2017-11-10T09:54:20-06:00 2016-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 100366530 990 2016-01-01 135564934 BETH ISRAEL MEDICAL CENTER % KENNETH BARRITT BETH 6466054217 FIRST AVENUE AT 16TH STREET NEW YORK NY 10003 DONALD SCANLON EVP,SYSTEM CFO & CCS 6466054217 2017-11-01 true Laura Kielczewski P00740769 2127733000 164.57.159.253 26308520173145000009 2017-11-10 P 601C3D1AF1AC6F09BDE17D93472584FB642439F7 050F75853A9F423F493495C03CDD05FDA32C01D0 2016 2017-02-10 21:41:12Z Mount Sinai Beth Israel DONALD SCANLON 150 EAST 42ND STREET NEW YORK NY 10017 1101154029 false X http://www.mountsinaihealth.org/ X 1890 NY SERVES THE HEALTH CARE NEEDS OF THE NEW YORK COMMUNITY, WHILE ALSO PROVIDING CLINICAL EDUCATION AND ENGAGING IN CLINICAL RESEARCH. 39 39 8726 131 10439196 -1372893 10021266 5901015 1195696046 1060115301 7604960 2840257 59921110 32290207 1273243382 1101146780 550090 399897 0 0 814400924 607037323 0 0 0 617676817 594761800 1432627831 1202199020 -159384449 -101052240 1196447779 1265149217 1026121643 1152620820 170326136 112528397 X Since its founding, over 120 years ago, as a medical dispensary to meet the needs of the impoverished and underserved Jewish community of the Lower East Side, Beth Israel Medical Center has been committed to the care of persons of all races, religions and creeds. Now a major provider of a full range of primary, secondary and highly specialized tertiary health care services, the Medical Center remains proud of its heritage and reaffirms the original mission of Beth Israel Medical Center: to provide the highest quality patient care, with compassion and with concern for patient well-being. To this end, we pledge to continue to maintain the highest standards of professionalism and dedication, and to provide training of the highest caliber for physicians, nurses and other healthcare professionals. We remain committed to attract and retain outstanding staff at all levels, and to seek innovative and cost effective ways to deliver the finest quality health care services. false false 1098596758 0 1079475115 PATIENT CARE: BETH ISRAEL MEDICAL CENTER PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF THE MEDICAL CENTER, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES AND FURTHER, THAT OUR MISSION, IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. DURING 2016 BETH ISRAEL SERVICED 41,151 INPATIENTS AND PROVIDED 218,218 CLINIC VISITS AND 107,886 EMERGENCY ROOM VISITS. BETH ISRAEL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AND THE UNINSURED AT BELOW COST. TO THE EXTENT REIMBURSEMENT IS BELOW COST, OR A PATIENT IS UNABLE TO PAY, BETH ISRAEL RECOGNIZED THESE AMOUNTS AS CHARITY CARE IN MEETING ITS MISSION TO THE COMMUNITY. IN 2016, THIS AMOUNTED TO $47,351,592. IN ADDITION, CHARITY CARE IS ALSO PROVIDED THROUGH MANY FREE SERVICES AND PROGRAMS OFFERED THROUGHOUT THE YEAR, WHICH BETH ISRAEL BELIEVES SERVE A BONA FIDE COMMUNITY HEALTH NEED. IN ADDITION, THE HOSPITAL OPERATES TWO EMERGENCY ROOMS THAT ARE OPEN 24 HOURS, SEVEN DAYS A WEEK. THE KARPAS HEALTH INFORMATION CENTER (KHIC) CONSISTING OF 4 healthcare PROFESSIONALS PROVIDES HEALTH SCREENINGS, HEALTH INFORMATION AND HEALTH EDUCATION TO THE COMMUNITY. ITS REGULAR SERVICES INCLUDE FREE LECTURES, DISTRIBUTION OF FREE PUBLICATIONS, HEALTH SCREENINGS, PHYSICIANS REFERRALS, ETC. BIMC IS THE PRIMARY HEALTHCARE PROVIDER FOR THE LOWER EAST SIDE OF NEW YORK CITY. THE NEIGHBORHOOD IS THE POINT OF ENTRY FOR MANY NEW IMMIGRANTS TO THE UNITED STATES. THE NEIGHBORHOOD IS ALSO AFFLICTED WITH SEVERE SUBSTANCE ABUSE PROBLEMS AND THE RELATED HEALTH CRISIS, AIDS. 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INTENDED USE OF ENDOWMENT FUNDS PERMANENTLY RESTRICTED NET ASSETS HAVE BEEN RESTRICTED BY DONORS TO BE MAINTAINED BY BIMC IN PERPETUITY AND THESE ENDOWMENT FUNDS ARE INCLUDED IN LONG-TERM INVESTMENTS. UNDER THE POLICIES ESTABLISHED AND APPROVED BY BIMC'S INVESTMENT COMMITTEE, DONOR-RESTRICTED ENDOWMENT FUNDS ARE INVESTED IN INCOME-GENERATING INVESTMENT VEHICLES TO GENERATE INCOME AND TO APPRECIATE AND PRESERVE CAPITAL. Central America and the Caribbean Investments 50756663 50756663 50756663 false false true false false false BUCKLEY HALL EVENTS SPECIAL EVENT false CONCERT 139341 125841 13500 3800 3449 0 139341 125841 13500 3800 3449 7249 6251 true true X true X true X true true true false true true 19390151 10033603 9356548 0.00780 345266671 280665312 64601359 0.05410 364656822 290698915 73957907 0.06190 6663713 6663713 0.00560 80066115 50058821 30007294 0.02510 366413128 309912382 56500746 0.04730 1428347 1428347 454571303 361399550 93171753 0.07800 819228125 652098465 167129660 0.13990 false 8310499 214349142 246212587 -31863445 X true true 2 1 BETH ISRAEL MANHATTAN - PETRIE CAMPUS FIRST AVENUE AT 16TH STREET NEW YORK NY 10003 http://www.bethisraelny.org/ 7002002H X X X X X 2 BETH ISRAEL - KING HIGHWAY DIVISION 3201 KINGS HIGHWAY BROOKLYN NY 11234 http://www.bethisraelny.org/ 7002002H X X X X BETH ISRAEL MANHATTAN - PETRIE CAMPUS 1 false false true X X X X X X X X X 14 true true false true X SEE PART V, SECTION C X true 15 true SEE PART V, SECTION C false true X 100 400. X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X true X false false BETH ISRAEL - KING HIGHWAY DIVISION 2 false false true X X X X X X X X X 14 true true false true X SEE PART V, SECTION C X true 15 true SEE PART V, SECTION C false true X 100 400. X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X true X false X X X true X false false SCHEDULE H, PART V, LINE 5 A key philosophy of the CNA is recognizing that both quantitative data and qualitative data are crucial to a comprehensive assessment of community need in the Mount Sinai Performing Providers System (PPS) proposed service area. This area includes five boroughs in NYC (Brooklyn, Bronx, Manhattan, Queens, and Staten Island), as well as Westchester County. The population examined in the CNA includes the overall New York State population and in particular the New York City population. The New York City population accounts for 43% of New York States population. New York City population has a greater proportion of African Americans, Asians, Latinos, and multi-racial residents than the rest of the state, with nearly half of the population speaking a language other than English. With respect to income and education, Manhattan residents have the highest income as well as the highest high school and college graduation rates, while those in the Bronx account for the lowest income and lowest college graduation rates. The populations in Queens and the Bronx have the highest illiteracy rates. Unemployment rates are the highest in the Bronx and Brooklyn. The population living below the poverty level is greatest in the Bronx, followed by Brooklyn, Manhattan, and Queens, and Staten Island. In particular, housing and homelessness is widespread in New York City. The CNA also