MOUNT SINAI MEDICAL CENTER OF FLORIDA INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: MOUNT SINAI MEDICAL CENTER OF FLORIDA INC (EIN 59-0624424)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-14
IRS object ID: 202033199349300838
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 H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-14T12:36:59-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	861065772	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DELOITTE TAX LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	201 N FRANKLIN ST STE 3600	AddressLine1Txt
City	TAMPA	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33602	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	590624424	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MOUNT SINAI MEDICAL CENTER OF	BusinessNameLine1Txt
Business Name Line2	FLORIDA INC	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	MOUN	BusinessNameControlTxt
Phone	3056742032	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4300 ALTON ROAD	AddressLine1Txt
City	MIAMI BEACH	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33140	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ALEXANDER MENDEZ	PersonNm
Person Title	CFO/EVPO	PersonTitleTxt
Phone	3056742032	PhoneNum
Signature	2020-11-09	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	STEVEN E ROVNER	PreparerPersonNm
PTIN	P00648526	PTIN
Phone	8132738355	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	173.66.2.133	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-11-13	IPDt
IP Tm	14:05:07	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	2A209ADF6288EF4A8C29F7770523BFC7EA556A53	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	STEVEN D SONENREICH	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4300 ALTON ROAD	AddressLine1Txt
City	MIAMI BEACH	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33140	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$787,846,191	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MSMC.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1946	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE HIGH QUALITY HEALTH CARE TO OUR DIVERSE COMMUNITY ENHANCED THROUGH TEACHING, RESEARCH, CHARITY CARE AND FINANCIAL RESPONSIBILITY.	ActivityOrMissionDesc
Voting Members Governing Body	24	VotingMembersGoverningBodyCnt
Voting Members Independent	22	VotingMembersIndependentCnt
Total Employee	5108	TotalEmployeeCnt
Total Volunteers	350	TotalVolunteersCnt
Total Gross UBI	$170,554	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$36,141,142	PYContributionsGrantsAmt
CY Contributions Grants	$6,440,058	CYContributionsGrantsAmt
PY Program Service Revenue	$666,046,812	PYProgramServiceRevenueAmt
CY Program Service Revenue	$727,322,001	CYProgramServiceRevenueAmt
PY Investment Income	$4,189,196	PYInvestmentIncomeAmt
CY Investment Income	$2,930,768	CYInvestmentIncomeAmt
PY Other Revenue	$26,706,574	PYOtherRevenueAmt
CY Other Revenue	$31,229,676	CYOtherRevenueAmt
PY Total Revenue	$733,083,724	PYTotalRevenueAmt
CY Total Revenue	$767,922,503	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$312,839,410	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$339,862,310	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$363,414,727	PYOtherExpensesAmt
CY Other Expenses	$420,487,399	CYOtherExpensesAmt
PY Total Expenses	$676,254,137	PYTotalExpensesAmt
CY Total Expenses	$760,349,709	CYTotalExpensesAmt
PY Revenues Less Expenses	$56,829,587	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$7,572,794	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,014,629,732	TotalAssetsBOYAmt
Total Assets EOY	$1,036,825,508	TotalAssetsEOYAmt
Total Liabilities BOY	$494,470,960	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$481,650,944	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$520,158,772	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$555,174,564	NetAssetsOrFundBalancesEOYAmt
Mission	TO PROVIDE HIGH QUALITY HEALTH CARE TO OUR DIVERSE COMMUNITY ENHANCED THROUGH TEACHING, RESEARCH, CHARITY CARE AND FINANCIAL RESPONSIBILITY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$520,264,552	ExpenseAmt
Revenue	$614,744,149	RevenueAmt
Desc	SAFETY NET HOSPITAL OPERATIONSIN 2019, MOUNT SINAI SERVED 24,712 INPATIENT ADMISSIONS, 246,595 OUTPATIENT ADMISSIONS, 53,792 EMERGENCY CARE VISITS IN ITS PRIMARY SERVICE AREA, 18,695 IN ITS SENIOR HEALTH TARGET AREA OF AVENTURA AND 26,806 IN ITS HIALEAH FREE STANDING EMERGENCY DEPARTMENT. MOUNT SINAI PERFORMED 14,107 SURGERIES MEETING SURGICAL CARE STANDARDS AND WELCOMED 2,639 INFANTS WITH HEALTHY BIRTH WEIGHTS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$46,619,044	ExpenseAmt
Revenue	$45,121,796	RevenueAmt
Desc	TEACHING & RESEARCHIN 2019, MOUNT SINAI RETAINED ITS OWN TEACHING FACULTY AND 12 ACCREDITED GRADUATE MEDICAL EDUCATION PROGRAMS, TEACHING 171 RESIDENTS AND FELLOWS. MOUNT SINAI PROVIDED A TEACHING CLINICAL ENVIRONMENT FOR PHYSICIANS TO BECOME BOARD CERTIFIED. ADDITIONALLY, TO MEET THE DEMANDS OF THE WORKFORCE, MOUNT SINAI TAUGHT 163 NURSING STUDENTS, 432 MEDICAL STUDENTS AND 125 ALLIED HEALTH STUDENTS FOR HEALTH CARE CAREERS. TO SUPPLEMENT THE ACADEMIC ENVIRONMENT IN 2019, MOUNT SINAI HAD 166 RESEARCH STUDIES APPROVED BY A NATIONAL REVIEW BOARD OR BY A MOUNT SINAI INSTITUTION PEER REVIEW BOARD. MOUNT SINAI HAD 102 CANCER STUDIES, 19 CARDIAC, AND 45 OTHER STUDIES.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$95,429,916	ExpenseAmt
Revenue	$67,456,056	RevenueAmt
Desc	PHYSICIAN NETWORK AND ACCESS TO CAREACCORDING TO THE 2017 UPDATE TO THE AAMC-COMMISSIONED STUDY OF PHYSICIAN SUPPLY AND DEMAND, PHYSICIAN DEMAND IS PROJECTED TO CONTINUE GROWING FASTER THAN THE SUPPLY. (THE COMPLEXITIES OF PHYSICIAN SUPPLY AND DEMAND: PROJECTIONS FROM 2015 TO 2030, IHS MARKIT, FEBRUARY 17, 2017) THE STATE OF FLORIDA AGENCY FOR HEALTHCARE, AND THE STATEWIDE MEDICAID RESIDENCY PROGRAM SUPPORTED THE TEACHING OF SPECIALTY CLINICAL PROVIDERS. MOUNT SINAI PROVIDED BOTH ACCESS TO CARE AND SUPPORT FOR THE TEACHING OF 432 MEDICAL STUDENTS AND 171 RESIDENTS AND FELLOWS. MOUNT SINAI SERVICES 13 LOCATIONS IN TWO COUNTIES BY PROVIDING NEARLY 210,000 PRIMARY OR SPECIALTY CARE VISITS. MOUNT SINAI HAS WIDENED ACCESS TO SPECIALTY CARE IN FLORIDA AND THE STATE MEDICAID PROGRAM.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$662,313,512	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (1)	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (1)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	892	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	5108	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	24	GoverningBodyVotingMembersCnt
Independent Voting Member	22	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	3056742032	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4300 ALTON ROAD	AddressLine1Txt
City	MIAMI BEACH	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33140	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (46 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd
STEVEN SONENREICH
PRESIDENT/CEO	60.00	1.50	Yes (X)	Yes (X)	$2,415,293	$0	$78,158
STEVE XYDAS EMPLOYED MD
CHIEF, CARDIOTHORACIC SURGERY	60.00	0.00			$1,964,765	$0	$77,704	Yes (X)
ALEXANDER MENDEZ
EXEC VP OF OPERATIONS/CFO	60.00	1.00		Yes (X)	$1,318,231	$0	$81,850
ROY WILLIAMS EMPLOYED MD
CHIEF, THORACIC SURGERY	60.00	0.00			$1,039,003	$0	$81,288	Yes (X)
MIKE CUSNIR EMPLOYED MD
CHIEF, HEMATOLOGY & ONCOLOGY	60.00	0.00			$832,052	$0	$61,064	Yes (X)
MICHAEL SCHWARTZ EMPLOYED MD
MED CO-DIR, BREAST CANCER ONCOLOGY	60.00	0.00			$842,163	$0	$31,752	Yes (X)
ANGELO LAPIETRA
SURG DIR, CARDIAC ARRHYTHMIA PRGM	60.00	0.00			$753,735	$0	$80,497	Yes (X)
ROBERT GOLDSZER
SENIOR VP/CMO	60.00	0.00			$734,843	$0	$78,341		Yes (X)
THOMAS GILLETTE
SENIOR VP/CIO	60.00	0.00			$585,324	$0	$80,951		Yes (X)
ARNOLD JAFFEE
SENIOR VP/GEN COUNSEL	60.00	2.00			$555,107	$0	$75,391		Yes (X)
ANGEL PALLIN
SENIOR VP/COO	60.00	0.00			$547,659	$0	$61,874		Yes (X)
WAYNE CHUTKAN
SENIOR VP OF FINANCE	60.00	0.00			$517,251	$0	$84,412		Yes (X)
WENDY STUART
SENIOR VP/CNO	60.00	0.00			$435,770	$0	$57,328		Yes (X)
MERVYN MILLS
VP OF FINANCE	60.00	0.00			$379,016	$0	$69,511		Yes (X)
BENJAMIN DAVIS
VP FACILITIES/RESOURCE MGT	60.00	0.00			$402,325	$0	$36,932		Yes (X)
CHARLENE WELKER
SENIOR VP OF SPECIALTY SVC	60.00	0.00			$370,581	$0	$61,489		Yes (X)
MONICA FELDER
VP/CCO	60.00	0.00			$344,547	$0	$58,889		Yes (X)
MARGIE STICKLES
VP, SURGICAL SERVICES	60.00	0.00			$280,123	$0	$52,666		Yes (X)
CATHY MCCLELLAN
VP, RISK MGT, INS & PERF IMPRV	60.00	0.00			$269,497	$0	$62,859		Yes (X)
JENNIFER FOREMAN
VP OF HUMAN RESOURCES	60.00	0.00			$251,839	$0	$37,775		Yes (X)
GUSTAVO TEJAS
VP CRT CARE & EMG SVC BEG 3/2019	60.00	0.00			$190,691	$0	$42,422		Yes (X)
SETH GOTTLIEB MD
PRES MED STAFF/TRUSTEE END 6/2019	50.00	0.00	Yes (X)		$89,858	$0	$8,063
ARI CIMENT MD
PRES MED STAFF/TRUSTEE BEG 7/2019	50.00	0.00	Yes (X)		$43,000	$0	$0
PAUL BLOCH
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
DAVID BLOOM
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
NORMAN BRAMAN
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
WAYNE CHAPLIN
TRUSTEE	2.00	0.50	Yes (X)		$0	$0	$0
DENIS COLE
TRUSTEE	2.00	0.50	Yes (X)		$0	$0	$0
DAPHNA CRAMER
TRUSTEE BEG 1/2019	2.00	0.00	Yes (X)		$0	$0	$0
EDWARD DAUER MD
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
DAVID DEUTCH
TRUSTEE	2.00	0.50	Yes (X)		$0	$0	$0
MARC FARBSTEIN
TRUSTEE BEG 1/2019	2.00	0.00	Yes (X)		$0	$0	$0
EUGENE FRENKEL
TRUSTEE BEG 1/2019	2.00	0.00	Yes (X)		$0	$0	$0
PHILLIP FROST MD
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
MARK HALPERN
TRUSTEE BEG 1/2019	2.00	0.00	Yes (X)		$0	$0	$0
MARK HILDEBRANDT
TRUSTEE	2.00	0.50	Yes (X)		$0	$0	$0
SAMUEL JACOBSON
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
EDIE LAQUER
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
MICHAEL LATNER
TRUSTEE BEG 1/2019	2.00	0.00	Yes (X)		$0	$0	$0
PETRA LEVIN
TRUSTEE ENDED 12/2019	2.00	0.00	Yes (X)		$0	$0	$0
LAURANS MENDELSON
TRUSTEE	2.00	0.50	Yes (X)		$0	$0	$0
BARRY SIADAT
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
PAUL SINGERMAN
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
BARRY SKOLNICK
TRUSTEE	2.00	0.50	Yes (X)		$0	$0	$0
JAMES TATE
TRUSTEE BEG 1/2019	2.00	0.00	Yes (X)		$0	$0	$0
WARREN ZINN
TRUSTEE BEG 1/2019	2.00	0.00	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$15,162,673	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,361,216	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	415	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ROBINS & MORTON
423 SOUTH KELLER ROAD SUITE 200	ORLANDO	FL	32810	GENERAL CONTRACTORAL	$22,122,782
TRUSTEE OF COLUMBIA UNIVERSITY
622 WEST 168TH STREET	NEW YORK	NY	10032	MEDICAL PROGRAMS AFFILIATION	$4,001,744
BRASFIELD & GORRIE LLC
941 WEST MORSE BOULEVARD SUITE 200	WINTER PARK	FL	32789	GENERAL CONTRACTOR	$3,887,165
ARAMARK CTS INC
12483 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	MANAGEMENT SERVICES FOR EQUIPMENT MAINTE	$3,714,486
EPIC SYSTEM CORPORATION
PO BOX 88314	MILWAUKEE	WI	532880314	IT CONSULTANTS, MAINTENACE & PROGRAMMING	$2,551,222

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	142	CntrctRcvdGreaterThan100KCnt
Related Organizations	$6,421,964	RelatedOrganizationsAmt
All Other Contributions	$18,094	AllOtherContributionsAmt
Total Contributions	$6,440,058	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENU	621300	$551,088,784	$551,088,784
MEDICARE/MEDICAID REVE	621300	$148,654,238	$148,654,238
GRANT REVENUE	900099	$25,803,178	$25,803,178
PARTNERSHIP INCOME	900099	$1,510,691	$1,481,920	$28,771
OTHER PATIENT REVENUE	621300	$265,110	$265,110

Field	Value	IRS element (for citing)
Total Program Service Revenue	$727,322,001	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,928,182	TotalRevenueColumnAmt
Exclusion	$3,928,182	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$10,385,804	RealAmt
Personal	$9,405	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$4,734,871	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$5,650,933	RealAmt
Personal	$9,405	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,660,338	TotalRevenueColumnAmt
Unrelated Business Revenue	$141,783	UnrelatedBusinessRevenueAmt
Exclusion	$5,518,555	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$14,191,403	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$14,037,496	SecuritiesAmt
