2011-11-06T18:05:46-06:00 2010-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2010-01-01 131740114 Montefiore Medical Center MONT 9143786480 111 East 210th St attn controllers Bronx NY 10467 JOEL PERLMAN 2011-11-04 3176817000 2010 2016-03-07 17:11:31Z STEVEN SAFYER MD 111 EAST 210TH STREET BRONX NY 10467 2590901769 false X www.montefiore.org X 1884 NY delivering outstanding healthcare in a manner that advances the health of those served through education, wellness, disease management and integrated clinical and community service programs. 44 43 19355 713 10509119 0 65013750 62745043 2316026400 2473989577 8626808 19768969 11136007 30393192 2400802965 2586896781 4998808 7460855 0 0 1540644705 1611385266 2354 175000 1977037 835375804 865560405 2381021671 2484581526 19781294 102315255 1731033972 1934704895 1322295248 1400105766 408738724 534599129 TO HEAL, TO TEACH, TO DISCOVER, AND TO ADVANCE THE HEALTH OF THE COMMUNITIES WE SERVE. MONTEFIORE'S UNIQUE, FOUR PART MISSION FOCUSES ON DELIVERING OUTSTANDING CARE IN A MANNER THAT ADVANCES THE HEALTH OF THOSE WE SERVE - THROUGH EDUCATION, WELLNESS, DISEASE MANAGEMENT AND OTHER INTEGRATED CLINICAL AND COMMUNITY SERVICE PROGRAMS, EDUCATING THE NEW GENERATION OF CAREGIVERS AND CREATING NEW KNOWLEDGE THROUGH RESEARCH. MONTEFIORE IS DISTINGUISHED BY ITS UNIQUE COMMITMENT TO COMMUNITY SERVICE AS AN ACADEMIC MEDICAL CENTER. false false 958455143 4282264 1493481788 Patient Care Established in 1884 as a hospital for patients with chronic illnesses, Montefiore has grown and evolved to become a full-service integrated healthcare delivery system serving a large and complex urban population, a distinguished academic medical center with renowned faculty and record of pioneering research and medical "firsts", and an exceptionally dedicated community partner with an unparalleled roster of innovative programs and services that address needs ranging far beyond medical care. Montefiore's mission is to heal, to teach, to discover and to advance the health of the communities it serves. To this mission its brings a unique synergy of strengths and resources. The Montefiore delivery system offers a full range of healthcare services (preventive, primary, specialty, acute and post acute) to the nearly 2 million residents of the Bronx, New York and nearby Westchester County. Montefiore serves also as a tertiary care referral center for patients from across the entire metropolitan area, the nation and the world, and is known for advanced care in numerous specialties, including cardiology and cardiac surgery, cancer care, children's health, tissue and organ transplantation, women's health, surgery and surgical subspecialties. At the center of the Montefiore system are four hospitals with a total of 1,491 beds: - The 647 bed Henry and Lucy Moses Divison; - the 403 bed Jack D. Weiler Hospital of Albert Einstein College of Medicine; - the 120 bed Children's Hospital at Montefiore, recognized as one of "america's Best Children's Hospitals" in U.S. News & World Report's rankings; and - the 321 bed North Division. Together, these hospitals provide over 92,000 inpatient stays annually, including over 7,000 births. Montefiore also operates extensive ambulatory care services: - The faculty practices provide more than 1.1 million office visits annually. - Montefiore Medical Group, a network with over 350 primary care physicians at 22 community based locations throughout the Bronx and Westchester, provide more than 825,000 visits a year. - Montefiore's Emergency Department, among the busiest in the nation, has more than 255,000 total visits a year. - The hospital based clinics provide nearly 225,000 visits a year. - The Montefiore School Health Program is the largest in the nation, with 18 school-based health centers serving approximately 27,000 children. - A system of mobile pediatric centers, operated in partnership with the New York Children's Health Project, cares for homeless children and families at locations throughout the city. - Montefiore Home Care provides approximately 467,000 visits each year to homebound patients. At the intersection of Einstein science and Montefiore medicine are Centers of Excellence in Cancer Care, Cardiovascular services, the Children's hospital, transplantation and neurosciences. In these centers, renowned investigators and multidisciplinary clinical teams collaborate to develop and deliver the advanced, innovative care available only at premier academic medical centers and the seamless continuum of services that ensures an ideal patient experience. Montefiore Medical Center is guided by a mission to provide high quality care for all its patients, including those in our service area who lack health insurance coverage and who cannot pay for all or part of the essential care they receive. The Medical Center is committed to maintaining charity care policies that are consistent with it mission and values of advancing the health of the communities that it serves regardless of ability to pay. Montefiore is increasingly recognized for success in delivering high-quality care to a large urban community, harnessing the power of health information technology and using care management tools to improve quality, safety and outcomes while controlling cost. As it continues to build on these accomplishments, Montefiore is transforming health and enriching lives, offering to the nation a most promising model for healthcare reform. 340764043 2545183 193625858 Medical Education & Research Montefiore is the University Hospital for Albert Einstein College of Medicine, one of the nation's premier institutions for medical education, basic research and clinical investigations. This strong alignment enables us to advance clinical and translational research results more rapidly to the bedside and to the medical community, and educate the next generation of physicians, healthcare leaders and investigators. In place are extensive training programs for medical students, residents and fellows. Over 750 medical students and over 1,200 residents and fellows are trained in more than 80 accredited residency and fellowship programs at The Children's Hospital at Montefiore, Moses and Weiler Divisions sponsored by Albert Einstein College of Medicine and 8 residency and fellowship programs at the North Division sponsored by New York Medical College. Montefiore and Einstein's partnership provides residents and fellows with an exceptional environment for research training and participation in basic, translational and clinical activities. Montefiore is dedicated to cultivating the ethical and professional development of all postgraduate trainees and offers robust mentorship throughout their training. According to the American Hospital Association and Modern Healthcare Magazine, Montefiore Medical Center is listed as having the second largest residency program in the nation. Founded in 1976, the Center for Continuing Medical Education (CCME) at Montefiore Medical Center and Albert Einstein College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education. The Center has produced hundreds of CME activities and offers CME credit to thousands of practitioners. Recognizing the vital importance of developing and embracing innovative techniques and treatments, Montefiore is committed to the utilization of resources for the advancement of physicians' education and delivery of care. The Medical Center also participates in other training programs in nursing and allied health professionals. Montefiore's large biomedical and clinical research initiatives include inquiry into a range of medical and health care delivery issues, including basic research into the fundamental process of disease and its treatment in humans, clinical trials and related clinical research and research into the organization and management of health care services. National Institutes of Health (NIH) funding of over $21 million supports research in such areas as Aids, Oncology, Pediatrics, Anesthesiology, Emergency Medicine, Neurology, Pathology and Social Medicine. Additional federal, state and other funding supports a variety of research and clinical programs. Montefiore and Einstein are aligned around shared goals, with special emphasis on advancing clinical and translational research to accelerate the pace at which new discoveries become the treatments and therapies that benefit patients. Montefiore is among 38 academic medical centers nationwide to be awarded the prestigious Clinical and Translational Science Award (CTSA) by the National Institutes of Health. 936078928 633408 776862454 Community Services Services to the community are an explicit and essential component of Montefiore's mission and one of its most valued traditions. The Medical Center has a long history of reaching beyond the walls of its hospitals to identify and meet the needs of its community and has been a national leader in organizing and expanding community-based services. MMC commitment to the community has required a multifaceted, continually evolving response, in which the unique capacities of the academic medical center are mobilized to improve the lives of the people and the communities served-not just medically, but socially, economically and environmentally, wherever and whenever resources can make a difference. The Medical Center has maintained and expanded its range of community services, reaching out to and serving un-met health needs, including those with poor access to comprehensive primary care, at-risk and hard to reach children and their families, underserved and at-risk senior citizens, those affected by cancer, those affected by the continuing HIV epidemic in Bronx, persons with or at-risk for tuberculosis infection, persons affected with problems of substance abuse, the homeless, adults and children with limited access to primary dental care and those affected by chronic health care diseases such as congestive heart failure, diabetes and asthma. 2235298114 true true false true false false false false true true true false false true false false true false true true true false true true false true false true false true true false false false false false false false false false false true false false false true true true true true false true 619 0 true 19355 true true true false false 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School Health Clinic Gottscho Children's Dialysis Center

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Homeless Shelter Ext Clinic Women in Need-Suzanne's Place

25 Junius Street Brooklyn NY 11212

Homeless Shelter Ext Clinic Saint John's Family Shelter

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Homeless Shelter Ext Clinic Streetwork's Project Drop-In Center

209 W 125th Street New York NY 10016

Homeless Shelter Ext Clinic Streetwork's Residential-Mobile

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PO Box 1783 First Floor Bronx NY 10451

Homeless Shelter Ext Clinic ICAHN House Family Shelter

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Homeless Shelter Pt Clinic Prospect Interfaith Center Pt Clinic