has data on all-payer populations, which includes Medicaid beneficiaries. Brooklyn Medicaid beneficiaries account for a third of the total citywide Medicaid population with more than 1.2 enrollees. Brooklyn and the Bronx have more Medicaid beneficiaries in the ages of 18-44, while Queens has more Medicaid members who are seniors. The populations studied included a cross section of residents and organizations covering all five boroughs with a concentration on people with limited means and medical coverage. The study did include all relevant types of payers including government sponsored, private insurance and self-pay (self-pay includes patients that would require financial assistance from the hospital). Initially, we used quantitative measures available in the states data books and other identified data sources that align with the DSRIP metrics for measuring the success of each project. We also used data that PPS stakeholders designated as critical for successful project planning and execution. In addition, existing CNAs conducted by Mount Sinai PPS hospital partners were examined for this analysis. Data for about 500 indicators was collected from a wide range of data sources, including the Census, SPARCS, Epiquery, Salient Dashboards, and other publicly available data sources. These indicators fall under the following categories: Demographics, Mortality, Hospitalizations, Barriers to Accessing Health Care, Health Care Resources, and Community Resources. The extensive quantitative data collected provides a wealth of comprehensive information on the health status and community needs in the PPS service area. For this assessment, PPS providers and community members in the Mount Sinai PPS service area were surveyed to confirm and validate quantitative feedback identified through the data analysis. The provider surveys also address any resource gaps, such as a lack of adequate behavioral health providers to meet the needs identified in the CNA, present among our providers. Partners and stakeholders were surveyed from October through November 2014 through Survey Monkey, an online survey tool. In addition to completing web-based surveys, stakeholder engagement groups were convened with community based organizations in each borough, which included local neighborhood and council participants, borough presidents, advocacy groups and social services organizations. These discussion forums covered participants representing the spectrum of services within the PPS, further detailed in the Appendix, and even included a large proportion of non-PPS representation. Town hall style forums were conducted in each borough to gather more qualitative information, validate findings and solicit additional input. Beyond these community based forums, the CNA was also posted online for public input and commentary. Organizations represented in this process covered special populations, i.e. substance abuse, behavioral health, HIV, seniors and persons with disabilities, as well as representatives of low-income housing, homecare, outreach workers, community social works, legal aid, public health providers, homeless shelters, transitional housing, foster care and EMS. The intent was to capture as broad a set of inputs as possible, using pre-established community forums and advocacy groups that had trusted thought leaders from the community. Once data was gathered from the various data sources and the accompanied survey, we conducted a thorough analysis of the current state of the community, summary of provider organizations, and review of the populations health care needs. The CNA focused on the health needs in the service area and includes analyses by population for the Medicaid, duals, uninsured and all-payer populations. By comparing the indicators of these payer groups, we can examine the health disparities between those with access to coverage and those without. Quantitative data were selected based on their alignment with the DSRIP metrics and milestones for each domain and project category. To the extent possible, data sources with statewide, citywide, borough, and county-level data were selected. Details on the data, including the definition of the indicator, data source, year(s), geography, location, and data type, were compiled in a standardized template. Data were then collected and verified as being accurate and reproducible to their source. Throughout the CNA process, we engaged partners and the public in meaningful dialogue to better understand community needs, challenges and barriers to accessing care, and disparities in service provision and health outcomes. To ensure full transparency, we provided multiple opportunities for feedback and input through document review, survey instruments, webinar, and local meetings. The Mount Sinai PPS Clinical Committee and subgroups were intimately involved in selecting health care indicators, vetting gathered data, and evaluating the analysis. An analysis of topline results from the data was shared with our partners at the Mount Sinai PPS October 16th Town Hall to gather insights. Provider feedback from this event was distributed to planning committees the following week to be more closely vetted and incorporated into project planning. To engage our provider partners in the development of the CNA, we had providers form breakout groups in the following categories: Post-Acute Care Transitions, Disease Management, Care Coordination and Patient Engagement, and Behavioral Health and Primary Care Integration. These small groups were then instructed to brainstorm data points they felt the CNA should include based on those key strategies. Providers suggested a wide range of data needs, including measures showing patients' access to stable housing, service coordination with the criminal justice system, and the impact of trauma on patients. These suggestions were compiled, posted on the PPS website, and incorporated into the CNA survey. Qualitative data were derived from Mount Sinai PPS provider partner survey results, which collected on-the-ground insights from providers on key community health needs and barriers to accessing care. Respondents answered 62 questions divided into six components: Organizational Information, Access to Health Care Services, Care Coordination, Population Health, Health Care Barriers, and Patient Centered Medical Homes. Of the approximately 200 parent organization and unique standalone organizations in our PPS, 190 completed and submitted a survey. Many stakeholder organizations contributed to the CNA, including The Brooklyn Hospital Center, several federally qualified health centers, such as William F. Ryan Community Health Center. ArchCare, Coordinated Behavioral Care IPA network member agencies, and Visiting Nurse Service of New York were additional respondents. (See Appendix A of the CNA, which can be found on our website at