TY 2019 Form 990

(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)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(1) JACOB SHANI MD...................................................................... Chair, Heart & Vascular Center	40.0 ................. 0.0			X	3,498,724	39,023
(2) PATRICK I BORGEN MD...................................................................... Chairman, Dept of Surgery	40.0 ................. 0.0			X	1,942,963	49,188
(3) GREG H RIBAKOVE MD...................................................................... Chief, Cardiothoracic Surgery	40.0 ................. 0.0			X	1,795,001	39,023
(4) KENNETH D GIBBS...................................................................... PRESIDENT & CEO	40.0 ................. 0.0	X	X		1,327,528	491,941
(5) ROBERT A FRANKEL...................................................................... Dir, Interventional Cardiology	40.0 ................. 0.0			X	1,717,510	39,023
(6) ALEXANDER SHAKNOVICH M...................................................................... CARDIOLOGY	40.0 ................. 0.0			X	1,693,851	38,706
(7) ROBERT NALDI...................................................................... EXECUTIVE VICE PRES & CFO	40.0 ................. 0.0		X		955,700	22,400
(8) JOYCE LEAHY...................................................................... EVP, LEGAL AFFAIRS & GEN COUNS	40.0 ................. 0.0		X		634,519	31,857
(9) EDWARD CHAPNICK MD...................................................................... TRUSTEE & PRES MEDICAL STAFF	40.0 ................. 0.0	X			345,592	51,333
(10) Michael Antoniades...................................................................... EVP & COO, As of June 2019	40.0 ................. 0.0		X		311,067	21,925
(11) PAUL ADDISON...................................................................... TRUSTEE	0.5 ................. 0.0	X			0	0
(12) STEVEN ADELSBERG...................................................................... TRUSTEE, thru June 2019	0.5 ................. 0.0	X			0	0
(13) DONNA ASTION MD...................................................................... TRUSTEE	0.5 ................. 0.0	X			0	0
(14) RICHARD A BARASCH...................................................................... TRUSTEE	0.5 ................. 0.0	X			0	0
(15) IRWIN BIRNBAUM...................................................................... TRUSTEE	0.5 ................. 0.0	X			0	0
(16) JOSEPH BRUNO...................................................................... TRUSTEE	0.5 ................. 0.0	X			0	0
(17) MONSIGNOR DAVID CASSAT...................................................................... TRUSTEE	0.5 ................. 0.0	X			0	0

(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)
(18) CHAIM FISCHER........................................................................ TRUSTEE, as of Jan 2019	0.5 .......................0.0	X
(19) RICHARD FORMAN........................................................................ TRUSTEE	0.5 .......................0.0	X
(20) JEREMY GLICK........................................................................ TRUSTEE	0.5 .......................0.0	X
(21) JACK A HIDARY........................................................................ TRUSTEE	0.5 .......................0.0	X
(22) LOFTON HOLDER........................................................................ TRUSTEE	0.5 .......................0.0	X
(23) LOUIS JEROME........................................................................ TRUSTEE, thru June 2019	0.5 .......................0.0	X
(24) EUGENE KEILIN........................................................................ TRUSTEE & BOARD CHAIR	0.5 .......................0.0	X
(25) MORTIMER N KLAUS........................................................................ TRUSTEE	0.5 .......................0.0	X
(26) C HERBERT LESHKOWITZ........................................................................ TRUSTEE	0.5 .......................0.0	X
(27) GEORGE LIU........................................................................ trustee	0.5 .......................0.0	X
(28) ROBERT MACHINIST........................................................................ TRUSTEE	0.5 .......................0.0	X
(29) DONALD MELTZER........................................................................ TRUSTEE	0.5 .......................0.0	X
(30) FRANK NACCARATO........................................................................ TRUSTEE	0.5 .......................0.0	X
(31) AZZAM OBEID........................................................................ TRUSTEE	0.5 .......................0.0	X
(32) STEVEN OPPENHEIM........................................................................ TRUSTEE	0.5 .......................0.0	X
(33) MARTIN PAYSON........................................................................ TRUSTEE	0.5 .......................0.0	X
(34) PETER REBENWURZEL........................................................................ TRUSTEE & VICE CHAIR	0.5 .......................0.0	X
(35) ERMINIA RIVERA........................................................................ TRUSTEE & VICE CHAIR	0.5 .......................0.0	X
(36) ALEX ROVT PhD........................................................................ TRUSTEE	0.5 .......................0.0	X
(37) VERONICA SANTILLI MD........................................................................ TRUSTEE	0.5 .......................0.0	X
(38) MARY SINGH........................................................................ TRUSTEE & SECRETARY	0.5 .......................0.0	X
(39) AARON D TWERSKI........................................................................ TRUSTEE & SECRETARY	0.5 .......................0.0	X
(40) KEITH WORTMAN........................................................................ TRUSTEE	0.5 .......................0.0	X
(41) MICHAEL L ZIEGLER ES........................................................................ TRUSTEE	0.5 .......................0.0	X

(A) Name and business address	(B) Description of services	(C) Compensation
ANESTHESIOLOGY ASSOC OF BORO PARK L, 931 48 ST BROOKLYN,NY11219	MEDICAL SERVICES	9,994,174
ALLSCRIPTS HEALTHCARE LLC, 24630 Network Place CHICAGO,IL60673	IT services	5,221,768
BLUE HILL DATA SERVICE FKA ALICOMP, 2 BLUE HILL PLAZA PEARL RIVER,NY10965	IT SERVICES	5,087,743
ALLIANCE HEALTHCARE SERVICES, 100 BAYVIEW CIRCLE NEWPORT BEACH,CA92660	MEDICAL SERVICES	3,849,245
Cannon Design, 360 Madison Ave NEW YORK,NY10017	Architect Consulting	3,342,721
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 163

- TIN:

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.
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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

Maimonides Medical Center

Employer identification number

11-1635081

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


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

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)		(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.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

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

Public support percentage for 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2018. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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

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)		(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)		(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.)..

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

Public support percentage for 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2018. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

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

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.

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).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

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.

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.

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.

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.

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.

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).

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?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

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.

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) .

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).

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.

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.

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.

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

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

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

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

A family member of a person described in (a) above?

11b

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

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.

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.

Section C. Type II Supporting Organizations

Yes

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).

Section D. All Type III Supporting Organizations

Yes

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?

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).

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.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

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.

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.

Parent of Supported Organizations. Answer (a) and (b) below.

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.

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.

Schedule A (Form 990 or 990-EZ) 2019

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

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

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 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

Schedule A (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

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

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

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

OMB No. 1545-0047

2019

Name of the organization

Maimonides Medical Center

Employer identification number

11-1635081

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... 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 Maimonides Medical Center

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (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 Maimonides Medical Center		Employer identification number 11-1635081

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 Maimonides Medical Center			Employer identification number 11-1635081
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.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose 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

(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

(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

(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:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go 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

Maimonides Medical Center

Employer identification number

11-1635081

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

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

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 Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ...................................................................................................................	Yes No

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

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

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:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

521,306

Total. Add lines 1c through 1i ....................................................................................................

521,306

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

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

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

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."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

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
SUPPLEMENTAL INFORMATION PART II-B	Part II-B - Description of other lobbying activities: Payments made to lobbyists $281,306 - LOBBYING PORTION OF DUES PAID $240,000 - PAYMENTS TO LOBBYISTS RELATING TO NYS AND NYC CAPITAL FUNDING FOR HOSPITAL EQUIPMENT AND HEALTHCARE ISSUES.

Schedule C (Form 990 or 990EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

Maimonides Medical Center

Employer identification number

11-1635081

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 ........

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

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)? .............................

Yes No

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.

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.

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

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:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?...

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

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 ....	20,876,037	17,891,633	18,139,018	17,169,658	17,223,426
b	Contributions ...	2,078,739	4,343,233	634,589	1,950,937	762,477
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	687,404	1,358,829	881,974	981,577	816,245
f	Administrative expenses ....
g	End of year balance ......	22,267,372	20,876,037	17,891,633	18,139,018	17,169,658

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

5.080 %

Term endowment SchDMd Bullet

94.920 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

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 .....	4,980,000		4,980,000
b	Buildings ....	469,954,954	373,710,650	96,244,304
c	Leasehold improvements
d	Equipment ....	810,508,330	585,443,858	225,064,472
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				326,288,776

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther 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
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram 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.)

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)DUE FROM AFFILIATES				26,248,925
(2)INVESTMENT IN PHYS PRACTICES				92,733,485
(3)OTHER CURRENT ASSETS				40,700,130
(4)PREPAID CAPITAL ASSETS				2,625,993
(5)ESTIMATED INSURANCE CLAIMS REC				209,521,000
(6)OTHER NONCURRENT ASSETS				13,644,067
(7)RIGHT OF USE ASSETS OPER LEASE				108,953,325
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				494,426,925

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
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	644,620,274
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

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
PART V, LINE 4	TEMPORARILY RESTRICTED NET ASSETS ARE AVAILABLE FOR THE FOLLOWING PURPOSES RESEARCH AND EDUCATION - $1,556,000 PLANT REPLACEMENT AND EXPANSION - $19,579,089 TOTAL - $21,135,089 PERMANENTLY RESTRICTED NET ASSETS - $1,132,283 (Consist of investments to be held in perpetuity, the income from which is to be used for health care related services.) Grand Total - $22,267,372
PART X, Line 2	There was no liability for uncertain tax position under FIN 48 making the footnote unnecessary.

