2019-11-09T12:45:58-06:00 2018-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 100366530 990 2018-01-01 131624096 THE MOUNT SINAI HOSPITAL % MICHAEL PASTIER MOUN 2127313149 ONE GUSTAVE L LEVY PLACE NEW YORK NY 100296574 MR DONALD SCANLON EVP,SYSTEM CFO & CCS 2127313149 2019-11-08 true LAURA KIELCZEWSKI P00740769 2127733000 67.162.74.245 26308520193135000003 2019-11-09 P 770194AAF055F9EA87E64CA02E08FE540289067F 42D26865FF540D3EA6F803EEB3CCA5BB79F92251 2018 2020-01-14 16:20:31Z DONALD SCANLON 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 2945350257 false X http://www.mountsinai.org X 1852 NY MOUNT SINAI PROVIDES COMPASSIONATE PATIENT CARE AND ADVANCED MEDICINE THROUGH EDUCATION, RESEARCH AND OUTREACH IN THE MANY DIVERSE COMMUNITIES IT SERVES. 36 36 16059 443 16270 7894050 61374257 44306597 2574264006 2752967427 133549163 51246963 74222130 96591026 2843409556 2945112013 142667961 122656382 0 0 1166759418 1295727261 0 0 1466998 1261539052 1355671591 2570966431 2774055234 272443125 171056779 4101090631 4194636548 2083489262 2010693347 2017601369 2183943201 MOUNT SINAI IS COMMITTED TO THE ADVANCEMENT OF THE ART AND SCIENCE OF MEDICINE THROUGH CLINICAL EXCELLENCE. THE CENTRAL MISSION CONSISTS OF HIGH-QUALITY PATIENT CARE AND TEACHING CONDUCTED IN AN ATMOSPHERE OF SOCIAL CONCERN AND SCHOLARLY INQUIRY INTO NATURE, CAUSATION, PREVENTION AND TREATMENT OF HUMAN DISEASE. false false 2496597758 122656382 2756626769 The Mount Sinai Hospital provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of the Mount Sinai Hospital, it is recognized that not all individuals possess the ability to purchase essential medical services and healthcare education. As a matter of policy, the Hospital provides significant amounts of partially or totally uncompensated patient care. For accounting purposes, such uncompensated care is treated either as charity care or bad debt expense. The Hospital's charity care policy ensures the provision of quality health care to the community served while carefully considering the ability of the patient to pay. The policy has sliding fee schedules for inpatient, ambulatory and emergency services provided to the uninsured and under-insured patients who qualify. Patients are eligible for the charity care fee schedule if they meet certain income tests. Furthermore, as part of its charity care and financial aid policy, the Hospital obtains and uses additional financial information for uninsured or under-insured patients who have not supplied the requisite information to qualify for charity care. The additional information obtained is used by the Hospital to determine whether to qualify patients for charity care and/or financial aid in accordance with the Hospital's policies. For accounting and disclosure purposes, charity care is considered to be the difference between the Hospital's customary charges and the sliding charity care fee schedule rates. Since payment of this difference is not sought, charity care allowances are not reported as revenue. The Hospital's estimated costs for charity care were $46.4 million and $39.6 million for 2018 and 2017, respectively. The cost of charity includes the direct and indirect cost of providing charity care services. The cost is estimated by utilizing a ratio of cost to gross charges applied to the gross uncompensated charges associated with providing charity care. Funds received from the New York State Indigent Care Pool to offset charity services provided totaled approximately $15.0 million and $22.5 million for the years ended December 31, 2018 and 2017, respectively. The charity care component of the indigent care pool payments is estimated utilizing a ratio of charity care charges to total charity care and bad debt charges applied to the indigent care pool reimbursement and excludes amounts designated for teaching programs. Additionally, patients who do not qualify for sliding scale fees and all uninsured inpatients who do not qualify for Medicaid assistance are billed at the Hospital's rates. Uncollected balances for these patients are categorized as bad debts. Total uncompensated care as a result of bad debts for all patient services approximated $26.0 million in 2018 and $25.0 million in 2017. The Mount Sinai Hospital is the primary health care provider for the East Harlem Area of New York City. East Harlem is one of the poorest communities in the New York City region, and has been designated as a medically underserved area. A wide variety of programs and services are currently provided for the community which include: -Primary care -AIDS -Cardiovascular health -Cancer treatment -Maternal and infant health -Geriatrics -Ambulatory sensitive conditions (Asthma and Diabetes) -Adolescent health -Youth education -Volunteer services 2496597758 true true false true false false false false false true true true true true true false false true false false true false false false true false true true true false true true true false false false false false false false true false true false false false true true true true false false true 876 0 true 16059 true true true false false false false false false false false false true false X 36 36 true false true false true true true true true false false true true true true true true true true false NY X MICHAEL PASTIER 2127313149 150 EAST 42ND STREET 5TH FL New York NY 10017 SUSAN R CULLMAN VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 JOEL S EHRENKRANZ VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 BLAINE V FOGG VICE CHAIR/SECRETARY/TRUSTEE 2.0 14.0 X X 0 0 0 DONALD J GOGEL SENIOR VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 STEVEN HOCHBERG SENIOR VICE CHAIRMAN/TRUSTEE 2.0 19.0 X X 0 0 0 JOHN A LEVIN VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 PETER W MAY CHAIRMAN OF BOARD OF TRUSTEES 2.0 14.0 X X 0 0 0 ERIC MINDICH VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 MICHAEL MINIKES SR VCHAIR/TREASURER/TRUSTEE 2.0 23.0 X X 0 0 0 JOEL I PICKET VICE CHAIRMAN/TRUSTEE 2.0 17.0 X X 0 0 0 RICHARD RAVITCH VICE CHAIRMAN/TRUSTEE 2.0 17.0 X X 0 0 0 JUDITH O RUBIN VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 ANDREW M SAUL VICE CHAIRMAN/TRUSTEE 2.0 15.0 X X 0 0 0 THOMAS W STRAUSS VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 JAMES S TISCH SENIOR VICE CHAIRMAN/TRUSTEE 2.0 14.5 X X 0 0 0 BOBBIE ABRAMS TRUSTEE 1.0 4.0 X 0 0 0 ANDREW M ALPER TRUSTEE 1.0 5.0 X 0 0 0 FRANK BISIGNANO TRUSTEE 1.0 4.0 X 0 0 0 JEFF T BLAU TRUSTEE 1.0 9.0 X 0 0 0 HENRY M CALDERON TRUSTEE 1.0 4.0 X 0 0 0 EDGAR M CULLMAN JR TRUSTEE 1.0 4.0 X 0 0 0 JAMES E FLYNN TRUSTEE 1.0 6.0 X 0 0 0 JEROME R GOLDSTEIN TRUSTEE 1.0 4.0 X 0 0 0 DAVID S GOTTESMAN TRUSTEE 1.0 0.0 X 0 0 0 JOHN B HESS TRUSTEE 1.0 4.5 X 0 0 0 JAMES KEMPNER TRUSTEE 1.0 5.0 X 0 0 0 MARC S LIPSCHULTZ TRUSTEE 1.0 5.0 X 0 0 0 JAMES NEARY TRUSTEE 1.0 4.0 X 0 0 0 ALICE NETTER TRUSTEE 1.0 5.0 X 0 0 0 BERNARD W NUSSBAUM TRUSTEE 1.0 6.0 X 0 0 0 LEWIS PELL TRUSTEE 1.0 4.0 X 0 0 0 ROBERT F SAVAGE JR TRUSTEE 1.0 5.0 X 0 0 0 DAVID WINDREICH TRUSTEE 1.0 5.0 X 0 0 0 JOHN S WINKLEMAN TRUSTEE 1.0 4.0 X 0 0 0 WILLIAM H WRIGHT II TRUSTEE 1.0 5.0 X 0 0 0 MICHAEL ZIMMERMAN TRUSTEE 1.0 3.0 X 0 0 0 JAMES W CRYSTAL VICE CHAIRMAN 2.0 14.0 X 0 0 0 BONNIE M DAVIS MD VICE CHAIRMAN 2.0 14.0 X 0 0 0 GLENN DUBIN VICE CHAIRMAN 2.0 14.0 X 0 0 0 RICHARD A FRIEDMAN VICE CHAIRMAN 2.0 14.0 X 0 0 0 HENRY R KRAVIS VICE CHAIRMAN 2.0 14.0 X 0 0 0 HON ROBERT E RUBIN SENIOR VICE CHAIRMAN 2.0 14.0 X 0 0 0 JEREMY BOAL MD EVP, SYSTEM CMO 20.0 40.0 X 639268 1223401 58541 DENNIS CHARNEY MD 1 PRESIDENT, ACADEMIC AFFAIRS 20.0 40.0 X 712404 1363365 46346 KENNETH DAVIS MD CHIEF EXECUTIVE OFFICER 19.5 40.5 X 1918387 3671318 68724 BURTON P DRAYER EVP, SYSTEM CCA 0.5 59.5 X 0 1502632 46011 BETH ESSIG ESQ EVP, GENERAL COUNSEL 18.5 41.5 X 533359 1020717 29277 ARTHUR KLEIN MD EVP, PRESIDENT OF HEALTH NTWK 33.0 27.0 X 940797 699651 38559 MICHAEL PASTIER SVP, CHIEF FINANCIAL OFFICER 20.0 40.0 X 373258 714325 77739 MARGARET PASTUSZKO EVP, CHIEF INTEGRATION OFFICER 20.0 40.0 X 450418 861988 76649 DAVID L REICH MD PRESIDENT AND COO 60.0 0.0 X 1650953 0 50048 DONALD T SCANLON EVP, FIANCE & CHIEF CORP SERV 18.0 42.0 X 635809 1216781 56564 JEFFREY SILBERSTEIN EVP, SYSTEM CAO 20.0 40.0 X 420131 804028 32199 FRANK CINO SVP, SYSTEM CHIEF RISK OFFICER 20.0 40.0 X 189588 362826 58528 NIYUM GANDHI EVP, CHIEF POP. HEALH OFFICER 35.0 25.0 X 622111 462651 43778 VICKI LOPACHIN SVP, SYSTEM CMO 35.0 25.0 X 537376 399636 32042 CARYN SCHWAB SVP, EXECUTIVE DIRECTOR MSHQ 60.0 0.0 X 560743 0 52261 SAMIN SHARMA MD PROFESSOR, CARDIOLOGY 31.0 29.0 X 1161279 4011722 42531 ABRAHAM WARSHAW EVP & MEDICAL DIRECTOR 35.0 25.0 X 491536 365545 60820 11837417 18680586 870617 3800 false true false CROTHALL HEALTHCARE INC 13028 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 MANAGEMENT 16036783 MORRISON MANAGEMENT SPECIALISTS 955 CHESTERBROOK BLVD CHESTERBROOK PA 19087 MANAGEMENT 8585355 LABORATORY CORPORATION PO BOX 2240 BURLINGTON NC 272162240 LAB SERVICES 10902076 RIGHTSOURCING INC PO BOX 515743 LOS ANGELES CA 900515118 PERSONNEL 7034290 DEVITOVERDI INC 330 HUDSON STREET 16TH FLOOR NEW YORK NY 10013 MARKETING 5213768 143 1050396 163949 3798978 39293274 905453 44306597 NET PATIENT SERVICE 621110 2752967427 2752967427 2752967427 14446137 16270 14429867 0 0 0 0 0 34028000 2772826 34028000 2772826 36800826 36800826 56580 1050396 238244 -181664 -181664 0 0 0 0 0 0 CAFETERIA 722320 12800872 12800872 340B PHARMACY 621110 30752735 30752735 DELIVERY SYSTEM REFORM INCENTIVE PAYMENTS 621110 15408845 15408845 37810238 3659342 34150896 96772690 2945112013 2756626769 16270 144162377 122656382 122656382 0 0 0 8720283 340201 8184826 195256 266044 266044 1021358988 892926783 127751110 