SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
MONTEFIORE MEDICAL CENTER
 
Employer identification number

13-1740114
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    57,743,591 12,783,622 44,959,969 1.030 %
b Medicaid (from Worksheet 3, column a) . . . . .     1,456,792,539 953,455,866 503,336,673 11.490 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     1,514,536,130 966,239,488 548,296,642 12.520 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     70,968,586 42,158,100 28,810,486 0.660 %
f Health professions education (from Worksheet 5) . . .     376,767,895 181,358,039 195,409,856 4.460 %
g Subsidized health services (from Worksheet 6) . . . .     108,040,849 63,086,471 44,954,378 1.030 %
h Research (from Worksheet 7) .     58,065,836 22,689,559 35,376,277 0.810 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     60,000,000 0 60,000,000 1.370 %
j Total. Other Benefits . .     673,843,166 309,292,169 364,550,997 8.330 %
k Total. Add lines 7d and 7j .     2,188,379,296 1,275,531,657 912,847,639 20.850 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing     481,867 0 481,867 0.010 %
2 Economic development            
3 Community support            
4 Environmental improvements     146,414 0 146,414 0 %
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development     607,091 0 607,091 0.010 %
9 Other            
10 Total     1,235,372 0 1,235,372 0.020 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
6,615,156
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
3,688,199
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
375,071,931
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
405,251,888
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-30,179,957
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 MONTEFIORE MEDICAL CENTER
111 EAST 210TH STREET
BRONX,NY10467
www.Montefiore.org
7000006H 		X X X X   X X      
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
MONTEFIORE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): See Part V - Section C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
MONTEFIORE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
See Part V - Section C
b
See Part V - Section C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
MONTEFIORE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
MONTEFIORE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 5 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 hospital 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 2019-2021 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. The staff of Montefiore's Office of Community and Population Health and Montefiore's Office of Government and Community Relations also engages 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 solicits information from elected leaders through health focused legislative breakfasts 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. In addition, Montefiore also participates with a number of coalitions, most notably the #Not 62 Coalition-The Campaign for a Health Bronx in obtaining information representing broad interest of the community. The preparation of the 2019-2021 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 secondary and primary data was used to identify the significant Health concerns of the Bronx community. The collection of primary data was made from a representative sample of Bronx residents. To capture the voices of various sectors of Bronx community residents and workers from various perspectives, a multi-lingual electronic survey directed through partnering Bronx organizations was used in the spring and early summer of 2019. The NYCDOHMH's provision of comprehensive borough specific data assisted the process of interpreting areas of need across the borough. 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. With the previous community health assessments, Montefiore did not receive any written feedback; however, Montefiore was invited to explain its Community Benefit spending to a group of key community stakeholders led by the North West Bronx Community and Clergy Coalition (NWBCC). The NWBCC directly questioned the allocation of resources and recommended that resources be directed towards addressing the social determinants of health, specifically violence prevention efforts in the communities along the Jerome Avenue Corridor. This meeting led to an evaluation of available data on local violence, including shootings, and has resulted in a financial resources being identified from DSRIP and other budgeted sources to support a St. Barnabas Hospital Health System led violence prevention effort which is a part of St. Barnabas Hospital's Prevention Agenda efforts and in which Montefiore is a partner. 