TY 2021 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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) PHILIP O OZUAH MD PHD...................................................................... President & CEO	40.8 ................. 19.2	X	X				0	7,412,431	910,217
(2) COLLEEN M BLYE...................................................................... Exec VP & CFO	36.8 ................. 23.2		X				0	4,814,813	29,236
(3) ROBERT MICHLER MD...................................................................... CHAIR-Surg/Cardiothoracic Surg	60.0 ................. 0.0				X		4,281,637	0	45,194
(4) STEVEN SAFYER MD...................................................................... former officer	0.0 ................. 0.0					X	0	2,989,448	0
(5) SUSAN GREEN-LORENZEN RN...................................................................... System Senior VP-OPERations	44.0 ................. 16.0			X			0	2,570,242	45,467
(6) Emad Eskandar MD...................................................................... Chair-Neurological Surgery	60.0 ................. 0.0				X		1,989,490	0	45,724
(7) PETER P SEMCZUK...................................................................... SVP-EXEC DIR MOSES & WAKEFIELD	60.0 ................. 0.0				X		1,649,053	0	307,786
(8) Joseph De Rose MD...................................................................... Dir Min Invasive Robotic Surg	60.0 ................. 0.0				X		1,631,143	0	43,708
(9) Daniel Goldstein MD...................................................................... Vice Chair-Cardiothoracic Surg	60.0 ................. 0.0				X		1,615,076	0	19,958
(10) Christopher Panczner...................................................................... Asst Sec.-SVP & Gen Counsel	35.7 ................. 24.3		X				0	1,465,753	27,174
(11) ODED ABOODI...................................................................... Treasurer (Passed 8/15/21)	0.75 ................. 1.75	X					0	0	0
(12) JAY B ABRAMSON...................................................................... TRUSTEE	0.75 ................. 2.75	X					0	0	0
(13) PATRICIA BAUMAN...................................................................... TRUSTEE	0.5 ................. 0.75	X					0	0	0
(14) JAMES M BUTLER...................................................................... CHAIRMAN	1.25 ................. 3.0	X					0	0	0
(15) BRUCE DONIGER...................................................................... TRUSTEE	0.5 ................. 0.75	X					0	0	0
(16) RUTH L GOTTESMAN EdD...................................................................... TRUSTEE	0.5 ................. 2.0	X					0	0	0
(17) PATRICIA GREEN...................................................................... TRUSTEE	0.5 ................. 0.75	X					0	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) THOMAS L HARRISON........................................................................ TRUSTEE	0.5 .......................0.75	X
(19) JOHN HEFFER........................................................................ TRUSTEE	0.5 .......................1.5	X
(20) LEWIS HENKIND........................................................................ Trustee	0.5 .......................1.75	X
(21) HELEN A JOHNSON........................................................................ TRUSTEE	0.75 .......................0.75	X
(22) DAVID B KEIDAN........................................................................ TRUSTEE	0.5 .......................0.75	X
(23) ALAN M KLEIN........................................................................ Secretary	1.0 .......................2.5	X
(24) STACEY R LANE........................................................................ TRUSTEE	0.5 .......................2.5	X
(25) JAY B LANGNER........................................................................ TRUSTEE/CHAIRMAN EMERITUS	0.5 .......................0.75	X
(26) MARGARET S NATHAN........................................................................ TRUSTEE	0.5 .......................0.75	X
(27) GAYLE F ROBINSON........................................................................ TRUSTEE	0.75 .......................1.3	X
(28) JON W ROTENSTREICH........................................................................ TRUSTEE	0.5 .......................0.75	X
(29) HON FELICE K SHEA........................................................................ TRUSTEE (passed 12/27/21)	0.5 .......................0.75	X
(30) EDWIN H STERN III........................................................................ TRUSTEE	0.5 .......................0.75	X
(31) DAVID A TANNER........................................................................ TRUSTEE	0.5 .......................1.0	X
(32) CYNTHIA KING VANCE........................................................................ TRUSTEE (Resigned 6/30/21)	0.5 .......................2.0	X
(33) JENNIE EMIL........................................................................ TRUSTEE	0.5 .......................0.75	X
(34) JONATHAN A LIPTON........................................................................ Trustee	0.5 .......................1.0	X
(35) ZITA G ROSENTHAL........................................................................ Trustee (Resigned 6/24/21)	0.5 .......................0.75	X
(36) Nathan Gantcher........................................................................ Trustee	0.5 .......................2.0	X
(37) Catherine Klema........................................................................ Vice Chair	1.0 .......................3.0	X
(38) Melissa Ceriale........................................................................ Trustee	0.5 .......................2.5	X
(39) BARRY S BLATTMAN........................................................................ TRUSTEE	0.75 .......................1.75	X
(40) MATTHEW H NORD........................................................................ TRUSTEE	0.5 .......................1.0	X
(41) MICHAEL A STOCKER MD........................................................................ TRUSTEE	0.75 .......................2.5	X
(42) JOEL BRAUN........................................................................ TRUSTEE	0.5 .......................0.75	X
(43) EMANUEL CHIRICO........................................................................ TRUSTEE/TREASURER EFF 10/7/21	0.75 .......................1.75	X
(44) W NORMAN MILNER........................................................................ TRUSTEE (resigned 6/24/21)	0.5 .......................0.75	X
(45) ALISA R DOCTOROFF........................................................................ TRUSTEE	0.5 .......................2.5	X
(46) JOHN P GUTFREUND........................................................................ TRUSTEE	0.5 .......................0.75	X
(47) RONALD L MOELIS........................................................................ TRUSTEE	0.75 .......................1.25	X
(48) ALAN N SUNA........................................................................ TRUSTEE	0.5 .......................0.75	X
(49) DANIEL R TISHMAN........................................................................ TRUSTEE	0.5 .......................2.75	X
(50) ELLEN BRESLOW NEWHOUSE........................................................................ TRUSTEE (EFFECT. 6/24/21)	0.5 .......................0.75	X
(51) DOUGLAS F EISENBERG........................................................................ TRUSTEE	0.5 .......................0.75	X

(A) Name and business address	(B) Description of services	(C) Compensation
McKinsey and Company Inc, PO Box 7247-7255 PHILADEPHIA,PA191707255	Consulting Fees	41,048,670
EPIC System Corporation, PO Box 88314 MILWAUKEE,WI532880314	System Conversion	18,079,976
Alto New York City LLC, 190 N 10th Street BROOKLYN,NY11211	Freelance support	14,702,521
Fastaff LLC, PO Box 911452 DENVER,CO802911452	Temporary nurses	11,857,035
Quest Diagnostics, PO Box 912512 PASADENA,CA911102512	outside lab services	9,189,599
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 431

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

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

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

MONTEFIORE MEDICAL CENTER

Employer identification number

13-1740114

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

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).)

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 33 1/3% 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 33 1/3% 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 on 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) 2021

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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	70,646,717	75,979,040	74,395,294	559,366,084	200,018,624	980,405,759
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....						0
3	The value of services or facilities furnished by a governmental unit to the organization without charge..						0
4	Total. Add lines 1 through 3	70,646,717	75,979,040	74,395,294	559,366,084	200,018,624	980,405,759
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..						0
6	Public support. Subtract line 5 from line 4.						980,405,759

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
7	Amounts from line 4..	70,646,717	75,979,040	74,395,294	559,366,084	200,018,624	980,405,759
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	20,961,442	37,030,018	50,355,089	52,951,787	41,274,547	202,572,883
9	Net income from unrelated business activities, whether or not the business is regularly carried on..						0
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..	19,979,281	21,313,472	19,238,951	13,418,850	15,728,894	89,679,448
11	Total support. Add lines 7 through 10						1,272,658,090

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

19,078,922,734

First 5 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 2021 (line 6, column (f) divided by line 11, column (f)) .........

77.036 %

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

76.105 %

16a

33 1/3% support test—2021. 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—2020. 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—2021. 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—2020. 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) 2021

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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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 on 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 5 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 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. 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—2020. 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) 2021

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

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 on 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 on 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) 2021

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2021

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 0.015 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 0.035	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) 2021

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2021 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, 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 2021. 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 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
Form 990, Schedule A, Part II	The Schedule A, Part II support schedule has been completed and demonstrates that Montefiore Medical Center meets the 170(b)(1)(A)(vi)public support test as required to use the Schedule B, Special Rule. Montefiore Medical Center is not classified as a 170(b)(1)(A)(vi) entity, as it meets its public charity status requirement as a Hospital under section 170(b)(1)(A)(iii).

Schedule A (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

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

2021

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

MONTEFIORE MEDICAL CENTER

Employer identification number

13-1740114

Part I-A

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

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.

Cat. No. 50084S

Schedule C (Form 990) 2021

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) 2018	(b) 2019	(c) 2020	(d) 2021	(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) 2021

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

Yes

590,250

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

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

Yes

398,465

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

988,715

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
Schedule C, Part II-B, Line 1G	THE MEDICAL CENTER'S LOBBYING EXPENDITURES INCLUDED THE FOLLOWING: Amounts PAID TO Welsh Rose, LLC FOR FEDERAL LOBBYING, The MirRam Group, LLC for NYS and NYC lobbying and Mercury Public Affairs, LLC for NYS lobbying RELATED to REGULATIONS AND LEGISLATION IMPACTING THE MEDICAL CENTER'S PROGRAMS.
Schedule C, Part II-B, Line 1i	Other Lobbying activities were for indirect cost associated with a PERCENTAGE OF MEMBERSHIP DUES used by THE FOLLOWING ORGANIZATIONS for LOBBYING EFFORTS: - GREATER NEW YORK HOSPITAL ASSOCIATION - AMERICAN HOSPITAL ASSOCIATION - ASSOCIATION OF AMERICAN MEDICAL COLLEGES - HEALTH CARE ASSOCIATION OF NYS - 1199/SEIU - GNYHA HEALTH EDUCATION PROJECT - 340B Health - FOCUSED ON 340B ISSUES.

Schedule C (Form 990) 2021

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

2021

Open to Public Inspection

Name of the organization

MONTEFIORE MEDICAL CENTER

Employer identification number

13-1740114

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

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) 2021

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 ....	29,650,213	28,842,524	26,473,515	26,450,629	26,424,742
b	Contributions ...	75,956	631,000	18,250	22,886	25,887
c	Net investment earnings, gains, and losses	215,116	226,796	2,350,759
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	49,947	50,107
f	Administrative expenses ....
g	End of year balance ......	29,891,338	29,650,213	28,842,524	26,473,515	26,450,629

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

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

90.990 %

Term endowment SchDMd Bullet

9.010 %

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 .....	18,659,261		18,659,261
b	Buildings ....	1,874,808,206	1,334,993,216	539,814,990
c	Leasehold improvements
d	Equipment ....	1,696,741,279	1,176,039,081	520,702,198
e	Other .....	58,645,288	5,863,875	52,781,413
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,131,957,862

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) MALPRACTICE INSURANCE PROGRAMS	159,268,217	F
(B) ALTERNATIVE INVESTMENTS	239,002,867	F
(C) MANAGED CARE COMPANIES	37,357,406	F
(D) OTHER INVESTMENTS	1,046,983	F
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	436,675,473

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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)AMTS DUE FROM AFFILIATES				192,864,473
(2)ESTIMATED INSURANCE CLAIMS REC				286,464,000
(3)SECURITY DEPOSITS				257,374
(4)RIGHT OF USE OPER LEASE ASSETS				358,447,940
(5)PENSION ASSETS				1,905,624
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				839,939,411

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
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	1,608,166,234
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) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
Schedule D, Part III, Line 4	Montefiore Medical Center fine art collections numbers over 1,500 objects located throughout the campuses that are insured and scheduled with risk management. The fine art Program directs eight rotating gallery exhibition spaces, including but not limited to: - ARTView Gallery at the Moses, Wakefield and Weiler campuses; - The Gallery of Artful Medicine at the Hutch, Tower one campus; - Spotlight on Montefiore located in the Tishman Learning Center; - The Queen City Art Gallery at Montefiore New Rochelle Hospital and - the Yes Gallery at the Moses Campus. In honor of Montefiore's health care heroes, a monochromatic painting by Israeli artist Tomer Peretz portraying a healthcare worker during the COVID-19 pandemic is included in the collection. This painting is currently on display at the Max and Sadie Lounge on the Einstein Campus. Montefiore's mission - to heal, to teach, to discover and to advance the health of the communities we serve - serves as the driving force behind all of our work, including the Montefiore Fine Art Program and Collection. The Collection is integrated into the daily life of Montefiore, fostering a life-affirming, restorative and supportive environment for patients, families, caregivers, students, faculty and staff.
Schedule D, Part IV, line 2b	Montefiore Medical Center holds security deposits from tenants in escrow pursuant to the individual lease agreements between the tenants and the organization. These deposits are returned to the tenants once they vacate their rental unit less any amounts, if any, due from the tenants for damages or unpaid rent.
Schedule D, Part V, Line 4	The organization's endowments were established pursuant to donor gifts received over time so the earnings can provide support to the Medical center's activities, specifically its clinical programs and related research as designated by the individual donors.

Schedule D (Form 990) 2021

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

2021

Open to Public Inspection

Name of the organization
MONTEFIORE MEDICAL CENTER

Employer identification number

13-1740114

Part I

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

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)	(f) Total expenditures for and investments in the region
	Sub-Saharan Africa	0	0	Grantmaking	44,146
	Central America and the Caribbean	0	0	Grantmaking	13,899,073
	Central America and the Caribbean	0	0	Investments	74,419,357














3a	Sub-total ....	0	0		88,362,576
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	0	0		88,362,576

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2021

Schedule F (Form 990) 2021

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.

(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)
Sub-Saharan Africa	EDUCATIONAL SUPPORT	44,146	wire
Central America and the Caribbean	COVID RELIEF			13,899,073	PPE EQUIP.	COST

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 .......	2
3	Enter total number of other organizations or entities .......................	0

Schedule F (Form 990) 2021

Schedule F (Form 990) 2021Page 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) 2021

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2021

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation
Part I, Line 2	The organization's procedures for monitoring the use of grant funds outside the United States includes regular financial reporting and analysis and review by medical center employees associated with the grant programs to confirm funds are being used in accordance with the awards. In 2021, the organizations donated $13.9 million of personal protection equipment to the Dominican Republic as part of the organization COVID relief effort. This donation will help alleviate the critical shortage of personal protection equipment needed in the treatment of COVID positive patients.

Schedule F (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990)

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

2021

Open to Public Inspection

Name of the organization
MONTEFIORE MEDICAL CENTER

Employer identification number

13-1740114

Part I

Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

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?		(iv) Gross receipts from activity	(v) Amount paid to (or retained by) fundraiser listed in col. (i)	(vi) Amount paid to (or retained by) organization
			Yes	No
	Grace Under Pressure DBA Buckley 33 Katonah Avenue Katonah, NY10536	Gala event		No	1,981,158	75,000	1,906,158









Total . . . . . . . . . . . . . . . . . . . .					1,981,158	75,000	1,906,158

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.

All States

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

Cat. No. 50083H

Schedule G (Form 990) 2021

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 remote Gala (event type)	(b) Event #2 golf outing (event type)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	1,981,158	719,675	2,700,833
2	Less: Contributions . . . .	1,904,678	402,325	2,307,003
3	Gross income (line 1 minus line 2) . . . . . .	76,480	317,350	393,830

4	Cash prizes . . . . .	0	0	0	0
5	Noncash prizes . . . .	0	8,595	0	8,595
6	Rent/facility costs . . . .	0	271,650	0	271,650
7	Food and beverages . . .	0	0	0	0
8	Entertainment . . . .	0	0	0	0
9	Other direct expenses . . .	209,700	59,605	0	269,305
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				549,550
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				-155,720

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(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:

State of New York on an appeal.

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) 2021

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

111 East 210th Street bronx, NY10467

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) 2021

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

2021

Open to Public Inspection

Name of the organization

MONTEFIORE MEDICAL CENTER

Employer identification number

13-1740114

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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 %

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 500 %

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) . . .	48,214,293	19,718,403	28,495,890	0.610 %
b	Medicaid (from Worksheet 3, column a) . . . . .	1,594,759,612	1,013,662,573	581,097,039	12.470 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	1,642,973,905	1,033,380,976	609,592,929	13.080 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	82,139,603	43,301,581	38,838,022	0.830 %
f	Health professions education (from Worksheet 5) . . .	371,085,620	188,658,459	182,427,161	3.910 %
g	Subsidized health services (from Worksheet 6) . . . .	105,974,398	70,221,118	35,753,280	0.770 %
h	Research (from Worksheet 7) .	72,633,134	42,962,119	29,671,015	0.640 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	109,659,481	0	109,659,481	2.350 %
j	Total. Other Benefits . .	741,492,236	345,143,277	396,348,959	8.500 %
k	Total. Add lines 7d and 7j .	2,384,466,141	1,378,524,253	1,005,941,888	21.580 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021

Schedule H (Form 990) 2021

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	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	582,916	0	582,916	0.010 %
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	571,318	0	571,318	0.010 %
9	Other
10	Total	1,154,234	0	1,154,234	0.020 %

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. ......

9,113,370

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. ......

2,236,681

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).....

