Form990
Click to see attachment
Department of the TreasuryInternal 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)
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OMB No. 1545-0047
2019
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 01-01-2019 , and ending 12-31-2019
BCheck if applicable:
CName of organization
MONTEFIORE MEDICAL CENTER
 
% EVAN RESNICK
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, NY104672401
D Employer identification number

13-1740114
E Telephone number

G Gross receipts $ 4,201,932,959
F Name and address of principal officer:
PHILIP O OZUAH MD PHD
111 EAST 210TH STREET
BRONX,NY104672401
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 42
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 41
5 Total number of individuals employed in calendar year 2019 (Part V, line 2a) ...... 5 20,667
6 Total number of volunteers (estimate if necessary) ............. 6 2,122
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 32,286,442
b Net unrelated business taxable income from Form 990-T, line 39 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 76,505,104 74,466,124
9 Program service revenue (Part VIII, line 2g) ......... 3,782,769,775 4,008,713,728
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 46,557,020 94,717,020
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 20,503,804 18,838,163
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 3,926,335,703 4,196,735,035
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 3,293,185 1,996,735
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) 2,419,224,142 2,555,105,645
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet5,051,357    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 1,461,446,976 1,600,834,261
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 3,883,964,303 4,157,936,641
19 Revenue less expenses. Subtract line 18 from line 12....... 42,371,400 38,798,394
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 3,879,369,750 4,535,777,435
21 Total liabilities (Part X, line 26)............. 3,167,533,194 3,809,913,167
22 Net assets or fund balances. Subtract line 21 from line 20..... 711,836,556 725,864,268
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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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 (2019)
Form 990 (2019)
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, THE UNIVERSITY HOSPITAL FOR ALBERT EINSTEIN COLLEGE OF MEDICINE, COMBINES NATIONALLY-RENOWNED CLINICAL AND RESEARCH EXPERTISE WITH COMPASSIONATE, PATIENT-CENTERED CARE. BUILDING UPON OUR RICH HISTORY OF INNOVATION AN
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 $ 3,207,003,191 including grants of $ 59,855 ) (Revenue $ 3,779,178,082 )
Patient Care DOING MORE - It's how we created our history of firsts. It's why we developed the world's first transvenous cardiac pacemaker and performed the world's first coronary bypass. Doing more put us at the forefront of treating cancer with highly targeted therapies. It made us one of only a few hospitals in the U.S. performing surgeries on babies before they're born. It built one of the most active and successful transplant centers in the country. Doing more - It's how we are creating the future of healthcare. 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 "firstsan 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 also serves as a tertiary care referral center for patients across the 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. 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. 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 over the continuum, including hospital care, rehabilitation, outpatient care, professional services, remote patient monitoring and other programs. 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 with the objective of reducing expensive hospital based care. Our approach to care management stresses the importance of early identification of patients at risk working with a collaborative, interdisciplinary team to develop and oversee individualized care plans and promote patient self-monitoring and education. Our strategy emphasizes the interaction and communication among patients, healthcare providers, case managers, mental health agencies and other allied health professionals along with programs provided to reinforce health education, promote compliance with treatment and preventative care guildlines, monitor health status, and promote timely intervention when needed. Our Care Management Programs are developed to anticipate an individual's healthcare needs, to provide and coordinate the scope of necessary health services and to involve the patient in establishing goals and individual care plans. At the center of the Medical system are six main campuses with a total of 1,558 licensed beds that provide over 91,000 inpatient admissions annually, including over 4,300 births and multiple ambulatory services: - The 680 bed Henry and Lucy Moses Division; - the 421 bed Jack D. Weiler Hospital of Albert Einstein College of Medicine; - the 136 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 321 bed Wakefield Division (formerly the North Division renamed to reflect its anchor role in the community); - Montefiore Westchester Square (The former New York Westchester Square Hospital) 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. Montefiore also operates extensive ambulatory care services connected by a robust health information technology system through a network of more than 175 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, treats more than 320,000 patients annually; - The hospital based clinics provides over 469,000 visits a year; - The Physician practices provides more than 1.5 million office visits annually; - Montefiore Medical Group, a network with over 350 distinguished physicians at more than 20 community based locations throughout the Bronx and Westchester, provides over 900,000 visits a year; - Montefiore Home Care Program provides over 205,000 visits each year to homebound patients; - The Montefiore School Health Program, the largest in the nation, with 31 school-based health centers serves more than 22,600 children annually; - The Montefiore Substance Abuse and Treatment Program operating 11 site substance abuse treatment programs offers drug treatment and rehabilitation services and comprehensive primary care to a population of 4,500 recovering abusers in communities across the Bronx; - Targeted outreach services to at-risk populations including programs serving the homeless and victims of domestic violence, mothers at risk of premature birth, as well as services to homebound and/or fragile seniors in community-based settings throughout the Bronx. 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 in providing one standard of excellent care to all patients regardless of their background or ability to pay. For more than 100 years, Montefiore has been a leader in innovations, new treatments, new procedures and new approaches to patient care that has produced stellar outcomes and helped to raise the bar for medical centers in the region and nationally. As Montefiore builds on this momentum and these accomplishments, we continue to strive to advance the practice of medicine and set the standards for excellence.
4b (Code:   ) (Expenses $ 393,452,251 including grants of $ 776,441 ) (Revenue $ 229,535,646 )
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 106 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 2019, over 1,750 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 38 academic medical centers nationwide, at that time, 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 Albert Einstein College of Medicine (Einstein), a powerful collaboration between two of the nation's preeminent 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. This bond was strengthen further by the September 9, 2015 agreement with Yeshiva University where Montefiore assumed operational and financial control of the Albert Einstein College of Medicine and, more recently, when Montefiore Medicine Academic Health System, Inc., the parent organization of the Montefiore Health System, Inc., became the sole member of the College. Montefiore and Einstein together have successfully collaborated to secure a National Institute 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, helping to translate scientific breakthroughs into cutting edge diagnostics and innovative treatments.
4c (Code:   ) (Expenses $ 126,371,677 including grants of $ 1,160,439 ) (Revenue $ 0 )
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 expensesMediumBullet3,726,827,119
Form 990 (2019)
Form 990 (2019)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D,
Part IIIClick to see attachment..............
8
Yes
 
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
 
No
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 IV.....Click 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
 
No
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
Yes
 
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
 
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
 
Form 990 (2019)
Form 990 (2019)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
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 .... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? If "Yes," complete Schedule L, Part IV..................... Click to see attachment
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
Yes
 
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
 
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
1,266
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
 
Form 990 (2019)
Form 990 (2019)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
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
20,667
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
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
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
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see instructions and file Form 4720, Schedule N.
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
Form 990 (2019)
Form 990 (2019)
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
42
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
41
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
 
No
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
Yes
 
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
Yes
 
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-A 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:
MediumBulletEVAN RESNICK555 SOUTH BROADWAY BLDG A FL 1   Tarrytown,NY105916301 (914) 349-8455
Form 990 (2019)
Form 990 (2019)
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.

See instructions for the order in which to list the persons above.
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) STEVEN SAFYER MD......................................................................
CEO (Resigned 11/14/19)
42.5
.................
17.5
X           0 8,635,569 8,197,338
(2) PHILIP O OZUAH MD......................................................................
president & CEO (eff 11/15/19)
40.8
.................
19.2
X   X       0 7,058,335 43,570
(3) ROBERT MICHLER MD......................................................................
CHAIR-Surg/Cardiothoracic Surg
60.0
.................
0.0
        X   3,869,857 0 46,514
(4) Lynn Richmond......................................................................
EVP-CSO (Resigned 11/14/19)
40.3
.................
19.7
      X     0 3,618,743 40,261
(5) COLLEEN M BLYE......................................................................
Exec VP & CFO
36.8
.................
23.2
    X       0 1,815,150 710,037
(6) SUSAN GREEN-LORENZEN......................................................................
System Senior VP-OPERations
44.0
.................
16.0
      X     0 2,209,892 44,220
(7) EMAD ESKANDAR......................................................................
CHAIR-NEUROLOGICAL SURGERY
60.0
.................
0.0
        X   2,189,959 0 41,832
(8) RICHARD KRAUT DDS......................................................................
CHAIRMAN-DENTISTRY
60.0
.................
0.0
        X   1,867,276 0 43,570
(9) Joseph De Rose MD......................................................................
Dir Min Invasive/Robotic Surg
60.0
.................
0.0
        X   1,557,133 0 44,846
(10) Daniel Goldstein MD......................................................................
Vice Chair-Cardiothoracic Surg
60.0
.................
0.0
        X   1,529,089 0 17,000
(11) Christopher Panczner......................................................................
Asst Sec.-SVP & Gen Counsel
37.7
.................
22.3
    X       0 1,270,367 26,913
(12) ODED ABOODI......................................................................
vice chairman & Treasurer
0.75
.................
1.75
X           0 0 0
(13) JAY B ABRAMSON......................................................................
TRUSTEE
0.75
.................
1.75
X           0 0 0
(14) MARGARET HAYES ADAME......................................................................
TRUSTEE (passed 4/27/19)
0.5
.................
1.25
X           0 0 0
(15) PATRICIA BAUMAN......................................................................
TRUSTEE
0.5
.................
0.75
X           0 0 0
(16) JAMES M BUTLER......................................................................
CHAIRMAN
1.25
.................
3.25
X           0 0 0
(17) BRUCE DONIGER......................................................................
TRUSTEE
0.5
.................
0.75
X           0 0 0
Form 990 (2019)
Form 990 (2019)
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) RUTH L GOTTESMAN Ed........................................................................
TRUSTEE
0.5
.......................1.75
X           0 0 0
(19) BARRY W GRAY........................................................................
TRUSTEE
0.5
.......................0.75
X           0 0 0
(20) PATRICIA GREEN........................................................................
TRUSTEE
0.5
.......................0.75
X           0 0 0
(21) THOMAS L HARRISON........................................................................
TRUSTEE
0.5
.......................0.75
X           0 0 0
(22) JOHN HEFFER........................................................................
TRUSTEE
0.75
.......................1.75
X           0 0 0
(23) LEWIS HENKIND........................................................................
Trustee
0.5
.......................1.75
X           0 0 0
(24) HELEN A JOHNSON........................................................................
TRUSTEE
0.75
.......................1.25
X           0 0 0
(25) DAVID B KEIDAN........................................................................
TRUSTEE
0.5
.......................0.75
X           0 0 0
(26) ALAN M KLEIN........................................................................
TRUSTEE
1.0
.......................2.5
X           0 0 0
(27) STACEY R LANE........................................................................
TRUSTEE
0.75
.......................1.75
X           0 0 0
(28) JAY B LANGNER........................................................................
TRUSTEE/CHAIRMAN EMERITUS
0.5
.......................0.75
X           0 0 0
(29) MARGARET S NATHAN........................................................................
TRUSTEE
0.5
.......................0.75
X           0 0 0
(30) GAYLE F ROBINSON........................................................................
TRUSTEE
0.5
.......................0.75
X           0 0 0
(31) JON W ROTENSTREICH........................................................................
TRUSTEE
0.5
.......................0.75
X           0 0 0
(32) HON FELICE K SHEA........................................................................
TRUSTEE
0.5
.......................0.75
X           0 0 0
(33) EDWIN H STERN III........................................................................
TRUSTEE
0.5
.......................0.75
X           0 0 0
(34) DAVID A TANNER........................................................................
TRUSTEE
0.5
.......................1.0
X           0 0 0
(35) CYNTHIA KING VANCE........................................................................
TRUSTEE
0.75
.......................1.75
X           0 0 0
(36) JENNIE EMIL........................................................................
TRUSTEE
0.5
.......................0.75
X           0 0 0
(37) JONATHAN A LIPTON........................................................................
Trustee
0.5
.......................1.0
X           0 0 0
(38) ZITA G ROSENTHAL........................................................................
Trustee
0.5
.......................0.75
X           0 0 0
(39) Nathan Gantcher........................................................................
Trustee
0.5
.......................2.0
X           0 0 0
(40) Catherine Klema........................................................................
Trustee
0.75
.......................1.75
X           0 0 0
(41) Melissa Ceriale........................................................................
Trustee
0.75
.......................1.75
X           0 0 0
(42) BARRY S BLATTMAN........................................................................
TRUSTEE
0.75
.......................1.75
X           0 0 0
(43) MATTHEW H NORD........................................................................
TRUSTEE
0.5
.......................1.0
X           0 0 0
(44) MICHAEL A STOCKER M........................................................................
TRUSTEE
0.75
.......................2.75
X           0 0 0
(45) ROGER EINIGER........................................................................
TRUSTEE
0.5
.......................2.0
X           0 0 0
(46) JOEL BRAUN........................................................................
TRUSTEE
0.5
.......................0.75
X           0 0 0
(47) EMANUEL CHIRICO........................................................................
TRUSTEE
0.75
.......................1.25
X           0 0 0
(48) W NORMAN MILNER........................................................................
TRUSTEE
0.5
.......................0.75
X           0 0 0
(49) ALISA R DOCTOROFF........................................................................
TRUSTEE
0.5
.......................1.0
X           0 0 0
(50) JOHN P GUTFREUND........................................................................
TRUSTEE
0.5
.......................0.75
X           0 0 0
(51) RONALD L MOELIS........................................................................
TRUSTEE
0.5
.......................0.75
X           0 0 0
(52) ALAN N SUNA........................................................................
TRUSTEE
0.5
.......................0.75
X           0 0 0
(53) DANIEL R TISHMAN........................................................................
TRUSTEE
0.5
.......................2.75
X           0 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 11,013,314 24,608,056 9,256,101
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet6,297
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
 