681095 78472086 68161166 10253639 57281 107908262 93652242 14134449 121571 79001598 68564721 10435995 882 33732645 29276563 4456082 0 2947783 0 2863872 83911 751217 0 751217 0 461914 461914 0 3539889 3539889 392477072 340630851 51846221 9526067 8211008 1249769 65290 12053983 8468093 3549410 36480 26869111 23295429 3545715 27967 0 75618080 65506151 9970460 141469 1392084 1190037 181131 20916 0 1358670 1179190 179480 0 34372115 34372115 0 108720067 89868007 18852060 39539881 34316663 5223218 0 MEDICAL SUPPLIES 594897027 594897027 DIETARY 17413986 15083326 2295780 34880 2774055234 2496597758 275990478 1466998 1227366 729201 680014063 109491954 15019102 15926078 314868615 370346874 0 0 0 0 4028900 4028900 36092318 39921165 6434301 7034065 2395136575 1410385218 950670439 984751357 474679242 712152164 697346935 736762408 218541683 229693842 0 0 702167667 983798540 4101090631 4194636548 327344659 344610693 0 0 66597006 61712289 901684252 872106958 0 0 0 0 15037460 10433135 0 0 772825885 721830272 2083489262 2010693347 X 1829431000 1989528504 104359100 108454595 83811269 85960102 2017601369 2183943201 4101090631 4194636548 X 171056779 -60130832 55415885 X false true X true true true X false false false false false false false false true 461914 461914 false Part II-B, Line 1 The Mount Sinai Hospital pays dues to various organizations that lobby federal and state legislators on behalf of health care facilities, including the Mount Sinai Hospital. The portion of these dues by entity are summarized below: American Hospital Association $23,281 Greater New York Hospital Association $210,045 1199 SIEU $140,173 MOUNT SINAI HOSPITAL MANAGEMENT $30,510 HEALTH CARE ASSOCIATION OF NEW YORK STATE $57,905 Total $461,914 188170369 38418298 32173970 194414697 163604424 57906527 33340582 188170369 154233139 37052615 27681330 163604424 153132000 30969279 29868140 154233139 146505310 34904423 28277733 153132000 0.55800 0.44200 false false 49616675 49616675 691029140 273129918 417899222 1627361908 1137255300 490106608 27128852 27128852 984751357 POOLED INVESTMENTS 736762408 F 736762408 CAPTIVE INSURANCE 200584982 F MOUNT SINAI PROTON HOLDING CO 13465591 F HEALTHFIRST MANAGEMENT SERVICE 10533946 F MORGAN STANLEY 51156 F COMCARE MANAGEMENT PARTNERS, L 164138 F 8E 102ND STREET REIT 11110 F UWG GI LLC 849500 F COMM CARE PARTNERS 150000 F CONTESSA 730038 F YORKVILLE ENDO CENTER 1209881 F NEUBERGER BERMAN 88500 F EPICURED 355000 F GAUSS 500000 F JUMP TECH 500000 F NOVOTALK LTD 500000 F 229693842 DUE TO/FROM RELATED ORGS 714706417 DEFERRED FINANCING FEES 7533177 457B PLAN 13080563 ROTATING RESIDENTS 3320732 TENANT SECURITY DEPOSITS 344201 AMBULANCE SERVICE LICENSE 1150000 DEPOSITS HELD BY THIRD PARTIES 4846575 340B PHARMACY RECEIVABLE 8203616 PROF LIAB INS REC 219184331 OTHER RECEIVABLES 9374367 PROF BILLING RECEIVABLE 2054561 983798540 0 POST RETIREMENT BENEFITS 11081411 THIRD PARTY LIABILITIES 263744155 RENT SECURITY DEPOSIT 344201 AR CREDIT BALANCES 21193015 MALPRACTICE INSURANCE 23785652 PLANNED GIFT LIABILITY 67500 MOUNT SINAI PHARMACIST PENSION 11725933 457B PLAN LIABILITY 13080562 PROFESSIONAL LIABILITIES 219184800 DSRIP LIABILITY 4475474 SELF-INSURANCE TRUST 44083479 LAB CORP LIABILITY 2500000 1514 MADISON AVENUE LIABILITY 1400000 INTERCOMPANY RESERVES 105164090 721830272 PART V, LINE 4 INTENDED USES OF ORGANIZATION'S ENDOWMENT FUNDS MOUNT SINAI HOSPITAL'S ENDOWMENT FUNDS ARE RESTRICTED TO INVESTMENTS IN PERPETUITY WITH THE INCOME EXPENDABLE TO SUPPORT PROGRAMS ACTIVITIES AS STIPULATED BY THE DONORS. THE HOSPITAL FOLLOWS THE REQUIREMENT OF THE UNIFORM MANAGEMENT OF INSTITUTIONAL FUNDS ACT ("UMIFA") AS THEY ARE RELATED TO ITS ENDOWMENT CONTRIBUTIONS. THE HOSPITAL HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS SUPPORTED BY ITS ENDOWMENT. UNDER THIS POLICY, AS APPROVED BY THE BOARD OF TRUSTEES, THE EDOWMENT ASSETS ARE INVESTED IN A MANNER TO PROVIDE THAT SUFFICIENT ASSETS ARE AVAILABLE AS A SOURCE OF LIQUIDITY FOR THE INTENDED USE OF THE FUNDS, ACHIEVE THE OPTIMAL RETURN POSSIBLE WITH THE SPECIFIC PARAMETERS, AND PRUDENTLY INVEST ASSETS IN A HIGH-QUALITY DIVERSFIED MANNER TO ADHERE TO ESTABLISHED GUIDELINES. Central America and the Caribbean Program Services insurance 41145399 41145399 41145399 true false true false true false Part I, Line 3 The primary coverage of professional and general liability incidents has been provided through participation in a pooled program with certain health care facilities (principally hospitals) affiliated with the Federation of Jewish Philanthropies of New York. This occurrence basis insurance coverage participation is with the Captive Insurance Companies. The Captive Insurance Companies have two offices in the Caribbean, specifically Bermuda and Barbados. The companies were incorporated in Barbados and Bermuda in 1992 and 1986 respectively and are licensed under the Insurance Act of both countries. Since the Hospital is a shareholder of the Captive Insurance Companies, the Hospital follows the equity method of accounting for its interest in the insurance companies associated with the medical malpractice insurance program. Additionally, Forms 5471, Information Returns of U. S. Persons with Respect To Certain Foreign Corporations, has been filed with the Hospital's 990T. parts I & IV The investment activities listed in Part 1 are allocated to agree to the audited financial statement reporting as pooled investments while Part IV reports on foreign filings filed by the respective organization. ACH LEGENDS 1106976 1050396 56580 57896 18900 161448 0 1106976 1050396 56580 57896 18900 161448 238244 -181664 true true X true X true X true true true false true true 55827568 26978330 28849238 0.01040 688162123 534828994 153333129 0.05530 743989691 561807324 182182367 0.06570 30175549 3798978 26376571 0.00950 262427814 85172081 177255733 0.06390 116797844 116797844 0.04210 329793 329793 0.00010 409731000 88971059 320759941 0.11560 1153720691 650778383 502942308 0.18130 10174 10174 747314 747314 0.00030 135104 135104 0.00010 892592 892592 0.00040 false 31303000 480169172 535222634 -55053462 X true true 1 1 MOUNT SINAI HOSPITAL ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 HTTP://WWW.MOUNTSINAI.ORG 7002024H X X X X X MOUNT SINAI HOSPITAL 1 false false true X X X X X X X X X 17 true true false true X SEE PART V - SECTION C X true 18 true see part V, section C false true X 100 400. X X X X true true X X X X true X see part v, section c X see part v, section c X see part v, section c X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, LINE 3e The significant health needs of the community identified in the CNHA are prioritized according to the community needs. SCHEDULE H, PART V, LINE 5 The hospital facility took into account input from persons who represent the community, including those with special knowledge of or expertise in public health, through key informant interviews and focus groups conducted from September through December 2017. Input was obtained from 104 individuals representing 40 community organizations. Collectively, these 40 organizations serve a wide-range of community residents; individually, these serve medically underserved communities (such as LGBTQ individuals, immigrant populations, and community members with limited English proficiency), low-income communities (notably children and seniors), and minority populations (including Chinese and Hispanic residents). In addition to the New York City Department of Health and Mental Hygiene, participating organizations included ACMH Inc.; Astoria Blue Feather Early Learning Center; BRC Senior Services Center; Callen-Lorde Community Health Center; Center for Independence of the Disabled in NY; Consolidated Edison, Inc.; Coordinated Behavioral Care (CBC); Dominican Women's Development Center; Educational Alliance; Hearing Loss Association of America, New York City Chapter; Hellenic American Neighborhood Action Committee; Instituto Duartiano de Nueva York; La Academia Mundial de Bomberos Inc EEUU; Long Island City Partnership; Lower Eastside Power Partnership; Manhattan Community Board 3; Manhattan Community Board 4; Manhattan Community Board 5; Manhattan Community Board 6; Manhattan Community Board 7; Morningside Heights Residents' Association; Mount Sinai - Mount Sinai Queens; Mount Sinai - Mount Sinai Queens - Community Advisory Board; Mount Sinai Beth Israel - Mount Sinai Brooklyn; Mount Sinai Community Advisory Council; Mount Sinai Health System; Mount Sinai St. Luke's - Mount Sinai West; MSSL & MSW; New York Common Pantry; New York Eye & Ear Infirmary of Mount Sinai; New York Political Club New Generation; Queens Community Board 1; Residents of the New York City Housing Authority; SHAREing & CAREing; STRIVE New York; Stuyvesant Town Peter Cooper Village Tenants Association; Union Square Partnership; William F. Ryan Community Health Center; and William F. Ryan Community Health Network Schedule H, Part V, Line 6a The Community Health Needs Assessments for Mount Sinai Hospital and The Mount Sinai Hospital of Queens were conducted in conjunction with each other. SCHEDULE H, PART V, LINE 7A THE HOSPITAL'S CHNA IS AVAILABLE ON THE WEBSITE: http://www.mountsinai.org/locations/mount-sinai/about/community SCHEDULE H, PART V, LINES 10A THE HOSPITAL'S IMPLEMENTATION STRATEGY IS AVAILABLE ON THE WEBSITE: http://www.mountsinai.org/locations/mount-sinai/about/community Schedule H, Part V, Line 11 The 2017 CHNA identified a number of significant health needs in the community. The CHNA process considered and assessed a wide range of primary and secondary data sources including structured interviews with persons who represent the broad interests of the community and those with expertise in public