Other	$1,151,321	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$153,907	SecuritiesAmt
Other	-$1,151,321	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$997,414	TotalRevenueColumnAmt
Exclusion	-$997,414	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
EMERGENCY DEPARTMENT	621990	$5,499,996	$5,499,996
CAFETERIA	722210	$2,863,007	$2,863,007
PARKING	812930	$1,411,009	$1,411,009

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,795,326	TotalRevenueColumnAmt
Exclusion	$15,795,326	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$25,569,338	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$767,922,503	TotalRevenueColumnAmt
Related Or Exempt Func Income	$727,293,230	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$170,554	UnrelatedBusinessRevenueAmt
Exclusion	$34,018,661	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$9,598,097	TotalAmt
Management And General	$9,598,097	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$281,557,144	TotalAmt
Program Services	$246,072,999	ProgramServicesAmt
Management And General	$35,484,145	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$30,323,441	TotalAmt
Program Services	$25,628,184	ProgramServicesAmt
Management And General	$4,695,257	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$18,383,628	TotalAmt
Program Services	$15,537,122	ProgramServicesAmt
Management And General	$2,846,506	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$376,746	TotalAmt
Program Services	$58,335	ProgramServicesAmt
Management And General	$318,411	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$819,512	TotalAmt
Management And General	$819,512	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$567,200	TotalAmt
Management And General	$567,200	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$534,282	TotalAmt
Management And General	$534,282	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,504,934	TotalAmt
Program Services	$5,504,934	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,908,546	TotalAmt
Program Services	$17	ProgramServicesAmt
Management And General	$2,908,529	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$16,682,880	TotalAmt
Program Services	$14,307,710	ProgramServicesAmt
Management And General	$2,375,170	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$19,807,644	TotalAmt
Program Services	$16,740,644	ProgramServicesAmt
Management And General	$3,067,000	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,170,196	TotalAmt
Program Services	$989,004	ProgramServicesAmt
Management And General	$181,192	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,632,816	TotalAmt
Program Services	$1,379,992	ProgramServicesAmt
Management And General	$252,824	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$12,482,584	TotalAmt
Program Services	$10,549,791	ProgramServicesAmt
Management And General	$1,932,793	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$43,836,395	TotalAmt
Program Services	$37,048,803	ProgramServicesAmt
Management And General	$6,787,592	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$22,852,225	TotalAmt
Program Services	$19,313,805	ProgramServicesAmt
Management And General	$3,538,420	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$143,584,680	$143,123,055	$461,625
PROVISION FOR BAD DEBT	$95,879,827	$81,033,872	$14,845,955
SERVICE CONTRACTS/MAINT	$29,383,519	$24,795,964	$4,587,555
CONSULTANT FEES	$5,935,939	$5,016,823	$919,116

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$16,527,474	TotalAmt
Program Services	$15,212,458	ProgramServicesAmt
Management And General	$1,315,016	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$760,349,709	TotalAmt
Program Services	$662,313,512	ProgramServicesAmt
Management And General	$98,036,197	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$194,204,543	BOYAmt
EOY	$155,563,736	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,469,835	BOYAmt
EOY	$1,607,645	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$74,033,592	BOYAmt
EOY	$77,738,300	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$10,801,722	BOYAmt
EOY	$10,258,195	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$10,771,601	BOYAmt
EOY	$17,736,765	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$819,860,277	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$368,224,813	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$241,392,561	BOYAmt
EOY	$451,635,464	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$13,754,635	BOYAmt
EOY	$13,412,642	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$468,201,243	BOYAmt
EOY	$308,872,761	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,014,629,732	BOYAmt
EOY	$1,036,825,508	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$75,092,538	BOYAmt
EOY	$64,168,101	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$276,411,696	BOYAmt
EOY	$266,673,801	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$882,596	BOYAmt
EOY	$882,596	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$142,084,130	BOYAmt
EOY	$149,926,446	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$494,470,960	BOYAmt
EOY	$481,650,944	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	$265,461,812	BOYAmt
EOY	$267,522,604	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$254,696,960	BOYAmt
EOY	$287,651,960	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$520,158,772	BOYAmt
EOY	$555,174,564	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,014,629,732	BOYAmt
EOY	$1,036,825,508	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$7,572,794	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,077,518	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$26,365,480	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	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 (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	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)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$320,000	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	Yes (1)	RalliesDemonstrationsInd
Rallies Demonstrations	$214,282	RalliesDemonstrationsAmt
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$534,282	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$94,395,000	BeginningYearBalanceAmt
Contributions	$19,487,000	ContributionsAmt
Investment Earnings Or Losses	$356,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,472,000	OtherExpendituresAmt
Administrative Expenses	$945,000	AdministrativeExpensesAmt
End Year Balance	$107,821,000	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$69,744,000	BeginningYearBalanceAmt
Contributions	$43,482,000	ContributionsAmt
Investment Earnings Or Losses	$552,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$18,346,000	OtherExpendituresAmt
Administrative Expenses	$1,037,000	AdministrativeExpensesAmt
End Year Balance	$94,395,000	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$45,075,000	BeginningYearBalanceAmt
Contributions	$27,505,000	ContributionsAmt
Investment Earnings Or Losses	$459,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,262,000	OtherExpendituresAmt
Administrative Expenses	$1,033,000	AdministrativeExpensesAmt
End Year Balance	$69,744,000	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$38,888,000	BeginningYearBalanceAmt
Contributions	$8,706,000	ContributionsAmt
Investment Earnings Or Losses	$452,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,295,000	OtherExpendituresAmt
Administrative Expenses	$676,000	AdministrativeExpensesAmt
End Year Balance	$45,075,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$36,723,000	BeginningYearBalanceAmt
Contributions	$4,545,000	ContributionsAmt
Investment Earnings Or Losses	$434,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,258,000	OtherExpendituresAmt
Administrative Expenses	$556,000	AdministrativeExpensesAmt
End Year Balance	$38,888,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.05830	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.94170	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,357,216	OtherCostOrOtherBasisAmt
Book Value	$8,357,216	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$572,316,067	OtherCostOrOtherBasisAmt
Depreciation	$224,474,852	DepreciationAmt
Book Value	$347,841,215	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$228,015,631	OtherCostOrOtherBasisAmt
Depreciation	$143,749,961	DepreciationAmt
Book Value	$84,265,670	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,171,363	OtherCostOrOtherBasisAmt
Book Value	$11,171,363	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$451,635,464	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENTS IN AFFILIATES	$2,348,321
DEPOSITS	$220,734
BENEFICIAL INTEREST IN NET ASSETS OF MOUNT SINAI MEDICAL CENTER FOUNDATION	$290,030,210
CONSTRUCTION IN PROGRESS	$16,273,496

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$308,872,761	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
INDIGENT CARE ASSESSMENT	$9,199,797
OTHER CURRENT LIABILITIES	$33,952,890
SELF-INSURED CLAIMS RESERVE	$37,773,300
CAPITAL LEASE	$53,356,083
DUE TO THIRD PARTIES	$15,124,000
OTHER LONG-TERM LIABILITIES	$485,243
DUE TO AFFILIATES	$35,133

Field	Value	IRS element (for citing)
Total Liability	$149,926,446	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$669,234,000	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	-$94,663,889	OtherRevenueAmt
Revenue Not Reported	-$94,663,889	RevenueNotReportedAmt
Revenue Subtotal	$763,897,889	RevenueSubtotalAmt
Other Revenues Not Included	$4,024,614	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$4,024,614	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$767,922,503	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$665,469,000	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$999,118	OtherExpensesIncludedAmt
Expenses Not Reported	$999,118	ExpensesNotReportedAmt
Expenses Subtotal	$664,469,882	ExpensesSubtotalAmt
Other Expenses Not Included	$95,879,827	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$95,879,827	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$760,349,709	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	THE FOUNDATION'S ENDOWMENT CONSISTS OF APPROXIMATELY 44 INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE ENDOWMENT CONSISTS OF DONOR-RESTRICTED FUNDS THAT HAVE BEEN LIMITED BY DONORS TO A SPECIFIC TIME PERIOD OR PURPOSE. AS REQUIRED BY GAAP, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. THE ENDOWMENT NET ASSET COMPOSITION BY FUND TYPE AS OF DECEMBER 31, 2019, IS COMPOSED OF THE FOLLOWING: TEMPORARILY RESTRICTED PERMANENTLY RESTRICTED ALZHEIMER'S PROGRAM 4,780,000 0 MSMC 50 YEARS (PATIENT TOWER) 83,219,000 0 MELANOMA RESEARCH 1,144,000 0 SURGICAL ONCOLOGY 2,424,000 0 CANCER RESEARCH 848,000 0 OTHER PROGRAMS 9,116,000 6,291,000 __________ _________ TOTAL FUNDS 101,531,000 6,291,000
PART X, LINE 2:	THE FOOTNOTE TO THE AUDITED FINANCIAL STATEMENTS FOR MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC. AND SUBSIDIARIES REGARDING FIN48 READS AS FOLLOWS: THE MEDICAL CENTER IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE IRC. THE IRC PROVIDES FOR TAXATION OF UNRELATED BUSINESS INCOME UNDER CERTAIN CIRCUMSTANCES. MANAGEMENT HAS CONCLUDED THAT THE MEDICAL CENTER HAS NO MATERIAL UNRELATED BUSINESS INCOME. THE MEDICAL CENTER FOLLOWS THE PROVISIONS OF ASC 740-15-2, INCOME TAXES, AND HAS DETERMINED THAT AS OF DECEMBER 31, 2019 AND 2018, THE MEDICAL CENTER HAD NO MATERIAL UNRECOGNIZED TAX BENEFITS. THE MEDICAL CENTER DOES NOT EXPECT THAT UNRECOGNIZED TAX BENEFITS WILL MATERIALLY INCREASE WITHIN THE NEXT 12 MONTHS. IN THE EVENT THE MEDICAL CENTER WERE TO RECOGNIZE INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IT WOULD BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AS INCOME TAX EXPENSE. TAX YEARS FROM 2014 THROUGH 2019 ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE TAXING AUTHORITIES. THERE ARE NO INCOME TAX EXAMINATIONS CURRENTLY IN PROCESS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBT -95,879,827. INCOME FROM MT SINAI MEDICAL OFFICE BLDG II, INC 138,420. UNREALIZED GAINS ON INVESTMENTS 1,077,518.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	CONTRIBUTIONS RELEASED FROM RESTRICTIONS FOR CAPITAL PURPOSES 4,804,997. EXPENSES NETTED AGAINST REVENUES -1,778,167. INCOME FROM MIAMI JEWISH HOME HEALTH AGENCY -101,237. INCOME FROM PREMIER HEALTHCARE ALLIANCE, L.P. 1,099,021.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	DISTRIBUTIONS FROM PREMIER HEALTHCARE ALLIANCE, L.P. -779,049. EXPENSE NETTED AGAINST REVENUE 1,778,167.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBT 95,879,827.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA & THE CARIBBEAN	RegionTxt
