2018-11-13T18:31:22-06:00 2017-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2017-01-01 132997301 ST LUKE'S-ROOSEVELT HOSPITAL CENTER % KENNETH BARRITT STLU 2126054217 1111 AMSTERDAM AVENUE NEW YORK NY 10025 DONALD SCANLON EVP,SYSTEM CFO & CCS 6466054217 2018-11-07 true LAURA KIELCZEWSKI P00740769 2127733000 164.57.159.253 26308520183175000066 2018-11-13 P 050F75853A9F423F493495C03CDD05FDA32C01D0 D7645E384763AEB8339B885771554B833BC3ADBE 2017 2019-02-21 02:37:17Z See Schedule O DONALD SCANLON 150 WEST 42ND STREET NEW YORK NY 10017 1213912959 false X http://www.mountsinaihealth.org/ X 1864 NY SERVES THE HEALTH CARE NEEDS OF THE NY COMMUNITY THRU PRIMARY&TERTIARY CARE SVCS TO INPATIENTS & OUTPATIENTS WHILE ALSO PROVIDING CLINICAL EDUCATION&ENGAGING IN CLINICAL RESEARCH. 36 36 7278 444 703045 -90804 2693174 12832976 929589705 1049483130 112992468 38310118 96463794 113286735 1141739141 1213912959 0 0 0 0 580730359 628202472 0 0 0 479280107 534151594 1060010466 1162354066 81728675 51558893 946785909 1120046895 886205037 1005324220 60580872 114722675 ST. LUKE'S-ROOSEVELT HOSPITAL CENTER, FORMED BY MERGER IN 1979, IS A COMBINATION OF THREE HOSPITALS, EACH WITH A DISTINGUISHED HISTORY OF ACCOMPLISHMENT AND PUBLIC SERVICE. ST. LUKE'S HOSPITAL WAS FOUNDED IN 1846, IN AFFILIATION WITH THE EPISCOPAL CHURCH TO PROVIDE CARE FOR THE SICK POOR. WOMEN'S HOSPITAL WAS ESTABLISHED IN 1855, FOR THE TREATMENT OF DISEASES PECULIAR TO WOMEN. ROOSEVELT HOSPITAL, CHARTERED IN 1864, WAS DEDICATED TO THE RECEPTION AND RELIEF OF SICK AND DISEASED PERSONS. THE MISSION OF ST. LUKE'S-ROOSEVELT HOSPITAL CENTER IS TO PROVIDE COMPASSIONATE PATIENT CARE WITH SEAMLESS COORDINATION AND TO ADVANCE MEDICINE THROUGH UNRIVALED EDUCATION, RESEARCH, AND OUTREACH IN THE MANY DIVERSE COMMUNITIES WE SERVE. false false 1081544328 0 1053185854 THE HOSPITAL PROVIDES SIGNIFICANT LEVELS OF TERTIARY CARE AND SPECIALIZED SERVICES AND PROGRAMS TO TREAT COMPLEX CLINICAL CONDITIONS. THESE INCLUDE A COMPREHENSIVE CARDIOVASCULAR SURGERY PROGRAM, AN ENDOCRINOLOGY AND OBESITY PROGRAM, A COMPREHENSIVE HAND SURGERY PROGRAM, A RENAL TRANSPLANT PROGRAM AND ONE OF THE LARGEST INPATIENT/OUTPATIENT AIDS PROGRAMS IN NEW YORK CITY. IN ADDITION, THE HOSPITAL MAINTAINS A FULL RANGE OF OUTPATIENT SERVICES. THE HOSPITAL HAS BEEN DESIGNATED AS A TRAUMA CENTER BY THE EMERGENCY MEDICAL SYSTEM OF THE CITY OF NEW YORK AND HAS BEEN DESIGNATED AS A DEPARTMENT OF HEALTH. THE HOSPITAL SERVICED INPATIENTS AND PROVIDED 297,880 CLINIC VISITS AND 143,103 EMERGENCY ROOM VISITS. OVER 77% OF THE APPROXIMATELY 208,122 PATIENT DAYS WERE PROVIDED TO MEDICARE AND MEDICAID PATIENTS. AS A MATTER OF POLICY, THE HOSPITAL PROVIDES CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL PROVIDED OVER $81,407,337 OF CHARITY CARE SERVICES AND INCURRED $17,877,600 BAD DEBTS DURING 2017. 1081544328 true true false false false false false false false true true false false true true false false true false false true false false false false false true true false false true false false false false false false false false true false false false true true true true false false true 410 0 true 7278 true true true false false false false true true false false false false X 36 36 true false false false true true true true true false false true true true true true true true true false NY X KENNETH BARRITT 6466054217 150 WEST 42ND STREET NEW YORK NY 10017 SUSAN R CULLMAN TRUSTEE/VICE CHAIR 2.0 14.0 X X 0 0 0 JOEL S EHRENKRANZ TRUSTEE/VICE CHAIR 2.0 14.0 X X 0 0 0 BLAINE V FOGG TRUSTEE/VICE CHAIR/SECRETARY 2.0 14.0 X X 0 0 0 DONALD J GOGEL TRUSTEE/VICE CHAIR 2.0 14.0 X X 0 0 0 STEVEN HOCHBERG TRUSTEE/VICE CHAIR 2.0 14.0 X X 0 0 0 JOHN A LEVIN TRUSTEE/VICE CHAIR 2.0 14.0 X X 0 0 0 PETER W MAY CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 ERIC MINDICH TRUSTEE/VICE CHAIR 2.0 14.0 X X 0 0 0 MICHAEL MINIKES TRUSTEE/SR V CHAIR/TREASURER 2.0 21.0 X X 0 0 0 JOEL I PICKET TRUSTEE/VICE CHAIR 2.0 17.0 X X 0 0 0 RICHARD RAVITCH TRUSTEE/VICE CHAIR 2.0 17.0 X X 0 0 0 JUDITH O RUBIN TRUSTEE/VICE CHAIR 2.0 14.0 X X 0 0 0 ANDREW M SAUL TRUSTEE/VICE CHAIR 2.0 15.0 X X 0 0 0 THOMAS W STRAUSS TRUSTEE/VICE CHAIR 2.0 14.0 X X 0 0 0 JAMES S TISCH TRUSTEE/SR VICE CHAIR 2.0 14.5 X X 0 0 0 BOBBIE ABRAMS TRUSTEE 1.0 5.0 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 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 6.0 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 TRUSTEE 1.0 5.0 X 0 0 0 MICHAEL ZIMMERMAN TRUSTEE 1.0 3.0 X 0 0 0 MALCOLM REID MD TRUSTEE (EX OFFICIO) 1.0 0.0 X 0 0 0 PETER CROWLEY TRUSTEE (END 4/17) 1.0 5.0 X 0 0 0 STANLEY KOMAROFF TRUSTEE (END 4/17) 1.0 5.0 X 0 0 0 EUGENE MERCY TRUSTEE (END 4/17) 1.0 6.0 X 0 0 0 JAMES W CRYSTAL VICE CHAIR 2.0 14.0 X 0 0 0 BONNIE M DAVIS VICE CHAIR (EFF 4/17) 2.0 14.0 X 0 0 0 GLENN DUBIN VICE CHAIR 2.0 14.0 X 0 0 0 RICHARD A FRIEDMAN VICE CHAIR 2.0 14.0 X 0 0 0 HENRY R KRAVIS VICE CHAIR 2.0 14.0 X 0 0 0 HON ROBERT E RUBIN SR VICE CHAIR 2.0 14.0 X 0 0 0 JEREMY BOAL MD 2 EVP, SYSTEM CMO 6.0 53.0 X 213021 1639336 56741 MICHAEL BRUNO 2 SVP, CHIEF FINANCIAL OFFICER 27.5 31.5 X 309318 309318 40994 DENNIS CHARNEYMD12 PRESIDENT, ACADEMIC AFFAIRS 5.0 54.0 X 197163 2108833 45108 KENNETH DAVIS MD 24 CHIEF