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 V, Section B, Line 7a The CHNA is available on the hospital facility's website: URL: https://www.montefiore.org/documents/communityservices/MMC-Community-Healt h-Needs-Report-2019-2021.pdf
Schedule H, Part V, Section B, Line 10a The hospital facility's most recent adopted implementation strategy is posted on the website: URL:https://www.montefiore.org/documents/communityservices/MMC-Community-H ealth-Needs-Report-2019-2021.pdf
Schedule H, Part V, Section B, Line 11 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, two priority areas were identified for the 2019-2021 report. One of the Priority Areas selected in 2016 have been re-selected in 2019, though the focus areas have expanded to include food security. This cycle's Priority Areas also includes work on mental and substance use disorders that is in alignment with the DSRIP work at Montefiore. DSRIP has a very strong focus on both the prevention and management of chronic diseases and behavioral health issues including substance abuse. Given that these priorities represent significant risk factors for the residents of the Bronx, we believe that it is important to continue our chronic disease prevention work in our clinics and extending our reach into the community. The first of the two priority areas identified is to prevent chronic disease with the focus on healthy eating and food security and preventive care and management. The goals for the first focus area are to increase access to healthy and affordable foods and beverages, increase the skills and knowledge to support healthy food and beverage choices and increase food security. The Montefiore Healthy Store Initiative (MHSI) is engaging bodega owners in increasing the supply and promotion of healthier food and beverage options, engaging local groups around advocacy for improved food access and nutrition education and technical assistance to drive demand for healthier food and beverage options. The Medical Center will also implement social determinants of health screener in outpatient and inpatient settings to screen for social needs, including food insecurity, and use community resource directory/referral tool to connect patients to appropriate resources. The goals of the second focus area are to increase early detection of cardiovascular disease, diabetes, pre-diabetes and obesity and to promote evidence-based care to prevent and manage chronic diseases including asthma, arthritis, cardiovascular disease, diabetes and pre diabetes and obesity. The Medical Center serves an ethnically diverse and income challenged community where the risk for diabetes is greater than in any other NYC boroughs and targets a higher percentage of Hispanic and non-Hispanic blacks. The Medical Center is engaging its clinical partners in the HbA1c screening protocol, aligning clinical and community-based resources to address the level of patient health status, increasing screening and intervention across the ambulatory settings and expanding the opportunities for clinical evaluation of diabetes Bronx residents. Providers will screen patients for diabetes and refer patients who identify as pre-diabetes into the Montefiore Diabetes Prevention program to help those at high risk of developing diabetes make lifestyle changes in order to delay the disease onset. The second of the two Priority Areas selected is to Promote Well-Being and Prevent Mental and Substance Use Disorders with the goal of preventing opioid overdose deaths. The Medical Center intervention will include training medical providers and staff on opioid overdose prevention education and naloxone distribution for at-risk patients at Montefiore Medical Group primary care clinics, providing free opioid overdose prevention education and naloxone take-home kits for community based organizations, and integrating opioid prevention