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Nonprofiteer
← MONTEFIORE MOUNT VERNON HOSPITAL

Form 990 for tax year 2023

Filed by MONTEFIORE MOUNT VERNON HOSPITAL.

Totals

Total revenue
$61,723,291
Total expenses
$93,535,039
Contributions and grants received
-$108,421
Grants paid
$0
Program service revenue
$61,576,789
Investment income
$0
Other revenue
$254,923
Total assets, end of year
$41,885,391
Total liabilities, end of year
$94,078,548
Net assets or fund balances, end of year
-$52,193,157
Program services expenses (Part IX)
$88,480,975
Management and general expenses
$5,054,064
Fundraising expenses
$0
Program service expenses (Part III)
$88,480,975

Program services were 94.6% 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.

  • 1e · Government grants (contributions)

    -$177,305

  • 1f · All other contributions, gifts and grants

    $68,884

  • 2a · Program service revenue: INPATIENT SERVICES

    total $35,465,134 · related or exempt $35,465,134

  • 2b · Program service revenue: OUTPATIENT SERVICES

    total $24,380,608 · related or exempt $24,380,608

  • 2c · Program service revenue: RENTAL INCOME FROM EXEMPT AFFILIATE

    total $1,512,156 · related or exempt $1,512,156

  • 2d · Program service revenue: INTERCOMPANY SHARED SERVICES

    total $61,142 · related or exempt $61,142

  • 2e · Program service revenue: OTHER HEALTH CARE SERVICES REVENUE

    total $157,749 · related or exempt $157,749

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6a · Gross rents

    real property $5,150

  • 6b · Less rental expenses

    real property $2,130

  • 6c · Rental income or loss

    real property $3,020 · personal property $0

  • 6d · Net rental income or loss

    total $3,020 · excluded $3,020

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11a · Other revenue: CAFETERIA/COFFEE SHOP & VENDING INCOME

    total $123,125 · excluded $123,125

  • 11b · Other revenue: PARKING INCOME

    total $139,996 · excluded $139,996

  • 11c · Other revenue: MEDICAL RECORDS REQUEST

    total -$12,115 · excluded -$12,115

  • 11d · All other revenue

    total $897 · related or exempt $0 · unrelated business $0 · excluded $897

  • 11e · Other revenue, total

    $251,903

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $38,301,202 · program services $36,686,896 · management and general $1,614,306 · fundraising $0

  • 8 · Pension plan contributions

    total $2,815,108 · program services $2,815,108 · management and general $0 · fundraising $0

  • 9 · Other employee benefits

    total $7,284,449 · program services $6,778,750 · management and general $505,699 · fundraising $0

  • 10 · Payroll taxes

    total $2,724,857 · program services $2,724,857 · management and general $0 · fundraising $0

  • 11b · Fees: legal

    total $51,169 · program services $0 · management and general $51,169 · fundraising $0

  • 11g · Fees: other

    total $12,985,594 · program services $12,600,922 · management and general $384,672 · fundraising $0

  • 12 · Advertising and promotion

    total $12,750 · program services $12,750 · management and general $0 · fundraising $0

  • 13 · Office expenses

    total $4,111,313 · program services $4,004,359 · management and general $106,954 · fundraising $0

  • 14 · Information technology

    total $2,150,092 · program services $2,116,850 · management and general $33,242 · fundraising $0

  • 16 · Occupancy

    total $5,283,322 · program services $3,702,581 · management and general $1,580,741 · fundraising $0

  • 17 · Travel

    total $22,361 · program services $20,236 · management and general $2,125 · fundraising $0

  • 19 · Conferences, conventions and meetings

    total $11,649 · program services $10,432 · management and general $1,217 · fundraising $0

  • 20 · Interest

    total $314,400 · program services $314,400 · management and general $0 · fundraising $0

  • 22 · Depreciation, depletion and amortization

    total $1,307,515 · program services $1,307,515 · management and general $0 · fundraising $0

  • 23 · Insurance

    total $4,374,613 · program services $4,374,613 · management and general $0 · fundraising $0

  • 24a · Other expenses: INTERCOMPANY SHARED SERVICES

    total $5,726,839 · program services $5,182,901 · management and general $543,938 · fundraising $0