EXECUTIVE OFFICER 9.0 49.5 X 1919302 10471286 67326 BURTON P DRAYER 2 EVP, SYSTEM CCA 7.0 50.5 X 188116 1316812 44800 BETH ESSIG ESQ 2 EVP, GENERAL COUNSEL 8.0 54.5 X 188736 1036823 28777 EVAN FLATOW MD 2 PRESIDENT- MSW 42.5 0.0 X 1099362 341668 56324 ARTHUR GIANELLI 2 PRESIDENT- ST LUKE'S 55.0 0.0 X 985651 0 31381 ARTHUR KLEIN MD 2 EVP, PRESIDENT HEALTH NETWORK 13.0 46.0 X 359062 1132058 37661 MARGARET PASTUSZKO 2 EVP, SYSTEM CIO 10.0 46.5 X 253681 1087837 66914 DONALD T SCANLON 2 EVP, FINANCE & CHIEF CORP SERV 8.0 56.5 X 287614 1580008 56750 JEFFREY SILBERSTEIN 2 EVP, SYSTEM CAO 8.0 48.5 X 170893 938801 31605 FRANK CINO 2 SVP, SYSTEM CHIEF RISK OFFICER 9.0 47.5 X 89505 492077 53212 TRACY BREEN 2 CHIEF MEDICAL OFFICER 55.0 0.0 X 674532 0 55440 KELLY CASSANO 2 SENIOR MEDICAL DIRECTOR 55.0 0.0 X 661804 0 32174 GUY THOMAS COURBOIS 2 CHIEF OPERATING OFFICER 55.0 0.0 X 415888 0 47093 TIMOTHY DAY 2 CHIEF OPERATING OFFICER 55.0 0.0 X 691831 0 49260 LUC XENOPHON FILLAS2 CHIEF TRANSFORMATION OFFICER 55.0 0.0 X 399388 0 33423 LAWRENCE ATTIA 2 FORMER EX-OFFICIO TRUSTEE 55.0 0.5 X 158989 0 40230 9263856 22454857 875213 1358 true true true Lend Lease Construction LMB Inc 200 Park Ave 9th Floor NEW YORK NY 10166 Const Cvs Inc Mat 15591021 TURNER CONSTRUCTION CO 375 HUDSON STREET 6 FLOOR NEW YORK NY 10014 Const Svs Inc Mat 21597214 MORRISON MANAGEMENT SPECIALIST INC PO BOX 102289 ATLANTA GA 303682289 Food Svc Prod & Mang 6520361 FRESH MEADOW MECH CORP 65-01 Fresh Meadow Lane FRESH MEADOW NY 11365 Power Gener/Boiler 14416319 MANHATTAN BUS INTERIORS 48 West 37 str 9th floor NEW YORK NY 10018 Construction Mang 6108254 69 12832976 172314 12832976 PATIENT SERVICE REVENUE 621110 1044004894 1044004894 COMMUNITY MENTAL HEALTH ALCOHOL INCOME 624100 2666056 2666056 PATHOLOGY LAB 621500 2812180 2109135 703045 1049483130 5412426 5412426 0 0 4097922 4097922 0 4097922 4097922 32897692 32897692 32897692 32897692 0 0 0 0 0 0 0 0 0 HEALTHFIRST MANAGED CARE POOL (LOSS) 900099 -3113613 -3113613 REVENUE FROM DRUG STUDIES & NIH GRANTS 900099 6816337 6816337 CAFETERIA/VENDING INCOME 531390 3209011 3209011 102277078 102277078 109188813 1213912959 1052482809 703045 147894129 0 0 0 0 6430632 5585476 845156 158989 158989 462774060 401932334 60841726 38510112 34659101 3851011 85178511 76800416 8378095 35150168 31635151 3515017 2490441 2490441 678329 619720 58609 1394851 1394851 0 0 0 142817460 142817460 2608224 2608224 29847790 28551530 1296260 11394617 11394617 0 29695425 29695425 2453996 2391861 62135 0 318255 289612 28643 10203121 10203121 0 52593842 52593842 22243416 22243416 MEDICAL SUPPLIES 168744699 168744699 BAD DEBT 17877600 17877600 PASS THROUGH EXPENSES 2564758 2564758 DUES AND MEMBERSHIPS 739372 739372 35485398 34947163 538235 1162354066 1081544328 80809738 0 37005706 63774664 0 0 4367972 4761729 103079536 107636128 0 0 0 0 0 0 14504234 16396327 6751010 5328992 1667030175 1109262070 444388629 557768105 7832375 8948403 34730164 36918373 8438446 8107479 0 0 285687837 310406695 946785909 1120046895 164742611 184993486 0 0 0 0 0 0 0 0 0 0 256912741 243577527 0 0 464549685 576753207 886205037 1005324220 X -33848342 8578662 34508009 46400927 59921205 59743086 60580872 114722675 946785909 1120046895 X 51558893 2742374 -159464 X false true X true true true X 59921205 500 178619 59743086 59920367 838 59921205 59810767 109600 59920367 59802487 8280 59810767 59789437 13050 59802487 1.00000 false false 4011676 4011676 21596090 922472280 614926550 329141820 66117885 63254298 2863587 518436984 430879902 87557082 134395260 201320 134193940 557768105 SECURITY DEPOSIT RECEIVABLE 337986 OTHER DEPOSITS RECEIVABLE 35400 MORTGAGE RESERVE FUND 37332567 DEPRECIATION RESERVE FUND 3000 OTHER ASSETS 698266 ESCROW FUND AS REQUIRED 3764988 SPECIFIC PURPOSE FUNDS 65810609 REINSURANCE RECEIVABLES 177962582 MODERNIZATION FUND 24461297 310406695 0 OTHER CURRENT LIABILITIES 21039297 OTHER NON-CURRENT LIABILITIES 167419382 ACCRUED PENSION & POSTRETIREME 64188529 DUE TO AFFILIATED ORGANIZATION 32953137 INSURED LIABILITIES 177962582 DUE TO THIRD PARTY PAYERS 113190280 576753207 SCHEDULE D, PART V, LINE 4 - INTENDED USE OF ENDOWMENT FUNDS PERMANENTLY RESTRICTED NET ASSETS HAVE BEEN RESTRICTED BY DONORS TO BE MAINTAINED BY ST. LUKE'S-ROOSEVELT HOSPITAL CENTER ("SLR") IN PERPETUITY AND THESE ENDOWMENT FUNDS ARE INCLUDED IN LONG TERM INVESTMENTS. UNDER THE POLICIES ESTABLISHED AND APPROVED BY SLR'S INVESTMENT COMMITTEE, DONOR-RESTRICTED ENDOWMENT FUNDS ARE INVESTED IN INCOME-GENERATING INVESTMENT VEHICLES TO GENERATE INCOME AND TO APPRECIATE AND PRESERVE CAPITAL. Central America and the Caribbean Investments 475079 475079 475079 false false true false false false true true X true X true X true true true false true true 27624294 17179430 10444864 0.00910 284415266 206282083 78133183 0.06830 312039560 223461513 88578047 0.07740 17014326 17014326 0.01490 89548022 33693706 55854316 0.04880 199826613 185633622 14192991 0.01240 2914265 2914265 309303226 222241593 87061633 0.07610 621342786 445703106 175639680 0.15350 false 17877600 173264174 204386850 -31122676 X true true 2 1 ST LUKE'S HOSPITAL 1111 AMSTERDAM AVENUE NEW YORK NY 10025 www.stlukeshospitalnyc.org 7002032H X X X X X 2 ROOSEVELT HOSPITAL 1000 TENTH