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      <DirectContactLegislators>0</DirectContactLegislators>
      <RalliesDemonstrations>1</RalliesDemonstrations>
      <RalliesDemonstrationsAmount>83542</RalliesDemonstrationsAmount>
      <OtherActivities>0</OtherActivities>
      <TotalLobbyingExpendituresIIB>262807</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasis>5059898</OtherCostOrOtherBasis>
        <BookValue>5059898</BookValue>
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        <Depreciation>138838088</Depreciation>
        <BookValue>106648769</BookValue>
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        <Depreciation>116962044</Depreciation>
        <BookValue>54081076</BookValue>
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        <BookValue>678184</BookValue>
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      <OtherAssets>
        <Description>BOND FINANCING COSTS</Description>
        <BookValue>4543232</BookValue>
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      <OtherAssets>
        <Description>INVESTMENTS IN AFFILIATES</Description>
        <BookValue>1097179</BookValue>
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      <OtherAssets>
        <Description>DEPOSITS</Description>
        <BookValue>141175</BookValue>
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      <OtherAssets>
        <Description>BENEFICIAL INTEREST IN NET ASSETS OF MOUNT SINAI MEDICAL CENTER FOUNDATION,</Description>
        <BookValue>92143792</BookValue>
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      <OtherAssets>
        <Description>CONSTRUCTION IN PROGRESS</Description>
        <BookValue>8205410</BookValue>
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        <Description>INDIGENT CARE ASSESSMENT</Description>
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      <OtherLiabilities>
        <Description>OTHER CURRENT LIABILITIES</Description>
        <Amount>5325341</Amount>
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      <OtherLiabilities>
        <Description>OTHER LONG-TERM LIABILITIES</Description>
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      </OtherLiabilities>
      <OtherLiabilities>
        <Description>SELF-INSURED CLAIMS RESERVE</Description>
        <Amount>50084528</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO SALICK HEALTH CARE</Description>
        <Amount>2619914</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>CAPITAL LEASE</Description>
        <Amount>5798603</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>EPIC LIABILITIES</Description>
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      <OtherLiabilities>
        <Description>DUE TO AFFILIATES</Description>
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      <OtherLiabilities>
        <Description>DUE TO THIRD PARTIES</Description>
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      <TotalExpenses>555628673</TotalExpenses>
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      <TotalAdjustments>-3499296</TotalAdjustments>
