2014-11-13T18:42:11-06:00 2013-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 4000 INDIANAPOLIS IN 46204 990 2013-01-01 111635081 Maimonides Medical Center % ROBERT NALDI EXEC VP & CFO MAIM 7182833900 4802 Tenth Avenue Suite Brooklyn NY 11219 Dominic Stanzione Executive Vice President & COO 2014-11-13 Jennifer D Rhoderick P00395735 2013 2015-11-30 17:44:51Z PAMELA S BRIER 4802 TENTH AVENUE BROOKLYN NY 11219 1063848696 false X www.maimonidesmed.org X 1945 NY SEE SCHEDULE O 32 29 7090 1786 292942 106579 18680758 13872312 983916591 1025454955 10098851 14688071 4667830 8394868 1017364030 1062410206 514117 689032 0 0 658524513 669654132 0 0 301938 350976947 365489543 1010015577 1035832707 7348453 26577499 1008285010 1034850447 814769380 791077647 193515630 243772800 X SEE SCHEDULE O false false 633422401 648484008 INPATIENT SERVICES. This is further described in Schedule O. 60470948 42701130 MATERNITY SERVICES. This is further described in SCHEDULE O. 67117298 40550741 EMERGENCY DEPARTMENT. This is further described in Schedule O. 84695362 689032 293719076 845706009 true true false true false false false false false true true false true true true false false true false true true false false false true false true true true false true false false false false false false false true true false false false false true true true false false true 520 2 true 7090 true true true false false false false true true false false false false X 32 29 true false false false true true true true true false false true true true true true true true true false NY X ROBERT NALDI EXEC VP CFO 7182833900 4802 TENTH AVENUE BROOKLYN NY 11219 PAMELA BRIER Trustee, President & CEO 40.0 0.0 X X 1370210 0 242741 JOHN ABI-HABIB TRUSTEE THROUGH MARCH 2013 0.5 0.0 X 0 0 PAUL ADDISON TRUSTEE & TREASURER 0.5 0.0 X 0 0 STEVEN ADELSBERG TRUSTEE 0.5 0.0 X 0 0 DONNA ASTION MD TRUSTEE 0.5 0.0 X 0 0 IRIWN BIRNBAUM TRUSTEE 0.5 0.0 X 0 0 MONSIGNOR DAVID CASSATO TRUSTEE 0.5 0.0 X 0 0 DAVID DIAMOND MD TRUSTEE 0.5 0.0 X 0 0 RICHARD FORMAN TRUSTEE 0.5 0.0 X 0 0 KENNETH GIBBS TRUSTEE AS OF JUNE 2013 0.5 0.0 X 0 0 MARVIN HELLMAN TRUSTEE 0.5 0.0 X 0 0 JACK A HIDARY TRUSTEE 0.5 0.0 X 0 0 MORTIMER N KLAUS VICE CHAIRMAN/TRUSTEE 0.5 0.0 X 0 0 ELLY KLEINMAN TRUSTEE 0.5 0.0 X 0 0 ANDREW KOHEN TRUSTEE 0.5 0.0 X 0 0 C HERBERT LESHKOWITZ VICE CHAIRMAN/TRUSTEE 0.5 0.0 X 0 0 ROBERT MACHINIST TRUSTEE 0.5 0.0 X 0 0 FRANK NACCARATO TRUSTEE 0.5 0.0 X 0 0 DANIEL Z NELSON TRUSTEE & vICE CHAIRMAN 0.5 0.0 X 0 0 STEVEN OPPENHEIM TRUSTEE 0.5 0.0 X 0 0 MARTIN PAYSON TRUSTEE & CHAIRMAN 0.5 0.0 X 0 0 PETER REBENWURZEL TRUSTEE 0.5 0.0 X 0 0 ERMINIA RIVERA TRUSTEE 0.5 0.0 X 0 0 ALEX ROVT PHD TRUSTEE 0.5 0.0 X 0 0 VERONICA SANTILLI MD TRUSTEE 0.5 0.0 X 0 0 ALFRED SCHONBERGER TRUSTEE THROUGH MAY 2013 0.5 0.0 X 0 0 STEVEN R SHAMAH TRUSTEE & VICE CHAIRMAN 0.5 0.0 X 0 0 AL SUTTON TRUSTEE (DECEASED JUNE 2013) 0.5 0.0 X 0 0 ISAAC M SUTTON TRUSTEE 0.5 0.0 X 0 0 AARON D TWERSKI TRUSTEE 0.5 0.0 X 0 0 HOWARD WEISS TRUSTEE 0.5 0.0 X 0 0 MOSHE H WIEDER TRUSTEE & SECRETARY 0.5 0.0 X 0 0 KEITH WORTMAN TRUSTEE AS OF JUNE 2013 0.5 0.0 X 0 0 MICHAEL L ZIEGLER ESQ TRUSTEE 0.5 0.0 X 0 0 EDWARD FITZPATRICK MD TRUSTEE & PRESIDENT OF MEDICAL 40.0 0.0 X X 76521 2927 DOMINICK STANZIONE Executive Vice Pres & COO 40.0 0.0 X 956891 0 202769 ROBERT NALDI Executive Vice Pres & CFO 40.0 0.0 X 832250 0 164198 JOYCE LEAHY Exec VP, Legal Affairs & Gener 40.0 0.0 X 528343 0 121238 JACOB SHANI MD Chair, Heart & Vascular Center 40.0 0.0 X 2871784 0 39316 PATRICK BORGEN MD Chairman, Dept of Surgery 40.0 0.0 X 1832530 0 41816 AMIT SCHWARTZ MD Chief, Neurosurgery 40.0 0.0 X 1285799 0 41816 ISRAEL JACOBOWITZ MD Attending, Cardiothoracic Surg 40.0 0.0 X 1279392 0 24526 JACK CHOUEKA MD Chairman, Orthopedics 40.0 0.0 X 1171052 0 39316 12204772 0 920663 1358 false true false ALLSCRIPTS HEALTHCARE LLC 24630 NETWORK PLACE CHICAGO IL 60673 PROFESSIONAL FEES 4798532 GSI HEALTH LLC 7715 CRITTENDEN STREET SUITE 242 PHILADELPHIA PA 19118 PROFESSIONAL FEES 2113472 MARCAL CONTRACTING LLC 620 FOSTER AVE SUITE 301 BROOKLYN NY 11220 CONTRACTOR 1904737 BROOKLYN HEALTH INFORMATION EXCHANG 6323 SEVENTH AVENUE BROOKLYN NY 11220 INFO. TECHNOLOGY 1299816 RESTTORIX HEALTH INC PO BOX 5508 HICKSVILLE NY 11801 INFORMATION TECHNLGY 1444135 67 X 507130 435889 9358704 3570589 1508299 13872312 NET PATIENT SERVICE REVENUE 621110 1015387458 1015384520 2938 MEANINGFUL USE EHR 900099 5687733 5687733 RENTAL INCOME 531390 4379764 4379764 1025454955 13922966 394734 13528232 0 0 752969 857699 -104730 0 -104730 -104730 765105 765105 765105 765105 279300 507130 580791 -301491 -301491 0 0 INSURANCE CO. SURPLUS DISTRIB. 