No
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 LLC,
PO Box 911452
DENVER,CO802911452
Temporary Nurses 29,935,995
Quest Diagnostics,
PO Box 912512
PASADENA,CA911102512
Outside Lab Services 12,779,039
Epic Systems Corporation,
PO Box 88314
MILWAUKEE,WI532880314
System conversion 11,090,237
Onx USA LLC,
4842 Solution Center
CHICAGO,IL606774008
IT Consulting 11,012,129
Quik Park Hospital LLC,
270 Madison Avenue
NEW YORK,NY10016
Parking Services 6,811,094
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet446
Form 990 (2019)
Form 990 (2019)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 70,830
b Membership dues..1b  
c Fundraising events..1c 2,246,148
d Related organizations1d 48,250
e Government grants (contributions)1e 42,025,108
f All other contributions, gifts, grants, and similar amounts not included above1f 30,075,788
g Noncash contributions included in lines 1a - 1f:$ 1g 2,947,565
h Total. Add lines 1a-1f.......MediumBullet 74,466,124
 Program Service RevenueAmt Business Code
2a INPATIENT SERVICES 622000 2,082,134,799 2,082,134,799 0 0
b OUTPATIENT SVCS INCLUDING HOME HEALTH 621400 1,667,567,862 1,663,311,896 4,255,966 0
c INTERCOMPANY ADMIN. & SHARED SERVICES 561490 89,064,081 68,934,051 20,130,030 0
d CARE MANAGEMENT SERVICES 621900 43,660,553 38,271,706 5,388,847 0
e SHARED SAVINGS REVENUE (DSRIP) 621990 39,302,046 39,302,046 0 0
f All other program service revenue. 86,984,387 84,618,093 2,366,294 0
g Total. Add lines 2a–2f .....MediumBullet 4,008,713,728
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 46,719,556 0 -928,168 47,647,724
4 Income from investment of tax-exempt bond proceedsMediumBullet 0      
5 Royalties...........MediumBullet 0      
(ii) Personal (i) Real
6a Gross rents   3,749,904 6a
b Less: rental expenses   3,851,447 6b
c Rental income or (loss) 0 -101,543 6c
d Net rental income or (loss).......MediumBullet -101,543 0 0 -101,543
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 39,860,933 8,136,531 7a
b Less: cost or other basis and sales expenses 0 0 7b
c Gain or (loss) 39,860,933 8,136,531 7c
d Net gain or (loss).........MediumBullet 47,997,464 0 593,473 47,403,991
8a Gross income from fundraising events (not including $ 2,947,565of contributions reported on line 1c). See Part IV, line 18 ....
8a 1,027,757
b Less: direct expenses ... 8b 1,346,477
c Net income or (loss) from fundraising events..MediumBullet -318,720 0 -318,720
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a 19,475
b Less: direct expenses ... 9b 0
c Net income or (loss) from gaming activities..MediumBullet 19,475 0 0 19,475
10a Gross sales of inventory, less
returns and allowances ..
10a 0
b Less: cost of goods sold .. 10b 0
c Net income or (loss) from sales of inventory..MediumBullet 0      
Business Code Miscellaneous Revenue
11a CAFETERIA & VENDING MACHINE INCOME 722514 10,779,003 0 0 10,779,003
b PARKING INCOME 812930 6,394,539 0 0 6,394,539
c EXPENSE RECOVERY 900099 981,083 0 0 981,083
d All other revenue .... 1,084,326 0 480,000 604,326
e Total. Add lines 11a–11d ...... MediumBullet 19,238,951
12 Total revenue. See instructions.....MediumBullet 4,196,735,035 3,976,572,591 32,286,442 113,409,878
Form 990 (2019)
Form 990 (2019)
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 .... 1,936,880 1,936,880
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 0 0
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. ............. 59,855 59,855
4 Benefits paid to or for members ....... 0  
5 Compensation of current officers, directors, trustees, and key employees ........... 0 0 0 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) ......... 456,317 456,317 0 0
7 Other salaries and wages........ 1,950,047,763 1,793,765,523 153,953,199 2,329,041
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 174,235,957 161,115,413 12,915,742 204,802
9 Other employee benefits ....... 293,923,837 268,315,524 25,262,826 345,487
10 Payroll taxes ........... 136,441,771 126,169,131 10,112,262 160,378
11 Fees for services (non-employees):        
a Management ...... 1,357,605 1,357,605 0 0
b Legal ......... 9,810,062 4,022,056 5,788,006 0
c Accounting ........... 918,189 0 918,189 0
d Lobbying ........... 519,452 519,452 0 0
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 2,199,985 0 2,199,985 0
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 167,392,413 122,065,071 44,910,996 416,346
12 Advertising and promotion .... 15,174,567 803,463 14,371,104 0
13 Office expenses ....... 154,009,431 132,011,838 21,796,118 201,475
14 Information technology ...... 193,035,797 131,752,772 61,268,345 14,680
15 Royalties .. 0      
16 Occupancy ........... 191,364,249 171,391,489 19,818,236 154,524
17 Travel ............ 11,911,786 10,299,434 1,447,023 165,329
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0      
19 Conferences, conventions, and meetings .... 4,615,783 3,996,088 603,986 15,709
20 Interest ........... 11,833,789 11,833,789 0 0
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization .. 148,544,625 135,173,240 13,368,611 2,774
23 Insurance ... 68,959,651 66,587,869 2,371,782  
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 513,886,728 513,867,765 18,963 0
b MEMBERSHIP DUES 59,500,470 45,825,994 12,775,041 899,435
c EXECUTIVE SEVERANCE ACCRUAL 18,025,560 14,208,912 3,816,648 0
d INTERCOMPANY SHARED SERVICES 9,273,204 0 9,273,204 0
e All other expenses 18,500,915 9,291,639 9,067,899 141,377
25 Total functional expenses. Add lines 1 through 24e 4,157,936,641 3,726,827,119 426,058,165 5,051,357
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 (2019)
Form 990 (2019)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 107,072 1 113,512
2 Savings and temporary cash investments ......... 529,445,854 2 404,056,808
3 Pledges and grants receivable, net ...... 29,356,921 3 27,413,749
4 Accounts receivable, net ............. 247,741,627 4 321,380,649
5 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ........... 132,137,751 7 219,966,223
8 Inventories for sale or use ............ 35,045,072 8 36,959,868
9 Prepaid expenses and deferred charges ...... 34,972,012 9 35,977,319
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 3,393,900,888
b Less: accumulated depreciation 10b 2,251,056,212 923,679,310 10c 1,142,844,676
11 Investments—publicly traded securities . 1,029,116,789 11 1,136,903,800
12 Investments—other securities. See Part IV, line 11 ..... 330,571,368 12 294,425,436
13 Investments—program-related. See Part IV, line 11 .. 10,348,317 13 12,247,368
14 Intangible assets ............... 430,000 14 430,000
15 Other assets. See Part IV, line 11 ........... 576,417,657 15 903,058,027
16 Total assets. Add lines 1 through 15 (must equal line 33)... 3,879,369,750 16 4,535,777,435
Liabilities 17 Accounts payable and accrued expenses ..... 663,968,266 17 632,718,286
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 43,333,010 19 111,361,511
20 Tax-exempt bond liabilities ......... 484,384,946 20 467,982,759
21 Escrow or custodial account liability. Complete Part IV of Schedule D 163,432 21 141,460
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 891,827,656 23 1,148,807,459
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 1,083,855,884 25 1,448,901,692
26 Total liabilities. Add lines 17 through 25.. 3,167,533,194 26 3,809,913,167
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 607,929,849 27 625,338,447
28 Net assets with donor restrictions ........... 103,906,707 28 100,525,821
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 711,836,556 32 725,864,268
33 Total liabilities and net assets/fund balances ........ 3,879,369,750 33 4,535,777,435
Form 990 (2019)
Form 990 (2019)
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
4,196,735,035
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
4,157,936,641
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
38,798,394
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
711,836,556
5
Net unrealized gains (losses) on investments ...............
5
45,619,385
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
-70,390,067
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
725,864,268
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 (2019)
Form 990 (2019)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
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- 10 above (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 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
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 failed 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) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. 81,313,923 76,668,354 70,646,717 75,979,040 74,395,294 379,003,328
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 81,313,923 76,668,354 70,646,717 75,979,040 74,395,294 379,003,328
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. 379,003,328
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
7 Amounts from line 4.. 81,313,923 76,668,354 70,646,717 75,979,040 74,395,294 379,003,328
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... 22,605,763 17,759,729 20,961,442 37,030,018 50,355,089 148,712,041
9 Net income from unrelated business activities, whether or not the business is regularly carried on..           0
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. 15,177,914 16,090,246 19,979,281 21,313,472 19,238,951 91,799,864
11 Total support. Add lines 7 through 10 619,515,233
12
12
18,156,389,768
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
61.177 %
15
15
64.722 %
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) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (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) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (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) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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 12a or 12b 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 (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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 section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
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 I of Schedule L (Form 990 or 990-EZ).
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 9a) 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 9a) 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 section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b 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
 
 
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
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
 
 
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, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) 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) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
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 2019 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-2019
(iii)
Distributable
Amount for 2019
1 Distributable amount for 2019 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2019:
a From 2014.......  
b From 2015.......  
c From 2016.......  
d From 2017.......  
e From 2018.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2019 distributable amount  
i Carryover from 2014 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2019 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2019 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2019, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.
 
6 Remaining underdistributions for 2019. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.
 
7 Excess distributions carryover to 2020. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2015.....  
b Excess from 2016.....  
c Excess from 2017.....  
d Excess from 2018.....  
e Excess from 2019.....  
Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019
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 and demonstrates that Montefiore Medical Center meets the 170(b)(1)(A)(vi) public support test as required to use the Schedule B, Special Rule. Montefiore Medical Center is not classified as a 170(b)(1)(A)(vi) entity, as it meets its public charity status requirement as a Hospital under section 170(b)(1)(A)(iii).
Schedule A (Form 990 or 990-EZ) 2019


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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2
Name of organization
MONTEFIORE MEDICAL CENTER
 
Employer identification number
13-1740114
Part I
Contributors
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) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
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) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
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) (2019)

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 BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
If the organization answered "Yes" on 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" on 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" on 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 (see instructions for definition of “political campaign activities")

2
Political campaign activity expenditures (see instructions) ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities (see instructions) ..................................................................
 

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-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2019

Schedule C (Form 990 or 990-EZ) 2019
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) 2016 (b) 2017 (c) 2018 (d) 2019 (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) 2019


Schedule C (Form 990 or 990-EZ) 2019
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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes|No
(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
 
519,452
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
739,625
j
Total. Add lines 1c through 1i ....................................................................................................
1,259,077
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
Schedule C, Part II-B, Line 1G THE MEDICAL CENTER'S LOBBYING EXPENDITURES INCLUDED THE FOLLOWING: AMOUNTS PAID TO Welsh Rose, LLC FOR FEDERAL LOBBYING, The MirRam Group, LLC and Tonio Burgos & Associates for NYS and NYC lobbying RELATED to REGULATIONS AND LEGISLATION IMPACTING THE MEDICAL CENTER'S PROGRAMS.
Schedule C, Part II-B, Line 1i Other Lobbying activities were for indirect cost associated with a PERCENTAGE OF MEMBERSHIP DUES used by THE FOLLOWING ORGANIZATIONS for LOBBYING EFFORTS: - GREATER NEW YORK HOSPITAL ASSOCIATION - AMERICAN HOSPITAL ASSOCIATION - ASSOCIATION OF AMERICAN MEDICAL COLLEGES - HEALTH CARE ASSOCIATION OF NYS - 1199/SEIU - GNYHA HEALTH EDUCATION PROJECT - 340B Health - FOCUSED ON 340B ISSUES.
Schedule C (Form 990 or 990EZ) 2019


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," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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" on 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" on 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 7/25/06, 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB 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 FASB 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 on 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 FASB ASC 958 relating to these items:
a
Revenue included on 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) 2019

Schedule D (Form 990) 2019
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" on 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" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance .... 26,473,515 26,450,629 26,424,742 31,390,105 25,350,033
b Contributions ... 18,250 22,886 25,887 -4,965,363 6,040,072
c Net investment earnings, gains, and losses 2,350,759        
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
         
f Administrative expenses ....          
g End of year balance ...... 28,842,524 26,473,515 26,450,629 26,424,742 31,390,105
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet0 %
b
Permanent endowment SchDMd Bullet91.850 %
c
Term endowment SchDMd Bullet8.150 %
The percentages on 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" on 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" on 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 .....   18,758,502 18,758,502
b Buildings ....   1,785,173,471 1,177,987,069 607,186,402
c Leasehold improvements        
d Equipment ....   1,502,231,140 1,067,397,816 434,833,324
e Other .....   87,737,775 5,671,327 82,066,448
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 1,142,844,676
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 3
Part VII
Investments—Other Securities.
Complete if the organization answered "Yes" on 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 PROGRAMS
79,250,754 F

(B) LIMITED PARTNERSHIPS
149,612,947 F

(C) COLLECTIVE TRUST FUNDS
36,652,881 F

(D) MANAGED CARE COMPANIES
27,204,133 F

(E) OTHER INVESTMENTS
1,704,721 C
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 294,425,436
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on 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
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
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' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)AMTS DUE FROM AFFILIATES 102,659,530
(2)ESTIMATED INSURANCE CLAIMS REC 400,583,000
(3)SECURITY DEPOSITS 632,410
(4)RIGHT OF USE OPER LEASE ASSETS 385,933,087
(5)PURCHASE ESCROW 13,250,000
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 903,058,027
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes 0
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 1,448,901,692
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) 2019

Schedule D (Form 990) 2019
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on 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' on 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 III, Line 4 Montefiore Medical Center fine art collections numbers over 1,200 objects located throughout the campuses that are insured and scheduled with risk management. The fine art Program directs seven rotating gallery exhibition spaces, including but not limited to: - ARTView Gallery at the Moses, Wakefield and Weiler campuses; - The Gallery of Artful Medicine at the Hutch, Tower one campus; - The Queen City Art Gallery at Montefiore New Rochelle Hospital and - the Yes Gallery at the Moses Campus. A new gallery was launched in the lobby of the Hutch, Tower Two Lobby in May 2019 with a special exhibition featuring Tiffany lamps by acclaimed artist, Louis Comfort Tiffany.
Schedule D, Part IV, line 2b Montefiore Medical Center holds security deposits from tenants in escrow 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) 2019


Additional Data


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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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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" on 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 the region (d) Activities conducted in region (by type) (such as, 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 the region
(f) Total expenditures
for and investments
in the region
Sub-Saharan Africa     Grantmaking   59,855
Central America and the Caribbean     Investments   60,270,523
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ....     60,330,378
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)     60,330,378
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2019
Schedule F (Form 990) 2019
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)
(c) Region (d) Purpose of
grant
(e) Amount of
cash grant
(f) Manner of
cash
disbursement
(g) Amount
of noncash
assistance
(h) Description
of noncash
assistance
(i) Method of
valuation
(book, FMV,
appraisal, other)
Sub-Saharan Africa EDUCATIONAL SUPPORT 59,855 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
1
3 Enter total number of other organizations or entities .......................MediumBullet
0
Schedule F (Form 990) 2019
Schedule F (Form 990) 2019Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on 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
noncash
assistance
(g) Description
of noncash
assistance
(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2019
Schedule F (Form 990) 2019
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 separately 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; don't 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 separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2019
Schedule F (Form 990) 2019
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 review by medical center employees associated with the grant programs to confirm funds are being used in accordance with the awards.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2019
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" on 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 arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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" on 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 10 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
             
             
             
             
             
             
             
             
             
             
Total . . . . . . . . . . . . . . . . . . . . right arrow      
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.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2019
Schedule G (Form 990 or 990-EZ) 2019
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" on 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.