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DENTAL CENTER MONTEFIORE CENTENNIAL bUILDING dENTAL

3332 rOCHAMBEAU AVENUE BRONX NY 10467

dENTAL cENTER MONTEFIORE ADVANCED IMAGING

200 EAST GUNHILL ROAD BRONX NY 10467

IMAGING CENTER MONTEFIORE NORTH CHILD pSYCH cLINIC

4141 cARPENTER aVENUE BRONX NY 10466

MENTAL HEALTH CLINIC ADOLESCENT AIDS PROGRAM

3415 WAYNE AVENUE BRONX NY 10467

PEDIATRIC SPECIALTY CENTER MONTEFIORE NEUROLOGY PRACTICE

140 LOCKWOOD AVENUE NEW ROCHELLE NY 10801

SPECIALTY CENTER MONTEFIORE NEUROSURGERY PRACTICE

3316 ROCHAMBEAU AVENUE BRONX NY 10467

SPECIALTY CENTER WOMEN'S CENTERCHILDREN'S CENTER

3320 ROCHAMBEAU aVENUE BRONX NY 10467

SPECIALTY CENTER MONTEFIORE RIVERDALE PRACTICE

3333 HENRY HUDSON PARKWAY BRONX NY 10463

SPECIALTY CENTER EINSTEINMONTEFIORE AUTISM EVALUATION

6 EXECUTIVE PLAZA YONKERS NY 10701

SPECIALTY CENTER WOMEN'S MEDICAL ASSOCIATES

1180 MORRIS PARK AVENUE BRONX NY 10461

WOMEN'S HEALTH CENTER REI OB-GYN

20 BEACON HILL DRIVE DOBBS FERRY NY 10522

WOMEN'S HEALTH CENTER OBGYN AT STARLING AVENUE

2115 STARLING AVENUE BRONX NY 10462

WOMEN'S HEALTH CENTER OBSGYN ON MAIN STREET

33 WEST MAIN STREET ELMFORD NY 10523

WOMEN'S HEALTH CENTER CENTENNIAL WOMEN'S CENTER

3332 ROCHAMBEAU AVE BRONX NY 10467

WOMEN'S HEALTH CENTER RIVERDALE WOMEN'S CENTER

3333 HENRY HUDSON PARKWAY BRONX NY 10463

wOMEN'S HEALTH CENTER WOMEN'S HEALTH AT NORTH DIVISION

4170 BRONX BOULEVARD BRONX NY 10466

WOMEN'S HEALTH CENTER OBSGYN AT WOODLAWN

4350 vAN cORTLANDT PK EAST BRONX NY 10470

WOMWN'S HEALTH CENTER GENETICS AND PERINATAL CONSULTANTS

700 WHITE PLAINS ROAD SCARSDALE NY 10583

WOMEN'S HEALTH CENTER 1. PART I, LINE 7G: INCLUDED WITHIN SUBSIDIZED HEALTH SERVICES IS APPROXIMATELY $430,000 OF NET COMMUNITY BENEFIT EXPENSES THAT WERE PROVIDED BY FREE STANDING CLINICS FOR SCHOOL BASED HEALTH PROGRAMS AND CHILD ABUSE SERVICES. THESE SUBSIDIZED HEALTH SERVICES WERE PROVIDED TO DELIVER CRITICALLY NEEDED HEALTH CARE TO A POPULATION THAT WOULD NOT HAVE ACCESS TO THESE HEALTH SERVICES IF THESE PROGRAMS WERE NOT IN PLACE. 1. PART I, LINE 7: THE COST-TO-CHARGE RATIO METHODOLOGY WAS UTILIZED TO CALCULATE THE AMOUNT INCLUDED IN THE TABLE. THE CALCULATION OF THIS RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGE. 1. PART II - COMMUNITY BUILDING ACTIVITIES THE MEDICAL CENTER IS ACTIVELY INVOLVED WITH COMMUNITY-BASED ORGANIZATIONS AND SPECIAL COMMUNITY HEALTH PROGRAMS TO ADVANCE THE HEALTH OF THE COMMUNITIES SERVED. THE MEDICAL CENTER'S COMMUNITY BUILDING ACTIVITIES INCLUDE COMMUNITY SUPPORT OF THE BRONX AIDS VOLUNTEERS ORGANIZATION, THE LEAD POISONING PREVENTION PROGRAM AND RECRUITMENT OF MUCH NEEDED MEDICAL PROFESSIONALS TO THE HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) OF THE BRONX. MONTEFIORE'S LEAD POISONING PREVENTION, SCREENING AND TREATMENT PROGRAM IS NATIONALLY RECOGNIZED SERVING POPULATIONS AT HIGHEST RISK FOR LEAD POISONING. THE LEAD SAFE HOUSE IS A MODEL HOUSING PROGRAM TO SHELTER FAMILIES OF CHILDREN WITH HIGH LEAD LEVELS WHILE THEIR HOMES ARE MADE LEAD FREE. THE AIDS VOLUNTEER PROGRAM, PROJECT BRAVO, PROVIDES A RANGE OF SUPPPORTIVE SERVICES INCLUDING TRANSPORTATION, MEALS AND VISITING SERVICES TO HOMEBOUND PATIENTS. 1. PART III, LINE 4 AS REPORTED IN MONTEFIORE MEDICAL CENTER'S AUDITED FINANCIAL STATEMENTS, BAD DEBT EXPENSE IS DESCRIBED AS FOLLOWS: "THE MEDICAL CENTER, IN KEEPING WITH ITS MISSION AND PHILOSOPHY TO PROVIDE QUALITY CARE AND COMPASSIONATE SERVICE, EXTENDS CHARITY CARE TO THOSE PATIENTS WHO DO NOT HAVE THE ABILITY TO MEET THEIR OBLIGATIONS. CHARITY AND UNCOMPENSATED CARE PROVIDED, INCLUDING REDUCTIONS FOR UNINSURED AND UNDERINSURED PATIENTS, AMOUNTED TO APPROXIMATELY $217 MILLION FOR THE YEAR ENDED DECEMBER 31, 2010. THE METHOD USED TO DETERMINE THE ORGANIZATION'S BAD DEBT EXPENSE AT COST WAS THE THE COST TO CHARGE RATIO. THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS BASED ON PREDICTIVE ANALYSIS. Bad debt is 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 the bill will ever be paid. 1. PART III, LINE 8: Medicare allowable costs reported on Part III, line 6, per Schedule H instructions, were derived using the Medicare Cost Report cost-finding methodology, which apportions routine costs to Medicare using days and ancillary costs to Medicare using departmental ratios of costs to charge (RCCs). THE FOLLOWING TABLE REPRESENTS A RECONCILLIATION OF MEDICARE REVENUE AND COSTS INCLUDED ON LINES 5, 6, AND 7 IN PART III TO THE TOTAL ACTUAL MEDICARE REVENUE AND COSTS OF THE MEDICAL CENTER. AS HIGHLIGHTED IN THIS TABLE, INCLUDING THE ADJUSTMENTS DESCRIBED BELOW WOULD HAVE RESULTED IN A MEDICARE SHORTFALL OF $7,059,013. ALLOWABLE SURPLUS REVENUE COSTS (SHORTFALL) SCH H, PART III LINES 5, 6, 7 $361,889,494 $282,491,953 $79,397,541 ADD: COSTS NOT INCLUDED IN MEDICARE COST REPORT - 14,255,711 (14,255,711) ADD: MEDICARE DME 34,405,298 74,543,832 (40,138,534) ADD: EMP PHYS SERV 34,962,000 61,207,839 (26,245,839) ADD: MED SUBSID HLTH SERV 11,543,000 17,359,470 (5,816,470) TOTAL OVERALL MEDICARE Shortfall $442,799,792 $449,858,805 ($7,059,013) MEDICARE REVENUE AND ALLOWABLE COSTS REPORTED IN PART III, SECTION B, WERE DERIVED FROM THE MEDICARE COST REPORT. HOWEVER, LINES 5, 6, AND 7 IN PART III DO NOT INCLUDE CERTAIN MEDICARE REVENUE AND COSTS AND THUS DO NOT PRESENT THE ENTIRE FINANCIAL PICTURE OF THE MEDICAL CENTER'S PARTICIPATION IN THE MEDICARE PROGRAM. IN ADDITION, THE MEDICARE COST REPORT COST-FINDING METHODOLOGY IS INCONSISTENT WITH THE REST OF SCHEDULE h, WHEREBY COSTS ARE CALCULATED USING THE MEDICAL CENTER'S OVERALL RATIO OF COST TO CHARGES (RCC) FROM WORKSHEET 2. ACCORDINGLY, THE MEDICARE SURPLUS REFLECTED ON PART III, LINE 7 BEFORE THE ADJUSTMENTS REFLECTED BELOW IS SIGNIFICANTLY OVERSTATED. fOR EXAMPLE, PART III EXCLUDES CERTAIN MEDICAL CENTER EXPENSES THAT ARE NOT PART OF THE MEDICARE COST FINDING PROCESS. tHESE COSTS INCLUDE CERTAIN CONSULTING AND MARKETING EXPENSES, COSTS RELATED TO NURSE PRACTITIONERS, NURSE MIDWIVES, PHYSICIAN ASSISTANTS, AND HOSPITALISTS WHO BILL THE MEDICARE PROGRAM FOR PART B SERVICES AND PHYSICIAN COSTS EXCEEDING THE MEDICARE REASONABLE COMPENSATION EQUIVALENT (RCE) LIMITS. INCLUDING THE MEDICARE SHARE OF THESE COSTS WOULD HAVE REDUCED THE MEDICARE SURPLUS ON LINE 7 BY $14,255,711. PART III ALSO EXCLUDES MEDICARE REVENUE AND ALLOWABLE COSTS FROM THE MEDICARE COST REPORT RELATED TO DIRECT MEDICAL EDUCATION (DME), WHICH WERE REPORTED IN PART I, LINE 7F AS REQUIRED BY THE SCHEDULE H INSTRUCTIONS. IF THE MEDICARE SHARE OF DME LOSSES HAD BEEN REPORTED IN PART III, THE MEDICARE SURPLUS ON LINE 7 WOULD HAVE BEEN REDUCED BY $40,138,534 (SEE ABOVE RECONCILIATION TABLE). ADDITIONALLY, PART III EXCLUDES MEDICARE REVENUE AND COSTS FOR SERVICES BILLED FOR THE MEDICAL CENTER'S EMPLOYED PHYSICIANS THAT ARE PART OF THE RCC CALCULATION IN WORKSHEET 2 BUT ARE NOT REFLECTED IN THE MEDICAL CENTER'S MEDICARE COST REPORT. INCLUDING THE MEDICARE LOSSES FROM THE MEDICAL CENTER'S EMPLOYED PHYSICIANS SERVICES WOULD HAVE REDUCED THE MEDICARE SURPLUS ON LINE 7 BY AN ADDITIONAL $26,245,839 (SEE ABOVE RECONCILIATION TABLE). PART III ALSO EXCLUDED MEDICARE REVENUE AND COSTS FROM THE MEDICARE COST REPORT ASSOCIATED WITH SUBSIDIZED