Type Of Activities Conducted	PROGRAM SERVICES	TypeOfActivitiesConductedTxt
Specific Services Provided	INSURANCE PREMIUM	SpecificServicesProvidedTxt
Region Total Expenditures	$408,742	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$408,742	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$408,742	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART III ACCOUNTING METHOD:
PART IV, LINE 3	MOUNT SINAI MEDICAL CENTER OF FLORDA, INC.'S INTEREST IN A FOREIGN CORPORATION IS A WHOLLY OWNED INTEREST IN MOUNT SINAI MEDICAL CENTER OF FLORIDA GUARANTEE CORPORATION, A CORPORATION INCORPORATED IN THE CAYMAN ISLANDS.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,953,157	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$29,953,157	NetCommunityBenefitExpnsAmt
Total Expense	0.04510	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,498,426	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,132,648	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,365,778	NetCommunityBenefitExpnsAmt
Total Expense	0.01710	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,010,126	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,887,696	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,122,430	NetCommunityBenefitExpnsAmt
Total Expense	0.03030	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$88,461,709	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,020,344	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$61,441,365	NetCommunityBenefitExpnsAmt
Total Expense	0.09250	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,317,942	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,317,942	NetCommunityBenefitExpnsAmt
Total Expense	0.00500	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,486,227	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,195,083	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,291,144	NetCommunityBenefitExpnsAmt
Total Expense	0.03050	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,551,014	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,073,590	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,477,424	NetCommunityBenefitExpnsAmt
Total Expense	0.03680	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,593,172	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,861,453	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$731,719	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$150,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$150,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$121,098,355	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$72,130,126	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$48,968,229	NetCommunityBenefitExpnsAmt
Total Expense	0.07360	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$209,560,064	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$99,150,470	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$110,409,594	NetCommunityBenefitExpnsAmt
Total Expense	0.16610	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$534,282	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$534,282	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,177,624	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,177,624	NetCommunityBenefitExpnsAmt
Total Expense	0.00630	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,711,906	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,711,906	NetCommunityBenefitExpnsAmt
Total Expense	0.00710	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$20,838,550	BadDebtExpenseAmt
Reimbursed By Medicare	$283,518,726	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$343,863,838	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$60,345,112	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	0	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 MEDICAL CENTER OF FL INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4300 ALTON ROAD	AddressLine1Txt
City	MIAMI BEACH	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33140	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MOUNT SINAI MEDICAL CENTER OF FL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	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	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.MSMC.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2018/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, PAGE 8	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
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 (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, PG 8	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, PG 8	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, PG 8	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 (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
None Made	Yes (X)	NoneMadeInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
MOUNT SINAI MEDICAL CENTER OF FL, INC.	PART V, SECTION B, LINE 5: PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT REQUIRES, IN IRC SECTION 501(R)(3), THAT WHEN ASSESSING COMMUNITY HEALTH NEEDS, MOUNT SINAI CONSULT WITH AND RECEIVE INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY. THIS INCLUDES, BUT IS NOT LIMITED TO, THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH AND AT A MINIMUM:1) AT LEAST ONE STATE, LOCAL, TRIBAL, OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT (OR EQUIVALENT DEPARTMENT OR AGENCY) WITH KNOWLEDGE, INFORMATION, OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY2) MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE COMMUNITY, OR INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF SUCH POPULATIONS3) WRITTEN COMMENTS RECEIVED ON THE HOSPITAL FACILITY'S MOST RECENTLY CONDUCTED CHNA AND MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY.TO RECEIVE THIS INPUT AND DATA, MOUNT SINAI SOUGHT INFORMATION FROM THE STATE REGIONAL HEALTHCARE PLANNING AGENCY, THE HEALTH COUNCIL OF SOUTH FLORIDA, AND THE LOCAL CITY OF MIAMI BEACH HEALTHCARE ADVISORY COMMITTEE. ADDITIONALLY, THE HOSPITAL MET WITH FOCUS GROUPS THAT REPRESENT EACH GEOGRAPHIC SERVICE AREA OF THE CITY, REPRESENTING A VARIETY OF INCOMES AND DEMOGRAPHICS. MOUNT SINAI SOUGHT INDIVIDUAL INPUT FROM NOTED AND LEADING MEMBERS OF THE HEALTHCARE INDUSTRY IN ITS PRIMARY SERVICE AREA INCLUDING MEDICAL PROVIDERS, SMALL AND LARGE ANCILLARY BUSINESSES OWNERS, NURSING HOME STAFF AND RESIDENTS AND OTHER SPECIAL SENIOR HEALTH RELATED PROFESSIONS OR PATIENTS REPRESENTING THE UNINSURED AND NEW OR UNDOCUMENTED RESIDENTS. FOCUS MEETINGS WERE ALSO HELD IN ENGLISH AND SPANISH TO ACCOMMODATE THE BROAD NEED OF A MULTILINGUAL COMMUNITY.PUBLIC HEALTH EXPERT INPUT AND GUIDANCE COMMUNITY HEALTH ANALYSISTHE COMMUNITY HEALTH PRIORITIES ARE BASED ON AN ANALYSIS OF DEMOGRAPHIC, ENVIRONMENTAL, STATISTICAL, AND BEHAVIORAL PUBLIC HEALTH DATA ABOUT MIAMI-DADE COUNTY, AND WHEN POSSIBLE ABOUT MIAMI BEACH. THE DATA IS REVIEWED BY NUMEROUS STAFF MEMBERS AT MOUNT SINAI INCLUDING CLINICAL, RESEARCH AND COMMUNITY HEALTH WORKERS. MEMBERS OF THE COMMUNITY, NURSES AND PHYSICIANS AND BUSINESSES OWNERS PROVIDE INPUT.CITY OF MIAMI BEACH HEALTH ADVISORY COMMITTEE. MOUNT SINAI MAINTAINS A SEAT AND LEAD ROLE ON THE HEALTH ADVISORY COMMITTEE OF THE CITY OF MIAMI BEACH, ALONG WITH THE MIAMI BEACH COMMUNITY HEALTH CENTER AND THE HEALTH COUNCIL OF SOUTH FLORIDA. THE MIAMI BEACH HEALTH ADVISORY COMMITTEE IS A CITY COMMISSION APPOINTED BODY OF LOCAL REPRESENTATIVES THAT MEET TO ADDRESS MIAMI BEACH HEALTH ISSUES IN A PUBLICLY ADVERTISED MEETING FORUM. THIS ORGANIZATION SERVES THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS AMONGST OTHERS IN THE CITY.THE HEALTH COUNCIL OF SOUTH FLORIDA. MOUNT SINAI CONTRACTS WITH THE HEALTH COUNCIL OF SOUTH FLORIDA TO OBTAIN FEDERAL PREVENTION QUALITY INDICATOR DATA, WHICH TRACKS LOCAL HOSPITAL ADMISSIONS BY CHRONIC DISEASES AND CONDITIONS. MOUNT SINAI ALSO RECEIVES LEADING CAUSES OF DEATH DATA FOR THE MIAMI BEACH SERVICE AREA. THIS ORGANIZATION ALSO HAS MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE COMMUNITY AND SERVES THE SAME POPULATIONS. PUBLIC HEALTH AGENCIES FROM WHICH DATA OR INPUT WAS SOUGHT:- U.S. AGENCY FOR HEALTHCARE QUALITY & RESEARCH- CENTERS FOR DISEASE CONTROL & PREVENTION- NATIONAL COMMITTEE ON VITAL AND HEALTH STATISTICS- U.S. CENSUS BUREAU- TRUST FOR AMERICA'S HEALTH- KAISER FAMILY FOUNDATION- AGENCY FOR HEALTHCARE ADMINISTRATION- FLORIDA DEPARTMENT OF HEALTH- HEALTH COUNCIL OF SOUTH FLORIDA- MIAMI-DADE COUNTY HEALTH DEPARTMENT- FLORIDA HOSPITAL ASSOCIATION- MIAMI BEACH HEALTH ADVISORY COMMITTEE
MOUNT SINAI MEDICAL CENTER OF FL, INC.	PART V, SECTION B, LINE 7D: THE CHNA REPORT IS AVAILABLE VIA E-MAIL.
MOUNT SINAI MEDICAL CENTER OF FL, INC.	PART V, SECTION B, LINE 11: IN ITS CHNA, MOUNT SINAI IDENTIFIED FOUR COMMUNITY HEALTH NEEDS TO BE ADDRESSED WITHIN ITS PURVIEW AS AN ACUTE CARE ACADEMIC MEDICAL CENTER AND ACCESSIBLE TEACHING PHYSICIAN NETWORK THAT PROVIDES PRIMARY AND SPECIALTY CARE ON PAR WITH ALMOST ALL MEDICAID PLANS IN ITS REGION.THE FOUR COMMUNITY HEALTH PRIORITIES ARE:1) LEADING CAUSES OF DISEASE-RELATED DEATH2) ACCESS TO CARE3) ENVIRONMENTAL HEALTH-4) BEHAVIORAL HEALTHPRIORITY #1: LEADING CAUSES OF DISEASE-RELATED DEATHTHE TOP FIVE DISEASE-RELATED CAUSES OF DEATH IN MOUNT SINAI'S SERVICE AREA ARE HEART DISEASE, CANCER, STROKE, CHRONIC LOWER RESPIRATORY DISEASE, AND ALZHEIMER'S DISEASE.HEART DISEASE: MOUNT SINAI IS STRIVING TO MEET THE CARDIOVASCULAR HEALTH NEEDS WITHIN ITS PRIMARY SERVICE AREAS THROUGH THE COLUMBIA UNIVERSITY AFFILIATED MOUNT SINAI HEART INSTITUTE, 19 CARDIAC RESEARCH TRIALS AIMED AT BRINGING CUTTING-EDGE TREATMENTS TO PATIENTS, A NEW FREESTANDING EMERGENCY ROOM IN HIALEAH, AND A NEW STATE-OF-THE-ART EMERGENCY ROOM ON THE MAIN CAMPUS WHICH OPENED IN FEBRUARY 2019. IN 2019, MOUNT SINAI HELD 58 FREE HEALTH LECTURES ON TOPICS SUCH AS CARDIOVASCULAR HEALTH, NUTRITION AND EXERCISE, STRESS MANAGEMENT, STROKE PREVENTION, ALZHEIMER'S DISEASE, THE OPIOID EPIDEMIC, AND CANCER PREVENTION AND EARLY DETECTION. THESE LECTURES WERE OFFERED THROUGHOUT MIAMI-DADE COUNTY AND IN MONROE COUNTY AND ATTENDED BY 2,559 PEOPLE. MOUNT SINAI ALSO OFFERED 134 BLOOD PRESSURE, GLUCOSE, AND/OR MELANOMA SCREENING EVENTS DURING 2019 WITH 2,141 IN ATTENDANCE. MOUNT SINAI HAS ALSO PARTNERED WITH SOUTH FLORIDA SENIORS IN ACTION IN THE FARM SHARE PROGRAM AIMED AT DISTRIBUTING FRESH, HEALTHY FOODS TO NEEDY FAMILIES THROUGHOUT ITS PRIMARY SERVICE AREAS. THESE MONTHLY EVENTS HELP MORE THAN 350 NEEDY FAMILIES EACH TIME.CANCER:IN ORDER TO MEET THE NEEDS OF PATIENTS WITH CANCER, MOUNT SINAI'S COMPREHENSIVE CANCER CENTER ON THE MAIN CAMPUS AND THE CANCER CARE AND DIAGNOSTIC CENTER IN AVENTURA USE A COLLABORATIVE APPROACH TO THE DIAGNOSIS AND TREATMENT OF CANCER. MOUNT SINAI OFFERS FREE OR DISCOUNTED SCREENING MAMMOGRAMS TO THE PUBLIC DURING MAY AND OCTOBER AND TO MIAMI-DADE PUBLIC SCHOOL TEACHERS AND STAFF IN NOVEMBER AT THE CCC AND AVENTURA BREAST CENTERS. PSA SCREENINGS ARE ALSO OFFERED FOR EARLY DETECTION OF PROSTATE CANCER. FREE LECTURES ON CANCER PREVENTION AND EARLY DETECTION ARE ALSO GIVEN THROUGHOUT MOUNT SINAI'S SERVICE AREA. MOUNT SINAI IS AT THE FOREFRONT AMONG CANCER INSTITUTIONS IN THE UNITED STATES WITH 102 ACTIVE CLINICAL CANCER TRIALS IN 2019. EMOTIONAL SUPPORT FOR PATIENTS AND FAMILIES IS ALSO IMPORTANT IN THE TREATMENT OF CANCER. MOUNT SINAI HOSTS SUPPORT AND ACTIVITY GROUPS FOR CANCER PATIENTS; AND FOR FAMILIES, CAREGIVER SUPPORT AND BEREAVEMENT GROUPS ARE ALSO AVAILABLE.STROKE:MOUNT SINAI'S COMPREHENSIVE STROKE CENTER OFFERS ROUND-THE-CLOCK CARE TO QUICKLY AND ACCURATELY DIAGNOSE AND TREAT STROKE PATIENTS. WITH ACCESS TO THE LATEST DIAGNOSTIC AND THERAPEUTIC TREATMENT ADVANCES, THE COMPREHENSIVE STROKE CENTER HAS THE WIDEST RANGE OF OPTIONS TO STOP A STROKE IN PROGRESS AND TO MINIMIZE POTENTIAL DAMAGE. THE EMERGENCY DEPARTMENTS AT MIAMI BEACH, AVENTURA, AND HIALEAH HAVE STATE-OF-THE-ART CT SCANNERS ALLOWING PHYSICIANS TO DIAGNOSE A STROKE QUICKLY. MOUNT SINAI ALSO OFFERS HEALTH SCREENINGS