VerticalRevenue
(a) Event #1

Gala
(event type)
(b) Event #2

Golf Outing
(event type)
(c) Other events

5
(total number)
(d) Total events
(add col. (a) through col. (c))

1

Gross receipts . . . . .

1,837,605

884,450

551,850

3,273,905

2

Less: Contributions . . . .

1,392,765

497,725

355,658

2,246,148
3 Gross income (line 1 minus
line 2) . . . . . .

444,840

386,725

196,192

1,027,757



VerticalDirectExpenses
4 Cash prizes . . . . .        
5 Noncash prizes . . . .        
6 Rent/facility costs . . . . 127,000 273,875 201,937 602,812
7 Food and beverages . . . 282,085   12,091 294,176
8 Entertainment . . . .     1,899 1,899
9 Other direct expenses . . . 285,631 104,648 57,311 447,590
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 1,346,477
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow -318,720
Part III
Gaming. Complete if the organization answered "Yes" on 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 . . . . .

 

 

19,475

19,475
VerticalDirectExpenses

2

Cash prizes . . . . .

 

 

 

 

3

Noncash 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

19,475

9
Enter the state(s) in which the organization conducts gaming activities: NY
a
Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .
b
If "No," explain:
The organization licensing for gaming activities is pending with the State of New York on an appeal.
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) 2019
Schedule G (Form 990 or 990-EZ) 2019
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 activity conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
0 %
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
100.000 %
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Nadine Vatau
Address right arrow
111 East 210th Street   bronx, NY10467
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
Pamela Geiger
Gaming manager compensation right arrow $ 663
Description of services provided right arrow
Administration of the golf event raffle
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) 2019
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2019
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) . . .
    51,984,469 10,619,585 41,364,884 1.000 %
b Medicaid (from Worksheet 3, column a) . . . . .     1,395,551,607 1,109,738,267 285,813,340 6.940 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     1,447,536,076 1,120,357,852 327,178,224 7.940 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     65,132,244 33,684,707 31,447,537 0.760 %
f Health professions education (from Worksheet 5) . . .     343,529,059 216,652,944 126,876,115 3.080 %
g Subsidized health services (from Worksheet 6) . . . .     131,432,761 80,409,914 51,022,847 1.240 %
h Research (from Worksheet 7) .     49,070,245 21,947,064 27,123,181 0.660 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     60,000,000 0 60,000,000 1.460 %
j Total. Other Benefits . .     649,164,309 352,694,629 296,469,680 7.200 %
k Total. Add lines 7d and 7j .     2,096,700,385 1,473,052,481 623,647,904 15.140 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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     511,472 0 511,472 0.010 %
2 Economic development            
3 Community support     8,413 0 8,413 0 %
4 Environmental improvements            
5 Leadership development and
training for community members
           
