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MOUNT SINAI HOSPITAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MOUNT SINAI HOSPITAL (EIN 13-1624096)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-10
IRS object ID
201703149349301040
Schema version
2016v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-10T14:07:38-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15 TIMES SQUAREAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP100366530ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN131624096EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE MOUNT SINAI HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% MICHAEL PASTIERInCareOfNm
Business Name ControlMOUNBusinessNameControlTxt
Phone2127313149PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE GUSTAVE L LEVY PLACEAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP100296574ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMR DONALD SCANLONPersonNm
Person TitleEVP,SYSTEM CFO & CCSPersonTitleTxt
Phone2127313149PhoneNum
Signature2017-11-01SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAURA KIELCZEWSKIPreparerPersonNm
PTINP00740769PTIN
Phone2127733000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address164.57.159.253IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id26308520173145000032FederalOriginalSubmissionId
Federal Original Submission Id2017-11-10FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdC2823BE976ED0C3ED4D26AE76B64B2F5929ABD11AtSubmissionCreationDeviceId
At Submission Filing Device Id050F75853A9F423F493495C03CDD05FDA32C01D0AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDONALD SCANLONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1150 EAST 42ND STREET 5TH FLAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10017ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,450,777,648GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttp://www.mountsinai.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1852FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionMOUNT SINAI PROVIDES COMPASSIONATE PATIENT CARE AND ADVANCED MEDICINE THROUGH EDUCATION, RESEARCH AND OUTREACH IN THE MANY DIVERSE COMMUNITIES IT SERVES.ActivityOrMissionDesc
Voting Members Governing Body40VotingMembersGoverningBodyCnt
Voting Members Independent40VotingMembersIndependentCnt
Total Employee15372TotalEmployeeCnt
Total Volunteers1300TotalVolunteersCnt
Total Gross UBI$1,081,417TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$403,344NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$63,493,536PYContributionsGrantsAmt
CY Contributions Grants$44,857,861CYContributionsGrantsAmt
PY Program Service Revenue$2,071,060,067PYProgramServiceRevenueAmt
CY Program Service Revenue$2,313,489,762CYProgramServiceRevenueAmt
PY Investment Income$27,206,943PYInvestmentIncomeAmt
CY Investment Income$28,297,043CYInvestmentIncomeAmt
PY Other Revenue$28,494,628PYOtherRevenueAmt
CY Other Revenue$63,944,942CYOtherRevenueAmt
PY Total Revenue$2,190,255,174PYTotalRevenueAmt
CY Total Revenue$2,450,589,608CYTotalRevenueAmt
PY Grants And Similar Paid$78,843,573PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$57,313,955CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$972,000,076PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,052,705,966CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$3,326,078CYTotalFundraisingExpenseAmt
PY Other Expenses$1,025,696,085PYOtherExpensesAmt
CY Other Expenses$1,142,803,034CYOtherExpensesAmt
PY Total Expenses$2,076,539,734PYTotalExpensesAmt
CY Total Expenses$2,252,822,955CYTotalExpensesAmt
PY Revenues Less Expenses$113,715,440PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$197,766,653CYRevenuesLessExpensesAmt
Total Assets BOY$3,012,930,256TotalAssetsBOYAmt
Total Assets EOY$3,337,181,511TotalAssetsEOYAmt
Total Liabilities BOY$1,594,330,306TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,684,699,512TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,418,599,950NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,652,481,999NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMOUNT SINAI IS COMMITTED TO THE ADVANCEMENT OF THE ART AND SCIENCE OF MEDICINE THROUGH CLINICAL EXCELLENCE. THE CENTRAL MISSION CONSISTS OF HIGH-QUALITY PATIENT CARE AND TEACHING CONDUCTED IN AN ATMOSPHERE OF SOCIAL CONCERN AND SCHOLARLY INQUIRY INTO NATURE, CAUSATION, PREVENTION AND TREATMENT OF HUMAN DISEASE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$2,020,761,301ExpenseAmt
Grant$57,313,955GrantAmt
Revenue$2,316,308,723RevenueAmt
DescThe Mount Sinai Hospital provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of the Mount Sinai Hospital, it is recognized that not all individuals possess the ability to purchase essential medical services and healthcare education. As a matter of policy, the Hospital provides significant amounts of partially or totally uncompensated patient care. For accounting purposes, such uncompensated care is treated either as charity care or bad debt expense. The Hospital's charity care policy ensures the provision of quality health care to the community served while carefully considering the ability of the patient to pay. The policy has sliding fee schedules for inpatient, ambulatory and emergency services provided to the uninsured and under-insured patients who qualify. Patients are eligible for the charity care fee schedule if they meet certain income tests. Furthermore, as part of its charity care and financial aid policy, the Hospital obtains and uses additional financial information for uninsured or under-insured patients who have not supplied the requisite information to qualify for charity care. The additional information obtained is used by the Hospital to determine whether to qualify patients for charity care and/or financial aid in accordance with the Hospital's policies. For accounting and disclosure purposes, charity care is considered to be the difference between the Hospital's customary charges and the sliding charity care fee schedule rates. Since payment of this difference is not sought, charity care allowances are not reported as revenue. The Hospital's estimated costs for charity care were $39.6 million for 2016 and $38.2 million for 2015. The cost of charity includes the direct and indirect cost of providing charity care services. The cost is estimated by utilizing a ratio of cost to gross charges applied to the gross uncompensated charges associated with providing charity care. Funds received from the New York State Indigent Care Pool to offset charity services provided totaled approximately $8.6 million and $13.0 million for the years ended December 31, 2016 and 2015, respectively. The charity care component of the indigent care pool payments is estimated utilizing a ratio of charity care charges to total charity care and bad debt charges applied to the indigent care pool reimbursement and excludes amounts designated for teaching programs. Additionally, patients who do not qualify for sliding scale fees and all uninsured inpatients who do not qualify for Medicaid assistance are billed at the Hospital's rates. Uncollected balances for these patients are categorized as bad debts. Total uncompensated care as a result of bad debts for all patient services approximated $16.1 million in 2016 and $14.7 million in 2015. The Mount Sinai Hospital is the primary health care provider for the East Harlem Area of New York City. East Harlem is one of the poorest communities in the New York City region, and has been designated as a medically underserved area. A wide variety of programs and services are currently provided for the community which include: -Primary care -AIDS -Cardiovascular health -Cancer treatment -Maternal and infant health -Geriatrics -Ambulatory sensitive conditions (Asthma and Diabetes) -Adolescent health -Youth education -Volunteer servicesDesc
Total Program Service Expenses$2,020,761,301TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsYes (true)InvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document732IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee15372EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members40GoverningBodyVotingMembersCnt
Independent Voting Member40IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMICHAEL PASTIERPersonNm
Phone2127313149PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1150 EAST 42ND STREET 5TH FLAddressLine1Txt
CityNew YorkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10017ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (73 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
peter w may
chairman of board of trustees2.014.0Yes (X)Yes (X)$0$0$0
donald j gogel
senior vice chairman/trustee2.014.0Yes (X)Yes (X)$0$0$0
michael minikes
Sr vchair/treasurer/trustee2.021.0Yes (X)Yes (X)$0$0$0
james s tisch
senior vice chairman/trustee2.014.5Yes (X)Yes (X)$0$0$0
joel s ehrenkranz
vice chairman/trustee2.014.0Yes (X)Yes (X)$0$0$0
john a levin
vice chairman/trustee2.014.0Yes (X)Yes (X)$0$0$0
eric mindich
vice chairman/trustee2.014.0Yes (X)Yes (X)$0$0$0
andrew m saul
vice chairman/trustee2.015.0Yes (X)Yes (X)$0$0$0
thomas w strauss
vice chairman/trustee2.014.0Yes (X)Yes (X)$0$0$0
Blaine V Fogg
vice chair/secretary/trustee2.014.0Yes (X)Yes (X)$0$0$0
edgar m cullman jr
trustee1.04.0Yes (X)$0$0$0
susan r cullman
VICE CHAIRMAN/TRUSTEE2.014.0Yes (X)Yes (X)$0$0$0
Henry Calderon
Trustee1.04.0Yes (X)$0$0$0
JOEL I PICKET
VICE CHAIRMAN/TRUSTEE2.017.0Yes (X)Yes (X)$0$0$0
john b hess
trustee1.04.5Yes (X)$0$0$0
BOBBIE ABRAMS
trustee1.04.0Yes (X)$0$0$0
ANDREW M ALPER
trustee1.05.0Yes (X)$0$0$0
PHILIP E BERNEY
trustee (RESIGNED 4/18/16)1.05.0Yes (X)$0$0$0
FRANK J BISIGNANO
trustee1.04.0Yes (X)$0$0$0
bernard w nussbaum
trustee1.06.0Yes (X)$0$0$0
judith o rubin
trustee1.06.0Yes (X)$0$0$0
JEFF T BLAU
trustee1.09.0Yes (X)$0$0$0
PETER CROWLEY
trustee1.05.0Yes (X)$0$0$0
john s winkleman
trustee1.05.0Yes (X)$0$0$0
Richard Ravitch
VICE CHAIRMAN/Trustee2.017.0Yes (X)Yes (X)$0$0$0
JEROME GOLDSTEIN
TRUSTEE1.04.0Yes (X)$0$0$0
JAMES KEMPNER
TRUSTEE1.05.0Yes (X)$0$0$0
STANLEY KOMAROFF ESQ
TRUSTEE1.05.0Yes (X)$0$0$0
MARC S LIPSCHULTZ
TRUSTEE1.05.0Yes (X)$0$0$0
EUGENE MERCY
TRUSTEE1.06.0Yes (X)$0$0$0
JAMES NEARY
TRUSTEE1.04.0Yes (X)$0$0$0
ALICE NETTER
TRUSTEE1.05.0Yes (X)$0$0$0
LEWIS C PELL
TRUSTEE1.04.0Yes (X)$0$0$0
JOAN SARNOFF
TRUSTEE1.04.0Yes (X)$0$0$0
ROBERT F SAVAGE JR
TRUSTEE1.06.0Yes (X)$0$0$0
JAMES E FLYNN
TRUSTEE1.06.0Yes (X)$0$0$0
DAVID WINDREICH
TRUSTEE1.05.0Yes (X)$0$0$0
WILLIAM H WRIGHT II
TRUSTEE1.05.0Yes (X)$0$0$0
MICHAEL ZIMMERMAN
TRUSTEE1.03.0Yes (X)$0$0$0
STEVEN I HOCHBERG
SENIOR VICE CHAIRMAN/TRUSTEE2.018.0Yes (X)Yes (X)$0$0$0
DAVID S GOTTESMAN
TRUSTEE1.00.0Yes (X)$0$0$0
Richard A Goldstein
Trustee1.05.0Yes (X)$0$0$0
Judah Gribetz
Trustee1.07.0Yes (X)$0$0$0
Ellen P Katz
Trustee1.06.0Yes (X)$0$0$0
ANDY JAGODA
TRUSTEE1.03.0Yes (X)$0$0$0
Kenneth L Davis MD
CHIEF EXECUTIVE OFFICER15.043.5Yes (X)$1,092,771$2,989,301$3,179,142
Burton Drayer MD
EVP, System CCA0.557.0Yes (X)$0$1,505,838$43,395
michael pastier
SVP, Chief Financial Officer44.03.5Yes (X)$793,576$198,394$74,560
frederick a klingenstein
honorary chairman2.014.0Yes (X)$0$0$0
robert e rubin
senior vice chairman/TRUSTEE2.014.0Yes (X)$0$0$0
henry r kravis
vice chairman/TRUSTEE2.014.0Yes (X)$0$0$0
RICHARD A FRIEDMAN
VICE CHAIRMAN/TRUSTEE2.014.0Yes (X)$0$0$0
KUMAR CHATANI
EVP, SYSTEM CIO19.037.5Yes (X)$311,743$578,940$47,969
JAMES W CRYSTAL
VICE CHAIRMAN/TRUSTEE2.014.0Yes (X)$0$0$0
GLENN DUBIN
VICE CHAIRMAN/TRUSTEE2.014.0Yes (X)$0$0$0
david l reich md
president and coo55.00.0Yes (X)$1,280,931$0$47,730
arthur klein md
EVP, President of Health Ntwk18.042.5Yes (X)$501,116$1,002,383$38,908
Dennis S Charney MD 1
President, Academic Affairs0.558.0Yes (X)$0$1,799,682$46,678
Jeremy Boal MD
EVP, SYSTEM CMO23.035.0Yes (X)$533,468$736,693$59,053
Beth Essig ESQ
EVP, General Counsel18.050.5Yes (X)$416,001$835,506$27,989
MARGARET PASTUSZKO
EVP, CHIEF INTEGRATION OFFICER16.042.0Yes (X)$337,802$847,469$63,386
DONALD T SCANLON
EVP, FINANCE & CHIEF CORP SERV15.054.5Yes (X)$500,108$1,368,059$59,287
JEFFREY SILBERSTEIN
EVP, SYSTEM CAO15.041.5Yes (X)$293,418$802,651$59,838
NIYUM GANDHI
EVP, CHIEF POP. HEALTH OFFICER29.027.5Yes (X)$484,430$431,316$30,157
ANDREW SNYDER MD
EVP, SYSTEM CIO29.027.5Yes (X)$515,447$458,933$22,624
frank cino
SVP, SYSTEM CHIEF RISK OFFICER19.037.5$190,906$361,006$54,109Yes (X)
carol porter DNP RN
SVP, CHIEF NURSING OFFICER55.00.0$511,770$0$14,450Yes (X)
caryn schwab
SVP, Executive Director, MSHQ55.00.0$552,366$0$50,940Yes (X)
Vicki LoPachin MD
SVP, Chief Medical Officer55.00.0$765,672$0$30,858Yes (X)
HORATIO YEUNG
VP SYSTEM CLINICAL LABORATORY55.00.0$454,996$0$20,961Yes (X)
STEPHEN FURIA
SVP SYSTEM POP HEALTH COMMERCI29.00.0$452,969$403,306$27,744Yes (X)
Michael Macdonald 2
FORMER OFFICER0.00.0$150,000$150,000$0Yes (X)
elana abraham 23
FORMER OFFICER33.01.0$163,271$108,847$51,454Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,302,761TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$14,578,324TotReportableCompRltdOrgAmt
Total Other Compensation$4,051,232TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3031IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CROTHALL HEALTHCARE INC
13028 COLLECTIONS CENTER DRIVECHICAGOIL60693MANAGEMENT$9,796,538
ARUP LABORATORIES INC
PO BOX 27964SALT LAKE CITYUT84127LAB SERVICES$6,873,130
UNITED WEST LABS
801 N PARKCENTER DRIVESANTA ANACA92705LAB SERVICES$4,747,546
MORRISON MANAGEMENT SPECIALISTS
955 CHESTERBROOK BLVDCHESTERBROOKPA19087MANAGEMENT$6,055,316
DEVITOVERDI INC
100 FIFTH AVENUE 16TH FLOORNEW YORKNY10011MARKETING$4,359,649
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K131CntrctRcvdGreaterThan100KCnt
Fundraising$670,747FundraisingAmt
Government Grants$4,226,392GovernmentGrantsAmt
All Other Contributions$39,960,722AllOtherContributionsAmt
Noncash Contributions$2,362,864NoncashContributionsAmt
Total Contributions$44,857,861TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE621110$2,312,471,217$2,312,471,217
LABORATORY SERVICES621500$1,018,545$1,018,545
FieldValueIRS element (for citing)
Total Program Service Revenue$2,313,489,762TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,303,043TotalRevenueColumnAmt
Unrelated Business Revenue$62,872UnrelatedBusinessRevenueAmt
Exclusion$5,240,171ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$22,994,000SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$22,994,000SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,994,000TotalRevenueColumnAmt
Exclusion$22,994,000ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$32,769FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$670,747ContriRptFundraisingEventAmt
Fundraising Direct Expenses$188,040FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$155,271TotalRevenueColumnAmt
Exclusion-$155,271ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA722320$11,293,272$11,293,272
340B PHARMACY621110$17,671,919$17,671,919
DELIVERY SYSTEM REFORM INCENTIVE PAYMENTS621110$9,427,502$9,427,502