370,129,224

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

394,304,935

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

-24,175,711

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) 2021

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	MONTEFIORE MEDICAL CENTER 111 EAST 210TH STREET BRONX,NY10467 www.Montefiore.org 7000006H	X	X	X	X	X	X

Schedule H (Form 990) 2021

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

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

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

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 - Section C

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 - Section C

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) 2021

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	MONTEFIORE 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 100%
and FPG family income limit for eligibility for discounted care of 500.%

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 Part V - Section C

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

See Part V - Section C

A plain language summary of the FAP was widely available on a website (list url):
See Part V - 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) 2021

Page 6

Part VFacility Information (continued)

Billing and Collections

	MONTEFIORE 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) 2021

Page 7

Part VFacility Information (continued)

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

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

Yes

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) 2021

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Schedule H, Part V, Section B, Line 5	In conducting its most recent CHNA, the hospital facility took into account input from persons who represented the broad interests of the community served by the hospital facility including those with special knowledge of or expertise in public health. Montefiore Medical Center, in partnership with multiple Bronx hospitals and healthcare providers, community stakeholders including the New York City Department of Health and Mental Hygiene's Bronx Bureau, community organizations and community residents conducted its 2019-2021 Community Health Needs Assessment to identify the significant health concerns of the Bronx County. Montefiore Medical Center facilitated strong relationships with community groups. The Montefiore Community Advisory Boards, which serve the Montefiore Medical Center Acute Care campuses in the Bronx consist of membership serving the twelve Bronx Community Boards and represent key constituencies in those communities including local police precinct councils, large faith based organizations and major social service providers. The staff of Montefiore's Office of Community and Population Health and Montefiore's Office of Government and Community Relations also engages with the Bronx Borough President's duly appointed representatives of the official twelve Bronx Community Boards. In addition to receiving input from these regional boards and their community membership, the staff also solicits information from elected leaders through health focused legislative breakfasts which allow the sharing of secondary data with the local elected officials to receive confirmation or alternate opinion on the impacts felt by their constituencies. In addition, Montefiore also participates with a number of coalitions, most notably the #Not 62 Coalition-The Campaign for a Healthy Bronx in obtaining information representing broad interest of the community. The preparation of the 2019-2021 Community Health Needs Assessment was an inter-organizational and community collaborative process, initiated with the goal of developing an assessment that was reflective of the needs of the community including the clinical and social determinants of health. Given the complexity and diversity of the populations of the Bronx, a collection of secondary and primary data was used to identify the significant Health concerns of the Bronx community. The collection of primary data was made from a representative sample of Bronx residents. To capture the voices of various sectors of Bronx community residents and workers from various perspectives, a multi-lingual electronic survey directed through partnering Bronx organizations was used in the spring and early summer of 2019. The NYCDOHMH's provision of comprehensive borough specific data assisted the process of interpreting areas of need across the borough. In addition to data provided from New York City sources, multiple additional secondary data sources were used to support the identification and selection of the priority items that were selected and reviewed with the partners and enhanced through the input from the New York City Department of Health and Mental Hygiene's Bureau of Bronx Neighborhood Health. Through the process of completing and reviewing data obtained through the primary and secondary sources, engaging with community stakeholders and key partners and a review of resources available within the Medical Center and through its partnerships, an implementation Strategy was developed to address the significant needs identified. With the previous community health assessments, Montefiore did not receive any written feedback; however, Montefiore was invited to explain its Community Benefit spending to a group of key community stakeholders led by the North West Bronx Community and Clergy Coalition (NWBCC). The NWBCC directly questioned the allocation of resources and recommended that resources be directed towards addressing the social determinants of health, specifically violence prevention efforts in the communities along the Jerome Avenue Corridor. This meeting led to an evaluation of available data on local violence, including shootings, and has resulted in a financial resource being identified from DSRIP and other budgeted sources to support a St. Barnabas Hospital Health System led violence prevention effort which is a part of St. Barnabas Hospital's Prevention Agenda efforts and in which Montefiore is a partner. Schedule H, Part V, Section B, Line 6a Montefiore Medical Center consists of the Montefiore Health System facilities within the Bronx County. The Community Health Needs Assessment conducted included the three hospital campuses (Moses, Weiler/Einstein and Wakefield), the Children's Hospital at Montefiore (CHAM), the off campus hospital based Emergency Department at Montefiore - Westchester Square, the Montefiore Hutchinson Campus and the sites of the Montefiore Medical Group and the Montefiore School Health Program.
Schedule H, Part V, Section B, Line 7a	The CHNA is available on the hospital facility's website: URL: https://www.montefiore.org/documents/communityservices/MMC-Community-Healt h-Needs-Report-2019-2021.pdf
Schedule H, Part V, Section B, Line 10a	The hospital facility's most recent adopted implementation strategy is posted on the website: URL: https://www.montefiore.org/documents/communityservices/MMC-Community-H ealth-Needs-Report-2019-2021.pdf
Schedule H, Part V, Section B, Line 11	Based on the reported and documented health needs that were important across the populations surveyed and reflected in the data as critical and in alignment with the New York State Prevention Agenda, two priority areas were identified for the 2019-2021 report. One of the Priority Areas selected in 2016 have been re-selected in 2019, though the focus areas have expanded to include food security. This cycle's Priority Areas also includes work on mental and substance use disorders that is in alignment with the DSRIP work at Montefiore. DSRIP has a very strong focus on both the prevention and management of chronic diseases and behavioral health issues including substance abuse. Given that these priorities represent significant risk factors for the residents of the Bronx, we believe that it is important to continue our chronic disease prevention work in our clinics and extending our reach into the community. The first of the two priority areas identified is to prevent chronic disease with the focus on healthy eating and food security and preventive care and management. The goals for the first focus area are to increase access to healthy and affordable foods and beverages, increase the skills and knowledge to support healthy food and beverage choices and increase food security. The Montefiore Healthy Store Initiative (MHSI) is engaging bodega owners in increasing the supply and promotion of healthier food and beverage options, engaging local groups around advocacy for improved food access and nutrition education and technical assistance to drive demand for healthier food and beverage options. The Medical Center will also implement social determinants of health screener in outpatient and inpatient settings to screen for social needs, including food insecurity, and use community resource directory/referral tool to connect patients to appropriate resources. The goals of the second focus area are to increase early detection of cardiovascular disease, diabetes, pre-diabetes and obesity and to promote evidence-based care to prevent and manage chronic diseases including asthma, arthritis, cardiovascular disease, diabetes and pre diabetes and obesity. The Medical Center serves an ethnically diverse and income challenged community where the risk for diabetes is greater than in any other NYC boroughs and targets a higher percentage of Hispanic and non-Hispanic blacks. The Medical Center is engaging its clinical partners in the HbA1c screening protocol, aligning clinical and community-based resources to address the level of patient health status, increasing screening and intervention across the ambulatory settings and expanding the opportunities for clinical evaluation of diabetes Bronx residents. Providers will screen patients for diabetes and refer patients who identify as pre-diabetes into the Montefiore Diabetes Prevention program to help those at high risk of developing diabetes make lifestyle changes in order to delay the disease onset. The second of the two Priority Areas selected is to Promote Well-Being and Prevent Mental and Substance Use Disorders with the goal of preventing opioid overdose deaths. The Medical Center intervention will include training medical providers and staff on opioid overdose prevention education and naloxone distribution for at-risk patients at Montefiore Medical Group primary care clinics, providing free opioid overdose prevention education and naloxone take-home kits for community based organizations, and integrating opioid prevention education and naloxone distribution in Montefiore's mental health and substance use treatment programs. Montefiore is also partnering with community based organizations, emergency rooms and hospitals to accept patient referrals and to provide training and support to providers and community groups. Obesity and its related behaviors are important contributors to the substantial rise in premature deaths and illness among the residents in the Bronx. These issues also contribute directly to such varied health problems as diabetes, hypertension, asthma and cardiovascular disease. Montefiore has a number of existing efforts under way to help tackle these health issues, starting with education. The Medical Center has longstanding and effective partnerships and partner support for plans to expand on what has already been successfully done to date. The Medical Center is also improving Bronx resident's access to healthy food by sponsoring and supporting a weekly farmers market and green carts throughout the borough and partnering with the City on its healthy Bodega initiative. In addition, we are participating in the Academy of nutrition and Dietetics annual nutrition education and information campaign designed to focus attention on the importance of making informed food choices and developing sound eating and physical activity habits. Montefiore's well-being promotion and mental health and substance use prevention strategy includes several prongs. The first is Montefiore's opioid overdose prevention education that targets medical providers, at-risk patients, community members and community-based organizations to increase access to information and resources. These activities will be implemented with the goal of reducing overdose deaths in the Bronx. The second prong of our strategy is provider education and support for providers through opioid management trainings, electronic consults, assessments for patients prescribed long-term opioids, and integration of opioid use disorder treatment programs into primary care clinics. Montefiore will partner with community-based organizations, emergency rooms, and hospitals for referrals. In addition to the multiple resources that have been developed at Montefiore independently and through partnership with other organizations, there continues to be a need for community-based programs and resources that can augment Montefiore's programs and services. Multiple free and low cost internet databases have entered the public sphere such as www.auntbertha.com, www.hitesite.org, www.nowpow.com, among others, that have reduced the need for quickly obsolete and expensive-to-produce information and community resources referral guides. Since the previous version of this report in 2016, Montefiore has begun using the internet database platform www.nowpow.com, to connect patients to needed resources, which has been a challenge for the health care sector in the past. This online tool is a much more comprehensive and practical alternative to the hard to keep up-to-date and difficult to search homegrown referral guides that many health care providers have had to use in the past. Many Montefiore sites have been introduced to this new online resource and work is underway to more seamlessly integrate this kind of solution into the various workflows across the ambulatory, ED and inpatient settings. The use of an internet database will allow Montefiore to connect patients to important community resources provided outside of the health system by many of our community partners to address community needs such as housing (quality and affordability), transportation, employment, and education. We at Montefiore are more than aware of the importance of addressing the social determinants of health in our mission of advancing the health of the communities that we serve.
Schedule H, Part V, Section B, Line 13H	Family size is factored into the eligibility criteria for financial assistance. Schedule H, Part V, Section B, Lines 15d & 15e The Medical Center has internal resources available for assistance with the FAP application process. The Medical Center's FAP provides addresses, locations and phone numbers for offices within Montefiore to assist with completing applications. The financial aid and Medicaid staff at these locations are also certified application counselors that assist with Market place and Medicaid applications.
Schedule H, Part V, Section B, Lines 16a-16c	The FAP information can be found on the website: https://www.Montefiore.org/financial-aid-policy