HEALTH SERVICES WHICH WERE REPORTED IN PART I, LINE 7G AS REQUIRED BY THE SCHEDULE H INSTRUCTIONS. IF THE MEDICARE LOSSES FROM THE MEDICAL CENTER'S SUBSIDIZED HEALTH SERVICES HAD BEEN REPORTED IN PART III, THE MEDICARE SURPLUS IN LINE 7 WOULD HAVE BEEN REDUCED BY AN ADDITIONAL $5,816,470 (SEE ABOVE RECONCILIATION TABLE). PART V LINE 3 - OPTIONAL INFORMATION MONTEFIORE ASSESSES COMMUNITY NEEDS BY: - REVIEWING PUBLICLY-AVAILABLE DATA SOURCES AND NEEDS ASSESSMENT REPORTS (SUCH AS THE NYCDOHMH COMMUNITY HEALTH ASSESSMENT AND THE GNYHA HEALTH CARE STATISTICS), AND CONDUCTING FOCUSED ASSESSMENTS OF STATISTICAL MEASURES, RELATED TO THE HEALTH STATUS OF THE COMMUNITIES SERVED, AND OF HIGH-RISK POPULATIONS IN THOSE COMMUNITIES; - PARTNERING WITH OTHER ORGANIZATIONS AND PUBLIC AGENCIES LIKE THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE, TO EVALUATE NEEDS AND STRUCTURE RESPONSES, AS PART OF AN ORGANIZED "COMMUNITY HEALTH ASSESSMENT" PROCESS; AND - WORKING WITH SPECIFIC CONSTITUENIES-GEOGRAPHIC, AGE-SPECIFIC AND/ OR DIAGNOSIS-SPECIFIC-TO ASSESS THEIR PARTICULAR NEEDS, AND WAYS TO MORE EFFECTIVELY TARGET PROGRAMS AND INITIATIVES TO MEET THEIR NEEDS. pART V, LINE 4 - OPTIONAL INFORMATION tHE NEEDS ASSESSMENT WAS CONDUCTED WITH THE FOUR HOSPITALS THAT COMPRISE MONTEFIORE - MOSES DIVISION, WEILER DIVISION, NORTH DIVISION AND THE CHILDREN'S HOSPITAL AT MONTEFIORE. IN ADDITION, MONTEFIORE IS A MEMBER OF THE GREATER NEW YORK HOSPITAL ASSOCIATION, WHICH PROVIDES RESOURCES FOR THE MEMBER HOSPITALS TO UTILIZE, TO HELP PROVIDE A COMMUNITY-WIDE VIEW OF THE NEEDS OF THE HOSPITAL COMMUNITIES. END OF OPTIONAL PART V, LINE 4 SECTION 2. NEEDS ASSESSMENT MONTEFIORE ASSESSES COMMUNITY NEEDS BY: - REVIEWING PUBLICLY-AVAILABLE DATA SOURCES AND NEEDS ASSESSMENT REPORTS (SUCH AS THE NYCDOHMH COMMUNITY HEALTH ASSESSMENT AND THE GNYHA HEALTH CARE STATISTICS), AND CONDUCTING FOCUSED ASSESSMENTS OF STATISTICAL MEASURES, RELATED TO THE HEALTH STATUS OF THE COMMUNITIES SERVED, AND OF HIGH-RISK POPULATIONS IN THOSE COMMUNITIES; - PARTNERING WITH OTHER ORGANIZATIONS AND PUBLIC AGENCIES LIKE THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE, TO EVALUATE NEEDS AND STRUCTURE RESPONSES, AS PART OF AN ORGANIZED "COMMUNITY HEALTH ASSESSMENT" PROCESS; AND - WORKING WITH SPECIFIC CONSTITUENIES-GEOGRAPHIC, AGE-SPECIFIC AND/ OR DIAGNOSIS-SPECIFIC-TO ASSESS THEIR PARTICULAR NEEDS, AND WAYS TO MORE EFFECTIVELY TARGET PROGRAMS AND INITIATIVES TO MEET THEIR NEEDS. OVERVIEW OF MONTEFIORE'S APPROACH THE PRIMARY APPROACH USED TO GAIN INPUT AND COMMUNITY INVOLVEMENT IS THROUGH A VARIETY OF COMMUNITY ADVISORY BOARDS (CABS). MONTEFIORE MEDICAL CENTER WORKS EXTENSIVELY WITH REPRESENTATIVES OF THE AFFECTED COMMUNITIES THROUGH THESE CABS TO IDENTIFY HEALTH CARE NEEDS AND DETERMINE THE APPROPRIATE CONFIGURATION OF SERVICES. ON A REGULAR BASIS, MONTEFIORE REPORTS TO THESE VARIOUS COMMUNITY GROUPS ON THE MEDICAL CENTER'S PERFORMANCE AND SERVICES, THE STATUS OF PROGRAMS, FINANCIAL AND UTILIZATION STATISTICS, THE PLAN FOR AND IMPLEMENTATION OF COMMUNITY SERVICES, AND PLANS FOR THE FUTURE. - EACH OF MMC'S HOSPITALS HAS AN ORGANIZED CAB, MADE UP OF RESIDENTS OF THE COMMUNITIES WHICH EACH SERVES. - EACH OF MMC'S FEDERALLY-QUALIFIED COMMUNITY HEALTH CENTERS HAS A SIMILAR CAB, MADE UP OF FAMILIES SERVED BY THESE FACILITIES. - THE SCHOOL HEALTH PROGRAM HAS ITS OWN, WELL DEVELOPED MECHANISM TO ASSURE LOCAL INPUT AND COMMUNITY RELEVANCE FOR ITS PROGRAMS. THE PROGRAMS AT EACH OF THE 18 SCHOOLS ARE DEFINED AND GUIDED BY ACTIVE SCHOOL-BASED ADVISORY COMMITTEES AND WELLNESS COUNCILS, WHOSE MEMBERS INCLUDE PRINCIPALS, TEACHERS, ADMINISTRATORS, PARENTS, STUDENTS AND REPRESENTATIVES FROM COMMUNITY AGENCIES. - WITH REGARDS TO THE CHILDREN'S HOSPITAL, MMC WENT A STEP FURTHER, INVOLVING CHILDREN AND FAMILIES IN THE ACTUAL DESIGN OF THE FACILITY, AND INCLUDING PARENTS AND FAMILY MEMBERS IN GROUPS SETTING POLICIES AND PROCEDURES FOR THE CHILDREN'S HOSPITAL. THAT EFFORT TO INCLUDE CHILDREN AND FAMILIES IN THE CHILDREN'S HOSPITAL OPERATIONS CONTINUES, THROUGH THE FUNCTION OF THE FAMILY ADVISORY COMMITTEE. - THE INFECTIOUS DISEASE (ID) CLINIC HAS A CONSUMER ADVISORY COMMITTEE OF PEOPLE LIVING WITH HIV AND AIDS. THE COMMITTEE MEETS MONTHLY WITH REPRESENTATIVES FROM PATIENTS, CLINIC STAFF, AND ID CLINIC LEADERSHIP. PATIENTS ON THE COMMITTEE EVALUATE THE DELIVERY OF SERVICES AND CARE IN THE ID CLINIC AND PROVIDE FEEDBACK ABOUT THE PLANNING OF NEW PROGRAMS. PATIENTS ARE WELCOME TO ATTEND ANY OF THE MEETINGS AS A GUEST. MONTEFIORE MEDICAL CENTER HAS A BOARD COMMITTEE, WHICH IS FOCUSED ON COMMUNITY SERVICES. IT IS RESPONSIBLE FOR OVERSEEING MONTEFIORE'S COMMUNITY SERVICES AND COMMUNITY BENEFIT ACTIVITIES TO ENSURE THEY ARE FORMULATED TO FACILITATE THE FULFILLMENT OF THE MEDICAL CENTER'S MISSION AND MEET THE NEEDS OF THE COMMUNITY. THE COMMITTEE MEETS REGULARY TO: - BECOME FAMILIAR WITH AND ASSESS MONTEFIORE'S PROGRAMS OF COMMUNITY SERVICE, AND THE EXTENT TO WHICH THEY ADDRESS AND MAKE A MEANINGFUL IMPACT ON PRESSING COMMUNITY NEEDS; - REVIEW ASSESSMENTS OF THE HEALTH CARE NEEDS OF THE COMMUNITIES THAT MONTEFIORE SERVES; - REVIEW AND APPROVE MONTEFIORE'S COMMUNITY SERVICE PLAN, WHICH IS SUBMITTED TO NEW YORK STATE; AND - PARTICIPATE IN THE REGULAR ASSESSMENT OF AND REPORTING ON PROGRAMS/SERVICES THAT REPRESENT INVESTMENTS BY THE MEDICAL CENTER IN "COMMUNITY BENEFITS". THE COMMITTEE WORKS CLOSELY WITH MONTEFIORE MANAGEMENT AND/OR RELEVANT BOARD COMMITTEES THAT ARE RESPONSIBLE FOR OVERSEEING THE MEDICAL CENTER'S MISSION TO ASSESS AND IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. PARTNERSHIPS AND COLLABORATIONS BEYOND THE FORMAL STRUCTURE THAT MONTEFIORE HAS ESTABLISHED TO GAIN INPUT FROM THE COMMUNITIES IT SERVES, THE MEDICAL CENTER PARTICIPATES IN A VARIETY OF ORGANIZED PARTNERSHIPS AND COLLABORATIVES, WORKING WITH OTHER PROVIDERS IN THE BRONX, THE NYC DEPARTMENT OF MENTAL HEALTH, COMMUNITY-BASED ORGANIZATIONS IN THE BRONX AND MEMBERS OF THE COMMUNITY IN PLANNING AND DEVELOPING INITIATIVES AIMED AT IMPROVING THE HEALTH OF PEOPLE IN THE BRONX. EXAMPLES OF SUCH EFFORTS INCLUDE: - THE BRONX HEALTH LINK - THE BRONX RHIO - THE BRONX COLLABORATIVE - THE BRONX BREATHES INITIATIVE - THE BRONX HIV PLANNING COUNCIL - SOUTH BRONX ENVIRONMENTAL JUSTICE PARTNERSHIP (SBEJP) - CITIWIDE HARM REDUCTION PROGRAM - BRONX COMMUNITY PALLIATIVE CARE INITIATIVE - BRONX SCIENCE AND HEALTH OPPORTUNITIES PARTNERSHIP - HISPANIC CENTER OF EXCELLENCE - BRONX CENTER TO REDUCE AND ELIMINATE ETHNIC AND RACIAL HEALTH DISPARITIES (BRONX CREED) THROUGH THE EFFORTS OF THE COMMUNITY ADVISORY GROUP OF THE OFFICE OF COMMUNITY HEALTH, MONTEFIORE HAS DEVELOPED ADDITIONAL APPROACHES TO THE ASSESSMENT OF COMMUNITY NEEDS AND HEALTH PRIORITIES AND TO THE ESTABLISHMENT OF PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS. THE OFFICE OF COMMUNITY HEALTH (OCH) WHICH WAS ESTABLISHED IN 2009, ESTABLISHED A COMMUNITY ADVISORY GROUP (CAG). THIS GROUP WAS ORGANIZED TO PARTNER WITH MONTEFIORE TO ASSIST IN THE IDENTIFICATION OF PUBLIC HEALTH PRIORITIES IN THE SERVICE AREA AND TO ENHANCE MMC'S ABILITY TO DEVELOP AND PROVIDE PROGRAMS AND SERVICES THAT ADDRESS THESE PRIORITIES, BOTH ON AN INDIVIDUAL INSTITUTIONAL