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      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>PART X, LINE 2: THE FOOTNOTE TO THE AUDITED FINANCIAL STATEMENTS FOR MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC. AND SUBSIDIARIES REGARDING FIN48 READS AS FOLLOWS: THE MEDICAL CENTER FOLLOWS THE PROVISIONS OF ASC 740-15-2, ASC 740 INCOME TAXES, AND HAS DETERMINED THAT AS OF DECEMBER 31 2011 AND 2010, THE MEDICAL CENTER HAD NO MATERIAL UNRECOGNIZED TAX BENEFITS. THE MEDICAL CENTER DOES NOT EXPECT THAT UNRECOGNIZED TAX BENEFITS WILL MATERIALLY INCREASE WITHIN THE NEXT TWELVE MONTHS. IN THE EVENT THE MEDICAL CENTER WERE TO RECOGNIZE INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IT WOULD BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AS INCOME TAX EXPENSE. TAX YEARS FROM 2007 THROUGH 2010 ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE TAXING AUTHORITIES, RESPECTIVELY. THERE ARE NO INCOME TAX EXAMINATIONS CURRENTLY IN PROCESS.</Explanation>
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      <Form990ScheduleDPartXIV>
        <Identifier>PART XI, LINE 8 - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>CONTRIBUTIONS RELEASED FROM RESTRICTION FOR CAPITAL PURPOSES -1,338,000. AMOUNTS REPORTED SEPARATELY -1,963,843. INCOME FROM MT SINAI MEDICAL OFFICE BLDG II -62,992. INCOME FROM PREMIER PURCHASING PARTNERS -134,461. TOTAL TO SCHEDULE D, PART XI, LINE 8: -3,499,296.</Explanation>
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      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
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      <Form990ScheduleDPartXIV>
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        <NetCommunityBuildingExpense>1310800</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00260</PercentOfTotalExpense>
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        <NetCommunityBuildingExpense>2613420</NetCommunityBuildingExpense>
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      <BadDebtExpenseAmount>12676652</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>210385805</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>254540843</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-44155038</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
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      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>MOUNT SINAI MEDICAL CENTER OF FL INC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>4300 ALTON ROAD</AddressLine1>
          <City>MIAMI BEACH</City>
          <State>FL</State>
          <ZIPCode>33140</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
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        <Er24Hours>X</Er24Hours>
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        <HospitalFacilityName>
          <BusinessNameLine1>MOUNT SINAI MEDICAL CENTER OF FL INC</BusinessNameLine1>
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        <AssetLevel>X</AssetLevel>
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        <MedicaidMedicare>X</MedicaidMedicare>
        <StateRegulation>X</StateRegulation>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
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        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <ProvidedOnAdmission>X</ProvidedOnAdmission>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
