2024-11-14T16:54:53+00:00 2023-12-31 346565596 ERNST & YOUNG US LLP ONE MANHATTAN WEST NEW YORK NY 100018604 990 2023-01-01 131740114 MONTEFIORE MEDICAL CENTER MONT 9143498455 111 EAST 210TH STREET BRONX NY 104672401 COLLEEN BLYE EXEC V.P. & C.F.O. 9143498455 2024-11-14 true Nicole Sokolowski P01683199 2127733000 2024-11-14 2023 2024-10-15 13:58:12Z PHILIP O OZUAH MD PHD 111 EAST 210TH STREET BRONX NY 104672401 5062740947 false X http://www.montefiore.org/ X 1884 NY TO HEAL, TO TEACH, TO DISCOVER AND TO ADVANCE THE HEALTH OF THE COMMUNITIES WE SERVE. 34 32 22072 1133 10225800 0 186385585 91722258 4328849238 4901267094 59173371 45091324 16483084 19416979 4590891278 5057497655 1400492 2349206 0 2715363809 2923177538 0 6527107 1936479852 2077796182 4653244153 5003322926 -62352875 54174729 4574684802 4597467871 4708503188 4766124678 -133818386 -168656807 MISSION: TO HEAL, TO TEACH, TO DISCOVER AND TO ADVANCE THE HEALTH OF THE COMMUNITIES WE SERVE. VISION: TO BE A PREMIER ACADEMIC MEDICAL CENTER THAT TRANSFORMS HEALTH AND ENRICHES LIVES. VALUES: HUMANITY, INNOVATION, TEAMWORK, DIVERSITY AND EQUITY - OUR VALUES DEFINE OUR PHILOSOPHY OF CARE. THEY SHAPE OUR ACTIONS AND MOTIVATE AND INSPIRE US TO PURSUE EXCELLENCE AND ACHIEVE OUR GOALS. SINCE 1884, MONTEFIORE HAS CARED FOR THE CHRONICALLY ILL AND HAS MADE IT A PRIORITY TO IMPROVE THE QUALITY OF LIFE FOR UNDERSERVED POPULATIONS. THIS FOUNDING BELIEF IS THE CORNERSTONE OF OUR MISSION, VISION AND VALUES. MONTEFIORE'S MISSION IS ROOTED IN OUR ENDURING COMMITMENT TO PROVIDE ONE STANDARD OF EXCELLENT CARE TO ALL PATIENTS REGARDLESS OF THEIR BACKGROUNDS OR ABILITY TO PAY. MONTEFIORE, THE UNIVERSITY HOSPITAL FOR ALBERT EINSTEIN COLLEGE OF MEDICINE, COMBINES NATIONALLY-RENOWNED CLINICAL AND RESEARCH EXPERTISE WITH COMPASSIONATE, PATIENT-CENTERED CARE. false false 3998227906 0 4661219416 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 "FIRSTS AN EXCEPTIONALLY DEDICATED COMMUNITY PARTNER WITH AN UNPARALLELED ROSTER OF INNOVATIVE PROGRAMS AND SERVICES THAT ADDRESS NEEDS RANGING FAR BEYOND MEDICAL CARE. MONTEFIORE'S MISSION IS TO HEAL, TO TEACH, TO DISCOVER AND TO ADVANCE THE HEALTH OF THE COMMUNITIES IT SERVES. TO THIS MISSION MONTEFIORE BRINGS A UNIQUE SYNERGY OF STRENGTHS AND RESOURCES. THE MONTEFIORE DELIVERY SYSTEM OFFERS A FULL RANGE OF HEALTHCARE SERVICES (PREVENTIVE, PRIMARY, SPECIALTY, ACUTE AND POST ACUTE) TO THE NEARLY 2 MILLION RESIDENTS OF THE BRONX, NEW YORK AND NEARBY WESTCHESTER COUNTY. MONTEFIORE 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 ITS 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 78,700 INPATIENT ADMISSIONS IN 2022, INCLUDING OVER 3,800 BIRTHS AND EXTENSIVE AMBULATORY CARE 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 286,000 PATIENTS ANNUALLY; - THE HOSPITAL BASED CLINICS PROVIDES OVER 430,000 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 659,000 VISITS A YEAR; - MONTEFIORE HOME CARE PROGRAM PROVIDES OVER 205,000 VISITS EACH YEAR TO HOMEBOUND PATIENTS; - THE MONTEFIORE SCHOOL HEALTH PROGRAM, THE LARGEST IN THE NATION, WITH 31 SCHOOL-BASED HEALTH CENTERS SERVING MORE THAN 20,500 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. MONTEFIORE MEDICAL CENTER IS GUIDED BY A MISSION TO PROVIDE HIGH QUALITY CARE FOR ALL ITS PATIENTS, INCLUDING THOSE IN OUR SERVICE AREA WHO LACK HEALTH INSURANCE COVERAGE AND WHO CANNOT PAY FOR ALL OR PART OF THE ESSENTIAL CARE THEY RECEIVE. THE MEDICAL CENTER IS COMMITTED TO MAINTAINING CHARITY CARE POLICIES THAT ARE CONSISTENT WITH ITS MISSION AND VALUES OF ADVANCING THE HEALTH OF THE COMMUNITIES THAT IT SERVES IN PROVIDING ONE STANDARD OF EXCELLENT CARE TO ALL PATIENTS REGARDLESS OF THEIR BACKGROUND OR ABILITY TO PAY. FOR MORE THAN 100 YEARS, MONTEFIORE HAS BEEN A LEADER IN INNOVATIONS, NEW TREATMENTS, NEW PROCEDURES AND NEW APPROACHES TO PATIENT CARE THAT HAS PRODUCED STELLAR OUTCOMES AND HELPED TO RAISE THE BAR FOR MEDICAL CENTERS IN THE REGION AND NATIONALLY. AS MONTEFIORE BUILDS ON THIS MOMENTUM AND THESE ACCOMPLISHMENTS, WE CONTINUE TO STRIVE TO ADVANCE THE PRACTICE OF MEDICINE AND SET THE STANDARDS FOR EXCELLENCE. 404924442 798323 240047678 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 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. 83005923 1550883 0 COMMUNITY SERVICES SERVICES TO THE COMMUNITY ARE AN EXPLICIT AND ESSENTIAL COMPONENT OF MONTEFIORE'S MISSION AND ONE OF ITS MOST VALUED TRADITIONS. THE MEDICAL CENTER HAS A LONG HISTORY OF REACHING BEYOND THE WALLS OF ITS HOSPITALS TO IDENTIFY AND MEET THE NEEDS OF ITS COMMUNITY AND HAS BEEN A NATIONAL LEADER IN ORGANIZING AND EXPANDING COMMUNITY-BASED SERVICES. MONTEFIORE'S COMMITMENT TO THE COMMUNITY HAS REQUIRED A MULTIFACETED, CONTINUALLY EVOLVING RESPONSE, IN WHICH THE UNIQUE CAPACITIES OF THE ACADEMIC MEDICAL CENTER ARE MOBILIZED TO IMPROVE THE LIVES OF THE PEOPLE AND THE COMMUNITIES SERVED-NOT JUST MEDICALLY, BUT SOCIALLY, ECONOMICALLY AND ENVIRONMENTALLY, WHEREVER AND WHENEVER RESOURCES CAN MAKE A DIFFERENCE. THE MEDICAL CENTER HAS MAINTAINED AND EXPANDED ITS RANGE OF COMMUNITY SERVICES, REACHING OUT TO AND SERVING UN-MET HEALTH NEEDS, INCLUDING THOSE WITH POOR ACCESS TO COMPREHENSIVE PRIMARY CARE, AT-RISK AND HARD TO REACH CHILDREN AND THEIR FAMILIES, UNDERSERVED AND AT-RISK SENIOR CITIZENS, THOSE AFFECTED BY CANCER, THOSE AFFECTED BY THE CONTINUING HIV EPIDEMIC IN THE BRONX, PERSONS WITH OR AT-RISK FOR TUBERCULOSIS INFECTION, PERSONS AFFECTED WITH PROBLEMS OF SUBSTANCE ABUSE, THE HOMELESS, ADULTS AND CHILDREN WITH LIMITED ACCESS TO PRIMARY DENTAL CARE AND THOSE AFFECTED BY CHRONIC HEALTH CARE DISEASES SUCH AS CONGESTIVE HEART FAILURE, DIABETES AND ASTHMA. EMBRACING ITS SOCIAL RESPONSIBILITY TO THE COMMUNITY, MONTEFIORE IS NATIONALLY KNOWN AS A PIONEER IN PROGRAMS THAT ARE TAILORED TO THE SPECIFIC NEEDS OF THE COMMUNITY. MONTEFIORE HAS BEEN IN THE VANGUARD OF INTERVENTION TO COMBAT SUCH CONDITIONS AS HIV DISEASE, TUBERCULOSIS AND LEAD POISONING PREVENTION. MONTEFIORE HAS SHARPENED THE FOCUS ON SUCH ISSUES AS CHILDHOOD OBESITY, DIABETES, IMPROVING COMMUNITY ACCESS TO FRESH, HEALTHY FOODS AT GREEN MARKETS AND REDUCING HEALTHCARE DISPARITIES. MONTEFIORE IS ALIGNING COMPONENTS OF THE DELIVERY SYSTEM TO HELP IMPROVE PUBLIC OUTCOMES AND BUILDING BEHAVIORAL AND POPULATION-BASED RESEARCH TO IDENTIFY BEST PRACTICES. THE COMMUNITY SERVED BY MONTEFIORE, BY SEVERAL MEASURES, FACES MANY CHALLENGES. IT IS RANKED THE POOREST URBAN COUNTY IN THE COUNTRY, LEADS THE NATION IN RATES OF DIABETES AND OBESITY AND OTHER CHRONIC CONDITIONS AND LEADS NEW YORK CITY IN A HOST OF SIGNIFICANT MARKERS: PEOPLE IN "FAIR OR POOR HEALTH", LOW BIRTH WEIGHT, TEEN PREGNANCY, CHILDREN IN POVERTY, DISABLED INDIVIDUALS AND FAMILIES LIVING BELOW THE POVERTY LINE. MONTEFIORE IS CONTINUOUSLY WORKING TO HELP THE COMMUNITY MAINTAIN A SENSE OF SECURITY AND ECONOMIC STABILITY, AS WELL AS TO IMPROVE SUCH QUALITY-OF-LIFE FUNDAMENTALS AS EDUCATION AND AFFORDABLE HOUSING. MONTEFIORE SEEKS TO ADVANCE LIFE IN THE BRONX BEYOND THE TRADITIONAL BOUNDS OF HEALTHCARE, BY LEADING DEVELOPMENT EFFORTS, PROMOTING SAFE AND PRODUCTIVE NEIGHBORHOODS AND TAKING A LEADERSHIP ROLE IN COMMUNITY BUSINESS DEVELOPMENT. MONTEFIORE IS AN ADVOCATE AND PARTNER WITH OUR NEIGHBORS IN THE BRONX, HELPING TO SUSTAIN THE COMMUNITY THAT SUSTAINS US. 4486158271 true true true true false false true true true true true false true true false false true false false true true false true true false true true true