http://www.mountsinai.org/locations/mount-sinai/about/community, for a complete list.) In addition, the PPS asked providers to complete a comprehensive survey which captured data on provider readiness and gaps in care. Input and dialogue was encouraged through PPS committee meetings and local community boards. A critical aspect of these local meetings was to review and discuss findings from the qualitative data analysis. The feedback received was incorporated into the qualitative analysis and included in the CNA. Furthermore, the general public, including community leaders, were invited to comment on topline CNA results posted on the PPS webpage, distributed through PPS listserv, and noted in the PPS weekly newslette SCHEDULE H, PART V, LINE 6A THE COMMUNITY HEALTH NEEDS ASSESSMENTS FOR BETH ISRAEL MEDICAL CENTER AND BETH ISRAEL BROOKLYN WERE CONDUCTED IN CONJUNCTION WITH EACH OTHER. SCHEDULE H, PART V, LINES 7A THE HOSPITAL'S FAP IS AVAILABLE ON THE WEBSITE: http://www.mountsinai.org/locations/beth-israel/about/community SCHEDULE H, PART V, LINE 10A THE HOSPITAL'S Implementation strategy IS AVAILABLE ON THE WEBSITE: http://www.mountsinai.org/locations/beth-israel/about/community SCHEDULE H, PART V, LINE 11 THE HOSPITAL HELPED MEET THE COMMUNITY NEEDS (CN) AS OUTLINED BELOW: Beth Israel Medical Center dba Mount Sinai Beth Israel (MSBI) CN1 Lack of Access to Social Services: Social services are generally provided by our community partners. The hospital provides patients with lists of resources they can contact. CN2 Increase access to specialty care: The hospital provides significant specialty care services for both inpatient and outpatient services. This includes but is not limited to: diabetes services, gastroenterology, and breast health. CN3 Shortage of mental health services: The hospital provides both inpatient and outpatient mental health services. CN4 Shortage of primary care services: MSBI provides primary care at the main hospital, MSBI Downtown Union Square as well as at Mount Sinai Doctor practices throughout Manhattan and Brooklyn. Affiliation agreements with City MD and CVS Minute Clinics. CN5 Shortage of dental care services: MSBI does not offer dental services. Dental services are provided at other community partners including the Ryan Health Care facilities. CN6 Lack of community health centers: While MSBI supports the work of community health centers this service is provided by the centers themselves as community partners. CN7 Need for more care coordination: Use of referral services social work programs and transformation of medical records system, MSBI and the entire health system are striving for greater coordination of care. CN 8 Need to increase behavioral health services for children and adolescents: As with CN 3 above hospital offers programs for both inpatient and outpatient needs. CN 9 Need to increase disability resources: These services are provided by community partners all hospital programs are ADA compliant. CN 10 Need for more education about underlying causes of diabetes: Diabetes affects nearly one out of every eight New Yorkers. At the Mount Sinai Diabetes Institute, our goal is to empower you to take control of your diabetes. We have a team of doctors, nurses, and certified diabetes educators who are dedicated to providing comprehensive and integrated care. They can help you manage the complications often associated with diabetes and help coordinate more specialized care if you should need it. We also equip you with the tools to manage and control your disease including help with cooking, nutrition and exercise programs. And we have many offices, some with evening and weekend hours, conveniently located throughout New York City and the surrounding areas. CN 11 Need for better diabetes management: See CN 10 CN 12 Improve infant and maternal health: Obstetric services are no available on an outpatient basis, including MSBI Downtown Union Square. Delivery services have relocated to Mount Sinai Hospital and Mount Sinai West. CN 13 Need for more education, resources and promotion of healthy lifestyle: MSBI offers smoking cessation programs, programs for healthy eating and lifestyle at the hospital campus and at health fairs and events in the community. CN 14 Necessity of patient navigation, including patient engagement and education: Currently most navigation revolves around referral assistance and assistance in acquiring medical coverage and financial assistance. The hospital is looking at plans at enlarging its overall patient navigation. MSBI does have an Asian services program and the Heritage group that caters to the specific needs of the Orthodox Jewish Community. CN 15 Lack of patient follow up after hospital discharge: PACT program works with most vulnerable patients to see that follow up plans are adhered to after discharge. CN 16 Need to improve quality of nursing homes in the Mount Sinai service areas: MSBI does not operate nursing homes this need would be covered by our community partners. CN 17 Need to increase number of providers who participate in Health Information Exchange (HIE): The Mount Sinai Health System has made financial investments through the DSRIP program to achieve this goal. CN 18 Need to increase number of providers who accept Medicaid coverage: The Mount Sinai Health System is a leader providing quality health care to its patients regardless of their ability to pay. CN 19 Higher mortality rates for AIDs, pneumonia, diabetes and homicide: Mount Sinai's balanced approach to treating HIV and AIDS combines research and preventive education. We provide individualized care using the latest medical advances, and we promote community-based initiatives. The Mount Sinai Comprehensive Health Program is located at 275 7th Avenue. Pneumonia is treated by the division of Infectious Disease Control. Diabetes is treated through community programs and at the Mount Sinai Diabetes Treatment Center. Homicides would be affected by other community interventions. CN 20 Higher Prevalence of cardiovascular conditions: Inpatient Cardiac surgery programs have relocated to St. Lukes Roosevelt Hospital (dba Mount Sinai St. Lukes) and The Mount Sinai Hospital. Emergency intervential cardiac services (stenting) are available at the Hospital. Outpatient cardiology specialists are available throughout the community. CN 21 Higher Preventable hospital admissions due to cardiovascular conditions: Lowering the number of preventable admissions to the hospital regardless of the condition is a goal of the Mount Sinai Health System. The programs of Mount Sinai Heart in addition to community outreach and screenings will aid in addressing this need. CN 22 Higher Prevalence of Asthma: Pulmonary specialists are available on an outpatient basis in the community including MSBI Downtown, 10 Union Square East. CN 23 Higher HIV prevalence and incidence: Mount Sinai's balanced approach