Schedule H (Form 990) 2021

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?194
Name and address		Type of Facility (describe)
1	Greene Medical Arts Pavillion 3400 Bainbridge Avenue Bronx,NY10467	Hospital Outpatient Dept
2	Hutchinson Campus 1250 Waters Place Bronx,NY10461	Specialty Care Extension
3	MMG - MAP GREENE MEDICAL ARTS PAVILION 3400 Bainbridge Avenue Bronx,NY10467	Primary Care Practice
4	Certified Home Health Agency 1 Fordham Plaza Bronx,NY10458	Certified Home Health Care Agency
5	MMC-MONTEFIORE EINS CTR FR CANCER CARE 1695 Eastchester Road Bronx,NY10461	Specialty Care Ext Clinic
6	MMG-Comprehensive Family Care Ctr 1621 Eastchester Rd Bronx,NY10461	Primary Care Extension Clinic
7	MMG-Comprehensive Health Care Ctr 305 East 161st Street Bronx,NY10451	Primary Care Extension Clinic
8	Montefiore Muscoloskeletal Center 1250 Waters Place Bronx,NY10461	SPECIALTY CARE PRACTICE
9	MONTEFIORE ADVANCED IMAGING MAP 3400 BAINBRIDGE AVENUE Bronx,NY10467	Imaging Center
10	MMG-BRONX EAST 2300 WESTCHESTER AVENUE Bronx,NY10462	Primary Care PRACTICE
11	MMG-FAMILY HEALTH CENTER One Fordham Plaza Bronx,NY10458	Primary Care EXTENSION CLINIC
12	MMG-GRAND CONCOURSE 2532 GRAND CONCOURSE Bronx,NY10458	PRIMARY CARE PRACTICE
13	MMC-CENTER FOR RADIATION THERAPY 1625 Poplar Street Bronx,NY10461	Specialty Care Ext Clinic
14	MONTEFIORE ADVANCED IMAGING MMP 1635 POPLAR STREET Bronx,NY10461	SPECIALTY CARE EXT CLINIC
15	MMG-UNIVERSITY AVENUE FAMILY PRACTICE 105 WEST 188TH STREET Bronx,NY10468	Primary Care Extension Clinic
16	MMG-fAMILY CARE CENTER 3444 KOSSUTH AVE BRONX,NY10467	PRIMARY CARE EXTENSION CLINIC
17	MMG-CROSS COUNTY 1010 CENTRAL PARK AVE yONKERS,NY10704	PRIMARY CARE PRACTICE
18	CARDIOLOGY Associates 3201 GRAND CONCOURSE bRONX,NY10468	Specialty Care Practice
19	Scarsdale Women's Center 1075 Central Park Avenue Scarsdale,NY10583	sPECIALTY CARE PRACTICE
20	MMP-OUTPATIENT REHABILITATION SERVICES 1500 Blondell Avenue Bronx,NY10461	Specialty Care eXT CLINIC
21	MONTEFIORE DPT OF CARDIOTHORACIC SURGERY 1575 BLONDELL AVENUE BRONX,NY10461	Specialty Care Practice
22	SUBSTANCE ABUSE TREATMENT PROG UNIT 3 2058 JEROME AVENUE Bronx,NY10453	SUBSTANCE Use Disorders clinic
23	MMG-WEST FARMS FAMILY PRACTICE 1055 EAST TREMONT AVENUE Bronx,NY10460	Primary Care Extension Clinic
24	MMG-WILLIAMBRIDGE 3011 BOSTON ROAD Bronx,NY10469	Primary Care Extension Clinic
25	MMG-Co-op City 2100 bARTOW aVENUE Bronx,NY10475	PRIMARY CARE EXTENSION CLINIC
26	SO BRONX HEALTH CTR FOR CHILD & FAMILIES 871 PROSPECT AVENUE Bronx,NY10459	PRIMARY CARE EXTENSION CLINIC
27	MONTEFIORE WAKEFIELD MENTAL HLTH CLINIC 4401 BRONX BOULEVARD BRONX,NY10470	MENTAL HEALTH EXT CLINIC
28	Hartsdale Fertility & Fetal Medicine 141 s CENTRAL AVE HARTSDALE,NY10530	SPECIALTY CARE PRACTICE
29	MMG Marble Hill Family Practice 5525 Broadway Bronx,NY10463	Primary Care Extension Clinic
30	Tarrytown CARDIOLOGY ASSOCIATES 150 WHITE PLAINS ROAD Tarrytown,NY10591	Specialty Care Practice
31	MMG-Eastchester 440 White Plains Road Eastchester,NY10709	Primary Care Practice
32	MMG-Castle Hill Family Practice 2175 Westchester Avenue Bronx,NY10462	Primary Care Extension Clinic
33	SUBSTANCE ABUSE TREATMENT CENTER UNIT 1 3550 Jerome Avenue Bronx,NY10467	Substance use disorders clinic
34	Montefiore Med Park ORTHODONTIC CENTER 1625 Poplar Street Bronx,NY10461	Specialty Care Ext Clinic
35	MMG-Riverdale 3510 Johnson Avenue Bronx,NY10463	Primary Care Practice
36	MONTEFIORE EAST TREMONT FAMILY PRACTICE 3101 E Tremont Avenue Bronx,NY10461	Primary Care Practice
37	JE& ZB BUTLER Child Advocacy Center 3314 Steuben Avenue Bronx,NY10467	Specialty Care Ext Clinic & Mental Health Clinic
38	Bronx Health Collective 853 Longwood Avenue Bronx,NY10459	Homeless Shelter Ext Clinic
39	MSHP - STEVENSON HIGH SCHOOL 1980 Lafayette Avenue Bronx,NY10461	School Health Clinic
40	MSHP - De Witt Clinton High School 100 W Mosholu Parkway So Bronx,NY10468	School Health Clinic
41	MSHP - Herbert H Lehman Campus 3000 East Tremont Avenue Bronx,NY10461	School Health Clinic
42	MONTEFIORE Medical Specialists 495 Central Park Avenue Yonkers,NY10704	Specialty Care Practice
43	MSHP - PS 8 3010 Briggs Avenue Bronx,NY10458	School Health Clinic
44	Inst fr Women's Hlth Genetics & Hum Rep 1695 Eastchester Road Bronx,NY10461	Specialty Care Practice
45	MSHP - Evander Childs Campus 800 East Gun Hill Road Bronx,NY10467	School Health Clinic
46	MSHP - John Philip Sousa MS 142 3750 Baychester Avenue Bronx,NY10466	School Health Clinic
47	MONTEFIORE DIVISION OF GASTROENTEROLOGY 1500 Waters Place Bronx,NY10461	Specialty Care Practice
48	MSHP - PS 105 725 Brady Avenue Bronx,NY10462	School Health Clinic
49	MSHP - Walton Campus 2780 Reservoir Avenue Bronx,NY10468	School Health Clinic
50	MSHP - THEODORE ROOSEVELT CAMPUS 500 EAST FORDHAM ROAD BRONX,NY10458	SCHOOL HEALTH CLINIC
51	MSHP - PS 28 1861 ANTHONY AVENUE Bronx,NY10457	School Health Clinic
52	MSHP - MS 45 2502 LORRILARD AVENUE Bronx,NY10458	School Health Clinic
53	MSHP - PS 55 450 ST PAULS PLACE Bronx,NY10456	School Health Clinic
54	MSHP - PS 85 2400 MARION AVENUE Bronx,NY10458	School Health Clinic
55	SAFE HOUSE FOR LEAD POISONING PREV PROG 91 EAST MOSHOLU PARKWAY Bronx,NY10467	SPECIALTY CARE EXT CLINIC
56	MSHP - SOUTH BRONX CAMPUS 701 ST ANNS AVENUE 3RD FLOOR Bronx,NY10455	SCHOOL HEALTH CLINIC
57	MSHP - IS 217 ENTRADA 977 FOX STREET BRONX,NY10459	SCHOOL HEALTH CLINIC
58	MONTEFIORE WAKEFIELD CHEM DEP OP PROG 4401 BRONX BOULEVARD Bronx,NY10470	Substance Use Disorders Clinic
59	MSHP - PSMS 95 3961 HILLMAN AVENUE Bronx,NY10463	School Health ClinIc
60	MSHP - BRONX REGIONAL HIGH SCHOOL 1010 REV JA POLITE AVENUE Bronx,NY10459	sCHOOL hEALTH cLINIC
61	CENTER FOR CHILD HEALTH AND RESILIENCY 890 PROSPECT AVENUE Bronx,NY10459	PRIMARY CARE EXTENSION CLINIC
62	MONTEFIORE DENTAL CENTER 951 PROSPECT AVENUE Bronx,NY10459	Dental Center
63	MSHP - MOTT HAVEN HS campus 730 CONCOURSE VILLAGE east Bronx,NY10451	SCHOOL HEALTH CLINIC
64	MONTEFIORE STD INITIATIVE 3230 Bainbridge Avenue Bronx,NY10467	Specialty Care Ext Clinic
65	MSHP - William Howard Taft Campus 240 East 172nd Street Bronx,NY10457	School Health Clinic
66	MONTEFIORE Gottscho Child Dialysis CTR Frost Valley YMCA Camp Claryville,NY12725	Chronic Dialysis Ext Clinic
67	Saratoga Interfaith Family Shelter 175-15 Rockaway Boulevard Queens,NY11434	Homeless Shelter Ext Clinic
68	Help Bronx Crotona 785 Crotona Park North Bronx,NY10460	Homeless Shelter Pt Clinic
69	American Red Cross Family ShelterICAHN 4 East 28th Street New York,NY10016	Homeless Shelter Ext Clinic
70	Montefiore Breast Center 1500 Blondell Avenue Bronx,NY10461	Imaging Center
71	Saint John's Family Shelter 1630 Saint Johns Place Brooklyn,NY11233	Homeless Shelter Ext Clinic
72	Wellness Center at Port Morris 804 East 138th Street Bronx,NY10454	Substance Use Disorders Clinic
73	Streetwork's Project Drop-In Center 209 W 125th Street New York,NY10016	Homeless Shelter Ext Clinic
74	Wellness Center at Waters Place 1510 Waters Place Bronx,NY10461	Substance use Disorders Clinic
75	Wakefield-Dept of Ophthalmology 4141 Carpenter Avenue Bronx,NY10466	Specialty Care
76	Wellness Center at Melrose 260 East 161st street Bronx,NY10451	Substance Use Disorders Clinic
77	Wakefield-Dept of Orthropedic Surgery 4141 Carpenter Avenue Bronx,NY10466	Specialty Care
78	MONTEFIORE WELLNESS CENTER 1180 MORRIS PARK AVENUE BRONX,NY10461	SPECIALTY CARE PRACTICE
79	RIVERDALE MEDICAL ASSOCIATES 2711 HENRY HUDSON PARKWAY BRONX,NY10463	SPECIALTY CARE Practice
80	NEUROSCIENCE CENTER 3316 ROEHAMBEAU aVENUE BRONX,NY10467	IMAGING CENTER
81	MONTEFIORE GENERAL CLINICAL RESEARCH CTR 1300 MORRIS PARK AVENUE BRONX,NY10461	CLINIC RESEARCH EXT CLINIC
82	GENERAL CLINICAL RESEARCH CENTER 111 e 210TH STREET-MRT BRONX,NY10467	CLINICAL RESEARCH EXT CLINIC
83	MONTEFIORE-EINSTEIN CTR FOR CANCER CARE 1521 JARRETT PLACE BRONX,NY10461	CANCER SERVICES
84	MONTEFIORE CARDIOLOGY 1628 Eastchester 1628 EASTCHESTER ROAD BRONX,NY10461	SPECIALTY PRACTICE
85	MONTEFIORE JARRETT PEDIATRIC DENTAL CTR 1516 JARRETT AVENUE BRONX,NY10456	DENTAL CENTER
86	MONTEFIORE DEPARTMENT OF DENTISTRY 3332 rOCHAMBEAU AVENUE BRONX,NY10467	dENTAL cENTER
87	MONTEFIORE ADVANCED IMAGING GUNHILL 200 EAST GUNHILL ROAD BRONX,NY10467	IMAGING CENTER
88	MONTEFIORE WAKEFIELD CHILD PSYCH CTR 4401 BRONX BOULEVARD BRONX,NY10470	MENTAL HEALTH CLINIC
89	ADOLESCENT AIDS PROGRAM 3415 WAYNE AVENUE BRONX,NY10467	PEDIATRIC SPECIALTY CENTER
90	MONTEFIORE DEPARTMENT OF NEUROLOGY 140 LOCKWOOD AVENUE NEW ROCHELLE,NY10801	SPECIALTY CENTER
91	EINSMONTEFIORE AUTISM EVAL & TREAT CTR 6 EXECUTIVE PLAZA YONKERS,NY10701	SPECIALTY CENTER
92	CENTENNIAL WOMEN'S CENTER 3332 ROCHAMBEAU AVE BRONX,NY10467	WOMEN'S HEALTH CENTER
93	DEPT OF OB & GYNWOMEN'S HEALTH 4170 BRONX BOULEVARD BRONX,NY10466	WOMEN'S HEALTH CENTER
94	MONTEFIORE CHILDADOL MENTAL HLTH CLINIC 3340 BAINBRIDGE AVENUE BRONX,NY10467	MENTAL HELATH CLINIC
95	Montefiore Riverdale Cardiology Practice 2711 HENRY HUDSON PARKWAY BRONX,NY10463	SPECIALTY CARE PRACTICE
96	REHABILITATION MEDICINE PRIVATE PRACTICE 3329 BAINBRIDGE AVENUE BRONX,NY10467	SPECIALTY CARE PRACTICE
97	MONTEFIORE DIVISION OF DERMATOLOGY 3514 BAINBRIDGE AVENUE BRONX,NY10467	SPECIALTY CARE PRACTICE
98	SLEEPWAKE DISORDERS 3411 WAYNE AVENUE BRONX,NY10467	SPECIALTY CARE PRACTICE
99	MONTEFIORE BEHAVIORAL HEALTH CTR AT WS 2527 GLEBE AVENUE BRONX,NY10461	MENTAL HEALTH CLINIC
100	ADVANCED ONCOLOGY ASSOCIATES 50 GUION PLACE NEW ROCHELLE,NY10801	SPECIALTY CARE PRACTICE
101	ADVANCED ONCOLOGY ASSOCIATES 18 ASHFORD AVENUE DOBBS FERRY,NY10522	SPECIALTY CARE PRACTICE
102	ADVANCED ONCOLOGY ASSOCIATES 75 EAST GUN HILL ROAD closed 2021 BRONX,NY10467	SPECIALTY CARE PRACTICE
103	ADVANCED ONCOLOGY ASSOCIATES 1578 WILLIAMSBRIDGE ROAD BRONX,NY10461	SPECIALTY CARE PRACTICE
104	ADVANCED ONCOLOGY ASSOCIATES 984 NORTH BROADWAY YONKERS,NY10701	SPECIALTY CARE PRACTICE
105	BRONX RIVER MEDICAL ASSOCIATES-BX OFF 60 EAST 208TH sTREET BRONX,NY10467	SPECIALTY CARE PRACTICE
106	BRONX RIVER MEDICAL ASSOC-YONKERS OFFICE 1915 CENTRAL PARK AVENUE YONKERS,NY10710	SPECIALTY CARE PRACTICE
107	MMC-WAKEFIELD CARDIOVASCULAR CENTER 4256 BRONX BOULEVARD BRONX,NY10466	SPECIALTY CARE PRACTICE
108	RIDGE HILL CARDIOLOGY 73 MARKET STREET SUITE 178b YONKERS,NY10710	SPECIALTY CARE PRACTICE
109	WILLIAMSBRIDGE CARDIOLOGY 1578 WILLIAMSBRIDGE ROAD BRONX,NY10461	SPECIALTY CARE PRACTICE
110	MMG-VIA VERDE 730 BROOK AVENUE BRONX,NY10455	PRIMARY CARE EXTENSION CTR
111	MSHP-MORRIS CAMPUS 1110 BOSTON ROAD BRONX,NY10456	SCHOOL HEALTH CLINIC
112	MSHP-NEW SETTLEMENT COMMUNITY CAMPUS 1501 JEROME AVENUE BRONX,NY10452	SCHOOL HEALTH CLINIC
113	BROADWAY DENTAL CENTER 5500 BROADWAY SUITE 102 BRONX,NY10463	DENTAL CENTER
114	MONTEFIORE MOSES OP MENTAL HLTH CLINIC 111 EAST 210TH STREET BRONX,NY10467	MENTAL HEALTH CLINIC
115	MONTEFIORE RAD ONC AT ST BARNABAS 4487 THIRD AVENUE LEVEL B Bronx,NY10466	RADIATION ONCOLOGY PRACTICE
116	MMC PLASTIC SURGERY PRACTICE 182 210TH STREET BRONX,NY10467	SPECIALTY CARE PRACTICE
117	ROSE KENNEDY CHILD EVALUATION & REHAB CT 1225 MORRIS PARK AVENUE BRONX,NY10461	DEVELOPMENTAL DISABILITY CLINIC
118	MSHP - CHRISTOPHER COLUMBUS CAMPUS 925 ASTOR AVENUE BRONX,NY10469	SCHOOL HEALTH CLINIC
119	LONG TERM HEALTH CARE PROGRAM ONE FORDHAM PLAZA BRONX,NY10458	LONG TERM HEALTH CARE AGENCY
120	MMC PEDIATRIC-FAMILY IMMUNOLOGY CLINIC 1621 EASTCHESTER ROAD BRONX,NY10461	SPECIALTY CARE EXT CLINIC
121	MMC PEDIATRICS CARDIOLOGY AT MNR 16 GUION PLACE NEW ROCHELLE,NY10801	SPECIALTY CARE PRACTICE
122	AOA 1624 CROSBY AVENUE BRONX,NY10461	SPECIALTY CARE PRACTICE
123	SOUND SHORE CARDIOLOGY ASSOCIATES 933 MAMARONECK AVENUE MAMARONECK,NY10543	SPECIALTY CARE PRACTICE
124	MMC ORTHOPEDICS MANHATTAN PRACTICE 215 EAST 73RD STREET NEW YORK,NY10021	SPECIALTY CARE PRACTICE
125	MMC UROLOGY - CLINICA MODELO 44 SHERMAN AVENUE NEW YORK,NY10040	SPECIALTY CARE PRACTICE
126	MMC TRANSPLANT HEPATOLOGY 3100 BROADWAY FAIRLAWN,NJ07410	SPECIALTY CARE PRACTICE
127	MMC TRANSPLANT HEPATOLOGY 170 MAPLE AVENUE WHITE PLAINS,NY10601	SPECIALTY CARE PRACTICE
128	MMC ABDOMINAL TRANSPLANT AT SJRH 967 BROADWAY YONKERS,NY10701	SPECIALTY CARE PRACTICE
129	MMC COLLEGE EYE INSTITUTE 1180 MORRIS PARK AVENUE BRONX,NY10461	SPECIALTY CARE PRACTICE
130	MMC DIABETES PREVENTION PROGRAM 3514 DEKALB AVENUE BRONX,NY10467	SPECIALTY CARE PRACTICE
131	Wakefield Ambulatory Care Center 4234 Bronx Boulevard Bronx,NY10466	Primary Care Practice
132	MSHP-MS145 Arturo Toscanini 1000 Teller Avenue Bronx,NY10456	School Health Clinic
133	MSMP-PS18 John Peter Zenger 502 Morris Avenue Bronx,NY10451	School Health Clinic
134	Rose Hill Pre-K Center 2512 Marion Avenue Bronx,NY10457	Homeless Shelter Ext Clinic
135	CERC Gabi Catholic Charities 1165 Rockaway Avenue Brooklyn,NY11236	Mental Health Ext Clinic
136	CERC Gabi - Queens 161-10 Jamaica Avenue Suite 413 Queens,NY11432	Mental Health Ext Clinic
137	CERC Gabi - Staten Island 358 St Marks Place 5th floor Staten Island,NY10301	Mental Health Ext Clinic
138	CERC Gabi-East Harlem 116 124th Street New York,NY10035	Mental Health Ext Clinic
139	NY Harm Reduction Center 104-106 E 126th Street New York,NY10035	Part Time Clinic/Specialty Care
140	Montefiore Einstein Ctr for Aging Brain 6 Executive Plaza Suite 297 Yonkers,NY10701	Specialty Care Practice
141	Montefiore NY Assoc in Gastroenterology 1250 Waters Place Suite 1201 Towe Bronx,NY10461	Specialty Care Practice
142	Montefiore NY Assoc in Gastroenterology 688 White Plains Road Suite 220 Scarsdale,NY10583	Specialty Care Practice
143	WELLNESS CENTER SATELITE AT ACS 1200 WATERS PALACE 3RD FLOOR BRONX,NY10461	SUBSTANCE USE DISORDER CLINIC
144	CERC GABI-BRONX 1020 GRAND CONSCOURSE 3RD FLOOR BRONX,NY10451	MENTAL HEALTH EXT CLINIC
145	CERC GABI-RFK 1731 SEMINOLE AVENUE BRONX,NY10461	MENTAL HEALTH EXT CLINIC
146	CERC GABI-BROOKLYN 485 THROOP AVENUE BROOKLYN,NY11221	MENTAL HEALTH EXT CLINIC
147	MSHP - X113 3710 BARNES AVENUE BRONX,NY10467	SCHOOL HEALTH CLINIC
148	MSHP - X174 456 WHITE PLAINS ROAD BRONX,NY10473	SCHOOL HEALTH CLINIC
149	MSHP - X198 1180 TINTON AVENUE BRONX,NY10456	SCHOOL HEALTH CLINIC
150	MSHP - X147 1600 WEBSTER AVENUE BRONX,NY10457	SCHOOL HEALTH CLINIC
151	MONTEFIORE NEW ROCHELLE CARDIOLOGY 20 CEDAR STREET NEW ROCHELLE,NY10801	SPECIALTY CARE PRACTICE
152	MEDICAL PAVILION AT 4256 BRONX BOULEVARD 4256 BRONX BOULEVARD BRONX,NY10466	SPECIALTY CARE PRACTICE
153	MONTEFIORE YONKERS RADIATION ONCOLOGY 970 BROADWAY YONKERS,NY10701	SPECIALTY CARE PRACTICE
154	CARDIOLOGY IMAGING AND VEIN CENTER 2814 MIDDLETOWN ROAD BRONX,NY10461	SPECIALY CARE PRACTICE
155	SCHIFF DENTAL 3444 KOSSUTH AVENUE BRONX,NY10467	DENTAL CENTER
156	MMC UROLOGY AT RIVERDALE FAMILY PRACTICE 3050 CORLEAR AVENUE BRONX,NY10463	SPECIALTY CARE PRACTICE
157	MMC UROLOGY AT HARTSDALE 141 SOUTH CENTRAL AVENUE 3RD FLOOR HARTSDALE,NY10530	SPECIALTY CARE PRACTICE
158	MONTEFIORE NEUROPSYCHOLOGY AT BURKE 785 MAMARONECK AVENUE WHITE PLAINS,NY10605	SPECIALTY CARE PRACTICE
159	MONTEFIORE DEPARTMENT OF PM&R 150 EAST 210TH STREET BRONX,NY10467	SPECIALTY CARE PRACTICE
160	MONTEFIORE AT HEBREW HOME (SUBACUTE) 5901 PALISADE AVENUE BRONX,NY10471	SPECIALTY CARE PRACTICE
161	NEUROLOGY AT WAKEFIELD MEDICAL VILLAGE 4170 BRONX BOULVARD BRONX,NY10466	SPECIALTY CARE PRACTICE
162	SLEEP CENTER AT WESTCHESTER SQUARE 2475 SAINT RAYMONDS AVENUE BRONX,NY10461	SPECIALTY CARE PRACTICE
163	MSHP - X151 250 E 156TH STREET BRONX,NY10451	SCHOOL HEALTH CLINIC
164	MSHP - X098 1619 BOSTON ROAD BRONX,NY10460	SCHOOL HEALTH CLINIC
165	MSHP - PS 199 1449 SHAKESPEARE AVENUE BRONX,NY10452	SCHOL HEALTH CLINIC
166	DV SHELTER ADDRESS WITHHELD BRONX,NY10451	DOMESTIC VIOLENCE SHELTER PART TIME CLINIC
167	UNIVERSITY AVE FAMILY RESIDENCE 1041 UNIVERSITY AVENUE BRONX,NY10452	HOMELESS SHELTER EXTENSION CLINIC
168	CHAM SPECIALISTS IN WESTCHESTER 141 SOUTH CENTRAL AVENUE SUITE 300 HARTSDALE,NY10530	SPECIALTY CARE PRACTICE
169	LASIK AND EYE CARE CENTER 141 SOUTH CENTRAL AVENUE HARTSDALE,NY10530	SPECIALTY CARE PRACTICE
170	MONTEFIORE AT 141 SOUTH CENTRAL AVENUE 141 SOUTH CENTRAL AVENUE HARTSDALE,NY10530	SPECIALTY CARE PRACTICE
171	EINSTEIN STUDENT BEHAVIORAL HEALTH CTR 1225 MORRIS PARK AVENUE BRONX,NY10461	MENTAL HEALTH CLINIC
172	MONTEEFIORE SOUTH BRONX CANCER CENTER 951 BROOK AVENUE BRONX,NY10451	SPECIALTY CARE PRACTICE
173	CRYSTAL RUN - GYN ONC 855 ROUTE 17M MONROE,NY10941	SPECIALTY CARE PRACTICE
174	GRUSS MAGNETIC RESONANCE RESEARCH CENTER 1300 MORRIS PARK AVENUE BRONX,NY10461	IMAGING CENTER
175	MONTEFIORE NUCLEAR MEDICINE 1695 A EASTCHESTER ROAD BRONX,NY10461	imaging center
176	MMG - East Tremont Avenue 3860 East Tremont Avenue Bronx,NY10465	Primary Care Practice
177	Montefiore GI at 1254 Central Park 1254 Central Park Avenue Yonkers,NY10704	Specialty Care Practice
178	Montefiore GI at 18 Ashford 18 Ashford Avenue Dobbs Ferry,NY10522	Specialty Care Practice
179	Montefiore Colorectal Surg at Clinica 44 Sherman Avenue New York,NY10040	Specialty Care Practice
180	Montefiore Orthopaedics at 688 W Pl Road 688 White Plains Road Scarsdale,NY10583	Specialty Care Practice
181	Montefiore Orthopaedics at WP Hospital 170 Maple Avenue White Plains,NY10601	Specialty Care Practice
182	PSMS 04 1701 FULTON AVENUE BRONX,NY104577546	SCHOOL HEALTH CLINIC
183	MUSEUM SCHOOL 25 579 WARBURTON AVENUE YONKERS,NY10701	SCHOOL HEALTH CLINIC
184	WILSON ORTHOPEDICS 75 EAST GUNHILL ROAD BRONX,NY10467	SPECIALTY CARE PRACTICE
185	NORTHEAST ORTHOPEDICS-AIRMONT 327 ROUTE 59 A AIRMONT,NY10952	SPECIALTY CARE PRACTICE
186	NORTHEAST ORTHOPEDICS-MONROE 785 ROUTE 17M SHOP RITE PLAZA MONROE,NY10950	SPECIALTY CARE PRACTICE
187	NORTHEAST ORTHOPEDICS-DOBBS FERRY 128 ASHFORD AVENUE DOBBS FERRY,NY10522	SPECIALTY CARE PRACTICE
188	NORTHEAST ORTHOPEDICS-NANUET 408 AIRPORT EXECUTIVE PARK NANUET,NY10954	SPECIALTY CARE PRACTICE
189	NORTHEAST ORTHOPEDICS-NEW WINDSOR 575 HUDSON VALLEY AVENUE NEW WINDSOR,NY12553	SPECIALTY CARE PRACTICE
190	NORTHEAST ORTHOPEDICS-ORANGEBURG 99 DUTCH HILL ROAD ORANGEBURG,NY10962	SPECIALTY CARE PRACTICE
191	NORTHEAST ORTHOPEDICS-POMONA 8 MEDICAL PARK DRIVE POMONA,NY10970	SPECIALTY CARE PRACTICE
192	NORTHEAST ORTHOPEDICS-STONY POINT 25 LIBERTY SQUARE ROUTE 9W STONY POINT,NY10980	SPECIALTY CARE PRACTICE
193	NORTHEAST ORTHOPEDICS-WEST NYACK 2 CROSFIELD AVENUE SUITE 422 WEST NYACK,NY10994	SPECIALTY CARE PRACTICE
194	COVID MOAB CLINIC 1575 BLONDELL AVENUE SUITE 125 2N BRONX,NY10461	SPECIALTY CARE PRACTICE

