2024-11-14T13:55:55+00:00 2023-12-31 346565596 ERNST & YOUNG US LLP ONE MANHATTAN WEST NEW YORK NY 100018604 990 2023-01-01 824019223 Montefiore Medicine Academic Health System Self Insurance Trust MONT 9143498455 111 EAST 210TH STREET BRONX NY 104672401 COLLEEN M BLYE Officer 9143498455 2024-11-14 true Nicole Sokolowski P01683199 2127733000 2024-11-14 2023 2024-10-15 13:58:12Z COLLEEN M BLYE 111 EAST 210TH STREET BRONX NY 104672401 76517409 false X N/A X 2018 NY TO PROVIDE FOR THE DISCHARGE OF LIABILITIES OF THE SETTLEMENTS OF CLAIMS AGAINST, AND THE REIMBURSEMENT OF LOSSES SUFFERED BY THE GRANTOR'S CONTROLLED ENTITIES. 1 0 0 0 0 0 0 74840098 76517409 0 0 74840098 76517409 0 0 6888 10220 0 0 85360281 86890285 85367169 86900505 -10527071 -10383096 326684703 400515243 340218080 399616834 -13533377 898409 TO PROVIDE FOR THE DISCHARGE OF LIABILITIES OF THE SETTLEMENT OF CLAIMS AGAINST, AND THE REIMBURSEMENT OF LOSSES SUFFERED BY, THE GRANTOR AND ITS CONTROLLED ENTITIES IN CONNECTION WITH ITS CHARITABLE OPERATIONS. false false 86900505 76517409 MONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM SELF INSURANCE TRUST IS A SECTION 501(C)(3) SUPPORTING ORGANIZATION, ORGANIZED AND OPERATED FOR THE BENEFIT OF MONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM (MMAHS) AND ITS CONTROLLED SUPPORTED ORGANIZATIONS. MONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM SELF INSURANCE TRUST WAS FORMED BY MMAHS, A SECTION 501(C)(3) PARENT OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM, COMPRISED PRIMARILY OF SECTION 501(C)(3) HOSPITAL ORGANIZATIONS. THE TRUST WAS FORMED TO SATISFY THE MALPRACTICE CLAIMS OF MMAHS AND ITS CONTROLLED ENTITIES AND TO PROTECT MMAHS, ITS CONTROLLED ENTITIES AND COVERED PERSONS AGAINST LOSSES AND EXPENSES ARISING FROM MEDICAL MALPRACTICE LIABILITIES. THE SOLE PURPOSE OF THE TRUST IS TO PROVIDE FOR THE DISCHARGE OF LIABILITIES OF THE SETTLEMENT OF CLAIMS AGAINST, AND THE REIMBURSEMENT OF LOSSES SUFFERED BY MMAHS AND ITS CONTROLLED ENTITIES. 86900505 true false false false false false false false false false false true true true false false false false false true false false false false false false false false false false false false false false false false false false false false false false true true false false false true 0 0 0 false false false false false false false false false false false false X 1 0 false false false false false true true false false false false false false false false false false false NY X EVAN RESNICK 9143498455 555 SOUTH BROADWAY BLDG A TARRYTOWN NY 105916301 COMERICA BANK & TRUST SOLE CORPORATE TRUSTEE 0.5 X 10220 0 0 10220 0 0 0 false false false 0 0 INSURANCE PREMIUMS 524150 76517409 76517409 0 0 0 0 76517409 0 0 0 0 0 0 0 0 0 76517409 76517409 0 0 10220 10220 0 0 0 0 INSURANCE CLAIMS EXPENSE 86872669 86872669 ACTUARIAL SERVICES 17616 17616 0 0 0 0 86900505 86900505 0 0 0 0 0 0 0 0 0 0 5294110 9652609 0 176875193 244395470 144515400 146467164 326684703 400515243 26950 27475 3153051 3190516 0 0 337038079 396398843 340218080 399616834 -13533377 898409 -13533377 898409 326684703 400515243 -10383096 24814882 0 X false false false X X 8 MONTEFIORE MEDICAL CENTER 131740114 3 true 0 0 MONTEFIORE NEW ROCHELLE HOSPITAL 462931956 3 true 0 0 MONTEFIORE MOUNT VERNON HOSPITAL 462916938 3 true 0 0 SCHAFFER EXTENDED CARE CENTER 462929888 3 true 0 0 MONTEFIORE NYACK HOSPITAL 131740119 3 true 0 0 WHITE PLAINS HOSPITAL MEDICAL CENTER 131740130 3 true 0 0 THE WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL 131739937 3 true 0 0 MONTEFIORE ST LUKE'S HOSPITAL 141340054 3 true 0 0 8 0 0 false false false false false false false false false false false false false false false false Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name THE ORGANIZATION'S SUPPORTED ORGANIZATIONS ARE DESIGNATED IN THE TRUST AGREEMENT AS THE GRANTOR'S (MONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM) SUPPORTED ORGANIZATIONS. THESE SUPPORTED ENTITIES ARE ALL 501(C)(3) HOSPITAL ORGANIZATIONS THAT ARE AFFILIATED WITH THE MONTEFIORE HEALTH SYSTEM. Schedule A, Part IV, Section C, Line 1 Majority director detail COMERICA BANK, THE INSTITUTIONAL TRUSTEE, IS SUPERVISED AND CONTROLLED IN CONNECTION WITH THE GRANTOR, MONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM, AN INTERMEDIARY SUPPORTING ORGANIZATION, WHOSE SUPPORTED ORGANIZATIONS ARE THOSE SUPPORTED ORGANIZATION OF THE TRUST. CURRENTLY, EACH OF THE TRUSTEES AND OFFICERS OF MONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM, INC. (MMAHS) SERVE AS DIRECTORS, TRUSTEES AND /OR OFFICERS OF ONE OR MORE OF THE TRUST SUPPORTED ORGANIZATIONS. GIVEN THE OVERLAP AMONG THE INDIVIDUALS RESPONSIBLE FOR THE GOVERNANCE OF BOTH MMAHS AND THE SUPPORTED ORGANIZATIONS, AND THE REGULAR COORDINATION AND INTERACTION AMONG THE BOARDS AND OFFICERS, THE TRUST WILL INHERENTLY HAVE THE INFORMATION NECESSARY TO ENSURE THAT IT IS AWARE OF AND RESPONSIVE TO THE NEEDS OF THE SUPPORTED ORGANIZATIONS. DESIGNATED MALPRACTICE FUNDS 244395470 F 244395470 PREMIUMS RECEIVABLE 146467164 146467164 INSURANCE LOSSES & LAE LIABILITIES 366774888 UNALLOC. LOSS ADJ EXPENSES RESERVE 25775779 UNEARNED PREMIUMS 3848176 396398843 Central America and the Caribbean 0 0 Investments MALPRACTICE INSURANCE 244395470 0 0 0 0 0 0 244395470 0 244395470 true false false true true false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE GRANTOR, MONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM, INC., HAS THE RIGHT TO REPLACE THE TRUSTEE AT ANY TIME UPON (90) DAYS PRIOR NOTICE, OR UPON SHORTER NOTICE IF ACCEPTABLE TO THE TRUSTEE. UPON THE RESIGNATION OR REMOVAL OF THE TRUSTEE, THE GRANTOR HAS THE AUTHORITY TO NAME A SUCCESSOR TRUSTEE WHO SHALL BECOME A SIGNATORY TO AND BE BOUND BY THE TERMS AND PROVISIONS OF THE TRUST AGREEMENT AS IT MAY BE AMENDED CONTEMPORANEOUSLY WITH THE APPOINTMENT OF A SUCCESSOR TRUSTEE. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders MONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM, INC. CONTROLS THE TRUST BY VIRTUE OF ITS POWERS AND STATUS AS THE TRUST'S GRANTOR. Form 990, Part VI, Line 8a Documentation of meetings held by governing body THE SOLE CORPORATE TRUSTEE OF THE ORGANIZATION IS COMERICA BANK AND TRUST, A NATIONAL BANKING ASSOCIATION THAT ACTS AT THE DIRECTION OF THE HOSPITAL SYSTEM, MONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM, INC. FOR THE PURPOSE OF HOLDING FUNDS AND USING THEM TO SATISFY MALPRACTICE CLAIMS AGAINST THE MEMBER HOSPITALS. SINCE THE SOLE TRUSTEE IS A NATIONAL BANKING ASSOCIATION, THERE ARE NO REGULAR SCHEDULED BOARD MEETINGS OR DOCUMENTATIONS CONCERNING THE BANK'S REGULAR BUSINESS ACTIVITIES. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 WAS PREPARED BY MONTEFIORE'S FINANCE DEPARTMENT WITH THE ASSISTANCE OF VARIOUS DEPARTMENTS. THE FORM 990 WAS REVIEWED AND APPROVED BY THE VICE-PRESIDENT-FINANCE AND MONTEFIORE'S SENIOR LEADERSHIP TEAM INCLUDING THE CHIEF FINANCIAL OFFICER. IN ADDITION, AN INDEPENDENT ACCOUNTING FIRM WAS ENGAGED TO REVIEW THE FORM 990 PRIOR TO FILING OF THE RETURN. Form 990, Part VI, Line 19 Required documents available to the public THE FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART VI, LINE 12A - CONFLICT OF INTEREST POLICY THE TRUST ADHERES TO A CONFLICT OF INTEREST POLICY THAT HAS BEEN ADOPTED AND IMPLEMENTED BY MONTEFIORE MEDICAL CENTER. MONTEFIORE MEDICAL CENTER REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY, ENSURING THAT NO PERSONS WHO HAVE A CONFLICT OF INTEREST WILL HAVE INFLUENCE OVER THE TRUST. MONTEFIORE MEDICINE ACADEMIC HEALTH SYST 555 SOUTH BROADWAY TARRYTOWN NY 10591 471582973 SYSTEM PARENT NY 501(c)(3) Type III-FI N/A true MONTEFIORE HEALTH SYSTEM INC 555 SOUTH BROADWAY TARRYTOWN NY 10591 201615393 SUPPORT SERV NY 501(c)(3) Type II MMAHS true MONTEFIORE MEDICAL CENTER 111 EAST 210TH STREE BRONX NY 10467 131740114 ACD MED CTR NY 501(c)(3) 3 MHS true 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 MMC true MONTEFIORE NEW ROCHELLE HOSPITAL 16 GUION PLACE NEW ROCHELLE NY 10801 462931956 HOSPITAL NY 501(c)(3) 3 MHS true MONTEFIORE MOUNT VERNON HOSPITAL 12 NORTH SEVENTH AVENUE MOUNT VERNON NY 10550 462916938 HOSPITAL NY 501(c)(3) 3 MHS true SCHAFFER EXTENDED CARE CENTER 16 GUION PLACE NEW ROCHELLE NY 10801 462929888 NURSING HOME NY 501(c)(3) 3 MHS true MONTEFIORE FOUNDATION INC 111 EAST 210TH STREET BRONX NY 10467 471600439 INACTIVE NY 501(c)(3) 7 MHAHS true MONTEFIORE NYACK HOSPITAL 160 NORTH MIDLAND AVENUE NYACK NY 10960 131740119 HOSPITAL NY 501(c)(3) 3 MHS true WHITE PLAINS HOSPITAL MEDICAL CENTER 41 EAST POST ROAD DAVIS AVE WHITE PLAINS NY 10601 131740130 HOSPITAL NY 501(c)(3) 3 MHS true AECOM STUDENT HOUSING CO INC 1300 MORRIS PARK AVENUE BRONX NY 10461 237075620 STUDENT HOUS NY 501(c)(2) AECOM true MONTEFIORE CERC OPERATIONS INC 111 EAST 210TH STREET BRONX NY 10467 474853506 REHAB CENTER NY 501(c)(3) 3 MMC true WHITE PLAINS HOSPITAL CTR FDN INC 41 EAST POST ROAD DAVIS AVE WHITE PLAINS NY 10601 133281507 FUNDRAISING NY 501(c)(3) Type I WPHMC true MONTEFIORE NYACK HOSPITAL FOUNDATION 160 NORTH MIDLAND AVENUE NYACK NY 10960 133245804 FUNDRAISING NY 501(c)(3) 7 NYACK HOSP true THE WINIFRED MASTERSON BURKE REHAB HOSP 785 MAMARONECK AVENUE WHITE PLAINS NY 10605 131739937 REHAB HOSP NY 501(c)(3) 3 MHS true ST LUKE'S CORNWALL HOSPITAL 70 DUBOIS STREET NEWBURGH NY 12550 141340054 HOSPITAL NY 501(c)(3) 3 MHS true HUDSON VISTA MEDICAL PC 70 DUBOIS STREET NEWBURGH NY 12550 452526738 HEALTHCARE NY 501(c)(3) Type I SLCH true HUDSON VISTA PHYSICIAN SERVICES PC 70 DUBOIS STREET NEWBURGH NY 12550 272020746 HEALTHCARE NY 501(c)(3) Type I SLCH true ST LUKE'S CORNWALL HEALTH SYSTEM INC 70 DUBOIS STREET NEWBURGH NY 12550 223026261 HOLDING COMP NY 501(c)(3) Type I MHS true ST LUKE'S CORNWALL HEALTH SYSTEM FDN 70 DUBOIS STREET NEWBURGH NY 12550 223026263 FUNDRAISING NY 501(c)(3) 7 SLCHS true ALBERT EINSTEIN COLLEGE OF MEDICINE 1300 MORRIS PARK AVENUE BRONX NY 10461 830621846 MED COLLEGE NY 501(c)(3) 2 MMAHS true MONTEFIORE COMMUNITY SERVICES INC 111 EAST 210TH STREET BRONX NY 10467 863368007 INACTIVE NY 501(c)(3) 3 MMC true MONTEFIORE EINSTEIN ADVANCED CARE 555 SOUTH BROADWAY TARRYTOWN NY 10591 863090734 HEALTHCARE NY 501(c)(3) 3 MHS true MONTEFIORE ACTION FUND INC 111 EAST 210TH STREET BRONX NY 10467 872215301 INACTIVE NY 501(c)(4) N/A true MNH GARAGECO INC 160 NORTH MIDLAND AVENUE NYACK NY 10960 880573052 PARKING NY 501(c)(2) NYACK HOSP