AND LECTURES THROUGHOUT MIAMI-DADE COUNTY TO ASSIST THE PUBLIC IN RECOGNIZING THE SIGNS OF STROKE AND IDENTIFY THEIR RISK FACTORS IN ORDER TO MAKE INFORMED DECISIONS ABOUT THEIR HEALTH.CHRONIC LOWER RESPIRATORY DISEASE ("CLRDS"): CLRDS AFFECTS THE AIRWAYS AND THE LUNGS. THE PULMONARY SPECIALISTS AT MOUNT SINAI'S LUNG CENTER PROVIDE A WIDE ARRAY OF CUTTING-EDGE CARE OPTIONS TO PATIENTS WITH PULMONARY DISORDERS SUCH AS COPD, ASTHMA, AND PULMONARY HYPERTENSION. SERVICES INCLUDE A FULLY ACCREDITED SLEEP LAB FOR EVALUATING AND TREATING SLEEP APNEA AND OTHER SLEEP DISORDERS, A PULMONARY FUNCTION LABORATORY OFFERING MULTIPLE DIAGNOSTIC TESTING OPTIONS FOR EVALUATING ADULTS AND CHILDREN WITH UNEXPLAINED SHORTNESS OF BREATH, AND A WEEKLY PULMONARY HYPERTENSION CLINIC WITH SOUTH FLORIDA'S ONLYMULTIDISCIPLINARY TEAM SPECIALIZED IN TREATING PULMONARY HYPERTENSION.ALZHEIMER'S DISEASE: THROUGH THE WEIN CENTER FOR ALZHEIMER'S DISEASE AND MEMORY DISORDERS, MOUNT SINAI IS ABLE TO OFFER PATIENTS AND CAREGIVERS A MULTIDISCIPLINARY APPROACH TO DIAGNOSIS AND TREATMENT OF ALZHEIMER'S AS WELL AS EDUCATION AND SUPPORT FOR THOSE FACING THE UNIQUE CHALLENGES OF CARING FOR AN INDIVIDUAL WITH ALZHEIMER'S DISEASE. THE WEIN CENTER IS A LEADING PARTICIPANT IN NATIONAL AND INTERNATIONAL CLINICAL TRIALS FOR TREATMENT AND PREVENTION OF ALZHEIMER'S DISEASE WITH PARTICIPATION IN 17 CLINICAL RESEARCH TRIALS IN 2019. TO FURTHER AID THE COMMUNITY, THE WEIN CENTER OFFERS FREE MEMORY SCREENINGS FOR INDIVIDUALS AGED 50 AND UP WHO MAY BE EXHIBITING SIGNS OF A MEMORY DISORDER. MOUNT SINAI OFFERS FREE LECTURES GIVEN BY OUR PHYSICIANS ON A VARIETY OF TOPICS RELATED TO ALZHEIMER'S DISEASE-IDENTIFYING ALZHEIMER'S RISK FACTORS, DIAGNOSIS AND TREATMENT OF THE DISEASE, AND ADVANCEMENTS IN RESEARCH. THROUGH THE WIEN CENTER, MOUNT SINAI OFFERS EDUCATIONAL WORKSHOPS, TRAINING OPPORTUNITIES, AND SUPPORT GROUPS FOR FAMILY MEMBERS AND CAREGIVERS OF INDIVIDUALS WITH ALZHEIMER'S DISEASE AND OTHER DEMENTIAS.PRIORITY #2: ACCESS TO CAREMOUNT SINAI IDENTIFIED THE FOLLOWING KEY AREAS THAT NEED ADDRESSING WITHIN THE PRIMARY SERVICE AREAS: BARRIERS TO CARE, PHYSICIAN SHORTAGE, SAFETY NET SERVICES FOR THE UNINSURED, AND MATERNITY AND PRENATAL MEDICINE. BARRIERS TO CARE: DURING MOUNT SINAI'S ASSESSMENT OF COMMUNITY NEEDS, THE MAIN BARRIERS TO CARE WITHIN THE PRIMARY SERVICE AREAS WERE DETERMINED TO BE (1) INCOME LEVEL AND INSURANCE COVERAGE, (2) TRANSPORTATION, (3) CULTURAL/ETHNIC FACTORS, AND (4) COORDINATION BETWEEN HEALTHCARE PROVIDERS. MOUNT SINAI OFFERS A NUMBER OF WAYS TO ASSIST PATIENTS IN OVERCOMING THESE BARRIERS. MOUNT SINAI ASSISTS PATIENTS WITH NO INSURANCE COVERAGE APPLY FOR MEDICAID OR MOUNT SINAI'S FINANCIAL ASSISTANCE PROGRAM. FOR PATIENTS WITH NO ACCESS TO A VEHICLE OR PUBLIC TRANSPORTATION, MOUNT SINAI ASSISTS IN COORDINATING TRANSPORTATION THROUGH INSURANCE PROVIDERS, LOCAL CHAPTERS OF THE AMERICAN CANCER SOCIETY, OR LOCAL PARATRANSIT SERVICES IN MIAMI-DADE AND BROWARD COUNTIES. MOUNT SINAI HAS WIDENED ACCESS TO CARE PRIMARY AND SPECIALTY CARE BY ITS EXPANSION OF SATELLITE CENTERS NOW OPEN THROUGHOUT MIAMI-DADE COUNTY AND IN MONROE COUNTY AND THE OPENING OF THE HIALEAH FREESTANDING EMERGENCY DEPARTMENT. IN 2019, MOUNT SINAI PROVIDED 210,179 PRIMARY AND SPECIALTY CARE VISITS AND EMERGENCY SERVICES FOR 53,792 VISITS IN MIAMI BEACH, 18,695 VISITS IN AVENTURA, AND 26,806 VISITS IN HIALEAH. FURTHER EXPANSION OF SERVICES OCCURRED IN 2019 WITH THE OPENING OF A NEW PATIENT TOWER AND STATE-OF-THE-ART EMERGENCY DEPARTMENT ON THE MAIN CAMPUS IN MIAMI BEACH. INPATIENT AND OUTPATIENT ADMISSIONS IN 2019 WERE 24,712 AND 246,595, RESPECTIVELY.PHYSICIAN SHORTAGE: MOUNT SINAI'S EFFORTS TO MEET PHYSICIAN WORKFORCE DEMANDS ARE ON-GOING. DURING 2019, MOUNT SINAI TAUGHT 432 MEDICAL STUDENTS. ADDITIONALLY, MOUNT SINAI HAS EXPANDED AND ADDED NEW GRADUATE MEDICAL EDUCATION PROGRAMS. THE RESIDENCY TRAINING PROGRAMS IN OBSTETRICS/GYNECOLOGY AND PSYCHIATRY BEGAN TO BUILD WITH A FINAL CAPACITY OF 12 RESIDENTS PER YEAR. IN 2019, MOUNT SINAI EXPANDED INTERNAL MEDICINE AND ANESTHESIOLOGY WITH AN ADDITIONAL 6 SLOTS EACH. NEW THIS YEAR IS AN INFECTIOUS DISEASE FELLOWSHIP WITH 4 SLOTS. IN TOTAL, MOUNT SINAI TRAINED 171 RESIDENTS OR FELLOWS IN 16 (12 ACCREDITED, 4 NON-ACCREDITED) MEDICAL EDUCATION PROGRAMS DURING 2019. IN ADDITION TO EFFORTS TO MEET PHYSICIAN SHORTAGES, MOUNT SINAI PROVIDED A CLINICAL TEACHING ENVIRONMENT TO EDUCATE OTHER CRUCIAL COMPONENTS OF THE HEALTHCARE WORKFORCE NOT WITHIN A TRADITIONAL PHYSICIAN RESIDENCY PROGRAM. IN 2019, MOUNT SINAI TAUGHT 163 NURSING STUDENTS AND 125 ALLIED HEALTH STUDENTS FOR HEALTH CARE CAREERS.SAFETY NET SERVICES FOR THE UNINSURED:IN 2019, MOUNT SINAI PROVIDED $162,191,194 IN CHARITY AND UNCOMPENSATED CARE. ADDITIONALLY, MOUNT SINAI IS THE FUNCTIONAL PUBLIC HEALTH SYSTEM IN ITS PRIMARY SERVICE AREA, ALTHOUGH IT DOES NOT RECEIVE THE TAX REVENUE MEANT TO PROVIDE THESE SERVICES. IN ITS SERVICE AREA, MOUNT SINAI PROVIDES AS MUCH AS 75% OF THE CHARITY CARE, INDIGENT CARE, AND MEDICAID HOSPITAL SERVICES.MATERNITY AND PRENATAL MEDICINE:MOUNT SINAI COLLABORATES WITH THE MIAMI BEACH COMMUNITY HEALTH CENTER TO PROVIDE PREVENTATIVE AND ACUTE OB/GYN CARE FOR ALL INCOMES, RACES, AND ETHNICITIES REGARDLESS OF NATIONAL ORIGIN OR DOCUMENTATION. IN 2019, MOUNT SINAI WELCOMED 2,639 INFANTS TO THE COMMUNITY.
PART V, SECTION B, LINE 11 (CONTINUED):	PRIORITY #3: ENVIRONMENTAL HEALTHIN ITS 2018 COMMUNITY HEALTH NEEDS ASSESSMENT, MOUNT SINAI IDENTIFIED THREE MAIN CONCERNS IN RELATION TO ENVIRONMENTAL HEALTH: ULTRAVIOLET RADIATION AND SUN EXPOSURE, MOSQUITO-BORNE DISEASES, AND BEACH WATER QUALITY. TO ENCOURAGE SAFER SUN EXPOSURE, MOUNT SINAI HAS PROVIDED THE CITY OF MIAMI BEACH WITH SUNSCREEN DISPENSERS FOR ALL WHO VISIT MIAMI BEACH TO USE FOR FREE. THESE DISPENSERS CONTAIN A BROAD SPECTRUM, WATER-RESISTANT SPF 30 LOTION AND ARE PLACED AT PUBLIC POOLS, PARKS, AND BEACH ACCESS POINTS NEAR LIFEGUARD STANDS. REGARDING MOSQUITO-BORNE ILLNESSES AND BEACH WATER QUALITY: THERE ARE NO ACTIVE WARNINGS FOR ZIKA OR OTHER MOSQUITO-BORNE ILLNESSES OR FOR RED TIDE AND BLUE-GREEN ALGAE; THEREFORE, THESE CONCERNS HAVE A LOWER PRIORITY ASSIGNED BECAUSE THEY ARE BEING ADDRESSED AT THE COUNTY AND STATE LEVELS.PRIORITY #4: BEHAVIORAL HEALTHTWO PRIMARY AREAS OF CONCERN RELATED TO BEHAVIORAL HEALTH IDENTIFIED IN THE 2018 CHNA ARE MENTAL ILLNESS AND ADULT AUTISM.MENTAL ILLNESS: MENTAL HEALTH PLAYS A ROLE IN A PERSON'S ABILITY TO MAINTAIN THEIR PHYSICAL HEALTH. DEPRESSION CAN AFFECT THE ABILITY TO PARTICIPATE IN HEALTH-PROMOTING BEHAVIORS; AND PHYSICAL HEALTH PROBLEMS, SUCH AS CHRONIC DISEASE, CAN ALSO IMPACT MENTAL HEALTH AND DECREASE THE PARTICIPATION IN TREATMENT AND RECOVERY. TO ADDRESS THESE NEEDS, MOUNT SINAI OFFERS INPATIENT AND OUTPATIENT PSYCHIATRIC CARE ON ITS MAIN CAMPUS. FOR PATIENTS NEEDING MORE INTENSIVE OUTPATIENT THERAPY BUT DO NOT REQUIRE AN OVERNIGHT STAY IN THE HOSPITAL, MOUNT SINAI OFFERS A PARTIAL HOSPITALIZATION PROGRAM AND INTENSIVE OUTPATIENT PROGRAM.ADULT AUTISM: MOUNT SINAI IS STRIVING TO MEET THE NEEDS OF ADULTS IN THE COMMUNITY WITH AUTISM WITH THE MOUNT SINAI ADULT AUTISM CLINIC. THE STAFF HAS BEEN TRAINED BY THE CENTER FOR AUTISM AND RELATED DISABILITIES (CARD) TO MEET THE SPECIAL MEDICAL NEEDS OF ADULTS WITH ASD AND CAN HELP ADULTS TRANSITION FROM PEDIATRIC AUTISM SPECIALISTS TO OTHER FORMS OF HEALTH CARE. THE ADULT AUTISM CLINIC OFFERS PRIMARY AND SPECIALTY MEDICAL CARE, DIAGNOSTIC SERVICES, AND CARE MANAGEMENT AND SUPPORT FOR PATIENTS AND THEIR FAMILIES/CARETAKERS.COMMUNITY HEALTHCARE RESOURCES WITHIN THREE MILE RADIUS:MOUNT SINAI MEDICAL CENTER IS THE ONLY ACUTE CARE HOSPITAL LOCATED IN THE CITY OF MIAMI BEACH. THERE ARE FOUR PUBLIC HEALTH CENTERS, INCLUDING THREE FEDERALLY QUALIFIED HEALTH CENTERS: THE MIAMI BEACH COMMUNITY HEALTH CENTER (TWO LOCATIONS), CARE RESOURCE COMMUNITY HEALTH CENTER, AND THE BORINQUEN HEALTH CARE CENTER. FOR SUBSTANCE AND MENTAL HEALTH ISSUES, THERE ARE TWO RESIDENTIAL TREATMENT CENTERS. FOR GERIATRIC RESIDENTIAL SERVICES, THERE ARE FIVE NURSING HOMES AND FIVE ASSISTED LIVING FACILITIES.EMERGENCY SERVICES AND DISASTER RESPONSE:THE ISLAND GEOGRAPHY OF MIAMI BEACH AND CAUSEWAY VEHICLE ACCESS COUPLED WITH THE AREA'S INTERNATIONAL POPULARITY EMPHASIZES THE RESPONSIBILITY FOR MOUNT SINAI'S ROLE IN THE FIRST RESPONSE AND EMERGENCY MANAGEMENT NETWORKS FOR THE ISLAND COMMUNITIES. IN CONJUNCTION WITH THE CITY OF MIAMI BEACH AND THE STATE OF FLORIDA, MOUNT SINAI COMPLETED A $275 MILLION PROJECT TO BRING EMERGENCY SERVICES AND UPGRADED DISASTER RESPONSE HEALTH SERVICES TO THE BEACH. THE NEW EMERGENCY CENTER AND SURGICAL TOWER OPENED IN FEBRUARY 2019.MOUNT SINAI'S NEW TOWER HOUSES A 40,000 SQUARE FOOT EMERGENCY CENTER WITH MORE THAN 50 TREATMENT ROOMS ALONG WITH A CITY OF MIAMI BEACH COMMAND CENTER AND CRITICAL OPERATIONS HUB FOR ACTIVATION DURING TIMES OF EMERGENCY. THE COMMAND CENTER WILL PROVIDE JOINT EMERGENCY OPERATIONS FOR CITY STAFF, POLICE, FIRE, AND MEDICAL STAFF DURING A DECLARED COMMUNITY CRISIS. THE EMERGENCY DEPARTMENT WILL ESSENTIALLY TRIPLE THE SIZE OF THE EXISTING FACILITY. THE CURRENT EMERGENCY DEPARTMENT WAS OPENED IN 1972 AND BUILT AT A TIME WHEN THERE WERE THREE OTHER HOSPITALS ON MIAMI BEACH. IT WAS BUILT FOR 20,000 PATIENT VISITS A YEAR. MOUNT SINAI CURRENTLY DOES 50,000 PATIENT VISITS, AND THE NEW FACILITY CAN ACCOMMODATE 100,000 PATIENT VISITS.THE NEW SURGICAL TOWER INCLUDES 12 STATE-OF-THE-ART OPERATING ROOMS WHICH WILL PROVIDE PATIENTS WITH ACCESS TO NEW AND INNOVATIVE LIFESAVING PROCEDURES. THE SURGICAL SUITES ARE LOCATED ON THE SECOND FLOOR OF THE NEW TOWER WHILE THE MECHANICAL OPERATIONS ARE LOCATED ON THE THIRD FLOOR. THIS WILL RELOCATE CRITICAL SERVICES ABOVE THE FLOOD PLAN IN A SPECIAL HAZARD FLOOD ZONE. THE RAISED HEIGHT WILL HELP TO PROVIDE EMERGENCY SERVICES FOR THE STATE'S SECOND LARGEST TOURISM AREA, WHICH IS ALSO A HIGH VELOCITY HURRICANE ZONE.ADDITIONALLY, WORK WAS COMPLETED ON 12 NEW DUAL FUEL (DIESEL/NATURAL GAS) GENERATORS IN THE ENERGY CENTER WHICH WILL SUPPLY CRITICAL POWER TO THE MEDICAL CENTER.THERE ARE THREE BRANCHES OF POWER:1) LIFE SAFETY (I.E. EMERGENCY LIGHTING, FIRE ALARM DEVICES, AND FIRE PROTECTION SYSTEMS)2) CRITICAL (I.E. RED EMERGENCY OUTLETS)3) EQUIPMENT (I.E. UTILITY SYSTEMS, HVAC, ELEVATORS, ETC.)MOUNT SINAI ACTS AS A MEDICAL MANAGEMENT DISASTER SHELTER FOR OXYGEN AND ELECTRIC DEPENDENT RESIDENTS, INCLUDING THOSE IN INTENSIVE CARE THAT CANNOT EVACUATE. THE FACILITY REMAINS ACCESSIBLE DURING TIMES WHEN BRIDGES ARE IN LOCK DOWN BY PROVIDING SAFE HELIPAD SERVICE AND ACCESS BY BOAT. MOUNT SINAI ALSO SERVES AS A NATIONAL STOCKPILE DROP LOCATION FOR COUNTER-TERRORISM MEASURES. WITH THE ADDITION OF THE SURGICAL TOWER, EMERGENCY DEPARTMENT, AND POWER PLANT, MOUNT SINAI HAS, IN ESSENCE, CREATED A HURRICANE/STORM PROOF MEDICAL CENTER.HIALEAH FREE-STANDING EMERGENCY DEPARTMENT AND MEDICAL OFFICES:MOUNT SINAI COMPLETED THE CONSTRUCTION OF ITS NEW FREE-STANDING EMERGENCY DEPARTMENT AND MEDICAL OFFICES IN HIALEAH. IT OPENED IN NOVEMBER 2018. THE 63,000 SQUARE FOOT BUILDING HOUSES AN EMERGENCY DEPARTMENT WITH 24 TREATMENT BAYS AND OFFERS PHYSICIAN AND CLINICAL OFFICE SPACES ON THE SECOND AND THIRD FLOORS.STATISTICS SHOW THAT RESIDENTS OF HIALEAH ARE PROGRESSIVELY LEAVING THEIR HOME ZIP CODE AREA TO SEEK EMERGENCY CARE ELSEWHERE. MOUNT SINAI'S 2015 COMMUNITY HEALTH NEEDS ASSESSMENT TARGETED THE NEED FOR HEART HOSPITALS AND EMERGENCY CARE. THE REPORT INDICATED THAT HOSPITALIZATIONS DUE TO CONGESTIVE HEART FAILURE WERE SUBSTANTIALLY HIGHER IN THE PRIMARY HIALEAH ZIP CODES AS COMPARED TO THE AVERAGE FOR MIAMI-DADE COUNTY. THE 2018 CHNA ALSO INDICATES THAT HEART DISEASE REMAINS A SIGNIFICANT RISK FACTOR IN THE PRIMARY HIALEAH ZIP CODES.THE ADDITION OF THIS FACILITY WILL PROVIDE HIALEAH RESIDENTS WITH ACCESS TO BETTER CARE CLOSE TO HOME.OTHER COMMUNITY HEALTH NEEDS:SPECIALIZED AIDS/HIV SERVICES ARE NOT WITH IN THE IMPLEMENTATION STRATEGY OF MOUNT SINAI; HOWEVER, WE DO HAVE A TEAM OF DOCTORS THAT PROVIDE THESE SERVICES. IN ADDITION TO MOUNT SINAI'S SPECIALIZED CARE, AIDS/HIV SERVICES ARE ALSO PROVIDED WITHIN THE SERVICE AREA BY THE MIAMI BEACH COMMUNITY HEALTH CENTERS, THE BORINQUEN HEALTH CARE CENTER, JACKSON MEMORIAL HEALTH CENTER, AND THE MIAMI-DADE COUNTY HEALTH DEPARTMENT'S OFFICE OF HIV/AIDS.