to treating HIV and AIDS combines research and preventive education. We provide individualized care using the latest medical advances, and we promote community-based initiatives. The Mount Sinai Comprehensive Health Program is located at 275 7th Avenue. CN 24 Higher case rates of gonorrhea and syphilis: Programming available through the Infectious Disease Program as well as the Mount Sinai Comprehensive Health Program. Mount Sinai Brooklyn (MSB) CN1 Lack of Access to Social Services: Social services are generally provided by our community partners. The hospital provides patients with lists of resources they can contact. CN2 Increase access to specialty care: The hospital provides significant specialty care services for both inpatient and outpatient services. This includes but is not limited to: cardiology, gastroenterology, orthopedics, general surgery. CN3 Shortage of mental health services: MSB is a smaller community hospital and does not offer mental health services. CN4 Shortage of primary care services: MSB provides primary care at the main hospitals ambulatory care pavilion, private medical offices as well as at Mount Sinai Doctor practices throughout Brooklyn. Affiliation agreements with City MD and CVS Minute Clinics. CN5 Shortage of dental care services: MSB is a smaller community hospital and does not offer dental services. CN6 Lack of community health centers: While MSB supports the work of community health centers this service is provided by the centers themselves as community partners. CN7 Need for more care coordination: Use of referral services social work programs and transformation of medical records system, MSB and the entire health system are striving for greater coordination of care. CN 8 Need to increase behavioral health services for children and adolescents: As noted in CN 3, MSB, does not offer mental health services. CN 9 Need to increase disability resources: These services are provided by community partners all hospital programs are ADA compliant. CN 10 Need for more education about underlying causes of diabetes: MSB has endocrinology specialists and community education programs to address this need. CN 11 Need for better diabetes management: This addressed by the endocrinology department. CN 12 Improve infant and maternal health: MSB is a smaller community hospital and does not offer OB services except on an emergency basis. CN 13 Need for more education, resources and promotion of healthy lifestyle: MSB offers smoking cessation programs, programs for healthy eating and lifestyle at the hospital campus and at health fairs and events in the community. CN 14 Necessity of patient navigation, including patient engagement and education: Currently most navigation revolves around referral assistance and assistance in acquiring medical coverage and financial assistance. The hospital is looking at plans at enlarging its overall patient navigation. CN 15 Lack of patient follow up after hospital discharge: PACT program works with most vulnerable patients to see that follow up plans are adhered to after discharge. CN 16 Need to improve quality of nursing homes in the Mount Sinai service areas: MSB does not operate nursing homes this need would be covered by our community partners. CN 17 Need to increase number of providers w SCHEDULE H, PART V, LINES 16A, 16b, & 16C THE FAP, THE FAP APPLICATION, AND THE PLAIN LANGUAGE SUMMARY OF THE FAP ARE ALL AVAILABLE AT THE FOLLOWING LINK: http://www.wehealny.org/services/financialassistance/index.html. 15 PHILLIPS AMBULATORY CARE CENTER 10 UNION SQUARE EAST NEW YORK NY 10003 HOSPITAL EXTENSION CLINIC BETH ISRAEL COMPREHENSIVE CANCER CENTER 325 WEST 15TH STREET NEW YORK NY 100115903 HOSPITAL EXTENSION CLINIC BIMC VASCULAR ACCESS CTR 140 FOURTH AVENUE NEW YORK NY 10003 HOSPITAL EXTENSION CLINIC MAX MELTZER HEALTH & SERVICE CENTER 94 EAST 1ST STREET NEW YORK NY 10009 HOSPITAL EXTENSION CLINIC BETH ISRAEL MED CTR #2 103 EAST 125TH STREET NEW YORK NY 10035 HOSPITAL EXTENSION CLINIC BETH ISRAEL MED CTR CUMBERLAND 98 FLATBUSH AVENUE BROOKLYN NY 11217 HOSPITAL EXTENSION CLINIC GOUVERNEUR CLINIC 109 DELANCEY ST NEW YORK NY 10002 HOSPITAL EXTENSION CLINIC HARLEM CLINICS #1 #3 #6 #7 103 EAST 125TH STREET NEW YORK NY 10035 HOSPITAL EXTENSION CLINIC BIMC GERIATRICS SENIOR HEALTH 275 EIGTH AVENUE NEW YORK NY 10011 HOSPITAL EXTENSION CLINIC VINCENT P DOLE CLINIC 25 12TH STREET BROOKLYN NY 11215 HOSPITAL EXTENSION CLINIC BETH ISRAEL MED CTR 1-E 2-F 3-G 429 2ND AVENUE NEW YORK NY 10010 HOSPITAL EXTENSION CLINIC BETH ISRAEL MED CTR 2-C 435 2ND AVENUE NEW YORK NY 10010 HOSPITAL EXTENSION CLINIC BETH ISRAEL MED CTR 3-C 433 2ND AVENUE NEW YORK NY 10010 HOSPITAL EXTENSION CLINIC BETH ISRAEL MED CTR 8 & 8-D 140 WEST 125TH STREET NEW YORK NY 10027 HOSPITAL EXTENSION CLINIC BETH ISRAEL MED CTR COOPER SQUARE 26 AVENUE A NEW YORK NY 10003 HOSPITAL EXTENSION CLINIC SCHEDULE H, PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS SUBMITTED TO THE NYS DEPARTMENT OF HEALTH, AND IT DESCRIBES THE ROLE OF EACH OF THE HOSPITAL'S FACILITIES. SCHEDULE H, PART I, LINE 7: THE AMOUNTS REPORTED IN PART I, LINES 7A, 7B AND 7G WERE COMPUTED USING A RATIO OF COST TO CHARGES THAT WAS DERIVED FROM WORKSHEET 2 OF SCHEDULE H INSTRUCTIONS. SCHEDULE H, PART I, LINE 7G: ALL CLINICS INCLUDED AS SUBSIDIZED HEALTH SERVICES ARE CLINICS OF THE HOSPITAL. SCHEDULE H, PART I, LINE 7, COLUMN (F): BAD DEBT EXPENSE OF $8,310,499 WAS SUBTRACTED FROM TOTAL EXPENSES AS REPORTED ON FORM 990, PART IX, LINE 24, COLUMN (A) FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. SCHEDULE H, PART III, LINE 2: WHEN A DISCOUNT IS PROVIDED ON A PATIENT ACCOUNT, THIS IS ACCOUNTED FOR AS A CHARITY ALLOWANCE. CONVERSELY, WHEN NO PAYMENT OR ONLY PARTIAL PAYMENT IS MADE ON A PATIENT ACCOUNT, THIS IS ACCOUNTED FOR AS BAD DEBT EXPENSE. BILLINGS RELATING TO SERVICES RENDERED ARE RECORDED AS NET PATIENT SERVICE REVENUE IN THE PERIOD IN WHICH THE SERVICE IS PERFORMED, NET OF CONTRACTUAL AND OTHER ALLOWANCES WHICH REPRESENT DIFFERENCES BETWEEN GROSS CHARGES AND THE ESTIMATED RECEIPTS UNDER SUCH PROGRAMS. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE ALSO REDUCED FOR ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS. SCHEDULE H, PART III, LINE 3: NOT APPLICABLE SCHEDULE H, PART III, LINE 4: THE ORGANIZATION'S FOOTNOTE DISCLOSURE REGARDING BAD DEBT EXPENSE INCLUDES THE FOLLOWING: DEDUCTIBLES AND REPAYMENTS UNDER THIRD-PARTY PAYMENT PROGRAMS ARE THE PATIENT'S RESPONSIBILITY, AND THE ORGANIZATION CONSIDERS THESE AMOUNTS IN ITS DETERMINATION OF THE PROVISION FOR BAD DEBTS BASED ON COLLECTION EXPERIENCE. ACCOUNTS RECEIVABLE ARE ALSO REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SCHEDULE H, PART III, LINE 8: THE HOSPITAL USED THE MEDICARE PORTION OF ALL INPATIENT AND OUTPATIENT PROGRAMS THAT OPERATE AT A DEFICIT, CALCULATED USING ONLY RCC TO CALCULATE COST, FOR INCLUSION IN SUBSIDIZED HEALTH SERVICES ON SCHEDULE H, PART III, LINE 7 FOR COMMUNITY BENEFIT. THIS IS PARTIALLY OFFSET BY SURPLUSES GENERATED BY OTHER PAYORS FOR THOSE SAME PROGRAMS. THE METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON SCHEDULE H, PART III, SECTION B, LINE 6 IS OBTAINED FROM THE INSTITUTIONAL COST REPORT WHICH USES COST PER DAY TO CALCULATE ROOM AND BOARD COSTS AND RCC FOR ANCILLARY AND OUTPATIENT COSTS. SCHEDULE H, PART III, LINE 9B: PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE OFFERED EXTENDED INTEREST FREE PAYMENT PLANS. IF A PATIENT DEFAULTS ON ITS PAYMENT AGREEMENT, THE PATIENT'S ACCOUNT WILL BE CONSIDERED DELINQUENT, AND WILL BE SUBJECT TO THE NORMAL COLLECTION PROCEDURES FOR ALL PATIENTS. HOWEVER, NO LEGAL ACTION MAY BE TAKEN UNTIL IT HAS BEEN DETERMINED THAT THE PATIENT HAS THE MEANS TO PAY OUTSTANDING BALANCES. IN NO SITUATION WILL THE HOSPITAL AUTHORIZE FORECLOSURE ON A PATIENT OR RESPONSIBLE PARTY'S PRIMARY RESIDENCE. SCHEDULE H, PART VI, LINE 2: NEEDS ASSESSMENT DESCRIPTION THE HOSPITAL COMPLETED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT DURING 2014. THROUGHOUT THIS PROCESS, THE HOSPITAL WORKED COLLABORATIVELY WITH A NUMBER OF COMMUNITY-BASED ORGANIZATIONS, HEALTH FACILITIES, LOCAL ELECTED OFFICIALS, AND NEW YORK CITY COMMUNITY ADVISORY BOARDS. THE HOSPITAL ALSO HAS ITS OWN INTERNAL ADVISORY BOARD/COUNCIL THAT IS MADE UP OF REPRESENTATIVES OF THESE COMMUNITY PARTNERS AND INTERESTED LOCAL RESIDENTS. THROUGH THEIR PARTICIPATION, THE HOSPITAL SOLICITS COMMENT ON THE HEALTH CARE NEEDS OF THE COMMUNITY, STRENGTHS AND WEAKNESSES OF THE HOSPITAL, AND CONSTRUCTIVE SUGGESTIONS FOR IMPROVEMENT. THESE COUNCILS ALSO PARTICIPATE IN CHOOSING THE HEALTH PRIORITIES OF THE COMMUNITY. SCHEDULE H, PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE INSTITUTION RECOGNIZES THAT MANY OF THE PATIENTS IT SERVES MAY NOT HAVE HEALTH INSURANCE OR THE FINANCIAL RESOURCES TO ACCESS QUALITY HEALTH CARE SERVICES WITHOUT FINANCIAL ASSISTANCE. ACCORDINGLY, THE INSTITUTION ADHERES TO ITS FINANCIAL ASSISTANCE POLICY, WHICH EXISTS IN ORDER TO ASSIST PATIENTS WITH GAINING ACCESS TO FINANCIAL ASSISTANCE. PATIENTS CAN OBTAIN INFORMATION ON HOSPITAL CHARGES AND ELIGIBILITY FOR GOVERNMENT OR HOSPITAL PROGRAMS PRIMARILY FROM THE HOSPITALS DEPARTMENT OF FINANCIAL COUNSELING. THE AVAILABILITY OF THE INSTITUTION'S FINANCIAL ASSISTANCE IS NOTED ON THE PATIENT'S BILL. ALSO, PATIENTS ARE ALERTED TO THE POLICY BY MULTI-LINGUAL SIGNAGE AND BROCHURES AT POINTS OF PATIENT SERVICE, INFORMATION DISTRIBUTED IN THE ADMISSION PACKAGE, AND THE INSTITUTION'S WEB SITE. ALL HOSPITAL STAFF ARE DIRECTED TO DISTRIBUTE STANDARD INFORMATION OR REFER INQUIRIES TO THE DEPARTMENT OF FINANCIAL COUNSELING OR WEBSITE. SCHEDULE H, PART VI, LINE 4: COMMUNITY INFORMATION WHEN IT WAS FOUNDED MORE THAN 120 YEARS AGO, THE MISSION WAS TO MEET THE NEEDS OF THE IMPOVERISHED AND UNDERSERVED JEWISH COMMUNITY OF THE LOWER EAST SIDE OF MANHATTAN. TODAY, ONE OF ITS TWO INPATIENT SITES STILL PRIMARILY SERVICES THE LOWER EASTSIDE OF MANHATTAN, WHILE THE OTHER PRIMARILY SERVICES BROOKLYN. THE RACIAL AND ETHNIC BACKGROUND OF PATIENTS IS DIVERSE, SERVICING PATIENTS OF ALL RACES AND RELIGIONS. IN MANHATTAN, AT THE MAIN CAMPUS OF BIMC, A GROWING PERCENTAGE OF ELDERLY, AND A SIGNIFICANT PORTION OF LOW INCOME INDIVIDUALS ARE SERVED. SCHEDULE H, PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH QUANTIFIABLE EXPENSES ASSOCIATED WITH IMPROVING THE GENERAL HEALTH OF THE COMMUNITY HAVE BEEN REPORTED IN PART I. THESE ACTIVITIES INCLUDE A WIDE ARRAY OF HOSPITAL SPONSORED COMMUNITY HEALTH EDUCATION AND SCREENING EVENTS. THE COMMUNITY IS NOTIFIED OF THESE EVENTS AND SCREENINGS BY VARIOUS MEANS: MAILINGS, ADVERTISING IN LOCAL NEWSPAPERS, FLYERS, AND THROUGH MAILINGS OF VARIOUS NYC COMMUNITY BOARDS. THE HOSPITAL WEBSITE OFFERS ON-LINE HEALTH EDUCATION AND PHYSICIAN REFERRAL. MULTI-LINGUAL EDUCATIONAL MATERIALS ARE PROVIDED FOR PATIENTS AND THE SURROUNDING DIVERSE ETHNIC COMMUNITIES. BIMC'S KARPAS HEALTH INFORMATION CENTER, LOCATED AT 18TH STREET AND FIRST AVENUE IN MANHATTAN, IS THE HOSPITAL'S WELCOMING FRONT DOOR AND A POINT OF ENTRY TO BIMC'S OUTSTANDING PHYSICIANS AND CLINICAL SERVICES. THE CENTER HAS PROVIDED THOUSANDS OF NEW YORKERS WITH EASILY ACCESSIBLE HEALTH INFORMATION. STAFFED BY HEALTH EDUCATORS, THE CENTER IS A RESOURCE CENTER THAT OFFERS AN EXTENSIVE HEALTH LIBRARY, WALK IN ASSISTANCE AND HELP WITH RESEARCH ON SPECIFIC HEALTH CONDITIONS - ALL FREE OF CHARGE. THE WELLNESS PROGRAMS ENABLE NEIGHBORS TO REMAIN SAFE, ACTIVE AND VITAL MEMBERS OF THE COMMUNITY. THE CENTER IS COMMITTED TO PROVIDING RESOURCES THAT ARE NURTURING TO THE MIND, BODY AND SPIRIT. THE CENTER REACHES INTO THE COMMUNITY AND SPONSORS SCREENING AND WELLNESS WORKSHOPS AND CLASSES THROUGHOUT MANHATTAN AND BROOKLYN. THESE PROGRAMS ARE DEVELOPED IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS AND DEDICATED TO IMPROVING HEALTH OUTCOMES FOR THE COMMUNITIES BIMC SERVES. BIMC IS ALSO COMMITTED TO PROVIDING CARE TO ITS COMMUNITY SENIORS: -BIMC MAINTAINS A FULL TIME NURSE TO MONITOR AND ADMINISTER PROGRAMS FOR THE HEALTH OF THE SENIOR POPULATION OF THE NATURALLY OCCURRING RETIREMENT COMMUNITY (NORC) AT CO-OP VILLAGE ON THE LOWER EAST SIDE OF MANHATTAN. -KARPAS HEALTH INFORMATION CENTER HAS A NURSE ASSIGNED TO THE SIROVICH SENIOR CENTER TO MONITOR THE HEALTH OF THEIR PARTICIPANTS AND ASSIST IN HOME VISITS OF THE MEMBERS OF THE COMMUNITY SIROVICH SERVES. -BETH ISRAEL BROOKLYN MAINTAINS A GERIATRIC SOCIAL WORKER THAT PROVIDES CAREGIVER SUPPORT AND COMMUNITY OUTREACH. BETH ISRAEL MEDICAL CENTER ALSO DISTRIBUTES A BI-ANNUAL NEWSLETTER THAT GIVES UPDATES ON SERVICES AVAILABLE AT THE HOSPITAL AS WELL AS TIPS FOR HEALTHY LIVING. SCHEDULE H, PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM THE ORGANIZATION WORKS CLOSELY WITH ITS AFFILIATED HOSPITALS AS AN INTEGRATED HEALTH CARE PARTNERSHIP. LEADERSHIP IS COMMITTED TO WORKING WITH THE COMMUNITY AND WILL REMAIN COMMITTED TO ALLOCATING SUFFICIENT RESOURCES TO ENSURE THAT THE CLINICAL AND OUTREACH SERVICES OF EACH OF THE AFFILIATED HOSPITALS IS RESPONSIVE TO THE COMMUNITY HEALTH NEEDS BY PROVIDING HIGH QUALITY, ACCESSIBLE, AND COMPASSIONATE HEALTH CARE TO THE MAXIMUM EXTENT POSSIBLE.SCHEDULE H, PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT: NEW YORK true NURSING SCHOOL SCHOLARSHIPS 258 399897 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE US: EVERY STUDENT APPLYING FOR SCHOLARSHIP AID MUST FILE THE FAFSA (FREE APPLICATION FOR FEDERAL STUDENT AID) DOCUMENTING FINANCIAL NEED AND MUST SUBMIT AN APPLICATION FOR THE SCHOLARSHIP IN QUESTION. PRIOR TO THE BEGINNING OF THE ACADEMIC YEAR, THE SCHOLARSHIP COMMITTEE (COMPOSED OF THE DEAN, ASSOCIATE DEAN, ASSISTANT DEAN, AND DIRECTOR OF STUDENT SERVICES) MEETS AND MAKES SCHOLARSHIP AWARDS. SOME SCHOLARSHIPS ARE BASED ON FINANCIAL NEED; OTHERS ARE BASED ON ACADEMIC