2014-11-13T12:50:20-06:00 2013-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 4000 INDIANAPOLIS IN 46204 990 2013-01-01 131624096 THE MOUNT SINAI HOSPITAL % MICHAEL PASTIER MOUN 2127313149 ONE GUSTAVE L LEVY PLACE Suite NEW YORK NY 100296574 MR DONALD SCANLON EVP, CFO 2014-11-13 ANGELA M MOORE P00244342 2013 2015-11-30 17:44:51Z DONALD SCANLON 633 THIRD AVE 10TH FL NEW YORK NY 10017 1936225774 false X http://www.mountsinai.org X 1852 NY SEE attachment 1 46 38 13206 1200 664494 -1055015 33969200 35637533 1740077307 1848582729 24372986 25721053 50234742 26117478 1848654235 1936058793 30035966 48361582 0 0 873835795 934814548 0 0 3451548 813432638 908252909 1717304399 1891429039 131349836 44629754 2402315481 2597240985 1309023629 1371628192 1093291852 1225612793 X MOUNT SINAI IS COMMITTED TOWARDS THE ADVANCEMENT OF THE ART AND SCIENCE OF MEDICINE THROUGH CLINICAL EXCELLENCE. THE CENTRAL MISSION CONSISTS OF HIGH-QUALITY PATIENT CARE AND TEACHING CONDUCTED IN AN ATMOSPHERE OF SOCIAL CONCERN AND SCHOLARLY INQUIRY INTO NATURE, CAUSATION, PREVENTION AND TREATMENT OF HUMAN DISEASE. false false 1691995239 48361582 1855571517 The Mount Sinai Hospital provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of the Mount Sinai Hospital, it is recognized that not all individuals possess the ability to purchase essential medical services and healthcare education. As a matter of policy, the Hospital provides significant amounts of partially or totally uncompensated patient care. For accounting purposes, such uncompensated care is treated either as charity care or bad debt expense. The Hospital's charity care policy ensures the provision of quality health care to the community served while carefully considering the ability of the patient to pay. The policy has sliding fee schedules for inpatient, ambulatory and emergency services provided to the uninsured and under-insured patients who qualify. Patients are eligible for the charity care fee schedule if they meet certain income tests. Furthermore, as part of its charity care and financial aid policy, the Hospital obtains and uses additional financial information for uninsured or under-insured patients who have not supplied the requisite information to qualify for charity care. The additional information obtained is used by the Hospital to determine whether to qualify patients for charity care and/or financial aid in accordance with the Hospital's policies. For accounting and disclosure purposes, charity care is considered to be the difference between the Hospital's customary charges and the sliding charity care fee schedule rates. Since payment of this difference is not sought, charity care allowances are not reported as revenue. The Hospital's estimated costs for charity care were $37.2 million for 2013 and $30.3 million for 2012. The cost of charity includes the direct and indirect cost of providing charity care services. The cost is estimated by utilizing a ratio of cost to gross charges applied to the gross uncompensated charges associated with providing charity care. Funds received from the New York State Indigent Care Pool to offset charity services provided totaled approximately $14.1 million and $12.9 million for the years ended December 31, 2013 and 2012, respectively. The charity care component of the indigent care pool payments is estimated utilizing a ratio of charity care charges to total charity care and bad debt charges applied to the indigent care pool reimbursement and excludes amounts designated for teaching programs. Additionally, patients who do not qualify for sliding scale fees and all uninsured inpatients who do not qualify for Medicaid assistance are billed at the Hospital's rates. Uncollected balances for these patients are categorized as bad debts. Total uncompensated care as a result of bad debts for all patient services approximated $20.1 million in 2013 and $23.7 million in 2012. The Mount Sinai Hospital is the primary health care provider for the East Harlem Area of New York City. East Harlem is one of the poorest communities in the New York City region, and has been designated as a medically underserved area. A wide variety of programs and services are currently provided for the community which include: -Primary care -AIDS -Cardiovascular health -Cancer treatment -Maternal and infant health -Geriatrics -Ambulatory sensitive conditions (Asthma and Diabetes) -Adolescent health -Youth education -Volunteer services 1691995239 true true false true false false false false false true true true false true true false false true false false true false false false true false true true true false true true false false false false false false false false true true true false false false true true true true false false true 511 0 true 13206 true true true false false false false false false false false false X 46 38 true false true false true true true true true false false true true true true true true true true false NY X MICHAEL PASTIER 2127313149 633 THIRD AVENUE 10FL New York NY 10017 X peter w may chairman of board of trustees 2.0 14.0 X X 0 0 0 donald j gogel senior vice chairman/trustee 2.0 12.0 X X 0 0 0 michael minikes Sr vchair/treasurer/trustee 1.0 8.0 X X 0 0 0 james s tisch senior vice chairman/trustee 2.0 12.0 X X 0 0 0 joel s ehrenkranz vice chairman/trustee 2.0 12.0 X X 0 0 0 ellen katz vice chairman/trustee 2.0 12.0 X X 0 0 0 john a levin vice chairman/trustee 2.0 12.0 X X 0 0 0 eric mindich vice chairman/trustee 2.0 12.0 X X 0 0 0 andrew m saul vice chairman/trustee 2.0 13.0 X X 0 0 thomas w strauss vice chairman/trustee 2.0 12.0 X X 0 0 0 STEVEN I HOCHBERG SENIOR VICE CHAIRMAN/TRUSTEE 2.0 16.5 X X 0 0 Blaine V Fogg vice chair/secretary/trustee 1.0 8.0 X X 0 0 0 MORTON P HYMAN VICE CHAIRMAN/TRUSTEE 2.0 13.5 X X 0 0 0 edgar m cullman jr trustee 1.0 4.0 X 0 0 0 susan r cullman trustee 1.0 5.0 X 0 0 0 Henry Calderon Trustee 1.0 4.0 X 0 0 0 david s gottesman trustee 1.0 0.0 X 0 0 0 judah gribetz trustee 1.0 5.0 X 0 0 0 JOEL I PICKET VICE CHAIRMAN/TRUSTEE 2.0 12.5 X X 0 0 john b hess trustee 1.0 4.0 X 0 0 0 BOBBIE ABRAMS trustee 1.0 4.5 X 0 0 0 ANDREW M ALPER trustee 1.0 5.0 X 0 0 0 PHILIP E BERNEY trustee 1.0 4.5 X 0 0 0 patricia s levinson trustee 1.0 5.0 X 0 0 FRANK J BISIGNANO trustee 1.0 4.5 X 0 0 0 bernard w nussbaum trustee 1.0 6.0 X 0 0 0 judith o rubin trustee 1.0 6.0 X 0 0 0 JEFF T BLAU trustee 1.0 6.0 X 0 0 0 PETER CROWLEY trustee 1.0 5.5 X 0 0 john s winkleman trustee 1.0 4.0 X 0 0 0 Richard Ravitch VICE CHAIRMAN/Trustee 2.0 12.0 X X 0 0 0 JEROME GOLDSTEIN TRUSTEE 1.0 4.5 X 0 0 0 RICHARD A GOLDSTEIN TRUSTEE 1.0 5.5 X 0 0 0 JAMES KEMPNER TRUSTEE 1.0 5.0 X 0 0 0 STANLEY KOMAROFF TRUSTEE 1.0 5.5 X 0 0 0 MARC S LIPSCHULTZ TRUSTEE 1.0 5.0 X 0 0 0 EUGENE MERCY JR TRUSTEE 1.0 6.5 X 0 0 0 JAMES NEARY TRUSTEE 1.0 4.5 X 0 0 0 ALICE NETTER TRUSTEE 1.0 5.5 X 0 0 0 LEWIS C PELL TRUSTEE 1.0 4.5 X 0 0 0 JOAN SARNOFF TRUSTEE 1.0 4.5 X 0 0 0 ROBERT F SAVAGE JR TRUSTEE 1.0 11.5 X 0 0 0 JAMES E FLYNN TRUSTEE 1.0 6.5 X 0 0 0 DAVID WINDREICH TRUSTEE 1.0 5.0 X 0 0 0 WILLIAM H WRIGHT II TRUSTEE 1.0 5.5 X 0 0 0 MICHAEL ZIMMERMAN TRUSTEE 1.0 3.5 X 0 0 0 Kenneth L Davis MD CHIEF EXECUTIVE OFFICER 18.0 39.0 X 1856482 2230122 59500 donald t scanlon EVP, Finance/Chief Corp. Srvcs 18.0 44.5 X 723742 870338 55432 jeffrey silberstein exec vp/chief admin officer 18.0 38.0 X 486542 584968 42090 mark kostegan fahp SVP, Chief Development Officer 11.0 47.0 X 395262 991929 45562 jane maksoud SVP, Chief HR Officer 15.0 41.0 X 352127 397079 58436 michael mccarry RN SVP, Perioperative Services 23.0 33.0 X 455256 0 34397 michael pastier SVP, Chief Financial Officer 55.0 4.5 X 713584 0 67230 carol porter SVP, CHIEF NURSING OFFICER 55.0 0.0 X 490402 0 38688 caryn schwab SVP, Executive Director, MSHQ 55.0 0.0 X 492866 0 50645 margaret pastuszko EVP, Chief Integration Officer 19.0 37.0 X 426499 505619 53368 frank cino SVP, CHIEF RISK OFFICER 17.0 39.0 X 336512 206250 49358 frederick a klingenstein honorary chairman 2.0 10.0 X 0 0 0 robert e rubin senior vice chairman 2.0 10.0 X 0 0 0 henry r kravis vice chairman 2.0 10.0 X 0 0 0 RICHARD A FRIEDMAN VICE CHAIRMAN 2.0 10.0 X 0 0 KUMAR CHATANI SVP, Chief Information Officer 19.0 37.0 X 582553 183361 43010 JAMES W CRYSTAL VICE CHAIRMAN 2.0 10.0 X GLENN DUBIN VICE CHAIRMAN 2.0 10.0 X PATRICIA LAMB VP, HOSPITAL OPERATIONS 55.0 0.0 X 261648 29072 32129 david l reich md president and coo 55.0 0.0 X 0 1212284 37226 arthur klein md EVP, President of Health Ntwk 19.0 40.0 X 1059253 209848 9049 Leonard Achan SVP Chief Mrkng Access Officer 22.0 34.0 X 265936 228047 49274 mark callahan md EVP, Chief Ambulatory Officer 10.0 47.0 X 265294 433136 33403 Dennis S Charney MD1 President Academic Affairs 1.0 58.0 X 0 1523643 44090 Jeremy Boal MD EVP, Chief Medical Officer 23.0 34.0 X 655143 94438 14039 Beth Essig EVP, General Counsel 18.0 39.5 X 65897 765607 39160 Vicki LoPachin SVP, Chief Medical Officer 55.0 0.0 X 0 0 0 Marc Napp MD SVP, Chief Med. Aff. Officer 23.0 34.0 X 243124 0 14466 David nierman md VP, Med Affairs/CMO, MSHQ 55.0 0.0 X 423223 0 56560 George Vecchione SP Advisor to CEO-MSH & ISMMS 19.0 36.0 X 911683 104167 14973 Edward Yang MD Chief of Orthopaedics - MSQ 55.0 0.0 X 432796 91765 54638 Kristin Myers VP, INFORMATION TECHNOLOGY 48.0 7.0 X 414560 61945 31241 Mark Kindschuh Assoc Professor Emerg Medicine 55.0 0.0 X 391394 0 35748 Wayne Keathley 2 FORMER OFFICER 55.0 2.0 X 952193 0 8779 Burton Drayer 23 former officer 5.0 51.0 X 0 1222560 38544 Michael Macdonald2 FORMER OFFICER 28.0 29.0 X 481580 481580 58332 deborah Marin md 2 former officer 38.0 17.0 X 316180 135505 38755 connie c klepper 2 FORMER OFFICER 28.0 29.0 X 151991 151991 37044 jane whitney 2 FORMER OFFICER 29.0 27.0 X 162338 149850 41618 elana abraham 24 FORMER OFFICER 41.0 15.0 X 240306 0 50812 ERIN S DUPREE MD 2 FORMER OFFICER 53.0 2.0 X 352890 10914 38622 Gail Donovan 2 FORMER OFFICER 27.0 33.0 X 160510 1116620 55374 15519766 13992638 1431592 2276 true true false SODEXO INC AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 MANAGEMENT 13829729 CROTHALL HEALTHCARE INC 13028 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 LEGAL 6675987 NADASKAY KOPELSON ARCHITECTS 95 WASHINGTON STREET MORRISTOWN NJ 07960 ARCHITECTURE 4563445 ARUP LABORATORIES INC PO BOX 27964 SALT LAKE CITY UT 84127 LAB SERVICES 3626665 UNITED WEST LABS 801 N PARKCENTER DRIVE SANTA ANITA CA 92705 LAB SERVICES 3517532 49 680750 6719315 6848860 21388608 242559 35637533 NET PATIENT SERVICE REVENUE 621110 1846778516 1846778516 LABORATORY SERVICES REVENUE 621500 1804213 1804213 1848582729 8501053 386553 8114500 0 0 0 0 0 17220000 17220000 17220000 17220000 85298 680750 166981 -81683 -81683 0 0 CAFETERIA 722320 8955544 8955544 HEMOPHILLIA CONSORTIUM 900099 3669239 3669239 GERIATRIC REVENUE 900099 3319549 3319549 10254829 -1526272 11781101 26199161 1936058793 1853767304 664494 45989462 48361582 48361582 0 0 0 10629814 10032832 596982 0 702606238 617005167 84364969 1236102 53566519 46579460 