PART V, LINE 16A, FAP WEBSITE:	WWW.MSMC.COM/PATIENT-INFO/FINANCIAL-ASSISTANCE-INFORMATION
PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE	WWW.MSMC.COM/PATIENT-INFO/FINANCIAL-ASSISTANCE-INFORMATION
PART V, LINE 10A, IMPLEMENTATION STRATEGY WEBSITE	HTTPS://WWW.MSMC.COM/INC/UPLOADS/2019/04/2019-21-CHNA-IMPLEMENTATION-PLAN-2.PDF
UPDATES TO ACCESSIBILITY OF FAP INFORMATION	DURING 2019, MSMC MADE CERTAIN UPDATES AND/OR CLARIFICATIONS WITH RESPECT TO ITS FINANCIAL ASSISTANCE POLICY ("FAP"), FAP APPLICATION, AND FAP PLAIN LANGUAGE SUMMARY TO CORRECT MINOR OMISSIONS OF SUCH INFORMATION AND TO MAKE SUCH INFORMATION MORE ACCESSIBLE TO THE PUBLIC. SUCH MINOR OMISSIONS WERE IDENTIFIED IN MARCH 2019 AND RELATE TO PERIODS FOR WHICH INTERNAL REVENUE CODE ("IRC") SECTION 501(R) WAS EFFECTIVE THROUGH THE DATE OF DISCOVERY. THE UPDATES/CLARIFICATIONS WERE MADE IN APRIL 2019. AT THE TIME OF DISCOVERY, MSMC HAD ONE HOSPITAL FACILITY LOCATED AT 4300 ALTON ROAD (THE "HOSPITAL"). THE UPDATES INCLUDE THE FOLLOWING:LIST OF MEDICAL PROVIDERS COVERED BY FAPFOR ANY PATIENT ADMITTED TO THE HOSPITAL THROUGH THE EMERGENCY ROOM, THE HOSPITAL, IN PRACTICE, HAS HISTORICALLY FOLLOWED ITS POLICY OF INFORMING PATIENTS OF THOSE PROVIDERS DELIVERING EMERGENCY OR MEDICALLY NECESSARY CARE, OTHER THAN THE HOSPITAL ITSELF, THAT ARE COVERED BY THE HOSPITAL'S FAP (AND THOSE PROVIDERS NOT COVERED BY THE FAP) BY PROVIDING THE LIST OF PROVIDERS TO PATIENTS. HOWEVER, THIS LIST WAS INADVERTENTLY OMITTED FROM THE FAP THAT WAS MADE WIDELY AVAILABLE TO THE PUBLIC. TO PROVIDE FURTHER CLARITY FOR THE PUBLIC REGARDING THIS INFORMATION, MSMC HAS ADDED THE LIST OF PROVIDERS COVERED UNDER THE FAP (AS WELL AS THOSE PROVIDERS NOT COVERED UNDER THE FAP) TO ITS WEBSITE, WHICH IS AVAILABLE AT HTTPS://WWW.MSMC.COM/INC/UPLOADS/2019/04/FINANCIAL-ASSISTANCE-POLICY-2019.PDF. FAP APPLICATIONTHE HOSPITAL HAS PIONEERED AN EFFICIENT AND CULTURALLY SENSITIVE FAP APPLICATION PROCESS THAT ADDRESSES THE KEY OBSTACLES OF FINANCIAL ANXIETY AND LACK OF FAMILIARITY OF THE AMERICAN HEALTHCARE SYSTEM BY APPLYING A PRESUMPTIVE APPLICATION PROCESS. THROUGH THIS PROCESS, PATIENTS ADMITTED TO THE HOSPITAL ARE VERBALLY SCREENED FOR FINANCIAL ASSISTANCE WITHOUT BEING REQUIRED TO APPLY ON A PAPER APPLICATION. INSTEAD, THE APPLICATION PROCESS BEGINS WITH A VERBAL COUNSELING SESSION. THIS SESSION IS RELATIONSHIP ORIENTED AND IT ALSO SERVES TO IDENTIFY LINGUISTIC, CULTURAL AND EDUCATIONAL ISSUES THAT MAY INHIBIT THE PATIENT'S ABILITY TO PROVIDE PROPER INFORMATION USING A PAPER-BASED INTAKE FORM. DUE TO THE NATURE OF THIS PROCESS, A WRITTEN FAP APPLICATION WAS NOT HISTORICALLY AVAILABLE ON THE HOSPITAL'S WEBSITE. HOWEVER, TO MAKE THE LIST OF INFORMATION REQUIRED UNDER THIS PROCESS MORE EASILY ACCESSIBLE AND TO RESPECT THE PRIVACY OF OUR PATIENTS, MSMC HAS CREATED A WRITTEN FAP APPLICATION FORM WHICH HAS BEEN POSTED TO MSMC'S WEBSITE AT HTTPS://WWW.MSMC.COM/INC/UPLOADS/2019/04/FINANCIAL-ASSISTANCE-APPLICATION-2019.PDF. ADDITIONALLY, THE FAP APPLICATION HAS BEEN TRANSLATED INTO SPANISH AND RUSSIAN, THE PRIMARY LANGUAGES SPOKEN BY LIMITED ENGLISH PROFICIENCY GROUPS CONSTITUTING OF THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE PATIENTS ADMITTED TO THE HOSPITAL. TRANSLATION OF FAP DOCUMENTS IN OTHER LANGUAGESTHE HOSPITAL DETERMINES THE PRIMARY AND PREFERRED LANGUAGE OF EACH PATIENT THROUGH THE REGISTRATION PROCESS AND HAS DETERMINED THAT THE PRIMARY LANGUAGES SPOKEN BY THE LOCAL POPULATIONS ADMITTED TO THE HOSPITAL ARE ENGLISH (APPROXIMATELY 140,000 OF THE PATIENTS ADMITTED TO THE HOSPITAL OR 77%), SPANISH (APPROXIMATELY 43,000 OF THE PATIENTS ADMITTED TO THE HOSPITAL OR 21%), AND RUSSIAN (APPROXIMATELY 1,000 OF THE PATIENTS ADMITTED TO THE HOSPITAL OR 1%). MANAGEMENT BELIEVES THAT THIS DATA IS REPRESENTATIVE OF THE POPULATION IS THE PRIMARY SERVICE AREA. COPIES OF THE FAP AND THE FAP PLAIN LANGUAGE SUMMARY HAVE HISTORICALLY BEEN MADE AVAILABLE FREE OF CHARGE IN ENGLISH AND SPANISH AT MSMC'S BUSINESS OFFICE, IN THE REGISTRATION AND ADMITTING DEPARTMENTS, AND UPON REQUEST IN ANY OTHER DEPARTMENT OR IN ANY OTHER PUBLIC SPACE. IN AN EFFORT TO MAKE SUCH INFORMATION MORE EASILY ACCESSIBLE TO THE PUBLIC, MSMC HAS POSTED THE FAP, FAP APPLICATION, AND FAP PLAIN LANGUAGE SUMMARY TO ITS WEBSITE AT HTTPS://WWW.MSMC.COM/PATIENT-INFO/FINANCIAL-ASSISTANCE-INFORMATION/. ADDITIONALLY, MSMC IS DEDICATED TO MEETING THE NEEDS OF NON-ENGLISH SPEAKING PATIENTS BY HAVING TRANSLATION SERVICES AVAILABLE THROUGH A TELEPHONE LANGUAGE SERVICE WHICH ASSISTS IN MEETING ANY LANGUAGE NEEDS THAT ARISE. TRANSLATION SERVICES ARE AVAILABLE UPON REQUEST AND CAN BE USED TO TRANSLATE THE APPLICABLE FAP INFORMATION INTO OTHER LANGUAGES SUCH AS FRENCH, GERMAN, YIDDISH, CREOLE, AND ITALIAN. MSMC HAS MINIMIZED THE LIKELIHOOD OF ANY FURTHER OMISSIONS OR ERRORS WITH RESPECT TO COMPLIANCE WITH IRC SECTION 501(R) BY PROVIDING ADDITIONAL CLARIFICATION AND MAKING ADDITIONAL INFORMATION MORE EASILY ACCESSIBLE TO THE PUBLIC AS PROMPTLY AS REASONABLY POSSIBLE AFTER DISCOVERY. THE MOUNT SINAI MEDICAL CENTER BUSINESS OFFICE IS RESPONSIBLE FOR COMPLIANCE WITH IRC SECTION 501(R).

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	A RATIO OF PATIENT CARE COST TO PATIENT CARE CHARGES WAS APPLIED TO GROSS WRITE-OFFS TO ARRIVE AT AN ESTIMATED PROGRAM COST. ANY APPLICABLE PROGRAM REVENUES RECEIVED WERE OFFSET AGAINST GROSS COST TO ARRIVE AT THE NET COST OR SHORTFALL OF THE PROGRAM.
PART I, LINE 7G:	MOUNT SINAI'S TEACHING PHYSICIAN NETWORK IS A NOT FOR PROFIT CLINICAL PHYSICIAN AND PROVIDER NETWORK THAT OPERATES AT A LOSS. THE NETWORK PROVIDES A WIDE RANGE OF MEDICAID ELIGIBLE TREATMENT FOR UNDERSERVED PATIENTS. IT ALSO TRAINS PROVIDERS IN ADVANCED SPECIALTIES THAT ARE DOCUMENTED BY THE STATE OF THE FLORIDA TO BE IN SUPPLY-DEMAND DEFICIT. THE GOAL IS TO ALLEVIATE THE HEALTHCARE CRISIS FOR ALL RESIDENTS BUT ESPECIALLY FOR THE UNINSURED, UNDERINSURED AND MEDICAID PATIENTS. BECAUSE OF THE LACK OF CAPACITY, THE STATE OF FLORIDA HAS SHARED THE RESPONSIBILITY OF REMEDYING THE PHYSICIAN SHORTAGE WITH TEACHING HOSPITALS IN FLORIDA. MOUNT SINAI IS ONE OF TWO MIAMI-DADE COUNTY HOSPITALS THAT IS AN AHCA MEDICAID ESSENTIAL PROVIDER FOR ADULT CARE BECAUSE OF ITS ROLE IN TEACHING AND TRAINING FLORIDA'S HEALTHCARE WORKFORCE UNDER THE STATEWIDE MEDICAID RESIDENCY PROGRAM (SMRP).THE COMMUNITY BENEFIT METHOD FOR SUBSIDIZED HEALTH SERVICES IS TAKEN FROM THE PROFIT AND LOSS DETAIL FOR THE MOUNT SINAI TEACHING PHYSICIAN NETWORK. THE EXPENSES REPRESENT DIRECT CLINICAL EXPENSES WHICH GENERATE PRIMARY CARE AND SPECIALTY CARE PATIENT REVENUE IN MIAMI-DADE COUNTY AND MONROE COUNTY. THESE COSTS INCLUDE, BUT ARE NOT LIMITED TO PATIENT CARE SERVICES, UTILITIES, DEPARTMENTAL SUPPLIES AND OTHER EXPENSES ASSOCIATED WITH A MEDICAL OFFICE. THE METHODOLOGY USED IS A MORE ACCURATE COST ACCOUNTING THAN THE COST TO CHARGE RATIO BASED PRIMARILY ON INPATIENT AND OUTPATIENT HOSPITAL CARE.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY BUILDING ACTIVITIES:1. WORKFORCE DEVELOPMENT PROJECTS TO RECRUIT HEALTHCARE WORKERS, INCLUDING PHYSICIANS, NURSES AND ALLIED HEALTH PROFESSIONALS2. WORKFORCE HOUSING APPROVED BY THE CITY'S STATE HOUSING INITIATIVE PROGRAM (SHIP) AND THE FLORIDA HOUSING FINANCE CORPORATION (FHFC)
PART III, LINE 2:	A RATIO OF PATIENT CARE COST TO PATIENT CARE CHARGES WAS APPLIED TO BAD DEBT GROSS WRITE-OFFS TO ARRIVE AT AN ESTIMATED BAD DEBT EXPENSE AT COST.