health, and assessments and studies prepared by other organizations. The CHNA report identified eleven health needs as significant in the community, as listed below in alphabetical order. - Aging Population - Access to Mental Health Care and Poor Mental Health Status - Access to Primary Health Care Services by Individuals with Limited Resources - Chronic Diseases and Contributing Lifestyle Factors - Environmental Determinants of Health - Homelessness - Navigating a Changing Health Care Provider Environment - Poverty, Financial Hardship, and Basic Needs Insecurity - Safe and Affordable Housing - Economic, Racial, Cultural, Ethnic, and Linguistic Barriers to Care - Substance Abuse The hospital selected the following significant needs to focus its efforts during the 2018-2020 time period: - Access to Mental Health Care and Poor Mental Health Status; - Access to Primary Health Care Services by Individuals with Limited Resources; - Chronic Diseases and Contributing Lifestyle Factors; - Socio-Economic, Racial, Cultural, Ethnic, and Linguistic Barriers to Care; and - Substance Abuse. A. Access to Mental Health Care and Poor Mental Health Status The 2017 MSH CHNA found that the mental health status is poor for many residents because of day-to-day pressures, substance abuse, and psychiatric disorders. The supply of mental health providers is insufficient to meet the demand for mental health services. Planned activities to increase access to mental health care and improve the mental health status of community residents are described below. These activities are in addition to the MSH activities that impact multiple needs. Health professions education The health professions education activities of MSH respond to both the current and future community mental health needs. MSH actively participates in nearly 140 residency and fellowship programs. Residency and fellowship programs that are especially related to mental health care services are as follows: - Child and Adolescent Psychiatry Fellowship, - Geriatric Psychiatry Fellowship, - Mood and Personality Disorders Fellowship, - Psychiatry Residency, - Transgender Psychiatry Fellowship Program, and Triple Board Residency (Pediatrics, General Psychiatry, and Child and Adolescent Psychiatry). Mental Health Services Mental health care services are available at the hospital campuses, outpatient facilities, and physician practices throughout the community. As part of the Mount Sinai Health System, integrated resources such as electronic health records facilitate the referral of patients to needed services provided by other Mount Sinai Health System hospitals and health professionals. Specific mental health services available include the following: Mount Sinai's Department of Psychiatry The Department of Psychiatry and Behavioral Sciences at Mount Sinai Beth Israel provides comprehensive inpatient and outpatient services. Its training programs in psychiatry and psychology contribute substantially to the community's mental health resources. Treatment offerings are enhanced by research activity, which seeks to develop the next generation of therapies, from advanced device-based treatments to new psychotropic medications. Specific services include treatment for the following: - Alzheimer's disease; - Attention Deficit Hyperactivity Disorder (ADHD); - Autism Spectrum disorders; - Eating disorders; - Mood disorders (such as depression and bipolar disorder); - Obsessive-Compulsive Disorder (OCD); - Personality and Impulse Control disorders; - Post-Traumatic Stress Disorder (PTSD); - Schizophrenia; - Substance abuse; and - Tourette's Disorder. B. Access to Primary Health Care Services by Individuals with Limited Resources The 2017 MSH CHNA found that New York City has a robust health provider network. However, access to this network can be limited to individuals with limited financial resources, including lack of health insurance and relatively high deductibles / co-pays. Planned activities to increase access to primary health care for individuals with limited resources are described below. These activities are in addition to the MSH activities that impact multiple needs. Health professions education The health professions education activities of MSH respond to both the current and future community health needs for professional services. MSH actively participates in nearly 140 residency and fellowship programs. Residency and fellowship programs that are especially related to primary health care services are as follows: - Adolescent Medicine Fellowship, - Emergency Medicine Residency, - Emergency Medicine Simulation Fellowship, - Family Planning Fellowship - Mount Sinai Hospital, - General Dentistry Residency, - General Internal Medicine Fellowship, - General Surgery Residency, - Global Women's Health Fellowship - Mount Sinai Hospital, - Internal Medicine Residency, - Obstetrics Gynecology Residency, - Pediatric Dentistry Residency, - Pediatrics Emergency Medicine Fellowship, - Pediatrics Residency, - Physical Medicine and Rehabilitation Residency, and - PGY1 Pharmacy Residency Program. Primary Health Care Services The hospital provides primary care at its campuses, as well as physician practices throughout Manhattan. The hospital, together with The Mount Sinai Health System, is a leader in providing quality health care to its patients regardless of their ability to pay. C. Chronic Diseases and Contributing Lifestyle Factors The 2017 MSH CHNA found that chronic diseases in the community include obesity, diabetes, hypertension, heart disease, strokes, and asthma. Contributing lifestyle factors might also include sexually transmitted infections. Planned activities to help reduce the incidence of and manage current chronic disease, including increasing healthy life factors, are described below. These activities are in addition to the MSH activities that impact multiple needs. Health professions education The health professions education activities of MSH respond to both the current and future community health needs for chronic disease treatment and prevention. MSH actively participates in nearly 140 residency and fellowship programs. Residency and fellowship programs that are especially related to chronic disease services are as follows: - Advanced Endoscopy Fellowship, - Advanced Fellowship in Inflammatory Bowel Disease, - Advanced Heart Failure and Transplant Cardiology Fellowship, - Allergy and Immunology Fellowship, - Anesthesiology Residency, - Body MRI Fellowship, - Breast Imaging Fellowship, - Breast Pathology Fellowship, - Cardiology Clinical Track Fellowship, - Cardiology Electrophysiology Fellowship, - Cardiology Heart Failure and Transplantation Fellowship, - Cardiology Vascular Medicine Fellowship, - Cardiothoracic Anesthesia Fellowships, - Cerebrovascular Disease-Stroke Fellowship, - Chest Fellowship, - Clinical Genetics Laboratory Training Program, - Clinical Informatics Fellowship, - Clinical Laparoscopic Surgery Fellowship, - Clinical Neurophysiology Fellowship (EMG and EEG Tracks), - Cognitive Neurology Fellowship, - Colon and Rectal Surgery Fellowship, - Critical Care Anesthesiology Fellowship, - Critical Care Medicine Fellowship, - Cytopathology Fellowship, - Dermatology Residency, - Dermatopathology Fellowship, - Diagnostic Radiology Residency, - Endocrinology, Diabetes, and Bone Disease Fellowship, - ENT Pathology Fellowship, - Epilepsy Fellowship, - Facial Plastic Surgery Fellowship, - Female Pelvic Medicine and Reconstructive Surgery Fellowship, - Foot and Ankle Fellowship, - Gastroenterology Fellowship, - Gastrointestinal Pathology Fellowship, - General Preventive Medicine Residency, - Gynecologic Oncology Fellowship, - Gynecologic Pathology Fellowship, - Hand and Elbow Fellowship, - Head and Neck Oncology, Microvascular Reconstructive Surgery Fellowship, - Headache Medicine Fellowship, - Hematology and Medical Oncology Fellowship, - Hemopathology Fellowship, - Independent ACGME Thoracic Fellowship Program, - Infectious Diseases Fellowship, - Integrated Thoracic Surgery Residency Program, - Cardiac Surgery and General Thoracic Surgery Residency, - Interventional Cardiology Fellowship, - Interventional Radiology-Integrated Residency, - Laryngology Fellowship, - Liver Pathology Fellowship, - Liver Transplant Anesthesia Fellowship, - Maternal-Fetal Medicine Fellowship, - Medical Genetics Residency and Fellowship Training Programs, - Minimally Invasive Pelvic Surgery Fellowship, - Minimally Invasive Urology Fellowship Program, - Mohs Micrographic Surgery and Dermatologic Oncology Fellowship Program at Mount Sinai, - Molecular Genetic Pathology Fellowship, - Movement Disorders Fellowship, - Mul 1 MT SINAI PSYCHIATRIC CONTINUING DAY TR 53-55 E 96TH STREET FL A B C 1F NEW YORK NY 10029 OUTPATIENT CLINIC SCHEDULE H SUPPLEMENTAL INFORMATION Part I, Line 7 The Mount Sinai Hospital used the ratio of cost-to-charges methodology for costing purposes. The cost-to-charge ratio was derived utilizing Worksheet 2, Ratio of Patient Care Costs-to-Charges. Part I, Line 7G Included in subsidized health services is support provided to the Beth Israel Medical Center of $4.7 million to help support its mission of providing care to the surrounding community. The Beth Israel Medical Center (also know as Mount Sinai Beth Israel) is part of the Mount Sinai Health System. The Hospital also provided support for various primary care physician practices in the surrounding community. These practices are owned by The Icahn School of Medicine of Mount Sinai which is also a member of the Mount Sinai Health System. During 2018, the Hospital transferred $24.4 million to other Mount Sinai entities including Mount Sinai Health Partners. These funds are