education and naloxone distribution in Montefiore's mental health and substance use treatment programs. Montefiore is also partnering with community based organizations, emergency rooms and hospitals to accept patient referrals and to provide training and support to providers and community groups. Obesity and its related behaviors are important contributors to the substantial rise in premature deaths and illness among the residents in the Bronx. These issues also contribute directly to such varied health problems as diabetes, hypertension, asthma and cardiovascular disease. Montefiore has a number of existing efforts under way to help tackle these health issues, starting with education. The Medical Center has longstanding and effective partnerships and partner support for plans to expand on what has already been successfully done to date. The Medical Center is also improving Bronx resident's access to healthy food by sponsoring and supporting a weekly farmers market and green carts throughout the borough and partnering with the City on its healthy Bodega initiative. In addition, we are participating in the Academy of nutrition and Dietetics annual nutrition education and information campaign designed to focus attention on the importance of making informed food choices and developing sound eating and physical activity habits. Montefiore's well-being promotion and mental health and substance use prevention strategy includes several prongs. The first is Montefiore's opioid overdose prevention education that targets medical providers, at-risk patients, community members and community-based organizations to increase access to information and resources. These activities will be implemented with the goal of reducing overdose deaths in the Bronx. The second prong of our strategy is provider education and support for providers through opioid management trainings, electronic consults, assessments for patients prescribed long-term opioids, and integration of opioid use disorder treatment programs into primary care clinics. Montefiore will partner with community-based organizations, emergency rooms, and hospitals for referrals. 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 2016, Montefiore has begun using the internet 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 work is underway to more seamlessly integrate this kind of solution into the various workflows across the ambulatory, ED and inpatient settings. 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 since we at Montefiore are more than aware of the importance of addressing the social determinants of health in our mission of advancing the health of the communities that we serve.
Schedule H, Part V, Section B, Line 13H Family size is factored into the eligibility criteria for financial assistance. Schedule H, Part V, Section B, Lines 15d & 15e 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.
Schedule H, Part V, Section B, Lines 16a-16c The FAP information can be found on the website: https://www.Montefiore.org/financial-aid-policy
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?187
Name and address Type of Facility (describe)
1 Greene Medical Arts Pavillion
3400 Bainbridge Avenue
Bronx,NY10467 		Hospital Outpatient Dept
2 Hutchinson Campus
1250 Waters Place
Bronx,NY10461 		Specialty Care Extension
3 MMG - MAP GREENE MEDICAL ARTS PAVILION
3400 Bainbridge Avenue
Bronx,NY10467 		Primary Care Practice
4 Certified Home Health Agency
1 Fordham Plaza
Bronx,NY10458 		Certified Home Health Care Agency
5 MMC-MONTEFIORE EINS CTR FR CANCER CARE
1695 Eastchester Road
Bronx,NY10461 		Specialty Care Ext Clinic
6 MMG-Comprehensive Family Care Ctr
1621 Eastchester Rd
Bronx,NY10461 		Primary Care Extension Clinic
7 MMG-Comprehensive Health Care Ctr
305 East 161st Street
Bronx,NY10451 		Primary Care Extension Clinic
8 Montefiore Muscoloskeletal Center
1250 Waters Place
Bronx,NY10461 		SPECIALTY CARE PRACTICE
9 MONTEFIORE ADVANCED IMAGING MAP
3400 BAINBRIDGE AVENUE
Bronx,NY10467 		Imaging Center
10 MMG-BRONX EAST
2300 WESTCHESTER AVENUE
Bronx,NY10462 		Primary Care PRACTICE
11 MMG-FAMILY HEALTH CENTER
One Fordham Plaza
Bronx,NY10458 		Primary Care EXTENSION CLINIC
12 MMG-GRAND CONCOURSE
2532 GRAND CONCOURSE
Bronx,NY10458 		PRIMARY CARE PRACTICE
13 MMC-CENTER FOR RADIATION THERAPY