PART III, LINE 4:	THE FOOTNOTE TO THE AUDITED FINANCIAL STATEMENTS FOR MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC. AND SUBSIDIARIES REGARDING BAD DEBT EXPENSE READS AS FOLLOWS:THE MEDICAL CENTER RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARDRATES FOR SERVICES PROVIDED (OR ON THE BASIS OF DISCOUNTED RATES, IF NEGOTIATED OR PROVIDED BY POLICY). CONSISTENT WITH ITS MISSION, THE MEDICAL CENTER PROVIDES CARE TO ITS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. HISTORICALLY, A SIGNIFICANT PORTION OF THE MEDICAL CENTER'S UNINSURED PATIENTS WILL BE UNABLE TO PAY FOR THE SERVICES PROVIDED. AS SUCH, THE MEDICAL CENTER RECORDS A SIGNIFICANT REDUCTION TO PATIENT SERVICE REVENUE FOR PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER INSURED BALANCES, SUCH AS COPAYS AND DEDUCTIBLES, IN THE PERIOD THE SERVICES ARE PROVIDED.THE MEDICAL CENTER ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN THE AMOUNTS BILLED TO THE PATIENT AND THE AMOUNTS THE MEDICAL CENTER EXPECTS TO COLLECT. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE.
PART III, LINE 8:	A RATIO OF PATIENT CARE COST TO PATIENT CARE CHARGES WAS APPLIED TO MEDICARE REVENUES AND ALLOWABLE COSTS TO ARRIVE AT AN ESTIMATED MEDICARE EXPENSE AT COST. THE HOSPITAL DOES NOT TREAT ANY MEDICARE SHORTFALL AMOUNTS AS COMMUNITY BENEFIT.
PART III, LINE 9B:	PATIENTS ARE FIRST SCREENED TO SEE IF THEY ARE ELIGIBLE FOR MEDICAID OR CHARITY WHEN THEY COME IN THROUGH THE ER. THE HOSPITAL DETERMINES WHICH PATIENTS QUALIFY FOR CHARITY BASED ON A VERIFIABLE PROCESS REQUIRED BY THE AGENCY HEALTH CARE ADMINISTRATION USING THE FOLLOWING CRITERIA:O PATIENT IS ELIGIBLE IF THE PATIENT'S FAMILY AGGREGATE INCOME DURING THE 12 MONTHS PRECEDING THE DETERMINATION DATE IS AT OR BELOW 200% OF THE THEN CURRENT FEDERAL POVERTY GUIDELINES.O IF PATIENT IS ELIGIBLE FOR CHARITY THE AMOUNT OF ELIGIBLE CHARGES ARE REDUCED ON A SLIDING SCALE BASED ON WHERE THEY FALL IN RELATION TO THE FEDERAL POVERTY GUIDELINES.O MEDICAID PATIENTS WITH BENEFITS EXHAUSTED MAY APPLY FOR CHARITY.O PATIENTS WITH DOCUMENTATION THAT A THIRD PARTY BENEFIT HAS BEEN DENIED OR EXHAUSTED MAY APPLY FOR CHARITY.ALL OPPORTUNITIES FOR PAYMENT OF HOSPITAL DEBT WILL BE INVESTIGATED PRIOR TO APPROVAL INCLUDING A COMPLETE REVIEW OF THE FINANCIAL INFORMATION PROVIDED IN THE UNCOMPENSATED CARE APPLICATION.THE BUSINESS OFFICE'S ROLE IN CHARITY CARE DEALS WITH THE FINAL REVIEW AND APPROVAL OF ELIGIBLE PATIENTS. BUSINESS OFFICE IS RESPONSIBLE FOR ADJUSTING ACCOUNT CHARGES/BALANCES AFTER REVIEWING SEARCH AMERICA'S RESULTS, AND/OR ANY RED FLAGS ON THE ACCOUNT THAT WOULD SUGGEST THE POSSIBILITY OF ALTERNATE METHODS OF PAYMENT. THESE PRACTICES SET FORTH IN THE POLICY WOULD ONLY APPLY TO PATIENTS WHO MAY QUALIFY FOR CHARITY CARE.
PART VI, LINE 2:	NEEDS ASSESSMENT:COMMUNITY HEALTH NEEDS WERE IDENTIFIED THROUGH A RECOGNIZED HEALTH PLANNING ASSESSMENT PROCESS. THE ASSESSMENT INCLUDED, BUT WAS NOT LIMITED TO, AN ANALYSIS OF DEMOGRAPHIC, ENVIRONMENTAL, STATISTICAL AND BEHAVIORAL PUBLIC HEALTH DATA, ORGANIZING PUBLIC DISCUSSIONS ON HEALTH TOPICS, AND CONDUCTING A SURVEY OF CURRENT HEALTH TOPICS TO EXPLORE THE HEALTH NEEDS OF THE PRIMARY, NEIGHBORING AND COUNTYWIDE SERVICE AREAS OF MOUNT SINAI MEDICAL CENTER.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:MOUNT SINAI'S COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIES INCREASING ACCESS TO CARE AND REMOVING CULTURAL BARRIERS TO CARE AS IMPORTANT GOALS. THE FINANCIAL ASSISTANCE POLICY / APPLICATION PROCESS IS ONE WAY THAT MOUNT SINAI HAS ADDRESSED THIS NEED. MOUNT SINAI HAS PIONEERED AN EFFICIENT AND CULTURALLY SENSITIVE FINANCIAL ASSISTANCE POLICY / APPLICATION PROCESS THAT ADDRESSES THE KEY OBSTACLES OF FINANCIAL ANXIETY AND LACK OF FAMILIARITY OF THE AMERICAN HEALTHCARE SYSTEM.MOUNT SINAI'S FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN-LANGUAGE SUMMARY ARE AVAILABLE ON MOUNT SINAI'S WEBSITE AT HTTPS://WWW.MSMC.COM/PATIENT-INFO/FINANCIAL-ASSISTANCE-INFORMATION AS WELL AS IN PERSON AT THE MOUNT SINAI BUSINESS OFFICE, IN THE REGISTRATION AND ADMITTING DEPARTMENTS, UPON REQUEST IN ANY OTHER DEPARTMENT OR IN ANY OTHER PUBLIC SPACE. MOUNT SINAI'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN-LANGUAGE SUMMARY ARE AVAILABLE FREE OF CHARGE IN ENGLISH, SPANISH, AND RUSSIAN, THE PRIMARY LANGUAGES SPOKEN BY THE LOCAL POPULATIONS AND, UPON REQUEST, CAN BE TRANSLATED INTO OTHER LANGUAGES SUCH AS FRENCH, GERMAN, YIDDISH, CREOLE AND ITALIAN, AS NEEDED.THIS APPLICATION PROCESS IS UNIQUE IN THAT IT DOES NOT REQUIRE AN UPFRONT PAPER DOCUMENT SUBMISSION, ALTHOUGH A WRITTEN APPLICATION IS MADE AVAILABLE ON OUR WEBSITE. A PROSPECTIVE APPLICANT SCHEDULES AN IN PERSON COUNSELING SESSION USING THE CONTACT INFORMATION AVAILABLE IN PLAIN LANGUAGE AT HTTPS://WWW.MSMC.COM/PATIENT-INFO/FINANCIAL-ASSISTANCE-INFORMATION. WHILE SCHEDULING THE MEETING, THE APPLICANT RECEIVES INFORMATION ALSO POSTED ONLINE ABOUT HELPFUL FINANCIAL DOCUMENTATION TO SHOW FINANCIAL STATUS THAT WILL BE REVIEWED AND INPUT INTO A MOUNT SINAI MEDICAL CENTER FINANCIAL ASSISTANCE FORM BY A MOUNT SINAI FINANCIAL ASSISTANT TOGETHER WITH THE APPLICANT AT THE FINANCIAL COUNSELING SESSION. FOR PATIENTS WITHOUT HEALTH INSURANCE, MOUNT SINAI WILL DETERMINE ELIGIBILITY USING PUBLIC INFORMATION ABOUT THE PATIENT'S AVAILABLE ASSETS, AND ALL OTHER FINANCIAL RESOURCES THAT THE PATIENT SUPPLIES AS WELL AS A REVIEW OF THE PATIENT'S ACCOUNT HISTORY. MOUNT SINAI WILL FIRST SCREEN FOR APPLICANT ELIGIBILITY FOR MEANS TESTED PROGRAMS AND LOCALLY AVAILABLE GRANTS. IF INELIGIBLE FOR THESE PROGRAMS, MOUNT SINAI PROVIDES AN AUTOMATIC REDUCTION TO GROSS CHARGES BASED UPON THE "LOOK BACK" METHOD. ALL PROSPECTIVE AND RETROSPECTIVE MEDICALLY NECESSARY PATIENT CARE WILL BE CONSIDERED, THOUGH CHARITY CARE IS FIRST FOCUSED ON PATIENTS WHOSE INCOME FOR THE 12 MONTHS PRECEDING THE DETERMINATION IS LESS THAN OR EQUAL TO 200 PERCENT OF THE FEDERAL POVERTY LEVEL FOR THE PATIENT'S FAMILY SIZE, UNLESS THE AMOUNT OF HOSPITAL CHARGES FROM THE PATIENT WILL OR DO EXCEED 25 PERCENT OF THE ANNUAL FAMILY INCOME. INDIVIDUALS MAY OBTAIN FREE, WRITTEN INFORMATION ON THE DETERMINATION OF AMOUNT OF FINANCIAL ASSISTANCE BY CONTACTING THE BUSINESS OFFICE AT (305) 674-2130, MONDAY-FRIDAY 9:00AM-4:00PM. MOUNT SINAI PROVIDES A RIGHT TO APPEAL AND RECEIVE ASSISTANCE IN ALL PARTS OF THE APPLICATION. THE PATIENT MUST WRITE A LETTER WHICH CAN BE POST MAILED OR EMAILED TO THE BUSINESS OFFICE DIRECTOR TO EXPLAIN WHY THE DECISION MADE BY MOUNT SINAI MEDICAL CENTER WAS INAPPROPRIATE. THE APPEAL LETTER WILL BE REVIEWED BY MOUNT SINAI MEDICAL CENTER AND A FINAL DECISION WILL BE SENT TO THE PATIENT WITHIN 30 DAYS OF THE RECEIPT OF THE REQUEST FOR APPEAL.
PART VI, LINE 4:	COMMUNITY INFORMATION:MOUNT SINAI IS THE ONLY ACUTE CARE HOSPITAL AND EMERGENCY CARE PROVIDER ON THE NORTHEASTERN BARRIER ISLANDS OF MIAMI-DADE COUNTY. MOUNT SINAI PRIMARILY SERVICES A DENSELY POPULATED DIVERSE URBAN AREA ENCOMPASSING THE BARRIER ISLAND CITIES OF MIAMI BEACH, SURFSIDE, NORTH BAY VILLAGE, BAL HARBOUR, AND BAY HARBOR ISLANDS. THE NEIGHBORING MAINLAND OR SECONDARY SERVICE AREA INCLUDES SECTIONS OF THE CITIES OF MIAMI, NORTH MIAMI, AND NORTH MIAMI BEACH. MOUNT SINAI'S HEALTH NEEDS TARGET AREAS INCLUDE SECTIONS OF THE UPPER BARRIER ISLAND CITY OF SUNNY ISLES BEACH AND THE MAINLAND CITIES OF AVENTURA, HIALEAH, AND CORAL GABLES. THERE ARE THREE DESIGNATED MEDICALLY UNDERSERVED AREAS IN THE PRIMARY SERVICE AREA REPRESENTED BY MUAS FEDERAL ID# 5031, 511 AND 7474.
