2020-11-13T11:38:28-06:00 2019-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 100366530 990 2019-01-01 135564934 BETH ISRAEL MEDICAL CENTER % KENNETH BARRITT BETH 6466054217 FIRST AVENUE AT 16TH STREET NEW YORK NY 10003 DONALD SCANLON EVP, SYSTEM CFO 6466054217 2020-10-11 true Nicole M Sokolowski P01683199 2127733000 173.68.23.158 26308520203185000149 2020-11-13 P B44002ACA7AF5A5523EBF3397B96C9995298EE72 047C777BBD395ADD529156C75D94AFF56594489C 2019 2021-01-29 14:40:06Z MOUNT SINAI BETH ISRAEL DONALD SCANLON 150 EAST 42ND STREET NEW YORK NY 10017 915841776 false X http://www.mountsinaihealth.org/ X 1890 NY SERVES THE HEALTH CARE NEEDS OF THE NEW YORK COMMUNITY, WHILE ALSO PROVIDING CLINICAL EDUCATION AND ENGAGING IN CLINICAL RESEARCH 32 32 6682 239 24375 0 2922821 2343085 851432461 847747637 9770658 5961142 54397218 59789912 918523158 915841776 223601 395071 0 0 523605974 513035602 0 0 0 500353415 529525056 1024182990 1042955729 -105659832 -127113953 1030110951 1351967388 871444348 1238536358 158666603 113431030 SINCE ITS FOUNDING, OVER 120 YEARS AGO, AS A MEDICAL DISPENSARY TO MEET THE NEEDS OF THE IMPOVERISHED AND UNDERSERVED JEWISH COMMUNITY OF THE LOWER EAST SIDE, BETH ISRAEL MEDICAL CENTER HAS BEEN COMMITTED TO THE CARE OF PERSONS OF ALL RACES, RELIGIONS AND CREEDS. NOW A MAJOR PROVIDER OF A FULL RANGE OF PRIMARY, SECONDARY AND HIGHLY SPECIALIZED TERTIARY HEALTH CARE SERVICES, THE MEDICAL CENTER REMAINS PROUD OF ITS HERITAGE AND THE ORIGINAL MISSION OF BETH ISRAEL MEDICAL CENTER. THE MISSION OF BETH ISRAEL MEDICAL CENTER IS TO PROVIDE COMPASSIONATE PATIENT CARE WITH SEAMLESS COORDINATION AND TO ADVANCE MEDICINE THROUGH UNRIVALED EDUCATION, RESEARCH, AND OUTREACH IN THE MANY DIVERSE COMMUNITIES WE SERVE. false false 954010900 0 892416652 PATIENT CARE: BETH ISRAEL MEDICAL CENTER 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 MEDICAL CENTER, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES AND FURTHER, THAT OUR MISSION, IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. DURING 2019 BETH ISRAEL SERVICED 23,479 INPATIENTS AND PROVIDED 278,684 CLINIC VISITS AND 102,239 EMERGENCY ROOM VISITS. BETH ISRAEL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AND THE UNINSURED AT BELOW COST. TO THE EXTENT REIMBURSEMENT IS BELOW COST, OR A PATIENT IS UNABLE TO PAY, BETH ISRAEL RECOGNIZED THESE AMOUNTS AS CHARITY CARE IN MEETING ITS MISSION TO THE COMMUNITY. IN 2019, THIS AMOUNTED TO $49,525,935. IN ADDITION, CHARITY CARE IS ALSO PROVIDED THROUGH MANY FREE SERVICES AND PROGRAMS OFFERED THROUGHOUT THE YEAR, WHICH BETH ISRAEL BELIEVES SERVE A BONA FIDE COMMUNITY HEALTH NEED. IN ADDITION, THE HOSPITAL OPERATES TWO EMERGENCY ROOMS THAT ARE OPEN 24 HOURS, SEVEN DAYS A WEEK. THE KARPAS HEALTH INFORMATION CENTER (KHIC) CONSISTING OF 4 healthcare PROFESSIONALS PROVIDES HEALTH SCREENINGS, HEALTH INFORMATION AND HEALTH EDUCATION TO THE COMMUNITY. ITS REGULAR SERVICES INCLUDE FREE LECTURES, DISTRIBUTION OF FREE PUBLICATIONS, HEALTH SCREENINGS, PHYSICIANS REFERRALS, ETC. BIMC IS THE PRIMARY HEALTHCARE PROVIDER FOR THE LOWER EAST SIDE OF NEW YORK CITY. THE NEIGHBORHOOD IS THE POINT OF ENTRY FOR MANY NEW IMMIGRANTS TO THE UNITED STATES. THE NEIGHBORHOOD IS ALSO AFFLICTED WITH SEVERE SUBSTANCE ABUSE PROBLEMS AND THE RELATED HEALTH CRISIS, AIDS. IN RECOGNITION OF ITS RESPONSIBILITY TO THE COMMUNITY, BETH ISRAEL PROVIDES SERVICES IN VARIOUS LANGUAGES: ENGLISH, HEBREW, CHINESE AND SPANISH. 395071 395071 0 STUDENT FINANCIAL AID PROGRAM: TO PROVIDE FINANCIAL AID TO QUALIFYING NURSES ATTENDING BETH ISRAEL NURSING SCHOOL. 954405971 true true false false false false false false false true true false true true true false false true false false true false false false false false true true false true true false false false false false false false false true false false false true true true true false false true 674 0 true 6682 true true true false false false false true true false false false false true false X 32 32 true false true false true true true true true false false true true true true true true true true false NY X KENNETH BARRITT 6466054217 150 EAST 42ND STREET 5TH FLOOR NEW YORK NY 10017 X KENNETH DAVIS MD 2 CHIEF EXECUTIVE OFFICER 6.8 53.2 X 671250 4917843 69336 DENNIS CHARNEYMD12 PRESIDENT, ACADEMIC AFFAIRS 6.9 53.1 X 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0 29697 EDWARD LUCY VICE PRESIDENT 60.0 0.0 X 556420 0 31214 LIN H MO 2 PRESIDENT (END 1/2019) 60.0 0.0 X 552695 0 10486 MICHAEL BRUNO 2 FORMER OFFICER 0.0 0.0 X 215791 215792 7219 LAWRENCE ATTIA 2 FORMER OFFICER 0.5 59.5 X 0 159501 26216 SUSAN R CULLMAN TRUSTEE/VICE CHAIRMAN 2.0 14.0 X X 0 0 0 JOEL S EHRENKRANZ TRUSTEE/VICE CHAIRMAN 2.0 14.0 X X 0 0 0 BLAINE V FOGG END 7 TRUSTEE/VICE CHAIR/SECRETARY 2.0 14.0 X X 0 0 0 DONALD J GOGEL TRUSTEE/VICE CHAIRMAN 2.0 14.0 X X 0 0 0 STEVEN HOCHBERG TRUSTEE/VICE CHAIRMAN 2.0 19.0 X X 0 0 0 JOHN A LEVIN TRUSTEE/VICE CHAIRMAN 2.0 14.0 X X 0 0 0 PETER W MAY CHAIRMAN OF BOARD (END 4/2019) 2.0 14.0 X X 0 0 0 ERIC MINDICH TRUSTEE/VICE CHAIRMAN 2.0 14.0 X X 0 0 0 MICHAEL MINIKES VICE CHAIR/TREASURER/TRUSTEE 2.0 23.0 X X 0 0 0 JOEL I PICKET TRUSTEE/VICE CHAIRMAN 2.0 17.0 X X 0 0 0 RICHARD RAVITCH TRUSTEE/VICE CHAIRMAN 2.0 17.0 X X 0 0 0 JUDITH O RUBIN TRUSTEE/VICE CHAIRMAN 2.0 14.0 X X 0 0 0 ANDREW M SAUL TRUSTEE/VICE CHAIRMAN 2.0 15.0 X X 0 0 0 THOMAS 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RECEIVABLES 267487 RIGHT OF USE ASSETS 179304474 379177795 0 DEFERRED REVENUE 18420661 MALPRACTICE INSURANCE 47057986 THIRD PARTY LIABILITIES 110484704 DUE TO AFFILIATES 335759098 RETIRE OBLIG WORKMEN'S COMP 9264447 INSURED LIABILITIES 190860521 OTHER LIABILITIES 8647419 RIGHT OF USE LIABILITIES 371513150 1092007986 SCHEDULE D, PART V, LINE 4 - INTENDED USE OF ENDOWMENT FUNDS PERMANENTLY RESTRICTED NET ASSETS HAVE BEEN RESTRICTED BY DONORS TO BE MAINTAINED BY BIMC IN PERPETUITY AND THESE ENDOWMENT FUNDS ARE INCLUDED IN LONG-TERM INVESTMENTS. UNDER THE POLICIES ESTABLISHED AND APPROVED BY BIMC'S INVESTMENT COMMITTEE, DONOR-RESTRICTED ENDOWMENT FUNDS ARE INVESTED IN INCOME-GENERATING INVESTMENT VEHICLES TO GENERATE INCOME AND TO APPRECIATE AND PRESERVE CAPITAL. 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X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false BETH ISRAEL - BROOKLYN 2 false false true X X X X X X X X X 17 true true false true X SEE PART V, SECTION C X true 18 true SEE PART V, SECTION C false true X 100 400. X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, LINE 3e FOR PURPOSES OF SCHEDULE H, PART V, SECTION C, THE DISCLOSURES RELATE TO BOTH BETH ISRAEL MANHATTAN AND BETH ISRAEL BROOKLYN. 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. MSBI also conducted a survey of community members in August and September 2017 with 861 responses, and a community poll in September 2017 of 450 residents. SCHEDULE H, PART V, LINE 6A THE COMMUNITY HEALTH NEEDS ASSESSMENTS FOR BETH ISRAEL MEDICAL CENTER AND BETH ISRAEL BROOKLYN WERE CONDUCTED IN CONJUNCTION WITH EACH OTHER. SCHEDULE H, PART V, LINE 7A THE HOSPITAL'S CHNA CAN BE FOUND ON: HTTPS://WWW.MOUNTSINAI.ORG/FILES/MSHEALTH/ASSETS/MSBI/MSBI-MSB-CHNA-DECEMB ER2017.PDF SCHEDULE H, PART V, LINE 10A The implementation strategies for Beth Israel Medical Center and Beth Israel Brooklyn are located at the following link: HTTPS://WWW.MOUNTSINAI.ORG/FILES/MSHEALTH/ASSETS/HS/FILES/CSP%20MSH%20MSQ% 20FINAL.PDF SCHEDULE H, PART V, LINE 11 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 - Socio-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 MSBI 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 MSBI activities that impact multiple needs. Health professions education The health professions education activities of MSBI respond to both the current and future community health needs for mental health services. MSBI actively participates in over two dozen residency and fellowship programs. Current residency and fellowship programs that are especially related to mental health care services are as follows: - Clinical Psychology Internship Program - Geriatric Psychiatry Fellowship - Psychiatry Residency 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 and Behavioral Sciences. The Department of Psychiatry and Behavioral Sciences at Mount Sinai Beth Israel provides comprehensive inpatient, emergency, and outpatient services. Specific programs, centers, and services of the Department include the following: - Outpatient mental health clinic services - Assertive Community Treatment Team (ACT) - Mobile Crisis Services - Addiction Institute of Mount Sinai at Beth Israel (AIMS-BI): - Outpatient Chemical Dependence Clinic/Rehab - Ambulatory Detoxification - Opioid Treatment Programs - Inpatient detoxification and rehabilitation services - Integrated Behavioral Health and Primary Care services - Comprehensive Psychiatric Emergency Service (CPEP) - Inpatient Psychiatric services Outpatient behavioral health services The MSBI outpatient mental health services unit provides comprehensive, whole health care. It includes a broad spectrum of clinical services including comprehensive psychiatric evaluations, medication management, individual and family psychotherapy, and group psychotherapy. It also runs one of the state-approved ACT teams, providing intensive community-based treatment for people with the most severe mental illnesses. AIMS-BI represents the clinical, educational, and research services and programs to treat people with substance use disorders, develop new treatments and gain better understanding of the mechanisms of disease, and to train the next generation of clinicians to care for people with substance use disorders. The clinical services encompass inpatient to outpatient levels of care, including the Opioid Treatment Programs. In addition, behavioral health services are provided within primary care, as well as primary care and specialty care services within behavioral health services. The focus is on assessing and managing all conditions, whether the conditions are behavioral health related or physical health related, and developing strong collaborations and partnerships with physical health and community based providers. Inpatient and Emergency behavioral health services MSBI provides inpatient psychiatric services for people with acute psychiatric illness, focusing on the resolution of acute symptoms and developing a safe plan for return to the home and community upon crisis stabilization. Treatment consists of a wide range of somatic and psychosocial therapies, with a strong multidisciplinary approach. MSBI also provides emergency evaluation services in the CPEP for adults and adolescents. The Mobile Crisis Team is a community-based team of licensed professionals who respond to referrals for urgent crises in the community. The team provides crisis assessment as well as short-term transitional services to ensure that there is connectivity to outpatient and/or community based services. As part of AIMS-BI, inpatient detoxification and rehabilitation services are also provided. The inpatient unit serves as an acute and intensive initial step to safely manage withdrawal symptoms, then subsequent intensive counseling and therapy to begin the road to recovery from substance use. B. Access to Primary Health Care Services by Individuals with Limited Resources The 2017 MSBI 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 MSBI activities that impact multiple needs. Health professions education The health professions education activities of MSBI respond to both the current and future community health needs for primary health care services. MSBI actively participates in over two dozen residency and fellowship programs. Residency and fellowship programs that are especially related to primary health care services are as follows: - Emergency Medicine Residency - Internal Medicine Residency Primary Care Services MSBI provides significant specialty care services for both inpatient and outpatient services, including but not limited to breast health, cardiology, diabetes services, gastroenterology, general surgery, and orthopedics. The hospital provides primary care at its campuses, as well as physician practices throughout Manhattan and Brooklyn, and maintains affiliation agreements with City MD and CVS Minute Clinics. 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. Specific community service programs include the following: Mount Sinai Chelsea - Mount Sinai Chelsea specializes in diagnosing and treating women who have breast or gynecological cancer. Men who need minor outpatient surgery or infusion therapy are also treated. Services include cancer diagnosis and treatment. Mount Sinai Union Square - Mount Sinai Union Square provides specialty and primary care, diagnostic services, labs, and a pharmacy. Mount Sinai Union Square also provides urgent care in a facility that is open 365 days a year. Mount Sinai Doctors, 309 West 23rd Street - Mount Sinai Doctors West 23rd Street provides comprehensive primary and specialty services, appointments in advance, and accepts walk-ins. In addition to accepting a multitude of insurance plans, a self-pay option is available. Mount Sinai Doctors, 55 East 34th Street - Mount Sinai Doctors East 34th Street provides a range of multi-specialty