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      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 7: A RATIO OF PATIENT CARE COST TO PATIENT CARE CHARGES WAS APPLIED TO GROSS WRITE-OFFS TO ARRIVE AT AN ESTIMATED PROGRAM COST. ANY APPLICABLE PROGRAM REVENUES RECEIVED WERE OFFSET AGAINST GROSS COST TO ARRIVE AT THE NET COST OR SHORTFALL OF THE PROGRAM.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 56962452.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART II: COMMUNITY BUILDING ACTIVITIES:1. WORKFORCE DEVELOPMENT PROJECTS TO RECRUIT HEALTHCARE WORKERS, INCLUDING PHYSICIANS, NURSES AND ALLIED HEALTH PROFESSIONALS; 2. WORKFORCE HOUSING APPROVED BY THE CITY'S STATE HOUSING INITIATIVE PROGRAM (SHIP) AND THE FLORIDA HOUSING FINANCE CORPORATION (FHFC).</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 4: A RATIO OF PATIENT CARE COST TO PATIENT CARE CHARGES WAS APPLIED TO BAD DEBT GROSS WRITE-OFFS TO ARRIVE AT AN ESTIMATED BAD DEBT EXPENSE AT COST.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 8: A RATIO OF PATIENT CARE COST TO PATIENT CARE CHARGES WAS APPLIED TO MEDICARE REVENUES AND ALLOWABLE COSTS TO ARRIVE AT AN ESTIMATED MEDICARE EXPENSE AT COST.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 9B: PATIENTS ARE FIRST SCREENED TO SEE IF THEY ARE ELIGIBLE FOR MEDICAID OR CHARITY WHEN THEY COME IN THROUGH THE ER. THE HOSPITAL DETERMINES WHICH PATIENTS QUALIFY FOR CHARITY BASED ON A VERIFIABLE PROCESS REQUIRED BY THE AGENCY HEALTH CARE ADMINISTRATION USING THE FOLLOWING CRITERIA:O PATIENT IS ELIGIBLE IF THE PATIENT'S FAMILY AGGREGATE INCOME DURING THE 12 MONTHS PRECEDING THE DETERMINATION DATE IS AT OR BELOW 400% OF THE THEN CURRENT FEDERAL POVERTY GUIDELINES.O IF PATIENT IS ELIGIBLE FOR CHARITY THE AMOUNT OF ELIGIBLE CHARGES ARE REDUCED ON A SLIDING SCALE BASED ON WHERE THEY FALL IN RELATION TO THE FEDERAL POVERTY GUIDELINES.O MEDICAID PATIENTS WITH BENEFITS EXHAUSTED MAY APPLY FOR CHARITY.O PATIENTS WITH DOCUMENTATION THAT A THIRD PARTY BENEFIT HAS BEEN DENIED OR EXHAUSTED MAY APPLY FOR CHARITY.ALL OPPORTUNITIES FOR PAYMENT OF HOSPITAL DEBT WILL BE INVESTIGATED PRIOR TO APPROVAL INCLUDING A COMPLETE REVIEW OF THE FINANCIAL INFORMATION PROVIDED IN THE UNCOMPENSATED CARE APPLICATION.THE BUSINESS OFFICE'S ROLE IN CHARITY CARE DEALS WITH THE FINAL REVIEW AND APPROVAL OF ELIGIBLE PATIENTS. BUSINESS OFFICE IS RESPONSIBLE FOR ADJUSTING ACCOUNT CHARGES/BALANCES AFTER REVIEWING SEARCH AMERICA'S RESULTS, AND/OR ANY RED FLAGS ON THE ACCOUNT THAT WOULD SUGGEST THE POSSIBILITY OF ALTERNATE METHODS OF PAYMENT. THESE PRACTICES SET FORTH IN THE POLICY WOULD ONLY APPLY TO PATIENTS WHO MAY QUALIFY FOR CHARITY CARE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 2: NEEDS ASSESSMENT:COMMUNITY HEALTH NEEDS WERE IDENTIFIED THROUGH A RECOGNIZED HEALTH PLANNING ASSESSMENT PROCESS. THE ASSESSMENT INCLUDED, BUT WAS NOT LIMITED TO, AN ANALYSIS OF DEMOGRAPHIC, ENVIRONMENTAL, STATISTICAL AND BEHAVIORAL PUBLIC HEALTH DATA, ORGANIZING PUBLIC DISCUSSIONS ON HEALTH TOPICS, AND CONDUCTING A SURVEY OF CURRENT HEALTH TOPICS TO EXPLORE THE HEALTH NEEDS OF THE PRIMARY, NEIGHBORING AND COUNTYWIDE SERVICES AREAS OF MOUNT SINAI MEDICAL CENTER.