6876879 110180 109418250 94986841 14184810 246599 58593727 50727652 7721077 144998 21776697 18899019 2877678 0 2078198 0 1958848 119350 645000 0 645000 0 856755 856755 0 1407244 1407244 199037964 172739858 26298106 0 7452253 6280972 956005 215276 12805832 10867922 1753055 184855 13270667 11491003 1749005 30659 0 61337526 52897196 8051296 389034 955723 805777 122644 27302 0 535178 464481 70697 0 17669479 17669479 0 97769670 80816409 16953261 36374472 31569404 4805068 MEDICAL SUPPLIES 397067955 397067955 BAD DEBTS 18960013 18960013 DIETARY 13447883 11541050 1756622 150211 MERGER COSTS 4804400 4804400 1891429039 1691995239 195982252 3451548 375619 882973 354100780 293355656 18861365 15631329 215644611 213771454 0 0 0 0 0 0 25801859 28391315 2005601 3327930 1570074251 965187769 553215637 604886482 347466495 455182653 461409000 544625000 71763672 103967573 0 0 351670842 333218620 2402315481 2597240985 225888281 238564878 0 0 30144633 29336761 406207675 498505259 0 0 0 0 19762500 17212500 6314165 3831215 620706375 584177579 1309023629 1371628192 X 932896973 1079107483 84126615 69751754 76268264 76753556 1093291852 1225612793 2402315481 2597240985 X 44629754 55028562 32662625 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 856755 856755 false false Other Activities The Mount Sinai Hospital pays dues to various organizations that lobby federal and state legislators on behalf of health care facilities, including the Mount Sinai Hospital. The portion of these dues by entity are summarized below: American Hospital Association $125,474 1199 sieu $ 4,485 Greater New York Hospital Association $456,620 Health Association of NYS (HANYS) $234,176 MOUNT SINAI HOSPITAL MANAGEMENT $ 21,168 NEW YORK PROTON MANAGEMENT LLC $ 14,832 160394879 28573083 42462652 146505310 162583800 29683697 31872618 160394879 177522231 28545569 43484000 162583800 161021859 40480116 0 0 23979744 0 177522231 149259087 42703335 0 0 30940563 0 161021859 0.48000 0.52000 false false 39305828 39305828 305452085 211241266 94210819 0 0 0 1192831042 753946503 438884539 32485296 0 32485296 604886482 HEDGE FUNDS 445775000 F PRIVATE EQUITY 98850000 F 544625000 DUE TO/FROM RELATED ORGS 112863919 DEFERRED FINANCING FEES 8973885 457B PLAN 6348357 ROTATING RESIDENTS 1879767 TENANT SECURITY DEPOSITS 344201 DEPOSITS HELD BY THIRD PARTIES 2765873 THIRD PARTIES REC POOL RELATED 354015 OTHER RECEIVABLES 1982656 FICA RECEIVABLE -462895 PROF BILLING RECEIVABLE 2224963 PROF LIAB INS REC 196304400 DTC -360521 333218620 0 POST RETIREMENT BENEFITS 17518270 THIRD PARTY LIABILITIES 322800982 RENT SECURITY DEPOSIT 344201 AR CREDIT BALANCES 12044640 MALPRACTICE INSURANCE 18057542 PLANNED GIFT LIABILITY 765198 RECRUITMENT LIABILITY 10940529 MULTISPECIALITY LIABILITY 36726 457B PLAN LIABILITY 6348356 PROFESSIONAL LIABILITIES 196304400 DTC -983265 584177579 X 1933756000 45245488 45245488 1888510512 1407244 46141037 47548281 1936058793 1869846000 32651272 32651272 1837194728 1407244 52827067 54234311 1891429039 Part V, Line 4 Intended Uses of Organization's Endowment Funds Mount Sinai Hospital's endowment funds are restricted to investments in perpetuity with the income expendable to support program activities as stipulated by the donor. The Hospital follows the requirement of the Uniform Management of Institutional Funds Act ("UMIFA") as they are related to its endowment contributions. The Hospital has adopted investment and spending policies for endowment assets that attempts to provide a predictable stream of funding to programs supported by its endowment. Under this policy, as approved by the board of trustees, the endowment assets are invested in a manner to provide that sufficient assets are available as a source of liquidity for the intended use of the funds, achieve the optimal return possible with the specific parameters, and prudently invest assets in a high-quality diversified manner to adhere to established guidelines. Part XII, Line #2d RECONCILIATION OF REVENUE PER AFS ASSETS RELEASED FROM RESTRICTION $29,070,298 DIAGNOSTIC & TREATMENT CENTER 16,175,190 TOTAL $45,245,488 Part XII, Line #4B RECONCILIATION OF REVENUE PER AFS ALL OTHER CONTRIBUTIONS $28,573,083 THIRD PARTIES REIMBURSEMENT SETTLEMENTS 17,567,706 ROUNDING 248 TOTAL $46,141,037 Part XIII, Line #2d Reconciliation of Expense per AFS Diagnostic & Treatment Center $32,651,272 Part XIII, Line #4B RECONCILIATION OF EXPENSE PER AFS TRANSFER TO AFFILIATES $31,548,000 MERGER COSTS 4,804,400 CONTRIBUTION TO MT. SINAI DTC 16,476,082 ROUNDING (1,415) TOTAL $52,827,067 Central America and the Caribbean Program Services insurance 54732897 Central America and the Caribbean Investments Investments 325163000 379895897 379895897 true false true true true false Part I, Line 2 The primary coverage of professional and general liability incidents has been provided through participation in a pooled program with certain health care facilities (principally hospitals) affiliated with the Federation of Jewish Philanthropies of New York. This occurrence basis insurance coverage participation is with the Captive Insurance Companies. The Captive Insurance Companies have two offices in the Caribbean, specifically Bermuda and Barbados. The companies were incorporated in Barbados and Bermuda in 1992 and 1986 respectively and are licensed under the Insurance Act of both countries. Since the Hospital is a shareholder of the Captive Insurance Companies, the Hospital follows the equity method of accounting for its interest in the insurance companies associated with the medical malpractice insurance program. Additionally, Forms 5471, Information Returns of U. S. Persons with Respect To Certain Foreign Corporations, has been filed with the Hospital's 990T. parts I & IV The investment activities listed in Part 1 are allocated to agree to the audited financial statement reporting as pooled investments while Part IV reports on foreign filings filed by the respective organization. LIFE GALA 333163 283013 50150 78309 1710 14212 AHC LEGENDS 432885 397737 35148 29833 6960 35957 0 0 0 0 0 0 0 0 0 0 766048 680750 85298 0 0 0 108142 8670 50169 166981 -81683 true true X true X true X true true true false true true 46720526 12163673 34556853 0.01820 448496557 369074904 79421653 0.04190 0 0 0 495217083 381238577 113978506 0.06010 17907079 6848860 11058219 0.00580 190720061 72722073 117997988 0.06240 31562217 15086135 16476082 0.00870 0 0 0 334088 334088 0.00020 240523445 94657068 145866377 0.07710 735740528 475895645 259844883 0.13720 5750 5750 331656 331656 0.00020 388926 388926 0.00020 726332 726332 0.00040 false 18960013 408042261 409047373 -1005112 X true true 1 1 MOUNT SINAI HOSPITAL ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 HTTP://WWW.MOUNTSINAI.ORG 7002024H X X X X X MOUNT SINAI HOSPITAL 1 true X X X X X X X X X 13 true true true X HTTP;//WWW.MOUNTSINAI.ORG X X X X X false false true true 100 true 300. true X X X X X X true true X X X X X X true false X X X X X true X false false PART V, LINE 3 In addition to the preparation of its formal Community Health Needs Assessment, a continuous community needs assessment process occurs in Manhattan and Western Queens through active membership/participation of administrative leaders, staff and faculty in over 20 community committees, coalitions and board; and through service and educational partnerships with community health, social service, civic organization and schools. The Department of Community and Government Affairs acts as a liaison for the Medical Center to health, social service and civic organizations, schools, coalition and community leaders in East and Central Harlem, the Upper West Side and in boroughs outside of Manhattan and Western Queens. Community and Government Affairs work closely with the Mount Sinai School of Medicine, Mount Sinai's Center for Multicultural and Community Affairs and the Department of Community and Preventive Medicine to assist other Medical Center departments that seek to implement community programs and research projects. The Mount Sinai Medical Center actively seeks the views of community residents, hospital consumers, health care providers, religious groups, community boards, elected officials, supports groups, and community health and human service professionals in identifying the need for services and public health priorities. The Mount Sinai Medical Center's public participation includes the following: * Mount Sinai's Board of Trustees has established a Community Affairs committee whose members include senior management, health providers, and Trustees. A Trustee serves as a Community Advisory Board member to ensure board to board communications. The Board of Trustees meets quarterly to evaluate services and community needs. * Mount Sinai's Community Advisory Board (CAB) members represent diverse socioeconomic and ethnic constituencies and representatives from the Medical Center leadership and departments. The CAB's goal is to ensure that the medical center is responsive to health care needs of consumers, with particular emphasis on the needs of East Harlem. The CAB meets monthly to evaluate services and community needs. * The Tisch Cancer Institute has established a CAB to work in partnership with East and Central Harlem community residents and organizations to reduce the excess burden of cancer among its majority African-American and Hispanic residents to find ways to overcome cancer disparities. The CAB meets monthly to discuss community resources, strengths and interventions to improve the quality of cancer prevention, treatment and care. * Mount Sinai has established and hosts a monthly Community Roundtable to keep its pulse on the needs of East Harlem and Central Harlem communities. Approximately 80 community leaders, educators, elected officials, and CAB members are in attendance at the monthly meetings. * The Mount Sinai Medical Center representatives participate actively in monthly/quarterly meetings with the following organizations in its continuing efforts to discuss health care needs of the community. * Abyssinian Development Corporation. * Boriken Neighborhood Health Center. * Bronx Aids Services. * Children's Aids Society. * Community Board No.11 - Manhattan, Health & Human Services Committee. * East Harlem Chamber of Commerce. * East Harlem HIV Care Network. * East Harlem Partnership for Cancer. * Greater Harlem Chamber of Commerce. * Little Sisters of the Assumption Family Health Services. * New York Academy of Medicine. * New York City Housing Authority - Carver Houses Tenants Association & Johnson Tenants Association. * Jewish Home and Hospital * Settlement Health Association. * Union Settlement Association. * Yorkville Common Pantry The Mount Sinai Hospital of Queens' public participation includes the following: * Mount Sinai Hospital of Queens recently formed a CAB and serves the needs of a culturally diverse population with representatives from social and human service organizations, civic associations, public housing authority, and health care providers. The CAB meets quarterly to evaluate services and community needs. * Mount Sinai Hospital of Queens conducts an annual Community Roundtable to inform and update participants on new programs and projects and facility improvements at the Hospital. The focus is also on engaging participants in a discussion of ways in which the Hospital can improve and better serve the needs of the community. * The annual Pastoral Care Forum for clergy and other religious leaders in the community featured an educational session as well as an information-sharing component of services available in the community. * Mount Sinai representatives participate actively in monthly/quarterly meetings with the following organizations in its continuing efforts to discuss health care needs of the community. * American Cancer Society. * Astoria Civic Association. * Catholic Charities of Brooklyn and Queens. * Community Boards No.1 & 2 - Queens. * Gateway to Health Sciences Secondary School. * Greek Orthodox Archdiocesan of America Hellenic Cultural Center. * HANAC. * Jacob Riis Neighborhood Settlement House. * Queens Chamber of Commerce. * New York City Housing Authority - Ravenswood Tenants Association * SHAREing and CAREing. * United Community Civic Association. * Visiting Nurse of New York. The Mount Sinai Medical Center discusses and analyzes the following demographic and socio-economic data with community partners as part of the community needs assessment process. 