ACHIEVEMENT. THE SCHOLARSHIP ANNOUNCEMENT SENT TO ALL STUDENTS EACH SPRING DELINEATES THE CRITERIA, AND STUDENTS ARE MONITORED TO ENSURE THEY MEET/CONTINUE TO MEET REQUIREMENTS AFTER THEY RECEIVE A SCHOLARSHIP AWARD. THE FINANCIAL AID OFFICE MAINTAINS RECORDS OF ALL FINANCIAL AID RECEIVED BY STUDENTS (INCLUDING SCHOLARSHIPS) FOR AT LEAST 3 YEARS AFTER THE STUDENT CEASES ENROLLMENT IN THE PROGRAM. X X X X false true false false false true true false false MICHAEL BRUNO SVP, FINANCE 284356 284356 37500 37500 822 822 11130 11130 9148 9148 342956 342956 0 0 HARRIS NAGLER MD FORMER SVP, PHYSICIAN IN CHIEF 450000 0 0 0 1577 0 22260 0 651 0 474488 0 0 0 JEREMY BOAL MD EVP, SYSTEM CMO 247224 527772 106889 228187 51068 109021 8454 18047 10384 22168 424019 905195 0 0 DENNIS S CHARNEY MD 1 PRESIDENT, ACADEMIC AFFAIRS 104500 895500 41800 358200 41767 357915 2769 23731 2109 19069 192945 1654415 0 0 KENNETH L DAVIS MD CHIEF EXECUTIVE OFFICER 547440 1852560 0 0 383681 1298391 716006 2422994 9156 30986 1656283 5604931 0 0 BETH ESSIG ESQ EVP, GENERAL COUNSEL 127908 735168 48430 278357 9135 52509 3927 22573 221 1268 189621 1089875 0 0 ARTHUR KLEIN MD EVP, PRES. OF HEALTH NETWORK 311695 538305 216353 373647 23285 40214 9718 16782 4550 7858 565601 976806 0 0 BRENDAN LOUGHLIN FORMER SVP STRAT FINANCE PLAN 167001 167001 15000 15000 1190 1190 11130 11130 11957 11957 206278 206278 0 0 MARGARET PASTUSZKO EVP, SYSTEM CSIO 156941 506659 121585 392515 1791 -22463 5014 16186 9613 31035 294944 923932 0 0 DENISE PELLE FORMER SVP CORP INIATIVES 47312 255776 1561 8439 321 1738 3475 18785 1853 10017 54522 294755 0 0 DONALD T SCANLON EVP, FINANCE&CHIEF CORP SVCS 234942 795056 110629 374372 80558 272610 6045 20455 7479 25308 439653 1487801 0 0 JEFFREY SILBERSTEIN EVP,SYSTEM CHIEF ADMIN OFFICER 156020 527980 76223 257942 17770 60134 6045 20455 7604 25734 263662 892245 0 0 MARK SULTAN PHYSICIAN 4971948 0 0 0 9459 0 21420 0 16037 0 5018864 0 0 0 MARK URKEN PHYSICIAN 3477052 0 0 0 2871 0 21420 0 35793 0 3537136 0 0 0 KUMAR CHATANI SVP, chief information officer 133650 406350 44534 135401 42263 128495 6559 19941 5314 16155 232320 706342 0 0 FRANK CINO SVP, SYSTEM CHIEF RISK OFFICER 97790 287210 40475 118875 1921 5641 5385 15815 8356 24543 153927 452084 0 0 SUSAN SOMERVILLE PRESIDENT 800000 0 200000 0 147389 0 26500 0 20669 0 1194558 0 0 0 LIN H MO PRESIDENT 700000 0 145500 0 96004 0 26500 0 36527 0 1004531 0 0 0 LAWRENCE ATTIA MD FORMER EX-OFFICIO TRUSTEE 0 179740 0 0 0 814 0 13652 0 27587 0 221793 0 0 BURTON DRAYER MD EVP, SYSTEM CCAO 37500 262500 25250 169750 126480 885358 3313 23188 2112 14783 194655 1355579 0 0 NIYUM GANDHI EVP, CHIEF POP HEALTH OFFICER 163800 486200 48888 145112 18080 53666 5342 15858 2257 6700 238367 707536 0 0 ANDREW SNYDER MD EVP, SYSTEM CIO 163800 486200 3055 9069 78689 233567 2184 6483 3517 10440 251245 745759 0 0 chaim bernstein ASSOCIATE MEDICAL DIRECTOR 182544 0 0 0 4042 0 11487 0 10036 0 208109 0 0 0 david culang Physician 878221 0 0 0 339 0 9643 0 25117 0 913320 0 0 0 daniel buchbind physician 703238 0 0 0 1660 0 21420 0 27536 0 753854 0 0 0 barbara barnett Physician 531669 0 79002 0 17953 0 22260 0 28881 0 679765 0 0 0 COMPENSATION FOOTNOTES PART VII, SCHEDULE J SUPPLEMENTAL INFORMATION COMPENSATION FOOTNOTES: OFFICERS OF THE BOARD OF TRUSTEES HOURS REFLECT SERVICE TO ALL RELATED ORGANIZATIONS OF MOUNT SINAI HEALTH SYSTEM. PART VII, SECTION A & SCHEDULE J COMPENSATION FOOTNOTES (1) COMPENSATION AND BENEFITS ARE FUNDED FROM THE MOUNT SINAI HOSPITAL, ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, BETH ISRAEL MEDICAL CENTER, ST. LUKE'S-ROOSEVELT HOSPITAL CENTER, AND/OR NEW YORK EYE AND EAR INFIRMARY. SCHEDULE J, PART I LINE 4B The Chief Executive Officer is the sole participant in the organization's first and only supplemental executive retirement plan ("SERP") and earned unvested benefits of $3,112,500 during 2016 which are reported on Schedule J Part II Col C. Benefits earned under the SERP are nonvested forms of deferred compensation that fund the employee's eventual retirement benefit. These benefits are provided in exchange for all the employee's years of service to the organization. The amounts are at risk and will not be paid unless and until the employee has provided substantial future services to the organization. Benefits under the SERP vest if the employee remains employed at the organization through January 1, 2018 and are forfeited on a pro rated basis if the employee is terminated for cause or by reason of death or disability by the organization or if the employee leaves the organization voluntarily prior to January 1, 2018. SCHEDULE J, PART I, LINES 6A & 6B THE MOUNT SINAI HOSPITAL, A RELATED ORGANIZATION, ANSWERED YES TO QUESTIONS 6A AND 6B IN SCHEDULE J AS THE INSTITUTION UTILIZES AN INCENTIVE BASED BONUS PROGRAM FOR CERTAIN EMPLOYEES, INCLUDING SEVERAL OF THOSE EMPLOYEES LISTED IN SCHEDULE J. NET EARNINGS IS ONE OF SEVERAL METRICS UTILIZED BY THE INSTITUTION IN THE ANNUAL BONUS CALCULATION. OTHER METRICS UTILIZED IN THE INCENTIVE COMPENSATION MODEL INCLUDE THE ORGANIZATION'S PERFORMANCE ON THE JCAHO HOSPITAL CORE MEASURES, PATIENT SATISFACTION SCORES, AND OTHER ORGANIZATIONAL GOALS SUCH AS LENGTH OF STAY INITIATIVES. INDIVIDUALS THAT HAVE RESPONSIBILITIES IN RELATED ORGANIZATIONS TO THE HOSPITAL MAY HAVE INCENTIVES BASED ON THE PERFORMANCE OF THESE ORGANIZATIONS AS WELL AS THAT OF THE HOSPITAL. X 2 10500 FMV X 1 215 FMV X 1 1000 FMV X VACATIONS/GETAWAYS 6 11465 fmv X GIFT BASKETS 7 3915 FMV X GIFT CERTIFICATES 16 5848 FMV X MUSICAL INSTRUMENTS 2 350 FMV false true false Schedule M, Part I Column (b) represents the number of contributors. FORM 990, PART VI, LINE 1A THE FOLLOWING INDIVIDUALS DO NOT HAVE VOTING RIGHTS: Ellen Katz, Judah Gribetz and Richard Goldstein. FORM 990, PART VI, LINE 2 - BUSINESS AND FAMILY RELATIONSHIPS 1. TRUSTEES EDGAR CULLMAN, JR. AND SUSAN CULLMAN HAVE A FAMILY RELATIONSHIP. 