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.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
A For the 2014 calendar year, or tax year beginning 01-01-2014 , and ending 12-31-2014
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 Street
 
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 $ 3,208,246,620
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 47
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 2014 (Part V, line 2a) ...... 5 21,592
6 Total number of volunteers (estimate if necessary) ............. 6 1,565
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 29,704,391
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -2,484,285
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 85,512,601 82,394,348
9 Program service revenue (Part VIII, line 2g) ......... 2,944,941,231 3,071,286,066
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 26,986,981 37,586,380
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 8,660,162 12,358,161
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 3,066,100,975 3,203,624,955
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 3,610,120 2,274,431
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) 1,939,938,566 2,039,500,214
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 110,500 59,500
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet2,966,536    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 996,612,558 1,122,595,854
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 2,940,271,744 3,164,429,999
19 Revenue less expenses. Subtract line 18 from line 12....... 125,829,231 39,194,956
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 3,035,262,235 3,213,689,963
21 Total liabilities (Part X, line 26)............. 2,145,576,274 2,310,743,838
22 Net assets or fund balances. Subtract line 21 from line 20..... 889,685,961 902,946,125
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.
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Signature of officer Date
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Type or print name and title
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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 (2014)
Form 990 (2014)
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 $ 2,461,139,411 including grants of $ 222,326 ) (Revenue $ 2,880,868,060 )
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, Inc. (MIPA), The Care Management Company, LLC (CMO) and Bronx Accountable Healthcare Network IPA, Inc., dba Montefiore Accountable Care Organization IPA (ACO), 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 based on the Center for Medicare and Medicaid (CMS) Triple Aim of creating better patient experiences, better outcomes and at a lower cost. The CMO and ACO takes a proactive approach to care management by developing strategies that help improve integrated, accountable and affordable care throughout the health system. By augumenting care in the community, the need for hospital-based care can be reduced. The best of care in the community includes access to primary care and specialty providers, social workers, nurses, health educators and trained patient advocates who follow up with patients at home, make sure appointments are kept, and reconcile medications, among other important coordinating functions. Additional services may often be required including healthcare at home, social support, such as housing and social services. At the center of the Montefiore system are four hospitals with a total of 1,512 beds that provide over 90,900 inpatient admissions annually, including over 5,900 births: - The 647 bed Henry and Lucy Moses Division; - the 424 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 309 bed Wakefield Division (formerly the North Division renamed to reflect its anchor role in the community) and two ambulatory hospital centers: - Montefiore Westchester Square (The former New York Westchester Square Hospital) acquired on March 23, 2013 operating as a Free standing Emergency Department and Ambulatory Surgery Facility; - The Montefiore Hutchinson Campus - The innovative "hospital without beds" providing world-class treatment with the latest technology and the best of multidisciplinary approach to care, enabling patients to be treated effectively and safely without being hospitalized opened at the end of 2014. Montefiore also operates extensive ambulatory care services connected by a robust health information technology system through a network of more than 130 locations - from community-based ambulatory care centers to school-based health centers to mobile clinics: - Montefiore's Emergency Departments, among the busiest in the nation, have more than 328,000 total visits a year; - The hospital based clinics provide over 255,000 visits a year; - The Physician practices provide more than 1.1 million office visits annually; - Montefiore Medical Group, a network with over 350 primary care physicians at 21 community based locations throughout the Bronx and Westchester, provide over 806,000 visits a year; - The Montefiore School Health Program, the largest in the nation, with 22 school-based health centers serves more than 17,000 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 242,000 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. 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 $ 366,198,749 including grants of $ 1,044,125 ) (Revenue $ 190,416,966 )
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 2014, over 1,500 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. Montefiore is among 60 academic medical centers nationwide to be awarded the Prestigious clinical and translational science award (CTSA) by the National Institutes of Health (NIH). The National Institutes of Health, along with other Federal, State and other funding, supports research in such areas as Aids, Oncology, Pediatrics, Anesthesiology, Emergency Medicine, Neurology, Pathology, Social Medicine and other 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. Since 1963, Montefiore has served as the University Hospital of Einstein, a powerful collaboration between two of the nation's pre-eminent medical institutions that fosters the creation of knowledge by attracting world-renowned leaders in their fields and promoting opportunities for basic translational and clinical research. Recently, Montefiore and Einstein have successfully collaborated to secure a National Institutes of Health funded $22.5 million clinical and translational Science award to create a research infrastructure to support and promote clinical and translational research. Montefiore researchers are currently involved in more than 400 clinical trials and research studies, translating scientific breakthroughs into cutting edge diagnostics and innovative treatments.
4c (Code:   ) (Expenses $ 45,958,161 including grants of $ 1,007,980 ) (Revenue $ 1,040 )
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 expensesMediumBullet2,873,296,321
Form 990 (2014)
Form 990 (2014)
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 III
Click 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
Yes
 
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 (2014)
Form 990 (2014)
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 domestic 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 or for domestic individuals 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), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I....
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...................
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 "Yes," complete Schedule L, Part II................
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.........
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 ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV
.....................
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...
28c
 
No
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 (2014)
Form 990 (2014)
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
596
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
21,592
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 FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
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.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?
.........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring 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 (2014)
Form 990 (2014)
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
47
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
 
