||||
| 111 EAST 210TH STREET | BRONX | NY | 10467 | 300689571 | MANAGED CARE | NY | NA | C CORP | Yes (true) |
| Montefiore Consolidated Ventures Inc | |||||||||
| 111 East 210th Street | Bronx | NY | 10467 | 611728539 | Holding Compa | NY | NA | C Corp | Yes (true) |
| MMC Contract Management Org No 1 Inc | |||||||||
| 111 East 210th Street | Bronx | NY | 10467 | 133859895 | Contract Mgmt | NY | NA | C Corp | Yes (true) |
| Montefiore Insurance Company Inc | |||||||||
| 111 East 210th Street | Bronx | NY | 10467 | 320436594 | INS COMPANY | NY | NA | C Corp | Yes (true) |
| Montefiore Community Network LLC | |||||||||
| 111 East 210th Street | Bronx | NY | 10467 | 461374475 | COMM NETWORK | NY | NA | C Corp | Yes (true) |
| Hudson Valley IPA Inc | |||||||||
| 111 East 210th Street | Bronx | NY | 10467 | 383978087 | MANAGED CARE | NY | NA | C CORP | Yes (true) |
| Montefiore Innovations Inc | |||||||||
| 111 East 210th Street | Bronx | NY | 10467 | 475106910 | HOLDING COMPANY | NY | NA | C CORP | Yes (true) |
| Highland Medical PC | |||||||||
| 160 North Midland | Nyack | NY | 10960 | 134034481 | PHYSICIAN SERV | NY | NA | C CORP | Yes (true) |
| 8 Longview Development Corp | |||||||||
| Davis Avenue at East Post Road | White Plains | NY | 10601 | 263321278 | HOUSING | NY | NA | C CORP | Yes (true) |
| White Plains Medical Diagnostic Service | |||||||||
| 41 East Post Road | White Plains | NY | 10601 | 453164626 | PROFESSIONAL SERV | NY | NA | C CORP | Yes (true) |
| Cancer and Blood Medical Services of NY | |||||||||
| 41 Post Road | White Plains | NY | 10601 | 462021804 | PROFESSIONAL SERV | NY | NA | C CORP | Yes (true) |
| NH Management Services Inc | |||||||||
| 160 N Midland Avenue | Nyack | NY | 10960 | 134026486 | MANAGEMENT SERV. | NY | NA | C CORP | Yes (true) |
| Davis Avenue Corp | |||||||||
| Davis Avenue at East Post Road | White Plains | NY | 10601 | 133331643 | HEALTHCARE SERV | NY | NA | C CORP | Yes (true) |
| Post Development Corporation | |||||||||
| Davis Avenue at East Post Road | White Plains | NY | 10601 | 222605281 | REAL ESTATE | NY | NA | C CORP | Yes (true) |
| White Plains Management Co Inc | |||||||||
| 41 East Post Road | White Plains | NY | 10601 | 133331641 | MANAGEMENT SERV | NY | NA | C CORP | Yes (true) |
| WPHC Building Corp | |||||||||
| 41 East Post Road | White Plains | NY | 10601 | 133676932 | REAL ESTATE | NY | NA | C CORP | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | Yes (true) | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MONTEFIORE HEALTH SYSTEM INC | ||
| E | $1,822,655 | COST |
| MONTEFIORE HEALTH SYSTEM INC | ||
| K | $3,471,036 | COST |
| MONTEFIORE HEALTH SYSTEM INC | ||
| M | $3,265,021 | COST |
| MONTEFIORE MEDICAL CENTER | ||
| M | $2,880,326 | COST |
| MONTEFIORE MEDICAL CENTER | ||
| P | $1,269,217 | COST |