used to develop programs to improve the community served. Part II Community Building Expense The Hospital conducts various Community Building Activities during the year to promote the health of its community. The Hospital pays for several public service announcements that help promote population health in areas such as diabetes awareness, cardiac health, cancer, mental health, teen health, and HIV/AIDS. These announcements help to provide the public with information as to symptoms of various diseases and medical conditions so that they seek care before their medical condition reaches a more advanced stage. Additionally, the Hospital spends a significant amount on disaster preparedness each year. These expenditures ensure that the Hospital will be ready to handle a large scale disaster in the area and meet the medical needs of those that are impacted. This preparedness includes plans for handling large volumes of sick or injured people under various scenarios, such as when power is lost or transportation systems are shut down. Part III, Line 2 The Hospital's provision for bad debts is recorded in accordance with generally accepted accounting principles. The amount of the provision for bad debts is based upon management's assessment of historical and expected net collections, business and economic conditions, trends in Medicare and Medicaid health care coverage and other collection indicators. Part III, Line 3 Not applicable Part III, Line 4 The Hospital's footnote disclosure on bad debt expense includes the following: Deductibles and copayments under third-party payment programs are the patient's responsibility and the Hospital considers these amounts in its determination of the provision for bad debts based on collection experience. Accounts receivable are also reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Hospital analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. Part III, Line 8 Medicare Allowable Cost were obtained from the Medicare cost report. The cost report utilizes a step-down methodology to allocate an institution's allowable costs by service and program. In addition, the Hospital included the Medicare share of the loss for Health Professions Education (Schedule H, Part I, Line 7f), which amounted to $55.1 million in order to provide a more accurate reflection of the Hospital's Medicare financial results. Part III, Line 9b The Hospital's collection practices do not apply to charity care balances. Once an account or a portion thereof is deemed to be charity care, it is written off as such. As a result, there is no further collection effort on the account balance. 2. Needs Assessment A continuous community needs assessment process occurs in Manhattan and Western Queens through active membership/participation of administrative leaders, staff and faculty in over 20 community committees, coalitions and boards; and through service and educational partnerships with community health, social service, civic organizations and schools. The Department of Community and Government Affairs acts as a liaison for the Medical Center to health, social service and civic organizations, schools, coalition and community leaders in East and Central Harlem, the Upper West Side and in boroughs outside of Manhattan and Western Queens. Community and Government Affairs work closely with the Mount Sinai School of Medicine, Mount Sinai's Center for Multicultural and Community Affairs and the Department of Community and Preventive Medicine to assist other Medical Center departments that seek to implement community programs and research projects. The Mount Sinai Medical Center actively seeks the views of community residents, hospital consumers, health care providers, religious groups, community boards, elected officials, support groups, and community health and human service professionals in identifying the need for services and public health priorities. The Mount Sinai Medical Center's public participation includes the following: * Mount Sinai's Board of Trustees has established a Community Affairs committee whose members include senior management, health providers, and Trustees. A Trustee serves as a Community Advisory Board member to ensure board to board communications. The Board of Trustees meets quarterly to evaluate services and community needs. * Mount Sinai's Community Advisory Board (CAB) members represent diverse socioeconomic and ethnic constituencies and representatives from the Medical Center leadership and departments. The CAB's goal is to ensure that the medical center is responsive to health care needs of consumers, with particular emphasis on the needs of East Harlem. The CAB meets monthly to evaluate services and community needs. * The Tisch Cancer Institute has established a CAB to work in partnership with East and Central Harlem community residents and organizations to reduce the excess burden of cancer among its African-American and Hispanic residents to find ways to overcome cancer disparities. The CAB meets monthly to discuss community resources, strengths and interventions to improve the quality of cancer prevention, treatment and care. * Mount Sinai has established and hosts a monthly Community Roundtable to keep its pulse on the needs of East Harlem and Central Harlem communities. Approximately 80 community leaders, educators, elected officials, and CAB members are in attendance at the monthly meetings. * The Mount Sinai Medical Center representatives participate actively in monthly/quarterly meetings with the following organizations in its continuing efforts to discuss health care needs of the community. * Abyssinian Development Corporation. * Boriken Neighborhood Health Center. * Bronx Aids Services. * Children's Aids Society. * Community Board No.11 - Manhattan, Health & Human Services Committee. * East Harlem Chamber of Commerce. * East Harlem HIV Care Network. * East Harlem Partnership for Cancer. * Greater Harlem Chamber of Commerce. * Little Sisters of the Assumption Family Health Services. * New York Academy of Medicine. * New York City Housing Authority - Carver Houses Tenants Association & Johnson Tenants Association. * Jewish Home and Hospital. * Settlement Health Association. * Union Settlement Association. * Yorkville Common Pantry. The Mount Sinai Hospital of Queens' public participation includes the following: * Mount Sinai Hospital of Queens recently formed a CAB and serves the needs of a culturally diverse population with representatives from social and human service organizations, civic associations, public housing authority, and health care providers. The CAB meets quarterly to evaluate services and community needs. * Mount Sinai Hospital of Queens conducts an annual Community Roundtable to inform and update participants on new programs and projects and facility improvements at the Hospital. The focus is also on engaging participants in a discussion of ways in which the Hospital can improve and better serve the needs of the community. * The annual Pastoral Care Forum for clergy and other religious leaders in the community featured an educational session as well as an information-sharing component of services available in the community. * Mount Sinai representatives participate actively in monthly/quarterly meetings with the following organizations in its continuing efforts to discuss health care needs of the community. * American Cancer Society. * Astoria Civic Association. * Catholic Charities of Brooklyn and Queens. * Community Boards No.1 & 2 - Queens. * Gateway to Health Sciences Secondary School. * Greek Orthodox Archdiocesan of America Hellenic Cultural Center. * HANAC. * Jacob Riis Neighborhood Settlement House. * Queens Chamber of Commerce. * New York City Housing Authority - Ravenswood Tenants Association. * SHAREING & CAREING. * United Community Civic Association. * Visiting Nurse of New York. The Mount Sinai Medical Center discusses and analyzes the following demographic and socio-economic data with community partners as part of the community needs assessment process. 1. Utilization - Identify which services/programs have met or exceeded projected utilization. 2. Patient satisfaction surveys - Analyze the hospitals' patient surveys to determine areas of needs identified by patients and their families. 3. Local demand for services - Identify the services/programs with waiting lists, which demonstrate that the local demand for services exceeds capacity. 4. Community need data - Determine the health of the community by examining the health statistics on the NYCDOHMH and NYSDOH websites; and determine the areas in which the target goals of Take Care New York are not met. Additionally, in assessing the communities' needs in conjunction with community partners, consumers, community boards, community leaders, and community health and human service professionals, the following questions are considered: 1. Is the cause of the illness, disease or health behavior preventable? 2. Does the hospital have existing resources, capacity, and processes to conduct outreach, provide screenings and treatment, measure, and evaluate set goals? 3. Was the health focus also identified by, discussed with, and determined as a priority in the health of the community by community partners, consumers, community health and human service professionals, NYCDOHMH, and the hospital's Community Advisory Board? Based on the information gathering process described above, the Hospital develops a community service plan that focuses on the health priorities for the surrounding community. 