AVENUE NEW YORK NY 10019 WWW.ROOSEVELTHOSPITALNYC.ORG 7002032H X X X X X ST LUKE'S 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 ROOSEVELT HOSPITAL 2 false false true X X X X X X X X X 17 true true false true X see part v, section c X true 18 true see part V, section C false true X 100 400. X X X X true true X X X X true X see part v, section c X see part v, section c X see part v, section c X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, LINE 3e 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 ST. LUKE'S AND ROOSEVELT HOSPITALS WERE CONDUCTED IN CONJUNCTION WITH EACH OTHER. schedule h, part v, line 7a The combined CHNA for St. Luke's Hospital and Roosevelt Hospital is located at the following link: https://www.mountsinai.org/files/MSHealth/Assets/MSSL/MSSL-MSW-CHNA-Decemb er2017. pdf Schedule H, Part V, Line 10a The combined implementation strategy for St. Luke's Hospital and Roosevelt Hospital is located at the following link: http://www.mountsinai.org/locations/st-lukes/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. Significant Community Health Needs Identified in the 2017 CHNA - 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 MSSL & MSL 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 MSSL & MSW activities that impact multiple needs. Health Professions Education The health professions education activities of MSSL & MSW respond to both the current and future community mental health needs. MSSL & MSW actively participates in over thirty 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 - Psychiatry Residency Mental Health Services Mental health care services are available at the hospital campuses, outpatient facilities, and physician practices throughout the community. As part of the Mount Sinai Health System, integrated resources such as electronic health records facilitate the referral of patients to needed services provided by other Mount Sinai hospital and health professionals. Specific mental health services available include the following: Behavioral health The MSSL & MSW hospital is dedicated to providing behavioral health services to meet the mental health needs of New York City. MSSL & MSW provides comprehensive, high-quality services that empower individuals to change their lives. MSSL & MSW effects changes in consumer education, outreach, and community collaboration; and helps to shape the future through leading-edge research and development of skilled professional staff to serve individuals and their communities. Mental health evaluation services The Access Center is the initial evaluative point of entry for those seeking psychiatric care at MSSL & MSW. All patients requesting treatment receive a comprehensive psychiatric evaluation that includes an extensive clinical interview and a standardized self-report outcome measure, Basis 24. Treatment recommendations are made if the various divisions of the Department of Psychiatry can offer appropriate treatment. If the programs of the Department of Psychiatry are unable to accommodate the patient's need for care, suggestions are made for care at other facilities. Adult Inpatient Services MSSL & MSW provides programs designed to accommodate the needs of each individual patient. On all inpatient psychiatric units, a therapeutic environment that promotes healing is provided. Active participation in the treatment process is encouraged. Inpatient Psychiatry MSSL & MSWs inpatient psychiatry units provide short-term, acute psychiatric treatment for adults ages 18 and older. Treatment modalities include group, family, and individual therapy and medication therapy. These services are designed to stabilize and prepare the patient for appropriate follow-up treatment in an outpatient setting. Inpatient Treatment Program Individualized treatment plans are developed based on a comprehensive assessment of medical, psychiatric, psychological, social, and functional status. Treatment focuses on alleviating symptoms and solving problems in order to enhance patients' ability to function. Therapy programs are used to help patients understand mental illness, develop coping skills, and promote self-esteem. Treatment programs include ones as follows: - Psychopharmacological management (prescribed medications); - Individual and group therapeutic activities; - Environment structuring/therapeutic environment; and - Patient/family education. Adult Outpatient Clinic The Acute Outpatient Psychiatry Clinic offers comprehensive outpatient treatment for persons diagnosed with Axis I or Axis II disorders whose course is characterized by acute, remitting episodes of illness. These include the treatment of persons with mood disorders, anxiety disorders, and other psychiatric disorders. Individuals with personality disorders are treated with a focus on a return to optimal functioning and improvement in their ability to live meaningful lives. Individuals with severe mental illnesses, such as schizophrenia and very unstable bipolar disorders, are treated at the Psychiatric Recovery Center. Group Therapy A wide variety of short- and long-term groups meet weekly, targeted to focus on particular diagnoses. General psychotherapy groups are offered as well. Most individuals