Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 01-01-2013 , 2013, and ending 12-31-2013
BCheck if applicable:
CName of organization
MONTEFIORE MEDICAL CENTER
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
111 East 210th St
Suite
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Bronx, NY10467
D Employer identification number

13-1740114
E Telephone number

G Gross receipts $ 3,070,692,885
F Name and address of principal officer:
STEVEN SAFYER MD
111 EAST 210TH STREET
BRONX,NY10467
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.montefiore.org
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1884
M State of legal domicile: NY
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: TO HEAL, TO TEACH, TO DISCOVER AND TO ADVANCE THE HEALTH OF THE COMMUNITIES WE SERVE.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 49
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 46
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 21,440
6 Total number of volunteers (estimate if necessary) ............. 6 750
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 35,077,001
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -1,743,179
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 71,677,328 85,512,601
9 Program service revenue (Part VIII, line 2g) ......... 2,719,390,351 2,944,941,231
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 24,656,953 26,986,981
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 17,872,526 8,660,162
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 2,833,597,158 3,066,100,975
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 5,030,688 3,610,120
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 1,821,358,595 1,939,938,566
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 34,000 110,500
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet2,985,830    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 896,408,502 996,612,558
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 2,722,831,785 2,940,271,744
19 Revenue less expenses. Subtract line 18 from line 12....... 110,765,373 125,829,231
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 2,709,151,358 3,035,262,235
21 Total liabilities (Part X, line 26)............. 2,003,672,576 2,145,576,274
22 Net assets or fund balances. Subtract line 21 from line 20..... 705,478,782 889,685,961
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: MISSION: TO HEAL, TO TEACH, TO DISCOVER AND TO ADVANCE THE HEALTH OF THE COMMUNITIES WE SERVE. VISION: TO BE A PREMIER ACADEMIC MEDICAL CENTER THAT TRANSFORMS HEALTH AND ENRICHES LIVES. VALUES: HUMANITY, INNOVATION, TEAMWORK, DIVERSITY AND EQUITY - OUR VALUES DEFINE OUR PHILOSOPHY OF CARE. THEY SHAPE OUR ACTIONS AND MOTIVATE AND INSPIRE US TO PURSUE EXCELLENCE AND ACHIEVE OUR GOALS. SINCE 1884, MONTEFIORE HAS CARED FOR THE CHRONICALLY ILL AND HAS MADE IT A PRIORITY TO IMPROVE THE QUALITY OF LIFE FOR UNDERSERVED POPULATIONS. THIS FOUNDING BELIEF IS THE CORNERSTONE OF OUR MISSION, VISION AND VALUES. MONTEFIORE'S MISSION IS ROOTED IN OUR ENDURING COMMITMENT TO PROVIDE ONE STANDARD OF EXCELLENT CARE TO ALL PATIENTS - REGARDLESS OF THEIR BACKGROUNDS OR ABILITY TO PAY. MONTEFIORE, THROUGH ITS ENSURING PARTNERSHIP WITH ALBERT EINSTEIN COLLEGE OF MEDICINE, COMBINES NATIONALLY-RENOWNED CLINICAL AND RESEARCH EXPERTISE WITH COMPASSIONATE, PATIENT-CENTERED CARE. BUILDING UPON OUR RICH HISTORY OF I
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 2,153,357,150 including grants of $ 1,543,055 ) (Revenue $ 2,737,225,675 )
Patient Care Established in 1884 as a hospital for patients with chronic illnesses, Montefiore is a full-service integrated healthcare delivery system serving a large and complex urban population, a distinguished academic medical center with renowned faculty, an innovative research center pioneering scientific breakthroughs 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 Montefiore 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. Montefiore combines its deep commitment to the community with nationally-renowned expertise to reach people at convenient locations. Through the Montefiore School Health Program (the largest and most comprehensive school-based health program in the country), Primary Care at Home programs, mobile medical and dental health vans and health education initiatives, Montefiore provides primary care services in non-traditional settings. To help patients, especially those with chronic diseases, achieve a better quality of life and reduced hospitalizations, Montefiore goes beyond the fragmented fee-for-service payment system, assuming total responsibility for the quality and costs of care for some of its sickest patients. Through the Montefiore IPA and the CMO, The Care Management Company, LLC (CMO), a global prepayment strategy is used to manage care for about one-third of the patients over the continuum, including hospital care, rehabilitation, outpatient care, professional services, remote patient monitoring and many other programs. Through the CMO proactive approach to care management, insights and strategies are developed that help improve integrated, accountable and affordable care throughout the health system. At the center of the Montefiore system are four hospitals with a total of 1,516 beds that provide over 89,000 inpatient admissions annually, including over 5,600 births: - The 660 bed Henry and Lucy Moses Division; - the 418 bed Jack D. Weiler Hospital of Albert Einstein College of Medicine; - the 132 bed Children's Hospital at Montefiore, recognized as one of "america's Best Children's Hospitals" in U.S. News & World Report's rankings; - the 306 bed Wakefield Division (formerly the North Division renamed to reflect its anchor role in the community). Montefiore also operates extensive ambulatory care services connected by a robust health information technology system (HIT) through a network of more than 100 locations - from community-based ambulatory care centers to school-based health centers to mobile clinics: - Montefiore Westchester Square (the former New York Westchester Square Hospital) was acquired on March 23, 2013 and operates as a free standing Emergency Department and Ambulatory Surgery Facility; - Montefiore's Emergency Departments, among the busiest in the nation, have more than 310,000 total visits a year; - The hospital based clinics provide over 246,000 visits a year; - The Physician practices provide more than 1.1 million office visits annually; - Montefiore Medical Group, a network with over 330 primary care physicians at 22 community based locations throughout the Bronx and Westchester, provide over 829,000 visits a year; - The Montefiore School Health Program, the largest in the nation, with 21 school-based health centers serves more than 15,000 children annually; - A system of mobile pediatric centers, operated in partnership with the Children's Health Fund, cares for homeless children and families at locations throughout the city; - Montefiore Home Care provides approximately 456,000 visits each year to homebound patients. At the intersection of Albert Einstein College of Medicine and Montefiore 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 its 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 costs. Montefiore is continuously ranked among the top hospitals nationally and regionally by "US News and World Report". For more than a 100 years, Montefiore has been a leader in innovations, new treatments, new procedures and new approaches to patient care that has produced stellar outcomes and helped to raise the bar for medical centers in the region and nationally. As Montefiore builds on this momentum and these accomplishments, we continue to strive to advance the practice of medicine and set the standards for excellence.
4b (Code:   ) (Expenses $ 369,492,427 including grants of $ 1,149,915 ) (Revenue $ 175,164,672 )
Medical Education & Research Medical Education Montefiore is the University Hospital for Albert Einstein College of Medicine, one of the nation's premier institutions for medical education, basic research and clinical investigations. This strong alignment enables Montefiore to advance clinical and translational research results more rapidly to the bedside and 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. Annually, over 1,400 residents and fellows are trained in more than 150 accredited residency and fellowship programs making Montefiore the second largest residency program in the country. 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 provides the doctors of tomorrow a unique opportunity for education and training in one of the most diverse urban areas in the country caring for a global population where the disease burden is high and the need for quality care is great. Montefiore is dedicated to cultivating the ethical and professional development of all of its trainees. Montefiore's physicians are at the forefront of their fields, actively mentoring and cultivating a new generation of physicians and scientists committed to our mission and values of advancing the front line of health and leading the way in twenty-first century medicine and patient care. Montefiore training experience - clinically advanced and grounded in our organizational values of humanity, innovation, teamwork and equity - extends to all disciplines. In 2013, over 1,700 undergraduate and graduate nursing staff trained at Montefiore as did hundreds of social workers, nutritionists and pharmacists. Montefiore training also extends beyond the graduate level. The Center for Continuing Medical Education (CCME) at Montefiore Medical Center and Albert Einstein College of Medicine, founded in 1976, is accredited by the Accreditation Council for Continuing Medical Education (ACCME). The Center has provided hundreds of CME activities and CME credits 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. Research 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) and other Federal funding 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 of today. 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. Montefiore is a recipient of a $22 million Clinical and Translational science award to establish the Einstein-Montefiore Institute for clinical and Translational Research where researchers are involved in more than 400 clinical trials and research studies, translating scientific breakthroughs into cutting edge diagnostics and treatments.
4c (Code:   ) (Expenses $ 96,584,035 including grants of $ 917,150 ) (Revenue $ 32,550,884 )
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. Montefiore's 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 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 and those affected by chronic health care diseases such as congestive heart failure, diabetes and asthma. Embracing its social responsibility to the community, Montefiore is nationally known as a pioneer in programs that are tailored to the specific needs of the community. Montefiore has been in the vanguard of intervention to combat such conditions as HIV disease, tuberculosis and lead poisoning prevention. Montefiore has sharpened the focus on such issues as childhood obesity, diabetes, improving community access to fresh, healthy foods at green markets and reducing healthcare disparities. Montefiore is aligning components of the delivery system to help improve public outcomes and building behavioral and population-based research to identify best practices. The community served by Montefiore, by several measures, faces many challenges. It is ranked the poorest urban county in the country, leads the nation in rates of diabetes and obesity and other chronic conditions and leads New York City in a host of significant markers: people in "fair or poor health", low birth weight, teen pregnancy, children in poverty, disabled individuals and families living below the poverty line. Montefiore is continuously working to help the community maintain a sense of security and economic stability, as well as to improve such quality-of-life fundamentals as education and affordable housing. Montefiore seeks to advance life in the Bronx beyond the traditional bounds of healthcare, by leading development efforts, promoting safe and productive neighborhoods and taking a leadership role in community business development. Montefiore is an advocate and partner with our neighbors in the Bronx, helping to sustain the community that sustains us.
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet2,619,433,612
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part IIIClick to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
Yes
 
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IVClick to see attachment
15
Yes
 
