2025-11-15T17:44:56+00:00 2024-12-31 346565596 ERNST & YOUNG US LLP ONE MANHATTAN WEST NEW YORK NY 100018604 990 2024-01-01 132997301 ST LUKE'S-ROOSEVELT HOSPITAL CENTER STLU 2127313149 1111 AMSTERDAM AVENUE NEW YORK NY 10025 Vincent Tammaro EVP, MSHS 6466054224 2025-11-16 true Laura Mayo P01962945 2127733000 2025-11-16 2024 2025-03-06 01:10:19Z MOUNT SINAI MORNINGSIDE AND MOUNT SINAI WEST Vincent Tammaro 150 EAST 42ND STREET NEW YORK NY 10017 1756700667 false X HTTP://WWW.mountsinai.org/locations/morningside 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. 30 29 8470 380 0 3586872 10980305 1429539284 1508713763 9449870 5161679 185769467 231844920 1628345493 1756700667 17911271 19078315 0 862418175 1006322507 0 127095 844960154 924379498 1725289600 1949780320 -96944107 -193079653 1401883478 1389013318 1537796681 1707377952 -135913203 -318364634 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 1781126660 19078315 1735320561 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 248,140 CLINIC VISITS AND 108,535 EMERGENCY ROOM VISITS. OVER 75% OF THE APPROXIMATELY 258,730 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 $106,364,641 OF CHARITY CARE SERVICES AND INCURRED $22,320,422 BAD DEBTS DURING 2024. 1781126660 true true false false false false false false false true true false false true true true false true false false true false false false false false true true true true true false false false false false false false false false false true false false false true true true true false false true 436 0 true 8470 true false false false false false true true false false false false true false X 30 29 true false false false true true true true true false false false true true true true true true true true false false NY X MICHAEL PASTIER 2127313149 150 EAST 42ND STREET NEW YORK NY 10017 ANDREW SAUL TRUSTEE/VICE CHAIR 2.0 17.0 X X 0 0 0 BRAD KARP TRUSTEE/SECRETARY 2.0 16.0 X X 0 0 0 DONALD J GOGEL TRUSTEE/VICE CHAIRMAN 2.0 16.0 X X 0 0 0 ERIC MINDICH TRUSTEE/VICE CHAIRMAN 2.0 16.0 X X 0 0 0 JAMES NEARY TRUSTEE/VICE CHAIRMAN 2.0 16.0 X X 0 0 0 JAMES S TISCH TRUSTEE/CO-CHAIRMEN OF BOARD 2.0 16.0 X X 0 0 0 JEFF T BLAU TRUSTEE/VICE CHAIRMAN 2.0 16.0 X X 0 0 0 JOEL I PICKET TRUSTEE/VICE CHAIRMAN 2.0 16.0 X X 0 0 0 JOEL S EHRENKRANZ TRUSTEE/VICE CHAIRMAN 2.0 16.0 X X 0 0 0 JOHN A LEVIN TRUSTEE/VICE CHAIRMAN 2.0 16.0 X X 0 0 0 JOHN B HESS TRUSTEE/VICE CHAIRMAN 2.0 16.0 X X 0 0 0 JUDITH O RUBIN TRUSTEE/VICE CHAIRMAN 2.0 16.0 X X 0 0 0 MICHAEL MINIKES TRUSTEE/VICE CHAIR/TREASURER 2.0 22.0 X X 0 0 0 RICHARD A FRIEDMAN TRUSTEE/CO-CHAIRMEN OF BOARD 2.0 16.0 X X 0 0 0 STEVEN HOCHBERG TRUSTEE/VICE CHAIRMAN 2.0 19.0 X X 0 0 0 SUSAN R CULLMAN TRUSTEE/VICE CHAIRMAN 2.0 16.0 X X 0 0 0 THOMAS W STRAUSS TRUSTEE/VICE CHAIRMAN 2.0 17.0 X X 0 0 0 ANDREW M ALPER TRUSTEE 1.0 6.0 X 0 0 0 DAVID WINDREICH TRUSTEE 1.0 6.0 X 0 0 0 EDGAR M CULLMAN JR TRUSTEE 1.0 5.0 X 0 0 0 ERIC FRIEDMAN TRUSTEE 1.0 7.0 X 0 0 0 FRANK BISIGNANO TRUSTEE 1.0 5.0 X 0 0 0 JAMES KEMPNER TRUSTEE 1.0 6.0 X 0 0 0 KENNETH DAVIS MD Trustee and Former Officer 2.0 16.0 X 1158141 6246850 98069 KIMBERLEY HARRIS TRUSTEE 1.0 7.0 X 0 0 0 LEWIS PELL TRUSTEE 1.0 5.0 X 0 0 0 MARC S LIPSCHULTZ TRUSTEE 1.0 6.0 X 0 0 0 MICHAEL ZIMMERMAN TRUSTEE 1.0 4.0 X 0 0 0 ROBERT F SAVAGE JR TRUSTEE 1.0 5.0 X 0 0 0 WILLIAM H WRIGHT TRUSTEE 1.0 6.0 X 0 0 0 BETH ESSIG ESQ EVP, GENERAL COUNSEL 8.0 52.0 X 278818 1503906 58108 BETH YAGODA EVP, System Chief Administrative Officer 20.2 39.8 X 87165 470159 25461 BONNIE M DAVIS VICE CHAIRMAN 2.0 16.0 X 0 0 0 BRENDAN CARR 1 MD CHIEF EXECUTIVE OFFICER (START 1/1/24) 8.3 51.7 X 851198 4591243 47473 CARL ICAHN VICE CHAIRMAN 2.0 16.0 X 0 0 0 DAVID REICH MD SYSTEM CHIEF CLINICAL OFFICER 8.2 51.8 X 0 2154844 65965 DENNIS CHARNEY 1 MD PRESIDENT, ACADEMIC AFFAIRS 8.2 51.8 X 403385 2175806 57057 EMMA PALMER EVP, Chief of Staff & External Affairs 20.2 39.8 X 123776 667633 71158 EVAN FLATOW MD PRESIDENT- MSW 60.0 0.0 X 1891816 0 56826 GLENN DUBIN VICE CHAIRMAN 2.0 16.0 X 0 0 0 HAMILTON JAMES VICE CHAIRMAN 2.0 16.0 X 0 0 0 HENRY R KRAVIS VICE CHAIRMAN 2.0 16.0 X 0 0 0 HON ROBERT E RUBIN VICE CHAIRMAN 2.0 16.0 X 0 0 0 JAMES W CRYSTAL VICE CHAIRMAN 2.0 16.0 X 0 0 0 JEFFREY SILBERSTEIN EVP, SYSTEM CAO 8.1 52.0 X 113899 1342606 36176 KELLY CASSANO DO EVP, SYS AMBULATORY OPERATION 3.4 56.6 X 66491 1126356 47350 MARGARET PASTUSZKO System President & Chief Operating Officer 7.8 52.3 X 358169 1931912 72844 MICHAEL PASTIER SVP, CHIEF FINANCIAL OFFICER 12.8 47.2 X 333969 1034194 