2. TRUSTEES STEVEN HOCKBERG AND JAMES FLYNN HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, LINE 6 MOUNT SINAI HOSPITALS GROUP, INC. IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, LINE 7A THE MEMBER HAS THE POWER TO ELECT THE MEMBERS OF THE GOVERNING BODY OF THE ORGANIZATION. FORM 990, PART VI, LINE 7B THE MEMBER HAS THE POWER TO ELECT THE MEMBERS OF THE GOVERNING BODY OF THE ORGANIZATION. IN ADDITION, THE BOARD OF TRUSTEES OF THE ORGANIZATION CANNOT AMEND THE BYLAWS WITHOUT THE CONSENT OF THE MEMBER IF SUCH AMENDMENT REMOVED ANY POWERS OF THE MEMBER. FORM 990, PART VI, LINE 11B Form 990 provided to governing body The Finance Department gathered the relevant information and prepared the tax returns. * The Tax department of our outside auditors, Ernst & Young (EY), participated in the preparation of, and reviewed, all tax returns. * A questionnaire was circulated to all trustees (i.e., directors), officers and key employees in order to elicit the information required to be reported on the tax returns. * The Trustee Conflicts of Interest Review Committee reviewed the responses provided by trustees and certain officers in the questionnaires and assessed additional pertinent facts gathered by the institution in order to evaluate the applicability of IRS reporting requirements. The Review Committee then determined the appropriate trustee (and certain officer) disclosures that should be made on Form 990 based on the recommendations of the Finance Department, the General Counsels office and the Audit and Compliance Department. These recommendations were reviewed and approved by EY. The same process was conducted by the Finance Department, the General Counsels office, the Audit and Compliance Department and EY with respect to the questionnaires submitted by other officers and key employees. * The Audit and Compliance Committee of the Board of Trustees conducted a review of the entire tax return, with the participation of EY, the Finance Department, the General Counsels office, and the Audit and Compliance Department. The Audit Committee approved the tax returns as presented. * The Audit Committees report of its review of the tax returns and its recommendation to file the returns were presented to, and accepted by, the Executive Committee of the Board of Trustees (Executive Committee). * In addition to authorizing the filing of the tax returns, the Executive Committee directed that the returns, which will be filed on or before November 15, 2017, be provided to all trustees via the trustees confidential website, and those returns were so provided before being filed. FORM 990, PART VI, LINE 12C - CONFLICT OF INTEREST POLICY Monitoring & enforcing compliance with the policy. Compliance with the Organizations Business Conflicts of Interest Policy (Policy) is required of trustees, employees, medical staff and non-employee members of institutional committees and includes an ongoing duty to disclose potential conflicts. Compliance with the Policy is monitored and enforced regularly and consistently. All disclosures with the potential for conflict are reviewed by an appropriate committee where they are carefully evaluated. When appropriate, a plan, which may involve measures including, but not limited to, recusal from participating in affected transactions, is developed to manage the potential conflict. FORM 990, PART VI, LINE 15A & 15B Process for determination of compensation The Compensation, Employee Benefits and Employee Relations Committee of the Board of Trustees (Compensation Committee) determines the compensation for the CEO and other executives, including physician leaders, who are or may be disqualified persons as that term is defined in IRC Section 4958. The Compensation Committee also reviews the compensation of other senior and/or highly compensated personnel. The Compensation Committees' Operating Procedures are designed to ensure that the compensation of all such officers and key employees is reasonable (i.e. the value of services is the amount that would ordinarily be paid for like services by like enterprises under like circumstances), and with respect to disqualified persons to follow the specific steps outlined in the IRC regulations for establishing the rebuttable presumption of reasonableness that a transaction is not an excess benefit transaction. The Compensation Committee consists exclusively of independent trustees without any conflict of interest (as defined in the applicable IRC regulations) with regard to the compensation arrangements being reviewed or approved. The absence of any conflict of interest with respect to items on that meetings agenda is confirmed at the beginning of each meeting of the Compensation Committee. The Compensation Committee selects and engages an independent, qualified compensation consultant which performs such valuations on a regular basis to provide appropriate comparability data. Comparability data includes, but is not limited to, compensation levels paid by similarly situated organizations, both taxable and tax-exempt, for functionally comparable positions; the availability of similar services in Mount Sinais geographic area; current compensation surveys compiled by independent firms; customized surveys in specific circumstances, and actual written offers from similar institutions competing for the services of the disqualified person. The sources of the comparability data used by the compensation consultant are provided to the Compensation Committee. In appropriate circumstances formal written opinions are obtained from the Compensation Consultant. With respect to Executives as they are defined in the policy which includes all of the institutions disqualified persons, the Compensation Committee receives and reviews the comparability data and any analysis provided by the Compensation Consultant, as well as information provided by management, or in the case of the CEO, by the Chairman of the Board of Trustees, including information about the individuals performance, and for new employees, the individuals job description. When a written opinion is obtained from the Compensation Consultant, that written opinion is also reviewed by the Compensation Committee. After considering all of the facts, the Compensation Committee then determines the appropriate compensation in relation to the comparability data and in light of the written opinion, recommendations of the Compensation Consultant. As more fully set forth in the Compensation Committees Operating Guidelines, the Compensation Committee also reviews the compensation arrangements for those other senior management and/or highly compensated personnel who are not Executives. The Compensation Committee is provided details of the compensation arrangement of the individuals job and job performance, the benchmark(s) used and, in certain cases, a description of the role of the Compensation Consultant and a brief description of why the arrangement is appropriate. The Compensation Committee contemporaneously documents in written minutes the terms of the transaction that was approved and the date it was approved; the members of the Compensation Committee who were present; the discussion at the Compensation Committee meeting; the comparability data and any other information obtained and relied on; how the comparability data was obtained; and the Compensation Committees basis for the decisions, if the approved compensation is outside the range of comparability data. These minutes are prepared before the later of the next meeting of the Compensation Committee or 60 days after the final actions of the Compensation Committee are taken with respect to the compensation decisions made. The minutes are reviewed and approved by the Compensation Committee within a reasonable time thereafter. FORM 990, PART VI, LINE 19 Governing documents and conflict of interest policy