3. Patient education and eligibility for assistance All patients that do not have insurance are notified that financial assistance may be available for them. Prominently placed signs notify patients of the financial assistance policy and flyers summarizing the process are available in registration areas. The Hospital provides assistance with enrollment in Federal and State insurance programs including Medicare, Medicaid, Child Health Plus and Family Health Plus. If patients do not qualify for these programs they may qualify for financial assistance through the Hospital's Charity Care and Self Pay Discount Policy. Patient bills also provide information as to where a patient or the person responsible for the Hospital bill can call to receive financial assistance if they are not able to pay the Hospital's bill. Patients are provided with assistance through the Hospital's Financial Counseling Department (Mount Sinai patients only) or through its Resource Entitlement and Advocacy Program (REAP) Office. The REAP Office assists both Hospital patients and community members to obtain financial assistance for their medical expenses. 4. Community Information The Mount Sinai Medical Center serves patients in all five boroughs of New York City, Long Island, Westchester and Rockland counties, New Jersey and Connecticut. Mount Sinai is a regional and national referral center. The hospital defines New York County as the area used for community/local health planning for the purposes of the Community Service Plan. Census data were used to determine the service area of The Mount Sinai Medical Center. The total population of New York County in 2010 was 1,585,873 (increase of 3.2 percent from the 2000 Census). Approximately 52% of the New York County population in 2010 was of a minority population (18.5% African-American, 11.8% Asian and 21.7% "other" minority group members including individuals of 2+ races). There were 405,983 (25.6%) Hispanics, who can be of any race. New York County has eight federally-designated medically underserved areas. There are 20 hospitals, including specialty hospitals, serving this area. The U.S. Census identified that 282,285 members (17.8%) of the population were living at or below the Federal Poverty Level in 2010. It has been documented that individuals of minority and/or low-income status experience difficulties in accessing healthcare in some places. Mount Sinai serves residents of its service area without regard to any personal characteristics, including race/ethnicity or payer source. It is important to note the large minority population that Mount Sinai serves as most minority groups have been documented to suffer from cardiovascular disease at rates in excess of those of the White population. The Mount Sinai Medical Center has a strong history of serving traditionally underserved individuals throughout its service area, including Harlem and East Harlem communities surrounding the hospital. Mount Sinai provides the following health services to its community: * 67% of clinic visits are minority patients. * 53% of inpatient discharges are minority patients. * 85% of Emergency Department visits are minority patients. * More than 30% of inpatients reside in upper Manhattan. * Nearly 50% of outpatients reside in upper Manhattan. * More than 50% of Emergency Department patients reside in upper Manhattan. Reflective of the Hospitals location in the East Harlem neighborhood of New York County, approximately 45.5% and 53.5% of the hospital's inpatient discharges and outpatient visits, respectively, were from Medicaid patients. In many of the hospital's programs, over 60% of the patients have historically belonged to a minority group. The total number and percentage of individuals in the 45 and older age group in New York County is projected to grow dramatically from 2000 to 2015. The total number of individuals in this group is projected to increase from 534,263 individuals in 2000 to 694,295 individuals in 2015, representing a growth of 30.0% over this time period. This age group is projected to grow at a rate over seven times that of New York County from 2000 to 2015, and is at greater risk for cardiac problems than the general population. There were 217,265 individuals older than age 65 (comprising 13.7% of the population) residing within the service area in 2010. This population is projected to continue to grow to 242,281 individuals (comprising 15.1% of the population) by 2015, per the New York Statistical Information System from Cornell University. This age group is at greater risk for cancer than the general population. According to data from the New York State Department of Health (NYSDOH), infectious diseases, such as HIV, are more prevalent in the hospital's service area of New York County than in New York City and New York State overall. The HIV case rate from 2005 to 2007 in New York County was 72.9 individuals per 100,000, which was significantly higher than that of New York City (46.0 persons per 100,000) and the State (24.3 persons per 100,000). The Mount Sinai Hospital of Queens defines its primary service area as the following zip codes that comprise Northwestern Queens: 11101, 11102, 11103, 11104, 11105 and 11106 known as Long Island City/Astoria. The secondary service area consists of zip codes that comprise Western Queens: 11368, 11369, 11370, 11372, 11373, 11377 and 11378. Those zip codes define the areas used for community/local health planning for the purposes of the Community Service Plan. The population of the primary service area of Northwestern Queens in 2008 was 231,440 while the population of the secondary service area of Western Queens was 464,497 for a total of 695,937 residents. Over half (51%) of the population (representing more than 100 cultural and ethnic groups) is foreign-born compared to only 36% for New York City as a whole. In Northwestern Queens, roughly one in five persons lives in poverty; one in five adults smoke and is less likely to quit than smokers in New York City overall; women are less likely to get a regular Pap test for cervical cancer than women in New York City as a whole; and the service area has the second highest proportion of uninsured adults among all New York City neighborhoods, with foreign-born residents more likely to be without health insurance than those born in the United States. The heart disease hospitalization rate in the primary service area has increased by more than 10% in the past 10 years. The poverty and language barriers in Western Queens inhibit access to inpatient care. Per the New York City Department of City Planning, Mount Sinai Hospital of Queens is located in Queens Community Board No.1 - Queens. In 2007, 24.2% of the residents lived below the poverty level. This percentage is much greater than the percentage of residents below the poverty level (12.2%) for the entire county. Overall, greater than 50% of the residents in Community Board No.1 - Queens do not speak English "very well", according to the US Census Bureau. Staff members at Mount Sinai Hospital of Queens speak approximately 50 languages, a statistic that is growing each year. This is reflective of the cultural diversity of the service area, which includes residents comprising greater than 100 cultural and ethnic groups. 5. Promotion of Community Health As mentioned in the description of the Needs Assessment in Part VI.2, the Hospital has formed a Community Board to ensure that the Medical Center is able to work closely with the surrounding community to identify and respond to the healthcare needs of the community. The Mount Sinai Medical Center Community Advisory Board was formed as a committee of the Board of Trustees to review and comment on the Medical Center's service, educational and research programs. The Board's goal is to ensure that the medical center is responsive to the health care needs of consumers, with particular emphasis on the needs of East Harlem. The Community Advisory Board is a forum for articulating patient care and community health concerns and for evaluating the effectiveness of services on the community's health status, patients' rights, and the quality of services provided to consumers. Community Advisory Board members represent diverse socioeconomic and ethnic constituencies and representatives of Medical Center leadership and departments. A majority are consumers. A Trustee serves as a Community Advisory Board member to ensure board-to-board communications Based on the needs assessment and feedback the Hospital receives from groups like the Community Advisory Board, the Mount Sinai Hospital conducts a number of services and activities that are designed to promote and improve the health of individuals residing in the surrounding community. These services and activities help to inform people of healthy living habits and provide access to valuable health care services, including diagnostic screening services for at risk people. A brief description of each of these services and activities is provided below. * HouseCall is a newsletter developed and designed to introduce the Harlem community to the doctors, nurses, social workers, and other health professionals who serve the community. The publication includes extensive outpatient service information. * Prescriptions for Healthy Living is a campaign launched in 2007 in which banners that stress the importance of taking control of health care and adopting a healthy lifestyle are placed throughout the community. * Good Health Is Precious brings health education and screening to community organizations, responding to a need for early detection. Mini health talks about asthma, cancer, cardiovascular health, chronic kidney disease, diabetes, mental health, nutrition and fitness, orthopedic care, palliative care, and women's health are available in English and Spanish. * The Greenmarket is a