will participate in group, rather than individual, psychotherapy. Individual Time-Limited Psychotherapy Time-limited psychotherapy includes weekly cognitive-behavioral therapy (CBT), dialectical behavioral therapy (DBT), brief psychodynamic therapy, interpersonal psychotherapy, and supportive treatment. Psychopharmacological Treatment Medication therapy may be the sole therapy for some patients, although it is most effective when combined with either group or individual therapy. After an initial period of more frequent visits for stabilization and medication management, patients are generally seen monthly, moving toward less frequent visits. Treatment for Spanish-Speaking Patients The Outpatient Psychiatric Clinic (OPC) offers individual, group, and psychopharmacological treatment in Spanish. Pediatric treatment The Child and Family Institute provides mental health and substance abuse treatment for patients aged 0 to 18 years old. Several specialized treatment programs within the Department of Child and Adolescent Psychiatry at Mount Sinai West constitute a range of care. B. Access to Primary Health Care Services by Individuals with Limited Resources The 2017 MSSL & MSW 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 MSSL & MSW activities that impact multiple needs. Health professions education The health professions education activities of MSSL & MSW respond to both current and future community primary health care needs. MSSL & MSW actively participates in over thirty residency and fellowship programs. Residency and fellowship programs that are especially related to primary health care services are as follows: - Emergency Medicine Simulation Residency, - Emergency Medicine Global Health Residency, - Emergency Medicine Residency, - Emergency Ultrasound Fellowship, - General Surgery Residency, - Internal Medicine Residency, - Obstetrics and Gynecology 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. Specific primary health care services include ones listed below: Mount Sinai Doctors, West 147th Street - Residents of Harlem are offered quality healthcare within their neighborhood. Board-certified medical doctors emerge from diverse backgrounds to provide a broad range of healthcare services to meet the communitys needs and acces Schedule H, Part V, Line 16a, 16b, & 16c THE FAP, THE FAP APPLICATION, AND THE PLAIN LANGUAGE SUMMARY OF THE FAP ARE ALL AVAILABLE AT THE FOLLOWING LINK: http://www.wehealny.org/services/financialassistance/index.html. 3 AMBULATORY PSYCHIATRIC CENTER 411 WEST 114TH STREET NEW YORK NY 10025 HOSPITAL EXTENSION CLINIC CTR FOR COMPREHENSIVE CARE W VILLAGE DIV 36 SEVENTH AVENUE NEW YORK NY 10011 HOSPITAL EXTENSION CLINIC SLR COMMUNITY CARE AT 59TH STREET 425 WEST 59TH STREET NEW YORK NY 10019 HOSPITAL EXTENSION CLINIC SCHEDULE H, PART I, LINE 6a: THE COMMUNITY BENEFIT REPORT IS SUBMITTED TO THE NYS DEPARTMENT OF HEALTH, AND IT DESCRIBES THE ROLE OF EACH OF THE HOSPITAL'S FACILITIES. SCHEDULE H, PART I, LINE 7: THE AMOUNTS REPORTED IN PART I, LINES 7A, 7B AND 7G WERE COMPUTED USING A RATIO OF COST TO CHARGES THAT WAS DERIVED FROM WORKSHEET 2 OF SCHEDULE H INSTRUCTIONS. SCHEDULE H, PART I, LINE 7g: ALL CLINICS INCLUDED AS SUBSIDIZED HEALTH SERVICES ARE CLINICS OF THE HOSPITAL. SCHEDULE H, PART I, LINE 7, COLUMN (F): BAD DEBT EXPENSE OF $17,877,600 WAS SUBTRACTED FROM TOTAL EXPENSES AS REPORTED ON FORM 990, PART IX, LINE 24, COLUMN (A) FOR PURPOSES OF CALCULATING THE PERCENTAGEs IN THIS COLUMN. SCHEDULE H, PART III, LINE 2: WHEN A DISCOUNT IS PROVIDED ON A PATIENT ACCOUNT, THIS IS ACCOUNTED FOR AS A CHARITY ALLOWANCE. CONVERSELY, WHEN NO PAYMENT OR ONLY PARTIAL PAYMENT IS MADE ON A PATIENT ACCOUNT, THIS IS ACCOUNTED FOR AS BAD DEBT EXPENSE. BILLINGS RELATING TO SERVICES RENDERED ARE RECORDED AS NET PATIENT SERVICE REVENUE IN THE PERIOD IN WHICH THE SERVICE IS PERFORMED, NET OF CONTRACTUAL AND OTHER ALLOWANCES WHICH REPRESENT DIFFERENCES BETWEEN GROSS CHARGES AND THE ESTIMATED RECEIPTS UNDER SUCH PROGRAMS. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE ALSO REDUCED FOR ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS. SCHEDULE H PART III, LINE 4: THE ORGANIZATION'S FOOTNOTE DISCLOSURE REGARDING BAD DEBT EXPENSE INCLUDES THE FOLLOWING: DEDUCTIBLES AND COPAYMENTS UNDER THIRD-PARTY PAYMENT PROGRAMS ARE THE PATIENT'S RESPONSIBILITY, AND THE ORGANIZATION 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 ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SCHEDULE H, PART III, LINE 8: THE HOSPITAL USED THE MEDICARE PORTION OF ALL INPATIENT AND OUTPATIENT PROGRAMS THAT OPERATE AT A DEFICIT, CALCULATED USING ONLY RCC TO CALCULATE COST, FOR INCLUSION IN SUBSIDIZED HEALTH SERVICES ON SCHEDULE H, PART III, LINE 7 FOR COMMUNITY BENEFIT. THIS IS PARTIALLY OFFSET BY SURPLUSES GENERATED BY OTHER PAYORS FOR THOSE SAME PROGRAMS. THE METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON SCHEDULE H, PART III, SECTION B, LINE 6 IS OBTAINED FROM THE INSTITUTIONAL COST REPORT WHICH USES COST PER DAY TO CALCULATE ROOM AND BOARD COSTS AND RCC FOR ANCILLARY AND OUTPATIENT COSTS. SCHEDULE H, PART III, LINE 9B: PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE OFFERED EXTENDED INTEREST FREE PAYMENT PLANS. IF A