Schedule H (Form 990) 2021

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 7 TABLE:	THE FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST table IS BASED ON THE MEDICAL CENTER'S ACTIVITIES ONLY. Since the activities of the disregarded entities are quite unique and not representative of a hospital facility, the activities from these entities were excluded from consideration in the table. THE MEDICAL CENTER'S TOTAL OPERATING EXPENSES WERE ADJUSTED FOR AN UNBUDGETED $74.8 MILLION OPERATING SUBSIDIES PAID TO AN AFFILIATE MEDICAL COLLEGE INCLUDED IN PART XI, LINE 9 RECONCILIATION OF NET ASSETS AS WELL AS AN ADJUSTMENT FOR AFFILIATES COSTS. FORM 990, PART IX, LINE 25, COLUMN A EXPENSES USED TO CALCULATE THE BENEFIT PERCENTAGES WAS ADJUSTED ACCORDINGLY.
1. PART I, LINE 7:	THE COST-TO-CHARGE RATIO METHODOLOGY WAS UTILIZED TO CALCULATE THE AMOUNT included IN THE TABLE. THE CALCULATION OF THIS RATIO WAS DERIVED FROM the ratio OF PATIENT CARE COST-TO-CHARGES (RCC factor). In calculating the patient care cost for the ratio, the organization reduced its operating expenses for its non-patient care costs and the cost of its community benefits & building activities not relying on the RCC factor for costing purposes. In 2021, the organization received additional funding from the Cares Act Provider Relief Fund and FEMA for direct reimbursement of COVID-19 expenses and loss revenue. The organization further adjusted its patient care cost to exclude these COVID-19 expenses not adjusted in the prior year's cost to charge ratio calculation.
1. PART II - COMMUNITY BUILDING ACTIVITIES:	THE MEDICAL CENTER IS ACTIVELY INVOLVED WITH COMMUNITY-BASED ORGANIZATIONS AND SPECIAL COMMUNITY HEALTH PROGRAMS AS PART OF ITS MISSION TO ADVANCE THE HEALTH OF THE COMMUNITIES IT SERVES. THE MEDICAL CENTER'S COMMUNITY BUILDING activities INCLUDE COMMUNITY SUPPORT OF THE BRONX AIDS VOLUNTEERS organization, THE LEAD POISONING PREVENTION PROGRAM AND RECRUITMENT OF MUCH NEEDED MEDICAL PROFESSIONALS TO THE HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) of the Bronx, among other INITIATIVES. MONTEFIORE'S LEAD POISONING PREVENTION Program is a designated NEW YORK State Resource Center for Lead poisoning prevention, and consists of a multidisciplinary team in medicine, research, social services, environmental investigation and public advocacy. It serves as a referral center for the medical management of lead poisoning, links families to safe housing during home abatement procedures, provides bilingual educational workshops, advocates for lead poisoned children during local and state legislative reviews and collaborates with city and private agencies in environmental intervention. PROJECT BRAVO is a hospital-based volunteer program managed by Montefiore's Aids Center that provides support to HIV and Aids patients. The program renders outreach services in the community, provides friendly visits to hospitalized patients and staffs the BRAVO food pantry.
1. PART III, Section A, LINE 2:	The cost of bad debt expense included in the transaction price is estimated based on the bad debt provision at charge, applied to the ratio of total patient care expenses to total charges for all services rendered. Any payments or discounts are excluded from bad debt expense. 1. Part III, Section A., Line 3 THE ESTIMATED AMOUNT OF THE ORGANIZATIONS'S BAD DEBT EXPENSE (AT COST) attributed to PATIENTS UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAs based ON RESULTS OF PREDICTIVE ANALYSIS. BAD DEBT SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE THE organization PROVIDES MUCH NEEDED HEALTH CARE SERVICES INDISCRIMINATELY to the COMMUNITY-AT-LARGE WITHOUT REGARD TO WHETHER OR NOT THE PATIENT has insurance or if THE BILL WILL EVER BE PAID. 1. Part III, Section A., Line 4 AS REPORTED IN MONTEFIORE HEALTH SYSTEM'S AUDITED CONSOLIDATED FINANCIAL statements, BAD DEBT EXPENSE IS DESCRIBED AS FOLLOWS: "Subsequent changes to the estimate of the transaction price (determined on a portfolio basis when applicable) are generally recorded as adjustments to patient service revenue in the period of the change. For the years ended December 31, 2021 and 2020, changes in the Medical Center's estimates of expected payments for performance obligations satisfied in prior years were not significant. Portfolio collection estimates are updated based on collection trends. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay (determined on a portfolio basis when applicable) are recorded as bad debt expense. Bad debt expense for the years ended December 31, 2021 and 2020 was not significant".
1. PART III, Section B, LINE 8:	The MEDICARE REVENUE AND ALLOWABLE COSTS REPORTED IN PART III, SECTION B, were based on the allowable costs and Medicare reimbursements that were reported in the organization's 2021 Medicare Cost Report reduced for the Medicare subsidized services already reported in Part I, line 7G of Schedule H and direct graduate medical education reported in Part 1, line 7H. The MEDICARE ALLOWABLE COSTS WERE DERIVED using THE Medicare COST REPORT COST-FINDING METHODOLOGY, WHICH APPORTIONS ROUTINE costs TO MEDICARE USING DAYS AND ANCILLARY COSTS TO MEDICARE USING departmental RATIOS OF COSTS TO CHARGES. The following table represents a reconciliation of Medicare revenue and costs included on Lines 5, 6 and 7 in part III to the total actual Medicare revenue and costs of the Medical Center. In past years, the Medical Center has typically showed a Medicare surplus in Part III that reconciled to a shortfall after other Medicare programs and the DME and Medicare subsidized health service losses were added back. For 2020 and again in 2021, because of the additional costs related to the Medical Center's rapid response to the COVID-19 pandemic, the cost of establishing seven COVID-19 testing sites throughout the Bronx and Westchester and the additional cost from procuring personal protective equipment, we are again reporting a shortfall for Part III Medicare. This shortfall was increased to $134,635,473 when reconciled to our actual Medicare costs as highlighted in the table below. REVENUE Allowable SURPLUS COSTS (SHORTFALL) Part 111, LINES 5-7: $370,129,224 $394,304,935 ($24,175,711) ADD: COSTS NOT INCLUDED IN MEDICARE COST REPORT: - 26,513,330 (26,513,330) ADD: MEDICARE DME: 32,500,844 64,909,025 (32,408,181) ADD: EMP PHYS SERV: 46,607,162 86,625,487 (40,018,325) ADD: MED SUBSID HLTH SERV: 6,248,132 17,768,058 (11,519,926) MEDICARE Shortfall: $455,485,362 $590,120,835 ($134,635,473) MEDICARE REVENUE AND ALLOWABLE COSTS REPORTED IN PART III, SECTION B, were derived FROM THE MEDICARE COST REPORT. HOWEVER, LINES 5, 6, AND 7 IN Part III DO NOT INCLUDE CERTAIN MEDICARE REVENUE AND COSTS, AND does NOT present the ENTIRE FINANCIAL impact OF THE MEDICAL CENTER'S PARTICIPATION in the MEDICARE PROGRAM. IN ADDITION, THE MEDICARE COST REPORT cost-finding methodology IS INCONSISTENT WITH THE REST OF SCHEDULE h, whereby costs ARE calculated USING THE MEDICAL CENTER'S OVERALL RATIO OF COSTs TO charges (RCC) FROM WORKSHEET 2. ACCORDINGLY, THE MEDICARE Shortfall reflected IN PART III, LINE 7 BEFORE THE reconciling ADJUSTMENTS described in the table is significantly understated. FOR EXAMPLE, PART III EXCLUDES CERTAIN MEDICAL center EXPENSES THAT ARE NOT PART OF THE MEDICARE COST FINDING process. These COSTS INCLUDE CERTAIN CONSULTING AND MARKETING EXPENSES, COSTS related TO NURSE PRACTITIONERS, NURSE MIDWIVES, PHYSICIAN assistants, and Hospitalists WHO BILL THE MEDICARE PROGRAM FOR PART B SERVICES AND physician COSTS EXCEEDING THE MEDICARE REASONABLE compensation equivalent (RCE) LIMITS. INCLUDING THE MEDICARE SHARE OF these COSTS WOULD HAVE increased THE MEDICARE Shortfall ON LINE 7 BY $26,513,330. PART III ALSO EXCLUDES MEDICARE REVENUE AND ALLOWABLE COSTS FROM THE MEDICARE COST REPORT RELATED TO DIRECT MEDICAL EDUCATION (DME), WHICH WERE REPORTED IN PART I, LINE 7F AS REQUIRED BY THE SCHEDULE H INSTRUCTIONS. IF THE MEDICARE SHARE OF DME LOSSES HAD BEEN REPORTED IN PART III, THE MEDICARE Shortfall ON LINE 7 WOULD HAVE BEEN increased BY $32,408,181. (SEE ABOVE RECONCILIATION TABLE) ADDITIONALLY, PART III EXCLUDES MEDICARE REVENUE AND COSTS FOR SERVICES BILLED FOR THE MEDICAL CENTER'S EMPLOYED PHYSICIANS THAT ARE PART OF THE RCC CALCULATION IN WORKSHEET 2 BUT ARE NOT REFLECTED IN THE MEDICAL CENTER'S MEDICARE COST REPORT. INCLUDING THE MEDICARE LOSSES FROM THE MEDICAL CENTER'S EMPLOYED PHYSICIAN SERVICES WOULD HAVE increased THE MEDICARE Shortfall ON LINE 7 BY AN ADDITIONAL $40,018,325. (SEE ABOVE RECONCILIATION TABLE) PART III ALSO EXCLUDED MEDICARE REVENUE AND COSTS FROM THE MEDICARE COST REPORT ASSOCIATED WITH SUBSIDIZED HEALTH SERVICES WHICH WERE REPORTED IN PART I, LINE 7G AS REQUIRED BY THE SCHEDULE H INSTRUCTIONS. IF THE MEDICARE LOSSES FROM THE MEDICAL CENTER'S SUBSIDIZED HEALTH SERVICES HAD BEEN REPORTED IN PART III, THE MEDICARE Shortfall IN LINE 7 WOULD HAVE BEEN increased BY AN ADDITIONAL $11,519,926. (SEE ABOVE RECONCILIATION TABLE) The Medicare Shortfall should be included as a community benefit, since the organization is rendering much needed health care services mainly to a frail elderly population living on a fixed income with great health needs. 1. Part III, Section C, line 9b FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS HALTED AND THE PATIENT IS REFERRED FOR FINANCIAL AID. IF AN ACCOUNT IS IN COLLECTION AND THE PATIENT REQUESTS FINANCIAL AID OR IF THE AGENCY DETERMINES THAT THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE ACCOUNT IS REFERRED BACK TO THE HOSPITAL WHERE THE PATIENT IS PROVIDED ASSISTANCE WITH COMPLETING AN APPLICATION FOR ASSISTANCE. The organization also uses predictive analysis to assist in charity care determinations in the absence of completed financial aid applications. Financial screening/Presumption Charity uses financial information that is contained in a patient's credit report and other patient specific attributes to estimate a patient's income level and where they are in relation to the Federal Poverty Level to qualify under the Hospital's Charity Care Policy. Presumptive eligibility may also be based on prior FAP eligibility or enrollment in certain specified means-tested public programs to presumptively determine if an individual is FAP eligible. Full Financial aid is also granted to patients with outstanding self-pay bills and current Medicaid coverage, patients who are homeless and uninsured and underinsured minors receiving care in the Medical center's school health clinic.
2. NEEDS ASSESSMENT:	MONTEFIORE ASSESSES COMMUNITY NEEDS BY: A) COMMUNITY ADVISORY BOARDS THE PRIMARY APPROACH USED TO GAIN INPUT AND COMMUNITY INVOLVEMENT IS THROUGH A VARIETY OF COMMUNITY ADVISORY BOARDS (CABS). MONTEFIORE MEDICAL CENTER works EXTENSIVELY WITH REPRESENTATIVES OF THE COMMUNITIES THROUGH THE CABS TO IDENTIFY HEALTH CARE NEEDS AND DETERMINE THE APPROPRIATE CONFIGURATION OF SERVICES. ON A REGULAR BASIS, MONTEFIORE REPORTS TO THESE VARIOUS COMMUNITY GROUPS ON THE Medical Center's performance and services, the status of programs, financial and utilization statistics, and the plans for and implementation of community services, and plans for the future. B) COMMUNITY SERVICES COMMMITTEE MONTEFIORE HEALTH SYSTEM HAS A BOARD COMMITTEE, THAT IS FOCUSED ON COMMUNITY SERVICES. IT IS RESPONSIBLE FOR OVERSEEING MONTEFIORE'S COMMUNITY SERVICES AND COMMUNITY BENEFIT ACTIVITIES TO ENSURE THEY ARE FORMULATED TO FACILITATE THE FULFILLMENT OF THE MEDICAL CENTER'S MISSION AND MEET THE NEEDS OF THE COMMUNITY. THE COMMITTEE MEETS REGULARY TO BECOME FAMILIAR WITH AND ASSESS MONTEFIORE'S community service programs AND THE EXTENT TO WHICH THEY ADDRESS AND MAKE A MEANINGFUL IMPACT ON PRESSING COMMUNITY NEEDS. THE COMMITTEE WORKS CLOSELY WITH MONTEFIORE LEADERSHIP AND/OR RELEVANT BOARD COMMITTEES THAT ARE RESPONSIBLE FOR OVERSEEING THE MEDICAL CENTER'S MISSION TO ASSESS AND IMPROVE THE HEALTH OF THE COMMUNITIES SERVED. C) PARTNERSHIPS AND COLLABORATIONS BEYOND THE FORMAL STRUCTURE THAT MONTEFIORE HAS ESTABLISHED TO GAIN INPUT from THE COMMUNITIES IT SERVES, THE MEDICAL CENTER PARTICIPATES IN A VARIETY OF ORGANIZED PARTNERSHIPS AND COLLABORATIVES, WORKING WITH OTHER PROVIDERS IN THE BRONX, THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE, COMMUNITY-BASED ORGANIZATIONS IN THE BRONX AND MEMBERS OF THE COMMUNITY IN PLANNING AND DEVELOPING INITIATIVES AIMED AT IMPROVING THE HEALTH OF PEOPLE IN THE BRONX. EXAMPLES OF SUCH Partnerships INCLUDES: - THE BRONX HEALTH LINK - THE BRONX RHIO - THE BRONX COLLABORATIVE - THE BRONX BREATHES INITIATIVE - THE BRONX HIV PLANNING COUNCIL - SOUTH BRONX ENVIRONMENTAL JUSTICE PARTNERSHIP (SBEJP) - CITIWIDE HARM REDUCTION PROGRAM - BRONX COMMUNITY PALLIATIVE CARE INITIATIVE - BRONX SCIENCE AND HEALTH OPPORTUNITIES PARTNERSHIP - HISPANIC CENTER OF EXCELLENCE - BRONX CENTER TO REDUCE AND ELIMINATE ETHNIC AND RACIAL HEALTH DISPARITIES (BRONX CREED). D) The office of community and population health Montefiore continues to partner with a variety of community-based organizations to work to advance the health of the community. The Montefiore Office of Community and Population Health was set up to maximize the impact of the Medical Center's community services and helps to assess community needs by its various initiatives, including, - supporting and coordinating Montefiore's diverse portfolio of community health improvement programs and activities; - enhancing Montefiore's capacity to assess and measure the health needs of the communities it serves; - Identifying and selecting a limited number of top-priority health needs in the communities Montefiore serves for specific focus; - Leading and coordinating Montefiore-wide efforts and working with community partners to measurably improve the health of the communities served; - The to your Health! Program, a community and worksite wellness initiative seeking to reduce the growing burden of chronic disease in the community through a number of public health programs to educate patients, visitors, staff and local residents on how to live healthier lives. Through collaborations with local community based organizations, the Office of Community Health will identify specific interventions that can be worked on both collaboratively and independently to transform the community health. Using data collected through Montefiore, the District Public Health Office and other sources, the impact on the community health by the particular intervention can than be measured and analyzed.
3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:	ALL INTAKE, REGISTRATION, AND COLLECTION AGENCY STAFF IS TRAINED ON THE Medical CENTER'S FINANCIAL AID POLICY AND HOW TO PROVIDE PATIENTS WITH assistance. MONTEFIORE MEDICAL CENTER HAS A POLICY THAT ESTABLISHES guidelines for THE BILLING OFFICE TO FOLLOW WHEN WORKING WITH INDIVIDUALS WHO are HAVING DIFFICULTY PAYING THEIR MEDICAL BILLS. A REFERRAL IS MADE TO THE MEDICAL CENTER'S FINANCIAL AID OFFICE AND A Financial COUNSELOR WILL HELP THE PATIENT APPLY FOR FREE OR LOW-COST insurance. IF THE FINANCIAL COUNSELOR DETERMINES THAT THE PATIENT DOES not qualify FOR LOW-COST INSURANCE, the counselor WILL HELP THE patient APPLY FOR A FINANCIAL AID DISCOUNT BASED ON INCOME LEVEL. THE MEDICAL CENTER MAKES ITS FINANCIAL AID POLICY KNOWN TO THE PUBLIC BY providing WRITTEN INFORMATION AVAILABLE IN multiple languages (English, Spanish, Albanian, Arabic, Bengali, Chinese, French, Russian & Vietnamese) including brochures AT all patient service areas, information posted on the intranet and internet, and information sent out on patient's bills. THERE ARE ALSO SIGNS POSTED AT entranceways, in the Emergency Department, Admitting Office, Billing and Medicaid offices and other registration and waiting area ADVISING PATIENTS OF THE availability of Financial aid.
4. COMMUNITY INFORMATION:	THE MEDICAL CENTER HAS OUTREACH SERVICES RESPONDING TO THE HEALTH CARE and social NEEDS THROUGHOUT THE BRONX AND SOUTHERN WESTCHESTER. IT HAS become a MAJOR COMMUNITY RESOURCE TO A POPULATION WHICH IS AMONG THE country's most ECONOMICALLY AND SOCIALLY DISADVANTAGED and to a community that is full of great challenges. The Bronx, with its 1.43 million residents, is ranked the poorest urban county in the country, leads the nation in rates of diabetes and obesity and other chronic conditions, and leads New York City in a list of significant markers: people in "fair or poor health", low birth weight, teen pregnancy, children in poverty, disabled individuals and families living below the poverty level. The Bronx has a poverty rate of 28% (compared to 15.9% city-wide), household median income of $37,397 (compared to $56,942 in Brooklyn, $64,509 in Queens, $79,201 in Staten Island and $85,071 in Manhattan) and one of the highest child poverty rates in the United States with 40% of Bronx children living below poverty; the eight highest proportion for any county in the United States, and the highest for any urban county. THE BRONX IS ALSO THE YOUNGEST county IN NEW YORK STATE WITH a median age of 33.6 and 25.3% of its population under the age of 18. The Bronx has the 4th highest proportion of single-parent headed households with children (59.5%) among US counties. The Bronx is one of the most diverse counties in the nation; 56.2% are Hispanic/Latino, 29.0% are non-Hispanic Black, 9.1% are non-Hispanic white, and 3.8% are non-Hispanic Asian. More than one-third (36.4%) of Bronx residents were born outside of the U.S. The Bronx was NYC's first borough to have a majority of people of color and is the only borough with a Latino majority. COMMUNITY HEALTH PROFILES OF THE BRONX SHOW POOR HEALTH STATUS, HIGHER than AVERAGE INCIDENCE AND PREVALENCE OF HIV AND TUBERCULOSIS, POORER than average BIRTH OUTCOMES, WORSE THAN AVERAGE ACCESS TO PRIMARY CARE, and high HOSPITAL ADMISSION RATES FOR DIABETES, CARDIOVASCULAR, cerebrovascular, PERIPHERAL VASCULAR AND RENAL DISEASES. The Bronx has been an epicenter of the asthma, HIC/Aids and drug epidemics and also has excess mortality rates from heart disease, stroke, and diabetes compared to city-wide and national averages. As Bronx mortality rates remain significantly high, the number of physicians practicing in the Bronx continues to decrease earning the county a federal health professional shortage area (HPSA) designation.
5. PROMOTION OF COMMUNITY HEALTH:	MONTEFIORE IS A LEADER IN COMMUNITY HEALTH AND HAS A LONG HISTORY OF DEVELOPING INNOVATIVE APPROACHES TO CARE AND TAILORING PROGRAMS TO BEST SERVE THE CHANGING NEEDS OF ITS COMMUNITY. MONTEFIORE EMBRACES ITS SOCIAL responsibility AND DEFINES ITS ROLE BROADLY, PROMOTING WELLNESS IN ADDITION TO TREATING DISEASE AND ADDRESSING NEEDS RANGING FAR BEYOND MEDICAL CARE. MONTEFIORE EXTENDS THIS RESPONSIBILITY TO THE CARE OF ITS EMPLOYEES AND MEDICAL STAFF, many WHOM LIVE IN THE SURROUNDING COMMUNITY. THE POPULATION MONTEFIORE SERVES IS ONE OF THE MOST DIVERSE IN THE NATION. MONTEFIORE HAS BEEN AN INCUBATOR FOR PROGRAMS THAT IMPROVE PATIENTS' ACCESS TO CULTURALLY APPROPRIATE SERVICES, AND ITS PROGRESSIVE FINANCIAL AID POLICY AND ROBUST ENTITLEMENT ENROLLMENT PROGRAM SUPPORT ACCESS TO CARE FOR THOSE IN NEED. HISTORICALLY, MONTEFIORE HAS EMBRACED COMMUNITY SERVICE AND COMMUNITY HEALTH IMPROVEMENT AS A DELIVERY SYSTEM CHALLENGE, REACHING OUT TO SERVE THE UNDER-RESOURCED THROUGH ITS EXTENSIVE PRIMARY CARE DELIVERY SYSTEM, INCLUDING A NUMBER OF FEDERALLY-QUALIFIED COMMUNITY HEALTH CENTERS (FQHC). IN ADDITION, MONTEFIORE HAS DEVELOPED A WIDE RANGE OF SERVICES TARGETED TO SPECIFIC GROUPS IN NEED: THE YOUNG, THE ELDERLY, THE HIV INFECTED AND AFFECTED, THE MENTALLY ILL, THOSE STRUGGLING WITH SUBSTANCE USE, HOMELESSNESS AND VIOLENCE AND THOSE LIVING WITH CHRONIC DISEASES. THE MEDICAL CENTER HAS MAINTAINED AND EXPANDED ITS RANGE OF COMMUNITY SERVICES, REACHING OUT TO AND SERVING POPULATIONS WITH UNMET HEALTH CARE NEEDS, INCLUDING: - THOSE WITH POOR ACCESS TO COMPREHENSIVE CARE - UNDERSERVED, AT-RISK AND HARD TO REACH CHILDREN & THEIR FAMILIES - UNDERSERVED AND AT-RISK SENIOR CITIZENS - THOSE AFFECTED BY CANCER - THOSE AFFECTED BY THE CONTINUING HIV EPIDEMIC IN THE BRONX - PERSONS WITH OR AT-RISK FOR TUBERCULOSIS INFECTION - PERSONS AFFECTED WITH PROBLEMS OF SUBSTANCE ABUSE - THE HOMELESS - ADULTS AND CHILDREN WITH LIMITED ACCESS TO PRIMARY DENTAL CARE - THOSE AFFECTED BY CHRONIC HEALTH CARE DISEASE SUCH AS CONGESTIVE HEART FAILURE, DIABETES AND ASTHMA. THE MEDICAL CENTER RUNS PROGRAMS for COMMUNITY HEALTH SERVICES THAT ARE AMONG THE NATION'S MOST EXTENSIVE PROVIDING PRIMARY CARE TO UNDERSERVED POPULATIONS including: - MONTEFIORE'S NETWORK OF PRIMARY CARE CENTERS IN THE BRONX INCLUDING SEVERAL FEDERALLY-QUALIFIED HEALTH CARE CENTERS (FQHC) PROVIDES ACCESS TO high QUALITY PRIMARY HEALTH CARE SERVICES AND A VARIETY OF PRACTICE-BASED AND COMMUNITY OUTREACH PROGRAMS TO SOME OF THE NATION'S POOREST AND MOST underserved COMMUNITIES. - MONTEFIORE OPERATES ONE OF THE NATION'S LARGEST PROGRAMS OF SCHOOL-BASED PRIMARY CARE, SERVING over 15,000 STUDENTS AT 32 ELEMENTARY, middle AND HIGH SCHOOLS IN THE BRONX, PROVIDING OVER 42,900 MEDICAL, MENTAL HEALTH, DENTAL, REPRODUCTIVE AND HEALTH PROMOTION SERVICES. THIS MODEL PROGRAM IS ABLE TO PROVIDE SERVICES TO ALL STUDENTS IN THESE SCHOOLS, INCLUDING THE ROUGHLY HALF OF ALL STUDENTS WITHOUT INSURANCE. - MONTEFIORE PROVIDES much NEEDED HEALTH CARE SERVICES TO HOMELESS CHILDREN AND FAMILIES IN VARIOUS LOCATIONS IN THE BRONX AND THROUGHOUT NEW YORK CITY USING A FLEET OF MOBILE MEDICAL UNITS AND A MOBILE DENTAL UNIT AND USING TEAMS OF PROFESSIONALS PROVIDING SERVICES WITHIN HOMELESS AND DOMESTIC VIOLENCE SHELTERS. MONTEFIORE PROVIDES COMPREHENSIVE CARE AND A RANGE OF INNOVATIVE PROGRAMS for HIGH-RISK CHILDREN IN THE BRONX, INCLUDING: - A HIGHLY REGARDED PREVENTION, COUNSELING AND TREATMENT PROGRAM FOR ABUSED CHILDREN AND THEIR FAMILIES, BASED IN MONTEFIORE'S CHILD ADVOCACY CENTER. - A NATIONALLY RECOGNIZED LEAD POISONING PREVENTION, SCREENING AND TREATMENT PROGRAM SERVING POPULATIONS AT HIGHEST RISK FOR LEAD POISONING. Its SAFE HOUSE IS A MODEL HOUSING PROGRAM TO SHELTER FAMILIES OF CHILDREN WITH HIGH LEAD LEVELS WHILE THEIR DWELLINGS ARE MADE LEAD FREE. - AN INNOVATIVE, MULTI-LEVEL PROGRAM OF CARE FOR CHILDREN WITH AND AT-RISK FOR OBESITY AND DIABETES, INCLUDING INITIATIVES IN THE SCHOOL-BASED HEALTH CENTERS, IN THE COMMUNITY-BASED PRIMARY CARE SITES AND AT THE CHILDREN'S HOSPITAL division AT MONTEFIORE (CHAM). - HEALTH PROFESSIONS EDUCATION PROGRAMS FOR HIGH SCHOOL STUDENTS CONDUCTED IN COLLABORATION WITH AREA HIGH SCHOOLS. THE MEDICAL CENTER OPERATES ONE OF THE NATION'S LARGEST AND MOST COMPREHENSIVE PROGRAMS FOR THE DIAGNOSIS, CARE AND ONGOING MANAGEMENT OF POPULATIONS WITH AND AT-RISK FOR HIV INFECTION, INCLUDING: - A HOSPITAL-BASED, STATE-DESIGNATED COMPREHENSIVE AIDS CENTER THAT SERVES INDIVIDUALS WITH HIV/AIDS WITH A BROAD PROGRAM OF AMBULATORY AND INPATIENT CARE. - A COMMUNITY-BASED PROGRAM THAT SERVES INDIVIDUALS WITH HIV/AIDS, OPERATING IN THE MEDICAL CENTER'S PRIMARY CARE SITES. - LONGSTANDING PROGRAMS FOCUSED ON THE PREVENTION, EARLY IDENTIFICATION AND ONGOING CARE AND MANAGEMENT OF CHILDREN AND ADOLESCENTS WITH OR AT RISK FOR HIV INFECTION. - AN INNOVATIVE PROGRAM OF OUTREACH HIV PRIMARY AND SPECIALTY CARE SERVICES, THAT ARE LOCATED IN MONTEFIORE'S SUBSTANCE ABUSE TREATMENT PROGRAM, WHICH SERVES OPIATE-ADDICTED INDIVIDUALS, HALF OF WHOM ARE HIV-INFECTED, IN SEVERAL DRUG TREATMENT CENTERS LOCATED THROUGHOUT THE BRONX. THIS SERVICE INFRASTRUCTURE HAS PROVEN INVALUABLE IN MOUNTING EFFECTIVE PUBLIC HEALTH, DIAGNOSIS AND CARE PROGRAMS RESPONDING TO THE TWO OTHER INFECTIOUS DISEASE EPIDEMICS THAT HAVE ALSO AFFLICTED THE BRONX: TUBERCULOSIS AND HEPATITIS-C infection. MONTEFIORE PROVIDES A WIDE RANGE OF ON-SITE AND OUTREACH PROGRAMS TO SERVE THE BOROUGH'S FRAIL AND AT-RISK ELDERLY, INCLULDING: - A COMPRHENSIVE, MULTIDISCIPLINARY GERIATRIC AMBULATORY PRACTICE, INCLUDING GERIATRIC MEDICINE AND GERIATRIC PSYCHIATRY, SOCIAL SERVICES, PHARMACY AND NUTRITIONAL COUNSELING, WITH SERVICE SITES IN THE EAST AND WEST BRONX; - AN AGING AND MEMORY CENTER THAT PROVIDES ASSESSMENTS, AMBULATORY CARE AND HOME VISITS BY GERIATRIC PSYCHIATRISTS; - ONE OF THE NATION'S LARGEST HOSPITAL-BASED HOMECARE PROGRAMS, PROVIDING IN-HOME SERVICES TO INNER CITY SENIORS LIVING IN NEIGHBORHOODS THAT ARE AMONG THE COUNTRY'S MOST DISADVANTAGED; - AN EXTENSIVE PROGRAM TO IDENTIFY, PREVENT AND RESPOND TO SUSPECTED ELDER ABUSE; - PHYSICIAN HOME VISIT PROGRAMS SERVING THE ELDERLY LIVING IN PUBLICLY SUBSIDIZED HOUSING PROJECTS ACROSS THE BRONX, A PROGRAM MOUNTED IN PARTNERSHIP WITH THE NYC HOUSING AUTHORITY AND LOCAL COMMUNITY AND SOCIAL services AGENCIES IN "NATURALLY OCCURRING RETIREMENT COMMUNITIES - AN INNOVATIVE FEDERALLY-FUNDED DEMONSTRATION PROGRAM THAT USES A COMBINATION OF CARE AND CASE MANAGEMENT, A PHYSICIAN HOME VISITING PROGRAM, HOME-BASED TELEMONITORING AND PATIENT/FAMILY SUPPORT TO MANAGE AND IMPROVE THE CARE AND HEALTH OF SENIORS IDENTIFIED BY CMS AS THEIR "HIGH-COST BENEFICIARIES" (MEDICARE BENEFICIARIES WITH COMPLEX MEDICAL AND PSYCHOSOCIAL NEEDS). THE DEPARTMENT OF OB-GYN AND WOMEN'S HEALTH IS INVOLVED IN A RANGE OF PROGRAMS FOCUSED ON THE HEALTH NEEDS OF WOMEN IN THE BRONX AND SURRROUNDING COMMUNITIES that INCLUDES PARTNERING WITH NY STATE, NY CITY AND LOCAL PROVIDERS in THE DEVELOPMENT OF A REGIONAL PERINATAL SYSTEM IN THE BRONX, WHICH HAS one of THE COUNTRY'S HIGHEST RATES OF INFANT MORTALITY AND DISABILITY AND LOW BIRTH WEIGHT. MONTEFIORE AS A COMMUNITY LEADER IS RESPONDING TO THE UNIQUE AND PRESSING needs OF ITS COMMUNITY reflected in various outreach programs: - THE MONTEFIORE-EINSTEIN CANCER CARE OPERATES THE COMMUNITY OUTREACH PROGRAM, A RESEARCH BASED CANCER PREVENTION, EDUCATION, AND SUPPORT PROGRAM THAT PROVIDES SUPPORT AND EDUCATIONAL SERVICES TO PATIENTS, FAMILIES, STAFF, AND COMMUNITY MEMBERS FACING THE CHALLENGES OF CANCER. THE CENTER ALSO PARTICIPATES IN CANCER SCREENING, CANCER EDUCATION AND AWARENESS, AND SUPPORT PROGRAMS. - MONTEFIORE'S COMMUNITY DENTISTRY PROGRAM PROVIDES DENTAL SERVICES TO A multitude OF UNDERSERVED AND MEDICALLY COMPROMISED PATIENTS AT ON-SITE DENTAL FACILITIES, ONE COMMUNITY SITE, AND THE INFECTIOUS DISEASE CLINIC AT THE MOSES DIVISION. A MOBILE DENTAL VAN PROVIDES MOBILE DENTAL SERVICES TO THE UNDERSERVED AT A VARIETY OF MONTEFIORE PRIMARY CARE SITES ACROSS THE BRONX. - MONTEFIORE has been DESIGNATED BY NY STATE AS ONE OF FOUR DIABETES CENTERS OF EXCELLENCE IN THE STATE. MONTEFIORE HAS IMPLEMENTED A COMPREHENSIVE ARRAY OF PROGRAMS RESPONDING TO THE "NEXT EPIDEMIC" IN THE BRONX: THE EXTRAORDINARILY HIGH AND INCREASING RATES OF DIABETES AND OBESITY AND THE COMMON CARDIOVASCULAR COMPLICATIONS AND COMORBIDITIES. MONTEFIORE IS TAKING A NETWORK-WIDE QUALITY IMPROVEMENT APPROACH TO ORGANIZING AND IMPROVING THE PREVENTION, CARE AND MANAGEMENT OF THIS DISEASE CLUSTER, IN ITS PRIMARY CARE AND SCHOOL-BASED SITES, IN ITS SPECIALTY SERVICES AND HOSPITAL divisions. Montefiore has taken a leadership position in neighborhood and community development, creating and supporting the Mosholu Preservation Corporation (MPC). MPC is a community redevelopment corporation that has successfully rehabilitated housing stock in the depressed neighborhoods in the northwest Bronx and has been involved in a number of economic de
6. AFFILIATED HEALTH CARE SYSTEM:	Montefiore Medical Center IS AN AFFILIATE OF MONTEFIORE HEALTH SYSTEM, INC. The Health System is a leader in community and population health and has a long history of developing innovative approaches to care and tailoring programs to best serve the changing needs of its community. These include, but are not limited to the following: Community service plan, Community Service Strategy, Accountable Care Organization, Patient-centered medical home, disease management programs and community outreach. The integration of these innovative approaches supports Montefiore well in its provision of service to the community. See line 5, Promotion of Community Health, for how the Health System along with Montefiore Medical Center promotes community Health.
7. STATE FILING OF COMMUNITY BENEFIT REPORT:	Montefiore Medical Center files a Community Service Plan with the State of New York.