Schedule D (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

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
Maimonides Medical Center

Employer identification number

11-1635081

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

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? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

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
	Central America and the Caribbean	2	0	Program Services	CAPT INSURANCE-INVEST.	36,062,000
	Central America and the Caribbean	0	0	Program Services	MALPRACTICE INSURANCE	3,689,741















3a	Sub-total ....	2	0			39,751,741
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	2	0			39,751,741

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)

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 .......
3	Enter total number of other organizations or entities .......................

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

Page 4

Part IV

Foreign Forms

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

Schedule F (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

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 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
Maimonides Medical Center

Employer identification number

11-1635081

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.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

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?

YesNo

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?
			Yes	No
	PROJECTS PLUS INC	FUNDRAISING		No









Total . . . . . . . . . . . . . . . . . . . .

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

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.

		(a) Event #1 PINK RUNWAY (event type)	(b) Event #2 BATTLE FOR BKLN (event type)	(c) Other events 3 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	415,766	229,442	284,373	929,581
2	Less: Contributions . . . .	391,016	181,244	178,663	750,923
3	Gross income (line 1 minus line 2) . . . . . .	24,750	48,198	105,710	178,658

4	Cash prizes . . . . .
5	Noncash prizes . . . .			585	585
6	Rent/facility costs . . . .	11,330	9,280	66,605	87,215
7	Food and beverages . . .	48,216	53,430	44,905	146,551
8	Entertainment . . . .	1,200		9,500	10,700
9	Other direct expenses . . .	74,526	123,737	33,167	231,430
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				476,481
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				-297,823

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.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2019

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

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? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

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

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

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:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

Maimonides Medical Center

Employer identification number

11-1635081

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

Yes

100% 150% 200% Other 300 %

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: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

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.

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"? . . . . . . . . . . . . .

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

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? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(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) . . .	59,503,080		59,503,080	4.590 %
b	Medicaid (from Worksheet 3, column a) . . . . .	380,686,723	287,415,382	93,271,341	7.190 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	1,899,868	1,577,040	322,828	0.020 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	442,089,671	288,992,422	153,097,249	11.800 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	6,865,224	2,773,630	4,091,594	0.320 %
f	Health professions education (from Worksheet 5) . . .	142,884,261	47,678,878	95,205,383	7.340 %
g	Subsidized health services (from Worksheet 6) . . . .	65,739,729	58,968,019	6,771,710	0.520 %
h	Research (from Worksheet 7) .	410,680	376,542	34,138	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	519,967		519,967	0.040 %
j	Total. Other Benefits . .	216,419,861	109,797,069	106,622,792	8.220 %
k	Total. Add lines 7d and 7j .	658,509,532	398,789,491	259,720,041	20.020 %

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.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	224,047	224,047	0.020 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	209,660	209,660	0.020 %
8	Workforce development
9	Other
10	Total	433,707	433,707	0.040 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

20,457,225

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. ......

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

Enter total revenue received from Medicare (including DSH and IME).....

262,080,930

Enter Medicare allowable costs of care relating to payments on line 5.....

251,811,299

Subtract line 6 from line 5. This is the surplus (or shortfall)........

10,269,631

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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 .........................

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

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)
1	MAIMONIDES MEDICAL CENTER 4802 TENTH AVE BROOKLYN,NY11219 www.maimonidesmed.org 7001020H	X	X	X	X	X	X

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)

	MAIMONIDES 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):

Yes

Community Health Needs Assessment

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?........................

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...............

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......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 19

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 .................

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..................................

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. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V DISCLOSURE

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

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. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V DISCLOSURE

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

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

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

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

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	MAIMONIDES MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.%
and FPG family income limit for eligibility for discounted care of 300.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

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):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

see Section C

The FAP application form was widely available on a website (list url):

see Section C

A plain language summary of the FAP was widely available on a website (list url):
see Section C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	MAIMONIDES MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

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?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	MAIMONIDES MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

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.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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? ...............................

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

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	#3e Describe the significant health needs of the community. The significant health needs of the community identified in the CHNA are prioritized based on several factors, including: the scope and significance of the need as indicated by New York City and State data sources; opportunities for Maimonides Medical Center to provide effective interventions; the importance of the need as described by community members; and the relevance of the need to New York States Prevention Agenda Priorities. #3j Describe other content contained in the CHNA The CHNA also satisfies New York States requirement to complete a Community Service Plan (CSP). As such, it includes a section describing Maimonides work plan for addressing New York State Prevention Agenda Priorities.
#5	Describe how the hospital took into account input from persons who represent the community and identify the persons consulted. To more deeply understand the health challenges and needs facing our communities, Maimonides sought input from members of the community who represent the broad interests of the community through multiple mechanisms including: * Convening a meeting of the Council of Community Organizations (COCO) to gain feedback from community and faith-based leaders, elected officials, healthcare providers and public health specialists; * Participatory Action Research (PAR) focus group and survey activities in neighborhoods across the Maimonides service area, led by Community Care of Brooklyn (CCB) and described below; * Focus groups and ongoing collaborative relationships with community-based healthcare providers; and * Meetings and information submissions of the internal Maimonides Community Health Coordinating Committee. Participatory Action Research (PAR) Beginning in 2016, CCB has been the leading sponsor of a series of participatory action research (PAR) projects in Brooklyn neighborhoods. The PAR model "is a framework for creating knowledge that is rooted in the belief that those most impacted by research should take the lead in framing the questions, design, methods, analysis and determining what products and actions might be the most useful in effecting change" (Torre 2009). In practice, this means that PAR is designed and executed largely by high school and college student researchers who live and study in the neighborhoods where PAR is undertaken. As of 2019, four PAR projects have been completed with CCB sponsorship; the projects conducted in summer 2018 and summer 2019 focused on parts of the Maimonides service area and directly inform the Maimonides CHNA/CSP. PAR projects benefit from the insights of their research teams and serve to strengthen the capacity of community members to self-advocate and promote improved health outcomes. Each PAR has employed 40-50 local student researchers, providing paid work experience in the theory and practice of social determinants of health research. Since the advent of CCBs PAR work, the group of researchers involved have organized into a distinct entity, Wellness Empowerment for Brooklyn. To date, PAR projects have surveyed over 2,500 Brooklyn residents; PAR III and IV each collected over 1,000 surveys. Street surveys, key stakeholder interviews, and focus groups hosted in collaboration with community-based organizations are typical methodologies of a CCB-led PAR project. Development of a central research question different for each PAR project is led by the student researchers and supported by their knowledge of the community, as well as by DOHMH Community Health Profiles and similar public datasets. Dissemination of PAR findings is central to the research model, and projects generally conclude with community-facing report back sessions to share research results directly with local residents and policymakers. The PAR projects conducted in Canarsie, Flatbush, and Flatlands and in Bay Ridge, Borough Park, and Sunset Park provide meaningful insight into the health and social needs and priorities of residents in Maimonides service area. In PAR III and IV, researchers assessed community assets, health challenges, housing and transportation issues, civic infrastructure and engagement, education, social services, healthy food access, and immigration and citizenship issues.
# 7a - The CHNA report is available:	https://www.maimonidesmed.org/media/file/2019%20Maimonides%20CHNA-CSP%20Wo rkplan%20Submission.pdf # 10a - The most recently adopted implementation strategy is available: https://www.maimonidesmed.org/media/file/2019%20Maimonides%20CHNA-CSP%20Wo rkplan%20Submission.pdf # 11 - Description of how the significant needs identified in the most recently conducted CHNA are being addressed Maimonides devotes staffing and financial resources to sustain the programs and activities described below in our Implementation Plan, including resources from the following areas: * Patient & Community Relations * Executive Office * Academic Affairs (residents, fellows, and the Committee of Interns & Residents) * Foundation and government grants, with which staff are hired to conduct health interventions * Clinical departments * DSRIP funding from New York State, which helps to staff the Central Service Organization, which manages and coordinates all DSRIP projects In alignment with the four priority areas that Maimonides has selected Prevent Chronic Diseases; Promote Healthy Women, Infants and Children; Promote Well-Being and Prevent Mental and Substance Use Disorders; and Prevent Communicable Diseases Maimonides has developed strategies for health promotion and service provision for its patients and community members through a variety of venues, both clinical and community-based. These efforts include strategic alignment with partner organizations and active participation in convening activities related to community health in the MMC service area, such as meetings of the Greater New York Hospital Association and NYC DOHMH task forces. Maimonides also leverages its relationships with academic and clinical affiliates namely SUNY Downstate Health Sciences University, New York Community Hospital of Brooklyn, and Northwell Health where appropriate to coordinate and integrate health services and health promotion activities. Maimonides has a longstanding history of community engagement and offering culturally diverse and appropriate health education and treatment, which are core to its mission. Beyond providing direct patient care services, Maimonides is deeply invested in providing service to the greater community that address the needs of residents. Major programs deployed by Maimonides include health education and screening events co-hosted with community organizations; care coordination and case management services; trauma and accident prevention trainings for high-risk populations; and support group services for patients experiencing or recovering from illness. In the coming years, Maimonides will continue existing interventions and programs and implement additional community-based strategies to advance health promotion and preventive care. Hallmarks of these efforts to foster healthy communities include: * Education of community members, patients, and their families * Providing preventive care and health education in both clinical and community settings * Training of health professionals and lay people in health-related roles, i.e. birth doulas * Leading collaborative efforts among government, community, and healthcare provider partners to transform the healthcare delivery system. Health Needs Not Addressed A number of social determinants adversely affect health in parts or all of Maimonides service area. These include air quality, affordability and condition of housing, density of tobacco retailers, accessibility of supermarkets, physical activity, incarceration, and poverty. While MMC is engaged in work that can affect or compensate for these variables, including as a participant and fiduciary for a DSRIP PPS, as a provider of certain social services, and as an advocate for public policies that promote a healthy Brooklyn, it does not primarily focus on direct interventions targeting these issues. MMC has chosen to prioritize other needs over these based on the competencies and capabilities it possesses,chief among which are its clinical resources and the relationships it has built across diverse communities and organizations. To the extent possible, Maimonides will support government and community-based organizations efforts to ameliorate the social and economic conditions that adversely affect health in its service area.
Section B, Line 16a - The FAP is available:	https://www.maimonidesmed.org/media/file/FIN028English17September2018.pdf Section B, Line 16b The FAP application form is available: https://www.maimonidesmed.org/media/file/EN%20Revised%20Financial%20Assist ance%20Application%203(1).pdf Section B, Line 16c The plain language summary of FAP is available: https://www.maimonidesmed.org/media/file/EN%20Summary%20Brochure%20FAQS%20 DOC%20(FAP%20Plain%20Language%20Summary)_01_15_2016FINALdo.pdf

