MOUNT SINAI MEDICAL CENTER OF FLORIDA INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: MOUNT SINAI MEDICAL CENTER OF FLORIDA INC (EIN 59-0624424)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-14
IRS object ID: 201713189349306556
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-14T13:25:03-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	590624424	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ALEXANDER MENDEZ	PersonNm
Person Title	CFO/EVPO	PersonTitleTxt
Phone	3056742032	PhoneNum
Signature	2017-11-07	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.219.88.140	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2017-11-14	IPDt
IP Tm	06:36:51	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	4737601D873D72C3179D8C319AF5B12A06CA2997	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	STEVEN D SONENREICH	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$680,973,624	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MSMC.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1946	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE HIGH QUALITY HEALTH CARE TO OUR DIVERSE COMMUNITY ENHANCED THROUGH TEACHING, RESEARCH, CHARITY CARE AND FINANCIAL RESPONSIBILITY.	ActivityOrMissionDesc
Voting Members Governing Body	25	VotingMembersGoverningBodyCnt
Voting Members Independent	22	VotingMembersIndependentCnt
Total Employee	4798	TotalEmployeeCnt
Total Volunteers	405	TotalVolunteersCnt
Total Gross UBI	$289,357	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$641,375	PYContributionsGrantsAmt
CY Contributions Grants	$735,859	CYContributionsGrantsAmt
PY Program Service Revenue	$600,826,892	PYProgramServiceRevenueAmt
CY Program Service Revenue	$630,769,662	CYProgramServiceRevenueAmt
PY Investment Income	$2,381,970	PYInvestmentIncomeAmt
CY Investment Income	$2,853,115	CYInvestmentIncomeAmt
PY Other Revenue	$16,390,237	PYOtherRevenueAmt
CY Other Revenue	$20,199,723	CYOtherRevenueAmt
PY Total Revenue	$620,240,474	PYTotalRevenueAmt
CY Total Revenue	$654,558,359	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$268,201,450	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$296,293,666	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$300,501,058	PYOtherExpensesAmt
CY Other Expenses	$329,620,099	CYOtherExpensesAmt
PY Total Expenses	$568,702,508	PYTotalExpensesAmt
CY Total Expenses	$625,913,765	CYTotalExpensesAmt
PY Revenues Less Expenses	$51,537,966	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$28,644,594	CYRevenuesLessExpensesAmt
Total Assets BOY	$816,100,098	TotalAssetsBOYAmt
Total Assets EOY	$853,927,876	TotalAssetsEOYAmt
Total Liabilities BOY	$469,291,846	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$455,649,251	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$346,808,252	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$398,278,625	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE HIGH QUALITY HEALTH CARE TO OUR DIVERSE COMMUNITY ENHANCED THROUGH TEACHING, RESEARCH, CHARITY CARE AND FINANCIAL RESPONSIBILITY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$478,053,732	ExpenseAmt
Revenue	$592,887,332	RevenueAmt
Desc	Safety Net Hospital OperationsIn 2016, Mount Sinai served 23,312 Inpatient admissions, 201,871 Outpatient admissions, 55,126 emergency care visits in its primary service area and 19,914 in its senior health target area of Aventura. Mount Sinai performed 13,520 surgeries meeting surgical care standards and welcomed 2,678 infants with healthy birth weights.Program Expenses RevenueSafety Net Hospital Operations 478,053,732 592,887,332Short Term Goals: Address the leading causes of death through tertiary patient service.Long Term Goals:Offer Diagnostic and outpatient care to prevent or treat the top leading causes of death.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$53,266,169	ExpenseAmt
Revenue	$23,826,330	RevenueAmt
Desc	Teaching & ResearchIn 2016, to meet the nation's physician provider crisis, Mount Sinai retained its own teaching faculty and 18 accredited graduate medical education programs, teaching 160 residents or fellows. Mount Sinai provided a teaching clinical environment necessary for physicians to become board certified. Additionally, to meet the demands of the workforce, Mount Sinai taught 346 nursing students, 340 medical students and 136 Allied Health students for health care careers. To supplement the academic environment in 2016, Mount Sinai had 237 research studies approved by a national review board or by a Mount Sinai institution peer review board. Mount Sinai had 153 cancer studies, 19 cardiac and 65 other studies.Short Term Goals: Enhanced patient care through innovative clinical care, teaching and research.Long Term Goals:Expand teaching into the most needed areas in the community as decided by the State of Florida and leading health experts.Program: Academic Medical Center Expenses RevenueTeaching 35,120,182 14,056,000 Expenses RevenueResearch 18,145,987 9,770,330	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$21,523,000	ExpenseAmt
Revenue	$14,056,000	RevenueAmt
Desc	Physician Network and Access to CareIn general in the United States, the demand for physicians "continues to grow faster than [the] supply" (IHS Inc., 2016). The State of Florida, Agency for Healthcare and the Statewide Medicaid Residency Program supported the teaching of specialty clinical providers. Mount Sinai provided both access to care and support for the teaching of 340 medical students, 160 residents, and fellows in 10 locations in 2 counties. By providing nearly 160,000 primary or specialty care visits, Mount Sinai has widened access to specialty care in Florida and the state Medicaid program.Program: Physician Specialty & Service Expenses RevenuePhysician Shortage Specialty Services &Wide Access Medicaid Network 21,523,000 14,056,000Short Term Goals: Address the physician shortage through teaching activities in a preventative setting, providing access to a wide specialty network that accepts most Medicaid plans.Long Term Goals:Expansion of the GME program to include shortage areas such OB/GYN and specialty physician access.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$552,842,901	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	1011	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	4798	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	25	GoverningBodyVotingMembersCnt
Independent Voting Member	22	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	3056742032	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (45 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL ADLER
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
PAUL BLOCH
TRUSTEE BEG 01/16	2.00	0.00	Yes (X)	$0	$0	$0
DAVID BLOOM
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
NORMAN BRAMAN
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
PAUL CHAPLIN MD
TRUSTEE	2.00	0.50	Yes (X)	$0	$0	$0
WAYNE CHAPLIN
TRUSTEE	2.00	0.50	Yes (X)	$0	$0	$0
DENIS COLE
TRUSTEE	2.00	0.50	Yes (X)	$0	$0	$0
MARC CSETE MD
PHYSICIAN/PRES MED STAFF END 06/16	30.00	0.00	Yes (X)	$0	$0	$0
MIKE CUSNIR MD
PHYSICIAN/PRES MED STAFF BEG 07/16	30.00	0.00	Yes (X)	$766,947	$0	$56,594
EDWARD DAUER MD
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
PHILLIP FROST MD
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
MARK HILDEBRANDT
TRUSTEE	2.00	0.50	Yes (X)	$0	$0	$0
SAMUEL JACOBSON
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
IRA LAMPERT
TRUSTEE	2.00	0.50	Yes (X)	$0	$0	$0
PETRA LEVIN
TRUSTEE BEG 01/16	2.00	0.00	Yes (X)	$0	$0	$0
LAURANS MENDELSON
TRUSTEE	2.00	0.50	Yes (X)	$0	$0	$0
JAY PARKER
TRUSTEE BEG 01/16	2.00	0.50	Yes (X)	$0	$0	$0