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:ONCE IT IS DETERMINED THAT A PATIENT HAS NO INSURANCE OR MEDICAID AND ARE CONSIDERED SELF-PAY, THE ER REP SCREENS THE PATIENT FOR FINANCIAL ASSISTANCE ELIGIBILITY USING THE SCREENING FOR FINANCIAL ASSISTANCE FORM. THE ER REP WILL INFORM THE PATIENT THAT THE HOSPITAL WILL DO A FINANCIAL SCREENING TO DETERMINE IF THEY MAY QUALIFY FOR FINANCIAL ASSISTANCE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 4: COMMUNITY INFORMATION:MOUNT SINAI IS THE ONLY ACUTE CARE HOSPITAL AND EMERGENCY CARE PROVIDER ON THE NORTHEASTERN BARRIER ISLANDS OF MIAMI-DADE COUNTY. MOUNT SINAI PRIMARILY SERVICES A DENSELY POPULATED DIVERSE URBAN AREA ENCOMPASSING THE BARRIER ISLAND CITIES OF MIAMI BEACH, SURFSIDE, NORTH BAY VILLAGE, BAL HARBOUR, AND BAY HARBOR ISLANDS. THE NEIGHBORING MAINLAND OR SECONDARY SERVICE AREA INCLUDES SECTIONS OF THE CITIES OF MIAMI, NORTH MIAMI, AND NORTH MIAMI BEACH. MOUNT SINAI'S HEALTH NEEDS TARGET AREAS INCLUDE SECTIONS OF THE UPPER BARRIER ISLAND CITY OF SUNNY ISLES BEACH AND THE MAINLAND CITIES OF AVENTURA, HIALEAH, AND CORAL GABLES. THE NORTHEASTERN BARRIER ISLANDS HAVE 130,309 YEAR ROUND RESIDENTS THAT ARE 51% MALE AND 49% FEMALE. THE POPULATION IS 88% WHITE, 4% BLACK WITH 8% ALL OTHER RACES. 51% OF RESIDENTS REPORT THEIR ETHNICITY AS HISPANIC. THE MEDIAN AGE IS 41.1 YEARS OLD. THE MEDIAN HOUSEHOLD INCOME IS $42,265. THERE ARE THREE DESIGNATED MEDICALLY UNDERSERVED AREAS IN THE PRIMARY SERVICE AREA REPRESENTED BY MUAS FEDERAL ID# 5031, 511 AND 7474.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>OTHER INFORMATION</ReturnReference>
        <Explanation>OTHER INFORMATION:MOUNT SINAI'S IS ONE OF TEN STATUTORY TEACHING HOSPITALS IN FLORIDA, ADDRESSING THE NATIONAL AND STATEWIDE HEALTHCARE WORKFORCE SHORTAGE BY PROVIDING GRADUATE, UNDERGRADUATE AND VOCATIONAL MEDICAL EDUCATION TRAINING IN COLLABORATION WITH LEADING EDUCATIONAL INSTITUTIONS. MOUNT SINAI IS ALSO A SAFETY NET HOSPITAL PROVIDER OFFERING ITS COMMUNITY SERVICES THAT ARE FREQUENTLY ABSENT WHEN PROFIT MOTIVES ARE CENTRAL TO HOSPITAL OPERATIONS. THESE SERVICES INCLUDE EMERGENCY CARE, ADULT PSYCHIATRIC CARE, MATERNITY SERVICES AND PRENATAL MEDICINE INCLUDING A NEONATAL INTENSIVE CARE UNIT; CHARITY CARE FOR THE UNINSURED, FREE HEALTH EDUCATION AND DISEASE PREVENTION LECTURES; FREE INTERVENTIONAL HEALTH SCREENINGS; BEING PART OF A REGIONAL 'FIRST RESPONSE' IN THE EVENT OF A NATURAL DISASTER OR TERRORIST ATTACK; SUBSIDIZED COMMUNITY HEALTH SERVICES INCLUDING PREVENTATIVE, INTERVENTIONAL, AND NON ACUTE CARE TREATMENT OF THE LEADING CAUSES OF DEATH, HARD TO FIND SPECIALTIES, AND COMMUNITY HEALTH INITIATIVES.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
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      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
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        <NamePerson>ROBERT BEASLEY MD</NamePerson>
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        <NamePerson>ADRIAN LEGASPI SAUTER MD</NamePerson>
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        <NamePerson>ROY F WILLIAMS MD</NamePerson>