88291 STEPHEN HARVEY EVP, SYSTEM CFO (END 12/31/24) 7.6 52.4 X 308428 1663320 85092 VINCENT TAMMARO EVP, SYSTEM CFO (START 10/1/24) 7.6 52.4 X 106205 572856 9991 FRANK CINO SVP, SYSTEM CHIEF RISK OFFICER 8.5 51.5 X 116882 630447 60090 Helbert S De Castro First Assistant Cardiac Surgery 60.0 0.0 X 479547 0 43803 Lisa Grossman CHIEF ADMINISTRATIVE OFFICER 60.0 0.0 X 677795 0 66353 MARSHA SINANAN Vice President Nursing 60.0 0.0 X 500815 0 68890 TIMOTHY DAY Chief Operating Officer 60.0 0.0 X 727941 0 57022 TRACY BREEN SVP & CHIEF MEDICAL OFFICER 60.0 0.0 X 799240 0 76513 ARTHUR GIANELLI FORMER OFFICER 0.0 0.0 X 176255 950697 40707 BURTON P DRAYER FORMER OFFICER 0.0 0.0 X 38750 271250 0 JEREMY BOAL MD FORMER OFFICER 0.0 0.0 X 280836 1514793 57212 9879521 28848872 1290451 2630 true true false HEALTHCARE RISK ADVISORS INC 111 WEST 33RD STREET 8th Floor New York NY 10120 Risk Management Svcs 19735480 RIGHTSOURCING INC PO BOX 515743 Los Angeles CA 900155118 Temporary Staffing 15649987 TURNER CONSTRUCTION CO 66 HUDSON BOULEVARD EAST New York NY 10001 Construction Svcs 13821468 CROTHALL HEALTHCARE INC 13028 COLLECTION CENTER DRIVE Chicago IL 60693 Housekeeping & Envir 9534476 LEND LEASE CONSTRUCTION LMB INC 200 PARK AVENUE New York NY 10166 Construction Svcs 8888395 181 7219157 3761148 21070 10980305 PATIENT SERVICE REVENUE 621110 1507034738 1507034738 COMMUNITY MENTAL HEALTH ALCOHOL INCOME 624100 1679025 1679025 0 0 0 0 1508713763 5653032 5653032 1761018 1761018 0 1761018 1761018 -491353 -491353 0 -491353 -491353 REIMBURSEMENT OF EXPENSES 900099 6532997 6532997 PHARMACY 900099 133438032 133438032 HEALTHFIRST 900099 28241167 28241167 61871706 58394602 0 3477104 230083902 1756700667 1735320561 0 10399801 X 18878000 18878000 200315 200315 5200135 389728 4683312 127095 737596719 575380812 162215907 59623728 59623728 151049075 151049075 52852850 52852850 2154456 2154456 1473637 1473637 153709 153709 292648261 292648261 0 0 4086363 4086363 42468295 42468295 12510046 12510046 29684747 29684747 3279526 3279526 224856 224856 10167819 10167819 96259148 96259148 27999012 27999012 MEDICAL SUPPLIES 296965971 296965971 BAD DEBT 22320422 22320422 DUE AND MEMBERSHIPS 2736085 2736085 DISCHARGE PLANNING 1100932 1100932 78146213 78146213 0 0 1949780320 1781126660 168526565 127095 53241714 96375622 8050292 13853557 166492846 175379989 0 0 0 0 14814907 14946221 6541455 10639935 2092885938 1367433390 732037923 725452548 67592179 8390302 33654952 39302198 14364910 15766229 305092300 288906717 1401883478 1389013318 209991485 309185239 0 0 140890539 121513935 1186914657 1276678778 1537796681 1707377952 X -256088284 -436374074 120175081 118009440 -135913203 -318364634 1401883478 1389013318 X -193079653 14652537 -4024315 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 63546195 1618469 65164664 63546195 0 63546195 63471194 75001 63546195 60043958 3427236 63471194 59744361 299597 60043958 0.0 1.0 0.0 false false 4011676 4011676 21596091 1401321840 900976188 521941743 603040066 466229631 136810435 62916265 227571 62688694 725452548 SECURITY DEPOSIT RECEIVABLE 338069 OTHER DEPOSITS RECEIVABLE 35400 MORTGAGE RESERVE FUND 22541703 ESCROW FUND AS REQUIRED 1866602 SPECIFIC PURPOSE FUNDS 5449649 REINSURANCE RECEIVABLES 220376662 RIGHT-OF-USE ASSETS 38298632 DEPRECIATION RESERVE FUND 0 288906717 Federal Income Taxes OTHER CURRENT LIABILITIES 50958110 OTHER NON-CURRENT LIABILITIES 177984635 ACCRUED PENSION & POSTRETIREME 21150140 DUE TO AFFILIATED ORGANIZATION 417178597 INSURED LIABILITIES 217964594 DUE TO THIRD PARTY PAYERS 54015439 OPERATING LEASE LIABILITIES 39348596 TRANSFER FROM MOUNT SINAI HOSPITAL 298078667 1276678778 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part V, Line 4 Intended uses 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. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The System evaluates tax positions taken in the course of preparing the System's tax returns to determine whether the tax positions are "more likely than not" of being sustained by the applicable tax authority based upon the technical merits of the position. The System recognizes the effect of tax positions only if they are more likely than not of being sustained. This evaluation had no impact on the operations of the System as of and for the year ended December 31, 2024. Central America and the Caribbean 0 0 Investments 377663 0 0 0 0 0 0 377663 0 377663 false false true false false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual true true X true X true