partnership between the Medical Center and the Council on the Environment of New York City that sells fresh fruit and vegetables in East Harlem each week. It also offers free medical screenings as well as demonstrations of healthy cooking. * Free Community Health Screenings. In the past year Mount Sinai faculty and staff sponsored and/or participated in numerous community health fairs and health screening programs, street festivals, children's festivals, health expos and information fairs, reaching over 25,000 people. Screenings have been conducted to test blood pressure, glucose, cholesterol, vision, bone density, body mass index, kidney disease, and Hepatitis C at health fairs year-round. There are nearly 7000 screenings annually. * Support Groups are offered to patients and their families so that they can share their stories with others who have had similar experiences. * Workshops and seminars are important components of Mount Sinai's commitment to the community. Topics covered have included areas such as Power of Attorney, Living Wills and Advanced Directives: What You Need to Know, Men's Health Seminars, Women's Cardiovascular Health. * Exercise and Education classes are offered weekly or bi-monthly. * Resource Entitlement Advocacy Program (REAP) serves uninsured and underinsured community members and hospital patients who need assistance with entitlement issues. REAP enables them to get health insurance and gain access to health care. In addition, it helps them obtain income, home care, and nutrition support by working with community agencies. REAP also provides technical assistance regarding changes to entitlement programs such as welfare, Medicaid, Medicare, Family Health Plus, child health insurance, and other programs. *East Harlem Free Clinic, created and operated by the students of the Mount Sinai School of Medicine, provides free medical care to East Harlem residents. * The Medical Center provides HEART (Heart Failure Education and Rehabilitation Training), a congestive heart failure nurse-management program to improve patient self management and physician-initiated services for patients with heart failure in East and Central Harlem. Additionally, Mount Sinai offers a wide variety of community outreach programs that provide screening, educational and patient care. These programs are funded through operating revenues of the Hospital. Some of the programs provided by the Medical Center include: * The Jack Martin Fund Clinic is a New York State Department of Health Designated AIDS Center that provides primary and specialty care, urgent care, social services, and counseling to those who are infected; and preventive services to those at risk. * Mount Sinai Adolescent Health Center was the first primary care facility in New York City specifically designed to meet the health care needs of adolescents. Today, it is the largest, most comprehensive adolescent center in the United States, with a mission to help adolescents grow up happy, healthy, and well educated by preventing disease and promoting health. The Adolescent Health Center offers comprehensive medical, nutritional, exercise, and mental health services to teenagers concerned with eating disorders, becoming overweight or obese, and high cholesterol. * The Mount Sinai Diabetes Center provides inpatient and outpatient treatment and education to adults with type I or type II diabetes. The Diabetes Center works closely with Mount Sinai Internal Medicine Associates, whose patient population includes many patients from East and Central Harlem. The Diabetes Center sponsors community diabetes screenings in English and Spanish. * The Mount Sinai Emergency Department provides state-of-the-art emergency care for the residents of East Harlem and Northern Manhattan 24 hours/day 7 days/week and is a receiving hospital for the 911 ambulance system. It is organized into five treatment areas: Emergency Psychiatric Care, Adult Urgent Care, Chest Pain Unit, Adult Emergency Services, and Pediatric Emergency Services. On-site bilingual staff and social work services are available around the clock. Many initiatives have been introduced in response to community needs and concerns. * Martha Stewart Center for Living at Mount Sinai was established in 2007 as a state-of-the-art medical practice for the outpatient care of seniors, and will surely become a benchmark in geriatric patient care. The Center provides care for patients and training for physicians, and coordinates healthy-aging research and practices. * The Dubin Breast Center opened at the The Tisch Cancer Institute, providing patients with a multidisciplinary, comprehensive approach to breast cancer screening, treatment and survivorship in a serene setting. Dubin Breast Center offers state-of-the-art diagnostics, including 3-D mammography, and minimally invasive diagnostic procedures. Our highly skilled physicians are some of the most sought-after breast cancer experts in the country. Patients at the Dubin Breast Center have access to the latest approaches and techniques, such as seed localization. A team of breast cancer experts are specialized in the diagnosis and treatment of breast cancer patients and offer the most advanced services in breast cancer prevention, diagnosis, and treatment. * The Breast Health Resource Program (BHRP) is dedicated to meeting the emotional and practical needs of women and men with breast cancer. The program offers information, guidance, and critical support to patients from diagnosis through survivorship. Our clinical social workers offer highly individualized counseling to help manage the complex demands of a breast cancer diagnosis. The Breast Health Resource Program offers counseling, seminars, support groups, and a library of information about the latest breast cancer treatments * The Visiting Doctors Program at Mount Sinai provides hands-on, high quality medical care and social support to men and women with complex and serious illnesses who have difficulty leaving their homes. The program aims to help patients maximize their health and independence. The homebound population has traditionally been underserved by the medical community, but the Visiting Doctors Program works to fill that gap by providing ongoing primary medical care. Today, Visiting Doctors serves over 1,000 patients throughout Manhattan and is a national model for the care of this most vulnerable group. * The Mount Sinai S 6. Part of an Affiliated Health Care System The Hospital is part of the Mount Sinai Health System (MSHS, "the System") that was formed on September 30, 2013. The Mount Sinai Health System includes the Hospital, the Icahn School of Medicine at Mount Sinai, Beth Israel Medical Center (BIMC), The St. Luke's-Roosevelt Hospital Center (SLR) and the New York Eye and Ear Infirmary (NYEEI). MSHS is an integrated health care system and academic medical center. The efforts of the Mount Sinai Hospital are provided in detail in the previous sections of Part VI. BIMC, SLR and NYEEI conduct similar community outreach activities in their respective communities. As a new system, MSHS plans to begin to work together to better coordinate its community outreach and health promotion activities so as to reach more of those in need and have a more profound impact on their health status. 7. Schedule H, Part VI, line 7 Community Benefit Report Mount Sinai files a community service plan in New York State. false ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L LEVY PL NEW YORK NY 10029 136171197 501(C)(3) 46267493 FUND PHYSICIAN PRACTICE PROJECT INSTITUTE FOR FAMILY HEALTH 1879 MADISON AVENUE NEW YORK NY 10029 133273402 501(C)(3) 675000 COMMUNITY BENEFIT ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L LEVY PL NEW YORK NY 10029 136171197 501(C)(3) 1386413 FUND STRATEGIC PROJECT MOUNT SINAI HEALTH SYSTEM ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 464248304 501(C)(3) 24436132 FUND OPERATING LOSS BETH ISRAEL MEDICAL CENTER FIRST AVENUE AT 16TH STREET NEW YORK NY 10003 135564934 501(C)(3) 4722696 FUND OPERATING LOSS MSMC Realty Corporation ONE GUSTAVE L LEVY PL NEW YORK NY 10029 133852596 501(C)(3) 168648 FUND OPERATING LOSS ST LUKE'S-ROOSEVELT HOSPITAL CENTER 1111 AMSTERDAM AVE NEW YORK NY 100251716 132997301 501(C)(3) 25000000 FUND CAPITAL PROJECT SOUTH NASSAU COMMUNITIES HOSPITAL INC ONE HEALTHY WAY OCEANSIDE NY 115721551 111352310 501(C)(3) 20000000 FUND CAPITAL PROJECT 7 Part II, Line 1 The grant is to fund the operating loss of various off-site physician practices owned by the ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI. Detail review of the off-site physician practices financials are conducted. Part II, Line 2 The grant is to benefit the community and is funded to an exempt organization within the community. The entity is required to submit budget and reconciliations. Part II, Line 3 The grant is to fund various strategic programs to promote common mission of the HOSPITAL AND THE ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI. Part II, Line 4 The grant is to fund the operating loss of its related organization, MOUNT SINAI HEALTH SYSTEM. NO MONITORING IS REQUIRED SINCE THE ENTITY IS A RELATED TAX EXEMPT ORGANIZATION. Part II, Line 5 THE GRANT IS TO FUND THE OPERATING LOSS OF ITS RELATED ORGANIZATION, BETH ISRAEL MEDICAL CENTER. NO MONITORING IS REQUIRED SINCE THE ENTITY IS A RELATED TAX EXEMPT ORGANIZATION. Part II, Line 6 The grant is to fund the operating loss of its related organization, MSMC Realty Corporation. NO MONITORING IS REQUIRED SINCE THE ENTITY IS A RELATED TAX EXEMPT ORGANIZATION. Part II, Line 7 The grant is to fund various strategic capital projects at St Luke's-Roosevelt Hospital Center. NO MONITORING