1. Utilization - Identify which services/programs have met or exceeded projected utilization 2. Patient satisfaction surveys - Analyze the hospitals' patient surveys to determine areas of needs identified by patients and their families 3. Local demand for services - Identify the services/programs with waiting lists, which demonstrate that the local demand for services exceeds capacity 4. Community need data - Determine the health of the community by examining the health statistics on the NYCDOHMH and NYSDOH websites; and determine the areas in which the target goals of Take Care New York are not met. Additionally, in assessing the communities' needs in conjunction with community partners, consumers, community boards, community leaders, and community health and human service professionals, the following questions are considered: 1. Is the cause of the illness, disease or health behavior preventable? 2. Does the hospital have existing resources, capacity, and processes to conduct outreach, provide screenings and treatment, measure, and evaluate set goals? 3. Was the health focus also identified by, discussed with, and determined as a priority in the health of the community by community partners, consumers, community health and human service professionals, NYCDOHMH, and the hospital's Community Advisory Board? Based on the information gathering process described above, the Hospital develops a community service plan that focuses on the health priorities for the surrounding community. Part V, Line 4 Mount Sinai Queens Hospital Part V, Line 7, Needs the Hospital will not address. No hospital can address all of the health needs present in its community. Mount Sinai is committed to serving the community by adhering to its mission, using its skills and capabilities, and remaining a strong organization so that it can continue to provide a range of important health care services and community benefits. This implementation strategy does not include specific plans to address the needs of environmental determinants of health or poverty, financial hardship, and basic needs insecurity identified in the 2013 Community Health Needs Assessment. ENVIROMENTAL DETERMINANTS OF HEALTH Making a significant impact on environmental determinants of health extends far beyond the ability or responsibility of any single organization. As an acute care hospital, Mount Sinai Hospital is not ideally suited to be the lead organization in addressing environmental determinants of health in the community. Other organizations are addressing this need. The Hospital would follow up with phone call and emails as part of the outreach effort to determine the patient's eligibility under the facility's FAP. Poverty, Financial Hardship, and basic needs Insecurity Mount Sinai understands the role that poverty plays as a contributor to poor health status. As an organization that provides health care services, the hospital lacks the resources, expertise, and mission to directly address this need. Other organizations in the community are also addressing the need The hospital does provide care to community members with limited financial means and individuals without health insurance by offering discounted fees and flexible payment plans based on the patient's ability to pay, through the Resource Entitlement and Advocacy Program (REAP) and the Patient Financial Assistance Program. The hospital also will continue offering a wide range of free health screening and education programs. Part V, Line 18E The Hospital would follow up with phone call and emails as part of the outreach effort to determine the patient's eligibility under the facility's FAP. Part V Line 20d In compliance with New York State law, Mount Sinai uses the set contract rates of its highest volume commercial payer. 1 MT SINAI PSYCHIATRIC CONTINUING DAY TR 53-55 E 96TH STREET FL A B C 1F NEW YORK NY 10029 OUTPATIENT CLINIC SCHEDULE H SUPPLEMENTAL INFORMATION Part I, Line 3c Not applicable Part I, Line 6a The Hospital's community benefit report is a separate stand-alone document. Part I, Line 7 The Mount Sinai Hospital used the ratio of cost-to-charges methodology for costing purposes. The cost-to-charge ratio was derived utilizing Worksheet 2, Ratio of Patient Care Costs-to-Charges. Part I, Line 7G The Hospital reported its support for the Mount Sinai Diagnostic and Treatment Center (MSDTC) under Part I, Line 7g Subsidized Health Services. MSDTC is a separately licensed entity that operates a variety of diagnostic and treatment clinics in the Hospital's East Harlem service area. The Hospital provides sufficient funding for MSDTC so that it can meet its annual operating requirements. In 2013, the Hospital funded the MSDTC's operating loss of $16.5 million. Part I, Line 7, column f The Hospital subtracted approximately $19.0 million of bad debt expense that was reported in Part IX, line 25, column (A) from total expense when calculating the percentages in this column. Part II Community Building Expense The Hospital's conducts various Community Building Activities during the year to promote the health of its community. The Hospital pays for several public service announcements that help promote population health in areas such as diabetes awareness, cardiac health, cancer, mental health, teen health, and HIV/AIDS. These announcements help to provide the public with information as to symptoms of various diseases and medical conditions so that they seek care before their medical condition reaches a more advanced stage. Additionally, the Hospital spends a significant amount on disaster preparedness each year. These expenditures ensure that the Hospital will be ready to handle a large scale disaster in the area and meet the medical needs of those that are impacted. This preparedness includes plans for handling large volumes or sick or injured people under various scenarios, such as when power is lost or transportation systems are shut down. Part III, Line 2 The Hospital's provision for bad debts is recorded in accordance with generally accepted accounting principles. The amount of the provision for bad debts is based upon management's assessment of historical and expected net collections, business and economic conditions, trends in Medicare and Medicaid health care coverage and other collection indicators. Part III, Line 3 Not applicable Part III, Line 4 The Hospital's footnote disclosure on bad debt expense includes the following: Deductibles and copayments under third-party payment programs are the patient's responsibility and the Hospital considers these amounts in its determination of the provision for bad debts based on collection experience. Accounts receivable are also reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Hospital analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Part III, Line 8 Schedule H, Part III, Section B. Medicare Line 6 (Medicare Allowable Cost) were obtained from the Medicare cost report. The cost report utilizes a step-down methodology to allocate an institution's allowable costs by service and program. In addition, the Hospital included the Medicare share of the loss for Health Professions Education (Schedule H, Part I, Line 7f), which amounted to $23.6 million in order to provide a more accurate reflection of the Hospital's Medicare financial results. Part III, Line 9b The Hospital's collection practices do not apply to charity care balances. Once an account or a portion thereof is deemed to be charity care, it is written off as such. As a result, there is no further collection effort on the account balance. 2. Needs Assessment A continuous community needs assessment process occurs in Manhattan and Western Queens through active membership/participation of administrative leaders, staff and faculty in over 20 community committees, coalitions and board; and through service and educational partnerships with community health, social service, civic organization and schools. The Department of Community and Government Affairs acts as a liaison for the Medical Center to health, social service and civic organizations, schools, coalition and community leaders in East and Central Harlem, the Upper West Side and in boroughs outside of Manhattan and Western Queens. Community and Government Affairs work closely with the Mount Sinai School of Medicine, Mount Sinai's Center for Multicultural and Community Affairs and the Department of Community and Preventive Medicine to assist other Medical Center departments that seek to implement community programs and research projects. The Mount Sinai Medical Center actively seeks the views of community residents, hospital consumers, health care providers, religious groups, community boards, elected officials, supports groups, and community health and human service professionals in identifying the need for services and public health priorities. The Mount Sinai Medical Center's public participation includes the following: * Mount Sinai's Board of Trustees has established a Community Affairs committee whose members include senior management, health providers, and Trustees. A Trustee serves as a Community Advisory Board member to ensure board to board communications. The Board of Trustees meets quarterly to evaluate services and community needs. * Mount Sinai's Community Advisory Board (CAB) members represent diverse socioeconomic and ethnic constituencies and representatives from the Medical Center leadership and departments. The CAB's goal is to ensure that the medical center