PART VI, LINE 5:	AS SOUTH FLORIDA'S LARGEST INDEPENDENT TEACHING HOSPITAL, MOUNT SINAI'S NOT-FOR-PROFIT MISSION IS TO PROVIDE HIGH QUALITY HEALTH CARE TO OUR DIVERSE COMMUNITY ENHANCED THROUGH TEACHING, RESEARCH, CHARITY CARE, AND FINANCIAL RESPONSIBILITY. WE MAINTAIN OUR NOT FOR PROFIT MISSION USING A TWO-TIER STRATEGY, FOCUSING, FIRST, ON SAFETY NET SERVICES AND, SECOND, ON ADDRESSING HEALTH RISKS RELATED TO HEART DISEASE, CANCER, NEUROLOGICAL, PULMONARY AND OTHER DISEASES THAT POSE SERIOUS COMMUNITY HEALTH RISKS.THIS NOT FOR PROFIT COMMUNITY DRIVEN MISSION IS DETAILED FURTHER IN SCHEDULE O. WE HAVE BRIEFLY DISCUSSED IT BELOW.TIER ONE - PROVIDE A WIDE RANGE OF SAFETY NET SERVICES- TRAINING TO ADDRESS FLORIDA'S PHYSICIAN AND HEALTHCARE WORKER SHORTAGE - CHARITY CARE FOR THE UNINSURED AND UNDERINSURED- DISASTER FIRST RESPONSE HEALTH SERVICES AND REGIONAL LEADERSHIP- EMERGENCY MEDICAL SERVICES- ADULT PSYCHIATRIC AND BEHAVIORAL CARE- INTENSIVE GERIATRIC / SENIOR CARE- MATERNITY SERVICES AND NEONATAL EMERGENT CARE- HEALTH AND DISEASE PREVENTION EDUCATION- INTERVENTIONAL AND COMMUNITY HEALTH SCREENINGSTIER TWO - MISSION DRIVEN COMMUNITY HEALTH PRIORITIESMOUNT SINAI FOCUSES RESOURCES ON PROVIDING ACCESS TO CARE WHILE TREATING AND PREVENTING THE LEADING DISEASE RELATED CONDITIONS FOR ALL INCOMES IN THE COMMUNITY BY SUBSIDIZING A NONPROFIT TEACHING AND COMMUNITY PHYSICIAN NETWORK.TIER ONE - PROVIDE A WIDE RANGE OF SAFETY NET SERVICESTO ADDRESS FLORIDA'S PHYSICIAN AND HEALTHCARE WORKER SHORTAGE, MOUNT SINAI RETAINED ITS OWN TEACHING FACULTY AND 16 (12 ACCREDITED, 4 NONACCREDITED) MEDICAL EDUCATION PROGRAMS, TEACHING 171 RESIDENTS OR FELLOWS. MOUNT SINAI ALSO PROVIDED A TEACHING CLINICAL ENVIRONMENT FOR BOTH ITS ACUTE CARE AND SPECIALTY CARE PHYSICIAN TEACHING NETWORK FOR PHYSICIANS TO BECOME BOARD CERTIFIED AND TO EDUCATE THE OTHER CRUCIAL COMPONENTS OF THE HEALTHCARE WORKFORCE NOT WITHIN A TRADITIONAL CMS RESIDENCY PROGRAM. IN 2019, MOUNT SINAI TAUGHT 163 NURSING STUDENTS, 432 MEDICAL STUDENTS, AND 125 ALLIED HEALTH STUDENTS FOR HEALTH CARE CAREERS. IN 2019, MOUNT SINAI SERVED 24,712 INPATIENT ADMISSIONS AND 246,595 OUTPATIENT ADMISSIONS. TO ADDRESS CHARITY CARE FOR THE UNINSURED AND UNDERINSURED, MOUNT SINAI PROVIDED $162,191,194 IN CHARITY AND UNCOMPENSATED CARE IN 2019. ADDITIONALLY, IN ITS PRIMARY SERVICE AREA, MOUNT SINAI IS THE FUNCTIONAL PUBLIC HEALTH SYSTEM ALTHOUGH IT DOES NOT RECEIVE THE TAX REVENUE MEANT TO PROVIDE THESE SERVICES. IN ITS SERVICE AREA, MOUNT SINAI PROVIDES THE OVERWHELMING MAJORITY, AS MUCH AS 75%, OF THE CHARITY CARE, INDIGENT CARE, AND MEDICAID HOSPITAL SERVICES.TO PROVIDE DISASTER FIRST RESPONSE HEALTH SERVICES AND REGIONAL LEADERSHIP, IN CONJUNCTION WITH THE CITY OF MIAMI BEACH AND THE STATE OF FLORIDA, MOUNT SINAI HAS COMPLETED A $275 MILLION REGIONAL EMERGENCY SERVICES AND TOWER PROJECT. THIS PROJECT WILL PROVIDE A JOINT EMERGENCY OPERATIONS CENTER FOR THE CITY STAFF, POLICE, FIRE, AND MEDICAL STAFF DURING DECLARED COMMUNITY CRISIS. IT WILL RELOCATE OPERATING ROOMS ABOVE THE FLOOD PLAIN IN A SPECIAL HAZARD FLOOD ZONE, PROVIDE EMERGENCY CARE SERVICES FOR THE STATE'S SECOND LARGEST TOURISM AREA IN HIGH VELOCITY HURRICANE ZONE, PROVIDE A MEDICAL MANAGEMENT DISASTER SHELTER FOR OXYGEN AND ELECTRIC DEPENDENT RESIDENTS INCLUDING THOSE IN INTENSIVE CARE THAT CANNOT EVACUATE, ENSURE THAT ALL PATIENT CARE FOR REGIONAL FACILITY MEETS A MODERN LEVEL OF CARE, PROVIDE SAFE HELIPAD SERVICE AND BOAT ACCESS TO THE ISLAND WHEN BRIDGES ARE LOCKED DOWN AND SERVE AS A NATIONAL STOCKPILE DROP LOCATION FOR COUNTER TERRORISM MEASURES.TO ADDRESS THE NEED FOR EMERGENCY MEDICAL SERVICES AS THE SOLE HOSPITAL ON THE BARRIER ISLANDS OF MIAMI-DADE COUNTY, IN 2019, MOUNT SINAI PROVIDED EMERGENCY SERVICES FOR 53,792 VISITS IN THE PRIMARY SERVICE AREA OF MIAMI BEACH AND FOR AN ADDITIONAL 18,695 IN ITS SENIOR AND GERIATRIC TARGET AREA OF AVENTURA.TO ADDRESS INTENSIVE GERIATRIC/SENIOR CARE, MOUNT SINAI MAINTAINS THE WEIN CENTER FOR ALZHEIMER'S CARE, THE STATE OF FLORIDA'S LEADING MEMORY DISORDER CLINIC WITH OVER 2,400 VISITS ANNUALLY AND MEMORY DISORDER SCREENINGS. IT ALSO SERVES AS THE MIAMI-DADE COUNTY COORDINATOR FOR THE STATE-AUTHORIZED CAREGIVER SUPPORT AND SILVER ALERT PROGRAMS, AND PROVIDES INBOUND SENIOR VISITS THROUGH ITS STATE-AUTHORIZED GERIATRIC HOUSE CALL PROGRAM.TO ADDRESS MATERNITY SERVICES AND NEONATAL EMERGENT CARE, MOUNT SINAI PARTNERS WITH THE MIAMI BEACH COMMUNITY HEALTH CENTER TO PROVIDE PREVENTATIVE AND ACUTE OB/GYN CARE FOR ALL INCOMES, RACES, AND ETHNICITIES REGARDLESS OF NATIONAL ORIGIN OR DOCUMENTATION. IN 2019, MOUNT SINAI WELCOMED 2,639 INFANTS TO THE COMMUNITY.TO ADDRESS HEALTH EDUCATION AND COMMUNITY HEALTH SCREENINGS AND EDUCATION, MOUNT SINAI PROVIDED OVER 50 HEALTH EVENTS, 58 HEALTH LECTURES, AND 80 SCREENINGS.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 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
STEVEN SONENREICH
PRESIDENT/CEO	$990,308	$0	$1,104,520	$0	$320,465	$0	$51,350	$0	$26,808	$0	$2,493,451	$0	$115,606	$0
STEVE XYDAS EMPLOYED MD
CHIEF, CARDIOTHORACIC SURGERY	$1,450,223	$0	$500,000	$0	$14,542	$0	$44,862	$0	$32,842	$0	$2,042,469	$0	$0	$0
ALEXANDER MENDEZ
EXEC VP OF OPERATIONS/CFO	$679,980	$0	$285,550	$0	$352,701	$0	$51,350	$0	$30,500	$0	$1,400,081	$0	$0	$0
ROY WILLIAMS EMPLOYED MD
CHIEF, THORACIC SURGERY	$986,626	$0	$37,634	$0	$14,743	$0	$49,536	$0	$31,752	$0	$1,120,291	$0	$0	$0
MIKE CUSNIR EMPLOYED MD
CHIEF, HEMATOLOGY & ONCOLOGY	$581,782	$0	$250,000	$0	$270	$0	$45,350	$0	$15,714	$0	$893,116	$0	$0	$0
MICHAEL SCHWARTZ EMPLOYED MD
MED CO-DIR, BREAST CANCER ONCOLOGY	$588,809	$0	$250,000	$0	$3,354	$0	$0	$0	$31,752	$0	$873,915	$0	$0	$0
ANGELO LAPIETRA
SURG DIR, CARDIAC ARRHYTHMIA PRGM	$747,415	$0	$0	$0	$6,320	$0	$51,330	$0	$29,167	$0	$834,232	$0	$0	$0
ROBERT GOLDSZER
SENIOR VP/CMO	$442,235	$0	$96,906	$0	$195,702	$0	$51,350	$0	$26,991	$0	$813,184	$0	$0	$0
THOMAS GILLETTE
SENIOR VP/CIO	$409,174	$0	$89,888	$0	$86,262	$0	$51,350	$0	$29,601	$0	$666,275	$0	$0	$0
ARNOLD JAFFEE
SENIOR VP/GEN COUNSEL	$381,488	$0	$84,508	$0	$89,111	$0	$45,750	$0	$29,641	$0	$630,498	$0	$0	$0
ANGEL PALLIN
SENIOR VP/COO	$388,118	$0	$79,171	$0	$80,370	$0	$45,350	$0	$16,524	$0	$609,533	$0	$0	$0
WAYNE CHUTKAN
SENIOR VP OF FINANCE	$358,178	$0	$80,636	$0	$78,437	$0	$51,350	$0	$33,062	$0	$601,663	$0	$0	$0
WENDY STUART
SENIOR VP/CNO	$329,709	$0	$52,263	$0	$53,798	$0	$32,350	$0	$24,978	$0	$493,098	$0	$0	$0
MERVYN MILLS
VP OF FINANCE	$263,775	$0	$60,458	$0	$54,783	$0	$45,350	$0	$24,161	$0	$448,527	$0	$0	$0
BENJAMIN DAVIS
VP FACILITIES/RESOURCE MGT	$288,580	$0	$57,579	$0	$56,166	$0	$31,150	$0	$5,782	$0	$439,257	$0	$0	$0
CHARLENE WELKER
SENIOR VP OF SPECIALTY SVC	$255,659	$0	$58,827	$0	$56,095	$0	$51,350	$0	$10,139	$0	$432,070	$0	$0	$0
MONICA FELDER
VP/CCO	$260,421	$0	$30,250	$0	$53,876	$0	$51,350	$0	$7,539	$0	$403,436	$0	$0	$0
MARGIE STICKLES
VP, SURGICAL SERVICES	$191,293	$0	$46,000	$0	$42,830	$0	$51,350	$0	$1,316	$0	$332,789	$0	$0	$0
CATHY MCCLELLAN
VP, RISK MGT, INS & PERF IMPRV	$180,937	$0	$44,558	$0	$44,002	$0	$51,350	$0	$11,509	$0	$332,356	$0	$0	$0
JENNIFER FOREMAN
VP OF HUMAN RESOURCES	$191,628	$0	$20,600	$0	$39,611	$0	$22,050	$0	$15,725	$0	$289,614	$0	$0	$0
GUSTAVO TEJAS
VP CRT CARE & EMG SVC BEG 3/2019	$184,291	$0	$6,000	$0	$400	$0	$32,350	$0	$10,072	$0	$233,113	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	GROSS-UP PAYMENTS FOR LIFE INSURANCE AND DISABILITY POLICIES WERE PROVIDED TO TWO OFFICERS AND FOURTEEN KEY EMPLOYEES. SUCH AMOUNTS WERE TREATED AS TAXABLE COMPENSATION AND INCLUDED IN THE W-2 WAGES FOR SUCH EMPLOYEES.
PART I, LINE 1B	THE DECISION-MAKING PROCESS FOR THE GROSS-UP PAYMENTS MADE PURSUANT TO THE LIFE INSURANCE AND DISABILITY POLICIES FOLLOWED THE SAME COMPENSATION PROCESS OUTLINED IN THE DISCLOSURE FOR FORM 990, PART VI, LINE 15, INCLUDING APPROVAL BY THE COMPENSATION COMMITTEE AND REVIEW BY AN INDEPENDENT CONSULTANT. APPROVAL FOR THE GROSS-UP PAYMENTS IS ALSO OUTLINED IN THE PLAN DOCUMENTS.
PART I, LINE 4B	STEVEN SONENREICH, PRESIDENT AND CHIEF EXECUTIVE OFFICER OF MSMC, RECEIVED THE FINAL DISTRIBUTION FROM AN IRC SECTION 457(F) PLAN IN THE AMOUNT OF $115,606.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF MIAMI BEACH HEALTH FACILITIES AUTHORITY
A	650372870	593211DY8	2012-09-11	$141,194,667	CURRENT REFUND BONDS ISSUED 12/22/98 & 5/24/01	0	0	0
CITY OF MIAMI BEACH HEALTH FACILITIES AUTHORITY
B	650372870	593211EZ4	2014-09-04	$181,289,212	CURRENT REFUND BOND ISSUED 4/28/04 & CAPITAL IMPROVEMENTS	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Other Spent ProceedsOtherSpentProceedsAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capitalized InterestCapitalizedInterestAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr
A	$44,325,000	$141,194,667	$12,206,349	$141,194,667	Yes (1)	0	Yes (1)	Yes (1)
B	$5,825,000	$181,914,236	$801,619	$69,334,698	Yes (1)	0	Yes (1)	Yes (1)	$2,358,111	$110,221,427	2019

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	B	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	0	Yes (1)	0	0	0	0	Yes (1)
B	0	0	0	Yes (1)	0	0	0	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II, LINE 4, COL A	THE AMOUNT SHOWN HERE CONSISTS OF $9,482,825 IN A DEBT SERVICE RESERVE FUND, PLUS $2,723,524 OF DEBT SERVICE FUND DEPOSITS.
PART II, LINE 4, COL B	THE AMOUNT SHOWN HERE CONSISTS SOLELY OF DEBT SERVICE FUND DEPOSITS.
PART II, LINE 3, COL B	DIFFERENCES BETWEEN THE AMOUNT SHOWN HERE AND THE ISSUE PRICE REPORTED IN PART I, COLUMN (E) ARE DUE TO ACCUMULATED INTEREST EARNINGS.
PART IV, LINE 2C, COL A	REBATE COMPUTATION DATE: SEPTEMBER 10, 2017
PART IV, LINE 2C, COL B	REBATE COMPUTATION DATE: SEPTEMBER 14, 2019
PART IV, LINE 6, COL B	SUCH AMOUNTS WERE APPROPRIATELY YIELD RESTRICTED.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SETH GOTTLIEB MD FCCP PA
SEE PART V	$224,105	RENT & SVCS	0
PULMONARY MED ASSOCIATES OF MIAMI
SEE PART V	$193,187	RENT & SVCS	0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV, COLUMN B	SETH GOTTLIEB M.D. : SETH GOTTLIEB, M.D., BOARD MEMBER OF MSMC, IS PRESIDENT OF SETH GOTTLIEB M.D. FCCP PA, WHICH PROVIDES MICU SERVICES TO THE HOSPITAL AT FAIR MARKET VALUE, IN THE AMOUNT OF $195,354. ADDITIONALLY, SETH GOTTLIEB M.D. FCCP PA PAID RENT TO THE HOSPITAL IN THE AMOUNT OF $28,751.