Schedule H (Form 990) 2021

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

2021

Open to Public
Inspection

Name of the organization
MONTEFIORE MEDICAL CENTER

Employer identification number
13-1740114

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	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) Albert Einstein College of Medicine 1300 morris park avenue bronx,NY10468	83-0621846	501(c)(3)	94,750,000				operating subsidies
(2) jacobi medical center 1400 pelham parkway Bronx,NY10461	13-2655001	501(c)(3)	235,228				grant subrecipient
(3) Bronx Overall Economic Development 851 Grand Concourse Bronx,NY10451	13-3079387	501(c)(3)	18,500				Sponsorship
(4) Renewal of Life Inc 5904 13th Avenue Brooklyn,NY11219	90-0772896	501(c)(3)	20,000				Sponsorship
(5) Wildlife Conservation Society 2300 Southern Blvd Bronx,NY10460	13-1740011	501(c)(3)	50,000				Sponsorship
(6) United Hospital Fund 1411 Broadway 12th Fl New York,NY10018	13-1562656	501(c)(3)	35,000				sponsorship
(7) Coalition to Protect America's Health Care PO Box 30211 Bethesda,MD20824	52-2253225	501(c)(4)	58,750				Donation
(8) Children's Health Fund 215 west 125th street New York,NY10027	13-3468427	501(c)(3)	15,000				Sponsorship
(9) Mosholu Montefiore Community Ctr 3450 Dekalb Ave Bronx,NY10467	13-3622107	501(c)(3)	10,000				Sponsorship
(10) Golf Fore Africa Inc 32531 N Scottsdale Rd Scottsdale,AZ85266	26-1753089	501(c)(3)	12,000				Sponsorship
(11) NYU FORENSIC MEDICINE SUPPORT FUND 520 FIRST AVENUE NEW YORK,NY10016	13-5562308	501(c)(3)	25,000				CONTRIBUTION
(12) ST JOHN'S RIVERSIDE HOSPITAL 967 NORTH BROADWAY YONKERS,NY10701	13-1740126	501(C)(3)	25,000				SPONSORSHIP
(13) MEDICARE RIGHTS CENTER 520 EIGHTH AVENUE NEW YORK,NY10018	13-3505372	501(C)(3)	10,000				SPONSORSHIP
(14) ST JOSEPH'S HEALTH FUND 127 SOUTH BROADWAY YONKERS,NY10701	13-3833645	501(C)(3)	40,000				SPONSORSHIP
(15) THE BRONX TOURISM COUNCIL 851 GRAND CONCOURSE BRONX,NY10451	13-3079387	501(C)(3)	20,000				SPONSORSHIP
(16) NEW YORK CITY HEALTH & HOSPITALS CORP 160 WATER STREET NEW YORK,NY10038	13-2655001	501(C)(3)	161,365				GRANT SUBRECIPIENT
(17) HERBERT H LEHMAN COLLEGE FOUNDATION 250 BEDFORD PARK BLVD WEST BRONX,NY10468	13-3150922	501(c)(3)	10,000				SPONSORSHIP
(18) THE COUNTY CHAMBER OF COMMERCE INC 800 WESTCHESTER AVENUE RYE BROOK,NY10573	13-1701636	501(c)(6)	10,000				SPONSORSHIP
(19) ALZHEIMERS ASSOCIATION INC 2 JEFFERSON PLAZA POUGHKEEPSIE,NY12601	13-3039601	501(c)(3)	7,500				SPONSORSHIP
(20) MONTEFIORE NYACK HOSPITAL FOUNDATION 160 NORTH MIDLAND AVENUE NYACK,NY10960	13-3245804	501(C)(3)	15,000				SPONSORSHIP
(21) THE LEUKEMIA & LYMPHOMA SOCIETY INC 3 LANDMARK SQUARE STAMFORD,CT06901	13-5644916	501(C)(3)	10,000				SPONSORSHIP
(22) BRONX CARE HEALTH SYSTEM 1276 FULTON AVENUE BRONX,NY10456	13-1974191	501(C)(3)	154,402				GRANT SUBRECIPIENT
(23) Mary Mitchell Family and Youth Center 2007 Mapes Avenue Bronx,NY10460	13-3385032	501(c)(3)	12,000				Sponsorship
(24) National September 11 Memorial & Museum 200 Liberty Street New York,NY10281	61-1745872	501(c)(3)	10,000				Sponsorship
(25) The Emmes Corporation 401 N Washington Street Rockville,MD20850	54-1058268		21,984,343				grant subrecipient
(26) NEW YORK CITY POLICE FOUNDATION INC 555 FIFTH AVENUE NEW YORK,NY10017	13-2711338	501(C)(3)	150,000				SPONSORSHIP
(27) MAYOR'S FUND TO ADVANCE NEW YORK CITY 253 BROADWAY NEW YORK,NY10007	13-3783906	501(C)(3)	25,000				SPONSORSHIP
(28) NEW YORK'S FINEST BASEBALL CLUB INC PO BOX 1270 NEW YORK,NY10028	30-0158222		100,000				SPONSORSHIP
(29) THE VALERIE FUND 2101 MILBURN AVENUE MAPLEWOOD,NJ07040	22-2126867	501(c)(3)	25,000				SPONSORSHIP
(30) The New Bronx Chamber of Commerce 1200 Walters Place Bronx,NY10461	37-1443165	501(c)(6)	10,000				Sponsorship
(31) ECOG-ACRIN MEDICAL RESEARCH FOUNDATION INC 1818 MARKET STREET PHILADELPHIA,NY19103	46-0745339	501(C)(3)	41,706				GRANT SUBRECIPIENT
(32) VELLORE CHRISTIAN MEDICAL COLLEGE FDN INC 475 RIVERSIDE DRIVE NEW YORK,NY10115	13-2735359	501(C)(3)		1,010,408	COST	donation of PPE	COVID relief

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) 2021

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

Schedule I, Part I, Line 2

The procedure for monitoring subrecipients of federal awards for compliance is to obtain and review the subrecipient's audited Circular A-133 single Audit report which includes their respective schedule of expenditures to ensure that funds are being used for their intended purpose. The Medical Center also provides support to various organizations as part of its many local community health program endeavors. Contributions and sponsorships are made to deserving charitable organizations in support of Montefiore's mission of advancing the health and welfare of the communities that we serve.

Schedule I (Form 990) 2021

Additional Data

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" 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

2021

Open to Public Inspection

Name of the organization

MONTEFIORE MEDICAL CENTER

Employer identification number

13-1740114

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 .....

Yes

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? ....