BONNIE SCHAEFER
TRUSTEE	2.00	1.00	Yes (X)	$0	$0	$0
BARRY SIADAT
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
BARRY SILVERMAN MD
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
SYDNEY SILVERMAN
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
PAUL SINGERMAN
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
STEVEN D SONENREICH
PRESIDENT/CEO	60.00	1.50	Yes (X)	$1,507,409	$0	$394,655	Yes (X)
STANLEY TATE
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
LEONARD A WIEN JR
TRUSTEE	2.00	0.50	Yes (X)	$0	$0	$0
DR S HOWARD WITTELS MD
PHYSICIAN/TRUSTEE	2.00	0.00	Yes (X)	$5,000	$0	$0
ALEXANDER A MENDEZ
EXEC VP OF OPERATIONS/CFO	60.00	1.00		$1,197,988	$0	$70,765	Yes (X)
WAYNE CHUTKAN
SENIOR VP OF FINANCE	60.00	0.00		$442,216	$0	$71,709		Yes (X)
BENJAMIN DAVIS
VP FACILITIES/RESOURCE MGT	60.00	0.00		$323,195	$0	$34,228		Yes (X)
STEVEN FINE
VP ADMINISTRATION	60.00	0.00		$255,198	$0	$68,396		Yes (X)
THOMAS GILLETTE
SENIOR VP/ CIO	60.00	0.00		$524,521	$0	$72,363		Yes (X)
ROBERT GOLDSZER MD
SENIOR VP/ CMO	60.00	0.00		$673,797	$0	$63,642		Yes (X)
ARNOLD JAFFEE
SENIOR VP/ GEN COUNSEL	60.00	2.00		$506,414	$0	$51,567		Yes (X)
CATHY MCCLELLAN
VP RISK MANAGEMENT	60.00	0.00		$238,231	$0	$58,421		Yes (X)
MERVYN MILLS
VP OF FINANCE	60.00	0.00		$317,427	$0	$64,162		Yes (X)
KAREN MOYER
SENIOR VP/ CNO	60.00	0.00		$493,064	$0	$59,798		Yes (X)
ANGEL PALLIN
SENIOR VP OF OPERATIONS	60.00	0.00		$445,590	$0	$44,702		Yes (X)
DIANA SALINAS
VP OF COMPLIANCE	60.00	0.00		$184,882	$0	$46,614		Yes (X)
CHARLENE J WELKER
SENIOR VP OF SUB-ACUTE SVCS	60.00	0.00		$333,815	$0	$57,939		Yes (X)
DENISE TAPAK WONG
VP OF SURGICAL/WOMEN'S SVCS	60.00	0.00		$282,556	$0	$58,911		Yes (X)
ROBERT BEASLEY EMPLOYED MD
DIRECTOR OF VASCULAR	60.00	0.00		$848,347	$0	$74,363			Yes (X)
BRUCE BOROS EMPLOYED MD
CARDIOLOGY	60.00	0.00		$879,287	$0	$68,139			Yes (X)
JOSEPH LAMELAS EMPLOYED MD
CHIEF,CARDIOTHORACIC SURGERY	60.00	0.00		$2,465,720	$0	$68,043			Yes (X)
TODD M LASNER EMPLOYED MD
NEUROSURGERY	60.00	0.00		$793,636	$0	$25,654			Yes (X)
ROY WILLIAMS EMPLOYED MD
CHIEF,THORACIC SURGERY	60.00	0.00		$824,719	$0	$74,579			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$14,309,959	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,585,244	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	343	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MCKESSON
PO BOX 409521	ATLANTA	GA	303849521	MEDICATION SUPPLIER	$34,717,476
ROBINS & MORTON
423 SOUTH KELLER ROAD SUITE 200	ORLANDO	FL	32810	GENERAL CONTRACTOR	$13,877,388
MEDTRONIC USA Inc
710 MEDTRONIC PARKWAY NE	MINNEAPOLIS	MN	554325604	MEDICAL SUPPLIER	$12,079,530
FLORIDA LEMARK CORPORATION
9627 SOUTH DIXIE HIGHWAY	MIAMI	FL	33156	GENERAL CONTRACTOR	$10,279,188
ARAMARK CTS Inc
12483 collections center drive	CHICAGO	IL	60693	MANAGEMENT SERVICES	$5,509,033

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	206	CntrctRcvdGreaterThan100KCnt
Related Organizations	$735,859	RelatedOrganizationsAmt
Total Contributions	$735,859	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENU	621300	$445,181,107	$445,181,107
MEDICARE/MEDICAID REVE	621300	$155,371,521	$155,371,521
GRANT REVENUE	900099	$28,378,586	$28,378,586
PARTNERSHIP INCOME	900099	$1,514,607	$1,498,018	$16,589
OTHER PATIENT REVENUE	621300	$323,841	$323,841

Field	Value	IRS element (for citing)
Total Program Service Revenue	$630,769,662	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,176,184	TotalRevenueColumnAmt
Exclusion	$3,176,184	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$8,949,170	RealAmt
Personal	$17,820	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$4,215,254	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$4,733,916	RealAmt
Personal	$17,820	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,751,736	TotalRevenueColumnAmt
Unrelated Business Revenue	$272,768	UnrelatedBusinessRevenueAmt
Exclusion	$4,478,968	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$21,840,930	SecuritiesAmt
Other	$36,012	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$22,200,011	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$359,081	SecuritiesAmt
Other	$36,012	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$323,069	TotalRevenueColumnAmt
Exclusion	-$323,069	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
EMERGENCY DEPARTMENT	621990	$3,999,996	$3,999,996
CAFETERIA	722210	$2,426,774	$2,426,774
PARKING	812930	$1,492,255	$1,492,255

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,528,962	TotalRevenueColumnAmt
Exclusion	$7,528,962	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$15,447,987	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$654,558,359	TotalRevenueColumnAmt
Related Or Exempt Func Income	$630,753,073	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$289,357	UnrelatedBusinessRevenueAmt
Exclusion	$22,780,070	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$14,309,959	TotalAmt
Management And General	$14,309,959	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$239,164,646	TotalAmt
Program Services	$217,947,872	ProgramServicesAmt
Management And General	$21,216,774	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$26,924,547	TotalAmt
Program Services	$23,150,857	ProgramServicesAmt
Management And General	$3,773,690	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$15,894,514	TotalAmt
Program Services	$13,666,771	ProgramServicesAmt
Management And General	$2,227,743	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$543,872	TotalAmt
Program Services	$76,228	ProgramServicesAmt
Management And General	$467,644	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$727,121	TotalAmt
Management And General	$727,121	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$591,500	TotalAmt
Management And General	$591,500	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,876,927	TotalAmt
Program Services	$5,876,927	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,750,471	TotalAmt
Management And General	$1,750,471	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$131,029,499	TotalAmt
Program Services	$129,947,155	ProgramServicesAmt
Management And General	$1,082,344	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$12,787,433	TotalAmt
Program Services	$10,994,920	ProgramServicesAmt
Management And General	$1,792,513	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,153,386	TotalAmt
Program Services	$991,730	ProgramServicesAmt
Management And General	$161,656	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,839,508	TotalAmt
Program Services	$1,581,686	ProgramServicesAmt
Management And General	$257,822	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$10,744,025	TotalAmt
Program Services	$9,238,164	ProgramServicesAmt
Management And General	$1,505,861	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$28,804,305	TotalAmt
Program Services	$24,767,152	ProgramServicesAmt
Management And General	$4,037,153	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$13,942,459	TotalAmt
Program Services	$11,988,312	ProgramServicesAmt
Management And General	$1,954,147	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PROVISION FOR BAD DEBT	$79,106,512	$68,019,104	$11,087,408
SERVICE CONTRACTS/MAINT	$18,826,161	$15,180,190	$3,645,971
CONSULTANT FEES	$6,624,297	$5,695,849	$928,448
STATE INDIG. TAX ASSESS	$5,944,029	$5,944,029

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,328,594	TotalAmt
Program Services	$7,775,955	ProgramServicesAmt
Management And General	$1,552,639	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$625,913,765	TotalAmt
Program Services	$552,842,901	ProgramServicesAmt