services. Specific services include cardiology; dermatology; diabetes education; ear, nose, and throat; gastroenterology; gynecology; internal medicine; immigration physicals; ophthalmology; orthopedics; otolaryngology; pain management; podiatry; radiology; and urology. In addition to accepting a multitude of insurance plans, a self-pay option is available. Mount Sinai Doctors Stuyvesant Town - Mount Sinai Doctors Stuyvesant Town offers personalized treatment for temporary and chronic medical conditions in Manhattan's East Village neighborhood, located near the Union Square subway stop. SCHEDULE H, PART V, LINES 16A, 16b, & 16C THE FAP, THE FAP APPLICATION, AND THE PLAIN LANGUAGE SUMMARY OF THE FAP ARE ALL AVAILABLE AT THE FOLLOWING LINK: http://www.wehealny.org/services/financialassistance/index.html. 15 PHILLIPS AMBULATORY CARE CENTER 10 UNION SQUARE EAST NEW YORK NY 10003 HOSPITAL EXTENSION CLINIC BETH ISRAEL COMPREHENSIVE CANCER CENTER 325 WEST 15TH STREET NEW YORK NY 100115903 HOSPITAL EXTENSION CLINIC MMTP CLINICS 1825 PARK AVENUE NEW YORK NY 10035 HOSPITAL EXTENSION CLINIC MAX MELTZER HEALTH & SERVICE CENTER 94 EAST 1ST STREET NEW YORK NY 10009 HOSPITAL EXTENSION CLINIC BETH ISRAEL MED CTR #2 103 EAST 125TH STREET NEW YORK NY 10035 HOSPITAL EXTENSION CLINIC BETH ISRAEL MED CTR CUMBERLAND 98 FLATBUSH AVENUE BROOKLYN NY 11217 HOSPITAL EXTENSION CLINIC GOUVERNEUR CLINIC 109 DELANCEY ST NEW YORK NY 10002 HOSPITAL EXTENSION CLINIC HARLEM CLINICS #1 #3 #6 #7 103 EAST 125TH STREET NEW YORK NY 10035 HOSPITAL EXTENSION CLINIC BIMC GERIATRICS SENIOR HEALTH 275 EIGTH AVENUE NEW YORK NY 10011 HOSPITAL EXTENSION CLINIC VINCENT P DOLE CLINIC 25 12TH STREET BROOKLYN NY 11215 HOSPITAL EXTENSION CLINIC BETH ISRAEL MED CTR 1-E 2-F 3-G 429 2ND AVENUE NEW YORK NY 10010 HOSPITAL EXTENSION CLINIC BETH ISRAEL MED CTR 2-C 435 2ND AVENUE NEW YORK NY 10010 HOSPITAL EXTENSION CLINIC BETH ISRAEL MED CTR 3-C 433 2ND AVENUE NEW YORK NY 10010 HOSPITAL EXTENSION CLINIC BETH ISRAEL MED CTR 8 & 8-D 140 WEST 125TH STREET NEW YORK NY 10027 HOSPITAL EXTENSION CLINIC BETH ISRAEL MED CTR COOPER SQUARE 26 AVENUE A NEW YORK NY 10003 HOSPITAL EXTENSION CLINIC SCHEDULE H, PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS SUBMITTED TO THE NYS DEPARTMENT OF HEALTH, AND IT DESCRIBES THE ROLE OF EACH OF THE HOSPITAL'S FACILITIES. SCHEDULE H, PART I, LINE 7: THE AMOUNTS REPORTED IN PART I, LINES 7A, 7B AND 7G WERE COMPUTED USING A RATIO OF COST TO CHARGES THAT WAS DERIVED FROM WORKSHEET 2 OF SCHEDULE H INSTRUCTIONS. SCHEDULE H, PART I, LINE 7G: ALL CLINICS INCLUDED AS SUBSIDIZED HEALTH SERVICES ARE CLINICS OF THE HOSPITAL. SCHEDULE H, PART I, LINE 7, COLUMN (F): BAD DEBT EXPENSE OF $21,070,644 WAS SUBTRACTED FROM TOTAL EXPENSES AS REPORTED ON FORM 990, PART IX, LINE 24, COLUMN (A) FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. SCHEDULE H, PART III, LINE 2: WHEN A DISCOUNT IS PROVIDED ON A PATIENT ACCOUNT, THIS IS ACCOUNTED FOR AS A CHARITY ALLOWANCE. CONVERSELY, WHEN NO PAYMENT OR ONLY PARTIAL PAYMENT IS MADE ON A PATIENT ACCOUNT, THIS IS ACCOUNTED FOR AS BAD DEBT EXPENSE. BILLINGS RELATING TO SERVICES RENDERED ARE RECORDED AS NET PATIENT SERVICE REVENUE IN THE PERIOD IN WHICH THE SERVICE IS PERFORMED, NET OF CONTRACTUAL AND OTHER ALLOWANCES WHICH REPRESENT DIFFERENCES BETWEEN GROSS CHARGES AND THE ESTIMATED RECEIPTS UNDER SUCH PROGRAMS. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE ALSO REDUCED FOR ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS. SCHEDULE H, PART III, LINE 3: NOT APPLICABLE SCHEDULE H, PART III, LINE 4: IN ACCORDANCE WITH GAAP, THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS NO LONGER DISCLOSE BAD DEBT EXPENSE. THE ORGANIZATION DETERMINES BAD DEPT EXPENSE AS FOLLOWS: DEDUCTIBLES AND COPAYMENTS UNDER THIRD-PARTY PAYMENT PROGRAMS ARE THE PATIENT'S RESPONSIBILITY, AND BIMC CONSIDERS THESE AMOUNTS IN ITS DETERMINATION OF THE PROVISION FOR BAD DEBTS BASED ON COLLECTION EXPERIENCE. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, BIMC 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. SCHEDULE H, PART III, LINE 8: THE HOSPITAL USED THE MEDICARE PORTION OF ALL INPATIENT AND OUTPATIENT PROGRAMS THAT OPERATE AT A DEFICIT, CALCULATED USING ONLY RCC TO CALCULATE COST, FOR INCLUSION IN SUBSIDIZED HEALTH SERVICES ON SCHEDULE H, PART III, LINE 7 FOR COMMUNITY BENEFIT. THIS IS PARTIALLY OFFSET BY SURPLUSES GENERATED BY OTHER PAYORS FOR THOSE SAME PROGRAMS. THE METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON SCHEDULE H, PART III, SECTION B, LINE 6 IS OBTAINED FROM THE INSTITUTIONAL COST REPORT WHICH USES COST PER DAY TO CALCULATE ROOM AND BOARD COSTS AND RCC FOR ANCILLARY AND OUTPATIENT COSTS. SCHEDULE H, PART III, LINE 9B: PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE OFFERED EXTENDED INTEREST FREE PAYMENT PLANS. IF A PATIENT DEFAULTS ON ITS PAYMENT AGREEMENT, THE PATIENT'S ACCOUNT WILL BE CONSIDERED DELINQUENT, AND WILL BE SUBJECT TO THE NORMAL COLLECTION PROCEDURES FOR ALL PATIENTS. HOWEVER, NO LEGAL ACTION MAY BE TAKEN UNTIL IT HAS BEEN DETERMINED THAT THE PATIENT HAS THE MEANS TO PAY OUTSTANDING BALANCES. IN NO SITUATION WILL THE HOSPITAL AUTHORIZE FORECLOSURE ON A PATIENT OR RESPONSIBLE PARTY'S PRIMARY RESIDENCE. SCHEDULE H, PART VI, LINE 2: NEEDS ASSESSMENT DESCRIPTION THE HOSPITAL COMPLETED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT DURING 2017. THROUGHOUT THIS PROCESS, THE HOSPITAL WORKED COLLABORATIVELY WITH A NUMBER OF COMMUNITY-BASED ORGANIZATIONS, HEALTH FACILITIES, LOCAL ELECTED OFFICIALS, AND NEW YORK CITY COMMUNITY ADVISORY BOARDS. THE HOSPITAL ALSO HAS ITS OWN INTERNAL ADVISORY BOARD/COUNCIL THAT IS MADE UP OF REPRESENTATIVES OF THESE COMMUNITY PARTNERS AND INTERESTED LOCAL RESIDENTS. THROUGH THEIR PARTICIPATION, THE HOSPITAL SOLICITS COMMENT ON THE HEALTH CARE NEEDS OF THE COMMUNITY, STRENGTHS AND WEAKNESSES OF THE HOSPITAL, AND CONSTRUCTIVE SUGGESTIONS FOR IMPROVEMENT. THESE COUNCILS ALSO PARTICIPATE IN CHOOSING THE HEALTH PRIORITIES OF THE COMMUNITY. SCHEDULE H, PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE INSTITUTION RECOGNIZES THAT MANY OF THE PATIENTS IT SERVES MAY NOT HAVE HEALTH INSURANCE OR THE FINANCIAL RESOURCES TO ACCESS QUALITY HEALTH CARE SERVICES WITHOUT FINANCIAL ASSISTANCE. ACCORDINGLY, THE INSTITUTION ADHERES TO ITS FINANCIAL ASSISTANCE POLICY, WHICH EXISTS IN ORDER TO ASSIST PATIENTS WITH GAINING ACCESS TO FINANCIAL ASSISTANCE. PATIENTS CAN OBTAIN INFORMATION ON HOSPITAL CHARGES AND ELIGIBILITY FOR GOVERNMENT OR HOSPITAL PROGRAMS PRIMARILY FROM THE HOSPITALS DEPARTMENT OF FINANCIAL COUNSELING. THE AVAILABILITY OF THE INSTITUTION'S FINANCIAL ASSISTANCE IS NOTED ON THE PATIENT'S BILL. ALSO, PATIENTS ARE ALERTED TO THE POLICY BY MULTI-LINGUAL SIGNAGE AND BROCHURES AT POINTS OF PATIENT SERVICE, INFORMATION DISTRIBUTED IN THE ADMISSION PACKAGE, AND THE INSTITUTION'S WEB SITE. ALL HOSPITAL STAFF ARE DIRECTED TO DISTRIBUTE STANDARD INFORMATION OR REFER INQUIRIES TO THE DEPARTMENT OF FINANCIAL COUNSELING OR WEBSITE. SCHEDULE H, PART VI, LINE 4: COMMUNITY INFORMATION WHEN IT WAS FOUNDED MORE THAN 120 YEARS AGO, THE MISSION WAS TO MEET THE NEEDS OF THE IMPOVERISHED AND UNDERSERVED JEWISH COMMUNITY OF THE LOWER EAST SIDE OF MANHATTAN. TODAY, ONE OF ITS TWO INPATIENT SITES STILL PRIMARILY SERVICES THE LOWER EASTSIDE OF MANHATTAN, WHILE THE OTHER PRIMARILY SERVICES BROOKLYN. THE RACIAL AND ETHNIC BACKGROUND OF PATIENTS IS DIVERSE, SERVICING PATIENTS OF ALL RACES AND RELIGIONS. IN MANHATTAN, AT THE MAIN CAMPUS OF BIMC, A GROWING PERCENTAGE OF ELDERLY, AND A SIGNIFICANT PORTION OF LOW INCOME INDIVIDUALS ARE SERVED. SCHEDULE H, PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH QUANTIFIABLE EXPENSES ASSOCIATED WITH IMPROVING THE GENERAL HEALTH OF THE COMMUNITY HAVE BEEN REPORTED IN PART I. THESE ACTIVITIES INCLUDE A WIDE ARRAY OF HOSPITAL SPONSORED COMMUNITY HEALTH EDUCATION AND SCREENING EVENTS. THE COMMUNITY IS NOTIFIED OF THESE EVENTS AND SCREENINGS BY VARIOUS MEANS: MAILINGS, ADVERTISING IN LOCAL NEWSPAPERS, FLYERS, AND THROUGH MAILINGS OF VARIOUS NYC COMMUNITY BOARDS. THE HOSPITAL WEBSITE OFFERS ON-LINE HEALTH EDUCATION AND PHYSICIAN REFERRAL. MULTI-LINGUAL EDUCATIONAL MATERIALS ARE PROVIDED FOR PATIENTS AND THE SURROUNDING DIVERSE ETHNIC COMMUNITIES. BIMC'S KARPAS HEALTH INFORMATION CENTER, LOCATED AT 18TH STREET AND FIRST AVENUE IN MANHATTAN, IS THE HOSPITAL'S WELCOMING FRONT DOOR AND A POINT OF ENTRY TO BIMC'S OUTSTANDING PHYSICIANS AND CLINICAL SERVICES. THE CENTER HAS PROVIDED THOUSANDS OF NEW YORKERS WITH EASILY ACCESSIBLE HEALTH INFORMATION. STAFFED BY HEALTH EDUCATORS, THE CENTER IS A RESOURCE CENTER THAT OFFERS AN EXTENSIVE HEALTH LIBRARY, WALK IN ASSISTANCE AND HELP WITH RESEARCH ON SPECIFIC HEALTH CONDITIONS - ALL FREE OF CHARGE. THE WELLNESS PROGRAMS ENABLE NEIGHBORS TO REMAIN SAFE, ACTIVE AND VITAL MEMBERS OF THE COMMUNITY. THE