Yes

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

Yes

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

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

Yes

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) 2021

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, 1099-MISC compensation, and/or 1099-NEC			(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)
1ROBERT MICHLER MD CHAIR-Surg/Cardiothoracic Surg	(i) (ii)	4,272,044 ------------- 0	6,545 ------------- 0	3,048 ------------- 0	17,000 ------------- 0	28,194 ------------- 0	4,326,831 ------------- 0	0 ------------- 0
2SUSAN GREEN-LORENZEN RN System Senior VP-OPERations	(i) (ii)	0 ------------- 1,123,952	0 ------------- 538,700	0 ------------- 907,590	0 ------------- 17,000	0 ------------- 28,467	0 ------------- 2,615,709	0 ------------- 0
3Christopher Panczner Asst Sec.-SVP & Gen Counsel	(i) (ii)	0 ------------- 931,462	0 ------------- 181,700	0 ------------- 352,591	0 ------------- 17,000	0 ------------- 10,174	0 ------------- 1,492,927	0 ------------- 0
4PHILIP O OZUAH MD PHD President & CEO	(i) (ii)	0 ------------- 2,874,648	0 ------------- 3,800,000	0 ------------- 737,783	0 ------------- 882,200	0 ------------- 28,017	0 ------------- 8,322,648	0 ------------- 0
5Joseph De Rose MD Dir Min Invasive Robotic Surg	(i) (ii)	1,489,889 ------------- 0	141,254 ------------- 0	0 ------------- 0	17,000 ------------- 0	26,708 ------------- 0	1,674,851 ------------- 0	0 ------------- 0
6Daniel Goldstein MD Vice Chair-Cardiothoracic Surg	(i) (ii)	1,497,300 ------------- 0	116,744 ------------- 0	1,032 ------------- 0	17,000 ------------- 0	2,958 ------------- 0	1,635,034 ------------- 0	0 ------------- 0
7STEVEN SAFYER MD former officer	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 2,989,448	0 ------------- 0	0 ------------- 0	0 ------------- 2,989,448	0 ------------- 2,888,454
8COLLEEN M BLYE Exec VP & CFO	(i) (ii)	0 ------------- 1,435,458	0 ------------- 681,200	0 ------------- 2,698,155	0 ------------- 17,000	0 ------------- 12,236	0 ------------- 4,844,049	0 ------------- 2,106,332
9Emad Eskandar MD Chair-Neurological Surgery	(i) (ii)	1,988,458 ------------- 0	0 ------------- 0	1,032 ------------- 0	17,000 ------------- 0	28,724 ------------- 0	2,035,214 ------------- 0	0 ------------- 0
10PETER P SEMCZUK SVP-EXEC DIR MOSES & WAKEFIELD	(i) (ii)	1,001,493 ------------- 0	300,000 ------------- 0	347,560 ------------- 0	279,592 ------------- 0	28,194 ------------- 0	1,956,839 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2021

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
Schedule J, Part I, Line 1a	One officer traveled first class as provided for under Medical center policy. All such travel was for Medical Center business purposes, accordingly, the cost of such travel was not included in taxable income. Schedule J, Part I, Line 4a In 2021, Steven Safyer, M.D., a former Officer, was paid $2,989,448 in severance from a related organization that was accrued and reported as deferred compensation at the present value in the organization's 2019 990.
Schedule J, Part I, Lines 3, 4b & Part II - Columns (B)(i), (ii) and (iii)	As it relates to compensation from Montefiore Medicine Academic Health System, Inc. and Montefiore Health System, Inc. for all officers and key employees: The Compensation Committee reviews and approves all forms of compensation and benefits provided to each executive with the assistance of a national independent compensation consulting firm. The consulting firm assists the Compensation Committee with its decision-making process to ensure executive compensation levels are reasonable and appropriate relative to those of other similar organizations. Base salaries in Column B(i) are determined based on competitive market practices for comparable positions with similar sized organizations and scope of responsibilities. Bonus and incentive compensation in Column B(ii) is based on the achievement of performance goals. The executives' compensation program has a significant pay-at-risk component to ensure the alignment of pay and organizational performance. Goals are set in advance in areas such as quality of patient care, patient satisfaction, community services and financial performance. Compensation is at risk if the goals established by the Compensation Committee are not met. Other reportable compensation in column B(III) includes distributions from the supplemental executive retirement plan. In a manner designed to qualify for the "rebuttable presumption of reasonableness" the Compensation Committee of the Board of Trustees expressly reviewed and approved these retirement benefit arrangements for senior executives in a manner that qualified under the intermediate sanctions rules of the Federal tax law, and in recognition of (a) the executives' years of service to the organization and (b) the significant contributions to enhancing the ability of the organization to achieve its charitable mission in a manner consistent with financial solvency. Accordingly, this benefit should be viewed as applying to years of service for the organization. Pooled Supplemental Executive Retirement Plan distributions based on multiple years of service: Susan Green-Lorenzen, R.N. - $885,004 Philip O. Ozuah, M.D., PH.D. - $701,991 Christopher Panczner - $318,597 Colleen Blye - $2,696,632 of which $2,106,332 was accrued in prior years 990s as deferred compensation. The Health System also funds a nonqualifying defined contribution SERP plan. An officer and one of the five highest compensated of the organization currently participates in this plan. Contributions are at a fixed percentage of base salary or total cash compensation (base salary plus annual incentive award). A notional balance is developed for each participant that is the total of contributions less distributions (interest is not accrued). On January 1 following the third, sixth and ninth anniversaries of each participant's participation date, 50% of the remaining SERP account becomes vested and is paid out if the participant is employed on that date. On January 1 following the twelfth anniversary of each participant's participation date, the remainder of the SERP account becomes fully vested and is paid out. If a participant reaches age 65 before their twelfth anniversary of their participation date, their SERP account balance will become fully vested on the later of the first of the month following their 65th birthday or the third anniversary of their participation date. SERP account balances will also become fully vested upon the earliest of death or disability while employed by Montefiore, involuntary termination without cause or if Montefiore chooses to terminate the plan. During 2021, a distribution from the plan was paid out to one of the five highest compensated individual and reported as part of his Other compensation in column (B)(III): Peter Semczuk - $325,526. Unvested contributions made to the plan in 2021 were reported as deferred compensation in column (C) for the officer and one of the five highest compensated as follows: Philip O. Ozuah, M.D., PH.D. - $865,200; Peter Semczuk - $262,592.
Schedule J, Part II - Compensation from related organizations	All officers and key employees of Montefiore Medical Center are paid by either Montefiore Medicine Academic Health System, Inc., the parent company of Montefiore Health System, Inc. or Montefiore Health System, Inc., the parent of Montefiore Medical Center. The organization, in turn, reimburses the health systems for its expenses through the membership fees that are assessed for each of the benefitting entities.
Schedule J, Part I, Line 7	The annual incentive award in column (B)(II) paid by the organization to the five highest compensated individuals was based on management discretion.
Schedule J, Part II, Column B(iii) (Other Compensation)	Colleen Blye, an officer of the organization, compensation was higher than normal in 2021 due to a pay-out of $2,698,155 from a related organization defined Benefit SERP plan. She first became vested in 2021 and the distribution represents earnings from multiple years of service to the Health System reported previously, in part, as deferred compensation in prior years 990s.

Schedule J (Form 990) 2021

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

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

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
MONTEFIORE MEDICAL CENTER

Employer identification number
13-1740114

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	DORMITORY AUTHORITY OF THE STATE OF NEW YORK	14-6000293	649902V83	10-14-2010	19,400,000	CONSTRUCTION PROJECT		X		X	X
B	DORMITORY AUTHORITY OF THE STATE OF NEW YORK	14-6000293	64990E2Y2	09-16-2016	13,002,448	FACILITY IMPROVEMENTS		X		X		X
C	DORMITORY AUTHORITY OF THE STATE OF NEW YORK	14-6000293	64990GGH9	08-01-2018	341,889,620	REFINANCE/REFUND OF PRIOR ISSUES		X		X		X
D	DORMITORY AUTHORITY OF THE STATE OF NEW YORK	14-6000293	64990GZS4	02-02-2020	397,922,270	Facility Improv/Refund Prior issue		X		X		X
	Dormitory Authority of the State of New York	14-6000293	000000000	01-30-2017	33,685,553	IT SYSTEM IMPLEMENTATION		X		X		X
	DORMITORY AUTHORITY OF THE STATE OF NEW YORK	14-6000293	000000000	06-29-2017	17,827,755	EQUIPMENT LEASING		X		X		X
	DORMITORY AUTHORITY OF THE STATE OF NEW YORK	14-6000293	000000000	12-12-2017	9,990,258	EQUIPMENT LEASING		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	7,845,700		1,891,081		0		0
2 Amount of bonds legally defeased ..............	0		0		0		0
3 Total proceeds of issue ..................	19,400,000		13,343,651		351,842,551		399,639,732
4 Gross proceeds in reserve funds .............	0		0		0		0
5 Capitalized interest from proceeds .............	0		0		0		0
6 Proceeds in refunding escrows ...............	0		0		0		0
7 Issuance costs from proceeds ...............	97,877		22,614		3,521,580		3,006,021
8 Credit enhancement from proceeds .............	0		0		0		2,459,248
9 Working capital expenditures from proceeds .............	0		0		0		0
10 Capital expenditures from proceeds .............	18,987,378		0		0		271,374,932
11 Other spent proceeds .............	314,745		13,321,037		348,320,971		121,082,069
12 Other unspent proceeds .............	0		0		0		0
13 Year of substantial completion .............	2010		2018		1998		2021
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........		X		X	X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X	X			X
16 Has the final allocation of proceeds been made? ..........	X		X		X			X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X	X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?						X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0.441 %		0.036 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........					0 %		0 %
6 Total of lines 4 and 5 .............					0.441 %		0.036 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X	X		X		X
b Exception to rebate? ........		X		X	X			X
c No rebate due? .........	X			X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X		X

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........	0		0		0		0
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........	0		0		0		0
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
Mortgages & Facility Improvements - Part I, Bond B Issue Date	The bonds were issued 9/16/2016 and were floated until the organization closed on the mortgage loan with DASNY in December 2018.
Mortgages & Facility Improvements - Part I, Bond C Description of Purpose	Current issue refunded prior tax exempt debt (6/17/93, 12/22/05, 2/7/08 and 10/1/14) and taxable debt (7/29/09, 5/19/11, 5/12/16 and 11/2/16).
Mortgages & Facility Improvements - Part I, Bond D Description of Purpose	The bond proceeds were used for both new construction and capital improvements as well as a refund of a prior bond issue. Part of the current proceeds refunded a prior tax exempt debt (6/27/2018) that was issued to refund the original 4/19/13 tax-exempt debt issue. Mortgages & Facility Improvements - Bond A proceeds - Part II, line 3 DASNY's $562,510,000 State personal income tax revenue bond (general purpose), series 2010E, provided financing for several borrowers. Of this amount, $19,400,000 represented the amount of the bond proceeds originally allocated to Yeshiva University. The remaining balance on the Yeshiva debt was assumed by Montefiore Medical Center in 2015 when the Medical center took over the operations of the DOSA Program.
Mortgages & Facility Improvements - Bond B Proceeds - Part II, line 3	The total proceeds do not agree to the issue price in Part 1, column (e) due to investment earnings. Mortgages & Facility Improvement - Bond C Proceeds - Part II, Line 3 The total proceeds do not agree to the issue price in Part 1, column (e) due to investment earnings. Mortgages & Facility Improvement - Bond D Proceeds - Part II, Line 3 The total proceeds do not agree to the issue price in Part 1, column (e) due to investment earnings.
Mortgages & Facility Improvements - Part III, Bonds C & D, Line 3b	Management contracts relating to the financed property are reviewed internally by in-house counsel and referred to bond counsel for further review as needed.
Mortgages & Facility Improvements - Arbitrage - Part IV, Bond A, Line 2c 1	The rebate computation was performed 12/18/18.

Schedule K (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

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

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
MONTEFIORE MEDICAL CENTER

Employer identification number
13-1740114

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	DORMITORY AUTHORITY OF THE STATE OF NEW YORK	14-6000293	649902V83	10-14-2010	19,400,000	CONSTRUCTION PROJECT		X		X	X
B	DORMITORY AUTHORITY OF THE STATE OF NEW YORK	14-6000293	64990E2Y2	09-16-2016	13,002,448	FACILITY IMPROVEMENTS		X		X		X
C	DORMITORY AUTHORITY OF THE STATE OF NEW YORK	14-6000293	64990GGH9	08-01-2018	341,889,620	REFINANCE/REFUND OF PRIOR ISSUES		X		X		X
D	DORMITORY AUTHORITY OF THE STATE OF NEW YORK	14-6000293	64990GZS4	02-02-2020	397,922,270	Facility Improv/Refund Prior issue		X		X		X
	Dormitory Authority of the State of New York	14-6000293	000000000	01-30-2017	33,685,553	IT SYSTEM IMPLEMENTATION		X		X		X
	DORMITORY AUTHORITY OF THE STATE OF NEW YORK	14-6000293	000000000	06-29-2017	17,827,755	EQUIPMENT LEASING		X		X		X
	DORMITORY AUTHORITY OF THE STATE OF NEW YORK	14-6000293	000000000	12-12-2017	9,990,258	EQUIPMENT LEASING		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	7,845,700		1,891,081		0		0
2 Amount of bonds legally defeased ..............	0		0		0		0
3 Total proceeds of issue ..................	19,400,000		13,343,651		351,842,551		399,639,732
4 Gross proceeds in reserve funds .............	0		0		0		0
5 Capitalized interest from proceeds .............	0		0		0		0
6 Proceeds in refunding escrows ...............	0		0		0		0
7 Issuance costs from proceeds ...............	97,877		22,614		3,521,580		3,006,021
8 Credit enhancement from proceeds .............	0		0		0		2,459,248
9 Working capital expenditures from proceeds .............	0		0		0		0
10 Capital expenditures from proceeds .............	18,987,378		0		0		271,374,932
11 Other spent proceeds .............	314,745		13,321,037		348,320,971		121,082,069
12 Other unspent proceeds .............	0		0		0		0
13 Year of substantial completion .............	2010		2018		1998		2021
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........		X		X	X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X	X			X
16 Has the final allocation of proceeds been made? ..........	X		X		X			X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X	X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?						X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0.441 %		0.036 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........					0 %		0 %
6 Total of lines 4 and 5 .............					0.441 %		0.036 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X	X		X		X
b Exception to rebate? ........		X		X	X			X
c No rebate due? .........	X			X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X		X

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........	0		0		0		0
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........	0		0		0		0
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
Mortgages & Facility Improvements - Part I, Bond B Issue Date	The bonds were issued 9/16/2016 and were floated until the organization closed on the mortgage loan with DASNY in December 2018.
Mortgages & Facility Improvements - Part I, Bond C Description of Purpose	Current issue refunded prior tax exempt debt (6/17/93, 12/22/05, 2/7/08 and 10/1/14) and taxable debt (7/29/09, 5/19/11, 5/12/16 and 11/2/16).
Mortgages & Facility Improvements - Part I, Bond D Description of Purpose	The bond proceeds were used for both new construction and capital improvements as well as a refund of a prior bond issue. Part of the current proceeds refunded a prior tax exempt debt (6/27/2018) that was issued to refund the original 4/19/13 tax-exempt debt issue. Mortgages & Facility Improvements - Bond A proceeds - Part II, line 3 DASNY's $562,510,000 State personal income tax revenue bond (general purpose), series 2010E, provided financing for several borrowers. Of this amount, $19,400,000 represented the amount of the bond proceeds originally allocated to Yeshiva University. The remaining balance on the Yeshiva debt was assumed by Montefiore Medical Center in 2015 when the Medical center took over the operations of the DOSA Program.
Mortgages & Facility Improvements - Bond B Proceeds - Part II, line 3	The total proceeds do not agree to the issue price in Part 1, column (e) due to investment earnings. Mortgages & Facility Improvement - Bond C Proceeds - Part II, Line 3 The total proceeds do not agree to the issue price in Part 1, column (e) due to investment earnings. Mortgages & Facility Improvement - Bond D Proceeds - Part II, Line 3 The total proceeds do not agree to the issue price in Part 1, column (e) due to investment earnings.
Mortgages & Facility Improvements - Part III, Bonds C & D, Line 3b	Management contracts relating to the financed property are reviewed internally by in-house counsel and referred to bond counsel for further review as needed.
Mortgages & Facility Improvements - Arbitrage - Part IV, Bond A, Line 2c 1	The rebate computation was performed 12/18/18.

Schedule K (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)

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

2021

Open to Public Inspection

Name of the organization

MONTEFIORE MEDICAL CENTER

Employer identification number

13-1740114

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(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) 2021

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) Paula Marcus	Family Member of Steven Safyer, M.D., Former officer	147,462	Employment		No
(2) Theresa P Ozuah	Family Member of Philip O. Ozuah, M.D., Ph.D, officer & Trustee	200,546	Employment		No
(3) Jaime M Butler	Family Member of James M. Butler, Chair of the Board	138,919	Employment		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990) 2021

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

2021

Open to Public Inspection

Name of the organization

MONTEFIORE MEDICAL CENTER

Employer identification number

13-1740114

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....	X	13	0
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	8	142,559	current market value
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
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?

Yes

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) (2021)

Page 2

Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
Schedule M, Part I, line 1	During 2021, the Medical Center received various donations of artwork. There was no revenue reported On Form 990, Part VIII, Statement of Revenue, line 1g, for these donations as allowed under SFAS 116 for artworks not capitalized and held for public exhibition rather than financial gain.
Schedule M, Part I, line 9	There were 8 contributions of stock donations received in 2021 by the organization.

Schedule M (Form 990) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

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

2021

Open to Public
Inspection

Name of the organization

MONTEFIORE MEDICAL CENTER

Employer identification number

13-1740114

Return Reference	Explanation
Form 990, Part III, Line 3:	The organization ceased conducting care management services associated with its former disregarded entity, CMO the Care Management Company, LLC (CMO). As of 1-1-21 there was a membership change, whereby Montefiore Consolidated Ventures, Inc. became the sole member of CMO. For 2021, the CMO activities are no longer included as part of the Medical Center's total activities as a result of this membership change.
Form 990, Part VI, Section A, Line 6:	Montefiore Health System, Inc. is the sole member of Montefiore Medical Center.
Form 990, Part VI, Section A, Line 7A:	The board of trustees of Montefiore Health System, Inc., the sole member of Montefiore Medical Center, has the authority to appoint 49 percent of the Board of trustees of Montefiore Medical Center. The other 51 percent of the Board is elected by the Board of Trustees of the Medical Center from a slate of candidates approved by the sole member.
Form 990, Part VI, Section A, Line 7B:	The board of trustees of Montefiore Health System, Inc., the sole member of Montefiore Medical Center, has the authority to approve the operating and capital budgets of Montefiore Medical Center.
Form 990, Part VI, Section B, Line 11B:	THE FORM 990 WAS PREPARED BY THE MONTEFIORE'S FINANCE DEPARTMENT WITH THE assistance OF VARIOUS DEPARTMENTS THROUGHOUT THE MEDICAL CENTER. THE FORM 990 was REVIEWED AND APPROVED BY THE VICE PRESIDENT-FINANCE AND THE MEDICAL Center's SENIOR LEADERSHIP TEAM INCLUDING THE CHIEF FINANCIAL OFFICER. IN addition, AN INDEPENDENT ACCOUNTING FIRM WAS ENGAGED TO REVIEW THE FORM 990. UPON COMPLETION OF THE VARIOUS REVIEWS, THE FORM 990 WAS PRESENTED TO THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES FOR REVIEW AND APPROVAL. ONCE approved BY THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES, THE FORM 990 WAS PROVIDED TO ALL MEMBERS OF MONTEFIORE MEDICAL CENTER'S GOVERNING BODY before filing.
Form 990, Part VI, Section B, Line 12C:	The organization regularly and consistently monitors and enforces compliance with the disclosure policy by means of a survey developed by counsel and approved by the Legal and Compliance Committees of the BOARD of Trustee. The survey is sent to all trustees, officers and key employees for completion. All survey responses are reviewed by the Compliance Officer. Any potential conflicts identified in the responses are discussed with senior management and/or the Legal and Compliance committees of the Board of Trustees. Potential actions to be taken in response to a conflict is one or more of the following: 1)disclosure of conflict; 2)individual recusal from decisions for transactions where that individual may have a conflict; 3)request the individual to alleviate the conflict; OR 4)removal of the individual from the board of trustees.
Form 990, Part VI, Section B, Line 15A & Line 15B:	All officers and Key Employees are employed and paid by either Montefiore Medicine Academic Health System, Inc. or Montefiore Health System, Inc., the parent company of Montefiore Health System, Inc. and Montefiore Medical Center, respectively. Montefiore is committed to ensuring that its executive compensation program adheres to the highest standards of regulatory compliance and best corporate governance. The Montefiore Board of Trustees has charged the Compensation Committee of the Board (which is comprised of independent Board members with no conflicts of interest in regards to executive compensation) with making all decisions related to compensation for officers and certain key employees. All decisions made by the Compensation Committee are appropriately and timely documented in meeting minutes. The compensation committee's review process follows the intermediate Sanctions guidelines for qualifying for the rebuttable presumption of reasonableness. The Committee retains an independent compensation consultant to assist it with this process. Compensation levels are established considering data for comparable organizations, an assessment of management performance (including the services provided to the community), and other business judgment factors, consistent with Montefiore's executive compensation philosophy. The Committee's decisions are made in the best interest of Montefiore, and are intended to ensure the recruitment and retention of key executive talent, consistent with the market practices of other not-for-profit healthcare organizations of comparable scope, mission and complexity. On an annual basis, the Committee provides the full Board of Trustees with a description of the Committee's review and approval process and its decisions.
Form 990, Part VI, Section C, Line 19:	THE CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS and Montefiore Medical Center's audited consolidated financial statements ARE MADE AVAILABLE UPON REQUEST.
Form 990, Part IX, Line 11E	The organization did not report any expense for fundraising services on line 11E of Part IX, Statement of Functional Expenses. The expense for the Professional Fundraiser ($75,000) contracted to provide event planning, production and fundraising services in connection with the organization's remote Gala event was included in the fundraising expenses reported on line 8B in Part VIII, Statement of Revenue.
Form 990, Part XI, Line 9:	The Other reduction in net assets of $122,101,917 were due to equity transfers to affiliates ($125,396,750) and a net assets transfer for membership change of a disregarded entity ($18,200,357) offset partially by a $21,495,190 decrease in defined pension and other postretirement plan liabilities to be recognized in future periods.

