2024-11-14T13:08:12+00:00 2023-12-31 346565596 ERNST & YOUNG US LLP ONE MANHATTAN WEST NEW YORK NY 100018604 990 2023-01-01 462929888 Schaffer Extended Care Center SCHA 9143498400 16 GUION PLACE NEW ROCHELLE NY 108015502 PHILIP O OZUAH MD PHD MD PHD 9143498400 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 17303176 false X HTTP://WWW.MONTEFIOREHEALTHSYSTEM.ORG/SCHAFFER X 2013 NY TO HEAL, TO TEACH, TO DISCOVER AND TO ADVANCE THE HEALTH OF THE COMMUNITIES WE SERVE. 36 35 163 0 0 0 274643 62255 17799070 17131410 109501 109498 35931 13 18219145 17303176 0 0 13256333 14490284 0 0 10696513 11393883 23952846 25884167 -5733701 -8580991 9492216 7434722 34281566 43219308 -24789350 -35784586 MISSION: TO HEAL, TO TEACH, TO DISCOVER AND TO ADVANCE THE HEALTH OF THE COMMUNITIES WE SERVE. 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. false false 25219336 17131410 THE SCHAFFER EXTENDED CARE CENTER AT MONTEFIORE NEW ROCHELLE HOSPITAL IS PART OF MONTEFIORE HEALTH SYSTEM, THE UNIVERSITY HOSPITAL SYSTEM FOR ALBERT EINSTEIN COLLEGE OF MEDICINE. THE CENTER OPERATES A 150-BED COMPREHENSIVE SKILLED NURSING FACILITY OFFERING SHORT-TERM REHABILITATION/SUB-ACUTE CARE AND SKILLED LONG-TERM CARE THAT PROVIDE A WIDE RANGE OF HEALTHCARE AND SOCIAL SERVICES FOR MEDICALLY FRAIL SENIORS AND THOSE WITH CHRONIC CONDITIONS OR DISABILITIES. SINCE OUR BEGINNING, OUR REHABILITATION PROGRAM HAS BEEN HELPING CARDIOPULMONARY, ORTHOPAEDIC, AND SURGERY PATIENTS TO RETURN TO THEIR HOMES AND FAMILIES AS QUICKLY AS POSSIBLE. OUR SHORT-TERM PROGRAM SPECIALIZES IN CARDIOPULMONARY REHABILITATION, POST-SURGERY AND STROKE RECOVERY, AS WELL AS FRACTURE, FALL AND FRAIL PATIENT CARE. WE ARE FOCUSED ON HELPING OUR PATIENTS RECOVER AND REGAIN THEIR FUNCTION AND INDEPENDENCE AS RAPIDLY AS POSSIBLE. SCHAFFER EXTENDED CARE CENTER BEGAN OPERATIONS ON NOVEMBER 6, 2013 AT THE SITE OF THE FORMER HOWE AVENUE NURSING HOME IN NEW ROCHELLE, NEW YORK. THE CARE CENTER PROVIDED 52,174 DAYS OF SKILLED NURSING AND RESIDENTIAL HEALTH CARE DURING 2023. 25219336 true false false true false false false true false true false false true true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 5 0 true 163 true false false false false false false false false false false false false X 36 35 false false false false true true true true true false false true true true true true true false false false NY X EVAN RESNICK 9143498455 555 SO BROADWAY BLDG A FL 1 TARRYTOWN NY 105916301 PHILIP OZUAH MD PHD PRESIDENT & CEO 2.0 58.0 X X 0 16314853 46776 ALAN M KLEIN SECRETARY 0.2 3.3 X 0 0 0 ALAN N SUNA TRUSTEE 0.1 1.2 X 0 0 0 ALISA R DOCTOROFF TRUSTEE 0.2 3.9 X 0 0 0 ALLEN M SPIEGEL MD TRUSTEE 0.1 1.2 X 0 0 0 BARRY S BLATTMAN TRUSTEE 