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,707,520TotalRevenueColumnAmt
Related Or Exempt Func Income$2,756,089RelatedOrExemptFuncIncomeAmt
Exclusion$22,951,431ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$64,100,213OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,450,589,608TotalRevenueColumnAmt
Related Or Exempt Func Income$2,315,227,306RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,081,417UnrelatedBusinessRevenueAmt
Exclusion$89,423,024ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$57,313,955TotalAmt
Program Services$57,313,955ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$8,370,606TotalAmt
Program Services$265,732ProgramServicesAmt
Management And General$7,910,491ManagementAndGeneralAmt
Fundraising$194,383FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$550,575TotalAmt
Management And General$550,575ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$821,719,672TotalAmt
Program Services$717,612,908ProgramServicesAmt
Management And General$102,378,134ManagementAndGeneralAmt
Fundraising$1,728,630FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$61,751,747TotalAmt
Program Services$54,324,006ProgramServicesAmt
Management And General$7,389,184ManagementAndGeneralAmt
Fundraising$38,557FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$93,339,613TotalAmt
Program Services$80,908,262ProgramServicesAmt
Management And General$12,171,259ManagementAndGeneralAmt
Fundraising$260,092FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$66,973,753TotalAmt
Program Services$57,996,997ProgramServicesAmt
Management And General$8,827,518ManagementAndGeneralAmt
Fundraising$149,238FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$29,701,177TotalAmt
Program Services$25,777,652ProgramServicesAmt
Management And General$3,923,525ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$5,831,485TotalAmt
Management And General$5,730,065ManagementAndGeneralAmt
Fundraising$101,420FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$726,000TotalAmt
Management And General$726,000ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$563,904TotalAmt
Program Services$563,904ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$2,581,477TotalAmt
Program Services$2,581,477ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$291,343,571TotalAmt
Program Services$252,857,054ProgramServicesAmt
Management And General$38,486,517ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,099,531TotalAmt
Program Services$4,222,829ProgramServicesAmt
Management And General$642,742ManagementAndGeneralAmt
Fundraising$233,960FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$17,716,920TotalAmt
Program Services$14,655,357ProgramServicesAmt
Management And General$2,935,550ManagementAndGeneralAmt
Fundraising$126,013FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$22,222,182TotalAmt
Program Services$19,237,101ProgramServicesAmt
Management And General$2,928,011ManagementAndGeneralAmt
Fundraising$57,070FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$63,593,743TotalAmt
Program Services$54,925,829ProgramServicesAmt
Management And General$8,360,067ManagementAndGeneralAmt
Fundraising$307,847FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,091,037TotalAmt
Program Services$928,845ProgramServicesAmt
Management And General$141,376ManagementAndGeneralAmt
Fundraising$20,816FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$862,094TotalAmt
Program Services$748,211ProgramServicesAmt
Management And General$113,883ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$26,494,406TotalAmt
Program Services$26,494,406ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$111,180,089TotalAmt
Program Services$91,901,462ProgramServicesAmt
Management And General$19,278,627ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$33,139,742TotalAmt
Program Services$28,761,982ProgramServicesAmt
Management And General$4,377,760ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$516,434,894$516,434,894
DIETARY$14,220,782$12,248,438$1,864,292$108,052

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,252,822,955TotalAmt
Program Services$2,020,761,301ProgramServicesAmt
Management And General$228,735,576ManagementAndGeneralAmt
Fundraising$3,326,078FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$956,961BOYAmt
EOY$1,100,798EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$193,946,665BOYAmt
EOY$262,550,727EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$15,880,898BOYAmt
EOY$14,730,189EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$262,303,906BOYAmt
EOY$299,391,058EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$4,028,900BOYAmt
EOY$4,028,900EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$32,581,763BOYAmt
EOY$35,324,163EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,120,120BOYAmt
EOY$2,814,563EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,179,880,986LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,237,386,457LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$915,442,224BOYAmt
EOY$942,494,529EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$382,758,936BOYAmt
EOY$401,543,457EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$545,868,618BOYAmt
EOY$604,247,981EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$174,372,152BOYAmt
EOY$193,260,894EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$480,669,113BOYAmt
EOY$575,694,252EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,012,930,256BOYAmt
EOY$3,337,181,511EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$283,832,526BOYAmt
EOY$315,583,071EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$61,633,012BOYAmt
EOY$58,193,922EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$575,288,199BOYAmt
EOY$548,069,314EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$12,112,500BOYAmt
EOY$57,972,342EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$4,109,066BOYAmt
EOY$4,249,621EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$657,355,003BOYAmt
EOY$700,631,242EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,594,330,306BOYAmt
EOY$1,684,699,512EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,264,366,811BOYAmt
EOY$1,488,877,575EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$76,942,227BOYAmt
EOY$80,845,344EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$77,290,912BOYAmt
EOY$82,759,080EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,418,599,950BOYAmt
EOY$1,652,481,999EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,012,930,256BOYAmt
EOY$3,337,181,511EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$197,766,653ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$14,543,354NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$21,572,042OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$563,904OtherActivitiesAmt
Total Lobbying Expenditures$563,904TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1FormAndLineReferenceDesc
ExplanationThe Mount Sinai Hospital pays dues to various organizations that lobby federal and state legislators on behalf of health care facilities, including the Mount Sinai Hospital. The portion of these dues by entity are summarized below: American Hospital Association $21,657 Greater New York Hospital Association $117,823 1199 SIEU $6,139 MOUNT SINAI HOSPITAL MANAGEMENT $350,000 HEALTH CARE ASSOCIATION OF NEW YORK STATE $68,047 NEW YORK PROTON MANAGEMENT $238 Total $563,904ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$154,233,139BeginningYearBalanceAmt
Contributions$37,052,615ContributionsAmt
Other Expenditures$27,681,330OtherExpendituresAmt
End Year Balance$163,604,424EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$153,132,000BeginningYearBalanceAmt
Contributions$30,969,279ContributionsAmt
Other Expenditures$29,868,140OtherExpendituresAmt
End Year Balance$154,233,139EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$146,505,310BeginningYearBalanceAmt
Contributions$34,904,423ContributionsAmt
Other Expenditures$28,277,733OtherExpendituresAmt
End Year Balance$153,132,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$160,394,879BeginningYearBalanceAmt
Contributions$28,573,083ContributionsAmt
Other Expenditures$42,462,652OtherExpendituresAmt
End Year Balance$146,505,310EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$162,583,800BeginningYearBalanceAmt
Contributions$29,683,697ContributionsAmt
Other Expenditures$31,872,618OtherExpendituresAmt
End Year Balance$160,394,879EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.49000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.51000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$49,616,675OtherCostOrOtherBasisAmt
Book Value$49,616,675BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$672,374,664OtherCostOrOtherBasisAmt
Depreciation$242,291,634DepreciationAmt
Book Value$430,083,030BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,455,753,262OtherCostOrOtherBasisAmt
Depreciation$995,094,823DepreciationAmt
Book Value$460,658,439BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,136,385OtherCostOrOtherBasisAmt
Book Value$2,136,385BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$942,494,529TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescPOOLED INVESTMENTSDesc
Book Value$604,247,981BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$604,247,981TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (8 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
CAPTIVE INSURANCE$169,061,099F
MOUNT SINAI PROTON HOLDING CO$12,766,283F
HEALTHFIRST MANAGEMENT SERVICE$10,007,411F
MORGAN STANLEY$60,000C
COMCARE MANAGEMENT PARTNERS, L$164,138F
GNYHA PURCHASING ALLIANCE, LLC$40,857F
8E 102ND STREET REIT$11,110F
ACCUITY$999,996F
FieldValueIRS element (for citing)
Total Book Value Program Rltd$193,260,894TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (12 entries)