LEVEL AND ON A COLLABORATIVE LEVEL. IN ADDITION, THIS ALLIANCE HAS CREATED AN OPPORTUNITY FOR COMMUNITY PARTNERS TO REQUEST ASSISTANCE AND PARTICIPATION FROM MONTEFIORE IN THEIR ORGANIZATIONS' INITIATIVES. THE PURPOSE OF THIS CAG IS TO ASSIST MONTEFIORE IN: - CONNECTING WITH A REPRESENTATIVE SAMPLE OF COMMUNITY PROVIDERS ACROSS MAJOR SERVICE AREAS; - FORMALIZING ORGANIZATIONAL COMMUNITY PARTNERSHIPS THAT TRANSCEND INDIVIDUAL RELATIONSHIPS; AND - DEVELOPING OPPORTUNITIES FOR PARTICIPATION IN COMMUNITY HEALTH PROMOTION ACTIVITIES AND COMMUNITY BASED PARTICIPATORY RESEARCH BETWEEN CAG PARTNERS AND THE MEDICAL CENTER. THE GOALS ESTABLISHED FOR THIS CAG ARE TO: - INTRODUCE OCH GOALS AND GAIN ACCEPTANCE/OPENESS TO PARTICIPATION BY COMMUNITY BASED ORGANIZATIONS: - FORMALIZE ORGANIZATIONAL RELATIONSHIPS WITH MONTEFIORE; - DEVELOP A COMMUNITY PARTICIPATORY INPUT PROCESS FOR AREAS OF CRITICAL INTEREST TO MONTEFIORE, INCLUDING - DIABETES/OBESITY, - SMOKING CESSATION AND TOBACCO USE PREVENTION, - CANCER, - Women's Health, - Children's Health, - CARDIOVASCULAR DISEASE; AND - CATEGORIZE RESOURCES AVAILABLE WITHIN AND BETWEEN PARTNERS TO MAKE AVAILABLE TO MONTEFIORE AND THE CAG. THE COMMUNITY ADVISORY GROUP INCLUDES REPRESENTATIVES FROM THE FOLLOWING COMMUNITY ORGANIZATIONS: - ALLIANCE FOR PROGRESS - BRONX BOROUGH PRESIDENT'S OFFICE - BRONX COMMUNITY HEALTHCARE NETWORK - BRONX COUNCIL FOR ENVIRONMENTAL QUALITY - BRONX DISTRICT ATTORNEY'S OFFICE - CRIME VICTIM'S ASSISTANCE UNIT (c.v.a.u.) SATELLITE OFFICE - BRONX HEALTH LINK - BRONX JEWISH COMMUNITY COUNCIL - BRONX OFFICE OF YOUTH DEVELOPMENT, NYC DEPARTMENT OF EDUCATION - BRONX OVERALL ECONOMIC DEVELOPMENT CORPARATION (BOEDC) - BRONX RIVER ALLIANCE - CATHOLIC CHURCHES OF WAKEFIELD - CHILDREN'S HEALTH FUND - CITIZEN'S ADVICE BUREAU - FRIENDS OF VAN CORDTLANDT PARK - HEALTH PEOPLE - KINGSBRIDGE HEIGHTS COMMUNITY CENTER - MMC COMMUNITY ADVISORY BOARDS - MORRIS HEIGHTS HEALTH CENTER - MOSHOLU MONTEFIORE COMMUNITY CENTER - MOUNT HOPE HOUSING - NEIGHBORHOOD INITIATIVE DEVELOPMENT CORPORATION - NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE - SOUTH BRONX DISTRICT PUBLIC HEALTH OFFICE - NORTH EAST BRONX COMMUNITY ALLIANCE - NORTH WEST BRONX COMMUNITY & CLERGY COALITION - NOS QUEDAMOS - WE STAY - OFFICE OF THE BRONX BOROUGH PRESIDENT - PROMESA - SAFE HORIZONS - THE BRONX DEFENDERS - UNITED NEIGHBORHOOD HOUSES - URBAN HEALTH PLAN - YOUTH MINISTRIES FOR PEACE & JUSTICE THE EXISTENCE OF GROUPS LIKE THESE HAVE ALREADY PROVIDED BENEFITS, IN PARTICULAR, THROUGH THE CREATION OF AN OPEN DIALOGUE AMONG ORGANIZATIONS WHICH ARE ALL STRIVING TO IMPROVE THE LIFE OF RESIDENTS OF THE BRONX. 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE ALL INTAKE, REGISTATION, AND COLLECTION AGENCY STAFF IS TRAINED ON THE MEDICAL CENTER'S FINANCIAL AID POLICY AND HOW TO PROVIDE PATIENTS WITH ASSISTANCE. MONTEFIORE MEDICAL CENTER HAS A POLICY THAT ESTABLISHES GUILDLINES FOR THE BILLING OFFICE TO FOLLOW WHEN WORKING WITH INDIVIDUALS WHO ARE HAVING DIFFICULTY PAYING THEIR MEDICAL BILLS. A REFERRAL IS MADE TO THE MEDICAL CENTER'S FINANCIAL AID OFFICE AND A FINANCIAL COUNSELOR WILL HELP THE PATIENT APPLY FOR FREE OR LOW-COST INSURANCE. IF THE FINANCIAL COUNSELOR DETERMINES THAT THE PATIENT DOES NOT QUALIFY FOR LOW-COST INSURANCE, THEY WILL HELP THEM APPLY FOR A FINANCIAL AID DISCOUNT BASED ON THEIR INCOME LEVEL. THE MEDICAL CENTER MAKES ITS FINANCIAL AID POLICY KNOWN TO THE PUBLIC BY PROVIDING WRITTEN INFORMATION AVAILABLE IN BOTH ENGLISH AND SPANISH AT THE ADMITTING OFFICES, REGISTRATION OFFICES, ON ITS WEBSITE, BY MAIL UPON REQUEST OR BY THE CALL CENTER. FINANCIAL AID AVAILABILITY AND OFFICE PHONE NUMBERS ARE PRINTED AT THE BOTTOM OF ALL OF THE MEDICAL CENTER'S BILLS. THERE ARE ALSO SIGNS POSTED AT THE MAIN ENTRANCE TO THE MEDICAL CENTER IN ENGLISH AND SPANISH ADVISING PATIENTS OF THE ROOM LOCATION FOR ASSISTANCE WITH FINANCIAL AID. 4. COMMUNITY INFORMATION THE MEDICAL CENTER HAS OUTREACH SERVICES RESPONDING TO THE HEALTH CARE AND SOCIAL NEEDS THROUGHOUT THE BRONX AND SOUTHERN WESTCHESTER. IT HAS BECOME A MAJOR COMMUNITY RESOURCE TO A POPULATION WHICH IS AMONG THE COUNTRY'S MOST ECONOMICALLY AND SOCIALLY DISADVANTAGED. ACCORDING TO THE 2008 AMERICAN COMMUNITY SURVEY OF THE U.S. CENSUS, THE BRONX WITH ITS 1.4 MILLION RESIDENTS IS THE NATION'S POOREST URBAN COUNTY AND FOURTH POOREST OVERALL. THE 16TH CONGRESSIONAL DISTRICT IN THE SOUTH BRONX HAD THE HIGHEST POVERTY RATE (40.2%), LOWEST MEDIAN INCOME AND HIGHEST PROPORTION OF CHILDREN LIVING BELOW POVERTY (50.1%) IN THE UNITED STATES. THE BRONX IS ALSO THE YOUNGEST COUNTY IN NEW YORK STATE WITH 29.8% CHILDREN AND ONE OF ONLY FIVE U.S.COUNITES WITH MORE THAN 30% SINGLE FAMILY HOUSEHOLDS. BEFORE THE HEALTH RESOURCES AND SERVICES ADMINISTRATION'S 2008 REGULATION CHANGES DESIGNATING HEALTH PROFESSIONS SHORTAGE AREAS (HPSAS), ALMOST HALF (45%) OF OUR POPULATION LIVED IN FEDERALLY DESGNATED HPSAS; NOW THE BRONX IS QUALIFIED AS A WHOLE COUNTY HPSA. COMMUNITY HEALTH PROFILES OF THE BRONX SHOW POOR HEALTH STATUS, HIGHER THAN AVERAGE INCIDENCE AND PREVALENCE OF HIV AND TUBERCULOSIS, POORER THAN AVERAGE BIRTH OUTCOMES, WORSE THAN AVERAGE ACCESS TO PRIMARY CARE, AND HIGH HOSPITAL ADMISSION RATES FOR DIABETES, CARDIOVASCULAR, CEREBROVASCULAR, PERIPHERAL VASCULAR AND RENAL DISEASES. 5. PROMOTION OF COMMUNITY HEALTH MONTEFIORE IS A LEADER IN COMMUNITY HEALTH AND HAS A LONG HISTORY OF DEVELOPING INNOVATIVE APPROACHES TO CARE AND TAILORING PROGRAMS TO BEST SERVE THE CHANGING NEEDS OF ITS COMMUNITY. MONTEFIORE EMBRACES ITS SOCIAL RESPONSIBILITY AND DEFINES ITS ROLE BROADLY, PROMOTING WELLNESS IN ADDITION TO TREATING DISEASE AND ADDRESSING NEEDS RANGING FAR BEYOND MEDICAL CARE. MMC EXTENDS THIS RESPONSIBILITY TO THE CARE OF ITS EMPLOYEES AND MEDICAL STAFF, 65% OF WHOM LIVE IN THE SURROUNDING COMMUNITY. THE POPULATION MONTEFIORE SERVES IS ONE OF THE MOST DIVERSE IN THE NATION. MONTEFIORE HAS BEEN AN INCUBATOR FOR PROGRAMS THAT IMPROVE PATIENTS' ACCESS TO CULTURALLY APPROPRIATE SERVICES, AND ITS PROGRESSIVE FINANCIAL AID POLICY AND ROBUST ENTITLEMENT ENROLLMENT PROGRAM SUPPORT ACCESS TO CARE FOR THOSE IN NEED. HISTORICALLY, MONTEFIORE HAS EMBRACED COMMUNITY SERVICE AND COMMUNITY HEALTH IMPROVEMENT AS A DELIVERY SYSTEM CHALLENGE, REACHING OUT TO SERVE THE UNDER-RESOURCED THROUGH ITS EXTENSIVE PRIMARY CARE DELIVERY SYSTEM, INCLUDING A NUMBER OF FEDERALLY-QUALIFIED COMMUNITY HEALTH CENTERS (FQHCS). IN ADDITION, MONTEFIORE HAS DEVELOPED A WIDE RANGE OF SERVICES TARGETED TO SPECIFIC GROUPS IN NEED: THE YOUNG, THE ELDERLY, THE HIV INFECTED AND AFFECTED, THE MENTALLY ILL, THOSE STRUGGLING WITH SUBSTANCE USE, HOMELESSNESS AND VIOLENCE AND THOSE LIVING WITH CHRONIC DISEASES. THE MEDICAL CENTER HAS MAINTAINED AND EXPANDED ITS RANGE OF COMMUNITY SERVICES, REACHING OUT TO AND SERVING POPULATIONS WITH UN-MET HEALTH CARE NEEDS, INCLUDING: - THOSE WITH POOR ACCESS TO COMPREHENSIVE CARE - UNDERSERVED, AT-RISK AND HARD TO REACH CHILDREN AND THEIR FAMILIES - UNDERSERVED AND AT-RISK SENIOR CITIZENS - THOSE AFFECTED BY CANCER - THOSE AFFECTED BY THE CONTINUING HIV EPIDEMIC IN THE BRONX - PERSONS WITH OR AT-RISK FOR TUBERCULOSIS INFECTION - PERSONS AFFECTED WITH PROBLEMS OF