Management And General	$73,070,864	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$266,174,659	BOYAmt
EOY	$262,739,073	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,174,250	BOYAmt
EOY	$4,254,566	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$62,019,480	BOYAmt
EOY	$62,801,478	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$10,368,686	BOYAmt
EOY	$9,602,175	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$10,643,810	BOYAmt
EOY	$12,202,742	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$469,506,800	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$289,962,149	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$138,557,131	BOYAmt
EOY	$179,544,651	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$105,249,863	BOYAmt
EOY	$74,557,374	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$217,912,219	BOYAmt
EOY	$248,225,817	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$816,100,098	BOYAmt
EOY	$853,927,876	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$52,229,516	BOYAmt
EOY	$54,551,871	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$298,598,538	BOYAmt
EOY	$287,016,671	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$11,205,898	BOYAmt
EOY	$9,525,939	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$107,257,894	BOYAmt
EOY	$104,554,770	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$469,291,846	BOYAmt
EOY	$455,649,251	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$200,417,292	BOYAmt
EOY	$228,339,665	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$138,622,000	BOYAmt
EOY	$161,773,000	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,768,960	BOYAmt
EOY	$8,165,960	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$346,808,252	BOYAmt
EOY	$398,278,625	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$816,100,098	BOYAmt
EOY	$853,927,876	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$28,644,594	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$14,300	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$22,840,079	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$308,790	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	Yes (1)	RalliesDemonstrationsInd
Rallies Demonstrations	$153,042	RalliesDemonstrationsAmt
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$461,832	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$32,690,000	BeginningYearBalanceAmt
Contributions	$5,659,000	ContributionsAmt
Investment Earnings Or Losses	$402,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,244,000	OtherExpendituresAmt
Administrative Expenses	$784,000	AdministrativeExpensesAmt
End Year Balance	$36,723,000	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$32,882,000	BeginningYearBalanceAmt
Contributions	$1,779,000	ContributionsAmt
Investment Earnings Or Losses	$413,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,755,000	OtherExpendituresAmt
Administrative Expenses	$629,000	AdministrativeExpensesAmt
End Year Balance	$32,690,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$31,392,000	BeginningYearBalanceAmt
Contributions	$4,731,000	ContributionsAmt
Investment Earnings Or Losses	$449,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,041,000	OtherExpendituresAmt
Administrative Expenses	$649,000	AdministrativeExpensesAmt
End Year Balance	$32,882,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.12630	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.87370	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$278,881,918	OtherCostOrOtherBasisAmt
Depreciation	$176,110,442	DepreciationAmt
Book Value	$102,771,476	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$179,902,472	OtherCostOrOtherBasisAmt
Depreciation	$113,851,707	DepreciationAmt
Book Value	$66,050,765	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,365,194	OtherCostOrOtherBasisAmt
Book Value	$2,365,194	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$179,544,651	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENTS IN AFFILIATES	$2,124,178
DEPOSITS	$159,713
BENEFICIAL INTEREST IN NET ASSETS OF MOUNT SINAI MEDICAL CENTER FOUNDATION	$172,316,546
CONSTRUCTION IN PROGRESS	$73,625,380

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$248,225,817	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
INDIGENT CARE ASSESSMENT	$8,136,122
OTHER CURRENT LIABILITIES	$36,394,515
SELF-INSURED CLAIMS RESERVE	$33,889,000
CAPITAL LEASE	$10,724,173
DUE TO THIRD PARTIES	$14,972,438
OTHER LONG-TERM LIABILITIES	$324,780
DUE TO AFFILIATES	$113,742

Field	Value	IRS element (for citing)
Total Liability	$104,554,770	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$566,992,000	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	-$78,991,918	OtherRevenueAmt
Revenue Not Reported	-$78,991,918	RevenueNotReportedAmt
Revenue Subtotal	$645,983,918	RevenueSubtotalAmt
Other Revenues Not Included	$8,574,441	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$8,574,441	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$654,558,359	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$548,207,000	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$1,399,747	OtherExpensesIncludedAmt
Expenses Not Reported	$1,399,747	ExpensesNotReportedAmt
Expenses Subtotal	$546,807,253	ExpensesSubtotalAmt
Other Expenses Not Included	$79,106,512	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$79,106,512	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$625,913,765	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 4:	The Foundation's endowment consists of approximately 46 individual funds established for a variety of purposes. The endowment consists of donor-restricted funds that have been limited by donors to a specific time period or purpose. As required by GAAP, net assets associated with endowment funds are classified and reported based on the existence or absence of donor-imposed restrictions. The endowment net asset composition by fund type as of December 31, 2016, is composed of the following: TEMPORARILY RESTRICTED PERMANENTLY RESTRICTED ALZHEIMER'S PROGRAM 6,604,000 0 MSMC 50 YEARS (PATIENT TOWER) 12,710,000 0 MELANOMA RESEARCH 2,606,000 0 CANCER LIFELINE 929,000 0 CANCER RESEARCH 1,937,000 0 OTHER PROGRAMS 14,598,000 5,691,000 __________ _________ TOTAL FUNDS 39,384,000 5,691,000
Part X, Line 2:	THE FOOTNOTE TO THE AUDITED FINANCIAL STATEMENTS FOR MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC. AND SUBSIDIARIES REGARDING FIN48 READS AS FOLLOWS: THE MEDICAL CENTER FOLLOWS THE PROVISIONS OF ASC 740-15-2, INCOME TAXES, AND HAS DETERMINED THAT AS OF DECEMBER 31, 2016 AND 2015, THE MEDICAL CENTER HAD NO MATERIAL UNRECOGNIZED TAX BENEFITS. THE MEDICAL CENTER DOES NOT EXPECT THAT UNRECOGNIZED TAX BENEFITS WILL MATERIALLY INCREASE WITHIN THE NEXT TWELVE MONTHS. IN THE EVENT THE MEDICAL CENTER WERE TO RECOGNIZE INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IT WOULD BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AS INCOME TAX EXPENSE. TAX YEARS FROM 2010 THROUGH 2015 ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE TAXING AUTHORITIES. THERE ARE NO INCOME TAX EXAMINATIONS CURRENTLY IN PROCESS.
Part XI, Line 2d - Other Adjustments:	PROVISION FOR BAD DEBT -79,106,512. INCOME FROM MT SINAI MEDICAL OFFICE BLDG II, INC 128,894. UNREALIZED GAINS ON INVESTMENTS -14,300.
Part XI, Line 4b - Other Adjustments:	INCOME FROM PREMIER HEALTHCARE ALLIANCE, L.P. 1,547,914. EXPENSES NETTED AGAINST REVENUES -2,233,473. CONTRIBUTIONS RELEASED FROM RESTRICTIONS FOR CAPITAL PURPOSES 9,260,000.
Part XII, Line 2d - Other Adjustments:	EXPENSES NETTED AGAINST REVENUE 2,233,473. DISTRIBUTIONS FROM PREMIER HEALTHCARE ALLIANCE, L.P. -833,726.