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development     719,548 0 719,548 0.020 %
9 Other            
10 Total     1,239,433 0 1,239,433 0.030 %
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 Healthcare 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
7,491,969
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
4,156,584
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
406,200,296
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
329,409,443
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
76,790,853
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) 2019
Schedule H (Form 990) 2019
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?1Name, 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) 2019
Schedule H (Form 990) 2019
Page 4
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 19
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  
6 a 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 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): See Part V - Section C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
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" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on 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) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
MONTEFIORE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
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 Was widely publicized 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
See Part V - Section C
b
See Part V - Section C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
MONTEFIORE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
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 nonpayment?.................................. 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
f
19 Did the hospital facility or other authorized 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
e
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 19. (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
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
MONTEFIORE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
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) 2019
Schedule H (Form 990) 2019
Page 8
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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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
Schedule H, Part V, Section B, Line 5 In conducting its most recent CHNA, the hospital facility took into account input from persons who represented the broad interests of the community served by the hospital facility including those with special knowledge of or expertise in public health. Montefiore Medical Center, in partnership with multiple Bronx hospital and healthcare providers, community stakeholders including the New York City Department of Health and Mental Hygienes Bronx Bureau, community organizations and community residents conducted its 2019 Community Health Needs Assessment to identify the significant health concerns of the Bronx County. Montefiore Medical Center facilitated strong relationships with community groups. The Montefiore Community Advisory Boards, which serve the Montefiore Medical Center Acute Care campuses in the Bronx consist of membership serving the twelve Bronx Community Boards and represent key constituencies in those communities including local police precinct councils, large faith based organizations and major social service providers. The staff of Montefiores Office of Community and Population Health and Montefiores Office of Government and Community Relations also engages with the Bronx Borough Presidents duly appointed representatives of the official twelve Bronx Community Boards. In addition to receiving input from these regional boards and their community membership, the staff also solicits information from elected leaders through health focused legislative breakfasts which allow the sharing of secondary data with the local elected officials to receive confirmation or alternate opinion on the impacts felt by their constituencies. In addition, Montefiore also participates with a number of coalitions, most notably the #Not 62 Coalition-The Campaign for a Health Bronx in obtaining information representing broad interest of the community. The preparation of the 2019-2021 Community Health Needs Assessment was an inter-organizational and community collaborative process, initiated with the goal of developing an assessment that was reflective of the needs of the community including the clinical and social determinants of health. Given the complexity and diversity of the populations of the Bronx, a collection of secondary and primary data was used to identify the significant Health concerns of the Bronx community. The collection of primary data was made from a representative sample of Bronx residents. To capture the voices of various sectors of Bronx community residents and workers from various perspectives, a multi-lingual electronic survey directed through partnering Bronx organizations was used in the spring and early summer of 2019. The NYCDOHMHs provision of comprehensive borough specific data assisted the process of interpreting areas of need across the borough. In addition to data provided from New York City sources, multiple additional secondary data sources were used to support the identification and selection of the priority items that were selected and reviewed with the partners and enhanced through the input from the New York City Department of Health and Mental Hygienes Bureau of Bronx Neighborhood Health. Through the process of completing and reviewing data obtained through the primary and secondary sources, engaging with community stakeholders and key partners and a review of resources available within the Medical Center and through its partnerships, an implementation Strategy was developed to address the significant needs identified. With the previous community health assessments, Montefiore did not receive any written feedback; however, Montefiore was invited to explain its Community Benefit spending to a group of key community stakeholders led by the North West Bronx Community and Clergy Coalition (NWBCC). The NWBCC directly questioned the allocation of resources and recommended that resources be directed towards addressing the social determinants of health, specifically violence prevention efforts in the communities along the Jerome Avenue Corridor. This meeting led to an evaluation of available data on local violence, including shootings, and has resulted in a financial resources being identified from DSRIP and other budgeted sources to support a St. Barnabas Hospital Health System led violence prevention effort which is a part of St. Barnabas Hospital's Prevention Agenda efforts and in which Montefiore is a partner. Schedule H, Part V, Section B, Line 6a Montefiore Medical Center consists of the Montefiore Health System facilities within the Bronx County. The Community Health Needs Assessment conducted included the three hospital campuses (Moses, Weiler/Einstein and Wakefield), the Childrens Hospital at Montefiore (CHAM), the off campus hospital based Emergency Department at Montefiore Westchester Square, the Montefiore Hutchinson Campus and the sites of the Montefiore Medical Group and the Montefiore School Health Program.
Schedule H, Part V, Section B, Line 7a The CHNA is available on the hospital facility's website: URL: https://www.montefiore.org/documents/communityservices/MMC-Community-Healt h-Needs-Report-2019-2021.pdf
Schedule H, Part V, Section B, Line 10a The hospital facility's most recent adopted implementation strategy is posted on the website: URL:https://www.montefiore.org/documents/communityservices/MMC-Community-H ealth-Needs-Report-2019-2021.pdf
Schedule H, Part V, Section B, Line 11 Based on the reported and documented health needs that were important across the populations surveyed and reflected in the data as critical and in alignment with the New York State Prevention Agenda, two priority areas were identified for the 2019-2021 report. One of the Priority Areas selected in 2016 have been re-selected in 2019, though the focus areas have expanded to include food security. This cycles Priority Areas also includes work on mental and substance use disorders that is in alignment with the DSRIP work at Montefiore. DSRIP has a very strong focus on both the prevention and management of chronic diseases and behavioral health issues including substance abuse. Given that these priorities represent significant risk factors for the residents of the Bronx, we believe that it is important to continue our chronic disease prevention work in our clinics and extending our reach into the community. The first of the two priority areas identified is to prevent chronic disease with the focus on healthy eating and food security and preventive care and management. The goals for the first focus area are to increase access to healthy and affordable foods and beverages, increase the skills and knowledge to support healthy food and beverage choices and increase food security. The Montefiore Healthy Store Initiative (MHSI) is engaging bodega owners in increasing the supply and promotion of healthier food and beverage options, engaging local groups around advocacy for improved food access and nutrition education and technical assistance to drive demand for healthier food and beverage options. The Medical Center will also implement social determinants of health screener in outpatient and inpatient settings to screen for social needs, including food insecurity, and use community resource directory/referral tool to connect patients to appropriate resources. The goals of the second focus area are to increase early detection of cardiovascular disease, diabetes, pre-diabetes and obesity and to promote evidence-based care to prevent and manage chronic diseases including asthma, arthritis, cardiovascular disease, diabetes and pre diabetes and obesity. The Medical Center serves an ethnically diverse and income challenged community where the risk for diabetes is greater than in any other NYC boroughs and targets a higher percentage of hispanic and non-hispanic blacks. The Medical Center is engaging its clinical partners in the HbA1c screening protocol, aligning clinical and community-based resources to address the level of patient health status, increasing screening and intervention across the ambulatory settings and expanding the opportunities for clinical evaluation of diabetes Bronx residents. Providers will screen patients for diabetes and refer patients who identify as pre-diabetes into the Montefiore Diabetes Prevention program to help those at high risk of developing diabetes make lifestyle changes in order to delay the disease onset. The second of the two Priority Areas selected is to Promote Well-Being and Prevent Mental and Substance Use Disorders with the goal of preventing opioid overdose deaths. The Medical Center intervention will include training medical providers and staff on opioid overdose prevention education and naloxone distribution for at-risk patients at Montefiore Medical Group primary care clinics, providing free opioid overdose prevention education and naloxone take-home kits for community based organizations, and integrating opioid prevention education and naloxone distribution in Montefiores mental health and substance use treatment programs. Montefiore is also partnering with community based organizations, emergency rooms and hospitals to accept patient referrals and to provide training and support to providers and community groups. Obesity and its related behaviors are important contributors to the substantial rise in premature deaths and illness among the residents in the Bronx. These issues also contribute directly to such varied health problems as diabetes, hypertension, asthma and cardiovascular disease. Montefiore has a number of existing efforts under way to help tackle these health issues, starting with education. The Medical Center has longstanding and effective partnerships and partner support for plans to expand on what has already been successfully done to date. The Medical Center is also improving Bronx residents access to healthy food by sponsoring and supporting a weekly farmers market and green carts throughout the borough and partnering with the City on its healthy Bodega initiative. In addition, we are participating in the Academy of nutrition and Dietetics annual nutrition education and information campaign designed to focus attention on the importance of making informed food choices and developing sound eating and physical activity habits. Montefiores well-being promotion and mental health and substance use prevention strategy includes several prongs. The first is Montefiores opioid overdose prevention education that targets medical providers, at-risk patients, community members and community-based organizations to increase access to information and resources. These activities will be implemented with the goal of reducing overdose deaths in the Bronx. The second prong of our strategy is provider education and support for providers through opioid management trainings, electronic consults, assessments for patients prescribed long-term opioids, and integration of opioid use disorder treatment programs into primary care clinics. Montefiore will partner with community-based organizations, emergency rooms, and hospitals for referrals. In addition to the multiple resources that have been developed at Montefiore independently and through partnership with other organizations, there continues to be a need for community-based programs and resources that can augment Montefiores programs and services. Multiple free and low cost internet databases have entered the public sphere such as www.auntbertha.com, www.hitesite.org, www.nowpow.com, among others, that have reduced the need for quickly obsolete and expensive-to-produce information and community resources referral guides. Since the previous version of this report in 2016, Montefiore has begun using the internet database platform www.nowpow.com, to connect patients to needed resources, which has been a challenge for the health care sector in the past. This online tool is a much more comprehensive and practical alternative to the hard to keep up-to-date and difficult to search homegrown referral guides that many health care providers have had to use in the past. Many Montefiore sites have been introduced to this new online resource and work is underway to more seamlessly integrate this kind of solution into the various workflows across the ambulatory, ED and inpatient settings. The use of an internet database will allow Montefiore to connect patients to important community resources provided outside of the health system by many of our community partners to address community needs such as housing (quality and affordability), transportation, employment, and education. Montefiore recognizes the importance of addressing the social determinants of health in our mission of advancing the health of the communities that we serve.
Schedule H, Part V, Section B, Line 13H Family size is factored into the eligibility criteria for financial assistance. Schedule H, Part V, Section B, Line 15e The Medical Center's FAP provides addresses, locations and phone numbers for offices within Montefiore to assist with completing applications. The financial aid and Medicaid staff at these locations are also certified application counselors that assist with Market place and Medicaid applications.
Schedule H, Part V, Section B, Lines 16a-16c The FAP information can be found on the website: https://www.Montefiore.org/financial-aid-policy
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 9
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?182
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 Montefiore Muscoloskeletal Center
1250 Waters Place
Bronx,NY10461
SPECIALTY CARE PRACTICE
9 MONTEFIORE ADVANCED IMAGING MAP
3400 BAINBRIDGE AVENUE
Bronx,NY10467
Imaging Center
10 MMG-BRONX EAST
2300 WESTCHESTER AVENUE
Bronx,NY10462
Primary Care PRACTICE
11 MMG-FAMILY HEALTH CENTER
One Fordham Plaza
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 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 SUBSTANCE ABUSE TREATMENT PROG UNIT 3
2058 JEROME AVENUE
Bronx,NY10453
SUBSTANCE Use Disorders clinic
23 MMG-WEST FARMS FAMILY PRACTICE
1055 EAST TREMONT AVENUE
Bronx,NY10460
Primary Care Extension Clinic
24 MMG-WILLIAMBRIDGE
3011 BOSTON ROAD
Bronx,NY10469
Primary Care Extension Clinic
25 MMG-Co-op City
2100 bARTOW aVENUE
Bronx,NY10475
PRIMARY CARE EXTENSION CLINIC
26 MMG-CO-OP CITY (Closed 2119)
115 DREISER LOOP
Bronx,NY10475
Primary Care PRACTICE
27 SO BRONX HEALTH CTR FOR CHILD & FAMILIES
871 PROSPECT AVENUE
Bronx,NY10459
PRIMARY CARE EXTENSION CLINIC
28 MONTEFIORE WAKEFIELD MENTAL HLTH CLINIC
4401 BRONX BOULEVARD
BRONX,NY10470
MENTAL HEALTH EXT CLINIC
29 Hartsdale Family and Fetal Medicine Inst
141 s CENTRAL AVE
HARTSDALE,NY10530
SPECIALTY CARE PRACTICE
30 MMG-ASTOR AVE PEDIATRICS
1500 ASTOR AVENUE
BRONX,NY10469
PRIMARY CARE PRACTICE
31 MMG Marble Hill Family Practice
5525 Broadway
Bronx,NY10463
Primary Care Extension Clinic
32 Tarrytown CARDIOLOGY ASSOCIATES
150 WHITE PLAINS ROAD
Tarrytown,NY10591
Specialty Care Practice
33 MMG-Eastchester
440 White Plains Road
Eastchester,NY10709
Primary Care Practice
34 MMG-Castle Hill Family Practice
2175 Westchester Avenue
Bronx,NY10462
Primary Care Extension Clinic
35 SUBSTANCE ABUSE TREATMENT CENTER UNIT 1
3550 Jerome Avenue
Bronx,NY10467
Substance use disorders clinic
36 Montefiore Med Park ORTHODONTIC CENTER
1625 Poplar Street
Bronx,NY10461
Specialty Care Ext Clinic
37 MMG-Riverdale
3510 Johnson Avenue
Bronx,NY10463
Primary Care Practice
38 MONTEFIORE EAST TREMONT FAMILY PRACTICE
3101 E Tremont Avenue
Bronx,NY10461
Primary Care Practice
39 JE& ZB BUTLER Child Advocacy Center
3314 Steuben Avenue
Bronx,NY10467
Specialty Care Ext Clinic
40 Bronx Health Collective
853 Longwood Avenue
Bronx,NY10459
Homeless Shelter Ext Clinic
41 MSHP - STEVENSON HIGH SCHOOL
1980 Lafayette Avenue
Bronx,NY10461
School Health Clinic
42 MSHP-De Witt Clinton High School
100 W Mosholu Parkway So
Bronx,NY10468
School Health Clinic
43 MSHP-Herbert H Lehman Campus
3000 East Tremont Avenue
Bronx,NY10461
School Health Clinic
44 MONTEFIORE Medical Specialists
495 Central Park Avenue
Yonkers,NY10704
Specialty Care Practice
45 MSHP-PS 8
3010 Briggs Avenue
Bronx,NY10458
School Health Clinic
46 Inst fr Women's Hlth Genetics & Hum Rep
1695 Eastchester Road
Bronx,NY10461
Specialty Care Practice
47 MSHP-Evander Childs Campus
800 East Gun Hill Road
Bronx,NY10467
School Health Clinic
48 MSHP-John Philip Sousa MS 142
3750 Baychester Avenue
Bronx,NY10466
School Health Clinic
49 MONTEFIORE DIVISION OF GASTROENTEROLOGY
1500 Waters Place
Bronx,NY10461
Specialty Care Practice
50 MSHP-PS 105
725 Brady Avenue
Bronx,NY10462
School Health Clinic
51 MSHP-Walton Campus
2780 Reservoir Avenue
Bronx,NY10468
School Health Clinic
52 MSHP-THEODORE ROOSEVELT CAMPUS
500 EAST FORDHAM ROAD
BRONX,NY10458
SCHOOL HEALTH CLINIC
53 MSHP-PS 28
1861 ANTHONY AVENUE
Bronx,NY10457
School Health Clinic
54 MSHP-MS 45
2502 LORRILARD AVENUE
Bronx,NY10458
School Health Clinic
55 MSHP-PS 55
450 ST PAULS PLACE
Bronx,NY10456
School Health Clinic
56 MSHP-PS 85
2400 MARION AVENUE
Bronx,NY10458
School Health Clinic
57 SAFE HOUSE FOR LEAD POISONING PREV PROG
91 EAST MOSHOLU PARKWAY
Bronx,NY10467
SPECIALTY CARE EXT CLINIC
58 MSHP-SOUTH BRONX CAMPUS
701 ST ANNS AVENUE 3RD FLOOR
Bronx,NY10455
SCHOOL HEALTH CLINIC
59 MSHP-IS 217 ENTRADA
977 FOX STREET
BRONX,NY10459
SCHOOL HEALTH CLINIC
60 MONTEFIORE WAKEFIELD CHEM DEP OP PROG
4401 BRONX BOULEVARD
Bronx,NY10470
Substance Use Disorders Clinic
61 MSHP-PSMS 95
3961 HILLMAN AVENUE
Bronx,NY10463
School Health ClinIc
62 MSHP-BRONX REGIONAL HIGH SCHOOL
1010 REV JA POLITE AVENUE
Bronx,NY10459
sCHOOL hEALTH cLINIC
63 CENTER FOR CHILD HEALTH AND RESILIENCY
890 PROSPECT AVENUE
Bronx,NY10459
PRIMARY CARE EXTENSION CLINIC
64 MONTEFIORE DENTAL CENTER
951 PROSPECT AVENUE
Bronx,NY10459
Dental Center
65 MSHP-MOTT HAVEN HS campus
730 CONCOURSE VILLAGE east
Bronx,NY10451
SCHOOL HEALTH CLINIC
66 MONTEFIORE STD INITIATIVE
3230 Bainbridge Avenue
Bronx,NY10467
Specialty Care Ext Clinic
67 MSHP-William Howard Taft Campus
240 East 172nd Street
Bronx,NY10457
School Health Clinic
68 MONTEFIORE Gottscho Child Dialysis CTR
Frost Valley YMCA Camp
Claryville,NY12725
Chronic Dialysis Ext Clinic
69 Saratoga Interfaith Family Shelter
175-15 Rockaway Boulevard
Queens,NY11434
Homeless Shelter Ext Clinic
70 Help Bronx Crotona
785 Crotona Park North
Bronx,NY10460
Homeless Shelter Pt Clinic
71 American Red Cross Family ShelterICAHN
4 East 28th Street
New York,NY10016
Homeless Shelter Ext Clinic
72 Montefiore Breast Center
1500 Blondell Avenue
Bronx,NY10461
Imaging Center
73 Saint John's Family Shelter
1630 Saint Johns Place
Brooklyn,NY11233
Homeless Shelter Ext Clinic
74 Wellness Center at Port Morris
804 East 138th Street
Bronx,NY10454
Substance Use Disorders Clinic
75 Streetwork's Project Drop-In Center
209 W 125th Street
New York,NY10016
Homeless Shelter Ext Clinic
76 Wellness Center at Waters Place
1510 Waters Place
Bronx,NY10461
Substance use Disorders Clinic
77 Wakefield-Dept of Ophthalmology
4141 Carpenter Avenue
Bronx,NY10466
Specialty Care
78 Wellness Center at Melrose
260 East 161st street
Bronx,NY10451
Substance Use Disorders Clinic
79 Wakefield-Dept of Orthropedic Surgery
4141 Carpenter Avenue
Bronx,NY10466
Specialty Care
80 MONTEFIORE WELLNESS CENTER
1180 MORRIS PARK AVENUE
BRONX,NY10461
SPECIALTY CARE PRACTICE
81 RIVERDALE MEDICAL ASSOCIATES
2711 HENRY HUDSON PARKWAY
BRONX,NY10463
SPECIALTY CARE Practice
82 NEUROSCIENCE CENTER
3316 ROEHAMBEAU aVENUE
BRONX,NY10467
IMAGING CENTER
83 MONTEFIORE GENERAL CLINICAL RESEARCH CTR
1300 MORRIS PARK AVENUE
BRONX,NY10461
CLINIC RESEARCH EXT CLINIC
84 GENERAL CLINICAL RESEARCH CENTER
111 e 210TH STREET-MRT
BRONX,NY10467
CLINICAL RESEARCH EXT CLINIC
85 MONTEFIORE-EINSTEIN CTR FOR CANCER CARE
1521 JARRETT PLACE
BRONX,NY10461
CANCER SERVICES
86 MONTEFIORE CARDIOLOGY 1628 Eastchester
1628 EASTCHESTER ROAD
BRONX,NY10461
SPECIALTY PRACTICE
87 MONTEFIORE JARRETT PEDIATRIC DENTAL CTR
1516 JARRETT AVENUE
BRONX,NY10456
DENTAL CENTER
88 MONTEFIORE DEPARTMENT OF DENTISTRY
3332 rOCHAMBEAU AVENUE
BRONX,NY10467
dENTAL cENTER
89 MONTEFIORE ADVANCED IMAGING GUNHILL
200 EAST GUNHILL ROAD
BRONX,NY10467
IMAGING CENTER
90 MONTEFIORE WAKEFIELD CHILD PSYCH CTR
4401 BRONX BOULEVARD
BRONX,NY10470
MENTAL HEALTH CLINIC
91 ADOLESCENT AIDS PROGRAM
3415 WAYNE AVENUE
BRONX,NY10467
PEDIATRIC SPECIALTY CENTER
92 MONTEFIORE DEPARTMENT OF NEUROLOGY
140 LOCKWOOD AVENUE
NEW ROCHELLE,NY10801
SPECIALTY CENTER
93 EINSMONTEFIORE AUTISM EVAL & TREAT CTR
6 EXECUTIVE PLAZA
YONKERS,NY10701
SPECIALTY CENTER
94 CENTENNIAL WOMEN'S CENTER
3332 ROCHAMBEAU AVE
BRONX,NY10467
WOMEN'S HEALTH CENTER
95 DEPT OF OB & GYNWOMEN'S HEALTH
4170 BRONX BOULEVARD
BRONX,NY10466
WOMEN'S HEALTH CENTER
96 MONTEFIORE CHILDADOL MENTAL HLTH CLINIC
3340 BAINBRIDGE AVENUE
BRONX,NY10467
MENTAL HELATH CLINIC
97 Montefiore Riverdale Cardiology Practice
2711 HENRY HUDSON PARKWAY
BRONX,NY10463
SPECIALTY CARE PRACTICE
98 REHABILITATION MEDICINE PRIVATE PRACTICE
3329 BAINBRIDGE AVENUE
BRONX,NY10467
SPECIALTY CARE PRACTICE
99 MONTEFIORE DIVISION OF DERMATOLOGY
3514 BAINBRIDGE AVENUE
BRONX,NY10467
SPECIALTY CARE PRACTICE
100 SLEEPWAKE DISORDERS
3411 WAYNE AVENUE
BRONX,NY10467
SPECIALTY CARE PRACTICE
101 MONTEFIORE BEHAVIORAL HEALTH CTR AT WS
2527 GLEBE AVENUE
BRONX,NY10461
MENTAL HEALTH CLINIC
102 ADVANCED ONCOLOGY ASSOCIATES
50 GUION PLACE
NEW ROCHELLE,NY10801
SPECIALTY CARE PRACTICE
103 ADVANCED ONCOLOGY ASSOCIATES
18 ASHFORD AVENUE
DOBBS FERRY,NY10522
SPECIALTY CARE PRACTICE
104 ADVANCED ONCOLOGY ASSOCIATES
75 EAST GUN HILL ROAD
BRONX,NY10467
SPECIALTY CARE PRACTICE
105 ADVANCED ONCOLOGY ASSOCIATES
1578 WILLIAMSBRIDGE ROAD
BRONX,NY10461
SPECIALTY CARE PRACTICE
106 ADVANCED ONCOLOGY ASSOCIATES
984 NORTH BROADWAY
YONKERS,NY10701
SPECIALTY CARE PRACTICE
107 BRONX RIVER MEDICAL ASSOCIATES-BX OFF
60 EAST 208TH sTREET
BRONX,NY10467
SPECIALTY CARE PRACTICE
108 BRONX RIVER MEDICAL ASSOC-YONKERS OFFICE
1915 CENTRAL PARK AVENUE
YONKERS,NY10710
SPECIALTY CARE PRACTICE
109 MMC-WAKEFIELD CARDIOVASCULAR CENTER
4256 BRONX BOULEVARD
BRONX,NY10466
SPECIALTY CARE PRACTICE
110 RIDGE HILL CARDIOLOGY
73 MARKET STREET SUITE 178b
YONKERS,NY10710
SPECIALTY CARE PRACTICE
111 WILLIAMSBRIDGE CARDIOLOGY
1578 WILLIAMSBRIDGE ROAD
BRONX,NY10461
SPECIALTY CARE PRACTICE
112 MMG-VIA VERDE
730 BROOK AVENUE
BRONX,NY10455
PRIMARY CARE EXTENSION CTR
113 MSHP-MORRIS CAMPUS
1110 BOSTON ROAD
BRONX,NY10456
SCHOOL HEALTH CLINIC
114 MSHP-NEW SETTLEMENT COMMUNITY CAMPUS
1501 JEROME AVENUE
BRONX,NY10452
SCHOOL HEALTH CLINIC
115 BROADWAY DENTAL CENTER
5500 BROADWAY SUITE 102
BRONX,NY10463
DENTAL CENTER
116 MONTEFIORE MOSES OP MENTAL HLTH CLINIC
111 EAST 210TH STREET
BRONX,NY10467
MENTAL HEALTH CLINIC
117 MONTEFIORE RAD ONC AT ST BARNABAS
4487 THIRD AVENUE LEVEL B
Bronx,NY10466
RADIATION ONCOLOGY PRACTICE
118 MMC PLASTIC SURGERY PRACTICE
182 210TH STREET
BRONX,NY10467
SPECIALTY CARE PRACTICE
119 ROSE KENNEDY CHILD EVALUATION & REHAB CT
1225 MORRIS PARK AVENUE
BRONX,NY10461
DEVELOPMENTAL DISABILITY CLINIC
120 CHRISTOPHER COLUMBUS CAMPUS
925 ASTOR AVENUE
BRONX,NY10469
SCHOOL HEALTH CLINIC
121 LONG TERM HEALTH CARE PROGRAM
ONE FORDHAM PLAZA
BRONX,NY10458
LONG TERM HEALTH CARE AGENCY
122 MMC PEDIATRIC-FAMILY IMMUNOLOGY CLINIC
1621 EASTCHESTER ROAD
BRONX,NY10461
SPECIALTY CARE EXT CLINIC
123 MMC PEDIATRICS CARDIOLOGY AT MNR
16 GUION PLACE
NEW ROCHELLE,NY10801
SPECIALTY CARE PRACTICE
124 AOA
1624 CROSBY AVENUE
BRONX,NY10461
SPECIALTY CARE PRACTICE
125 SOUND SHORE CARDIOLOGY ASSOCIATES
933 MAMARONECK AVENUE
MAMARONECK,NY10543
SPECIALTY CARE PRACTICE
126 MMC ORTHOPEDICS MANHATTAN PRACTICE
73 EAST 71ST STREET
New York,NY10021
SPECIALTY CARE PRACTICE
127 MMC ORTHOPEDICS MANHATTAN PRACTICE
215 EAST 73RD STREET
NEW YORK,NY10021
SPECIALTY CARE PRACTICE
128 MMC UROLOGY - CLINICA MODELO
44 SHERMAN AVENUE
NEW YORK,NY10040
SPECIALTY CARE PRACTICE
129 MMC TRANSPLANT HEPATOLOGY
3100 BROADWAY
FAIRLAWN,NJ07410
SPECIALTY CARE PRACTICE
130 MMC TRANSPLANT HEPATOLOGY
170 MAPLE AVENUE
WHITE PLAINS,NY10601
SPECIALTY CARE PRACTICE
131 MMC ABDOMINAL TRANSPLANT AT SJRH
967 BROADWAY
YONKERS,NY10701
SPECIALTY CARE PRACTICE
132 MMC TRANSPLANT HEPATOLOGY
60 WEST 68TH STREET
NEW YORK,NY10023
SPECIALTY CARE PRACTICE
133 MMC COLLEGE EYE INSTITUTE
1180 MORRIS PARK AVENUE
BRONX,NY10461
SPECIALTY CARE PRACTICE
134 MMC DIABETES PREVENTION PROGRAM
3514 DEKALB AVENUE
BRONX,NY10467
SPECIALTY CARE PRACTICE
135 Wakefield Ambulatory Care Center
4234 Bronx Boulevard
Bronx,NY10466
Primary Care Practice
136 MHP-MS145 Arturo Toscanini
1000 Teller Avenue
Bronx,NY10456
School Health Clinic
137 MSMP-PS18 John Peter Zenger
502 Morris Avenue
Bronx,NY10451
School Health Clinic
138 Rose Hill Pre-K Center
2512 Marion Avenue
Bronx,NY10457
Homeless Shelter Ext Clinic
139 CERC Gabi Catholic Charities
1165 Rockaway Avenue
Brooklyn,NY11236
Mental Health Ext Clinic
140 CERC Gabi - Queens
161-10 Jamaica Avenue Suite 413
Queens,NY11432
Mental Health Ext Clinic
141 CERC Gabi - Staten Island
358 St Marks Place 5th floor
Staten Island,NY10301
Mental Health Ext Clinic
142 CERC Gabi-East Harlem
116 124th Street
New York,NY10035
Mental Health Ext Clinic
143 NY Harm Reduction Center
104-106 E 126th Street
New York,NY10035
Part Time Clinic/Specialty Care
144 Montefiore Einstein Ctr for Aging Brain
6 Executive Plaza Suite 297
Yonkers,NY10701
Specialty Care Practice
145 Montefiore NY Assoc in Gastroenterology
1250 Waters Place Suite 1201 Towe
Bronx,NY10461
Specialty Care Practice
146 Montefiore NY Assoc in Gastroenterology
688 White Plains Road Suite 220
Scarsdale,NY10583
Specialty Care Practice
147 WELLNESS CENTER SATELITE AT ACS
1200 WATERS PALACE 3RD FLOOR
BRONX,NY10461
SUBSTANCE USE DISORDER CLINIC
148 CERC GABI-BRONX
1020 GRAND CONSCOURSE 3RD FLOOR
BRONX,NY10451
MENTAL HEALTH EXT CLINIC
149 CERC GABI-RFK
1731 SEMINOLE AVENUE
BRONX,NY10461
MENTAL HEALTH EXT CLINIC
150 CERC GABI-BROOKLYN
485 THROOP AVENUE
BROOKLYN,NY11221
MENTAL HEALTH EXT CLINIC
151 X113
3710 BARNES AVENUE
BRONX,NY10467
SCHOOL HEALTH CLINIC
152 X174
456 WHITE PLAINS ROAD
BRONX,NY10473
SCHOOL HEALTH CLINIC
153 X198
1180 TINTON AVENUE
BRONX,NY10456
SCHOOL HEALTH CLINIC
154 X147
1600 WEBSTER AVENUE
BRONX,NY10457
SCHOOL HEALTH CLINIC
155 MONTEFIORE NEW ROCHELLE CARDIOLOGY
20 CEDAR STREET
NEW ROCHELLE,NY10801
SPECIALTY CARE PRACTICE
156 MEDICAL PAVILION AT 4256 BRONX BOULEVARD
4256 BRONX BOULEVARD
BRONX,NY10466
SPECIALTY CARE PRACTICE
157 IMMUNOLOGIC DISEASE CENTER
150 WHITE PLAINS ROAD
TARRYTOWN,NY10591
SPECIALTY CARE PRACTICE
158 MONTEFIORE YONKERS RADIATION ONCOLOGY
970 BROADWAY
YONKERS,NY10701
SPECIALTY CARE PRACTICE
159 CARDIOLOGY IMAGING AND VEIN CENTER
2814 MIDDLETOWN ROAD
BRONX,NY10461
SPECIALY CARE PRACTICE
160 SCHIFF DENTAL
3444 KOSSUTH AVENUE
BRONX,NY10467
DENTAL CENTER
161 MMC UROLOGY AT RIVERDALE FAMILY PRACTICE
2050 CORLEAR AVENUE
BRONX,NY10463
SPECIALTY CARE PRACTICE
162 MMC UROLOGY AT HARTSDALE
141 SOUTH CENTRAL AVENUE 3RD FLOOR
HARTSDALE,NY10530
SPECIALTY CARE PRACTICE
163 MONTEFIORE NEUROPSYCHOLOGY AT BURKE
785 MAMARONECK AVENUE
WHITE PLAINS,NY10605
SPECIALTY CARE PRACTICE
164 MONTEFIORE DEPARTMENT OF PM&R
150 EAST 210TH STREET
BRONX,NY10467
SPECIALTY CARE PRACTICE
165 MONTEFIORE AT HEBREW HOME (SUBACUTE)
5901 PALISADE AVENUE
BRONX,NY10471
SPECIALTY CARE PRACTICE
166 NEUROLOGY AT WAKEFIELD MEDICAL VILLAGE
4170 BRONX BOULVARD
BRONX,NY10466
SPECIALTY CARE PRACTICE
167 SLEEP CENTER AT WESCHESTER SQUARE
2475 SAINT RAYMONDS AVENUE
BRONX,NY10461
SPECIALTY CARE PRACTICE
168 MONTEFIORE REHABILITATION (CLOSED 2019)
3199 BAINBRIDGE AVENUE
BRONX,NY10467
SPECIALTY CARE PRACTICE
169 X151
250 E 156TH STREET
BRONX,NY10451
SCHOOL HEALTH CLINIC
170 X098
1619 BOSTON ROAD
BRONX,NY10460
SCHOOL HEALTH CLINIC
171 PS 199
1449 SHAKESPEARE AVENUE
BRONX,NY10452
SCHOL HEALTH CLINIC
172 DV SHELTER
ADDRESS WITHHELD
BRONX,NY10451
DOMESTIC VIOLENCE SHELTER PART TIME CLINIC
173 UNIVERSITY AVE FAMILY RESIDENCE
1041 UNIVERSITY AVENUE
BRONX,NY10452
HOMELESS SHELTER EXTENSION CLINIC
174 CHAM SPECIALISTS IN WESTCHESTER
141 SOUTH CENTRAL AVENUE SUITE 300
HARTSDALE,NY10530
SPECIALTY CARE PRACTICE
175 LASIK AND EYE CARE CENTER
141 SOUTH CENTRAL AVENUE
HARTSDALE,NY10530
SPECIALTY CARE PRACTICE
176 MONTEFIORE AT 141 SOUTH CENTRAL AVENUE
141 SOUTH CENTRAL AVENUE
HARTSDALE,NY10530
SPECIALTY CARE PRACTICE
177 MONTEFIORE OUTREACH
629 WEST 185TH STREET
NEW YORK,NY10033
SPECIALTY CARE PRACTICE
178 EINSTEIN STUDENT BEHAVIORAL HEALTH CTR
1225 MORRIS PARK AVENUE
BRONX,NY10461
MENTAL HEALTH CLINIC
179 MONTEEFIORE SOUTH BRONX CANCER CENTER
951 BROOK AVENUE
BRONX,NY10451
SPECIALTY CARE PRACTICE
180 CRYSTAL RUN - GYN ONC
855 ROUTE 17M
MONROE,NY10941
SPECIALTY CARE PRACTICE
181 GRUSS MAGNETIC RESONANCE RESEARCH CENTER
1300 MORRIS PARK AVENUE
BRONX,NY10461
IMAGING CENTER
182 MONTEFIORE NUCLEAR MEDICINE
1695 A EASTCHESTER ROAD
BRONX,NY10461
imaging center
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 10
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 ACTIVITIES OF THE DISREGARDED ENTITIES 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 included in the transaction price is estimated based on the bad debt provision at charge, 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 or if THE BILL WILL EVER BE PAID. 1. Part III, Section A., Line 4 AS REPORTED IN MONTEFIORE HEALTH SYSTEM'S AUDITED CONSOLIDATED FINANCIAL statements, BAD DEBT EXPENSE IS DESCRIBED AS FOLLOWS: "Subsequent changes to the estimate of the transaction price (determined on a portfolio basis when applicable) are generally recorded as adjustments to patient service revenue in the period of the change. For the years ended December 31, 2019 and 2018, changes in the Medical Center's estimates of expected payments for performance obligations satisfied in prior years were not significant. Portfolio collection estimates are updated based on collection trends. Subsequent changes that are determined to be the result of an adverse change in the patients ability to pay (determined on a portfolio basis when applicable) are recorded as bad debt expense. Bad debt expense for the years ended December 31, 2019 and 2018 was not significant".
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 $10,283,973. REVENUE Allowable SURPLUS COSTS (SHORTFALL) Part 111, LINES 5-7: 406,200,296 $329,409,443 $76,790,853 ADD: COSTS NOT INCLUDED IN MEDICARE COST REPORT: - 21,985,235 (21,985,235) ADD: MEDICARE DME: 32,952,573 64,395,493 (31,442,920) ADD: EMP PHYS SERV: 50,354,343 71,895,628 (21,541,285) ADD: MED SUBSID HLTH SERV: 11,959,623 24,065,009 (12,105,386) MEDICARE Shortfall: $501,466,835 $511,750,808 ($10,283,973) 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 $21,985,235. 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 $31,442,920. (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 $21,541,285. (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 $12,105,386. (SEE ABOVE RECONCILIATION TABLE) 1. Part III, Section C., line 9b The Medical Center uses predictive analysis to assist in charity care determinations in the absence of completed financial aid applications. Such findings will not deem patients ineligible for financial assistance. If a patient completes a financial aid application with documentation demonstrating that his income is lower than the category determined using predictive analysis, the patient's financial responsibility will be further reduced to the lower amount. Financial screening/Presumption Charity uses financial information that is contained in a patient's credit report and other patient specific attributes to estimate a patient's income level and where they are in relation to the Federal Poverty Level to qualify under the Hospital's Charity Care Policy. Presumptive eligibility may also be based on prior FAP eligibility or enrollment in certain specified means-tested public programs to presumptively determine if an individual is FAP eligible.
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 FOR AND IMPLEMENTATION OF COMMUNITY SERVICES, AND PLANS FOR THE FUTURE. B) COMMUNITY SERVICES COMMMITTEE MONTEFIORE HEALTH SYSTEM 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. 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 assess 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, vistors, 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 than 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 FINANCIAL AID ASSISTANCE.
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 1.43 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 28% (compared to 15.9% city-wide), household median income of $37,397 (compared to $56,942 in Brooklyn, $64,509 in Queens, $79,201 in Staten Island and $85,071 in Manhattan) and one of the highest child poverty rates in the United States with 40% of Bronx children living below poverty; the eight highest proportion for any county in the United States, and the highest for any urban county. THE BRONX IS ALSO THE YOUNGEST county IN NEW YORK STATE WITH a median age of 33.6 and 25.3% of its population under the age of 18. The Bronx has the 4th highest proportion of single-parent headed households with children (59.5%) among US counties. 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. The Bronx has been an epicenter of the asthma, HIC/Aids and drug epidemics and also has excess mortality rates from heart disease, stroke, and diabetes compared to city-wide and national averages.
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 22,600 STUDENTS AT 31 ELEMENTARY, MIDDLE AND HIGH SCHOOLS IN THE BRONX, PROVIDING OVER 97,200 MEDICAL, MENTAL HEALTH, DENTAL, REPRODUCTIVE AND HEALTH PROMOTION SERVICES. 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 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 that INCLUDES 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. 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 neighborhoods in the northwest Bronx and has been involved in a number of economic de
6. AFFILIATED HEALTH CARE SYSTEM: Montefiore Medical Center IS AN AFFILIATE OF MONTEFIORE HEALTH SYSTEM, INC. The Health System is a leader in community and population health and has a long history of developing innovative approaches to care and tailoring programs to best serve the changing needs of its community. These include, but are not limited to the following: Community service plan, Community Service Strategy, Accountable Care Organization, Patient-centered medical home, disease management programs and community outreach. The integration of these innovative approaches supports Montefiore well in its provision of service to the 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) 2019
Additional Data