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      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>PART I, LINE 4B: STEVEN D. SONENREICH, PRESIDENT AND CHIEF EXECUTIVE OFFICER OF MSMC, PARTICIPATES IN AN IRC SEC 457(F) PLAN. THE PAYMENT IN 2011 WAS $ 243,364.</Explanation>
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    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
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        <IssuerName>
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        <IssuerEIN>650372870</IssuerEIN>
        <CUSIPNumber>593211CU7</CUSIPNumber>
        <DateIssued>2004-04-28</DateIssued>
        <IssuePrice>104479267</IssuePrice>
        <DescriptionOfPurpose>CURRENT REFUND BONDS ISSUED 5/24/2001</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
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        <AmountRetired>16625000</AmountRetired>
        <TotalProceeds>104479267</TotalProceeds>
        <AmountInReserveFund>9927907</AmountInReserveFund>
        <CapitalizedInterest>6000439</CapitalizedInterest>
        <IssuanceCostsFromProceeds>2089585</IssuanceCostsFromProceeds>
        <WorkingCapitalExpenditures>276000</WorkingCapitalExpenditures>
        <OtherSpentProceeds>88724292</OtherSpentProceeds>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
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        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>1</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>GRAND CENTRAL FDG</BusinessNameLine1>
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        <TermOfGIC>3.800000000000</TermOfGIC>
        <RegulatorySafeHarborSatisfied>1</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>1</ExceptionToRebate>
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      <Form990ScheduleKPartVI>
        <Identifier>PART II, LINE 4</Identifier>
        <Explanation>THE AMOUNT SHOWN HERE CONSISTS OF $9,172,875 IN A DEBT SERVICE RESERVE FUND, PLUS $755,032 OF DEBT SERVICE FUND DEPOSITS.</Explanation>
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    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
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        <NameOfInterestedPerson>
          <NamePerson>ALTA LESKODY</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>87524</AmountOfTransaction>
        <DescriptionOfTransaction>COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
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      <Form990ScheduleLPartV>
        <Identifier>PART IV, COLUMN B</Identifier>
        <ReturnReference>RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION</ReturnReference>
        <Explanation>ALTA LESKODY: FAMILY MEMBER OF CHARLENE WELKER, A KEY EMPLOYEE OF MSMC.</Explanation>
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    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>COMMUNITY SERVICE STATEMENT</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4A</ReturnReference>