0.2 2.4 X 0 0 0 BRUCE DONIGER TRUSTEE 0.1 1.2 X 0 0 0 CATHERINE KLEMA VICE CHAIR 0.2 3.8 X 0 0 0 DANIEL R TISHMAN TRUSTEE 0.1 3.2 X 0 0 0 DAVID A TANNER TRUSTEE (RESIGNED 1/24/2023) 0.1 1.4 X 0 0 0 DAVID B KEIDAN TRUSTEE 0.1 1.2 X 0 0 0 DOUGLAS F EISENBERG TRUSTEE 0.1 1.2 X 0 0 0 EDWIN H STERN III TRUSTEE 0.1 1.2 X 0 0 0 ELLEN BRESLOW NEWHOUSE TRUSTEE 0.1 1.2 X 0 0 0 EMANUEL CHIRICO TREASURER 0.2 2.4 X 0 0 0 GAYLE F ROBINSON TRUSTEE 0.2 2.4 X 0 0 0 HELEN A JOHNSON TRUSTEE 0.1 1.4 X 0 0 0 JAMES M BUTLER CHAIRMAN 0.3 4.0 X 0 0 0 JAY B ABRAMSON TRUSTEE 0.2 3.4 X 0 0 0 JENNIE EMIL TRUSTEE 0.1 1.2 X 0 0 0 JOEL BRAUN TRUSTEE 0.1 1.2 X 0 0 0 JOHN HEFFER TRUSTEE 0.1 1.9 X 0 0 0 JOHN P GUTFREUND TRUSTEE 0.1 1.2 X 0 0 0 JON W ROTENSTREICH TRUSTEE 0.1 1.2 X 0 0 0 JONATHAN A LIPTON TRUSTEE 0.1 1.4 X 0 0 0 LEWIS HENKIND TRUSTEE 0.1 2.2 X 0 0 0 MARGARET S NATHAN TRUSTEE 0.1 1.2 X 0 0 0 MATTHEW H NORD TRUSTEE 0.1 1.4 X 0 0 0 MELISSA CERIALE TRUSTEE 0.2 3.4 X 0 0 0 MICHAEL A STOCKER MD TRUSTEE 0.2 3.4 X 0 0 0 NATHAN GANTCHER TRUSTEE 0.1 2.4 X 0 0 0 PATRICIA BAUMAN TRUSTEE 0.1 1.2 X 0 0 0 PATRICIA GREEN TRUSTEE 0.1 1.2 X 0 0 0 RONALD L MOELIS TRUSTEE 0.2 1.9 X 0 0 0 RUTH L GOTTESMAN EDD TRUSTEE 0.1 2.4 X 0 0 0 STACEY R LANE TRUSTEE 0.1 2.4 X 0 0 0 THOMAS L HARRISON TRUSTEE 0.1 1.2 X 0 0 0 CHRISTOPHER S PANCZNER ASSISTANT SECRETARY 2.0 58.0 X 0 1826063 46882 COLLEEN BLYE EXEC VP & CFO 2.0 58.0 X 0 3648579 29882 SUSAN GREEN-LORENZEN RN SYSTEM SENIOR VP-OPERATIONS 2.0 58.0 X 0 2712654 46906 EVA THOMAS-EVEILLARD ASSISTANT DIRECTOR NURSING 60.0 0.0 X 154384 0 32623 HIRENDRAKUMAR DAVE MD MEDICAL DIRECTOR 34.0 0.0 X 176935 0 6773 JOLSNA JOSEPH REGISTERED NURSE 60.0 0.0 X 178753 0 25504 MARCYNTH CLARKE NURSE MANAGER 60.0 0.0 X 195380 0 28903 SOPHIA SUTTON ADMINISTRATOR 40.0 0.0 X 167736 0 28188 873188 24502149 292437 21 false true false MCI INTERIORS INCOM 3754 PERRY ST JEFFERSON VALLEY NY 10535 CONTRACTUAL SERVICE 301125 SMK LIMITLESS CONSTRUCTION GROUP CORP 24 VERNON PLACE YONKERS NY 10704 CONTRACTUAL SERVICE 242500 MARIO BULFAMANTE & SONS LANDSCAPING INC 75 PORTMAN RD NEW ROCHELLE NY 10801 LANDSCAPING 230150 MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 55485 CLINICAL STAFFING 196686 SECURITAS SECURITY SERVICES USA INC PO BOX 403412 ATLANTA GA 30384 SECURITY SERVICES 190461 9 62255 62255 RESIDENTIAL NURSING CARE 623110 17115889 17115889 PHYSICIAN CARE SERVICES 621111 15521 15521 0 0 0 0 17131410 109498 109498 0 0 0 0 OTHER MISCELLANEOUS REVENUE 900099 13 13 0 0 0 0 13 17303176 17131410 0 109511 10894259 10656991 237268 0 860704 860704 0 0 1981734 1877685 104049 0 753587 771981 -18394 0 4475 0 4475 0 1907025 1906070 955 0 2007 2007 0 0 1840474 1833108 7366 0 36653 32187 