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← MONTEFIORE MEDICINE ACADEMIC HEALTH SELF INSURANCE TRIST

Form 990 for tax year 2022

Filed by MONTEFIORE MEDICINE ACADEMIC HEALTH SELF INSURANCE TRIST.

Totals

Total revenue
$74,840,098
Total expenses
$85,367,169
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$74,840,098
Investment income
$0
Other revenue
$0
Total assets, end of year
$326,684,703
Total liabilities, end of year
$340,218,080
Net assets or fund balances, end of year
-$13,533,377
Program services expenses (Part IX)
$85,367,169
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$85,367,169

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: INSURANCE PREMIUMS

    total $74,840,098 · related or exempt $74,840,098 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $0

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0

  • 7d · Net gain or loss

    total $0

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $6,888 · program services $6,888 · management and general $0 · fundraising $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $0

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $0

  • 10 · Payroll taxes

    total $0

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $0

  • 11c · Fees: accounting

    total $0

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $0

  • 12 · Advertising and promotion

    total $0

  • 13 · Office expenses

    total $0

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $0

  • 17 · Travel

    total $0

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $0

  • 23 · Insurance

    total $0

  • 24a · Other expenses: INSURANCE CLAIMS EXPENSE

    total $85,313,561 · program services $85,313,561 · management and general $0 · fundraising $0

  • 24b · Other expenses: ACTUARIAL SERVICES

    total $46,720 · program services $46,720 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $0 · end of year $0

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $0

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $7,803,875 · end of year $5,294,110

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $136,186,678 · end of year $176,875,193

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $143,436,319 · end of year $144,515,400

  • 17 · Accounts payable and accrued expenses

    beginning of year $7,891 · end of year $26,950

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $3,164,214 · end of year $3,153,051

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $271,472,243 · end of year $337,038,079

  • 27 · Net assets without donor restrictions

    beginning of year $12,782,524 · end of year -$13,533,377

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

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.

Activities or mission (Part I)

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.

  • 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.

    Expenses $85,367,169 · Revenue $74,840,098

As filed on the 2022 return.

Listed in Part VII

  • Comerica Bank Trust

    Sole corporate trustee

    Total calculated
    $6,888
    From this org
    $6,888
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • THE MONTEFIORE IPA INC

    C CORP · INTEG PROVR ASSOC · NY · controlled entity

    Directly controlled by NA

  • MMC GI HOLDINGS EAST INC

    C CORP · HOLDING COMPANY · NY · controlled entity

    Directly controlled by NA

  • MMC GI HOLDINGS WEST INC

    C CORP · HOLDING COMPANY · NY · controlled entity

    Directly controlled by NA

  • MONTEFIORE BEHAVIORAL CARE IPA NO 1 INC

    C CORP · INTEG PROVR ASSOC · NY · controlled entity

    Directly controlled by NA

  • BRONX ACCOUNTABLE CARE NETWORK IPA INC

    C CORP · INTEG PROVR ASSOC · NY · controlled entity

    Directly controlled by NA

  • MONTEFIORE CONSOLIDATED VENTURES INC

    C CORP · HOLDING COMPANY · NY · controlled entity

    Directly controlled by NA

  • MONTEFIORE INSURANCE COMPANY INC

    C CORP · INACTIVE · NY · controlled entity

    Directly controlled by NA

  • HUDSON VALLEY IPA INC

    C CORP · INTEG PROVR ASSOC · NY · controlled entity

    Directly controlled by NA

  • MONTEFIORE INNOVATIONS INC

    C CORP · HOLDING COMPANY · NY · controlled entity

    Directly controlled by NA

  • HIGHLAND MEDICAL PC

    C CORP · HEALTHCARE SERV · NY · controlled entity

    Directly controlled by NA

  • WHITE PLAINS MEDIAL DIAGNOSTIC SERV PC

    C CORP · HEALTHCARE SERV. · NY · controlled entity

    Directly controlled by NA

  • CANCER AND BLOOD MEDICAL SERVS OF NY PC

    C CORP · HEALTHCARE SERV. · NY · controlled entity

    Directly controlled by NA

  • DAVIS AVENUE CORP

    C CORP · Property Holding · NY · controlled entity

    Directly controlled by NA

  • WHITE PLAINS MANAGEMENT CO INC

    C CORP · Property holding · NY · controlled entity

    Directly controlled by NA

  • WPHC BUILDING CORP

    C CORP · Property holdING · NY · controlled entity

    Directly controlled by NA

  • UNIVERSITY BEHAVIORAL ASSOCIATES INC

    C CORP · MANAGEMENT SERV. · NY · controlled entity

    Directly controlled by NA

  • WHITE PLAINS MEDICAL SERVICES PC

    C CORP · HEALTHCARE SERV. · NY · controlled entity

    Directly controlled by NA

  • WHITE PLAINS PHYSICIAN SERVICES PC

    C CORP · Healthcare Serv. · NY · controlled entity

    Directly controlled by NA

  • CHARITABLE REMAINDER TRUST (4)

    TRUST · CHAR REMR TRUST · NY · controlled entity

    Directly controlled by NA

  • CRHT ACQUISITION INC

    C CORP · HOLDING COMPANY · NY · controlled entity

    Directly controlled by NA

  • QUANTUM BIOTHERAPEUTICS LLC

    C CORP · INACTIVE · NY · controlled entity

    Directly controlled by NA

  • WHITE PLAINS PHYSICIAN MEDICAL SERV PC

    C CORP · INACTIVE · NY · controlled entity

    Directly controlled by NA

  • EAST POST ROAD MEDICAL SERVICES PC

    C CORP · Healthcare Serv. · NY · controlled entity

    Directly controlled by NA

  • EAST POST ROAD PHYSICIAN SERV PC

    C CORP · INACTIVE · NY · controlled entity

    Directly controlled by NA

  • DAVIS AVENUE MEDICAL SERVICES PC

    C CORP · INACTIVE · NY · controlled entity

    Directly controlled by NA

  • WPH HOLDINGS INC

    C CORP · HOLDING COMPANY · NY · controlled entity

    Directly controlled by NA

  • Innovator Acqusition Corp

    C Corp · Holding Company · NY · controlled entity

    Directly controlled by NA

  • PY DEVELOPMENT CORP

    REIT · REIT · NY · controlled entity

    Directly controlled by NA

  • SPECIALTY SURGEONS OF CONNECTICUT PC

    C CORP · HEALTHCARE SERV. · CT · controlled entity

    Directly controlled by NA

  • CMO THE CARE MANAGEMENT COMPANY LLC

    C CORP · CARE MANAGEMENT · NY · controlled entity

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202343189349312984

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