MOUNT SINAI HOSPITAL: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: MOUNT SINAI HOSPITAL (EIN 13-1624096)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-13
IRS object ID: 202003189349307030
Schema version: 2019v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-13T12:27:16-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	5 TIMES SQUARE	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10036	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	131624096	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE MOUNT SINAI HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% MICHAEL PASTIER	InCareOfNm
Business Name Control	MOUN	BusinessNameControlTxt
Phone	2127313149	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE GUSTAVE L LEVY PLACE	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	100296574	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DONALD SCANLON	PersonNm
Person Title	EVP,SYSTEM CFO & CCS	PersonTitleTxt
Phone	2127313149	PhoneNum
Signature	2020-11-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	NICOLE SOKOLOWSKI	PreparerPersonNm
PTIN	P01683199	PTIN
Phone	2127733000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	173.68.23.158	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	26308520203185000166	FederalOriginalSubmissionId
Federal Original Submission Id	2020-11-13	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	8D54059936F03BB7682E9C53BFBC48EF8769FF89	AtSubmissionCreationDeviceId
At Submission Filing Device Id	047C777BBD395ADD529156C75D94AFF56594489C	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DONALD SCANLON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	150 EAST 42ND STREET 5TH FL	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10017	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$3,126,978,004	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	http://www.mountsinai.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1852	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	MOUNT SINAI PROVIDES COMPASSIONATE PATIENT CARE AND ADVANCED MEDICINE THROUGH EDUCATION, RESEARCH AND OUTREACH IN THE MANY DIVERSE COMMUNITIES IT SERVES.	ActivityOrMissionDesc
Voting Members Governing Body	33	VotingMembersGoverningBodyCnt
Voting Members Independent	33	VotingMembersIndependentCnt
Total Employee	18655	TotalEmployeeCnt
Total Volunteers	898	TotalVolunteersCnt
Total Gross UBI	$20,015	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$19,015	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$44,306,597	PYContributionsGrantsAmt
CY Contributions Grants	$40,628,514	CYContributionsGrantsAmt
PY Program Service Revenue	$2,752,967,427	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,896,336,543	CYProgramServiceRevenueAmt
PY Investment Income	$51,246,963	PYInvestmentIncomeAmt
CY Investment Income	$75,216,726	CYInvestmentIncomeAmt
PY Other Revenue	$96,591,026	PYOtherRevenueAmt
CY Other Revenue	$114,673,840	CYOtherRevenueAmt
PY Total Revenue	$2,945,112,013	PYTotalRevenueAmt
CY Total Revenue	$3,126,855,623	CYTotalRevenueAmt
PY Grants And Similar Paid	$122,656,382	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$107,882,984	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,295,727,261	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,398,522,012	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,672,787	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,355,671,591	PYOtherExpensesAmt
CY Other Expenses	$1,459,173,201	CYOtherExpensesAmt
PY Total Expenses	$2,774,055,234	PYTotalExpensesAmt
CY Total Expenses	$2,965,578,197	CYTotalExpensesAmt
PY Revenues Less Expenses	$171,056,779	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$161,277,426	CYRevenuesLessExpensesAmt
Total Assets BOY	$4,194,636,548	TotalAssetsBOYAmt
Total Assets EOY	$5,184,954,527	TotalAssetsEOYAmt
Total Liabilities BOY	$2,010,693,347	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,689,774,731	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,183,943,201	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,495,179,796	NetAssetsOrFundBalancesEOYAmt
Mission	MOUNT SINAI IS COMMITTED TO THE ADVANCEMENT OF THE ART AND SCIENCE OF MEDICINE THROUGH CLINICAL EXCELLENCE. THE CENTRAL MISSION CONSISTS OF HIGH-QUALITY PATIENT CARE AND TEACHING CONDUCTED IN AN ATMOSPHERE OF SOCIAL CONCERN AND SCHOLARLY INQUIRY INTO NATURE, CAUSATION, PREVENTION AND TREATMENT OF HUMAN DISEASE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$2,662,445,377	ExpenseAmt
Grant	$107,882,984	GrantAmt
Revenue	$2,896,336,543	RevenueAmt
Desc	The Mount Sinai Hospital provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of the Mount Sinai Hospital, it is recognized that not all individuals possess the ability to purchase essential medical services and healthcare education. As a matter of policy, the Hospital provides significant amounts of partially or totally uncompensated patient care. For accounting purposes, such uncompensated care is treated either as charity care or bad debt expense. The Hospital's charity care policy ensures the provision of quality health care to the community served while carefully considering the ability of the patient to pay. The policy has sliding fee schedules for inpatient, ambulatory and emergency services provided to the uninsured and under-insured patients who qualify. Patients are eligible for the charity care fee schedule if they meet certain income tests. Furthermore, as part of its charity care and financial aid policy, the Hospital obtains and uses additional financial information for uninsured or under-insured patients who have not supplied the requisite information to qualify for charity care. The additional information obtained is used by the Hospital to determine whether to qualify patients for charity care and/or financial aid in accordance with the Hospital's policies. For accounting and disclosure purposes, charity care is considered to be the difference between the Hospital's customary charges and the sliding charity care fee schedule rates. Since payment of this difference is not sought, charity care allowances are not reported as revenue. The Hospital's estimated costs for charity care were $45.0 million and $33.6 million for 2019 and 2018, respectively. The cost of charity includes the direct and indirect cost of providing charity care services. The cost is estimated by utilizing a ratio of cost to gross charges applied to the gross uncompensated charges associated with providing charity care. Funds received from the New York State Indigent Care Pool to offset charity services provided totaled approximately $18.2 million and $16.6 million for the years ended December 31, 2019 and 2018, respectively. The charity care component of the indigent care pool payments is estimated utilizing a ratio of charity care charges to total charity care and bad debt charges applied to the indigent care pool reimbursement and excludes amounts designated for teaching programs. Additionally, patients who do not qualify for sliding scale fees and all uninsured inpatients who do not qualify for Medicaid assistance are billed at the Hospital's rates. Uncollected balances for these patients are categorized as bad debts. Total uncompensated care as a result of bad debts for all patient services approximated $31.1 million in 2019 and $24.8 million in 2018. The Mount Sinai Hospital is the primary health care provider for the East Harlem Area of New York City. East Harlem is one of the poorest communities in the New York City region, and has been designated as a medically underserved area. A wide variety of programs and services are currently provided for the community which include: -Primary care -AIDS -Cardiovascular health -Cancer treatment -Maternal and infant health -Geriatrics -Ambulatory sensitive conditions (Asthma and Diabetes) -Adolescent health -Youth education -Volunteer services	Desc
Total Program Service Expenses	$2,662,445,377	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	931	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	18655	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	33	GoverningBodyVotingMembersCnt
Independent Voting Member	33	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MICHAEL PASTIER	PersonNm
Phone	2127313149	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	150 EAST 42ND STREET 5TH FL	AddressLine1Txt
City	New York	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10017	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (63 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
KENNETH DAVIS MD
CHIEF EXECUTIVE OFFICER	20.2	39.8	Yes (X)	$1,997,542	$3,591,551	$69,336
SAMIN SHARMA MD
PROFESSOR, CARDIOLOGY	29.6	30.4		$1,084,866	$4,002,696	$42,637	Yes (X)
DENNIS CHARNEY MD 1
PRESIDENT, ACADEMIC AFFAIRS	20.6	39.4	Yes (X)	$747,631	$1,344,229	$46,898
DONALD T SCANLON
EVP, FIANCE & CHIEF CORP SERV	18.0	42.0	Yes (X)	$734,798	$1,321,156	$57,285
JEREMY BOAL MD
EVP, SYSTEM CMO	20.9	39.1	Yes (X)	$669,749	$1,204,200	$83,686
ARTHUR KLEIN MD
EVP, PRESIDENT OF HEALTH NTWK	33.8	26.2	Yes (X)	$1,102,866	$738,312	$39,086
DAVID L REICH MD
PRESIDENT AND COO	60.0	0.0	Yes (X)	$1,803,409	$0	$49,450
MARGARET PASTUSZKO
EVP, CHIEF INTEGRATION OFFICER	20.9	39.1	Yes (X)	$556,972	$1,001,428	$62,892
BETH ESSIG ESQ
EVP, GENERAL COUNSEL	18.8	41.2	Yes (X)	$560,116	$1,007,080	$29,777
BURTON P DRAYER
EVP, SYSTEM CCA	0.5	59.5	Yes (X)	$0	$1,501,281	$46,562
ARTHUR GIANELLI
CHIEF TRANSFORMATION OFFICER	0.5	59.5	Yes (X)	$0	$1,306,868	$34,815
JEFFREY SILBERSTEIN
EVP, SYSTEM CAO	20.9	39.1	Yes (X)	$442,909	$796,345	$32,727
NIYUM GANDHI
EVP, CHIEF POP. HEALH OFFICER	35.9	24.1		$709,545	$474,806	$44,321	Yes (X)
MICHAEL PASTIER
SVP, CHIEF FINANCIAL OFFICER	30.9	29.1	Yes (X)	$593,088	$482,321	$78,510
VICKI LOPACHIN
SVP, SYSTEM CMO	35.6	24.4		$655,150	$438,407	$32,528	Yes (X)
FRANK CINO
SVP, SYSTEM CHIEF RISK OFFICER	20.7	39.3		$235,573	$431,396	$59,162		Yes (X)
SHIRISH HUPRIKAR
PROFESSOR, INFECTIOUS DISEASE	59.2	0.8		$607,838	$8,631	$57,333	Yes (X)
CARYN SCHWAB
SVP, EXECUTIVE DIRECTOR MSHQ	60.0	0.0		$560,044	$0	$52,680	Yes (X)
SUSAN R CULLMAN
VICE CHAIRMAN/TRUSTEE	2.0	14.0	Yes (X)	$0	$0	$0			Yes (X)
JOEL S EHRENKRANZ
VICE CHAIRMAN/TRUSTEE	2.0	14.0	Yes (X)	$0	$0	$0			Yes (X)
BLAINE V FOGG END 7
VICE CHAIR/SECRETARY/TRUSTEE	2.0	14.0	Yes (X)	$0	$0	$0			Yes (X)
DONALD J GOGEL
VICE CHAIRMAN/TRUSTEE	2.0	14.0	Yes (X)	$0	$0	$0			Yes (X)
STEVEN HOCHBERG
VICE CHAIRMAN/TRUSTEE	2.0	19.0	Yes (X)	$0	$0	$0			Yes (X)
JOHN A LEVIN
VICE CHAIRMAN/TRUSTEE	2.0	14.0	Yes (X)	$0	$0	$0			Yes (X)
PETER W MAY
CHAIRMAN OF BOARD (END 4/2019)	2.0	14.0	Yes (X)	$0	$0	$0			Yes (X)
ERIC MINDICH
VICE CHAIRMAN/TRUSTEE	2.0	14.0	Yes (X)	$0	$0	$0			Yes (X)
MICHAEL MINIKES
VICE CHAIR/TREASURER/TRUSTEE	2.0	23.0	Yes (X)	$0	$0	$0			Yes (X)
JOEL I PICKET
VICE CHAIRMAN/TRUSTEE	2.0	17.0	Yes (X)	$0	$0	$0			Yes (X)
RICHARD RAVITCH
VICE CHAIRMAN/TRUSTEE	2.0	17.0	Yes (X)	$0	$0	$0			Yes (X)
JUDITH O RUBIN
VICE CHAIRMAN/TRUSTEE	2.0	14.0	Yes (X)	$0	$0	$0			Yes (X)
ANDREW M SAUL
VICE CHAIRMAN/TRUSTEE	2.0	15.0	Yes (X)	$0	$0	$0			Yes (X)
THOMAS W STRAUSS
VICE CHAIRMAN/TRUSTEE	2.0	14.0	Yes (X)	$0	$0	$0			Yes (X)
JAMES S TISCH
CO-CHAIRMAN OF BOARD/TRUSTEE	2.0	14.5	Yes (X)	$0	$0	$0			Yes (X)
BOBBIE ABRAMS END 42
TRUSTEE	1.0	4.0		$0	$0	$0			Yes (X)
ANDREW M ALPER
TRUSTEE	1.0	5.0		$0	$0	$0			Yes (X)
FRANK BISIGNANO
TRUSTEE	1.0	4.0		$0	$0	$0			Yes (X)
JEFF T BLAU
VICE CHAIRMAN/TRUSTEE	2.0	17.0	Yes (X)	$0	$0	$0			Yes (X)
HENRY M CALDERON
TRUSTEE	1.0	4.0		$0	$0	$0			Yes (X)
EDGAR M CULLMAN JR
TRUSTEE	1.0	4.0		$0	$0	$0			Yes (X)
JAMES E FLYNN
TRUSTEE	1.0	6.0		$0	$0	$0			Yes (X)
JEROME R GOLDSTEIN
TRUSTEE (END 4/2019)	1.0	4.0		$0	$0	$0			Yes (X)
DAVID S GOTTESMAN
TRUSTEE	1.0	0.0		$0	$0	$0			Yes (X)
JOHN B HESS
VICE CHAIRMAN/TRUSTEE	2.0	14.0	Yes (X)	$0	$0	$0			Yes (X)
JAMES KEMPNER
TRUSTEE	1.0	5.0		$0	$0	$0			Yes (X)
MARC S LIPSCHULTZ
TRUSTEE	1.0	5.0		$0	$0	$0			Yes (X)
JAMES NEARY
VICE CHAIRMAN/TRUSTEE	2.0	14.0		$0	$0	$0			Yes (X)
ALICE NETTER
TRUSTEE	1.0	5.0		$0	$0	$0			Yes (X)
BERNARD W NUSSBAUM
TRUSTEE	1.0	6.0		$0	$0	$0			Yes (X)
LEWIS PELL
TRUSTEE	1.0	4.0		$0	$0	$0			Yes (X)
ROBERT F SAVAGE JR
TRUSTEE	1.0	4.0		$0	$0	$0			Yes (X)
DAVID WINDREICH
TRUSTEE	1.0	5.0		$0	$0	$0			Yes (X)
JOHN S WINKLEMAN
TRUSTEE	1.0	4.0		$0	$0	$0			Yes (X)
WILLIAM H WRIGHT II
TRUSTEE	1.0	5.0		$0	$0	$0			Yes (X)
MICHAEL ZIMMERMAN
TRUSTEE	1.0	3.0		$0	$0	$0			Yes (X)
BRAD KARP
SECRETARY/TRUSTEE (EFF 4/2019)	2.0	14.0	Yes (X)	$0	$0	$0			Yes (X)
JAMES W CRYSTAL
VICE CHAIRMAN	2.0	14.0	Yes (X)	$0	$0	$0
BONNIE M DAVIS MD
VICE CHAIRMAN	2.0	14.0	Yes (X)	$0	$0	$0
GLENN DUBIN
VICE CHAIRMAN	2.0	14.0	Yes (X)	$0	$0	$0
RICHARD A FRIEDMAN
CO-CHAIRMAN OF BOARD	2.0	14.0	Yes (X)	$0	$0	$0
HENRY R KRAVIS
VICE CHAIRMAN	2.0	14.0	Yes (X)	$0	$0	$0
HON ROBERT E RUBIN
VICE CHAIRMAN	2.0	14.0	Yes (X)	$0	$0	$0
CARL ICAHN
VICE CHAIRMAN (EFF 4/2019)	2.0	14.0	Yes (X)	$0	$0	$0
HAMILTON JAMES
VICE CHAIRMAN (EFF 4/2019)	2.0	14.0	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$13,062,096	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$19,650,707	TotReportableCompRltdOrgAmt
Total Other Compensation	$919,685	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	4103	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CROTHALL HEALTHCARE INC
13028 COLLECTIONS CENTER DRIVE	CHICAGO	IL	60693	MANAGEMENT	$43,916,123
MORRISON MANAGEMENT SPECIALISTS
955 CHESTERBROOK BLVD	CHESTERBROOK	PA	19087	MANAGEMENT	$8,933,666
LABORATORY CORPORATION
PO BOX 2240	BURLINGTON	NC	272162240	LAB SERVICES	$27,202,577
RIGHTSOURCING INC
PO BOX 515743	LOS ANGELES	CA	900515118	PERSONNEL	$16,031,199
DEVITOVERDI INC
330 HUDSON STREET 16TH FLOOR	NEW YORK	NY	10013	MARKETING	$10,146,737