CENTER IS COMMITTED TO PROVIDING RESOURCES THAT ARE NURTURING TO THE MIND, BODY AND SPIRIT. THE CENTER REACHES INTO THE COMMUNITY AND SPONSORS SCREENING AND WELLNESS WORKSHOPS AND CLASSES THROUGHOUT MANHATTAN AND BROOKLYN. THESE PROGRAMS ARE DEVELOPED IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS AND DEDICATED TO IMPROVING HEALTH OUTCOMES FOR THE COMMUNITIES BIMC SERVES. BIMC IS ALSO COMMITTED TO PROVIDING CARE TO ITS COMMUNITY SENIORS: -BIMC MAINTAINS A FULL TIME NURSE TO MONITOR AND ADMINISTER PROGRAMS FOR THE HEALTH OF THE SENIOR POPULATION OF THE NATURALLY OCCURRING RETIREMENT COMMUNITY (NORC) AT CO-OP VILLAGE ON THE LOWER EAST SIDE OF MANHATTAN. -KARPAS HEALTH INFORMATION CENTER HAS A NURSE ASSIGNED TO THE SIROVICH SENIOR CENTER TO MONITOR THE HEALTH OF THEIR PARTICIPANTS AND ASSIST IN HOME VISITS OF THE MEMBERS OF THE COMMUNITY SIROVICH SERVES. -BETH ISRAEL BROOKLYN MAINTAINS A GERIATRIC SOCIAL WORKER THAT PROVIDES CAREGIVER SUPPORT AND COMMUNITY OUTREACH. BETH ISRAEL MEDICAL CENTER ALSO DISTRIBUTES A BI-ANNUAL NEWSLETTER THAT GIVES UPDATES ON SERVICES AVAILABLE AT THE HOSPITAL AS WELL AS TIPS FOR HEALTHY LIVING. SCHEDULE H, PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM THE ORGANIZATION WORKS CLOSELY WITH ITS AFFILIATED HOSPITALS AS AN INTEGRATED HEALTH CARE PARTNERSHIP. LEADERSHIP IS COMMITTED TO WORKING WITH THE COMMUNITY AND WILL REMAIN COMMITTED TO ALLOCATING SUFFICIENT RESOURCES TO ENSURE THAT THE CLINICAL AND OUTREACH SERVICES OF EACH OF THE AFFILIATED HOSPITALS IS RESPONSIVE TO THE COMMUNITY HEALTH NEEDS BY PROVIDING HIGH QUALITY, ACCESSIBLE, AND COMPASSIONATE HEALTH CARE TO THE MAXIMUM EXTENT POSSIBLE. SCHEDULE H, PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT: NEW YORK true NURSING SCHOOL SCHOLARSHIPS 155 395071 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE US: EVERY STUDENT APPLYING FOR SCHOLARSHIP AID MUST FILE THE FAFSA (FREE APPLICATION FOR FEDERAL STUDENT AID) DOCUMENTING FINANCIAL NEED AND MUST SUBMIT AN APPLICATION FOR THE SCHOLARSHIP IN QUESTION. A SCHOLARSHIP APPLICATION PACKAGE IS SENT TO ALL NEW AND RETURNING STUDENTS EACH FALL THAT DETAILS THE CRITERIA. SCHOLARSHIPS MAY BE BASED ON FINANCIAL NEED, ACADEMIC ACHIEVEMENT, AND/ OR OTHER SPECIFIC DONOR-DIRECTED CRITERIA. THE SCHOLARSHIP COMMITTEE MEETS (AT A MINIMUM) AT THE BEGINNING OF EACH SEMESTER TO SELECT SCHOLARSHIP RECIPIENTS AND TO REVIEW STUDENTS WHO RECEIVED AN AWARD TO ENSURE THAT THEY CONTINUE TO MEET THE REQUIREMENTS. THE FINANCIAL AID OFFICE MAINTAINS RECORDS OF ALL FINANCIAL AID RECEIVED BY STUDENTS (INCLUDING SCHOLARSHIPS) FOR AT LEAST 3 YEARS AFTER THE STUDENT CEASES ENROLLMENT IN THE PROGRAM. X X X X true false false false false true true false false JEREMY BOAL MD 2 PRESIDENT, EVP, SYSTEM CMO 120100 879900 23011 168589 81950 600399 3363 24637 6688 48998 235112 1722523 0 0 MICHAEL BRUNO 2 FORMER OFFICER 0 0 0 0 215791 215792 0 0 3609 3610 219400 219402 0 0 DENNIS CHARNEYMD12 PRESIDENT, ACADEMIC AFFAIRS 132110 967890 46022 337178 73100 535560 3363 24637 2270 16628 256865 1881893 0 0 KENNETH DAVIS MD 2 CHIEF EXECUTIVE OFFICER 288240 2111760 180150 1319850 202860 1486233 3363 24637 4964 36372 679577 4978852 0 0 BURTON P DRAYER 2 EVP, SYSTEM CCA 37500 262500 23950 167650 126210 883471 3500 24500 2320 16242 193480 1354363 0 0 BETH ESSIG ESQ 2 EVP, GENERAL COUNSEL 133311 976689 44872 328748 10037 73539 3363 24637 213 1564 191796 1405177 0 0 ARTHUR KLEIN MD 2 EVP, PRESIDENT OF HEALTH NTWK 172100 827900 25815 124185 118952 572226 4819 23181 1908 9178 323594 1556670 0 0 LIN H MO 2 PRESIDENT (END 1/2019) 491666 0 0 0 61029 0 5833 0 4653 0 563181 0 0 0 MARGARET PASTUSZKO 2 EVP, SYSTEM CIO 129108 945892 43290 317158 14766 108186 3363 24637 4191 30701 194718 1426574 0 0 DONALD T SCANLON 2 EVP, FIANCE & CHIEF CORP SERV 144120 1055880 58391 427794 44409 325360 3363 24637 3517 25768 253800 1859439 0 0 JEFFREY SILBERSTEIN 2 EVP, SYSTEM CAO 100704 737796 33366 244454 14764 108170 3363 24637 568 4159 152765 1119216 0 0 FRANK CINO 2 SVP, SYSTEM CHIEF RISK OFFICER 60954 444046 18526 134964 1023 7456 3380 24620 3761 27401 87644 638487 0 0 BARBARA BARNETT 2 CHIEF MEDICAL OFFICER 637845 0 95800 0 47496 0 23100 0 11210 0 815451 0 0 0 KENNETH HOLDEN 2 SVP REAL ESTATE & FACILITIES 613568 0 0 0 21042 0 23100 0 20985 0 678695 0 0 0 SCOTT MICHAEL LORIN 2 PRESIDENT 716153 0 134120 0 43812 0 28000 0 1723 0 923808 0 0 0 ELIZABETH SELLMAN 2 SENIOR VICE