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $5,625,677 · program services $5,583,216 · management and general $42,461 · fundraising $0

  • 24c · Other expenses: TRANSPORT/MOVING EXPENSES

    total $57,080 · program services $57,080 · management and general $0 · fundraising $0

  • 24d · Other expenses: BILLING AND COLLECTION

    total $187,207 · program services $0 · management and general $187,207 · fundraising $0

  • 24e · All other expenses

    total $187,842 · program services $187,509 · management and general $333 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $700 · end of year $16,700

  • 2 · Savings and temporary cash investments

    beginning of year $20,384 · end of year $1,390,963

  • 3 · Pledges and grants receivable

    beginning of year $1,184,658 · end of year $283,529

  • 4 · Accounts receivable

    beginning of year $6,341,280 · end of year $5,435,746

  • 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

  • 8 · Inventories for sale or use

    beginning of year $984,300 · end of year $951,183

  • 9 · Prepaid expenses and deferred charges

    beginning of year $320,719 · end of year $330,229

  • 10a · Land, buildings and equipment: cost or other basis

    $25,430,530

  • 10b · Land, buildings and equipment: accumulated depreciation

    $14,367,489

  • 10c · Land, buildings and equipment, net

    beginning of year $9,307,715 · end of year $11,063,041

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $23,367,782 · end of year $22,414,000

  • 17 · Accounts payable and accrued expenses

    beginning of year $19,451,307 · end of year $18,678,100

  • 19 · Deferred revenue

    beginning of year $130,834 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $41,457,612 · end of year $75,400,448

  • 27 · Net assets without donor restrictions

    beginning of year -$19,512,215 · end of year -$52,193,157

Mission and programs · 2023

Mission

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.

Activities or mission (Part I)

TO HEAL, TO TEACH, TO DISCOVER AND TO ADVANCE THE HEALTH OF THE COMMUNITIES WE SERVE.

  • MONTEFIORE MOUNT VERNON HOSPITAL IS A 176 BED, COMMUNITY-BASED TEACHING HOSPITAL THAT HAS BEEN SERVING THE MEDICAL NEEDS OF THE COMMUNITY SINCE ITS INCEPTION. MONTEFIORE MOUNT VERNON PROVIDES INPATIENT, CRITICAL CARE AND AMBULATORY SERVICES TO RESIDENTS OF LOWER WESTCHESTER COUNTY. THE HOSPITAL IS PART OF MONTEFIORE HEALTH SYSTEM, THE UNIVERSITY HOSPITAL FOR THE ALBERT EINSTEIN COLLEGE OF MEDICINE. MONTEFIORE MOUNT VERNON HOSPITAL BEGAN OPERATIONS ON NOVEMBER 6, 2013 AS PART OF THE MONTEFIORE HEALTH SYSTEM. MONTEFIORE MOUNT VERNON'S MISSION IS TO HEAL, TO TEACH, TO DISCOVER AND TO ADVANCE THE HEALTH OF THE COMMUNITIES IT SERVES. TO THIS MISSION, THE HEALTH SYSTEM BRINGS A UNIQUE SYNERGY OF STRENGTHS AND RESOURCES THAT HAS HELPED DEFINE HEALTHCARE DELIVERY IN THE AREA AND HAVE EARNED MOUNT VERNON THE DISTINCTION OF BEING A DESIGNATED NEW YORK STROKE AND HIV/AIDS CENTER. MOUNT VERNON HOSPITAL IS ALSO HOME TO THE BEALE CHRONIC WOUND TREATMENT AND HYPERBARIC CENTER AND THE MONTEFIORE SCHOOL OF NURSING. THE HOSPITAL PROVIDES A RANGE OF DIAGNOSTIC AND THERAPEUTIC MEDICAL AND SURGICAL SERVICES IN ADDITION TO SPECIALTY PROGRAMS AND SERVICES. IT OPERATES A FAMILY HEALTH AND WELLNESS CENTER WITH MORE THAN 20 SPECIALIZED AMBULATORY CARE CLINICS AS WELL AS AN INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH PROGRAM OFFERING PSYCHIATRIC SERVICES. THE HOSPITAL ALSO OPERATES A CHRONIC WOUND TREATMENT AND HYPERBARIC MEDICINE CENTER THAT OFFERS ADVANCE WOUND MANAGEMENT AS WELL AS HYPERBARIC OXYGEN THERAPY HELPING TO REDUCE THE RISK OF AMPUTATION FOR INDIVIDUALS SUFFERING FROM TRAUMATIC INJURIES. MONTEFIORE MOUNT VERNON HOSPITAL ALSO OPERATES A DRUG AND ALCOHOL ADDICTION REHABILITATION FACILITY LOCATED IN CLOSE PROXIMITY TO THEIR MAIN CAMPUS COMMITTED TO HELPING THOSE ADDICTED IN GETTING THE TREATMENT THAT THEY NEED. THE CENTER OFFERS PERSONALIZED TREATMENT PROGRAM SPECIFICALLY DESIGNED FOR THE PATIENT INCLUDING GROUP COUNSELING, 12-STEP PROGRAMS, MEDICALLY ASSISTED DETOXIFICATION, AND INDIVIDUAL COUNSELING, AMONG OTHERS, THAT CAN HELP TO GIVE OUR PATIENTS THE CONFIDENCE NEEDED TO SUCCESSFULLY OVERCOME THEIR ADDICTION TO DRUGS OR ALCOHOL.