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	174	CntrctRcvdGreaterThan100KCnt
Fundraising	$386,128	FundraisingAmt
Government Grants	$4,052,650	GovernmentGrantsAmt
All Other Contributions	$36,189,736	AllOtherContributionsAmt
Noncash Contributions	$757,376	NoncashContributionsAmt
Total Contributions	$40,628,514	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE	Desc
Business	621110	BusinessCd
Total Revenue Column	$2,896,336,543	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,896,336,543	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,896,336,543	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,650,432	TotalRevenueColumnAmt
Unrelated Business Revenue	$20,015	UnrelatedBusinessRevenueAmt
Exclusion	$18,630,417	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$42,002,000	SecuritiesAmt
Other	$14,564,294	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$42,002,000	SecuritiesAmt
Other	$14,564,294	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$56,566,294	TotalRevenueColumnAmt
Exclusion	$56,566,294	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$29,700	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$386,128	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$122,381	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$92,681	TotalRevenueColumnAmt
Exclusion	-$92,681	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA	722320	$13,244,716	$13,244,716
340B PHARMACY	621110	$60,369,761	$60,369,761
DELIVERY SYSTEM REFORM INCENTIVE PAYMENTS	621110	$16,482,210	$16,482,210

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$24,669,834	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,640,121	RelatedOrExemptFuncIncomeAmt
Exclusion	$22,029,713	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$114,766,521	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,126,855,623	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,898,976,664	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$20,015	UnrelatedBusinessRevenueAmt
Exclusion	$187,230,430	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$107,882,984	TotalAmt
Program Services	$107,882,984	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$9,718,448	TotalAmt
Program Services	$370,572	ProgramServicesAmt
Management And General	$9,069,205	ManagementAndGeneralAmt
Fundraising	$278,671	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$304,283	TotalAmt
Management And General	$304,283	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,110,827,981	TotalAmt
Program Services	$971,660,558	ProgramServicesAmt
Management And General	$138,575,944	ManagementAndGeneralAmt
Fundraising	$591,479	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$85,285,300	TotalAmt
Program Services	$73,968,740	ProgramServicesAmt
Management And General	$11,258,521	ManagementAndGeneralAmt
Fundraising	$58,039	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$103,879,362	TotalAmt
Program Services	$90,049,584	ProgramServicesAmt
Management And General	$13,706,130	ManagementAndGeneralAmt
Fundraising	$123,648	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$88,506,638	TotalAmt
Program Services	$76,753,589	ProgramServicesAmt
Management And General	$11,682,393	ManagementAndGeneralAmt
Fundraising	$70,656	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$35,150,437	TotalAmt
Program Services	$30,507,064	ProgramServicesAmt
Management And General	$4,643,373	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,000,669	TotalAmt
Management And General	$2,866,277	ManagementAndGeneralAmt
Fundraising	$134,392	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$2,054,680	TotalAmt
Management And General	$2,054,680	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$537,665	TotalAmt
Program Services	$537,665	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$3,295,710	TotalAmt
Program Services	$3,295,710	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$440,913,338	TotalAmt
Program Services	$382,668,699	ProgramServicesAmt
Management And General	$58,244,639	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$10,167,788	TotalAmt
Program Services	$8,712,858	ProgramServicesAmt
Management And General	$1,326,153	ManagementAndGeneralAmt
Fundraising	$128,777	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$22,580,506	TotalAmt
Program Services	$17,725,828	ProgramServicesAmt
Management And General	$4,809,696	ManagementAndGeneralAmt
Fundraising	$44,982	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$36,409,511	TotalAmt
Program Services	$31,581,821	ProgramServicesAmt
Management And General	$4,806,958	ManagementAndGeneralAmt
Fundraising	$20,732	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$72,487,545	TotalAmt
Program Services	$62,789,159	ProgramServicesAmt
Management And General	$9,556,917	ManagementAndGeneralAmt
Fundraising	$141,469	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,694,118	TotalAmt
Program Services	$1,445,840	ProgramServicesAmt
Management And General	$220,066	ManagementAndGeneralAmt
Fundraising	$28,212	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,286,264	TotalAmt
Program Services	$1,116,349	ProgramServicesAmt
Management And General	$169,915	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$31,956,885	TotalAmt
Program Services	$31,956,885	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$114,465,056	TotalAmt
Program Services	$94,616,815	ProgramServicesAmt
Management And General	$19,848,241	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$44,902,508	TotalAmt
Program Services	$38,970,887	ProgramServicesAmt
Management And General	$5,931,621	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$620,164,127	$620,164,127
DIETARY	$18,106,394	$15,669,643	$2,385,021	$51,730

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,965,578,197	TotalAmt
Program Services	$2,662,445,377	ProgramServicesAmt
Management And General	$301,460,033	ManagementAndGeneralAmt
Fundraising	$1,672,787	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$729,201	BOYAmt
EOY	$1,054,179	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$109,491,954	BOYAmt
EOY	$438,188,807	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$15,926,078	BOYAmt
EOY	$26,417,789	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$370,346,874	BOYAmt
EOY	$399,283,919	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$4,028,900	BOYAmt
EOY	$4,028,900	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$39,921,165	BOYAmt
EOY	$44,964,257	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,034,065	BOYAmt
EOY	$6,992,529	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,548,939,844	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,504,225,729	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$984,751,357	BOYAmt
EOY	$1,044,714,115	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$712,152,164	BOYAmt
EOY	$778,149,843	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$736,762,408	BOYAmt
EOY	$701,885,473	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$229,693,842	BOYAmt
EOY	$90,349,643	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$983,798,540	BOYAmt
EOY	$1,648,925,073	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,194,636,548	BOYAmt
EOY	$5,184,954,527	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$344,610,693	BOYAmt
EOY	$341,954,153	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$61,712,289	BOYAmt
EOY	$56,828,572	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$872,106,958	BOYAmt
EOY	$1,090,548,818	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$10,433,135	BOYAmt
EOY	$6,466,310	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$721,830,272	BOYAmt
EOY	$1,193,976,878	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,010,693,347	BOYAmt
EOY	$2,689,774,731	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,989,528,504	BOYAmt
EOY	$2,294,819,969	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$194,414,697	BOYAmt
EOY	$200,359,827	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,183,943,201	BOYAmt
EOY	$2,495,179,796	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,194,636,548	BOYAmt
EOY	$5,184,954,527	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$161,277,426	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$103,424,421	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$46,534,748	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$537,665	OtherActivitiesAmt
Total Lobbying Expenditures	$537,665	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1	FormAndLineReferenceDesc
Explanation	The Mount Sinai Hospital pays dues to various organizations that lobby federal and state legislators on behalf of health care facilities, including the Mount Sinai Hospital. The portion of these dues by entity are summarized below: American Hospital Association $24,679 Greater New York Hospital Association $224,865 1199 SIEU $120,990 MOUNT SINAI HOSPITAL MANAGEMENT $100,244 HEALTH CARE ASSOCIATION OF NEW YORK STATE $66,887 Total $537,665	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$194,414,697	BeginningYearBalanceAmt
Contributions	$39,384,906	ContributionsAmt
Other Expenditures	$33,439,776	OtherExpendituresAmt
End Year Balance	$200,359,827	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$188,170,369	BeginningYearBalanceAmt
Contributions	$38,418,298	ContributionsAmt
Other Expenditures	$32,173,970	OtherExpendituresAmt
End Year Balance	$194,414,697	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$163,604,424	BeginningYearBalanceAmt
Contributions	$57,906,527	ContributionsAmt
Other Expenditures	$33,340,582	OtherExpendituresAmt
End Year Balance	$188,170,369	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$154,233,139	BeginningYearBalanceAmt
Contributions	$37,052,615	ContributionsAmt
Other Expenditures	$27,681,330	OtherExpendituresAmt
End Year Balance	$163,604,424	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$153,132,000	BeginningYearBalanceAmt
Contributions	$30,969,279	ContributionsAmt
Other Expenditures	$29,868,140	OtherExpendituresAmt
End Year Balance	$154,233,139	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.57160	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.42840	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$49,616,675	OtherCostOrOtherBasisAmt
Book Value	$49,616,675	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$694,683,848	OtherCostOrOtherBasisAmt
Depreciation	$288,697,047	DepreciationAmt
Book Value	$405,986,801	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,742,952,468	OtherCostOrOtherBasisAmt
Depreciation	$1,215,528,682	DepreciationAmt
Book Value	$527,423,786	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$61,686,853	OtherCostOrOtherBasisAmt
Book Value	$61,686,853	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,044,714,115	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	POOLED INVESTMENTS	Desc
Book Value	$701,885,473	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$701,885,473	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (14 entries)