X 34041844 5222111 28819733 0.01495 378764908 245131522 133633386 0.06933 0 0.0 0 0 412806752 250353633 162453119 0.08428 11159227 11159227 0.00579 189313935 55351971 133961964 0.06950 643704565 495380878 148323687 0.07695 4865741 4865741 0 0.0 0 0.0 0 0 849043468 555598590 293444878 0.15224 0 0 1261850220 805952223 455897997 0.23653 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 22320422 215563818 310090614 -94526796 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 A 2 ROOSEVELT HOSPITAL 1000 TENTH AVENUE NEW YORK NY 10019 WWW.ROOSEVELTHOSPITALNYC.ORG 7002032H X X X X X A A 2 false false true X X X X X X X X X 23 true true false true X https://www.mountsinai.org/files/MSHealth/Assets/MSW/MSM-&-MSW-2023%20CHNA.pdf X true 23 true https://www.mountsinai.org/files/MSHealth/Assets/MSW/MSW-MSM-Implementation-Strategy-2023.pdf false true X 200.0 400.0 X X X true true X X X X true X HTTPS://WWW.MOUNTSINAI.ORG/ABOUT/FINANCIAL-ASSISTANCE X HTTPS://WWW.MOUNTSINAI.ORG/ABOUT/FINANCIAL-ASSISTANCE X HTTPS://WWW.MOUNTSINAI.ORG/ABOUT/FINANCIAL-ASSISTANCE X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CNHA ARE PRIORITIZED ACCORDING TO THE COMMUNITY NEEDS. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - ST. LUKE'S ROOSEVELT HOSPITAL CENTER. The input was gathered over a period from April to December 2023. During this time, 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. The input was provided by individuals representing various organizations, including but not limited to: Asphalt Green Assembly District 68 Catholic Charities Brooklyn and Queens Charles B. Wang Community Health Center Concrete Safaris East Harlem Community Health Council Educational Alliance George Washington Carver Houses Tenant Association Manhattan Community Board 3 Manhattan Community Board 8 Mount Sinai Beth Israel Community Advisory Board Mount Sinai Brooklyn Hospital Staff Mount Sinai Health System Staff Member Mount Sinai Hospital Community Advisory Board Mount Sinai Hospital Staff Mount Sinai Queens Hospital Staff New York Common Pantry NYC Department of Health and Mental Hygiene An organization that chose to remain anonymous These organizations and individuals represent medically underserved, low-income, or minority populations. The input gathered from these diverse sources helps ensure that the needs and concerns of these populations are considered in the hospital's planning and decision-making processes. Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - St. Luke's Roosevelt Hospital. THE COMMUNITY HEALTH NEEDS ASSESSMENTS FOR ST. LUKE'S AND ROOSEVELT HOSPITALS WERE CONDUCTED IN CONJUNCTION WITH EACH OTHER. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - ST. LUKE'S ROOSEVELT HOSPITAL CENTER. The hospital facility has identified several significant health needs in the community through the 2023 CHNA (Community Health Needs Assessment). These needs include access to mental health care, access to primary health care services for individuals with limited resources, chronic diseases and contributing lifestyle factors, socio-economic, racial, cultural, ethnic, and linguistic barriers to care, and substance use disorder. To address these needs, the hospital has implemented various activities and programs: 1. Health Professions Education: The hospital actively participates in over 30 residency and fellowship programs to respond to both current and future community health needs. 2. Participation in Medicaid: The hospital provides health coverage to low-income individuals through federal and state funding. 3. Community Health Improvement Activities: These include innovative outreach activities, participation in events, health screenings, research, provider education, and collaborations with community-based organizations. 4. Subsidized Health Services: The hospital provides numerous inpatient and outpatient service lines that operate at a deficit to ensure community members receive necessary care. 5. Health Care Services: A full range of health care services is available at the hospital campuses, outpatient facilities, and physician practices throughout the community. 6. Spiritual Care & Education: The hospital offers support from highly trained chaplains for patients, their families, and caregivers. 