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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," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
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" on 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
noncash assistance
(h) Purpose of grant
or assistance
(1) Albert Einstein College of Medicine
1300 morris park avenue
bronx,NY10468
47-2209056 501(c)(3) 60,000,000       operating subsidies
(2) Innocence Project
156 Fifth Avenue
New York,NY10011
32-0077563 501(c)(3) 20,000       Event sponsorship
(3) Bronx Overall Economic Development
851 Grand Concourse
Bronx,NY10451
13-3079387 501(c)(3) 40,000       Sponsorship
(4) Renewal of Life Inc
5904 13th Avenue
Brooklyn,NY11219
90-0772896 501(c)(3) 30,000       Sponsorship
(5) Urban Health Plan Inc
1515 Southern Blvd
Bronx,NY10460
23-7360305 501(c)(3) 45,000       Sponsorship
(6) Wildlife Conservation Society
2300 Southern Blvd
Bronx,NY10460
13-1740011 501(c)(3) 50,000       Sponsorship
(7) United Hospital Fund
1411 Broadway 12th Fl
New York,NY10018
13-1562656 501(c)(3) 25,000       sponsorship
(8) University of Virginia
PO Box 400195
Charlottesville,VA22904
54-6001796 501(c)(3) 33,921       Grant Subrecipient
(9) The New York Academy of Medicine
1216 Fifth Avenue
New York,NY10029
13-1656674 501(c)(3) 17,000       Sponsorship
(10) American Liver Foundation
50 Broadway
New York,NY10004
36-2883000 501(c)(3) 20,000       Sponsorship
(11) Children's Health Fund
215 west 125th street
New York,NY10027
13-3468427 501(c)(3) 15,000       Sponsorship
(12) Mosholu Montefiore Community Ctr
3450 Dekalb Ave
Bronx,NY10467
13-3622107 501(c)(3) 10,000       Sponsorship
(13) Mosholu Preservation Corporation
3400 Reservoir Oval East
Bronx,NY10467
13-3109387 501(c)(3) 19,989       Donation
(14) 1199 SEIU BILL MICHELSON HOME CARE EDUCATION FD
TIMES SQ ST PO BOX 2673
New York,NY10108
13-1510821 501(c)(5) 5,750       Sponsorship
(15) American Cancer Society
2330 Eastchester Rd 3rd fl
Bronx,NY10469
16-0743902 501(c)(3) 30,000       sponsorship
(16) New York Health Collaborative Inc
40 Worth Street 5th Fl
New york,NY10013
20-8022336 501(c)(3) 20,000       sponsorship
(17) St Lukes Cornwall Health System
70 Dubois Street
Newburgh,NY12550
22-3026263 501(c)(3) 10,000       Sponsorship
(18) YMCA of Greater New York
2 Castle Hill Avenue
Bronx,NY10473
13-1624228 501(c)(3) 25,000       Sponsorship
(19) The Hebrew Home at Riverdale Foundation
5901 Palisade Ave
Bronx,NY10471
20-4352212 501(c)(3) 27,500       Sponsorship
(20) HUDSON RIVER HEALTHCARE Foundation
1037 MAIN STREET
PEEKSKILL,NY10566
20-0151252 501(C)(3) 10,000       SPONSORSHIP
(21) NYU FORENSIC MEDICINE SUPPORT FUND
520 FIRST AVENUE
NEW YORK,NY10016
13-5562308 501(c)(3) 25,000       CONTRIBUTION
(22) ST JOHN'S RIVERSIDE HOSPITAL
967 NORTH BROADWAY
YONKERS,NY10701
13-1740126 501(C)(3) 50,000       SPONSORSHIP
(23) MEDICARE RIGHTS CENTER
520 EIGHTH AVENUE
NEW YORK,NY10018
13-3505372 501(C)(3) 10,000       SPONSORSHIP
(24) Dana-Farber Cancer Institute Inc
450 Brookline Avenue
Boston,MA02115
04-2263040 501(c)(3) 12,977       Grant Subrecipient
(25) Weill Medical College of Cornell University
1300 York Avenue
New York,NY10065
13-1623978 501(c)(3) 34,941       Grant Subrecepient
(26) BURKE REHABILITATION HOSPITAL
785 MAMARONECK AVE
WHITE PLAINS,NY10605
13-1739937 501(C)(3) 10,000       SPONSORSHIP
(27) PHIPPS NEIGHBORHOOD
902 BROADWAY
NEW YORK,NY10010
13-2707665 501(C)(3) 20,000       SPONSORSHIP
(28) ST JOSEPH'S HEALTH FUND
127 SOUTH BROADWAY
YONKERS,NY10701
13-3833645 501(C)(3) 37,000       SPONSORSHIP
(29) THE BRONX TOURISM COUNCIL
851 GRAND CONCOURSE
BRONX,NY10451
13-3079387 501(C)(3) 25,000       SPONSORSHIP
(30) MEMORIAL SLOAN KETTERING CANCER CENTER
PO BOX 27084
NEW YORK,NY10087
13-1624082 501(C)(3) 17,370       GRANT SUBRECIPIENT
(31) NEW YORK CITY HEALTH & HOSPITALS CORP
160 WATER STREET
NEW YORK,NY10038
13-4172958 501(C)(3) 379,157       GRANT SUBRECIPIENT
(32) White Plains Hospital Medical Center
41 East Post Road
White Plains,NY10601
13-1740130 501(c)(3) 1,156,417       Contributions
(33) St Jude Children's Research
PO Box 1000 Dept 949
Memphis,TN38105
62-0646012 501(c)(3) 79,319       Grant Subrecipient
(34) FRIENDS OF MT VERNON ARTS RECREATION YOUTH PROGRAM
1 ROOSEVELT SQUARE
MOUNT VERNON,NY10550
90-0910967 501(c)(3) 25,000       SPONSORSHIP
(35) GREATER NYC AFFILIATE-SUSAN G KOMEN FR CURE
248 WEST 38TH STREET
NEW YORK,NY10018
91-2049420 501(c)(3) 20,000       SPONSORSHIP
(36) THE COUNTY CHAMBER OF COMMERCE INC
800 WESTCHESTER AVENUE
RYE BROOK,NY10573
13-1701636 501(c)(6) 5,500       SPONSORSHIP
(37) ALZHEIMERS ASSOCIATION INC
2 JEFFERSON PLAZA
POUGHKEEPSIE,NY12601
13-3039601 501(c)(3) 7,500       SPONSORSHIP
(38) BOYS & GIRL CLUB OF MT VERNON INC
350 S SIXTH AVENUE
MOUNT VERNON,NY10550
13-1739925 501(C)(3) 10,000       SPONSORSHIP
(39) JACOBI MEDICAL CENTER AUX INC
1400 PELHAM PARKWAY SOUTH
BRONX,NY10461
13-1849594 501(C)(3) 10,000       SPONSORSHIP
(40) MONTEFIORE NYACK HOSPITAL FOUNDATION
160 NORTH MIDLAND AVENUE
NYACK,NY10960
13-3245804 501(C)(3) 15,000       SPONSORSHIP
(41) PHYSICIANS FOR HUMAN RIGHTS
256 WEST 38TH STREET
NEW YORK,NY10018
22-2488437 501(C)(3) 15,000       SPONSORSHIP
(42) THE LEUKEMIA & LYMPHOMA SOCIETY INC
3 LANDMARK SQUARE
STAMFORD,CT06901
13-5644916 501(C)(3) 20,000       SPONSORSHIP
(43) ACCESS SUPPORTS FOR LIVING FOUNDATION INC
15 FORTUNE ROAD WEST
MIDDLETOWN,NY10941
20-5404423 501(C)(3) 10,000       SPONSORSHIP
(44) HUB-THIRD AVENUE MERCHANTS DISTRICT
2825 THIRD AVENUE
BRONX,NY10455
13-3455415 501(C)(3) 15,000       SPONSORSHIP
(45) REACH OUT & READ OF GREATER NEW YORK
75 MAIDEN LANE
NEW YORK,NY10038
13-4080045 501(C)(3) 10,000       SPONSORSHIP
(46) UNITED STATES OF CARE CAMPAIGN
PO BOX 32025
WASHINGTON,DC20007
82-2860302 501(C)(3) 100,000       SPONSORSHIP
(47) BECHMAN RESEARCH INSTITUTE
1500 EAST DURANTE RD
DURANTE,CA910103000
95-3432210 501(C)(3) 50,304       GRANT SUBRECIPEINT
(48) BRONX CARE HEALTH SYSTEM
1276 FULTON AVENUE
BRONX,NY10456
13-1974191 501(C)(3) 168,453       GRANT SUBRECIPIENT
(49) 1199 CHILD CARE FUND
TIMES SQ ST PO BOX 2673
NEW YORK,NY10108
13-1510821 501(C)(3) 8,000       SPONSORSHIP
(50) 1199 SEIU HEALTHCARE INDUSTRY GRANT CORP
TIMES SQ ST PO BOX 2673
NEW YORK,NY10108
13-1510821 501(C)(3) 35,000       SPONSORSHIP
(51) AABR FOUNDATION
15-08 COLLEGE PT BLVD
COLLEGE PT,NY11356
11-2218979 501(C)(3) 6,000       SPONSORSHIP
(52) B'NAI B'RITH INTERNATION
1120 20TH STREET
WASHINGTON,DC20036
53-0179971 501(c)(3) 25,000       SPONSORSHIP
(53) HARBORING HEARTS HOUSING FOUNDATION
510 5TH AVE
NEW YORK,NY10036
94-3433059 501(C)(3) 25,000       SPONSORSHIP
(54) LATINO COMMISSION ON AIDS INC
24 WEST 25TH STREET
NEW YORK,NY10010
13-3629466 501(C)(3) 10,000       SPONSORSHIP
(55) LIVEONNY FOUNDATION INC
460 WEST 34TH STREET
NEW YORK,NY10001
47-5156525 501(C)(3) 6,000       SPONSORSHIP
(56) METHODIST HOME FOR NURSING & REHABILITATION
4499 MANHATTAN COLLEGE PW
BRONX,NY10471
13-1740003 501(C)(3) 5,500       SPONSORSHIP
(57) ORANGE COUNTY CITIZENS FOUNDATION
PO BOX 525
SUGAR LOAF,NY10981
13-2751473 501(C)(3) 10,000       SPONSORSHIP
(58) TRANSPLANT LIFE FOUNDATION INC
1595 GALBRAITH AVE
GRAND RAPIDS,MI49546
46-1252372 501(C)(3) 25,000       SPONSORSHIP
(59) WESTCHESTER CHAMBER EDUCATIONAL FOUNDATION
800 WESTCHESTER AVE
RYE BROOKE,NY10573
82-0562830 501(C)(3) 10,000       SPONSORSHIP
(60) WESTCHESTER PARKS FOUNDATION INC
155 LAFAYETTE AVE
WHITE PLAINS,NY10603
13-2937499 501(C)(3) 10,000       SPONSORSHIP
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
58
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
2
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2019