DescDesc	Book ValueBookValueAmt
DUE TO/FROM RELATED ORGS	$989,772,654
DEFERRED FINANCING FEES	$7,782,905
457B PLAN	$17,052,003
ROTATING RESIDENTS	$3,172,243
TENANT SECURITY DEPOSITS	$344,201
AMBULANCE SERVICE LICENSE	$1,150,000
DEPOSITS HELD BY THIRD PARTIES	$5,378,664
340B PHARMACY RECEIVABLE	$23,825,880
PROF LIAB INS REC	$170,241,600
OTHER RECEIVABLES	$12,861,679
PROF BILLING RECEIVABLE	$2,031,807
HIC ESCROW RECEIVABLE	$16,250,000
SELF-INSURANCE TRUST RECEIVABL	$7,167,699
RIGHT OF USE ASSETS	$391,893,738

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,648,925,073	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (14 entries)

DescDesc	AmtAmt
POST RETIREMENT BENEFITS	$10,962,502
THIRD PARTY LIABILITIES	$248,433,502
RENT SECURITY DEPOSIT	$344,201
AR CREDIT BALANCES	$23,318,601
MALPRACTICE INSURANCE	$23,785,652
PLANNED GIFT LIABILITY	$67,500
MOUNT SINAI PHARMACIST PENSION	$17,279,884
457B PLAN LIABILITY	$17,052,002
PROFESSIONAL LIABILITIES	$170,242,069
DSRIP LIABILITY	$62,575,116
SELF-INSURANCE TRUST	$83,276,963
1514 MADISON AVENUE LIABILITY	$1,000,000
INTERCOMPANY RESERVES	$134,419,980
LEASE PAYABLE	$401,218,906

Field	Value	IRS element (for citing)
Total Liability	$1,193,976,878	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, LINE 4	FormAndLineReferenceDesc
Explanation	INTENDED USES OF ORGANIZATION'S ENDOWMENT FUNDS MOUNT SINAI HOSPITAL'S ENDOWMENT FUNDS ARE RESTRICTED TO INVESTMENTS IN PERPETUITY WITH THE INCOME EXPENDABLE TO SUPPORT PROGRAMS ACTIVITIES AS STIPULATED BY THE DONORS. THE HOSPITAL FOLLOWS THE REQUIREMENT OF THE UNIFORM MANAGEMENT OF INSTITUTIONAL FUNDS ACT ("UMIFA") AS THEY ARE RELATED TO ITS ENDOWMENT CONTRIBUTIONS. THE HOSPITAL HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS SUPPORTED BY ITS ENDOWMENT. UNDER THIS POLICY, AS APPROVED BY THE BOARD OF TRUSTEES, THE EDOWMENT ASSETS ARE INVESTED IN A MANNER TO PROVIDE THAT SUFFICIENT ASSETS ARE AVAILABLE AS A SOURCE OF LIQUIDITY FOR THE INTENDED USE OF THE FUNDS, ACHIEVE THE OPTIMAL RETURN POSSIBLE WITH THE SPECIFIC PARAMETERS, AND PRUDENTLY INVEST ASSETS IN A HIGH-QUALITY DIVERSFIED MANNER TO ADHERE TO ESTABLISHED GUIDELINES.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Type Of Activities Conducted	Program Services	TypeOfActivitiesConductedTxt
Specific Services Provided	insurance	SpecificServicesProvidedTxt
Region Total Expenditures	$55,285,115	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$55,285,115	SubtotalSpentAmt
Total Spent	$55,285,115	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part I, Line 3

THE PRIMARY COVERAGE OF PROFESSIONAL AND GENERAL LIABILITY INCIDENTS HAS BEEN PROVIDED THROUGH PARTICIPATION IN A POOLED PROGRAM WITH CERTAIN HEALTH CARE FACILITIES (PRINCIPALLY HOSPITALS) AFFILIATED WITH THE FEDERATION OF JEWISH PHILANTHROPIES OF NEW YORK. THIS OCCURRENCE BASIS INSURANCE COVERAGE PARTICIPATION IS WITH THE CAPTIVE INSURANCE COMPANIES. THE CAPTIVE INSURANCE COMPANIES HAVE TWO OFFICES IN THE CARIBBEAN, SPECIFICALLY BERMUDA AND BARBADOS. THE COMPANIES WERE INCORPORATED IN BARBADOS AND BERMUDA IN 1992 AND 1986 RESPECTIVELY AND ARE LICENSED UNDER THE INSURANCE ACT OF BOTH COUNTRIES. SINCE THE HOSPITAL WAS A SHAREHOLDER OF THE CAPTIVE INSURANCE COMPANIES, THE HOSPITAL FOLLOWED THE EQUITY METHOD OF ACCOUNTING FOR ITS INTEREST IN THE INSURANCE COMPANIES ASSOCIATED WITH THE MEDICAL MALPRACTICE INSURANCE PROGRAM. ADDITIONALLY, FORMS 5471, INFORMATION RETURNS OF U. S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, HAS BEEN FILED WITH THE HOSPITAL'S 990T. The Hospital along with other Health Care Facilities agreed to sell HIC and FOJP to The Doctors Company. The transaction closed in 2019, and the Hospital shared in the proceeds ratably according to ownership.