        <Explanation>MOUNT SINAI MEDICAL CENTER IS SOUTH FLORIDA'S LARGEST INDEPENDENT, NOT-FOR-PROFIT TEACHING HOSPITAL. MOUNT SINAI PROVIDES ACUTE AND EMERGENCY CARE AS WELL AS CARDIOVASCULAR, REHABILITATION, NEONATAL, MATERNITY AND PSYCHIATRIC SERVICES WHILE REMAINING DEDICATED TO GRADUATE MEDICAL EDUCATION AS ONE OF TEN STATUTORY TEACHING HOSPITALS IN FLORIDA. EACH YEAR, MOUNT SINAI INVESTS MORE THAN $20 MILLION IN ITS TEACHING PROGRAMS TO TRAIN APPROXIMATELY 160 RESIDENTS AND FELLOWS TO BE DOCTORS IN 19 MEDICAL SPECIALTIES. MOUNT SINAI'S NURSING PROGRAM SERVES MORE THAN 577 STUDENTS. THE ALLIED HEALTH PROGRAM TRAINS MORE THAN 342 STUDENTS IN FOR HEALTH CARE PROFESSIONS. MOUNT SINAI IS LOCATED ON AND IS THE ONLY HOSPITAL AND EMERGENCY SERVICE PROVIDER ON THE NORTHEASTERN BARRIER ISLANDS OF MIAMI-DADE COUNTY. THESE ARE 32 MANMADE ISLANDS, WHICH FORM A GEOGRAPHIC ENCLAVE TOTALING 10.5 SQUARE LAND MILES. THE CITY OF MIAMI BEACH IS THE LARGEST CENSUS DESIGNATED PLACE ON THE BARRIER ISLANDS. NORTHEASTERN BARRIER ISLAND MUNICIPALITIES: MIAMI BEACH NORTH BAY VILLAGE SURFSIDE BAY HARBOR ISLANDS SUNNY ISLES BEACH INDIAN CREEK GOLDEN BEACH BAL HARBOR MIAMI ISLAND ACCORDING TO INPATIENT USE STATISTICS, APPROXIMATELY 31% OF MOUNT SINAI INPATIENT DISCHARGES WERE RESIDENTS FROM THE CITIES OF MIAMI BEACH. AN ADDITIONAL 19% WERE RESIDENTS FROM THE UPPER BARRIER ISLANDS AND FOUR OTHER NEIGHBORING MAINLAND ZIP CODES. REMAINING INPATIENT DISCHARGES WERE EVENLY DISTRIBUTED AMONG THE OTHER 90+ MIAMI-DADE COUNTY ZIP CODES AND OTHER STATES, COUNTIES, AND COUNTRIES. THIS REINFORCES MOUNT SINAI'S HISTORICAL ROLE AS SERVING GREATER MIAMI-DADE DADE WITH ITS CORE SPECIALTIES. THE COMMUNITY HEALTH PRIORITIES PRESENTED ARE BASED ON AN ANALYSIS OF DEMOGRAPHIC, ENVIRONMENTAL, STATISTICAL AND BEHAVIORAL PUBLIC HEALTH DATA. LEADING CAUSES OF DISEASE RELATED DEATH: HEART DISEASE CANCER STROKE CHRONIC OBSTRUCTIVE PULMONARY DISEASE MENTAL &amp; BEHAVIORAL DISORDERS, INCLUDING ALZHEIMER'S DISEASE ENVIRONMENTAL HEALTH PRIORITIES: SUN / UV RADIATION DROWNING INJURY/DEATH POPULATION HEALTHCARE SERVICE PRIORITIES: ADDRESSING THE PHYSICIAN SHORTAGE SAFETY NET SERVICES FOR THE UNINSURED GERIATRIC MEDICINE MATERNITY &amp; PRENATAL MEDICINE EMERGENCY MEDICAL SERVICES SPECIALTY COMMUNITY CARE - PREVENTATIVE, INTERVENTIONAL, AND NON ACUTE TREATMENT BEHAVIORAL HEALTH &amp; OTHER PRIORITIES: NUTRITION &amp; PHYSICAL ACTIVITY REDUCING TOBACCO &amp; ALCOHOL USE AIDS/HIV PREVENTION &amp; TREATMENT IMPLEMENTATION STRATEGY AS SOUTH FLORIDA'S LARGEST INDEPENDENT TEACHING HOSPITAL, MOUNT SINAI USES A TWO-TIER, THREE-YEAR STRATEGY TO MEET COMMUNITY HEALTH NEEDS. TIER ONE - PROVIDE A WIDE RANGE OF SAFETY NET SERVICES FIRST, MOUNT SINAI WILL CONTINUE TO PROVIDE A WIDE VARIETY OF COMMUNITY HEALTH SERVICES IN ITS ROLE AS A TEACHING AND COMMUNITY HOSPITAL, AND SOLE EMERGENCY SERVICES PROVIDER ON THE NORTHEASTERN BARRIER ISLANDS OF MIAMI DADE COUNTY. ADDRESS FLORIDA'S PHYSICIAN SHORTAGE; PROVIDE CHARITY CARE FOR THE UNINSURED; OPERATE EMERGENCY MEDICAL SERVICES; PROVIDE ADULT PSYCHIATRIC CARE; OFFER NATIONALLY RECOGNIZED GERIATRIC CARE; OPERATE MATERNITY SERVICES AND PRENATAL MEDICINE; PRESENT FREE HEALTH EDUCATION AND DISEASE PREVENTION LECTURES; CONDUCT FREE HEALTH SCREENINGS. TIER TWO - FOCUS CENTERS OF EXCELLENCE ON MISSION DRIVE COMMUNITY HEALTH PRIORITIES SECOND, MOUNT SINAI WILL FOCUS RESOURCES