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?15
Name and address		Type of Facility (describe)
1	Maimonides Cancer Center 6300 Eighth Avenue Brooklyn,NY11220	Cancer Center
2	MAIMONIDES CARDIOLOGY OUTPATIENT CENTER 850 49TH STREET BROOKLYN,NY11219	CARDIOLOGY OUTPATIENT CENTER
3	MAIMONIDES WOMEN'S SERVICES 9TH AVENUE 4422 9th Avenue Brooklyn,NY11219	Womens' Primary Care Center
4	MAIMONIDES SLEEP DISORDER CLINIC 6405 7TH AVENUE brooklyn,NY11219	SLEEP DISORDER CLINIC
5	Maimonides ADULT & PED CARE NEWKIRK AVE 1401 Newkirk Avenue Brooklyn,NY11226	Family Health Center
6	MAIMONIDES PEDIATRIC CARE 57TH STREET 1301 57th Street Brooklyn,NY11219	Ambulatory Care Center
7	MAIMONIDES ADULT AND PEDIATRIC CARE 7TH 6323 Seventh Avenue Brooklyn,NY11220	PRIMARY HEALTH SERVICES
8	Maimonides Adlt Primary Care Ctr 57th ST 1250 57th Street Brooklyn,NY11219	Adult Primary Care Center
9	Maimonides Rehabilitation Services 883 65th Street Brooklyn,NY11219	Rehabilitation Services
10	MAIMONIDES BREAST CENTER 745 64TH STREET BROOKLYN,NY11220	BREAST CENTER
11	MAIMONIDES ADULTPED DENTAL CENTER 4303-4305 13th Avenue Brooklyn,NY11219	Adult/Ped. Dental Center
12	MAIMONIDES CARDIOLOGY OUTPATIENT CENTER 421 OCEAN PARKWAY BROOKLYN,NY11218	CARDIOLOGY OUTPATIENT CENTER
13	MAPLETON CLINIC TREATMENT PROGRAM 1083 MCDONALD AVENUE BROOKLYN,NY11230	CLINIC TREATMENT PROGRAM
14	Fort Hamilton Clinic Treatment Program 8710 Fifth Avenue Brooklyn,NY11209	Clinic Treatment Program
15	Bensonhurst Clinic Treatment Program 8620 18th Avenue Brooklyn,NY11214	Clinic Treatment Program