No
b
Other officers or key employees of the organization ................
15b
 
No
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
Yes
 
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
 
No
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, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletDAVID INGBER
555 SOUTH BROADWAY
Tarrytown,NY10591 (914) 349-8400
Form 990 (2014)
Form 990 (2014)
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 & Treasurer
1.5
.......................1.0
X           0 0 0
(2) JAY B ABRAMSON........................................................................
TRUSTEE
0.5
.......................2.0
X           0 0 0
(3) MARGARET HAYES ADAME........................................................................
TRUSTEE
0.5
.......................1.5
X           0 0 0
(4) GEORGE ASCH........................................................................
TRUSTEE
0.5
.......................1.0
X           0 0 0
(5) JOSEPH W BARTLETT........................................................................
TRUSTEE
0.5
.......................1.0
X           0 0 0
(6) PATRICIA BAUMAN........................................................................
TRUSTEE
0.5
.......................1.0
X           0 0 0
(7) ROBERT A BERNHARD........................................................................
Trustee(Trustee Emeritus 6/14)
0.5
.......................1.0
X           0 0 0
(8) JAMES M BUTLER........................................................................
TRUSTEE
1.5
.......................1.0
X           0 0 0
(9) LAWRENCE B BUTTENWEISER........................................................................
TRUSTEE(Trustee Emeritus 6/14)
0.5
.......................1.0
X           0 0 0
(10) GEORGE CAMPBELL JRPHD........................................................................
TRUSTEE
0.5
.......................1.0
X           0 0 0
(11) BRUCE DONIGER........................................................................
TRUSTEE
0.5
.......................1.0
X           0 0 0
(12) KAREN L FINERMAN........................................................................
TRUSTEE (resigned 4/14)
0.5
.......................1.0
X           0 0 0
(13) RUTH L GOTTESMAN EdD........................................................................
TRUSTEE
0.5
.......................1.0
X           0 0 0
(14) DAVID C GOTTLIEB........................................................................
TRUSTEE
0.5
.......................1.0
X           0 0 0
(15) BARRY W GRAY........................................................................
TRUSTEE
0.5
.......................1.0
X           0 0 0
(16) PATRICIA GREEN........................................................................
TRUSTEE
0.5
.......................1.0
X           0 0 0
(17) JOHN H GUTFREUND........................................................................
TRUSTEE
0.5
.......................1.0
X           0 0 0
Form 990 (2014)
Form 990 (2014)
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
0.5
.......................1.0
X           0 0 0
(19) JOHN HEFFER........................................................................
TRUSTEE
1.5
.......................1.0
X           0 0 0
(20) LEWIS HENKIND........................................................................
SECRETARY
0.5
.......................3.0
X           0 0 0
(21) HELEN A JOHNSON........................................................................
TRUSTEE
1.5
.......................1.0
X           0 0 0
(22) DAVID B KEIDAN........................................................................
TRUSTEE
0.5
.......................1.0
X           0 0 0
(23) BRUCE J KLATSKY........................................................................
TRUSTEE
0.5
.......................1.0
X           0 0 0
(24) ALAN M KLEIN........................................................................
TRUSTEE
2.5
.......................1.0
X           0 0 0
(25) STACEY R LANE........................................................................
TRUSTEE
0.5
.......................2.0
X           0 0 0
(26) JAY B LANGNER........................................................................
TRUSTEE/CHAIRMAN EMERITUS
0.5
.......................1.0
X           0 0 0
(27) CHRISTOPHER D MCFADDEN........................................................................
TRUSTEE
0.5
.......................1.0
X           0 0 0
(28) ALAN G MNUCHIN........................................................................
TRUSTEE (resigned 12/14)
0.5
.......................1.0
X           0 0 0
(29) MARGARET S NATHAN........................................................................
TRUSTEE
0.5
.......................1.0
X           0 0 0
(30) PETER J NEUFELD........................................................................
TRUSTEE
1.5
.......................1.0
X           0 0 0
(31) NED S OFFIT........................................................................
TRUSTEE (resigned 3/14)
0.5
.......................1.0
X           0 0 0
(32) GAYLE F ROBINSON........................................................................
TRUSTEE
0.5
.......................1.0
X           0 0 0
(33) JON W ROTENSTREICH........................................................................
TRUSTEE
0.5
.......................1.0
X           0 0 0
(34) RUTH SAPORTA........................................................................
TRUSTEE (resigned 1/14)
0.5
.......................1.0
X           0 0 0
(35) HON FELICE K SHEA........................................................................
TRUSTEE
0.5
.......................1.0
X           0 0 0
(36) EDWIN H STERN III........................................................................
TRUSTEE
0.5
.......................1.0
X           0 0 0
(37) DAVID A TANNER........................................................................
CHAIRMAN
5.0
.......................3.0
X           0 0 0
(38) CYNTHIA KING VANCE........................................................................
TRUSTEE
0.5
.......................2.0
X           0 0 0
(39) KENNETH D WEISER........................................................................
Treas (trustee emeritus 6/14)
0.5
.......................1.0
X           0 0 0
(40) JIDE J ZEITLIN........................................................................
TRUSTEE
0.5
.......................1.0
X           0 0 0
(41) JENNIE EMIL........................................................................
TRUSTEE
0.5
.......................1.0
X           0 0 0
(42) JONATHAN A LIPTON........................................................................
Trustee
0.5
.......................1.0
X           0 0 0
(43) ZITA G ROSENTHAL........................................................................
Trustee
0.5
.......................1.0
X           0 0 0
(44) Gregg S Hymowitz........................................................................
Trustee
0.5
.......................1.0
X           0 0 0
(45) Nathan Gantcher........................................................................
Trustee
0.5
.......................1.0
X           0 0 0
(46) Catherine Klema........................................................................
Trustee
0.5
.......................1.0
X           0 0 0
(47) Melissa Ceriale........................................................................
Trustee
0.5
.......................1.0
X           0 0 0
(48) Mark Mlotek........................................................................
Trustee
0.5
.......................1.0
X           0 0 0
(49) BARRY S BLATTMAN........................................................................
TRUSTEE (ELECTED 9/14)
0.5
.......................1.0
X           0 0 0
(50) MARK E BROSSMAN........................................................................
Trustee (ELECTED 1/14)
0.5
.......................1.0
X           0 0 0
(51) MATTHEW H NORD........................................................................
TRUSTEE (ELECTED 9/14)
0.5
.......................1.0
X           0 0 0
(52) MICHAEL A STOCKER MD........................................................................
TRUSTEE (ELECTED 1/14)
0.5
.......................1.0
X           0 0 0
(53) ROGER EINIGER........................................................................
TRUSTEE (ELECTED 10/14)
0.5
.......................1.0
X           0 0 0
(54) STEVEN SAFYER MD........................................................................
PRESIDENT & CEO/EX-OFFICIO
54.0
.......................6.0
X   X       0 4,805,927 51,099
(55) JOEL PERLMAN........................................................................
EXECutive VP & CfO
53.4
.......................6.6
    X       0 2,166,792 50,882
(56) Christopher Panczner........................................................................
Senior VP & General Counsel
49.2
.......................10.8
    X       0 979,499 271,790
(57) PHILIP O OZUAH MD PHD........................................................................
Executive VP & COO
51.8
.......................8.2
    X       0 1,957,165 2,036,117
(58) SUSAN GREEN-LORENZEN RN........................................................................
Senior VP-OPERations
55.0
.......................5.0
      X     0 984,089 514,115
(59) Lynn Richmond........................................................................
Executive Vice President
54.0
.......................6.0
      X     0 969,231 373,414
(60) ROBERT MICHLER MD........................................................................
CHAIR-Surg/Cardiothoracic Surg
60.0
.......................0.0
        X   3,040,620 0 51,100
(61) RICHARD KRAUT DDS........................................................................
CHAIRMAN-DENTISTRY
60.0
.......................0.0
        X   1,913,554 0 48,382
(62) Shalom Kalnicki MD........................................................................
Chairman-Radiation Oncology
60.0
.......................0.0
        X   1,801,906 0 53,946
(63) Joseph De Rose MD........................................................................
Dir Min Invasive/Robotic Surg
60.0
.......................0.0
        X   1,304,035 0 47,737
(64) Neil Cobelli MD........................................................................
Chairman-Orthopaedic Surgery
60.0
.......................0.0
        X   1,223,958 0 28,925
(65) Robert B Conaty........................................................................
Spec Advisor-Business & Oper
19.0
.......................0.0
          X 194,781 0 50,382
(66) Donald L Ashkenase........................................................................
Dir of Spec Projects-Finance
60.0
.......................0.0
          X 343,449 0 51,069
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 9,822,303 11,862,703 3,628,958
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet4,146
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 2334 PO BOX 11407
BIRMINGHAM,AL352462334
TEMPORARY NURSES 21,656,054
EPIC SYSTEMS CORPORATION,
PO BOX 88314
MILWAUKEE,WI532880314
IT-Clinical/bill sys 13,967,706
SCC SOFT COMPUTER,
5400 TECH DATA DRIVE
CLEARWATER,FL33760
IT-Laboratory system 6,115,772
LABYRINTH SOLUTIONS INC,
4 NORTH RD SUITE 1000
SUDBURY,MA01776
IT-Human Cap Mgmt 5,377,862
QUEST DIAG NICHOLS INSTITUTE INC,
12436 COLLECTIONS CENTER DRIVE
CHICAGO,IL606932436
OUTSIDE LAB SERVICES 4,848,226
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet329
Form 990 (2014)
Form 990 (2014)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 289,898
b Membership dues....1b  
c Fundraising events....1c 2,498,737
d Related organizations...1d  
e Government grants (contributions)1e 38,090,174
f All other contributions, gifts, grants, and
similar amounts not included above
1f
41,515,539
g Noncash contributions included in lines
1a-1f:$
3,134,755
h Total. Add lines 1a-1f.......MediumBullet 82,394,348
 Program Service RevenueAmt Business Code
2a INPATIENT SERVICES 623000 1,830,601,767 1,830,601,767    
b OUTPATIENT SVCS EXCLUDING HOME HEALTH 621400 1,085,655,696 1,082,917,507 2,738,189  
c CONTRACT MANAGEMENT ORGANIZATION SERV. 900099 79,317,867 54,748,090 24,569,777  
d HOME HEALTH CARE SERVICES 621610 29,751,428 29,751,428    
e PATIENT CENTERED MEDICAL HOMES SERVICES 621990 10,765,656 10,765,656    
f All other program service revenue . 35,193,652 34,905,760 287,892  
g Total. Add lines 2a–2f........MediumBullet 3,071,286,066
 OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 22,012,257   26,393 21,985,864
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 3,284,228  
b Less: rental expenses 3,059,937  
c Rental income or (loss) 224,291 0
d Net rental income or (loss).......MediumBullet 224,291     224,291
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 14,450,254 1,123,869
b Less: cost or other basis and sales expenses    
c Gain or (loss) 14,450,254 1,123,869
d Net gain or (loss)..........MediumBullet 15,574,123   2,082,140 13,491,983
8a Gross income from fundraising events (not including
$ 2,498,737
of contributions reported on line 1c). See Part IV, line 18 ..
a 1,091,100
b Less: direct expenses ...b 1,561,728
c Net income or (loss) from fundraising events..MediumBullet -470,628   -470,628
9a Gross income from gaming activities.
See Part IV, line 19 ...
a 14,800
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 14,800     14,800
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 5,564,949     5,564,949
b PARKING INCOME 812930 4,783,170     4,783,170
c SUBPOENA INCOME 900099 763,712     763,712
d All other revenue .... 1,477,867     1,477,867
e Total. Add lines 11a–11d ...... MediumBullet 12,589,698
12 Total revenue. See Instructions......MediumBullet 3,203,624,955 3,043,690,208 29,704,391 47,836,008
Form 990 (2014)
Form 990 (2014)
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 domestic organizations and domestic governments. See Part IV, line 21 .... 2,052,105 2,052,105
2 Grants and other assistance to domestic individuals. See Part IV, line 22 .... 0  
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............ 222,326 222,326
4 Benefits paid to or for members .... 0  
5 Compensation of current officers, directors, trustees, and key employees .... 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 .... 1,561,940,393 1,440,028,437 120,271,361 1,640,595
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 122,777,564 112,953,632 9,685,648 138,284
9 Other employee benefits ....... 245,483,731 227,273,767 17,933,475 276,489
10 Payroll taxes ........... 109,298,526 102,664,402 6,511,021 123,103
11 Fees for services (non-employees):        
a Management ...... 3,758,034 3,753,469 4,565  
b Legal ......... 7,662,264 4,705,322 2,956,942  
c Accounting ........... 1,299,043   1,299,043  
d Lobbying ........... 553,708 553,708    
e Professional fundraising services. See Part IV, line 17 59,500 59,500
f Investment management fees ...... 3,976,996   3,976,996  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) .... 157,264,484 113,575,530 43,487,630 201,324
12 Advertising and promotion .... 5,920,989 674,617 5,246,372  
13 Office expenses ....... 126,865,721 101,831,851 24,837,066 196,804
14 Information technology ...... 45,782,513 30,707,959 14,991,614 82,940
15 Royalties .. 0      
16 Occupancy ........... 115,804,899 105,576,285 10,197,576 31,038
17 Travel ............ 9,300,282 8,168,283 1,049,969 82,030
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 4,056,827 3,681,874 368,739 6,214
20 Interest ........... 2,949,241 2,933,034 16,207  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 121,958,506 114,895,472 7,061,428 1,606
23 Insurance .............. 88,919,736 86,097,682 2,822,054  
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 380,644,137 380,641,651 2,486  
b MEMBERSHIP DUES 24,739,233 17,262,504 7,468,716 8,013
c CONTINUING MEDICAL EDUCATION 8,659,466 8,659,466    
d BILLING & COLLECTIONS 7,378,856   7,378,856  
e All other expenses 5,100,919 4,382,945 599,378 118,596
25 Total functional expenses. Add lines 1 through 24e 3,164,429,999 2,873,296,321 288,167,142 2,966,536
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 (2014)
Form 990 (2014)
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 ............. 88,670 1 97,571
2 Savings and temporary cash investments ......... 160,222,342 2 177,694,621
3 Pledges and grants receivable, net ........... 14,633,990 3 13,735,940
4 Accounts receivable, net ............. 171,442,517 4 190,008,847
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 ............. 86,490,603 7 137,108,916
8 Inventories for sale or use .............. 22,652,394 8 25,012,846
9 Prepaid expenses and deferred charges .......... 19,997,854 9 30,709,801
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 2,857,026,581
b Less: accumulated depreciation ..... 10b 1,850,413,529 851,802,983 10c 1,006,613,052
11 Investments—publicly traded securities .......... 974,912,671 11 875,276,336
12 Investments—other securities. See Part IV, line 11 ..... 201,242,646 12 262,577,643
13 Investments—program-related. See Part IV, line 11 ..... 1,767,489 13 2,056,959
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 530,008,076 15 492,797,431
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 3,035,262,235 16 3,213,689,963
Liabilities 17 Accounts payable and accrued expenses ......... 434,505,698 17 444,725,817
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 54,003,094 19 56,874,878
20 Tax-exempt bond liabilities ............. 525,607,985 20 575,365,587
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 144,692 21 152,264
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 .. 16,219,883 23 134,729,167
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.................... 1,115,094,922 25 1,098,896,125
26 Total liabilities. Add lines 17 through 25......... 2,145,576,274 26 2,310,743,838
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 .............. 789,438,199 27 804,602,052
28 Temporarily restricted net assets ........... 74,897,729 28 72,994,040
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 ........... 889,685,961 33 902,946,125
34 Total liabilities and net assets/fund balances ........ 3,035,262,235 34 3,213,689,963
Form 990 (2014)
Form 990 (2014)
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
3,203,624,955
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
3,164,429,999
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
39,194,956
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
889,685,961
5
Net unrealized gains (losses) on investments ...............
5
5,820,208
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
-31,755,000
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
902,946,125
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 (2014)
Form 990 (2014)
Page 13
Form 990, Special Condition Description:
Special Condition Description
Form 990 (2014)
Form 990 (2014)
Page 14
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 Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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
a
b
c
d
e
f
Enter the number of supported organizations .............................  
g
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 listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
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) 2014
Schedule A (Form 990 or 990-EZ) 2014
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) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... 62,228,514 73,401,408 71,529,428 85,320,101 82,104,450 374,583,901
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......           0
3 The value of services or facilities furnished by a governmental unit to the organization without charge..           0
4 Total. Add lines 1 through 3 62,228,514 73,401,408 71,529,428 85,320,101 82,104,450 374,583,901
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).. 0
6 Public support. Subtract line 5 from line 4. 374,583,901
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total
7 Amounts from line 4.. 62,228,514 73,401,408 71,529,428 85,320,101 82,104,450 374,583,901
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... 14,095,215 20,119,152 21,976,403 22,369,547 25,296,485 103,856,802
9 Net income from unrelated business activities, whether or not the business is regularly carried on..   -76,249 -820,811 -1,743,179 -2,484,285 -5,124,524
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. 31,129,512 6,588,942 18,030,378 9,367,064 12,589,698 77,705,594
11 Total support Add lines 7 through 10. 551,021,773
12
12
548,979,195
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
67.980 %
15
15
0 %
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) 2014
Schedule A (Form 990 or 990-EZ) 2014
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) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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 VI.) ..            
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) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 5
Part IV
Supporting Organizations (continued)

Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 6
Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1.   Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    

Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors (explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    

Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7   Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 7
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
 
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions
 
9 Distributable amount for 2014 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  

Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2014
(iii)
Distributable
Amount for 2014
1 Distributable amount for 2014 from Section C, line
6
 
2 Underdistributions, if any, for years prior to 2014
(reasonable cause required--see instructions)
 
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2014 distributable amount  
i Carryover from 2009 not applied (see
instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2014 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2014 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2014, if any. Subtract lines 3g and 4a from line 2
(if amount greater than zero, see instructions)
 
6 Remaining underdistributions for 2014. Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)
 
7 Excess distributions carryover to 2015. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......  
e From 2014.......  
Schedule A (Form 990 or 990-EZ) (2014)
Schedule A (Form 990 or 990-EZ) 2014
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Form 990, Schedule A, Part II The Schedule A, Part II support schedule has been completed to
Schedule A (Form 990 or 990-EZ) 2014

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
2014
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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
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


(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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 4
Name of organization
MONTEFIORE MEDICAL CENTER
 
Employer identification number

13-1740114
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. 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) (2014)

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 Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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) 2014

Schedule C (Form 990 or 990-EZ) 2014
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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2011 (b) 2012 (c) 2013 (d) 2014 (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) 2014


Schedule C (Form 990 or 990-EZ) 2014
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
 
553,708
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
 
No
 
j
Total. Add lines 1c through 1i ...............................
553,708
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, lines 1 and 2 (see instructions), 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 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) 2014

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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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 value of contributions to (during year)    
3 Aggregate value of 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)
Revenue 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
Revenue 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) 2014

Schedule D (Form 990) 2014
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, for escrow or custodial account liability?
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 ................. 0 17,945,694 17,945,694
b Buildings ................ 0 1,535,876,627 914,577,276 621,299,351
c Leasehold improvements ............        
d Equipment ................ 0 1,160,567,826 935,836,253 224,731,573
e Other ................. 0 142,636,434   142,636,434
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 1,006,613,052
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
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.
140,821,806 F

(B) LIMITED PARTNERSHIPS
36,724,000 F

(C) EMPLOYEE DEFERRED COMP ASSETS
27,362,387 F

(D) MANAGED CARE COMPANIES
57,597,898 C

(E) OTHER INVESTMENTS
71,552 C




Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 262,577,643
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 AFFILIATES 37,472,431
(2) ESTIMATED INSURANCE CLAIMS REC 454,895,000
(3) GOODWILL 430,000






Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 492,797,431
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 150,358,000
MALPRACTICE INSURANCE LIABILITIES 143,637,352
EMPLOYEE DEFERRED COMP LIABILITIES 27,362,387
PENSION LIABILITIES 15,108,541
ESTIMATED INSURANCE CLAIMS LIABILITIES 454,895,000
OTHER LONG-TERM LIABILITIES 307,534,845



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 1,098,896,125
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) 2014

Schedule D (Form 990) 2014
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 (losses) 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
Schedule D, Part IV, Line 2b Montefiore Medical Center holds security deposits from tenants as an escrow liability pursuant to the individual lease agreements between the tenants and the organization. These deposits are returned to the tenants once they vacate their rental unit less any amounts, if any, due from the tenants for damages or unpaid rent.
Schedule D, 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) 2014

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 Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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 100,340
Sub-Saharan Africa     Grantmaking Medical Equip Purchase 20,000
Sub-Saharan Africa     Grantmaking Birthing Center 7,263
Sub-Saharan Africa     Grantmaking Educational Support 94,723
Central America and the Caribbean     Investments   33,020,046
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .....     33,242,372
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)     33,242,372
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2014
Schedule F (Form 990) 2014
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)
(a)(c) Region (b)(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 Educational Expenses 10,000 wire      
Sub-Saharan Africa HIV Testing & Counseling Program 74,743 wire      
Sub-Saharan Africa support 116,444 wire      
Sub-Saharan Africa BIRTHING CENTER 7,263 wire      
Sub-Saharan Africa SUPPORT 5,160 wire      
Sub-Saharan Africa support 5,030 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) 2014
Schedule F (Form 990) 2014Page 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) 2014
Schedule F (Form 990) 2014
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; do not file with Form 990)............................
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; do not file with Form 990).....................................
Schedule F (Form 990) 2014
Schedule F (Form 990) 2014
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) 2014
Additional Data