Schedule I (Form 990) 2019
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
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
Schedule I, 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 to ensure that funds are being used for their intended purpose. The Medical Center also provides support to various organizations as part of its many local community health program endeavors. Contributions and sponsorships are made to deserving charitable organizations to support Montefiore mission of advancing the health and welfare of the communities that we serve.
Schedule I (Form 990) 2019



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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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 on 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 on 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 on 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 on 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
Yes
 
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 on 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," on line 5a or 5b, describe in Part III.
6
For persons listed on 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," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on 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" on 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) 2019

Schedule J (Form 990) 2019
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 on 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 on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1ROBERT MICHLER MD
CHAIR-Surg/Cardiothoracic Surg
(i)

(ii)
3,868,273
-------------
0
0
-------------
0
1,584
-------------
0
17,000
-------------
0
29,514
-------------
0
3,916,371
-------------
0
0
-------------
0
2RICHARD KRAUT DDS
CHAIRMAN-DENTISTRY
(i)

(ii)
500,104
-------------
0
1,365,985
-------------
0
1,187
-------------
0
17,000
-------------
0
26,570
-------------
0
1,910,846
-------------
0
0
-------------
0
3SUSAN GREEN-LORENZEN RN
System Senior VP-OPERations
(i)

(ii)
0
-------------
1,091,431
0
-------------
397,700
0
-------------
720,761
0
-------------
17,000
0
-------------
27,220
0
-------------
2,254,112
0
-------------
0
4Christopher Panczner
Asst Sec.-SVP & Gen Counsel
(i)

(ii)
0
-------------
903,133
0
-------------
321,200
0
-------------
46,034
0
-------------
17,000
0
-------------
9,913
0
-------------
1,297,280
0
-------------
0
5PHILIP O OZUAH MD PHD
president & CEO (eff 11/15/19)
(i)

(ii)
0
-------------
2,192,717
0
-------------
3,287,300
0
-------------
1,578,318
0
-------------
17,000
0
-------------
26,570
0
-------------
7,101,905
0
-------------
0
6Joseph De Rose MD
Dir Min Invasive/Robotic Surg
(i)

(ii)
1,361,811
-------------
0
195,322
-------------
0
0
-------------
0
17,000
-------------
0
27,846
-------------
0
1,601,979
-------------
0
0
-------------
0
7Daniel Goldstein MD
Vice Chair-Cardiothoracic Surg
(i)

(ii)
1,364,112
-------------
0
164,425
-------------
0
552
-------------
0
17,000
-------------
0
0
-------------
0
1,546,089
-------------
0
0
-------------
0
8Lynn Richmond
EVP-CSO (Resigned 11/14/19)
(i)

(ii)
0
-------------
1,028,990
0
-------------
529,100
0
-------------
2,060,653
0
-------------
16,346
0
-------------
23,915
0
-------------
3,659,004
0
-------------
1,918,556
9STEVEN SAFYER MD
CEO (Resigned 11/14/19)
(i)

(ii)
0
-------------
2,019,153
0
-------------
2,082,300
0
-------------
4,534,116
0
-------------
8,170,157
0
-------------
27,181
0
-------------
16,832,907
0
-------------
0
10COLLEEN M BLYE
Exec VP & CFO
(i)

(ii)
0
-------------
1,154,118
0
-------------
660,000
0
-------------
1,032
0
-------------
698,856
0
-------------
11,181
0
-------------
2,525,187
0
-------------
0
11EMAD ESKANDAR
CHAIR-NEUROLOGICAL SURGERY
(i)