PATIENT DEFUALTS ON ITS PAYMENT AGREEMENT, THE PATIENT'S ACCOUNT WILL BE CONSIDERED DELINQUENT, AND WILL BE SUBJECT TO THE NORMAL COLLECTION PROCEDURES FOR ALL PATIENTS. HOWEVER, NO LEGAL ACTION MAY BE TAKEN UNTIL IT HAS BEEN DETERMINED THAT THE PATIENT HAS THE MEANS TO PAY OUTSTANDING BALANCES. IN NO SITUATION WILL THE HOSPITAL AUTHORIZE FORECLOSURE ON A PATIENT OR RESPONSIBLE PARTY'S PRIMARY RESIDENCE. SCHEDULE H, PART VI, LINE 2: NEEDS ASSESSMENT DESCRIPTION THE HOSPITAL COMPLETED ITS FIRST COMMUNITY HEALTH NEEDS ASSESSMENT DURING 2013 AND PERFORMED AN ADDITIONAL CHNA IN 2014 AS PART OF THE DSRIP PROCESS. THROUGHOUT THIS PROCESS, THE HOSPITAL WORKED COLLABORATIVELY WITH A NUMBER OF COMMUNITY-BASED ORGANIZATIONS, HEALTH FACILITIES, LOCAL ELECTED OFFICIALS, AND NEW YORK CITY COMMUNITY ADVISORY BOARDS. THE HOSPITAL ALSO HAS ITS OWN INTERNAL ADVISORY BOARD/COUNCIL THAT IS MADE UP OF REPRESENTATIVES OF THESE COMMUNITY PARTNERS AND INTERESTED LOCAL RESIDENTS. THROUGH THEIR PARTICIPATION, THE HOSPITAL SOLICITS COMMENTs ON THE HEALTH CARE NEEDS OF THE COMMUNITY, STRENGTHS AND WEAKNESSES OF THE HOSPITAL, AND CONSTRUCTIVE SUGGESTIONS FOR IMPROVEMENT. THESE COUNCILS ALSO PARTICIPATE IN CHOOSING THE HEALTH PRIORITIES OF THE COMMUNITY. SCHEDULE H, PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE INSTITUTION RECOGNIZES THAT MANY OF THE PATIENTS IT SERVES MAY NOT HAVE HEALTH INSURANCE OR THE FINANCIAL RESOURCES TO ACCESS QUALITY HEALTH CARE SERVICES WITHOUT FINANCIAL ASSISTANCE. ACCORDINGLY, THE INSTITUTION ADHERES TO ITS FINANCIAL ASSISTANCE POLICY, WHICH EXISTS IN ORDER TO ASSIST PATIENTS WITH GAINING ACCESS TO FINANCIAL ASSISTANCE. PATIENTS CAN OBTAIN INFORMATION ON HOSPITAL CHARGES AND ELIGIBILITY FOR GOVERNMENT OR HOSPITAL PROGRAMS PRIMARILY FROM THE HOSPITAL'S DEPARTMENT OF FINANCIAL COUNSELING. THE AVAILABILITY OF THE INSTITUTION'S FINANCIAL ASSISTANCE IS NOTED ON THE PATIENT'S BILL. ALSO, PATIENTS ARE ALERTED TO THE POLICY BY MULTI-LINGUAL SIGNAGE AND BROCHURES AT POINTS OF PATIENT SERVICE, INFORMATION DISTRIBUTED IN THE ADMISSION PACKAGE, AND THE INSTITUTION'S WEB SITE. ALL HOSPITAL STAFF ARE DIRECTED TO DISTRIBUTE STANDARD INFORMATION OR REFER INQUIRIES TO THE DEPARTMENT OF FINANCIAL COUNSELING OR WEBSITE. SCHEDULE H, PART VI, LINE 4: COMMUNITY INFORMATION THE HOSPITAL OPERATES TWO CAMPUSES, ST. LUKE'S AND ROOSEVELT. TOGETHER THEY SERVE THE WEST SIDE OF MANHATTAN FROM CENTRAL HARLEM/MORNINGSIDE HEIGHTS TO CHELSEA/CLINTON. THE RACIAL AND ETHNIC BACKGROUND OF PATIENTS IS DIVERSE, SERVICING PATIENTS OF ALL RACES AND RELIGIONS. AT ST. LUKE'S, A LARGE MAJORITY OF PATIENTS RECEIVE MEDICAID, MEDICARE, OR HAVE NO INSURANCE. AT ROOSEVELT, THE PERCENTAGE OF FAMILIES WITH CHILDREN EXCEEDS THE MANHATTAN AVERAGE, AS DOES THE MEDIAN AGE. SCHEDULE H, PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH QUANTIFIABLE EXPENSES ASSOCIATED WITH IMPROVING THE GENERAL HEALTH OF THE COMMUNITY HAVE BEEN REPORTED IN PART I. THESE ACTIVITIES INCLUDE HEALTH SCREENINGS AND OTHER ACTIVITIES THAT ARE CLOSELY TARGETED TO THE COMMUNITY'S HEALTH NEEDS. ST. LUKE'S-ROOSEVELT HOSPITAL CENTER (THROUGH THE WORK OF ITS DEPARTMENT OF GOVERNMENT AND COMMUNITY AFFAIRS AND ITS COMMUNITY OUTREACH PROGRAM) HAS FOCUSED ITS OUTREACH AND EDUCATION AS FOLLOWS: -AFRICAN AMERICANS AND LATINOS REPRESENT ONE OF THE HIGHEST-RISK GROUPS FOR TYPE 2 DIABETES AND HYPERTENSION IN TERMS OF PREVALENCE AND DISEASE BURDEN. THE DEPARTMENT OF GOVERNMENT AND COMMUNITY AFFAIRS HAS BEEN ADDRESSING HEALTH DISPARITIES IN THE UNDERSERVED COMMUNITIES BY PROVIDING INNOVATIVE OUTREACH ACTIVITIES OFFERED THROUGH THE DEPARTMENT'S COMMUNITY HEALTH EDUCATION AND OUTREACH PROGRAMS. LAST YEAR, THE DEPARTMENT PARTICIPATED IN MORE THAN 30 EVENTS, CONFERENCES, LECTURES, STREET FESTIVALS, CULTURAL FESTIVALS, AND OTHER COMMUNITY OUTREACH INITIATIVES, CONDUCTING HEALTH SCREENINGS WHICH INCLUDED BLOOD PRESSURE, TOTAL CHOLESTEROL, HDL, AND BLOOD GLUCOSE, AND PROSTATE CANCER, AT CHURCHES, BEAUTY SALONS, AND COMMUNITY CENTERS IN HARLEM. MORE THAN 1,250 PEOPLE (PREDOMINANTLY AFRICAN AMERICAN AND LATINO/HISPANIC) WERE SCREENED AND, WHEN MEDICALLY NECESSARY, REFERRED PARTICIPANTS TO ONE OF ST. LUKE'S OR ROOSEVELT HOSPITALS' MEDICAL FACILITIES. -IN ADDITION, THIS DEPARTMENT HAS LED THE BARBERSHOP QUARTET INITIATIVE AND CHOSEN PROGRAMS, (CHURCH-BASED HEALTH OUTREACH, SCREENING AND EDUCATION NETWORK) EACH SERVING AS A VEHICLE FOR DELIVERING SCREENING, PREVENTION AND HEALTH EDUCATION SERVICES TO A LARGELY INDIGENT AND MEDICALLY UNDERSERVED AND UNDERREPRESENTED MINORITY POPULATIONS. -THE NEW YORK OBESITY RESEARCH CENTER (TNYORC), AT ST. LUKE'S AND ROOSEVELT HOSPITAL, HAS A STRONG PROFESSIONAL EDUCATION PROGRAM, COMMITTED TO ADVANCING THE TRAINING OF PHYSICIANS AND SCIENTISTS WHO TAKE PRIDE IN SERVING AT-RISK MEMBERS OF OUR COMMUNITIES SURROUNDING HARLEM. ALTHOUGH SPECIFIC PHYSIOLOGICAL AND ENVIRONMENTAL FACTORS ARE KNOWN TO INCREASE THE RISK OF OBESITY, LITTLE IS KNOWN ABOUT HOW THESE FACTORS INTERACT IN INDIVIDUAL CHILDREN AND WITHIN ECONOMICALLY DISADVANTAGED COMMUNITIES WITH A HIGHER THAN AVERAGE PREVALENCE OF OBESITY, SUCH AS THOSE WITHIN SLR'S CATCHMENT AREA. OVER THE LAST DECADE, TNYORC'S HAS MADE COMBATING THE INCREASING