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV... Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions).... Click to see attachment
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III................... Click to see attachment
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments
20b
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II.................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV .......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV..................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M............. Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
Yes
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
590
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
21,440
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
49
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
46
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
Yes
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
NY
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletDAVID INGBER6 EXECUTIVE PLAZA SUITE 112AyonkersNY10701 (914) 378-6480
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) ODED ABOODI........................................................................
vice chairman
 2.0
........................5 		X           0 0 0
(2) JAY B ABRAMSON........................................................................
TRUSTEE
 2.0
.......................0.0 		X           0 0 0
(3) MARGARET HAYES ADAME........................................................................
TRUSTEE
 1.0
........................5 		X           0 0 0
(4) GEORGE ASCH........................................................................
TRUSTEE
 2.0
.......................0.0 		X           0 0 0
(5) JOSEPH W BARTLETT........................................................................
TRUSTEE
 1.0
........................5 		X           0 0 0
(6) PATRICIA BAUMAN........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(7) ROBERT A BERNHARD........................................................................
Trustee
 1.0
........................5 		X           0 0 0
(8) JAMES M BUTLER........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(9) LAWRENCE B BUTTENWEISER........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(10) GEORGE CAMPBELL JRPHD........................................................................
TRUSTEE
 2.0
.......................0.0 		X           0 0 0
(11) BRUCE DONIGER........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(12) KAREN L FINERMAN........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(13) RUTH L GOTTESMAN EdD........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(14) DAVID C GOTTLIEB........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(15) BARRY W GRAY........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(16) PATRICIA GREEN........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(17) JOHN H GUTFREUND........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
Form 990 (2013)
Form 990 (2013)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) THOMAS L HARRISON........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(19) JOHN HEFFER........................................................................
TRUSTEE
 2.0
.......................0.0 		X           0 0 0
(20) LEWIS HENKIND........................................................................
SECRETARY
 2.0
.......................1.5 		X           0 0 0
(21) HELEN A JOHNSON........................................................................
TRUSTEE
 2.0
.......................0.0 		X           0 0 0
(22) DAVID B KEIDAN........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(23) BRUCE J KLATSKY........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(24) ALAN M KLEIN........................................................................
TRUSTEE
 3.0
.......................0.0 		X           0 0 0
(25) STACEY R LANE........................................................................
TRUSTEE
 2.0
.......................0.0 		X           0 0 0
(26) JAY B LANGNER........................................................................
TRUSTEE/CHAIRMAN EMERITUS
 1.0
.......................0.0 		X           0 0 0
(27) CHRISTOPHER D MCFADDEN........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(28) ALAN G MNUCHIN........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(29) MARGARET S NATHAN........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(30) PETER J NEUFELD........................................................................
TRUSTEE
 2.0
.......................0.0 		X           0 0 0
(31) NED S OFFIT........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(32) GAYLE F ROBINSON........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(33) JON W ROTENSTREICH........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(34) RUTH SAPORTA........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(35) HON FELICE K SHEA........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(36) EDWIN H STERN III........................................................................
TRUSTEE
 1.0
........................5 		X           0 0 0
(37) DAVID A TANNER........................................................................
CHAIRMAN
 5.0
.......................2.5 		X           0 0 0
(38) CYNTHIA KING VANCE........................................................................
TRUSTEE
 2.0
.......................0.0 		X           0 0 0
(39) KENNETH D WEISER........................................................................
Treasurer
 1.0
.......................0.0 		X           0 0 0
(40) JIDE J ZEITLIN........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(41) STEVEN SAFYER MD........................................................................
PRESIDENT & CEO
 56.0
.......................4.0 		X   X       4,083,858 0 51,079
(42) JENNIE EMIL........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(43) JONATHAN A LIPTON........................................................................
Trustee
 1.0
.......................0.0 		X           0 0 0
(44) ROBERT REFFKIN........................................................................
TRUSTEE (resigned 6/25/13)
 1.0
.......................0.0 		X           0 0 0
(45) ZITA G ROSENTHAL........................................................................
Trustee
 1.0
.......................0.0 		X           0 0 0
(46) Gregg S Hymowitz........................................................................
Trustee
 1.0
.......................0.0 		X           0 0 0
(47) John Ceriale........................................................................
Trustee (resigned 9/17/13)
 1.0
.......................0.0 		X           0 0 0
(48) Nathan Gantcher........................................................................
Trustee
 1.0
.......................0.0 		X           0 0 0
(49) Catherine Klema........................................................................
Trustee
 1.0
.......................0.0 		X           0 0 0
(50) Melissa Ceriale........................................................................
Trustee (elected 9/17/13)
 1.0
.......................0.0 		X           0 0 0
(51) Mark Mlotek........................................................................
Trustee (elected 9/17/13)
 1.0
.......................0.0 		X           0 0 0
(52) JOEL PERLMAN........................................................................
EXECutive VP & CfO
 55.4
.......................4.6 		    X       1,940,008 0 50,861
(53) Christopher Panczner........................................................................
Senior VP & General Counsel
 51.2
.......................8.8 		    X       868,085 0 274,473
(54) PHILIP O OZUAH MD PHD........................................................................
Executive VP & COO
 53.8
.......................6.2 		    X       1,645,012 0 819,429
(55) SUSAN GREEN-LORENZEN RN........................................................................
Senior VP-OPERations
 60.0
.......................0.0 		      X     882,138 0 351,106
(56) ROBERT MICHLER MD........................................................................
CHAIR-Surg/Cardiothoracic Surg
 60.0
.......................0.0 		        X   2,893,858 0 51,079
(57) RICHARD KRAUT DDS........................................................................
CHAIRMAN-DENTISTRY
 60.0
.......................0.0 		        X   1,857,887 0 48,362
(58) RICHARD CELIBERTI........................................................................
Senior VP
 59.8
........................2 		        X   1,391,605 0 51,019
(59) Sun Kim MD........................................................................
Chief Joint Replace Surgeon
 60.0
.......................0.0 		        X   1,221,132 0 50,362
(60) Neil Cobelli MD........................................................................
Chairman-Orthopaedic Surgery
 60.0
.......................0.0 		        X   1,213,785 0 50,861
(61) Robert B Conaty........................................................................
Spec Advisor-Business & Oper
 19.0
.......................0.0 		          X 244,701 0 50,361
(62) Donald L Ashkenase........................................................................
Dir of Spec Projects-Finance
 60.0
.......................0.0 		          X 203,885 0 50,920
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 18,445,954 0 1,899,912
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet4,018
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
FASTAFF INC, DEPARTMENT 1452DENVERCO80291 TEMPORARY NURSES 29,942,927
GOTHAM PER DIEM INC, 75 MAIDEN LANE 7TH FLOORNEW YORKNY10038 Home Health Aids 7,704,625
Bells Nursing Registry Emp Agency, 90-50 Parsons Blvd Suite 210JAMAICANY11432 Temporary personnel 5,064,637
Health Acquisition Corp, PO Box 417780BOSTONMA02241 Home Health Aids 4,080,639
Transcare New York Inc, 1 Metrotech Center 20th floorBROOKLYNNY11201 Ambulance Service 3,491,161
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet321
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 192,500
b Membership dues....1b  
c Fundraising events....1c 2,503,097
d Related organizations...1d  
e Government grants (contributions)1e 38,946,229
f All other contributions, gifts, grants, and
similar amounts not included above1f 		43,870,775
g Noncash contributions included in lines
1a-1f:$ 		3,474,721
h Total. Add lines 1a-1f.......MediumBullet 85,512,601
Program Service RevenueAmt Business Code
2a INPATIENT SERVICES 623000 1,715,422,977 1,715,422,977 0 0
b OUTPATIENT SVCS EXCLUDING HOME HEALTH 621400 1,043,068,232 1,040,500,055 2,568,177 0
c CONTRACT MANAGEMENT ORGANIZATION SERV. 900099 59,979,589 36,330,055 23,649,534 0
d HOME HEALTH CARE SERVICES 621610 54,364,217 54,364,217 0 0
e PATIENT CENTERED MEDICAL HOMES SERVICES 621990 10,995,976 10,995,976 0 0
f All other program service revenue . 61,110,240 53,083,611 8,026,629 0
g Total. Add lines 2a–2f........MediumBullet 2,944,941,231
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 19,170,222   -126,376 19,296,598
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 3,199,325  
b Less: rental expenses 3,249,237  
c Rental income or (loss) -49,912 0
d Net rental income or (loss).......MediumBullet -49,912     -49,912
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 7,816,759  
b Less: cost or other basis and sales expenses    
c Gain or (loss) 7,816,759  
d Net gain or (loss)..........MediumBullet 7,816,759   959,037 6,857,722
8a Gross income from fundraising events (not including
$ 2,503,097
of contributions reported on line 1c). See Part IV, line 18 ..
a 670,885
b Less: direct expenses ...b 1,341,723
c Net income or (loss) from fundraising events..MediumBullet -670,838   -670,838
9a Gross income from gaming activities.
See Part IV, line 19 ...
a 14,798
b Less: direct expenses ...b 950
c Net income or (loss) from gaming activities...MediumBullet 13,848     13,848
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a CAFETERIA & VENDING INCOME 722514 4,643,464     4,643,464
b PARKING INCOME 812930 3,858,825     3,858,825
c SUBPOENA INCOME 900099 702,539     702,539
d All other revenue .... 162,236     162,236
e Total. Add lines 11a–11d ...... MediumBullet 9,367,064
12 Total revenue. See Instructions......MediumBullet 3,066,100,975 2,910,696,891 35,077,001 34,814,482
Form 990 (2013)
Form 990 (2013)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 3,295,993 3,295,993
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 0  
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 314,127 314,127
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 11,207,274 8,036,589 3,170,685 0
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 1,491,195,862 1,322,908,302 166,592,179 1,695,381
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 90,149,638 80,784,554 9,246,774 118,310
9 Other employee benefits ....... 248,727,842 216,125,044 32,276,374 326,424
10 Payroll taxes ........... 98,657,950 87,755,507 10,772,967 129,476
11 Fees for services (non-employees):        
a Management ...... 5,477,838 5,477,838 0 0
b Legal ......... 8,134,920 3,676,352 4,458,568 0
c Accounting ........... 1,161,368 0 1,161,368 0
d Lobbying ........... 611,824 611,824 0 0
e Professional fundraising services. See Part IV, line 17 110,500 110,500
f Investment management fees ...... 1,307,304 0 1,307,304 0
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 101,513,733 85,182,211 16,231,114 100,408
12 Advertising and promotion .... 5,222,067 280,220 4,941,847 0
13 Office expenses ....... 113,706,805 94,805,260 18,578,370 323,175
14 Information technology ...... 40,863,165 27,089,686 13,687,933 85,546
15 Royalties .. 0 0 0 0
16 Occupancy ........... 111,529,743 96,269,519 15,259,200 1,024
17 Travel ............ 8,720,572 7,352,910 1,332,945 34,717
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0 0 0 0
19 Conferences, conventions, and meetings .... 5,087,193 4,407,601 670,208 9,384
20 Interest ........... 985,022 961,088 23,934 0
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 115,976,567 109,104,840 6,868,812 2,915
23 Insurance .............. 76,616,635 73,138,606 3,478,029 0
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES EXPENSE 349,609,483 349,607,348 2,135 0
b CONTINUING MEDICAL EDUCATION 7,202,665 7,202,665 0 0
c MEMBERSHIP DUES 7,167,296 5,773,761 1,391,024 2,511
d BILLING & COLLECTIONS 5,574,301 0 5,574,301 0
e All other expenses 30,144,057 29,271,767 826,231 46,059
25 Total functional expenses. Add lines 1 through 24e 2,940,271,744 2,619,433,612 317,852,302 2,985,830
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 81,636 1 88,670
2 Savings and temporary cash investments ......... 133,200,687 2 160,222,342
3 Pledges and grants receivable, net ........... 11,727,820 3 14,633,990
4 Accounts receivable, net ............. 185,904,671 4 171,442,517
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
0 6 0
7 Notes and loans receivable, net ............. 470,472 7 86,490,603
8 Inventories for sale or use .............. 22,088,358 8 22,652,394
9 Prepaid expenses and deferred charges .......... 19,969,278 9 19,997,854
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 2,582,458,603
b Less: accumulated depreciation ..... 10b 1,730,655,620 722,293,025 10c 851,802,983
11 Investments—publicly traded securities .......... 929,885,171 11 974,912,671
12 Investments—other securities. See Part IV, line 11 ..... 157,436,341 12 201,242,646
13 Investments—program-related. See Part IV, line 11 ..... 1,420,072 13 1,767,489
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 524,673,827 15 530,008,076
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 2,709,151,358 16 3,035,262,235
Liabilities 17 Accounts payable and accrued expenses ......... 421,064,688 17 434,505,698
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 49,320,037 19 54,003,094
20 Tax-exempt bond liabilities ............. 510,377,522 20 525,607,985
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 8,459,595 23 16,219,883
24 Unsecured notes and loans payable to unrelated third parties .... 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 1,014,450,734 25 1,115,239,614
26 Total liabilities. Add lines 17 through 25......... 2,003,672,576 26 2,145,576,274
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 605,829,179 27 789,438,199
28 Temporarily restricted net assets ........... 74,299,570 28 74,897,729
29 Permanently restricted net assets ........... 25,350,033 29 25,350,033
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 705,478,782 33 889,685,961
34 Total liabilities and net assets/fund balances ........ 2,709,151,358 34 3,035,262,235
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
3,066,100,975
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
2,940,271,744
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
125,829,231
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
705,478,782
5
Net unrealized gains (losses) on investments ...............
5
69,437,948
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-11,060,000
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
889,685,961
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
MONTEFIORE MEDICAL CENTER
 
Employer identification number

13-1740114
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here.................................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Name of the organization
MONTEFIORE MEDICAL CENTER
 
Employer identification number

13-1740114
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 2
Name of organization
MONTEFIORE MEDICAL CENTER
  		Employer identification number

13-1740114
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

   
RESTRICTED
RESTRICTED
RESTRICTED, RESTRICTEDRESTRICTED

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 3
Name of organization
MONTEFIORE MEDICAL CENTER
  		Employer identification number

