Montefiore Einstein

What it reported doing in 2024

Patient care doing more - it's how we created our history of firsts. It's why we developed the world's first transvenous cardiac pacemaker and performed the world's first coronary bypass. Doing more put us at the forefront of treating cancer with highly targeted therapies. It made us one of only a few hospitals in the u.s. Performing surgeries on babies before they're born. It built one of the most active and successful transplant centers in the country. Doing more - it's how we are creating the future of healthcare. Established in 1884 as a hospital for patients with chronic illnesses, montefiore is a full-service integrated healthcare delivery system serving a large and complex urban population, a distinguished academic medical center with renowned faculty, an innovative research center pioneering scientific breakthroughs and medical "firsts an exceptionally dedicated community partner with an unparalleled roster of innovative programs and services that address needs ranging far beyond medical care. Montefiore's mission is to heal, to teach, to discover and to advance the health of the communities it serves. To this mission montefiore brings a unique synergy of strengths and resources. The montefiore delivery system offers a full range of healthcare services (preventive, primary, specialty, acute and post acute) to the nearly 2 million residents of the bronx, New York and nearby westchester county. Montefiore also serves as a tertiary care referral center for patients across the metropolitan area, the nation and the world, and is known for advanced care in numerous specialties, including cardiology and cardiac surgery, cancer care, children's health, tissue and organ transplantation, women's health, surgery and surgical subspecialties. Montefiore combines its deep commitment to the community with nationally renowned expertise to reach people at convenient locations. Through the montefiore school health program (the largest and most comprehensive school-based health program in the country), primary care at home programs, mobile medical and dental health vans and health education initiatives, montefiore provides primary care services in non-traditional settings. Montefiore is increasingly recognized for its success in delivering high-quality care to a large urban community, harnessing the power of health information technology and using care management tools to improve quality, safety and outcomes while controlling costs. To help patients, especially those with chronic diseases, achieve a better quality of life and reduced hospitalizations, montefiore goes beyond the fragmented fee-for-service payment system, assuming total responsibility for the quality and costs of care for some of its sickest patients. Through the montefiore ipa, inc. (mipa), the care management company, llc (cmo) and bronx accountable healthcare network ipa, inc., dba montefiore accountable care organization ipa (aco), a global prepayment strategy is used to manage care over the continuum, including hospital care, rehabilitation, outpatient care, professional services, remote patient monitoring and other programs. At the center of the medical system are six main campuses with a total of 1,558 licensed beds that provided over 80,234 inpatient admissions in 2024, including over 3,500 births and extensive ambulatory care services: - the 680 bed henry and lucy moses division; - the 421 bed jack d. Weiler hospital of albert einstein college of medicine; - the 136 bed children's hospital at montefiore, recognized as one of "america's best children's hospitals" in u.s. News & world report's rankings; - the 321 bed wakefield division (formerly the north division renamed to reflect its anchor role in the community); - montefiore westchester square (the former New York westchester square hospital) operating as a free-standing emergency department and ambulatory surgery facility; - the montefiore hutchinson campus - the innovative "hospital without beds" providing wo

Financial Efficiency

• Mission deployment rate: 85.8%; rating input score 86
• Program expense ratio: 89.7%; rating input score 90
• Fundraising efficiency: $35.14 raised per $1 spent on fundraising; rating input score 69; 69th percentile among comparable filings

Transparency & Controls

• Consistency checks: 94.7%; rating input score 95; 33rd percentile among comparable filings
• Pay-setting controls: 6 of 6 controls in place; rating input score 100
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Pass
  • Written employment contract: Pass
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Scored; rating input score 0
• Grant itemization coverage: 93.4%; rating input score 93; 25th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 93.9%; rating input score 94; 45th percentile among comparable filings
• Governance controls: 7 of 9 controls in place; rating input score 78
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Fail
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 4.9%; rating input score 56; 56th percentile among comparable filings
• Total-asset coverage ratio: 0.89; rating input score 35; 35th percentile among comparable filings
• Liabilities to assets ratio: 1.01; rating input score 6; 6th percentile among comparable filings
• Officer compensation ratio: 0.2%; rating input score 90; 90th percentile among comparable filings

Growth

• Program expense growth: 5.3% per year; rating input score 100; 43rd percentile among comparable filings
• Revenue growth: 5.4% per year; rating input score 100; 47th percentile among comparable filings
• Asset growth: 5.8% per year; rating input score 100; 42nd percentile among comparable filings