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	The ratio of patient care cost to charges is used in the costing methodology as outlined in Worksheet 2 Instructions for Schedule H; total hospital cost is divided by total charges. Part II Community Building Cash donations are given to various nonprofit organizations whose activities related to community support have been determined to be compatible and complimentary to those of Maimonides Medical Center. Maimonides Medical Center is a member of various health care associations that promote high quality, more affordable health care. Through our support of collective advocacy we participate in strengthening the role modern health care has in the improvement of the health of our communities. PART III, LINE 2 BAD DEBT IS RECORDED AT COST. Part III, line 3 A soft credit check is performed on the bad debt file in order to determine if any of the debt meets criteria for eligibility under financial assistance policy. Part III, line 4 For financial reporting purposes, the Medical Center reports as uncompensated care amounts related to care provided for which the patients payment obligation has not been fully satisfied. Uncompensated care is the sum of the Medical Centers charity care, including free and reduced price medical care, certain implicit price concessions and bad debts. During the registration, billing and collection process, a patients eligibility for charity care is determined. For patients who are determined to be eligible for charity care under the Medical Centers charity care and financial assistance policy, care given but not paid for is classified as charity care. The Medical Centers charity care and financial assistance policy authorizes use of additional financial information for uninsured or under-insured patients who have not supplied the requisite information to qualify for charity care. The additional information obtained is used by the Medical Center to determine whether to qualify patients for charity care and/or financial assistance in accordance with the Medical Centers policies. For patients who were determined by the Medical Center to have the ability to pay but did not, the uncollected amounts are classified as implicit price concessions. Distinguishing such amounts is difficult, in part because services are often rendered prior to full evaluation of a patients ability to pay. Therefore, classification of individual accounts as charity care might be made long after services are provided and collections are pursued. The Medical Centers estimated costs for charity care were $52.8 million for 2019 and $52.3 million for 2018. This does not include the loss of treating the Medicaid population. The cost of charity care includes the direct and indirect cost of providing charity care services. The cost is estimated by utilizing a ratio of cost to gross charges applied to the gross uncompensated charges associated with providing charity care. Net of pool contributions, funds received from the New York State Indigent Care Pool to offset bad debts and charity care provided totaled approximately $3.1 million (including $0.5 million related to 2018) and $16.4 million (including $13.4 million related to 2017) for the years ended December 31, 2019 and 2018, respectively. The charity care component of the indigent care pool payments is estimated utilizing a ratio of charity care charges to total charity care and bad debt charges applied to the indigent care pool reimbursement and excludes amounts designated for teaching programs. Part III, line 8 The shortfall costs should be treated as a community benefit as we are treating the elderly patients of the community. The costing methodology applies the worksheet 2 ratio of patient care cost to charges as Maimonides Medical Center became a charge structure institution in 2011.
PART III, LINE 9B	Maimonides Medical Center is committed to fair billing and collections practices. A patient account will not be sent to collection if the patient has submitted a completed application for financial aid, including any required supporting documentation, for the time that the hospital is considering the application. A patient is provided at least thirty days written notice on the bill before debts are referred to collection. By contract the Medical Centers collection agencies are not permitted to: freeze the debtors bank account, garnish the debtors payroll check unless authorized by a Vice President of the Medical Center, seek civil arrest, or seek a forced sale or foreclosure of a primary residence. Collection agencies are required to obtain the Medical Centers written consent prior to commencing legal action.
2 NEEDS ASSESSMENT	Maimonides Medical Center has a long history of community engagement and a robust program of outreach and interaction with the communities that utilize our services, on which we continue to build to keep our communities engaged and healthy. Several years ago, Maimonides developed a Council of Community Organizations (COCO), an ongoing forum and vehicle for communication with local community leaders, community groups, businesses, and elected officials. Present at these meetings are religious leaders, community-based organization representatives, health care providers, area residents, public safety workers, and elected officials and staff. Agenda items cover new initiatives at the hospital and in the community aimed at improving health and wellbeing, including prevention-oriented programming, and open dialogue about health-related issues. Members of the COCO are in regular contact with Maimonides leadership and staff, contributing valuable insight and relaying community concerns as they arise. The most recent COCO meeting took place in April 2019 and included a presentation on the community health needs assessment process, as well as a brief survey on community health needs that was circulated to attendees. In addition, executive leadership meets regularly with representatives of local EMS providers such as Hatzolah Ambulance Corps of Borough Park and Flatbush in Brooklyn to discuss community health needs and ways to improve emergent and urgent care services for our patients. Maimonides leaders also maintain close relationships with community-based health care providers, who are front-line partners in achieving prevention and public health goals. In response to the Affordable Care Act requirement that tax-exempt hospitals must conduct an in-depth community health needs assessment, Maimonides applied a rigorous approach. In coordination with our partners at the research and evaluation organization the New York Academy of Medicine (NYAM), our community health needs assessment (CHNA) was completed and approved by our Board in 2013 and published on our web site and distributed in early 2014. In 2015, using funding awarded by the Agency for Healthcare Quality and Research (AHRQ), Maimonides again partnered with NYAM, this time to conduct an in-depth public deliberation study with residents of communities in Southwest Brooklyn. This purpose of this exercise was for the people Maimonides serves to develop their own recommendations for initiatives Maimonides can undertake to promote community health and wellness. This study involved three 2-day sessions with a total of 66 residents. NYAM facilitated the sessions along with an expert consultant. NYAM then shared the recommendations with members of Maimonides leadership team and discussed ways in which Maimonides could act on the recommendations. In 2016 a final report was developed and distributed to Maimonides leadership as well as to participants in the public deliberation sessions. Maimonides supplemented the public deliberation sessions with a range of quantitative data about the health status and needs of the communities it serves. In particular, Maimonides drew heavily from the Community Health profiles published by the New York City Department of Health and Mental Hygiene in 2015. An updated CHNA was completed and approved by the Board in December 2016. In 2019, Maimonides collaborated with Community Care of Brooklyn (CCB), the DSRIP PPS for which the Medical Center is a participant and fiduciary, in order to use Participatory Action Research (PAR) as a cornerstone of our health needs assessment process. The PAR methodology is youth-led and community-based, having been adapted and honed by CCB over several years. Maimonides draws on focus groups, surveys, and stakeholder input gathered by PAR researchers in Canarsie, Flatbush, Flatlands, Bay Ridge, Borough Park, and Sunset Park a diverse group of neighborhoods that span our service area.
3 Patient education of eligibility for assistance	Financial Counselors work with uninsured patients who are screened for eligibility for public sponsored programs such as Medicaid etc. If they are not eligible, they are automatically informed of and screened for eligibility under the Maimonides Financial Assistance Policy. Access To Information - All written information is available in multiple languages. Patients are informed of the hospitals financial assistance via the following methods: * Multi-lingual signage * Summary brochure of the financial assistance policy available at points of patient service * Information distributed during the intake and registration process * The hospital website * Information on bills and statements sent to patients * Responses to direct inquiries made to the hospital
4 COMMUNITY INFORMATION	Maimonides Medical Center historically has used a commonly accepted planning definition of service area for acute care hospitals based on the aggregation of inpatient discharges from surrounding zip codes. The zip codes comprising the first 50% inpatient zip codes are defined as the primary service area. The next group of zip codes comprising the next 25% of zip codes is defined as the secondary service area. Based on this planning definition the primary service area for Maimonides Medical Center is comprised of the following 6 zip codes; 11219, 11230, 11204, 11214, 11218, 11220. The following 6 zip codes comprise the secondary service area for Maimonides Medical Center; 11223, 11235, 11229, 11226, 11224, 11234, 11228. Approximately 93% of the inpatient discharges at Maimonides Medical Center are patients with a Brooklyn address. These zip codes correspond roughly to the following New York City Community Districts, for which the New York City Department of Health and Mental Hygiene (DOHMH) produces community health profiles that inform Maimonides CHNA: Sunset Park (7), Bay Ridge & Dyker Heights (10), Bensonhurst (11), Borough Park (12), Coney Island (13), Flatbush & Midwood (14), Sheepshead Bay (15), and Flatlands & Canarsie (18). Maimonides serves a richly diverse catchment area comprised of numerous immigrant communities, faiths, and ethnicities. Nearly half (44%) of the population is foreign-born, including many undocumented immigrants. 48% are white, 20% are Asian, 15% are Hispanic/Latino, and 15% are Black. The neighborhoods Maimonides serves have a higher household poverty rate and lower high school completion rate than citywide averages. Approximately 33% of the residents in these communities have limited English proficiency. Maimonides Medical Center is mindful of the New York State Department of Health definition of the hospital primary service areas as the five counties of New York City for purposes of service and financial aid pursuant to PHL 2807 (k) (9-a).
5 PROMOTION OF COMMUNITY HEALTH	Maimonides Medical Center is governed by a Board of Trustees, of which many members reside in the surrounding communities that form its primary service area. Board members serve on a voluntary basis without compensation. Maimonides regularly holds free and accessible community outreach and education symposia across a number of communities in Southwest Brooklyn that focus on injury and disease prevention, screening, and treatment for chronic diseases, with a particular focus on cardiovascular diseases, obesity and stroke. These symposia, which often include on-site screenings and referrals, are typically held 2-3 times per month in a variety of settings: community centers, faith-based institutions, and senior centers and are facilitated by Maimonides physicians and nursing staff. Maimonides is developing additional community-based initiatives aimed at chronic disease prevention and promotion of maternal and infant health. Maimonides directly funds or provides a number of services that promote community health. Maimonides provides screenings for breast cancer, colon cancer, and lung cancer, irrespective of patients ability to pay. In addition to these activities, many of Maimonides clinical departments including Obstetrics & Gynecology, Pediatrics, Psychiatry, Medicine, Cardiology, and Nursing are involved in activities that provide health or wellness services at no cost to the patient. Maimonides endeavors to maintain an open medical staff to all qualified physicians in the community except in circumstances of extreme constraints on capacity. The Department of Medicine has developed an Affiliate status and a highly effective hospitalist service to assist physicians in joining or retaining membership on the medical staff, providing for access and continuity of care for their patients. Maimonides also aligns and builds partnerships with community-based primary and specialty care providers across Southern and Central Brooklyn and serves as the tertiary care hub for the patients of many of these physicians. In early 2012, Maimonides established the Southwest Brooklyn Health Home (dba Brooklyn Health Home) which was subsequently reorganized as an independent LLC for which Maimonides holds the management contract. The Brooklyn Health Home contracts with a network of 30+ providers and community-based organizations to provide care management services for Medicaid beneficiaries who have high-cost and complex chronic conditions. In this program, medical and social services are coordinated by specially trained care managers using a dynamic care management platform to ensure that patients comprehensive care needs are met. Services may include housing, social services, medical and behavioral health, substance use, home care, and family support and education, which are coordinated and integrated to avoid preventable emergency department visits and hospitalizations, control future health care costs, and improve health outcomes for this population. In 2012, Maimonides received a three-year Health Care Innovation Award from the Center for Medicare and Medicaid Innovation to improve the care and lives of 7,500 adults with serious mental illness in southwest Brooklyn. This population experiences a disproportionate burden of chronic disease and co-morbidities, and often receives care that is fragmented and inefficient, leading to poor health outcomes and shortened life expectancy. This Project virtually co-located medical and mental health providers through accessible health information technology tools and functionalities that advance care coordination and planning to holistically address the needs of these patients. Working with a group of medical, behavioral health, and social service providers and community-based organizations, the Project established a model of care delivery to transform how healthcare services for this population are provided and reimbursed, while developing new jobs and career paths for the community. The project resulted in substantial Medicaid cost savings, patient engagement, and improved outcomes. Maimonides is also the fiduciary for Community Care of Brooklyn (CCB), which is the largest Performing Provider System (PPS) in Brooklyn. PPS were established as part of New York States Delivery System Reform Incentive Payment (DSRIP) program. CCB is responsible for managing care for 650,000 Medicaid beneficiaries nearly 10% of the total Medicaid population of New York State. The CCB network is comprised of over 1,000 partner entities, including more than 4,000 medical practitioners, seven hospitals, many federally qualified health centers (FQHCs), and 350 social service and community based organizations. Together, this consortium is implementing a coordinated approach to managing the care of the Medicaid population, including through the development of NCQA-recognized Patient-Centered Medical Homes. The PPS is responsible for implementing evidence-based initiatives and integrating primary, specialty and behavioral healthcare in community settings, with hospitals used primarily for emergency and tertiary level services. Through community-level collaborations, the PPS will reduce avoidable inpatients admissions by 25% and decrease emergency room visits over five years for the Medicaid and uninsured populations in New York, while achieving the triple aim of better health, better care, and reduced costs. Programs across CCB to promote and expand primary care access and support patients through transitions in care are well underway. As of 2018, CCB hospitals, including Maimonides, have engaged and scheduled primary care appointments for over 4,000 emergency department patients to help them better manage their own care outside of the hospital. As a CCB member, Maimonides has also received NCQA Patient-Centered Medical Home recognition for all adult and primary care sites. Following a 2018 survey by New Yorks United Hospital Fund, CCB and peer PPS entities were credited with increasing the growth of PCMH certifications by over 35% from May 2017 to May 2018. Lastly, CCB is actively engaged in creating dialogue between community members and healthcare institutions. Between 2016 and 2019, CCB led four successful PAR projects in Brooklyn neighborhoods to characterize community perceptions of the social determinants of health and learn how provider organizations can better support residents.
6 AFFILIATED HEALTH CARE SYSTEM	N/A
7 STATE FILING OF COMMUNITY BENEFIT REPORT	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
Maimonides Medical Center

Employer identification number
11-1635081

Part I

General Information on Grants and Assistance

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? ........................