Software ID:  
Software Version:  



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 arrowInformation about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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 59,500  
             
             
             
             
             
             
             
             
             
Total .................right arrow 0 59,500  
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) 2014
Schedule G (Form 990 or 990-EZ) 2014
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

7
(total number)
(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 2,284,156 884,358 421,323 3,589,837
2 Less: Contributions . . 1,853,306 431,358 214,073 2,498,737
3 Gross income (line 1
minus line 2) . . .
430,850 453,000 207,250 1,091,100
VerticalDirectExpenses 4 Cash prizes . . . 0 0   0
5 Noncash prizes . . 0 0   0
6 Rent/facility costs . . 745,709 359,384 157,267 1,262,360
7 Food and beverages . 0 0   0
8 Entertainment . . . 10,500 0 5,754 16,254
9 Other direct expenses . 162,367 91,979 28,768 283,114
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 1,561,728
11 Net income summary. Subtract line 10 from line 3, column (d)........... right arrow -470,628
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 conducts gaming activities:
a
Is the organization licensed to conduct 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) 2014
Schedule G (Form 990 or 990-EZ) 2014
Page 3
11
Does the organization conduct 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 activities conducted 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 provide any additional information (see instructions).
Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2014
Additional Data


Software ID:  
Software Version:  
SCHEDULE H (Form 990)
Department of the TreasuryInternal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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 criteria used 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) ..
    51,490,276 15,109,317 36,380,959 1.180 %
b Medicaid (from Worksheet 3,
column a) ....
    1,038,259,174 868,756,932 169,502,242 5.500 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
           
d Total Financial Assistance
and Means-Tested
Government Programs .
    1,089,749,450 883,866,249 205,883,201 6.680 %
Other Benefits
    44,133,140 15,466,907 28,666,233 0.930 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
    333,984,608 187,983,066 146,001,542 4.730 %
g Subsidized health services
(from Worksheet 6) ..
    127,839,655 72,791,323 55,048,332 1.780 %
h Research (from Worksheet 7)     34,456,523 18,339,040 16,117,483 0.520 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
    8,185,093   8,185,093 0.270 %
j Total. Other Benefits ..     548,599,019 294,580,336 254,018,683 8.230 %
k Total. Add lines 7d and 7j .     1,638,348,469 1,178,446,585 459,901,884 14.910 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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     321,887   321,887 0.010 %
2 Economic development            
3 Community support            
4 Environmental improvements     260,117 162,604 97,513  
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development     333,349   333,349 0.010 %
9 Other            
10 Total     915,353 162,604 752,749 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
29,157,511
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
16,935,164
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
371,424,401
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
297,809,450
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
73,614,951
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) 2014
Schedule H (Form 990) 2014
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 (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
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) 2014
Schedule H (Form 990) 2014
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): Montefiore.org
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

