Montefiore Health System

Legal name: Montefiore Medicine Academic Health System Self Insurance Trust

Nonprofit profile at a glance

EIN
824019223
IRS 990 coverage
2018–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
Mount Vernon, NY, USA
Phone
914-664-8000
Rating
54
Verdict
MIXED
Rating confidence
Moderate
Sector
Single Organization Support

Official website

Reported finances

Revenue
$85,266,481
Expenses
$65,422,924
Assets
$473,790,715
Liabilities
$434,727,837

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

1 person listed

Highest reported compensation

  • COMERICA BANK TRUST (SOLE CORPORATE TRUSTEE): $9,647 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Our commitment is simple: do more for every patient in every community we serve.

What it reported doing in 2024

Montefiore medicine academic health system self insurance trust is a section 501(c)(3) supporting organization, organized and operated for the benefit of montefiore einstein, inc. And its controlled supported organizations. Montefiore medicine academic health system self insurance trust was formed by mmahs, a section 501(c)(3) parent of an integrated healthcare delivery system, comprised primarily of section 501(c)(3) hospital organizations. The trust was formed to satisfy the malpractice claims of mmahs and its controlled entities and to protect mmahs, its controlled entities and covered persons against losses and expenses arising from medical malpractice liabilities. The sole purpose of the trust is to provide for the discharge of liabilities of the settlement of claims against, and the reimbursement of losses suffered by, mmahs and its controlled entities.

Operating model

Revenue model
Other-operating. 100% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

MIXED - A large share of available resources goes toward mission work and program spending has grown recently. A relatively small share of voting board members are independent and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 76
  • Transparency & Controls: 48
  • Accountability: 0
  • Sustainability: 81
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 76.7%; rating input score 77
  • Program expense ratio: 100%; rating input score 100
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 90.9%; rating input score 91; 6th percentile among comparable filings
  • Pay-setting controls: Limited
  • Foreign activity oversight: Scored; rating input score 0
  • Grant itemization coverage: Scored; rating input score 0
  • Major donor itemization: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 0%; rating input score 0; 4th percentile among comparable filings
  • Governance controls: 0 of 9 controls in place; rating input score 0
    • Conflict-of-interest policy: Fail
    • Whistleblower policy: Fail
    • Document-retention policy: Fail
    • CEO compensation review process: Limited
    • Other executive compensation review process: Limited
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Fail
    • Audit committee oversight: Missing
    • Independent financial-statement audit: Fail

Sustainability

  • Operating margin: 23.3%; rating input score 89; 89th percentile among comparable filings
  • Total-asset coverage ratio: 7.24; rating input score 89; 89th percentile among comparable filings
  • Liabilities to assets ratio: 0.92; rating input score 11; 11th percentile among comparable filings
  • Officer compensation ratio: 0%; rating input score 95; 95th percentile among comparable filings

Growth

  • Program expense growth: 2% per year; rating input score 100; 15th percentile among comparable filings
  • Revenue growth: 3.5% per year; rating input score 100; 27th percentile among comparable filings
  • Asset growth: 24% per year; rating input score 100; 96th percentile among comparable filings

Details

  • What they do: 8 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 76.7% of revenue deployed · 100% of spending went to programs
  • Governance: 0 of 1 board members independent · 0 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $65.4M in reported program spending
  • Leadership: top reported pay $10K · 1 people listed
  • Consistency: 15 of 16 current checks pass · 1 finding to review
  • Schedules: 5 filed schedules · includes foreign activity
  • Filing history: 6 filing years from 2018 to 2024
  • Contacts: How to reach this organization
  • Money network: 1 filed money-flow record
  • Related organizations: 57 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Accountability: Independent voting board scored 0/100.
  • High — Accountability: Governance controls: 6 of 6 not reported.
  • High — Transparency & Controls: Foreign activity oversight scored 0/100.
  • High — Transparency & Controls: Grant itemization coverage scored 0/100.
  • Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.
  • High — Sustainability: Liabilities to assets ratio scored 11/100.