parts I & IV

The investment activities listed in Part 1 are allocated to agree to the audited financial statement reporting as pooled investments while Part IV reports on foreign filings filed by the respective organization.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	ACH LEGENDS	Event1Nm
Gross Receipts Event1	$415,828	GrossReceiptsEvent1Amt
Charitable Contri Event1	$386,128	CharitableContriEvent1Amt
Gross Revenue Event1	$29,700	GrossRevenueEvent1Amt
Food And Beverage Event1	$39,812	FoodAndBeverageEvent1Amt
Entertainment Event1	$19,850	EntertainmentEvent1Amt
Other Direct Expenses Event1	$62,719	OtherDirectExpensesEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Other Events	$0	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$0	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$0	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$0	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$0	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$0	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$0	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$0	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$0	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$415,828	GrossReceiptsTotalAmt
Charitable Contributions Tot	$386,128	CharitableContributionsTotAmt
Gross Revenue Total Events	$29,700	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$0	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$0	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$0	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$39,812	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$19,850	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$62,719	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$122,381	DirectExpenseSummaryEventsAmt
Net Income Summary	-$92,681	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,188,390	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,256,758	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,931,632	NetCommunityBenefitExpnsAmt
Total Expense	0.00810	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$742,008,366	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$502,998,046	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$239,010,320	NetCommunityBenefitExpnsAmt
Total Expense	0.08060	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$794,196,756	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$531,254,804	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$262,941,952	NetCommunityBenefitExpnsAmt
Total Expense	0.08870	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,646,710	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,052,650	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,594,060	NetCommunityBenefitExpnsAmt
Total Expense	0.01030	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$293,361,760	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$91,255,955	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$202,105,805	NetCommunityBenefitExpnsAmt
Total Expense	0.06820	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$73,356,202	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$73,356,202	NetCommunityBenefitExpnsAmt
Total Expense	0.02480	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$260,684	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$260,684	NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$401,625,356	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$95,308,605	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$306,316,751	NetCommunityBenefitExpnsAmt
Total Expense	0.10330	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,195,822,112	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$626,563,409	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$569,258,703	NetCommunityBenefitExpnsAmt
Total Expense	0.19200	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,349	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,349	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$549,545	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$549,545	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$121,627	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$121,627	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$681,521	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$681,521	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$31,631,712	BadDebtExpenseAmt
Reimbursed By Medicare	$522,861,613	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$574,887,062	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$52,025,449	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MOUNT SINAI HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE GUSTAVE L LEVY PLACE	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10029	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTP://WWW.MOUNTSINAI.ORG	WebsiteAddressTxt
State License	7002024H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Emergency Room Other	Yes (X)	EmergencyRoomOtherInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MOUNT SINAI HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	17	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V - SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	see part V, section C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	see part v, section c	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	see part v, section c	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	see part v, section c	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, LINE 3e	The significant health needs of the community identified in the CNHA are prioritized according to the community needs. SCHEDULE H, PART V, LINE 5 The hospital facility took into account input from persons who represent the community, including those with special knowledge of or expertise in public health, through key informant interviews and focus groups conducted from September through December 2017. Input was obtained from 104 individuals representing 40 community organizations. Collectively, these 40 organizations serve a wide-range of community residents; individually, these serve medically underserved communities (such as LGBTQ individuals, immigrant populations, and community members with limited English proficiency), low-income communities (notably children and seniors), and minority populations (including Chinese and Hispanic residents). In addition to the New York City Department of Health and Mental Hygiene, participating organizations included ACMH Inc.; Astoria Blue Feather Early Learning Center; BRC Senior Services Center; Callen-Lorde Community Health Center; Center for Independence of the Disabled in NY; Consolidated Edison, Inc.; Coordinated Behavioral Care (CBC); Dominican Women's Development Center; Educational Alliance; Hearing Loss Association of America, New York City Chapter; Hellenic American Neighborhood Action Committee; Instituto Duartiano de Nueva York; La Academia Mundial de Bomberos Inc EEUU; Long Island City Partnership; Lower Eastside Power Partnership; Manhattan Community Board 3; Manhattan Community Board 4; Manhattan Community Board 5; Manhattan Community Board 6; Manhattan Community Board 7; Morningside Heights Residents' Association; Mount Sinai - Mount Sinai Queens; Mount Sinai - Mount Sinai Queens - Community Advisory Board; Mount Sinai Beth Israel - Mount Sinai Brooklyn; Mount Sinai Community Advisory Council; Mount Sinai Health System; Mount Sinai St. Luke's - Mount Sinai West; MSSL & MSW; New York Common Pantry; New York Eye & Ear Infirmary of Mount Sinai; New York Political Club New Generation; Queens Community Board 1; Residents of the New York City Housing Authority; SHAREing & CAREing; STRIVE New York; Stuyvesant Town Peter Cooper Village Tenants Association; Union Square Partnership; William F. Ryan Community Health Center; and William F. Ryan Community Health Network
Schedule H, Part V, Line 6a	The Community Health Needs Assessments for Mount Sinai Hospital and The Mount Sinai Hospital of Queens were conducted in conjunction with each other. SCHEDULE H, PART V, LINE 7A THE HOSPITAL'S CHNA IS AVAILABLE ON THE WEBSITE: https://www.mountsinai.org/files/MSHealth/Assets/MSH/MSH-MSQ-CHNA-December 2017.pdf SCHEDULE H, PART V, LINES 10A THE HOSPITAL'S IMPLEMENTATION STRATEGY IS AVAILABLE ON THE WEBSITE: http://www.mountsinai.org/locations/mount-sinai/about/community
Schedule H, Part V, Line 11	The 2017 CHNA identified a number of significant health needs in the community. The CHNA process considered and assessed a wide range of primary and secondary data sources including structured interviews with persons who represent the broad interests of the community and those with expertise in public health, and assessments and studies prepared by other organizations. The CHNA report identified eleven health needs as significant in the community, as listed below in alphabetical order. - Aging Population - Access to Mental Health Care and Poor Mental Health Status - Access to Primary Health Care Services by Individuals with Limited Resources - Chronic Diseases and Contributing Lifestyle Factors - Environmental Determinants of Health - Homelessness - Navigating a Changing Health Care Provider Environment - Poverty, Financial Hardship, and Basic Needs Insecurity - Safe and Affordable Housing - Economic, Racial, Cultural, Ethnic, and Linguistic Barriers to Care - Substance Abuse The hospital selected the following significant needs to focus its efforts during the 2018-2020 time period: - Access to Mental Health Care and Poor Mental Health Status; - Access to Primary Health Care Services by Individuals with Limited Resources; - Chronic Diseases and Contributing Lifestyle Factors; - Socio-Economic, Racial, Cultural, Ethnic, and Linguistic Barriers to Care; and - Substance Abuse. A. Access to Mental Health Care and Poor Mental Health Status The 2017 MSH CHNA found that the mental health status is poor for many residents because of day-to-day pressures, substance abuse, and psychiatric disorders. The supply of mental health providers is insufficient to meet the demand for mental health services. Planned activities to increase access to mental health care and improve the mental health status of community residents are described below. These activities are in addition to the MSH activities that impact multiple needs. Health professions education The health professions education activities of MSH respond to both the current and future community mental health needs. MSH actively participates in nearly 140 residency and fellowship programs. Residency and fellowship programs that are especially related to mental health care services are as follows: - Child and Adolescent Psychiatry Fellowship, - Geriatric Psychiatry Fellowship, - Mood and Personality Disorders Fellowship, - Psychiatry Residency, - Transgender Psychiatry Fellowship Program, and Triple Board Residency (Pediatrics, General Psychiatry, and Child and Adolescent Psychiatry). Mental Health Services Mental health care services are available at the hospital campuses, outpatient facilities, and physician practices throughout the community. As part of the Mount Sinai Health System, integrated resources such as electronic health records facilitate the referral of patients to needed services provided by other Mount Sinai Health System hospitals and health professionals. Specific mental health services available include the following: Mount Sinai's Department of Psychiatry The Department of Psychiatry and Behavioral Sciences at Mount Sinai Beth Israel provides comprehensive inpatient and outpatient services. Its training programs in psychiatry and psychology contribute substantially to the community's mental health resources. Treatment offerings are enhanced by research activity, which seeks to develop the next generation of therapies, from advanced device-based treatments to new psychotropic medications. Specific services include treatment for the following: - Alzheimer's disease; - Attention Deficit Hyperactivity Disorder (ADHD); - Autism Spectrum disorders; - Eating disorders; - Mood disorders (such as depression and bipolar disorder); - Obsessive-Compulsive Disorder (OCD); - Personality and Impulse Control disorders; - Post-Traumatic Stress Disorder (PTSD); - Schizophrenia; - Substance abuse; and - Tourette's Disorder. B. Access to Primary Health Care Services by Individuals with Limited Resources The 2017 MSH CHNA found that New York City has a robust health provider network. However, access to this network can be limited to individuals with limited financial resources, including lack of health insurance and relatively high deductibles / co-pays. Planned activities to increase access to primary health care for individuals with limited resources are described below. These activities are in addition to the MSH activities that impact multiple needs. Health professions education The health professions education activities of MSH respond to both the current and future community health needs for professional services. MSH actively participates in nearly 140 residency and fellowship programs. Residency and fellowship programs that are especially related to primary health care services are as follows: - Adolescent Medicine Fellowship, - Emergency Medicine Residency, - Emergency Medicine Simulation Fellowship, - Family Planning Fellowship - Mount Sinai Hospital, - General Dentistry Residency, - General Internal Medicine Fellowship, - General Surgery Residency, - Global Women's Health Fellowship - Mount Sinai Hospital, - Internal Medicine Residency, - Obstetrics Gynecology Residency, - Pediatric Dentistry Residency, - Pediatrics Emergency Medicine Fellowship, - Pediatrics Residency, - Physical Medicine and Rehabilitation Residency, and - PGY1 Pharmacy Residency Program. Primary Health Care Services The hospital provides primary care at its campuses, as well as physician practices throughout Manhattan. The hospital, together with The Mount Sinai Health System, is a leader in providing quality health care to its patients regardless of their ability to pay. C. Chronic Diseases and Contributing Lifestyle Factors The 2017 MSH CHNA found that chronic diseases in the community include obesity, diabetes, hypertension, heart disease, strokes, and asthma. Contributing lifestyle factors might also include sexually transmitted infections. Planned activities to help reduce the incidence of and manage current chronic disease, including increasing healthy life factors, are described below. These activities are in addition to the MSH activities that impact multiple needs. Health professions education The health professions education activities of MSH respond to both the current and future community health needs for chronic disease treatment and prevention. MSH actively participates in nearly 140 residency and fellowship programs. Residency and fellowship programs that are especially related to chronic disease services are as follows: - Advanced Endoscopy Fellowship, - Advanced Fellowship in Inflammatory Bowel Disease, - Advanced Heart Failure and Transplant Cardiology Fellowship, - Allergy and Immunology Fellowship, - Anesthesiology Residency, - Body MRI Fellowship, - Breast Imaging Fellowship, - Breast Pathology Fellowship, - Cardiology Clinical Track Fellowship, - Cardiology Electrophysiology Fellowship, - Cardiology Heart Failure and Transplantation Fellowship, - Cardiology Vascular Medicine Fellowship, - Cardiothoracic Anesthesia Fellowships, - Cerebrovascular Disease-Stroke Fellowship, - Chest Fellowship, - Clinical Genetics Laboratory Training Program, - Clinical Informatics Fellowship, - Clinical Laparoscopic Surgery Fellowship, - Clinical Neurophysiology Fellowship (EMG and EEG Tracks), - Cognitive Neurology Fellowship, - Colon and Rectal Surgery Fellowship, - Critical Care Anesthesiology Fellowship, - Critical Care Medicine Fellowship, - Cytopathology Fellowship, - Dermatology Residency, - Dermatopathology Fellowship, - Diagnostic Radiology Residency, - Endocrinology, Diabetes, and Bone Disease Fellowship, - ENT Pathology Fellowship, - Epilepsy Fellowship, - Facial Plastic Surgery Fellowship, - Female Pelvic Medicine and Reconstructive Surgery Fellowship, - Foot and Ankle Fellowship, - Gastroenterology Fellowship, - Gastrointestinal Pathology Fellowship, - General Preventive Medicine Residency, - Gynecologic Oncology Fellowship, - Gynecologic Pathology Fellowship, - Hand and Elbow Fellowship, - Head and Neck Oncology, Microvascular Reconstructive Surgery Fellowship, - Headache Medicine Fellowship, - Hematology and Medical Oncology Fellowship, - Hemopathology Fellowship, - Independent ACGME Thoracic Fellowship Program, - Infectious Diseases Fellowship, - Integrated Thoracic Surgery Residency Program, - Cardiac Surgery and General Thoracic Surgery Residency, - Interventional Cardiology Fellowship, - Interventional Radiology-Integrated Residency, - Laryngology Fellowship, - Liver Pathology Fellowship, - Liver Transplant Anesthesia Fellowship, - Maternal-Fetal Medicine Fellowship, - Medical Genetics Residency and Fellowship Training Programs, - Minimally Invasive Pelvic Surgery Fellowship, - Minimally Invasive Urology Fellowship Program, - Mohs Micrographic Surgery and Dermatologic Oncology Fellowship Program at Mount Sinai, - Molecular Genetic Pathology Fellowship, - Movement Disorders Fellowship, - Mul

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MT SINAI PSYCHIATRIC CONTINUING DAY TR	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	53-55 E 96TH STREET FL A B C 1F	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10029	ZIPCd