13-1740114
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 4
Name of organization
MONTEFIORE MEDICAL CENTER
  		Employer identification number

13-1740114
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.SchCMd Bullet Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
MONTEFIORE MEDICAL CENTER
 
Employer identification number

13-1740114
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2013

Schedule C (Form 990 or 990-EZ) 2013
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2013


Schedule C (Form 990 or 990-EZ) 2013
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
611,824
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
 
No
 
j
Total. Add lines 1c through 1i ...............................
611,824
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Part II-B, line G THE MEDICAL CENTER'S LOBBYING EXPENDITURES INCLUDED THE FOLLOWING: 1. A PERCENTAGE OF MEMBERSHIP DUES PAID TO THE FOLLOWING ORGANIZATIONS THAT ARE USED BY SUCH ORGANIZATIONS FOR LOBBYING EFFORTS: - GREATER NEW YORK HOSPITAL ASSOCIATION - AMERICAN HOSPITAL ASSOCIATION - HEALTH CARE ASSOCIATION OF NYS - 1199/SEIU - GNYHA HEALTH EDUCATION PROJECT. 2. AMOUNTS PAID TO tHE CARMEN GROUP and NATHANSON & HAUCK FOR FEDERAL LOBBYING AND MANATT, PHELPS & pHILLIPS, LLP FOR NYS LOBBYING RELATED TO REGULATIONS AND LEGISLATION IMPACTING MMC'S PROGRAMS.
Schedule C (Form 990 or 990EZ) 2013

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MONTEFIORE MEDICAL CENTER
 
Employer identification number

13-1740114
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 25,350,033 25,350,033 25,350,033 25,350,033 25,350,033
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		         
f Administrative expenses ....          
g End of year balance ...... 25,350,033 25,350,033 25,350,033 25,350,033 25,350,033
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet100.000 %
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   17,587,830 17,587,830
b Buildings ................   1,336,742,832 852,415,576 484,327,256
c Leasehold improvements ............        
d Equipment ................   1,062,011,713 878,240,044 183,771,669
e Other .................   166,116,228   166,116,228
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 851,802,983
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A) MALPRACTICE INSURANCE COS. 		97,215,806 F

(B) LIMITED PARTNERSHIPS 		30,100,000 F

(C) EMPLOYEE DEFERRED COMP ASSETS 		22,086,582 F

(D) MANAGED CARE COMPANIES 		51,768,706 C

(E) OTHER INVESTMENTS 		71,552 C




Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 201,242,646
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) AMTS DUE FROM RELATED COS. 57,397,076
(2) ESTIMATED INSURANCE CLAIMS REC 472,181,000
(3) GOODWILL 430,000






Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 530,008,076
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
RETIREE HEALTH LIABILITIES 108,704,000
MALPRACTICE INSURANCE LIABILITIES 125,368,590
EMPLOYEE DEFERRED COMP LIABILITIES 22,086,582
PENSION LIABILITIES 6,307,676
ESTIMATED INSURANCE CLAIMS LIABILITIES 472,181,000
OTHER LONG-TERM LIABILITIES 322,984,921
CONSTRUCTION LIABILITIES 57,606,845


Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 1,115,239,614
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Part V, line 4 The organization's endowments were established pursuant to donor gifts received over time so the earnings can provide support to the Medical Center's activities, specifically its clinical programs and related research as designated by the individual donors.
Schedule D (Form 990) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.Right pointing arrow large image Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MONTEFIORE MEDICAL CENTER
 
Employer identification number

13-1740114
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.
1
For grantmakers.Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? ...............................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total expenditures
for and investments
in region
Sub-Saharan Africa     Grantmaking Aids Program 304,526
Sub-Saharan Africa     Grantmaking Birthing Center 9,901
Central America and the Caribbean     Investments   22,228,543
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .....     22,542,970
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)     22,542,970
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
Sub-Saharan Africa Aids Project 45,725 wire      
Sub-Saharan Africa AIDS PROJECT 7,282 wire      
Sub-Saharan Africa Aids Project 72,624 wire      
Sub-Saharan Africa Aids Project 8,965 wire      
Sub-Saharan Africa Birthing Ctr Program 7,263 wire      
Sub-Saharan Africa HIV Testing & Counseling Program 169,930 wire      
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ....MediumBullet
6
3
Enter total number of other organizations or entities .......................MediumBullet
0
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
ReturnReference Explanation
Part I, Line 2 The organization's procedures for monitoring the use of grant funds outside the United STates includes regular financial reporting and analysis and field investigations by medical center employees associated with the grant programs to confirm funds are being used in accordance with the awards.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2013
Additional Data


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SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
right arrowInformation about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MONTEFIORE MEDICAL CENTER
 
Employer identification number

13-1740114
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
Polaris Philanthropy Group Strategic campaign   No 0 110,500 0
             
             
             
             
             
             
             
             
             
Total .................right arrow 0 110,500 0
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
NY
For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
(a) Event #1

Dinner Dance
(event type) 		(b) Event #2

Golf Outing
(event type) 		(c) Other events

6
(total number) 		(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 2,093,884 744,963 335,135 3,173,982
2 Less: Contributions . . 1,711,984 581,113 210,000 2,503,097
3 Gross income (line 1
minus line 2) . . . 		381,900 163,850 125,135 670,885
VerticalDirectExpenses 4 Cash prizes . . .        
5 Noncash prizes . .        
6 Rent/facility costs . . 707,704 193,198 49,193 950,095
7 Food and beverages .        
8 Entertainment . . . 9,312   647 9,959
9 Other direct expenses . 145,374 83,566 152,729 381,669
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 1,341,723
11 Net income summary. Subtract line 10 from line 3, column (d)........... right arrow -670,838
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
%
%
%
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 3
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ..........................
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
%
b
An outside facility ........................
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).
Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2013
Additional Data


Software ID:  
Software Version:  
SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MONTEFIORE MEDICAL CENTER
 