IS REQUIRED SINCE THE ENTITY IS A RELATED TAX EXEMPT ORGANIZATION. Part II, Line 8 The grant is to fund various strategic capital projects at South Nassau Communities Hospital. NO MONITORING IS REQUIRED SINCE THE ENTITY IS A RELATED TAX EXEMPT ORGANIZATION. X X X X false false false false false true true false false JEREMY BOAL MD EVP, SYSTEM CMO 343200 656800 66032 126368 230036 440233 9438 18062 10653 20388 659359 1261851 0 0 DENNIS CHARNEY MD 1 PRESIDENT, ACADEMIC AFFAIRS 371800 711533 132063 252737 208541 399095 9438 18062 6468 12378 728310 1393805 0 0 KENNETH DAVIS MD CHIEF EXECUTIVE OFFICER 823680 1576320 514800 985200 579907 1109798 9438 18062 24730 16494 1952555 3705874 0 0 BURTON P DRAYER EVP, SYSTEM CCA 0 300000 0 192400 0 1010232 0 27500 0 18511 0 1548643 0 0 BETH ESSIG ESQ EVP, GENERAL COUNSEL 343200 656800 165079 315921 25080 47996 9438 18062 610 1167 543407 1039946 0 0 ARTHUR KLEIN MD EVP, PRESIDENT OF HEALTH NTWK 573500 426500 86025 63975 281272 209176 15771 11729 6342 4717 962910 716097 0 0 MICHAEL PASTIER SVP, CHIEF FINANCIAL OFFICER 257400 492600 78248 149746 37610 71979 9438 18062 17242 32997 399938 765384 0 0 MARGARET PASTUSZKO EVP, CHIEF INTEGRATION OFFICER 269412 515588 174984 334876 6022 11524 9438 18062 16868 32281 476724 912331 0 0 DAVID L REICH MD PRESIDENT AND COO 1362500 0 161135 0 127318 0 27500 0 22548 0 1701001 0 0 0 DONALD T SCANLON EVP, FIANCE & CHIEF CORP SERV 353496 676504 165079 315921 117234 224356 9438 18062 9975 19089 655222 1253932 0 0 JEFFREY SILBERSTEIN EVP, SYSTEM CAO 269069 514931 113740 217669 37322 71428 9438 18062 1613 3086 431182 825176 0 0 FRANK CINO SVP, SYSTEM CHIEF RISK OFFICER 132132 252868 52495 100463 4961 9495 9438 18062 10649 20379 209675 401267 0 0 NIYUM GANDHI EVP, CHIEF POP. HEALH OFFICER 431320 320763 126433 94025 64358 47863 15771 11729 9335 6943 647217 481323 0 0 VICKI LOPACHIN SVP, SYSTEM CMO 444463 330537 42757 31798 50156 37301 15771 11729 2605 1937 555752 413302 0 0 CARYN SCHWAB SVP, EXECUTIVE DIRECTOR MSHQ 440000 0 67340 0 53403 0 22000 0 30261 0 613004 0 0 0 SAMIN SHARMA MD PROFESSOR, CARDIOLOGY 107988 104544 42341 40992 1010950 3866186 10799 10454 10811 10467 1182889 4032643 0 0 ABRAHAM WARSHAW EVP & MEDICAL DIRECTOR 398583 296417 63085 46915 29868 22213 15771 11729 19109 14211 526416 391485 0 0 Supplemental Information COMPENSATION FOOTNOTES OFFICERS OF THE BOARD OF TRUSTEES HOURS REFLECT SERVICE TO ALL RELATED ORGANIZATIONS OF MOUNT SINAI HEALTH SYSTEM, INC. (1) EMPLOYEE HAS AN OUTSTANDING LOAN REFLECTED IN SCHEDULE L, PART II OF THE ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI FORM 990. OTHER REPORTABLE COMPENSATION FOR OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES AS IDENTIFIED IN THE FORM 990, PART VII, AND LISTED ON SCHEDULE J MAY INCLUDE VARIOUS TYPES OF SUPPLEMENTAL WAGES. SCHEDULE J, PART I, LINES 6A & 6B THE HOSPITAL ANSWERED YES TO QUESTIONS 6A AND 6B IN SCHEDULE J AS THE INSTITUTION UTILIZES AN INCENTIVE BASED BONUS PROGRAM FOR CERTAIN EMPLOYEES, INCLUDING SEVERAL OF THOSE EMPLOYEES LISTED IN SCHEDULE J. NET EARNINGS IS ONE OF THE SEVERAL METRICS UTILIZED BY THE INSTITUTION IN THE ANNUAL BONUS CALCULATION. OTHER METRICS UTILIZED IN THE INCENTIVE COMPENSATION MODEL INCLUDE THE ORGANIZATION'S PERFORMANCE ON THE JCAHO HOSPITAL CORE MEASURES, PATIENT SATISFACTION SCORES, AND OTHER ORGANIZATIONAL GOALS SUCH AS LENGTH OF STAY INITIATIVES. INDIVIDUALS THAT HAVE RESPONSIBILITIES IN RELATED ORGANIZATIONS TO THE HOSPITAL MAY HAVE INCENTIVES BASED ON THE PERFORMANCE OF THESE ORGANIZATIONS AS WELL AS THAT OF THE HOSPITAL. A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649905Q58 2010-06-10 384374400 REFINANCE OUTSTANDING DEBT 5/18/00 false false false B DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000296 649906MB7 2011-10-27 60604208 CONSTRUCT ALLOCABLE SHARE - RESEAR false false false C BUILD NYC RESOURCE CORPORATION 454040561 999999999 2013-12-19 112000000 CONSTRUCT QUEENS CAMPUS false false false A 0 0 349325755 32949850 0 0 950618 0 0 0 348354781 20355 2010 true false true true B 0 0 66250960 4248750 2935618 0 1074778 0 0 56637805 1348211 5798 2013 false false true true C 0 0 112208059 0 0 0 387224 0 0 109884316 934270 1002149 2017 false false true true A 0 B false false true true false 0.00000 0.00000 0.00000 false false false false C false false true true false 0.00100 0.00000 0.00100 false false false true A false false false false 0 false 0 false B false false false false 0 false 0 true C false false false 0 0 A true B true C SCHEDULE K SUPPLEMENTAL INFORMATION PART II, LINE 3, ISSUE A: TOTAL PROCEEDS PER TAX CERTIFICATE = $348,374,400 + INVESTMENT EARNINGS OF $451,355 = $349,325,755 PART II, LINE 3, ISSUE B: TOTAL PROCEEDS PER TAX CERTIFICATE = $66,064,208 + INVESTMENT EARNINGS OF $186,752 = $66,250,960 PART II, LINE 3, ISSUE C: TOTAL PROCEEDS PER TAX CERTIFICATE = $112,000,000 + INVESTMENT EARNINGS OF $208,059 = $112,208,059 PART II, LINE 7, ISSUE C: THE AMOUNT SHOWN IN FORM 8038 FOR ISSUE COSTS EXCEEDED BY $1,500 THE ACTUAL ISSUANCE COSTS PAID FROM BOND PROCEEDS AS A RESULT OF AN OVERESTIMATION IN THE FORM 8038 OF SOME OF THE ISSUANCE COSTS. THE NUMBER ON THE FORM IS THE ACTUAL ISSUANCE COSTS PAID FROM THE PROCEEDS. PART III, LINE 3A: THE ORGANIZATION HAS ONE MANAGEMENT AGREEMENT WHICH COMPLIES WITH REVENUE PROCEDURE 97-13. PART III, LINE 9: THE ORGANIZATION IS CONSIDERING DEVISING PROCEDURES TO ENSURE THAT IF ANY BONDS BECOME NON-QUALIFIED, THEY WILL BE REMEDIATED IN ACCORDANCE WITH REGULARED SECTIONS 1.141-12 AND 1.145-2. PART IV, LINE 7: THE BOND ISSUER (INDICATED IN PART 1, COLUMNS A AND B) DIRECTS AND MONITORS INVESTMENTS AND TAKES SOLE RESPONSIBILITY FOR COMPLIANCE WITH THE REQUIREMENTS OF SECTION 148. THE ORGAINZATION DOES NOT DIRECT THE INVESTMENT OF BOND PROCEEDS. FOR COLUMN C, THE ORGANIZATION DIRECTED AND MONITORED INVESTMENTS BASED ON AN EXPECTED DRAW SCHEDULE AND TAKES SOLE RESPONSIBILITY FOR COMPLIANCE WITH THE REQUIREMENTS OF SECTION 148. FOR COLUMN C, SINCE THE DATE OF ISSUE OF THE MONDS, NOT INVESTMENT YIELDS EXCEEDED THE BOND YIELD. PART V: THE ORGAINZATION IS AWARE THAT A VOLUNTARY CLOSING AGREEMENT PROGRAM IS AVAIABLE IF A VIOLATION OF THE FEDERAL TAX REQUIREMENTS, SHOULD THEY OCCUR, CANNOT BE CORRECTED THROUGH SELF-REMEDIATION UNDER APPLICABLE REGULATIONS. THE ORGANIZATION IS CONSIDERING DEVELOPING PROCEDURES TO ENSURE THAT IN THE EVENT FEDERAL TAX VIOLATIONS OCCUR THAT CANNOT BE CORRECTED THOUGH SELF-REMEDIATION, SUCH VIOLATION WILL QUALIFY FOR RESOLUTION THROUGH THE VOLUNTARY CLOSING AGREEMENT PROGRAM. BRIAN SCANLON DONALD SCANLON, OFFICER 77921 COMP. AS AN EMPLOYEE false DAVID SCANLON DONALD SCANLON, OFFICER 70619 COMP. AS AN EMPLOYEE false JOSHUA FRIEDMAN RICHARD FRIEDMAN, OFFICER 65732 COMP. AS AN EMPLOYEE false Michael Pastier Jr Michael Pastier, Officer 51772 COMP. AS AN EMPLOYEE false Schedule L, Part IV, Column D FAMILY RELATIONSHIPS WITH INTERESTED PERSONS Officer Donald Scanlon has a family relationship with Brian & David Scanlon who are employed at The Mount Sinai Hospital. Officer Richard Friedman has a family relationship with Joshua Friedman who is employed at The Mount Sinai Hospital. Officer Michael Pastier has a family relationship with Michael Pastier, Jr who is employed at the Mount Sinai Hospital. X 223 resale value X 7100 resale value X 6 898130 FMV false true false PART 1 LINE 9 COLUMN B REPRESENTS NUMBER OF CONTRIBUTIONS. FORM 990 SUPPLEMENTAL INFORMATION Part I, Line 5 Number of Employees Employees of The Mount Sinai Hospital and The Icahn School of Medicine at Mount Sinai, including employees providing services at Elmhurst Hospital Center and Queens Hospital Center, utilize a common paymaster under the Hospital's tax identification number. The total number of employees reported under The Mount Sinai Hospital's tax Identification number with the common paymaster system is 30,869 individuals. The number of direct Hospital employees is 17,842 individuals. Part VI, Section A, Line 2 Family/Business Relationships Trustees Edgar Cullman, Jr. and Susan Cullman have a family relationship. Trustees Steven Hochberg and James Flynn have a business relationship. Trustees Steven Hochberg and Joel Picket have a business relationship. Trustees Marc Lipschultz and John Hess have a business relationship. Officers Kenneth Davis, MD and Dennis Charney, MD have a business relationship. Officer Kenneth Davis, MD and Trustee David Windreich have a business relationship. Officer Kenneth Davis, MD and Trustee Bonnie Davis have a family relationship. Officer Dennis Charney, MD and Trustee David Windreich have a business relationship. Part VI, Section A, Line 4 Governing Documents On January 22, 2018, the Bylaws for The Mount Sinai Hospital were amended to (i) provide that the Board of Trustees of those entities shall meet at least four (4) times each year and (ii) change the name of the "Medical Education Committee" to the "Education Committeeto eliminate the "Graduate School Committee". Then on November 26, 2018, the Bylaws of The Mount Sinai Hospital were amended to (i) permit the role of Chairman of the Board to be held by one or two people, as determined by the Board of Trustees and (ii) to create the position of Emeritus Chair, to be held by a former Chairman and setting forth the powers and duties of that position. Part VI, Section A, Line 6 Mount Sinai Hospitals Group, Inc. is the Sole Member of the organization. Part VI, Section A, Line 7a The Member has the power to elect the members of the governing body of the organization. Part VI, Section A, Line 7b The Board of Trustees of the organization cannot amend the bylaws without the consent of the Member if such amendment removed any powers of the Member. PART