524298 5689562 5689562 MEDICAL RESIDENTS FICA REFUND 900099 1670000 1670000 PARKING 812930 1077509 1077509 364018 364018 8801089 1062410206 1025452017 292942 22792935 689032 689032 0 0 0 4498088 79448 4418640 0 527752079 440633712 86988986 129381 23136623 19708068 3422768 5787 78569759 65228016 13322594 19149 35697583 28558066 7139517 2792561 2792561 2932142 2932142 549348 549348 263817 263817 0 251331 251331 27810835 21386532 6424303 2879725 2879725 13520301 13520301 12988404 10772582 2215822 0 28808815 22153979 6654836 661469 661469 0 1447403 1447403 8326210 8326210 0 50903661 39144915 11758746 48961973 47062248 1899725 MEDICAL EXPENSES 111413190 111413190 MAINTENANCE CONTRACTS 16093174 16093174 OUTSIDE CONTRACTS 8136043 8136043 BILLING FEES 7664164 7664164 19084977 14647004 4290352 147621 1035832707 845706009 189824760 301938 X 284738 11275552 143367451 126523229 829295 1392035 141247000 156395637 0 0 0 0 2874803 2931419 9271069 9860554 7179611 7892169 1024870506 677761355 347557169 347109151 30487472 28547632 0 0 75971786 102968207 0 0 249214616 239954862 1008285010 1034850447 156577138 168611797 0 0 0 0 101392587 0 0 0 0 0 106593521 226735206 15976143 21976143 434229991 373754501 814769380 791077647 X 178479940 227065621 13903407 15574896 1132283 1132283 193515630 243772800 1008285010 1034850447 X 26577499 -2734957 26414628 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 263817 263817 false PART II-B, LINE 1I Other activities: PAYMENTS MADE TO LOBBYISTS $139,353 LOBBYING PORTION OF DUES PAID $124,464 TOTAL $263,817 PAYMENTS MADE TO LOBBYISTS WERE IN RELATION TO CAPITAL FUNDING FOR HOSPITAL AND CANCER CENTER EQUIPMENT, AS WELL AS MODIFICATION TO EXISTING LARGE SCALE COMMUNITY FACILITY DEVELOPMENT AND RADIO SHOW SPONSORING. 15035690 2749141 1077652 16707179 15569634 1800447 2334391 15035690 15747510 1936968 2114844 15569634 15361242 2863808 2477540 15747510 16096993 2883855 0 0 3619606 0 15361242 0.07000 0.93000 false false 0 4980000 4980000 0 409552322 122440549 287111773 0 610338184 555320806 55017378 347109151 CAPTIVE INSURANCE CO 89803375 F SELF-INSURANCE TRUST 2606446 F INVEST HEALTH CARE RELATED ENT 10558386 F 102968207 DUE FROM AFFILIATES 12655830 OTHER CURRENT ASSETS 22598164 PREPAID CAPITAL ASSETS 11374364 ESTIMATED INSURANCE CLAIMS REC 187586000 DEFERRED FINANCING 2698646 OTHER NONCURRENT ASSETS 3041858 239954862 0 THIRD PARTY LIABILITIES 76292314 ACCRUED POSTRETIREMENT BENEFIT 50333077 PROFESSIONAL LIABILITIES 25546253 ESTIMATED INSURANCE CLAIMS PAY 187586000 INSURANCE PREMIUM DEF & LIABIL 24381774 MEDICAL RES FICA REFUND PAYABL 0 OTHER LIABILITIES 9615083 373754501 INTENDED USES OF ENDOWNMENT FUNDS A. Temporarily restricted net assets are available for the following purposes: Research and education $1,465,000 Plant replacement and expansion $14,109,896 SUBTOTAL: $15,574,896 B. Permanently restricted net assets consistS of investments to be held in perpetuity, the income from which is to be used for health care related services. SUBTOTAL: $1,132,283 Total: $16,707,179 FIN 48 FOOTNOTE THERE WAS NO LIABILITY FOR UNCERTAIN TAX POSITION UNDER FIN 48 MAKING THE FOOTNOTE UNNECESSARY. Central America and the Caribbean 2 Program Services CAPT INSURANCE-INVEST. 89803375 Central America and the Caribbean Program Services MALPRACTICE INSURANCE 41097471 2 2 130900846 130900846 true false true false true false Line 3(1) & 3(2) The primary coverage of professional and general liability incidents has been provided through participation in a pooled program with certain other health care facilities (principally hospitals) affiliated with the Federation of Jewish Philanthropies of New York. This occurrence basis insurance coverage participation is with captive insurance companies and commercial insurance companies. The Captive Insurance companies have two offices in the Caribbean, specifically Bermuda and Barbados. The companies were incorporated in Bermuda and Barbados in 1982 and 1986 respectively and are licensed under the Insurance Act of both countries. Since the Hospital is a shareholder of the captive insurance companies, the Hospital follows the equity method of accounting for its interest in the insurance companies associated with its medical malpractice insurance program. Additionally, Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporation, has been filed with the Hospital's 990. NY GALA ANN. BALL 621717 393357 228360 8050 154593 132930 11800 196553 GOLF CLASSIC 164713 113773 50940 10257 56505 592 9511 0 786430 507130 279300 18307 211098 133522 11800 206064 580791 -301491 true true true X 300. true X true true true false true true 37518377 0 37518377 0.03620 83420351 66271999 17148352 0.01660 246655325 160072867 86582458 0.08360 367594053 226344866 141249187 0.13640 10273762 6888274 3385488 0.00330 108883533 45264546 63618987 0.06140 43684639 38043999 5640640 0.00540 616050 821819 -205769 0.00000 509983 0 509983 0.00050 163967967 91018638 72949329 0.07060 531562020 317363504 214198516 0.20700 true 2054609 2036000 256634867 266117388 -9482521 X true true 1 1 MAIMONIDES MEDICAL CENTER 4802 TENTH AVE BROOKLYN NY 11219 www.maimonidesmed.org 7001020H X MAIMONIDES MEDICAL CENTER 1 true X X X X X X X X 13 true false true X www.maimonidesmed.org X true false true true 300. true 300. true X X X X X X X true true X X X true false X X X X true X false false Section B, Line 3 - Input from persons who represent the community Comprehensive qualitative data