false true true false false false false false false false false true false true false false false true true true false true false true 631 0 true 22072 true true true false false false false true true false false false false true false X 34 32 false false false false true true true true true false true true true true true true true true false false true true NY X EVAN RESNICK 9143498455 555 SOUTH BROADWAY BLDG A FL 1 TARRYTOWN NY 105916301 ALAN M KLEIN SECRETARY (RESIGNED 12/31/2023) 1.0 2.5 X X 0 0 0 CATHERINE KLEMA VICE CHAIR 1.0 3.0 X X 0 0 0 EMANUEL CHIRICO TREASURER 0.8 1.8 X X 0 0 0 JAMES M BUTLER CHAIRMAN 1.3 3.0 X X 0 0 0 PHILIP O OZUAH MD PHD PRESIDENT & CEO 40.8 19.2 X X 0 16314853 46776 ALAN N SUNA TRUSTEE 0.5 0.8 X 0 0 0 ALISA R DOCTOROFF TRUSTEE 0.8 3.3 X 0 0 0 ALLEN M SPIEGEL MD TRUSTEE 0.5 0.8 X 0 0 0 BARRY S BLATTMAN TRUSTEE 0.8 1.8 X 0 0 0 BRUCE DONIGER TRUSTEE 0.5 0.8 X 0 0 0 DANIEL R TISHMAN TRUSTEE 0.5 2.8 X 0 0 0 DAVID A TANNER TRUSTEE (RESIGNED 1/24/2023) 0.5 1.0 X 0 0 0 DAVID B KEIDAN TRUSTEE 0.5 0.8 X 0 0 0 DOUGLAS F EISENBERG TRUSTEE 0.5 0.8 X 0 0 0 EDWIN H STERN III TRUSTEE 0.5 0.8 X 0 0 0 ELLEN BRESLOW NEWHOUSE TRUSTEE 0.5 0.8 X 0 0 0 GAYLE F ROBINSON TRUSTEE 0.8 1.8 X 0 0 0 HELEN A JOHNSON TRUSTEE 0.8 0.8 X 0 0 0 JAY B ABRAMSON TRUSTEE 0.8 2.8 X 0 0 0 JENNIE EMIL TRUSTEE 0.5 0.8 X 0 0 0 JOEL BRAUN TRUSTEE 0.5 0.8 X 0 0 0 JOHN HEFFER TRUSTEE 0.5 1.5 X 0 0 0 JOHN P GUTFREUND TRUSTEE 0.5 0.8 X 0 0 0 JON W ROTENSTREICH TRUSTEE 0.5 0.8 X 0 0 0 JONATHAN A LIPTON TRUSTEE 0.5 1.0 X 0 0 0 LEWIS HENKIND TRUSTEE 0.5 1.8 X 0 0 0 MARGARET S NATHAN TRUSTEE 0.5 0.8 X 0 0 0 MATTHEW H NORD TRUSTEE 0.5 1.0 X 0 0 0 MELISSA CERIALE TRUSTEE 0.8 2.8 X 0 0 0 MICHAEL A STOCKER MD TRUSTEE (RESIGNED 12/31/2023) 0.8 2.8 X 0 0 0 NATHAN GANTCHER TRUSTEE 0.5 2.0 X 0 0 0 PATRICIA BAUMAN TRUSTEE (DECEASED 3/26/2024) 0.5 0.8 X 0 0 0 PATRICIA GREEN TRUSTEE 0.5 0.8 X 0 0 0 RONALD L MOELIS TRUSTEE 0.8 1.3 X 0 0 0 RUTH L GOTTESMAN EDD TRUSTEE 0.5 2.0 X 0 0 0 STACEY R LANE TRUSTEE 0.5 2.0 X 0 0 0 THOMAS L HARRISON TRUSTEE 0.5 0.8 X 0 0 0 CHRISTOPHER PANCZNER ASST SEC.-SVP & GEN COUNSEL 35.7 24.3 X 0 1826063 46882 COLLEEN M BLYE EXEC VP & CFO 36.8 23.2 X 0 3648579 29882 SUSAN GREEN-LORENZEN RN SYSTEM SENIOR VP-OPERATIONS 44.0 16.0 X 0 2712654 46906 DANIEL GOLDSTEIN MD VICE CHAIR-CARDIOTHORACIC SURG 60.0 0.0 X 1704255 0 20284 EMAD ESKANDAR MD CHAIR-NEUROLOGICAL SURGERY 60.0 0.0 X 2348686 0 75732 JOSEPH DE ROSE MD DIR MIN INVASIVE ROBOTIC SURG 60.0 0.0 X 1707686 0 45563 NEIL COBELLI MD CHAIR-DEPT. OF ORTHOPEDICS 60.0 0.0 X 1598276 0 40924 ROBERT MICHLER MD CHAIR-SURG/CARDIOTHORACIC SURG 60.0 0.0 X 4708987 0 78267 12067890 24502149 431216 7551 false true false FASTAFF LLC PO BOX 911452 DENVER CO 80291 TEMPORARY NURSES 25435503 MCKINSEY AND COMPANY INC PO BOX 7247-7255 PHILADELPHIA PA 19170 CONSULTING FEES 25021328 INFOR (US) INC NW 7418 PO BOX 1450 PHILADELPHIA PA 19170 SYSTEM CONVERSION 21828663 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 532880314 SYSTEM CONVERSION 18757103 ALTO NEW YORK CITY LLC 190 N 10TH STREET BROOKLYN NY 11211 FREELANCE SUPPORT 14343939 466 124750 2376461 51904024 37317023 423759 91722258 INPATIENT SERVICES 622000 2722390390 2722390390 OUTPATIENT SVCS INCLUDING HOME HEALTH 621400 2089378796 2083191986 6186810 INTERCOMPANY SHARED SERVICES 561439 24973786 24973786 RESEARCH CONTRACTS 541700 19572245 19572245 CARE MANAGEMENT HEALTH HOMES 621900 10444930 10444930 34506947 31609636 2897311 0 4901267094 45941028 648354 45292674 4375064 4047993 327071 0 327071 327071 -849704 -849704 0 -849704 -36310 -813394 428085 2376461 1195299 -767214 -767214 PARKING INCOME 812930 12753581 12753581 CAFETERIA & VENDING MACHINE INCOME 722514 6335715 6335715 LATE FEES 900099 636948 636948 130878 0 529635 -398757 19857122 5057497655 4892182973 10225800 63366624 2349206 2349206 0 0 0 0 0 0 0 0 0 0 160843 160843 0 0 2225874585 2050964991 171336813 3572781 194787029 180823632 13681503 281894 321234501 290703478 29914661 616362 181120580 167205181 13634474 280925 12373475 12373475 0 0 12870690 6741528 6129162 0 977492 0 977492 0 795000 795000 0 0 0 0 1376833 0 1376833 0 232321164 187086537 44883341 351286 75247665 4398505 70792207 56953 135077955 113171581 21659554 246820 224632123 172754455 51697830 179838 0 0 0 0 260390380 234281670 26079147 29563 8378849 7153837 1134321 90691 0 0 0 0 8883321 8320883 518354 44084 13754914 13754554 360 0 0 0 0 0 143639614 143637170 2444 0 95966411 89193564 6772847 0 MEDICAL SUPPLIES 704043276 702634964 1408087 225 MEMBERSHIP DUES 67478749 43401890 23376492 700367 SHARED SERVICES 38624969 38621559 0 3410 PATIENT TRANSPORTATION 8363364 8363364 0 0 32599938 7266404 25261626 71908 5003322926 4486158271 510637548 6527107 129738 117992 237026891 408956832 74559717 20199513 283238548 441735712 0 0 0 0 417241326 398463471 47324466 55111423 24938493 20999887 3839778503 2806165801 1084984531 1033612702 1037347465 858264989 468564766 533183859 20397072 23742011 430000 430000 878501789 802649480 4574684802 4597467871 978091646 900457370 23102289 26897292 763861238 750217628 0 0 1572053781 1559390877 1371394234 1529161511 4708503188 4766124678 X -236160887 -270238701 102342501 101581894 -133818386 -168656807 4574684802 4597467871 X 54174729 90517435 -179530585 X false true X true true true X 74395294 559366084 200018624 186175585 91597508 1111553095 0 0 74395294 559366084 200018624 186175585 91597508 1111553095 0 1111553095 50355089 52951787 41274547 41750347 50267346 236599116 0 19238951 13418850 15728894 16293082 19857122 84536899 1432689110 0 0.7759 0.7799 X 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, Part II, Line 10 Other Income DESCRIPTION - , COLUMN A - 19238951.0, COLUMN B - 13418850.0, COLUMN C - 15728894.0, COLUMN D - 16293082.0, COLUMN E - 19857122.0, COLUMN F - 84536899.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 795000 false true 1079590 1874590 false 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 AND THE MIRRAM GROUP, LLC FOR NYS AND NYC LOBBYING. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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. X false false false 31925924 24500 99692 273949 31776167 29891338 2000100 88674 54188 31925924 29650213 75956 215116 49947 29891338 28842524 631000 226796 50107 29650213 26473515 18250 2350759 28842524 0.0 0.9197 0.0803 false false 18659261 18659261 2401771805 1692668711 709103094 1294458121 1107350572 187107549 124889316 6146518 118742798 1033612702 MALPRACTICE INSURANCE PROGRAMS 256821669 F ALTERNATIVE INVESTMENTS 224722000 F MANAGED CARE COMPANIES 48816431 F OTHER INVESTMENTS 2823759 F 533183859 AMTS DUE FROM AFFILIATES 287555494 ESTIMATED INSURANCE CLAIMS REC 194870000 SECURITY DEPOSITS 248374 RIGHT OF USE OPER LEASE ASSETS 319217113 PENSION ASSETS 758499 802649480 PENSION & RETIREE HEALTH LIAB. 219081743 MALPRACTICE INSURANCE LIABILITIES 415551955 EMPLOYEE DEFERRED COMP LIABILITIES 99820501 THIRD PARTIES PAYER LIABILITIES 268003567 EST INSURANCE CLAIMS LIABILITIES 194870000 RIGHT OF USE OPER LEASE LIABILITIES 331833745 TRANSFORMATION PROJECT ACCRUED EXP 0 1529161511 Schedule D, Part III, Line 4 Collections of art - description of collections 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 V, Line 4 Intended uses of endowment funds 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. 