is responsive to health care needs of consumers, with particular emphasis on the needs of East Harlem. The CAB meets monthly to evaluate services and community needs. * The Tisch Cancer Institute has established a CAB to work in partnership with East and Central Harlem community residents and organizations to reduce the excess burden of cancer among its majority African-American and Hispanic residents to find ways to overcome cancer disparities. The CAB meets monthly to discuss community resources, strengths and interventions to improve the quality of cancer prevention, treatment and care. * Mount Sinai has established and hosts a monthly Community Roundtable to keep its pulse on the needs of East Harlem and Central Harlem communities. Approximately 80 community leaders, educators, elected officials, and CAB members are in attendance at the monthly meetings. * The Mount Sinai Medical Center representatives participate actively in monthly/quarterly meetings with the following organizations in its continuing efforts to discuss health care needs of the community. * Abyssinian Development Corporation. * Boriken Neighborhood Health Center. * Bronx Aids Services. * Children's Aids Society. * Community Board No.11 - Manhattan, Health & Human Services Committee. * East Harlem Chamber of Commerce. * East Harlem HIV Care Network. * East Harlem Partnership for Cancer. * Greater Harlem Chamber of Commerce. * Little Sisters of the Assumption Family Health Services. * New York Academy of Medicine. * New York City Housing Authority - Carver Houses Tenants Association & Johnson Tenants Association. * Jewish Home and Hospital * Settlement Health Association. * Union Settlement Association. * Yorkville Common Pantry The Mount Sinai Hospital of Queens' public participation includes the following: * Mount Sinai Hospital of Queens recently formed a CAB and serves the needs of a culturally diverse population with representatives from social and human service organizations, civic associations, public housing authority, and health care providers. The CAB meets quarterly to evaluate services and community needs. * Mount Sinai Hospital of Queens conducts an annual Community Roundtable to inform and update participants on new programs and projects and facility improvements at the Hospital. The focus is also on engaging participants in a discussion of ways in which the Hospital can improve and better serve the needs of the community. * The annual Pastoral Care Forum for clergy and other religious leaders in the community featured an educational session as well as an information-sharing component of services available in the community. * Mount Sinai representatives participate actively in monthly/quarterly meetings with the following organizations in its continuing efforts to discuss health care needs of the community. * American Cancer Society. * Astoria Civic Association. * Catholic Charities of Brooklyn and Queens. * Community Boards No.1 & 2 - Queens. * Gateway to Health Sciences Secondary School. * Greek Orthodox Archdiocesan of America Hellenic Cultural Center. * HANAC. * Jacob Riis Neighborhood Settlement House. * Queens Chamber of Commerce. * New York City Housing Authority - Ravenswood Tenants Association. * SHAREING & CAREING * United Community Civic Association. * Visiting Nurse of New York. The Mount Sinai Medical Center discusses and analyzes the following demographic and socio-economic data with community partners as part of the community needs assessment process. 1. Utilization - Identify which services/programs have met or exceeded projected utilization 2. Patient satisfaction surveys - Analyze the hospitals' patient surveys to determine areas of needs identified by patients and their families 3. Local demand for services - Identify the services/programs with waiting lists, which demonstrate that the local demand for services exceeds capacity 4. Community need data - Determine the health of the community by examining the health statistics on the NYCDOHMH and NYSDOH websites; and determine the areas in which the target goals of Take Care New York are not met. Additionally, in assessing the communities' needs in conjunction with community partners, consumers, community boards, community leaders, and community health and human service professionals, the following questions are considered: 1. Is the cause of the illness, disease or health behavior preventable? 2. Does the hospital have existing resources, capacity, and processes to conduct outreach, provide screenings and treatment, measure, and evaluate set goals? 3. Was the health focus also identified by, discussed with, and determined as a priority in the health of the community by community partners, consumers, community health and human service professionals, NYCDOHMH, and the hospital's Community Advisory Board? Based on the information gathering process described above, the Hospital develops a community service plan that focuses on the health priorities for the surrounding community. 3. Patient education and eligibility for assistance All patients that do not have insurance are notified that financial assistance may be available for them. Prominently placed signs notify patients of the financial assistance policy and flyers summarizing the process are available in registration areas. The Hospital provides assistance with enrollment in Federal and State insurance programs including Medicare, Medicaid, Child Health Plus and Family Health Plus. If patients do not qualify for these programs they may qualify for financial assistance through the Hospital's Charity Care and Self Pay Discount Policy. Patient bills also provide information as to where a patient or the person responsible for the Hospital bill can call to receive financial assistance if they are not able to pay the Hospital's bill. Patients are provided with assistance through the Hospital's Financial Counseling Department (Mount Sinai patients only) or through its Resource Entitlement and Advocacy Program (REAP) Office. The REAP Office assists both Hospital patients and community members to obtain financial assistance for their medical expenses. 4. Community Information The Mount Sinai Medical Center serves patients in all five boroughs of New York City, Long Island, Westchester and Rockland counties, New Jersey and Connecticut. Mount Sinai is a regional and national referral center. The hospital defines New York County as the area used for community/local health planning for the purposes of the Community Service Plan. Census data were used to determine the service area of The Mount Sinai Medical Center. The total population of New York County in 2010 was 1,585,873 (increase of 3.2 percent from the 2000 Census). Approximately 52% of the New York County population in 2010 was of a minority population (18.5% African-American, 11.8% Asian and 21.7% "other" minority group members including individuals of 2+ races). There were 405,983 (25.6%) Hispanics, who can be of any race. New York County has eight federally-designated medically underserved areas. There are 20 hospitals, including specialty hospitals, serving this area. The U.S. Census identified that 282,285 members (17.8%) of the population were living at or below the Federal Poverty Level in 2010. It has been documented that individuals of minority and/or low-income status experience difficulties in accessing healthcare in some places. Mount Sinai serves residents of its service area without regard to any personal characteristics, including race/ethnicity or payer source. It is important to note the large minority population that Mount Sinai serves as most minority groups have been documented to suffer from cardiovascular disease at rates in excess of those of the White population. The Mount Sinai Medical Center has a strong history of serving traditionally underserved individuals throughout its service area, including Harlem and East Harlem communities surrounding the hospital. Mount Sinai provides the following health services to its community: * 67% of clinic visits are minority patients. * 53% of inpatient discharges are minority patients. * 85% of Emergency Department visits are minority patients. * More than 30% of inpatients reside in upper Manhattan. * Nearly 50% of outpatients reside in upper Manhattan. * More than 50% of Emergency Department patients reside in upper Manhattan. Reflective of the Hospitals location in the East Harlem neighborhood of New York County, approximately 45.5% and 53.5% of the hospital's inpatient discharges and outpatient visits, respectively, were from Medicaid patients. In many of the hospital's programs, over 60% of the patients have historically belonged to a minority group. The total number and percentage of individuals in the 45 and older age group in New York County is projected to grow dramatically from 2000 to 2015. The total number of individuals in this group is projected to increase from 534,263 individuals in 2000 to 694,295 individuals in 2015, representing a growth of 30.0% over this time period. This age group is projected to grow at a rate over seven times that of New York County from 2000 to 2015, and is at greater risk for cardiac problems than the general population. There were 217,265 individuals older than age 65 (comprising 13.7% of the population) residing within the service area in 2010. This population is projected to continue to grow to 242,281 individuals (comprising 15.1% of the population) by 2015, per the New York Statistical Information System from Cornell University. This age group is at greater risk for cancer than the general population. According to data from the New York State Department of Health (NYSDOH), infectious diseases, such as HIV, are more prevalent in the hospital's service area of New York County than in New York City and New York State overall. The HIV case rate from 2005 to 2007 in New York County was 72.9 individuals per 100,000, which was significantly higher than that of New York City (46.0 persons per 100,000) and the State (24.3 persons per 100,000). The Mount Sinai Hospital of Queens defines its primary service area as the following zip codes that comprise Northwestern Queens: 11101, 11102, 11103, 11104, 11105 and 11106 known as Long Island City/Astoria. The secondary service area consists of zip codes that comprise Western Queens: 11368, 11369, 11370, 11372, 11373, 11377 and 11378. Those zip codes define the areas used for community/local health planning for the purposes of the Community Service Plan. The population of the primary service area of Northwestern Queens in 2008 was 231,440 while the population of the secondary service area of Western Queens was 464,497 for a total of 695,937 residents. Over half (51%) of the population (representing more than 100 cultural and ethnic groups) is foreign-born compared to only 36% for New York City as a whole. In Northwestern Queens, roughly one in five persons lives in poverty; one in five adults smoke and is less likely to quit than smokers in New York City overall; women are less likely to get a regular Pap test for cervical cancer than women in New York City as a whole; and the service area has the second highest proportion of uninsured adults among all New York City neighborhoods, with foreign-born residents more likely to be without health insurance than those born in the United States. The heart disease hospitalization rate in the primary service area has increased by more than 10% in the past 10 years. The poverty and language barriers in Western Queens inhibit access to inpatient care. Per the New York City Department of City Planning, Mount Sinai Hospital of Queens is located in Queens Community Board No.1 - Queens. In 2007, 24.2% of the residents lived below the poverty level. This percentage is much greater than the percentage of residents below the poverty level (12.2%) for the entire county. Overall, greater than 50% of the residents in Community Board No.1 - Queens do not speak English "very well", according to the US Census Bureau. Staff members at Mount Sinai Hospital of Queens speak approximately 50 languages, a statistic that is growing each year. This is reflective of the cultural diversity of the service area, which includes residents comprising greater than 100 cultural and ethnic groups. 