Field	Value	IRS element (for citing)
Facility	OUTPATIENT CLINIC	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H SUPPLEMENTAL INFORMATION	Part I, Line 7 The Mount Sinai Hospital used the ratio of cost-to-charges methodology for costing purposes. The cost-to-charge ratio was derived utilizing Worksheet 2, Ratio of Patient Care Costs-to-Charges. Part I, Line 7G Included in subsidized health services is support for various primary care physician practices in the surrounding community. These practices are owned by The Icahn School of Medicine of Mount Sinai which is also a member of the Mount Sinai Health System. During 2019, the Hospital transferred $25.7 million to other Mount Sinai entities. These funds are used to develop programs to improve the community served.
Part II Community Building Expense	The Hospital conducts various Community Building Activities during the year to promote the health of its community. The Hospital pays for several public service announcements that help promote population health in areas such as diabetes awareness, cardiac health, cancer, mental health, teen health, and HIV/AIDS. These announcements help to provide the public with information as to symptoms of various diseases and medical conditions so that they seek care before their medical condition reaches a more advanced stage. Additionally, the Hospital spends a significant amount on disaster preparedness each year. These expenditures ensure that the Hospital will be ready to handle a large scale disaster in the area and meet the medical needs of those that are impacted. This preparedness includes plans for handling large volumes of sick or injured people under various scenarios, such as when power is lost or transportation systems are shut down. Part III, Line 2 The Hospital's provision for bad debts is recorded in accordance with generally accepted accounting principles. The amount of the provision for bad debts is based upon management's assessment of historical and expected net collections, business and economic conditions, trends in Medicare and Medicaid health care coverage and other collection indicators. Part III, Line 3 Not applicable Part III, Line 4 The Hospital's footnote disclosure on bad debt expense includes the following: Deductibles and copayments under third-party payment programs are the patient's responsibility and the Hospital considers these amounts in its determination of the provision for bad debts based on collection experience. Accounts receivable are also reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Hospital analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. Part III, Line 8 Medicare Allowable Cost were obtained from the Medicare cost report. The cost report utilizes a step-down methodology to allocate an institution's allowable costs by service and program. In addition, the Hospital included the Medicare share of the loss for Health Professions Education (Schedule H, Part I, Line 7f), which amounted to $52.0 million in order to provide a more accurate reflection of the Hospital's Medicare financial results. Part III, Line 9b The Hospital's collection practices do not apply to charity care balances. Once an account or a portion thereof is deemed to be charity care, it is written off as such. As a result, there is no further collection effort on the account balance.
2. Needs Assessment	A continuous community needs assessment process occurs in Manhattan and Western Queens through active membership/participation of administrative leaders, staff and faculty in over 20 community committees, coalitions and boards; and through service and educational partnerships with community health, social service, civic organizations and schools. The Department of Community and Government Affairs acts as a liaison for the Medical Center to health, social service and civic organizations, schools, coalition and community leaders in East and Central Harlem, the Upper West Side and in boroughs outside of Manhattan and Western Queens. Community and Government Affairs work closely with the Mount Sinai School of Medicine, Mount Sinai's Center for Multicultural and Community Affairs and the Department of Community and Preventive Medicine to assist other Medical Center departments that seek to implement community programs and research projects. The Mount Sinai Medical Center actively seeks the views of community residents, hospital consumers, health care providers, religious groups, community boards, elected officials, support groups, and community health and human service professionals in identifying the need for services and public health priorities. The Mount Sinai Medical Center's public participation includes the following: * Mount Sinai's Board of Trustees has established a Community Affairs committee whose members include senior management, health providers, and Trustees. A Trustee serves as a Community Advisory Board member to ensure board to board communications. The Board of Trustees meets quarterly to evaluate services and community needs. * Mount Sinai's Community Advisory Board (CAB) members represent diverse socioeconomic and ethnic constituencies and representatives from the Medical Center leadership and departments. The CAB's goal is to ensure that the medical center is responsive to health care needs of consumers, with particular emphasis on the needs of East Harlem. The CAB meets monthly to evaluate services and community needs. * The Tisch Cancer Institute has established a CAB to work in partnership with East and Central Harlem community residents and organizations to reduce the excess burden of cancer among its African-American and Hispanic residents to find ways to overcome cancer disparities. The CAB meets monthly to discuss community resources, strengths and interventions to improve the quality of cancer prevention, treatment and care. * Mount Sinai has established and hosts a monthly Community Roundtable to keep its pulse on the needs of East Harlem and Central Harlem communities. Approximately 80 community leaders, educators, elected officials, and CAB members are in attendance at the monthly meetings. * The Mount Sinai Medical Center representatives participate actively in monthly/quarterly meetings with the following organizations in its continuing efforts to discuss health care needs of the community. * Abyssinian Development Corporation. * Boriken Neighborhood Health Center. * Bronx Aids Services. * Children's Aids Society. * Community Board No.11 - Manhattan, Health & Human Services Committee. * East Harlem Chamber of Commerce. * East Harlem HIV Care Network. * East Harlem Partnership for Cancer. * Greater Harlem Chamber of Commerce. * Little Sisters of the Assumption Family Health Services. * New York Academy of Medicine. * New York City Housing Authority - Carver Houses Tenants Association & Johnson Tenants Association. * Jewish Home and Hospital. * Settlement Health Association. * Union Settlement Association. * Yorkville Common Pantry. The Mount Sinai Hospital of Queens' public participation includes the following: * Mount Sinai Hospital of Queens recently formed a CAB and serves the needs of a culturally diverse population with representatives from social and human service organizations, civic associations, public housing authority, and health care providers. The CAB meets quarterly to evaluate services and community needs. * Mount Sinai Hospital of Queens conducts an annual Community Roundtable to inform and update participants on new programs and projects and facility improvements at the Hospital. The focus is also on engaging participants in a discussion of ways in which the Hospital can improve and better serve the needs of the community. * The annual Pastoral Care Forum for clergy and other religious leaders in the community featured an educational session as well as an information-sharing component of services available in the community. * Mount Sinai representatives participate actively in monthly/quarterly meetings with the following organizations in its continuing efforts to discuss health care needs of the community. * American Cancer Society. * Astoria Civic Association. * Catholic Charities of Brooklyn and Queens. * Community Boards No.1 & 2 - Queens. * Gateway to Health Sciences Secondary School. * Greek Orthodox Archdiocesan of America Hellenic Cultural Center. * HANAC. * Jacob Riis Neighborhood Settlement House. * Queens Chamber of Commerce. * New York City Housing Authority - Ravenswood Tenants Association. * SHAREING & CAREING. * United Community Civic Association. * Visiting Nurse of New York. The Mount Sinai Medical Center discusses and analyzes the following demographic and socio-economic data with community partners as part of the community needs assessment process. 1. Utilization - Identify which services/programs have met or exceeded projected utilization. 2. Patient satisfaction surveys - Analyze the hospitals' patient surveys to determine areas of needs identified by patients and their families. 3. Local demand for services - Identify the services/programs with waiting lists, which demonstrate that the local demand for services exceeds capacity. 4. Community need data - Determine the health of the community by examining the health statistics on the NYCDOHMH and NYSDOH websites; and determine the areas in which the target goals of Take Care New York are not met. Additionally, in assessing the communities' needs in conjunction with community partners, consumers, community boards, community leaders, and community health and human service professionals, the following questions are considered: 1. Is the cause of the illness, disease or health behavior preventable? 2. Does the hospital have existing resources, capacity, and processes to conduct outreach, provide screenings and treatment, measure, and evaluate set goals? 3. Was the health focus also identified by, discussed with, and determined as a priority in the health of the community by community partners, consumers, community health and human service professionals, NYCDOHMH, and the hospital's Community Advisory Board? Based on the information gathering process described above, the Hospital develops a community service plan that focuses on the health priorities for the surrounding community.
3. Patient education and eligibility for assistance	All patients that do not have insurance are notified that financial assistance may be available for them. Prominently placed signs notify patients of the financial assistance policy and flyers summarizing the process are available in registration areas. The Hospital provides assistance with enrollment in Federal and State insurance programs including Medicare, Medicaid, Child Health Plus and Family Health Plus. If patients do not qualify for these programs they may qualify for financial assistance through the Hospital's Charity Care and Self Pay Discount Policy. Patient bills also provide information as to where a patient or the person responsible for the Hospital bill can call to receive financial assistance if they are not able to pay the Hospital's bill. Patients are provided with assistance through the Hospital's Financial Counseling Department (Mount Sinai patients only) or through its Resource Entitlement and Advocacy Program (REAP) Office. The REAP Office assists both Hospital patients and community members to obtain financial assistance for their medical expenses.
4. Community Information	The Mount Sinai Medical Center serves patients in all five boroughs of New York City, Long Island, Westchester and Rockland counties, New Jersey and Connecticut. Mount Sinai is a regional and national referral center. The hospital defines New York County as the area used for community/local health planning for the purposes of the Community Service Plan. Census data were used to determine the service area of The Mount Sinai Medical Center. The total population of New York County in 2010 was 1,585,873 (increase of 3.2 percent from the 2000 Census). Approximately 52% of the New York County population in 2010 was of a minority population (18.5% African-American, 11.8% Asian and 21.7% "other" minority group members including individuals of 2+ races). There were 405,983 (25.6%) Hispanics, who can be of any race. New York County has eight federally-designated medically underserved areas. There are 20 hospitals, including specialty hospitals, serving this area. The U.S. Census identified that 282,285 members (17.8%) of the population were living at or below the Federal Poverty Level in 2010. It has been documented that individuals of minority and/or low-income status experience difficulties in accessing healthcare in some places. Mount Sinai serves residents of its service area without regard to any personal characteristics, including race/ethnicity or payer source. It is important to note the large minority population that Mount Sinai serves as most minority groups have been documented to suffer from cardiovascular disease at rates in excess of those of the White population. The Mount Sinai Medical Center has a strong history of serving traditionally underserved individuals throughout its service area, including Harlem and East Harlem communities surrounding the hospital. Mount Sinai provides the following health services to its community: * 67% of clinic visits are minority patients. * 53% of inpatient discharges are minority patients. * 85% of Emergency Department visits are minority patients. * More than 30% of inpatients reside in upper Manhattan. * Nearly 50% of outpatients reside in upper Manhattan. * More than 50% of Emergency Department patients reside in upper Manhattan. Reflective of the Hospitals location in the East Harlem neighborhood of New York County, approximately 45.5% and 53.5% of the hospital's inpatient discharges and outpatient visits, respectively, were from Medicaid patients. In many of the hospital's programs, over 60% of the patients have historically belonged to a minority group. The total number and percentage of individuals in the 45 and older age group in New York County is projected to grow dramatically from 2000 to 2015. The total number of individuals in this group is projected to increase from 534,263 individuals in 2000 to 694,295 individuals in 2015, representing a growth of 30.0% over this time period. This age group is projected to grow at a rate over seven times that of New York County from 2000 to 2015, and is at greater risk for cardiac problems than the general population. There were 217,265 individuals older than age 65 (comprising 13.7% of the population) residing within the service area in 2010. This population is projected to continue to grow to 242,281 individuals (comprising 15.1% of the population) by 2015, per the New York Statistical Information System from Cornell University. This age group is at greater risk for cancer than the general population. According to data from the New York State Department of Health (NYSDOH), infectious diseases, such as HIV, are more prevalent in the hospital's service area of New York County than in New York City and New York State overall. The HIV case rate from 2005 to 2007 in New York County was 72.9 individuals per 100,000, which was significantly higher than that of New York City (46.0 persons per 100,000) and the State (24.3 persons per 100,000). The Mount Sinai Hospital of Queens defines its primary service area as the following zip codes that comprise Northwestern Queens: 11101, 11102, 11103, 11104, 11105 and 11106 known as Long Island City/Astoria. The secondary service area consists of zip codes that comprise Western Queens: 11368, 11369, 11370, 11372, 11373, 11377 and 11378. Those zip codes define the areas used for community/local health planning for the purposes of the Community Service Plan. The population of the primary service area of Northwestern Queens in 2008 was 231,440 while the population of the secondary service area of Western Queens was 464,497 for a total of 695,937 residents. Over half (51%) of the population (representing more than 100 cultural and ethnic groups) is foreign-born compared to only 36% for New York City as a whole. In Northwestern Queens, roughly one in five persons lives in poverty; one in five adults smoke and is less likely to quit than smokers in New York City overall; women are less likely to get a regular Pap test for cervical cancer than women in New York City as a whole; and the service area has the second highest proportion of uninsured adults among all New York City neighborhoods, with foreign-born residents more likely to be without health insurance than those born in the United States. The heart disease hospitalization rate in the primary service area has increased by more than 10% in the past 10 years. The poverty and language barriers in Western Queens inhibit access to inpatient care. Per the New York City Department of City Planning, Mount Sinai Hospital of Queens is located in Queens Community Board No.1 - Queens. In 2007, 24.2% of the residents lived below the poverty level. This percentage is much greater than the percentage of residents below the poverty level (12.2%) for the entire county. Overall, greater than 50% of the residents in Community Board No.1 - Queens do not speak English "very well", according to the US Census Bureau. Staff members at Mount Sinai Hospital of Queens speak approximately 50 languages, a statistic that is growing each year. This is reflective of the cultural diversity of the service area, which includes residents comprising greater than 100 cultural and ethnic groups.
5. Promotion of Community Health	As mentioned in the description of the Needs Assessment in Part VI.2, the Hospital has formed a Community Board to ensure that the Medical Center is able to work closely with the surrounding community to identify and respond to the healthcare needs of the community. The Mount Sinai Medical Center Community Advisory Board was formed as a committee of the Board of Trustees to review and comment on the Medical Center's service, educational and research programs. The Board's goal is to ensure that the medical center is responsive to the health care needs of consumers, with particular emphasis on the needs of East Harlem. The Community Advisory Board is a forum for articulating patient care and community health concerns and for evaluating the effectiveness of services on the community's health status, patients' rights, and the quality of services provided to consumers. Community Advisory Board members represent diverse socioeconomic and ethnic constituencies and representatives of Medical Center leadership and departments. A majority are consumers. A Trustee serves as a Community Advisory Board member to ensure board-to-board communications Based on the needs assessment and feedback the Hospital receives from groups like the Community Advisory Board, the Mount Sinai Hospital conducts a number of services and activities that are designed to promote and improve the health of individuals residing in the surrounding community. These services and activities help to inform people of healthy living habits and provide access to valuable health care services, including diagnostic screening services for at risk people. A brief description of each of these services and activities is provided below. * HouseCall is a newsletter developed and designed to introduce the Harlem community to the doctors, nurses, social workers, and other health professionals who serve the community. The publication includes extensive outpatient service information. * Prescriptions for Healthy Living is a campaign launched in 2007 in which banners that stress the importance of taking control of health care and adopting a healthy lifestyle are placed throughout the community. * Good Health Is Precious brings health education and screening to community organizations, responding to a need for early detection. Mini health talks about asthma, cancer, cardiovascular health, chronic kidney disease, diabetes, mental health, nutrition and fitness, orthopedic care, palliative care, and women's health are available in English and Spanish. * The Greenmarket is a partnership between the Medical Center and the Council on the Environment of New York City that sells fresh fruit and vegetables in East Harlem each week. It also offers free medical screenings as well as demonstrations of healthy cooking. * Free Community Health Screenings. In the past year Mount Sinai faculty and staff sponsored and/or participated in numerous community health fairs and health screening programs, street festivals, children's festivals, health expos and information fairs, reaching over 25,000 people. Screenings have been conducted to test blood pressure, glucose, cholesterol, vision, bone density, body mass index, kidney disease, and Hepatitis C at health fairs year-round. There are nearly 7000 screenings annually. * Support Groups are offered to patients and their families so that they can share their stories with others who have had similar experiences. * Workshops and seminars are important components of Mount Sinai's commitment to the community. Topics covered have included areas such as Power of Attorney, Living Wills and Advanced Directives: What You Need to Know, Men's Health Seminars, Women's Cardiovascular Health. * Exercise and Education classes are offered weekly or bi-monthly. * Resource Entitlement Advocacy Program (REAP) serves uninsured and underinsured community members and hospital patients who need assistance with entitlement issues. REAP enables them to get health insurance and gain access to health care. In addition, it helps them obtain income, home care, and nutrition support by working with community agencies. REAP also provides technical assistance regarding changes to entitlement programs such as welfare, Medicaid, Medicare, Family Health Plus, child health insurance, and other programs. East Harlem Free Clinic, created and operated by the students of the Mount Sinai School of Medicine, provides free medical care to East Harlem residents. The Medical Center provides HEART (Heart Failure Education and Rehabilitation Training), a congestive heart failure nurse-management program to improve patient self management and physician-initiated services for patients with heart failure in East and Central Harlem. Additionally, Mount Sinai offers a wide variety of community outreach programs that provide screening, educational and patient care. These programs are funded through operating revenues of the Hospital. Some of the programs provided by the Medical Center include: * The Jack Martin Fund Clinic is a New York State Department of Health Designated AIDS Center that provides primary and specialty care, urgent care, social services, and counseling to those who are infected; and preventive services to those at risk. * Mount Sinai Adolescent Health Center was the first primary care facility in New York City specifically designed to meet the health care needs of adolescents. Today, it is the largest, most comprehensive adolescent center in the United States, with a mission to help adolescents grow up happy, healthy, and well educated by preventing disease and promoting health. The Adolescent Health Center offers comprehensive medical, nutritional, exercise, and mental health services to teenagers concerned with eating disorders, becoming overweight or obese, and high cholesterol. * The Mount Sinai Diabetes Center provides inpatient and outpatient treatment and education to adults with type I or type II diabetes. The Diabetes Center works closely with Mount Sinai Internal Medicine Associates, whose patient population includes many patients from East and Central Harlem. The Diabetes Center sponsors community diabetes screenings in English and Spanish. * The Mount Sinai Emergency Department provides state-of-the-art emergency care for the residents of East Harlem and Northern Manhattan 24 hours/day 7 days/week and is a receiving hospital for the 911 ambulance system. It is organized into five treatment areas: Emergency Psychiatric Care, Adult Urgent Care, Chest Pain Unit, Adult Emergency Services, and Pediatric Emergency Services. On-site bilingual staff and social work services are available around the clock. Many initiatives have been introduced in response to community needs and concerns. * Martha Stewart Center for Living at Mount Sinai was established in 2007 as a state-of-the-art medical practice for the outpatient care of seniors, and will surely become a benchmark in geriatric patient care. The Center provides care for patients and training for physicians, and coordinates healthy-aging research and practices. * The Dubin Breast Center opened at the The Tisch Cancer Institute, providing patients with a multidisciplinary, comprehensive approach to breast cancer screening, treatment and survivorship in a serene setting. Dubin Breast Center offers state-of-the-art diagnostics, including 3-D mammography, and minimally invasive diagnostic procedures. Our highly skilled physicians are some of the most sought-after breast cancer experts in the country. Patients at the Dubin Breast Center have access to the latest approaches and techniques, such as seed localization. A team of breast cancer experts are specialized in the diagnosis and treatment of breast cancer patients and offer the most advanced services in breast cancer prevention, diagnosis, and treatment. * The Breast Health Resource Program (BHRP) is dedicated to meeting the emotional and practical needs of women and men with breast cancer. The program offers information, guidance, and critical support to patients from diagnosis through survivorship. Our clinical social workers offer highly individualized counseling to help manage the complex demands of a breast cancer diagnosis. The Breast Health Resource Program offers counseling, seminars, support groups, and a library of information about the latest breast cancer treatments. * The Visiting Doctors Program at Mount Sinai provides hands-on, high quality medical care and social support to men and women with complex and serious illnesses who have difficulty leaving their homes. The program aims to help patients maximize their health and independence. The homebound population has traditionally been underserved by the medical community, but the Visiting Doctors Program works to fill that gap by providing ongoing primary medical care. Today, Visiting Doctors serves over 1,000 patients throughout Manhattan and is a national model for the care of this most vulnerable group. * The Mount Sinai
6. Part of an Affiliated Health Care System	The Hospital is part of the Mount Sinai Health System (MSHS, "the System") that was formed on September 30, 2013. The Mount Sinai Health System includes the Hospital, the Icahn School of Medicine at Mount Sinai, Beth Israel Medical Center (BIMC), The St. Luke's-Roosevelt Hospital Center (SLR) and the New York Eye and Ear Infirmary (NYEEI). MSHS is an integrated health care system and academic medical center. The efforts of the Mount Sinai Hospital are provided in detail in the previous sections of Part VI. BIMC, SLR and NYEEI conduct similar community outreach activities in their respective communities. As a new system, MSHS plans to begin to work together to better coordinate its community outreach and health promotion activities so as to reach more of those in need and have a more profound impact on their health status.
7. Schedule H, Part VI, line 7	Community Benefit Report Mount Sinai files a community service plan in New York State.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	false	GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI
ONE GUSTAVE L LEVY PL	NEW YORK	NY	10029	136171197	501(C)(3)	$58,457,849	FUND PHYSICIAN PRACTICE PROJECT
INSTITUTE FOR FAMILY HEALTH
1879 MADISON AVENUE	NEW YORK	NY	10029	133273402	501(C)(3)	$2,981,205	COMMUNITY BENEFIT
MOUNT SINAI HEALTH SYSTEM
ONE GUSTAVE L LEVY PL	NEW YORK	NY	10029	464248304	501(C)(3)	$25,666,745	FUND OPERATING LOSS
BETH ISRAEL MEDICAL CENTER
FIRST AVENUE AT 16TH ST	NEW YORK	NY	10003	135564934	501(C)(3)	$590,356	FUND OPERATING LOSS
MSMC Realty Corporation
ONE GUSTAVE L LEVY PL	NEW YORK	NY	10029	133852596	501(C)(3)	$63,829	FUND OPERATING LOSS
SOUTH NASSAU COMMUNITIES HOSPITAL INC
ONE HEALTHY WAY	OCEANSIDE	NY	115721551	111352310	501(C)(3)	$20,000,000	FUND CAPITAL PROJECT
ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI
ONE GUSTAVE L LEVY PL	New York	NY	10028	136171197	501(C)(3)	$123,000	FUND STRATEGIC PROJECTS