Part XII, Line 4b - Other Adjustments:	PROVISION FOR BAD DEBT 79,106,512.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA & THE CARIBBEAN	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	PROGRAM SERVICES	TypeOfActivitiesConductedTxt
Specific Services Provided	INSURANCE PREMIUM	SpecificServicesProvidedTxt
Region Total Expenditures	$448,000	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$448,000	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$448,000	TotalSpentAmt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART IV, LINE 3:	FormAndLineReferenceDesc
Explanation	MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC.'S INTEREST IN A FOREIGN CORPORATION IS A WHOLLY OWNED INTEREST IN MOUNT SINAI MEDICAL CENTER OF FLORIDA GUARANTEE CORPORATION, A CORPORATION INCORPORATED IN THE CAYMAN ISLANDS.	ExplanationTxt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,665,828	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,665,828	NetCommunityBenefitExpnsAmt
Total Expense	0.03050	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,898,371	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,053,011	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,845,360	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,458,683	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,458,492	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,000,191	NetCommunityBenefitExpnsAmt
Total Expense	0.02740	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$64,022,882	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,511,503	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,511,379	NetCommunityBenefitExpnsAmt
Total Expense	0.06130	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,677,075	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,662,075	NetCommunityBenefitExpnsAmt
Total Expense	0.00490	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,616,533	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,588,706	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,027,827	NetCommunityBenefitExpnsAmt
Total Expense	0.02380	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,105,749	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,467,376	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,638,373	NetCommunityBenefitExpnsAmt
Total Expense	0.02860	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,872,079	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,355,082	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,516,997	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$332,559	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$332,559	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$89,603,995	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$56,426,164	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,177,831	NetCommunityBenefitExpnsAmt
Total Expense	0.06070	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$153,626,877	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$86,937,667	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$66,689,210	NetCommunityBenefitExpnsAmt
Total Expense	0.12200	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,723,763	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,081,700	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,642,063	NetCommunityBenefitExpnsAmt
Total Expense	0.02860	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$326,280	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$326,280	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,391,354	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,391,354	NetCommunityBenefitExpnsAmt
Total Expense	0.00620	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,441,397	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,081,700	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,359,697	NetCommunityBenefitExpnsAmt
Total Expense	0.03540	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$16,433,758	BadDebtExpenseAmt
Reimbursed By Medicare	$250,167,079	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$273,042,398	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$22,875,319	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	0	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.msmc.com/about-us/community-health-needs-assessment-2017/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	www.msmc.com/about-us/community-health-needs-assessment-2017/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.msmc.com/patient-info/financial-assistance-information	FAPAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.msmc.com/patient-info/financial-assistance-information	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
MOUNT SINAI MEDICAL CENTER OF FL, INC.	Part V, Section B, Line 5: Persons Representing the Broad Interests of The Community The Patient Protection and Affordable Care Act requires, in IRC Section 501(r)(3), that when assessing community health needs, Mount Sinai consult with and receive input from persons representing the broad interests of the community. This includes, but is not limited to, those with special knowledge of or expertise in public health and at a minimum: (1) At least one state, local, tribal, or regional governmental public health department (or equivalent department or agency) with knowledge, information, or expertise relevant to the health needs of the community; (2) members of medically underserved, low-income, and minority populations in the community, or individuals or organizations serving or representing the interests of such populations; and (3) written comments received on the hospital facility's most recently conducted CHNA and most recently adopted implementation strategy.To receive this input and data, Mount Sinai sought information from the State regional healthcare planning agency, the Health Council of South Florida, and the local City of Miami Beach Healthcare Advisory Committee. Additionally, the hospital met with focus groups that represent each geographic service area of the city, representing a variety of incomes and demographics. Mount Sinai sought individual input from noted and leading members of the healthcare industry in its primary service area including medical providers, small and large ancillary businesses owners, nursing home staff and residents and other special senior health related professions or patients representing the uninsured and new or undocumented residents. Focus meetings were also held in English and Spanish to accommodate the broad need of a multilingual community.Public Health Expert Input and Guidance Community Health AnalysisThe community health priorities are based on an analysis of demographic, environmental, statistical, and behavioral public health data about Miami-Dade County, and when possible about Miami Beach. The data is reviewed by numerous staff members at Mount Sinai including clinical, research and community health workers. Members of the community, nurses and physicians and businesses owners provide input.City of Miami Beach Health Advisory Committee. Mount Sinai maintains a seat and lead role on the Health Advisory Committee of the City of Miami Beach, along with the Miami Beach Community Health Center and the Health Council of South Florida. The Miami Beach Health Advisory Committee is a City Commission appointed body of local representatives that meet to address Miami Beach health issues in a publicly advertised meeting forum. This organization serves the medically underserved, low-income, and minority populations amongst others in the city.The Health Council of South Florida. Mount Sinai contracts with the Health Council of South Florida to obtain federal Prevention Quality Indicator data, which tracks local hospital admissions by chronic diseases and conditions. Mount Sinai also receives Leading Causes of Death data for the Miami Beach service area. This organization also has members of medically underserved, low-income, and minority populations in the community and serves the same populations. Public Health Agencies from which Data or Input was sought:- U.S. Agency for Healthcare Quality & Research- Centers for Disease Control & Prevention- National Committee On Vital And Health Statistics- U.S. Census Bureau- Trust for America's Health- Kaiser Family Foundation- Agency for Healthcare Administration- Florida Department of Health- Health Council of South Florida- Miami-Dade County Health Department- Florida Hospital Association- Miami Beach Health Advisory Committee
MOUNT SINAI MEDICAL CENTER OF FL, INC.	Part V, Section B, Line 7d: THE CHNA REPORT IS AVAILABLE VIA E-MAIL.
MOUNT SINAI MEDICAL CENTER OF FL, INC.	Part V, Section B, Line 11: In its CHNA, Mount Sinai identified Two Tiers of Community Health Needs to be addressed within its purview as an acute care academic medical center and accessible teaching physician network that provides primary and specialty on par with almost all Medicaid plans in its region. Tier One - Provide a wide range of Safety Net services- Training to address Florida's physician and healthcare worker shortage - Charity care for the uninsured and underinsured- Disaster first response health services and regional leadership- Emergency medical services- Adult psychiatric and behavioral care- Intensive geriatric / senior care- Maternity services and neonatal emergent care- Health and disease prevention education- Interventional and community health screeningsTier Two - Mission Driven Community Health PrioritiesMount Sinai focuses resources on providing access to care while treating and preventing the leading disease related conditions for all incomes in the community by subsidizing a nonprofit teaching and community physician network.Tier One - Provide a wide range of Safety Net servicesTo address Florida's physician and healthcare worker shortage, Mount Sinai retained its own teaching faculty and 18 accredited graduate medical education programs, teaching more than 160 residents or fellows. Mount Sinai also provided a teaching clinical environment for both its acute care and specialty care physician teaching network for physicians to become board certified and to educate the other crucial components of the healthcare workforce not within a traditional CMS residency program. In 2016, Mount Sinai taught 346 nursing students, 340 medical students and 136 Allied Health students for health care careers. In 2016, Mount Sinai served 23,312 Inpatient admissions and 201,871 Outpatient admissions. To address charity care for the uninsured and underinsured, Mount Sinai provided $131,886,265 in charity and uncompensated care in 2016. Additionally, in its primary service Mount Sinai is the functional public health system area though it does not receive the tax revenue meant to provide these services. In its service area, Mount Sinai provides the overwhelming majority, as high as 65-75%, of the charity care, indigent care, and Medicaid hospital services.To provide disaster first response health services and regional leadership, in conjunction with the City of Miami Beach and the State of Florida, Mount Sinai has embarked on its $275 million regional Emergency Services and Tower Project. This project will provide a joint Emergency Operations Center for the city staff, police, fire, and medical staff during declared community crisis. It will relocate operating rooms above the flood plain in a Special Hazard Flood Zone, provide emergency care services for the state's second largest tourism area in High Velocity Hurricane Zone, provide a medical management disaster shelter for oxygen and electric dependent residents including those in intensive care that cannot evacuate, ensure that all patient care for regional facility meets a modern level of care, provide safe helipad service and boat access to the island when bridges are locked down and serve as a national stockpile drop location for counter terrorism measures.To address the need for Emergency medical services as the sole hospital on the barrier islands of Miami Dade County, in 2016, Mount Sinai provided emergency services for 55,126 visits in the primary service area of Miami Beach and for an additional 19,914 in its senior and geriatric target area of Aventura.To address intensive geriatric / senior care, Mount Sinai maintains the Wein Center for Alzheimer Care, the State of Florida's leading Memory Disorder Clinic with over 2,000 visits annually and 3,000 memory disorder screenings. It also serves as the Miami Dade County coordinator for the State authorized Caregiver Support and Silver Alert Programs, and provides inbound senior visits through its State authorized Geriatric House Call Program.To address maternity services and neonatal emergent care, Mount Sinai partners with the Miami Beach Community Health Center to provide preventative and acute OB/GYN care for all incomes, races, and ethnicities regardless of national origin or documentation. In 2016, Mount Sinai welcomed 2,678 infants to the community.To address health education and community health screenings and education, Mount Sinai provided over 54 health events, 40 health lectures, and 115 screenings. To address access to care and mission driven community health, Mount Sinai provided access to care by providing nearly 160,000 primary care visits in one of the widest Medicaid networks in Miami Dade County. Mount Sinai seeks to include all possible plans and promote teaching and specialty physician network in partnership with the State of Florida and the State of Florida Medical Schools. Additionally, Mount Sinai's academic medical component of its physician teaching network provided access to 237 research trials to help community members receive the latest cancer, cardiac and other treatments near their home.Community Health FacilitiesMount Sinai Medical Center is the only acute care hospital located in the city of Miami Beach. There are four public health centers, including three Federally Qualified Health Centers: the Miami Beach Community Health Center (two locations) and the Borinquen Health Care Center. For substance and mental health issues, there are two residential treatment centers. For geriatric residential services, there are five nursing homes and five assisted living facilities.Community Health Needs Not within the Implementation StrategySpecialized AIDS/HIV services are not within the implementation strategy of Mount Sinai. Primary care health services for the uninsured or undocumented are available at Mount Sinai but also are provided in the service area by the Miami Beach Community Health Centers, the Borinquen Health Care Center and Jackson Memorial Health Center and the Miami-Dade County Health Department/Office of HIV/AIDS.
