Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 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
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2020
Page 2

Schedule J (Form 990) 2020
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1ROBERT MICHLER MD
CHAIR-Surg/Cardiothoracic Surg
(i)

(ii)
4,217,952
-------------
0
0
-------------
0
1,645
-------------
0
17,000
-------------
0
29,337
-------------
0
4,265,934
-------------
0
0
-------------
0
2SUSAN GREEN-LORENZEN RN
System Senior VP-OPERations
(i)

(ii)
0
-------------
1,134,309
0
-------------
514,700
0
-------------
908,446
0
-------------
17,000
0
-------------
27,593
0
-------------
2,602,048
0
-------------
0
3Christopher Panczner
Asst Sec.-SVP & Gen Counsel
(i)

(ii)
0
-------------
939,772
0
-------------
423,800
0
-------------
3,253,445
0
-------------
17,000
0
-------------
9,736
0
-------------
4,643,753
0
-------------
2,591,417
4PHILIP O OZUAH MD PHD
President & CEO
(i)

(ii)
0
-------------
2,897,430
0
-------------
1,629,700
0
-------------
2,012,087
0
-------------
857,000
0
-------------
26,393
0
-------------
7,422,610
0
-------------
0
5Joseph De Rose MD
Dir Min Invasive Robotic Surg
(i)

(ii)
1,548,153
-------------
0
139,160
-------------
0
0
-------------
0
17,000
-------------
0
25,423
-------------
0
1,729,736
-------------
0
0
-------------
0
6Daniel Goldstein MD
Vice Chair-Cardiothoracic Surg
(i)

(ii)
1,554,992
-------------
0
117,246
-------------
0
1,072
-------------
0
17,000
-------------
0
2,700
-------------
0
1,693,010
-------------
0
0
-------------
0
7STEVEN SAFYER MD
former officer
(i)

(ii)
0
-------------
0
0
-------------
 
0
-------------
5,164,478
0
-------------
0
0
-------------
0
0
-------------
5,164,478
0
-------------
5,131,254
8COLLEEN M BLYE
Exec VP & CFO
(i)

(ii)
0
-------------
1,201,841
0
-------------
733,100
0
-------------
1,645
0
-------------
17,000
0
-------------
11,328
0
-------------
1,964,914
0
-------------
0
9Emad Eskandar MD
Chair-Neurological Surgery
(i)

(ii)
2,065,953
-------------
0
0
-------------
0
1,072
-------------
0
17,000
-------------
0
27,100
-------------
0
2,111,125
-------------
0
0
-------------
0
10Mark Schoenberg MD
Chair-Department of Urology
(i)

(ii)
920,945
-------------
0
600,000
-------------
0
1,645
-------------
0
17,000
-------------
0
29,800
-------------
0
1,569,390
-------------
0
0
-------------
0
Schedule J (Form 990) 2020
Page 3

Schedule J (Form 990) 2020
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Schedule J, Part I, Line 1a An officer was provided Car service for business purposes and incidental transportation. The car service costs were included in taxable income. One officer traveled first class as provided for under Medical center policy. All such travel was for Medical Center business purposes, accordingly, the cost of such travel was not included in taxable income. Schedule J, Part I, Line 4a Steven Safyer, M.D., a former Officer, was paid severance in the amount of $5,164,478 from a related organization in 2020 that was accrued and reported as deferred compensation in the prior year 990.
Schedule J, Part I, Lines 3, 4b & Part II - Columns (B)(i), (ii) and (iii) As it relates to compensation from Montefiore Medicine Academic Health System, Inc. and Montefiore Health System, Inc. for all officers and key employees: 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 similar organizations. Base salaries in Column B(i) are determined based on competitive market practices for comparable positions with similar sized organizations and scope of responsibilities. 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 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: Susan Green-Lorenzen, R.N. - $884,992 Philip O. Ozuah, M.D., PH.D. - $1,988,478 Christopher Panczner - $3,230,564 of which $2,591,417 was accrued in prior years 990s as deferred compensation. Supplemental Executive Retirement Plan accrued and unpaid benefits: Colleen Blye - There is no current year SERP deferred compensation accrual since benefits will become vested and distributed within 2 1/2 months after the calendar year. The Health System also funds a nonqualifying defined contribution SERP plan. An officer of the Medical Center 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. During 2020, there were no distributions from the plan. Contributions made to the plan in 2020 were reported as deferred compensation in column (C) for the officer as follows: Philip O. Ozuah, M.D., PH.D. - $840,000.
Schedule J, Part II - Compensation from related organizations All officers and key employees of Montefiore Medical Center are paid by either Montefiore Medicine Academic Health System, Inc., the parent company of Montefiore Health System, Inc. or Montefiore Health System, Inc., the parent of Montefiore Medical Center. The organization, in turn, reimburses the health systems for its expenses through the membership fees that are assessed for each of the benefitting entities.
Schedule J, Part II, Column B(iii) (Other Compensation) Christopher Panczner, an officer of the organization, compensation was higher than normal in 2020 due to a pay-out of $3,230,564 from the defined Benefit SERP plan by a related organization. He first became vested in 2020 and the distribution represents earnings from multiple years of service to the Health System reported previously, in part, as deferred compensation in prior years 990s.
Schedule J (Form 990) 2020

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