Montefiore Mount Vernon Hospital

“Montefiore health system, inc is the sole member of montefiore mount vernon hospital.”

“The board of trustees of montefiore health system, inc., the sole member of montefiore mount vernon hospital, has the authority to appoint the board of trustees of montefiore mount vernon hospital.”

“The board of trustees of montefiore health system, inc., the sole member of montefiore mount vernon hospital, has the authority to approve the operating and capital budgets of montefiore mount vernon hospital.”

“The form 990 was prepared by montefiore health system's finance department with the assistance of various departments. The form 990 was reviewed and approved by the vice president-finance, accounting and financial reporting and the hospital's senior leadership team including the chief financial officer. In addition, an independent accounting firm was engaged to review the form 990. Upon completion of the various reviews, the form 990 was presented to the finance committee of the board of trustees for review and approval. Once approved by the finance committee of the board of trustees, the form 990 was provided to all members of montefiore mount vernon hospital's governing body.”

“Organization compliance policy monitoring and enforcement: the organization regularly and consistently monitors and enforces compliance with the conflicts of interest policy by means of a survey that was developed by montefiore's counsel. Montefiore mount vernon hospital's board of trustees adopted a policy that comports to federal and state conflicts of interest requirements. The general approach when a potential conflict of interest arises is to disclose the possible conflict to the compliance officer. The compliance officer will make every effort to provide guidance to permit resolution of any actual or potential conflicts of interest. The compliance officer will take appropriate actions, including advising montefiore mount vernon hospital's board of trustees regarding particular conflicts of interest.”

“All officers and key employees are employed and paid by either Montefiore Medicine Academic Health System, Inc. or Montefiore Health System, Inc., The parent Company of Montefiore Health Sytem, Inc. and Montefiore Mount Vernon Hospital, respectively. Montefiore Health System, Inc. is committed to ensuring that its executive compensation program adheres to the highest standards of regulatory compliance and best corporate governance. The Board of Trustees has charged the Compensation Committee of the Board (which is comprised of independent Board members with no conflicts of interest in regards to executive compensation) with making all decisions related to compensation for officers and key employees. All decisions made by the Compensation Committee are appropriately and timely documented in meeting minutes. The compensation committee's review process follows the Intermediate Sanctions guidelines for qualifying for the rebuttable presumption of reasonableness. The Committee retains an independent compensation consultant to assist it with this process. Compensation levels are established considering data for comparable organizations, an assessment of management performance (including the services provided to the community), and other business judegment factors, consistent with Montefiore's executive compensation philosophy. The Committee's decisions are made in the best interest of Montefiore, and are intended to ensure the recruitment and retention of key executive talent, consistent with the market practices of other not-for-profit healthcare organizations of comparable scope, mission and complexity. On an annual basis, the Committee provides the full Board of Trustees with a description of the committee's review and approval process and its decisions.”

“The conflicts of interest policy and governing documents are made available upon request.”