1625 Poplar Street
Bronx,NY10461 		Specialty Care Ext Clinic
14 MONTEFIORE ADVANCED IMAGING MMP
1635 POPLAR STREET
Bronx,NY10461 		SPECIALTY CARE EXT CLINIC
15 MMG-UNIVERSITY AVENUE FAMILY PRACTICE
105 WEST 188TH STREET
Bronx,NY10468 		Primary Care Extension Clinic
16 MMG-fAMILY CARE CENTER
3444 KOSSUTH AVE
BRONX,NY10467 		PRIMARY CARE EXTENSION CLINIC
17 MMG-CROSS COUNTY
1010 CENTRAL PARK AVE
yONKERS,NY10704 		PRIMARY CARE PRACTICE
18 CARDIOLOGY Associates
3201 GRAND CONCOURSE
bRONX,NY10468 		Specialty Care Practice
19 Scarsdale Women's Center
1075 Central Park Avenue
Scarsdale,NY10583 		sPECIALTY CARE PRACTICE
20 MMP-OUTPATIENT REHABILITATION SERVICES
1500 Blondell Avenue
Bronx,NY10461 		Specialty Care eXT CLINIC
21 MONTEFIORE DPT OF CARDIOTHORACIC SURGERY
1575 BLONDELL AVENUE
BRONX,NY10461 		Specialty Care Practice
22 SUBSTANCE ABUSE TREATMENT PROG UNIT 3
2058 JEROME AVENUE
Bronx,NY10453 		SUBSTANCE Use Disorders clinic
23 MMG-WEST FARMS FAMILY PRACTICE
1055 EAST TREMONT AVENUE
Bronx,NY10460 		Primary Care Extension Clinic
24 MMG-WILLIAMBRIDGE
3011 BOSTON ROAD
Bronx,NY10469 		Primary Care Extension Clinic
25 MMG-Co-op City
2100 bARTOW aVENUE
Bronx,NY10475 		PRIMARY CARE EXTENSION CLINIC
26 SO BRONX HEALTH CTR FOR CHILD & FAMILIES
871 PROSPECT AVENUE
Bronx,NY10459 		PRIMARY CARE EXTENSION CLINIC
27 MONTEFIORE WAKEFIELD MENTAL HLTH CLINIC
4401 BRONX BOULEVARD
BRONX,NY10470 		MENTAL HEALTH EXT CLINIC
28 Hartsdale Family and Fetal Medicine Inst
141 s CENTRAL AVE
HARTSDALE,NY10530 		SPECIALTY CARE PRACTICE
29 MMG Marble Hill Family Practice
5525 Broadway
Bronx,NY10463 		Primary Care Extension Clinic
30 Tarrytown CARDIOLOGY ASSOCIATES
150 WHITE PLAINS ROAD
Tarrytown,NY10591 		Specialty Care Practice
31 MMG-Eastchester
440 White Plains Road
Eastchester,NY10709 		Primary Care Practice
32 MMG-Castle Hill Family Practice
2175 Westchester Avenue
Bronx,NY10462 		Primary Care Extension Clinic
33 SUBSTANCE ABUSE TREATMENT CENTER UNIT 1
3550 Jerome Avenue
Bronx,NY10467 		Substance use disorders clinic
34 Montefiore Med Park ORTHODONTIC CENTER
1625 Poplar Street
Bronx,NY10461 		Specialty Care Ext Clinic
35 MMG-Riverdale
3510 Johnson Avenue
Bronx,NY10463 		Primary Care Practice
36 MONTEFIORE EAST TREMONT FAMILY PRACTICE
3101 E Tremont Avenue
Bronx,NY10461 		Primary Care Practice
37 JE& ZB BUTLER Child Advocacy Center
3314 Steuben Avenue
Bronx,NY10467 		Specialty Care Ext Clinic & Mental Health Clinic
38 Bronx Health Collective
853 Longwood Avenue
Bronx,NY10459 		Homeless Shelter Ext Clinic
39 MSHP - STEVENSON HIGH SCHOOL
1980 Lafayette Avenue
Bronx,NY10461 		School Health Clinic
40 MSHP - De Witt Clinton High School
100 W Mosholu Parkway So
Bronx,NY10468 		School Health Clinic
41 MSHP - Herbert H Lehman Campus
3000 East Tremont Avenue
Bronx,NY10461 		School Health Clinic
42 MONTEFIORE Medical Specialists
495 Central Park Avenue
Yonkers,NY10704 		Specialty Care Practice
43 MSHP - PS 8
3010 Briggs Avenue
Bronx,NY10458 		School Health Clinic
44 Inst fr Women's Hlth Genetics & Hum Rep
1695 Eastchester Road
Bronx,NY10461 		Specialty Care Practice
45 MSHP - Evander Childs Campus
800 East Gun Hill Road
Bronx,NY10467 		School Health Clinic
46 MSHP - John Philip Sousa MS 142
3750 Baychester Avenue
Bronx,NY10466 		School Health Clinic
47 MONTEFIORE DIVISION OF GASTROENTEROLOGY
1500 Waters Place
Bronx,NY10461 		Specialty Care Practice
48 MSHP - PS 105
725 Brady Avenue
Bronx,NY10462 		School Health Clinic
49 MSHP - Walton Campus
2780 Reservoir Avenue
Bronx,NY10468 		School Health Clinic
50 MSHP - THEODORE ROOSEVELT CAMPUS
500 EAST FORDHAM ROAD
BRONX,NY10458 		SCHOOL HEALTH CLINIC
51 MSHP - PS 28
1861 ANTHONY AVENUE
Bronx,NY10457 		School Health Clinic
52 MSHP - MS 45
2502 LORRILARD AVENUE
Bronx,NY10458 		School Health Clinic
53 MSHP - PS 55
450 ST PAULS PLACE
Bronx,NY10456 		School Health Clinic
54 MSHP - PS 85
2400 MARION AVENUE
Bronx,NY10458 		School Health Clinic
55 SAFE HOUSE FOR LEAD POISONING PREV PROG
91 EAST MOSHOLU PARKWAY
Bronx,NY10467 		SPECIALTY CARE EXT CLINIC
56 MSHP - SOUTH BRONX CAMPUS
701 ST ANNS AVENUE 3RD FLOOR
Bronx,NY10455 		SCHOOL HEALTH CLINIC
57 MSHP - IS 217 ENTRADA
977 FOX STREET
BRONX,NY10459 		SCHOOL HEALTH CLINIC
58 MONTEFIORE WAKEFIELD CHEM DEP OP PROG
4401 BRONX BOULEVARD
Bronx,NY10470 		Substance Use Disorders Clinic
59 MSHP - PSMS 95