7. Mental Health Services: The hospital provides comprehensive mental health care services, including outpatient and inpatient services, crisis services, and specialized. The hospital facility has identified several significant health needs that are not being directly addressed. Here are the needs and the reasons why they are not being addressed: 1. Aging Population: The number of older adults in the community is growing rapidly, increasing the need for healthcare, housing, transportation, and nutrition assistance. The hospital, together with the Mount Sinai Health System, has expertise and resources related to medical services. However, a lack of core competencies in housing, transportation, and nutrition assistance, combined with finite resources, restricts planned interventions in the 2024-2026 time period. Other community resources, such as the New York City Department for the Aging, are responding to this issue. 2. Environmental Determinants of Health: Residents experience considerable traffic, pollution, crime, and noise, and transportation is difficult for individuals with limited mobility. The hospital has expertise in medical services but lacks core competencies in addressing traffic, pollution, crime, and noise. Finite resources also restrict planned interventions in the 2024-2026 time period. Other community resources, such as the New York City Department of Environmental Protection, are addressing these issues. 3. Homelessness: Homelessness is a significant issue, intertwined with affordable housing, access to mental health care, substance abuse, and poverty. The hospital has expertise in medical services but lacks core competencies in short-term shelter and long-term housing. Finite resources restrict planned interventions in the 2024-2026 time period. Other community resources, such as the New York City Department of Homeless Services, are addressing this issue. 4. Navigating a Changing Health Care Provider Environment: Navigating the healthcare system is challenging for residents with limited access to technology and limited English literacy. The hospital has expertise in medical services, but insurance coverage and financial resources are predominant factors related to access to evolving healthcare provider options. The lack of proven interventions and finite resources restrict planned interventions in the 2024-2026 time period. Other resources, such as insurance providers, have greater abilities to assist in navigation. 5. Poverty, Financial Hardship, and Basic Needs Insecurity: Lower-income residents experience difficulty accessing basic needs, including healthy food and safe, affordable housing. The hospital has expertise in medical services but lacks core competencies in economic development. Finite resources restrict planned interventions in the 2024-2026 time period. Other community resources, such as the New York City Human Resources Administration/Department of Social Services, are addressing this issue. 6. Safe and Affordable Housing: Inadequate housing contributes to poor health outcomes, and demand for housing is increasing rent prices. The hospital has expertise in medical services but lacks core competencies in residential housing. Finite resources restrict planned interventions in the 2024-2026 time period. Other community resources, such as the New York City Department of Housing Preservation and Development, are addressing this issue. These needs are not being directly addressed due to resource constraints, lack of expertise, relatively low priority, lack of effective interventions, and initiatives provided by other facilities or organizations in the community. 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 7f BAD DEBT EXPENSE OF $22,320,422 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 I, Line 6a Community benefit report prepared by related organization MOUNT SINAI HOSPITAL Schedule H, Part I, Line 7g Subsidized Health Services ALL CLINICS INCLUDED AS SUBSIDIZED ARE CLINICS OF THE HOSPITAL. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 22320422 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE AMOUNTS REPORTED IN PART I, LINES 7A, 7B, 7F AND 7G WERE COMPUTED USING A RATIO OF COST TO CHARGES THAT WAS DERIVED FROM WORKSHEET 2 OF SCHEDULE H INSTRUCTIONS. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount 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 Bad debt expense - financial statement footnote IN ACCORDANCE WITH GAAP, THE ORGANIZATIONS AUDITED FINANCIAL STATEMENTS NO LONGER DISCLOSE BAD DEBT EXPENSE. THE ORGANIZATION DETERMINES BAD DEBT EXPENSE AS FOLLOWS: 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 RECEIVABLES 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 Community benefit & methodology for determining medicare costs 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 Collection practices for patients eligible for financial assistance PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE OFFERED EXTENDED INTEREST FREE PAYMENT PLANS. IF A PATIENT DEFAULTS ON ITS PAYMENT AGREEMENT, THE PATIENT'S ACCOUNT WILL BE CONSIDERED DELINQUENT AND WILL BE SUBJECT TO THE NORMAL COLLECTION PROCEDURES FOR ALL PATIENTS. HOWEVER, NO LEGAL ACTION MAY BE TAKEN UNTIL IT HAS BEEN DETERMINED THAT THE PATIENT HAS THE MEANS TO PAY OUTSTANDING BALANCES. IN NO SITUATION WILL THE HOSPITAL AUTHORIZE FORECLOSURE ON A PATIENT OR RESPONSIBLE PARTY'S PRIMARY RESIDENCE. Schedule H, Part V, Section B, Line 16a FAP website A - ST. LUKE'S HOSPITAL: Line 16a URL: HTTPS://WWW.MOUNTSINAI.ORG/ABOUT/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16b FAP Application website A - ST. LUKE'S HOSPITAL: Line 16b URL: HTTPS://WWW.MOUNTSINAI.ORG/ABOUT/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - ST. LUKE'S HOSPITAL: Line 16c URL: HTTPS://WWW.MOUNTSINAI.ORG/ABOUT/FINANCIAL-ASSISTANCE; Schedule H, Part VI, Line 2 Needs assessment THE HOSPITAL COMPLETED ITS FIRST COMMUNITY HEALTH NEEDS ASSESSMENT DURING 2013, PERFORMED AN ADDITIONAL CHNA IN 2014 AS PART OF THE DSRIP PROCESS, AND COMPLETED A FIFTH CHNA IN 2023. 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 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 WEBSITE. 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 (MORNINGSIDE) 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 HEALTH EDUCATION AND OUTREACH PROGRAMS - THE DEPARTMENT PARTICIPATED IN 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. 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 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. 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 NY true ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 136171197 18878000 FUND STRATEGIC PROJECTS 1 0 STUDENT STIPENDS 96 71315 SCHOLARSHIP AWARDS 21 129000 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds FOR GRANTS, ST. LUKE'S-ROOSEVELT HOSPITAL REVIEWS ALL INVOICES AND OTHER REQUIRED DOCUMENTATION FOR ACCURACY, APPROPRIATENESS OF THE EXPENDITURES IN COMPLIANCE WITH THE AWARD DOCUMENTS, ANY APPLICABLE RESTRICTIONS, AND TIMELINESS OF SUBMISSION. X X X X true false false false false true true false false KENNETH DAVIS MD Trustee and Former Officer 0 0 0 0 1158141 6246850 5396 29104 9942 53627 1173479 6329581 0 0 ARTHUR GIANELLI FORMER OFFICER 163438 881562 0 0 12817 69135 5396 29104 971 5236 182622 985037 0 0 JEREMY BOAL MD FORMER OFFICER 0 0 0 0 280836 1514793 0 0 8948 48264 289784 1563057 0 0 BURTON P DRAYER FORMER OFFICER 9375 65625 0 0 29375 205625 0 0 0 0 38750 271250 0 0 BETH ESSIG ESQ EVP, GENERAL COUNSEL 211140 1138860 49512 267063 18166 97983 5396 29104 3692 19916 287906 1552926 0 0 BETH YAGODA EVP, System Chief Administrative Officer 66470 358530 15587 84075 5108 27554 3609 19464 373 2015 91147 491638 0 0 BRENDAN CARR 1 MD CHIEF EXECUTIVE OFFICER (START 1/1/24) 627172 3382881 167348 902652 56678 305710 5396 29104 2029 10944 858623 4631291 0 0 DAVID REICH MD SYSTEM CHIEF CLINICAL OFFICER 0 1700000 0 300160 0 154684 0 34500 0 31465 0 2220809 0 0 DENNIS CHARNEY 1 MD PRESIDENT, ACADEMIC AFFAIRS 172040 927960 41915 226085 189430 1021761 5396 29104 3528 19029 412309 2223939 0 0 EMMA PALMER EVP, Chief of Staff & External Affairs 99705 537795 22267 120108 1804 9730 5396 29104 5733 30925 134905 727662 0 0 EVAN FLATOW MD PRESIDENT- MSW 1400000 0 281400 0 210416 0 34500 0 22326 0 1948642 0 0 0 JEFFREY SILBERSTEIN EVP, SYSTEM CAO 80702 951298 18338 216162 14859 175146 2698 31802 131 1545 116728 1375953 0 0 KELLY CASSANO DO EVP, SYS AMBULATORY OPERATION 51340 798660 12039 187286 3112 140410 2084 32416 776 12074 69351 1170846 0 0 MARGARET PASTUSZKO System President & Chief Operating Officer 273700 1476300 64183 346192 20286 109420 5396 29104 5997 32347 369562 1993363 0 0 MICHAEL PASTIER SVP, CHIEF FINANCIAL OFFICER 227013 702987 36798 113952 70158 217255 8421 26079 13130 40661 355520 1100934 0 0 STEPHEN HARVEY EVP, SYSTEM CFO (END 12/31/24) 187680 1012020 53180 286845 67568 364455 5161 29339 7913 42679 321502 1735338 0 0 VINCENT TAMMARO EVP, SYSTEM CFO (START 10/1/24) 76245 411255 19061 102814 10899 58787 0 0 1563 8428 107768 581284 0 0 FRANK CINO SVP, SYSTEM CHIEF RISK OFFICER 93840 506160 18862 101738 4180 22549 5334 29166 3956 21634 126172 681247 0 0 MARSHA SINANAN Vice President Nursing 430737 0 57564 0 12514 0 27600 0 41290 0 569705 0 0 0 Lisa Grossman CHIEF ADMINISTRATIVE OFFICER 555000 0 92963 0 29832 0 26700 0 39653 0 744148 0 0 0 Helbert S De Castro First Assistant Cardiac Surgery 230806 0 0 0 248741 0 10791 0 33012 0 523350 0 0 0 TIMOTHY DAY Chief Operating Officer 610000 0 102175 0 15766 0 27600 0 29422 0 784963 0 0 0 TRACY BREEN SVP & CHIEF MEDICAL OFFICER 650000 0 87100 0 62140 0 34500 0 42013 0 875753 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment DR. JEREMY BOAL RECEIVED $1,795,629 OF SEVERANCE PAYMENTS DURING 2024. DR. KENNETH DAVIS RECEIVED $7,404,991 OF SEVERANCE PAYMENTS DURING 2024. Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization THE MOUNT SINAI HOSPITAL, A RELATED ORGANIZATION, ANSWERED YES TO QUESTIONS 6A AND 6B IN SCHEDULE J AS THE INSTITUTION UTILIZES AN INCENTIVE BASED BONUS PROGRAM FOR CERTAIN EMPLOYEES, INCLUDING SEVERAL OF THOSE EMPLOYEES LISTED IN SCHEDULE J. NET EARNINGS IS ONE OF SEVERAL METRICS UTILIZED BY THE INSTITUTION IN THE ANNUAL BONUS CALCULATION. OTHER METRICS UTILIZED IN THE INCENTIVE COMPENSATION MODEL INCLUDE THE ORGANIZATION'S PERFORMANCE ON THE JCAHO HOSPITAL CORE MEASURES, PATIENT SATISFACTION SCORES, AND OTHER ORGANIZATIONAL GOALS SUCH AS LENGTH OF STAY INITIATIVES. INDIVIDUALS THAT HAVE RESPONSIBILITIES IN RELATED ORGANIZATIONS TO THE HOSPITAL MAY HAVE INCENTIVES BASED ON THE PERFORMANCE OF THESE ORGANIZATIONS AS WELL AS THAT OF THE HOSPITAL. Schedule J, Part I, Line 6b Compensation contingent on net earnings of a related organization THE MOUNT SINAI HOSPITAL, A RELATED ORGANIZATION, ANSWERED YES TO QUESTIONS 6A AND 6B IN SCHEDULE J AS THE INSTITUTION UTILIZES AN INCENTIVE BASED BONUS PROGRAM FOR CERTAIN EMPLOYEES, INCLUDING SEVERAL OF THOSE EMPLOYEES LISTED IN SCHEDULE J. NET EARNINGS IS ONE OF SEVERAL METRICS UTILIZED BY THE INSTITUTION IN THE ANNUAL BONUS CALCULATION. OTHER METRICS UTILIZED IN THE INCENTIVE COMPENSATION MODEL INCLUDE THE ORGANIZATION'S PERFORMANCE ON THE JCAHO HOSPITAL CORE MEASURES, PATIENT SATISFACTION SCORES, AND OTHER ORGANIZATIONAL GOALS SUCH AS LENGTH OF STAY INITIATIVES. INDIVIDUALS THAT HAVE RESPONSIBILITIES IN RELATED ORGANIZATIONS TO THE HOSPITAL MAY HAVE INCENTIVES BASED ON THE PERFORMANCE OF THESE ORGANIZATIONS AS WELL AS THAT OF THE HOSPITAL. Schedule J, Part I 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, INC. (1) EMPLOYEE HAS AN OUTSTANDING LOAN REFLECTED IN SCHEDULE L, PART II OF THE ICAHN 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. 99 21040 Other - FMV 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Securities - Publicly traded - The number in Column (B) represents the number of contributions Form 990, Part VI, Line 2 Family/business relationships amongst interested persons TRUSTEES EDGAR CULLMAN, JR. AND SUSAN CULLMAN - Family relationship, TRUSTESS MARC LIPSHULTZ AND JOHN HESS - Business relationship, TRUSTEES JOHN HESS AND RICHARD FRIEDMAN - Business relationship, TRUSTEES JOHN HESS AND KIMBERLY HARRIS - Business relationship, TRUSTEES RICHARD FRIEDMAN AND KIMBERLY HARRIS - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders MOUNT SINAI HOSPITALS GROUP, INC. IS THE SOLE MEMBER OF THE ORGANIZATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE MEMBER HAS THE POWER TO ELECT THE MEMBERS OF THE GOVERNING BODY OF THE ORGANIZATION. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders The Member shall have the power and authority to adopt and approve the Corporation's operating policies and procedures as may be established by the Corporation or as may be proposed or recommended by the Board of Trustees of the Corporation and approve certificate of need applications to be filed by or on behalf of the Corporation. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FINANCE DEPARTMENT OF ST LUKE'S ROOSEVELT HOSPITAL CENTER 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. THE SAME PROCESS AS CONDUCTED BY THE FINANCE DEPARTMENT, THE GENERAL COUNSEL'S OFFICE, AND THE AUDIT AND COMPLIANCE DEPARTMENT 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 TAX RETURN, 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 17, 2025, BE PROVIDED TO ALL TRUSTEES VIA THE TRUSTEES' CONFIDENTIAL WEBSITE, AND THOSE RETURNS WERE SO PROVIDED BEFORE BEING FILED. Form 990, Part VI, Line 12c Conflict of interest policy MONITORING AND ENFORCING COMPLIANCE WITH THE ORGANIZATION'S 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, Line 15a Process to establish compensation of top management official 