DescDescBook ValueBookValueAmt
DUE TO/FROM RELATED ORGS$265,613,084
DEFERRED FINANCING FEES$6,141,230
457B PLAN$9,942,557
ROTATING RESIDENTS$3,190,242
TENANT SECURITY DEPOSITS$344,201
AMBULANCE SERVICE LICENSE$1,150,000
DEPOSITS HELD BY THIRD PARTIES$3,809,483
340B PHARMACY RECEIVABLE$6,090,501
MEDICAID/HMO RECEIVABLE$25,578,119
OTHER RECEIVABLES$4,330,696
PROF BILLING RECEIVABLE$2,284,642
PROF LIAB INS REC$247,219,497
FieldValueIRS element (for citing)
Total Book Value Other Assets$575,694,252TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (14 entries)

DescDescAmtAmt
POST RETIREMENT BENEFITS$17,364,321
THIRD PARTY LIABILITIES$320,567,258
RENT SECURITY DEPOSIT$344,201
AR CREDIT BALANCES$15,609,029
MALPRACTICE INSURANCE$30,214,050
PLANNED GIFT LIABILITY$82,500
MOUNT SINAI PHARMACIST PENSION$14,082,107
457B PLAN LIABILITY$9,942,556
PROFESSIONAL LIABILITIES$247,219,800
DSRIP LIABILITY$1,219,916
GENETIC BILLING LIABILITY$33,031,338
LONG ISLAND HEART PAYABLE$3,866,666
SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN$5,187,500
1514 MADISON AVENUE LIABILITY$1,900,000
FieldValueIRS element (for citing)
Total Liability$700,631,242TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4FormAndLineReferenceDesc
ExplanationINTENDED USES OF ORGANIZATION'S ENDOWMENT FUNDS MOUNT SINAI HOSPITAL'S ENDOWMENT FUNDS ARE RESTRICTED TO INVESTMENTS IN PERPETUITY WITH THE INCOME EXPENDABLE TO SUPPORT PROGRAMS ACTIVITIES AS STIPULATED BY THE DONORS. THE HOSPITAL FOLLOWS THE REQUIREMENT OF THE UNIFORM MANAGEMENT OF INSTITUTIONAL FUNDS ACT ("UMIFA") AS THEY ARE RELATED TO ITS ENDOWMENT CONTRIBUTIONS. THE HOSPITAL HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS SUPPORTED BY ITS ENDOWMENT. UNDER THIS POLICY, AS APPROVED BY THE BOARD OF TRUSTEES, THE EDOWMENT ASSETS ARE INVESTED IN A MANNER TO PROVIDE THAT SUFFICIENT ASSETS ARE AVAILABLE AS A SOURCE OF LIQUIDITY FOR THE INTENDED USE OF THE FUNDS, ACHIEVE THE OPTIMAL RETURN POSSIBLE WITH THE SPECIFIC PARAMETERS, AND PRUDENTLY INVEST ASSETS IN A HIGH-QUALITY DIVERSFIED MANNER TO ADHERE TO ESTABLISHED GUIDELINES.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConductedTxt
Specific Services ProvidedinsuranceSpecificServicesProvidedTxt
Region Total Expenditures$55,056,788RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Spent$55,056,788SubtotalSpentAmt
Total Spent$55,056,788TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipYes (true)ForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 2The primary coverage of professional and general liability incidents has been provided through participation in a pooled program with certain health care facilities (principally hospitals) affiliated with the Federation of Jewish Philanthropies of New York. This occurrence basis insurance coverage participation is with the Captive Insurance Companies. The Captive Insurance Companies have two offices in the Caribbean, specifically Bermuda and Barbados. The companies were incorporated in Barbados and Bermuda in 1992 and 1986 respectively and are licensed under the Insurance Act of both countries. Since the Hospital is a shareholder of the Captive Insurance Companies, the Hospital follows the equity method of accounting for its interest in the insurance companies associated with the medical malpractice insurance program. Additionally, Forms 5471, Information Returns of U. S. Persons with Respect To Certain Foreign Corporations, has been filed with the Hospital's 990T.
parts I & IVThe investment activities listed in Part 1 are allocated to agree to the audited financial statement reporting as pooled investments while Part IV reports on foreign filings filed by the respective organization.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1AHC LEGENDSEvent1Nm
Gross Receipts Event1$703,516GrossReceiptsEvent1Amt
Charitable Contri Event1$670,747CharitableContriEvent1Amt
Gross Revenue Event1$32,769GrossRevenueEvent1Amt
Food And Beverage Event1$33,234FoodAndBeverageEvent1Amt
Entertainment Event1$11,981EntertainmentEvent1Amt
Other Direct Expenses Event1$142,825OtherDirectExpensesEvent1Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$703,516GrossReceiptsTotalAmt
Charitable Contributions Tot$670,747CharitableContributionsTotAmt
Gross Revenue Total Events$32,769GrossRevenueTotalEventsAmt
Food And Beverage Total Events$33,234FoodAndBeverageTotalEventsAmt
Entertainment Total Events$11,981EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$142,825OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$188,040DirectExpenseSummaryEventsAmt
Net Income Summary-$155,271NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
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Percent400Yes (X)Percent400Ind
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Direct Offsetting Revenue$20,939,679DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,934,706NetCommunityBenefitExpnsAmt
Total Expense0.01110TotalExpensePct

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Direct Offsetting Revenue$461,720,923DirectOffsettingRevenueAmt
Net Community Benefit Expns$125,077,849NetCommunityBenefitExpnsAmt
Total Expense0.05550TotalExpensePct

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Direct Offsetting Revenue$482,660,602DirectOffsettingRevenueAmt
Net Community Benefit Expns$150,012,555NetCommunityBenefitExpnsAmt
Total Expense0.06660TotalExpensePct

Community Health Services CommunityHealthServicesGrp

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Direct Offsetting Revenue$2,678,496DirectOffsettingRevenueAmt
Net Community Benefit Expns$27,934,248NetCommunityBenefitExpnsAmt
Total Expense0.01240TotalExpensePct

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Total Expense0.06250TotalExpensePct

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Total Expense0.02400TotalExpensePct

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Total Expense0.00020TotalExpensePct

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Direct Offsetting Revenue$73,627,286DirectOffsettingRevenueAmt
Net Community Benefit Expns$223,140,191NetCommunityBenefitExpnsAmt
Total Expense0.09910TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

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Direct Offsetting Revenue$556,287,888DirectOffsettingRevenueAmt
Net Community Benefit Expns$373,152,746NetCommunityBenefitExpnsAmt
Total Expense0.16570TotalExpensePct

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Net Community Benefit Expns$9,528NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

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Total Community Benefit Expns$409,542TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$409,542NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

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Total Expense0.00010TotalExpensePct