was gathered from interviews and focus groups. The New York Academy of Medicine (NYAM), which has significant experience doing research with immigrant and minority populations, worked with Maimonides to design and implement the qualitative component of the CHNA, which focused on improved understanding of health related needs of its population overall, as well its diverse communities. Key informant interviews with community stakeholders, as well as focus groups with residents representing a range of population groups, were conducted between July 2013 and May 2014. Interviews and focus groups addressed topics such as health and health care priorities, gaps in service and unmet needs, perceptions of available primary and specialty health care services, barriers and facilitators to accessing care, and health care service use. Twenty-nine (29) key informant interviews were conducted with 32 community stakeholders. Participants were identified in collaboration with the Maimonides Community Outreach Department-and through the recommendations of interviewees themselves- and included representatives from Maimonides, partner organizations, community leaders and health care providers from diverse populations in terms of geography, race, ethnicity, and religion. Key informants also included several representatives from the Brooklyn Health Home (BHH) organizational members. Thirteen (13) focus groups were conducted with 128 community members in Brooklyn, and one focus group was conducted with care managers from the Brooklyn Health Home. Focus group participants were recruited through community organizations, service providers, or online postings. To ensure data were captured from a diverse set of community members, focus groups were conducted in the primary languages spoken in the representative communities, where appropriate. The following is a list of the individual key informants and focus group participants who were interviewed by Maimonides. Key Informant Interviews Father Adamo, Pastor Nikki Palotta, MD, Physician, President & CEO, Neighborhood Counseling Center & Brooklyn Women's Services Wai-Yee Chan, Brooklyn Branch Director, Chinese American Planning Council David Greenfield, Councilman, New York City City Council Rabbi Pikus Zaber A. Khan MD, Private Practice & Attending Physician Ahsan Chughtai, Patient Representative, Maimonides Medical Center Joan Pastore, Director, AMICO Senior Center Michael Chacon, Union Representative, NYS Nursing Association Veronica Richardson, NYS Nursing Association Jay Cooper MD, Director & Chair, Department of Radiation Oncology, Maimonides Medical Center Bill Guarinello, Chairperson, Community Board 11 Michael Deddo, Captain, 66th Precinct Rabbi Gluck, Statewide Coordinator, Hatzolah Volunteer Ambulance Corps David Johnson, Director & Care Coordination, FEGS John Marshall MD, Chair, Department of Emergency Medicine, Maimonides Medical Center Hillary Cohen MD, Physician, Department of Emergency Medicine, Maimonides Medical Center Ahmed Jaber, President (retired ob/gyn), Arab American Association of New York Sa'ed Abu Asi, Board Chair, Al-Noor School Hannah Loeffert, Director of Clinical Services, NADAP Marilyn Jacobs, Behavioral Health Provider, JBFCS Jed Tyrpak, Contract Administrator, CIR/SIEU Residents Union Douglas Jablon, Special Assistant to President & Senior Vice President, Patient Relations, Maimonides Medical Center Yiwu J. Huang MD, Physician, Department of Medicine, Division of Medical Oncology / Hematology, Maimonides Medical Center Father El-Yateem, Pastor, Patient Representative, Maimonides Medical Center Anna Cali, Minister, Parish Member, Community Board Member Howard Minkoff MD, Chair, Department of Obstetrics & Gynecology, Maimonides Medical Center Veronica Santilli, Pediatrics, Maimonides Medical Center Devon Brandison, Director of Network Relations, Visiting Nurse Service of New York Melvyn Hecht MD, Deputy Director, Geriatric Medicine, Maimonides Medical Center Yidel Perlstein, Community Board Chair, Community Board Focus Groups AMICO Senior Center N'Shei Cares, Laya Leshkowitz CAMBA Arab American Association of New York NADAP St. Athanasius Church, Anna Cali, Coordinator Brooklyn Women's Services, Nikki Palotta, MD, Executive Director Brooklyn Health Home, Care Managers Chinese American Planning Council Salam Arabic Lutheran Church, Khader El-Yateem, Pastor Shorefront Y, Susana Levit, Director, Immigrant and Family Service Department Section B, Line 14 - Other measures used to publicize the Financial Assistance Policy Financial Assistance posters translated in 11 languages are in all patient care areas including the Emergency Department. There is language on the patient's bills regarding Financial Assistance and the Medical Center provides a brochure with frequently asked questions referencing the Financial Assistance policy. Section B, Line 20d - Individuals Eligible for Financial Assistance The hospital uses Medicare APC rates for outpatient services rendered and Medicaid DRG rates for inpatient services rendered. 