MONTEFIORE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

MONTEFIORE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other 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?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ................................ 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Part V, Section B, Lines 3 & 6: 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. Part V, Line 5 Input from the community was achieved via the collection of primary data from a representative sample of the Bronx residents. To Capture the voices of various sectors of Bronx community residents and workers from various perspectives, a mixed-methods approach to data collection consisting of online surveys, focus groups and participation in directed community forums were used. In addition, through collaborations with large stakeholder partner groups, we have determined the significant health issues impacting the community.
Part V, Secttion B, Line 11: 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.
Part V, Section B, Line 22d: 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 Hospital Financial Assistance Law. - For Patients between 300% and 500% of FPL - Capped at the amounts generally billed.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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?136
Name and address Type of Facility (describe)
1 Greene Medical Arts Pavillion
3400 Bainbridge Avenue
Bronx,NY10467
Hospital Outpatient Dept
2 Hutchinson Campus
1250 Waters Place
Bronx,NY10461
Specialty Care Extension
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 Associates
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 Hartsdale Family and Fetal Medicine Inst
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-White Plains Rd
2100 White Plains Road
Bronx,NY10462
Primary Care Practice
37 SUBSTANCE ABUSE TREATMENT CENTER UNIT 1
3550 Jerome Avenue
Bronx,NY10467
Substance Abuse Ext Clinic
38 Montefiore Med Park ORTHODONTIC CENTER
1625 Poplar Street
Bronx,NY10461
Specialty Care Ext Clinic
39 Larchmont Women's Center
2345 Boston Post Road
Larchmont,NY10538
Specialty Care Practice
40 MMG-Burke Ave
941 Burke Avenue
Bronx,NY10469
Primary Care Practice
41 MMG-Riverdale
3510 Johnson Avenue
Bronx,NY10463
Primary Care Practice
42 MONTEFIORE EAST TREMONT FAMILY PRACTICE
3101 E Tremont Avenue
Bronx,NY10461
Primary Care Practice
43 MONTEFIORE Eastern Vascular Associates
3219 East Tremont Avenue
Bronx,NY10461
Specialty Care Practice
44 JE& ZB BUTLER Child Advocacy Center
3314 Steuben Avenue
Bronx,NY10467
Specialty Care Ext Clinic
45 NY Children's Health Project
853 Longwood Avenue
Bronx,NY10459
Homeless Shelter Ext Clinic
46 MSHP - STEVENSON HIGH SCHOOL
1980 Lafayette Avenue
Bronx,NY10461
School Health Clinic
47 MSHP-De Witt Clinton High School
100 W Mosholu Parkway So
Bronx,NY10468
School Health Clinic
48 MSHP-Herbert H Lehman Campus
3000 East Tremont Avenue
Bronx,NY10461
School Health Clinic
49 MONTEFIORE Medical Specialists
495 Central Park Avenue
Yonkers,NY10704
Specialty Care Practice
50 MSHP-PS 8
3010 Briggs Avenue
Bronx,NY10458
School Health Clinic
51 Inst fr Women's Hlth Genetics & Hum Rep
1695 Eastchester Road
Bronx,NY10461
Specialty Care Practice
52 MSHP-Evander Childs Campus
800 East Gun Hill Road
Bronx,NY10467
School Health Clinic
53 MSHP-John Philip Sousa MS 142
3750 Baychester Avenue
Bronx,NY10466
School Health Clinic
54 MONTEFIORE DIVISION OF GASTROENTEROLOGY
1500 Waters Place
Bronx,NY10461
Specialty Care Practice
55 MSHP-PS 105
725 Brady Avenue
Bronx,NY10462
School Health Clinics
56 MSHP-Walton Campus
2780 Reservoir Avenue
Bronx,NY10468
School Health Clinic
57 MSHP-THEODORE ROOSEVELT CAMPUS
500 EAST FORDHAM ROAD
BRONX,NY10458
SCHOOL HEALTH CLINIC
58 MSHP-PS 28
1861 ANTHONY AVENUE
Bronx,NY10457
School Health Clinic
59 MSHP-MS 45
2502 LORRILARD AVENUE
Bronx,NY10458
School Health Clinic
60 MSHP-PS 55
450 ST PAULS PLACE
Bronx,NY10456
School Health Clinic
61 MSHP-PS 85
2400 MARION AVENUE
Bronx,NY10458
School Health Clinic
62 SAFE HOUSE FOR LEAD POISONING PREV PROG
91 EAST MOSHOLU PARKWAY
Bronx,NY10467
SPECIALTY CARE EXT CLINIC
63 MSHP-SOUTH BRONX CAMPUS
701 ST ANNS AVENUE 3RD FLOOR
Bronx,NY10455
SCHOOL HEALTH CLINIC
64 MSHP-IS 217 ENTRADA
977 FOX STREET
BRONX,NY10459
SCHOOL HEALTH CLINIC
65 MONTEFIORE WAKEFIELD CHEM DEP OP PROG
4401 BRONX BOULEVARD
Bronx,NY10470
CHEMICAL DEPENDENCY EXT CLINIC
66 MSHP-PSMS 95
3961 HILLMAN AVENUE
Bronx,NY10463
School Health ClinIc
67 MSHP-BRONX REGIONAL HIGH SCHOOL
1010 REV JA POLITE AVENUE
Bronx,NY10459
sCHOOL hEALTH cLINIC
68 CENTER FOR CHILD HEALTH AND RESILIENCY
890 PROSPECT AVENUE
Bronx,NY10459
PRIMARY CARE EXTENSION CLINIC
69 MONTEFIORE DENTAL CENTER
951 PROSPECT AVENUE
Bronx,NY10459
SPECIALTY CARE PRACTICE
70 MSHP-MOTT HAVEN HS campus
730 CONCOURSE VILLAGE east
Bronx,NY10451
SCHOOL HEALTH CLINIC
71 MONTEFIORE STD INITIATIVE
3230 Bainbridge Avenue
Bronx,NY10467
Specialty Care Ext Clinic
72 MSHP-William Howard Taft Campus
240 East 172nd Street
Bronx,NY10457
School Health Clinic
73 MSHP-PS 64
1425 Walton Avenue
Bronx,NY10452
School Health Clinic
74 MONTEFIORE Gottscho Child Dialysis CTR
Frost Valley YMCA Camp
Claryville,NY12725
Chronic Dialysis Ext Clinic
75 Saratoga Interfaith Family Shelter
175-15 Rockaway Boulevard
Queens,NY11434
Homeless Shelter Ext Clinic
76 Help Bronx Crotona
785 Crotona Park North
Bronx,NY10460
Homeless Shelter Pt Clinic
77 New Day Domestic Violence Shelter
PO Box 6310
Bronx,NY10451
Homeless Shelter Pt Clinic
78 American Red Cross Family ShelterICAHN
4 East 28th Street
New York,NY10016
Homeless Shelter Ext Clinic
79 University Avenue Family Residence
1041 University Avenue
Bronx,NY10452
Homeless Shelter Ext Clinic
80 Women in Need-Suzanne's Place
25 Junius Street
Brooklyn,NY11212
Homeless Shelter Ext Clinic
81 Saint John's Family Shelter
1630 Saint Johns Place
Brooklyn,NY11233
Homeless Shelter Ext Clinic
82 Lydia E Hoffman Family Residence
855 East 175th Street
Bronx,NY10460
Homeless Shelter Ext Clinic
83 Streetwork's Project Drop-In Center
209 W 125th Street
New York,NY10016
Homeless Shelter Ext Clinic
84 Streetwork's Residential-Mobile
1868 Amsterdam Avenue
New York,NY10018
Homeless Shelter Ext Clinic
85 Wakefield-Dept of Ophthalmology
4141 Carpenter Avenue
Bronx,NY10466
Specialty Care
86 ICAHN House Family Shelter
1520 Brook Avenue
Bronx,NY10457
Homeless Shelter Ext Clinic
87 Wakefield-Dept of Orthropedic Surgery
4141 Carpenter Avenue
Bronx,NY10466
Specialty Care
88 MONTEFIORE Riverdale Practice
3333 Henry Hudson Parkway
Bronx,NY10463
Specialty Care Practice
89 MONTEFIORE WELLNESS CENTER
1180 MORRIS PARK AVENUE
BRONX,NY10461
SPECIALTY CARE PRACTICE
90 RIVERDALE MEDICAL ASSOCIATES
2711 HENRY HUDSON PARKWAY
BRONX,NY10463
SPECIALTY CARE FACULTY PRACTICE
91 JENNIE CLARK RESIDENCE-WOMEN IN NEED
183 E 100TH STREET
NEW YORK,NY10029
HOMELESS SHELTER EXT CLINIC
92 MONTEFIORE GENERAL CLINIC RESEARCH CTR
1300 MORRIS PARK AVENUE
BRONX,NY10461
CLINIC RESEARCH EXT CLINIC
93 GENERAL CLINIC RESEARCH CENTER
111 e 210TH STREET-MRT
BRONX,NY10467
CLINICAL RESEARCH EXT CLINIC
94 MONTEFIORE-EINSTEIN CTR FOR CANCER CARE
1521 JARRETT PLACE
BRONX,NY10461
CANCER SERVICES
95 MONTEFIORE CARDIOLOGY 1628 Eastchester
1628 EASTCHESTER ROAD
BRONX,NY10461
SPECIALTY PRACTICE
96 MONTEFIORE JARRETT PEDIATRIC DENTAL CTR
1516 JARRETT AVENUE
BRONX,NY10456
DENTAL CENTER
97 MONTEFIORE DEPARTMENT OF DENTISTRY
3332 rOCHAMBEAU AVENUE
BRONX,NY10467
dENTAL cENTER
98 MONTEFIORE ADVANCED IMAGING GUNHILL
200 EAST GUNHILL ROAD
BRONX,NY10467
IMAGING CENTER
99 MONTEFIORE WAKEFIELD CHILD pSYCH CTR
4141 cARPENTER aVENUE
BRONX,NY10466
MENTAL HEALTH CLINIC
100 ADOLESCENT AIDS PROGRAM
3415 WAYNE AVENUE
BRONX,NY10467
PEDIATRIC SPECIALTY CENTER
101 MONTEFIORE DEPARTMENT OF NEUROLOGY
140 LOCKWOOD AVENUE
NEW ROCHELLE,NY10801
SPECIALTY CENTER
102 MONTEFIORE DEPARTMENT OF NEUROSURGERY
3316 ROCHAMBEAU AVENUE
BRONX,NY10467
SPECIALTY CENTER
103 EINSMONTEFIORE AUTISM EVAL & TREAT CTR
6 EXECUTIVE PLAZA
YONKERS,NY10701
SPECIALTY CENTER
104 WOMEN'S MEDICAL ASSOCIATES
1180 MORRIS PARK AVENUE
BRONX,NY10461
WOMEN'S HEALTH CENTER
105 CENTENNIAL WOMEN'S CENTER
3332 ROCHAMBEAU AVE
BRONX,NY10467
WOMEN'S HEALTH CENTER
106 RIVERDALE WOMEN'S CENTER
3333 HENRY HUDSON PARKWAY
BRONX,NY10463
wOMEN'S HEALTH CENTER
107 DEPT OF OB & GYNWOMEN'S HEALTH
4170 BRONX BOULEVARD
BRONX,NY10466
WOMEN'S HEALTH CENTER
108 WOODLAWN WOMEN'S CENTER
4350 vAN cORTLANDT PK EAST
BRONX,NY10470
WOMEN'S HEALTH CENTER
109 GENETICS & PERINATAL CONSULTANTS OF NY
700 WHITE PLAINS ROAD
SCARSDALE,NY10583
WOMEN'S HEALTH CENTER
110 CHILD ADVOCACY CENTER
260 E 188TH STREET
BRONX,NY10458
SPECIALTY CARE PRACTICE
111 Montefiore Riverdale Cardiology Practice
2711 HENRY HUDSON PARKWAY
BRONX,NY10463
SPECIALTY CARE PRACTICE
112 REHABILITATION MEDICINE PRIVATE PRACTICE
3329 BAINBRIDGE AVENUE
BRONX,NY10467
SPECIALTY CARE PRACTICE
113 MONTEFIORE DIVISION OF DERMATOLOGY
3514 BAINBRIDGE AVENUE
BRONX,NY10467
SPECIALTY CARE PRACTICE
114 SLEEPWAKE DISORDERS
3411 WAYNE AVENUE
BRONX,NY10467
SPECIALTY CARE PRACTICE
115 MONTEFIORE BEHAVIORAL HEALTH CENTER
1967 TURNBULL AVENUE
BRONX,NY10473
MENTAL HEALTH CLINIC
116 MONTEFIORE BEHAVIORAL HEALTH CTR AT WS
2527 GLEBE AVENUE
BRONX,NY10461
MENTAL HEALTH CLINIC
117 ADVANCED ONCOLOGY ASSOCIATES
50 GUION PLACE
NEW ROCHELLE,NY10801
SPECIALTY CARE PRACTICE
118 ADVANCED ONCLOLGY ASSOCIATES
18 ASHFORD AVENUE
DOBBS FERRY,NY10522
SPECIALTY CARE PRACTICE
119 ADVANCED ONCOLOGY ASSOCIATES
75 EAST GUN HILL ROAD
BRONX,NY10467
SPECIALTY CARE PRACTICE
120 ADVANCED ONCOLOGY ASSOCIATES
1578 WILLIAMSBRIDGE ROAD
BRONX,NY10461
SPECIALTY CARE PRACTICE
121 ADVANCED ONCOLOGY ASSOCIATES
984 NORTH BROADWAY
YONKERS,NY10701
SPECIALTY CARE PRACTICE
122 BRONX RIVER MEDICAL ASSOCIATES-BX OFF
60 EAST 208TH sTREET
BRONX,NY10467
SPECIALTY CARE PRACTICE
123 BRONX RIVER MEDICAL ASSOC-YONKERS OFFICE
1915 CENTRAL PARK AVENUE
YONKERS,NY10710
SPECIALTY CARE PRACTICE
124 MMC-WAKEFIELD CARDIOVASCULAR CENTER
4256 BRONX BOULEVARD
BRONX,NY10466
SPECIALTY CARE PRACTICE
125 RIDGE HILL CARDIOLOGY
73 MARKET STREET SUITE 178b
YONKERS,NY10710
SPECIALTY CARE PRACTICE
126 BRONX CARDIAC
2814 MIDDLETOWN ROAD
BRONX,NY10461
SPECIALTY CARE PRACTICE
127 WESTCHESTER HEART SPECIALIST
150 LOCKWOOD AVENUE
NEW ROCHELLE,NY10810
SPECIALTY CARE PRACTICE
128 WILLIAMSBRIDGE CARDIOLOGY
1578 WILLIAMSBRIDGE ROAD
BRONX,NY10461
SPECIALTY CARE PRACTICE
129 CARDIOVASCULAR ASSOCIATES OF WESTCHESTER
140 lOCKWOOD AVENUE
NEW ROCHELLE,NY10801
SPECIALTY CARE PRACTICE
130 MMG-VIA VERDE
730 BROOK AVENUE
BRONX,NY10455
PRIMARY CARE EXTENSION CTR
131 MSHP-MORRIS CAMPUS
1110 BOSTON ROAD
BRONX,NY10456
SCHOOL HEALTH CLINIC
132 MSHP-NEW SETTLEMENT COMMUNITY CAMPUS
1501 JEROME AVENUE
BRONX,NY10452
SCHOOL HEALTH CLINIC
133 BROADWAY DENTAL CENTER
5500 BROADWAY SUITE 102
BRONX,NY10463
DENTAL CENTER
134 FULTON FAMILY RESIDENT AGUILA INC
1625 FULTON AVENUE
BRONX,NY10457
HOMELESS SHELTER EXT CLINIC
135 CHILD ADVOCACY PREVENTION SERVICES
3880 RESERVIOR OVAL
BRONX,NY10467
SPECIALTY CARE PRACTICE
136 Long Term Health Care Program
1Fordham Plaza
Bronx,NY10458
Long Term Home Health Care agency
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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
PART I, LINE 7 TABLE: THE FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST TABLE IS BASED ON THE MEDICAL CENTER'S ACTIVITIES ONLY. SINCE THE ACTIVITES OF THE DISREGARDED ENTITIES (MAINLY THE CARE MANAGEMENT COMPANY, LLC) ARE QUITE UNIQUE AND NOT REPRESENTATIVE OF A HOSPITAL FACILITY, THE ACTIVITIES FROM THESE ENTITIES WERE EXCLUDED FROM CONSIDERATION IN THE TABLE. fORM 990, PART IX, LINE 25, COLUMN A EXPENSES USED TO CALCULATE THE BENEFIT PERCENTAGES WAS ADJUSTED TO EXCLUDE THE DISREGARDED ENTITIES SINCE ONLY THE HOSPITAL FACILITY ACTIVITIES WERE REPORTED.
1. PART I, LINE 7: THE COST-TO-CHARGE RATIO METHODOLOGY WAS UTILIZED TO CALCULATE THE AMOUNT INCLUDED IN THE TABLE. THE CALCULATION OF THIS RATIO WAS DERIVED FROM RATIO OF PATIENT CARE COST-TO-CHARGE.
1. PART II - COMMUNITY BUILDING ACTIVITIES: THE MEDICAL CENTER IS ACTIVELY INVOLVED WITH COMMUNITY-BASED ORGANIZATIONS AND SPECIAL COMMUNITY HEALTH PROGRAMS AS PART OF ITS MISSION TO ADVANCE THE HEALTH OF THE COMMUNITIES IT SERVES. THE MEDICAL CENTER'S COMMUNITY BUILDING ACTIVITIES INCLUDE COMMUNITY SUPPORT OF THE BRONX AIDS VOLUNTEERS ORGANIZATION, THE LEAD POISONING PREVENTION PROGRAM AND RECRUITMENT OF MUCH NEEDED MEDICAL PROFESSIONALS TO THE HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) OF THE BRONX, among other initiatives. MONTEFIORE'S LEAD POISONING PREVENTION Program is a designated NEW YORK STATE Resource Center for Lead poisoning prevention, and consists of a multidisciplinary team in medicine, research, social services, environmental investigation and public advocacy. It serves as a referral center for the medical management of lead poisoning, links families to safe housing during home abatement procedures, provides bilingual educational workshops, advocates for lead poisoned children during local and state legislative reviews and collaborates with city and private agencies in enviromnental intervention. PROJECT BRAVO is a hospital-based volunteer program managed by Montefiore's Aids Center that provides support to HIV and Aids patients. The program renders outreach services in the community, provides friendly visits to hospitalized patients and staffs the BRAVO food pantry.
1. PART III, Section A, LINE 2: The cost of bad debt expense is estimated based on the charges, applied to the ratio of total patient care expenses to total charges for all services rendered. Any payments or discounts are excluded from bad debt expense. 1. Part III, Section A., Line 3 THE ESTIMATED AMOUNT OF THE ORGANIZATIONS'S BAD DEBT EXPENSE (AT COST) ATTRIBUTED TO PATIENTS UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS BASED ON RESULTS OF PREDICTIVE ANALYSIS. BAD DEBT SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION PROVIDES MUCH NEEDED HEALTH CARE SERVICES INDISCRIMINATELY TO THE COMMUNITY-AT-LARGE WITHOUT REGARD TO WHETHER OR NOT THE PATIENT HAS INSURANCE AND THE BILL WILL EVER BE PAID. 1. Part III, Section A., Line 4 AS REPORTED IN MONTEFIORE MEDICAL CENTER'S AUDITED FINANCIAL STATEMENTS, BAD DEBT EXPENSE IS DESCRIBED AS FOLLOWS: "The collection of patient service revenue due from patients, including copayments and deductibles, from those who are ineligible for charity care, is subject to uncertainty. The Medical Center records bad debt expense in the period services are rendered based on past experience, to account for amounts that patients may ultimately be unable or unwilling to pay. For self-pay patients, which includes both patients without insurance and patients with copayments and deductibles after third-party coverage, the Medical Center records an estimate for bad debt expense in the current period based on past experience. Amounts ultimately written off as uncollectible and recoveries of such amounts are deducted from, or added to, the allowance for doubtful accounts".
1. PART III, Section B, LINE 8: Medicare allowable costs reported on Part III, line 6, per Schedule H instructions, were derived using the Medicare Cost Report cost-finding methodology, which apportions routine costs to Medicare using days and ancillary costs to Medicare using departmental ratios of costs to charges (RCCs). THE FOLLOWING TABLE REPRESENTS A RECONCILIATION OF MEDICARE REVENUE AND COSTS INCLUDED ON LINES 5, 6, AND 7 IN PART III TO THE TOTAL ACTUAL MEDICARE REVENUE AND COSTS OF THE MEDICAL CENTER. AS HIGHLIGHTED IN THIS TABLE, INCLUDING THE ADJUSTMENTS DESCRIBED BELOW WOULD HAVE RESULTED IN A MEDICARE Shortfall OF $53,470,754. REVENUE ALLOWABLE SURPLUS COSTS (SHORTFALL) Part 111, LINES 5-7: $371,424,401 $297,788,094 $73,636,307 ADD: COSTS NOT INCLUDED IN MEDICARE COST REPORT: - 28,300,709 (28,300,709) ADD: MEDICARE DME: 33,445,499 84,230,008 (50,784,509) ADD: EMP PHYS SERV: 43,581,000 76,702,615 (33,121,615) ADD: MED SUBSID HLTH SERV: 10,555,632 25,455,860 (14,900,228) TOTAL OVERALL MEDICARE Shortfall: $459,006,532 $512,477,286 $(53,470,754) MEDICARE REVENUE AND ALLOWABLE COSTS REPORTED IN PART III, SECTION B, WERE DERIVED FROM THE MEDICARE COST REPORT. HOWEVER, LINES 5, 6, AND 7 IN PART III DO NOT INCLUDE CERTAIN MEDICARE REVENUE AND COSTS, AND does NOT PRESENT THE ENTIRE FINANCIAL impact OF THE MEDICAL CENTER'S PARTICIPATION IN THE MEDICARE PROGRAM. IN ADDITION, THE MEDICARE COST REPORT COST-FINDING METHODOLOGY IS INCONSISTENT WITH THE REST OF SCHEDULE h, WHEREBY COSTS ARE CALCULATED USING THE MEDICAL CENTER'S OVERALL RATIO OF COSTs TO CHARGES (RCC) FROM WORKSHEET 2. ACCORDINGLY, THE MEDICARE SURPLUS REFLECTED iN PART III, LINE 7 BEFORE THE ADJUSTMENTS described BELOW IS SIGNIFICANTLY OVERSTATED. fOR EXAMPLE, PART III EXCLUDES CERTAIN MEDICAL CENTER EXPENSES THAT ARE NOT PART OF THE MEDICARE COST FINDING PROCESS. tHESE COSTS INCLUDE CERTAIN CONSULTING AND MARKETING EXPENSES, COSTS RELATED TO NURSE PRACTITIONERS, NURSE MIDWIVES, PHYSICIAN ASSISTANTS, AND HOSPITALISTS WHO BILL THE MEDICARE PROGRAM FOR PART B SERVICES AND PHYSICIAN COSTS EXCEEDING THE MEDICARE REASONABLE COMPENSATION EQUIVALENT (RCE) LIMITS. INCLUDING THE MEDICARE SHARE OF THESE COSTS WOULD HAVE REDUCED THE MEDICARE SURPLUS ON LINE 7 BY $28,300,709. PART III ALSO EXCLUDES MEDICARE REVENUE AND ALLOWABLE COSTS FROM THE MEDICARE COST REPORT RELATED TO DIRECT MEDICAL EDUCATION (DME), WHICH WERE REPORTED IN PART I, LINE 7F AS REQUIRED BY THE SCHEDULE H INSTRUCTIONS. IF THE MEDICARE SHARE OF DME LOSSES HAD BEEN REPORTED IN PART III, THE MEDICARE SURPLUS ON LINE 7 WOULD HAVE BEEN REDUCED BY $50,784,509 (SEE ABOVE RECONCILIATION TABLE). ADDITIONALLY, PART III EXCLUDES MEDICARE REVENUE AND COSTS FOR SERVICES BILLED FOR THE MEDICAL CENTER'S EMPLOYED PHYSICIANS THAT ARE PART OF THE RCC CALCULATION IN WORKSHEET 2 BUT ARE NOT REFLECTED IN THE MEDICAL CENTER'S MEDICARE COST REPORT. INCLUDING THE MEDICARE LOSSES FROM THE MEDICAL CENTER'S EMPLOYED PHYSICIAN SERVICES WOULD HAVE REDUCED THE MEDICARE SURPLUS ON LINE 7 BY AN ADDITIONAL $33,121,615 (SEE ABOVE RECONCILIATION TABLE). PART III ALSO EXCLUDED MEDICARE REVENUE AND COSTS FROM THE MEDICARE COST REPORT ASSOCIATED WITH SUBSIDIZED HEALTH SERVICES WHICH WERE REPORTED IN PART I, LINE 7G AS REQUIRED BY THE SCHEDULE H INSTRUCTIONS. IF THE MEDICARE LOSSES FROM THE MEDICAL CENTER'S SUBSIDIZED HEALTH SERVICES HAD BEEN REPORTED IN PART III, THE MEDICARE SURPLUS IN LINE 7 WOULD HAVE BEEN REDUCED BY AN ADDITIONAL $14,900,228 (SEE ABOVE RECONCILIATION TABLE). 1. Part III, Section C., line 9b For patients who are known to qualify for financial assistance, all collection activity is halted and the patient is referred for financial aid. If an account is in collection and the patient requests financial aid or if the agency determines that the patient is eligible for financial assistance, the account is referred back to the Medical Center where the patient is provided assistance with completing an application for assistance.