5. Promotion of Community Health As mentioned in the description of the Needs Assessment in Part VI.2, the Hospital has formed a Community Board to ensure that the Medical Center is able to work closely with the surrounding community to identify and respond to the healthcare needs of the community. The Mount Sinai Medical Center Community Advisory Board was formed as a committee of the Board of Trustees to review and comment on the Medical Center's service, educational and research programs. The Board's goal is to ensure that the medical center is responsive to the health care needs of consumers, with particular emphasis on the needs of East Harlem. The Community Advisory Board is a forum for articulating patient care and community health concerns and for evaluating the effectiveness of services on the community's health status, patients' rights, and the quality of services provided to consumers. Community Advisory Board members represent diverse socioeconomic and ethnic constituencies and representatives of Medical Center leadership and departments. A majority are consumers. A Trustee serves as a Community Advisory Board member to ensure board-to-board communications Based on the needs assessment and feedback the Hospital receives from groups like the Community Advisory Board, the Mount Sinai Hospital conducts a number of services and activities that are designed to promote and improve the health of individuals residing in the surrounding community. These services and activities help to inform people of healthy living habits and provide access to valuable health care services, including diagnostic screening services for at risk people. A brief description of each of these services and activities is provided below. * HouseCall is a newsletter developed and designed to introduce the Harlem community to the doctors, nurses, social workers, and other health professionals who serve the community. The publication includes extensive outpatient service information * Prescriptions for Healthy Living is a campaign launched in 2007 in which banners that stress the importance of taking control of health care and adopting a healthy lifestyle are placed throughout the community. * Good Health Is Precious brings health education and screening to community organizations, responding to a need for early detection. Mini health talks about asthma, cancer, cardiovascular health, chronic kidney disease, diabetes, mental health, nutrition and fitness, orthopedic care, palliative care, and women's health are available in English and Spanish. * The Greenmarket is a partnership between the Medical Center and the Council on the Environment of New York City that sells fresh fruit and vegetables in East Harlem each week. It also offers free medical screenings as well as demonstrations of healthy cooking. * Free Community Health Screenings. In the past year Mount Sinai faculty and staff sponsored and/or participated in thirty-six community health fairs and health screening programs, street festivals, children's festivals, health expos and information fairs, reaching over 25,000 people. Screening have been conducted to test blood pressure, glucose, cholesterol, vision, bone density, body mass index, kidney disease, and Hepatitis C at health fairs year-round. There are nearly 7000 screenings annually. * Support Groups are offered to patients and their families so that they can share their stories with others who have had similar experiences. * Workshops and seminars are important components of Mount Sinai's commitment to the community. Topics covered have included areas such as Power of Attorney, Living Wills and Advanced Directives: What You Need to Know, Men's Health Seminars, Women's Cardiovascular Health * Exercise and Education classes are offered weekly or bi-monthly. * Resource Entitlement Advocacy Program (REAP ) serves uninsured and underinsured community members and hospital patients who need assistance with entitlement issues. REAP enables them to get health insurance and gain access to health care. In addition, it helps them obtain income, home care, and nutrition support by working with community agencies. REAP also provides technical assistance regarding changes to entitlement programs such as welfare, Medicaid, Medicare, Family Health Plus, child health insurance, and other programs. * East Harlem Free Clinic, created and operated by the students of the Mount Sinai School of Medicine, provides free medical care to East Harlem residents. * The Medical Center provides HEART (Heart Failure Education and Rehabilitation Training), a congestive heart failure nurse-management program to improve patient self management and physician-initiated services for patients with heart failure in East and Central Harlem. Additionally, Mount Sinai offers a wide variety of community outreach programs that provide screening, educational and patient care. These programs are funded through operating revenues of the Hospital. Some of the programs provided by the Medical Center include: * The Jack Martin Fund Clinic is a New York State Department of Health Designated AIDS Center that provides primary and specialty care, urgent care, social services, and counseling to those who are infected; and preventive services to those at risk. * Mount Sinai Adolescent Health Center was the first primary care facility in New York City specifically designed to meet the health care needs of adolescents. Today, it is the largest, most comprehensive adolescent center in the United States, with a mission to help adolescents grow up happy, healthy, and well educated by preventing disease and promoting health. The Adolescent Health Center offers comprehensive medical, nutritional, exercise, and mental health services to teenagers concerned with eating disorders, becoming overweight or obese, and high cholesterol. * The Mount Sinai Diabetes Center provides inpatient and outpatient treatment and education to adults with type I or type II diabetes. The Diabetes Center works closely with Mount Sinai Internal Medicine Associates, whose patient population includes many patients from East and Central Harlem. The Diabetes Center sponsors community diabetes screenings in English and Spanish. * The Mount Sinai Emergency Department provides state-of-the-art emergency care for the residents of East Harlem and Northern Manhattan 24 hours/day 7 days/week and is a receiving hospital for the 911 ambulance system. It is organized into five treatment areas: Emergency Psychiatric Care, Adult Urgent Care, Chest Pain Unit, Adult Emergency Services, and Pediatric Emergency Services. On-site bilingual staff and social work services are available around the clock. Many initiatives have been introduced in response to community needs and concerns. * Martha Stewart Center for Living at Mount Sinai was established in 2007 as a state-of-the-art medical practice for the outpatient care of seniors, and will surely become a benchmark in geriatric patient care. The Center provides care for patients and training for physicians, and coordinates healthy-aging research and practices. * The Dubin Breast Center opened at the The Tisch Cancer Institute, providing patients with a multidisciplinary, comprehensive approach to breast cancer screening, treatment and survivorship in a serene setting. Dubin Breast Center offers state-of-the-art diagnostics, including 3-D mammography, and minimally invasive diagnostic procedures. Our highly skilled physicians are some of the most sought-after breast cancer experts in the country. Patients at the Dubin Breast Center have access to the latest approaches and techniques, such as seed localization. A team of breast cancer experts are specialized in the diagnosis and treatment of breast cancer patients and offer the most advanced services in breast cancer prevention, diagnosis, and treatment. * The Breast Health Resource Program (BHRP) is dedicated to meeting the emotional and practical needs of women and men with breast cancer. The program offers information, guidance, and critical support to patients from diagnosis through survivorship. Our clinical social workers offer highly individualized counseling to help manage the complex demands of a breast cancer diagnosis. The Breast Health Resource Program offers counseling, seminars, support groups, and a library of information about the latest breast cancer treatments * The Visiting Doctors Program at Mount Sinai provides hands-on, high quality medical care and social support to men and women with complex and serious illnesses who have difficulty leaving their homes. The program aims to help patients maximize their health and independence. The homebound population has traditionally been underserved by the medical community, but the Visiting Doctors Program works to fill that gap by providing ongoing primary medical care. Today, Visiting Doctors serves over 1,000 patients throughout Manhattan and is a national model for the care of this most vulnerable group. * The Mount Sinai 6. Part of an Affiliated Health Care System The Hospital is part of the Mount Sinai Health System (MSHS, the System) that was formed on September 30, 2013. The Mount Sinai Health System includes the Hospital, the Icahn School of Medicine at Mount Sinai, Beth Israel Medical Center (BIMC), The St. Luke's-Roosevelt Hospital Center (SLR) and the New York Eye and Ear Infirmary (NYEEI) came together to create the Mount Sinai Health System. MSHS is an integrated health care system and academic medical center. The efforts of the Mount Sinai Hospital are provided in detail in the previous sections of Part VI. BIMC, SLR and NYEEI conduct similar community outreach activities in their respective communities. As a new system, MSHS plans to begin to work together to better coordinate its community outreach and health promotion activities so as to reach more of those in need and have a more profound impact on their health status. 