Employer identification number

13-1740114
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) .. 		    53,099,633 22,281,062 30,818,571 1.080 %
b Medicaid (from Worksheet 3,
column a) .... 		    932,715,261 838,438,111 94,277,150 3.290 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		           
d Total Financial Assistance
and Means-Tested
Government Programs . 		    985,814,894 860,719,173 125,095,721 4.370 %
Other Benefits
     40,192,981 16,143,608 24,049,373 0.840 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		    338,053,071 172,737,382 165,315,689 5.770 %
g Subsidized health services
(from Worksheet 6) .. 		    103,884,568 66,524,558 37,360,010 1.300 %
h Research (from Worksheet 7)     31,439,356 16,842,187 14,597,169 0.510 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		    22,872,608   22,872,608 0.800 %
j Total. Other Benefits ..     536,442,584 272,247,735 264,194,849 9.220 %
k Total. Add lines 7d and 7j .     1,522,257,478 1,132,966,908 389,290,570 13.590 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing     442,994   442,994 0.020 %
2 Economic development            
3 Community support     1,747   1,747  
4 Environmental improvements     344,871 254,676 90,195  
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development     103,497   103,497  
9 Other            
10 Total     893,109 254,676 638,433 0.020 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
20,760,802
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
15,814,796
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
378,127,148
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
272,585,961
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
105,541,187
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, primary website address, and state license number 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 MONTEFIORE MEDICAL CENTER
111 EAST 210TH STREET
BRONX,NY10467
www.Montefiore.org
7000006H 		X X X X   X X      
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
MONTEFIORE MEDICAL CENTER
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7 Yes  
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 100%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 500.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference Explanation
1. PART V, SECTION B., LINE 3 Montefiore assesses community needs by: - Reviewing publicly-available data sources and need assessment reports (such as the NYCDOHMH community health assessment and the GNYHA health care statistics); conducting focused assessments of statistical measures related to the health status of the communities served and the high-risk populations in those communities; through discussions with, and presentations to the Montefiore Community Advisory Boards; and surveys of members of the community. - Partnering with other organizations and public agencies like the NYC department of health and mental hygiene and The Bronx Health Link, to evaluate needs and structure responses, as part of an organized "Community Health Assessment" process; and - working with specific constituencies-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. Four health priorities were identified through a series of conversations held between Montefiore and the New York City Department of Health - Healthy eating, active living, tobacco free living and children and Youth agendas. Through collaborations with community stakeholder partner groups, a consensus was reached that addressing issues related to improved nutrition, increased physical activity and tobacco-use cessation would have the greatest positive impact on the community Health status. The Medical Center then chose two New York State priority areas to concentrate - to prevent chronic disease and to promote women, infants and children health. For each of these priorities, different community groups were engaged to collectively and collaboratively work through these issues.
1. PART V, SCTION B., LINE 4 The needs assessment was conducted with the four hospital divisions that comprise Montefiore Medical Center: - Moses division, weiler division, wakefield division and the Children's hospital division 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.
1. PART V, SECTION B., LINE 20D Consistent with the provisions of the June 22, 2012 IRS proposed rule regarding the establishment and implementation of financial aid policies (FAPs) under Section 501(r) of the Internal Revenue Code, the Medical Center uses the look-back method to calculate a separate amounts generally billed (AGB) percentage for each category of care provided to FAP-eligible individuals. The Medical Center limits the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care at the following levels: - For patients below 100% of the Federal poverty Level (FPL)- Capped at the lower of the AGB or nominal payment amount set forth in the New York State Hospital Financial Assistance Law (HFAL) pursuant to Subdivision 9-a of Section 2807-k of the New York Public Health Law. - For Patients between 100% and 300% of FPL - Capped at the lower of the AGB or sliding fee scale amounts ranging from 20% to 100% of the average Medicaid rate consistent with the provisions of the New York State HFAL. - For Patients between 300% and 500% of FPL - Capped at the AGB.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?138
Name and address Type of Facility (describe)
1 Greene Medical Arts Pavillion
3400 Bainbridge Avenue
Bronx,NY10467 		Hospital Outpatient Dept
2 Long Term Home Health Care Program
1 Fordham Plaza
Bronx,NY10458 		Long Term Home Health Care Agency
3 MMG - MAP GREENE MEDICAL ARTS PAVILION
3400 Bainbridge Avenue
Bronx,NY10467 		Primary Care Practice
4 Certified Home Health Agency
1 Fordham Plaza
Bronx,NY10458 		Certified Home Health Care Agency
5 MMC-MONTEFIORE EINS CTR FR CANCER CARE
1695 Eastchester Road
Bronx,NY10461 		Specialty Care Ext Clinic
6 MMG-Comprehensive Family Care Ctr
1621 Eastchester Rd
Bronx,NY10461 		Primary Care Extension Clinic
7 MMG-Comprehensive Health Care Ctr
305 East 161st Street
Bronx,NY10451 		Primary Care Extension Clinic
8 CENTER FOR ORTHOPAEDIC SPECIALITIES
1250 Waters Place
Bronx,NY10461 		SPECIALTY CARE PRACTICE
9 MONTEFIORE ADVANCED IMAGING MAP
3400 BAINBRIDGE AVENUE
Bronx,NY10467 		SPECIALTY CARE EXT CLINIC
10 MMG-BRONX EAST
2300 WESTCHESTER AVENUE
Bronx,NY10462 		Primary Care PRACTICE
11 MMG-FAMILY HEALTH CENTER
360 EAST 193RD STREET
Bronx,NY10458 		Primary Care EXTENSION CLINIC
12 MMG-GRAND CONCOURSE
2532 GRAND CONCOURSE
Bronx,NY10458 		PRIMARY CARE PRACTICE
13 MMC-CENTER FOR RADIATION THERAPY
1625 Poplar Street
Bronx,NY10461 		Specialty Care Ext Clinic
14 MONTEFIORE ADVANCED IMAGING MMP
1635 POPLAR STREET
Bronx,NY10461 		SPECIALTY CARE EXT CLINIC
15 MMG-UNIVERSITY AVENUE FAMILY PRACTICE
105 WEST 188TH STREET
Bronx,NY10468 		Primary Care Extension Clinic
16 MMG-fAMILY CARE CENTER
3444 KOSSUTH AVE
BRONX,NY10467 		PRIMARY CARE EXTENSION CLINIC
17 MMG-CROSS COUNTY
1010 CENTRAL PARK AVE
yONKERS,NY10704 		PRIMARY CARE PRACTICE
18 cARDIOLOGY fACULTY PRACTICE
3201 GRAND CONCOURSE
bRONX,NY10468 		Specialty Care Practice
19 Scarsdale Women's Center
1075 Central Park Avenue
Scarsdale,NY10583 		sPECIALTY CARE PRACTICE
20 MMP-OUTPATIENT REHABILITATION SERVICES
1500 Blondell Avenue
Bronx,NY10461 		Specialty Care eXT CLINIC
21 MONTEFIORE DPT OF CARDIOTHORACIC SURGERY
1575 BLONDELL AVENUE
BRONX,NY10461 		Specialty Care Practice
22 MONTEFIORE DEPT OF MEDICINE
1575 BLONDELL AVENUE
Bronx,NY10461 		SPECIALTY CARE PRACTICE
23 SUBSTANCE ABUSE TREATMENT PROG UNIT 3
2005 JEROME AVENUE
Bronx,NY10453 		sUBSTANCE ABUSE EXT CLINIC
24 MMG-WEST FARMS FAMILY PRACTICE
1055 EAST TREMONT AVENUE
Bronx,NY10460 		Primary Care Extension Clinic
25 MMG-WILLIAMBRIDGE
3448 BOSTON ROAD
Bronx,NY10469 		Primary Care Extension Clinic
26 MMG-Co-op City
2100 bARTOW aVENUE
Bronx,NY10475 		PRIMARY CARE EXTENSION CLINIC
27 MMG-CO-OP CITY
115 DREISER LOOP
Bronx,NY10475 		Primary Care PRACTICE
28 SO BRONX HEALTH CTR FOR CHILD & FAMILIES
871 PROSPECT AVENUE
Bronx,NY10459 		PRIMARY CARE EXTENSION CLINIC
29 MONTEFIORE WAKEFIELD MENTAL HLTH CLINIC
4401 BRONX BOULEVARD
BRONX,NY10470 		MENTAL HEALTH EXT CLINIC
30 INST FOR REPRODUCTIVE MEDICINE & HEALTH
141 s CENTRAL AVE
HARTSDALE,NY10530 		SPECIALTY CARE PRACTICE
31 MMG-ASTOR AVE PEDIATRICS
1500 ASTOR AVENUE
BRONX,NY10469 		PRIMARY CARE PRACTICE
32 MMG Marble Hill Family Practice
5525 Broadway
Bronx,NY10463 		Primary Care Extension Clinic
33 Tarrytown CARDIOLOGY ASSOCIATES
150 WHITE PLAINS ROAD
Tarrytown,NY10591 		Specialty Care Practice
34 MMG-Eastchester
440 White Plains Road
Eastchester,NY10709 		Primary Care Practice
35 MMG-Castle Hill Family Practice
2175 Westchester Avenue
Bronx,NY10462 		Primary Care Extension Clinic
36 MMG Fordham Family Practice
One Fordham Plaza
Bronx,NY10458 		Primary Care Extension Clinic
37 MMG-White Plains Rd
2100 White Plains Road
Bronx,NY10462 		Primary Care Practice
38 SUBSTANCE ABUSE TREATMENT CENTER UNIT 1
3550 Jerome Avenue
Bronx,NY10467 		Substance Abuse Ext Clinic
39 Montefiore Med Park ORTHODONTIC CENTER
1625 Poplar Street
Bronx,NY10461 		Specialty Care Ext Clinic
40 Larchmont Women's Center
2345 Boston Post Road
Larchmont,NY10538 		Specialty Care Practice
41 MMG-Burke Ave
941 Burke Avenue
Bronx,NY10469 		Primary Care Practice
42 MMG-Riverdale
3510 Johnson Avenue
Bronx,NY10463 		Primary Care Practice
43 MONTEFIORE EAST TREMONT FAMILY PRACTICE
3101 E Tremont Avenue
Bronx,NY10461 		Primary Care Practice
44 MONTEFIORE Eastern Vascular Associates
3219 East Tremont Avenue
Bronx,NY10461 		Specialty Care Practice
45 JE& ZB BUTLER Child Advocacy Center
3314 Steuben Avenue
Bronx,NY10467 		Specialty Care Ext Clinic
46 NY Children's Health Project
853 Longwood Avenue
Bronx,NY10459 		Homeless Shelter Ext Clinic
47 Montefiore Wakefield Medical Villages
4234 Bronx Boulevard
Bronx,NY10466 		Specialty Care Practice
48 MSHP-De Witt Clinton High School
100 W Mosholu Parkway So
Bronx,NY10468 		School Health Clinic
49 MSHP-Herbert H Lehman Campus
3000 East Tremont Avenue
Bronx,NY10461 		School Health Clinic
50 MONTEFIORE Medical Specialists
495 Central Park Avenue
Yonkers,NY10704 		Specialty Care Practice
51 MSHP-PS 8
3010 Briggs Avenue
Bronx,NY10458 		School Health Clinic
52 Inst fr Women's Hlth Genetics & Hum Rep
1695 Eastchester Road
Bronx,NY10461 		Specialty Care Practice
53 MSHP-Evander Childs Campus
800 East Gun Hill Road
Bronx,NY10467 		School Health Clinic
54 MSHP-John Philip Sousa MS 142
3750 Baychester Avenue
Bronx,NY10466 		School Health Clinic
55 MONTEFIORE DIVISION OF GASTROENTEROLOGY
1500 Waters Place
Bronx,NY10461 		Specialty Care Practice
56 MSHP-PS 105
725 Brady Avenue
Bronx,NY10462 		School Health Clinics
57 MSHP-Walton Campus
2780 Reservoir Avenue
Bronx,NY10468 		School Health Clinic