15 9th Ave Women's Primary Care Center 4422 9th Avenue Brooklyn NY 11219 Womens' Primary Care Center MAIMONIDES ADULTPED DENTAL CENTER 4303-4305 13th Avenue Brooklyn NY 11219 Adult/Ped. Dental Center Bensonhurst Clinic Treatment Program 8620 18th Avenue Brooklyn NY 11214 Clinic Treatment Program Maimonides Ambulatory Care Center 1301 57th Street Brooklyn NY 11219 Ambulatory Care Center Fort Hamilton Clinic Treatment Program 8710 Fifth Avenue Brooklyn NY 11209 Clinic Treatment Program Maimonides Cancer Center 6300 Eighth Avenue Brooklyn NY 11220 Cancer Center Maimonides Adult Primary Care Center 1250 57th Street Brooklyn NY 11219 Adult Primary Care Center Maimonides Family Health Center 1401 Newkirk Avenue Brooklyn NY 11226 Family Health Center Maimonides Primary Health Services 6323 Seventh Avenue Brooklyn NY 11220 Primary Health Services Maimonides Rehabilitation Services 883 65th Street Brooklyn NY 11219 Rehabilitation Services MAIMONIDES SLEEP DISORDER CLINIC 6405 7TH AVENUE brooklyn NY 11219 SLEEP DISORDER CLINIC MAPLETON CLINIC TREATMENT PROGRAM 1083 MCDONALD AVENUE BROOKLYN NY 11230 CLINIC TREATMENT PROGRAM MAIMONIDES BREAST CENTER 745 64TH STREET BROOKLYN NY 11220 BREAST CENTER MAIMONIDES CARDIOLOGY OUTPATIENT CENTER 421 OCEAN PARKWAY BROOKLYN NY 11218 CARDIOLOGY OUTPATIENT CENTER MAIMONIDES CARDIOLOGY OUTPATIENT CENTER 850 49TH STREET BROOKLYN NY 11219 CARDIOLOGY OUTPATIENT CENTER 1. Required Descriptions Part II, Community Building Activities, line 7 - Community health improvement advocacy 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 3 - Methodology used by the organization to estimate bad debt expense Bad Debt is recorded at cost. Part III, line 4 - Uncompensated Care For financial reporting purposes, Maimonides Medical Center (the Medical Center) reports as uncompensated care amounts related to care provided for which the patient's payment obligation has not been fully satisfied. Uncompensated care is the sum of the Medical Center's charity care, including free and reduced price medical care, and bad debt expense. During the registration, billing and collection process, a patient's eligibility for charity care is determined. For patients who are determined to be eligible for charity care under the Medical Center's charity care and financial aid policy, care given but not paid for is classified as charity care. The Medical Center amended its charity care and financial aid policy in order to authorize use of additional financial information for uninsured or under-insured patients who have not supplied the requisite information to qualify for charity care. The additional information obtained is used by the Medical Center to determine whether to qualify patients for charity care and/or financial aid in accordance with the Medical Center's policies. For patients who were determined by the Medical Center to have the ability to pay but did not, the uncollected amounts are classified as bad debt expense. Distinguishing between bad debt and charity care is difficult in part because services are often rendered prior to full evaluation of a patient's ability to pay. Bad Debt is recorded at cost. Part III, line 8 - Shortfall Costs 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 - Fair Billing and Collection Practices Maimonides Medical Center is committed to fair billing and collections practices. A patient account will not be sent to collection if the patient has submitted a completed application for financial aid, including any required supporting documentation, for the time that the hospital is considering the application. A patient is provided at least thirty days written notice on the bill before debts are referred to collection. By contract the Medical Center's collection agencies are not permitted to: freeze the debtor's bank account, garnish the debtor's payroll check unless authorized by a Vice President of the Medical Center, seek civil arrest, seek a forced sale or foreclosure of a primary residence. Collection agencies are required to obtain the Medical Center's written consent prior to commencing legal action. Facility Information Section B, Line 20d - Individuals Eligible for Financia Medicaid DRG rates for inpatient services rendered. 2. NEEDS ASSESSMENT The New York City Department of Health and Mental Hygiene is an increasingly effective, real time source of information about health status and health care needs at the community and neighborhood level. Maimonides Medical Center also has a robust program of outreach and interaction with the communities that utilize our services. Maimonides Medical Center actively seeks participation of community- and faith-based leaders in the communities we serve. Maimonides Medical Center actively engages its medical staff, community leaders, community organizations, Board of Trustees and health service delivery partners in discussions on improving coordination and access to services. Maimonides Medical Center developed a Council of Community Organizations (COCO), an ongoing forum and vehicle for