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Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
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Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, LINE 5A key philosophy of the CNA is recognizing that both quantitative data and qualitative data are crucial to a comprehensive assessment of community need in the Mount Sinai Performing Providers System (PPS) proposed service area. This area includes five boroughs in NYC (Brooklyn, Bronx, Manhattan, Queens, and Staten Island), as well as Westchester County. The population examined in the CNA includes the overall New York State population and in particular the New York City population. The New York City population accounts for 43% of New York States population. New York City population has a greater proportion of African Americans, Asians, Latinos, and multi-racial residents than the rest of the state, with nearly half of the population speaking a language other than English. With respect to income and education, Manhattan residents have the highest income as well as the highest high school and college graduation rates, while those in the Bronx account for the lowest income and lowest college graduation rates. The populations in Queens and the Bronx have the highest illiteracy rates. Unemployment rates are the highest in the Bronx and Brooklyn. The population living below the poverty level is greatest in the Bronx, followed by Brooklyn, Manhattan, and Queens, and Staten Island. In particular, housing and homelessness is widespread in New York City. The CNA also has data on all-payer populations, which includes Medicaid beneficiaries. Brooklyn Medicaid beneficiaries account for a third of the total citywide Medicaid population with more than 1.2 enrollees. Brooklyn and the Bronx have more Medicaid beneficiaries in the ages of 18-44, while Queens has more Medicaid members who are seniors. The populations studied included a cross section of residents and organizations covering all five boroughs with a concentration on people with limited means and medical coverage. The study did include all relevant types of payers including government sponsored, private insurance and self-pay (self-pay includes patients that would require financial assistance from the hospital). Initially, we used quantitative measures available in the states data books and other identified data sources that align with the DSRIP metrics for measuring the success of each project. We also used data that PPS stakeholders designated as critical for successful project planning and execution. In addition, existing CNAs conducted by Mount Sinai PPS hospital partners were examined for this analysis. Data for about 500 indicators was collected from a wide range of data sources, including the Census, SPARCS, Epiquery, Salient Dashboards, and other publicly available data sources. These indicators fall under the following categories: Demographics, Mortality, Hospitalizations, Barriers to Accessing Health Care, Health Care Resources, and Community Resources. The extensive quantitative data collected provides a wealth of comprehensive information on the health status and community needs in the PPS service area. For this assessment, PPS providers and community members in the Mount Sinai PPS service area were surveyed to confirm and validate quantitative feedback identified through the data analysis. The provider surveys also address any resource gaps, such as a lack of adequate behavioral health providers to meet the needs identified in the CNA, present among our providers. Partners and stakeholders were surveyed from October through November 2014 through Survey Monkey, an online survey tool. In addition to completing web-based surveys, stakeholder engagement groups were convened with community based organizations in each borough, which included local neighborhood and council participants, borough presidents, advocacy groups and social services organizations. These discussion forums covered participants representing the spectrum of services within the PPS, further detailed in the Appendix, and even included a large proportion of non-PPS representation. Town hall style forums were conducted in each borough to gather more qualitative information, validate findings and solicit additional input. Beyond these community based forums, the CNA was also posted online for public input and commentary. Organizations represented in this process covered special populations, i.e. substance abuse, behavioral health, HIV, seniors and persons with disabilities, as well as representatives of low-income housing, homecare, outreach workers, community social works, legal aid, public health providers, homeless shelters, transitional housing, foster care and EMS. The intent was to capture as broad a set of inputs as possible, using pre-established community forums and advocacy groups that had trusted thought leaders from the community. Once data was gathered from the various data sources and the accompanied survey, we conducted a thorough analysis of the current state of the community, summary of provider organizations, and review of the populations health care needs. The CNA focused on the health needs in the service area and includes analyses by population for the Medicaid, duals, uninsured and all-payer populations. By comparing the indicators of these payer groups, we can examine the health disparities between those with access to coverage and those without. Quantitative data were selected based on their alignment with the DSRIP metrics and milestones for each domain and project category. To the extent possible, data sources with statewide, citywide, borough, and county-level data were selected. Details on the data, including the definition of the indicator, data source, year(s), geography, location, and data type, were compiled in a standardized template. Data were then collected and verified as being accurate and reproducible to their source. Throughout the CNA process, we engaged partners and the public in meaningful dialogue to better understand community needs, challenges and barriers to accessing care, and disparities in service provision and health outcomes. To ensure full transparency, we provided multiple opportunities for feedback and input through document review, survey instruments, webinar, and local meetings. The Mount Sinai PPS Clinical Committee and subgroups were intimately involved in selecting health care indicators, vetting gathered data, and evaluating the analysis. An analysis of topline results from the data was shared with our partners at the Mount Sinai PPS October 16th Town Hall to gather insights. Provider feedback from this event was distributed to planning committees the following week to be more closely vetted and incorporated into project planning. To engage our provider partners in the development of the CNA, we had providers form breakout groups in the following categories: Post-Acute Care Transitions, Disease Management, Care Coordination and Patient Engagement, and Behavioral Health and Primary Care Integration. These small groups were then instructed to brainstorm data points they felt the CNA should include based on those key strategies. Providers suggested a wide range of data needs, including measures showing patients' access to stable housing, service coordination with the criminal justice system, and the impact of trauma on patients. These suggestions were compiled, posted on the PPS website, and incorporated into the CNA survey. Qualitative data were derived from Mount Sinai PPS provider partner survey results, which collected on-the-ground insights from providers on key community health needs and barriers to accessing care. Respondents answered 62 questions divided into six components: Organizational Information, Access to Health Care Services, Care Coordination, Population Health, Health Care Barriers, and Patient Centered Medical Homes. Of the approximately 200 parent organization and unique standalone organizations in our PPS, 190 completed and submitted a survey. Many stakeholder organizations contributed to the CNA, including The Brooklyn Hospital Center, several federally qualified health centers, such as William F. Ryan Community Health Center. ArchCare, Coordinated Behavioral Care IPA network member agencies, and Visiting Nurse Service of New York were additional respondents. (See Appendix A of the CNA, which can be found on our website at http://www.mountsinai.org/locations/mount-sinai/about/community, for a complete list.) In addition, the PPS asked providers to complete a comprehensive survey which captured data on provider readiness and gaps in care. Input and dialogue was encouraged through PPS committee meetings and local community boards. A critical aspect of these local meetings was to review and discuss findings from the qualitative data analysis. The feedback received was incorporated into the qualitative analysis and included in the CNA. Furthermore, the general public, including community leaders, were invited to comment on topline CNA results posted on the PPS webpage, distributed through PPS listserv, and noted in the PPS weekly newslette
Schedule H, Part V, Line 6aThe Community Health Needs Assessments for Mount Sinai Hospital and The Mount Sinai Hospital of Queens were conducted in conjuction with each other. SCHEDULE H, PART V, LINES 7A THE HOSPITAL'S FAP IS AVAILABLE ON THE WEBSITE: http://www.mountsinai.org/locations/mount-sinai/about/community SCHEDULE H, PART V, LINES 10A THE HOSPITAL'S IMPLEMENTATION STRATEGY IS AVAILABLE ON THE WEBSITE: http://www.mountsinai.org/locations/mount-sinai/about/community
Schedule H, Part V, Line 11THE HOSPITAL HELPED MEET THE COMMUNITY NEEDS (CN) AS OUTLINED BELOW: Mount Sinai Hospital (MSH) CN1 Lack of Access to Social Services: Social services are generally provided by our community partners. The hospital provides patients with lists of resources they can contact. CN2 Increase access to specialty care: The hospital provides significant specialty care services for both inpatient and outpatient services. These include but are not limited to cardiology, neurology, orthopedics, gastroenterology, and endocrinology. CN3 Shortage of mental health services: The hospital provides both inpatient and outpatient mental health services. CN4 Shortage of primary care services: MSH provides primary care at the main hospital campus as well as at Mount Sinai Doctor practices throughout Manhattan, Brooklyn and Queens. Affiliation agreements with City MD and CVS Minute Clinics. CN5 Shortage of dental care services: MSH hospital provides dental services/surgery to patients in Northern Manhattan/East Harlem. CN6 Lack of community health centers: While MSH supports the work of community health centers this service is provided by the centers themselves as community partners. CN7 Need for more care coordination: Use of referral services social work programs and transformation of medical records system, MSH and the entire health system are striving for greater coordination of care. CN 8 Need to increase behavioral health services for children and adolescents: As with CN 3 above hospital offers programs for both inpatient and outpatient needs. CN 9 Need to increase disability resources: These services are provided by community partners all hospital programs are ADA compliant. CN 10 Need for more education about underlying causes of diabetes: U.S. News & World Report ranks Mount Sinai among the best in the nation for Diabetes and Endocrinology. The American Diabetes Association has recognized the Mount Sinai Diabetes Center as a Center of Excellence. As a leader in the field and as part of a world-class academic medical center, we provide highly specialized, state-of-the-art care for people with diabetes and related disorders. Our goals are reflected in our motto: Prevent. Control. Thrive. We want to help you prevent and manage complications associated with diabetes and take control of your health so you can continue to live well and thrive. CN 11 Need for better diabetes management: See CN 10 Above. CN 12 Improve infant and maternal health: MSH offers programs including prenatal genetic testing and counseling, childbirth preparation classes. OB physicians at offices on the hospital campus as well as ambulatory sites in the community. CN 13 Need for more education, resources and promotion of healthy lifestyle: MSH offers smoking cessation programs, programs for healthy eating and lifestyle at the hospital campus and at health fairs and events in the community. CN 14 Necessity of patient navigation, including patient engagement and education: Currently most navigation revolves around referral assistance and assistance in acquiring medical coverage and financial assistance. The hospital is looking at plans at enlarging its overall patient navigation. CN 15 Lack of patient follow up after hospital discharge: PACT program works with most vulnerable patients to see that follow up plans are adhered to after discharge. CN 16 Need to improve quality of nursing homes in the Mount Sinai service areas: MSH does not operate nursing homes this need would be covered by our community partners. CN 17 Need to increase number of providers who participate in Health Information Exchange (HIE): The Mount Sinai Health System has made financial investments through the DSRIP program to achieve this goal. CN 18 Need to increase number of providers who accept Medicaid coverage: The Mount Sinai Health System is a leader providing quality health care to its patients regardless of their ability to pay. CN 19 Higher mortality rates for AIDs, pneumonia, diabetes and homicide: Mount Sinai's balanced approach to treating HIV and AIDS combines research and preventive education. We provide individualized care using the latest medical advances, and we promote community-based initiatives. The Mount Sinai Comprehensive Health Program is located at 275 7th Avenue. Pneumonia is treated by the division of Infectious Disease Control. Diabetes is treated through community programs and at the Mount Sinai Diabetes Treatment Center. Homicides would be affected by other community interventions. CN 20 Higher Prevalence of cardiovascular conditions: Ranked 9th nationally for Cardiology & Heart Surgery by U.S. News & World Report, Mount Sinai Heart is celebrated internationally as a world leader in all facets of cardiology care, cardiac surgery, and advanced research. CN 21 Higher Preventable hospital admissions due to cardiovascular conditions: Lowering the number of preventable admissions to the hospital regardless of the condition is a goal of the Mount Sinai Health System. The programs of Mount Sinai Heart in addition to community outreach and screenings will aid in addressing this need. CN 22 Higher Prevalence of Asthma: The MSH Asthma Program includes: Consultation with pulmonary specialist, Evaluation by allergy specialist, Environmental assessment, Advanced diagnostic testing, Asthma education, personalized self-management strategy, Referral to on-site gastroenterologist, otolaryngologist, occupational and environmental specialist, psychiatrist, nutritionist, exercise specialist or social worker as needed. CN 23 Higher HIV prevalence and incidence: Mount Sinai's balanced approach to treating HIV and AIDS combines research and preventive education. We provide individualized care using the latest medical advances, and we promote community-based initiatives. The Mount Sinai Comprehensive Health Program is located at 275 7th Avenue. CN 24 Higher case rates of gonorrhea and syphilis: Programming available through the Infectious Disease Program as well as the Mount Sinai Comprehensive Health Program. Mount Sinai Queens (MSQ) CN1 Lack of Access to Social Services: Social services are generally provided by our community partners. The hospital provides patients with lists of resources they can contact. CN2 Increase access to specialty care: The hospital provides significant specialty care services for both inpatient and outpatient services. This includes but is not limited to: diabetes services, gastroenterology, cardio surgery programs, pulmonology and neurology. CN3 Shortage of mental health services: MSQ is a smaller more community based hospital; mental health services would be available through other community programs or facilities within the Mount Sinai Health System. CN4 Shortage of primary care services: MSQ provides primary care at the main hospital campus as well as at Mount Sinai Doctor practices throughout Queens. Affiliation agreements with City MD and CVS Minute Clinics. CN5 Shortage of dental care services: MSQ is a smaller more community based hospital; Dental services are not offered. CN6 Lack of community health centers: While MSQ supports the work of community health centers this service is provided by the centers themselves as community partners. CN7 Need for more care coordination: Use of referral services social work programs and transformation of medical records system, MSQ and the entire health system are striving for greater coordination of care. CN 8 Need to increase behavioral health services for children and adolescents: As noted in CN 3, MSQ does not offer mental health services. CN 9 Need to increase disability resources: These services are provided by community partners all hospital programs are ADA compliant. CN 10 Need for more education about underlying causes of diabetes: Medical intervention and nutritional counseling are offered at the main hospital campus, its ambulatory pavilion as well as Mount Sinai Queens Family Health Associates. Education and information is also offered at various community events and health fairs. CN 11 Need for better diabetes management: Medical intervention and nutritional counseling are offered at the main hospital campus, its ambulatory pavilion as well as Mount Sinai Queens Family Health Associates. CN 12 Improve infant and maternal health: Mount Sinai Queens has expanded our womens care services by offering obstetric care and delivery. We offer prenatal care, including services for pregnancies considered high risk due to high blood pressure and diabetes, as well as multiple order pregnancies (carrying two or more fetuses). Patients receive prenatal and postpartum care at one of our conveniently located Ob/Gyn practices in Astoria. Vaginal and caesarian deliveries are performed at MSH in Manhattan. CN 13 Need for more education, resources and promotion of healthy lifestyle: MSQ offers smoking cessation programs, programs for healthy eating and lifestyle at the hospital campus and at health fairs and events in the community. CN 14
Schedule H, Part V, Line 16a, 16b, & 16cTHE 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.
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Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H SUPPLEMENTAL INFORMATIONPart I, Line 7 The Mount Sinai Hospital used the ratio of cost-to-charges methodology for costing purposes. The cost-to-charge ratio was derived utilizing Worksheet 2, Ratio of Patient Care Costs-to-Charges. Part I, Line 7G The Hospital reported its support for the Mount Sinai Diagnostic and Treatment Center (MSDTC) under Part I, Line 7g Subsidized Health Services. MSDTC is a separately licensed entity that operates a variety of diagnostic and treatment clinics in the Hospital's East Harlem service area. The Hospital provides sufficient funding for MSDTC so that it can meet its annual operating requirements. In 2015, the Hospital funded the MSDTC's operating loss of $17.4 million. Also included in subsidized health services is support provided to the Beth Israel Medical Center of $16.3 million to help support its mission of providing care to the surrounding community. The Beth Israel Medical Center (also know as Mount Sinai Beth Israel)is part of the Mount Sinai Health System. The Hospital also provided support for various primary care physician practices in the surrounding comminity. These practices are owned by The Icahn School of Medicine of Mount Sinai which is also a member of the Mount Sinai Health System. During 2015, the Hospital transferred $6.8 million to other Mount Sinai entities including Mount Sinai Health Partners. These funds are used to develop programs to improve the community served. Part I, Line 7, column f The Hospital subtracted approximately $12.8 million of bad debt expense that was reported in Part IX, line 25, column (A) from total expense when calculating the percentages in this column.
Part II Community Building ExpenseThe Hospital conducts various Community Building Activities during the year to promote the health of its community. The Hospital pays for several public service announcements that help promote population health in areas such as diabetes awareness, cardiac health, cancer, mental health, teen health, and HIV/AIDS. These announcements help to provide the public with information as to symptoms of various diseases and medical conditions so that they seek care before their medical condition reaches a more advanced stage. Additionally, the Hospital spends a significant amount on disaster preparedness each year. These expenditures ensure that the Hospital will be ready to handle a large scale disaster in the area and meet the medical needs of those that are impacted. This preparedness includes plans for handling large volumes or sick or injured people under various scenarios, such as when power is lost or transportation systems are shut down. Part III, Line 2 The Hospital's provision for bad debts is recorded in accordance with generally accepted accounting principles. The amount of the provision for bad debts is based upon management's assessment of historical and expected net collections, business and economic conditions, trends in Medicare and Medicaid health care coverage and other collection indicators. Part III, Line 3 Not applicable Part III, Line 4 The Hospital's footnote disclosure on bad debt expense includes the following: Deductibles and copayments under third-party payment programs are the patient's responsibility and the Hospital considers these amounts in its determination of the provision for bad debts based on collection experience. Accounts receivable are also reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Hospital analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payoy sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. Part III, Line 8 Medicare Allowable Cost were obtained from the Medicare cost report. The cost report utilizes a step-down methodology to allocate an institution's allowable costs by service and program. In addition, the Hospital included the Medicare share of the loss for Health Professions Education (Schedule H, Part I, Line 7f), which amounted to $23.7 million in order to provide a more accurate reflection of the Hospital's Medicare financial results. Part III, Line 9b The Hospital's collection practices do not apply to charity care balances. Once an account or a portion thereof is deemed to be charity care, it is written off as such. As a result, there is no further collection effort on the account balance.
2. Needs AssessmentA continuous community needs assessment process occurs in Manhattan and Western Queens through active membership/participation of administrative leaders, staff and faculty in over 20 community committees, coalitions and boards; and through service and educational partnerships with community health, social service, civic organizations and schools. The Department of Community and Government Affairs acts as a liaison for the Medical Center to health, social service and civic organizations, schools, coalition and community leaders in East and Central Harlem, the Upper West Side and in boroughs outside of Manhattan and Western Queens. Community and Government Affairs work closely with the Mount Sinai School of Medicine, Mount Sinai's Center for Multicultural and Community Affairs and the Department of Community and Preventive Medicine to assist other Medical Center departments that seek to implement community programs and research projects. The Mount Sinai Medical Center actively seeks the views of community residents, hospital consumers, health care providers, religious groups, community boards, elected officials, support groups, and community health and human service professionals in identifying the need for services and public health priorities. The Mount Sinai Medical Center's public participation includes the following: * Mount Sinai's Board of Trustees has established a Community Affairs committee whose members include senior management, health providers, and Trustees. A Trustee serves as a Community Advisory Board member to ensure board to board communications. The Board of Trustees meets quarterly to evaluate services and community needs. * Mount Sinai's Community Advisory Board (CAB) members represent diverse socioeconomic and ethnic constituencies and representatives from the Medical Center leadership and departments. The CAB's goal is to ensure that the medical center is responsive to health care needs of consumers, with particular emphasis on the needs of East Harlem. The CAB meets monthly to evaluate services and community needs. * The Tisch Cancer Institute has established a CAB to work in partnership with East and Central Harlem community residents and organizations to reduce the excess burden of cancer among its African-American and Hispanic residents to find ways to overcome cancer disparities. The CAB meets monthly to discuss community resources, strengths and interventions to improve the quality of cancer prevention, treatment and care. * Mount Sinai has established and hosts a monthly Community Roundtable to keep its pulse on the needs of East Harlem and Central Harlem communities. Approximately 80 community leaders, educators, elected officials, and CAB members are in attendance at the monthly meetings. * The Mount Sinai Medical Center representatives participate actively in monthly/quarterly meetings with the following organizations in its continuing efforts to discuss health care needs of the community. * Abyssinian Development Corporation. * Boriken Neighborhood Health Center. * Bronx Aids Services. * Children's Aids Society. * Community Board No.11 - Manhattan, Health & Human Services Committee. * East Harlem Chamber of Commerce. * East Harlem HIV Care Network. * East Harlem Partnership for Cancer. * Greater Harlem Chamber of Commerce. * Little Sisters of the Assumption Family Health Services. * New York Academy of Medicine. * New York City Housing Authority - Carver Houses Tenants Association & Johnson Tenants Association. * Jewish Home and Hospital. * Settlement Health Association. * Union Settlement Association. * Yorkville Common Pantry. The Mount Sinai Hospital of Queens' public participation includes the following: * Mount Sinai Hospital of Queens recently formed a CAB and serves the needs of a culturally diverse population with representatives from social and human service organizations, civic associations, public housing authority, and health care providers. The CAB meets quarterly to evaluate services and community needs. * Mount Sinai Hospital of Queens conducts an annual Community Roundtable to inform and update participants on new programs and projects and facility improvements at the Hospital. The focus is also on engaging participants in a discussion of ways in which the Hospital can improve and better serve the needs of the community. * The annual Pastoral Care Forum for clergy and other religious leaders in the community featured an educational session as well as an information-sharing component of services available in the community. * Mount Sinai representatives participate actively in monthly/quarterly meetings with the following organizations in its continuing efforts to discuss health care needs of the community. * American Cancer Society. * Astoria Civic Association. * Catholic Charities of Brooklyn and Queens. * Community Boards No.1 & 2 - Queens. * Gateway to Health Sciences Secondary School. * Greek Orthodox Archdiocesan of America Hellenic Cultural Center. * HANAC. * Jacob Riis Neighborhood Settlement House. * Queens Chamber of Commerce. * New York City Housing Authority - Ravenswood Tenants Association. * SHAREING & CAREING. * United Community Civic Association. * Visiting Nurse of New York. The Mount Sinai Medical Center discusses and analyzes the following demographic and socio-economic data with community partners as part of the community needs assessment process. 1. Utilization - Identify which services/programs have met or exceeded projected utilization. 2. Patient satisfaction surveys - Analyze the hospitals' patient surveys to determine areas of needs identified by patients and their families. 3. Local demand for services - Identify the services/programs with waiting lists, which demonstrate that the local demand for services exceeds capacity. 4. Community need data - Determine the health of the community by examining the health statistics on the NYCDOHMH and NYSDOH websites; and determine the areas in which the target goals of Take Care New York are not met. Additionally, in assessing the communities' needs in conjunction with community partners, consumers, community boards, community leaders, and community health and human service professionals, the following questions are considered: 1. Is the cause of the illness, disease or health behavior preventable? 2. Does the hospital have existing resources, capacity, and processes to conduct outreach, provide screenings and treatment, measure, and evaluate set goals? 3. Was the health focus also identified by, discussed with, and determined as a priority in the health of the community by community partners, consumers, community health and human service professionals, NYCDOHMH, and the hospital's Community Advisory Board? Based on the information gathering process described above, the Hospital develops a community service plan that focuses on the health priorities for the surrounding community.