true UNIVERSITY BEHAVIORAL ASSOCIATES INC 111 EAST 210TH STREET BRONX NY 10467 133877781 MGMT SERVICES NY NA C Corporation true THE MONTEFIORE IPA INC 111 EAST 210TH STREET BRONX NY 10467 134114915 INTEG PROVR ASSOC NY NA C Corporation true MMC GI HOLDINGS EAST INC 111 EAST 210TH STREET BRONX NY 10467 721610013 HOLDING COMPANY NY NA C Corporation true MMC GI HOLDINGS WEST INC 111 EAST 210TH STREET BRONX NY 10467 721610015 HOLDING COMPANY NY NA C Corporation true MONTEFIORE BEHAVIORAL CARE IPA NO1 INC 111 EAST 210TH STREET BRONX NY 10467 133952750 INTEG PROVR ASSOC NY NA C Corporation true BRONX ACCOUNTABLE CARE NETWORK IPA INC 111 EAST 210TH STREET BRONX NY 10467 300689571 INTEG PROVR ASSOC NY NA C Corporation true MONTEFIORE CONSOLIDATED VENTURES INC 111 EAST 210TH STREET BRONX NY 10467 611728539 HOLDING COMPANY NY NA C Corporation true MONTEFIORE INSURANCE COMPANY INC 111 EAST 210TH STREET BRONX NY 10467 320436594 INACTIVE NY NA C Corporation true HUDSON VALLEY IPA INC 111 EAST 210TH STREET BRONX NY 10467 383978087 INTEG PROVR ASSOC NY NA C Corporation true MONTEFIORE INNOVATIONS INC 111 EAST 210TH STREET BRONX NY 10467 475106910 HOLDING COMPANY NY NA C Corporation true HIGHLAND MEDICAL PC 160 NORTH MIDLAND AVENUE NYACK NY 10960 134034481 HEALTHCARE SERV. NY NA C Corporation true WHITE PLAINS MEDICAL DIAGNOSTIC SERV PC 41 EAST POST ROAD WHITE PLAINS NY 10601 453164626 HEALTHCARE SERV. NY NA C Corporation true CANCER AND BLOOD MEDICAL SERV OF NY PC 41 EAST POST ROAD WHITE PLAINS NY 10601 462021804 HEALTHCARE SERV. NY NA C Corporation true DAVIS AVENUE CORP DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS NY 10601 133331643 PROPERTY HOLDING NY NA C Corporation true WHITE PLAINS MANAGEMENT CO INC 41 EAST POST ROAD WHITE PLAINS NY 10601 133331641 PROPERTY HOLDING NY NA C Corporation true WPHC BUILDING CORP 41 EAST POST ROAD WHITE PLAINS NY 10601 133676932 PROPERTY HOLDING NY NA C Corporation true WHITE PLAINS MEDICAL SERVICES PC DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS NY 10601 815369152 HEALTHCARE SERV. NY NA C Corporation true WHITE PLAINS PHYSICIAN SERVICES PC DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS NY 10601 815309615 HEALTHCARE SERV. NY NA C Corporation true CHARITABLE REMAINDER TRUST (4) CHARIT REMR TRUST NY NA Trust true CRHT ACQUISITION INC 555 SOUTH BROADWAY BLDG A FL 1 TARRYTOWN NY 10591 815220651 HOLDING COMPANY NY NA C Corporation true QUANTUM BIOTHERAPEUTICS LLC 111 EAST 210TH STREET BRONX NY 10467 611793667 INACTIVE NY NA C Corporation true WHITE PLAINS PHYSICIAN MEDICAL SERV PC 830519787 INACTIVE NY NA C Corporation true EAST POST ROAD MEDICAL SERVICES PC 830535258 HEALTHCARE SERV. NY NA C Corporation true EAST POST ROAD PHYSICIAN SERVICES PC 830563325 INACTIVE NY NA C Corporation true DAVIS AVENUE MEDICAL SERVICES PC 830579310 INACTIVE NY NA C Corporation true WPH HOLDINGS INC 833893119 HOLDING COMPANY NY NA C Corporation true INNOVATOR ACQUSITION CORP 833394059 HOLDING COMPANY NY NA C Corporation true PY DEVELOPMENT CORP 863880241 REIT NY NA C Corporation true SPECIALTY SURGEONS OF CONNECTICUT PC 871352135 INACTIVE CT NA C Corporation true CMO THE CARE MANAGEMENT COMPANY LLC 133991307 CARE MANAGEMENT NY NA C Corporation true Hudson River Medical Practice PLLC 497 Greenwich St New York NY 10013 922939271 Healthcare Services NY NA C Corporation true false false false false false false false false false false false false false false false false false false false