communication with local community leaders, community groups, businesses, politicians. Over 350 people from the neighborhoods that comprise southwestern Brooklyn are personally invited to participate in the meetings. The group meets at least annually, is presided over by, Pamela Brier, President and CEO of Maimonides Medical Center, and includes discussion of new programs and initiatives focused on meeting health care needs of the communities served. Executive leadership also meets regularly with representatives of Hatzolah Ambulance Corps of Borough Park in Brooklyn to discuss community health needs. These meetings are held quarterly and focus on community health needs and activities to improve clinical outcomes especially as they relate to effective and appropriate utilization of emergency services. To add scientific rigor to the development of our comprehensive community service plan / community health needs assessment, Maimonides engaged the New York Academy of Medicine (NYAM), a research and evaluative organization based in East Harlem, to assist with the design and implementation of this assessment. To that end, NYAM assisted in the design of the key informant interview guides and approaches and facilitated each of the interviews conducted, at which, in nearly every interview, at least one Maimonides staff person was present. Each interview has been transcribed, reviewed and analyzed. NYAM will continue to assist Maimonides with the design and facilitation of focus groups, which will begin in November and will develop, in coordination with Maimonides, a final report summary. Separately, they will work on a toolkit for community health needs assessments, to be available widely next year, which will include template interview and focus group guides, and guidance on facilitation, available in particular to other hospitals and organizations that are looking for assistance. Given that our community health needs assessment fell under the category of human research, Maimonides (and separately NYAM) obtained approval from our respective Institutional Review Boards. In November 2013, we invited all the key informant interviewees and/or representatives from their respective organizations to meet at Maimonides to review preliminary findings from our data collection, discuss our selected Prevention Agenda priorities, and proposed implementation strategies and provide feedback. A total of 50 people from a variety of organizations as well as ethnic and faith communities were invited and 25 people attended the meeting, which was hosted at Maimonides Medical Center. Individuals included a Rabbi, Pastor, Imam, Community Board representatives, a senior police officer from the 66th Precinct, a senior representative from a care management and behavioral health care organization, labor representation, a girls' school Board Chair, physicians, other community-based organizational representatives and Maimonides senior planning and administrative staff. The ethnic / faith-based communities represented at the meeting included: Orthodox Jewish, Arab (Muslim and Christian), Chinese, South Asian and Christian. 3. Patient education of eligibility for assistance: Uninsured patients are screened for eligibility to public sponsored programs such as Medicaid etc. If they are not eligible, they are automatically informed of and screened for 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 Medical Center historically has used a commonly accepted planning definition of service area for acute care hospitals based on the aggregation of inpatient discharges from surrounding zip codes. The zip codes comprising the first 50% inpatient zip codes are defined as the primary service area. The next group of zip codes comprising the next 25% of zip codes is defined as the secondary service area. Based on this planning definition the primary service area for Maimonides Medical Center is comprised of the following 6 zip codes; 11219, 11230, 11218, 11204, 11220, 11214. The following 6 zip codes comprise the secondary service area for Maimonides Medical Center; 11223, 11235, 11229, 11224, 11228, 11209. Approximately 95% of the inpatient discharges at Maimonides Medical Center are patients with a Brooklyn address. 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). Maimonides serves a richly diverse catchment area comprised of numerous immigrant communities, faiths, and ethnicities. More than 40% of residents in the immediate catchment area are foreign-born. Two-thirds are White, but this composite racial category includes Orthodox Jewish, Italian, Russian, Polish and others, many of them Immigrants. One-quarter are Asian. Eleven percent are of Hispanic origin (which can include those in the other racial categories) and less than 2% are African American. One-quarter of residents are 65 years old and above (compared with 22% for all of Brooklyn). Nearly 30% of residents are enrolled in Medicaid, 14% are uninsured (compared with 23% and 18% respectively for all of Brooklyn). 