PART V, LINE 16B:	Mount Sinai's Community Health Needs Assessment identifies increasing access to care and removing cultural barriers to care as important goals.Mount Sinai's Financial Assistance Policy / Application Process is one way they have addressed this need. Mount Sinai has pioneered an efficient and culturally sensitive Financial Assistance Policy / Application Process that addresses the key obstacles of financial anxiety and lack of familiarity of the American healthcare system. This application process is unique in that it does not require an upfront paper document submission. Instead the Mount Sinai FAP, as explained in the Financial Assistance Policy / Application Process document posted online, is a people process that begins with a verbal counseling session. This session is relationship oriented and it also serves to identify linguistic, cultural, and educational issues that may inhibit the patient's ability to provide proper information using a paper based intake form. See further discussion regarding the FAP application process in Schedule H, Part VI, Line 3.

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7:	A ratio of patient care cost to patient care charges was applied to gross write-offs to arrive at an estimated program cost. Any applicable program revenues received were offset against gross cost to arrive at the net cost or shortfall of the program.
Part I, Line 7g:	Mount Sinai's Teaching Physician Network is a not for profit clinical physician and provider network that operates at a loss. The network provides a wide range of Medicaid eligible treatment for underserved patients. It also trains providers in advanced specialties that are documented by the State of the Florida to be in supply-demand deficit. The goal is to alleviate the healthcare crisis for all residents but especially for the uninsured, underinsured and Medicaid patients. Because of the lack of capacity, the State of Florida has shared the responsibility of remedying the physician shortage with teaching hospitals in Florida. Mount Sinai is one of two Miami-Dade County hospitals that is an AHCA Medicaid Essential Provider for adult care because of its role in teaching and training Florida's healthcare workforce under the Statewide Medicaid Residency Program (SMRP).The community benefit method for subsidized health services is taken from the Profit and Loss Detail for the Mount Sinai Teaching Physician Network. The expenses represent direct clinical expenses which generate primary care and specialty care patient revenue in Miami-Dade County and Monroe County. These costs include, but are not limited to patient care services, utilities, departmental supplies and other expenses associated with a medical office. The methodology used is a more accurate cost accounting than the charge to cost ratio based primarily on Inpatient and Outpatient Hospital Care.
Part I, Line 7, Column (f):	The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 79,106,512.
Part II, Community Building Activities:	COMMUNITY BUILDING ACTIVITIES:1. Workforce development projects to recruit healthcare workers, including physicians, nurses and allied health professionals;2. Workforce housing approved by the city's state housing initiative program (SHIP) and the florida housing finance corporation (FHFC);3. Tower/Emergency Department Building Improvements to fulfill its existing State and City verified role as an essential Community Emergency Services Healthcare Provider, Regional EOC, Sole MMF and functional Public Health Provider on the barrier islands. Improvements include elevating operating rooms and other critical services above the flood plain in the state's second largest tourist area and high velocity hurricane zone and special hazard flood zone.
Part III, Line 2:	A ratio of patient care cost to patient care charges was applied to bad debt gross write-offs to arrive at an estimated bad debt expense at cost.
Part III, Line 4:	THE FOOTNOTE TO THE AUDITED FINANCIAL STATEMENTS FOR MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC. AND SUBSIDIARIES REGARDING BAD DEBT EXPENSE READS AS FOLLOWS:THE MEDICAL CENTER RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED (OR ON THE BASIS OF DISCOUNTED RATES, IF NEGOTIATED OR PROVIDED BY POLICY). HISTORICALLY, A SIGNIFICANT PORTION OF THE MEDICAL CENTER'S UNINSURED PATIENTS WILL BE UNABLE TO PAY FOR THE SERVICES PROVIDED. AS SUCH, THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED.PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILIY OF PATIENT ACCOUNTS RECEIVABLE THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS. FOR ALL PAYOR TYPES, WHEN THE MEDICAL CENTER CAN NO LONGER REASONABLY ESTIMATE COLLECTIBILITY OF AN ACCOUNT BASED ON THE AGING OF THE BALANCE DUE AND THE VOLATILITY AND UNPREDICTABLE NATURE OF THE AMOUNT, THE MEDICAL CENTER RESERVES SUBSTANTIALLY ALL AMOUNTS DUE.
Part III, Line 8:	A ratio of patient care cost to patient care charges was applied to medicare revenues and allowable costs to arrive at an estimated medicare expense at cost. The hospital does not treat any Medicare shortfall amounts as community benefit.
Part III, Line 9b:	Patients are first screened to see if they are eligible for Medicaid or charity when they come in through the ER. The hospital determines which patients qualify for charity based on a verifiable process required by the Agency Health Care Administration using the following criteria:o Patient is eligible if the patient's family aggregate income during the 12 months preceding the determination date is at or below 200% of the then current Federal Poverty Guidelines.o If patient is eligible for charity the amount of eligible charges are reduced on a sliding scale based on where they fall in relation to the Federal Poverty Guidelines.o Medicaid patients with benefits exhausted may apply for charity.o Patients with documentation that a third party benefit has been denied or exhausted may apply for charity.All opportunities for payment of hospital debt will be investigated prior to approval including a complete review of the financial information provided in the Uncompensated Care Application.The Business Office's role in Charity Care deals with the final review and approval of eligible patients. Business Office is responsible for adjusting account charges/balances after reviewing Search America's results, and/or any red flags on the account that would suggest the possibility of alternate methods of payment. These practices set forth in the policy would only apply to patients who may qualify for charity care.
Part VI, Line 2:	NEEDS ASSESSMENT:COMMUNITY HEALTH NEEDS WERE IDENTIFIED THROUGH A RECOGNIZED HEALTH PLANNING ASSESSMENT PROCESS. THE ASSESSMENT INCLUDED, BUT WAS NOT LIMITED TO, AN ANALYSIS OF DEMOGRAPHIC, ENVIRONMENTAL, STATISTICAL AND BEHAVIORAL PUBLIC HEALTH DATA, ORGANIZING PUBLIC DISCUSSIONS ON HEALTH TOPICS, AND CONDUCTING A SURVEY OF CURRENT HEALTH TOPICS TO EXPLORE THE HEALTH NEEDS OF THE PRIMARY, NEIGHBORING AND COUNTYWIDE SERVICE AREAS OF MOUNT SINAI MEDICAL CENTER.