3. Patient education and eligibility for assistanceAll patients that do not have insurance are notified that financial assistance may be available for them. Prominently placed signs notify patients of the financial assistance policy and flyers summarizing the process are available in registration areas. The Hospital provides assistance with enrollment in Federal and State insurance programs including Medicare, Medicaid, Child Health Plus and Family Health Plus. If patients do not qualify for these programs they may qualify for financial assistance through the Hospital's Charity Care and Self Pay Discount Policy. Patient bills also provide information as to where a patient or the person responsible for the Hospital bill can call to receive financial assistance if they are not able to pay the Hospital's bill. Patients are provided with assistance through the Hospital's Financial Counseling Department (Mount Sinai patients only) or through its Resource Entitlement and Advocacy Program (REAP) Office. The REAP Office assists both Hospital patients and community members to obtain financial assistance for their medical expenses.
4. Community InformationThe Mount Sinai Medical Center serves patients in all five boroughs of New York City, Long Island, Westchester and Rockland counties, New Jersey and Connecticut. Mount Sinai is a regional and national referral center. The hospital defines New York County as the area used for community/local health planning for the purposes of the Community Service Plan. Census data were used to determine the service area of The Mount Sinai Medical Center. The total population of New York County in 2010 was 1,585,873 (increase of 3.2 percent from the 2000 Census). Approximately 52% of the New York County population in 2010 was of a minority population (18.5% African-American, 11.8% Asian and 21.7% "other" minority group members including individuals of 2+ races). There were 405,983 (25.6%) Hispanics, who can be of any race. New York County has eight federally-designated medically underserved areas. There are 20 hospitals, including specialty hospitals, serving this area. The U.S. Census identified that 282,285 members (17.8%) of the population were living at or below the Federal Poverty Level in 2010. It has been documented that individuals of minority and/or low-income status experience difficulties in accessing healthcare in some places. Mount Sinai serves residents of its service area without regard to any personal characteristics, including race/ethnicity or payer source. It is important to note the large minority population that Mount Sinai serves as most minority groups have been documented to suffer from cardiovascular disease at rates in excess of those of the White population. The Mount Sinai Medical Center has a strong history of serving traditionally underserved individuals throughout its service area, including Harlem and East Harlem communities surrounding the hospital. Mount Sinai provides the following health services to its community: * 67% of clinic visits are minority patients. * 53% of inpatient discharges are minority patients. * 85% of Emergency Department visits are minority patients. * More than 30% of inpatients reside in upper Manhattan. * Nearly 50% of outpatients reside in upper Manhattan. * More than 50% of Emergency Department patients reside in upper Manhattan. Reflective of the Hospitals location in the East Harlem neighborhood of New York County, approximately 45.5% and 53.5% of the hospital's inpatient discharges and outpatient visits, respectively, were from Medicaid patients. In many of the hospital's programs, over 60% of the patients have historically belonged to a minority group. The total number and percentage of individuals in the 45 and older age group in New York County is projected to grow dramatically from 2000 to 2015. The total number of individuals in this group is projected to increase from 534,263 individuals in 2000 to 694,295 individuals in 2015, representing a growth of 30.0% over this time period. This age group is projected to grow at a rate over seven times that of New York County from 2000 to 2015, and is at greater risk for cardiac problems than the general population. There were 217,265 individuals older than age 65 (comprising 13.7% of the population) residing within the service area in 2010. This population is projected to continue to grow to 242,281 individuals (comprising 15.1% of the population) by 2015, per the New York Statistical Information System from Cornell University. This age group is at greater risk for cancer than the general population. According to data from the New York State Department of Health (NYSDOH), infectious diseases, such as HIV, are more prevalent in the hospital's service area of New York County than in New York City and New York State overall. The HIV case rate from 2005 to 2007 in New York County was 72.9 individuals per 100,000, which was significantly higher than that of New York City (46.0 persons per 100,000) and the State (24.3 persons per 100,000). The Mount Sinai Hospital of Queens defines its primary service area as the following zip codes that comprise Northwestern Queens: 11101, 11102, 11103, 11104, 11105 and 11106 known as Long Island City/Astoria. The secondary service area consists of zip codes that comprise Western Queens: 11368, 11369, 11370, 11372, 11373, 11377 and 11378. Those zip codes define the areas used for community/local health planning for the purposes of the Community Service Plan. The population of the primary service area of Northwestern Queens in 2008 was 231,440 while the population of the secondary service area of Western Queens was 464,497 for a total of 695,937 residents. Over half (51%) of the population (representing more than 100 cultural and ethnic groups) is foreign-born compared to only 36% for New York City as a whole. In Northwestern Queens, roughly one in five persons lives in poverty; one in five adults smoke and is less likely to quit than smokers in New York City overall; women are less likely to get a regular Pap test for cervical cancer than women in New York City as a whole; and the service area has the second highest proportion of uninsured adults among all New York City neighborhoods, with foreign-born residents more likely to be without health insurance than those born in the United States. The heart disease hospitalization rate in the primary service area has increased by more than 10% in the past 10 years. The poverty and language barriers in Western Queens inhibit access to inpatient care. Per the New York City Department of City Planning, Mount Sinai Hospital of Queens is located in Queens Community Board No.1 - Queens. In 2007, 24.2% of the residents lived below the poverty level. This percentage is much greater than the percentage of residents below the poverty level (12.2%) for the entire county. Overall, greater than 50% of the residents in Community Board No.1 - Queens do not speak English "very well", according to the US Census Bureau. Staff members at Mount Sinai Hospital of Queens speak approximately 50 languages, a statistic that is growing each year. This is reflective of the cultural diversity of the service area, which includes residents comprising greater than 100 cultural and ethnic groups.
5. Promotion of Community HealthAs mentioned in the description of the Needs Assessment in Part VI.2, the Hospital has formed a Community Board to ensure that the Medical Center is able to work closely with the surrounding community to identify and respond to the healthcare needs of the community. The Mount Sinai Medical Center Community Advisory Board was formed as a committee of the Board of Trustees to review and comment on the Medical Center's service, educational and research programs. The Board's goal is to ensure that the medical center is responsive to the health care needs of consumers, with particular emphasis on the needs of East Harlem. The Community Advisory Board is a forum for articulating patient care and community health concerns and for evaluating the effectiveness of services on the community's health status, patients' rights, and the quality of services provided to consumers. Community Advisory Board members represent diverse socioeconomic and ethnic constituencies and representatives of Medical Center leadership and departments. A majority are consumers. A Trustee serves as a Community Advisory Board member to ensure board-to-board communications Based on the needs assessment and feedback the Hospital receives from groups like the Community Advisory Board, the Mount Sinai Hospital conducts a number of services and activities that are designed to promote and improve the health of individuals residing in the surrounding community. These services and activities help to inform people of healthy living habits and provide access to valuable health care services, including diagnostic screening services for at risk people. A brief description of each of these services and activities is provided below. * HouseCall is a newsletter developed and designed to introduce the Harlem community to the doctors, nurses, social workers, and other health professionals who serve the community. The publication includes extensive outpatient service information. * Prescriptions for Healthy Living is a campaign launched in 2007 in which banners that stress the importance of taking control of health care and adopting a healthy lifestyle are placed throughout the community. * Good Health Is Precious brings health education and screening to community organizations, responding to a need for early detection. Mini health talks about asthma, cancer, cardiovascular health, chronic kidney disease, diabetes, mental health, nutrition and fitness, orthopedic care, palliative care, and women's health are available in English and Spanish. * The Greenmarket is a partnership between the Medical Center and the Council on the Environment of New York City that sells fresh fruit and vegetables in East Harlem each week. It also offers free medical screenings as well as demonstrations of healthy cooking. * Free Community Health Screenings. In the past year Mount Sinai faculty and staff sponsored and/or participated in numerous community health fairs and health screening programs, street festivals, children's festivals, health expos and information fairs, reaching over 25,000 people. Screenings have been conducted to test blood pressure, glucose, cholesterol, vision, bone density, body mass index, kidney disease, and Hepatitis C at health fairs year-round. There are nearly 7000 screenings annually. * Support Groups are offered to patients and their families so that they can share their stories with others who have had similar experiences. * Workshops and seminars are important components of Mount Sinai's commitment to the community. Topics covered have included areas such as Power of Attorney, Living Wills and Advanced Directives: What You Need to Know, Men's Health Seminars, Women's Cardiovascular Health. * Exercise and Education classes are offered weekly or bi-monthly. * Resource Entitlement Advocacy Program (REAP) serves uninsured and underinsured community members and hospital patients who need assistance with entitlement issues. REAP enables them to get health insurance and gain access to health care. In addition, it helps them obtain income, home care, and nutrition support by working with community agencies. REAP also provides technical assistance regarding changes to entitlement programs such as welfare, Medicaid, Medicare, Family Health Plus, child health insurance, and other programs. *East Harlem Free Clinic, created and operated by the students of the Mount Sinai School of Medicine, provides free medical care to East Harlem residents. * The Medical Center provides HEART (Heart Failure Education and Rehabilitation Training), a congestive heart failure nurse-management program to improve patient self management and physician-initiated services for patients with heart failure in East and Central Harlem. Additionally, Mount Sinai offers a wide variety of community outreach programs that provide screening, educational and patient care. These programs are funded through operating revenues of the Hospital. Some of the programs provided by the Medical Center include: * The Jack Martin Fund Clinic is a New York State Department of Health Designated AIDS Center that provides primary and specialty care, urgent care, social services, and counseling to those who are infected; and preventive services to those at risk. * Mount Sinai Adolescent Health Center was the first primary care facility in New York City specifically designed to meet the health care needs of adolescents. Today, it is the largest, most comprehensive adolescent center in the United States, with a mission to help adolescents grow up happy, healthy, and well educated by preventing disease and promoting health. The Adolescent Health Center offers comprehensive medical, nutritional, exercise, and mental health services to teenagers concerned with eating disorders, becoming overweight or obese, and high cholesterol. * The Mount Sinai Diabetes Center provides inpatient and outpatient treatment and education to adults with type I or type II diabetes. The Diabetes Center works closely with Mount Sinai Internal Medicine Associates, whose patient population includes many patients from East and Central Harlem. The Diabetes Center sponsors community diabetes screenings in English and Spanish. * The Mount Sinai Emergency Department provides state-of-the-art emergency care for the residents of East Harlem and Northern Manhattan 24 hours/day 7 days/week and is a receiving hospital for the 911 ambulance system. It is organized into five treatment areas: Emergency Psychiatric Care, Adult Urgent Care, Chest Pain Unit, Adult Emergency Services, and Pediatric Emergency Services. On-site bilingual staff and social work services are available around the clock. Many initiatives have been introduced in response to community needs and concerns. * Martha Stewart Center for Living at Mount Sinai was established in 2007 as a state-of-the-art medical practice for the outpatient care of seniors, and will surely become a benchmark in geriatric patient care. The Center provides care for patients and training for physicians, and coordinates healthy-aging research and practices. * The Dubin Breast Center opened at the The Tisch Cancer Institute, providing patients with a multidisciplinary, comprehensive approach to breast cancer screening, treatment and survivorship in a serene setting. Dubin Breast Center offers state-of-the-art diagnostics, including 3-D mammography, and minimally invasive diagnostic procedures. Our highly skilled physicians are some of the most sought-after breast cancer experts in the country. Patients at the Dubin Breast Center have access to the latest approaches and techniques, such as seed localization. A team of breast cancer experts are specialized in the diagnosis and treatment of breast cancer patients and offer the most advanced services in breast cancer prevention, diagnosis, and treatment. * The Breast Health Resource Program (BHRP) is dedicated to meeting the emotional and practical needs of women and men with breast cancer. The program offers information, guidance, and critical support to patients from diagnosis through survivorship. Our clinical social workers offer highly individualized counseling to help manage the complex demands of a breast cancer diagnosis. The Breast Health Resource Program offers counseling, seminars, support groups, and a library of information about the latest breast cancer treatments * The Visiting Doctors Program at Mount Sinai provides hands-on, high quality medical care and social support to men and women with complex and serious illnesses who have difficulty leaving their homes. The program aims to help patients maximize their health and independence. The homebound population has traditionally been underserved by the medical community, but the Visiting Doctors Program works to fill that gap by providing ongoing primary medical care. Today, Visiting Doctors serves over 1,000 patients throughout Manhattan and is a national model for the care of this most vulnerable group. * The Mount Sinai S
6. Part of an Affiliated Health Care SystemThe Hospital is part of the Mount Sinai Health System (MSHS, "the System") that was formed on September 30, 2013. The Mount Sinai Health System includes the Hospital, the Icahn School of Medicine at Mount Sinai, Beth Israel Medical Center (BIMC), The St. Luke's-Roosevelt Hospital Center (SLR) and the New York Eye and Ear Infirmary (NYEEI). MSHS is an integrated health care system and academic medical center. The efforts of the Mount Sinai Hospital are provided in detail in the previous sections of Part VI. BIMC, SLR and NYEEI conduct similar community outreach activities in their respective communities. As a new system, MSHS plans to begin to work together to better coordinate its community outreach and health promotion activities so as to reach more of those in need and have a more profound impact on their health status.
7. Community Benefit ReportMount Sinai files a community service plan in New York State.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI
ONE GUSTAVE L LEVY PLNEW YORKNY10029136171197501(C)(3)$26,196,000FUND PHYSICIAN PRACTICE
INSTITUTE FOR FAMILY HEALTH
1879 MADISON AVENUENEW YORKNY10029133273402501(C)(3)$675,000COMMUNITY BENEFIT
ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI
ONE GUSTAVE L LEVY PLACENEW YORKNY10029136171197501(C)(3)$647,000FUND STRATEGIC PROJECT
MOUNT SINAI HEALTH SYSTEM
ONE GUSTAVE L LEVY PLACENEW YORKNY10029464248304501(C)(3)$9,120,567FUND OPERATING LOSS
BETH ISRAEL MEDICAL CENTER
FIRST AVENUE AT 16TH STREETNEW YORKNY10003135564934501(C)(3)$20,625,214FUND OPERATING LOSS
MSMC Realty Corporation
ONE GUSTAVE L LEVY PLACENEW YORKNY10029133852596501(C)(3)$50,174FUND OPERATING LOSS
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part II, Line 1The grant is to fund the operating loss of various off-site physician practices owned by the ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI. Detail review of the off-site physician practices financials are conducted.
Part II, Line 2The grant is to benefit the community and is funded to an exempt organization within the community. The entity is required to submit budget and reconciliations.
Part II, Line 3The grant is to fund various strategic programs to promote common mission of the HOSPITAL AND THE ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI.
Part II, Line 4The grant is to fund the operating loss of its related organization, MOUNT SINAI HEALTH SYSTEM.
Part II, Line 5THE GRANT IS TO FUND THE OPERATING LOSS OF ITS RELATED ORGANIZATION, MSMC REALTY CORPORATION. NO MONITORING IS REQUIRED SINCE THE ENTITY IS A RELATED TAX EXEMPT ORGANIZATION.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Kenneth L Davis MD
CHIEF EXECUTIVE OFFICER$642,480$1,757,520$0$0$450,291$1,231,781$840,310$2,298,690$10,746$29,396$1,943,827$5,317,387$0$0
Burton Drayer MD
EVP, System CCA$0$300,000$0$194,000$0$1,011,838$0$26,500$0$16,895$0$1,549,233$0$0
Michael Macdonald 2
FORMER OFFICER$150,000$150,000$0$0$0$0$0$0$0$0$150,000$150,000$0$0
michael pastier
SVP, Chief Financial Officer$540,000$135,000$164,512$41,128$89,064$22,266$21,200$5,300$38,448$9,612$853,224$213,306$0$0
carol porter DNP RN
SVP, CHIEF NURSING OFFICER$400,000$0$100,000$0$11,770$0$6,666$0$7,784$0$526,220$0$0$0
caryn schwab
SVP, Executive Director, MSHQ$440,000$0$58,200$0$54,166$0$21,200$0$29,740$0$603,306$0$0$0
elana abraham 23
FORMER OFFICER$161,984$94,669$0$0$1,287$14,178$12,319$8,213$18,553$12,369$194,143$129,429$0$0
frank cino
SVP, SYSTEM CHIEF RISK OFFICER$133,172$251,828$55,119$104,231$2,615$4,947$7,333$13,867$11,383$21,526$209,622$396,399$0$0
KUMAR CHATANI
EVP, SYSTEM CIO$189,000$351,000$62,977$116,958$59,766$110,982$9,275$17,225$7,514$13,955$328,532$610,120$0$0
david l reich md
president and coo$950,000$0$242,500$0$88,431$0$26,500$0$21,230$0$1,328,661$0$0$0
arthur klein md
EVP, President of Health Ntwk$283,305$566,695$196,647$393,353$21,164$42,335$8,832$17,668$4,136$8,272$514,084$1,028,323$0$0
Dennis S Charney MD 1
President, Academic Affairs$0$1,000,000$0$400,000$0$399,682$0$26,500$0$20,178$0$1,846,360$0$0
Jeremy Boal MD
EVP, SYSTEM CMO$325,498$449,498$140,732$194,344$67,238$92,851$11,130$15,370$13,672$18,881$558,270$770,944$0$0
Beth Essig ESQ
EVP, General Counsel$286,886$576,190$108,624$218,163$20,491$41,153$8,809$17,691$495$994$425,305$854,191$0$0
Vicki LoPachin MD
SVP, Chief Medical Officer$650,000$0$65,000$0$50,672$0$26,500$0$4,358$0$796,530$0$0$0
MARGARET PASTUSZKO
EVP, CHIEF INTEGRATION OFFICER$189,126$474,474$146,519$367,582$2,157$5,413$6,042$15,158$12,023$30,163$355,867$892,790$0$0
DONALD T SCANLON
EVP, FINANCE & CHIEF CORP SERV$275,731$754,269$129,835$355,166$94,542$258,624$7,094$19,406$8,777$24,010$515,979$1,411,475$0$0
JEFFREY SILBERSTEIN
EVP, SYSTEM CAO$183,107$500,893$89,456$244,709$20,855$57,049$7,094$19,406$8,925$24,413$309,437$846,470$0$0
NIYUM GANDHI
EVP, CHIEF POP. HEALTH OFFICER$343,850$306,150$102,626$91,374$37,954$33,792$11,215$9,985$4,738$4,219$500,383$445,520$0$0
ANDREW SNYDER MD
EVP, SYSTEM CIO$343,850$306,150$6,414$5,711$165,183$147,072$4,585$4,082$7,383$6,574$527,415$469,589$0$0
HORATIO YEUNG
VP SYSTEM CLINICAL LABORATORY$350,000$0$70,166$0$34,830$0$9,333$0$11,628$0$475,957$0$0$0
STEPHEN FURIA
SVP SYSTEM POP HEALTH COMMERCI$251,275$223,725$169,280$150,720$32,414$28,861$2,094$1,864$12,583$11,203$467,646$416,373$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSupplemental InformationFormAndLineReferenceDesc
ExplanationCOMPENSATION FOOTNOTES OFFICERS OF THE BOARD OF TRUSTEES HOURS REFLECT SERVICE TO ALL RELATED ORGANIZATIONS OF MOUNT SINAI HEALTH SYSTEM, INC. (1) EMPLOYEE HAS AN OUTSTANDING LOAN REFLECTED IN SCHEDULE L, PART II OF THE ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI FORM 990. (2) COMPENSATION IS ATTRIBUTED TO CURRENT SERVICES AS A NON-OFFICER. (3) A PORTION OF THIS COMPENSATION AND BENEFITS IS ATTRIBUTABLE TO HER SERVICES PROVIDED TO THE ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI. Schedule J, Part I, Line 4A Michael MacDonald received severance payments totaling $300,000 in 2016. Schedule J Part I, Line 4B The Chief Executive Officer is the sole participant in the organization's first and only supplemental executive retirement plan ("SERP") and earned unvested benefits of $3,112,500 in 2016 which are reported on Schedule J Part II Col C. Benefits earned under the SERP are nonvested forms of deferred compensation that fund the employee's eventual retirement benefit. These benefits are provided in exchange for all the employee's years of service to the organization. The amounts are at risk and will not be paid unless and until the employee has provided substantial future services to the organization. Benefits under the SERP vest if the employee remains employed at the organization through January 1, 2018 and are forfeited on a pro rated basis if the employee is terminated for cause or by reason of death or disability by the organization or if the employee leaves the organization voluntarily prior to January 1, 2018. Schedule J, Part I, Lines 6A & 6B The Hospital answered yes to questions 6A and 6B in Schedule J as the institution utilizes an incentive based bonus program for certain employees, including several of those employees listed in Schedule J. Net earnings is one of 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.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Dormitory Authority of the State of New York
A146000293649905Q582010-06-10$348,374,400Refinance outstanding debt 5/18/00falsefalsefalse
Dormitory Authority of the State of New York
B146000296649906MB72011-10-27$60,604,208Construct allocable share - researfalsefalsefalse
Build NYC Resource Coroporation
C4540405610000000002013-12-19$112,000,000Construct Queens campusfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$348,575,018$32,949,850$0$0$950,618$0$0$0$347,594,781$29,6192010Yes (true)falseYes (true)Yes (true)
B$0$0$66,154,106$4,248,750$2,935,618$0$1,074,778$0$0$56,637,805$1,243,211$13,9442013falsefalseYes (true)Yes (true)
C$0$0$112,185,669$0$0$0$387,324$0$0$109,884,316$934,270$979,7592017falsefalsefalseYes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdPrivate Bus Use By OthersPrivateBusUseByOthersPctOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0
B0falsefalseYes (true)Yes (true)Yes (true)Yes (true)falsefalsefalsefalse
C0falsefalseYes (true)Yes (true)Yes (true)Yes (true)falsefalsefalsefalse