SUBSTANCE ABUSE - THE HOMELESS - ADULTS AND CHILDREN WITH LIMITED ACCESS TO PRIMARY DENTAL CARE - THOSE AFFECTED BY CHRONIC HEALTH CARE DISEASE SUCH AS CONGESTIVE HEART FAILURE, DIABETES AND ASTMA. THE MEDICAL CENTER RUNS PROGRAMS OF COMMUNITY HEALTH SERVICES THAT ARE AMONG THE NATION'S MOST EXTENSIVE INCLUDING: - MONTEFIORE'S NETWORK OF PRIMARY CARE CENTERS IN THE BRONX - INCLUDING SEVERAL FEDERALLY-QUALIFIED HEALTH CARE CENTERS(FQHC) - PROVIDES ACCESS TO HIGH-QUALITY PRIMARY HEALTH CARE SERVICES AND A VARIETY OF PRACTICE-BASED AND COMMUNITY OUTREACH PROGRAMS TO SOME OF THE NATION'S POOREST AND MOST UNDERSERVED COMMUNITIES. - MONTEFIORE OPERATES ONE OF THE NATION'S LARGEST PROGRAMS OF SCHOOL-BASED PRIMARY CARE, SERVING OVER 27,000 STUDENTS AT 18 ELEMENTARY, MIDDLE AND HIGH SCHOOLS IN THE BRONX, PROVIDING OVER 70,000 HEALTH, MENTAL HEALTH AND DENTAL VISITS. THIS MODEL PROGRAM IS ABLE TO PROVIDE SERVICES TO ALL STUDENTS IN THESE SCHOOLS, INCLUDING THE ROUGHLY HALF OF ALL STUDENTS WITHOUT INSURANCE. - MONTEFIORE PROVIDES NEEDED HEALTH CARE SERVICES TO HOMELESS CHILDREN AND FAMILIES IN VARIOUS LOCATIONS IN THE BRONX AND THROUGHOUT NEW YORK CITY, THROUGH TWO PROGRAMS, ONE USING A FLEET OF MOBILE MEDICAL UNITS, AND A SECOND USING TEAMS OF PROFESSIONALS PROVIDING SERVICES WITHIN HOMELESS SHELTERS AND ASSESSMENT CENTERS AND COMMUNITY-BASED SERVICE SITES, INCLUDING FAITH-BASED SOUP KITCHENS AND MULTI-SERVICE CENTERS. SERVICE TO VULNERABLE AND AT-RISK POPULATIONS: MONTEFIORE PROVIDES COMPREHENSIVE CARE AND A RANGE OF INNOVATIVE PROGRAMS FOR HIGH-RISK CHILDREN IN THE BRONX, INCLUDING: - A HIGHLY REGARDED PREVENTION, COUNSELING AND TREATMENT PROGRAM FOR ABUSED CHILDREN AND THEIR FAMILIES, BASED IN MONTEFIORE'S CHILD ADVOCACY CENTER. - AN INNOVATIVE, MULTI-LEVEL PROGRAM OF CARE FOR CHILDREN WITH AND AT-RISK FOR OBESITY AND DIABETES, INCLUDING INITIATIVES IN THE SCHOOL-BASED HEALTH CENTERS, IN THE COMMUNITY-BASED PRIMARY CARE SITES AND AT THE CHILDREN'S HOSPITAL AT MONTEFIORE (CHAM). - HEALTH PROFESSIONS EDUCATION PROGRAMS FOR HIGH SCHOOL STUDENTS ARE CONDUCTED IN COLLABORATION WITH AREA HIGH SCHOOLS. THE MEDICAL CENTER OPERATES ONE OF THE NATION'S LARGEST AND MOST COMPREHENSIVE PROGRAMS FOR THE DIAGNOSIS, CARE AND ONGOING MANAGEMENT OF POPULATIONS WITH AND AT-RISK FOR HIV INFECTION, INCLUDING: - A HOSPITAL-BASED, STATE-DESIGNATED COMPREHENSIVE AIDS CENTER THAT SERVES APPROXIMATELY 2,700 INDIVIDUALS WITH HIV/AIDS WITH A BROAD PROGRAM OF AMBULATORY AND INPATIENT CARE. - A COMMUNITY-BASED PROGRAM THAT SERVES APPROXIMATELY 1,100 INDIVIDUALS WITH HIV/AIDS, OPERATING IN THE MEDICAL CENTER'S PRIMARY CARE SITES. - LONGSTANDING PROGRAMS FOCUSED ON THE PREVENTION, EARLY IDENTIFICATION AND ONGOING CARE AND MANAGEMENT OF CHILDREN AND ADOLESCENTS WITH OR AT RISK FOR HIV INFECTION. - AN INNOVATIVE PROGRAM OF OUTREACH HIV PRIMARY AND SPECIALTY CARE SERVICES, THAT ARE LOCATED IN MONTEFIORE'S SUBSTANCE ABUSE TRATMENT PROGRAM, WHICH SERVES APPROXIMATELY 1,050 OPIATE-ADDICTED INDIVIDUALS IN TWO DRUG TREATMENT CENTERS LOCATED THROUGHOUT THE BRONX. THIS SERVICE INFRASTRUCTURE HAS PROVEN INVALUABLE IN MOUNTING EFFECTIVE PUBLIC HEALTH, DIAGNOSIS AND CARE PROGRAMS RESPONDING TO THE TWO OTHER INFECTIOUS DISEASE EPIDEMICS THAT HAVE ALSO AFFLICTED THE BRONX: TUBERCULOSIS AND HEPATITIS-C. MONTEFIORE PROVIDES A WIDE RANGE OF ON-SITE AND OUTREACH PROGRAMS TO SERVE THE BOROUGH'S FRAIL AND AT-RISK ELDERLY, INCLULDING: - A COMPRHENSIVE, MULTI-DISCIPLINARY GERIATRIC AMBULATORY PRACTICE, INCLUDING GERIATRIC MEDICINE AND GERIATRIC PSYCHIATRY, SOCIAL SERVICES, PHARMACY AND NUTRITIONAL COUNSELING, WITH SERVICE SITES IN THE EAST AND WEST BRONX. - AN AGING AND MEMORY CENTER THAT PROVIDES ASSESSMENTS, AMBULATORY CARE AND HOME VISITS BY GERIATRIC PSYCHIATRISTS. - ONE OF THE NATION'S LARGEST HOSPITAL-BASED HOMECARE PROGRAMS, PROVIDING IN-HOME SERVICES TO INNER CITY SENIORS LIVING IN NEIGHBORHOODS THAT ARE AMONG THE COUNTRY'S MOST DISADVANTAGED. - AN EXTENSIVE PROGRAM TO IDENTIFY, PREVENT AND RESPOND TO SUSPECTED ELDER ABUSE. - PHYSICIAN HOME-VISIT PROGRAMS SERVING THE ELDERLY LIVING IN PUBLICLY-SUBSIDIZED HOUSING PROJECTS ACROSS THE BRONX, A PROGRAM MOUNTED IN PARTNERSHIP WITH THE NYC HOUSING AUTHORITY AND LOCAL COMMUNITY AND SOCIAL SERVICES AGENCIES IN "NATURALLY-OCCURRING RETIREMENT COMMUNITIES" - A NEW PROGRAM, PARTNERING WITH THE WESTCHESTER COUNTY DEPARTMENT OF SOCIAL SERVICES THAT REACHES OUT TO ELDERLY RESIDENTS LIVING IN SUBSIDIZED HOUSING PROJECTS IN SOUTHERN WESTCHESTER COUNTY, TO IMPROVE THE MANAGEMENT OF DIABETES AND CARDIOVASCULAR DISEASE THROUGH EDUCATION, DISEASE SCREENING AND REFERRALS. THE DEPARTMENT OF OB-GYN AND WOMEN'S HEALTH IS INVOLVED IN A RANGE OF PROGRAMS FOCUSED ON THE HEALTH NEEDS OF WOMEN IN THE BRONX AND SURRROUNDING COMMUNITIES, INCLUDING: - PARTNERING WITH NY STATE, NY CITY AND LOCAL PROVIDERS ON THE DEVELOPMENT OF A REGIONAL PERINATAL SYSTEM IN THE BRONX, WHICH HAS AMONG THE COUNTRY'S HIGHEST RATES OF INFANT MORTALITY AND DISABILITY AND LOW BIRTH WEIGHT. - PROVISION OF OUTREACH PRIMARY CARE SERVICES TO DOMESTIC VIOLENCE SHELTERS IN THE BRONX. - OPERATION OF THE WOMEN'S AND CHILDREN'S CENTER, A PROGRAM THAT PROVIDES MEDICAL CARE, SUPPORT AND FAMILY COUNSELING TO WOMEN AND CHILDREN INFECTED WITH AND/OR AFFECTED BY AIDS. THE CANCER CENTER OPERATES A COMMUNITY OUTREACH PROGRAM, A RESEARCH BASED CANCER PREVENTION, EDUCATION, AND SUPPORT PROGRAM THAT PROVIDES SUPPORT AND EDUCATIONAL SERVICES TO PATIENTS, FAMILIES, STAFF, AND COMMUNITY MEMBERS FACING THE CHALLENGES OF CANCER. THE CENTER ALSO PARTICIPATES IN CANCER SCREENING, CANCER EDUCATION AND AWARENESS, AND SUPPORT PROGRAMS. MONTEFIORE'S COMMUNITY DENTISTRY PROGRAM PROVIDES DENTAL SERVICES TO A MULTITUDE OF UNDERSERVED AND MEDICALLY COMPROMISED PATIENTS AT ON-SITE DENTAL FACILITIES, ONE COMMUNITY SITE, AND THE INFECTIOUS DISEASE CLINIC AT THE MOSES DIVISION. A MOBILE DENTAL VAN PROVIDES MOBILE DENTAL SERVICES TO THE UNDERSERVED AT A VARIETY OF MONTEFIORE PRIMARY CARE SITES ACROSS THE BRONX. MONTEFIORE WAS RECENTLY DESIGNATED BY NY STATE AS ONE OF FOUR DIABETES CENTERS OF EXCELLENCE IN THE STATE. MONTEFIORE HAS IMPLEMENTED A COMPREHENSIVE ARRAY OF PROGRAMS RESPONDING TO THE "NEXT EPIDEMIC" IN THE BRONX: THE EXTRAORDINARILY HIGH AND INCREASING RATES OF DIABETES AND OBESITY AND THE COMMON CARDIOVASCULAR COMPLICATIONS AND CO-MORBIDITIES. MONTEFIORE IS TAKING A NETWORK-WIDE QUALITY IMPROVEMENT APPROACH TO ORGANIZING AND IMPROVING THE PREVENTION, CARE AND MANAGEMENT OF THIS DISEASE CLUSTER, IN ITS PRIMARY CARE AND SCHOOL-BASED SITES, IN ITS SPECIALTY SERVICES AND HOSPITALS. true Albert Einstein College of Medicine 1300 morris park avenue bronx NY 10468 132937352 501(c)(3) 582866 contractual services Bronx Aids Services Inc 540 E fordham road bronx NY 10458 133599121 501(c)(3) 91153 contractual services bronx lebanon hospital center 1276 fulton avenue bronx NY 10456 131974191 501(c)(3) 91746 contractual services cincinnati children's hospital 3333 burnet avenue cincinnati OH 45229 310833936 501(c)(3) 35607 contractual services columbia university 630 w 168th street new york NY 10032 135598093 501(c)(3) 45662 contractual services duke university medical center DUMC 3018 durham NC 