Part VI, Line 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:Mount Sinai's Community Health Needs Assessment identifies increasing access to care and removing cultural barriers to care as an important goals. The Financial Assistance Policy / Application Process is one way that Mount Sinai has addressed this need. Mount Sinai has pioneered an efficient and culturally sensitive Financial Assistance Policy / Application Process that addresses the key obstacles of financial anxiety and lack of familiarity of the American healthcare system.Mount Sinai's financial assistance policy and application process and plain-language summary are available on Mount Sinai's website at https://www.msmc.com/patient-info/financial-assistance-information as well as in person at the Mount Sinai Business Office, in the registration and admitting departments, upon request in any other department or in any other public space. Mount Sinai's financial assistance policy and application are available free of charge in English and Spanish, the primary languages spoken by the local populations and, upon request, can be translated into other languages such as French, German, Yiddish, Creole, Italian and Russian as needed.This application process is unique in that it does not require an upfront paper document submission. A prospective applicant schedules an in person counseling session using the contact information available in plain language at https://www.msmc.com/patient-info/financial-assistance-information. While scheduling the meeting, the applicant receives information also posted online about helpful financial documentation to show financial status that will be reviewed and input into a Mount Sinai Medical Center Financial Assistance Form by a Mount Sinai financial assistant together with the applicant at the financial counseling session. For patients without health insurance, Mount Sinai will determine eligibility using public information about the patient's available assets, and all other financial resources that the patient supplies as well as a review of the patient's account history. Mount Sinai will first screen for applicant eligibility for means tested programs and locally available grants. If ineligible for these programs, Mount Sinai provides an automatic reduction to gross charges based upon the "look back" method. All prospective and retrospective medically necessary patient care will be considered, though charity care is first focused on patients whose income for the 12 months preceding the determination is less than or equal to 200 percent of the federal poverty level for the patient's family size, unless the amount of hospital charges from the patient will or do exceed 25 percent of the annual family income. Individuals may obtain free, written information on the Determination of Amount of Financial Assistance by contacting the Business Office at (305) 674-2130, Monday-Friday 9:00am-4:00pm. Mount Sinai provides a right to appeal and receive assistance in all parts of the application. The patient must write a letter which can be post mailed or emailed to the Business Office Director to explain why the decision made by Mount Sinai Medical Center was inappropriate. The appeal letter will be reviewed by Mount Sinai Medical Center and a final decision will be sent to the patient within 30 days of the receipt of the request for appeal.
Part VI, Line 4:	COMMUNITY INFORMATION:Mount Sinai is the only acute care hospital and emergency care provider on the northeastern barrier islands of Miami-Dade County. Mount Sinai primarily services a densely populated diverse urban area encompassing the barrier island cities of Miami Beach, Surfside, North Bay Village, Bal Harbour, and Bay Harbor Islands. The neighboring mainland or secondary service area includes sections of the cities of Miami, North Miami, and North Miami Beach. Mount Sinai's Health Needs target areas include sections of the upper barrier island city of Sunny Isles Beach and the mainland cities of Aventura, Hialeah, and coral gables. The northeastern barrier islands have 130,309 year round residents that are 51% male and 49% female. The population is 88% White, 4% Black with 8% all other races. 51% of residents report their ethnicity as Hispanic. The median age is 41.1 years old. The median household income is $42,265. There are three designated medically underserved areas in the primary service area represented by MUAs Federal ID# 5031, 511 and 7474.
Part VI, Line 5:	As South Florida's largest independent teaching hospital, Mount Sinai's not-for-profit mission is to provide high quality health care to our diverse community enhanced through teaching, research, charity care, and financial responsibility. We maintain our not for profit mission using a two-tier strategy, focusing, first, on safety net services and, second, on addressing health risks related to heart disease, cancer, neurological, pulmonary and other diseases that pose serious community health risks.This not for profit community driven mission is detailed further in Schedule O. We have briefly discussed it below.Tier One - Provide a wide range of Safety Net services- Training to address Florida's physician and healthcare worker shortage - Charity care for the uninsured and underinsured- Disaster first response health services and regional leadership- Emergency medical services- Adult psychiatric and behavioral care- Intensive geriatric / senior care- Maternity services and neonatal emergent care- Health and disease prevention education- Interventional and community health screeningsTier Two - Mission Driven Community Health PrioritiesMount Sinai focuses resources on providing access to care while treating and preventing the leading disease related conditions for all incomes in the community by subsidizing a nonprofit teaching and community physician network.Tier One - Provide a wide range of Safety Net servicesTo address Florida's physician and healthcare worker shortage, Mount Sinai retained its own teaching faculty and 18 accredited graduate medical education programs, teaching more than 160 residents or fellows. Mount Sinai also provided a teaching clinical environment for both its acute care and specialty care physician teaching network for physicians to become board certified and to educate the other crucial components of the healthcare workforce not within a traditional CMS residency program. In 2016, Mount Sinai taught 346 nursing students, 340 medical students and 136 Allied Health students for health care careers. In 2016, Mount Sinai served 23,312 Inpatient admissions and 201,871 Outpatient admissions. To address charity care for the uninsured and underinsured, Mount Sinai provided $131,886,265 in charity and uncompensated care in 2016. Additionally, in its primary service Mount Sinai is the functional public health system area though it does not receive the tax revenue meant to provide these services. In its service area, Mount Sinai provides the overwhelming majority, as high as 65-75%, of the charity care, indigent care, and Medicaid hospital services.To provide disaster first response health services and regional leadership, in conjunction with the City of Miami Beach and the State of Florida, Mount Sinai has embarked on its $275 million regional Emergency Services and Tower Project. This project will provide a joint Emergency Operations Center for the city staff, police, fire, and medical staff during declared community crisis. It will relocate operating rooms above the flood plain in a Special Hazard Flood Zone, provide emergency care services for the state's second largest tourism area in High Velocity Hurricane Zone, provide a medical management disaster shelter for oxygen and electric dependent residents including those in intensive care that cannot evacuate, ensure that all patient care for regional facility meets a modern level of care, provide safe helipad service and boat access to the island when bridges are locked down and serve as a national stockpile drop location for counter terrorism measures.To address the need for Emergency medical services as the sole hospital on the barrier islands of Miami Dade County, in 2016, Mount Sinai provided emergency services for 55,126 visits in the primary service area of Miami Beach and for an additional 19,914 in its senior and geriatric target area of Aventura.To address intensive geriatric / senior care, Mount Sinai maintains the Wein Center for Alzheimer Care, the State of Florida's leading Memory Disorder Clinic with over 2,000 visits annually and 3,000 memory disorder screenings. It also serves as the Miami Dade County coordinator for the State authorized Caregiver Support and Silver Alert Programs, and provides inbound senior visits through its State authorized Geriatric House Call Program.To address maternity services and neonatal emergent care, Mount Sinai partners with the Miami Beach Community Health Center to provide preventative and acute OB/GYN care for all incomes, races, and ethnicities regardless of national origin or documentation. In 2016, Mount Sinai welcomed 2,678 infants to the community.To address health education and community health screenings and education, Mount Sinai provided over 54 health events, 40 health lectures, and 115 screenings. To address access to care and mission driven community health, Mount Sinai provided access to care by providing nearly 160,000 primary care visits in one of the widest Medicaid networks in Miami Dade County. Mount Sinai seeks to include all possible plans and promote teaching and specialty physician network in partnership with the State of Florida and the State of Florida Medical Schools. Additionally, Mount Sinai's academic medical component of its physician teaching network provided access to 237 research trials to help community members receive the latest cancer, cardiac and other treatments near their home.