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

Cat. No. 51056K

Schedule O (Form 990) 2021

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

2021

Open to Public Inspection

Name of the organization

MONTEFIORE MEDICAL CENTER

Employer identification number

13-1740114

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) Montefiore Proton Acquisition LLC 111 East 210th St Bronx,NY10467 27-3994795	Proton Ther	NY	0	7,016,009	MMC
(2) MONTEFIORE HUDSON VALLEY COLLABORATIVE 111 EAST 210TH STREET BRONX,NY10467 47-3389736	Perform Prov	NY	27,354,164	14,866,131	MMC

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(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)MMC Corporation 111 East 210th street bronx,NY10467 13-3430322	real estate	NY	501(c)(3)	12A Type I	MMC	Yes
(2)MMC Residential Corp I Inc 3411 Wayne Avenue bronx,NY10467 91-1943271	staff housing	NY	501(c)(2)		MMC	Yes
(3)Montefiore Hosp Housing Section II Inc 3450 wayne avenue bronx,NY10467 23-7160641	staff housing	NY	501(c)(2)		MMC	Yes
(4)Mosholu Preservation Corporation 3400 reservoir oval East bronx,NY10467 13-3109387	Community Ser	NY	501(c)(3)	12A type I	MMC	Yes
(5)Montefiore Health System Inc 555 South Broadway BLDG A FL 1 Tarrytown,NY10591 20-1615393	PARENT	NY	501(c)(3)	12B type II	MMAHS	Yes
(6)Montefiore New Rochelle Hospital 16 Guion Place New Rochelle,NY10801 46-2931956	Hospital	NY	501(c)(3)	3	MHS	Yes
(7)Montefiore Mount Vernon Hospital 12 North Seventh Avenue Mount Vernon,NY10550 46-2916938	Hospital	NY	501(c)(3)	3	MHS	Yes
(8)Schaffer Extended Care Center 16 Guion Place New Rochelle,NY10801 46-2929888	Nursing Home	NY	501(c)(3)	3	MHS	Yes
(9)MONTEFIORE FOUNDATION INC 111 EAST 210TH STREET BRONX,NY10467 47-1600439	Inactive	NY	501(c)(3)	7	MMAHS	Yes
(10)MONTEFIORE MEDICINE ACADEMIC HEALTH SYST 555 SOUTH BROADWAY BLDG A FL 1 TARRYTOWN,NY10591 47-1582973	System Parent	NY	501(C)(3)	12B Type II	NA	Yes
(11)MONTEFIORE NYACK HOSPITAL 160 NORTH MIDLAND AVENUE NYACK,NY10960 13-1740119	HOSPITAL	NY	501(C)(3)	3	MHS	Yes
(12)White Plains Hospital Medical Center 41 East Post Road White Plains,NY10601 13-1740130	Hospital	NY	501(c)(3)	3	MHS	Yes
(13)AECOM Student Housing Co Inc 1300 Morris Park Avenue Bronx,NY10461 23-7075620	Student Hous	NY	501(C)(2)		AECOM	Yes
(14)Montefiore CERC Operations Inc 111 East 210th Street Bronx,NY10467 47-4853506	Rehab Center	NY	501(c)(3)	3	MMC	Yes
(15)White Plains Hospital Ctr Fdn Inc 41 East Post Road Davis Ave White Plains,NY10601 13-3281507	FUNDRAISING	NY	501(c)(3)	12A TYPE I	WPHMC	Yes
(16)Montefiore Nyack Hospital Foundation 160 North Midland Avenue Nyack,NY10960 13-3245804	FUNDRAISING	NY	501(c)(3)	7	Nyack Hosp	Yes
(17)The Winifred Masterson Burke Rehab Hosp 785 Mamaroneck Avenue White Plains,NY10605 13-1739937	Rehab Hosp	NY	501(c)(3)	3	MHS	Yes
(18)St Luke's Cornwall Hospital 70 Dubois Street Newburgh,NY12550 14-1340054	Hospital	NY	501(c)(3)	3	MHS	Yes
(19)Hudson Vista Medical PC 70 Dubois Street Newburgh,NY12550 45-2526738	Healthcare	NY	501(c)(3)	12A Type I	SLCH	Yes
(20)Hudson Vista Physician Services PC 70 Dubois Street Newburgh,NY12550 27-2020746	Healthcare	NY	501(c)(3)	12A Type I	SLCH	Yes
(21)St Luke's Cornwall Health System Inc 70 Dubois Street Newburgh,NY12550 22-3026261	Holding Comp	NY	501(c)(3)	12A Type I	MHS	Yes
(22)St Luke's Cornwall Health System Fdn 70 Dubois Street Newburgh,NY12550 22-3026263	Fundraising	NY	501(c)(3)	7	SLCHS	Yes
(23)MONTEFIORE MED ACAD HLTH SYS SELF INS TR 555 SOUTH BROADWAY TARRYTOWN,NY10591 82-4019223	INS TRUST	NY	501(C)(3)	12A TYPE I	MMAHS	Yes
(24)ALBERT EINSTEIN COLLEGE OF MEDICINE 1300 MORRIS PARK AVENUE BRONX,NY10461 83-0621846	MED COLLEGE	NY	501(C)(3)	2	MMAHS	Yes
(25)Montefiore Community Services Inc 111 East 210th Street Bronx,NY10467 86-3368007	Healthcare	NY	501(C)(3)	3	MMC	Yes
(26)MONTEFIORE EINSTEIN ADVANCED CARE 555 South Broadway Tarrytown,NY10591 86-3090734	HEALTHCARE	NY	501(C)(3)	3	MHS	Yes
(27)MONTEFIORE ACTION FUND INC 111 EAST 210TH STREET BRONX,NY104672401 87-2215301	SOCIAL AGENCY	NY	501(C)(4)		MHS	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2021

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?		(k) Percentage ownership
(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	(k) Percentage ownership

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	(h) Percentage ownership	Yes	No
(1) The Montefiore IPA Inc 111 East 210th street bronx,NY10467 13-4114915	Integ Provr Assoc	NY	NA	c corp				Yes
(2) MMC GI Holdings East Inc 111 East 210th street bronx,NY10467 72-1610013	holding company	NY	NA	c corp				Yes
(3) MMC GI Holdings West Inc 111 East 210th street bronx,NY10467 72-1610015	holding company	NY	NA	c corp				Yes
(4) Montefiore Behavioral Care IPA No 1 inc 111 East 210th street bronx,NY10467 13-3952750	Integ provr assoc	NY	NA	c corp				Yes
(5) BRONX ACCOUNTABLE Care Network IPA Inc 111 EAST 210TH STREET BRONX,NY10467 30-0689571	Integ Provr Assoc	NY	NA	C CORP				Yes
(6) MONTEFIORE CONSOLIDATED VENTURES INC 111 EAST 210TH STREET BRONX,NY10467 61-1728539	holding company	NY	NA	C CORP				Yes
(7) MONTEFIORE INSURANCE COMPANY INC 111 EAST 210TH STREET BRONX,NY10467 32-0436594	Inactive	NY	na	C CORP				Yes
(8) HUDSON VALLEY IPA INC 111 EAST 210TH STREET BRONX,NY10467 38-3978087	INTEG PROVR Assoc	NY	NA	C CORP				Yes
(9) MONTEFIORE INNOVATIONS INC 111 EAST 210TH STREET BRONX,NY10467 47-5106910	HOLDING COMPANY	NY	na	C CORP				Yes
(10) HIGHLAND MEDICAL PC 160 NORTH MIDLAND Avenue NYACK,NY10960 13-4034481	Healthcare Serv.	NY	NA	C CORP				Yes
(11) WHITE PLAINS MEDICAL DIAGNOSTIC SERV PC 41 EAST POST ROAD WHITE PLAINS,NY10601 45-3164626	Healthcare Serv	NY	NA	C CORP				Yes
(12) CANCER & BLOOD MEDICAL SERV of NY PC 41 EAST POST ROAD WHITE PLAINS,NY10601 46-2021804	Healthcare Serv.	NY	NA	C CORP				Yes
(13) DAVIS AVENUE CORP DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS,NY10601 13-3331643	Property holding	NY	na	C CORP				Yes
(14) WHITE PLAINS MANAGEMENT CO INC 41 EAST POST ROAD WHITE PLAINS,NY10601 13-3331641	Property holding	NY	na	C CORP				Yes
(15) WPHC BUILDING CORP 41 EAST POST ROAD WHITE PLAINS,NY10601 13-3676932	Property holding	NY	NA	C CORP				Yes
(16) UNIVERSITY BEHAVIORAL ASSOCIATES INC 111 EAST 210TH STREET BRONX,NY10467 13-3877781	Management Serv.	NY	NA	C CORP				Yes
(17) White Plains Medical Services PC Davis Avenue at East Post Road White Plains,NY10601 81-5369152	Healthcare Serv.	NY	na	C Corp				Yes
(18) White Plains Physician Services PC Davis Avenue at East Post Road White Plains,NY10601 81-5309615	Healthcare Serv.	NY	na	c corp				Yes
(19) Charitable Remainder Trust (4)	Char Remr Trust	NY	na	Trust				Yes
(20) CRHT ACQUISITION INC 555 SOUTH BROADWAY BLDG A FL 1 TARRYTOWN,NY10591 81-5220651	HOLDING COMPANY	NY	NA	C CORP				Yes
(21) QUANTUM BIOTHERAPEUTICS LLC 111 EAST 210TH STREET BRONX,NY10467 61-1793667	INACTIVE	NY	NA	C CORP				Yes
(22) WHITE PLAINS PHYSICIAN MEDICAL SERV PC DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS,NY10601 83-0519787	INACTIVE	NY	NA	C CORP				Yes
(23) EAST POST ROAD MEDICAL SERVICES PC DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS,NY10601 83-0535258	Healthcare Serv.	NY	NA	C CORP				Yes
(24) EAST POST ROAD PHYSICIAN SERV PC DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS,NY10601 83-0563325	INACTIVE	NY	NA	C CORP				Yes
(25) DAVIS AVENUE MEDICAL SERVICES PC DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS,NY10601 83-0579310	INACTIVE	NY	NA	C CORP				Yes
(26) WPH HOLDINGS INC DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS,NY10601 83-3893119	holding company	NY	NA	C CORP				Yes
(27) Innovator Acqusition Corp 111 East 210th Street Bronx,NY104672401 83-3394059	holding company	NY	NA	C corp				Yes
(28) PY DEVELOPMENT CORP (REIT) 41 EAST POST ROAD DAVID AVE WHITE PLAINS,NY10601 86-3880241	REIT	NY	NA	REIT				Yes
(29) Specialty Surgeons of Connecticut PC 555 South Broadway Tarrytown,NY10591 87-1352135	Healthcare Serv.	CT	NA	C CORP				Yes
(30) CMO The Care Management Company LLC 111 East 210th Street Bronx,NY10467 13-3991307	Care Management	NY	NA	C Corp				Yes

Schedule R (Form 990) 2021

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

Yes

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

Yes

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

Yes

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

Yes

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) .....................

Yes

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) ...................

Yes

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

Yes

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) The Montefiore IPA Inc	L	103,851,453	cost
(2) St Luke's Cornwall Hospital	M	482,648	cost
(3) White Plains Hospital Medical Center	M	1,134,523	cost
(4) MMC RESIDENTIAL CORP I INC	L	62,899	cost
(5) MONTEFIORE HOSPITAL HOUSING SECTION II INC	L	179,347	cost
(6) MONTEFIORE NYACK HOSPITAL	L	1,933,516	COST
(7) MMC CORPORATION	K	11,442,000	cost
(8) MONTEFIORE HOSPITAL HOUSING SECTION II INC	K	185,143	market value
(9) MMC RESIDENTIAL CORP I INC	K	3,016,676	market value
(10) MOSHOLU PRESERVATION CORPORATION	Q	1,226,303	cost
(11) Montefiore Nyack Hospital	M	126,520	cost
(12) MMC RESIDENTIAL CORP I INC	Q	1,910,956	cost
(13) MONTEFIORE HOSPITAL HOUSING SECTION II INC	Q	5,222,870	cost
(14) MONTEFIORE INNOVATIONS INC	Q	1,064,293	cost
(15) MMC GI HOLDINGS EAST INC	Q	380,232	cost
(16) MMC GI HOLDINGS WEST INC	Q	322,524	cost
(17) UNIVERSITY BEHAVIORAL ASSOCIATES Inc	Q	34,213,643	cost
(18) MONTEFIORE HOSPITAL HOUSING SECTION II INC	N	806,133	COST
(19) White Plains Hospital Medical Center	D	98,716,701	Cash
(20) MONTEFIORE HEALTH SYSTEM INC	R	10,000,000	CASH
(21) MONTEFIORE NEW ROCHELLE HOSPITAL	L	2,406,898	COST
(22) MONTEFIORE MOUNT VERNON HOSPITAL	L	2,349,023	COST
(23) SCHAFFER EXTENDED CARE CENTER	L	529,898	COST
(24) White Plains Hospital Medical Center	K	91,461	market rate
(25) MONTEFIORE NEW ROCHELLE HOSPITAL	Q	1,015,702	COST
(26) MONTEFIORE MOUNT VERNON HOSPITAL	Q	92,321	COST
(27) UNIVERSITY BEHAVIORAL ASSOCIATES INC	J	1,740,340	COST
(28) Montefiore Medicine Academic Health System	M	25,151,066	COST
(29) MONTEFIORE HEALTH SYSTEM INC	A	4,504,322	market rate
(30) MONTEFIORE HEALTH SYSTEM INC	O	144,574	COST
(31) MONTEFIORE HEALTH SYSTEM INC	L	73,917	COST
(32) MONTEFIORE HEALTH SYSTEM INC	M	132,867,676	COST
(33) UNIVERSITY BEHAVIORAL ASSOCIATES INC	M	6,562,971	COST
(34) MONTEFIORE HEALTH SYSTEM INC	Q	68,666,259	COST
(35) ALBERT EINSTEIN COLLEGE OF MEDICINE	N	582,951	COST
(36) MONTEFIORE HEALTH SYSTEM INC	S	7,246,200	COST
(37) ALBERT EINSTEIN COLLEGE OF MEDICINE	B	94,750,000	COST
(38) ALBERT EINSTEIN COLLEGE OF MEDICINE	L	2,411,572	COST
(39) ALBERT EINSTEIN COLLEGE OF MEDICINE	Q	7,892,337	COST
(40) MONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM	P	4,760,254	COST
(41) MONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM	Q	5,961,869	COST
(42) White Plains Hospital Medical Center	S	2,734,663	Cash Value
(43) MONTEFIORE INNOVATIONS INC	O	425,817	COST
(44) ALBERT EINSTEIN COLLEGE OF MEDICINE	M	2,147,457	COST
(45) ALBERT EINSTEIN COLLEGE OF MEDICINE	K	250,253	COST
(46) ALBERT EINSTEIN COLLEGE OF MEDICINE	P	5,591,043	COST
(47) The Winifred Masterson Burke Rehab Hospital	J	620,795	Cost
(48) Montefiore Nyack Hospital	S	200,425	Cash
(49) SCHAFFER EXTENDED CARE CENTER	M	1,873,101	cost
(50) MMC CORPORATION	Q	307,926	COST
(51) MONTEFIORE CERC OPERATIONS INC	O	2,793,261	COST
(52) ALBERT EINSTEIN COLLEGE OF MEDICINE	O	22,727,241	COST
(53) MONTEFIORE NEW ROCHELLE HOSPITAL	R	11,000,000	CASH
(54) MONTEFIORE HEALTH SYSTEM INC	J	2,876,339	COST
(55) MONTEFIORE NEW ROCHELLE HOSPITAL	P	308,381	COST
(56) MONTEFIORE HEALTH SYSTEM INC	P	2,118,129	COST
(57) CMO The Care Management Company LLC	M	115,363	Cost
(58) WHITE PLAINS HOSPITAL MEDICAL CENTER	A	5,287,144	Market rate
(59) MMC CORPORATION	A	3,057,245	Market rate
(60) MMC RESIDENTIAL CORP I INC	P	805,305	COST
(61) University Behavioral Associates Inc	O	80,808	COST
(62) ST LUKE'S CORNWALL HOSPITAL	L	2,509,700	COST
(63) THE WINIFRED MASTERSON BURKE REHAB HOSP	M	346,998	COST
(64) WHITE PLAINS HOSPITAL MEDICAL CENTER	L	3,552,980	COST
(65) THE WINIFRED MASTERSON BURKE REHAB HOSP	L	1,400,681	COST
(66) MMC CORPORATION	S	1,563,925	CASH
(67) MONTEFIORE NEW ROCHELLE HOSPITAL	J	1,037,641	MARKET VALUE
(68) MONTEFIORE CERC OPERATIONS INC	Q	1,927,789	COST
(69) THE WINIFRED MASTERSON BURKE REHAB HOSP	K	230,652	MARKET VALUE
(70) CMO The Care Management Company LLC	Q	45,271,017	Cost
(71) CMO The Care Management Company LLC	L	7,343,088	Cost
(72) CMO The Care Management Company LLC	J	2,149,281	Market Value
(73) MONTEFIORE EINSTEIN ADVANCED CARE	Q	84,942	Cost
(74) MONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM	R	330,228	COST

Schedule R (Form 990) 2021

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2021

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) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO HEAL, TO TEACH, TO DISCOVER AND TO ADVANCE THE HEALTH OF THE COMMUNITIES WE SERVE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	37
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	35
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	22,075
6	Total number of volunteers (estimate if necessary) .............	6	344
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	7,606,499
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	559,805,524	200,442,160
9	Program service revenue (Part VIII, line 2g) .........	3,707,158,439	3,980,936,731
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	62,169,693	47,731,539
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	13,551,671	16,331,389
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	4,342,685,327	4,245,441,819
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,747,478	38,282,321
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	2,656,363,421	2,695,357,353
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 4,957,778
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,776,915,375	1,868,607,140
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	4,436,026,274	4,602,246,814
19	Revenue less expenses. Subtract line 18 from line 12.......	-93,340,947	-356,804,995
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	5,446,914,187	4,974,674,006
21	Total liabilities (Part X, line 26).............	4,883,756,837	4,854,398,438
22	Net assets or fund balances. Subtract line 21 from line 20.....	563,157,350	120,275,568