7. Community Benefit Report Mount Sinai files a community service plan in New York State. false MOUNT SINAI DIAG & TREATMENT CENTER ONE GUSTAVE L LEVY PL New York NY 10029 450537391 501(C)(3) 16476082 fund operating loss ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L LEVY PL NEW YORK NY 10029 136171197 501(C)(3) 31548000 FUND PHYSICIAN PRACTICE INSTITUTE FOR FAMILY HEALTH 1879 MADISON AVENUE NEW YORK NY 10029 133273402 501(C)(3) 337500 COMMUNITY BENEFIT 3 0 Part II, Line 1 The grant is to fund the net deficit of its related organization's and no monitoring is required since the entity is a related tax exempt organization. Part II, Line 2 The grant is to fund the operating loss of various off-site physician practices owned by the ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI. PART II, LINE 3 THE GRANT IS TO BENEFIT THE COMMUNITY AND IS FUNDED TO A EXEMPT ORGANIZATION WITHIN THE COMMUNITY. THE ENTITY IS REQUIRED TO SUBMIT BUDGET AND RECONCILIATIONS. X X X X true false false false false true true false false Kenneth L Davis MD CHIEF EXECUTIVE OFFICER 1089776 1310224 0 0 766706 919898 12750 12750 15300 18700 1884532 2261572 0 0 Wayne Keathley 2 FORMER OFFICER 806000 0 0 0 146193 0 6716 0 2063 0 960972 0 0 0 Burton Drayer 23 former officer 0 212097 0 110000 0 900463 0 21209 0 17335 0 1261104 0 0 Michael Macdonald2 FORMER OFFICER 290500 290500 71309 71309 119771 119771 10200 10200 18966 18966 510746 510746 0 0 deborah Marin md 2 former officer 227500 97500 0 0 88680 38005 17850 7650 9279 3976 343309 147131 0 0 donald t scanlon EVP, Finance/Chief Corp. Srvcs 359351 432649 317749 382251 46642 55438 12750 12750 13469 16463 749961 899551 0 0 jeffrey silberstein exec vp/chief admin officer 310504 373496 136220 163780 39818 47692 12750 12750 7465 9125 506757 606843 0 0 connie c klepper 2 FORMER OFFICER 148279 148279 0 0 3712 3712 10200 10200 8322 8322 170513 170513 0 0 mark kostegan fahp SVP, Chief Development Officer 142478 357522 220055 552464 32729 81943 7650 17850 5617 14445 408529 1024224 0 0 jane maksoud SVP, Chief HR Officer 238760 269240 82250 92750 31117 35089 11985 13515 15480 17456 379592 428050 0 0 michael mccarry RN SVP, Perioperative Services 290000 0 160488 0 4768 0 20400 0 13997 0 489653 0 0 0 michael pastier SVP, Chief Financial Officer 508000 0 150069 0 55515 0 25500 0 41730 0 780814 0 0 0 carol porter SVP, CHIEF NURSING OFFICER 365000 0 80340 0 45062 0 25500 0 13188 0 529090 0 0 0 caryn schwab SVP, Executive Director, MSHQ 406000 0 37099 0 49767 0 20400 0 30245 0 543511 0 0 0 margaret pastuszko EVP, Chief Integration Officer 205011 242989 213683 253243 7805 9387 10200 10200 15165 17803 451864 533622 0 0 jane whitney 2 FORMER OFFICER 160680 148320 0 0 1658 1530 10608 9792 11033 10185 183979 169827 0 0 elana abraham 24 FORMER OFFICER 233607 0 5000 0 1699 0 19984 0 30828 0 291118 0 0 0 David nierman md VP, Med Affairs/CMO, MSHQ 400000 0 0 0 23223 0 25500 0 31060 0 479783 0 0 0 frank cino SVP, CHIEF RISK OFFICER 238700 146300 80600 49400 17212 10550 12648 7752 17954 11004 367114 225006 0 0 KUMAR CHATANI SVP, Chief Information Officer 342063 107937 113742 36258 126748 39166 22185 3315 13308 4202 618046 190878 0 0 ERIN S DUPREE MD 2 FORMER OFFICER 293985 9092 0 0 58905 1822 24735 765 12728 394 390353 12073 0 0 PATRICIA LAMB VP, HOSPITAL OPERATIONS 189000 21000 45000 5000 27648 3072 6300 700 22616 2513 290564 32285 0 0 david l reich md president and coo 0 212097 0 475903 0 524284 0 21209 0 16017 0 1249510 0 0 arthur klein md EVP, President of Health Ntwk 590818 117515 459765 90235 8670 2098 0 0 7511 1538 1066764 211386 0 0 Leonard Achan SVP Chief Mrkng Access Officer 168014 143986 80864 69136 17058 14925 12240 8160 15592 13282 293768 249489 0 0 mark callahan md EVP, Chief Ambulatory Officer 80616 131481 66481 108519 118197 193136 8484 12725 4633 7561 278411 453422 0 0 George Vecchione SP Advisor to CEO-MSH & ISMMS 778445 88542 130417 14583 2821 1042 0 0 13476 1497 925159 105664 0 0 Edward Yang MD Chief of Orthopaedics - MSQ 273330 0 43918 0 115548 91765 25500 0 29138 0 487434 91765 0 0 Kristin Myers VP, INFORMATION TECHNOLOGY 261000 39000 149266 22303 4294 642 17748 2652 9432 1409 441740 66006 0 0 Mark Kindschuh Assoc Professor Emerg Medicine 195000 0 25000 0 171394 0 10400 0 25348 0 427142 0 0 0 Dennis S Charney MD1 President Academic Affairs 0 750000 0 420000 0 353643 0 25500 0 18590 0 1567733 0 0 Jeremy Boal MD EVP, Chief Medical Officer 395418 56663 200724 29276 59001 8499 0 0 12214 1825 667357 96263 0 0 Beth Essig EVP, General Counsel 65897 599103 0 141313 0 25191 0 21420 0 17740 65897 804767 0 0 Marc Napp MD SVP, Chief Med. Aff. Officer 241414 0 0 0 1710 0 0 0 14466 0 257590 0 0 0 Gail Donovan 2 FORMER OFFICER 160510 882535 0 223125 0 10960 0 21420 0 33954 160510 1171994 0 0 Form 990, Part VII, Section A & Schedule J COMPENSATION FOOTNOTES OFFICERS OF THE BOARD OF TRUSTEES HOURS REFLECT SERVICE TO EITHER/OR, OR ALL, THE MOUNT SINAI HOSPITAL, ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI MEDICAL CENTER, INC. AND ALL RELATED ENTITIES. (1) EMPLOYEE HAS AN OUTSTANDING LOAN REFLECTED IN SCHEDULE L, PART II OF THE ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI FORM 990. (2) COMPENSATION IS ATTRIBUTED TO CURRENT SERVICES AS A NON-OFFICER. (3) A PORTION OF THIS COMPENSATION AND BENEFITS IS ATTRIBUTABLE TO HIS SERVICES PROVIDED TO THE MOUNT SINAI HOSPITAL. (4) A portion of this compensation and benefits is attributable to her services provided to the Icahn School of Medicine at Mount Sinai. Schedule J, Part I, Lines 4A - SEVERANCE WAYNE KEATHLEY - $880,395 Schedule J, Part I, Lines 6A & 6B The Hospital answered yes to questions 6A and 6B in Schedule J as the institution utilizes an incentive based bonus program for certain employees, including several of those employees listed in Schedule J. Net earnings is one of several metrics utilized by the institution in the annual bonus calculation. Other metrics utilized in the incentive compensation model include the organization's performance on the JCAHO Hospital Core Measures, patient satisfaction scores, and other organizational goals such as length of stay initiatives. Individuals that have responsibilities in related organizations to the Hospital may have incentives based on the performance of these organizations as well as that of the Hospital. as that of the Hospital. A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649905Q58 2010-06-10 348374400 REFINANCE OUTSTANDING DEBT 5/18/00 false false false B DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649906MB7 2011-10-27 60064208 CONSTRUCT OF ALLOCABLE SHARE RESCH false false false C BUILD NYC RESOURCE CORPORATION 454040561 111111111 2013-12-19 112000000 FINANCE CONSTRUCTION QUEENS CAMPUS false false false A 0 0 348469014 32949850 0 0 950618 0 0 0 347503781 14614 2010 true false true true B 0 0 66074411 4248750 2935618 0 1074778 0 0 53882668 1240211 2692387 2013 false false false true C 0 0 112000000 0 0 0 388825 0 0 10406105 934270 100270800 2016 false false false true A 0.00000 0.00000 0.00000 0.00000 B false false true true false 0.00000 0.00000 0.00000 false false 0.00000 false false C false false true true false 0.00000 0.00000 0.00000 false false 0.00000 false false A false true false false 0 false 0 false false B false true false false 0 false 0 false false C false true false false 0 false 0 false false A false B false C false SCHEDULE K SUPPLEMENTAL INFORMATION Part II, Line 3 Issue a total proceeds per tax certificate $348,374,400 plus investment earnings $94,614 = 348,469,014. Part II, Line 3 Issue B total proceeds per tax certificate $66,064,208 plus investment earnings $10,203 = $66,074,411. Part III, Line 3A The organization has one management agreement which complies with revenue procedure 97-13. Part III, Line 9 The organization is considering devising procedures to ensure that if any bonds become nonqualified, they will be remediated in accordance with regulated sections 1.141-12 and 1.145-2. Part IV, Line 7 The bond issuer (indicated in Part 1, Columns A and B) directs and monitors investments and takes sole responsibility for compliance with the requirements of section 148. The organization does not direct the investment of bond proceeds. For Column C, The Mount Sinai Hospital directs and monitors investments based on an expected draw schedule and takes sole responsibility for compliance with the requirements of section 148. For 2013, for Column C, no investment yields exceeded the bond yield. Part V The organization is aware that a voluntary closing agreement program is available if a violation of the federal tax requirements, should they occur, cannot be corrected through self-remediation under applicable regulations. The organization is considering devising procedures to ensure that in the event federal tax violations occurs that cannot be corrected though self-remediation, such violation will qualify for resolution through the voluntary closing agreement program. Hess Corporation John Hess, Trustee 25033645 See part v false XO Communications Carl Icahn, Trustee 1051410 See part v false OCH ZIFF CAPITAL MANAGEMENT David Windreich, trustee 4695299 See part v false us foods Gogel & Kravis, trustee 566374 See part v false Avenue Capital Gardner & Lasry, trustee 361152 See part v false The Related Companies Jeff Blau, Trustee 266407 See part v false Henry Schein Stanley Komarof, TRUSTEES 3187183 See part v false Dr Carolyn Sicher Susan Cullman, TRUSTEE 21192 See part v false Dr Irwin Gribetz Judah Gribetz, Trustee 51992 See part v false Kimberly Harrison Cliff Goldsmith, Trustee 99108 See part v false Karen Kostegan Mark Kostegan, OFFICER 39614 See part v false Brian Scanlon Donald Scanlon, Officer 66558 SEE PART V false Dr Alex Charney Dennis Charney, Officer 42383 SEE PART V false Gary B Davis Kenneth Davis, Officer 161905 SEE PART V false MARGARET RUTTENBERG ERIC RUTTENBERG, TRUSTEE 41719 SEE PART V false Gotham Construction Joel Picket, Trustee 6525263 SEE PART V false Neuberger Berman Stanley Komaroff, Trustee 143589 SEE PART V false Gotham Building Services Joel Picket, Trustee 118412 SEE PART V false BENJAMIN LAITMAN DR. LAITMAN, TRUSTEE 33910 SEE PART V false Schedule L, Part IV, Column D Business Transactions involving interested parties. Name of Interested Person: US Foods Mount Sinai purchases a portion of its food from US Foodservice. All such purchases are made under a group purchasing organization (GPO) arrangement that has been negotiated with US Foods. These GPO prices are available to Mount Sinai and all other members of the local healthcare association. Mount Sinai monitors this relationship for cost, quality and overall performance on an ongoing basis. Mr. Gogel