(ii)
1,989,471
-------------
0
200,000
-------------
0
488
-------------
0
15,039
-------------
0
26,793
-------------
0
2,231,791
-------------
0
0
-------------
0
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
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
Schedule J, Part I, Line 1a One trustee was provided services of a driver for business purposes and incidental transportation. A portion was included in taxable income. An officer was provided Car service for business purposes and incidental transportation. The car service costs were included in taxable income. Two officers and one trustee traveled first class as provided for under Medical center policy. All such travel was for Medical Center business purposes, accordingly, the cost of such travel were not included in taxable income. Schedule J, Part I, Line 4a Steven Safyer, M.D., Chief Executive Officer and a trustee, received severance in the amount of $8,393,621 from a related organization. $239,156 of this amount was received in 2019 and is reflected in the total reported for column (B)(III) other compensation. The remainder of the severance is to be paid over the next two years and is included in the deferred compensation reported in column (C).
Schedule J, Part I, Lines 3, 4b & Part II - Columns (B)(i), (ii) and (iii) As it relates to compensation from Montefiore Medicine Academic Health System, Inc. and Montefiore Health System, Inc. for all officers and key employees: 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 sized 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 patient care, patient satisfaction, community services and financial performance. Comensation 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. Pooled Supplemental Executive Retirement Plan distributions based on multiple years of service: Steven Safyer, M.D. - $3,797,607 Susan Green-Lorenzen, R.N. - $698,175 Philip O. Ozuah, M.D., PH.D - $1,420,693 Lynn Richmond - $2,040,314 Supplemental Executive Retirement Plan accrued and unpaid service costs: Colleen Blye - $681,856.
Schedule J, Part II - Compensation from related organizations All officers and key employees of Montefiore Medical Center are paid by either Montefiore Medicine Academic Helath System, Inc., the parent company of Montefiore Health System, Inc. or Montefiore Health System, Inc., the parent of Montefiore Medical Center. The organization, in turn, reimburses the health systems for its expenses through the membership fees that are assessed for each of the benefitting entities.
Schedule J (Form 990) 2019

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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 , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
MONTEFIORE MEDICAL CENTER
 
Employer identification number
13-1740114
Part
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 BUILD NYC RESOURCE CORPORATION
 
45-4040561 000000000 06-27-2018 64,534,657 Refund prior issue (4/19/13)   X   X   X
B DORMITORY AUTHORITY OF THE STATE OF NEW YORK
 
14-6000293 649902V83 10-14-2010 19,400,000 CONSTRUCTION PROJECT   X   X X  
C DORMITORY AUTHORITY OF THE STATE OF NEW YORK
 
14-6000293 64990E2Y2 09-16-2016 13,002,448 FACILITY IMPROVEMENTS   X   X   X
D DORMITORY AUTHORITY OF THE STATE OF NEW YORK
 
14-6000293 64990GGH9 08-01-2018 341,889,620 REFINANCE/REFUND OF PRIOR ISSUES   X   X   X
Dormitory Authority of the State of New York
 
14-6000293 000000000 01-30-2017 33,685,553 IT SYSTEM IMPLEMENTATION   X   X   X
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
 
14-6000293 000000000 06-29-2017 17,827,755 EQUIPMENT LEASING   X   X   X
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
 
14-6000293 000000000 12-12-2017 9,990,258 EQUIPMENT LEASING   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 6,453,466 6,077,100 903,953 0
2 Amount of bonds legally defeased .............. 0 0 0 0
3 Total proceeds of issue .................. 64,534,657 19,400,000 13,343,651 351,842,551
4 Gross proceeds in reserve funds ............. 6,479,902 0 0 0
5 Capitalized interest from proceeds ............. 0 0 0 0
6 Proceeds in refunding escrows ............... 0 0 0 226,051,778
7 Issuance costs from proceeds ............... 0 97,877 22,614 3,521,580
8 Credit enhancement from proceeds ............. 0 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 64,534,657 18,987,378 0 0
11 Other spent proceeds ............. 0 314,745 13,321,037 122,269,193
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2015 2010 2018 1998
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2018, a current refunding issue)? ........
X     X   X X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2018, 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
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) 2019

Schedule K (Form 990) 2019
Page 2
Part
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
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?                
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 0.450 % 0 % 0 % 0.365 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0.450 % 0 % 0 % 0.365 %
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
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 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 .......... 0
 
0
 
0
 
0
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
Schedule K (Form 990) 2019

Schedule K (Form 990) 2019
Page 3
Part
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 .......... 0
 
0
 
0
 
0
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
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
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
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
Mortgages & Facility Improvements - Issue date - Part I, C(e) The bonds issue date was 9/16/16. The bonds were floated in 2016 and the organization did not close on the mortgage loan with DASNY until December 2018. Mortgages & Facility Improvements - Description of purposes - Part I, D(f) Current issue refunded prior tax exempt debt (6/17/93, 12/22/05, 2/7/08 and 10/1/14) and taxable debt (7/29/09, 5/19/11, 5/12/16 and 11/2/16).
Mortgages & Facility Improvements - PROCEEDS - PART II, COLUMN A, LINE 3 The total proceeds do not equal the summation of lines 4-12 due to transferred or replacement proceeds in line 4.
Mortgages & Facility Improvements - Proceeds - Part II, Column B, Line 3 DASNY'S $562,510,000 STATE PERSONAL INCOME TAX REVENUE BOND (GENERAL PURPOSE), SERIES 2010E, PROVIDED FINANCING FOR SEVERAL BORROWERS. OF THIS AMOUNT, $19,400,000 REPRESENTS THE AMOUNT OF THE BOND PROCEEDS ORIGINALLY ALLOCATED TO YESHIVA UNIVERSITY OF WHICH THE REMAINING $16.4 MILLION OF THE DEBT WAS ASSUMED BY MONTEFIORE MEDICAL CENTER IN 2015.
Mortgages & Facility Improvements - Proceeds - Part II, Column D, Line 3 The total proceeds do not agree to the issue price in Part 1, column (e) due to investment earnings.
Mortgages & Facility Improvements - Arbitrage - Part IV, Column B, Line 2c The rebate computation was performed 12/18/18.
Schedule K (Form 990) 2019

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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 , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
MONTEFIORE MEDICAL CENTER
 
Employer identification number
13-1740114
Part
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 BUILD NYC RESOURCE CORPORATION
 
45-4040561 000000000 06-27-2018 64,534,657 Refund prior issue (4/19/13)   X   X   X
B DORMITORY AUTHORITY OF THE STATE OF NEW YORK
 
14-6000293 649902V83 10-14-2010 19,400,000 CONSTRUCTION PROJECT   X   X X  
C DORMITORY AUTHORITY OF THE STATE OF NEW YORK
 
14-6000293 64990E2Y2 09-16-2016 13,002,448 FACILITY IMPROVEMENTS   X   X   X
D DORMITORY AUTHORITY OF THE STATE OF NEW YORK
 
14-6000293 64990GGH9 08-01-2018 341,889,620 REFINANCE/REFUND OF PRIOR ISSUES   X   X   X
Dormitory Authority of the State of New York
 
14-6000293 000000000 01-30-2017 33,685,553 IT SYSTEM IMPLEMENTATION   X   X   X
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
 
14-6000293 000000000 06-29-2017 17,827,755 EQUIPMENT LEASING   X   X   X
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
 
14-6000293 000000000 12-12-2017 9,990,258 EQUIPMENT LEASING   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 6,453,466 6,077,100 903,953 0
2 Amount of bonds legally defeased .............. 0 0 0 0
3 Total proceeds of issue .................. 64,534,657 19,400,000 13,343,651 351,842,551
4 Gross proceeds in reserve funds ............. 6,479,902 0 0 0
5 Capitalized interest from proceeds ............. 0 0 0 0
6 Proceeds in refunding escrows ............... 0 0 0 226,051,778
7 Issuance costs from proceeds ............... 0 97,877 22,614 3,521,580
8 Credit enhancement from proceeds ............. 0 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 64,534,657 18,987,378 0 0
11 Other spent proceeds ............. 0 314,745 13,321,037 122,269,193
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2015 2010 2018 1998
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2018, a current refunding issue)? ........
X     X   X X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2018, 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
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) 2019

Schedule K (Form 990) 2019
Page 2
Part
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
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?                
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 0.450 % 0 % 0 % 0.365 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0.450 % 0 % 0 % 0.365 %
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
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 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 .......... 0
 
0
 
0
 
0
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
Schedule K (Form 990) 2019

Schedule K (Form 990) 2019
Page 3
Part
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 .......... 0
 
0
 
0
 
0
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
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
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
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
Mortgages & Facility Improvements - Issue date - Part I, C(e) The bonds issue date was 9/16/16. The bonds were floated in 2016 and the organization did not close on the mortgage loan with DASNY until December 2018. Mortgages & Facility Improvements - Description of purposes - Part I, D(f) Current issue refunded prior tax exempt debt (6/17/93, 12/22/05, 2/7/08 and 10/1/14) and taxable debt (7/29/09, 5/19/11, 5/12/16 and 11/2/16).
Mortgages & Facility Improvements - PROCEEDS - PART II, COLUMN A, LINE 3 The total proceeds do not equal the summation of lines 4-12 due to transferred or replacement proceeds in line 4.
Mortgages & Facility Improvements - Proceeds - Part II, Column B, Line 3 DASNY'S $562,510,000 STATE PERSONAL INCOME TAX REVENUE BOND (GENERAL PURPOSE), SERIES 2010E, PROVIDED FINANCING FOR SEVERAL BORROWERS. OF THIS AMOUNT, $19,400,000 REPRESENTS THE AMOUNT OF THE BOND PROCEEDS ORIGINALLY ALLOCATED TO YESHIVA UNIVERSITY OF WHICH THE REMAINING $16.4 MILLION OF THE DEBT WAS ASSUMED BY MONTEFIORE MEDICAL CENTER IN 2015.
Mortgages & Facility Improvements - Proceeds - Part II, Column D, Line 3 The total proceeds do not agree to the issue price in Part 1, column (e) due to investment earnings.
Mortgages & Facility Improvements - Arbitrage - Part IV, Column B, Line 2c The rebate computation was performed 12/18/18.
Schedule K (Form 990) 2019

Additional Data


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Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
MONTEFIORE MEDICAL CENTER
 
Employer identification number

13-1740114
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2019
Schedule L (Form 990 or 990-EZ) 2019
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) Paula Marcus Family Member of Steven Safyer, M.D., Trustee & officer 147,462 Employment   No
(2) Theresa P Ozuah Family Member of Philip O. Ozuah, M.D., Ph.D, officer 187,080 Employment   No
(3) Jaime M Butler Family Member of James M. Butler, Chair of the Board 121,776 Employment   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2019


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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 imageGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
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 .... X 25 0  
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 15 2,947,565 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
0
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 isn't 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 nonstandard 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 didn't 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) (2019)
Schedule M (Form 990) (2019)
Page 2
Part IISupplemental 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, Part I, line 1 During 2019, the Medical Center received various donations of artwork. On Form 990, Part VIII, Statement of Revenue, line 1g, a $0 amount was reported for these donations as allowed under SFAS 116 for artworks not capitalized and held for public exhibition rather than financial gain.
Schedule M (Form 990) (2019)

Additional Data


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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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
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 4: The organization's bylaws was amended December 19, 2019 for a change in the selection process of the Board. The Montefiore Medical Center Board was given the authority to elect 51% of the Board members from a slate of candidates approved by its parent, Montefiore Health System, Inc. The other 49% of the Board members are to be appointed directly by the Health System. 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 Montefiore Health System, Inc., the sole member of Montefiore Medical Center, has the authority to appoint 49% of the Board of trustees of Montefiore Medical Center. The other 51% of the Board is elected by the Board of Trustees of the Medical Center from a slate of candidates approved by the sole member.
Form 990, Part VI, Section A, Line 7B: The board of trustees of 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 MONTEFIORE'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 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 before filing.
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: All officers and Key Employees are employed and paid by either Montefiore Medicine Academic Health System, Inc. or Montefiore Health System, Inc., the parent company of Montefiore Health System, Inc. and Montefiore Medical Center, respectively. 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 certain key employees. All decisions made by the Compensation Committee are appropriately and timely documented in meeting minutes. The compensation committee's review process follows the intermediate Sanctions guidelines for qualifying for the rebuttable presumption of reasonableness. The Committee retains an independent compensation consultant to assist it with this process. Compensation levels are established considering data for comparable organizations, an assessment of management performance (including the services provided to the community), and other business judgment factors, consistent with Montefiore's executive compensation philosophy. The Committee's decisions are made in the best interest of Montefiore, and are intended to ensure the recruitment and retention of key executive talent, consistent with the market practices of other not-for-profit healthcare organizations of comparable scope, mission and complexity. On an annual basis, the Committee provides the full Board of Trustees with a description of the Committee's review and approval process and its decisions.
Form 990, Part VI, Section C, Line 19: THE CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS and montefiore Medical Center's audited consolidated financial statements ARE MADE AVAILABLE UPON REQUEST.
Form 990, Part XI, Line 9: The Other change in net assets reduction of $70,390,067 was due to the following: - Increase in defined pension and other postretirement plan liabilities to be recognized in future periods ($6,560,319) - Affiliate equity transfers ($98,867,504) - Change resulting from adoption of ASC 842 $35,037,756
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


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 Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2019
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 0 mmc
 
(2) CMO THE CARE MANAGEMENT COMPANY LLC
111 EAST 210TH STREET
BRONX,NY10467
13-3991307
CARE MGMT SER NY 76,119,377 -92,198,729 MMC
 
(3) MONTEFIORE HUDSON VALLEY COLLABORATIVE
111 EAST 210TH STREET
BRONX,NY10467
47-3389736
Perform Prov NY 10,299,074 75,981,034 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) 12A Type I MMC
 
Yes
 
(2)MMC Residential Corp I 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) 12A type I MMC
 