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. RESPECT TO "DISQUALIFIED PERSONS" TO FOLLOW THE SPECIFIC STEPS OUTLINED IN THE IRC REGULATIONS FOR ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS THAT A TRANSACTION IS NOT AN EXCESS BENEFIT TRANSACTION. THE COMPENSATION COMMITTEE CONSISTS EXCLUSIVELY OF INDEPENDENT TRUSTEES WITHOUT ANY CONFLICT OF INTEREST (AS DEFINED IN THE APPLICABLE IRC REGULATIONS) WITH REGARD TO THE COMPENSATION ARRANGEMENTS BEING REVIEWED OR APPROVED. THE ABSENCE OF ANY CONFLICT OF INTEREST WITH RESPECT TO ITEMS ON THAT MEETING'S AGENDA IS CONFIRMED AT THE BEGINNING OF EACH MEETING OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE SELECTS AND ENGAGES AN INDEPENDENT, QUALIFIED COMPENSATION CONSULTANT WHICH PERFORMS SUCH VALUATIONS ON A REGULAR BASIS TO PROVIDE APPROPRIATE COMPARABILITY DATA. COMPARABILITY DATA INCLUDES, BUT IS NOT LIMITED TO, COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR FUNCTIONALLY COMPARABLE POSITIONS; THE AVAILABILITY OF SIMILAR SERVICES IN MOUNT SINAI'S GEOGRAPHIC AREA; CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; CUSTOMIZED SURVEYS IN SPECIFIC CIRCUMSTANCES, AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE DISQUALIFIED PERSON. THE SOURCES OF THE COMPARABILITY DATA USED BY THE COMPENSATION CONSULTANT ARE PROVIDED TO THE COMPENSATION COMMITTEE. IN APPROPRIATE CIRCUMSTANCES FORMAL WRITTEN OPINIONS ARE OBTAINED FROM THE COMPENSATION CONSULTANT. WITH RESPECT TO "EXECUTIVES" AS THEY ARE DEFINED IN THE POLICY WHICH INCLUDES ALL OF THE INSTITUTION'S "DISQUALIFIED PERSONS," THE COMPENSATION COMMITTEE RECEIVES AND REVIEWS THE COMPARABILITY DATA AND ANY ANALYSIS PROVIDED BY THE COMPENSATION CONSULTANT, AS WELL AS INFORMATION PROVIDED BY MANAGEMENT, OR IN THE CASE OF THE CEO, BY THE CO-CHAIRMEN OF THE BOARD OF TRUSTEES, INCLUDING INFORMATION ABOUT THE INDIVIDUAL'S PERFORMANCE, AND FOR NEW EMPLOYEES, THE INDIVIDUAL'S JOB DESCRIPTION. WHEN A WRITTEN OPINION IS OBTAINED FROM THE COMPENSATION CONSULTANT, THAT WRITTEN OPINION IS ALSO REVIEWED BY THE COMPENSATION COMMITTEE. AFTER CONSIDERING ALL OF THE FACTS, THE COMPENSATION COMMITTEE THEN DETERMINES THE APPROPRIATE COMPENSATION IN RELATION TO THE COMPARABILITY DATA AND IN LIGHT OF THE WRITTEN OPINION, RECOMMENDATIONS OF THE COMPENSATION CONSULTANT. AS MORE FULLY SET FORTH IN THE COMPENSATION COMMITTEE'S OPERATING GUIDELINES, THE COMPENSATION COMMITTEE ALSO REVIEWS THE COMPENSATION ARRANGEMENTS FOR THOSE OTHER SENIOR MANAGEMENT AND/OR HIGHLY COMPENSATED PERSONNEL WHO ARE NOT "EXECUTIVES." THE COMPENSATION COMMITTEE IS PROVIDED DETAILS OF THE COMPENSATION ARRANGEMENT OF THE INDIVIDUAL'S JOB AND JOB PERFORMANCE, THE BENCHMARK(S) USED AND, IN CERTAIN CASES, A DESCRIPTION OF THE ROLE OF THE COMPENSATION CONSULTANT AND A BRIEF DESCRIPTION OF WHY THE ARRANGEMENT IS APPROPRIATE. THE COMPENSATION COMMITTEE CONTEMPORANEOUSLY DOCUMENTS IN WRITTEN MINUTES THE TERMS OF THE TRANSACTION THAT WAS APPROVED AND THE DATE IT WAS APPROVED; THE MEMBERS OF THE COMPENSATION COMMITTEE WHO WERE PRESENT; THE DISCUSSION AT THE COMPENSATION COMMITTEE MEETING; THE COMPARABILITY DATA AND ANY OTHER INFORMATION OBTAINED AND RELIED ON; HOW THE COMPARABILITY DATA WAS OBTAINED; AND THE COMPENSATION COMMITTEE'S BASIS FOR THE DECISIONS, IF THE APPROVED COMPENSATION IS OUTSIDE THE RANGE OF COMPARABILITY DATA. THESE MINUTES ARE PREPARED BEFORE THE LATER OF THE NEXT MEETING OF THE COMPENSATION COMMITTEE OR 60 DAYS AFTER THE FINAL ACTIONS OF THE COMPENSATION COMMITTEE ARE TAKEN WITH RESPECT TO THE COMPENSATION DECISIONS MADE. THE MINUTES ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE WITHIN A REASONABLE TIME THEREAFTER. Form 990, Part VI, Line 15b Process to establish compensation of other employees Same as 15a Form 990, Part VI, Line 19 Required documents available to the public 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 VII, Section A Dr. Davis receives no compensation for his service as a trustee. Reported amounts represent severance related to his prior role as Chief Executive Officer. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue - Total Revenue: 61871706, Related or Exempt Function Revenue: 58394602, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 3477104; Form 990, Part IX, Line 11g Other Fees PHYSICIAN SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: , Fundraising Expenses: ; CONTRACT SERVICES - Total Expense: 52414602, Program Service Expense: 52414602, Management and General Expenses: , Fundraising Expenses: ; OTHER TEMPORARY SERVICES - Total Expense: 28423946, Program Service Expense: 28423946, Management and General Expenses: , Fundraising Expenses: ; CONSULTING FEES - Total Expense: 9399047, Program Service Expense: 9399047, Management and General Expenses: , Fundraising Expenses: ; COLLECTION AGENCY - Total Expense: 4793573, Program Service Expense: 4793573, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN PENSION AND POST-RETIREMENT BENEFITS - -4228446; MS AMBULATORY JOINT VENTURES - 204131; Total - -4024315; FORM 990, BOX C - DOING BUSINESS AS ST. LUKE'S-ROOSEVELT HOSPITAL CENTER DOES BUSINESS AS MOUNT SINAI MORNINGSIDE AND MOUNT SINAI WEST WHICH IS COMPRISED OF TWO CAMPUSES: MOUNT SINAI MORNINGSIDE AND MOUNT SINAI WEST. 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HOSPITAL 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 111018985 HOSPITAL NY 501(c)(3) 3 CHP false AUGUSTUS & JAMES CORPORATION 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 133392851 REAL ESTATE NY 501(c)(3) Type I SLR true ST LUKE'S-ROOSEVELT INSTITUTE FOR HEALTH 1111 AMSTERDAM AVENUE NEW YORK NY 10025 132914343 RESEARCH NY 501(c)(3) 4 SLR true NEW YORK EYE AND EAR INFIRMARY 310 EAST 14TH STREET NEW YORK NY 10003 135562304 HOSPITAL NY 501(c)(3) 3 MSHG true NYEEI HOUSING COMPANY INC 317-327 EAST 13TH STREET NEW YORK NY 10003 311696826 REAL ESTATE NY 501(c)(2) 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) 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) 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) Type I ISMMS false MSMC REALTY CORPORATION ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 133852596 REAL ESTATE NY 501(c)(3) Type I ISMMS MSH & MSMC REAL CORP true MSMC RESIDENTIAL REALTY LLC 1425 MADISON AVENUE NEW YORK NY 10029 200244426 REAL ESTATE NY 501(c)(3) Type I ISMMS MSH & MSMC REAL CORP true MSMC RESIDENTIAL REALTY MANAGER INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 201289396 MANAGEMENT NY 501(c)(3) Type II ISMMS MSH & MSMC REAL CORP true VALENTIN FUSTER MT SIANI FND FOR SCIENCE ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 800952088 SUPPORT NY 501(c)(3) 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) Type II false MOUNT SINAI HOSPITALS GROUP INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 464242915 HOLDING CO NY 501(c)(3) 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 MOUNT SINAI HEALTH PARTNERS PC 150 EAST 42ND STREET NEW YORK NY 10017 812057452 HEALTHCARE NY 501(c)(3) 10 MSH false SOUTH NASSAU COMMUNITIES HOSPITAL INC ONE HEALTHY WAY OCEANSIDE NY 11572 111352310 HOSPITAL NY 501(c)(3) 3 MSHG false MOUNT SINAI SELF INSURANCE TRUST 28 EAST 28TH STREET 14TH FL NEW YORK NY 10016 823994798 SUPPORT NY 501(c)(3) Type II MSHS false EAST 98TH STREET COMMUNITY SERVICES INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 822536805 AMB SRGY CNTR NY 501(c)(3) 3 MSHS false CARE CONTINUUM VENTURES INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 833155355 SUPPORT NY 501(c)(3) Type II false BACHMANN-STRAUSS DYSTOPIA & PARKINSON BENDER LN ADVIS 4 TOWER PLACE ALBANY NY 12203 133804248 FUNDRAISING NY 501(c)(3) Type II false MSS HEALTH PC 150 EAST 42ND STREET NEW YORK NY 10017 862530666 HEALTHCARE NJ 501(c)(3) 10 MSH true MANHATTAN MANAGEMENT SERVICES 1780 BROADWAY 7TH FL NEW YORK NY 10019 133618543 MGMT SERVICES NY SLR C Corporation 1.00 true SLR MANAGEMENT SERVICES 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 133853145 INACTIVE NY SLR C Corporation 0.1000 true MOUNT SINAI HC VENTURES INC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 460953126 HEALTH CARE MGMT NY BIMC HOLDCO C Corporation false MSHS VACCINE COMPANY 12209 ORANGE STREET WILMINGTON DE 19801 874250003 CLINICAL LAB DE ismms C Corporation false KANTARO BIOSCIENCES LLC 1460 BROADWAY NEW YORK NY 10036 851089445 CLINICAL LAB NY ISMMS C Corporation false false true false false true false false false true false true true true true true true true true true The Mount Sinai Hospital O Cost The Mount Sinai Medical Center I 2008943 Cost Mount Sinai Health System C 8019593 Cost Icahn School of Medicine at Mount Sinai P 167498539 Cost Icahn School of Medicine at Mount Sinai N 5739822 Cost Icahn School of Medicine at Mount Sinai O 47310454 Cost Icahn School of Medicine at Mount Sinai Q 127793817 Cost Beth Israel Medical Center O 13240512 Cost Icahn School of Medicine at Mount Sinai B 18878000 Cost The Mount Sinai Hospital S 139637000 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.