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part II, Line 1	The grant is to fund the operating loss of various off-site physician practices owned by the ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI. Detail review of the off-site physician practices financials are conducted.
Part II, Line 2	The grant is to benefit the community and is funded to an exempt organization within the community. The entity is required to submit budget and reconciliations.
Part II, Line 3	The grant is to fund the operating loss of its related organization, MOUNT SINAI HEALTH SYSTEM. NO MONITORING IS REQUIRED SINCE THE ENTITY IS A RELATED TAX EXEMPT ORGANIZATION.
Part II, Line 4	THE GRANT IS TO FUND THE OPERATING LOSS OF ITS RELATED ORGANIZATION, BETH ISRAEL MEDICAL CENTER. NO MONITORING IS REQUIRED SINCE THE ENTITY IS A RELATED TAX EXEMPT ORGANIZATION.
Part II, Line 5	The grant is to fund the operating loss of its related organization, MSMC Realty Corporation. NO MONITORING IS REQUIRED SINCE THE ENTITY IS A RELATED TAX EXEMPT ORGANIZATION.
Part II, Line 6	The grant is to fund various strategic capital projects at South Nassau Communities Hospital. NO MONITORING IS REQUIRED SINCE THE ENTITY IS A RELATED TAX EXEMPT ORGANIZATION.
Part II, Line 7	THE GRANT IS TO FUND VARIOUS STRATEGIC PROGRAMS TO PROMOTE COMMON MISSION OF THE HOSPITAL AND THE ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	Yes (true)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JEREMY BOAL MD
EVP, SYSTEM CMO	$357,400	$642,600	$68,478	$123,122	$243,871	$438,478	$10,007	$17,993	$19,902	$35,784	$699,658	$1,257,977	$0	$0
DENNIS CHARNEY MD 1
PRESIDENT, ACADEMIC AFFAIRS	$393,140	$706,860	$136,956	$246,244	$217,535	$391,125	$10,007	$17,993	$6,754	$12,144	$764,392	$1,374,366	$0	$0
KENNETH DAVIS MD
CHIEF EXECUTIVE OFFICER	$857,760	$1,542,240	$536,100	$963,900	$603,682	$1,085,411	$10,007	$17,993	$14,773	$26,563	$2,022,322	$3,636,107	$0	$0
BURTON P DRAYER
EVP, SYSTEM CCA	$0	$300,000	$0	$191,600	$0	$1,009,681	$0	$28,000	$0	$18,562	$0	$1,547,843	$0	$0
BETH ESSIG ESQ
EVP, GENERAL COUNSEL	$396,714	$713,286	$133,532	$240,088	$29,870	$53,706	$10,007	$17,993	$635	$1,142	$570,758	$1,026,215	$0	$0
ARTHUR KLEIN MD
EVP, PRESIDENT OF HEALTH NTWK	$599,000	$401,000	$89,850	$60,150	$414,016	$277,162	$16,772	$11,228	$6,641	$4,445	$1,126,279	$753,985	$0	$0
MICHAEL PASTIER
SVP, CHIEF FINANCIAL OFFICER	$420,243	$341,757	$118,876	$96,674	$53,969	$43,890	$15,442	$12,558	$27,856	$22,654	$636,386	$517,533	$0	$0
MARGARET PASTUSZKO
EVP, CHIEF INTEGRATION OFFICER	$384,205	$690,795	$128,824	$231,624	$43,943	$79,009	$10,007	$17,993	$12,470	$22,422	$579,449	$1,041,843	$0	$0
DAVID L REICH MD
PRESIDENT AND COO	$1,475,000	$0	$191,600	$0	$136,809	$0	$28,000	$0	$21,450	$0	$1,852,859	$0	$0	$0
DONALD T SCANLON
EVP, FIANCE & CHIEF CORP SERV	$428,880	$771,120	$173,763	$312,422	$132,155	$237,614	$10,007	$17,993	$10,466	$18,819	$755,271	$1,357,968	$0	$0
JEFFREY SILBERSTEIN
EVP, SYSTEM CAO	$299,680	$538,820	$99,293	$178,527	$43,936	$78,998	$10,007	$17,993	$1,689	$3,038	$454,605	$817,376	$0	$0
FRANK CINO
SVP, SYSTEM CHIEF RISK OFFICER	$178,366	$326,634	$54,213	$99,277	$2,994	$5,485	$9,890	$18,110	$11,006	$20,156	$256,469	$469,662	$0	$0
NIYUM GANDHI
EVP, CHIEF POP. HEALH OFFICER	$494,258	$330,742	$143,484	$96,016	$71,803	$48,048	$16,775	$11,225	$9,778	$6,543	$736,098	$492,574	$0	$0
VICKI LOPACHIN
SVP, SYSTEM CMO	$464,303	$310,697	$137,745	$92,175	$53,102	$35,535	$16,775	$11,225	$2,713	$1,815	$674,638	$451,447	$0	$0
CARYN SCHWAB
SVP, EXECUTIVE DIRECTOR MSHQ	$440,000	$0	$67,060	$0	$52,984	$0	$22,400	$0	$30,280	$0	$612,724	$0	$0	$0
SAMIN SHARMA MD
PROFESSOR, CARDIOLOGY	$104,800	$107,732	$0	$0	$980,066	$3,894,964	$10,480	$10,773	$10,544	$10,840	$1,105,890	$4,024,309	$0	$0
ARTHUR GIANELLI
CHIEF TRANSFORMATION OFFICER	$0	$950,000	$0	$293,030	$0	$63,838	$0	$28,000	$0	$6,815	$0	$1,341,683	$0	$0
SHIRISH HUPRIKAR
PROFESSOR, INFECTIOUS DISEASE	$542,300	$7,700	$51,952	$738	$13,586	$193	$27,608	$392	$28,922	$411	$664,368	$9,434	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Supplemental Information	FormAndLineReferenceDesc
Explanation	COMPENSATION FOOTNOTES OFFICERS OF THE BOARD OF TRUSTEES HOURS REFLECT SERVICE TO ALL RELATED ORGANIZATIONS OF MOUNT SINAI HEALTH SYSTEM, INC. (1) EMPLOYEE HAS AN OUTSTANDING LOAN REFLECTED IN SCHEDULE L, PART II OF THE ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI FORM 990. OTHER REPORTABLE COMPENSATION FOR OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES AS IDENTIFIED IN THE FORM 990, PART VII, AND LISTED ON SCHEDULE J MAY INCLUDE VARIOUS TYPES OF SUPPLEMENTAL WAGES. SCHEDULE J, PART I, LINES 6A & 6B THE HOSPITAL ANSWERED YES TO QUESTIONS 6A AND 6B IN SCHEDULE J AS THE INSTITUTION UTILIZES AN INCENTIVE BASED BONUS PROGRAM FOR CERTAIN EMPLOYEES, INCLUDING SEVERAL OF THOSE EMPLOYEES LISTED IN SCHEDULE J. NET EARNINGS IS ONE OF THE SEVERAL METRICS UTILIZED BY THE INSTITUTION IN THE ANNUAL BONUS CALCULATION. OTHER METRICS UTILIZED IN THE INCENTIVE COMPENSATION MODEL INCLUDE THE ORGANIZATION'S PERFORMANCE ON THE JCAHO HOSPITAL CORE MEASURES, PATIENT SATISFACTION SCORES, AND OTHER ORGANIZATIONAL GOALS SUCH AS LENGTH OF STAY INITIATIVES. INDIVIDUALS THAT HAVE RESPONSIBILITIES IN RELATED ORGANIZATIONS TO THE HOSPITAL MAY HAVE INCENTIVES BASED ON THE PERFORMANCE OF THESE ORGANIZATIONS AS WELL AS THAT OF THE HOSPITAL.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	BUILD NYC RESOURCE CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	454040561	BondIssuerEIN
CUSIP	999999999	CUSIPNum
Bond Issued	2013-12-19	BondIssuedDt
Issue Price	$112,000,000	IssuePriceAmt
Purpose	CONSTRUCT QUEENS CAMPUS	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$112,229,099	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$387,324	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$109,884,316	CapitalExpendituresAmt
Other Spent Proceeds	$934,270	OtherSpentProceedsAmt
Unspent	$1,023,190	UnspentAmt
Substantial Completion	2017	SubstantialCompletionYr
Refunding Tax Exempt Bonds	false	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.00100	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00100	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II, Line 7, Issue A	FormAndLineReferenceDesc
Explanation	The amount shown in Form 8038 for issue costs exceeded by $1,500 the actual issue costs paid from bond proceeds as a result of overestimation in the Form 8038 of some of the issue costs. The number in Part II, Column A, row 7 is the actual issuance costs paid from proceeds. Part III, Line 3A The organization has one management agreement. The agreement complies with Revenue Procedure 97-13 and is not subject to Revenue Procedure 2017-13. Part III, Line 9 The organization is considering devising procedures to ensure that if any bonds become non-qualified, they will be remediated in accordance with regulated sections 1.141-12 and 1.145.2. Part IV, Line 7 The organization directed and monitored investments based on an expected raw schedule and takes sole responsibility for compliance with the requirements of Section 148. Since the date of issue of the bonds, no investment yields exceeded the bond yield. Part V The organization is aware that a voluntary closing agreement is available if a violation of the Federal tax requirements, should they occur, cannot be corrected through self-remediation, such violation will qualify for resolution through the voluntary closing agreement program.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
BRIAN SCANLON
DONALD SCANLON, OFFICER	$86,362	COMP. AS AN EMPLOYEE	false
DAVID SCANLON
DONALD SCANLON, OFFICER	$84,629	COMP. AS AN EMPLOYEE	false
JOSHUA FRIEDMAN
RICHARD FRIEDMAN, OFFICER	$74,774	COMP. AS AN EMPLOYEE	false
Michael Pastier Jr
Michael Pastier, Officer	$58,518	COMP. AS AN EMPLOYEE	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part IV, Column D	FormAndLineReferenceDesc
Explanation	FAMILY RELATIONSHIPS WITH INTERESTED PERSONS Officer Donald Scanlon has a family relationship with Brian & David Scanlon who are employed at The Mount Sinai Hospital. Officer Richard Friedman has a family relationship with Joshua Friedman who is employed at The Mount Sinai Hospital. Officer Michael Pastier has a family relationship with Michael Pastier, Jr who is employed at the Mount Sinai Hospital.	ExplanationTxt