Yes No

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	(h) Purpose of grant or assistance
(1) 1199SEIU Employer Child Care Corp 330 West 42nd St New York,NY10036	13-4063281	501(c)(3)	8,250	General Support
(2) Arab American Assoc of NY 7111 5th Ave Brooklyn,NY11209	11-3604756	501(c)(3)	15,000	GENERAL SUPPORT
(3) Arab American Family Support CENTER 150 Court St 3rd Fl Brooklyn,NY11201	11-3167245	501(c)(3)	8,170	GENERAL SUPPORT
(4) Bonei Olam Inc 1755 46th Street Brooklyn,NY11204	11-3473757	501(c)(3)	7,200	GENERAL SUPPORT
(5) Boro Park Community Council 204 Avenue M Brooklyn,NY11230	11-3475993	501(c)(3)	20,000	GENERAL SUPPORT
(6) Boro Park Hatzolah 5215 16th Ave Brooklyn,NY11204	11-3043090	501(c)(3)	85,000	GENERAL SUPPORT
(7) Chevra Hatzolah Volunteer Ambululance 1070 McDonald Avenue Brooklyn,NY11230	80-0369977	501(c)(3)	71,000	GENERAL SUPPORT
(8) Children's Brain Tumor Foundation 1460 Broadway New York,NY10036	13-3512123	501(c)(3)	8,250	GENERAL SUPPORT
(9) Chinese American Medical Society 383 Kingston Av Brooklyn,NY11213	11-2420013	501(c)(3)	22,500	GENERAL SUPPORT
(10) Council of Jewish Organizations 1523 Avenue M Brooklyn,NY11230	11-2864728	501(c)(3)	18,000	GENERAL SUPPORT
(11) Ezras Cholim Yad Ephraim 1274 49th Street Box 69 Brooklyn,NY11219	54-2196301	501(c)(3)	12,000	GENERAL SUPPORT
(12) Futures in Education 243 Prospect Park West Brooklyn,NY11215	20-5496382	501(c)(3)	11,500	GENERAL SUPPORT
(13) Holy Cross Greek Orthodox Church 8401 Ridge Blvd Brooklyn,NY11209	11-6046464	501(c)(3)	10,000	GENERAL SUPPORT
(14) Guardians of the Sick Bikur Cholim 5216 11 Ave Brooklyn,NY11219	11-6003433	501(c)(3)	10,000	GENERAL SUPPORT
(15) Hatzolah of Flatbush 1880 Ocean Ave Brooklyn,NY11230	13-3213138	501(c)(3)	95,000	GENERAL SUPPORT
(16) Hatzolah of Williamsburg 183 Wilson St Brooklyn,NY11211	11-3376135	501(c)(3)	25,000	GENERAL SUPPORT
(17) Mesifta Yeshiva Rabbi Chaim Berlin 1605 Coney Island Ave Brooklyn,NY11230	11-2225154	501(c)(3)	10,000	GENERAL SUPPORT
(18) Metropolitan Jewish Hlth System Foundation 6323 Seventh Ave Brooklyn,NY11220	11-1630753	501(c)(3)	5,400	GENERAL SUPPORT
(19) Nachas Health & Family Ntwk Inc 1310 48 St Brooklyn,NY11219	11-3067201	501(c)(3)	13,500	GENERAL SUPPORT
(20) New York Community Hospital 2513 Avenue O Brooklyn,NY11210	11-1986351	501(c)(3)	6,650	GENERAL SUPPORT
(21) NY eHealth Collaborative NYeC 40 Worth St New York,NY10013	20-8022336	501(c)(3)	8,050	GENERAL SUPPORT
(22) Our Lady of Mount Carmel 275 North 8th Street Brooklyn,NY11211	11-1554666	501(c)(3)	11,000	GENERAL SUPPORT
(23) Rofeh Cholim Cancer Society 762 Bedford Avenue Brooklyn,NY11205	11-3355081	501(c)(3)	18,000	GENERAL SUPPORT
(24) Russian-American Foundation 1560 Broadway New York,NY10036	13-3946716	501(c)(3)	10,000	GENERAL SUPPORT
(25) Teens for Food Justice 33 West 60th Street NY,NY10023	45-3591508	501(c)(3)	12,750	GENERAL SUPPORT
(26) United Hospital Fund 350 Fifth Ave New York,NY10118	13-1562656	501(c)(3)	22,000	GENERAL SUPPORT
(27) Yeshiva & Mesivta Torah Vodaath 425 East 9th St Brooklyn,NY11218	11-3091709	501(c)(3)	10,000	GENERAL SUPPORT
(28) Zichron Shlome Refuah Fund 1319 51 Street Brooklyn,NY11219	11-2965829	501(c)(3)	10,000	GENERAL SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

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) Federal vaccines dispensed under CFDA 93.268	6499	1,318,175	NYC DOHMH DETERMINED	VACCINES FOR CHILDRN
(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

GENERAL SUPPORT IS GIVEN TO VARIOUS NONPROFIT HEALTH RELATED ORGANIZATIONS WHOSE ACTIVITIES HAVE BEEN DETERMINED ARE COMPATIBLE AND COMPLIMENTARY TO THOSE OF MAIMONIDES MEDICAL CENTER. THE MEDICAL CENTER PERIODICALLY REVIEWS ITS GENERAL SUPPORT OF THESE NONPROFIT ORGANIZATIONS IN ORDER TO ENSURE THAT THE RECIPIENT'S ACTIVITIES REMAIN COMPATIBLE WITH THOSE OF THE HOSPITAL. SCHEDULE I, PART III, LINE 1(B) MAIMONIDES CLINICS ADMINISTER THE VACCINES DISPENSED THROUGH THE FREE VACCINES PROGRAM AND TRACK THE NUMBER OF RECIPIENTS WHO ARE PROVIDED WITH THESE VACCINES.

Schedule I (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

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

Maimonides Medical Center

Employer identification number

11-1635081

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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 .........

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? ..

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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.

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:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

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:

The organization? ..................

Yes

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

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 ............

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 ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

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
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1EDWARD CHAPNICK MD TRUSTEE & PRES MEDICAL STAFF	(i) (ii)	344,560 ------------- 0	0 ------------- 0	1,032 ------------- 0	18,200 ------------- 0	33,133 ------------- 0	396,925 ------------- 0	0 ------------- 0
2KENNETH D GIBBS PRESIDENT & CEO	(i) (ii)	1,256,480 ------------- 0	0 ------------- 0	71,048 ------------- 0	458,738 ------------- 0	33,203 ------------- 0	1,819,469 ------------- 0	0 ------------- 0
3Michael Antoniades EVP & COO, As of June 2019	(i) (ii)	310,498 ------------- 0	0 ------------- 0	569 ------------- 0	9,100 ------------- 0	12,825 ------------- 0	332,992 ------------- 0	0 ------------- 0
4ROBERT NALDI EXECUTIVE VICE PRES & CFO	(i) (ii)	746,966 ------------- 0	0 ------------- 0	208,734 ------------- 0	18,200 ------------- 0	4,200 ------------- 0	978,100 ------------- 0	0 ------------- 0
5JOYCE LEAHY EVP, LEGAL AFFAIRS & GEN COUNS	(i) (ii)	486,482 ------------- 0	0 ------------- 0	148,037 ------------- 0	18,200 ------------- 0	13,657 ------------- 0	666,376 ------------- 0	0 ------------- 0
6JACOB SHANI MD Chair, Heart & Vascular Center	(i) (ii)	3,472,308 ------------- 0	0 ------------- 0	26,416 ------------- 0	18,200 ------------- 0	20,823 ------------- 0	3,537,747 ------------- 0	0 ------------- 0
7PATRICK I BORGEN MD Chairman, Dept of Surgery	(i) (ii)	1,923,068 ------------- 0	0 ------------- 0	19,895 ------------- 0	18,200 ------------- 0	30,988 ------------- 0	1,992,151 ------------- 0	0 ------------- 0
8GREG H RIBAKOVE MD Chief, Cardiothoracic Surgery	(i) (ii)	1,773,267 ------------- 0	0 ------------- 0	21,734 ------------- 0	18,200 ------------- 0	20,823 ------------- 0	1,834,024 ------------- 0	0 ------------- 0
9ROBERT A FRANKEL Dir, Interventional Cardiology	(i) (ii)	1,696,926 ------------- 0	0 ------------- 0	20,584 ------------- 0	18,200 ------------- 0	20,823 ------------- 0	1,756,533 ------------- 0	0 ------------- 0
10ALEXANDER SHAKNOVICH MD CARDIOLOGY	(i) (ii)	1,692,267 ------------- 0	0 ------------- 0	1,584 ------------- 0	18,200 ------------- 0	20,506 ------------- 0	1,732,557 ------------- 0	0 ------------- 0