    Expenses $88,480,975 · Revenue $61,576,789

As filed on the 2023 return.

Listed in Part VII

  • ALAN M KLEIN

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.4 + 3.1 related
  • CATHERINE KLEMA

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    0.4 + 3.6 related
  • EMANUEL CHIRICO

    TREASURER

    Total calculated
    $0
    Hours/week
    0.3 + 2.2 related
  • JAMES M BUTLER

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    0.5 + 3.8 related
  • PHILIP O OZUAH MD PHD

    PRESIDENT & CEO

    Total calculated
    $16,361,629
    From this org
    $0
    From related orgs
    $16,314,853
    Other
    $46,776
    Hours/week
    5 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $4,712,384 related
    Bonus
    $0 + $6,300,000 related
    Other
    $0 + $5,302,469 related
    Deferred
    $0 + $17,000 related
    Nontaxable benefits
    $0 + $29,776 related
    Filer's total
    $0 + $16,361,629 related
  • ALAN N SUNA

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 1.1 related
  • ALISA R DOCTOROFF

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.3 + 3.7 related
  • ALLEN M SPIEGEL MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 1.1 related
  • BARRY S BLATTMAN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.3 + 2.2 related
  • BRUCE DONIGER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 1.1 related
  • DANIEL R TISHMAN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 3.1 related
  • DAVID A TANNER

    TRUSTEE (RESIGNED 1/24/2023)

    Total calculated
    $0
    Hours/week
    0.2 + 1.3 related
  • DAVID B KEIDAN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 1.1 related
  • DOUGLAS F EISENBERG

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 1.1 related
  • EDWIN H STERN III

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 1.1 related
  • ELLEN BRESLOW NEWHOUSE

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 1.1 related
  • GAYLE F ROBINSON

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.3 + 2.2 related
  • HELEN A JOHNSON

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 1.3 related
  • JAY B ABRAMSON

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.3 + 3.2 related
  • JENNIE EMIL

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 1.1 related
  • JOEL BRAUN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 1.1 related
  • JOHN HEFFER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 1.8 related
  • JOHN P GUTFREUND

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 1.1 related
  • JON W ROTENSTREICH

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 1.1 related
  • JONATHAN A LIPTON

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 1.3 related
  • LEWIS HENKIND

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 2.1 related
  • MARGARET S NATHAN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 1.1 related
  • MATTHEW H NORD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 1.3 related
  • MELISSA CERIALE

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.3 + 3.2 related
  • MICHAEL A STOCKER MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.3 + 3.2 related
  • NATHAN GANTCHER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 2.3 related
  • PATRICIA BAUMAN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 1.1 related
  • PATRICIA GREEN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 1.1 related
  • RONALD L MOELIS

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.3 + 1.7 related
  • RUTH L GOTTESMAN EDD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 2.3 related
  • STACEY R LANE

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 2.3 related
  • THOMAS L HARRISON

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 1.1 related
  • CHRISTOPHER S PANCZNER