3961 HILLMAN AVENUE
Bronx,NY10463 		School Health ClinIc
60 MSHP - BRONX REGIONAL HIGH SCHOOL
1010 REV JA POLITE AVENUE
Bronx,NY10459 		sCHOOL hEALTH cLINIC
61 CENTER FOR CHILD HEALTH AND RESILIENCY
890 PROSPECT AVENUE
Bronx,NY10459 		PRIMARY CARE EXTENSION CLINIC
62 MONTEFIORE DENTAL CENTER
951 PROSPECT AVENUE
Bronx,NY10459 		Dental Center
63 MSHP - MOTT HAVEN HS campus
730 CONCOURSE VILLAGE east
Bronx,NY10451 		SCHOOL HEALTH CLINIC
64 MONTEFIORE STD INITIATIVE
3230 Bainbridge Avenue
Bronx,NY10467 		Specialty Care Ext Clinic
65 MSHP - William Howard Taft Campus
240 East 172nd Street
Bronx,NY10457 		School Health Clinic
66 MONTEFIORE Gottscho Child Dialysis CTR
Frost Valley YMCA Camp
Claryville,NY12725 		Chronic Dialysis Ext Clinic
67 Saratoga Interfaith Family Shelter
175-15 Rockaway Boulevard
Queens,NY11434 		Homeless Shelter Ext Clinic
68 Help Bronx Crotona
785 Crotona Park North
Bronx,NY10460 		Homeless Shelter Pt Clinic
69 American Red Cross Family ShelterICAHN
4 East 28th Street
New York,NY10016 		Homeless Shelter Ext Clinic
70 Montefiore Breast Center
1500 Blondell Avenue
Bronx,NY10461 		Imaging Center
71 Saint John's Family Shelter
1630 Saint Johns Place
Brooklyn,NY11233 		Homeless Shelter Ext Clinic
72 Wellness Center at Port Morris
804 East 138th Street
Bronx,NY10454 		Substance Use Disorders Clinic
73 Streetwork's Project Drop-In Center
209 W 125th Street
New York,NY10016 		Homeless Shelter Ext Clinic
74 Wellness Center at Waters Place
1510 Waters Place
Bronx,NY10461 		Substance use Disorders Clinic
75 Wakefield-Dept of Ophthalmology
4141 Carpenter Avenue
Bronx,NY10466 		Specialty Care
76 Wellness Center at Melrose
260 East 161st street
Bronx,NY10451 		Substance Use Disorders Clinic
77 Wakefield-Dept of Orthropedic Surgery
4141 Carpenter Avenue
Bronx,NY10466 		Specialty Care
78 MONTEFIORE WELLNESS CENTER
1180 MORRIS PARK AVENUE
BRONX,NY10461 		SPECIALTY CARE PRACTICE
79 RIVERDALE MEDICAL ASSOCIATES
2711 HENRY HUDSON PARKWAY
BRONX,NY10463 		SPECIALTY CARE Practice
80 NEUROSCIENCE CENTER
3316 ROEHAMBEAU aVENUE
BRONX,NY10467 		IMAGING CENTER
81 MONTEFIORE GENERAL CLINICAL RESEARCH CTR
1300 MORRIS PARK AVENUE
BRONX,NY10461 		CLINIC RESEARCH EXT CLINIC
82 GENERAL CLINICAL RESEARCH CENTER
111 e 210TH STREET-MRT
BRONX,NY10467 		CLINICAL RESEARCH EXT CLINIC
83 MONTEFIORE-EINSTEIN CTR FOR CANCER CARE
1521 JARRETT PLACE
BRONX,NY10461 		CANCER SERVICES
84 MONTEFIORE CARDIOLOGY 1628 Eastchester
1628 EASTCHESTER ROAD
BRONX,NY10461 		SPECIALTY PRACTICE
85 MONTEFIORE JARRETT PEDIATRIC DENTAL CTR
1516 JARRETT AVENUE
BRONX,NY10456 		DENTAL CENTER
86 MONTEFIORE DEPARTMENT OF DENTISTRY
3332 rOCHAMBEAU AVENUE
BRONX,NY10467 		dENTAL cENTER
87 MONTEFIORE ADVANCED IMAGING GUNHILL
200 EAST GUNHILL ROAD
BRONX,NY10467 		IMAGING CENTER
88 MONTEFIORE WAKEFIELD CHILD PSYCH CTR
4401 BRONX BOULEVARD
BRONX,NY10470 		MENTAL HEALTH CLINIC
89 ADOLESCENT AIDS PROGRAM
3415 WAYNE AVENUE
BRONX,NY10467 		PEDIATRIC SPECIALTY CENTER
90 MONTEFIORE DEPARTMENT OF NEUROLOGY
140 LOCKWOOD AVENUE
NEW ROCHELLE,NY10801 		SPECIALTY CENTER
91 EINSMONTEFIORE AUTISM EVAL & TREAT CTR
6 EXECUTIVE PLAZA
YONKERS,NY10701 		SPECIALTY CENTER
92 CENTENNIAL WOMEN'S CENTER
3332 ROCHAMBEAU AVE
BRONX,NY10467 		WOMEN'S HEALTH CENTER
93 DEPT OF OB & GYNWOMEN'S HEALTH
4170 BRONX BOULEVARD
BRONX,NY10466 		WOMEN'S HEALTH CENTER
94 MONTEFIORE CHILDADOL MENTAL HLTH CLINIC
3340 BAINBRIDGE AVENUE
BRONX,NY10467 		MENTAL HELATH CLINIC
95 Montefiore Riverdale Cardiology Practice
2711 HENRY HUDSON PARKWAY
BRONX,NY10463 		SPECIALTY CARE PRACTICE
96 REHABILITATION MEDICINE PRIVATE PRACTICE
3329 BAINBRIDGE AVENUE
BRONX,NY10467 		SPECIALTY CARE PRACTICE
97 MONTEFIORE DIVISION OF DERMATOLOGY
3514 BAINBRIDGE AVENUE
BRONX,NY10467 		SPECIALTY CARE PRACTICE
98 SLEEPWAKE DISORDERS
3411 WAYNE AVENUE
BRONX,NY10467 		SPECIALTY CARE PRACTICE
99 MONTEFIORE BEHAVIORAL HEALTH CTR AT WS
2527 GLEBE AVENUE
BRONX,NY10461 		MENTAL HEALTH CLINIC
100 ADVANCED ONCOLOGY ASSOCIATES
50 GUION PLACE
NEW ROCHELLE,NY10801 		SPECIALTY CARE PRACTICE
101 ADVANCED ONCOLOGY ASSOCIATES
18 ASHFORD AVENUE
DOBBS FERRY,NY10522 		SPECIALTY CARE PRACTICE
102 ADVANCED ONCOLOGY ASSOCIATES
75 EAST GUN HILL ROAD
BRONX,NY10467 		SPECIALTY CARE PRACTICE
103 ADVANCED ONCOLOGY ASSOCIATES
1578 WILLIAMSBRIDGE ROAD
BRONX,NY10461 		SPECIALTY CARE PRACTICE