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MIKE CUSNIR MD
PHYSICIAN/PRES MED STAFF BEG 07/16	$498,893	$0	$267,784	$0	$270	$0	$43,350	$0	$13,244	$0	$823,541	$0	$0	$0
STEVEN D SONENREICH
PRESIDENT/CEO	$867,489	$0	$459,589	$0	$180,331	$0	$367,240	$0	$27,415	$0	$1,902,064	$0	$0	$0
ALEXANDER A MENDEZ
EXEC VP OF OPERATIONS/CFO	$614,390	$0	$264,031	$0	$319,567	$0	$43,350	$0	$27,415	$0	$1,268,753	$0	$0	$0
WAYNE CHUTKAN
SENIOR VP OF FINANCE	$307,792	$0	$67,781	$0	$66,643	$0	$43,350	$0	$28,359	$0	$513,925	$0	$0	$0
BENJAMIN DAVIS
VP FACILITIES/RESOURCE MGT	$231,080	$0	$46,200	$0	$45,915	$0	$25,350	$0	$8,878	$0	$357,423	$0	$0	$0
STEVEN FINE
VP ADMINISTRATION	$226,529	$0	$27,481	$0	$1,188	$0	$49,350	$0	$19,046	$0	$323,594	$0	$0	$0
THOMAS GILLETTE
SENIOR VP/ CIO	$366,635	$0	$79,156	$0	$78,730	$0	$43,350	$0	$29,013	$0	$596,884	$0	$0	$0
ROBERT GOLDSZER MD
SENIOR VP/ CMO	$404,491	$0	$89,604	$0	$179,702	$0	$40,100	$0	$23,542	$0	$737,439	$0	$0	$0
ARNOLD JAFFEE
SENIOR VP/ GEN COUNSEL	$357,937	$0	$74,419	$0	$74,058	$0	$31,350	$0	$20,217	$0	$557,981	$0	$0	$0
CATHY MCCLELLAN
VP RISK MANAGEMENT	$160,683	$0	$40,000	$0	$37,548	$0	$49,350	$0	$9,071	$0	$296,652	$0	$0	$0
MERVYN MILLS
VP OF FINANCE	$220,899	$0	$48,510	$0	$48,018	$0	$43,350	$0	$20,812	$0	$381,589	$0	$0	$0
KAREN MOYER
SENIOR VP/ CNO	$316,894	$0	$36,284	$0	$139,886	$0	$49,350	$0	$10,448	$0	$552,862	$0	$0	$0
ANGEL PALLIN
SENIOR VP OF OPERATIONS	$317,353	$0	$63,525	$0	$64,712	$0	$31,350	$0	$13,352	$0	$490,292	$0	$0	$0
DIANA SALINAS
VP OF COMPLIANCE	$137,546	$0	$0	$0	$47,336	$0	$42,796	$0	$3,818	$0	$231,496	$0	$0	$0
CHARLENE J WELKER
SENIOR VP OF SUB-ACUTE SVCS	$227,820	$0	$54,394	$0	$51,601	$0	$49,350	$0	$8,589	$0	$391,754	$0	$0	$0
DENISE TAPAK WONG
VP OF SURGICAL/WOMEN'S SVCS	$189,068	$0	$51,500	$0	$41,988	$0	$49,350	$0	$9,561	$0	$341,467	$0	$0	$0
ROBERT BEASLEY EMPLOYED MD
DIRECTOR OF VASCULAR	$620,908	$0	$220,000	$0	$7,439	$0	$49,350	$0	$25,013	$0	$922,710	$0	$0	$0
BRUCE BOROS EMPLOYED MD
CARDIOLOGY	$877,001	$0	$0	$0	$2,286	$0	$49,350	$0	$18,789	$0	$947,426	$0	$0	$0
JOSEPH LAMELAS EMPLOYED MD
CHIEF,CARDIOTHORACIC SURGERY	$2,449,678	$0	$0	$0	$16,042	$0	$42,000	$0	$26,043	$0	$2,533,763	$0	$0	$0
TODD M LASNER EMPLOYED MD
NEUROSURGERY	$791,842	$0	$0	$0	$1,794	$0	$0	$0	$25,654	$0	$819,290	$0	$0	$0
ROY WILLIAMS EMPLOYED MD
CHIEF,THORACIC SURGERY	$817,617	$0	$0	$0	$7,102	$0	$48,536	$0	$26,043	$0	$899,298	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 4B:	FormAndLineReferenceDesc
Explanation	STEVEN D. SONENREICH, PRESIDENT AND CHIEF EXECUTIVE OFFICER OF MSMC, PARTICIPATES IN AN IRC SEC 457(F) PLAN. THE PAYMENT TO THE PLAN IN 2016 WAS $317,890.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Other Spent ProceedsOtherSpentProceedsAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capitalized InterestCapitalizedInterestAmt	Capital ExpendituresCapitalExpendituresAmt	UnspentUnspentAmt
A	$24,915,000	$141,194,667	$12,265,509	$141,194,667	Yes (1)	0	Yes (1)	Yes (1)
B	$2,335,000	$181,710,982	$776,926	$69,334,698	Yes (1)	0	0	Yes (1)	$2,358,111	$48,519,113	$61,499,059

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II, LINE 4, COL A	THE AMOUNT SHOWN HERE CONSISTS OF $11,290,888 IN A DEBT SERVICE RESERVE FUND, PLUS $974,621 OF DEBT SERVICE FUNDS DEPOSITS.
PART II, LINE 4, COL B	THE AMOUNT SHOWN HERE CONSISTS OF $776,926 OF DEBT SERVICE FUNDS DEPOSITS.
PART II, LINE 3, COL B	DIFFERENCES BETWEEN THE AMOUNT SHOWN HERE AND THE ISSUE PRICE REPORTED IN PART I, COLUMN (E) ARE DUE TO ACCUMULATED INTEREST EARNINGS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MARC CSETE MDPA
SEE PART V	$284,062	SERVICES	0
MIAMI BEACH ANESTHESIOLOGY
SEE PART V	$783,265	SERVICES	0
MICHAEL B WITTELS MD
SEE PART V	$216,705	SERVICES	0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART IV, COLUMN B	FormAndLineReferenceDesc
Explanation	MARC CSETE M.D. P.A.: MARC CSETE, M.D., BOARD MEMBER OF MSMC, IS PRESIDENT OF MARC E. CSETE M.D. P.A., WHICH PROVIDES INTENSIVIST SERVICES TO THE HOSPITAL AT FAIR MARKET VALUE.MIAMI BEACH ANESTHESIOLOGY: S. HOWARD WITTELS, M.D., BOARD MEMBER, IS PRESIDENT OF MIAMI BEACH ANESTHESIOLOGY, WHICH PROVIDES ANESTHESIA SERVICES TO THE HOSPITAL AT FAIR MARKET VALUE.MICHAEL B. WITTELS M.D.: FAMILY MEMBER OF S. HOWARD WITTELS, HOSPITAL BOARD MEMBER.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 2	TRUSTEES WAYNE CHAPLIN AND PAUL CHAPLIN HAVE A BUSINESS AND FAMILY RELATIONSHIP. TRUSTEES MARK H. HILDEBRANDT AND LAURANS A. MENDELSON HAVE A BUSINESS RELATIONSHIP.
Form 990, Part VI, Section B, line 11b	THE PROCESS FOR REVIEW OF THE FORM 990 BY MEMBERS OF THE GOVERNING BODY AND MANAGEMENT IS AS FOLLOWS: THE MEMBERS OF THE GOVERNING BODY, MANAGEMENT, AND THE INDEPENDENT TAX CONSULTANTS WILL MEET AND REVIEW IN DETAIL THE COMPLETED FORM 990. A FINAL DRAFT OF FORM 990 IS PROVIDED TO ALL VOTING MEMBERS OF THE ORGANIZATION BEFORE THE FINAL FORM IS FILED WITH THE IRS.