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$12,437	NoncashContributionsRptF990Amt
Method Of Determining Revenues	resale value	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	19	ContributionCnt
Noncash Contributions Rpt F990	$744,939	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART 1 LINE 9	FormAndLineReferenceDesc
Explanation	COLUMN B REPRESENTS NUMBER OF CONTRIBUTIONS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990 SUPPLEMENTAL INFORMATION	Part I, Line 5 Number of Employees Employees of The Mount Sinai Hospital and The Icahn School of Medicine at Mount Sinai, including employees providing services at Elmhurst Hospital Center and Queens Hospital Center, utilize a common paymaster under the Hospital's tax identification number. The total number of employees reported under The Mount Sinai Hospital's tax Identification number with the common paymaster system is 32,068 individuals. The number of direct Hospital employees is 18,655 individuals. Part VI, Section A, Line 2 Family/Business Relationships Trustees Edgar Cullman, Jr. and Susan Cullman have a family relationship. Trustees Steven Hochberg and James Flynn have a business relationship. Trustees Steven Hochberg and Joel Picket have a business relationship. Trustees Marc Lipschultz and John Hess have a business relationship. Officers Kenneth Davis, MD and Dennis Charney, MD have a business relationship. Officer Kenneth Davis, MD and Trustee David Windreich have a business relationship. Officer Kenneth Davis, MD and Trustee Bonnie Davis have a family relationship. Officer Dennis Charney, MD and Trustee David Windreich have a business relationship. Part VI, Section A, Line 4 Governing Documents On April 22, 2019, the Bylaws for The Mount Sinai Hospital were amended to clarify that the Board of Trustees has the discretion, but is not required, to appoint any Senior Vice Chairman to the Board of Trustees. Then on June 12, 2019, the Bylaws of The Mount Sinai Hospital were amended to permit a quorum, solely in the case of appointments to the Hospital Staff by the Board of Trustees, to require the presence of one trustee for every ten trustees (or fraction thereof) entitled to vote for such appointments. Then on September 16, 2019, the Bylaws of The Mount Sinai Hospital were amended to revise the listing of Board Committees and rename and clarify the mission of certain committees. Part VI, Section A, Line 6 Mount Sinai Hospitals Group, Inc. is the Sole Member of the organization. Part VI, Section A, Line 7a The Member has the power to elect the members of the governing body of the organization. Part VI, Section A, Line 7b The Board of Trustees of the organization cannot amend the bylaws without the consent of the Member if such amendment removed any powers of the Member. the consent of the Member if such amendment removed any powers of the Member.
PART VI, SECTION B, LINE 11B	Form 990 provided to governing body The Finance Department gathered the relevant information and prepared the tax returns. The Tax department of our outside auditors, Ernst & Young (EY), participated in the preparation of, and reviewed, all tax returns. A questionnaire was circulated to all trustees (i.e., directors), officers and key employees in order to elicit the information required to be reported on the tax returns. The Trustee Conflicts of Interest Review Committee reviewed the responses provided by trustees and certain officers in the questionnaires and assessed additional pertinent facts gathered by the institution in order to evaluate the applicability of IRS reporting requirements. The Review Committee then determined the appropriate trustee (and certain officer) disclosures that should be made on Form 990 based on the recommendations of the Finance Department, the General Counsel's office and the Audit and Compliance Department. These recommendations were reviewed and approved by EY. The same process was conducted by the Finance Department, the General Counsel's office, the Audit and Compliance Department and EY with respect to the questionnaires submitted by other officers and key employees. The Audit and Compliance Committee of the Board of Trustees conducted a review of the entire tax return, with the participation of EY, the Finance Department, the General Counsel's office, and the Audit and Compliance Department. The Audit Committee approved the tax returns as presented. The Audit Committee's report of its review of the tax returns and its recommendation to file the returns were presented to, and accepted by, the Executive Committee of the Board of Trustees (Executive Committee). In addition to authorizing the filing of the tax returns, the Executive Committee directed that the returns, which will be filed on or before November 15, 2020, be provided to all trustees via the trustees' confidential website, and those returns were so provided before being filed. Part VI, Section B, Line 12C Monitoring & enforcing compliance with the policy. Compliance with the Organization's Business Conflicts of Interest Policy (Policy) is required of trustees, employees, medical staff and non-employee members of institutional committees and includes an ongoing duty to disclose potential conflicts. Compliance with the Policy is monitored and enforced regularly and consistently. All disclosures with the potential for conflict are reviewed by an appropriate committee where they are carefully evaluated. When appropriate, a plan, which may involve measures including, but not limited to, recusal from participating in affected transactions, is developed to manage the potential conflict. Part VI, Section B, Line 15A & 15B Process for determination of compensation The Compensation, Employee Benefits and Employee Relations Committee of the Board of Trustees (Compensation Committee) determines the compensation for the CEO and other executives, including physician leaders, who are or may be disqualified persons as that term is defined in IRC Section 4958. The Compensation Committee also reviews the compensation of other senior and/or highly compensated personnel. The Compensation Committees' Operating Procedures are designed to ensure that the compensation of all such officers and key employees is reasonable (i.e. the value of services is the amount that would ordinarily be paid for like services by like enterprises under like circumstances), and with respect to disqualified persons to follow the specific steps outlined in the IRC regulations for establishing the rebuttable presumption of reasonableness that a transaction is not an excess benefit transaction. The Compensation Committee consists exclusively of independent trustees without any conflict of interest (as defined in the applicable IRC regulations) with regard to the compensation arrangements being reviewed or approved. The absence of any conflict of interest with respect to items on that meeting's agenda is confirmed at the beginning of each meeting of the Compensation Committee. The Compensation Committee selects and engages an independent, qualified compensation consultant which performs such valuations on a regular basis to provide appropriate comparability data. Comparability data includes, but is not limited to, compensation levels paid by similarly situated organizations, both taxable and tax-exempt, for functionally comparable positions; the availability of similar services in Mount Sinai's geographic area; current compensation surveys compiled by independent firms; customized surveys in specific circumstances, and actual written offers from similar institutions competing for the services of the disqualified person. The sources of the comparability data used by the compensation consultant are provided to the Compensation Committee. In appropriate circumstances formal written opinions are obtained from the Compensation Consultant. With respect to Executives as they are defined in the policy which includes all of the institution's disqualified persons, the Compensation Committee receives and reviews the comparability data and any analysis provided by the Compensation Consultant, as well as information provided by management, or in the case of the CEO, by the Chairman of the Board of Trustees, including information about the individual's performance, and for new employees, the individual's job description. When a written opinion is obtained from the Compensation Consultant, that written opinion is also reviewed by the Compensation Committee. After considering all of the facts, the Compensation Committee then determines the appropriate compensation in relation to the comparability data and in light of the written opinion, recommendations of the Compensation Consultant. As more fully set forth in the Compensation Committee's Operating Guidelines, the Compensation Committee also reviews the compensation arrangements for those other senior management and/or highly compensated personnel who are not Executives. The Compensation Committee is provided details of the compensation arrangement of the individual's job and job performance, the benchmark(s) used and, in certain cases, a description of the role of the Compensation Consultant and a brief description of why the arrangement is appropriate. The Compensation Committee contemporaneously documents in written minutes the terms of the transaction that was approved and the date it was approved; the members of the Compensation Committee who were present; the discussion at the Compensation Committee meeting; the comparability data and any other information obtained and relied on; how the comparability data was obtained; and the Compensation Committee's basis for the decisions, if the approved compensation is outside the range of comparability data. These minutes are prepared before the later of the next meeting of the Compensation Committee or 60 days after the final actions of the Compensation Committee are taken with respect to the compensation decisions made. The minutes are reviewed and approved by the Compensation Committee within a reasonable time thereafter before the later of the next meeting of the Compensation Committee or 60 days after the final actions of the Compensation Committee are taken with respect to the compensation decisions made. The minutes are reviewed and approved by the Compensation Committee within a reasonable time thereafter.
Part VI, Section C, Line 19	Governing documents and conflict of interest policy available to the public. The organization makes its Business Conflicts of Interest Policy available on its website (www.mountsinai.org) and makes its governing documents and financial statements available upon request. Part VII, Line 2 Employees who received more than $100,000 in compensation Direct Hospital employees who receive more than $100,000 total 4,103. This excludes employees of the other entities for which the Hospital operates as the paymaster as described in the Schedule O explanation for IRS Form 990, Core Form Part I, Line 5.
Part XI, Line 9	NET CHANGE IN CAPTIVE INSURANCE PROGRAM $55,047,592 CHANGE IN POST RETIREMENT LIABILITY (2,190,755) Loss on extinguishment of debt (5,856,089) Net Periodic postretirement cost other than service cost (466,000) TOTAL $46,534,748
FORM 990 PART IX LINE 11G	DESCRIPTION:CARTS TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11G	DESCRIPTION:FREIGHT & DELIVERY TOTAL FEES:3498830
FORM 990 PART IX LINE 11G	DESCRIPTION:TEMPORARY AGENCIES TOTAL FEES:11175488
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN FEES TOTAL FEES:2876214
FORM 990 PART IX LINE 11G	DESCRIPTION:AMBULANCE SERVICES TOTAL FEES:2981571
FORM 990 PART IX LINE 11G	DESCRIPTION:ORGAN TRANSPORT TOTAL FEES:1449450
FORM 990 PART IX LINE 11G	DESCRIPTION:UNOS REGISTRATION FEES TOTAL FEES:779670
FORM 990 PART IX LINE 11G	DESCRIPTION:STORAGE TOTAL FEES:979811
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER OUTSIDE SERVICES TOTAL FEES:XXX-XX-XXXX