2. NEEDS ASSESSMENT: MONTEFIORE ASSESSES COMMUNITY NEEDS BY: A) COMMUNITY ADVISORY BOARDS THE PRIMARY APPROACH USED TO GAIN INPUT AND COMMUNITY INVOLVEMENT IS THROUGH A VARIETY OF COMMUNITY ADVISORY BOARDS (CABS). MONTEFIORE MEDICAL CENTER WORKS EXTENSIVELY WITH REPRESENTATIVES OF THE COMMUNITIES THROUGH THE CABS TO IDENTIFY HEALTH CARE NEEDS AND DETERMINE THE APPROPRIATE CONFIGURATION OF SERVICES. ON A REGULAR BASIS, MONTEFIORE REPORTS TO THESE VARIOUS COMMUNITY GROUPS ON THE MEDICAL CENTER'S PERFORMANCE AND SERVICES, THE STATUS OF PROGRAMS, FINANCIAL AND UTILIZATION STATISTICS, THE PLAN FOR AND IMPLEMENTATION OF COMMUNITY SERVICES, AND PLANS FOR THE FUTURE. - EACH OF MMC'S HOSPITAL Divisions HAS AN ORGANIZED CAB, MADE UP OF RESIDENTS OF THE COMMUNITIES WHICH EACH SERVES. - EACH OF MMC'S FEDERALLY-QUALIFIED COMMUNITY HEALTH CENTERS HAS A SIMILAR CAB, MADE UP OF FAMILIES SERVED BY THESE FACILITIES. - THE SCHOOL HEALTH PROGRAM HAS ITS OWN, WELL DEVELOPED MECHANISM TO obtain LOCAL INPUT from the COMMUNITY FOR ITS PROGRAMS. THE PROGRAMS AT EACH OF THE 22 SCHOOLS ARE DEFINED AND GUIDED BY ACTIVE SCHOOL-BASED ADVISORY COMMITTEES AND WELLNESS COUNCILS, WHOSE MEMBERS INCLUDE PRINCIPALS, TEACHERS, ADMINISTRATORS, PARENTS, STUDENTS AND REPRESENTATIVES FROM COMMUNITY AGENCIES. - With regards to THE CHILDREN'S HOSPITAL division, MONTEFIORE WENT A STEP FURTHER, INVOLVING CHILDREN AND FAMILIES IN THE ACTUAL DESIGN OF THE FACILITY, AND INCLUDING PARENTS AND FAMILY MEMBERS IN GROUPS SETTING POLICIES AND PROCEDURES FOR THE CHILDREN'S HOSPITAL division. THAT EFFORT TO INCLUDE CHILDREN AND FAMILIES IN THE CHILDREN'S HOSPITAL division OPERATIONS CONTINUES, THROUGH THE FUNCTION OF THE FAMILY ADVISORY COMMITTEE. - THE INFECTIOUS DISEASE (ID) CLINIC HAS A CONSUMER ADVISORY COMMITTEE OF PEOPLE LIVING WITH HIV AND AIDS. THE COMMITTEE MEETS MONTHLY WITH REPRESENTATIVES FROM PATIENTS, CLINIC STAFF, AND ID CLINIC LEADERSHIP. PATIENTS ON THE COMMITTEE EVALUATE THE DELIVERY OF SERVICES AND CARE IN THE ID CLINIC AND PROVIDE FEEDBACK used for THE PLANNING OF NEW PROGRAMS. PATIENTS ARE WELCOME TO ATTEND ANY OF THE MEETINGS AS A GUEST. B) COMMUNITY SERVICES COMMMITTEE MONTEFIORE MEDICAL CENTER HAS A BOARD COMMITTEE, THAT IS FOCUSED ON COMMUNITY SERVICES. IT IS RESPONSIBLE FOR OVERSEEING MONTEFIORE'S COMMUNITY SERVICES AND COMMUNITY BENEFIT ACTIVITIES TO ENSURE THEY ARE FORMULATED TO FACILITATE THE FULFILLMENT OF THE MEDICAL CENTER'S MISSION AND MEET THE NEEDS OF THE COMMUNITY. THE COMMITTEE MEETS REGULARY TO: - BECOME FAMILIAR WITH AND ASSESS MONTEFIORE'S community service pROGRAMS AND THE EXTENT TO WHICH THEY ADDRESS AND MAKE A MEANINGFUL IMPACT ON PRESSING COMMUNITY NEEDS; - REVIEW ASSESSMENTS OF THE HEALTH CARE NEEDS OF THE COMMUNITIES MONTEFIORE SERVES; - REVIEW AND APPROVE MONTEFIORE'S COMMUNITY SERVICE PLAN, WHICH IS SUBMITTED TO NEW YORK STATE; - Review and approve Montefiore's Health Needs Assessment and implementation strategy to meet the Federal requirements; and - PARTICIPATE IN THE REGULAR ASSESSMENT OF AND REPORTING ON PROGRAMS/SERVICES THAT REPRESENT INVESTMENTS BY THE MEDICAL CENTER IN "COMMUNITY BENEFITS". THE COMMITTEE WORKS CLOSELY WITH MONTEFIORE LEADERSHIP AND/OR RELEVANT BOARD COMMITTEES THAT ARE RESPONSIBLE FOR OVERSEEING THE MEDICAL CENTER'S MISSION TO ASSESS AND IMPROVE THE HEALTH OF THE COMMUNITIES SERVEd. C) PARTNERSHIPS AND COLLABORATIONS BEYOND THE FORMAL STRUCTURE THAT MONTEFIORE HAS ESTABLISHED TO GAIN INPUT FROM THE COMMUNITIES IT SERVES, THE MEDICAL CENTER PARTICIPATES IN A VARIETY OF ORGANIZED PARTNERSHIPS AND COLLABORATIVES, WORKING WITH OTHER PROVIDERS IN THE BRONX, THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE, COMMUNITY-BASED ORGANIZATIONS IN THE BRONX AND MEMBERS OF THE COMMUNITY IN PLANNING AND DEVELOPING INITIATIVES AIMED AT IMPROVING THE HEALTH OF PEOPLE IN THE BRONX. EXAMPLES OF SUCH Partnerships INCLUDES: - THE BRONX HEALTH LINK - THE BRONX RHIO - THE BRONX COLLABORATIVE - THE BRONX BREATHES INITIATIVE - THE BRONX HIV PLANNING COUNCIL - SOUTH BRONX ENVIRONMENTAL JUSTICE PARTNERSHIP (SBEJP) - CITIWIDE HARM REDUCTION PROGRAM - BRONX COMMUNITY PALLIATIVE CARE INITIATIVE - BRONX SCIENCE AND HEALTH OPPORTUNITIES PARTNERSHIP - HISPANIC CENTER OF EXCELLENCE - BRONX CENTER TO REDUCE AND ELIMINATE ETHNIC AND RACIAL HEALTH DISPARITIES (BRONX CREED). D) The office of community and population health Montefiore continues to partner with a variety of community-based organizations to work to advance the health of the community. The Montefiore Office of Community and Population Health was set up to maximize the impact of the Medical Center's community services and helps to assesses community needs by its various initiatives, including - supporting and coordinating Montefiore's diverse portfiolio of community health improvement programs and activities; - enhancing Montefiore's capacity to assess and measure the health needs of the communities it serves; - Identifying and selecting a limited number of top-priority health needs in the communities Montefiore serves for specific focus; - Leading and coordinating Montefiore-wide efforts and working with community partners to measurably improve the health of the communities served; - The to your Health! Program, a community and worksite wellness initiative seeking to reduce the growing burden of chronic disease in the community through a number of public health programs to educate patients, visitors, staff and local residents on how to live healthier lives. Through collaborations with local community based organizations, the Office of Community Health will identify specific interventions that can be worked on both collaboratively and independently to transform the community health. Using data collected through Montefiore, the District Public Health Office and other sources, the impact on the community health by the particular intervention can be measured and analyzed.
3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: ALL INTAKE, REGISTRATION, AND COLLECTION AGENCY STAFF IS TRAINED ON THE MEDICAL CENTER'S FINANCIAL AID POLICY AND HOW TO PROVIDE PATIENTS WITH ASSISTANCE. MONTEFIORE MEDICAL CENTER HAS A POLICY THAT ESTABLISHES GUIDeLINES FOR THE BILLING OFFICE TO FOLLOW WHEN WORKING WITH INDIVIDUALS WHO ARE HAVING DIFFICULTY PAYING THEIR MEDICAL BILLS. A REFERRAL IS MADE TO THE MEDICAL CENTER'S FINANCIAL AID OFFICE AND A FINANCIAL COUNSELOR WILL HELP THE PATIENT APPLY FOR FREE OR LOW-COST INSURANCE. IF THE FINANCIAL COUNSELOR DETERMINES THAT THE PATIENT DOES NOT QUALIFY FOR LOW-COST INSURANCE, the counselor WILL HELP THE patient APPLY FOR A FINANCIAL AID DISCOUNT BASED ON INCOME LEVEL. THE MEDICAL CENTER MAKES ITS FINANCIAL AID POLICY KNOWN TO THE PUBLIC BY PROVIDING WRITTEN INFORMATION AVAILABLE IN BOTH ENGLISH AND SPANISH, including brochures AT all patient service areas, information posted on the intranet and internet, and information sent out on patient's bills. THERE ARE ALSO SIGNS POSTED AT THE MAIN ENTRANCE TO THE MEDICAL CENTER IN ENGLISH AND SPANISH ADVISING PATIENTS OF THE ROOM LOCATION FOR ASSISTANCE WITH FINANCIAL AID.
4. COMMUNITY INFORMATION: THE MEDICAL CENTER HAS OUTREACH SERVICES RESPONDING TO THE HEALTH CARE AND SOCIAL NEEDS THROUGHOUT THE BRONX AND SOUTHERN WESTCHESTER. IT HAS BECOME A MAJOR COMMUNITY RESOURCE TO A POPULATION WHICH IS AMONG THE COUNTRY'S MOST ECONOMICALLY AND SOCIALLY DISADVANTAGED and to a community that is full of great challenges. The Bronx, with its 1.4 million residents, 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 list 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 level. The Bronx has a poverty rate of 29.8% (compared to 15.3% city-wide), median income of $34,388 (compared to $58,003 city-wide) and one of the highest child poverty rates in the United States with 44.55% of Bronx children living below poverty. THE BRONX IS ALSO THE YOUNGEST COUNTY IN NEW YORK STATE WITH 39.2% CHILDREN AND ONE OF ONLY FIVE U.S. COUNTIES WITH MORE THAN 30% SINGLE FAMILY HOUSEHOLDS. COMMUNITY HEALTH PROFILES OF THE BRONX SHOW POOR HEALTH STATUS, HIGHER THAN AVERAGE INCIDENCE AND PREVALENCE OF HIV AND TUBERCULOSIS, POORER THAN AVERAGE BIRTH OUTCOMES, WORSE THAN AVERAGE ACCESS TO PRIMARY CARE, AND HIGH HOSPITAL ADMISSION RATES FOR DIABETES, CARDIOVASCULAR, CEREBROVASCULAR, PERIPHERAL VASCULAR AND RENAL DISEASES.
5. PROMOTION OF COMMUNITY HEALTH: MONTEFIORE IS A LEADER IN COMMUNITY HEALTH AND HAS A LONG HISTORY OF DEVELOPING INNOVATIVE APPROACHES TO CARE AND TAILORING PROGRAMS TO BEST SERVE THE CHANGING NEEDS OF ITS COMMUNITY. MONTEFIORE EMBRACES ITS SOCIAL RESPONSIBILITY AND DEFINES ITS ROLE BROADLY, PROMOTING WELLNESS IN ADDITION TO TREATING DISEASE AND ADDRESSING NEEDS RANGING FAR BEYOND MEDICAL CARE. MONTEFIORE EXTENDS THIS RESPONSIBILITY TO THE CARE OF ITS EMPLOYEES AND MEDICAL STAFF, many WHOM LIVE IN THE SURROUNDING COMMUNITY. THE POPULATION MONTEFIORE SERVES IS ONE OF THE MOST DIVERSE IN THE NATION. MONTEFIORE HAS BEEN AN INCUBATOR FOR PROGRAMS THAT IMPROVE PATIENTS' ACCESS TO CULTURALLY APPROPRIATE SERVICES, AND ITS PROGRESSIVE FINANCIAL AID POLICY AND ROBUST ENTITLEMENT ENROLLMENT PROGRAM SUPPORT ACCESS TO CARE FOR THOSE IN NEED. HISTORICALLY, MONTEFIORE HAS EMBRACED COMMUNITY SERVICE AND COMMUNITY HEALTH IMPROVEMENT AS A DELIVERY SYSTEM CHALLENGE, REACHING OUT TO SERVE THE UNDER-RESOURCED THROUGH ITS EXTENSIVE PRIMARY CARE DELIVERY SYSTEM, INCLUDING A NUMBER OF FEDERALLY-QUALIFIED COMMUNITY HEALTH CENTERS (FQHC). IN ADDITION, MONTEFIORE HAS DEVELOPED A WIDE RANGE OF SERVICES TARGETED TO SPECIFIC GROUPS IN NEED: THE YOUNG, THE ELDERLY, THE HIV INFECTED AND AFFECTED, THE MENTALLY ILL, THOSE STRUGGLING WITH SUBSTANCE USE, HOMELESSNESS AND VIOLENCE AND THOSE LIVING WITH CHRONIC DISEASES. THE MEDICAL CENTER HAS MAINTAINED AND EXPANDED ITS RANGE OF COMMUNITY SERVICES, REACHING OUT TO AND SERVING POPULATIONS WITH UNMET HEALTH CARE NEEDS, INCLUDING: - THOSE WITH POOR ACCESS TO COMPREHENSIVE CARE - UNDERSERVED, AT-RISK AND HARD TO REACH CHILDREN & THEIR FAMILIES - UNDERSERVED AND AT-RISK SENIOR CITIZENS - THOSE AFFECTED BY CANCER - THOSE AFFECTED BY THE CONTINUING HIV EPIDEMIC IN THE BRONX - PERSONS WITH OR AT-RISK FOR TUBERCULOSIS INFECTION - PERSONS AFFECTED WITH PROBLEMS OF SUBSTANCE ABUSE - THE HOMELESS - ADULTS AND CHILDREN WITH LIMITED ACCESS TO PRIMARY DENTAL CARE - THOSE AFFECTED BY CHRONIC HEALTH CARE DISEASE SUCH AS CONGESTIVE HEART FAILURE, DIABETES AND ASThMA. THE MEDICAL CENTER RUNS PROGRAMS for COMMUNITY HEALTH SERVICES THAT ARE AMONG THE NATION'S MOST EXTENSIVE PROVIDING PRIMARY CARE TO UNDERSERVED POPULATIONS including: - MONTEFIORE'S NETWORK OF PRIMARY CARE CENTERS IN THE BRONX INCLUDING SEVERAL FEDERALLY-QUALIFIED HEALTH CARE CENTERS (FQHC) PROVIDES ACCESS TO HIGH QUALITY PRIMARY HEALTH CARE SERVICES AND A VARIETY OF PRACTICE-BASED AND COMMUNITY OUTREACH PROGRAMS TO SOME OF THE NATION'S POOREST AND MOST UNDERSERVED COMMUNITIES. - MONTEFIORE OPERATES ONE OF THE NATION'S LARGEST PROGRAMS OF SCHOOL-BASED PRIMARY CARE, SERVING OVER 26,000 STUDENTS AT 22 ELEMENTARY, MIDDLE AND HIGH SCHOOLS IN THE BRONX, PROVIDING OVER 82,000 HEALTH, MENTAL HEALTH AND DENTAL VISITS. THIS MODEL PROGRAM IS ABLE TO PROVIDE SERVICES TO ALL STUDENTS IN THESE SCHOOLS, INCLUDING THE ROUGHLY HALF OF ALL STUDENTS WITHOUT INSURANCE. - MONTEFIORE PROVIDES much NEEDED HEALTH CARE SERVICES TO HOMELESS CHILDREN AND FAMILIES IN VARIOUS LOCATIONS IN THE BRONX AND THROUGHOUT NEW YORK CITY USING A FLEET OF MOBILE MEDICAL UNITS AND A MOBILE DENTAL UNIT AND USING TEAMS OF PROFESSIONALS PROVIDING SERVICES WITHIN HOMELESS AND DOMESTIC VIOLENCE SHELTERS. MONTEFIORE PROVIDES COMPREHENSIVE CARE AND A RANGE OF INNOVATIVE PROGRAMS FOR HIGH-RISK CHILDREN IN THE BRONX, INCLUDING: - A HIGHLY REGARDED PREVENTION, COUNSELING AND TREATMENT PROGRAM FOR ABUSED CHILDREN AND THEIR FAMILIES, BASED IN MONTEFIORE'S CHILD ADVOCACY CENTER. - A NATIONALLY RECOGNIZED LEAD POISONING PREVENTION, SCREENING AND TREATMENT PROGRAM SERVING POPULATIONS AT HIGHEST RISK FOR LEAD POISONING. ITS SAFE HOUSE IS A MODEL HOUSING PROGRAM TO SHELTER FAMILIES OF CHILDREN WITH HIGH LEAD LEVELS WHILE THEIR DWELLINGS ARE MADE LEAD FREE. - AN INNOVATIVE, MULTI-LEVEL PROGRAM OF CARE FOR CHILDREN WITH AND AT-RISK FOR OBESITY AND DIABETES, INCLUDING INITIATIVES IN THE SCHOOL-BASED HEALTH CENTERS, IN THE COMMUNITY-BASED PRIMARY CARE SITES AND AT THE CHILDREN'S HOSPITAL division AT MONTEFIORE (CHAM). - HEALTH PROFESSIONS EDUCATION PROGRAMS FOR HIGH SCHOOL STUDENTS CONDUCTED IN COLLABORATION WITH AREA HIGH SCHOOLS. THE MEDICAL CENTER OPERATES ONE OF THE NATION'S LARGEST AND MOST COMPREHENSIVE PROGRAMS FOR THE DIAGNOSIS, CARE AND ONGOING MANAGEMENT OF POPULATIONS WITH AND AT-RISK FOR HIV INFECTION, INCLUDING: - A HOSPITAL-BASED, STATE-DESIGNATED COMPREHENSIVE AIDS CENTER THAT SERVES INDIVIDUALS WITH HIV/AIDS WITH A BROAD PROGRAM OF AMBULATORY AND INPATIENT CARE. - A COMMUNITY-BASED PROGRAM THAT SERVES INDIVIDUALS WITH HIV/AIDS, OPERATING IN THE MEDICAL CENTER'S PRIMARY CARE SITES. - LONGSTANDING PROGRAMS FOCUSED ON THE PREVENTION, EARLY IDENTIFICATION AND ONGOING CARE AND MANAGEMENT OF CHILDREN AND ADOLESCENTS WITH OR AT RISK FOR HIV INFECTION. - AN INNOVATIVE PROGRAM OF OUTREACH HIV PRIMARY AND SPECIALTY CARE SERVICES, THAT ARE LOCATED IN MONTEFIORE'S SUBSTANCE ABUSE TReATMENT PROGRAM, WHICH SERVES APPROXIMATELY 5,000 OPIATE-ADDICTED INDIVIDUALS, HALF OF WHOM ARE hiv-INFECTED, IN SEVERAL DRUG TREATMENT CENTERS LOCATED THROUGHOUT THE BRONX. THIS SERVICE INFRASTRUCTURE HAS PROVEN INVALUABLE IN MOUNTING EFFECTIVE PUBLIC HEALTH, DIAGNOSIS AND CARE PROGRAMS RESPONDING TO THE TWO OTHER INFECTIOUS DISEASE EPIDEMICS THAT HAVE ALSO AFFLICTED THE BRONX: TUBERCULOSIS AND HEPATITIS-C infection. MONTEFIORE PROVIDES A WIDE RANGE OF ON-SITE AND OUTREACH PROGRAMS TO SERVE THE BOROUGH'S FRAIL AND AT-RISK ELDERLY, INCLULDING: - A COMPRHENSIVE, MULTIDISCIPLINARY GERIATRIC AMBULATORY PRACTICE, INCLUDING GERIATRIC MEDICINE AND GERIATRIC PSYCHIATRY, SOCIAL SERVICES, PHARMACY AND NUTRITIONAL COUNSELING, WITH SERVICE SITES IN THE EAST AND WEST BRONX; - AN AGING AND MEMORY CENTER THAT PROVIDES ASSESSMENTS, AMBULATORY CARE AND HOME VISITS BY GERIATRIC PSYCHIATRISTS; - ONE OF THE NATION'S LARGEST HOSPITAL-BASED HOMECARE PROGRAMS, PROVIDING IN-HOME SERVICES TO INNER CITY SENIORS LIVING IN NEIGHBORHOODS THAT ARE AMONG THE COUNTRY'S MOST DISADVANTAGED; - AN EXTENSIVE PROGRAM TO IDENTIFY, PREVENT AND RESPOND TO SUSPECTED ELDER ABUSE; - PHYSICIAN HOME VISIT PROGRAMS SERVING THE ELDERLY LIVING IN PUBLICLY SUBSIDIZED HOUSING PROJECTS ACROSS THE BRONX, A PROGRAM MOUNTED IN PARTNERSHIP WITH THE NYC HOUSING AUTHORITY AND LOCAL COMMUNITY AND SOCIAL SERVICES AGENCIES IN "NATURALLY OCCURRING RETIREMENT COMMUNITIES"; - AN INNOVATIVE FEDERALLY-FUNDED DEMONSTRATION PROGRAM THAT USES A COMBINATION OF CARE AND CASE MANAGEMENT, A PHYSICIAN HOME VISITING PROGRAM, HOME-BASED TELEMONITORING AND PATIENT/FAMILY SUPPORT TO MANAGE AND IMPROVE THE CARE AND HEALTH OF SENIORS IDENTIFIED BY CMS AS THEIR "HIGH-COST BENEFICIARIES" (MEDICARE BENEFICIARIES WITH COMPLEX MEDICAL AND PSYCHOSOCIAL NEEDS). THE DEPARTMENT OF OB-GYN AND WOMEN'S HEALTH IS INVOLVED IN A RANGE OF PROGRAMS FOCUSED ON THE HEALTH NEEDS OF WOMEN IN THE BRONX AND SURRROUNDING COMMUNITIES, INCLUDING: - PARTNERING WITH NY STATE, NY CITY AND LOCAL PROVIDERS iN THE DEVELOPMENT OF A REGIONAL PERINATAL SYSTEM IN THE BRONX, WHICH HAS one of THE COUNTRY'S HIGHEST RATES OF INFANT MORTALITY AND DISABILITY AND LOW BIRTH WEIGHT; - PROVISION OF OUTREACH PRIMARY CARE SERVICES TO DOMESTIC VIOLENCE SHELTERS IN THE BRONX. MONTEFIORE AS A COMMUNITY LEADER IS RESPONDING TO THE UNIQUE AND PRESSING NEEDS OF ITS COMMUNITY reflected in various outreach programs: - THE MONTEFIORE-EINSTEIN CANCER CARE OPERATES THE COMMUNITY OUTREACH PROGRAM, A RESEARCH BASED CANCER PREVENTION, EDUCATION, AND SUPPORT PROGRAM THAT PROVIDES SUPPORT AND EDUCATIONAL SERVICES TO PATIENTS, FAMILIES, STAFF, AND COMMUNITY MEMBERS FACING THE CHALLENGES OF CANCER. THE CENTER ALSO PARTICIPATES IN CANCER SCREENING, CANCER EDUCATION AND AWARENESS, AND SUPPORT PROGRAMS. - MONTEFIORE'S COMMUNITY DENTISTRY PROGRAM PROVIDES DENTAL SERVICES TO A MULTITUDE OF UNDERSERVED AND MEDICALLY COMPROMISED PATIENTS AT ON-SITE DENTAL FACILITIES, ONE COMMUNITY SITE, AND THE INFECTIOUS DISEASE CLINIC AT THE MOSES DIVISION. A MOBILE DENTAL VAN PROVIDES MOBILE DENTAL SERVICES TO THE UNDERSERVED AT A VARIETY OF MONTEFIORE PRIMARY CARE SITES ACROSS THE BRONX. - MONTEFIORE has been DESIGNATED BY NY STATE AS ONE OF FOUR DIABETES CENTERS OF EXCELLENCE IN THE STATE. MONTEFIORE HAS IMPLEMENTED A COMPREHENSIVE ARRAY OF PROGRAMS RESPONDING TO THE "NEXT EPIDEMIC" IN THE BRONX: THE EXTRAORDINARILY HIGH AND INCREASING RATES OF DIABETES AND OBESITY AND THE COMMON CARDIOVASCULAR COMPLICATIONS AND COMORBIDITIES. MONTEFIORE IS TAKING A NETWORK-WIDE QUALITY IMPROVEMENT APPROACH TO ORGANIZING AND IMPROVING THE PREVENTION, CARE AND MANAGEMENT OF THIS DISEASE CLUSTER, IN ITS PRIMARY CARE AND SCHOOL-BASED SITES, IN ITS SPECIALTY SERVICES AND HOSPITAL divisions. - Montefiore has taken a leadership position in neighborhood and community development, creating and supporting the Mosholu Preservation Corporation (MPC). MPC is a community redevelopment corporation that has successfully rehabilitated housing stock in the depressed neighbor
6. AFFILIATED HEALTH CARE SYSTEM: Montefiore Medical Center IS AN AFFILIATE OF MONTEFIORE HEALTH SYSTEM, INC. Montefiore Health System, Inc. is a leader in community health and has a long history of developing innovative approaches to care and creating programs to best serve the changing needs of its community. See line 5, Promotion of Community Health, for how the Health System along with Montefiore Medical Center promotes community Health.
7. STATE FILING OF COMMUNITY BENEFIT REPORT: Montefiore Medical Center files a Community Service Plan with the State of New York.
Schedule H (Form 990) 2014
Additional Data