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndRebate Not Due YetRebateNotDueYetInd
0
Afalsefalsefalsefalsefalse0falsefalse
0
Bfalsefalsefalsefalsefalse0Yes (true)false
0
Cfalsefalsefalsefalse0Yes (true)falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
Afalse
Bfalse
Cfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K SUPPLEMENTAL INFORMATIONFormAndLineReferenceDesc
ExplanationPART II, Line 3, Issue A: TOTAL PROCEEDS PER TAX CERTIFICATE = $348,374,400 + INVESTMENT EARNINGS OF $200,618 = $348,575,018 PART II, Line 3, Issue B: TOTAL PROCEEDS PER TAX CERTIFICATE = $66,064,208 + INVESTMENT EARNINGS OF $89,898 = $66,154,106 PART II, Line 3, Issue C: TOTAL PROCEEDS PER TAX CERTIFICATE = $112,000,000 + INVESTMENT EARNINGS OF $185,669 = $112,185,669 PART II, Line 7, Issue C: THE AMOUNT SHOWN IN FORM 8038 FOR ISSUE COSTS EXCEEDED BY $1,500 THE ACTUAL ISSUANCE COSTS PAID FROM BOND PROCEEDS AS A RESULT OF AN OVERESTIMATION IN THE FORM 8038 OF SOME OF THE ISSUANCE COSTS. THE NUMBER ON THE FORM IS THE ACTUAL ISSUANCE COSTS PAID FROM PROCEEDS. PART III, LINE 3A: THE ORGANIZATION HAS ONE MANAGEMENT AGREEMENT WHICH COMPLIES WITH REVENUE PROCEDURE 97-13. PART III, LINE 9: THE ORGANIZATION IS CONSIDERING DEVISING PROCEDURES TO ENSURE THAT IF ANY BONDS BECOME NON-QUALIFIED, THEY WILL BE REMEDIATED IN ACCORDANCE WITH REGULATED SECTIONS 1.141-12 AND 1.145-2. PART IV, LINE 7: THE BOND ISSUER (INDICATED IN PART I, COLUMNS A AND B) DIRECTS AND MONITORS INVESTMENTS AND TAKES SOLE RESPONSIBILITY FOR COMPLIANCE WITH THE REQUIREMENTS OF SECTION 148. THE ORGANIZATION DOES NOT DIRECT THE INVESTMENT OF BOND PROCEEDS. FOR COLUMN C, THE ORGANIZATION DIRECTED AND MONITORED INVESTMENTS BASED ON AN EXPECTED DRAW SCHEDULE AND TAKES SOLE RESPONSIBILITY FOR COMPLIANCE WITH THE REQUIREMNTS OF SECTION 148. FOR COLUMN C, SINCE THE DATE OF ISSUE OF THE BONDS, NO INVESTMENT YIELDS EXCEEDED THE BOND YIELD. PART V: THE ORGANIZATION IS AWARE THAT A VOLUNTARY CLOSING AGREEMENT PROGRAM IS AVAILABLE IF A VIOLATION OF THE FEDERAL TAX REQUIREMENTS, SHOULD THEY OCCUR, CANNOT BE CORRECTED THROUGH SELF-REMEDIATION UNDER APPLICABLE REGULATIONS. THE ORGANIZATION IS CONSIDERING DEVELOPING PROCEDURES TO ENSURE THAT IN THE EVENT FEDERAL TAX VIOLATIONS OCCUR THAT CANNOT BE CORRECTED THROUGH SELF-REMEDIATION, SUCH VIOLATION WILL QUALIFY FOR RESOLUTION THROUGH THE VOLUNTARY CLOSING AGREEMENT PROGRAM.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
BRIAN SCANLON
DONALD SCANLON, OFFICER$77,563COMP. AS AN EMPLOYEEfalse
DAVID SCANLON
DONALD SCANLON, OFFICER$21,042COMP. AS AN EMPLOYEEfalse
DR ALEX CHARNEY
DENNIS CHARNEY, OFFICER$38,379COMP. AS AN EMPLOYEEfalse
JOSHUA FRIEDMAN
RICHARD FRIEDMAN, OFFICER$31,069COMP. AS AN EMPLOYEEfalse
SUBSTANTIAL CONTRIBUTOR- SCH B 76
SUBSTANTIAL CONTRIBUTOR$4,495,094SOFTWARE MAINTENANCEfalse
SUBSTANTIAL CONTRIBUTOR- SCH B 77
SUBSTANTIAL CONTRIBUTOR$11,350BANKINGfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part IV, Column DFormAndLineReferenceDesc
ExplanationFAMILY RELATIONSHIPS WITH INTERESTED PERSONS Officer Donald Scanlon has a family relationship with Brian & David Scanlon who are employed at The Mount Sinai Hospital. Officer Dr. Dennis Charney has a family relationship with Dr. Alex Charney who is employed at The Mount Sinai Hospital. Officer Richard Friedman has a family relationship with Joshua Friedman who is employed at The Mount Sinai Hospital.ExplanationTxt