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 4B

The following persons participated in a 457(F) supplemental nonqualified retirement plan, pursuant to which contributions were made for 2019: Kenneth Gibbs, Robert Naldi and Joyce Leahy THE MAIMONIDES MEDICAL CENTER SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENTS (THE "CEO & EVP PLAN") PROVIDES ADDITIONAL RETIREMENT BENEFITS TO SUPPLEMENT OTHER SOURCES OF RETIREMENT INCOME. THE EVP PLAN WAS EFFECTIVE AS OF JANUARY 1, 2012 AND WAS AMENDED AND RESTATED AS CEO & EVP PLAN AS OF JANUARY 1, 2016, TO ADD THE CEO AS A PARTICIPANT, AND FURTHER AMENDED, EFFECTIVE JANUARY 1, 2017. TO PARTICIPATE, AN EMPLOYEE MUST HOLD THE TITLE OF CEO OR EVP, BE A KEY EMPLOYEE WITHIN THE MEANING OF THE INTERNAL REVENUE CODE AND BE DESIGNATED AS A PARTICIPANT BY THE COMPENSATION COMMITTEE OF THE BOARD. THE PLAN PROVIDES FOR AN ANNUAL EMPLOYER ACCRUED CONTRIBUTION OF 20% OF BASE SALARY FOR THAT CALENDAR YEAR INCLUDING INTEREST OF 4.5%. THE PARTICIPANT MUST BE AN ELIGIBLE EMPLOYEE ON THE LAST DAY OF THE CALENDAR YEAR TO ACCRUE THE CONTRIBUTION FOR THAT YEAR. WITH RESPECT TO THE CEO, THE PLAN AS AMENDED PROVIDES FOR AN ADDITIONAL 10% OF BASE SALARY TO BE CREDITED WITH REGARD TO THE 2017 PLAN YEAR AND THAT THE MEDICAL CENTERS COMPENSATION COMMITTEE MAY APPROVE ADDITIONAL SERP CONTRIBUTIONS UP TO 10% OF BASE SALARY AND AS DETERMINED BY THE COMMITTEE FOR PLAN YEARS AFTER 2017. THE COMPENSATION COMMITTEE MET ON JULY 31, 2018 AND APPROVED AN ADDITIONAL 10% FOR 2018. The Compensation Committee approved an additional 10% for 2019 on December 20, 2019. ACCORDING TO THE CEO & EVP PLAN, BENEFITS WERE VESTED AND PAID OUT IN 2019 TO THE FOLLOWING PARTICIPANTS: Robert Naldi $156,762 Joyce Leahy $107,081 According to the CEO and EVP PLAN, the following participants accrued a deferred benefit in 2019: Kenneth Gibbs $ 440,538 The amount of supplemental nonqualified deferred compensation provided is included in the compensation amount disclosed in Part II, column (B)(iii). The deferred compensation amounts were earned over many years of service to the organization. The Compensation Committee of the Board reviewed and approved all payments in advance, including when the deferred compensation amounts were first earned, and conducted its review and approval process in a manner intended to qualify for the rebuttable presumption of reasonableness under Section 4958 of the Internal Revenue Code.

Schedule J, Part I, Line 6A

The organization pays, pursuant to individual employment contract agreements, a portion of faculty practice earnings, net of expenses.

Schedule J (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

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

Maimonides Medical Center

Employer identification number

11-1635081

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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

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?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

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

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) Contributor No 19	Substantial Contributor	542,828	Sponsorships		No
(2) Contributor No 21	Substantial Contributor	1,632,998	Contractor		No
(3) Contributor No 28	Substantial Contributor	137,158	Legal consultating		No
(4) Contributor No 46	Substantial Contributor	478,766	Architecture design		No
(5) Contributor No 52	Substantial Contributor	889,982	Regulatory consulting		No
(6) Contributor No 58	Substantial Contributor	180,113	Legal consultating		No
(7) Contributor No 59	Substantial Contributor	1,386,580	Contractor		No
(8) Contributor No 68	Substantial Contributor	212,624	Legal consultating		No
(9) Contributor No 69	Substantial Contributor	350,471	Fire Safety		No
(10) Contributor No 81	Substantial Contributor	1,316,077	Contractor		No
(11) Contributor No 88	Substantial Contributor	1,545,921	Supplies		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

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete 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 image

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

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

Maimonides Medical Center

Employer identification number

11-1635081

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
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 .	X	23,193	1,318,175	NYC DOH DETERMINAT.
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

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

Yes

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

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

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)

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 20 - DRUGS AND MEDICAL SUPPLIES:	The Medical Center participated in the City of New York Department of Health and Mental Hygiene Vaccines for Children Program through the provision of vaccinations. The U.S. Department of Health and Human Services, the federal agency that sponsors this program has determined that the vaccines administered are considered "property in lieu of money".

Schedule M (Form 990) (2019)

Additional Data

Software ID:
Software Version:

- TIN:

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

Maimonides Medical Center

Employer identification number

11-1635081

Return Reference	Explanation
FORM 990, PART I, LINE 1	Maimonides Medical Center, a 711 bed thriving non-profit hospital, is a vital access provider of safe, high quality and compassionate patient care and community services to people of all faiths and backgrounds from the incredibly diverse population of Brooklyn. Form 990, PART I, LINE 6 At Maimonides, we are fortunate to have a large corps of dedicated volunteers who enhance the services provided by our staff. There were 1,820 volunteers in 2019 who served 235,770 hours. All volunteer records are kept in a computer database system. Volunteers at Maimonides sign in and out using a touch screen computer. Accordingly, the number of volunteers and hours served are tracked by the system. The Department of Volunteer and Student Services works very closely with youth agencies and provides a worksite for various youth employment programs. We coordinate internship programs with business schools and colleges (both undergraduate and graduate programs). This has developed successful relationships with community agencies and organizations. Some of the service areas the volunteers work in are labor coach (doula), postpartum support, companions to patients, feeders, hospitality, child life, research, pastoral care, refreshment carts, ladies auxiliary, patient library, clerical support, patient transport, and other support services. In 2019 we implemented the NICU Cuddler program in which volunteers are trained to rock and hold babies.
Form 990, Part PART III, LINE 4	4a - Inpatient Services 4b - Maternity Services 4c - Emergency Services 4d Other Program Services Maimonides Medical Center, a 711 bed acute care voluntary not-for profit hospital, offers a wide array of inpatient and outpatient healthcare services. Our commitment has always been to serve the community providing quality healthcare services and healthcare education regardless of race, creed, sex, natural origin, age, handicap or ability to pay. During 2019, the Medical Center provided 43,373 inpatient discharges and 462,686 outpatient visits which included 102,416 emergency room visits. We provided care to persons covered by government programs and the uninsured at payment rates below cost. Our surgeons performed 9,664 inpatient and 13,350 outpatient procedures in a full range of surgical specialties. Our tertiary cardiology and cardiac surgery programs serve all of Brooklyn and are widely recognized in the region for excellence in interventional cardiology. A comprehensive array of cancer services is also provided. Maimonides, a designated regional perinatal center, operates one of the busiest obstetrical services on the East Coast performing 7,902 deliveries in 2019. A Level 3 Neonatal Intensive Care Unit provides highly specialized care for babies born prematurely or with birth defects. The adult and child psychiatric outpatient programs provide walk-in services for any members of the surrounding communities. Maimonides Medical Center is a 9.39 designated psychiatric receiving hospital. We provide full-time (24 hours/365 days per year) emergency services regardless of ability to pay and operate a 911 paramedic ambulance service under contract with the New York City Fire Department to an 800-block area including all of Boro Park and sections of Flatbush, Bensonhurst and Bay Ridge. Other program services include grants that supported over 120 various nonprofit health related and community based organizations. The Medical Center dispensed Federal vaccines received under the Immunization CFDA 93.268 program to 6,499 recipients. The Medical Center supports a program of health promotion and education activities for employees and residents of its surrounding communities, including mammography, lung, cardiac and colon cancer screenings. The Medical Center is a teaching affiliate of New York College of Osteopathic Medicine, NYU School of Medicine, and SUNY Downstate Medical Center. Maimonides has fully accredited residency-training programs with over 450 interns and residents.
Form 990, Part VI, Governance, Management, and Disclosure	2. One of the trustees, Mortimer Klaus is a limited partner in real estate ventures for which another trustee, Peter Rebenwurzel, is a managing member. This business relationship is not related to any of the activities of Maimonides Medical Center ("the Medical Center".) 4. The Medical Center amended its by-laws on September 16, 2019. Key change in governing documents were as follows: - Elimination of the dues requirement - Elimination of the mechanism providing for a proposed slate to be presented at the meeting prior to the annual meeting at which the slate is actually voted on by the trustees. - Changing the term limit for officers from 5 years to 7 years. - Eliminating any remaining sex based terms (i.e. changing "Chairman" to "Chair") - Eliminating references to specific sections of the Not For Profit Corporation Law which were included at the time of the last revision but are unnecessary. 6. The organization has a member, Maimonides Health Resources, Inc. ("MHRI") a not-for-profit corporation, which is its sole corporate member. 7a. MHRI elects the trustees. The boards of trustees of Medical Center and MHRI are identical. 7b. The powers of MHRI are described below: MHRI is a New York not-for-profit corporation. It is the sole member of the Medical Center. MHRI has the following powers pursuant to the Medical Centers bylaws: (1) MHRI elects trustees to the governing body of the Medical Center at the annual meeting. (Vacancies between annual meetings are filled by the board of trustees of the Medical Center, not MHRI.) (2) MHRI has the power to amend, modify or repeal the bylaws of the Medical Center. The board of trustees of the Medical Center also has such power. MHRI has the following power under New Yorks not-for-profit corporation law: (1) Authorization of merger or consolidation requires MHRIs consent. (2) Non-judicial dissolution requires MHRIs consent. (3) MHRI has the power to petition the court for judicial dissolution. (4) The sale or other disposition of all or substantially all of the assets of the Medical Center requires MHRI's consent. Section B. Policies 11b. A copy of the Form 990 is reviewed by senior executive staff and the outside tax preparer who signs off on the return. The reviewed return and attachments are then presented to the President and Audit and Legal Committee of the Board of Trustees to whom the responsibility for reviewing the Form 990 has been delegated for their comments and questions prior to filing. Upon their final review a complete copy of the Form 990 is provided to the entire Board prior to filing. 12c. It is the responsibility of all trustees, officers, employees and members of the medical staff to familiarize themselves with the conflicts of interest policy and to comply and ensure compliance of family members where applicable. They are required to disclose in detail any activities or interests which may conflict or appear to conflict with the Medical Center's best interest. The following are required to complete a conflict of interest certificate: (1) trustees and officers of the Board, (2) non-trustee officers, chairmen and division chiefs and members of the purchasing department, (3) employees and members of the medical staff, who are in a position to influence vendor selection, to approve a transaction with a third party or approve the expenditure of funds, and (4) such other employees or members of the medical staff as determined from time to time by the President. Employees and members of the medical staff who violate this policy are subject to disciplinary action up to and including termination or removal from the staff. Members of the Board of Trustees and officers are subject to removal by the Board of Trustees. The Audit and Legal Committee of the Board of Trustees advises the President and the Chairman of the Board concerning specific conflicts of interest referred to it by the Executive Vice President for Legal Affairs and General Counsel. The Committee decides particular matters referred to them for review, and assists in the overall administration and monitoring of the implementation of the policy. The Audit and Legal Committee also annually reviews all potential conflicts of interest disclosed by members of the board of trustees and employees who are in a position to influence vendor selection on their conflict of disclosure forms. The Corporate Compliance Department assists in ensuring compliance with completion of the Certificate by all relevant employees. The Executive Vice President for Legal Affairs and General Counsel is responsible for reviewing apparent conflicts of interest and other potentially improper activities as referred by the Corporate Compliance Officer and/or the Audit and Legal Committee. A report of all conflicts of interest is made to the Audit and Legal Committee on an annual basis by the Compliance Officer. A report of all conflicts of interest is made by the Chairman of the Audit and Legal Committee at least annually to the Board of Trustees. 15. The process for determining compensation for the CEO was done in December 2019 and again in May 2020. The process for determining compensation for the COO position, which was filled effective June 24, 2019, was done in July 2019 and again in November 2019. The process for determining compensation for the EVP and General Counsel and other key employees was last done in 2014. Annual raises have been limited to 3% since then. The Committees review and approval process is intended to be in compliance with applicable federal tax and New York State laws and regulations, including, (a) Sections 515(b) and 715 of the New York Not-for-Profit Corporation Law, and (b) the regulations issued under New York State Executive Order 38. In addition, the Committees review and approval process is intended to qualify for the "rebuttable presumption of reasonableness" under the intermediate sanctions rules of federal tax law. The Committee will use the following process (intended to qualify for the rebuttable presumption of reasonableness under the federal tax law intermediate sanctions rules) to consider and approve compensation arrangements for executives: 1. The Committee, which will consist entirely of independent trustees who do not have a conflict of interest with respect to any compensation arrangement under consideration, will approve in advance the compensation of the executives, without any executive present during the deliberation or vote on his or her compensation. 2. The Committee will obtain and rely upon appropriate data as to comparable compensation arrangements, with appropriate data consisting of information sufficient to determine whether each compensation arrangement in its entirety is reasonable, and including, but not limited to, compensation levels paid by similarly situated organizations, both taxable and tax-exempt, for functionally comparable positions, the availability of similar services in the New York metropolitan area, current compensation surveys compiled by independent consulting firms, and actual written offers from similar organizations. 3. The Committee will adequately and contemporaneously document the basis for its approval in meeting minutes. In June 2017, the organization was required to report for the first time since inception of the New York State Executive Order 38, key executive compensation and overhead costs. Since the organization was under the threshold for both compensation and overhead expenses, no waivers were required. For 2019, it was determined that we are not a covered provider under Executive Order 38.
Section C. Disclosure	19. The organizations articles of incorporation may be obtained from the NYS Secretary of States office. They are also available together with the by-laws upon special request to the Executive Office of Maimonides Medical Center at 4802 Tenth Ave, Admin Bldg, 2nd floor, Brooklyn, NY 11219. The conflict of interest policy is available on the Medical Centers website "maimonidesmed.org" in the vendor information section. The audited financial statements are available upon request to the Medical Centers Executive Office and are posted on the NYS Charitable Bureau website, oag.state.ny.us. FORM 990, PART XI, LINE 9 CHANGE IN EQUITY IN CAPTIVE INSURANCE PROGRAM: 28,236,000