PRESIDENT 518999 0 100590 0 27969 0 23100 0 6597 0 677255 0 0 0 KELLY CASSANO 2 SENIOR MEDICAL DIRECTOR 617799 0 71850 0 1653 0 22948 0 5420 0 719670 0 0 0 LAWRENCE ATTIA 2 FORMER OFFICER 0 158478 0 0 0 1023 0 12250 0 13966 0 185717 0 0 ARTHUR GIANELLI CHIEF TRANSFORMATION OFFICER 0 950000 0 293030 0 63838 0 28000 0 6815 0 1341683 0 0 EDWARD LUCY VICE PRESIDENT 437478 0 71850 0 47092 0 23100 0 8114 0 587634 0 0 0 COMPENSATION FOOTNOTES PART VII, SCHEDULE J PART VII, SECTION A & SCHEDULE J COMPENSATION FOOTNOTES OFFICERS OF THE BOARD OF TRUSTEES HOURS REFLECT SERVICE TO ALL RELATED ORGANIZATIONS OF MOUNT SINAI HEALTH SYSTEM. (1) EMPLOYEE HAS AN OUTSTANDING LOAN REFLECTED IN SCHEDULE L, PART II OF ICHAN SCHOOL OF MEDICINE AT MOUNT SINIAI'S FORM 990 (2) COMPENSATION AND BENEFITS ARE FUNDED FROM THE MOUNT SINAI HOSPITAL, ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, BETH ISRAEL MEDICAL CENTER, ST. LUKE'S-ROOSEVELT HOSPITAL CENTER, AND/OR NEW YOUR EYE AND EAR INFIRMARY. 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, LINE 4A- SEVERANCE MICHAEL BRUNO RECEIVED $431,583 OF SEVERANCE PAYMENTS DURING 2019. Lin H. MO RECEIVED $500,865 OF SEVERANCE PAYMENTS DURING 2019. SCHEDULE J, PART I, LINES 6A & 6B THE MOUNT SINAI HOSPITAL, A RELATED ORGANIZATION, 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 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. X 1 25484 FMV false true false Schedule M, Part I Column (b) represents the number of contributors. FORM 990, PART VI, LINE 2 - BUSINESS AND FAMILY RELATIONSHIPS 1. TRUSTEES EDGAR CULLMAN, JR. AND SUSAN CULLMAN HAVE A FAMILY RELATIONSHIP. 2. TRUSTEES STEVEN HOCHBERG AND JAMES FLYNN HAVE A BUSINESS RELATIONSHIP. 3. TRUSTEES STEVEN HOCHBERG AND JOEL PICKET HAVE A BUSINESS RELATIONSHIP. 4. TRUSTEES MARC LIPSHULTZ AND JOHN HESS HAVE A BUSINESS RELATIONSHIP. 5. OFFICERS KENNETH DAVIS, MD AND DENNIS CHARNEY, MD HAVE A BUSINESS RELATIONSHIP. 6. OFFICER KENNETH DAVIS, MD AND TRUSTEE DAVID WINDREICH HAVE A BUSINESS RELATIONSHIP. 7. OFFICER DENNIS CHARNEY, MD AND TRUSTEE DAVID WINDREICH HAVE A BUSINESS RELATIONSHIP. Form 990, Part VI, Line 4 GOVERNING DOCUMENTS ON APRIL 22, 2019, THE BYLAWS FOR BETH ISRAEL MEDICAL CENTER 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 BETH ISRAEL MEDICAL CENTER 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 BETH ISRAEL MEDICAL CENTER WERE AMENDED TO REVISE THE LISTING OF BOARD COMMITTEES AND RENAME AND CLARIFY THE MISSION OF CERTAIN COMMITTEES. FORM 990, PART VI, LINE 6 MOUNT SINAI HOSPITALS GROUP, INC. IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, LINE 7A THE MEMBER HAS THE POWER TO ELECT THE MEMBERS OF THE GOVERNING BODY OF THE ORGANIZATION. FORM 990, PART VI, 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. FORM 990, PART VI, 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. FORM 990, PART VI, LINE 12C - CONFLICT OF INTEREST 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. FORM 990, PART VI, LINE 15A & 15B Process for determination of compensation The Compensation, Employee Benefits and Employee Relations Committee of the Board of Trustees (the "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 Co-Chairmen 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. FORM 990, PART VI, LINE 19 Governing documents and conflicts 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. FORM 990, PART XI, LINE 9 - OTHER CHANGES IN NET ASSETS COMPANIES-EQUITY-METHOD: $78,471,686 TOTAL: $78,471,686 FORM 990 PART IX LINE 11G DESCRIPTION:AGENCY NURSES AND TEMPS TOTAL FEES:5350406 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION AGENCY FEES TOTAL FEES:2061465 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:9922749 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER SERVICES TOTAL FEES:27536331 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:48744150 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SERVICES TOTAL FEES:25719868 BETH ISRAEL COMPREHENSIVE CANCER CENTER 325 WEST 15TH STREET NEW YORK NY 10011 522228661 CANCER CENTER NY 0 0 BIMC CONTINUUM HEALTH PARTNERS INC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 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 true MOUNT SINAI AMBULATORY VENTURES INC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 133838460 SURGICENTER NY 501(C)(3) 3 BIMC HOLDCO true BI NURSING HOME COMPANY 327 EAST 17TH STREET NEW YORK NY 10003 133627753 NURSING HOME NY 501(C)(3) 3 BIMC