4466 0 1888938 1888938 0 0 2330 2330 0 0 5132 5022 110 0 185485 185485 0 0 310086 310086 0 0 568249 568249 0 0 INTERCOMPANY SHARED SERVICES 3673204 3509124 164080 0 MEDICAL SUPPLIES 663831 658814 5017 0 BILLING & COLLECTION FEES 172377 32028 140349 0 MISCELLANEOUS 133617 118527 15090 0 0 0 0 0 25884167 25219336 664831 0 350 350 332482 119201 274643 0 606355 1093102 0 0 0 0 2281308 0 140279 141423 5127347 2863109 2574324 2264238 0 0 3282475 3816408 9492216 7434722 3916699 6423975 227475 340408 0 0 30137392 36454925 34281566 43219308 X -24789350 -35784586 -24789350 -35784586 9492216 7434722 X -8580991 -2414245 X false true X true true true X false false false false false false false false true 21734 21734 Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE OTHER ACTIVITIES INCLUDES INDIRECT LOBBYING COST FOR MEMBERSHIP DUES PAID TO LEADING AGE NEW YORK AND 1199/SEIU - GNYHA HEALTH EDUCATION PROJECT THAT WERE USED FOR LOBBYING EFFORTS BY THESE ORGANIZATIONS. false true X 3966673 1959304 2007369 1160674 903805 256869 2264238 TENANT TRUST ACCOUNTS 340408 EST. INS. CLAIM RECEIVABLES 3476000 3816408 DUE TO RELATED PARTIES 29499873 NOTES PAYABLE TO PARENT 3431042 EST INSURANCE CLAIMS LIABILITIES 3476000 PENSION & POSTRETIREMENT LIAB. 4049 MALPRACTICE INSURANCE LIABILITIES 43961 36454925 Schedule D, Part IV, Line 2b Explanation of escrow agreement SCHAFFER EXTENDED CARE CENTER HOLDS PATIENT RESOURCE FUNDS IN A CUSTODIAL ACCOUNT TO BE USED BY THESE RESIDENTS FOR DISCRETIONARY SPENDING. false true false false false false false false false PHILIP OZUAH MD PHD PRESIDENT & CEO 0 4712384 0 6300000 0 5302469 0 17000 0 29776 0 16361629 0 1705200 CHRISTOPHER S PANCZNER ASSISTANT SECRETARY 0 952555 0 234923 0 638585 0 17000 0 29882 0 1872945 0 0 COLLEEN BLYE EXEC VP & CFO 0 1731126 0 1000000 0 917453 0 17000 0 12882 0 3678461 0 0 SUSAN GREEN-LORENZEN RN SYSTEM SENIOR VP-OPERATIONS 0 1216631 0 475900 0 1020123 0 17000 0 29906 0 2759560 0 0 HIRENDRAKUMAR DAVE MD MEDICAL DIRECTOR 175015 0 0 0 1920 0 6539 0 234 0 183708 0 0 0 MARCYNTH CLARKE NURSE MANAGER 194984 0 0 0 396 0 1231 0 27672 0 224283 0 0 0 EVA THOMAS-EVEILLARD ASSISTANT DIRECTOR NURSING 153837 0 0 0 547 0 4556 0 28067 0 187007 0 0 0 SOPHIA SUTTON ADMINISTRATOR 167361 0 0 0 375 0 6205 0 21983 0 195924 0 0 0 JOLSNA JOSEPH REGISTERED NURSE 178735 0 0 0 18 0 0 0 25504 0 204257 0 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan AS IT RELATES TO COMPENSATION FROM EITHER MONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM, INC. OR MONTEFIORE HEALTH SYSTEM, INC. 