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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 2022-2024 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. BETWEEN WINTER 2021 THROUGH SUMMER 2022, STAFF OF MONTEFIORE'S OFFICE OF COMMUNITY AND POPULATION HEALTH AND MONTEFIORE'S OFFICE OF GOVERNMENT AND COMMUNITY RELATIONS ENGAGED 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 SOLICITED INFORMATION FROM ELECTED LEADERS THROUGH HEALTH FOCUSED EVENTS 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 THEY REPRESENT. IN ADDITION, MONTEFIORE ALSO PARTICIPATED WITH SEVERAL COALITIONS, MOST NOTABLY THE #NOT 62 COALITION-THE CAMPAIGN FOR A HEALTHY BRONX TO WORK COLLABORATIVELY TO ADDRESS AGREED ON SIGNIFICANT HEALTH ISSUES IMPACTING THE COMMUNITY. THE PREPARATION OF THE 2022-2024 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 PRIMARY DATA FROM A REPRESENTATIVE SAMPLE OF BRONX RESIDENTS ALONG WITH SECONDARY DATA WAS USED TO IDENTIFY THE SIGNIFICANT HEALTH CONCERNS OF THE BRONX COMMUNITY. FOR THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY, MONTEFIORE MEDICAL CENTER PARTICIPATED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY COLLABORATIVE LED BY THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA). THE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY COLLABORATIVE INCLUDED MULTIPLE HEALTH SYSTEMS AND HOSPITALS ACROSS NEW YORK STATE. WORKING WITH THE GNYHA CHNA SURVEY COLLABORATIVE, A SURVEY WAS DEVELOPED AND DISTRIBUTED TO COMMUNITY MEMBERS DURING THE SPRING AND EARLY SUMMER OF 2022 AS THE MAIN METHOD OF PRIMARY DATA COLLECTION. THE SURVEY WAS AVAILABLE ON PAPER AND ELECTRONICALLY THROUGH A SURVEY LINK AND QR CODE AND WAS AVAILABLE IN 10 LANGUAGES. 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. AS WITH THE PREVIOUS COMMUNITY HEALTH ASSESSMENT, MONTEFIORE DID NOT RECEIVE ANY WRITTEN COMMENTS ON THE HOSPITAL'S MOST RECENTLY CONDUCTED CHNA AND IMPLEMENTATION STRATEGY. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - . 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. TWO PRIORITY AREAS WERE IDENTIFIED FOR THE 2022-2024 REPORT 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: 1) PREVENT CHRONIC DISEASES, AND 2) PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN. THE PROGRAMS SELECTED FOR EACH OF THESE PRIORITY AREAS ADDRESS CANCER PREVENTION AND CARE, AND WOMEN'S AND MATERNAL HEALTH CARE WITH A FOCUS ON HEALTH DISPARITIES AND THE SOCIAL DETERMINANTS OF HEALTH. THE FIRST OF THE TWO PRIORITY AREAS IDENTIFIED WAS TO PREVENT CHRONIC DISEASE WITH THE FOCUS ON CANCER PREVENTION AND CARE. THE BRONX FACES A FORMIDABLE CANCER BURDEN. LATE-STAGE DIAGNOSIS OF SCREEN-DETECTABLE CANCERS AT MONTEFIORE EINSTEIN CANCER CARE IN 2020-21 WAS 22.5% WITH RATES EXCEEDING 30% IN SEVERAL NEIGHBORHOODS. THERE IS A NEED FOR SERVICES THAT ADDRESS THE PREVENTION AND MANAGEMENT OF CANCER WITH A FOCUS ON ADDRESSING THE DISPARITIES IN CANCER CARE AND THE OUTCOMES THAT EXIST IN THE BRONX. THE MONTEFIORE EINSTEIN CANCER CENTER COMMUNITY OUTREACH AND ENGAGEMENT TEAM IS CHARGED WITH THE GOAL OF BRING CANCER SCREENING AND EDUCATION TO SOME OF THE MOST UNDERSERVED AND DIFFICULT TO REACH COMMUNITIES IN THE BRONX. THEIR EFFORTS BUILD UPON STRONG RELATIONSHIPS WITH COMMUNITY AND HEALTH SYSTEM PARTNERS WITH ACTIVITIES SPANNING THE ENTIRE CANCER CONTINUUM, FROM PREVENTION AND EARLY DETECTION TO TREATMENT AND SURVIVORSHIP AND END OF LIFE CARE. SIDEWALKS TO SCREENING IS A MAJOR INITIATIVE INTRODUCED IN 2021 TO HELP ENGAGE OR RE-ENGAGE COMMUNITIES IN CANCER SCREENINGS. THIS PROACTIVE APPROACH WAS DEVELOPED WITH INPUT FROM A COMMUNITY ADVISORY BOARD TO ADDRESS THE MANY SOCIAL DETERMINANTS OF HEALTH THAT PREVENT ACCESS OR DETER PEOPLE FROM PREVENTIVE CARE, LEADING TO HIGH RATE OF LATE-STAGE DIAGNOSIS. SOME OF THE INTERVENTIONS BEING TAKEN INCLUDE THE REMOVABLE OF STRUCTURAL BARRIERS TO CANCER SCREENING SUCH AS PROVIDING FLEXIBLE CLINIC HOURS, OFFERING CANCER SCREENING IN NON-CLINICAL SETTINGS, OFFERING ON-SITE TRANSLATION, TRANSPORTATION, PATIENT NAVIGATION AND OTHER ADMINISTRATIVE SERVICES AND WORKING WITH EMPLOYERS TO PROVIDE EMPLOYEES WITH PAID LEAVE OR THE OPTION TO USE FLEX TIME FOR CANCER SCREENING. THE SECOND OF THE TWO PRIORITY AREAS SELECTED WAS TO PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN WITH A FOCUS ON HEALTH DISPARITIES AND THE SOCIAL DETERMINANTS OF HEALTH. AS WITH CHILDREN, HEALTH OUTCOMES FOR MOTHERS ARE LARGELY INFLUENCED BY UNMET SOCIAL NEEDS THAT ARE OUTSIDE THE TRADITIONAL HEALTHCARE SETTING. RACIAL AND ETHNIC DISPARITIES IN MATERNAL MORBIDITY AND MORTALITY ARE PERSISTENT AND DRIVEN BY THE SOCIAL CONDITIONS OF MOTHERS. SOCIAL STRESSORS INCLUDING SUBSTANCE ABUSE, INTIMATE PARTNER VIOLENCE, AND UNSTABLE OR UNSAFE HOUSING ARE COMMON IN THE BRONX MATERNAL POPULATION. MONTEFIORE HEALTH SYSTEM IS DEDICATED TO ADVANCING THE HEALTH OF THE COMMUNITIES WE SERVE AND HAS ADOPTED AN OVERALL STRATEGY TO INTEGRATE SOCIAL CARE INTO HEALTHCARE. IN 2021, MONTEFIORE ESTABLISHED THE COMMUNITY HEALTH WORKERS INSTITUTE TO INTEGRATE SOCIAL CARE INTO THE DELIVERY OF HEALTH CARE BY ADDING COMMUNITY HEALTH WORKERS TO CLINICAL TEAMS. THE COMMUNITY HEALTH WORKERS INSTITUTE SEEKS TO TRANSFORM THE MATERNAL AND CHILD HEALTH PRACTICE ACROSS THE HEALTH SYSTEM THROUGH INTEGRATION OF COMMUNITY WORKERS TO PROVIDE COMPREHENSIVE SUPPORT TO OUR MOST VULNERABLE FAMILIES. OUR GOAL IS TO REDUCE RACIAL ETHNIC, ECONOMIC, AND GEOGRAPHIC DISPARITIES IN MATERNAL AND CHILD HEALTH OUTCOMES AND PROMOTE HEALTH EQUITY FOR MATERNAL AND CHILD HEALTH POPULATIONS. MONTEFIORE MEDICAL CENTER HAS SELECTED TWO OF THE SEVEN IDENTIFIED COMMUNITY HEALTH NEEDS TO PRIORITIZE FOR ITS 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. THE MEDICAL CENTER HAS OVER 60 PROGRAMS ADDRESSING THE PRIORITIES LAID OUT IN THE NEW YORK STATE PREVENTION AGENDA TO ADDRESS THE OTHER FIVE COMMUNITY-IDENTIFIED PRIORITIES. 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 2019, MONTEFIORE HAS CONTINUED TO EXPAND AND HAS A GOAL TO SCALE SCREENING AND REFERRING PATIENTS FOR UNMET SOCIAL NEEDS. THIS INCLUDES THE USE OF THE ELECTRONIC 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 TEAMS CONTINUE TO WORK TO INTEGRATE THIS KIND OF SOLUTION MORE SEAMLESSLY INTO THE VARIOUS WORKFLOWS ACROSS THE AMBULATORY, ED AND INPATIENT SETTINGS. AS MONTEFIORE IS AN ORGANIZATION THAT WORKS WITH COMPLEX HEALTH NEEDS AND WHOSE COMMUNITY FACES MULTI-FACTORIAL STRUCTURAL BARRIERS THAT IMPACT OVERALL HEALTH, PROVIDING INFORMATION, ACCESSIBILITY, AND REVIEW OF SUCH EXTERNAL LINKS, ALLOWS MONTEFIORE TO BETTER ADDRESS PATIENTS' SOCIAL NEEDS AND BUILD ON THE WORK OF COMMUNITY-BASED ORGANIZATIONS IN SERVING THE COMMUNITY. 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 MORE THAN RECOGNIZES THE IMPORTANCE OF ADDRESSING THESE NEEDS IN ADVANCING THE HEALTH OF THE COMMUNITY THAT WE SERVE. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - . FAMILY SIZE IS FACTORED INTO THE ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE. Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - . 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. 