104 ADVANCED ONCOLOGY ASSOCIATES
984 NORTH BROADWAY
YONKERS,NY10701 		SPECIALTY CARE PRACTICE
105 BRONX RIVER MEDICAL ASSOCIATES-BX OFF
60 EAST 208TH sTREET
BRONX,NY10467 		SPECIALTY CARE PRACTICE
106 BRONX RIVER MEDICAL ASSOC-YONKERS OFFICE
1915 CENTRAL PARK AVENUE
YONKERS,NY10710 		SPECIALTY CARE PRACTICE
107 MMC-WAKEFIELD CARDIOVASCULAR CENTER
4256 BRONX BOULEVARD
BRONX,NY10466 		SPECIALTY CARE PRACTICE
108 RIDGE HILL CARDIOLOGY
73 MARKET STREET SUITE 178b
YONKERS,NY10710 		SPECIALTY CARE PRACTICE
109 WILLIAMSBRIDGE CARDIOLOGY
1578 WILLIAMSBRIDGE ROAD
BRONX,NY10461 		SPECIALTY CARE PRACTICE
110 MMG-VIA VERDE
730 BROOK AVENUE
BRONX,NY10455 		PRIMARY CARE EXTENSION CTR
111 MSHP-MORRIS CAMPUS
1110 BOSTON ROAD
BRONX,NY10456 		SCHOOL HEALTH CLINIC
112 MSHP-NEW SETTLEMENT COMMUNITY CAMPUS
1501 JEROME AVENUE
BRONX,NY10452 		SCHOOL HEALTH CLINIC
113 BROADWAY DENTAL CENTER
5500 BROADWAY SUITE 102
BRONX,NY10463 		DENTAL CENTER
114 MONTEFIORE MOSES OP MENTAL HLTH CLINIC
111 EAST 210TH STREET
BRONX,NY10467 		MENTAL HEALTH CLINIC
115 MONTEFIORE RAD ONC AT ST BARNABAS
4487 THIRD AVENUE LEVEL B
Bronx,NY10466 		RADIATION ONCOLOGY PRACTICE
116 MMC PLASTIC SURGERY PRACTICE
182 210TH STREET
BRONX,NY10467 		SPECIALTY CARE PRACTICE
117 ROSE KENNEDY CHILD EVALUATION & REHAB CT
1225 MORRIS PARK AVENUE
BRONX,NY10461 		DEVELOPMENTAL DISABILITY CLINIC
118 MSHP - CHRISTOPHER COLUMBUS CAMPUS
925 ASTOR AVENUE
BRONX,NY10469 		SCHOOL HEALTH CLINIC
119 LONG TERM HEALTH CARE PROGRAM
ONE FORDHAM PLAZA
BRONX,NY10458 		LONG TERM HEALTH CARE AGENCY
120 MMC PEDIATRIC-FAMILY IMMUNOLOGY CLINIC
1621 EASTCHESTER ROAD
BRONX,NY10461 		SPECIALTY CARE EXT CLINIC
121 MMC PEDIATRICS CARDIOLOGY AT MNR
16 GUION PLACE
NEW ROCHELLE,NY10801 		SPECIALTY CARE PRACTICE
122 AOA
1624 CROSBY AVENUE
BRONX,NY10461 		SPECIALTY CARE PRACTICE
123 SOUND SHORE CARDIOLOGY ASSOCIATES
933 MAMARONECK AVENUE
MAMARONECK,NY10543 		SPECIALTY CARE PRACTICE
124 MMC ORTHOPEDICS MANHATTAN PRACTICE
73 EAST 71ST STREET
New York,NY10021 		SPECIALTY CARE PRACTICE
125 MMC ORTHOPEDICS MANHATTAN PRACTICE
215 EAST 73RD STREET
NEW YORK,NY10021 		SPECIALTY CARE PRACTICE
126 MMC UROLOGY - CLINICA MODELO
44 SHERMAN AVENUE
NEW YORK,NY10040 		SPECIALTY CARE PRACTICE
127 MMC TRANSPLANT HEPATOLOGY
3100 BROADWAY
FAIRLAWN,NJ07410 		SPECIALTY CARE PRACTICE
128 MMC TRANSPLANT HEPATOLOGY
170 MAPLE AVENUE
WHITE PLAINS,NY10601 		SPECIALTY CARE PRACTICE
129 MMC ABDOMINAL TRANSPLANT AT SJRH
967 BROADWAY
YONKERS,NY10701 		SPECIALTY CARE PRACTICE
130 MMC TRANSPLANT HEPATOLOGY
60 WEST 68TH STREET
NEW YORK,NY10023 		SPECIALTY CARE PRACTICE
131 MMC COLLEGE EYE INSTITUTE
1180 MORRIS PARK AVENUE
BRONX,NY10461 		SPECIALTY CARE PRACTICE
132 MMC DIABETES PREVENTION PROGRAM
3514 DEKALB AVENUE
BRONX,NY10467 		SPECIALTY CARE PRACTICE
133 Wakefield Ambulatory Care Center
4234 Bronx Boulevard
Bronx,NY10466 		Primary Care Practice
134 MSHP-MS145 Arturo Toscanini
1000 Teller Avenue
Bronx,NY10456 		School Health Clinic
135 MSMP-PS18 John Peter Zenger
502 Morris Avenue
Bronx,NY10451 		School Health Clinic
136 Rose Hill Pre-K Center
2512 Marion Avenue
Bronx,NY10457 		Homeless Shelter Ext Clinic
137 CERC Gabi Catholic Charities
1165 Rockaway Avenue
Brooklyn,NY11236 		Mental Health Ext Clinic
138 CERC Gabi - Queens
161-10 Jamaica Avenue Suite 413
Queens,NY11432 		Mental Health Ext Clinic
139 CERC Gabi - Staten Island
358 St Marks Place 5th floor
Staten Island,NY10301 		Mental Health Ext Clinic
140 CERC Gabi-East Harlem
116 124th Street
New York,NY10035 		Mental Health Ext Clinic
141 NY Harm Reduction Center
104-106 E 126th Street
New York,NY10035 		Part Time Clinic/Specialty Care
142 Montefiore Einstein Ctr for Aging Brain
6 Executive Plaza Suite 297
Yonkers,NY10701 		Specialty Care Practice
143 Montefiore NY Assoc in Gastroenterology
1250 Waters Place Suite 1201 Towe
Bronx,NY10461 		Specialty Care Practice
144 Montefiore NY Assoc in Gastroenterology
688 White Plains Road Suite 220
Scarsdale,NY10583 		Specialty Care Practice
145 WELLNESS CENTER SATELITE AT ACS
1200 WATERS PALACE 3RD FLOOR
BRONX,NY10461 		SUBSTANCE USE DISORDER CLINIC
146 CERC GABI-BRONX
1020 GRAND CONSCOURSE 3RD FLOOR
BRONX,NY10451 		MENTAL HEALTH EXT CLINIC
147 CERC GABI-RFK
1731 SEMINOLE AVENUE
BRONX,NY10461 		MENTAL HEALTH EXT CLINIC
148 CERC GABI-BROOKLYN
485 THROOP AVENUE
BROOKLYN,NY11221 		MENTAL HEALTH EXT CLINIC