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 AND PAID OUT IN 2023 AS TAXABLE INCOME: PHILIP O. OZUAH, M.D., PH.D. - $691,761; CHRISTOPHER PANCZNER - $616,551; COLLEEN BLYE - $915,869. THE HEALTH SYSTEM ALSO FUNDS A SECOND 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). Form 990, Part VI, Line 15a ALL OFFICERS AND KEY EMPLOYEES ARE EMPLOYED AND PAID BY EITHER MONTEFIORE MEDICINE ACADEMIC HEALTH SYSTEM OR MONTEFIORE HEALTH SYSTEM, INC., THE PARENT ORGANIZATION OF MONTEFIORE HEALTH SYSTEM, INC. AND SCHAFFER EXTENDED CARE CENTER, RESPECTIVELY. Form 990, Part VI, Line 15b MONTEFIORE IS COMMITTED TO ENSURING THAT ITS EXECUTIVE COMPENSATION PROGRAM ADHERES TO THE HIGHEST STANDARDS OF REGULATORY COMPLIANCE AND BEST CORPORATE GOVERNANCE. THE 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 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 SCHAFFER EXTENDED CARE 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 SCHAFFER EXTENDED CARE CENTER, HAS THE AUTHORITY TO APPOINT THE BOARD OF TRUSTEES OF SCHAFFER EXTENDED CARE CENTER. 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 SCHAFFER EXTENDED CARE CENTER, HAS THE AUTHORITY TO APPROVE THE OPERATING AND CAPITAL BUDGETS OF SCHAFFER EXTENDED CARE CENTER. 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. 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 THE GOVERNING BODY BEFORE FILING. Form 990, Part VI, Line 12c Conflict of interest policy ORGANIZATION COMPLIANCE POLICY MONITORING AND ENFORCEMENT: 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 MONTEFIORE LEGAL AND COMPLIANCE COMMITTEES OF THE BOARD OF TRUSTEES. THE SURVEY IS SENT TO ALL TRUSTEES, OFFICERS AND KEY EMPLOYEES FOR COMPLETION. ALL SURVEY RESPONSES ARE REVIEWED BY THE COMPLIANCE OFFICER. ANY POTENTIAL CONFLICTS IDENTIFIED IN THE RESPONSES ARE DISCUSSED WITH SENIOR MANAGEMENT AND/OR THE LEGAL AND COMPLIANCE COMMITTEES OF THE BOARD OF TRUSTEES. POTENTIAL ACTIONS TO BE TAKEN IN RESPONSE TO A CONFLICT IS ONE OR MORE OF THE FOLLOWING: 1)DISCLOSURE OF CONFLICT; 2)INDIVIDUAL RECUSAL FROM DECISIONS FOR TRANSACTIONS WHERE THAT INDIVIDUAL MAY HAVE A CONFLICT; 3)REQUEST THE INDIVIDUAL TO ALLEVIATE THE CONFLICT; OR 4)REMOVAL OF THE INDIVIDUAL FROM THE BOARD OF TRUSTEES. Form 990, Part VI, Line 19 Required documents available to the public THE CONFLICTS OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER TO AN AFFILIATE FOR SYSTEM CONVERSION COSTS - -139406; REDUCTION IN LIABILITIES OF THE ORGANIZATION'S DEFINED PENSION AND POSTRETIREMENT PLANS TO BE RECOGNIZED IN FUTURE PERIODS - 6469; TRANSFER TO AN AFFILIATE FOR INTERCOMPANY LOAN WRITE-OFF - -2281308; Schedule H, Part I AN EXTENDED CARE CENTER IS NOT A HOSPITAL AS DEFINED BY THE STATE OF NEW YORK, THEREFORE SCHEDULE H IS NOT APPLICABLE FOR THE ORGANIZATION. 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