PART IV, COLUMN B	DR. ARI CIMENT, BOARD MEMBER OF MSMC, IS TREASURER OF PULMONARY MEDICINE ASSOCIATES OF MIAMI, P.A., WHICH RENTS SPACE FROM THE HOSPITAL. THE AMOUNT OF RENT WAS $107,426. ADDITIONALLY, THE HOSPITAL PAID FOR SERVICES IN THE AMOUNT OF $85,761.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	TRUSTEES MARK H. HILDEBRANDT AND LAURANS A. MENDELSON HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11B	THE PROCESS FOR REVIEW OF THE FORM 990 BY MEMBERS OF THE GOVERNING BODY AND MANAGEMENT IS AS FOLLOWS: THE MEMBERS OF THE GOVERNING BODY, MANAGEMENT, AND THE INDEPENDENT TAX CONSULTANTS WILL MEET AND REVIEW IN DETAIL THE COMPLETED FORM 990. A FINAL DRAFT OF FORM 990 IS PROVIDED TO ALL VOTING MEMBERS OF THE ORGANIZATION BEFORE THE FINAL FORM IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY: MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC. AND SUBSIDIARIES (THE "MEDICAL CENTER") FORMALLY IMPLEMENTED A WRITTEN CONFLICT OF INTEREST POLICY (THE "POLICY") IN MARCH 2006 TO PROTECT THE MEDICAL CENTER AND ENSURE THAT THE DELIBERATIONS AND DECISIONS MADE ON BEHALF OF THE MEDICAL CENTER ARE MADE IN THE BEST INTEREST OF THE MEDICAL CENTER. THE TERM "CONFLICT OF INTEREST" AS DEFINED BY THIS POLICY REFERS TO SITUATIONS IN WHICH FINANCIAL OR OTHER PERSONAL CONSIDERATIONS MAY COMPROMISE, OR HAVE THE APPEARANCE OF COMPROMISING, THE JUDGMENT OF SOMEONE CHARGED WITH THE RESPONSIBILITY TO ACT ON BEHALF OF THE MEDICAL CENTER. THIS POLICY IS REVIEWED PERIODICALLY BUT NOT LESS THAN ONCE A YEAR BY THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES TO BETTER MEET ITS OBJECTIVES. IT IS INTENDED TO SUPPLEMENT BUT NOT REPLACE ANY APPLICABLE LAWS GOVERNING CONFLICTS OF INTEREST IN NONPROFIT AND CHARITABLE ORGANIZATIONS. PERSONS COVERED UNDER THIS POLICY INCLUDE: (1) ANY CURRENT OR FORMER TRUSTEE, OFFICER, OR MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS FOR THE MEDICAL CENTER; (2) MEMBERS OF MANAGEMENT AND ANY EMPLOYEE OF THE MEDICAL CENTER WHO: A) RECEIVES COMPENSATION FROM THE MEDICAL CENTER IN EXCESS OF $150,000 ANNUALLY, WHETHER AS A FULL- OR PART-TIME EMPLOYEE, INDEPENDENT CONTRACTOR, OR OTHERWISE, AND, B) HAS RESPONSIBILITIES, POWER OF INFLUENCE OVER AN ACTIVITY OF THE MEDICAL CENTER SIMILAR TO THAT OF AN OFFICER OR TRUSTEE AND WHICH REPRESENTS MORE THAN 10% OF THE ACTIVITIES, ASSETS, INCOME OR EXPENSES OF THE MEDICAL CENTER, AND C) IS ONE OF THE TWENTY EMPLOYEES WITH THE HIGHEST COMPENSATION FROM THE MEDICAL CENTER. (3) ANY PERSON(S) WHO SERVE AS A MEMBER OF THE MEDICAL CENTER'S MEDICAL STAFF AS A CHAIRPERSON OF A DEPARTMENT, CHIEF OF A CLINICAL SERVICE, OR MEMBER OF THE MEDICAL EXECUTIVE COMMITTEE. MONITORING AND COMPLIANCE: AN IMPORTANT STEP IN MONITORING AND ENFORCING COMPLIANCE WITH A CONFLICT OF INTEREST POLICY INCLUDES MANAGEMENT'S EDUCATION EFFORTS TO MAKE INTERESTED PERSONS AWARE OF THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. TO THAT END, MANAGEMENT HAS INCLUDED IN ITS CODE OF CONDUCT (THE "CODE") A SECTION ON CONFLICTS OF INTEREST WHICH HAS TO BE SIGNED AND RETURNED BY EVERY INTERESTED PERSON TO ACKNOWLEDGE AND ATTEST THAT THEY READ THE CODE INCLUDING THE CONFLICT OF INTEREST SECTION. ANNUALLY, INTERESTED PERSONS ALSO RECEIVE A REFRESHER TRAINING SESSION ON ETHICS AND CONFLICTS OF INTEREST. IN ADDITION, THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES HAS CREATED A SUBCOMMITTEE ON CONFLICTS OF INTEREST ("CONFLICTS COMMITTEE") TO ADMINISTER AND MONITOR COMPLIANCE WITH THIS POLICY. THE CONFLICTS COMMITTEE REQUIRES A STATEMENT FROM EACH INTERESTED PERSON NOT LESS FREQUENTLY THAN ONCE A YEAR SETTING FORTH ALL BUSINESS AND OTHER AFFILIATIONS THAT RELATE IN ANY WAY TO THE BUSINESS AND OTHER ACTIVITIES OF THE MEDICAL CENTER. INTERNAL AUDIT COMPILES AND SUMMARIZES ALL THE DISCLOSURES RECEIVED FROM INTERESTED PERSONS TO FACILITATE THEIR REVIEW BY THE CONFLICTS COMMITTEE. THE CONFLICTS COMMITTEE INDIVIDUALLY DISCUSSES EACH DISCLOSURE TO EVALUATE WHETHER A CONFLICT OF INTEREST EXISTS AND DETERMINES THE APPROPRIATE COURSE OF ACTION TO TAKE. NEITHER THE BOARD NOR ANY COMMITTEE OF THE BOARD SHALL VOTE UPON ANY PROPOSED TRANSACTION OR ARRANGEMENT IN CONNECTION WITH A POTENTIAL CONFLICT OF INTEREST UNTIL SUCH TIME AS THE CONFLICTS COMMITTEE HAS DETERMINED WHETHER A CONFLICT OF INTEREST EXISTS. WHERE THE CONFLICTS COMMITTEE HAS CONCLUDED THAT A CONFLICT OF INTEREST EXISTS, THE CHAIRMAN OF THE CONFLICTS COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO A PROPOSED TRANSACTION, CONTRACT, OR ARRANGEMENT. IF THE CONFLICTS COMMITTEE DETERMINES THAT THE MEDICAL CENTER CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THEN THE MEDICAL CENTER SHALL NOT ENTER INTO THE TRANSACTION THAT INVOLVES THE CONFLICT OF INTEREST. IF A TRANSACTION OR ARRANGEMENT MORE ADVANTAGEOUS IS NOT REASONABLY ATTAINABLE UNDER THE CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THEN THE BOARD OR COMMITTEE, AS APPLICABLE, SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE MEDICAL CENTER'S BEST INTEREST AND WHETHER IT IS FAIR AND REASONABLE TO THE MEDICAL CENTER, AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. FAILURE BY AN INTERESTED PERSON TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST UNDER THE CONFLICT OF INTEREST POLICY IS CONSIDERED A SERIOUS MATTER AND MAY CONSTITUTE "CAUSE" FOR REMOVAL OR TERMINATION OF A TRUSTEE, OFFICER, OR THE TERMINATION OF ANY CONTRACTUAL OR EMPLOYMENT RELATIONSHIP THE MEDICAL CENTER MAY HAVE WITH AN INTERESTED PERSON OR OTHER PARTY.
FORM 990, PART VI, SECTION B, LINE 15	ON AN ANNUAL BASIS, THE MOUNT SINAI MEDICAL CENTER COMPENSATION COMMITTEE CONTRACTS WITH AN INDEPENDENT CONSULTANT TO PREPARE AN OPINION REGARDING THE REASONABLENESS AND COMPARABILITY OF THE TOTAL COMPENSATION PROVIDED TO ITS SENIOR OFFICERS AND KEY EMPLOYEES. THE COMPENSATION COMMITTEE INFORMS THE INDEPENDENT CONSULTANT THAT THE INDEPENDENT CONSULTANT'S OPINION WILL BE PART OF THE COMMITTEE'S PROCEDURE FOR ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS DESCRIBED IN THE INCOME TAX REGULATIONS. THE INDEPENDENT CONSULTANT'S DETERMINATION OF REASONABLENESS IS MADE AFTER A THOROUGH REVIEW OF ALL THE ELEMENTS OF THE TOTAL COMPENSATION COMPRISED OF: CASH COMPENSATION, HEALTH AND WELFARE BENEFITS, RETIREMENT BENEFITS, EXECUTIVE BENEFITS AND PERQUISITES, AND OTHER ELEMENTS OF COMPENSATION INCLUDING SEVERANCE ARRANGEMENTS. THE OPINION EXPRESSED BY THE INDEPENDENT CONSULTANT IS THEN PRESENTED TO THE MSMC COMPENSATION COMMITTEE IN A REPORT FORM FOR THEIR REVIEW. THE OPINION REPORT IS REFERRED TO BY THE COMPENSATION COMMITTEE WHEN DETERMINING AND APPROVING THE ANNUAL COMPENSATION FOR ITS SENIOR OFFICERS AND KEY EMPLOYEES. THE EXECUTIVE BOARD OF TRUSTEES OF MSMC HAS AUTHORIZED ITS COMPENSATION COMMITTEE TO SET ANNUAL COMPENSATION FOR MSMC'S SENIOR OFFICERS AND KEY EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:	INCOME FROM PREMIER HEALTHCARE ALLIANCE, L.P. -319,972. INCOME FROM MIAMI JEWISH HOME HEALTH AGENCY 101,237. CHANGE IN THE BENEFICIAL INTEREST IN THE NET ASSETS OF MSMC FOUNDATION 32,955,309. AMOUNT REPORTED SEPARATELY -7,625. NET ASSETS TRANSFERRED FROM MSMC FDN -5,471,797. CUMULATIVE ADOPTION OF LEASE STANDARD -891,672.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Direct Controlling NADirectControllingNACd
NEUROSURG LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	202098546	BILLING	FL	$0	$0	N/A
MSMC ONCOLOGY LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	454999975	BILLING	FL	$0	$0	N/A
MSMC INTERVENTIONAL LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	460759101	BILLING	FL	$0	$0	N/A
MOUNT SINAI CORAL WAY LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	454560957	BILLING	FL	$0	$0	N/A
MSMC NEONATOLOGY LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	461533688	BILLING	FL	$0	$0	N/A
MOUNT SINAI CARDIO-PRICARE LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	261408014	BILLING	FL	$0	$0	N/A
MT SINAI MEDICAL CTR PHYSICIAN PRACTICES
4300 ALTON ROAD	MIAMI BEACH	FL	33140	203295727	BILLING	FL	$0	$0	N/A
MT SINAI MEDICAL CTR SURGICAL ONCOLOGY LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	262938215	BILLING	FL	$0	$0	N/A
MT SINAI MEDICAL CTR UROLOGY LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	262893302	BILLING	FL	$0	$0	N/A
MT SINAI MEDICAL CTR CARDIOLOGY LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	264069086	BILLING	FL	$0	$0	N/A
MOUNT SINAI INTENSIVISTS LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	263932464	BILLING	FL	$0	$0	N/A
MT SINAI CARDIOTHORACIC SURGERY LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	263594843	BILLING	FL	$0	$0	N/A
MT SINAI MED CTR EMERGENCY PHYSICIANS LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	451155342	BILLING	FL	$0	$0	N/A
PHYSICIAN PRACTICES OF MSMC LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	451154796	BILLING	FL	$0	$0	N/A
RADIOLOGY OF MSMC LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	453583216	BILLING	FL	$0	$0	N/A
MOUNT SINAI HEALTH LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	465582875	BILLING	FL	$0	$0	N/A
CARDIOLOGY OF THE FLORIDA KEYS LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	474507034	BILLING	FL	$0	$0	N/A
MOUNT SINAI MENTAL HEALTH LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	825389789	BILLING	FL	$0	$0	N/A

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 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
MT SINAI MEDICAL CENTER FOUNDATION INC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	591711400	FOUNDATION	FL	501(C)(3)	LINE 7	MT SINAI MEDICAL CENTER OF FLORIDA INC	Yes (1)
MT SINAI MEDICAL CENTER INSURANCE TRUST
4300 ALTON ROAD	MIAMI BEACH	FL	33140	591830065	TRUST	FL	501(C)(3)	LINE 12B, II	MT SINAI MEDICAL CENTER OF FLORIDA INC	Yes (1)
MT SINAI MEDICAL CTR OFFICE BUILDING II
4300 ALTON ROAD	MIAMI BEACH	FL	33140	205737392	TITLE LEASE	FL	501(C)(2)	N/A	MT SINAI MEDICAL CENTER OF FLORIDA INC	Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt
RIGHT CHOICE MANAGEMENT SERVICES INC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	650728277	MGMT SERVICES	FL	N/A	S	1.00000	Yes (1)
MT SINAI MED CTR OF FL GUARANTEE CORP
					INSURANCE		N/A	C	1.00000	Yes (1)	PO BOX 1051 KY1-1102	CJ	CJ	-$400,972	$9,346,320

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MOUNT SINAI MEDICAL CENTER FOUNDATION INC
C	$6,421,964	FAIR MARKET VALUE
MOUNT SINAI MEDICAL CENTER INSURANCE TRUST
R	$15,223,654	FAIR MARKET VALUE