58 MSHP-THEODORE ROOSEVELT CAMPUS
500 EAST FORDHAM ROAD
BRONX,NY10458 		SCHOOL HEALTH CLINIC
59 MSHP-PS 28
1861 ANTHONY AVENUE
Bronx,NY10457 		School Health Clinic
60 MSHP-MS 45
2502 LORRILARD AVENUE
Bronx,NY10458 		School Health Clinic
61 MSHP-PS 55
450 ST PAULS PLACE
Bronx,NY10456 		School Health Clinic
62 MSHP-PS 85
2400 MARION AVENUE
Bronx,NY10458 		School Health Clinic
63 SAFE HOUSE FOR LEAD POISONING PREV PROG
91 EAST MOSHOLU PARKWAY
Bronx,NY10467 		SPECIALTY CARE EXT CLINIC
64 MSHP-SOUTH BRONX CAMPUS
701 ST ANNS AVENUE 3RD FLOOR
Bronx,NY10455 		SCHOOL HEALTH CLINIC
65 MSHP-IS 217 ENTRADA
977 FOX STREET
BRONX,NY10459 		SCHOOL HEALTH CLINIC
66 MONTEFIORE WAKEFIELD CHEM DEP OP PROG
4401 BRONX BOULEVARD
Bronx,NY10470 		CHEMICAL DEPENDENCY EXT CLINIC
67 MSHP-PSMS 95
3961 HILLMAN AVENUE
Bronx,NY10463 		School Health ClinIc
68 MSHP-BRONX REGIONAL HIGH SCHOOL
1010 REV JA POLITE AVENUE
Bronx,NY10459 		sCHOOL hEALTH cLINIC
69 CENTER FOR CHILD HEALTH AND RESILIENCY
890 PROSPECT AVENUE
Bronx,NY10459 		PRIMARY CARE EXTENSION CLINIC
70 MONTEFIORE DENTAL CENTER
951 PROSPECT AVENUE
Bronx,NY10459 		SPECIALTY CARE PRACTICE
71 MSHP-MOTT HAVEN HS campus
730 CONCOURSE VILLAGE east
Bronx,NY10451 		SCHOOL HEALTH CLINIC
72 MONTEFIORE STD INITIATIVE
3230 Bainbridge Avenue
Bronx,NY10467 		Specialty Care Ext Clinic
73 MSHP-William Howard Taft Campus
240 East 172nd Street
Bronx,NY10457 		School Health Clinic
74 MSHP-PS 64
1425 Walton Avenue
Bronx,NY10452 		School Health Clinic
75 MONTEFIORE Gottscho Child Dialysis CTR
Frost Valley YMCA Camp
Claryville,NY12725 		Chronic Dialysis Ext Clinic
76 Saratoga Interfaith Family Shelter
175-15 Rockaway Boulevard
Queens,NY11434 		Homeless Shelter Ext Clinic
77 Help Bronx Crotona
785 Crotona Park North
Bronx,NY10460 		Homeless Shelter Pt Clinic
78 New Day Domestic Violence Shelter
PO Box 6310
Bronx,NY10451 		Homeless Shelter Pt Clinic
79 American Red Cross Family ShelterICAHN
4 East 28th Street
New York,NY10016 		Homeless Shelter Ext Clinic
80 University Avenue Family Residence
1041 University Avenue
Bronx,NY10452 		Homeless Shelter Ext Clinic
81 Women in Need-Suzanne's Place
25 Junius Street
Brooklyn,NY11212 		Homeless Shelter Ext Clinic
82 Saint John's Family Shelter
1630 Saint Johns Place
Brooklyn,NY11233 		Homeless Shelter Ext Clinic
83 Lydia E Hoffman Family Residence
855 East 175th Street
Bronx,NY10460 		Homeless Shelter Ext Clinic
84 Streetwork's Project Drop-In Center
209 W 125th Street
New York,NY10016 		Homeless Shelter Ext Clinic
85 Streetwork's Residential-Mobile
1868 Amsterdam Avenue
New York,NY10018 		Homeless Shelter Ext Clinic
86 Sarah Burke House-DOMESTIC VIOLENCE SHEL
PO Box 1783 First Floor
Bronx,NY10451 		Homeless Shelter Ext Clinic
87 ICAHN House Family Shelter
1520 Brook Avenue
Bronx,NY10457 		Homeless Shelter Ext Clinic
88 Prospect Interfaith Center
730 Kelly Street
Bronx,NY10455 		Homeless Shelter Ext Clinic
89 MONTEFIORE Riverdale Practice
3333 Henry Hudson Parkway
Bronx,NY10463 		Specialty Care Practice
90 MONTEFIORE WELLNESS CENTER
1180 MORRIS PARK AVENUE
BRONX,NY10461 		SPECIALTY CARE PRACTICE
91 RIVERDALE MEDICAL ASSOCIATES
2711 HENRY HUDSON PARKWAY
BRONX,NY10463 		SPECIALTY CARE FACULTY PRACTICE
92 JENNIE CLARK RESIDENCE-WOMEN IN NEED
183 E 100TH STREET
NEW YORK,NY10029 		HOMELESS SHELTER EXT CLINIC
93 MONTEFIORE GENERAL CLINIC RESEARCH CTR
1300 MORRIS PARK AVENUE
BRONX,NY10461 		CLINIC RESEARCH EXT CLINIC
94 GENERAL CLINIC RESEARCH CENTER
111 e 210TH STREET-MRT
BRONX,NY10467 		CLINICAL RESEARCH EXT CLINIC
95 MONTEFIORE-EINSTEIN CTR FOR CANCER CARE
1521 JARRETT PLACE
BRONX,NY10461 		CANCER SERVICES
96 MONTEFIORE CARDIOLOGY
1628 EASTCHESTER ROAD
BRONX,NY10461 		SPECIALTY PRACTICE
97 MONTEFIORE JARRETT PEDIATRIC DENTAL CTR
1516 JARRETT AVENUE
BRONX,NY10456 		DENTAL CENTER
98 MONTEFIORE DEPARTMENT OF DENTISTRY
3332 rOCHAMBEAU AVENUE
BRONX,NY10467 		dENTAL cENTER
99 MONTEFIORE ADVANCED IMAGING GUNHILL
200 EAST GUNHILL ROAD
BRONX,NY10467 		IMAGING CENTER
100 MONTEFIORE WAKEFIELD CHILD pSYCH CTR
4141 cARPENTER aVENUE
BRONX,NY10466 		MENTAL HEALTH CLINIC
101 ADOLESCENT AIDS PROGRAM
3415 WAYNE AVENUE
BRONX,NY10467 		PEDIATRIC SPECIALTY CENTER
102 MONTEFIORE DEPARTMENT OF NEUROLOGY
140 LOCKWOOD AVENUE
NEW ROCHELLE,NY10801 		SPECIALTY CENTER
103 MONTEFIORE DEPARTMENT OF NEUROSURGERY
3316 ROCHAMBEAU AVENUE
BRONX,NY10467 		SPECIALTY CENTER
104 EINSMONTEFIORE AUTISM EVAL & TREAT CTR
6 EXECUTIVE PLAZA
YONKERS,NY10701 		SPECIALTY CENTER
105 WOMEN'S MEDICAL ASSOCIATES
1180 MORRIS PARK AVENUE
BRONX,NY10461 		WOMEN'S HEALTH CENTER
106 CENTENNIAL WOMEN'S CENTER
3332 ROCHAMBEAU AVE
BRONX,NY10467 		WOMEN'S HEALTH CENTER
107 RIVERDALE WOMEN'S CENTER
3333 HENRY HUDSON PARKWAY
BRONX,NY10463 		wOMEN'S HEALTH CENTER
108 DEPT OF OB & GYNWOMEN'S HEALTH
4170 BRONX BOULEVARD
BRONX,NY10466 		WOMEN'S HEALTH CENTER
109 WOODLAWN WOMEN'S CENTER
4350 vAN cORTLANDT PK EAST
BRONX,NY10470 		WOMEN'S HEALTH CENTER
110 GENETICS & PERINATAL CONSULTANTS OF NY
700 WHITE PLAINS ROAD
SCARSDALE,NY10583 		WOMEN'S HEALTH CENTER
111 CHILD ADVOCACY CENTER
260 E 188TH STREET
BRONX,NY10458 		SPECIALTY CARE PRACTICE
112 CARDIOLOGY ASSOCIATES
2711 HENRY HUDSON PARKWAY
BRONX,NY10463 		SPECIALTY CARE PRACTICE
113 REHABILITATION MEDICINE PRIVATE PRACTICE
3329 BAINBRIDGE AVENUE
BRONX,NY10467 		SPECIALTY CARE PRACTICE
114 MONTEFIORE DIVISION OF DERMATOLOGY
3514 BAINBRIDGE AVENUE
BRONX,NY10467 		SPECIALTY CARE PRACTICE
115 SLEEPWAKE DISORDERS
3411 WAYNE AVENUE
BRONX,NY10467 		SPECIALTY CARE PRACTICE
116 MONTEFIORE BEHAVIORAL HEALTH CENTER
1967 TURNBULL AVENUE
BRONX,NY10473 		MENTAL HEALTH CLINIC
117 MONTEFIORE BEHAVIORAL HEALTH CTR AT WS
2527 GLEBE AVENUE
BRONX,NY10461 		MENTAL HEALTH CLINIC
118 ADVANCED ONCOLOGY ASSOCIATES
50 GUION PLACE
NEW ROCHELLE,NY10801 		SPECIALTY CARE PRACTICE
119 ADVANCED ONCLOLGY ASSOCIATES
18 ASHFORD AVENUE
DOBBS FERRY,NY10522 		SPECIALTY CARE PRACTICE
120 ADVANCED ONCOLOGY ASSOCIATES
75 EAST GUN HILL ROAD
BRONX,NY10467 		SPECIALTY CARE PRACTICE
121 ADVANCED ONCOLOGY ASSOCIATES
1578 WILLIAMSBRIDGE ROAD
BRONX,NY10461 		SPECIALTY CARE PRACTICE
122 ADVANCED ONCOLOGY ASSOCIATES
984 NORTH BROADWAY
YONKERS,NY10701 		SPECIALTY CARE PRACTICE
123 ADVANCED ONCOLOGY ASSOCIATES
84 BUSINESS PARK DRIVE
ARMONK,NY10504 		SPECIALTY CARE PRACTICE
124 BRONX RIVER MEDICAL ASSOCIATES-BX OFF
60 EAST 208TH sTREET
BRONX,NY10467 		SPECIALTY CARE PRACTICE
125 BRONX RIVER MEDICAL ASSOC-YONKERS OFFICE
1915 CENTRAL PARK AVENUE
YONKERS,NY10710 		SPECIALTY CARE PRACTICE
126 MMC-WAKEFIELD CARDIOVASCULAR CENTER
4256 BRONX BOULEVARD
BRONX,NY10466 		SPECIALTY CARE PRACTICE
127 RIDGE HILL CARDIOLOGY
73 MARKET STREET SUITE 178b
YONKERS,NY10710 		SPECIALTY CARE PRACTICE
128 BRONX CARDIAC
2814 MIDDLETOWN ROAD
BRONX,NY10461 		SPECIALTY CARE PRACTICE
129 WESTCHESTER HEART SPECIALIST
150 LOCKWOOD AVENUE
NEW ROCHELLE,NY10810 		SPECIALTY CARE PRACTICE
130 WILLIAMSBRIDGE CARDIOLOGY
1578 WILLIAMSBRIDGE ROAD
BRONX,NY10461 		SPECIALTY CARE PRACTICE
131 CARDIOVASCULAR ASSOCIATES OF WESTCHESTER
140 lOCKWOOD AVENUE
NEW ROCHELLE,NY10801 		SPECIALTY CARE PRACTICE
132 MONTEFIORE EAST TREMONT FAMILY PRACTICE
3101 EAST TREMONT AVENUE
BRONX,NY10461 		PRIMARY CARE PRACTICE
133 MMG-VIA VERDE
730 BROOK AVENUE
BRONX,NY10455 		PRIMARY CARE EXTENSION CTR
134 MSHP-MORRIS CAMPUS
1110 BOSTON ROAD
BRONX,NY10456 		SCHOOL HEALTH CLINIC
135 MSHP-NEW SETTLEMENT COMMUNITY CAMPUS
1501 JEROME AVENUE
BRONX,NY10452 		SCHOOL HEALTH CLINIC
136 BROADWAY DENTAL CENTER
5500 BROADWAY SUITE 102
BRONX,NY10463 		DENTAL CENTER
137 FULTON FAMILY RESIDENT AGUILA INC
1625 FULTON AVENUE
BRONX,NY10457 		HOMELESS SHELTER EXT CLINIC
138 CHILD ADVOCACY PREVENTION SERVICES
3880 RESERVIOR OVAL
BRONX,NY10467 		SPECIALTY CARE PROCTICE
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
1. PART V, SECTION B., LINE 3 Montefiore assesses community needs by: - Reviewing publicly-available data sources and need assessment reports (such as the NYCDOHMH community health assessment and the GNYHA health care statistics); conducting focused assessments of statistical measures related to the health status of the communities served and the high-risk populations in those communities; through discussions with, and presentations to the Montefiore Community Advisory Boards; and surveys of members of the community. - Partnering with other organizations and public agencies like the NYC department of health and mental hygiene and The Bronx Health Link, to evaluate needs and structure responses, as part of an organized "Community Health Assessment" process; and - working with specific constituencies-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. Four health priorities were identified through a series of conversations held between Montefiore and the New York City Department of Health - Healthy eating, active living, tobacco free living and children and Youth agendas. Through collaborations with community stakeholder partner groups, a consensus was reached that addressing issues related to improved nutrition, increased physical activity and tobacco-use cessation would have the greatest positive impact on the community Health status. The Medical Center then chose two New York State priority areas to concentrate - to prevent chronic disease and to promote women, infants and children health. For each of these priorities, different community groups were engaged to collectively and collaboratively work through these issues.
1. PART V, SCTION B., LINE 4 The needs assessment was conducted with the four hospital divisions that comprise Montefiore Medical Center: - Moses division, weiler division, wakefield division and the Children's hospital division 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.
1. PART V, SECTION B., LINE 20D Consistent with the provisions of the June 22, 2012 IRS proposed rule regarding the establishment and implementation of financial aid policies (FAPs) under Section 501(r) of the Internal Revenue Code, the Medical Center uses the look-back method to calculate a separate amounts generally billed (AGB) percentage for each category of care provided to FAP-eligible individuals. The Medical Center limits the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care at the following levels: - For patients below 100% of the Federal poverty Level (FPL)- Capped at the lower of the AGB or nominal payment amount set forth in the New York State Hospital Financial Assistance Law (HFAL) pursuant to Subdivision 9-a of Section 2807-k of the New York Public Health Law. - For Patients between 100% and 300% of FPL - Capped at the lower of the AGB or sliding fee scale amounts ranging from 20% to 100% of the average Medicaid rate consistent with the provisions of the New York State HFAL. - For Patients between 300% and 500% of FPL - Capped at the AGB.
Schedule H (Form 990) 2013
Additional Data