5. Promotion of community health: Maimonides Medical Center is governed by a Board of Trustees that is largely comprised of persons who reside in the surrounding communities and neighborhoods that form its primary service area. Board members serve on a voluntary basis without compensation. Maimonides regularly holds free and accessible community outreach and education symposia across a number of communities in Southwest Brooklyn that primarily focus on prevention, screening and treatment for chronic diseases, with a particular focus on cardiovascular diseases, obesity and stroke. These symposia, which often include on-site screenings and referrals, are held 2-3 times per month in a variety of settings: community centers, faith-based centers, and senior centers and are facilitated by Maimonides physicians and nursing staff. Maimonides Medical Center 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 was designated a Medicaid Health Home by New York State. As a Health Home, Maimonides partners with a network of 50+ providers and community-based organizations to coordinate services for Medicaid beneficiaries who have high-cost and complex chronic conditions. This is done primarily through a "care manager" who oversees and helps access all of the services an individual needs to assure that they receive everything necessary to stay healthy, out of the emergency room and out of the hospital. These services include housing, social services, medical and behavioral health, substance use, home care, and family support and education, which are coordinated and integrated to control future health care costs and improve health outcomes for this population. In 2012, Maimonides received a Health Care Innovation Award from the Center for Medicare and Medicare Innovation to improve the care and lives of 7,500 adults with serious mental illness in southwest Brooklyn. T true BORO PARK HATZOLAH 5215 16TH AVENUE BROOKLYN NY 11204 113043090 501(c)(3) 85000 GENERAL SUPPORT HATZOLAH OF FLATBUSH 1880 OCEAN AVENUE BROOKLYN NY 11230 133213138 501(C)(3) 85000 General Support BORO PARK COMMUNITY COUNCIL 4912 14TH AVENUE Brooklyn NY 11219 113475993 501(C)(3) 18000 General Support NEW YORK EHEALTH COLLABORATIVE NYEC 40 WORTH STREET NEW YORK NY 10013 208022336 501(c)(3) 25500 General Support Guardians of the Sick 5216 11th AVENUE BROOKLYN NY 11219 116003433 501(C)(3) 9900 General Support OHEL CHILDREN'S HOME & FAMILY SERVICES 4510 16TH AVENUE BROOKLYN NY 11204 116078704 501(C)(3) 18000 General Support NAMI - NYC METRO 505 EIGHTH AVE STE 1103 NEW YORK NY 10018 133077692 501(c)(3) 15000 General Support UNITED HOSPITAL FUND 350 FIFTH AVENUE NEW YORK NY 10118 131562656 501(c)(3) 35000 General Support 1199SEIUEMPLOYER CHILD CARE CORP 330 WEST 42ND STREET NEW YORK NY 10036 134063281 501(c)(3) 19150 GENERAL SUPPORT BROOKLYN INFORMATION & CULTURE 647 FULTON STREET BROOKLYN NY 11217 112547268 501(c)(3) 9750 GENERAL SUPPORT LADIES BIKUR CHOLIM D'SATMOR 5422 14TH AVENUE BROOKLYN NY 11219 116081323 501(c)(3) 10000 GENERAL SUPPORT Primary Care Development Corp 22 CORTLAND STREET NEW YORK NY 10007 133711803 501(c)(3) 10160 GENERAL SUPPORT HAITIAN SOLIDARITY 415 EAST 17TH ST STE 35 BROOKLYN NY 11226 272590851 501(C)(3) 14779 GENERAL SUPPORT METROPOLITAN JEWISH HEALTH SYSTEM 6323 SEVENTH AVENUE BROOKLYN NY 11220 111630753 501(C)(3) 5650 GENERAL SUPPORT Congregation Beth Elohim 274 Garfield Pl Brooklyn NY 11215 111672755 501(C)(3) 9100 GENERAL SUPPORT Best of Brooklyn 209 Joralemon St Suite 360 Brooklyn NY 11201 043699700 501(c)(3) 10000 GENERAL SUPPORT Brooklyn Community Services 285 Schermerhorn St Brooklyn NY 11217 111630780 501(c)(3) 8400 GENERAL SUPPORT Brooklyn Public Librarry 10 Grand Army Plaza Brooklyn NY 112385619 111904261 501(c)(3) 6750 GENERAL SUPPORT Center for Children's Initiatives 322 Eighth Ave 4th Fl New York NY 10001 133039812 501(c)(3) 8500 GENERAL SUPPORT Chevra Hatzalah of Crown Heights 383 Kingston Ave Brooklyn NY 11213 112420013 501(c)(3) 18000 GENERAL SUPPORT Hatzolah of Mill Basin 6363 Avenue U Brooklyn NY 11234 364600064 501(c)(3) 20000 GENERAL SUPPORT Ichud Mosdos Hachinuch 3908 16th Avenue Brooklyn NY 11234 030500351 501(c)(3) 36000 GENERAL SUPPORT New York Academy of Medicine Fellowship Office 1216 Fifth Ave New York NY 10029 131656674 501(c)(3) 5250 GENERAL SUPPORT Rivkah Laufer Bikur Cholim 1406 57th Street Brooklyn NY 11219 116111320 501(c)(3) 16500 GENERAL SUPPORT Sanctuary For Families Inc POB 1406 Wall St Station New York NY 10268 133193119 501(c)(3) 12750 GENERAL SUPPORT Sephardic Bikur Holim ComService Network Inc 425 Kings Highway Brooklyn NY 11223 237406410 501(c)(3) 8500 GENERAL SUPPORT Susan G Komen Greater NYC 470 Seventh Avenue New York NY 10018 912049420 501(c)(3) 7000 GENERAL SUPPORT 27 0 description of procedures for monitoring the use of grant funds GENERAL SUPPORT IS GIVEN TO VARIOUS NONPROFIT HEALTH RELATED ORGANIYATIONS WHOSE ACTIVITIES HAVE BEEN DETERMINED ARE COMPATIBLE AND COMPLIMENTARY TO THOSE OF MAIMONIDES MEDICAL CENTER. THE MEDICAL CENTER PERIODICALLY REVIEWS ITS GENERAL SUPPORT