VI, SECTION B, LINE 11B Form 990 provided to governing body The Finance Department gathered the relevant information and prepared the tax returns. The Tax department of our outside auditors, Ernst & Young (EY), participated in the preparation of, and reviewed, all tax returns. A questionnaire was circulated to all trustees (i.e., directors), officers and key employees in order to elicit the information required to be reported on the tax returns. The Trustee Conflicts of Interest Review Committee reviewed the responses provided by trustees and certain officers in the questionnaires and assessed additional pertinent facts gathered by the institution in order to evaluate the applicability of IRS reporting requirements. The Review Committee then determined the appropriate trustee (and certain officer) disclosures that should be made on Form 990 based on the recommendations of the Finance Department, the General Counsel's office and the Audit and Compliance Department. These recommendations were reviewed and approved by EY. The same process was conducted by the Finance Department, the General Counsel's office, the Audit and Compliance Department and EY with respect to the questionnaires submitted by other officers and key employees. The Audit and Compliance Committee of the Board of Trustees conducted a review of the entire tax return, with the participation of EY, the Finance Department, the General Counsel's office, and the Audit and Compliance Department. The Audit Committee approved the tax returns as presented. The Audit Committee's report of its review of the tax returns and its recommendation to file the returns were presented to, and accepted by, the Executive Committee of the Board of Trustees (Executive Committee). In addition to authorizing the filing of the tax returns, the Executive Committee directed that the returns, which will be filed on or before November 15, 2019, be provided to all trustees via the trustees' confidential website, and those returns were so provided before being filed. Part VI, Section B, Line 12C Monitoring & enforcing compliance with the policy. Compliance with the Organization's Business Conflicts of Interest Policy (Policy) is required of trustees, employees, medical staff and non-employee members of institutional committees and includes an ongoing duty to disclose potential conflicts. Compliance with the Policy is monitored and enforced regularly and consistently. All disclosures with the potential for conflict are reviewed by an appropriate committee where they are carefully evaluated. When appropriate, a plan, which may involve measures including, but not limited to, recusal from participating in affected transactions, is developed to manage the potential conflict. Part VI, Section B, Line 15A & 15B Process for determination of compensation The Compensation, Employee Benefits and Employee Relations Committee of the Board of Trustees (Compensation Committee) determines the compensation for the CEO and other executives, including physician leaders, who are or may be disqualified persons as that term is defined in IRC Section 4958. The Compensation Committee also reviews the compensation of other senior and/or highly compensated personnel. The Compensation Committees' Operating Procedures are designed to ensure that the compensation of all such officers and key employees is reasonable (i.e. the value of services is the amount that would ordinarily be paid for like services by like enterprises under like circumstances), and with respect to disqualified persons to follow the specific steps outlined in the IRC regulations for establishing the rebuttable presumption of reasonableness that a transaction is not an excess benefit transaction. The Compensation Committee consists exclusively of independent trustees without any conflict of interest (as defined in the applicable IRC regulations) with regard to the compensation arrangements being reviewed or approved. The absence of any conflict of interest with respect to items on that meeting's agenda is confirmed at the beginning of each meeting of the Compensation Committee. The Compensation Committee selects and engages an independent, qualified compensation consultant which performs such valuations on a regular basis to provide appropriate comparability data. Comparability data includes, but is not limited to, compensation levels paid by similarly situated organizations, both taxable and tax-exempt, for functionally comparable positions; the availability of similar services in Mount Sinai's geographic area; current compensation surveys compiled by independent firms; customized surveys in specific circumstances, and actual written offers from similar institutions competing for the services of the disqualified person. The sources of the comparability data used by the compensation consultant are provided to the Compensation Committee. In appropriate circumstances formal written opinions are obtained from the Compensation Consultant. With respect to Executives as they are defined in the policy which includes all of the institution's disqualified persons, the Compensation Committee receives and reviews the comparability data and any analysis provided by the Compensation Consultant, as well as information provided by management, or in the case of the CEO, by the Chairman of the Board of Trustees, including information about the individual's performance, and for new employees, the individual's job description. When a written opinion is obtained from the Compensation Consultant, that written opinion is also reviewed by the Compensation Committee. After considering all of the facts, the Compensation Committee then determines the appropriate compensation in relation to the comparability data and in light of the written opinion, recommendations of the Compensation Consultant. As more fully set forth in the Compensation Committee's Operating Guidelines, the Compensation Committee also reviews the compensation arrangements for those other senior management and/or highly compensated personnel who are not Executives. The Compensation Committee is provided details of the compensation arrangement of the individual's job and job performance, the benchmark(s) used and, in certain cases, a description of the role of the Compensation Consultant and a brief description of why the arrangement is appropriate. The Compensation Committee contemporaneously documents in written minutes the terms of the transaction that was approved and the date it was approved; the members of the Compensation Committee who were present; the discussion at the Compensation Committee meeting; the comparability data and any other information obtained and relied on; how the comparability data was obtained; and the Compensation Committee's basis for the decisions, if the approved compensation is outside the range of comparability data. These minutes are prepared before the later of the next meeting of the Compensation Committee or 60 days after the final actions of the Compensation Committee are taken with respect to the compensation decisions made. The minutes are reviewed and approved by the Compensation Committee within a reasonable time thereafter before the later of the next meeting of the Compensation Committee or 60 days after the final actions of the Compensation Committee are taken with respect to the compensation decisions made. The minutes are reviewed and approved by the Compensation Committee within a reasonable time thereafter. Part VI, Section C, Line 19 Governing documents and conflict of interest policy available to the public. The organization makes its Business Conflicts of Interest Policy available on its website (www.mountsinai.org) and makes its governing documents and financial statements available upon request. Part VII, Line 2 Employees who received more than $100,000 in compensation Direct Hospital employees who receive more than $100,000 total 3,800. This excludes employees of the other entities for which the Hospital operates as the paymaster as described in the Schedule O explanation for IRS Form 990, Core Form Part I, Line 5. Part XI, Line 9 NET CHANGE IN CAPTIVE INSURANCE PROGRAM $41,684,787 CHANGE IN POST RETIREMENT LIABILITY (447,592) ROUNDING (1,400) TOTAL $41,235,795 FORM 990 PART IX LINE 11G DESCRIPTION:CARTS TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:FREIGHT & DELIVERY TOTAL FEES:3357428 FORM 990 PART IX LINE 11G DESCRIPTION:TEMPORARY AGENCIES TOTAL FEES:9757549 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:3440546 FORM 990 PART IX LINE 11G DESCRIPTION:AMBULANCE SERVICES TOTAL FEES:675001 FORM 990 PART IX LINE 11G DESCRIPTION:ORGAN TRANSPORT TOTAL FEES:1392918 FORM 990 PART IX LINE 11G DESCRIPTION:UNOS REGISTRATION FEES TOTAL FEES:794856 FORM 990 PART IX LINE 11G DESCRIPTION:STORAGE TOTAL FEES:489554 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER OUTSIDE SERVICES TOTAL FEES:XXX-XX-XXXX Mount Sinai PPS LLC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 472915052 DSRIP PROGRAM NY 61445888 4475474 MSH MSHS 150 LLC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 000000000 SUPPORT 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MSMC REALTY CORPORATION DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, MOUNT SINAI MEDICAL CENTER ARE ALL MEMBERS OF THIS ENTITY. Part II, Line 5, column F MSMC RESIDENTIAL REALTY LLC DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, THE MSMC REALTY CORPORATION AND THE MSMC RESIDENTIAL REALTY MANAGER, INC. ARE ALL MEMBERS OF THIS ENTITY. Part II, Line 7, column F MSMC RESIDENTIAL REALTY MANAGER, INC DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, THE MSMC REALTY CORPORATION ARE ALL MEMBERS OF THIS ENTITY.