Software ID:  
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
2014
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 Domestic Organizations and Domestic Governments. 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 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) 165,950       GRANT SUBRECIPIENT
(2) Bronx Aids Services Inc
540 E fordham road
bronx,NY10458
13-3599121 501(c)(3) 104,678       grant subrecipient
(3) bronx lebanon hospital center
1276 fulton avenue
bronx,NY10456
13-1974191 501(c)(3) 247,040       grant subrecipient
(4) jacobi medical center
1400 pelham parkway
Bronx,NY10461
13-2655001 501(c)(3) 327,527       grant /sponsorship
(5) lincoln medical center
234 east 149th street
bronx,NY10451
13-2655001 501(c)(3) 152,208       grant subrecipient
(6) Bronx Overall Economic Development
851 Grand Concourse
Bronx,NY10451
13-3079387 501(c)(3) 79,460       Sponsorship
(7) American Heart Association
122 East 42nd Street
New York,NY10168
13-5613797 501(c)(3) 30,000       sponsorship
(8) Urban Health Plan Inc
1515 Southern Blvd
Bronx,NY10460
23-7360305 501(c)(3) 53,800       Sponsorship
(9) Primary Care Development Corp
22 Cortlandt St 12th Fl
New York,NY10007
13-3711803 501(c)(3) 20,500       sponsorship
(10) Bronx Children's Museum
PO Box 1381
bronx,NY10451
26-0579140 501(c)(3) 8,000       sponsorship
(11) Hebrew Home for the Aged at Riverdale Foundation
215 park Avenue
New York,NY10003
20-4352212 501(c)(3) 25,000       sponsorship
(12) Bronx Community Health Network Inc
1 Fordham Plaza
Bronx,NY10458
13-3905296 501(c)(3) 26,500       Sponsorship
(13) Coalition to Protect America's Health Care
PO Box 30211
Bethesda,MD20824
52-2253225 501(c)(3) 65,000       Donation
(14) Children's Health Fund
215 west 125th street
New York,NY10027
13-3468427 501(c)(3) 12,500       Sponsorship
(15) Cong Refuah Helpline Inc
9 Meron Dr
Monroe,NY10950
20-8216686 501(c)(3) 30,000       Sponsorship
(16) Mosholu Preservation Corporation
3400 Reservoir Oval East
Bronx,NY10467
13-3109387 501(c)(3) 24,000       Donation
(17) 1199 SEIU Employer Child Care Corp
330 West 42nd St
New York,NY10036
13-1510821 501(c)(3) 7,500       Sponsorship
(18) American Cancer Society
2330 Eastchester Rd 3rd fl
Bronx,NY10469
16-0743902 501(c)(3) 7,500       sponsorship
(19) New York Health Collaborative Inc
40 Worth Street 5th Fl
New york,NY10013
20-8022336 501(c)(3) 100,000       sponsorship
(20) Golf Fore Africa Inc
32531 N Scottsdale Rd
Scottsdale,AZ85266
26-1753089 501(c)(3) 25,000       Sponsorship
(21) YMCA of Greater New York
2 Castle Hill Avenue
Bronx,NY10473
13-1624228 501(c)(3) 6,000       Sponsorship
(22) BRONXWORKS INC
60 EAST TREMONT AVENUE
BRONX,NY10453
13-3254484 501(C)(3) 25,000       SPONSORSHIP
(23) CALVARY FUND INC
1740 EASTCHESTER ROAD
BRONX,NY10461
13-3259649 501(c)(3) 10,000       SPONSORSHIP
(24) CHILDREN'S DEFENSE FUND
276 FIFTH AVENUE
NEW YORK,NY10001
52-0895622 501(c)(3) 25,000       SPONSORSHIP
(25) COALITION FOR ASIAN-AMERICAN CHILD & FAMILIES
50 BROAD STREET
NEW YORK,NY10004
13-3682471 501(C)(3) 7,500       SPONSORSHIP
(26) FOUNDATION FOR ART & HEALING INC
77 STEARNS ROAD
BROOKLINE,MA02446
33-1125148 501(C)(3) 15,000       SPONSORSHIP
(27) HOSTOS COMMUNITY COLLEGE FOUNDATION
500 GRAND CONCOURSE
BRONX,NY10451
13-3116643 501(C)(3) 6,000       SPONSORSHIP
(28) HUDSON RIVER HEALTHCARE INC
1037 MAIN STREET
PEEKSKILL,NY10566
13-2828349 501(C)(3) 15,000       SPONSORSHIP
(29) MT VERNON NEIGHBORHOOD HEALTH
107 WEST 4TH STREET
MT VERNON,NY10550
13-3315508 501(C)(3) 17,000       SPONSORSHIP
(30) NYS SCHOOL BASED HEALTH CENTER ADVOCATES
119 WASHINGTON AVE
ALBANY,NY12210
46-4350975 501(C)(3) 15,000       SUPPORT
(31) NYU FORENSIC MEDICINE SUPPORT FUND
520 FIRST AVENUE
NEW YORK,NY10016
13-5562308 501(c)(3) 37,500       CONTRIBUTION
(32) PROMESA FOUNDATION INC
1776 CLAY AVENUE
BRONX,NY10457
13-2663328 501(C)(3) 10,000       SPONSORSHIP
(33) ST JOHN'S RIVERSIDE HOSPITAL
967 NORTH BROADWAY
YONKERS,NY10701
13-1740126 501(C)(3) 50,000       SPONSORSHIP
(34) THE HEALTH MANAGEMENT ACADEMY INC
515 WYTHE STREET
ALEXANDRIA,VA22314
54-1900808 501(c)(3) 15,000       SPONSORSHIP
(35) THE MENTAL HEALTH ASSOCIATION OF NYC
162 WEST 56TH STREET
NEW YORK,NY10019
13-2637308 501(C)(3) 5,700       SPONSORSHIP
(36) THE NEW YORK ACADEMY OF MEDICINE
1216 FIFTH AVENUE
NEW YORK,NY100295293
13-1656674 501(C)(3) 50,100       SPONSORSHIP
(37) WESTCHESTER COUNTY ASSOCIATION Inc
1133 WESTCHESTER AVE
WHITE PLAINS,NY10604
13-1737011 501(C)(4) 33,000       SPONSORSHIP
(38) MEDICARE RIGHTS CENTER
520 EIGHTH AVENUE
NEW YORK,NY10018
13-3505372 501(C)(3) 25,000       SPONSORSHIP
(39) Dana-Farber Cancer Institute Inc
450 Brookline Avenue
Boston,MA02115
04-2263040 501(c)(3) 13,712       Grant Subrecepient
(40) Weill Medical College of Cornell University
1300 York Avenue
New York,NY10065
13-1623978 501(c)(3) 40,510       Grant Subrecepient
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
39
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
1
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2014