CHILDHOOD OBESITY PROBLEM A PRIME FOCUS. THIS IS IN RESPONSE TO THE GROWING RACIAL AND ETHNIC DISPARITIES, AND DISPROPORTIONATE HEALTH OUTCOMES, EXPERIENCED IN OUR COMMUNITIES. SOME WAYS THEY HAVE STRIVED TO COMBAT THIS EPIDEMIC INCLUDE: -BODY COMPOSITION STUDIES: WHERE THEY UTILIZE THEIR PRE-EMINENT BODY COMPOSITION LABORATORY TO ACCOUNT FOR ACCURATE NON-INVASIVE MEASUREMENT OF BMI. -FOOD INTAKE STUDIES: WHERE THEY UTILIZE THE CHILD TASTE AND EATING LAB TO MAKE NUTRITIOUS FOOD MORE APPEALING AND EDIBLE TO CHILDREN. -EPIDEMIOLOGICAL STUDIES: WHERE THEY CONTINUALLY DESIGN RESEARCH PROJECTS THAT FOCUS ON AREAS THAT ASSESS LONG TERM IMPLICATIONS AND OUTCOMES OF CHILDHOOD OBESITY. THEREAFTER, THEY INTEND TO UTILIZE THIS RESEARCH TO DEVELOP NEW STRATEGIES FOR PREVENTING AND TREATING OBESITY, IN THE LATINO AND AFRICAN AMERICAN COMMUNITIES. ST. LUKE'S-ROOSEVELT HOSPITAL CENTER HAS ALSO COLLABORATED WITH NUMEROUS COMMUNITY-BASED ORGANIZATIONS TO ENSURE THAT THE HOSPITALS ARE ADDRESSING THE COMMUNITY'S HEALTH NEEDS. SCHEDULE H, PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM THE ORGANIZATION WORKS CLOSELY WITH ITS AFFILIATED HOSPITALS AS AN INTEGRATED HEALTH CARE PARTNERSHIP. LEADERSHIP IS COMMITTED TO WORKING WITH THE COMMUNITY AND WILL REMAIN COMMITTED TO ALLOCATING SUFFICIENT RESOURCES TO ENSURE THAT THE CLINICAL AND OUTREACH SERVICES OF EACH OF THE AFFILIATED HOSPITALS IS RESPONSIVE TO THE COMMUNITY HEALTH NEEDS BY PROVIDING HIGH QUALITY, ACCESSIBLE, AND COMPASSIONATE HEALTH CARE TO THE MAXIMUM EXTENT POSSIBLE. SCHEDULE H, PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT NEW YORK X X X X false true false false false false false false false JEREMY BOAL MD 2 EVP, SYSTEM CMO 115000 885000 22310 171690 75711 582646 3105 23895 3420 26321 219546 1689552 0 0 MICHAEL BRUNO 2 SVP, CHIEF FINANCIAL OFFICER 278979 278979 24250 24250 6089 6089 11340 11340 9157 9157 329815 329815 0 0 DENNIS CHARNEYMD12 PRESIDENT, ACADEMIC AFFAIRS 85500 914500 33174 354826 78489 839507 2309 24691 1548 16560 201020 2150084 0 0 KENNETH DAVIS MD 24 CHIEF EXECUTIVE OFFICER 371760 2028240 0 0 1547542 8443046 4182 22818 6246 34080 1929730 10528184 1082320 4105180 BURTON P DRAYER 2 EVP, SYSTEM CCA 37500 262500 24250 169750 126366 884562 3375 23625 2225 15575 193716 1356012 0 0 BETH ESSIG ESQ 2 EVP, GENERAL COUNSEL 130900 719100 48815 268168 9021 49555 4158 22842 274 1503 193168 1061168 0 0 EVAN FLATOW MD 2 PRESIDENT- MSW 610320 189680 148003 45997 341039 105991 20598 6402 22371 6953 1142331 355023 0 0 ARTHUR GIANELLI 2 PRESIDENT- ST LUKE'S 750000 0 181875 0 53776 0 27000 0 4381 0 1017032 0 0 0 ARTHUR KLEIN MD 2 EVP, PRESIDENT HEALTH NETWORK 240800 759200 36120 113880 82142 258978 6502 20498 2567 8094 368131 1160650 0 0 MARGARET PASTUSZKO 2 EVP, SYSTEM CIO 148444 636556 97216 416884 8021 34397 5106 21894 7548 32366 266335 1142097 0 0 DONALD T SCANLON 2 EVP, FINANCE & CHIEF CORP SERV 158620 871380 74690 410310 54304 298318 4158 22842 4582 25168 296354 1628018 0 0 JEFFREY SILBERSTEIN 2 EVP, SYSTEM CAO 105336 578664 51461 282704 14096 77433 4158 22842 709 3896 175760 965539 0 0 FRANK CINO 2 SVP, SYSTEM CHIEF RISK OFFICER 59252 325748 24505 134725 5748 31604 4155 22845 4034 22178 97694 537100 0 0 TRACY BREEN 2 CHIEF MEDICAL OFFICER 535096 0 127313 0 12123 0 27000 0 28440 0 729972 0 0 0 KELLY CASSANO 2 SENIOR MEDICAL DIRECTOR 588203 0 72750 0 851 0 22680 0 9494 0 693978 0 0 0 GUY THOMAS COURBOIS 2 CHIEF OPERATING OFFICER 317516 0 72023 0 26349 0 22680 0 24413 0 462981 0 0 0 TIMOTHY DAY 2 CHIEF OPERATING OFFICER 541996 0 127313 0 22522 0 21600 0 27660 0 741091 0 0 0 LUC XENOPHON FILLAS2 CHIEF TRANSFORMATION OFFICER 323687 0 74205 0 1496 0 22680 0 10743 0 432811 0 0 0 LAWRENCE ATTIA 2 FORMER EX-OFFICIO TRUSTEE 158253 0 736 12250 27980 199219 0 SUPPLEMENTAL INFORMATION PART VII, SECTION A & SCHEDULE J COMPENSATION FOOTNOTES OFFICERS OF THE BOARD OF TRUSTEES HOURS REFLECT SERVICE TO ALL RELATED ORGANIZATIONS OF MOUNT SINAI HEALTH SYSTEM. (1) EMPLOYEE HAS AN OUTSTANDING LOAN REFLECTED IN SCHEDULE L, PART II OF ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI'S FORM 990. (2) COMPENSATION AND BENEFITS ARE FUNDED FROM THE MOUNT SINAI HOSPITAL, ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, BETH ISRAEL MEDICAL CENTER, ST. LUKE'S-ROOSEVELT HOSPITAL CENTER, AND/OR NEW YORK EYE AND EAR INFIRMARY. (3) 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. (4) THE CHIEF EXECUTIVE OFFICER WAS THE SOLE PARTICIPANT IN THE ORGANIZATION'S SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AND WAS PAID OUT HIS ONE TIME SERP PAYMENT OF $8,300,000 IN 2017. THE TOTAL PAYMENT INCLUDES SERP CONTRIBUTIONS OF $2,075,000 AND $3,112,500 WHICH WERE PREVIOUSLY REPORTED ON THE 2015 AND 2016 FORM 990, RESPECTIVELY. THE BENEFITS EARNED UNDER THE SERP ARE DESIGNED TO FUND THE CEO'S EVENTUAL RETIREMENT. THE CEO HAS WORKED AT MOUNT SINAI FOR 39 YEARS; 15 YEARS AS CEO. SCHEDULE J, PART I, LINE 4B THE CHIEF EXECUTIVE OFFICER WAS THE SOLE PARTICIPANT IN THE ORGANIZATION'S SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AND WAS PAID OUT HIS ONE TIME SERP PAYMENT OF $8,300,000 IN 2017. THE TOTAL PAYMENT INCLUDES SERP CONTRIBUTIONS OF $2,075,000 AND $3,112,500 WHICH WERE PREVIOUSLY