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:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach 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

Maimonides Medical Center

Employer identification number

11-1635081

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

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?
(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	Yes	No
(1)MAIMONIDES RESEARCH & DEVELOPMENT FDN 4802 TENTH AVENUE BROOKLYN,NY11219 11-2608229	RESEARCH	NY	501(c)(3)	12b Type ii	MMC	Yes
(2)MAIMONIDES HEALTH RESOURCES INC 4802 TENTH AVENUE BROOKLYN,NY11219 11-3018258	SUPPORT ORG	NY	501(c)(3)	12a, type i	NA		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

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	(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?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	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?
(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		Yes	No
(1) MMC HOLDING OF BROOKLYN INC 4510 16TH AVENUE BROOKLYNE,NY11204 11-2683298	ADMIN SERVICE	NY	NA	C CORP	0	0	0 %	Yes
(2) M2 MEDICAL COMMUNITY PRACTICE PC 4802 10TH AVE BROOKLYN,NY11219 46-3556230	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	65,483,108	11,964,233	100.000 %	Yes
(3) RADIOLOGY IMAGING CONSULTANTS PC 4802 Tenth Ave BROOKLYN,NY11219 11-3528432	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	1,055,782	14,963	100.000 %	Yes
(4) Dosik Hematology & Oncology PC 4802 Tenth Ave BROOKLYN,NY11219 45-5511550	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	1,750,310	201,116	100.000 %	Yes
(5) Halper Medical Service PC 40 W Brighton Ave BROOKLYN,NY11224 11-2662660	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	2,896,960	43,041	99.000 %	Yes
(6) Ocean Renal Care PC 40 W Brighton Ave BROOKLYN,NY11224 61-1452496	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	332,372	10,829	99.000 %	Yes
(7) Brooklyn Eye and Ear Medical PC 40 W Brighton Ave BROOKLYN,NY11224 20-0814864	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	1,316,469	2,588	99.000 %	Yes
(8) Ocean Eye Care Medical PC 40 W Brighton Ave BROOKLYN,NY11224 11-3496374	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	721,997	44,750	99.000 %	Yes
(9) Berkowitz Medical PC 4802 TENTH AVE BROOKLYN,NY11219 46-5660609	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	583,893	1,947	100.000 %	Yes
(10) M2C Affiliated Phyicians PC 4802 TENTH AVE BROOKLYN,NY11219 46-5508251	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	440,466	82,667	100.000 %	Yes
(11) Orthopedic Associates PC 1660 East 14th St BROOKLYN,NY11229 11-2579782	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	612,532	25,069	49.000 %	Yes
(12) Moshe Katzenelenbogen MD PC 4802 TENTH AVE BROOKLYN,NY11219 47-4302815	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	444,248	24,299	99.000 %	Yes
(13) DIAMOND MEDICAL ASSOCIATES PC 440 AVENUE U BROOKLYN,NY11223 73-1676883	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	5,360,895	682,682	98.000 %	Yes
(14) ILYA BLOKH MD PC 3319 KINGS HIGHWAY BROOKLYN,NY11234 27-0373597	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	767,275	7,895	99.000 %	Yes
(15) JOSEPH YELLIN DO PC 4802 10TH AVENUE BROOKLYN,NY11219 81-1892434	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	155,566	1,334	99.000 %	Yes
(16) EDWARD FITZPATRICK MD PLLC 4802 TENTH AVE BROOKLYN,NY11219 23-0631628	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	469,075	18,117	99.000 %	Yes
(17) LARRY TETSOTI MD LLC 1009 BRIGHTON BEACH AVE STE 5 BROOKLYN,NY11235 54-2084042	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	1,024,952	195	99.000 %	Yes
(18) YAN MEDICAL PC 2511 OCEAN AVE SUITE 104 BROOKLYN,NY11229 43-5531085	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	1,509,590	7,561	99.000 %	Yes
(19) AUGUST FEOLA MD 763 EAST 83RD ST BROOKLYN,NY11236 13-3533674	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	349,773	140,755	99.000 %	Yes
(20) SEYMOUR LEONARD EDELSTEIN MD PC 2382 13TH STREET BROOKLYN,NY11229 81-5461423	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	653,486	42,285	99.000 %	Yes
(21) DR WEINER & DR GALLO PLLC 2352 Ralph AVE BROOKLYN,NY11234 26-1135083	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	589,733	43,330	99.000 %	Yes
(22) JEFFREY C MARC PHYSICIAN PLLC 1711 SHEEPSHEAD BAY RD BROOKLYN,NY11235 47-2587374	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	328,684	5,424	99.000 %	Yes
(23) HEMATOLOGY ONC ASSOC OF BKLYN LLP 1660 e 14TH BROOKLYN,NY11219 11-3509474	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	22,299,835	148,738	96.000 %	Yes
(24) ALLIED MEDICAL ASSOCIATES 1687 Ralp Avenue Brooklyn,NY11236 35-2258722	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	1,372,510	2,224	98.000 %	Yes
(25) JUST RIGHT MEDICINE PC 4802 10TH AVENUE BROOKLYN,NY11219 20-1952187	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	358,898	28,792	99.000 %	Yes
(26) OLEG KOTELSKIY DO PC 3816 NOSTRAND AVENUE BROOKLYN,NY11235 20-4952196	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	381,546	14,420	99.000 %	Yes
(27) Traube Marush & Plawes MD PC 2270 KIMBALL STREET STE 210 BROOKLYN,NY11214 11-3433376	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	7,370,927	825,588	99.000 %	Yes
(28) OCEAN PARKWAY MEDICAL PC 8782 20TH AVENUE BROOKLYN,NY11214 01-0734862	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	402,865	39,978	99.000 %	Yes
(29) STAROSTA MEDICAL PC 2114 GRAVESEND NECK ROAD BROOKLYN,NY11229 11-3470413	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	982,785	111,960	99.000 %	Yes
(30) Abbate & Sharaby MD PC 770 Oean Parkway BROOKLYN,NY11230 11-2406940	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	815,735	8,445	99.000 %	Yes
(31) Yashar HirshhautMD PC 99 Harbor View West LAWRENCE,NY11559 13-3312873	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	712,540	21,618	99.000 %	Yes
(32) Brooklyn Cardiology 1664 E 14 St Ste 201 BROOKLYN,NY11229 30-0099587	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	655,443	17,972	99.000 %	Yes
(33) Dailey & Burack Medical Assoc PC 535 Clinton Ave BROOKLYN,NY11238 11-3593324	MEDICAL SERVICES	NY	MAIMONIDES	S CORP	-229	206,127	99.000 %	Yes
(34) Kings Highway Orthopedics 3131 Kings Highway BROOKLYN,NY11234 11-2723626	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	2,083,433	27,191	99.000 %	Yes
(35) Kings Neurology PC 2701 Avenue P BROOKLYN,NY11229 11-3576147	MEDICAL SERVICES	NY	MAIMONIDES	S CORP	0	115,265	99.000 %	Yes
(36) Vadim Nakhamiyayev 2155 Ocean Ave BROOKLYN,NY11229 27-4332871	MEDICAL SERVICES	NY	MAIMONIDES	C CORP	647,432	13,094	99.000 %	Yes