220 GREENE MEDICAL ARTS PAVILLION 3400 BAINBRIDGE AVENUE BRONX NY 10467 HOSPITAL OUTPATIENT DEPT HUTCHINSON CAMPUS 1250 WATERS PLACE BRONX NY 10461 SPECIALTY CARE EXTENSION MMG - MAP GREENE MEDICAL ARTS PAVILION 3400 BAINBRIDGE AVENUE BRONX NY 10467 PRIMARY CARE PRACTICE CERTIFIED HOME HEALTH AGENCY 1 FORDHAM PLAZA BRONX NY 10458 CERTIFIED HOME HEALTH CARE AGENCY MMC-MONTEFIORE EINS CTR FR CANCER CARE 1695 EASTCHESTER ROAD BRONX NY 10461 SPECIALTY CARE EXT CLINIC MMG-COMPREHENSIVE FAMILY CARE CTR 1621 EASTCHESTER RD BRONX NY 10461 PRIMARY CARE EXTENSION CLINIC MMG-COMPREHENSIVE HEALTH CARE CTR 305 EAST 161ST STREET BRONX NY 10451 PRIMARY CARE EXTENSION CLINIC MONTEFIORE MUSCOLOSKELETAL CENTER 1250 WATERS PLACE BRONX NY 10461 SPECIALTY CARE PRACTICE MONTEFIORE ADVANCED IMAGING MAP 3400 BAINBRIDGE AVENUE BRONX NY 10467 IMAGING CENTER MMG-BRONX EAST 2300 WESTCHESTER AVENUE BRONX NY 10462 PRIMARY CARE PRACTICE MMG-FAMILY HEALTH CENTER ONE FORDHAM PLAZA BRONX NY 10458 PRIMARY CARE EXTENSION CLINIC MMC-CENTER FOR RADIATION THERAPY 1625 POPLAR STREET BRONX NY 10461 SPECIALTY CARE EXT CLINIC MONTEFIORE ADVANCED IMAGING MMP 1635 POPLAR STREET BRONX NY 10461 SPECIALTY CARE EXT CLINIC MMG-UNIVERSITY AVENUE FAMILY PRACTICE 105 WEST 188TH STREET BRONX NY 10468 PRIMARY CARE EXTENSION CLINIC MMG-FAMILY CARE CENTER 3444 KOSSUTH AVE BRONX NY 10467 PRIMARY CARE EXTENSION CLINIC MMG-CROSS COUNTY 1010 CENTRAL PARK AVE YONKERS NY 10704 PRIMARY CARE PRACTICE CARDIOLOGY ASSOCIATES 3201 GRAND CONCOURSE BRONX NY 10468 SPECIALTY CARE PRACTICE SCARSDALE WOMEN'S CENTER 1075 CENTRAL PARK AVENUE SCARSDALE NY 10583 SPECIALTY CARE PRACTICE MMP-OUTPATIENT REHABILITATION SERVICES 1500 BLONDELL AVENUE BRONX NY 10461 SPECIALTY CARE EXT CLINIC MONTEFIORE DPT OF CARDIOTHORACIC SURGERY 1575 BLONDELL AVENUE BRONX NY 10461 SPECIALTY CARE PRACTICE SUBSTANCE ABUSE TREATMENT PROG UNIT 3 2058 JEROME AVENUE BRONX NY 10453 SUBSTANCE USE DISORDERS CLINIC MMG-WILLIAMBRIDGE 3011 BOSTON ROAD BRONX NY 10469 PRIMARY CARE EXTENSION CLINIC MMG-CO-OP CITY 2100 BARTOW AVENUE BRONX NY 10475 PRIMARY CARE EXTENSION CLINIC SO BRONX HEALTH CTR FOR CHILD & FAMILIES 871 PROSPECT AVENUE BRONX NY 10459 PRIMARY CARE EXTENSION CLINIC MONTEFIORE WAKEFIELD MENTAL HLTH CLINIC 4401 BRONX BOULEVARD BRONX NY 10470 MENTAL HEALTH EXT CLINIC HARTSDALE FERTILITY & FETAL MEDICINE 141 S CENTRAL AVE HARTSDALE NY 10530 SPECIALTY CARE PRACTICE MMG MARBLE HILL FAMILY PRACTICE 5525 BROADWAY BRONX NY 10463 PRIMARY CARE EXTENSION CLINIC TARRYTOWN CARDIOLOGY ASSOCIATES 150 WHITE PLAINS ROAD TARRYTOWN NY 10591 SPECIALTY CARE PRACTICE MMG-EASTCHESTER 440 WHITE PLAINS ROAD EASTCHESTER NY 10709 PRIMARY CARE PRACTICE MMG-CASTLE HILL FAMILY PRACTICE 2175 WESTCHESTER AVENUE BRONX NY 10462 PRIMARY CARE EXTENSION CLINIC SUBSTANCE ABUSE TREATMENT CENTER UNIT 1 3550 JEROME AVENUE BRONX NY 10467 SUBSTANCE USE DISORDERS CLINIC MONTEFIORE MED PARK ORTHODONTIC CENTER 1625 POPLAR STREET BRONX NY 10461 SPECIALTY CARE EXT CLINIC MMG-RIVERDALE 3510 JOHNSON AVENUE BRONX NY 10463 PRIMARY CARE PRACTICE MONTEFIORE EAST TREMONT FAMILY PRACTICE 3101 E TREMONT AVENUE BRONX NY 10461 PRIMARY CARE PRACTICE JE& ZB BUTLER CHILD ADVOCACY CENTER 3314 STEUBEN AVENUE BRONX NY 10467 SPECIALTY CARE EXT CLINIC & MENTAL HEALTH CLINIC BRONX HEALTH COLLECTIVE 853 LONGWOOD AVENUE BRONX NY 10459 HOMELESS SHELTER EXT CLINIC MSHP - STEVENSON HIGH SCHOOL 1980 LAFAYETTE AVENUE BRONX NY 10461 SCHOOL HEALTH CLINIC MSHP - DE WITT CLINTON HIGH SCHOOL 100 W MOSHOLU PARKWAY SO BRONX NY 10468 SCHOOL HEALTH CLINIC MSHP - HERBERT H LEHMAN CAMPUS 3000 EAST TREMONT AVENUE BRONX NY 10461 SCHOOL HEALTH CLINIC MONTEFIORE MEDICAL SPECIALISTS 495 CENTRAL PARK AVENUE YONKERS NY 10704 SPECIALTY CARE PRACTICE MSHP - PS 8 3010 BRIGGS AVENUE BRONX NY 10458 SCHOOL HEALTH CLINIC INST FR WOMEN'S HLTH GENETICS & HUM REP 1695 EASTCHESTER ROAD BRONX NY 10461 SPECIALTY CARE PRACTICE MSHP - EVANDER CHILDS CAMPUS 800 EAST GUN HILL ROAD BRONX NY 10467 SCHOOL HEALTH CLINIC MSHP - JOHN PHILIP SOUSA MS 142 3750 BAYCHESTER AVENUE BRONX NY 10466 SCHOOL HEALTH CLINIC MONTEFIORE DIVISION OF GASTROENTEROLOGY 1500 WATERS PLACE BRONX NY 10461 SPECIALTY CARE PRACTICE MSHP - PS 105 725 BRADY AVENUE BRONX NY 10462 SCHOOL HEALTH CLINIC MSHP - WALTON CAMPUS 2780 RESERVOIR AVENUE BRONX NY 10468 SCHOOL HEALTH CLINIC MSHP - THEODORE ROOSEVELT CAMPUS 500 EAST FORDHAM ROAD BRONX NY 10458 SCHOOL HEALTH CLINIC MSHP - PS 28 1861 ANTHONY AVENUE BRONX NY 10457 SCHOOL HEALTH CLINIC MSHP - MS 45 2502 LORRILARD AVENUE BRONX NY 10458 SCHOOL HEALTH CLINIC MSHP - PS 55 450 ST PAULS PLACE BRONX NY 10456 SCHOOL HEALTH CLINIC MSHP - PS 85 2400 MARION AVENUE BRONX NY 10458 SCHOOL HEALTH CLINIC SAFE HOUSE FOR LEAD POISONING PREV PROG 91 EAST MOSHOLU PARKWAY BRONX NY 10467 SPECIALTY CARE EXT CLINIC MSHP - SOUTH BRONX CAMPUS 701 ST ANNS AVENUE 3RD FLOOR BRONX NY 10455 SCHOOL HEALTH CLINIC MSHP - IS 217 ENTRADA 977 FOX STREET BRONX NY 10459 SCHOOL HEALTH CLINIC MONTEFIORE WAKEFIELD CHEM DEP OP PROG 4401 BRONX BOULEVARD BRONX NY 10470 SUBSTANCE USE DISORDERS CLINIC MSHP - PSMS 95 3961 HILLMAN AVENUE BRONX NY 10463 SCHOOL HEALTH CLINIC MSHP - BRONX REGIONAL HIGH SCHOOL 1010 REV JA POLITE AVENUE BRONX NY 10459 SCHOOL HEALTH CLINIC CENTER FOR CHILD HEALTH AND RESILIENCY 890 PROSPECT AVENUE BRONX NY 10459 PRIMARY CARE EXTENSION CLINIC MONTEFIORE DENTAL CENTER 951 PROSPECT AVENUE BRONX NY 10459 DENTAL CENTER MSHP - MOTT HAVEN HS CAMPUS 730 CONCOURSE VILLAGE EAST BRONX NY 10451 SCHOOL HEALTH CLINIC MONTEFIORE STD INITIATIVE 3230 BAINBRIDGE AVENUE BRONX NY 10467 SPECIALTY CARE EXT CLINIC MSHP - WILLIAM HOWARD TAFT CAMPUS 240 EAST 172ND STREET BRONX NY 10457 SCHOOL HEALTH CLINIC MONTEFIORE GOTTSCHO CHILD DIALYSIS CTR FROST VALLEY YMCA CAMP CLARYVILLE NY 12725 CHRONIC DIALYSIS EXT CLINIC SARATOGA INTERFAITH FAMILY SHELTER 175-15 ROCKAWAY BOULEVARD QUEENS NY 11434 HOMELESS SHELTER EXT CLINIC HELP BRONX CROTONA 785 CROTONA PARK NORTH BRONX NY 10460 HOMELESS SHELTER PT CLINIC AMERICAN RED CROSS FAMILY SHELTERICAHN 4 EAST 28TH STREET NEW YORK NY 10016 HOMELESS SHELTER EXT CLINIC MONTEFIORE BREAST CENTER 1250 WATERS PLACE 7TH FLOOR BRONX NY 10461 SPECIALTY CARE PRACTICE SAINT JOHN'S FAMILY SHELTER 1630 SAINT JOHNS PLACE BROOKLYN NY 11233 HOMELESS SHELTER EXT CLINIC WELLNESS CENTER AT PORT MORRIS 804 EAST 138TH STREET BRONX NY 10454 SUBSTANCE USE DISORDERS CLINIC WELLNESS CENTER AT WATERS PLACE 1510 WATERS PLACE BRONX NY 10461 SUBSTANCE USE DISORDERS CLINIC WAKEFIELD-DEPT OF OPHTHALMOLOGY 4141 CARPENTER AVENUE BRONX NY 10466 SPECIALTY CARE WELLNESS CENTER AT MELROSE 260 EAST 161ST STREET BRONX NY 10451 SUBSTANCE USE DISORDERS CLINIC WAKEFIELD-DEPT OF ORTHROPEDIC SURGERY 4141 CARPENTER AVENUE BRONX NY 10466 SPECIALTY CARE MONTEFIORE WELLNESS CENTER 1180 MORRIS PARK AVENUE BRONX NY 10461 SPECIALTY CARE PRACTICE RIVERDALE MEDICAL ASSOCIATES 2711 HENRY HUDSON PARKWAY BRONX NY 10463 SPECIALTY CARE PRACTICE NEUROSCIENCE CENTER 3316 ROEHAMBEAU AVENUE BRONX NY 10467 IMAGING CENTER MONTEFIORE GENERAL CLINICAL RESEARCH CTR 1300 MORRIS PARK AVENUE BRONX NY 10461 CLINIC RESEARCH EXT CLINIC GENERAL CLINICAL RESEARCH CENTER 111 E 210TH STREET-MRT BRONX NY 10467 CLINICAL RESEARCH EXT CLINIC MONTEFIORE-EINSTEIN CTR FOR CANCER CARE 1575 BLONDELL AVENUE SUITE 200 BRONX NY 10461 CANCER SERVICES MONTEFIORE CARDIOLOGY 1628 EASTCHESTER 1628 EASTCHESTER ROAD BRONX NY 10461 SPECIALTY PRACTICE MONTEFIORE JARRETT PEDIATRIC DENTAL CTR 1516 JARRETT AVENUE BRONX NY 10456 DENTAL CENTER MONTEFIORE DEPARTMENT OF DENTISTRY 3332 ROCHAMBEAU AVENUE BRONX NY 10467 DENTAL CENTER MONTEFIORE ADVANCED IMAGING GUNHILL 200 EAST GUNHILL ROAD BRONX NY 10467 IMAGING CENTER MONTEFIORE WAKEFIELD CHILD PSYCH CTR 4401 BRONX BOULEVARD BRONX NY 10470 MENTAL HEALTH CLINIC ADOLESCENT AIDS PROGRAM 3515 WAYNE AVENUE BRONX NY 10467 PEDIATRIC SPECIALTY CENTER MONTEFIORE DEPARTMENT OF NEUROLOGY 140 LOCKWOOD AVENUE NEW ROCHELLE NY 10801 SPECIALTY CENTER EINSMONTEFIORE