and Mr. Kravis are CEOs of firms that are each indirectly a greater-than-35% owner of US Foods. Neither Mr. Gogel nor Mr. Kravis were involved in decisions related to the organization's purchases from U.S. Foods. Name of Interested Person: Hess Corporation Following an objective, competitive multi-party bidding process (in which Mr. Hess was uninvolved), the organization purchased natural gas and fuel oil from Hess Corporation. Mount Sinai monitors this relationship for cost, quality and overall performance on an ongoing basis. Mr. Hess is Chief Executive Officer of, and has a financial interest in, Hess Corporation and remains uninvolved in the organization's decisions related to Hess Corporation. Name of Interested Person: XO Communications Following an extensive RFP and a multi-party competitive bidding process, as well as a review by a special board committee (which did not include Mr. Icahn) of the engagement process, the organization purchased communications services from XO Communications. Mount Sinai monitors this relationship for cost, quality and overall performance on an ongoing basis. Mr. Icahn is a greater-than-35% owner of XO Communications. Mr. Icahn remains uninvolved in the organization's decisions related to XO Communications. Name of Interested Person: OCH Ziff Capital Management Mr. Windreich is a Director of Och Ziff Capital Management ("Och Ziff"), which manages investment capital for the organization. Mr. Windreich has no involvement in the organization's investment decisions or its involvement with Och Ziff. The fees charged by Och Ziff to the organization are in line with industry standards and are the same as the fees charged to other investors in the same fund. Mount Sinai monitors this relationship for cost, quality and overall performance on an ongoing basis. Name of Interested Person: Avenue Capital Trustee Sonia Gardner and former Trustee Marc Lasry are 100% owners of Avenue Capital, which managed investment capital for the organization in 2013. The fees charged by Avenue Capital to the organization are in line with industry standards and are the same as the fees charged to other investors in the same fund. At all relevant times, Mount Sinai monitored this relationship for cost, quality and overall performance. Neither Ms. Gardner nor Mr. Lasry was involved in the organization's decisions related to Avenue Capital. Name of Interested Person: The Related Companies Following an extensive RFP and a multi-party competitive bidding process, as well as a review by a special board committee (which did not include Mr. Blau) of the engagement process, the organization purchased consulting and management services from The Related Companies ("TRC"). Mr. Blau is a Director of the general partner of TRC. Mount Sinai monitors this relationship for cost, quality and overall performance on an ongoing basis. Mr. Blau remains uninvolved in the organization's decisions regarding The Related Companies. Name of Interested Person: Henry Schein Prior to Trustee Stanley Komaroff's membership on Mount Sinai's Board of Trustees, Mount Sinai entered into a multi-year agreement to purchase medical supplies from Henry Schein ("Schein"). The decision to engage Schein was the result of a competitive bidding process and business review meetings have been held with Schein management during the term of the contract in order to monitor the cost, quality and performance of Schein. Mr. Komaroff is an officer of Schein and remains uninvolved in Mount Sinai's decisions related to Schein. Name of Interested Person: Neuberger Berman Trustee Stanley Komaroff's son is an officer of the Neuberger Berman firm, which manages investment capital for the organization. Neither Mr. Komaroff nor his son are involved with the organization's investment decisions or its involvement with Neuberger Berman. The fees charged by Neuberger Berman to the organization are in line with industry standards and are the same as the fees charged to other investors in the same fund. Mount Sinai monitors this relationship for cost, quality and overall performance on an ongoing basis. Name of Interested Person: Gotham Construction Prior to Trustee Joel Picket's membership on Mount Sinai's Board of Trustees, Mount Sinai engaged subsidiary entity of the Gotham Organization, Inc. ("Gotham") to provide design and construction services to the organization. Mr. Picket is Chairman and CEO of Gotham and its subsidiary. At all relevant times, Mount Sinai monitored the performance of Gotham in order to ensure that it was satisfied with the quality and cost of those services. Mr. Picket remains uninvolved in the organization's decisions related to Gotham and its subsidiary. Name of Interested Person: Carolyn Sicher Trustee Susan Cullman's daughter is employed by the Icahn School of Medicine at Mount Sinai. Ms. Cullman has no involvement in decisions related to her daughter's employment. Name of Interested Person: Kimberly Harrison Former Trustee Clifford Goldsmith's granddaughter is employed by the Icahn School of Medicine at Mount Sinai. Mr. Goldsmith had no involvement in decisions related to his granddaughter's employment. Name of Interested Person: Irwin Gribetz Trustee Judah Gribetz's brother is employed by the Icahn School of Medicine at Mount Sinai. Mr. Gribetz has no involvement in decisions related to his brother's employment. Name of Interested Person: Karen Kostegan Officer Mark Kostegan's spouse is an employee of the Icahn School of Medicine at Mount Sinai. Mr. Kostegan has no involvement in decisions related to his wife's employment. Name of Interested Person: Brian Scanlon Officer Donald Scanlon's son is an employee of the Mount Sinai Hospital. Mr. Scanlon has no involvement in decisions related to his son's employment. Name of Interested Person: Gary B. Davis Officer Dr. Kenneth Davis' brother is an employee of the Hospital. Dr. Davis has no involvement in decisions related to his brother's employment. Name of Interested Person: Margaret Ruttenberg Trustee Eric Ruttenberg's sister-in-law is an employee of the Icahn School of Medicine at Mount Sinai. Mr. Ruttenberg has no involvement in decisions related to his sister-in-law's employment. Name of Interested Person: Dr. Alex Charney Officer Dennis Charney's son is an employee of the Mount Sinai Hospital. Dr. Charney has no involvement in decisions related to his son's employment. *All reported amounts reflect aggregate 2013 spending for The Mount Sinai Hospital, The Icahn School of Medicine at Mount Sinai, Mount Sinai Realty Corp, and MSMC Residential Realty. X 5127 resale value X 11 237432 FMV 0 false true false Part I, Line 9 Securities - Publicly traded 914 SHARES OF GOLDMAN SACHS STOCKS VALUED AT $99,850.30 RECEIVED ON 5/31/13. 315 SHARES OF PEPSICO STOCKS VALUED AT $25,644.15 RECEIVED ON 12/19/13. 1274 SHARES GS SMALL/MID CAP GROWTH FUND STOCKS VALUED AT $25,611.62 RECEIVED ON 9/11/13. 510 SHARES OF COMCAST CORP (CMCSK) STOCKS VALUED AT $24,984.90 RECEIVED ON 12/20/13. 865 SHARES OF GENERAL ELECTRIC STOCKS VALUED AT $20,682.15 RECEIVED ON 12/20/13. 34 SHARES OF BLACKROCK STOCKS VALUED AT $10,634.52 RECEIVED ON 12/24/13. 344 SHARES OF STEEL EXCEL STOCKS VALUED AT $9,976 RECEIVED ON 12/24/13. 97 SHARES OF CBS STOCKS VALUED AT $5,148.76 RECEIVED ON 7/26/13. 68 SHARES OF ACCENTURE PLC STOCKS VALUED AT $5,054.44 RECEIVED ON 11/06/13. 9 SHARES OF APPLE STOCKS VALUED AT $4,933,978 RECEIVED ON 12/20/13. 26 SHARES OF PIONEER NATURAL STOCKS VALUED AT $4,911.66 RECEIVED ON 12/20/13. PART I, LINE 5 NUMBER OF EMPLOYEES All employees of The Mount Sinai Hospital and The Icahn School of Medicine at Mount Sinai, including those who provide services at Elmhurst Hospital Center and Queens Hospital Center, utilize a common paymaster under the Hospital's tax identification number. The total number of employees reported under the Hospital tax identification number is 22,854. The number of direct Hospital employees is 13,206. Part VI, Section A, Line 2 FAMILY/BUSINESS RELATIONSHIPS Trustees Leon Black and Joshua Harris are managing partners of the same firm. Trustees James Crystal and Jean Crystal are married to each other. Trustees Carl Icahn and Gail Golden-Icahn are married to each other and Mrs. Golden-Icahn is an employee of an organization of which Mr. Icahn is a director. Trustees Edgar Cullman, Jr. and Susan Cullman are siblings. Trustee Bonnie Davis, M.D. is married to Kenneth Davis, M.D., who is President and Chief Executive Officer of the Mount Sinai Hospital. Trustee Sonia Gardner and Former Trustee Marc Lasry are siblings and are also co-owners of the same firm. Trustees Michael Gross and Vicki Panzier Gross are married to each other. Trustees Kenneth Mehlman and Marc Lipschultz are members of a firm of which Trustee Henry Kravis is co-CEO. Trustees Judith Rubin and Hon. Robert Rubin are married to each other. Trustees Peter Cohen and Thomas Strauss are officers of the same firm. Trustees Donald Gogel and Henry Kravis are CEOs of firms that are each indirectly a greater-than 35% owner of US Foods. Trustee Steven Hochberg is a member of a firm that is managed by Trustee James Flynn. Trustees Frank Bisignano, Joseph Plumeri and Henry Kravis are board members of the same firm. Trustees Joel Picket and Michael Zimmerman are board members of the same firm. Trustees Michael Gross and Steve Hochberg are board members of the same firm. Part VI, Section A, Line 4 Effective as of September 30, 2013, the Bylaws of the organization were amended and restated to provide that Mount Sinai Hospitals Group, Inc. (the "Member") was to be the member of the organization and would have the power to appoint trustees to the organization's Board of Trustees. In addition, the bylaws of the organization were further revised to restructure the membership of its Boards of Trustees and to provide that the Board of Trustees of the organization could not amend the bylaws without the consent of the Member if such amendment removed any powers of the Member. Part VI, Section A, Line 6 Yes. Mount Sinai Hospitals Group, Inc. is the Sole Member of the organization. Part VI, Section A, Line 7a The Member has the power to elect the members of the governing body of the organization. Part VI, Section A, Line 7b The Member has the power to elect the members of the governing body of the organization. In addition, the Board of Trustees of the organization cannot amend the bylaws without the consent of the Member if such amendment removed any powers of the Member. Part VI, Section B, Line 11B Form 990 provided to governing body The Finance Department gathered the relevant information and prepared the tax returns * Our outside auditors, Ernst & Young, 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 Counsel's office and the Audit and Compliance Department. These recommendations were reviewed and approved by E&Y. The same process was conducted by the Finance Department, the General Counsel's office, the Audit and Compliance Department