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Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
MONTEFIORE MEDICAL CENTER
 
Employer identification number
13-1740114
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) Albert Einstein College of Medicine
1300 morris park avenue
bronx,NY10468 		13-1624225 501(c)(3) 289,205       Grant/sponsorship
(2) Bronx Aids Services Inc
540 E fordham road
bronx,NY10458 		13-3599121 501(c)(3) 116,707       grant subrecipient
(3) bronx lebanon hospital center
1276 fulton avenue
bronx,NY10456 		13-1974191 501(c)(3) 152,314       grant subrecipient
(4) columbia university
630 w 168th street
new york,NY10032 		13-5598093 501(c)(3) 267,961       grant subrecipient
(5) duke university medical center
DUMC 3018
durham,NC27710 		56-0532129 501(c)(3) 717,444       grant subrecipient
(6) jacobi medical center
1400 pelham parkway
south bronx,NY10461 		13-2655001 501(c)(3) 272,500       grant/sponsorship
(7) lincoln medical center
234 east 149th street
bronx,NY10451 		13-2655001 501(c)(3) 199,865       grant subrecipient
(8) Rutgers the state university of nj
3 rutgers plaza
new brunswick,NJ08901 		22-6001086 501(c)(3) 55,884       grant subrecipient
(9) virginia commonwealth university
PO Box 843039
richmond,VA23284 		54-6001758 501(c)(3) 137,685       grant subrecipient
(10) CORNELL UNIVERSITY MEDICAL COLLEGE
1300 york avenue
new york,NY10021 		13-1623978 501(c)(3) 38,001       grant subrecipient
(11) Eastern Virginia Medical School
PO Box 1980
Norfolk,VA23501 		54-6055378 501(c)(3) 112,304       Grant subrecipient
(12) Mount Sinai School of Medicine
1 Gustave L Levy Place
New York,NY10029 		13-6171197 501(c)(3) 39,856       Grant Subrecipient
(13) Pharmaceutical Research Associates
PO Box 200072
Dallas,TX75320 		54-1204111 501(c)(3) 13,969       Grant subrecipient
(14) Medical College of Wisconsin
8701 Watertown Plank Rd
Milwaukee,WI53226 		39-0806261 501(c)(3) 9,809       Grant Subrecipient
(15) Innocence Project
156 Fifth Avenue
New York,NY10011 		32-0077563 501(c)(3) 10,000       Event sponsorship
(16) Bronx Overall Economic Development
851 Grand Concourse
Bronx,NY10451 		13-3079387 501(c)(3) 87,000       Sponsorship
(17) Urban Health Plan Inc
1515 Southern Blvd
Bronx,NY10460 		23-7360305 501(c)(3) 33,500       Sponsorship
(18) Wildlife Conservation Society
2300 Southern Blvd
Bronx,NY10460 		13-1740011 501(c)(3) 40,000       Sponsorship
(19) United Hospital Fund
1411 Broadway 12th Fl
New York,NY10018 		13-1562656 501(c)(3) 50,000       sponsorship
(20) Primary Care Development Corp
22 Cortlandt St 12th Fl
New York,NY10007 		13-3711803 501(c)(3) 12,500       sponsorship
(21) Morris Hights health center
85 west burnside ave
bronx,NY10453 		06-1081232 501(c)(3) 25,000       sponsorship
(22) Bronx Children's Museum
PO Box 1381
bronx,NY10451 		26-0579140 501(c)(3) 8,000       sponsorship
(23) Research Foundation-SUNY at Binghamton
PO Box 6000
Binghamton,NY13902 		14-1368361 501(c)(3) 18,767       grant subrecipient
(24) Institute for Music & Neurologic Function
612 Allerton Ave
Bronx,NY10467 		13-3874103 501(c)(3) 7,500       Sponsorship
(25) American Liver Foundation
50 Broadway
New York,NY10004 		36-2883000 501(c)(3) 10,000       Sponsorship
(26) Children's Health Fund
215 west 125th street
New York,NY10027 		13-3468427 501(c)(3) 10,000       Sponsorship
(27) Cong Refuah Helpline Inc
9 Meron Dr
Monroe,NY10950 		20-8216686 501(c)(3) 30,000       Sponsorship
(28) Mosholu Montefiore Community Ctr
3450 Dekalb Ave
Bronx,NY10467 		13-3622107 501(c)(3) 71,500       Sponsorship
(29) Mosholu Preservation Corporation
3400 Reservoir Oval East
Bronx,NY10467 		13-3109387 501(c)(3) 24,000       Donation
(30) Ann & Robert H Lurie Children's Hospital
225 E Chicago Avenue
Chicago,IL60611 		36-2170833 501(c)(3) 45,820       Grant Subrecepient
(31) 1199 SEIU Employer Child Care Corp
330 West 42nd St
New York,NY10036 		13-1510821 501(c)(3) 7,500       Sponsorship
(32) American Cancer Society
2330 Eastchester Rd 3rd fl
Bronx,NY10469 		16-0743902 501(c)(3) 7,500       sponsorship
(33) New York Health Collaborative Inc
40 Worth Street 5th Fl
New york,NY10013 		20-8022336 501(c)(3) 50,000       sponsorship
(34) The Children's Brain Tumor Foundation
1325 Sixth Ave
New York,NY10019 		13-3512123 501(c)3 15,000       Sponsorship
(35) Community Health Care Association of NY
111 Broadway Suite 1402
New York,NY10006 		13-2690296 501(c)3 10,000       Sponsorship
(36) Friends of Karen Inc
118 Titicus Road
Purdys,NY10578 		14-1612290 501(c)3 10,000       Sponsorship
(37) Golf Fore Africa Inc
32531 N Scottsdale Rd
Scottsdale,AZ85266 		26-1753089 501(c)3 25,000       Sponsorship
(38) Medicare Rights Center
520 Eight Ave 3rd Floor
New York,NY10018 		13-3505372 501(c)3 50,000       Sponsorship
(39) New Rochelle For Educational Excellence
265 Clove Road
New Rochelle,NY10801 		13-3944017 501(c)3 15,000       Sponsorship
(40) St Lukes Cornwall Health System
70 Dubois Street
Newburgh,NY12550 		22-3026263 501(c)3 15,000       Sponsorship
(41) The Health Management Academy Inc
515 Wythe Street
Alexandria,VA22314 		54-1900808 501(c)3 25,000       Sponsorship
(42) YMCA of Greater New York
2 Castle Hill Avenue
Bronx,NY10473 		13-1624228 501(c)3 7,500       Sponsorship
(43) The Hebrew Home at Riverdale Foundation
5901 Palisade Ave
Bronx,NY10471 		20-4352212 501(c)3 25,000       Sponsorship
(44) 1199-Bill Michelson HomeCare Education Fund
PO Box 1016
New York,NY10109 		71-1028611 501(c)3 15,000       Sponsorship
(45) Assoc for the Advancement of Psychotherapy
1300 Morris Park Avenue
Bronx,NY10461 		13-1914791 501(c)3 15,000       Donation
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
45
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
Part I, Line 2 The procedure for monitoring subrecipients of federal awards for compliance 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 together with the reports on internal control and compliance. The Medical Center provides support to various organizations as part of local community health programs.
Schedule I (Form 990) 2013


Additional Data


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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MONTEFIORE MEDICAL CENTER
 
Employer identification number

13-1740114
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
Yes
 
b
Any related organization? .........................
6b
Yes
 
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)Robert B ConatySpec Advisor-Business & Oper (i)
(ii)		 241,653
0 		0
0 		3,048
0 		17,000
0 		33,361
0 		295,062
0 		0
0
(2)Donald L AshkenaseDir of Spec Projects-Finance (i)
(ii)		 201,092
0 		0
0 		2,793
0 		16,901
0 		34,019
0 		254,805
0 		0
0
(3)JOEL PERLMANEXECutive VP & CfO (i)
(ii)		 1,017,982
0 		447,600
0 		474,426
0 		17,000
0 		33,861
0 		1,990,869
0 		0
0
(4)ROBERT MICHLER MDCHAIR-Surg/Cardiothoracic Surg (i)
(ii)		 2,892,826
0 		0
0 		1,032
0 		17,000
0 		34,079
0 		2,944,937
0 		0
0
(5)RICHARD KRAUT DDSCHAIRMAN-DENTISTRY (i)
(ii)		 501,730
0 		1,351,831
0 		4,326
0 		17,000
0 		31,362
0 		1,906,249
0 		0
0
(6)STEVEN SAFYER MDPRESIDENT & CEO (i)
(ii)		 1,462,527
0 		984,300
0 		1,637,031
0 		17,000
0 		34,079
0 		4,134,937
0 		0
0
(7)SUSAN GREEN-LORENZEN RNSenior VP-OPERations (i)
(ii)		 520,886
0 		357,700
0 		3,552
0 		319,045
0 		32,061
0 		1,233,244
0 		0
0
(8)Christopher PancznerSenior VP & General Counsel (i)
(ii)		 624,199
0 		241,000
0 		2,886
0 		274,473
0 		0
0 		1,142,558
0 		0
0
(9)PHILIP O OZUAH MD PHDExecutive VP & COO (i)
(ii)		 1,059,887
0 		529,100
0 		56,025
0 		780,568
0 		38,861
0 		2,464,441
0 		0
0
(10)RICHARD CELIBERTISenior VP (i)
(ii)		 753,117
0 		290,300
0 		348,188
0 		17,000
0 		34,019
0 		1,442,624
0 		0
0
(11)Sun Kim MDChief Joint Replace Surgeon (i)
(ii)		 414,730
0 		806,162
0 		240
0 		17,000
0 		33,362
0 		1,271,494
0 		0
0
(12)Neil Cobelli MDChairman-Orthopaedic Surgery (i)
(ii)		 889,230
0 		322,971
0 		1,584
0 		17,000
0 		33,861
0 		1,264,646
0 		0
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
Part I, Line 1a Steven Safyer, MD, President & CEO - services of a driver are provided for business purposes and incidental transportation.
Part I, Line 4b & Part II - Columns (B)(i), (ii) and (iii) The Compensation Committee reviews and approves all forms of compensation and benefits provided to each executive with the assistance of a national independent compensation consulting firm. The consulting firm assists the Compensation Committee with its decision-making process to ensure executive compensation levels are reasonable and appropriate relative to those of other similar organizations. Base salaries in Column B(i) are determined based on competitive market practices for comparable positions with similar size organizations and scope of responsibilities. Bonus and incentive compensation in Column B(ii) is based on the achievement of performance goals. The executives' compensation program has a significant pay-at-risk component to ensure the alignment of pay and organizational performance. Goals are set in advance in areas such as quality of care, patient satisfaction, community services and financial performance. Compensation is at risk if the goals established by the Compensation Committee are not met. Other reportable compensation in column B(III) includes distributions from the supplemental executive retirement plan. In a manner designed to qualify for the "rebuttable presumption of reasonableness" the Compensation Committee of the Board of Trustees expressly reviewed and approved these retirement benefit arrangements for senior executives in a manner that qualified under the intermediate sanctions rules of the Federal tax law, and in recognition of (a) the executives' years of service to the organization and (b) the significant contributions to enhancing the ability of the organization to achieve its charitable mission in a manner consistent with financial solvency. Accordingly, this benefit should be viewed as applying to years of service for the organization. Steven Safyer, MD - Supplemental Executive Retirement Plan distribution of $1,626,140. Joel Perlman - Supplemental Executive Retirement Plan distribution of $468,946. Christopher Panczner - Accrued and unpaid service costs of $257,473. Philip O. Ozuah, MD, PHD. - Accrued and unpaid service costs of $763,568. Richard Celiberti - Supplemental Executive Retirement Plan distribution of $340,923. Susan Green Lorenzen, RN - Accrued and unpaid service costs of $302,045.
Part I, Lines 6a and 6b All of the officers and key employees listed in Schedule J, Part II, participate in a board approved incentive compensation plan. Among the performance measures (approved in advance by the compensation committee of the board of trustees) is income from operations together with achievement of other important performance measures, including an assessment of community services. These criteria result in awarding specified percentages of base salary as incentive compensation. All awards are approved by the compensation committee of the board of trustees.
Schedule J (Form 990) 2013

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
MONTEFIORE MEDICAL CENTER
 
Employer identification number
13-1740114
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A DORMITORY AUTHORITY OF THE STATE OF NEW YORK
  		14-6000293 64983TV26 12-15-2004 194,451,180 Construction & Renovation Project   X   X   X
B DORMITORY AUTHORITY OF THE STATE OF NEW YORK
  		14-6000293 64983QMLO 09-22-2005 160,222,851 Refund Prior Issue (1/1/97)   X   X   X
C DORMITORY AUTHORITY OF THE STATE OF NEW YORK
  		14-6000293 649903ZD6 02-07-2008 134,395,945 Refund Prior Issue (5/11/95)   X   X   X
D DORMITORY AUTHORITY OF THE STATE OF NEW YORK
  		14-6000293   12-01-2013 24,980,927 Equipment Leasing   X   X   X
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
  		14-6000293   12-16-2010 12,406,093 EQUIPMENT LEASING   X   X   X
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
  		14-6000293   01-15-2010 12,981,544 EQUIPMENT LEASING   X   X   X
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
  		14-6000293   08-18-2011 17,528,118 EQUIPMENT LEASING   X   X   X
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
  		14-6000293   12-19-2012 24,964,788 EQUIPMENT LEASING   X   X   X
BUILD NYC RESOURCE CORPORATION
  		45-4040561   04-01-2013 93,000,000 FACILITY IMPROVEMENTS   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 26,745,000 37,535,000 31,650,000 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 201,432,940 169,489,102 134,602,903 24,980,927
4 Gross proceeds in reserve funds . . . . . . . . . . . . 32,971,434 35,671,935 36,227,704 0
5 Capitalized interest from proceeds . . . . . . . . . . . 14,188,158 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 1,963,773 1,584,084 1,403,668 80,992
8 Credit enhancement from proceeds . . . . . . . . . . . 3,066,929 867,080 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 37,769 35,000 0
10 Capital expenditures from proceeds . . . . . . . . . . . 168,209,080 2,746,265 4,372,719 23,204,683
11 Other spent proceeds . . . . . . . . . . . . . . 0 151,988,905 116,561,516 0
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 1,695,251
13 Year of substantial completion . . . . . . . . . . . . 2007 1989 1998 2013
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X   X X     X
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X X     X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X     X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?   X   X   X   X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . . X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?   X   X   X   X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.300 % 0.600 % 0.400 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.300 % 0.600 % 0.400 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 0 % 0 % 0 % 0 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X   X    
b Exception to rebate? . . . . . . . .   X   X X   X  
c No rebate due? . . . . . . . . X   X   X      
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X     X X     X
b Name of provider . . . . . . . . . MERRILL LYNCH
  		0
  		MERRILL LYNCH
  		 
 
c Term of hedge . . . . . . . . . . 26.6   15.5  
d Was the hedge superintegrated? . . . .   X       X    
e Was the hedge terminated? . . . . . . X       X      
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . . X   X   X     X
b Name of provider . . . . . . . . . SEE PART VI
  		AIG MFC
  		DEFFA BANK
  		0
 