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$28,653NoncashContributionsRptF990Amt
Method Of Determining Revenuesresale valueMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution12ContributionCnt
Noncash Contributions Rpt F990$2,334,211NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART 1 LINE 9FormAndLineReferenceDesc
ExplanationCOLUMN B REPRESENTS NUMEBR OF CONTRIBUTIONS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 SUPPLEMENTAL INFORMATIONPart I, Line 5 Number of Employees Employees of The Mount Sinai Hospital and The Icahn School of Medicine at Mount Sinai, including employees providing services at Elmhurst Hospital Center and Queens Hospital Center, utilize a common paymaster under the Hospital's tax identification number. The total number of employees reported under The Mount Sinai Hospital's tax Identification number with the common paymaster system is 27,375 individuals. The number of direct Hospital employees is 15,372 individuals. Part VI, Line 1a The following individuals do not have voting rights: Richard Goldstein, Judah Gribetz, Andy Jagoda, and Ellen Katz. Part VI, Section A, Line 2 Family/Business Relationships * Trustees Edgar Cullman, Jr. and Susan Cullman have a family relationship. * Trustee Steven Hochberg and Trustee James Flynn have a business relationship. Part VI, Section A, Line 6 Mount Sinai Hospitals Group, Inc. is the Sole Member of the organization. Part VI, Section A, Line 7a The Member has the power to elect the members of the governing body of the organization. Part VI, Section A, Line 7b The 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.
PART VI, SECTION B, LINE 11BForm 990 provided to governing body The Finance Department gathered the relevant information and prepared the tax returns. * The Tax department of our outside auditors, Ernst & Young (EY), participated in the preparation of, and reviewed, all tax returns. * A questionnaire was circulated to all trustees (i.e., directors), officers and key employees in order to elicit the information required to be reported on the tax returns. * The Trustee Conflicts of Interest Review Committee reviewed the responses provided by trustees and certain officers in the questionnaires and assessed additional pertinent facts gathered by the institution in order to evaluate the applicability of IRS reporting requirements. The Review Committee then determined the appropriate trustee (and certain officer) disclosures that should be made on Form 990 based on the recommendations of the Finance Department, the General Counsels 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 Counsels 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 Counsels office, and the Audit and Compliance Department. The Audit Committee approved the tax returns as presented. * The Audit Committees report of its review of the tax returns and its recommendation to file the returns were presented to, and accepted by, the Executive Committee of the Board of Trustees (Executive Committee). * In addition to authorizing the filing of the tax returns, the Executive Committee directed that the returns, which will be filed on or before November 15, 2017, be provided to all trustees via the trustees confidential website, and those returns were so provided before being filed. Part VI, Section B, Line 12C Monitoring & enforcing compliance with the policy. Compliance with the Organizations Business Conflicts of Interest Policy (Policy) is required of trustees, employees, medical staff and non-employee members of institutional committees and includes an ongoing duty to disclose potential conflicts. Compliance with the Policy is monitored and enforced regularly and consistently. All disclosures with the potential for conflict are reviewed by an appropriate committee where they are carefully evaluated. When appropriate, a plan, which may involve measures including, but not limited to, recusal from participating in affected transactions, is developed to manage the potential conflict. Part VI, Section B, Line 15A & 15 B Process for determination of compensation The Compensation, Employee Benefits and Employee Relations Committee of the Board of Trustees (Compensation Committee) determines the compensation for the CEO and other executives, including physician leaders, who are or may be disqualified persons as that term is defined in IRC Section 4958. The Compensation Committee also reviews the compensation of other senior and/or highly compensated personnel. The Compensation Committees' Operating Procedures are designed to ensure that the compensation of all such officers and key employees is reasonable (i.e. the value of services is the amount that would ordinarily be paid for like services by like enterprises under like circumstances), and with respect to disqualified persons to follow the specific steps outlined in the IRC regulations for establishing the rebuttable presumption of reasonableness that a transaction is not an excess benefit transaction. The Compensation Committee consists exclusively of independent trustees without any conflict of interest (as defined in the applicable IRC regulations) with regard to the compensation arrangements being reviewed or approved. The absence of any conflict of interest with respect to items on that 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.
Part VI, Section C, Line 19Governing documents and conflict of interest policy available to the public. The organization makes its Business Conflicts of Interest Policy available on its website (www.mountsinai.org) and makes its governing documents and financial statements available upon request. Part VII, Line 2 Employees who received more than $100,000 in compensation Direct Hospital employees who receive more than $100,000 total 3,031. This excludes employees of the other entities for which the Hospital operates as the paymaster as described in the Schedule O explanation for IRS Form 990, Core Form Part I, Line 5.
Part XI, Line 9NET CHANGE IN CAPTIVE INSURANCE PROGRAM $21,196,227 CHANGE IN POST RETIREMENT LIABILITY 822,184 MALPRACTICE INTEREST RATE SHORTFALL (446,827) ROUNDING 458 TOTAL $21,572,042
FORM 990 PART IX LINE 11GDESCRIPTION:CARTS TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11GDESCRIPTION:OUTSIDE SERVICES TOTAL FEES:54370415
FORM 990 PART IX LINE 11GDESCRIPTION:TEMPORARY AGENCIES TOTAL FEES:6365474
FORM 990 PART IX LINE 11GDESCRIPTION:FREIGHT AND DELIVERY TOTAL FEES:3362979
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN FEES TOTAL FEES:2981970
FORM 990 PART IX LINE 11GDESCRIPTION:AMBULANCE SERVICES TOTAL FEES:793333