AUTISM EVAL & TREAT CTR 6 EXECUTIVE PLAZA YONKERS NY 10701 SPECIALTY CENTER CENTENNIAL WOMEN'S CENTER 3332 ROCHAMBEAU AVE BRONX NY 10467 WOMEN'S HEALTH CENTER DEPT OF OB & GYNWOMEN'S HEALTH 4170 BRONX BOULEVARD BRONX NY 10466 WOMEN'S HEALTH CENTER MONTEFIORE CHILDADOL MENTAL HLTH CLINIC 3340 BAINBRIDGE AVENUE BRONX NY 10467 MENTAL HELATH CLINIC MONTEFIORE RIVERDALE CARDIOLOGY PRACTICE 2711 HENRY HUDSON PARKWAY BRONX NY 10463 SPECIALTY CARE PRACTICE REHABILITATION MEDICINE PRIVATE PRACTICE 3329 BAINBRIDGE AVENUE BRONX NY 10467 SPECIALTY CARE PRACTICE MONTEFIORE DIVISION OF DERMATOLOGY 3514 BAINBRIDGE AVENUE BRONX NY 10467 SPECIALTY CARE PRACTICE SLEEPWAKE DISORDERS 3411 WAYNE AVENUE BRONX NY 10467 SPECIALTY CARE PRACTICE MONTEFIORE BEHAVIORAL HEALTH CTR AT WS 2527 GLEBE AVENUE BRONX NY 10461 MENTAL HEALTH CLINIC MONTEFIORE COMMUNITY MEDICAL ONCOLOGY 18 ASHFORD AVENUE DOBBS FERRY NY 10522 SPECIALTY CARE PRACTICE MONTEFIORE COMMUNITY MEDICAL ONCOLOGY 1578 WILLIAMSBRIDGE ROAD BRONX NY 10461 SPECIALTY CARE PRACTICE MONTEFIORE COMMUNITY MEDICAL ONCOLOGY 984 NORTH BROADWAY YONKERS NY 10701 SPECIALTY CARE PRACTICE MONTEFIORE COMMUNITY MEDICAL ONCOLOGY 60 EAST 208TH STREET BRONX NY 10467 SPECIALTY CARE PRACTICE MMC-WAKEFIELD CARDIOVASCULAR CENTER 4256 BRONX BOULEVARD BRONX NY 10466 SPECIALTY CARE PRACTICE RIDGE HILL CARDIOLOGY 73 MARKET STREET SUITE 178B YONKERS NY 10710 SPECIALTY CARE PRACTICE WILLIAMSBRIDGE CARDIOLOGY 1578 WILLIAMSBRIDGE ROAD BRONX NY 10461 SPECIALTY CARE PRACTICE MMG-VIA VERDE 730 BROOK AVENUE BRONX NY 10455 PRIMARY CARE EXTENSION CTR MSHP-MORRIS CAMPUS 1110 BOSTON ROAD BRONX NY 10456 SCHOOL HEALTH CLINIC MSHP-NEW SETTLEMENT COMMUNITY CAMPUS 1501 JEROME AVENUE BRONX NY 10452 SCHOOL HEALTH CLINIC BROADWAY DENTAL CENTER 5500 BROADWAY SUITE 102 BRONX NY 10463 DENTAL CENTER MONTEFIORE MOSES OP MENTAL HLTH CLINIC 111 EAST 210TH STREET BRONX NY 10467 MENTAL HEALTH CLINIC MMC PLASTIC SURGERY PRACTICE 182 EAST 210TH STREET BRONX NY 10467 SPECIALTY CARE PRACTICE ROSE KENNEDY CHILD EVALUATION & REHAB CT 1225 MORRIS PARK AVENUE BRONX NY 10461 DEVELOPMENTAL DISABILITY CLINIC MSHP - CHRISTOPHER COLUMBUS CAMPUS 925 ASTOR AVENUE BRONX NY 10469 SCHOOL HEALTH CLINIC LONG TERM HEALTH CARE PROGRAM ONE FORDHAM PLAZA BRONX NY 10458 LONG TERM HEALTH CARE AGENCY MMC PEDIATRIC-FAMILY IMMUNOLOGY CLINIC 1621 EASTCHESTER ROAD BRONX NY 10461 SPECIALTY CARE EXT CLINIC MMC PEDIATRICS CARDIOLOGY AT MNR 16 GUION PLACE NEW ROCHELLE NY 10801 SPECIALTY CARE PRACTICE SOUND SHORE CARDIOLOGY ASSOCIATES 933 MAMARONECK AVENUE MAMARONECK NY 10543 SPECIALTY CARE PRACTICE MMC ORTHOPEDICS MANHATTAN PRACTICE 215 EAST 73RD STREET NEW YORK NY 10021 SPECIALTY CARE PRACTICE MMC UROLOGY - CLINICA MODELO 44 SHERMAN AVENUE NEW YORK NY 10040 SPECIALTY CARE PRACTICE MMC TRANSPLANT HEPATOLOGY 3100 BROADWAY FAIRLAWN NJ 07410 SPECIALTY CARE PRACTICE MMC TRANSPLANT HEPATOLOGY 170 MAPLE AVENUE WHITE PLAINS NY 10601 SPECIALTY CARE PRACTICE MMC ABDOMINAL TRANSPLANT AT SJRH 967 BROADWAY YONKERS NY 10701 SPECIALTY CARE PRACTICE MMC COLLEGE EYE INSTITUTE 1180 MORRIS PARK AVENUE BRONX NY 10461 SPECIALTY CARE PRACTICE WAKEFIELD AMBULATORY CARE CENTER 4234 BRONX BOULEVARD BRONX NY 10466 PRIMARY CARE PRACTICE MSHP-MS145 ARTURO TOSCANINI 1000 TELLER AVENUE BRONX NY 10456 SCHOOL HEALTH CLINIC MSMP-PS18 JOHN PETER ZENGER 502 MORRIS AVENUE BRONX NY 10451 SCHOOL HEALTH CLINIC CERC GABI CATHOLIC CHARITIES 1165 ROCKAWAY AVENUE BROOKLYN NY 11236 MENTAL HEALTH EXT CLINIC CERC GABI - QUEENS 161-10 JAMAICA AVENUE SUITE 413 QUEENS NY 11432 MENTAL HEALTH EXT CLINIC CERC GABI - STATEN ISLAND 358 ST MARKS PLACE 5TH FLOOR STATEN ISLAND NY 10301 MENTAL HEALTH EXT CLINIC CERC GABI-EAST HARLEM 116 124TH STREET NEW YORK NY 10035 MENTAL HEALTH EXT CLINIC NY HARM REDUCTION CENTER 104-106 E 126TH STREET NEW YORK NY 10035 PART TIME CLINIC/SPECIALTY CARE MONTEFIORE EINSTEIN CTR FOR AGING BRAIN 6 EXECUTIVE PLAZA SUITE 297 YONKERS NY 10701 SPECIALTY CARE PRACTICE MONTEFIORE NY ASSOC IN GASTROENTEROLOGY 1250 WATERS PLACE SUITE 1201 TOWER 1 BRONX NY 10461 SPECIALTY CARE PRACTICE MONTEFIORE NY ASSOC IN GASTROENTEROLOGY 688 WHITE PLAINS ROAD SUITE 220 SCARSDALE NY 10583 SPECIALTY CARE PRACTICE WELLNESS CENTER SATELITE AT ACS 1200 WATERS PALACE 3RD FLOOR BRONX NY 10461 SUBSTANCE USE DISORDER CLINIC CERC GABI-BRONX 1020 GRAND CONSCOURSE 3RD FLOOR BRONX NY 10451 MENTAL HEALTH EXT CLINIC CERC GABI-RFK 1731 SEMINOLE AVENUE BRONX NY 10461 MENTAL HEALTH EXT CLINIC CERC GABI-BROOKLYN 485 THROOP AVENUE BROOKLYN NY 11221 MENTAL HEALTH EXT CLINIC MSHP - X113 3710 BARNES AVENUE BRONX NY 10467 SCHOOL HEALTH CLINIC MSHP - X174 456 WHITE PLAINS ROAD BRONX NY 10473 SCHOOL HEALTH CLINIC MSHP - X198 1180 TINTON AVENUE BRONX NY 10456 SCHOOL HEALTH CLINIC MSHP - X147 1600 WEBSTER AVENUE BRONX NY 10457 SCHOOL HEALTH CLINIC MONTEFIORE NEW ROCHELLE CARDIOLOGY 20 CEDAR STREET NEW ROCHELLE NY 10801 SPECIALTY CARE PRACTICE MEDICAL PAVILION AT 4256 BRONX BOULEVARD 4256 BRONX BOULEVARD BRONX NY 10466 SPECIALTY CARE PRACTICE MONTEFIORE YONKERS RADIATION ONCOLOGY 970 BROADWAY YONKERS NY 10701 SPECIALTY CARE PRACTICE CARDIOLOGY IMAGING AND VEIN CENTER 2814 MIDDLETOWN ROAD BRONX NY 10461 SPECIALY CARE PRACTICE SCHIFF DENTAL 3444 KOSSUTH AVENUE BRONX NY 10467 DENTAL CENTER MMC UROLOGY AT RIVERDALE FAMILY PRACTICE 3050 CORLEAR AVENUE BRONX NY 10463 SPECIALTY CARE PRACTICE MMC UROLOGY AT HARTSDALE 141 SOUTH CENTRAL AVENUE 3RD FLOOR HARTSDALE NY 10530 SPECIALTY CARE PRACTICE MONTEFIORE NEUROPSYCHOLOGY AT BURKE 785 MAMARONECK AVENUE WHITE PLAINS NY 10605 SPECIALTY CARE PRACTICE MONTEFIORE DEPARTMENT OF PM&R 150 EAST 210TH STREET BRONX NY 10467 SPECIALTY CARE PRACTICE MONTEFIORE AT HEBREW HOME (SUBACUTE) 5901 PALISADE AVENUE BRONX NY 10471 SPECIALTY CARE PRACTICE NEUROLOGY AT WAKEFIELD MEDICAL VILLAGE 4170 BRONX BOULVARD BRONX NY 10466 SPECIALTY CARE PRACTICE SLEEP CENTER AT WESTCHESTER SQUARE 2475 SAINT RAYMONDS AVENUE BRONX NY 10461 SPECIALTY CARE PRACTICE MSHP - X151 250 E 156TH STREET BRONX NY 10451 SCHOOL HEALTH CLINIC MSHP - X098 1619 BOSTON ROAD BRONX NY 10460 SCHOOL HEALTH CLINIC MSHP - PS 199 1449 SHAKESPEARE AVENUE BRONX NY 10452 SCHOL HEALTH CLINIC DV SHELTER ADDRESS WITHHELD BRONX NY 10451 DOMESTIC VIOLENCE SHELTER PART TIME CLINIC CHAM SPECIALISTS IN WESTCHESTER 141 SOUTH CENTRAL AVENUE SUITE 300 HARTSDALE NY 10530 SPECIALTY CARE PRACTICE LASIK AND EYE CARE CENTER 141 SOUTH CENTRAL AVENUE HARTSDALE NY 10530 SPECIALTY CARE PRACTICE MONTEFIORE AT 141 SOUTH CENTRAL AVENUE 141 SOUTH CENTRAL AVENUE HARTSDALE NY 10530 SPECIALTY CARE PRACTICE EINSTEIN STUDENT BEHAVIORAL HEALTH CTR 1225 MORRIS PARK AVENUE BRONX NY 10461 MENTAL HEALTH CLINIC MONTEEFIORE SOUTH BRONX CANCER CENTER 951 BROOK AVENUE BRONX NY 10451 SPECIALTY CARE PRACTICE GRUSS MAGNETIC RESONANCE RESEARCH CENTER 1300 MORRIS PARK AVENUE BRONX NY 10461 IMAGING CENTER MONTEFIORE NUCLEAR MEDICINE 1695 A EASTCHESTER ROAD BRONX NY 10461 IMAGING CENTER MMG - EAST TREMONT AVENUE 3860 EAST TREMONT AVENUE BRONX NY 10465 PRIMARY CARE PRACTICE MONTEFIORE GI AT 18 ASHFORD 18 ASHFORD AVENUE DOBBS FERRY NY 10522 SPECIALTY CARE PRACTICE MONTEFIORE COLORECTAL SURG AT CLINICA 44 SHERMAN AVENUE NEW YORK NY 10040 SPECIALTY CARE PRACTICE MONTEFIORE ORTHOPAEDICS AT 688 W PL ROAD 688 WHITE PLAINS ROAD SCARSDALE NY 10583 SPECIALTY CARE PRACTICE MONTEFIORE ORTHOPAEDICS AT WP HOSPITAL 170 MAPLE AVENUE WHITE PLAINS NY 10601 SPECIALTY CARE PRACTICE PSMS 04 1701 FULTON AVENUE BRONX NY 104577546 SCHOOL HEALTH