and E&Y with respect to the questionnaires submitted by other officers and key employees * The tax returns were presented to the Audit and Compliance Committee of the Board of Trustees with the participation of E&Y, the Finance Department, the General Counsel's office, and the Audit and Compliance Department. The Audit Committee reviewed and approved the tax returns as presented. * The Audit Committee's report of its review of the tax returns and its recommendation to file the returns were presented to, and accepted by, the Executive Committee of the Board of Trustees (the "Executive Committee"). * In addition to authorizing the filing of the tax returns, the Executive Committee directed that the returns, which will be filed on or before November 15, 2014, be provided to all trustees via the trustees' confidential website, and those returns were so provided before being filed. Part VI, Section B, Line 12C Monitoring & enforcing compliance with the policy Compliance with the Organization's Business Conflicts of Interest Policy (the "Policy") is required of trustees, employees, medical staff and non-employee members of institutional committees and includes an ongoing duty to disclose potential conflicts. Compliance with the Policy is monitored and enforced regularly and consistently. All disclosures with the potential for conflict are reviewed by an appropriate committee where they are carefully evaluated. When appropriate, a plan, which may involve measures including, but not limited to, recusal from participating in affected transactions, is developed to manage the potential conflict. Part VI, Section B, Line 15A & 15B Process for determination of compensation The Compensation, Employee Benefits and Employee Relations Committee of the Boards of Trustees (the "Compensation Committee") determines the compensation for the CEO and reviews and modifies or approves the CEO's recommendations for compensation for other officers and key employees, including physician leaders, who are or may be "disqualified persons" as that term is defined in IRC Section 4958. 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 to follow the specific steps outlined in the IRC regulations for establishing the rebuttable presumption of reasonableness that a transaction is not an excess benefit transaction. The Compensation Committee consists exclusively of independent trustees without any conflict of interest (as defined in the applicable IRC regulations) with regard to the compensation arrangements being reviewed or approved. The absence of any conflict of interest with respect to items on that meeting's agenda is confirmed at the beginning of each meeting of the Compensation Committee. The Compensation Committee selects and engages an independent, qualified compensation consultant which performs such valuations on a regular basis to provide appropriate comparability data. Comparability data includes, but is not limited to, compensation levels paid by similarly situated organizations, both taxable and tax-exempt, for functionally comparable positions; the availability of similar services in Mount Sinai's geographic area; current compensation surveys compiled by independent firms; customized surveys in specific circumstances, and actual written offers from similar institutions competing for the services of the disqualified person. The sources of the comparability data used by the compensation consultant are provided to the Compensation Committee. The Compensation Committee receives and reviews the comparability data and any analysis provided by the 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 CEO's performance. For the CEO, the Committee then determines an appropriate level of total compensation in relation to the comparability data. For the other executives and key employees, the Committee also reviews the position description, the credentials of the incumbent or the candidate for the position, an incumbent's performance appraisal, and the CEO's (or Chairman of the Board's, with respect to the CEO) recommendation, in relation to the comparability data, and decides whether to approve the recommended compensation or to modify it. The Compensation Committee discusses and votes on the compensation arrangements for the CEO, CFO and other senior executive staff members in executive session. 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 during debate on the transaction that was approved and those who voted on it; the comparability data and information from management obtained and relied on, and how the comparability data was obtained; and the Compensation Committee's basis for the decisions, if the approved compensation is outside the range of comparability data. These minutes are prepared before the later of the next meeting of the Compensation Committee or 60 days after the final actions of the Compensation Committee are taken with respect to the compensation decisions made. The minutes are reviewed and approved by the Compensation Committee within a reasonable time thereafter. Part VI, Section C, Line 19 The organization makes its Business Conflicts of Interest Policy available on its website (www.mountsinai.org) and makes its governing documents and financial statements available upon request. Part VII, Line 2 Direct Hospital employees who receive more than $100,000 total 2,245. This excludes employees of the other entities for which the Hospital operates as the paymaster as described in the Schedule O explanation for IRS Form 990, Core Form Part I, Line 5. PART XI, LINE 9 RECONCILIATION OF NET ASSETS NET CHANGE IN CAPTIVE INSURANCE PROGRAM: $30,853,590 CHANGE IN POST RETIREMENT LIABILITY: $1,811,251 ROUNDING: (2,216) TOTAL: $32,662,625 mount sinai proton holding company llc one gustave l levy place new york NY 10029 274281194 investment NY 793126 MSH THE MOUNT SINAI MEDICAL CENTER INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 136271888 SUPPORT NY 501(C)(3) 11 TYPE II MSHS false MITRAL FOUNDATION 1190 FIFTH AVENUE NEW YORK NY 10029 800468600 RESEARCH NY 501(C)(3) 11 TYPE II ISMMS false THE MOUNT SINAI CHILDREN'S CENTER FND ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 223059294 SUPPORT NY 501(C)(3) 11 TYPE II ISMMS false MSMC REALTY CORPORATION ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 133852596 REAL ESTATE NY 501(C)(3) 11 TYPE II SEE PART VII true MSMC RESIDENTIAL REALTY LLC 1425 MADISON AVENUE NEW YORK NY 10029 200244426 REAL ESTATE NY 501(C)(3) 11 TYPE II 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 1425 MADISON AVENUE NEW YORK NY 10029 201289396 MGMT NY 501(C)(3) 11 TYPE II SEE PART VII true VALENTIN FUSTER MT SINAI FND SCI HLTH ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 800952088 SUPPORT NY 501(C)(3) 11 TYPE II ISMMS & MSH true MOUNT SINAI HEALTH SYSTEM INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 464248304 HOLDING CO NY 501(C)(3) 11 TYPE I NA false MOUNT SINAI HOSPITAL GROUP INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 464242915 HOLDING CO NY 501(C)(3) 11 TYPE I 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 CONTINUUM HEALTH PARTNERS INC 555 WEST 57TH STREET 5TH FL NEW YORK NY 10019 133939476 HOLDING CO NY 501(C)(3) 11 TYPE I NA false BIMC FOUNDATION INC 555 WEST 57TH STREET 5TH FL NEW YORK NY 10019 133255377 FUNDRAISING DE 501(C)(3) 11 TYPE I BIMC true BIMC HOLDING CORPORATION FIRST AVENUE AT 16TH STREET NEW YORK NY 10003 133444730 HOLDING CO NY 501(C)(3) 11 TYPE I BIMC true BETH ISRAEL AMBULATORY CARE SERVICES 555 WEST 57TH STREET 5TH FL NEW YORK NY 10019 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 555 WEST 57TH STREET 5TH FL NEW YORK NY 10019 133547502 REAL ESTATE NY 501(C)(3) 9 BIMC HOLDCO true THE LONG ISLAND COLLEGE HOSPITAL 555 WEST 57TH STREET 5TH FL NEW YORK NY 10019 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 555 WEST 57TH STREET NEW YORK NY 10019 133392851 REAL ESTATE NY 501(C)(3) 11 TYPE II 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 FNDN 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 555 WEST 57TH STREET NEW YORK NY 10019 300571387 FUNDRAISING NY 501(C)(3) 7 BIMC true ST LUKE'S-ROOSEVELT HOSPITAL CENTER FDN 555 WEST 57TH STREET NEW YORK NY 10019 300571390 FUNDRAISING NY 501(C)(3) 7 SLR true BETH ISRAEL MEDICAL CENTER FIRST AVENUE AT 16TH STREET NEW YORK NY 10003 135564934 HOLDING CO NY 501(C)(3) 11 TYPE I MSHG true FOJP SERVICE CORPORATION 28 EAST 28TH STREET NEW YORK NY 10016 132914141 INSURANCE NY 501(C)(3) 11 TYPE III NA false GREATER METROPOLITAN IPA II 555 WEST 57TH STREET 5TH FL NEW YORK NY 10019 133977019 INACTIVE NY BIMCSLR c false GREATER METROPOLITAN IPA V 555 WEST 57TH STREET 5TH FL NEW YORK NY 10019 134141695 INACTIVE NY BIMCSLR c false MANHATTAN MANAGEMENT SERVICES 1780 BROADWAY 7TH FL NEW YORK NY 10019 133618543 MGMT SERVICES NY SLR c false SLR MANAGEMENT SERVICES 555 WEST 57TH STREET 5TH FL NEW YORK NY 10019 133853145 MGMT SERVICES NY SLR c false WEST CARE MEDICAL PC 555 WEST 57TH STREET 5TH FL NEW YORK NY 10019 133811203 INACTIVE NY SLR c false CHP VENTURES INC 555 WEST 57TH STREET 5TH FL NEW YORK NY 10019 460953126 HEALTH CARE M NY BIMC HOLDCO c false false true true false true false false true true true true false false true true true true true false Mount Sinai Diagnostic & Treatment Center b 16476082 cost ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI b 31548000 cost MSMC REALTY CORP C 4017325 cost ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI E 22128709 cost Mount Sinai Diagnostic & Treatment Center I 2830214 COST ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI K 7636400 COST MSMC REALTY CORP K 4694126 cost ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI O 23942883 cost ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI N 12838294 cost ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI P 189357043 cost MSMC RESIDENTIAL REALTY CORP P 4501642 cost ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI Q 985989852 cost Mount Sinai Diagnostic & Treatment Center Q 28732003 cost MSMC REALTY CORP R 545000 cost ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI H 21615023 cost ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI C 2701990 cost ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI I 600000 cost BETH ISREAL MEDICAL CENTER O 476807 COST ST LUKES MEDICAL CENTER O 179489 COST ROOSEVELT MEDICAL CENTER O 210705 COST NEW YORK EYE AND EAR INFIRMARY O 99482 COST Part II, Line 4, column F - MSMC REALTY CORPORATION DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, MOUNT SINAI MEDICAL CENTER ARE ALL MEMBERS OF THIS ENTITY. Part II, Line 5, column F - MSMC RESIDENTIAL REALTY LLC DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, THE MSMC REALTY CORPORATION AND THE MSMC RESIDENTIAL REALTY MANAGER, INC. ARE ALL MEMBERS OF THIS ENTITY. Part II, Line 7, column F - MSMC RESIDENTIAL REALTY MANAGER, INC DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, THE MSMC REALTY CORPORATION ARE ALL MEMBERS OF THIS ENTITY.