OF THESE NONPROFIT ORGANIZATIONS IN ORDER TO ENSURE THAT THE RECIPIENT'S ACTIVITIES REMAIN COMpatible WITH THOSE OF THE MEDICAL CENTER. X X X X X false true false false false true false true false PAMELA BRIER Trustee, President & CEO 1073023 0 200000 0 97187 0 184252 0 58489 0 1612951 0 0 0 DOMINICK STANZIONE Executive Vice Pres & COO 746523 0 150000 0 60368 0 178028 0 24741 0 1159660 0 0 0 ROBERT NALDI Executive Vice Pres & CFO 646089 0 150000 0 36161 0 159292 0 4906 0 996448 0 0 0 JOYCE LEAHY Exec VP, Legal Affairs & Gener 398166 0 100000 0 30177 0 111222 0 10016 0 649581 0 0 0 JACOB SHANI MD Chair, Heart & Vascular Center 2850523 0 0 0 21261 0 16575 0 22741 0 2911100 0 0 0 PATRICK BORGEN MD Chairman, Dept of Surgery 1813734 0 0 0 18796 0 16575 0 25241 0 1874346 0 0 0 AMIT SCHWARTZ MD Chief, Neurosurgery 1268059 0 0 0 17740 0 16575 0 25241 0 1327615 0 0 0 ISRAEL JACOBOWITZ MD Attending, Cardiothoracic Surg 1260101 0 0 0 19291 0 16575 0 7951 0 1303918 0 0 0 JACK CHOUEKA MD Chairman, Orthopedics 1145523 0 0 0 25529 0 16575 0 22741 0 1210368 0 0 0 Part I, Line 4B The following persons participated in a 457(F) supplemental nonqualified retirement plan: Pamela S Brier - $53,083 Dominick Stanzione - $33,475 Robert Naldi - $24,917 Joyce Leahy - $10,400 The Maimonides Medical Center Supplemental Executive Retirement Plan for Executive Vice Presidents (the "EVP SERP") provides additional retirement benefits to supplement other sources of retirement income. The EVP SERP was effective as of January 1, 2012. To participate, an employee must hold the title of 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 Plan provides for an annual employer accrued contribution of 20% of Base Pay 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 Maimonides Medical Center Supplemental Executive Retirement Plan for Pamela S. Brier (the "CEO SERP") was effective April 1, 2008 with annual contributions of $ 125,000 to be made on a quarterly basis with 5.5% interest per year compounded quarterly. The SERP account vests upon retirement or on CEO's death, disability or qualified termination prior thereto. PART I, LINE 6A - The organization pays, pursuant to individual employment contract agreements, a portion of faculty practice earnings, net of expenses. PART I, LINE 7 - Non-fixed payments are paid based upon the approval from the Compensation Committee of the Board of Trustees. 745-64TH REALTY ASSOC INC ANDREW KOHEN,TRUSTEE/OWN 2819855 REAL ESTATE RENTAL false RMNDS REALTY ASSOC ANDREW KOHEN,TRUSTEE/OWN 1213099 REAL ESTATE RENTAL false X 29255 400925 SALE PRICE X 23374 1088835 DOH DETERMINATION X RAFFLE PRIZES 41 18539 RETAIL PRICE false false false SCHEDULE M, PART II FEDERALLY FUNDED VACCINES ARE RECEIVED ANNUALLY THROUGH U.S. DEPARTMENT OF HEALTH AND HUMAN RESOURCES PASS THROUGH PROGRAMS FROM THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE FOR IMMUNIZATION COOPERATIVE AGREEMENTS: VACCINES FOR CHILDREN AS REPORTED ON THE FINANCIAL STATEMENTS AND AUDIT REPORT RELATED TO U.S. OFFICE OF MANAGEMENT AND BUDGET CIRCULAR A-133. FORM 990, PART I, Line 1 MAIMONIDES MEDICAL CENTER, A 711 BED VITAL AND THRIVING NON-PROFIT HOSPITAL, PROVIDES SAFE, HIGH QUALITY AND COMPASSIONATE CARE AND COMMUNITY SERVICES TO PEOPLE OF ALL FAITHS AND BACKGROUNDS FROM THE INCREDIBLY DIVERSE POPULATION OF BROOKLYN. 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. THERE WERE 1,786 VOLUNTEERS IN 2013 WHO SERVED 237,046 HOURS. ALL VOLUNTEER RECORDS ARE KEPT IN A 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 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 WORK IN ARE LABOR COACH (DOULA), POSTPARTUM SUPPORT, COMPANIONS TO PATIENTS, FEEDERS, HOSPITALITY, CHILD LIFE, INTERPRETERS, REFRESHMENT CARTS, LADIES AUXILIARY, PATIENT LIBRARY, CHAPLAINCY, CLERICAL SUPPORT, PATIENT TRANSPORT, AND OTHER SUPPORT SERVICES. FORM 990, PART III, LINE 1 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. WE WELCOME ALL PATIENTS OF ALL FAITHS AND AT THE SAME TIME REMAIN UNIQUELY COMMITTED TO SERVING THE SPECIAL HEALTHCARE NEEDS OF THE ORTHODOX JEWISH COMMUNITY, WHOSE RELIGIOUS AND CULTURAL TRADITIONS HELP GUIDE THE PROVISION OF MAIMONIDES SERVICES. Form 990, Part III, LINE 4 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, creed, sex, natural origin, age, handicap or ability to pay. During 2013, the Medical Center provided 45,709 inpatient discharges and 420,334 outpatient visits which included 102,204 emergency room visits. We provided care to persons covered by government programs and the uninsured at payment rates below cost. Our surgeons performed 8,682 inpatient and 14,044 outpatient procedures in a full range of surgical specialties. Our tertiary cardiology and cardiac surgery programs serve all of Brooklyn and are widely recognized in the region for excellence in interventional cardiology. 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 with 8,523 deliveries. 