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 3,559,116,799 including grants of $ 0 ) (Revenue $ 3,765,797,405 )
	Patient Care DOING MORE - It's how we created our history of firsts. It's why we developed the world's first transvenous cardiac pacemaker and performed the world's first coronary bypass. Doing more put us at the forefront of treating cancer with highly targeted therapies. It made us one of only a few hospitals in the U.S. performing surgeries on babies before they're born. It built one of the most active and successful transplant centers in the country. Doing more - It's how we are creating the future of healthcare. Established in 1884 as a hospital for patients with chronic illnesses, Montefiore is a full-service integrated healthcare delivery system serving a large and complex urban population, a distinguished academic medical center with renowned faculty, an innovative research center pioneering scientific breakthroughs and medical "firstsan exceptionally dedicated community partner with an unparalleled roster of innovative programs and services that address needs ranging far beyond medical care. Montefiore's mission is to heal, to teach, to discover and to advance the health of the communities it serves. To this mission Montefiore brings a unique synergy of strengths and resources. The Montefiore delivery system offers a full range of healthcare services (preventive, primary, specialty, acute and post acute) to the nearly 2 million residents of the Bronx, New York and nearby Westchester County. Montefiore also serves as a tertiary care referral center for patients across the metropolitan area, the nation and the world, and is known for advanced care in numerous specialties, including cardiology and cardiac surgery, cancer care, children's health, tissue and organ transplantation, women's health, surgery and surgical subspecialties. Montefiore combines its deep commitment to the community with nationally-renowned expertise to reach people at convenient locations. Through the Montefiore School Health Program (the largest and most comprehensive school-based health program in the country), Primary Care at Home programs, mobile medical and dental health vans and health education initiatives, Montefiore provides primary care services in non-traditional settings. Montefiore is increasingly recognized for success in delivering high-quality care to a large urban community, harnessing the power of health information technology and using care management tools to improve quality, safety and outcomes while controlling costs. To help patients, especially those with chronic diseases, achieve a better quality of life and reduced hospitalizations, Montefiore goes beyond the fragmented fee-for-service payment system, assuming total responsibility for the quality and costs of care for some of its sickest patients. Through the Montefiore IPA, Inc. (MIPA), The Care Management Company, LLC (CMO) and Bronx Accountable Healthcare Network IPA, Inc., dba Montefiore Accountable Care Organization IPA (ACO), a global prepayment strategy is used to manage care over the continuum, including hospital care, rehabilitation, outpatient care, professional services, remote patient monitoring and other programs. At the center of the Medical system are six main campuses with a total of 1,558 licensed beds that provided over 78,971 inpatient admissions in 2021, including over 3,763 births and multiple ambulatory services: - The 680 bed Henry and Lucy Moses Division; - the 421 bed Jack D. Weiler Hospital of Albert Einstein College of Medicine; - the 136 bed Children's Hospital at Montefiore, recognized as one of "America's Best Children's Hospitals" in U.S. News & World Report's rankings; - the 321 bed Wakefield Division (formerly the North Division renamed to reflect its anchor role in the community); - Montefiore Westchester Square (The former New York Westchester Square Hospital) operating as a Free standing Emergency Department and Ambulatory Surgery Facility; - The Montefiore Hutchinson Campus - The innovative "hospital without beds" providing world-class treatment with the latest technology and the best of multidisciplinary approach to care, enabling patients to be treated effectively and safely without hospitalization. Montefiore also operates extensive ambulatory care services connected by a robust health information technology system through a network of more than 175 locations - from community-based ambulatory care centers to school-based health centers to mobile clinics: - Montefiore's Emergency Departments, among the busiest in the nation, treats more than 320,000 patients annually (down to 258,399 in 2021 as a result of the COVID pandemic); - The hospital based clinics provides over 423,000 visits a year; - The Physician practices provides more than 1.5 million office visits annually; - Montefiore Medical Group, a network with over 350 distinguished physicians supported by a dedicated team of nurses, health educators and other highly-qualified medical professionals, working at more than 20 community based locations throughout the Bronx and Westchester provides over 650,000 visits a year; - Montefiore Home Care Program provides over 205,000 visits each year to homebound patients; - The Montefiore School Health Program, the largest in the nation, with 32 school-based health centers serves more than 15,000 children annually; - The Montefiore Substance Abuse and Treatment Program operating multiple substance abuse treatment sites offering drug treatment and rehabilitation services and comprehensive primary care to recovering abusers in communities across the Bronx; - Targeted outreach services to at-risk populations including programs serving the homeless and victims of domestic violence, mothers at risk of premature birth, as well as services to homebound and/or fragile seniors in community-based settings throughout the Bronx. At the intersection of Albert Einstein College of Medicine and Montefiore are Centers of Excellence in Cancer Care, Cardiovascular services, the Children's hospital, transplantation and neurosciences. In these centers, renowned investigators and multidisciplinary clinical teams collaborate to develop and deliver the advanced, innovative care available only at premier academic medical centers and the seamless continuum of services that ensures an ideal patient experience. In 2021, Montefiore Medical Center was again at the forefront of the fight against the resurgent waves of the COVID-19 virus that continued relentlessly throughout 2021. The Hospital continued to provide life-saving treatments and therapies to the community along with newfound hope with the advent of the COVID Vaccine. New York State was first hit hardest in early 2020 by the novel coronavirus spreading across the U.S., with more cases and more related deaths per capita than any other state. The Bronx, the main service area of the Medical Center, was the epicenter of this pandemic. In response to the COVID-19 pandemic, the Medical Center quickly and comprehensively integrated telehealth into our service programs to meet the needs of our patients who are largely from high-risk and low-income communities. Telehealth capabilities were rollout to triage patients with COVID-19 symptoms, safely conduct video and voice visits with patients in our ambulatory sites and hospitals and expand ICU communications with physicians who were serving patients with COVID-19 in other parts of the Medical Center. Telehealth has made it possible for medical staff in Montefiore's three hospitals to communicate safely with our ICU command center, staffed by board-certified Critical Care and Pulmonary Physicians at all times, effectively enabling all beds involved in the treatment of COVID-19 to be ICU beds. This technology has ensured remote monitoring of vital signs, ultrasounds, and electrocardiograms for all patients throughout the system, and for consults with other physicians in the role of hospitalists. In addition, the telehealth capabilities in our Psychiatry Department have been beneficial in providing consultations for our physicians and associates in need of assistance in coping with the immense suffering and volume of death they have been facing on a daily basis, and their concerns about exposure for themselves and their families. Montefiore Medical Center is guided by a mission to provide high quality care for all its patients, including those in our service area who lack health insurance coverage and who cannot pay for all or part of the essential care they receive. The Medical Center is committed to maintaining charity care policies that are consistent with its mission and values of advancing the health of the communities that it serves in providing one standard of excellent care to all patients regardless of their background or ability to pay. For more than 100 years, Montefiore has been a leader in innovations, new treatments, new procedures and new approaches to patient care that has produced stellar outcomes and helped to raise the bar for medical centers in the re

4b	(Code: ) (Expenses $ 443,718,754 including grants of $ 22,581,794 ) (Revenue $ 208,323,855 )
	Medical Education & Research Medical Education Montefiore is the University Hospital for Albert Einstein College of Medicine, one of the nation's premier institutions for medical education, basic research and clinical investigations. This strong alignment enables Montefiore to advance clinical and translational research results more rapidly to the bedside and to the medical community, and educate the next generation of physicians, healthcare leaders and investigators. In place are extensive training programs for medical students, residents and fellows. Through the second-largest medical residency program in the country, Montefiore provides postgraduate clinical training to more than 1,250 residents across 89 accredited residency and fellowship programs. Our progressive focus on comprehensive rather than fragmented care provides the ideal training ground for healthcare leaders of the future. To remain on the cutting-edge of training, we develop and expand programs that advance teamwork, communication and decision-making providing the doctors of tomorrow a unique opportunity for education and training in one of the most diverse urban areas in the country caring for a global population where the disease burden is high and the need for quality care is great. These programs, coupled with Montefiore's mission and vision draw residents from top medical schools who are particularly committed to increasing access to excellent care in an underserved population. Montefiore is dedicated to cultivating the ethical and professional development of all of its trainees. Montefiore's physicians are at the forefront of their fields, actively mentoring and cultivating a new generation of physicians and scientists committed to our mission and values of advancing the front line of health and leading the way in twenty-first century medicine and patient care. Montefiore training experience - clinically advanced and grounded in our organizational values of humanity, innovation, teamwork and equity - extends to all disciplines. On an average over 1,750 undergraduate and graduate nursing staff train at Montefiore (down to 202 in 2021 due to the pandemic) as did hundreds of social workers, nutritionists and pharmacists. Montefiore training also extends beyond the graduate level. The Center for Continuing Medical Education (CCME) at Montefiore Medical Center and Albert Einstein College of Medicine, founded in 1976, is accredited by the Accreditation Council for Continuing Medical Education (ACCME). The Center has provided hundreds of CME activities and CME credits to thousands of practitioners. Recognizing the vital importance of developing and embracing innovative techniques and treatments, Montefiore is committed to the utilization of resources for the advancement of physicians' education and delivery of care. Research Montefiore's large biomedical and clinical research initiatives include inquiry into a range of medical and health care delivery issues, including basic research into the fundamental process of disease and its treatment in humans, clinical trials and related clinical research and research into the organization and management of health care services. Montefiore is among 38 academic medical centers nationwide, at that time, to be awarded the Prestigious clinical and translational science award (CTSA) by the National Institutes of Health (NIH). The National Institutes of Health, along with other Federal, State and other funding, supports research in such areas as Aids, Oncology, Pediatrics, Anesthesiology, Emergency Medicine, Neurology, Pathology, Social Medicine and other clinical programs. Montefiore and Einstein are aligned around shared goals, with special emphasis on advancing clinical and translational research to accelerate the pace at which new discoveries become the treatments and therapies of today. At the heart of Montefiore Medical Center's pioneering research initiatives is its unique partnership with Albeert Einstein College of Medicine. Since 1963, Montefiore has served as the University Hospital of Albert Einstein College of Medicine (Einstein), a powerful collaboration between two of the nation's preeminent medical institutions that fosters the creation of knowledge by attracting world-renowned leaders in their fields and promoting opportunities for basic translational and clinical research. This bond was strengthen further in 2015 when Montefiore assumed operational and financial control of the College and, more recently, when Montefiore Medicine Academic Health System, Inc., the parent organization of the Montefiore Health System, Inc., became the sole member of the College. Montefiore and Einstein together have successfully collaborated to secure a National Institute of Health funded $22.5 million clinical and translational Science award to create a research infrastructure to support and promote clinical and translational research. Montefiore researchers are currently involved in more than 500 clinical trials and research studies, helping to translate scientific breakthroughs into cutting edge diagnostics and innovative treatments.

4c	(Code: ) (Expenses $ 118,080,409 including grants of $ 15,700,527 ) (Revenue $ 6,815,471 )
	Community Services Services to the community are an explicit and essential component of Montefiore's mission and one of its most valued traditions. The Medical Center has a long history of reaching beyond the walls of its hospitals to identify and meet the needs of its community and has been a national leader in organizing and expanding community-based services. Montefiore's commitment to the community has required a multifaceted, continually evolving response, in which the unique capacities of the academic medical center are mobilized to improve the lives of the people and the communities served-not just medically, but socially, economically and environmentally, wherever and whenever resources can make a difference. The Medical Center has maintained and expanded its range of community services, reaching out to and serving un-met health needs, including those with poor access to comprehensive primary care, at-risk and hard to reach children and their families, underserved and at-risk senior citizens, those affected by cancer, those affected by the continuing HIV epidemic in the Bronx, persons with or at-risk for tuberculosis infection, persons affected with problems of substance abuse, the homeless, adults and children with limited access to primary dental care and those affected by chronic health care diseases such as congestive heart failure, diabetes and asthma. Embracing its social responsibility to the community, Montefiore is nationally known as a pioneer in programs that are tailored to the specific needs of the community. Montefiore has been in the vanguard of intervention to combat such conditions as HIV disease, tuberculosis and lead poisoning prevention. Montefiore has sharpened the focus on such issues as childhood obesity, diabetes, improving community access to fresh, healthy foods at green markets and reducing healthcare disparities. Montefiore is aligning components of the delivery system to help improve public outcomes and building behavioral and population-based research to identify best practices. The community served by Montefiore, by several measures, faces many challenges. It is ranked the poorest urban county in the country, leads the nation in rates of diabetes and obesity and other chronic conditions and leads New York City in a host of significant markers: people in "fair or poor health", low birth weight, teen pregnancy, children in poverty, disabled individuals and families living below the poverty line. Montefiore is continuously working to help the community maintain a sense of security and economic stability, as well as to improve such quality-of-life fundamentals as education and affordable housing. Montefiore seeks to advance life in the Bronx beyond the traditional bounds of healthcare, by leading development efforts, promoting safe and productive neighborhoods and taking a leadership role in community business development. Montefiore is an advocate and partner with our neighbors in the Bronx, helping to sustain the community that sustains us.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses4,120,915,962

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	11,166,399	19,252,687	1,474,464

1a	Federated campaigns..		1a	423,536
b	Membership dues..		1b
c	Fundraising events..		1c	2,307,003
d	Related organizations		1d	40,000
e	Government grants (contributions)		1e	153,697,840

f	All other contributions, gifts, grants, and similar amounts not included above		1f	43,973,781

g	Noncash contributions included in lines 1a - 1f:$		1g	142,559

h Total. Add lines 1a-1f.......		200,442,160

		Business Code
2a	INPATIENT SERVICES	622000	2,169,950,330	2,169,950,330	0	0
b	OUTPATIENT SVCS INCLUDING HOME HEALTH	621400	1,681,420,328	1,676,953,927	4,466,401	0
c	EQUITY EARNING ON PROGRAM INVESTMENTS	523999	34,112,928	31,809,804	2,303,124	0
d	RESEARCH CONTRACTS	541700	23,987,174	23,987,174	0	0
e	CARE MANAGEMENT HEALTH HOMES	621900	16,184,462	16,184,462	0	0
f	All other program service revenue.		55,281,509	55,190,164	91,345	0
g	Total. Add lines 2a–2f .....		3,980,936,731

3 Investment income (including dividends, interest, and othersimilar amounts) ......			36,741,529	0	135,868	36,605,661
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		4,533,018	6a
b	Less: rental expenses		3,782,178	6b
c	Rental income or (loss)	0	750,840	6c
d	Net rental income or (loss).......			750,840	0	0	750,840
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	13,498,299	6,454,941	7a
b	Less: cost or other basis and sales expenses	8,963,230	0	7b
c	Gain or (loss)	4,535,069	6,454,941	7c
d	Net gain or (loss).........			10,990,010	0	98,760	10,891,250
8a	Gross income from fundraising events (not including $ 2,307,003of contributions reported on line 1c). See Part IV, line 18 ....
			8a	393,830
b	Less: direct expenses ...		8b	549,550
c	Net income or (loss) from fundraising events..			-155,720		0	-155,720
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	PARKING INCOME		812930	5,978,348	0	0	5,978,348
b	CAFETERIA & VENDING MACHINE INCOME		722514	5,275,264	0	0	5,275,264
c	LATE FEES		900099	1,206,105	0	0	1,206,105
d	All other revenue ....			3,276,552	0	511,001	2,765,551
e	Total. Add lines 11a–11d ......			15,736,269
12	Total revenue. See instructions.....			4,245,441,819	3,974,075,861	7,606,499	63,317,299

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	24,339,102	24,339,102
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	13,943,219	13,943,219
4	Benefits paid to or for members .......	0
5	Compensation of current officers, directors, trustees, and key employees ...........	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	485,355	485,355
7	Other salaries and wages........	2,014,825,052	1,856,988,954	155,511,654	2,324,444
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	174,913,136	162,267,598	12,457,448	188,090
9	Other employee benefits .......	360,148,542	334,121,328	25,639,933	387,281
10	Payroll taxes ...........	144,985,268	134,505,307	10,324,053	155,908
11	Fees for services (non-employees):
a	Management ......	9,382,572	9,382,572	0	0
b	Legal .........	8,567,236	3,469,678	5,097,558	0
c	Accounting ...........	647,096	0	647,096	0
d	Lobbying ...........	590,250	590,250	0	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	2,511,749	0	2,511,749	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	204,628,606	163,999,803	40,140,203	488,600
12	Advertising and promotion ....	23,036,050	260,768	22,775,282	0
13	Office expenses .......	170,937,091	126,023,602	44,781,782	131,707
14	Information technology ......	185,132,320	137,584,753	47,506,146	41,421
15	Royalties ..	0
16	Occupancy ...........	234,127,222	219,163,799	14,937,982	25,441
17	Travel ............	5,155,287	4,192,305	934,562	28,420
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	3,305,062	3,123,176	174,686	7,200
20	Interest ...........	14,370,527	14,370,527	0	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	138,292,550	102,987,825	35,301,951	2,774
23	Insurance ...	115,401,232	107,545,243	7,855,989	0
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	641,515,460	640,456,039	1,058,554	867
b	MEMBERSHIP DUES	43,643,838	27,301,828	15,228,536	1,113,474
c	BILLING & COLLECTION	16,985,081	0	16,985,081	0
d	SHARED SERVICES	16,213,145	40,137	16,173,008	0
e	All other expenses	34,164,766	33,772,794	329,821	62,151
25	Total functional expenses. Add lines 1 through 24e	4,602,246,814	4,120,915,962	476,373,074	4,957,778
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 ........			122,652	1	125,462
2	Savings and temporary cash investments .........			833,701,234	2	432,738,271
3	Pledges and grants receivable, net ......			38,712,362	3	30,404,100
4	Accounts receivable, net .............			226,138,123	4	296,718,460
5	Loans and other receivables from 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 ...........			347,925,423	7	425,830,376
8	Inventories for sale or use ............			35,061,433	8	35,932,973
9	Prepaid expenses and deferred charges ......			35,916,974	9	40,233,167
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	3,648,854,034
b	Less: accumulated depreciation	10b	2,516,896,172	1,112,299,087	10c	1,131,957,862
11	Investments—publicly traded securities .			1,618,752,812	11	1,285,208,698
12	Investments—other securities. See Part IV, line 11 .....			337,239,739	12	436,675,473
13	Investments—program-related. See Part IV, line 11 ..			15,809,596	13	18,479,753
14	Intangible assets ...............			430,000	14	430,000
15	Other assets. See Part IV, line 11 ...........			844,804,752	15	839,939,411
16	Total assets. Add lines 1 through 15 (must equal line 33)...			5,446,914,187	16	4,974,674,006

17	Accounts payable and accrued expenses .....	873,793,304	17	852,356,604
18	Grants payable ...	0	18	0
19	Deferred revenue .........	47,082,750	19	32,271,086
20	Tax-exempt bond liabilities .........	790,279,471	20	777,250,137
21	Escrow or custodial account liability. Complete Part IV of Schedule D	141,460	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 ..	1,488,958,324	23	1,584,354,377
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	1,683,501,528	25	1,608,166,234
26	Total liabilities. Add lines 17 through 25..	4,883,756,837	26	4,854,398,438

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	460,958,424	27	19,572,902
28	Net assets with donor restrictions ...........	102,198,926	28	100,702,666
	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 ...........	563,157,350	32	120,275,568
33	Total liabilities and net assets/fund balances ........	5,446,914,187	33	4,974,674,006

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