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
mount sinai proton holding company llc
one gustave l levy placenew yorkNY10029274281194investmentNY$96,151$15,626,469MSH
Mount Sinai PPS LLC
ONE GUSTAVE L LEVY PLACENEW YORKNY10029472915052DSRIP PROGRAMNY$45,553,431$5,286,101MSH
MSHS 150 LLC
ONE GUSTAVE L LEVY PLACENEW YORKNY10029000000000SUPPORTNY$1,486,204$1,486,204MSH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
THE MOUNT SINAI MEDICAL CENTER INC
ONE GUSTAVE L LEVY PLACENEW YORKNY10029136271888SUPPORTNY501(C)(3)12 TYPE IIMSHSfalse
MITRAL FOUNDATION
1190 FIFTH AVENUENEW YORKNY10029800468600RESEARCHNY501(C)(3)12 TYPE IISMMSfalse
THE MOUNT SINAI CHILDREN'S CENTER FND
ONE GUSTAVE L LEVY PLACENEW YORKNY10029223059294SUPPORTNY501(C)(3)12 TYPE IISMMSfalse
MSMC REALTY CORPORATION
ONE GUSTAVE L LEVY PLACENEW YORKNY10029133852596REAL ESTATENY501(C)(3)12 TYPE ISEE PART VIIYes (true)
MSMC RESIDENTIAL REALTY LLC
1425 MADISON AVENUENEW YORKNY10029200244426REAL ESTATENY501(C)(3)12 TYPE ISEE PART VIIYes (true)
MOUNT SINAI DIAG & TREATMENT CENTER
ONE GUSTAVE L LEVY PLACENEW YORKNY10029450537391DIAG CLINICNY501(C)(3)3MSHYes (true)
MSMC RESIDENTIAL REALTY MANAGER INC
ONE GUSTAVE L LEVY PLACENEW YORKNY10029201289396MGMTNY501(C)(3)12 TYPE ISEE PART VIIYes (true)
VALENTIN FUSTER MT SINAI FND SCI HLTH
ONE GUSTAVE L LEVY PLACENEW YORKNY10029800952088SUPPORTNY501(C)(3)12 TYPE IISMMS & MSHYes (true)
MOUNT SINAI HEALTH SYSTEM INC
ONE GUSTAVE L LEVY PLACENEW YORKNY10029464248304HOLDING CONY501(C)(3)12 TYPE IINAfalse
MOUNT SINAI HOSPITAL GROUP INC
ONE GUSTAVE L LEVY PLACENEW YORKNY10029464242915HOLDING CONY501(C)(3)12 TYPE IIMSHSfalse
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
ONE GUSTAVE L LEVY PLACENEW YORKNY10029136171197SCHOOLNY501(C)(3)2MSHSfalse
CONTINUUM HEALTH PARTNERS INC
150 EAST 42ND STREET 5TH FLOORNEW YORKNY10019133939476HOLDING CONY501(C)(3)12 TYPE INAfalse
BIMC HOLDING CORPORATION
FIRST AVENUE AT 16TH STREETNEW YORKNY10003133444730HOLDING CONY501(C)(3)12 TYPE IBIMCYes (true)
BETH ISRAEL AMBULATORY CARE SERVICES
150 EAST 42ND STREET 5TH FLNEW YORKNY10019133838460SURGICENTERNY501(C)(3)3BIMC HOLDCOYes (true)
BI NURSING HOME COMPANY
327 EAST 17TH STREETNEW YORKNY10003133627753NURSING HOMENY501(C)(3)3BIMC HOLDCOYes (true)
EAST 17TH STREET PROPERTIES INC
150 EAST 42ND STREET 5TH FLNEW YORKNY10019133547502REAL ESTATENY501(C)(3)9BIMC HOLDCOYes (true)
THE LONG ISLAND COLLEGE HOSPITAL
150 EAST 42ND STREET 5TH FLNEW YORKNY10019111018985HOSPITALNY501(C)(3)3CHPfalse
ST LUKE'S-ROOSEVELT HOSPITAL CENTER
1111 AMSTERDAM AVENUENEW YORKNY10025132997301HOSPITALNY501(C)(3)3MSHGYes (true)
AUGUSTUS & JAMES CORPORATION
150 EAST 42ND STREET5TH FLOORNEW YORKNY10019133392851REAL ESTATENY501(C)(3)12 TYPE ISLRYes (true)
ST LUKE'S-ROOSEVELT INSTITUTE FOR HEALTH
1111 AMSTERDAM AVENUENEW YORKNY10025132914343RESEARCHNY501(C)(3)4SLRYes (true)
NEW YORK EYE AND EAR INFIRMARY
310 EAST 14TH STREETNEW YORKNY10003135562304HOSPITALNY501(C)(3)3MSHGYes (true)
NEW YORK EYE & EAR INFIRMARY FNDN
310 EAST 14TH STREETNEW YORKNY10003134012469PRIVATE FDNNY501(C)(3)PFNYEEYes (true)
NYEEI HOUSING COMPANY INC
317-327 EAST 13TH STREETNEW YORKNY10003311696826REAL ESTATENY501(C)(2)N/ANYEEYes (true)
BETH ISRAEL MEDICAL CENTER FDN INC
150 EAST 42ND STREET 5TH FLOORNEW YORKNY10019300571387FUNDRAISINGNY501(C)(3)7BIMCYes (true)
ST LUKE'S-ROOSEVELT HOSPITAL CENTER FDN
150 EAST 42ND STREET 5TH FLOORNEW YORKNY10019300571390FUNDRAISINGNY501(C)(3)7SLRYes (true)
BETH ISRAEL MEDICAL CENTER
FIRST AVENUE AT 16TH STREETNEW YORKNY10003135564934HOSPIALNY501(C)(3)3MSHGYes (true)
FOJP SERVICE CORPORATION
28 EAST 28TH STREETNEW YORKNY10016132914141INSURANCENY501(C)(3)11 TYPE IIINAfalse
MOUNT SINAI HEALTH PARTNERS PC
150E 42ND STREET 5TH FLOORNEW YORKNY10017812057452HEALTHCARENY501 (C) (3)10MSHYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MSHP TWO LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE GUSTAVE L LEVY PLACEAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10029ZIPCd
FieldValueIRS element (for citing)
Primary ActivitiesCONTRACTINGPrimaryActivitiesTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MSHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypePROF BILLINGPredominantIncomeTypeTxt
Disproportionate AllocationsYes (true)DisproportionateAllocationsInd
Ownership0.30000OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
GREATER METROPOLITAN IPA II
150 EAST 42D STREET 5TH FLNEW YORKNY10019133977019INACTIVENYBIMCSLRcfalse
GREATER METROPOLITAN IPA V
150 EAST 42ND STREET 5TH FLNEW YORKNY10019134141695INACTIVENYBIMCSLRcfalse
MANHATTAN MANAGEMENT SERVICES
1780 BROADWAY 7TH FLNEW YORKNY10019133618543MGMT SERVICESNYSLRcfalse
SLR MANAGEMENT SERVICES
150 EAST 42ND STREET 5TH FLNEW YORKNY10019133853145MGMT SERVICESNYSLRcfalse
WEST CARE MEDICAL PC
150 EAST 42ND STREET 5TH FLNEW YORKNY10019133811203INACTIVENYSLRcfalse
MOUNT SINAI HC VENTURES INC
150 EAST 42ND STREET 5TH FLNEW YORKNY10019460953126HEALTH CARE MNYBIMC HOLDCOcfalse
HIBER-CELL INC
850 NEW BURTON ROAD SUITE 201DOVERDE19904820608182CLINICAL LABDEISMMSCfalse$0$00.00000
AMATHUS THERAPEUTICS INC
1506 BOSTON PROVIDENCE HIGHWAY STENORWOODMA02062814373501BIOTECH/PHARMAMAISMMSCfalse$0$00.00000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangeYes (true)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (22 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
b$26,196,000cost
MSMC REALTY CORP
b$50,174cost
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
k$7,013,360cost
MSMC REALTY CORP
k$739,000COST
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
n$11,078,525COST
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
o$23,816,797COST
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
P$242,693,004cost
MSMC RESIDENTIAL REALTY CORP
P$5,084,000cost
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Q$1,564,600,000cost
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
R$647,000cost
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
I$3,067,000cost
BETH ISREAL MEDICAL CENTER
O$25,090,230cost
St Lukes-Roosevelt Hospital Center
O$19,922,119cost
ROOSEVELT MEDICAL CENTER
O$24,428,910cost
NEW YORK EYE AND EAR INFIRMARY
O$4,044,294cost
MOUNT SINAI MEDICAL CENTER
I$42,919,344cost
MOUNT SINAI MEDICAL CENTER
I$12,782cost
MOUNT SINAI HEALTH SYSTEM
Q$14,918,518COST
MOUNT SINAI HEALTH SYSTEM
B$9,120,567FMV
BETH ISREAL MEDICAL CENTER
B$20,625,214COST
MOUNT SINAI HEALTH PARTNERS PC
Q$1,708,846COST
MOUNT SINAI HEALTH PARTNERS PC
C$135,298COST

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II, Line 4, column F - MSMC REALTY CORPORATIONFormAndLineReferenceDesc
ExplanationDIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, MOUNT SINAI MEDICAL CENTER ARE ALL MEMBERS OF THIS ENTITY. Part II, Line 5, column F - MSMC RESIDENTIAL REALTY LLC DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, THE MSMC REALTY CORPORATION AND THE MSMC RESIDENTIAL REALTY MANAGER, INC. ARE ALL MEMBERS OF THIS ENTITY. Part II, Line 7, column F - MSMC RESIDENTIAL REALTY MANAGER, INC DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, THE MSMC REALTY CORPORATION ARE ALL MEMBERS OF THIS ENTITY.ExplanationTxt