27710 560532129 501(c)(3) 1097485 contractual services health research inc one university place rensselaer NY 12144 141402155 501(c)(3) 334589 contractual services jacobi medical center 1400 pelham parkway south bronx NY 10461 132655001 501(c)(3) 183733 contractual services lincoln medical center 234 east 149th street bronx NY 10451 132655001 501(c)(3) 335446 contractual services new york university school of medicine 550 First Avenue New York NY 10016 133971298 501(c)(3) 424253 contractual services Rutgers the state university of nj 3 rutgers plaza new brunswick NY 08901 226001086 501(c)(3) 65835 contractual services stanford university PO box 44253 san francisco CA 94144 941156365 501(c)(3) 36821 contractual services the university of vermont po box 1389 williston VT 05495 030179440 501(c)(3) 104627 contractual services virginia commonwealth university PO Box 843039 richmond VA 23284 202661802 501(c)(3) 857212 contractual services CORNELL UNIVERSITY MEDICAL COLLEGE 1300 york avenue new york NY 10021 131623978 501(c)(3) 36916 contractual services Case Western Reserve University 10900 Euclid Avenue Cleveland OH 44106 341018992 501(c)(3) 6600 Contractual Services Children's Memorial Hospital 2300 Childrens Plaza Chicago IL 60614 362170833 501(c)(3) 204094 Contractual Services Connecticut Children's Medical Center 282 Washington Street Hartford CT 06106 060646755 501(c)(3) 21691 Contractual Services Eastern Virginia Medical School PO Box 1980 Norfolk VA 23501 546055378 501(c)(3) 106551 Contractual Services Hackensack University Medical Center 30 Prospect Avenue Hackensack NJ 07601 221487576 501(c)(3) 8930 Contractual Services Mount Sinai School of Medicine 1 Gustave L Levy Place New York NY 10029 136171197 501(c)(3) 8498 Contractual Services Pharmaceutical Research Associates PO Box 200072 Dallas TX 75320 541204111 501(c)(3) 444584 Contractual Services The University of Chicago 1122 Payspere Circle Chicago IL 60674 362177139 503(c)(3) 10191 Contractual Services University of Florida PO Box 113001 Gainesville FL 32611 596002052 501(c)(3) 93794 Contractual Services Baylor Research Institute 3310 Live Oak Suite 501 Dallas TX 75204 751921898 501(c)(3) 74852 contractual services Beth Israel Medical Center PO Box 9500-2440 Philadelphia PA 19195 135564934 501(c)(3) 45000 Contractual services Cleveland Clinic Foundation 9500 Euclid Avenue Cleveland OH 44195 340714585 501(c)(3) 23244 Contractual services Florida International University 11200 SW 8th Street Miami FL 33199 650837916 501(c)(3) 73336 Contractual services Medical College of Wisconsin 8701 Watertown Plank Rd Milwaukee WI 53226 390806261 501(c)(3) 17452 Contractual services The New York and Presbyterian Hospital 333 East 38th Street New York NY 10016 133957095 501(c)(3) 217501 Contractual services Rush University Medical Center 1653 W Congress Parkway Chicago IL 60612 362174823 501(c)(3) 186500 Contractual services Schneider Children's Hospital 972 Brush Hollow Road Westbury NY 11590 112241326 501(c)(3) 12862 Contractual services University of Connecticut Farmington Avenue Farmington CT 06030 521725543 501(c)(3) 10000 Contractual services University of Utah Presidents Circle Salt Lake City UT 84112 876000525 501(c)(3) 22634 Contractual services Women's Cancer Care Associates LLC 319 S Manning Blvd Albany NY 12208 208336329 501(c)(3) 10000 Contractual services Yale University School of Medicine College Street New Haven CT 06510 060646973 501(c)(3) 35015 Contractual services Innocence Project 156 Fifth Avenue New York NY 10011 320077563 501(c)(3) 10000 Event sponsorship Bronx Overall Economic Development 851 Grand Concourse Bronx NY 10451 133079387 501(c)(3) 101500 Sponsorship Center for Excellence in Health Care 10 Neff Hall Univ of MO Columbia MO 65211 411908032 501(c)(3) 15000 Sponsorship American Heart Association 122 East 42nd Street New York NY 10168 135613797 501(c)(3) 75000 Event sponsorship Doc to Dock Inc 300 Douglass Street Brooklyn NY 11217 161756195 501(c)(3) 10000 Donations Partners in Health PO Box 845578 Boston MA 02215 043567502 501(c)(3) 10000 Donations New York City Department of Education 279 E 196th Street Bronx NY 10458 690210637 24240 Donations University of California 1855 Folsom Street San Francisco CA 94143 946036493 501(c)(3) 25905 Contractual services Renewal 5904 13th Avenue Brooklyn NY 11219 522323151 501(c)(3) 15000 Donation The Bronx Council on the Arts 1738 Hone Avenue Bronx NY 10461 132601303 501(c)(3) 5868 Sponsorship Urban Health Plan Inc 1515 Southern Blvd Bronx NY 10460 237360305 501(c)(3) 35000 Donation SEBCO Development Inc 885 Bruckner Blvd Bronx NY 10459 132944013 501(c)(3) 7000 donation Wildlife Conservation Society 2300 Southern Blvd Bronx NY 10460 131740011 501(c)(3) 25000 Sponsorship United Hospital Fund 1411 Broadway 12th Fl New York NY 10018 131562656 501(c)(3) 50000 sponsorship Primary Care Development Corp 22 Cortlandt St 12th Fl New York NY 10007 133711803 501(c)(3) 10000 sponsorship New York Medical College POBox 284 Vahalla NY 10595 131099420 501(c)(3) 6800 sponsorship New York Business Group of Health Inc 61 Broadway Suite 2705 new york NY 10006 133156952 501(c)(3) 15000 sponsorship Morris Hights health center 85 west burnside ave bronx NY 10453 061081232 501(c)(3) 35000 sponsorship March of Dimes 515 Madison Ave 20th fl New York NY 10022 061081232 501(c)(3) 25000 sponsorship HHC Foundation of NYC 346 Broadway Suite 715W new york NY 10013 061081232 501(c)(3) 10000 sponsorship Bronx Children Museum PO Box 1381 bronx NY 10451 260579140 501(c)(3) 6000 sponsorship American Friends of Hebrew University One Battery Park Plaza new york NY 10004 131568923 501(c)(3) 10000 sponsorship Hebrew Home for the Aged 5901 Palisade Avenue bronx NY 10471 131739971 501(c)(3) 7500 sponsorship Bronx Health Link 851 Grand Concourse Bronx NY 10451 134045022 501(c)(3) 70000 sponsorship 60 Part I, Line 2 The procedure for monitoring subrecipients of federal awards is to obtain and review the subrecipient's audited Circular A-133 single Audit report which includes their respective schedule of expenditures of federal awards by major program and compliance and internal controls. X true true X X X X X X false true false false false true true false false Spencer Foreman MD 0 0 0 0 175000 0 0 0 0 0 175000 0 0 0 Robert B Conaty 1007341 0 263541 0 916808 0 17000 0 17714 0 2222404 0 150883 0 Donald L Ashkenase 365009 0 328541 0 201545 0 17000 0 20901 0 932996 0 0 0 JOEL PERLMAN 960120 0 252058 0 441540 0 1568932 0 20714 0 3243364 0 248122 0 ROBERT MICHLER MD 2493637 0 0 0 42552 0 17000 0 19714 0 2572903 0 0 0 RICHARD KRAUT DDS 504397 0 1257918 0 3048 0 17000 0 15714 0 1798077 0 0 0 ALLAN BROOK MD 894397 0 151000 0 360 0 17000 0 15714 0 1078471 0 0 0 FRANCIS PORRECA MD 651732 0 472281 0 1032 0 17000 0 15129 0 1157174 0 0 0 STEVEN SAFYER MD 1383197 0 359845 0 59842 0 2246338 0 15972 0 4065194 0 11702 0 SUSAN GREEN-LORENZEN RN 447845 0 58858 0 16552 0 17000 0 15974 0 556229 0 0 0 Christopher Panczner 518300 0 136398 0 3248 0 131830 0 7103 0 796879 0 0 0 SHALOM KALNICKI MD 1078095 0 1260000 0 1032 0 17000 0 17401 0 2373528 0 0 0 ELAINE M BRENNAN RN 0 0 150512 0 255344 0 0 0 0 0 405856 0 0 0 Part I, Line 1a Steven Safyer, MD, President & CEO - services of a driver are provided for business purposes and incidental transportation. Approximately 5% of cost is reflected in taxable compensation. Part I, Line 4b & Part II - Column (B)(iii) *Note concerning the Supplemental Executive Retirement Plan listed below- In a manner designed to qualify for the "rebuttable presumption of reasonableness" the Board of Trustees expressly reviewed and approved these retirement benefit arranagements for senior, long tenured executives in a manner that qualified under the intermediate sanctions rules of the Federal tax law, and in recognition of (a) the executives' many 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 more than 20 years of service for the organization. Steven Safyer, MD - Supplemental Executive Retirement Plan distribution of $11,702*, payment of $37,974 from Grandfathered Executive Benefit Plan and accrued and unpaid service costs of $2,229,338 Robert B. Conaty - Supplemental Executive Retirement Plan distribution of $150,883*, payment of $758,752 from Grandfathered Executive Benefit Plan Joel Perlman - Supplemental Executive Retirement Plan distribution of $248,122*, payment of $187,334 from Grandfathered Executive Benefit Plan & accrued and unpaid service costs of $1,551,932 Part I, Lines 6a and 6b Some of the officers and key employees listed in Schedule J, Part II, participate in an annual incentive compensation plan. Among several performance measures approved in advance by the compensation committee of the board of trustees is income from operations. Certain levels of income from operations, together with achievement of other important performance measures, including an assessment of community services, result in the awarding of specified percentages of base salary as incentive compensation. All awards are approved by the compensation committee of the board of trustees. DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64983TV26 2004-12-15 194451180 construction & renovation proj false false false DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64983QML0 2005-09-22 160222851 Refund prior issue (1/1/97) false false false DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649903ZD6 2008-02-07 134395945 Refund prior issue (5/11/95) false false false DORMTORY AUTHORITY OF THE STATE OF NEW YORK 146000293 2006-12-14 9972599 Equipment Leasing false false false 12745000 0 201432112 29588580 14188158 0 1963773 3066929 0 168208251 0 0 2007 false false true true 21555000 0 160230313 35438789 0 0 1584084 867080 0 2746265 142730138 37745 1989 false true true true 12965000 0 134395945 28433964 0 0 1403668 0 35000 4372719 116354558 0 1998 true false true true 7557318 0 10210506 0 0 0 38834 0 0 10171670 0 0 2008 false false true true false true true true false 0.00400 0.00000 0.00400 true false true true true false 0.00500 0.00500 true false true true true false 0.00500 0.00000 0.00500 true false false false false false 0.00000 0.00000 0.00000 true false false true mERRILL lYNCH 26.6 false true true See Part V true true false false false false true AIG MFC 22.4 true true false false false true MERRILL LYNCH 15.5 false true true DEPFA BANK 16.5 true false true false false false false false true PART I - BOND ISSUES THE BONDS in 1-d THROUGH 2-D ARE LEASE AGREEMENTS WITH THE DORMITORY AUTHORITY OF THE STATE OF NEW YORK. sEE SCHEDULE O FOR FURTHER DETAILS. PART IV, COLUMN 1A, LINE 3C HEDGE WAS TERMINATED PRIOR TO EFFECTIVE DATE ON 12/15/2004 PART IV, COLUMN 1A, LINE 4B RESERVE FUND - AIG MATCHED FUNDING CORP. PROJECT FUND - BAYERISCHE LANDESBANK PART IV, COLUMN 1A, LINE 4C RESERVE FUND - 28.6 YEARS PROJECT FUND - 3.1 YEARS PART IV, COLUMN 1C, LINE 3C HEDGE WAS TERMINATED PRIOR TO EFFECTIVE DATE ON 2/7/2008 PART II, LINE 3, COLUMNS 1 A-C tHE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART i, COLUMN (E) DUE TO INVESTMENT EARNINGS AND REPLACEMENT PROCEEDS. PART II, LINE 11 tHE AMOUNT IN PART II, LINE 16 REPRESENTS REFUNDING ESCROWS PREVIOUSLY EXPENDED. X 7 1237577 current market value false true false Form 990, Part VI, Section A, Line 2 David C. Gottlieb (trustee) is related to Jay B. Langner (trustee) - Family relationship. Peter J. Neufeld (trustee) is related to Robert A. Bernhard (trustee) - Family relationship. Form 990, Part VI, Section A, Line 7a The board of trustees of the Montefiore Health System, Inc., the sole member of Montefiore Medical Center, has the authority to appoint the board of trustees of Montefiore Medical Center. Form 990, Part VI, Section A, Line 7b The board of trustees of the Montefiore Health System, Inc., the sole member of Montefiore Medical Center, has the authority to approve the operating and capital budgets of Montefiore Medical Center. Form 990, Part VI, Section B, Line 11A The form 990 was prepared by the Medical Center's finance department with the assistance of representatives from various departments throughout the medical center. The Form 990 was reviewed and approved by the Vice President-Finance, Accounting and Financial Reporting. An independent accounting firm was engaged to review the Form 990 BEFORE IT WAS PRESENTED TO THE Medical Center's senior management team INCLUDING THE CHIEF FINANCIAL OFFICER FOR REVIEW AND APPROVAL. Upon completion of the various reviews, the final 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 FINAL FORM 990, AS ULTIMATELY FILED WITH THE INTERNAL REVENUE SERVICE, WAS PROVIDED TO ALL MEMBERS OF MONTEFIORE MEDICAL CENTER'S GOVERNING BODY. Form 990, Part VI, Section B, Line 12c The organization regularly and consistently monitors and enforces compliance with the disclosure policy by means of a survey form that was developed by counsel and approved by the Legal and Compliance Committees of the Board of Trustees that presently is sent to all trustees, officers and key employees for completion. All survey responses are reviewed by the Compliance Officer. Any potential conflicts identified in the responses are discussed with senior management and/or the Legal and Compliance Committees of the Board of Trustees. Potential actions to be taken in response to a conflict would be one or more of the following: 1)disclosure of conflict; 2)individual recusal from decisions for transactions where that individual has a conflict; 3)request the individual to alleviate the conflict; OR 4)removal of the individual from the board of trustees. Form 990, Part VI, Section B, Line 15A & line 15B Montefiore Medical Center is committed to ensuring that its executive compensation program adheres to the highest standards of regulatory compliance and best corporate governance. The Montefiore Board of Trustees has charged the Compensation Committee (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. 