Schedule I (Form 990) 2014
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. 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) 2014


Additional Data


Software ID:  
Software Version:  


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 Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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), 501(c)(4), and 501(c)(29) organizations 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
 
No
b
Any related organization? .........................
6b
 
No
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) 2014

Schedule J (Form 990) 2014
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 in column(B) reported as deferred in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1Robert B ConatySpec Advisor-Business & Oper (i)
(ii)
191,633
...............................
0
0
...............................
0
3,148
...............................
0
17,000
...............................
0
33,382
...............................
0
245,163
...............................
0
0
...............................
0
2Donald L AshkenaseDir of Spec Projects-Finance (i)
(ii)
339,023
...............................
0
0
...............................
0
4,426
...............................
0
17,000
...............................
0
34,069
...............................
0
394,518
...............................
0
0
...............................
0
3JOEL PERLMANEXECutive VP & CfO (i)
(ii)
0
...............................
1,019,110
0
...............................
610,000
0
...............................
537,682
0
...............................
17,000
0
...............................
33,882
0
...............................
2,217,674
0
...............................
0
4ROBERT MICHLER MDCHAIR-Surg/Cardiothoracic Surg (i)
(ii)
3,033,488
...............................
0
0
...............................
0
7,132
...............................
0
17,000
...............................
0
34,100
...............................
0
3,091,720
...............................
0
0
...............................
0
5RICHARD KRAUT DDSCHAIRMAN-DENTISTRY (i)
(ii)
501,710
...............................
0
1,407,962
...............................
0
3,882
...............................
0
17,000
...............................
0
31,382
...............................
0
1,961,936
...............................
0
0
...............................
0
6SUSAN GREEN-LORENZEN RNSenior VP-OPERations (i)
(ii)
0
...............................
636,460
0
...............................
336,400
0
...............................
11,229
0
...............................
482,033
0
...............................
32,082
0
...............................
1,498,204
0
...............................
0
7Christopher PancznerSenior VP & General Counsel (i)
(ii)
0
...............................
624,900
0
...............................
343,800
0
...............................
10,799
0
...............................
271,790
0
...............................
0
0
...............................
1,251,289
0
...............................
0
8PHILIP O OZUAH MD PHDExecutive VP & COO (i)
(ii)
0
...............................
1,154,628
0
...............................
712,400
0
...............................
90,137
0
...............................
1,998,481
0
...............................
37,636
0
...............................
3,993,282
0
...............................
0
9Shalom Kalnicki MDChairman-Radiation Oncology (i)
(ii)
1,100,091
...............................
0
700,000
...............................
0
1,815
...............................
0
17,000
...............................
0
36,946
...............................
0
1,855,852
...............................
0
0
...............................
0
10Joseph De Rose MDDir Min Invasive/Robotic Surg (i)
(ii)
1,092,355
...............................
0
211,536
...............................
0
144
...............................
0
17,000
...............................
0
30,737
...............................
0
1,351,772
...............................
0
0
...............................
0
11Neil Cobelli MDChairman-Orthopaedic Surgery (i)
(ii)
896,322
...............................
0
325,952
...............................
0
1,684
...............................
0
17,000
...............................
0
11,925
...............................
0
1,252,883
...............................
0
0
...............................
0
12Lynn RichmondExecutive Vice President (i)
(ii)
0
...............................
612,082
0
...............................
346,400
0
...............................
10,749
0
...............................
340,020
0
...............................
33,394
0
...............................
1,342,645
0
...............................
0
13STEVEN SAFYER MDPRESIDENT & CEO/EX-OFFICIO (i)
(ii)
0
...............................
1,464,159
0
...............................
1,303,100
0
...............................
2,038,668
0
...............................
17,000
0
...............................
34,099
0
...............................
4,857,026
0
...............................
0
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
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, M.D., President & CEO - services of a driver are provided for business purposes and incidental transportation. Philip O. Ozuah, M.D., PH.D, Executive VP & COO - Car service is 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, M.D. - Pooled Supplemental Executive Retirement Plan distribution of $2,021,844 based on approximately 32 years of service at Montefiore. Joel Perlman - Pooled Supplemental Executive Retirement Plan distribution of $534,534 based on more than 25 years of service at Montefiore. Christopher Panczner - Accrued and unpaid service costs of $254,790. Philip O. Ozuah, M.D., PH.D. - Accrued and unpaid service costs of $1,981,481. Susan Green Lorenzen, RN - Accrued and unpaid service costs of $465,033. Lynn Richmond - Accrued and unpaid service costs of $323,020.
Part II - Compensation from related organization All officers and key employees of Montefiore Medical Center are paid by the Parent company, Montefiore Health System, Inc. The organization, in turn, reimburses the health system for its expenses through the membership fees that are assessed for each of the benefitting entities.
Schedule J (Form 990) 2014

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.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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 64983qml0 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 Build NYC Resource Corporation
 
45-4040561   04-19-2013 93,000,000 Facility Improvements   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
Dormitory Authority of the State of New York
 
14-6000293   10-29-2014 32,639,702 Equipment Leasing   X   X   X
Dormitory Authority of the State of New York
 
14-6000293   12-23-2014 17,899,520 Equipment Leasing   X   X   X
Dormitory Authority of the State of New York
 