CLINIC MUSEUM SCHOOL 25 579 WARBURTON AVENUE YONKERS NY 10701 SCHOOL HEALTH CLINIC WILSON ORTHOPEDICS 75 EAST GUNHILL ROAD BRONX NY 10467 SPECIALTY CARE PRACTICE COVID MOAB CLINIC 1575 BLONDELL AVENUE SUITE 125 2ND FL BRONX NY 10461 SPECIALTY CARE PRACTICE MOTION PT - LEFFERTS GARDENS 672 PARKSIDE AVENUE 4TH FLOOR BROOKLYN NY 112262298 OUTPATIENT REHABILITATION MOTION PT - MIDTOWN EAST 160 EAST 50TH STREET SUITE 1 NEW YORK NY 100223609 OUTPATIENT REHABILITATION MOTION PT - HUTCH 1250 WATERS PLACE SUITE 501A BRONX NY 104612720 OUTPATIENT REHABILITATION MOTION PT - MIDTOWN WEST 244 W 54TH STREET SUITE 404 NEW YORK NY 100195597 OUTPATIENT REHABILITATION MOTION PT - ASTORIA 23-22 30TH AVENUE ASTORIA NY 11102 OUTPATIENT REHABILITATION MOTION PT - METROPOLITAN AVE 96-14 B METROPOLITAN AVENUE SUITE 1 FORREST HILLS NY 113756625 OUTPATIENT REHABILITATION MOTION PT - DOBBS FERRY 88 ASHFORD AVENUE SUITE 101 DOBBS FERRY NY 105221812 OUTPATIENT REHABILITATION MOTION PT- FISHKILL 400 WESTAGE BUSINESS CENTER DRIVE FISHKILL NY 125242223 OUTPATIENT REHABILITATION MOTION PT - WILLIAMBURG 158 BROADWAY BROOKLYN NY 112118766 OUTPATIENT REHABILITATION MOTION PT - AIRMONT 327 ROUTE 59 SUITE 1 AIRMONT NY 109523420 OUTPATIENT REHABILITATION MOTION PT - CARMEL STONELEIGH AVENUE SUITE 117 CARMEL NY 105122454 OUTPATIENT REHABILITATION MOTION PT - ORANGEBURG 99 DUTCH HILL ROAD ORANGEBURG NY 109622185 OUTPATIENT REHABILITATION MOTION PT - ROCKVILLE CENTRE 70 MAPLE AVENUE ROCKVILLE CENTRE NY 115704225 OUTPATIENT REHABILITATION MOTION PT - FRANKLIN SQUARE 340 DOGWOOD AVENUE FRANKLIN SQUARE NY 110103409 OUTPATIENT REHABILITATION MOTION PT - RYE 411 THEODORE FREND AVENUE SUITE 104 RYE NY 105801410 OUTPATIENT REHABILITATION MOTION PT - TARRYTOWN 303 S BROADWAY SUITE 101 TARRYTOWN NY 105915413 OUTPATIENT REHABILITATION MOTION PT - BAINBRIDGE 3202 BAINBRIDGE AVENUE SUITE D BRONX NY 104673947 OUTPATIENT REHABILITATION MOTION PT - HUNTINGTON STATION 2375-B NEW YORK AVENUE HUNTINGTON STATION NY 117464258 OUTPATIENT REHABILITATION MOTION PT - FOREST HILLS 118-35 QUEEN BLVD SUITE 1550 FOREST HILLS NY 113757200 OUTPATIENT REHABILITATION MOTION PT - YONKERS 1086 N BROADWAY YONKERS NY 107011112 OUTPATIENT REHABILITATION MOTION PT - VALHALLA 503 GRASSLANDS ROAD SUITE 105 VALHALLA NY 105951503 OUTPATIENT REHABILITATION MOTION PT - NEW CITY 490 NY-304 NEW CITY NY 10956 OUTPATIENT REHABILITATION MOTION PT - WEST NYACK 2 CROSFIELD AVENUE WEST NYACK NY 109942226 OUTPATIENT REHABILITATION MOTION PT - BROOKLYN HEIGHTS 27 SMITH STREET BROOKLYN NY 112015111 OUTPATIENT REHABILITATION MOTTION PT - NYACK 10 WALDRON AVENUE NYACK NY 109602965 OUTPATIENT REHABILITATION MOTION PT - REGO PARK 99-32 66TH ROAD REGO PARK NY 113744462 OUTPATIENT REHABILITATION MOTION PT - SUFFERN 28 B INDIAN ROCK PLAZA MONTEBELLO NY 109014907 OUTPATIENT REHABILITATION MOTION PT - HUNTINGTON 775 PARK AVENUE HUNTINGTON NY 11743 OUTPATIENT REHABILITATION MOTION PT - SUNNYSIDE 4701 QUEENS BLVD SUNNYSIDE NY 111041660 OUTPATIENT REHABILITATION MOTION PT - MT KISCO 657 EAST MAIN STREET MT KISCO NY 10549 OUTPATIENT REHABILITATION MOTION PT - STONY POINT 25 LIBERTY SQUARE MALL STONY POINT NY 10980 OUTPATIENT REHABILITATION MOTION PT - DITMAS PARK 1818 NEWKIRK AVENUE LOBBY D BROOKLYN NY 11226 OUTPATIENT REHABILITATION MOTION PT - MONROE EAST 411 NY ROUTE 17M MONROE NY 10950 OUTPATIENT REHABILITATION MOTION PT- HAUPPAUGE 521 ROUTE 111 HAUPPAUGE NY 11788 OUTPATIENT REHABILITATION MOTION PT - MONROE WEST 785 ROUTE 17M MONROE NY 10950 OUTPATIENT REHABILITATION MOTION PT - WESTBURY 1600 STEWART AVENUE SUITE 110 WESTBURY NY 11590 OUTPATIENT REHABILITATION MOTION PT - NEWBURGH 2 VICTORY COURT NEWBURGH NY 12550 OUTPATIENT REHABILITATION ALLIE'S PLACE 1600 RANDALL AVENUE BRONX NY 10473 HOMELESS SHELTER EXTENSION CLINIC PUGLEY FAMILY 1275 PUGSLEY AVENUE BRONX NY 10462 HOMELESS SHELTER EXTENSION CLINIC MMG - WEST FARMS 1825 BOSTON ROAD BRONX NY 10460 PRIMARY CARE PRACTICE MONTEFIORE BEHAVIORAL HEALTH CTR AT SOUTH BRONX 1011 WASHINGTON AVENUE BRONX NY 10456 MENTAL HEALTH CLINIC MOTION PT - WOODMERE 1023 RAILROAD AVENUE WOODMERE NY 11598 OUTPATIENT REHABILITATION MOTION PT - YONKERS MCLEAN 625 MCLEAN AVENUE YONKERS NY 10705 OUTPATIENT REHABILITATION MOTION PT - TUCKAHOE 115 MAIN STREET SUITE 202 TUCKAHOE NY 10707 OUTPATIENT REHABILITATION NEW YORK CARDIAC CARE ASSOCIATES 2426 EASTCHESTER ROAD 202 BRONX NY 10469 SPECIALTY CARE PRACTICE MMC PLASTIC SURGERY PARK AVENUE 812 PARK AVENUE NEW YORK NY 10021 SPECIALTY CARE PRACTICE MONTEFIORE COMMUNITY MEDICAL ONCOLOGY 967 NORTH BROADWAY YONKERS NY 10701 SPECIALTY CARE PRACTICE MONTEFIORE SURGICAL ONCOLOGY SPECIALISTS 1088 NORTH BROADWAY YONKERS NY 10701 SPECIALTY CARE PRACTICE 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 I, Line 7 Costing Methodology used to calculate financial assistance THE COST-TO-CHARGE RATIO METHODOLOGY WAS UTILIZED THE 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. Schedule H, 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. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount 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. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE ESTIMATED AMOUNT OF THE ORGANIZATION'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. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote 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, 2023 AND 2022, 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, 2023 AND 2022 WAS NOT SIGNIFICANT". Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 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 2022 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. AS HIGHLIGHTED IN THIS TABLE, INCLUDING THE ADJUSTMENTS DESCRIBED BELOW WOULD HAVE RESULTED IN A MEDICARE SHORTFALL OF $95,547,018. REVENUE ALLOWABLE COSTS SURPLUS/(SHORTFALL) PART III, LINES 5-7: $374,988,443 $363,147,935 $11,840,508 ADD: COSTS NOT INCLUDED IN MEDICARE COST REPORT: $- $30,303,612 ($30,303,612) ADD: MEDICARE DME: $37,638,087 $61,035,565 ($23,397,478) ADD: EMP PHYS SERV: $51,649,458 $95,905,129 ($44,255,671) ADD: MED SUBSID HLTH SERV: $6,870,533 $16,301,298 ($9,430,765) MEDICARE SHORTFALL: $471,146,521 $566,693,539 ($95,547,018) 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 HOSPITALIST 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 $23,397,478. 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 $44,255,671. (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 $39,043,494. (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 $9,430,765. (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. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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. Schedule H, Part V, Section B, Line 16a FAP website - MONTEFIORE MEDICAL CENTER: Line 16a URL: https://montefioreeinstein.org/patient-care/patients-visitors/billing-insurance/aid-policy; Schedule H, Part V, Section B, Line 16b FAP Application website - MONTEFIORE MEDICAL CENTER: Line 16b URL: https://montefioreeinstein.org/patient-care/patients-visitors/billing-insurance/aid-policy; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - MONTEFIORE MEDICAL CENTER: Line 16c URL: https://montefioreeinstein.org/patient-care/patients-visitors/billing-insurance/aid-policy; Schedule H, Part VI, Line 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. Schedule H, Part VI, Line 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. Schedule H, Part VI, Line 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 1.47 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 27.0% COMPARED TO A NATIONAL AVERAGE OF 12.8%, HOUSEHOLD MEDIAN INCOME OF $43,726 (COMPARED TO $67,753 IN BROOKLYN, $75,886 IN QUEENS, $89,427 IN STATEN ISLAND AND $93,956 IN MANHATTAN) AND ONE OF THE HIGHEST CHILD POVERTY RATES IN THE UNITED STATES WITH 39% OF BRONX CHILDREN LIVING BELOW POVERTY, WITH THE BRONX 15TH CONGRESSIONAL DISTRICT HOLDING THE DISTINCTION OF HAVING THE NATION'S HIGHEST CHILD POVERTY RATE. THE BRONX IS ONE OF THE MOST DIVERSE COUNTIES IN THE NATION. ACCORDING TO THE 2020 CENSUS DATE, 54.8% ARE HISPANIC/LATINO, 28.5% ARE NON-HISPANIC BLACK, 8.9% ARE NON-HISPANIC WHITE, AND 4.6% ARE NON-HISPANIC ASIAN. MORE THAN ONE-THIRD (33.7%) 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 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. THE BRONX HAS A LONG HISTORY AS A MEDICALLY DESIGNATED UNDERSERVED AREA. Schedule H, Part VI, Line 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 20,500 STUDENTS AT 31 ELEMENTARY, MIDDLE AND HIGH SCHOOLS IN THE BRONX, PROVIDING OVER 76,000 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. Schedule H, Part VI, Line 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. Schedule H, Part VI, Line 7 State filing of community benefit report NY true ALBERT EINSTEIN COLLEGE OF MEDICINE 1300 MORRIS PARK AVENUE BRONX NY 10461 830621846 501(C)(3) 110000000 OPERATING SUBSIDIES ASSOCIATION OF NIGERIAN PHYSICIANS PO BOX 80005 RALEIGH NC 27623 330643166 501(C)(3) 250000 SPONSORSHIP THE AMERICAN INSTITUTE FOR STUTTERING (AIS) 27 W 20TH STREET NEW YORK NY 10011 133917403 501(C)(3) 100000 SPONSORSHIP BRONX OVERALL ECONOMIC DEVELOPMENT 851 GRAND CONCOURSE BRONX NY 10451 133079387 501(C)(3) 92000 SPONSORSHIP HEBREW HOME AT RIVERDALE FOUNDATION 5901 PALISADE AVENUE BRONX NY 10471 204352212 501(C)(3) 75000 SPONSORSHIP THE COUNTY CHAMBER OF COMMERCE INC 800 WESTCHESTER AVENUE RYE BROOK NY 10573 131701636 501(C)(6) 60000 SPONSORSHIP AMERICAN CANCER SOCIETY INC 270 PEACHTREE ST NW ATLANTA GA 30303 131788491 501(C)(3) 51000 SPONSORSHIP FEDERAL LAW ENFORCEMENT FOUNDATION INC 1325 AVE OF THE AMERICAS NEW YORK NY 10019 133494044 501(C)(3) 50000 SPONSORSHIP HISPANIC FEDERATION 55 EXCHANGE PLACE NEW YORK NY 10005 133573852 501(C)(3) 50000 SPONSORSHIP MANHATTAN COLLEGE 4513 MANHATTAN COLLEGE PARKWAY BRONX NY 10471 131740468 501(C)(3) 50000 SPONSORSHIP THE NEW YORK BOTANICAL GARDEN 2900 SOUTHERN BLVD BRONX NY 10458 131693134 501(C)(3) 50000 SPONSORSHIP WILDLIFE CONSERVATION SOCIETY 2300 SOUTHERN BLVD BRONX NY 10460 131740011 501(C)(3) 50000 SPONSORSHIP UNITED HOSPITAL FUND 1411 BROADWAY 12TH FL NEW YORK NY 10018 131562656 501(C)(3) 40000 SPONSORSHIP BRONX HEALTH LINK 851 GRAND CONCOURSE BRONX NY 10451 134045022 501(C)(3) 35000 SPONSORSHIP HERBERT H LEHMAN COLLEGE FOUNDATION 250 BEDFORD PARK BLVD WEST BRONX NY 10468 133150922 501(C)(3) 35000 SPONSORSHIP BRONX CHILDREN'S MUSEUM PO BOX 1381 BRONX NY 10451 260579140 501(C)(3) 25600 SPONSORSHIP CATHOLIC CHARITIES ARCHDIOCESE OF NEW YORK 1011 FIRST AVENUE NEW YORK NY 10022 135562184 501(C)(3) 25000 SPONSORSHIP CITY IN THE COMMUNITY FOUNDATION 600 3RD AVENUE 30TH FL NEW YORK NY 10016 472573763 501(C)(3) 25000 SPONSORSHIP DOMINICAN DAY PARADE INC 1872 LEXINGTON AVENUE NEW YORK NY 10035 473537708 501(C)(3) 25000 SPONSORSHIP NEW YORK ACADEMY OF MEDICINE 1216 FIFTH AVENUE NEW YORK NY 10029 131656674 501(C)(3) 25000 SPONSORSHIP NYU FORENSIC MEDICINE SUPPORT FUND 520 FIRST AVENUE NEW YORK NY 10016 135562308 501(C)(3) 25000 SPONSORSHIP ST ANN'S CORNER OF HARM REDUCTION 886 WESTCHESTER AVENUE BRONX NY 10459 133724008 501(C)(3) 25000 SPONSORSHIP THE LEUKEMIA & LYMPHOMA 3 INTERNATIONAL DRIVE RYE BROOK NY 10573 135644916 501(C)(3) 25000 SPONSORSHIP THE LUSTGARTEN FOUNDATION 504 RXR PLAZA UNIONDALE NY 11556 311611837 501(C)(3) 25000 SPONSORSHIP 1199 SEIU UNITED HEALTHCARE WORKS EAST 498 SEVENTH AVENUE NEW YORK NY 10018 131510821 501(C)(3) 20000 SPONSORSHIP EUGENIO MARIA DE HOSTOS COMMUNITY COLLEGE FUND 500 GRAND CONCOURSE BRONX NY 10451 133116643 501(C)(3) 20000 SPONSORSHIP MEDICARE RIGHTS CENTER INC 266 WEST 37TH STREET 3RD FL NEW YORK NY 10018 133505372 501(C)(3) 20000 SPONSORSHIP BRONXWORKS INC 60 EAST TREMONT AVENUE BRONX NY 10453 133254484 501(C)(3) 15000 SPONSORSHIP CONGRESSIONAL HISPANIC CAUCUS INSTITUTE INC 1128 16TH STREET WASHINGTON DC 20036 521114225 501(C)(3) 15000 SPONSORSHIP REGIONAL AID FOR INTERIM NEEDS INC 811 MORRIS PARK AVENUE BRONX NY 10462 136213586 501(C)(3) 15000 SPONSORSHIP DESTINATION TOMORROW INC 452 EAST 149TH STREET BRONX NY 10455 800259180 501(C)(3) 10000 SPONSORSHIP LATINO COMMISSION ON AIDS INC 24 WEST 25TH STREET NEW YORK NY 10010 133629466 501(C)(3) 10000 SPONSORSHIP MIND BUIILDERS CREATIVE ARTS CENTER 3415 OLINVILLE AVENUE BRONX NY 10467 132988157 501(C)(3) 10000 SPONSORSHIP NATIONAL BRAIN TUMOR SOCIETY INC 55 CHAPEL STREET NEWTON MA 02458 043068130 501(C)(3) 10000 SPONSORSHIP NATIONAL PUERTO RICAN DAY PO BOX 975 NEW YORK NY 10272 133869493 501(C)(3) 10000 SPONSORSHIP RENEWAL 4721 NEW UTRECTH AVENUE BROOKLYN NY 11219 900772896 501(C)(3) 20000 SPONSORSHIP SOMOS INC 24 4TH STREET TROY NY 12180 223128393 501(C)(3) 10000 SPONSORSHIP THE BRONX MUSEUM OF THE ARTS 1040 GRAND CONCOURSE BRONX NY 10456 132709368 501(C)(3) 10000 SPONSORSHIP VAN CORTLANDT PARK ALLIANCE 80 VAN CORTLANDT PARK SOUTH E1 BRONX NY 10463 133843182 501(C)(3) 10000 SPONSORSHIP WESTCHESTER LATINOS UNIDOS 557 GRAMATAN AVENUE MOUNT VERNON NY 10552 800902520 501(C)(3) 8000 SPONSORSHIP COUNCIL ON LEGAL EDUCATION OPPORTUNITY INC 2800 EISENHOWER AVENUE ALEXANDRIA VA 22314 454462410 501(C)(3) 6000 SPONSORSHIP NEW YORK CITY HEALTH AND HOSPITALS CORPORATION 160 WATER STREET SUITE 1040 NEW YORK NY 10038 132655001 501(C)(3) 313540 SUBRECIPIENT GRANT RESEARCH FOUNDATION OF THE CITY UNIVERSITY OF NEW YORK 230 WEST 41ST STREET 7TH FL NEW YORK NY 10036 131988190 501(C)(3) 311499 SUBRECIPIENT GRANT BRONX CARE HEALTH SYSTEM INC 1276 FULTON AVENUE BRONX NY 10456 131974191 501(C)(3) 104657 SUBRECIPIENT GRANT UNIVERSITY OF MARYLAND BALTIMORE 220 ARCH STREET BALTIMORE MD 21201 152600203 49042 SUBRECIPIENT GRANT COOPER SQUARE COMMUNITY DEVELOPMENT COMMITTEE INC 61 EAST 4TH STREET NEW YORK NY 10003 132666211 501(C)(3) 18000 SUBRECIPIENT GRANT 44 2 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. 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. X true true X X X X X X false true false false false false false true false PHILIP O OZUAH MD PHD PRESIDENT & CEO 0 4712384 0 6300000 0 5302469 0 17000 0 29776 0 16361629 0 1705200 COLLEEN M BLYE EXEC VP & CFO 0 1731126 0 1000000 0 917453 0 17000 0 12882 0 3678461 0 0 CHRISTOPHER PANCZNER ASST SEC.-SVP & GEN COUNSEL 0 952555 0 234923 0 638585 0 17000 0 29882 0 1872945 0 0 SUSAN GREEN-LORENZEN RN SYSTEM SENIOR VP-OPERATIONS 0 1216631 0 475900 0 1020123 0 17000 0 29906 0 2759560 0 0 ROBERT MICHLER MD CHAIR-SURG/CARDIOTHORACIC SURG 4705939 0 0 0 3048 0 17000 0 61267 0 4787254 0 0 0 EMAD ESKANDAR MD CHAIR-NEUROLOGICAL SURGERY 2347654 0 0 0 1032 0 17000 0 58732 0 2424418 0 0 0 JOSEPH DE ROSE MD DIR MIN INVASIVE ROBOTIC SURG 1589272 0 118414 0 0 0 17000 0 28563 0 1753249 0 0 0 DANIEL GOLDSTEIN MD VICE CHAIR-CARDIOTHORACIC SURG 1596950 0 106273 0 1032 0 17000 0 3284 0 1724539 0 0 0 NEIL COBELLI MD CHAIR-DEPT. OF ORTHOPEDICS 1594473 0 0 0 3803 0 17000 0 23924 0 1639200 0 0 0 Schedule J, Part I, Line 1a First-class or charter travel 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 HIS TAXABLE INCOME. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan 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 SIMILARLY SITUATED ORGANIZATIONS. THE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT MEMBERS OF THE BOARD OF TRUSTEES. BASE SALARIES IN COLUMN B(I) ARE DETERMINED BASED ON COMPETITIVE MARKET PRACTICES FOR POSITIONS WITH COMPARABLE SCOPE OF RESPONSIBILITIES WITHIN A PEER GROUP OF SIMILARLY SITUATED HEALTH SYSTEMS. 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 ALL COMPENSATION AND BENEFITS ARRANGEMENTS, INCLUDING 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. - $997,537; PHILIP O. OZUAH, M.D., PH.D. - $691,761; CHRISTOPHER PANCZNER - $616,551; COLLEEN BLYE - $915,869. THE HEALTH SYSTEM ALSO FUNDS A NONQUALIFYING DEFINED CONTRIBUTION SERP PLAN. AN OFFICER 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. THERE WAS ONE DISTRIBUTION PAID OUT AS TAXABLE INCOME RELATED TO THE NONQUALIFYING DEFINED CONTRIBUTION SERP PLAN: PHILIP O. OZUAH, M.D., PH.D. - $4,574,850 BASED ON MULTIPLE YEARS OF SERVICE (SEE ABOVE FOR VESTING). Schedule J, Part I, Line 7 Non-fixed payments THE ANNUAL INCENTIVE AWARD IN COLUMN (B)(II) PAID TO TWO OF THE ORGANIZATION FIVE HIGHEST COMPENSATED INDIVIDUALS WAS BASED ON MANAGEMENT DISCRETION. A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649902V83 2010-10-14 19400000 CONSTRUCTION PROJECT false false true B DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64990E2Y2 2016-09-16 13002448 FACILITY IMPROVEMENTS false false false C DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64990GGH9 2018-08-01 341889620 REFINANCE/REFUND OF PRIOR ISSUES false false false D DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64990GZS4 2020-02-02 397922270 FACILITY IMPROV/REFUND PRIOR ISSUE false false false A 9794100 19400000 97877 18987378 314745 2010 false false true true B 2982602 13343651 22614 13321037 2018 false false true true C 0 351842551 3521580 348320971 1998 true true true true D 0 399639732 3006021 2459248 271374932 121082069 2021 true false false true A false false false false 0.0 0.0 0.0 false false true B false false false false 0.0 0.0 0.0 false false true C false false true false false 0.0034 0.0034 false false true D false false true false false 0.0004 0.0004 false false true A false false false true false false false false true B false true false false false false false false true C false true false false false false false false true D false true false false false false false true A true B true C true D true Schedule K, Part I, Column (d) 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. Schedule K, Part I, Column (f) 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). Schedule K, Part I, Column (f) 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 (6/27/18) THAT WAS ISSUED TO REFUND THE ORIGINAL 4/19/13 TAX EXEMPT DEBT ISSUE. Schedule K, Part II, Line 3 BOND A PROCEEDS. 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. Schedule K, Part II, Line 3 BOND B PROCEEDS. THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART 1, COLUMN (E) DUE TO INVESTMENT EARNINGS. Schedule K, Part II, Line 3 BOND C PROCEEDS THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART 1, COLUMN (E) DUE TO INVESTMENT EARNINGS. Schedule K, Part II, Line 3 BOND D PROCEEDS THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART 1, COLUMN (E) DUE TO INVESTMENT EARNINGS. Schedule K, Part III, Line 3b BONDS C & D MANAGEMENT CONTRACTS RELATING TO THE FINANCED PROPERTY ARE REVIEWED INTERNALLY BY IN-HOUSE COUNSEL AND REFERRED TO BOND COUNSEL FOR FURTHER REVIEW AS NEEDED. Schedule K, Part IV, Line 2c THE REBATE COMPUTATION WAS PERFORMED 12/18/18. A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 2017-01-30 33685553 IT SYSTEM IMPLEMENTATION false false false B DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 2017-06-29 17827755 EQUIPMENT LEASING false false false C DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 2017-12-12 9990258 EQUIPMENT LEASING false false false A 19988587 33685553 114000 33571553 2016 false false true true B 16482267 17827755 93977 17733778 2017 false false true true C 8479285 9990258 61723 9928535 2017 false false true true A false false false false 0.0 0.0 0.0 false false true B false false false false 0.0 0.0 0.0 false false true C false false false false 0.0 0.0 0.0 false false true A false false true false false false false false true B false false true false false false false false true C false false true false false false false false true A true B true C true JAIME M BUTLER DAUGHTER OF BOARD MEMBER 160843 EMPLOYMENT false X 4 423759 Market value 0 false true false Schedule M, Part I, Line 9 THERE WERE 4 CONTRIBUTIONS OF STOCK DONATIONS RECEIVED IN 2023 BY THE ORGANIZATION. Form 990, Part VI, Line 15a 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, Line 6 Classes of members or stockholders MONTEFIORE HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF MONTEFIORE MEDICAL CENTER. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body 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, Line 7b Decisions requiring approval by members or stockholders 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, Line 11b Review of form 990 by governing body 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 ADDITON, 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, Line 12c Conflict of interest policy 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, Line 19 Required documents available to the public THE CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS AND MONTEFIORE MEDICAL CENTER'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. Form 990, Part VIII, Line 2f Other Program Service Revenue ALL OTHER - Total Revenue: 34506947, Related or Exempt Function Revenue: 31609636, Unrelated Business Revenue: 2897311, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue ALL OTHER - Total Revenue: 130878, Related or Exempt Function Revenue: , Unrelated Business Revenue: 529635, Revenue Excluded from Tax Under Sections 512, 513, or 514: -398757; 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 ($80,000) CONTRACTED TO PROVIDE EVENT PLANNING, PRODUCTION AND FUNDRAISING SERVICES IN CONNECTION WITH THE ORGANIZATION'S 2023 GALA EVENT WAS INCLUDED IN THE FUNDRAISING EXPENSES REPORTED ON LINE 8B IN PART VIII, STATEMENT OF REVENUE. Form 990, Part XI, Line 9 Other changes in net assets or fund balances SUBSIDIES TRANSFERS TO AN AFFILIATE - -110000000; SHARED BUSINESS TRANSFORMATION COSTS - -17594340; AFFILIATES EQUITY TRANSFERS - -32526935; INCREASE IN DEFINED PENSION AND OTHER POSTRETIREMENT PLAN LIABILITIES TO BE RECOGNIZED IN FUTURE PERIODS - -19409310; Montefiore Proton Acquisition LLC 111 EAST 210TH STREET BRONX NY 10467 273994795 PROTON THER NY 0 7016009 MMC MONTEFIORE HUDSON VALLEY COLLABORATIVE 111 EAST 210TH STREET BONX NY 10467 473389736 PERFORM PROV NY 28034 0 MMC MMC CORPORATION 111 EAST 210TH STREET BRONX NY 10467 133430322 REAL ESTATE NY 501(c)(3) Type I MMC true MMC RESIDENTIAL CORP I INC 3411 WAYNE AVENUE BRONX NY 10467 911943271 STAFF HOUSING NY 501(c)(2) MMC true MONTEFIORE HOSP HOUSING SECTION II INC 3450 WAYNE AVENUE BRONX NY 10467 237160641 STAFF HOUSING NY 501(c)(2) MMC true MOSHOLU PRESERVATION CORPORATION 3400 RESERVOIR OVAL EAST BRONX NY 10467 133109387 COMMUNITY SER NY 501(c)(3) Type I 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