HOLDCO true EAST 17TH STREET PROPERTIES INC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 133547502 REAL ESTATE NY 501(C)(3) 10 BIMC HOLDCO true THE LONG ISLAND COLLEGE HOSPITAL 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 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 true AUGUSTUS & JAMES CORPORATION 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 133392851 REAL ESTATE NY 501(C)(3) 12 TYPE I SLR true ST LUKE'S-ROOSEVELT INSTITUTE FOR HEALTH 1111 AMSTERDAM AVENUE NEW YORK NY 10025 132914343 RESEARCH NY 501(C)(3) 4 SLR true NEW YORK EYE AND EAR INFIRMARY 310 EAST 14TH STREET NEW YORK NY 10003 135562304 HOSPITAL NY 501(C)(3) 3 MSHG true NEW YORK EYE & EAR INFIRMARY FOUNDATION 310 EAST 14TH STREET NEW YORK NY 10003 134012469 PRIVATE FDN NY 501(C)(3) PF NYEE true NYEEI HOUSING COMPANY INC 317-327 EAST 13TH STREET NEW YORK NY 10003 311696826 REAL ESTATE NY 501(C)(2) N/A NYEE true BETH ISRAEL MEDICAL CENTER FDN INC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 300571387 FUNDRAISING NY 501(C)(3) 7 BIMC true ST LUKE'S-ROSEVELT HOSPITAL CENTER FDN 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 300571390 FUNDRAISING NY 501(C)(3) 7 SLR true 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 THE MOUNT SINAI HOSPITAL ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 131624096 HOSPITAL NY 501(C)(3) 3 MSHG true 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 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 true MOUNT SINAI DIAG & TREATMENT CENTER ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 450537391 DIAG CLINIC NY 501(C)(3) 3 MSH true MSMC RESIDENTIAL REALTY MANAGER INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 201289396 MANAGEMENT NY 501(C)(3) 12 TYPE II SEE PART VII true VALENTIN FUSTER MT SINAI FND FOR SCIENCE ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 800952088 SUPPORT NY 501(C)(3) 12 TYPE I ISMMS & MSH 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 HOSPITALS 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 FOJP SERVICE CORPORATION 28 EAST 28TH STREET NEW YORK NY 10016 132914141 RISK MGMT NY 501(C)(3) 12 TYPE III NA false MOUNT SINAI HEALTH PARTNERS PC 150 EAST 42ND STREET 5TH FLR NEW YORK NY 10017 822057452 HEALTHCARE NY 501(C)(3) 10 MSH true SOUTH NASSAU COMMUNITIES HOSPITAL INC ONE HEALTHY WAY OCEANSIDE NY 115721551 111352310 HOSPITAL NY 501(C)(3) 3 MSHG false MOUNT SINAI SELF INSURANCE TRUST 150 EAST 42ND STREET NEW YORK NY 10017 823994798 SUPPORT NY 501(C)(3) 12 TYPE II MSHS false GREATER METROPOLITAN IPA II 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 133977019 INACTIVE NY BIMCSLR C 0 0 0.50000 false GREATER METROPOLITAN IPA V 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 134141695 INACTIVE NY BIMCSLR C 0 0 0.50000 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 10017 133853145 Inactive NY SLR C false WEST CARE MEDICAL PC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 133811203 INACTIVE NY SLR C false MOUNT SINAI HC VENTURES INC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 460953126 HEALTH CARE MGMT NY BIMC HOLDCO C false MOUNT SINAI GENOMICS INC 1425 MADISON AVE NEW YORK NY 10029 475349024 CLINICAL LAB DE ISMMS 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 false true false true false false false false true true true true false true true true true true true ST LUKE'S ROOSEVELT HOSPITAL o 1426512 COST BI NURSING HOME COMPANY R 196119 COST NEW YORK EYE AND EAR INFIRMARY R 1320757 COST THE MOUNT SINAI HOSPITAL O 18444507 COST THE MOUNT SINAI MEDICAL CENTER I 2504794 COST ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI P 102041660 COST MOUNT SINAI AMBULATORY VENTURES INC R 4947832 COST MOUNT SINAI HEALTH SYSTEM Q 11624026 COST MOUNT SINAI HEALTH SYSTEM B 17835585 COST ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI O 47550296 COST ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI N 2138892 COST ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI Q 32835604 COST SCHEDULE R, PART II, COLUMN (F) - MSMC REALTY CORPORATION DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL AND THE MSMC REALTY CORPORATION ARE ALL MEMBERS OF THIS ENTITY. SCHEDULE R, PART II, 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. SCHEDULE R, PART II, COLUMN (F) - MSMC RESIDENTIAL REALTY MANAGER, INC DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL AND THE MSMC REALTY CORPORATION ARE ALL MEMBERS OF THIS ENTITY.