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. The Medical Center provides a comprehensive array of acute care inpatient services to residents of southern Brooklyn and tertiary care inpatient services to the entire Borough of Brooklyn and surrounding metropolitan area. With a medical staff numbering over 1,200 and graduate medical residents numbering over 450, Maimonides serves as a teaching affiliate of the Albert Einstein College of Medicine ("Einstein"), located in Bronx, New York, NYU School of Medicine, located in Manhattan, and SUNY Downstate College of Medicine, located in Brooklyn, New York. Form 990, Part VI, Governance, Management, and Disclosure Section A. Governing Body and Management 2. One of the trustees is a limited partner in real estate ventures for which another trustee is a managing member. This business relationship is not related to any of the activities of Maimonides Medical Center ("the Medical Center".) 6. The organization has a member, Maimonides Health Resources, Inc. ("MHRI") a not-for-profit, corporation which is its sole corporate member. 7a. MHRI elects the trustees. The boards of trustees of 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 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 requires MHRI's consent. (5) The two boards are identical. 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 and Audit and Legal 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 conflict or appear to conflict with the Medical Center's best interest. The following are required to complete a conflict of interest certificate: (1) trustees and officers of the Board, (2) non-trustee officers, chairmen 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. The Audit and Legal Committee of the Board of Trustees advises the President and the Chairman of the Board concerning specific conflicts of interest referred to it by the Executive Vice President for Legal Affairs and General Counsel. The Committee decides particular matters referred to them for review, and assists in the overall administration and monitoring of the implementation of the policy. The Audit and Legal Committee also annually reviews all potential conflicts of interest disclosed by members of the board of trustees and employees who are in a position to influence vendor selection on their conflict of disclosure forms. The Corporate Compliance Department assists in ensuring compliance with completion of the Certificate by all relevant employees. The Executive Vice President for Legal Affairs and General Counsel is responsible for reviewing apparent conflicts of interest and other potentially improper activities as referred by the Corporate Compliance Officer and/or the Audit and Legal Committee. A report of all conflicts of interest is made by the Chairman of the Audit and Legal Committee at least annually to the Board of Trustees. 15. The process for determining compensation includes the following: The Medical Center's compensation committee reviews compensation surveys from an independent consultant. Approval for all decisions must be agreed upon by the compensation committee and is then recorded in the minutes of that committee. This process was last done in 2014 for the CEO, COO, CFO and EVP for Legal Affairs/ General Counsel/ Assistant Secretary and other key employees. Section C. Disclosure 19. The organization's articles of incorporation may be obtained from the NYS Secretary of State's office. They are also available together with the by-laws upon special request to the Executive Office of Maimonides Medical Center at 4802 Tenth Ave, Admin Bldg, 2nd floor, Brooklyn, NY 11219. The conflict of interest policy is available on the Medical Center's website "maimonidesmed.org" in the vendor information section. The audited financial statements are available upon request to the Medical Center's Executive Office and are posted on the NYS Charitable Bureau website, oag.state.ny.us. Form 990, Part X - Balance Sheet Certain reclassifications have been made to amounts previously reported in 2012 to conform with the current year's presentation. FORM 999, PART XI, LINE 9 CHANGE IN EQUITY IN CAPTIVE INSURANCE PROGRAM: $27,522,000 NONCASH CONTRIBUTIONS NOT REPORTED ON BOOKS: ($ 1,107,372) ------------- TOTAL $26,414,628 MAIMONIDES RESEARCH & DEVELOPMENT FND 4802 TENTH AVENUE BROOKLYN NY 11219 112608229 RESEARCH NY 501(c)(3) 11a MAIMONIDES M true MAIMONIDES HEALTH RESOURCES INC 4802 TENTH AVENUE BROOKLYN NY 11219 113018258 SUPPORT ORG NY 501(c)(3) 11a NA false MMC HOLDING OF BROOKLYN INC 4510 16TH AVENUE BROOKLYN NY 11204 112683298 ADMIN SERVICE NY NA C CORP true M2 MEDICAL COMMUNITY PRACTICE PC 4802 10TH AVE BROOKLYN NY 11219 463556230 MEDICAL SERVICES NY MAIMONIDES C CORP 620772 672548 1.00000 true true false true false false false false false false true true false false false false true true false MMC HOLDING OF BROOKLYN INC j 851112 COST MMC HOLDING OF BROOKLYN INC P 21338014 COST MMC HOLDING OF BROOKLYN INC 1A 163018 COST MAIMONIDES RESEARCH & DEVELOPMENT FOUNDATION C 435889 COST MAIMONIDES RESEARCH & DEVELOPMENT FOUNDATION k 360128 COST MAIMONIDES RESEARCH & DEVELOPMENT FOUNDATION Q 156039 COST