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 performance and other business judgment factors, consistent with Montefiore's executive compensation philosophy including an assessment of community services. The Committee's decisions are made in the best interest of Montefiore, and are intended to ensure the recruitment and retention of key executive talent, consistent with the market practices of other not-for-profit healthcare organizations of comparable scope, mission and complexity. On an annual basis, the Committee provides the full Board of Trustees with a description of the committee's review and approval process and its decisions. Form 990, Part VI, Section C, Line 19 THE CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. Form 990, Part XI, Line 5 The other changes in net assets of $23,545,150 as reflected on Line 5 in the reconciliation of the changes of Net Assets is the difference between book income and 990 income for unrealized gains on investments - $23,545,150. Schedule K, PART V - CONTINUATION Page 1, Column D-In December 2006, Montefiore entered into Schedules under a Master Lease and Sublease Agreement in the amount of $9,972,599 between Chase Equipment Leasing Inc. (Lessor) and the Dormitory Authority of the State of New York, to fund equipment purchases. This capital lease carries an annual interest rate of 3.4% with monthly level debt payments for 60 months. Under the term of the Agreement, the Lessor has a first lien on the equipment financed. Page 2, Column A-In December 2007, Montefiore entered into Schedules under a Master Lease and Sublease Agreement in the amount of $9,971,705 between Citicorp Leasing Inc. (Lessor) and the Dormitory Authority of the State of New York, to fund equipment purchases. This capital lease carries an annual interest rate of 2.973% with monthly level debt payments for 60 months. Under the term of the Agreement, the Lessor has a first lien on the equipment financed. Page 2, Column B-In December 2008, Montefiore entered into a Schedule under a Master Lease and Sublease Agreement in the amount of $9,955,257 between Chase Equipment Leasing Inc. (Lessor) and the Dormitory Authority of the State of New York, to fund equipment purchases. This capital lease carries an annual interest rate of 2.25% with monthly level debt payments for 60 months. Under the term of the Agreement, the Lessor has a first lien on the equipment financed. Page 2, Column C-In December 2010, Montefiore entered into a Schedule under a Master Lease and Sublease Agreement in the amount of $12,406,093 between Banc of America Public Capital Corp. (Lessor) and the Dormitory Authority of the State of New York, to fund equipment purchases. This capital lease carries an annual interest rate of 1.887% with monthly level debt payments for 60 months. Under the term of the Agreement, the Lessor has a first lien on the equipment financed. Page 2, Column D-In January 2010, Montefiore entered into a Schedule under a Master Lease and Sublease Agreement in the amount of $12,981,544 between Chase Equipment Leasing Inc. (Lessor) and the Dormitory Authority of the State of New York, to fund equipment purchases. This capital lease carries an annual interest rate of 3.227% with monthly level debt payments for 60 months. Under the term of the Agreement, the Lessor has a first lien on the equipment financed. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ODED ABOODI TITLE:vice chairman HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARGARET HAYES ADAME TITLE:TRUSTEE HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOSEPH W BARTLETT TITLE:TRUSTEE HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT A BERNHARD TITLE:Trustee HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LEWIS HENKIND TITLE:SECRETARY HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JAY B LANGNER TITLE:TRUSTEE/CHAIRMAN EMERITUS HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DAVID F STEIN TITLE:TRUSTEE HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:EDWIN H STERN, III TITLE:TRUSTEE HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DAVID A TANNER TITLE:CHAIRMAN HOURS:4 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KENNETH D WEISER TITLE:Treasurer HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:STEVEN SAFYER, MD TITLE:PRESIDENT & CEO HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Robert B Conaty TITLE:Executive VP-Operations HOURS:11 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOEL PERLMAN TITLE:EXECutive VP & CfO HOURS:4 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Christopher Panczner TITLE:Assistant Secretary HOURS:15 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Donald L Ashkenase TITLE:Special Advisor to the Pres. HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ELAINE M. BRENNAN, RN TITLE:FORMER SR VP OPERATIONS HOURS: Emerging Health Information Technology 3 odell avenue yonkers NY 10701 134179243 info tech NY 62491678 6640000 na Montefiore Proton Acquisition LLC 111 East 210th St Bronx NY 10467 273994795 Proton Ther NY 0 650000 NA MMC Corporation 111 East 210th street bronx NY 10467 133430322 real estate NY 501(C)(3) 11 Type 1 MMC Montefiore Residential Corp No 1 Inc 3411 Wayne Avenue bronx NY 10467 911943271 staff housing NY 501(c)(2) MMC Montefiore Hosp Housing Section II Inc 3450 wayne avenue bronx NY 10467 237160641 staff housing NY 501(c)(2) MMC Mosholu Preservation Corporation 3400 reservoir oval East bronx NY 10467 133109387 Community Ser NY 501(c)(3) 11 type 1 MMC Gunhill MRI PC 200 East Gunhill Road bronx NY 10467 133734486 diag services NY 501(c)(3) 11 type 1 MMC Montefiore Health System Inc 111 East 210th street bronx NY 10467 201615393 parent NY 501(c)(3) 11 type 3 NA Montefiore North Ambulatory Care Center 4134 Bronx Blvd bronx NY 10466 010796859 amb services NY 501(c)(3) 3 MHS Bronx News Network 3400 Reservoir Oval East Bronx NY 10467 270218689 Comm Serv. NY 501(c)(3) 11 Type 1 MPC CMO the Care Management Company LLC 111 East 210th street bronx NY 10467 133859895 mgmt services NY c corp 42368508 6639207 1.00000 University Behavioral Associates Inc 111 East 210th street bronx NY 10467 133877781 mgmt services NY c corp 10874730 4099174 1.00000 The Montefiore IPA Inc 111 East 210th street bronx NY 10467 134114915 integ prov assoc NY c corp 524102639 88390392 1.00000 MMC GI Holdings East Inc 111 East 210th street bronx NY 10467 721610013 holding company NY c corp 1595351 3159812 1.00000 MMC GI Holdings West Inc 111 East 210th street bronx NY 10467 721610015 holding company NY c corp 1066016 1629353 1.00000 Montefiore Behavioral Care IPA No 1 inc 111 East 210th street bronx NY 10467 133952750 integ prov assoc NY c corp 11007036 4273480 1.00000 true false false false false false false false false true true false false false false true false false The Montefiore IPA Inc k 275900000 CMO The Care Management Company LLC k 2175000 MONTEFIORE BEHAVIORAL CARE IPA NO 1 INC K 2697000 GUNHILL MRI PC K 5360648 MONTEFIORE RESIDENTIAL CORP NO 1 INC K 56292 MONTEFIORE HOSPITAL HOUSING SECTION II INC K 151620 MONTEFIORE NORTH AMBULATORY CARE CENTER INC K 1184059 MMC CORPORATION J 3166260 MONTEFIORE HOSPITAL HOUSING SECTION II INC J 104565 MONTEFIORE RESIDENTIAL CORP NO 1 INC J 802434 CMO THE CARE MANAGEMENT COMPANY INC A 40272 MOSHOLU PRESERVATION CORPORATION P 941409 CMO THE CARE MANAGEMENT COMPANY LLC P 40847271 GUNHILL MRI PC P 3079360 MONTEFIORE RESIDENTIAL CORP NO 1 INC P 215357 MONTEFIORE HOSPITAL HOUSING SECTION II INC P 755319 MONTEFIORE NORTH AMBULATORY CARE CENTER INC P 4080827 MMC GI HOLDINGS EAST INC P 936433 MMC GI HOLDINGS WEST INC P 635066 UNIVERSITY BEHAVIORAL ASSOCIATES Inc P 3217547