Yes
 
(5)Gun Hill MRI PC
200 East Gunhill Road

Bronx,NY10467
13-3734486
diag services NY 501(c)(3) 12A type I MMC
 
Yes
 
(6)Montefiore Health System Inc
555 South Broadway BLDG A FL 1

Tarrytown,NY10591
20-1615393
PARENT NY 501(c)(3) 12B type II MMAHS
 
Yes
 
(7)Montefiore New Rochelle Hospital
16 Guion Place

New Rochelle,NY10801
46-2931956
Hospital NY 501(c)(3) 3 MHS
 
Yes
 
(8)Montefiore Mount Vernon Hospital
12 North Seventh Avenue

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

New Rochelle,NY10801
46-2929888
Nursing Home NY 501(c)(3) 3 MHS
 
Yes
 
(10)MONTEFIORE FOUNDATION INC
111 EAST 210TH STREET

BRONX,NY10467
47-1600439
Inactive NY 501(c)(3) 7 MMAHS
 
Yes
 
(11)Albert Einstein College of Medicine Inc
1300 Morris Park Avenue

BRONX,NY10461
47-2209056
Med College NY 501(C)(3) 2 MMAHS
 
Yes
 
(12)MONTEFIORE MEDICINE ACADEMIC HEALTH SYST
555 SOUTH BROADWAY BLDG A FL 1

TARRYTOWN,NY10591
47-1582973
System Parent NY 501(C)(3) 12B Type II NA
 
Yes
 
(13)MONTEFIORE NYACK HOSPITAL
160 NORTH MIDLAND AVENUE

NYACK,NY10960
13-1740119
HOSPITAL NY 501(C)(3) 3 MHS
 
Yes
 
(14)White Plains Hospital Medical Center
41 East Post Road

White Plains,NY10601
13-1740130
Hospital NY 501(c)(3) 3 MHS
 
Yes
 
(15)AECOM Student Housing Co Inc
1300 Morris Park Avenue

Bronx,NY10461
23-7075620
Student Hous NY 501(C)(2)   AECOM
 
Yes
 
(16)Montefiore CERC Operations Inc
111 East 210th Street

Bronx,NY10467
47-4853506
Rehab Center NY 501(c)(3) 3 MMC
 
Yes
 
(17)White Plains Hospital Ctr Foundation
41 East Post Road Davis Ave

White Plains,NY10601
13-3281507
FUNDRAISING NY 501(c)(3) 12A TYPE I WPHMC
 
Yes
 
(18)Montefiore Nyack Hospital Foundation
160 North Midland Avenue

Nyack,NY10960
13-3245804
FUNDRAISING NY 501(c)(3) 7 Nyack Hosp
 
Yes
 
(19)The Winifred Masterson Burke Rehab Hosp
785 Mamaroneck Avenue

White Plains,NY10605
13-1739937
Rehab Hosp NY 501(c)(3) 3 MHS
 
Yes
 
(20)St Luke's Cornwall Hospital
70 Dubois Street

Newburgh,NY12550
14-1340054
Hospital NY 501(c)(3) 3 MHS
 
Yes
 
(21)Hudson Vista Medical PC
70 Dubois Street

Newburgh,NY12550
45-2526738
Healthcare NY 501(c)(3) 12A Type I SLCH
 
Yes
 
(22)Hudson Vista Physician Services PC
70 Dubois Street

Newburgh,NY12550
27-2020746
Healthcare NY 501(c)(3) 12A Type I SLCH
 
Yes
 
(23)St Luke's Cornwall Health System Inc
70 Dubois Street

Newburgh,NY12550
22-3026261
Holding Comp NY 501(c)(3) 12A Type I MHS
 
Yes
 
(24)St Luke's Cornwall Health SysTEM FDN
70 Dubois Street

Newburgh,NY12550
22-3026263
Fundraising NY 501(c)(3) 7 SLCHS
 
Yes
 
(25)Amos and Sarah Holden Home
70 Dubois Street

Newburgh,NY12550
14-1365995
Asst Living NY 501(c)(3) PF SLCHS
 
Yes
 
(26)MONTEFIORE MED ACAD HLTH SYS SELF INS TR
555 SOUTH BROADWAY

TARRYTOWN,NY10591
82-4019223
INS TRUST NY 501(C)(3) 12A TYPE I MMAHS
 
Yes
 
(27)ALBERT EINSTEIN COLLEGE OF MEDICINE
1300 MORRIS PARK AVENUE

BRONX,NY10461
83-0621846
MED COLLEGE NY 501(C)(3) 2 MMAHS
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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) The Montefiore IPA Inc

111 East 210th street
bronx,NY10467
13-4114915
Integ Provr Assoc NY NA
 
c corp       Yes  
(2) MMC GI Holdings East Inc

111 East 210th street
bronx,NY10467
72-1610013
holding company NY NA
 
c corp       Yes  
(3) MMC GI Holdings West Inc

111 East 210th street
bronx,NY10467
72-1610015
holding company NY NA
 
c corp       Yes  
(4) Montefiore Behavioral Care IPA No 1 inc

111 East 210th street
bronx,NY10467
13-3952750
Integ provr assoc NY NA
 
c corp       Yes  
(5) BRONX ACCOUNTABLE Care Network IPA Inc

111 EAST 210TH STREET
BRONX,NY10467
30-0689571
Integ Provr Assoc NY NA
 
C CORP       Yes  
(6) MONTEFIORE CONSOLIDATED VENTURES INC

111 EAST 210TH STREET
BRONX,NY10467
61-1728539
holding company NY NA
 
C CORP       Yes  
(7) MONTEFIORE INSURANCE COMPANY INC

111 EAST 210TH STREET
BRONX,NY10467
32-0436594
Inactive NY na
 
C CORP       Yes  
(8) HUDSON VALLEY IPA INC

111 EAST 210TH STREET
BRONX,NY10467
38-3978087
INTEG PROVR ASSOC NY NA
 
C CORP       Yes  
(9) MONTEFIORE INNOVATIONS INC

111 EAST 210TH STREET
BRONX,NY10467
47-5106910
HOLDING COMPANY NY na
 
C CORP       Yes  
(10) HIGHLAND MEDICAL PC

160 NORTH MIDLAND Avenue
NYACK,NY10960
13-4034481
Healthcare Serv. NY NA
 
C CORP       Yes  
(11) 8 LONGVIEW DEVELOPMENT CORP

DAVIS AVENUE AT EAST POST ROAD
WHITE PLAINS,NY10601
26-3321278
hOUSING NY na
 
c cORP       Yes  
(12) WHITE PLAINS MEDICAL DIAGNOSTIC SERV PC

41 EAST POST ROAD
WHITE PLAINS,NY10601
45-3164626
Healthcare Serv. NY NA
 
C CORP       Yes  
(13) CANCER & BLOOD MEDICAL SERV of NY PC

41 EAST POST ROAD
WHITE PLAINS,NY10601
46-2021804
Healthcare Serv. NY NA
 
C CORP       Yes  
(14) DAVIS AVENUE CORP

DAVIS AVENUE AT EAST POST ROAD
WHITE PLAINS,NY10601
13-3331643
Property holding NY na
 
C CORP       Yes  
(15) WHITE PLAINS MANAGEMENT CO INC

41 EAST POST ROAD
WHITE PLAINS,NY10601
13-3331641
Property holding NY na
 
C CORP       Yes  
(16) WPHC BUILDING CORP

41 EAST POST ROAD
WHITE PLAINS,NY10601
13-3676932
Property holding NY NA
 
C CORP       Yes  
(17) UNIVERSITY BEHAVIORAL ASSOCIATES INC

111 EAST 210TH STREET
BRONX,NY10467
13-3877781
Management Serv. NY NA
 
C CORP       Yes  
(18) White Plains Medical Services PC

Davis Avenue at East Post Road
White Plains,NY10601
81-5369152
Healthcare Serv. NY na
 
C Corp       Yes  
(19) White Plains Physician Services PC

Davis Avenue at East Post Road
White Plains,NY10601
81-5309615
Healthcare Serv. NY na
 
c corp       Yes  
(20) Charitable Remainder Trust (4)

 
 
Char Remr Trust NY na
 
Trust       Yes  
(21) CRHT ACQUISITION INC

555 SOUTH BROADWAY BLDG A FL 1
TARRYOWN,NY10591
81-5220651
HOLDING COMPANY NY NA
 
C CORP       Yes  
(22) QUANTUM BIOTHERAPEUTICS LLC

111 EAST 210TH STREET
BRONX,NY10467
61-1793667
INACTIVE NY NA
 
C CORP       Yes  
(23) WHITE PLAINS PHYSICIAN MEDICAL SERV PC

DAVIS AVENUE AT EAST POST ROAD
WHITE PLAINS,NY10601
83-0519787
INACTIVE NY NA
 
C CORP       Yes  
(24) EAST POST ROAD MEDICAL SERVICES PC

DAVIS AVENUE AT EAST POST ROAD
WHITE PLAINS,NY10601
83-0535258
Healthcare Serv. NY NA
 
C CORP       Yes  
(25) EAST POST ROAD PHYSICIAN SERV PC

DAVIS AVENUE AT EAST POST ROAD
WHITE PLAINS,NY10601
83-0563325
INACTIVE NY NA
 
C CORP       Yes  
(26) DAVIS AVENUE MEDICAL SERVICES PC

DAVIS AVENUE AT EAST POST ROAD
WHITE PLAINS,NY10601
83-0579310
INACTIVE NY NA
 
C CORP       Yes  
(27) WPH HOLDINGS INC

DAVIS AVENUE AT EAST POST ROAD
WHITE PLAINS,NY10601
83-3893119
holding company NY NA
 
C CORP       Yes  
(28) Innovator Acqusition Corp

111 East 210th Street
Bronx,NY104672401
83-3394059
holding company NY NA
 
C corp       Yes  
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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
Yes
 
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
Yes
 
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
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
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 270,156,662 cost
(2) UNIVERSITY BEHAVIORAL ASSOCIATES Inc

L 3,673,046 cost
(3) GUNHILL MRI PC

L 5,010,458 cost
(4) MMC RESIDENTIAL CORP I INC

L 62,438 cost
(5) MONTEFIORE HOSPITAL HOUSING SECTION II INC

L 178,031 cost
(6) MONTEFIORE NYACK HOSPITAL

L 13,330,732 COST
(7) MMC CORPORATION

K 10,182,733 cost
(8) MONTEFIORE HOSPITAL HOUSING SECTION II INC

K 133,659 cost
(9) MMC RESIDENTIAL CORP I INC

K 2,843,507 cost
(10) MOSHOLU PRESERVATION CORPORATION

Q 674,740 cost
(11) GUNHILL MRI PC

Q 2,820,613 cost
(12) MMC RESIDENTIAL CORP I INC

Q 301,355 cost
(13) MONTEFIORE HOSPITAL HOUSING SECTION II INC

Q 614,814 cost
(14) MONTEFIORE INNOVATIONS INC

Q 313,691 cost
(15) MMC GI HOLDINGS EAST INC

Q 307,800 cost
(16) MMC GI HOLDINGS WEST INC

Q 234,360 cost
(17) UNIVERSITY BEHAVIORAL ASSOCIATES Inc

Q 35,749,011 cost
(18) MONTEFIORE HOSPITAL HOUSING SECTION II INC

N 693,049 COST
(19) White Plains Hospital Medical Center

D 55,243,763 Cash
(20) MONTEFIORE HEALTH SYSTEM INC

B 37,457,167 CASH
(21) MONTEFIORE NEW ROCHELLE HOSPITAL

L 7,599,610 COST
(22) MONTEFIORE MOUNT VERNON HOSPITAL

L 8,185,292 COST
(23) SCHAFFER EXTENDED CARE CENTER

L 515,388 COST
(24) MONTEFIORE CERC OPERATIONS INC

Q 1,768,072 COST
(25) MONTEFIORE NEW ROCHELLE HOSPITAL

Q 1,142,352 COST
(26) MONTEFIORE MOUNT VERNON HOSPITAL

Q 815,914 COST
(27) UNIVERSITY BEHAVIORAL ASSOCIATES INC

J 1,730,305 COST
(28) Montefiore Medicine Academic Health System

M 49,225,157 COST
(29) MONTEFIORE HEALTH SYSTEM INC

A 5,694,611 COST
(30) MONTEFIORE INNOVATIONS INC

B 408,334 COST
(31) MONTEFIORE HEALTH SYSTEM INC

L 13,039,732 COST
(32) MONTEFIORE HEALTH SYSTEM INC

M 147,234,786 COST
(33) UNIVERSITY BEHAVIORAL ASSOCIATES INC

M 7,458,135 COST
(34) MONTEFIORE HEALTH SYSTEM INC

Q 9,367,062 COST
(35) ALBERT EINSTEIN COLLEGE OF MEDICINE

N 585,529 COST
(36) MONTEFIORE HEALTH SYSTEM INC

S 2,048,515 COST
(37) ALBERT EINSTEIN COLLEGE OF MEDICINE

B 60,000,000 COST
(38) ALBERT EINSTEIN COLLEGE OF MEDICINE

L 2,175,351 COST
(39) ALBERT EINSTEIN COLLEGE OF MEDICINE

Q 6,241,907 COST
(40) WHITE PLAINS HOSPITAL MEDICAL CENTER

B 1,156,417 cash
(41) MONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM

Q 6,719,621 COST
(42) MONTEFIORE CERC OPERATIONS INC

M 141,753 COST
(43) MONTEFIORE INNOVATIONS INC

O 429,579 COST
(44) ALBERT EINSTEIN COLLEGE OF MEDICINE

M 2,323,254 COST
(45) ALBERT EINSTEIN COLLEGE OF MEDICINE

K 1,202,676 COST
(46) ALBERT EINSTEIN COLLEGE OF MEDICINE

P 6,188,452 COST
(47) The Winifred Masterson Burke Rehab Hospital

J 159,116 Cost
(48) BRONX ACCOUNTABLE HEALTHCARE NETWORK IPA INC

L 5,388,847 COST
(49) SCHAFFER EXTENDED CARE CENTER

M 1,541,688 cost
(50) MMC CORPORATION

Q 291,636 COST
(51) MONTEFIORE CERC OPERATIONS INC

O 2,204,216 COST
(52) ALBERT EINSTEIN COLLEGE OF MEDICINE

O 20,509,213 COST
(53) MONTEFIORE NEW ROCHELLE HOSPITAL

R 9,499,692 CASH
(54) MONTEFIORE HEALTH SYSTEM INC

J 1,703,447 COST
(55) MONTEFIORE NEW ROCHELLE HOSPITAL

P 168,820 COST
(56) MONTEFIORE MOUNT VERNON HOSPITAL

P 144,444 COST
(57) MONTEFIORE MOUNT VERNON HOSPITAL

R 1,380,139 CASH
(58) SCHAFFER EXTENDED CARE CENTER

R 2,619,000 CASH
(59) WHITE PLAINS HOSPITAL MEDICAL CENTER

A 966,015 COST
(60) MMC CORPORATION

A 3,205,441 COST
(61) MMC RESIDENTIAL CORP I INC

P 838,160 COST
(62) HUDSON VALLEY IPA INC

L 297,443 COST
(63) ST LUKE'S CORNWALL HOSPITAL

L 6,274,682 COST
(64) THE WINIFRED MASTERSON BURKE REHAB HOSP

M 735,078 COST
(65) WHITE PLAINS HOSPITAL MEDICAL CENTER

L 1,664,476 COST
(66) THE WINIFRED MASTERSON BURKE REHAB HOSP

L 1,479,776 COST
(67) ST LUKE'S CORNWALL HOSPITAL

R 1,570,713 CASH
(68) MONTEFIORE NYACK HOSPITAL

R 13,107,402 CASH
(69) MMC CORPORATION

S 1,068,375 CASH
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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) 2019
Schedule R (Form 990) 2019
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) 2019

Additional Data


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