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Mount Sinai PPS LLC
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	472915052	DSRIP PROGRAM	NY	$116,775,875	$62,575,110	MSH
MSHS 150 LLC
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	000000000	SUPPORT	NY	$1,660,790	$1,660,790	MSH
MOUNT SINAI PROTON HOLDING COMPANY LLC
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	274281194	INVESTMENT	NY	$4,198	$19,777,230	MSH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (30 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
THE MOUNT SINAI MEDICAL CENTER INC
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	136271888	SUPPORT	NY	501(C)(3)	12 TYPE II	MSHS	false
MITRAL FOUNDATION
1190 FIFTH AVENUE	NEW YORK	NY	10029	800468600	RESEARCH	NY	501(C)(3)	12 TYPE I	ISMMS	false
THE MOUNT SINAI CHILDREN'S CENTER FND
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	223059294	SUPPORT	NY	501(C)(3)	12 TYPE I	ISMMS	false
MSMC REALTY CORPORATION
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	133852596	REAL ESTATE	NY	501(C)(3)	12 TYPE I	SEE PART VII	Yes (true)
MSMC RESIDENTIAL REALTY LLC
1425 MADISON AVENUE	NEW YORK	NY	10029	200244426	REAL ESTATE	NY	501(C)(3)	12 TYPE I	SEE PART VII	Yes (true)
MOUNT SINAI DIAG & TREATMENT CENTER
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	450537391	DIAG CLINIC	NY	501(C)(3)	3	MSH	Yes (true)
MSMC RESIDENTIAL REALTY MANAGER INC
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	201289396	MGMT	NY	501(C)(3)	12 TYPE I	SEE PART VII	Yes (true)
VALENTIN FUSTER MT SINAI FND SCI HLTH
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	800952088	SUPPORT	NY	501(C)(3)	12 TYPE I	ISMMS & MSH	Yes (true)
MOUNT SINAI HEALTH SYSTEM INC
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	464248304	HOLDING CO	NY	501(C)(3)	12 TYPE II	NA	false
MOUNT SINAI HOSPITAL GROUP INC
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	464242915	HOLDING CO	NY	501(C)(3)	12 TYPE II	MSHS	false
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	136171197	SCHOOL	NY	501(C)(3)	2	MSHS	false
CONTINUUM HEALTH PARTNERS INC
150 EAST 42ND STREET 5TH FLOOR	NEW YORK	NY	10019	133939476	HOLDING CO	NY	501(C)(3)	12 TYPE I	NA	false
BIMC HOLDING CORPORATION
FIRST AVENUE AT 16TH STREET	NEW YORK	NY	10003	133444730	HOLDING CO	NY	501(C)(3)	12 TYPE I	BIMC	Yes (true)
MOUNT SINAI AMBULATORY VENTURES INC
150 EAST 42ND STREET 5TH FL	NEW YORK	NY	10019	133838460	SURGICENTER	NY	501(C)(3)	3	BIMC HOLDCO	Yes (true)
BI NURSING HOME COMPANY
327 EAST 17TH STREET	NEW YORK	NY	10003	133627753	NURSING HOME	NY	501(C)(3)	3	BIMC HOLDCO	Yes (true)
EAST 17TH STREET PROPERTIES INC
150 EAST 42ND STREET 5TH FL	NEW YORK	NY	10019	133547502	REAL ESTATE	NY	501(C)(3)	9	BIMC HOLDCO	Yes (true)
THE LONG ISLAND COLLEGE HOSPITAL
150 EAST 42ND STREET 5TH FL	NEW YORK	NY	10019	111018985	HOSPITAL	NY	501(C)(3)	3	CHP	false
ST LUKE'S-ROOSEVELT HOSPITAL CENTER
1111 AMSTERDAM AVENUE	NEW YORK	NY	10025	132997301	HOSPITAL	NY	501(C)(3)	3	MSHG	Yes (true)
AUGUSTUS & JAMES CORPORATION
150 EAST 42ND STREET5TH FLOOR	NEW YORK	NY	10019	133392851	REAL ESTATE	NY	501(C)(3)	12 TYPE I	SLR	Yes (true)
ST LUKE'S-ROOSEVELT INSTITUTE FOR HEALTH
1111 AMSTERDAM AVENUE	NEW YORK	NY	10025	132914343	RESEARCH	NY	501(C)(3)	4	SLR	Yes (true)
NEW YORK EYE AND EAR INFIRMARY
310 EAST 14TH STREET	NEW YORK	NY	10003	135562304	HOSPITAL	NY	501(C)(3)	3	MSHG	Yes (true)
NEW YORK EYE & EAR INFIRMARY FNDN
310 EAST 14TH STREET	NEW YORK	NY	10003	134012469	PRIVATE FDN	NY	501(C)(3)	PF	NYEE	Yes (true)
NYEEI HOUSING COMPANY INC
317-327 EAST 13TH STREET	NEW YORK	NY	10003	311696826	REAL ESTATE	NY	501(C)(2)	N/A	NYEE	Yes (true)
BETH ISRAEL MEDICAL CENTER FDN INC
150 EAST 42ND STREET 5TH FLOOR	NEW YORK	NY	10019	300571387	FUNDRAISING	NY	501(C)(3)	7	BIMC	Yes (true)
ST LUKE'S-ROOSEVELT HOSPITAL CENTER FDN
150 EAST 42ND STREET 5TH FLOOR	NEW YORK	NY	10019	300571390	FUNDRAISING	NY	501(C)(3)	7	SLR	Yes (true)
BETH ISRAEL MEDICAL CENTER
FIRST AVENUE AT 16TH STREET	NEW YORK	NY	10003	135564934	HOSPIAL	NY	501(C)(3)	3	MSHG	Yes (true)
FOJP SERVICE CORPORATION
28 EAST 28TH STREET	NEW YORK	NY	10016	132914141	INSURANCE	NY	501(C)(3)	11 TYPE III	NA	false
MOUNT SINAI HEALTH PARTNERS PC
150E 42ND STREET 5TH FLOOR	NEW YORK	NY	10017	812057452	HEALTHCARE	NY	501 (C) (3)	10	MSH	Yes (true)
SOUTH NASSAU COMMUNITIES HOSPITAL INC
ONE HEALTHY WAY	OCEANSIDE	NY	115721551	111352310	HOSPITAL	NY	501(C)(3)	3	MSHG	false
Mount Sinai Health System Self Insurance
150 EAST 42ND STREET	NEW YORK	NY	10017	823994798	SUPPORT	NY	501(C)(3)	12 TYPE II	MSHS	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
GREATER METROPOLITAN IPA II
150 EAST 42D STREET 5TH FL	NEW YORK	NY	10019	133977019	INACTIVE	NY	BIMCSLR	c	false
GREATER METROPOLITAN IPA V
150 EAST 42ND STREET 5TH FL	NEW YORK	NY	10019	134141695	INACTIVE	NY	BIMCSLR	c	false
MANHATTAN MANAGEMENT SERVICES
1780 BROADWAY 7TH FL	NEW YORK	NY	10019	133618543	MGMT SERVICES	NY	SLR	c	false
SLR MANAGEMENT SERVICES
150 EAST 42ND STREET 5TH FL	NEW YORK	NY	10019	133853145	MGMT SERVICES	NY	SLR	c	false
WEST CARE MEDICAL PC
150 EAST 42ND STREET 5TH FL	NEW YORK	NY	10019	133811203	INACTIVE	NY	SLR	c	false
MOUNT SINAI HC VENTURES INC
150 EAST 42ND STREET 5TH FL	NEW YORK	NY	10019	460953126	HEALTH CARE MGMT	NY	BIMC HOLDCO	c	false
HIBER-CELL INC
850 NEW BURTON ROAD SUITE 201	DOVER	DE	19904	820608182	CLINICAL LAB	DE	ISMMS	C	false
AMATHUS THERAPEUTICS INC
1506 BOSTON PROVIDENCE HIGHWAY STE	NORWOOD	MA	02062	814373501	BIOTECH/PHARMA	MA	ISMMS	C	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	Yes (true)	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (20 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
b	$58,458,000	cost
MSMC REALTY CORP
b	$64,000	cost
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
k	$6,301,380	cost
MSMC REALTY CORP
k	$2,383,000	COST
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
n	$9,549,508	COST
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
o	$32,197,797	COST
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
P	$317,049,180	cost
MSMC RESIDENTIAL REALTY CORP
P	$5,609,000	cost
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Q	$1,957,622,000	cost
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
I	$1,433,333	cost
BETH ISREAL MEDICAL CENTER
O	$18,444,507	cost
St Lukes-Roosevelt Hospital Center
O	$91,009,561	cost
NEW YORK EYE AND EAR INFIRMARY
O	$8,719,231	cost
MOUNT SINAI MEDICAL CENTER
I	$149,356,186	cost
MOUNT SINAI MEDICAL CENTER
I	$52,596	cost
MOUNT SINAI HEALTH SYSTEM
Q	$51,513,406	COST
MOUNT SINAI HEALTH SYSTEM
B	$25,666,745	FMV
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
I	$123,048	COST
MOUNT SINAI HEALTH PARTNERS PC
Q	$4,012,968	COST
SOUTH NASSAU COMMUNITIES HOSPITAL
B	$20,000,000	COST

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II, Line 4, column F - MSMC REALTY CORPORATION	FormAndLineReferenceDesc
Explanation	DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, MOUNT SINAI MEDICAL CENTER ARE ALL MEMBERS OF THIS ENTITY. Part II, Line 5, column F MSMC RESIDENTIAL REALTY LLC DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, THE MSMC REALTY CORPORATION AND THE MSMC RESIDENTIAL REALTY MANAGER, INC. ARE ALL MEMBERS OF THIS ENTITY. Part II, Line 7, column F MSMC RESIDENTIAL REALTY MANAGER, INC DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, THE MSMC REALTY CORPORATION ARE ALL MEMBERS OF THIS ENTITY.	ExplanationTxt