14-6000293   12-01-2013 24,980,927 Equipment leasing   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 31,815,000 43,310,000 38,460,000 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 71,152,851
4 Gross proceeds in reserve funds . . . . . . . . . . . . 36,478,725 35,246,623 35,499,598 8,124,246
5 Capitalized interest from proceeds . . . . . . . . . . . 14,188,158 0 0 754,676
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 1,963,773 1,584,084 1,403,668 592,418
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 69,805,757
11 Other spent proceeds . . . . . . . . . . . . . . 0 151,988,905 116,561,516 0
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2007 1989 1998 2014
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) 2014
Schedule K (Form 990) 2014
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    
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    
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 % 0.700 % 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        
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.300 % 0.700 % 0.400 %  
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.        
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X   X X  
b Exception to rebate? . . . . . . . .   X   X X     X
c No rebate due? . . . . . . . . X   X   X     X
If "Yes" to 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) 2014
Schedule K (Form 990) 2014
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 Matched FC
 
DEPFA 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
Mortgages & Facility Improvements Supplemental Information 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: 11/30/2014 COLUMN B: 08/31/2010 COLUMN C: 01/31/2013
PROCEEDS - PART II, COLUMN D, LINE 3  
Schedule K (Form 990) 2014

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.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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 64983qml0 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 Build NYC Resource Corporation
 
45-4040561   04-19-2013 93,000,000 Facility Improvements   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
Dormitory Authority of the State of New York
 
14-6000293   10-29-2014 32,639,702 Equipment Leasing   X   X   X
Dormitory Authority of the State of New York
 
14-6000293   12-23-2014 17,899,520 Equipment Leasing   X   X   X
Dormitory Authority of the State of New York
 
14-6000293   12-01-2013 24,980,927 Equipment leasing   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 31,815,000 43,310,000 38,460,000 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 71,152,851
4 Gross proceeds in reserve funds . . . . . . . . . . . . 36,478,725 35,246,623 35,499,598 8,124,246
5 Capitalized interest from proceeds . . . . . . . . . . . 14,188,158 0 0 754,676
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 1,963,773 1,584,084 1,403,668 592,418
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 69,805,757
11 Other spent proceeds . . . . . . . . . . . . . . 0 151,988,905 116,561,516 0
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2007 1989 1998 2014
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) 2014
Schedule K (Form 990) 2014
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    
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    
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 % 0.700 % 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        
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.300 % 0.700 % 0.400 %  
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.        
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X   X X  
b Exception to rebate? . . . . . . . .   X   X X     X
c No rebate due? . . . . . . . . X   X   X     X
If "Yes" to 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) 2014
Schedule K (Form 990) 2014
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 Matched FC
 
DEPFA 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
Mortgages & Facility Improvements Supplemental Information 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: 11/30/2014 COLUMN B: 08/31/2010 COLUMN C: 01/31/2013
PROCEEDS - PART II, COLUMN D, LINE 3  
Schedule K (Form 990) 2014

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.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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 64983qml0 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 Build NYC Resource Corporation
 
45-4040561   04-19-2013 93,000,000 Facility Improvements   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
Dormitory Authority of the State of New York
 
14-6000293   10-29-2014 32,639,702 Equipment Leasing   X   X   X
Dormitory Authority of the State of New York
 
14-6000293   12-23-2014 17,899,520 Equipment Leasing   X   X   X
Dormitory Authority of the State of New York
 
14-6000293   12-01-2013 24,980,927 Equipment leasing   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 31,815,000 43,310,000 38,460,000 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 71,152,851
4 Gross proceeds in reserve funds . . . . . . . . . . . . 36,478,725 35,246,623 35,499,598 8,124,246
5 Capitalized interest from proceeds . . . . . . . . . . . 14,188,158 0 0 754,676
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 1,963,773 1,584,084 1,403,668 592,418
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 69,805,757
11 Other spent proceeds . . . . . . . . . . . . . . 0 151,988,905 116,561,516 0
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2007 1989 1998 2014
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) 2014
Schedule K (Form 990) 2014
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    
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    
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 % 0.700 % 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        
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.300 % 0.700 % 0.400 %  
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.        
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X   X X  
b Exception to rebate? . . . . . . . .   X   X X     X
c No rebate due? . . . . . . . . X   X   X     X
If "Yes" to 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) 2014
Schedule K (Form 990) 2014
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 Matched FC
 
DEPFA 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
Mortgages & Facility Improvements Supplemental Information 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: 11/30/2014 COLUMN B: 08/31/2010 COLUMN C: 01/31/2013
PROCEEDS - PART II, COLUMN D, LINE 3  
Schedule K (Form 990) 2014

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
2014
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 18 3,134,755 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) (2014)
Schedule M (Form 990) (2014)
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) (2014)
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 990-EZ 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
2014
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 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: As of 1/1/2014, all officers and Key Employees are employed and paid by Montifore Health Sytem, Inc., the parent of Montefiore Medical Center. Montefiore 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 B, LINE 16B: Montefiore Medical Center is the sole member of Montefiore Proton Acquisition, LLC ("MPA"), which was formed for the purpose of enabling Montefiore Medical Center to join with other New York tax-exempt not-for-profit hospitals in the creation of a facility that will provide proton beam therapy, which is a targeted form of treatment for certain types of cancer, to the patient population in the New York City metropolitan area. In 2014, MPA made a capital contribution to New York Proton Management, LLC ("NYPM"), the entity that is responsible for managing the construction process and the future operations of the to-be-built proton beam treatment center (the "Proton Center"). In addition to MPA, the members of NYPM consist of three other limited liability companies, the sole members of which are two not-for-profit 501(c)(3) hospitals and a for-profit taxable health care services management company. While Montefiore Medical Center did not have a formal written policy pertaining to joint ventures with taxable entities in 2014, there were safeguards in place to ensure that its participation in this joint venture is consistent with Montefiore Medical Center's tax-exempt charitable healthcare mission, including, but not limited to: (1) An evaluation of the importance of Montefiore Medical Center's clinical access to the Proton Center for the benefit of its patients; (2) A cap on each member's investment obligation for this project was set at a pre-determined limit; (3) The engagement of legal counsel experienced in tax-exempt organization matters to advise on this transaction and the implications for Montefiore Medical Center's 501(c) (3) status; (4) The Operating Agreement of NYPM expressly requiring that the Proton Center at all times be operated and managed in a manner that furthers the charitable healthcare purposes, mission, vision and values of the affiliated tax-exempt hospitals, including establishing and maintaining reasonable financial assistance policies and procedures and providing reasonable levels of charity care, and requiring the prioritization of such charitable objectives over the financial profit objectives of any member. Montefiore Medical Center is in the process of developing a comprehensive formal written policy relating to joint ventures with taxable entities and anticipates that this joint venture policy will be adopted in 2015.
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 $31,755,000 was due to an increase of $39,799,000 in defined pension and other postretirement plan liabilities to be recognized in future periods, partially offset, by a $7,600,000 intercompany note reserve reduction and $444,000 accumulated deficit transfer of a Information Technology Company 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) 2014

Additional Data


Software ID:  
Software Version:  
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
Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2014
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) Montefiore Proton Acquisition LLC
111 East 210th St
Bronx,NY10467
27-3994795
Proton Ther NY 0 -1,964,324 mmc
 
(2) CMO THE CARE MANAGEMENT COMPANY LLC
111 EAST 210TH STREET
BRONX,NY10467
13-3859895
MGMT SERV NY 70,207,685 -9,651,050 MMC
 
(3) MMC INITIATIVES LLC
111 East 210th Street
Bronx,NY10467
45-3962827
HIV Services NY 74,743 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 MMAHS
 
 
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
 
(11) MONTEFIORE FOUNDATION INC
111 EAST 210TH STREET

BRONX,NY10467
47-1600439
Inactive NY 501(c)(3) 11 type 1 MHS
 
Yes
 
(12) COM AFFILIATION INC
111 EAST 210TH STREET

BRONX,NY10467
47-2209056
Inactive NY 501(C)(3) 2 MMAHS
 
 
No
(13) MONTEFIORE MEDICINE ACAD HLTH SYS INC
555 SOUTH BROADWAY

TARRYTOWN,NY10591
47-1582973
Sys Parent NY 501(C)(3) 11 Type 3 NA
 
 
No
(14) THE NYACK HOSPITAL
160 NORTH MIDLAND AVENUE

NYACK,NY10960
13-1740119
HOSPITAL NY 501(C)(3) 3 MHS
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
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 MCV
 
c corp 14,420,324 828,588 100.000 % Yes  
(2) The Montefiore IPA Inc

111 East 210th street
bronx,NY10467
13-4114915
Managed Care NY MCV
 
c corp 543,020,392 99,325,635 100.000 % Yes  
(3) MMC GI Holdings East Inc

111 East 210th street
bronx,NY10467
72-1610013
holding company NY MCV
 
c corp 1,633,914 8,209,758 100.000 % Yes  
(4) MMC GI Holdings West Inc

111 East 210th street
bronx,NY10467
72-1610015
holding compa NY MCV
 
c corp 1,716,980 5,870,671 100.000 % Yes  
(5) Montefiore Behavioral Care IPA No 1 inc

111 East 210th street
bronx,NY10467
13-3952750
Integ prov as NY MCV
 
c corp 17,147,089 3,097,179 100.000 % Yes  
(6) BRONX ACCOUNTABLE CARE NETWORK IPA INC

111 EAST 210TH STREET
BRONX,NY10467
30-0689571
Managed care NY MCV
 
C CORP 13,657,233 49,890,872 100.000 % Yes  
(7) MONTEFIORE CONSOLIDATED VENTURES INC

111 EAST 210TH STREET
BRONX,NY10467
61-1728539
HOLDING COMPANY NY MMC
 
C CORP 0 584,435 100.000 % Yes  
(8) MMC CONTRACT MANGEMENT ORG NO 1 INC

111 EAST 210TH STREET
BRONX,NY10467
13-3859895
CONTRACT MGMT NY MMC
 
C CORP 0 0 100.000 % Yes  
(9) MONTEFIORE INSURANCE COMPANY INC

111 EAST 210TH STREET
BRONX,NY10467
32-0436594
INACTIVE NY MHS
 
C CORP 0 0 100.000 % Yes  
(10) MONTEFIORE COMMUNITY NETWORK LLC

111 EAST 210TH STREET
BRONX,NY10467
46-1374475
INACTIVE NY MMC
 
C CORP 0 0 100.000 % Yes  
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
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
Yes
 
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 292,051,000 cost
(2) MONTEFIORE BEHAVIORAL CARE IPA NO 1 INC

L 6,405,000 cost
(3) GUNHILL MRI PC

L 5,789,845 cost
(4) MMC RESIDENTIAL CORP NO 1 INC

L 62,284 cost
(5) MONTEFIORE HOSPITAL HOUSING SECTION II INC

L 299,379 cost
(6) MONTEFIORE NORTH AMBULATORY CARE CENTER INC

L 921,862 COST
(7) MMC CORPORATION

K 8,282,946 cost
(8) MONTEFIORE HOSPITAL HOUSING SECTION II INC

K 96,338 cost
(9) MMC RESIDENTIAL CORP NO 1 INC

K 1,796,318 cost
(10) MOSHOLU PRESERVATION CORPORATION

Q 534,111 cost
(11) GUNHILL MRI PC

Q 2,244,097 cost
(12) MMC RESIDENTIAL CORP NO 1 INC

Q 303,462 cost
(13) MONTEFIORE HOSPITAL HOUSING SECTION II INC

Q 859,043 cost
(14) MONTEFIORE NORTH AMBULATORY CARE CENTER INC

Q 5,183,988 cost
(15) MMC GI HOLDINGS EAST INC

Q 394,000 cost
(16) MMC GI HOLDINGS WEST INC

Q 441,000 cost
(17) UNIVERSITY BEHAVIORAL ASSOCIATES Inc

Q 5,526,912 cost
(18) BRONX ACCOUNTABLE CARE NETWORK IPA INC

Q 7,500,000 COST
(19) BRONX ACCOUNTABLE CARE NETWORK IPA INC

R 5,054,678 cost
(20) BRONX ACCOUNTABLE CARE NETWORK IPA INC

S 4,865,002 cost
(21) MONTEFIORE NEW ROCHELLE HOSPITAL

L 1,664,046 COST
(22) MONTEFIORE MOUNT VERNON HOSPITAL

L 768,745 COST
(23) SCHAFFER EXTENDED CARE CENTER

L 542,992 COST
(24) THE MONTEFIORE IPA INC

Q 2,000,000 COST
(25) MMC CORPORATION

Q 598,629 COST
(26) MONTEFIORE NEW ROCHELLE HOSPITAL

Q 1,109,509 COST
(27) MONTEFIORE MOUNT VERNON HOSPITAL

Q 485,690 COST
(28) SCHAFFER EXTENDED CARE CENTER

Q 55,560 COST
(29) MONTEFIORE NEW ROCHELLE HOSPITAL

R 4,380,000 COST
(30) MONTEFIORE MOUNT VERNON HOSPITAL

R 1,620,000 COST
(31) THE MONTEFIORE IPA INC

S 63,000 COST
(32) MMC GI HOLDINGS EAST INC

C 5,000,000 COST
(33) MMC GI HOLDINGS WEST INC

C 3,500,000 COST
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
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) 2014
Schedule R (Form 990) 2014
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) 2014
Additional Data


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