REPORTED ON THE 2015 AND 2016 FORM 990, RESPECTIVELY. THE BENEFITS EARNED UNDER THE SERP ARE DESIGNED TO FUND THE CEO'S EVENTUAL RETIREMENT. THE CEO HAS WORKED AT MOUNT SINAI FOR 39 YEARS; 15 YEARS AS CEO. X 4 147314 FMV X Medical tonopens 1 25000 FMV false true false Schedule M, Part I, Column (b) THE NUMBER IN COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS. form 990, box c - doing business as st. luke's-roosevelt hospital center does business as Mount Sinai St.Luke's - Roosevelt Hospital Center which is comprised of two campuses: Mount Sinai St. Luke's and Mount Sinai West. Part VI, Line 1a The following individuals do not have voting rights: Peter Crowley, Stanley Komaroff, Eugene Mercy Jr. and Joan Sarnoff. FORM 990, PART VI, LINE 2 - BUSINESS AND FAMILY RELATIONSHIPS 1. TRUSTEES EDGAR CULLMAN, JR. AND SUSAN CULLMAN HAVE A FAMILY RELATIONSHIP 2. TRUSTEES STEVEN HOCHBERG AND JAMES FLYNN HAVE A BUSINESS RELATIONSHIP. 3. DR. BONNIE DAVIS AND DR. KENNETH DAVIS HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, LINE 6 MOUNT SINAI HOSPITALS GROUP, INC. IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, LINE 7A THE MEMBER HAS THE POWER TO ELECT THE MEMBERS OF THE GOVERNING BODY OF THE ORGANIZATION. FORM 990, PART VI, LINE 7B THE MEMBER HAS THE POWER TO ELECT THE MEMBERS OF THE GOVERNING BODY OF THE ORGANIZATION. IN ADDITION, THE BOARD OF TRUSTEES OF THE ORGANIZATION CANNOT AMEND THE BYLAWS WITHOUT THE CONSENT OF THE MEMBER IF SUCH AMENDMENT REMOVED ANY POWERS OF THE MEMBER. FORM 990, PART VI, LINE 11B 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, 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 (the "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, 2018, be provided to all trustees via the trustees' confidential website, and those returns were so provided before being filed. FORM 990, PART VI, LINE 12C MONITORING AND ENFORCING COMPLIANCE WITH THE POLICY Compliance with the Organizations Business Conflicts of Interest Policy (the Policy) is required of trustees, employees, medical staff and non-employee members of institutional committees and includes an ongoing duty to disclose potential conflicts. Compliance with the Policy is monitored and enforced regularly and consistently. All disclosures with the potential for conflict are reviewed by an appropriate committee where they are carefully evaluated. When appropriate, a plan, which may involve measures including, but not limited to, recusal from participating in affected transactions, is developed to manage the potential conflict. FORM 990, PART VI, LINES 15A & 15B Process for determination of compensation (FOR RELATED ORGS) The Compensation, Employee Benefits and Employee Relations Committee of the Board of Trustees (the Compensation Committee) determines the compensation for the CEO and other executives, including physician leaders, who are or may be disqualified persons as that term is defined in IRC Section 4958. The Compensation Committee also reviews the compensation of other senior and/or highly compensated personnel. The Compensation Committees' Operating Procedures are designed to ensure that the compensation of all such officers and key employees is reasonable (i.e. the value of services is the amount that would ordinarily be paid for like services by like enterprises under like circumstances), and with respect to disqualified persons to follow the specific steps outlined in the IRC regulations for establishing the rebuttable presumption of reasonableness that a transaction is not an excess benefit transaction. The Compensation Committee consists exclusively of independent trustees without any conflict of interest (as defined in the applicable IRC regulations) with regard to the compensation arrangements being reviewed or approved. The absence of any conflict of interest with respect to items on that meetings 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 Sinais 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 institutions 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 individuals performance, and for new employees, the individuals 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 Committees 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 individuals 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 Committees basis for the decisions, if the approved compensation is outside the range of comparability data. These minutes are prepared before the later of the next meeting of the Compensation Committee or 60 days after the final actions of the Compensation Committee are taken with respect to the compensation decisions made. The minutes are reviewed and approved by the Compensation Committee within a reasonable time thereafter. FORM 990, PART VI, LINE 19 Governing documents and 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. FORM 990, PART XI, LINE 9 - OTHER CHANGES IN NET ASSETS CHANGE IN PENSION AND POST-RETIREMENT BENEFITS: $(1,528,121) MS AMBULATORY JOINT VENTURE $ 1,368,657 Total: $(159,464) FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:91718742 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER TEMPORARY SERVICES TOTAL FEES:17812766 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SERVICES