available to the public. The organization makes its Business Conflicts of Interest Policy available on its website (www.mountsinai.org) and makes its governing documents and financial statements available upon request. FORM 990, PART XI, LINE 9 - OTHER CHANGES IN NET ASSETS INCOME FROM INV IN CAPTIVE INS. COMPANIES-EQUITY-METHOD: $ 21,047,185 EQUITY TRANSFER FROM AFFILIATE: $ 20,625,244 FPP DIFFERENTIAL: $ -62,622 TOTAL: $ 41,609,807 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:38643026 FORM 990 PART IX LINE 11G DESCRIPTION:AGENCY NURSES AND TEMPS TOTAL FEES:7733739 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:13766810 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER SERVICES TOTAL FEES:43629903 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION AGENCY FEES TOTAL FEES:3480783 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SERVICES TOTAL FEES:23604876 BETH ISRAEL COMPREHENSIVE CANCER CENTER 325 WEST 15TH STREET NEW YORK NY 10011 522228661 CANCER CENTER NY 0 0 BIMC CONTINUUM HEALTH PARTNERS INC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 133939476 HOLDING CO NY 501(C)(3) 12 TYPE I NA false BIMC HOLDING CORPORATION FIRST AVENUE AT 16TH STREET NEW YORK NY 10003 133444730 HOLDING CO NY 501(C)(3) 12 TYPE I BIMC true BETH ISRAEL AMBULATORY CARE SERVICES 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 133838460 SURGICENTER NY 501(C)(3) 3 BIMC HOLDCO true BI NURSING HOME COMPANY 327 EAST 17TH STREET NEW YORK NY 10003 133627753 NURSING HOME NY 501(C)(3) 3 BIMC HOLDCO true EAST 17TH STREET PROPERTIES INC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 133547502 REAL ESTATE NY 501(C)(3) 10 BIMC HOLDCO true THE LONG ISLAND COLLEGE HOSPITAL 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 111018985 HOSPITAL NY 501(C)(3) 3 CHP false ST LUKE'S-ROOSEVELT HOSPITAL CENTER 1111 AMSTERDAM AVENUE NEW YORK NY 10025 132997301 HOSPITAL NY 501(C)(3) 3 MSHG true AUGUSTUS & JAMES CORPORATION 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 133392851 REAL ESTATE NY 501(C)(3) 12 TYPE I SLR true ST LUKE'S-ROOSEVELT INSTITUTE FOR HEALTH 1111 AMSTERDAM AVENUE NEW YORK NY 10025 132914343 RESEARCH NY 501(C)(3) 4 SLR true NEW YORK EYE AND EAR INFIRMARY 310 EAST 14TH STREET NEW YORK NY 10003 135562304 HOSPITAL NY 501(C)(3) 3 MSHG true NEW YORK EYE & EAR INFIRMARY FOUNDATION 310 EAST 14TH STREET NEW YORK NY 10003 134012469 PRIVATE FDN NY 501(C)(3) PF NYEE true NYEEI HOUSING COMPANY INC 317-327 EAST 13TH STREET NEW YORK NY 10003 311696826 REAL ESTATE NY 501(C)(2) N/A NYEE true BETH ISRAEL MEDICAL CENTER FDN INC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 300571387 FUNDRAISING NY 501(C)(3) 7 BIMC true ST LUKE'S-ROSEVELT HOSPITAL CENTER FDN 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 300571390 FUNDRAISING NY 501(C)(3) 7 SLR true THE MOUNT SINAI MEDICAL CENTER INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 136271888 SUPPORT NY 501(C)(3) 12 TYPE II MSHS false THE MOUNT SINAI HOSPITAL ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 131624096 HOSPITAL NY 501(C)(3) 3 MSHG true MITRAL FOUNDATION 1190 FIFTH AVENUE NEW YORK NY 10029 800468600 RESEARCH NY 501(C)(3) 12 TYPE I ISMMS false THE MOUNT SINAI CHILDREN'S CENTER FND ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 223059294 SUPPORT NY 501(C)(3) 12 TYPE I ISMMS false MSMC REALTY CORPORATION ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 133852596 REAL ESTATE NY 501(C)(3) 12 TYPE I SEE PART VII true MSMC RESIDENTIAL REALTY LLC 1425 MADISON AVENUE NEW YORK NY 10029 200244426 REAL ESTATE NY 501(C)(3) 12 TYPE I SEE PART VII true MOUNT SINAI DIAG & TREATMENT CENTER ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 450537391 DIAG CLINIC NY 501(C)(3) 3 MSH true MSMC RESIDENTIAL REALTY MANAGER INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 201289396 MANAGEMENT NY 501(C)(3) 12 TYPE II SEE PART VII true VALENTIN FUSTER MT SINAI FND FOR SCIENCE ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 800952088 SUPPORT NY 501(C)(3) 12 TYPE I ISMMS & MSH true MOUNT SINAI HEALTH SYSTEM INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 464248304 HOLDING CO NY 501(C)(3) 12 TYPE II NA false MOUNT SINAI HOSPITAL GROUP INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 464242915 HOLDING CO NY 501(C)(3) 12 TYPE II MSHS false ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 136171197 SCHOOL NY 501(C)(3) 2 MSHS false FOJP SERVICE CORPORATION 28 EAST 28TH STREET NEW YORK NY 10016 132914141 RISK MGMT NY 501(C)(3) 11 TYPE III NA false MOUNT SINAI HEALTH PARTNERS PC 150 EAST 42ND STREET 5TH FLR NEW YORK NY 10017 822057452 HEALTHCARE NY 501(C)(3) 10 MSH true GREATER METROPOLITAN IPA II 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 133977019 INACTIVE NY BIMCSLR C 0 0 0.50000 false GREATER METROPOLITAN IPA V 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 134141695 INACTIVE NY BIMCSLR C 0 1587 0.50000 false MANHATTAN MANAGEMENT SERVICES 1780 BROADWAY 7TH FL NEW YORK NY 10019 133618543 MGMT SERVICES NY SLR C false SLR MANAGEMENT SERVICES 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 133853145 MGMT SERVICES NY SLR C false WEST CARE MEDICAL PC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 133811203 INACTIVE NY SLR C false MOUNT SINAI HC VENTURES INC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 460953126 HEALTH CARE MGMT NY BIMC HOLDCO C false MOUNT SINAI GENOMICS INC 1425 MADISON AVE NEW YORK NY 10029 475349024 CLINICAL LAB DE ISMMS C false HIBER-CELL INC 850 NEW BURTON ROAD SUITE 201 DOVER DE 19904 820608182 CLINICAL LAB DE ISMMS c false AMATHUS THERAPEUTICS INC 1506 BOSTON PROVIDENCE HIGHWAY STE NORWOOD MA 02062 814373501 BIOTECH/PHARMA MA ISMMS C false false false true true false false false false true true true true false true true true true true true ST LUKE'S ROOSEVELT HOSPITAL R 10061392 COST EAST 17TH STREET PROPERTIES INC J 1375750 COST BI NURSING HOME COMPANY R 5660753 COST NEW YORK EYE AND EAR INFIRMARY R 293067 COST MOUNT SINAI HOSPITAL O 25090230 COST MOUNT SINAI MEDICAL CENTER I 1652742 COST ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI P 50296419 COST BETH ISRAEL AMBULATORY CARE SERVICES CORP R 8282781 COST MOUNT SINAI HEALTH SYSTEM Q 5583683 COST MOUNT SINAI HEALTH SYSTEM B 8244930 COST MOUNT SINAI HOSPITAL C 20625214 COST SCHEDULE R, PART II, COLUMN (F) - MSMC REALTY CORPORATION DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL AND THE MSMC REALTY CORPORATION ARE ALL MEMBERS OF THIS ENTITY. SCHEDULE R, PART II, COLUMN (F) - MSMC RESIDENTIAL REALTY LLC DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, THE MSMC REALTY CORPORATION AND THE MSMC RESIDENTIAL REALTY MANAGER, INC. ARE ALL MEMBERS OF THIS ENTITY. SCHEDULE R, PART II, COLUMN (F) - MSMC RESIDENTIAL REALTY MANAGER, INC DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL AND THE MSMC REALTY CORPORATION ARE ALL MEMBERS OF THIS ENTITY.