    ASSISTANT SECRETARY

    Total calculated
    $1,872,945
    From this org
    $0
    From related orgs
    $1,826,063
    Other
    $46,882
    Hours/week
    5 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $952,555 related
    Bonus
    $0 + $234,923 related
    Other
    $0 + $638,585 related
    Deferred
    $0 + $17,000 related
    Nontaxable benefits
    $0 + $29,882 related
    Filer's total
    $0 + $1,872,945 related
  • COLLEEN BLYE

    EXEC VP & CFO

    Total calculated
    $3,678,461
    From this org
    $0
    From related orgs
    $3,648,579
    Other
    $29,882
    Hours/week
    5 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,731,126 related
    Bonus
    $0 + $1,000,000 related
    Other
    $0 + $917,453 related
    Deferred
    $0 + $17,000 related
    Nontaxable benefits
    $0 + $12,882 related
    Filer's total
    $0 + $3,678,461 related
  • JACCEL KOUNS

    VP & EXC DIRECTOR MMV

    Total calculated
    $469,787
    From this org
    $0
    From related orgs
    $419,254
    Other
    $50,533
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $0 + $343,222 related
    Bonus
    $0 + $75,000 related
    Other
    $0 + $1,032 related
    Deferred
    $0 + $17,000 related
    Nontaxable benefits
    $0 + $33,533 related
    Filer's total
    $0 + $469,787 related
  • SUSAN GREEN-LORENZEN RN

    SYSTEM SENIOR VP-OPERATIONS

    Total calculated
    $2,759,560
    From this org
    $0
    From related orgs
    $2,712,654
    Other
    $46,906
    Hours/week
    5 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,216,631 related
    Bonus
    $0 + $475,900 related
    Other
    $0 + $1,020,123 related
    Deferred
    $0 + $17,000 related
    Nontaxable benefits
    $0 + $29,906 related
    Filer's total
    $0 + $2,759,560 related
  • CLAUS VON SCHORN MD

    PHYSICIAN

    Total calculated
    $297,896
    From this org
    $280,713
    From related orgs
    $0
    Other
    $17,183
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $276,221
    Bonus
    $0
    Other
    $4,492
    Deferred
    $6,800
    Nontaxable benefits
    $10,383
    Filer's total
    $297,896
  • FRANCIS AGBONKPOLO MD

    CHAIR-ANESTHESIA

    Total calculated
    $570,019
    From this org
    $540,954
    From related orgs
    $0
    Other
    $29,065
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $537,906
    Bonus
    $0
    Other
    $3,048
    Deferred
    $6,539
    Nontaxable benefits
    $22,526
    Filer's total
    $570,019
  • MEIR SALAMA MD

    PHYSICIAN

    Total calculated
    $268,533
    From this org
    $267,776
    From related orgs
    $0
    Other
    $757
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $266,369
    Bonus
    $0
    Other
    $1,407
    Deferred
    $523
    Nontaxable benefits
    $234
    Filer's total
    $268,533
  • NADEEM HUSSAIN MD

    PER DIEM PSYCHIATRIST

    Total calculated
    $648,329
    From this org
    $619,744
    From related orgs
    $0
    Other
    $28,585
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $618,733
    Bonus
    $0
    Other
    $1,011
    Deferred
    $6,539
    Nontaxable benefits
    $22,046
    Filer's total
    $648,329
  • NANCY FAMBY

    ADMINISTRATIVE NURSE MANAGER

    Total calculated
    $236,322
    From this org
    $218,118
    From related orgs
    $0
    Other
    $18,204
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $217,836
    Bonus
    $0
    Other
    $282
    Deferred
    $5,830
    Nontaxable benefits
    $12,374
    Filer's total
    $236,322

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. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Discretionary spending account
  • 1b · Written policy on the line-1a expenses
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 2 · Substantiation required before reimbursing expenses
  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 1a Discretionary spending account
THE ORGANIZATION PROVIDES SENIOR LEVEL EXECUTIVES WITH A $21,000 AUTOMOBILE ALLOWANCE. THIS ALLOWANCE WAS INCLUDED IN THEIR TAXABLE INCOME AND COLUMN B(III) OF PART II.
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; SUSAN GREEN-LORENZEN - $997,537. 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).

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

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.

Provenance

Return type
form_990
Tax year
2023
Filed
14 November 2024
IRS schema version
2023v5.1
Source object
202403199349308290

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