TOTAL FEES:26354228 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:3806120 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION AGENCY TOTAL FEES:3125604 SLRHC 425 WEST 59TH ST CONDO LLC 150 EAST 42ND STREET NEW YORK NY 10017 REAL ESTATE NY 7237497 42662776 SLR CONTINUUM HEALTH PARTNERS INC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 133939476 HOLDING CO NY 501(C)(3) 12 TYPE I NA false BETH ISRAEL MEDICAL CENTER FIRST AVENUE AT 16TH STREET NEW YORK NY 10003 135564934 HOSPITAL NY 501(C)(3) 3 MSHG true BIMC HOLDING CORPORATION FIRST AVENUE AT 16TH STREET NEW YORK NY 10003 133444730 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134012469 PRIVATE FDN NY 501(C)(3) PF NYEE true NYEEI HOUSING COMPANY INC 317-327 EAST 13TH STREET NEW YORK NY 10003 311696826 REAL ESTATE NY 501(C)(2) N/A NYEE true BETH ISRAEL MEDICAL CENTER FDN INC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 300571387 FUNDRAISING NY 501(C)(3) 7 BIMC true ST LUKE'S-ROOSEVELT HOSPITAL CENTER FDN 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 300571390 FUNDRAISING NY 501(C)(3) 7 SLR true THE MOUNT SINAI MEDICAL CENTER INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 136271888 SUPPORT NY 501(C)(3) 12 TYPE II MSHS false THE MOUNT SINAI HOSPITAL ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 131624096 HOSPITAL NY 501(C)(3) 3 MSHG true MITRAL FOUNDATION 1190 FIFTH AVENUE NEW YORK NY 10029 800468600 RESEARCH NY 501(C)(3) 12 TYPE I ISMMS false THE MOUNT SINAI CHILDREN'S CENTER FND ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 223059294 SUPPORT NY 501(C)(3) 12 TYPE I ISMMS false MSMC REALTY CORPORATION ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 133852596 REAL ESTATE NY 501(C)(3) 12 TYPE I SEE PART VII true MSMC RESIDENTIAL REALTY LLC 1425 MADISON AVENUE NEW YORK NY 10029 200244426 REAL ESTATE NY 501(C)(3) 12 TYPE I SEE PART VII true MOUNT SINAI DIAG & TREATMENT CENTER ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 450537391 DIAG CLINIC NY 501(C)(3) 3 MSH true MSMC RESIDENTIAL REALTY MANAGER INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 201289396 MANAGEMENT NY 501(C)(3) 12 TYPE II SEE PART VII true VALENTIN FUSTER MT SIANI FND FOR SCIENCE ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 800952088 SUPPORT NY 501(C)(3) 12 TYPE I ISMMS & MSH true MOUNT SINAI HEALTH SYSTEM INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 464248304 HOLDING CO NY 501(C)(3) 12 TYPE II NA false MOUNT SINAI HOSPITAL GROUP INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 464242915 HOLDING CO NY 501(C)(3) 12 TYPE II MSHS false ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 136171197 SCHOOL NY 501(C)(3) 2 MSHS false FOJP SERVICE CORPORATION 28 EAST 28TH STREET NEW YORK NY 10016 132914141 RISK MGMT NY 501(C)(3) 11 TYPE III NA false MOUNT SINAI HEALTH PARTNERS pc 150 EAST 42ND STREET NEW YORK NY 10017 812057452 healthcare NY 501(C)(3) 10 MSH false GREATER METROPOLITAN IPA II 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 133977019 INACTIVE NY BIMCSLR C 0.50000 false GREATER METROPOLITAN IPA V 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 134141695 INACTIVE NY BIMCSLR C 1587 0.50000 false MANHATTAN MANAGEMENT SERVICES 1780 BROADWAY 7TH FL NEW YORK NY 10019 133618543 MGMT SERVICES NY SLR C 5583989 2590901 1.00000 true SLR MANAGEMENT SERVICES 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 133853145 MGMT SERVICES NY SLR C 3694572 2112171 1.00000 true WEST CARE MEDICAL PC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 133811203 INACTIVE NY SLR C 27621 1.00000 false MOUNT SINAI HC VENTURES INC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 460953126 HEALTH CARE MGMT NY BIMC HOLDCO C false MOUNT SINAI GENOMICS INC 1425 MADISON AVE NEW YORK NY 10029 475349024 CLINICAL LAB DE ISMMS C false HIBER-CELL INC 850 NEW BURTON ROAD SUITE 201 DOVER DE 19904 820608182 clinical lab DE ismms c false amathus therapeutics inc 1506 boston providence highway ste norwood MA 02062 814373501 biotech/pharma MA ismms c false false false false false true false false false true false true true true true true true true true true the mount sinai hospital o 68254044 cost MANHATTAN MANAGEMENT SERVICES INC R 1148527 COST the MOUNT SINAI MEDICAL CENTER inc I 3304238 COST ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI P 105380253 COST icahn school of medicine at mount sinai o 35641665 cost icahn school of medicine at mount sinai q 66919044 cost icahn school of medicine at mount sinai n 6411816 cost Beth Israel Medical Center O 31558250 cost SCHEDULE R, PART II, COLUMN (F) DIRECT CONTROLLING ENTITY OF MSMC REALTY CORPORATION: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL AND THE MSMC REALTY CORPORATION ARE ALL MEMBERS OF THIS ENTITY. SCHEDULE R, PART II, COLUMN (F) DIRECT CONTROLLING ENTITY OF MSMC RESIDENTIAL REALTY LLC: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, THE MSMC REALTY CORPORATION AND THE MSMC RESIDENTIAL REALTY MANAGER, INC. ARE ALL MEMBERS OF THIS ENTITY. SCHEDULE R, PART II, COLUMN (F) DIRECT CONTROLLING ENTITY OF MSMC RESIDENTIAL REALTY MANAGER, INC: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL AND THE MSMC REALTY CORPORATION ARE ALL MEMBERS OF THIS ENTITY.