149 MSHP - X113
3710 BARNES AVENUE
BRONX,NY10467 		SCHOOL HEALTH CLINIC
150 MSHP - X174
456 WHITE PLAINS ROAD
BRONX,NY10473 		SCHOOL HEALTH CLINIC
151 MSHP - X198
1180 TINTON AVENUE
BRONX,NY10456 		SCHOOL HEALTH CLINIC
152 MSHP - X147
1600 WEBSTER AVENUE
BRONX,NY10457 		SCHOOL HEALTH CLINIC
153 MONTEFIORE NEW ROCHELLE CARDIOLOGY
20 CEDAR STREET
NEW ROCHELLE,NY10801 		SPECIALTY CARE PRACTICE
154 MEDICAL PAVILION AT 4256 BRONX BOULEVARD
4256 BRONX BOULEVARD
BRONX,NY10466 		SPECIALTY CARE PRACTICE
155 IMMUNOLOGIC DISEASE CENTER
150 WHITE PLAINS ROAD
TARRYTOWN,NY10591 		SPECIALTY CARE PRACTICE
156 MONTEFIORE YONKERS RADIATION ONCOLOGY
970 BROADWAY
YONKERS,NY10701 		SPECIALTY CARE PRACTICE
157 CARDIOLOGY IMAGING AND VEIN CENTER
2814 MIDDLETOWN ROAD
BRONX,NY10461 		SPECIALY CARE PRACTICE
158 SCHIFF DENTAL
3444 KOSSUTH AVENUE
BRONX,NY10467 		DENTAL CENTER
159 MMC UROLOGY AT RIVERDALE FAMILY PRACTICE
3050 CORLEAR AVENUE
BRONX,NY10463 		SPECIALTY CARE PRACTICE
160 MMC UROLOGY AT HARTSDALE
141 SOUTH CENTRAL AVENUE 3RD FLOOR
HARTSDALE,NY10530 		SPECIALTY CARE PRACTICE
161 MONTEFIORE NEUROPSYCHOLOGY AT BURKE
785 MAMARONECK AVENUE
WHITE PLAINS,NY10605 		SPECIALTY CARE PRACTICE
162 MONTEFIORE DEPARTMENT OF PM&R
150 EAST 210TH STREET
BRONX,NY10467 		SPECIALTY CARE PRACTICE
163 MONTEFIORE AT HEBREW HOME (SUBACUTE)
5901 PALISADE AVENUE
BRONX,NY10471 		SPECIALTY CARE PRACTICE
164 NEUROLOGY AT WAKEFIELD MEDICAL VILLAGE
4170 BRONX BOULVARD
BRONX,NY10466 		SPECIALTY CARE PRACTICE
165 SLEEP CENTER AT WESCHESTER SQUARE
2475 SAINT RAYMONDS AVENUE
BRONX,NY10461 		SPECIALTY CARE PRACTICE
166 MSHP - X151
250 E 156TH STREET
BRONX,NY10451 		SCHOOL HEALTH CLINIC
167 MSHP - X098
1619 BOSTON ROAD
BRONX,NY10460 		SCHOOL HEALTH CLINIC
168 MSHP - PS 199
1449 SHAKESPEARE AVENUE
BRONX,NY10452 		SCHOL HEALTH CLINIC
169 DV SHELTER
ADDRESS WITHHELD
BRONX,NY10451 		DOMESTIC VIOLENCE SHELTER PART TIME CLINIC
170 UNIVERSITY AVE FAMILY RESIDENCE
1041 UNIVERSITY AVENUE
BRONX,NY10452 		HOMELESS SHELTER EXTENSION CLINIC
171 CHAM SPECIALISTS IN WESTCHESTER
141 SOUTH CENTRAL AVENUE SUITE 300
HARTSDALE,NY10530 		SPECIALTY CARE PRACTICE
172 LASIK AND EYE CARE CENTER
141 SOUTH CENTRAL AVENUE
HARTSDALE,NY10530 		SPECIALTY CARE PRACTICE
173 MONTEFIORE AT 141 SOUTH CENTRAL AVENUE
141 SOUTH CENTRAL AVENUE
HARTSDALE,NY10530 		SPECIALTY CARE PRACTICE
174 MONTEFIORE OUTREACH
629 WEST 185TH STREET
NEW YORK,NY10033 		SPECIALTY CARE PRACTICE
175 EINSTEIN STUDENT BEHAVIORAL HEALTH CTR
1225 MORRIS PARK AVENUE
BRONX,NY10461 		MENTAL HEALTH CLINIC
176 MONTEEFIORE SOUTH BRONX CANCER CENTER
951 BROOK AVENUE
BRONX,NY10451 		SPECIALTY CARE PRACTICE
177 CRYSTAL RUN - GYN ONC
855 ROUTE 17M
MONROE,NY10941 		SPECIALTY CARE PRACTICE
178 GRUSS MAGNETIC RESONANCE RESEARCH CENTER
1300 MORRIS PARK AVENUE
BRONX,NY10461 		IMAGING CENTER
179 MONTEFIORE NUCLEAR MEDICINE
1695 A EASTCHESTER ROAD
BRONX,NY10461 		imaging center
180 MMG - East Tremont Avenue
3860 East Tremont Avenue
Bronx,NY10465 		Primary Care Practice
181 Montefiore GI at 1254 Central Park
1254 Central Park Avenue
Yonkers,NY10704 		Specialty Care Practice
182 Montefiore GI at 18 Ashford
18 Ashford Avenue
Dobbs Ferry,NY10522 		Specialty Care Practice
183 Montefiore General Surg at 128 Ashford
128 Ashford Avenue
Dobbs Ferry,NY10522 		Specialty Care Practice
184 Montefiore Gen Surgery at 1978 Crompound
1978 Crompound Road
Cortlandt Manor,NY10567 		Specialty Care Practice
185 Montefiore Colorectal Surg at Clinica
44 Sherman Avenue
New York,NY10040 		Specialty Care Practice
186 Montefiore Orthopaedics at 688 W Pl Road
688 White Plains Road
Scarsdale,NY10583 		Specialty Care Practice
187 Montefiore Orthopaedics at WP Hospital
170 Maple Avenue
White Plains,NY10601 		Specialty Care Practice
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 7 TABLE: THE FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST table IS BASED ON THE MEDICAL CENTER'S ACTIVITIES ONLY. SINCE THE ACTIVITIES OF THE DISREGARDED ENTITIES ARE QUITE UNIQUE AND NOT REPRESENTATIVE OF A HOSPITAL FACILITY, THE ACTIVITIES FROM THESE ENTITIES WERE EXCLUDED FROM CONSIDERATION IN THE TABLE. FORM 990, PART IX, LINE 25, COLUMN A EXPENSES USED TO CALCULATE THE BENEFIT PERCENTAGES WAS ADJUSTED to EXCLUDE THE DISREGARDED ENTITIES SINCE ONLY THE HOSPITAL FACILITY ACTIVITIES WERE REPORTED.