c Term of GIC . . . . . . . . . . 22.4 22.4 16.5  
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . X   X   X      
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . . X   X     X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
TERMINATION OF HEDGE - PART IV, COLUMN A, LINE 4C HEDGE WAS TERMINATED PRIOR TO EFFECTIVE DATE ON 12/15/2004.
GIC PROVIDER - PART IV, COLUMN A, LINE 5B RESERVE FUND - AIG MATCHED FUNDING CORP PROJECT FUND - BAYERISCHE LANDESBANK
TERM OF HEDGE - PART IV, COLUMN A, LINE 5C RESERVE FUND - 28.6 YEARS PROJECT FUND - 3.1 YEARS
PROCEEDS - PART II, COLUMN A-C, LINE 3 THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN(E) DUE TO INVESTMENT EARNINGS.
PROCEEDS - PART II, COLUMN A-C, LINE 3 THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINE 4-12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4.
ARBITRAGE - PART IV, COLUMN A-C, LINE 2C ISSUER NAME: DORMITORY AUTHORITY OF THE STATE OF NEW YORK DATE THE REBATE COMPUTATION WAS PERFORMED: COLUMN A: 11/30/2009 COLUMN B: 08/31/2010 COLUMN C: 01/31/2013
BOND ISSUES - PART I THE BONDS IN Page 1, column D, and Page 2 A THROUGH D ARE LEASE AGREEMENTS WITH THE DORMITORY AUTHORITY OF THE STATE OF NEW YORK. Page 1, Column D-In December 2013, Montefiore entered into a Schedule under a Master Lease and Sublease Agreement in the amount of $24,980,927 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 1.0587%. Under the term of the Agreement, the Lessor has a first lien on the equipment financed. Page 2, Column A-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 B-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. Page 2, Column C-In August 2011, Montefiore entered into a Schedule under a Master Lease and Sublease Agreement in the amount of $17,528,118 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 1.617% 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 December 2012, Montefiore entered into a Schedule under a Master Lease and Sublease Agreement in the amount of $24,964,788 between JPMorgan Chase Bank (Lessor) and the Dormitory Authority of the State of New York, to fund equipment purchases. This capital lease carries an annual interest rate of 1.0600% with monthly level debt payments for 60 months. Under the term of the Agreement, the Lessor has a first lien on the equipment financed.
Issuance price-Part I, page 3, col A and Part 11, page 3, col A, line 3  
Year of completion-Part II, page 3, column A, line 13  
Schedule K (Form 990) 2013

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
MONTEFIORE MEDICAL CENTER
 
Employer identification number
13-1740114
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A DORMITORY AUTHORITY OF THE STATE OF NEW YORK
  		14-6000293 64983TV26 12-15-2004 194,451,180 Construction & Renovation Project   X   X   X
B DORMITORY AUTHORITY OF THE STATE OF NEW YORK
  		14-6000293 64983QMLO 09-22-2005 160,222,851 Refund Prior Issue (1/1/97)   X   X   X
C DORMITORY AUTHORITY OF THE STATE OF NEW YORK
  		14-6000293 649903ZD6 02-07-2008 134,395,945 Refund Prior Issue (5/11/95)   X   X   X
D DORMITORY AUTHORITY OF THE STATE OF NEW YORK
  		14-6000293   12-01-2013 24,980,927 Equipment Leasing   X   X   X
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
  		14-6000293   12-16-2010 12,406,093 EQUIPMENT LEASING   X   X   X
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
  		14-6000293   01-15-2010 12,981,544 EQUIPMENT LEASING   X   X   X
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
  		14-6000293   08-18-2011 17,528,118 EQUIPMENT LEASING   X   X   X
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
  		14-6000293   12-19-2012 24,964,788 EQUIPMENT LEASING   X   X   X
BUILD NYC RESOURCE CORPORATION
  		45-4040561   04-01-2013 93,000,000 FACILITY IMPROVEMENTS   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 26,745,000 37,535,000 31,650,000 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 201,432,940 169,489,102 134,602,903 24,980,927
4 Gross proceeds in reserve funds . . . . . . . . . . . . 32,971,434 35,671,935 36,227,704 0
5 Capitalized interest from proceeds . . . . . . . . . . . 14,188,158 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 1,963,773 1,584,084 1,403,668 80,992
8 Credit enhancement from proceeds . . . . . . . . . . . 3,066,929 867,080 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 37,769 35,000 0
10 Capital expenditures from proceeds . . . . . . . . . . . 168,209,080 2,746,265 4,372,719 23,204,683
11 Other spent proceeds . . . . . . . . . . . . . . 0 151,988,905 116,561,516 0
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 1,695,251
13 Year of substantial completion . . . . . . . . . . . . 2007 1989 1998 2013
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X   X X     X
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X X     X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X     X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?   X   X   X   X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . . X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?   X   X   X   X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.300 % 0.600 % 0.400 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.300 % 0.600 % 0.400 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 0 % 0 % 0 % 0 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X   X    
b Exception to rebate? . . . . . . . .   X   X X   X  
c No rebate due? . . . . . . . . X   X   X      
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X     X X     X
b Name of provider . . . . . . . . . MERRILL LYNCH
  		0
  		MERRILL LYNCH
  		 
 
c Term of hedge . . . . . . . . . . 26.6   15.5  
d Was the hedge superintegrated? . . . .   X       X    
e Was the hedge terminated? . . . . . . X       X      
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . . X   X   X     X
b Name of provider . . . . . . . . . SEE PART VI
  		AIG MFC
  		DEFFA BANK
  		0
 
c Term of GIC . . . . . . . . . . 22.4 22.4 16.5  
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . X   X   X      
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . . X   X     X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
TERMINATION OF HEDGE - PART IV, COLUMN A, LINE 4C HEDGE WAS TERMINATED PRIOR TO EFFECTIVE DATE ON 12/15/2004.
GIC PROVIDER - PART IV, COLUMN A, LINE 5B RESERVE FUND - AIG MATCHED FUNDING CORP PROJECT FUND - BAYERISCHE LANDESBANK
TERM OF HEDGE - PART IV, COLUMN A, LINE 5C RESERVE FUND - 28.6 YEARS PROJECT FUND - 3.1 YEARS
PROCEEDS - PART II, COLUMN A-C, LINE 3 THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN(E) DUE TO INVESTMENT EARNINGS.
PROCEEDS - PART II, COLUMN A-C, LINE 3 THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINE 4-12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4.
ARBITRAGE - PART IV, COLUMN A-C, LINE 2C ISSUER NAME: DORMITORY AUTHORITY OF THE STATE OF NEW YORK DATE THE REBATE COMPUTATION WAS PERFORMED: COLUMN A: 11/30/2009 COLUMN B: 08/31/2010 COLUMN C: 01/31/2013
BOND ISSUES - PART I THE BONDS IN Page 1, column D, and Page 2 A THROUGH D ARE LEASE AGREEMENTS WITH THE DORMITORY AUTHORITY OF THE STATE OF NEW YORK. Page 1, Column D-In December 2013, Montefiore entered into a Schedule under a Master Lease and Sublease Agreement in the amount of $24,980,927 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 1.0587%. Under the term of the Agreement, the Lessor has a first lien on the equipment financed. Page 2, Column A-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 B-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. Page 2, Column C-In August 2011, Montefiore entered into a Schedule under a Master Lease and Sublease Agreement in the amount of $17,528,118 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 1.617% 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 December 2012, Montefiore entered into a Schedule under a Master Lease and Sublease Agreement in the amount of $24,964,788 between JPMorgan Chase Bank (Lessor) and the Dormitory Authority of the State of New York, to fund equipment purchases. This capital lease carries an annual interest rate of 1.0600% with monthly level debt payments for 60 months. Under the term of the Agreement, the Lessor has a first lien on the equipment financed.
Issuance price-Part I, page 3, col A and Part 11, page 3, col A, line 3  
Year of completion-Part II, page 3, column A, line 13  
Schedule K (Form 990) 2013

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
MONTEFIORE MEDICAL CENTER
 
Employer identification number
13-1740114
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A DORMITORY AUTHORITY OF THE STATE OF NEW YORK
  		14-6000293 64983TV26 12-15-2004 194,451,180 Construction & Renovation Project   X   X   X
B DORMITORY AUTHORITY OF THE STATE OF NEW YORK
  		14-6000293 64983QMLO 09-22-2005 160,222,851 Refund Prior Issue (1/1/97)   X   X   X
C DORMITORY AUTHORITY OF THE STATE OF NEW YORK
  		14-6000293 649903ZD6 02-07-2008 134,395,945 Refund Prior Issue (5/11/95)   X   X   X
D DORMITORY AUTHORITY OF THE STATE OF NEW YORK
  		14-6000293   12-01-2013 24,980,927 Equipment Leasing   X   X   X
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
  		14-6000293   12-16-2010 12,406,093 EQUIPMENT LEASING   X   X   X
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
  		14-6000293   01-15-2010 12,981,544 EQUIPMENT LEASING   X   X   X
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
  		14-6000293   08-18-2011 17,528,118 EQUIPMENT LEASING   X   X   X
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
  		14-6000293   12-19-2012 24,964,788 EQUIPMENT LEASING   X   X   X
BUILD NYC RESOURCE CORPORATION
  		45-4040561   04-01-2013 93,000,000 FACILITY IMPROVEMENTS   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 26,745,000 37,535,000 31,650,000 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 201,432,940 169,489,102 134,602,903 24,980,927
4 Gross proceeds in reserve funds . . . . . . . . . . . . 32,971,434 35,671,935 36,227,704 0
5 Capitalized interest from proceeds . . . . . . . . . . . 14,188,158 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 1,963,773 1,584,084 1,403,668 80,992
8 Credit enhancement from proceeds . . . . . . . . . . . 3,066,929 867,080 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 37,769 35,000 0
10 Capital expenditures from proceeds . . . . . . . . . . . 168,209,080 2,746,265 4,372,719 23,204,683
11 Other spent proceeds . . . . . . . . . . . . . . 0 151,988,905 116,561,516 0
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 1,695,251
13 Year of substantial completion . . . . . . . . . . . . 2007 1989 1998 2013
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X   X X     X
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X X     X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X     X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?   X   X   X   X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . . X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?   X   X   X   X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.300 % 0.600 % 0.400 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.300 % 0.600 % 0.400 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 0 % 0 % 0 % 0 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X   X    
b Exception to rebate? . . . . . . . .   X   X X   X  
c No rebate due? . . . . . . . . X   X   X      
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X     X X     X
b Name of provider . . . . . . . . . MERRILL LYNCH
  		0
  		MERRILL LYNCH
  		 
 
c Term of hedge . . . . . . . . . . 26.6   15.5  
d Was the hedge superintegrated? . . . .   X       X    
e Was the hedge terminated? . . . . . . X       X      
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . . X   X   X     X
b Name of provider . . . . . . . . . SEE PART VI
  		AIG MFC
  		DEFFA BANK
  		0
 
c Term of GIC . . . . . . . . . . 22.4 22.4 16.5  
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . X   X   X      
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . . X   X     X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
TERMINATION OF HEDGE - PART IV, COLUMN A, LINE 4C HEDGE WAS TERMINATED PRIOR TO EFFECTIVE DATE ON 12/15/2004.
GIC PROVIDER - PART IV, COLUMN A, LINE 5B RESERVE FUND - AIG MATCHED FUNDING CORP PROJECT FUND - BAYERISCHE LANDESBANK
TERM OF HEDGE - PART IV, COLUMN A, LINE 5C RESERVE FUND - 28.6 YEARS PROJECT FUND - 3.1 YEARS
PROCEEDS - PART II, COLUMN A-C, LINE 3 THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN(E) DUE TO INVESTMENT EARNINGS.
PROCEEDS - PART II, COLUMN A-C, LINE 3 THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINE 4-12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4.
ARBITRAGE - PART IV, COLUMN A-C, LINE 2C ISSUER NAME: DORMITORY AUTHORITY OF THE STATE OF NEW YORK DATE THE REBATE COMPUTATION WAS PERFORMED: COLUMN A: 11/30/2009 COLUMN B: 08/31/2010 COLUMN C: 01/31/2013
BOND ISSUES - PART I THE BONDS IN Page 1, column D, and Page 2 A THROUGH D ARE LEASE AGREEMENTS WITH THE DORMITORY AUTHORITY OF THE STATE OF NEW YORK. Page 1, Column D-In December 2013, Montefiore entered into a Schedule under a Master Lease and Sublease Agreement in the amount of $24,980,927 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 1.0587%. Under the term of the Agreement, the Lessor has a first lien on the equipment financed. Page 2, Column A-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 B-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. Page 2, Column C-In August 2011, Montefiore entered into a Schedule under a Master Lease and Sublease Agreement in the amount of $17,528,118 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 1.617% 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 December 2012, Montefiore entered into a Schedule under a Master Lease and Sublease Agreement in the amount of $24,964,788 between JPMorgan Chase Bank (Lessor) and the Dormitory Authority of the State of New York, to fund equipment purchases. This capital lease carries an annual interest rate of 1.0600% with monthly level debt payments for 60 months. Under the term of the Agreement, the Lessor has a first lien on the equipment financed.
Issuance price-Part I, page 3, col A and Part 11, page 3, col A, line 3  
Year of completion-Part II, page 3, column A, line 13  
Schedule K (Form 990) 2013