Form 990, Part VI, Section B, line 12c	CONFLICT OF INTEREST POLICY: Mount Sinai Medical Center of Florida, Inc. and subsidiaries (the "Medical Center") formally implemented a written Conflict of Interest Policy (the "Policy") in March 2006 to protect the Medical Center and ensure that the deliberations and decisions made on behalf of the Medical Center are made in the best interest of the Medical Center. The term "conflict of interest" as defined by this Policy refers to situations in which financial or other personal considerations may compromise, or have the appearance of compromising, the judgment of someone charged with the responsibility to act on behalf of the Medical Center. This Policy is reviewed periodically but not less than once a year by the Audit Committee of the Board of Trustees to better meet its objectives. It is intended to supplement but not replace any applicable laws governing conflicts of interest in nonprofit and charitable organizations. Persons covered under this policy include: (1) Any current or former Trustee, officer, or member of a committee with board delegated powers for the Medical Center; (2) Members of management and any employee of the Medical Center who: a) Receives compensation from the Medical Center in excess of $150,000 annually, whether as a full- or part-time employee, independent contractor, or otherwise, and, b) Has responsibilities, power of influence over an activity of the Medical Center similar to that of an officer or Trustee and which represents more than 10% of the activities, assets, income or expenses of the Medical Center, and c) Is one of the twenty employees with the highest compensation from the Medical Center. (3) Any person(s) who serve as a member of the Medical Center's Medical Staff as a Chairperson of a Department, Chief of a clinical service, or member of the Medical Executive Committee. Monitoring and Compliance: An important step in monitoring and enforcing compliance with a conflict of interest policy includes management's education efforts to make interested persons aware of the organization's Conflict of Interest Policy. To that end, Management has included in its Code of Conduct (the "Code") a section on conflicts of interest which has to be signed and returned by every interested person to acknowledge and attest that they read the Code including the conflict of interest section. Annually, interested persons also receive a refresher training session on ethics and conflicts of interest. In addition, the Audit Committee of the Board of Trustees has created a Subcommittee on Conflicts of Interest ("Conflicts Committee") to administer and monitor compliance with this Policy. The Conflicts Committee requires a statement from each interested person not less frequently than once a year setting forth all business and other affiliations that relate in any way to the business and other activities of the Medical Center. Internal Audit compiles and summarizes all the disclosures received from interested persons to facilitate their review by the Conflicts Committee. The Conflicts Committee individually discusses each disclosure to evaluate whether a conflict of interest exists and determines the appropriate course of action to take. Neither the Board nor any Committee of the Board shall vote upon any proposed transaction or arrangement in connection with a potential conflict of interest until such time as the Conflicts Committee has determined whether a conflict of interest exists. Where the Conflicts Committee has concluded that a conflict of interest exists, the Chairman of the Conflicts Committee shall, if appropriate, appoint a disinterested person or committee to investigate alternatives to a proposed transaction, contract, or arrangement. If the Conflicts Committee determines that the Medical Center can obtain a more advantageous transaction or arrangement with reasonable efforts from a person or entity that would not give rise to a conflict of interest, then the Medical Center shall not enter into the transaction that involves the conflict of interest. If a transaction or arrangement more advantageous is not reasonably attainable under the circumstances that would not give rise to a conflict of interest, then the Board or Committee, as applicable, shall determine by a majority vote of the disinterested Trustees whether the transaction or arrangement is in the Medical Center's best interest and whether it is fair and reasonable to the Medical Center, and shall make its decision as to whether to enter into the transaction or arrangement in conformity with such determination. Failure by an interested person to disclose an actual or possible conflict of interest under the Conflict of Interest Policy is considered a serious matter and may constitute "cause" for removal or termination of a Trustee, Officer, or the termination of any contractual or employment relationship the Medical Center may have with an interested person or other party.
Form 990, Part VI, Section B, line 15	ON AN ANNUAL BASIS, THE MOUNT SINAI MEDICAL CENTER COMPENSATION COMMITTEE CONTRACTS WITH AN INDEPENDENT CONSULTANT TO PREPARE AN OPINION REGARDING THE REASONABLENESS AND COMPARABILITY OF THE TOTAL COMPENSATION PROVIDED TO ITS SENIOR OFFICERS AND KEY EMPLOYEES. THE COMPENSATION COMMITTEE INFORMS THE INDEPENDENT CONSULTANT THAT THE INDEPENDENT CONSULTANT'S OPINION WILL BE PART OF THE COMMITTEE'S PROCEDURE FOR ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS DESCRIBED IN THE INCOME TAX REGULATIONS. THE INDEPENDENT CONSULTANT'S DETERMINATION OF REASONABLENESS IS MADE AFTER A THOROUGH REVIEW OF ALL THE ELEMENTS OF THE TOTAL COMPENSATION COMPRISED OF: CASH COMPENSATION, HEALTH AND WELFARE BENEFITS, RETIREMENT BENEFITS, EXECUTIVE BENEFITS AND PERQUISITES, AND OTHER ELEMENTS OF COMPENSATION INCLUDING SEVERANCE ARRANGEMENTS. THE OPINION EXPRESSED BY THE INDEPENDENT CONSULTANT IS THEN PRESENTED TO THE MSMC COMPENSATION COMMITTEE IN A REPORT FORM FOR THEIR REVIEW. THE OPINION REPORT IS REFERRED TO BY THE COMPENSATION COMMITTEE WHEN DETERMINING AND APPROVING THE ANNUAL COMPENSATION FOR ITS SENIOR OFFICERS AND KEY EMPLOYEES. THE EXECUTIVE BOARD OF TRUSTEES OF MSMC HAS AUTHORIZED ITS COMPENSATION COMMITTEE TO SET ANNUAL COMPENSATION FOR MSMC'S SENIOR OFFICERS AND KEY EMPLOYEES.
Form 990, Part VI, Section C, line 19	DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 16B:	IF THE HOSPITAL JOINS A PARTNERSHIP/JOINT VENTURE ARRANGEMENT, ADMINISTRATION WILL PRESENT IT TO THE BOARD AND THE BOARD MUST APPROVE THE ACTION.
Form 990, Part XI, line 9:	INCOME FROM PREMIER HEALTHCARE ALLIANCE, L.P. -714,188. CHANGE IN THE BENEFICIAL INTEREST IN THE NET ASSETS OF MSMC FOUNDATION 23,548,000. AMOUNTS REPORTED SEPARATELY 6,267.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (17 entries)

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Mt Sinai Medical Center FoundaTION INC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	591711400	Foundation	FL	501(C)(3)	Line 7	MT SINAI MEDICAL CENTER OF FLORIDA INC	Yes (1)
Mt Sinai Medical Center InsuraNCE Trust
4300 ALTON ROAD	MIAMI BEACH	FL	33140	591830065	Trust	FL	501(C)(3)	Line 12b, II	MT SINAI MEDICAL CENTER OF FLORIDA INC	Yes (1)
Mt Sinai Medical Ctr Office Building II
4300 ALTON ROAD	MIAMI BEACH	FL	33140	205737392	Title Lease	FL	501(C)(2)	N/A	MT SINAI MEDICAL CENTER OF FLORIDA INC	Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt
Right Choice Management ServicES inc
4300 alton road	miami beach	FL	33140	650728277	mgmt services	FL	N/A	S	1.00000	Yes (1)
MT SINAI MED CTR OF FL GUARANTee corp
					insurance		N/A	C	1.00000	Yes (1)	po Box 1051 KY1-1102	CJ	CJ	-$454,087	$30,792,914

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

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
mount sinai medical center foundation inc
C	$735,859	FAIR MARKET VALUE
mount sinai medical center insurance trust
R	$8,700,000	FAIR MARKET VALUE