1. PART I, LINE 7: THE COST-TO-CHARGE RATIO METHODOLOGY WAS UTILIZED TO 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. In 2020, the organization received distributions from the Cares Acts Provider Relief fund and pending FEMA relief assistance for direct reimbursement of COVID-19 expenses. The organization further adjusted its patient care costs to exclude these expenses in calculating its cost to charge ratio.
1. 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.
1. PART III, Section A, LINE 2: 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. 1. Part III, Section A., Line 3 THE ESTIMATED AMOUNT OF THE ORGANIZATIONS'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. 1. Part III, Section A., Line 4 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, 2020 and 2019, 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, 2020 and 2019 was not significant".
1. PART III, Section B, LINE 8: 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 2020 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. In previous years, the Medical Center has typically showed a Medicare surplus in Part III that reconciled to a shortfall after other Medicare programs and the DME and Medicare subsidized health service losses were added back. For 2020, because of the additional costs related to the Medical Center's rapid response to the COVID-19 pandemic incurred by increasing its bed capacity by 100%, increasing ICU beds by a hundredfold, establishing seven COVID-19 testing sites throughout the Bronx and Westchester and procuring personal protective equipment costing upwards of $350 million, we are reporting a shortfall for Part III Medicare. This shortfall was increased to $136,702,610 when reconciled to our actual Medicare costs as highlighted in the table below. REVENUE Allowable SURPLUS COSTS (SHORTFALL) Part 111, LINES 5-7: $375,071,931 $405,251,888 ($30,179,957) ADD: COSTS NOT INCLUDED IN MEDICARE COST REPORT: - 19,346,698 (19,346,698) ADD: MEDICARE DME: 34,027,011 72,803,075 (38,776,064) ADD: EMP PHYS SERV: 41,403,509 77,435,766 (36,032,257) ADD: MED SUBSID HLTH SERV: 5,596,255 17,963,889 (12,367,634) MEDICARE Shortfall: $456,098,706 $592,801,316 ($136,702,610) 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 Hospitalists 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 $19,346,698. 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 $38,776,064. (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 $36,032,257. (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 $12,367,634. (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. 1. Part III, Section C., line 9b 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 clinics. 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 clinics. school health clinics. school health clinics. school health clinics. school health clinics.
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 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 MEDICAL CENTER'S PERFORMANCE AND SERVICES, THE STATUS OF PROGRAMS, FINANCIAL AND UTILIZATION STATISTICS, THE PLANS FOR AND IMPLEMENTATION OF COMMUNITY SERVICES, AND PLANS FOR THE FUTURE. - 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.
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.
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 1.43 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 28% (compared to 15.9% city-wide), household median income of $37,397 (compared to $56,942 in Brooklyn, $64,509 in Queens, $79,201 in Staten Island and $85,071 in Manhattan) and one of the highest child poverty rates in the United States with 40% of Bronx children living below poverty; the eight highest proportion for any county in the United States, and the highest for any urban county. THE BRONX IS ALSO THE YOUNGEST county IN NEW YORK STATE WITH a median age of 33.6 and 25.3% of its population under the age of 18. The Bronx has the 4th highest proportion of single-parent headed households with children (59.5%) among US counties. The Bronx is one of the most diverse counties in the nation; 56.2% are Hispanic/Latino, 29.0% are non-Hispanic Black, 9.1% are non-Hispanic white, and 3.8% are non-Hispanic Asian. More than one-third (36.4%) 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 also 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 earning the county a federal health professional shortage area (HPSA) designation.
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 17,500 STUDENTS AT 31 ELEMENTARY, MIDDLE AND HIGH SCHOOLS IN THE BRONX, PROVIDING OVER 56,100 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. New York State was hit hardest initially by the novel coronavirus spreading across the U.S. in 2020. The Bronx area of New York City was the epicenter of the virus adversely impacting its residents, many with underlining health issues. The Medical Center, in response to the pandemic, rollout its telehealth program to quickly and comprehensively inte
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.
7. STATE FILING OF COMMUNITY BENEFIT REPORT: Montefiore Medical Center files a Community Service Plan with the State of New York.
Schedule H (Form 990) 2020
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