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

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 .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

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) MAIMONIDES RESEARCH & DEVELOPMENT FOUNDATION	C	442,666	COST
(2) MMC HOLDING OF BROOKLYN INC	j	1,593,597	COST
(3) MAIMONIDES RESEARCH & DEVELOPMENT FOUNDATION	K	275,000	cost
(4) MMC HOLDING OF BROOKLYN INC	M	21,327,765	COST
(5) M2 Medical Community Practice PC	M	731,667	cost
(6) MMC Holding of Brooklyn Inc	P	20,649,785	COST
(7) MMC Holding of Brooklyn Inc	Q	20,017,700	COST
(8) MAIMONIDES RESEARCH & DEVELOPMENT FOUNDATION	Q	79,108	COST
(9) M2 MEDICAL COMMUNITY PRACTICE PC	R	28,403,735	COST
(10) MAIMONIDES RESEARCH & DEVELOPMENT FOUNDATION	R	95,000	COST
(11) MMC HOLDING OF BROOKLYN INC	S	160,099	COST

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)	(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

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

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SCHEDULE O
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	31
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	29
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	7,248
6	Total number of volunteers (estimate if necessary) .............	6	1,820
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	-87,451
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	55,607,467	35,016,414
9	Program service revenue (Part VIII, line 2g) .........	1,157,109,852	1,239,946,880
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	96,977,573	24,218,573
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	5,032,124	5,697,063
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,314,727,016	1,304,878,930
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,976,635	2,045,753
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)	796,532,227	846,768,141
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 1,270,742
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	410,053,574	448,528,184
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,208,562,436	1,297,342,078
19	Revenue less expenses. Subtract line 18 from line 12.......	106,164,580	7,536,852
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,417,811,063	1,584,622,513
21	Total liabilities (Part X, line 26).............	998,531,337	1,125,069,465
22	Net assets or fund balances. Subtract line 21 from line 20.....	419,279,726	459,553,048

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 673,485,957 including grants of $ 0 ) (Revenue $ 742,628,780 )
	INPATIENT SERVICES. This is further described in Schedule O.

4b	(Code: ) (Expenses $ 105,211,267 including grants of $ 0 ) (Revenue $ 41,695,528 )
	EMERGENCY SERVICES. This is further described in Schedule O.

4c	(Code: ) (Expenses $ 69,127,727 including grants of $ 0 ) (Revenue $ 60,384,043 )
	MATERNITY SERVICES. This is further described in SCHEDULE O.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 252,697,015 including grants of $ 2,045,753 ) (Revenue $ 395,238,529 )
4e	Total program service expenses1,100,521,966

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	14,222,455	0	824,419

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	750,923
d	Related organizations		1d	442,666
e	Government grants (contributions)		1e	28,674,643

f	All other contributions, gifts, grants, and similar amounts not included above		1f	5,148,182

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		35,016,414

		Business Code
2a	PATIENT SERVICE REVENUE	621110	1,221,435,942	1,221,436,171	-229
b	INSURANCE COMPANY SURPLUS DISTRIB.	524298	14,623,870	14,623,870
c	RENTAL INCOME	531390	3,564,068	3,564,068
d	MEANINGFUL USE EHR	900099	323,000	323,000
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		1,239,946,880

3 Investment income (including dividends, interest, and othersimilar amounts) ......			24,218,573			24,218,573
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		325,934	6a
b	Less: rental expenses		436,479	6b
c	Rental income or (loss)	0	-110,545	6c
d	Net rental income or (loss).......			-110,545		-110,545
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory			7a
b	Less: cost or other basis and sales expenses			7b
c	Gain or (loss)			7c
d	Net gain or (loss).........			0
8a	Gross income from fundraising events (not including $ 750,923of contributions reported on line 1c). See Part IV, line 18 ....
			8a	178,658
b	Less: direct expenses ...		8b	476,481
c	Net income or (loss) from fundraising events..			-297,823			-297,823
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	0
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			0
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..			0
Business Code			Miscellaneous Revenue
11a	CORPORATE REBATES		900099	3,066,898			3,066,898
b	PARKING		812930	1,658,326			1,658,326
c	RECORD & ABSTRACT FEES		900099	355,031			355,031
d	All other revenue ....			1,025,176		23,323	1,001,853
e	Total. Add lines 11a–11d ......			6,105,431
12	Total revenue. See instructions.....			1,304,878,930	1,239,947,109	-87,451	30,002,858

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	727,578	727,578
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	1,318,175	1,318,175
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	0
4	Benefits paid to or for members .......	0
5	Compensation of current officers, directors, trustees, and key employees ...........	4,193,862	396,924	3,796,938
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	0
7	Other salaries and wages........	646,987,498	565,051,061	80,973,558	962,879
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	71,816,601	60,510,381	11,199,156	107,064
9	Other employee benefits .......	80,848,443	68,534,712	12,193,947	119,784
10	Payroll taxes ...........	42,921,737	36,364,152	6,494,059	63,526
11	Fees for services (non-employees):
a	Management ......	1,578,614		1,578,614
b	Legal .........	2,712,420		2,712,420
c	Accounting ...........	621,817		621,817
d	Lobbying ...........	521,306		521,306
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	325,667		325,667
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	54,931,090	43,609,792	11,321,298
12	Advertising and promotion ....	4,417,145		4,417,145
13	Office expenses .......	9,698,483		9,698,483
14	Information technology ......	20,297,696	16,114,341	4,183,355
15	Royalties ..	0
16	Occupancy ...........	39,796,739	31,594,631	8,202,108
17	Travel ............	465,498		465,498
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	3,072,025		3,072,025
20	Interest ...........	7,541,645	26,920	7,514,725
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	49,915,033	39,673,059	10,241,974
23	Insurance ...	31,868,929	30,068,223	1,800,706
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 EXPENSES	162,347,129	162,347,129
b	MAINTENANCE CONTRACTS	23,246,863	23,246,863
c	BILLING FEES	8,975,528		8,975,528
d	UBI TAX	-264,636		-264,636
e	All other expenses	26,459,193	20,938,025	5,503,679	17,489
25	Total functional expenses. Add lines 1 through 24e	1,297,342,078	1,100,521,966	195,549,370	1,270,742
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 if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			21,920,865	1	1,070,944
2	Savings and temporary cash investments .........			88,482,964	2	76,294,186
3	Pledges and grants receivable, net ......			2,897,337	3	3,227,665
4	Accounts receivable, net .............			169,043,581	4	186,838,323
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 ...........			156,318	7	0
8	Inventories for sale or use ............			11,325,879	8	12,967,649
9	Prepaid expenses and deferred charges ......			10,271,193	9	10,661,335
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,285,443,284
b	Less: accumulated depreciation	10b	959,154,508	309,255,813	10c	326,288,776
11	Investments—publicly traded securities .			255,361,598	11	424,517,385
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			184,601,320	13	48,329,325
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			364,494,195	15	494,426,925
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,417,811,063	16	1,584,622,513

17	Accounts payable and accrued expenses .....	193,287,652	17	204,791,392
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
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 ..	239,339,227	23	250,141,656
24	Unsecured notes and loans payable to unrelated third parties ..	25,516,143	24	25,516,143
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	540,388,315	25	644,620,274
26	Total liabilities. Add lines 17 through 25..	998,531,337	26	1,125,069,465

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	398,403,689	27	437,285,676
28	Net assets with donor restrictions ...........	20,876,037	28	22,267,372
	Organizations that do not follow FASB ASC 958, check here 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 ...........	419,279,726	32	459,553,048
33	Total liabilities and net assets/fund balances ........	1,417,811,063	33	1,584,622,513

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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
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). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
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). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
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) .	Yes	No
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
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).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No