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MONTEFIORE MEDICAL CENTER
 
Employer identification number

13-1740114
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2013
Schedule L (Form 990 or 990-EZ) 2013
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) Con Edison Trustee 9,482,660 Con Edison energy services   No
(2) Henry Schein Trustee 1,743,387 Purchase of medical supplies   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L, Part IV, Line 1 George Campbell, JR.,PHD is a trustee of Montefiore Medical Center and a Director of Con Edison. He was not involved in any of the transactions between Con Edison and the Medical Center. The purchase of energy from Con Edison was made in the ordinary course of business and the rates are set by a regulatory commission and generally not subject to negotiation. Con Edison is the primary provider of utilities to New York City and Westchester County businesses and residences. The Medical Center's 2013 payments to Con Edison of $9.5 million represented .08% of Con Edison's 2013 revenue of $12.4 billion. Mark Mlotek is a trustee of Montefiore Medical Center and a Director of Henry Schein, a provider of healthcare products and services. He was not involved in any of the transactions between Henry Schein and the Medical Center. The purchase of supplies from Henry Schein was made in the ordinary course of business. The Medical Center's 2013 payments to Henry Schein of $1.7 million represented .02% of Henry Schein's 2013 net sales of $9.6 billion.
Schedule L (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large imageInformation about Schedule M (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MONTEFIORE MEDICAL CENTER
 
Employer identification number

13-1740114
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 11 3,474,721 current market value
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( )
26 Other Right pointing arrow large image( )
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that
it must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2013)
Schedule M (Form 990) (2013)
Page 2
Part II
Supplemental Information. Provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
Schedule M (Form 990) (2013)
Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
MONTEFIORE MEDICAL CENTER
 
Employer identification number

13-1740114
Return Reference Explanation
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 6 Montefiore Health System, Inc. is the sole member of Montefiore Medical Center.
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 11B THE FORM 990 WAS PREPARED BY THE MEDICAL CENTER'S FINANCE DEPARTMENT WITH THE ASSISTANCE OF VARIOUS DEPARTMENTS THROUGHOUT THE MEDICAL CENTER. THE FORM 990 WAS REVIEWED AND APPROVED BY THE CORPORATE CONTROLLER AND THE VICE PRESIDENT-FINANCE, ACCOUNTING AND FINANCIAL REPORTING AND THE MEDICAL CENTER'S SENIOR LEADERSHIP TEAM INCLUDING THE CHIEF FINANCIAL OFFICER. IN ADDITION, AN INDEPENDENT ACCOUNTING FIRM WAS ENGAGED TO REVIEW THE FORM 990. UPON COMPLETION OF THE VARIOUS REVIEWS, THE FORM 990 WAS PRESENTED TO THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES FOR REVIEW AND APPROVAL. ONCE APPROVED BY THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES, THE FORM 990 WAS PROVIDED TO ALL MEMBERS OF MONTEFIORE 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 developed by counsel and approved by the Legal and Compliance Committees of the Board of Trustees. The survey is sent to all trustees, officers and key employees for completion. All survey responses are reviewed by the Compliance Officer. Any potential conflicts identified in the responses are discussed with senior management and/or the Legal and Compliance Committees of the Board of Trustees. Potential actions to be taken in response to a conflict is one or more of the following: 1)disclosure of conflict; 2)individual recusal from decisions for transactions where that individual may have a conflict; 3)request the individual to alleviate the conflict; OR 4)removal of the individual from the board of trustees.
Form 990, Part VI, Section B, Line 15A & 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 of the Board (which is comprised of independent Board members with no conflicts of interest in regards to executive compensation) with making all decisions related to compensation for officers and key employees. All decisions made by the Compensation Committee are appropriately and timely documented in meeting minutes. The compensation committee's review process follows the Intermediate Sanctions guidelines for qualifying for the rebuttable presumption of reasonableness. The Committee retains an independent compensation consultant to assist it with this process. Compensation levels are established considering data for comparable organizations, an assessment of management performance (including the services provided to the community), and other business judgment factors, consistent with Montefiore's executive compensation philosophy. The Committee's decisions are made in the best interest of Montefiore, and are intended to ensure the recruitment and retention of key executive talent, consistent with the market practices of other not-for-profit healthcare organizations of comparable scope, mission and complexity. On an annual basis, the Committee provides the full Board of Trustees with a description of the committee's review and approval process and its decisions.
Form 990, Part VI, Section C, Line 19 THE CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
Form 990, Part XI, Line 9 The Other change in net assets reduction of $11,060,000 was due to an equity transfer to the parent, Montefiore Health System, Inc.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MONTEFIORE MEDICAL CENTER
 
Employer identification number

13-1740114
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) Emerging Health Information Technology
3 odell avenue
yonkers,NY10701
13-4179243 		info tech NY 310,160 9,460,000 MMC
 
(2) Montefiore Proton Acquisition LLC
111 East 210th St
Bronx,NY10467
27-3994795 		Proton Ther NY -212,250 -1,646,480 mmc
 
(3) CMO THE CARE MANAGEMENT COMPANY LLC
111 EAST 210TH STREET
BRONX,NY10467
13-3859895 		MGMT SERV NY -5,345,200 -1,266,687 MMC
 
(4) MMC INITIATIVES LLC
111 East 210th Street
Bronx,NY10467
45-3962827 		HIV Services NY 0 0 MMC
 




Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) MMC Corporation

111 East 210th street

bronx,NY10467
13-3430322 		real estate NY 501(c)(3) 11 Type 1 MMC
 
Yes
 
(2) MMC Residential Corp No 1 Inc

3411 Wayne Avenue

bronx,NY10467
91-1943271 		staff housing NY 501(c)(2)   MMC
 
Yes
 
(3) Montefiore Hosp Housing Section II Inc

3450 wayne avenue

bronx,NY10467
23-7160641 		staff housing NY 501(c)(2)   MMC
 
Yes
 
(4) Mosholu Preservation Corporation

3400 reservoir oval East

bronx,NY10467
13-3109387 		Community Ser NY 501(c)(3) 11 type 2 MMC
 
Yes
 
(5) Gunhill MRI PC

200 East Gunhill Road

bronx,NY10467
13-3734486 		diag services NY 501(c)(3) 11 type 1 MMC
 
Yes
 
(6) Montefiore Health System Inc

555 South Broadway

Tarrytown,NY10591
20-1615393 		parent NY 501(c)(3) 11 type 3 NA
 
 
No
(7) Montefiore North Ambulatory Care Center

4134 Bronx Blvd

bronx,NY10466
01-0796859 		amb services NY 501(c)(3) 3 MHS
 
Yes
 
(8) Montefiore New Rochelle Hospital

16 Guion Place

New Rochelle,NY10801
46-2931956 		Hospital NY 501(c)3 3 MHS
 
Yes
 
(9) Montefiore Mount Vernon Hospital

12 North Seventh Avenue

Mount Vernon,NY10550
46-2916938 		Hospital NY 501(c)3 3 MHS
 
Yes
 
(10) Schaffer Extended Care Center

16 Guion Place

New Rochelle,NY10801
46-2929888 		Nursing Home NY 501(c)3 9 MHS
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) University Behavioral Associates Inc

111 East 210th street
bronx,NY10467
13-3877781 		mgmt services NY MHS
  		c corp 5,396,006 4,454,064 100.000 % Yes  
(2) The Montefiore IPA Inc

111 East 210th street
bronx,NY10467
13-4114915 		Managed Care NY MMC
  		c corp 539,665,715 108,672,266 100.000 % Yes  
(3) MMC GI Holdings East Inc

111 East 210th street
bronx,NY10467
72-1610013 		holding compa NY MMC
  		c corp 1,368,859 7,085,861 100.000 % Yes  
(4) MMC GI Holdings West Inc

111 East 210th street
bronx,NY10467
72-1610015 		holding compa NY MMC
  		c corp 1,721,310 4,599,628 100.000 % Yes  
(5) Montefiore Behavioral Care IPA No 1 inc

111 East 210th street
bronx,NY10467
13-3952750 		Integ prov as NY MMC
  		c corp 15,827,307 2,456,840 100.000 % Yes  
(6) BRONX ACCOUNTABLE CARE NETWORK IPA INC

111 EAST 210TH STREET
BRONX,NY10467
30-0689571 		Managed care NY MMC
  		C CORP 23,289,839 32,999,840 100.000 % Yes  


Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) The Montefiore IPA Inc

 L 301,845,000 cost
(2) MONTEFIORE BEHAVIORAL CARE IPA NO 1 INC

 L 4,464,000 cost
(3) GUNHILL MRI PC

 L 4,894,962 cost
(4) MMC RESIDENTIAL CORP NO 1 INC

 L 61,515 cost
(5) MONTEFIORE HOSPITAL HOUSING SECTION II INC

 L 165,679 cost
(6) MONTEFIORE NORTH AMBULATORY CARE CENTER INC

 L 1,109,972 COST
(7) MMC CORPORATION

 K 6,502,712 cost
(8) MONTEFIORE HOSPITAL HOUSING SECTION II INC

 K 94,308 cost
(9) MMC RESIDENTIAL CORP NO 1 INC

 K 1,357,127 cost
(10) MOSHOLU PRESERVATION CORPORATION

 Q 806,185 cost
(11) GUNHILL MRI PC

 Q 2,445,716 cost
(12) MMC RESIDENTIAL CORP NO 1 INC

 Q 775,018 cost
(13) MONTEFIORE HOSPITAL HOUSING SECTION II INC

 Q 812,677 cost
(14) MONTEFIORE NORTH AMBULATORY CARE CENTER INC

 Q 4,856,613 cost
(15) MMC GI HOLDINGS EAST INC

 Q 395,000 cost
(16) MMC GI HOLDINGS WEST INC

 Q 442,000 cost
(17) UNIVERSITY BEHAVIORAL ASSOCIATES Inc

 Q 4,732,203 cost
(18) BRONX ACCOUNTABLE CARE NETWORK IPA INC

 Q 41,376 COST
(19) BRONX ACCOUNTABLE CARE NETWORK IPA INC

 R 3,437,514 cost
(20) BRONX ACCOUNTABLE CARE NETWORK IPA INC

 S 5,787,112 cost
(21) BRONX ACCOUNTABLE CARE NETWORK IPA INC

 L 8,614,529 cost
(22) MONTEFIORE NEW ROCHELLE HOSPITAL

 L 536,659 COST
(23) MONTEFIORE MOUNT VERNON HOSPITAL

 L 326,693 COST
(24) SCHAFFER EXTENDED CARE CENTER

 L 253,640 COST
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V?UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2013
Additional Data


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