ON THE LEADING DISEASE RELATED CONDITIONS THAT CAUSE FATALITIES AND OTHER IDENTIFIED LOCAL PRIORITY HEALTH CARE SERVICES AS APPROPRIATE FOR ITS TEACHING MISSION AND FISCAL RESPONSIBILITY. ADDRESS HEART DISEASE; ADDRESS CANCER; ADDRESS STROKE; ADDRESS CHRONIC OBSTRUCTIVE PULMONARY DISEASE; ADDRESS ALZHEIMER'S DISEASE ADDRESS COMMUNITY HEALTHCARE SERVICES COMMUNITY HEALTHCARE RESOURCES WITHIN THREE MILE RADIUS WITHIN THREE MILES OF MOUNT SINAI, THERE ARE NO OTHER ACUTE CARE HOSPITALS. THERE ARE 4 PUBLIC HEALTH CENTERS, INCLUDING THREE FEDERALLY QUALIFIED HEALTH CENTERS: THE MIAMI BEACH COMMUNITY HEALTH CENTER (TWO LOCATIONS) AND THE BORINQUEN HEALTH CARE CENTER. FOR SUBSTANCE AND MENTAL HEALTH ISSUES, THERE ARE 0 RESIDENTIAL TREATMENT CENTERS. FOR GERIATRIC RESIDENTIAL SERVICES, THERE ARE 3 NURSING HOMES AND 2 ASSISTED LIVING FACILITIES. COMMUNITY HEALTH NEEDS NOT WITHIN THE IMPLEMENTATION STRATEGY SPECIALIZED AIDS/HIV SERVICES ARE NOT WITHIN THE IMPLEMENTATION STRATEGY. THESE HEALTH SERVICES FOR THE UNINSURED OR UNDERINSURED ARE ALREADY PROVIDED BY THE MIAMI BEACH COMMUNITY HEALTH CENTERS, THE BORINQUEN HEALTH CARE CENTER AND JACKSON MEMORIAL HEALTH CENTER AND THE MIAMI-DADE COUNTY HEALTH DEPARTMENT/OFFICE OF HIV/AIDS. ONGOING GENERAL AND EXPERT COMMUNITY INPUT MOUNT SINAI IS COMMITTED TO RECEIVING INPUT TO BETTER ASSESS COMMUNITY HEALTH NEEDS. COMMUNITY HEALTH NEEDS SURVEY AS PART OF A THREE-YEAR STRATEGY, AN ONLINE HEALTH NEEDS ASSESSMENT SURVEY MODELED ON QUESTIONS USED BY THE NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION RISK FACTOR SURVEILLANCE SYSTEM WILL COLLECT INPUT FROM THOSE IN THE SERVICE AREA. THE SURVEY INSTRUMENT WILL BE PROMOTED THROUGH ADVERTISING AND MARKETING EFFORTS. HEALTH ADVISORY BOARD MOUNT SINAI MAINTAINS A SEAT AND LEAD ROLE ON THE HEALTH ADVISORY BOARD OF THE CITY OF MIAMI BEACH, ALONG WITH THE MIAMI BEACH COMMUNITY HEALTH CENTER AND HEALTH COUNCIL SOUTH FLORIDA. THIS IS A BODY OF LOCAL REPRESENTATIVES THAT MEET TO ADDRESS THE DEMOGRAPHIC AND HEALTH ISSUES ILLUSTRATED IN THIS REPORT IN PUBLICLY ADVERTISED FORUM FOR ALL PERSONS. COMMUNITY COMMENT ON THIS HEALTH NEEDS ASSESSMENT THIS REPORT WILL BE MADE WIDELY AVAILABLE. PUBLIC COMMENT CAN BE ADDRESSED TO THE MOUNT SINAI MEDICAL CENTER PLANNING DEPARTMENT, 4300 ALTON ROAD, MIAMI BEACH, FLORIDA 33140.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 2</ReturnReference>
        <Explanation>TRUSTEES WAYNE CHAPLIN AND PAUL CHAPLIN HAVE A BUSINESS AND FAMILY RELATIONSHIP. TRUSTEES MARK H. HILDEBRANDT AND LAURANS A. MENDELSON HAVE A BUSINESS RELATIONSHIP. TRUSTEES JAVIER HOLTZ, WAYNE CHAPLIN AND PAUL CHAPLIN HAVE A BUSINESS RELATIONSHIP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE PROCESS FOR REVIEW OF THE FORM 990 BY MEMBERS OF THE GOVERNING BODY AND MANAGEMENT IS AS FOLLOWS: THE MEMBERS OF THE GOVERNING BODY, MANAGEMENT, AND THE INDEPENDENT TAX CONSULTANTS WILL MEET AND REVIEW IN DETAIL THE COMPLETED FORM 990. THE FOLLOWING MEMBERS OF THE GOVERNING BODY PERFORMED THE REVIEW ALONG WITH EXECUTIVE MANAGEMENT COMPOSED OF THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER, AND INDEPENDENT TAX CONSULTANTS: CHAIRMAN OF THE BOARD, VICE-CHAIRMAN OF THE BOARD CHAIRMAN, FINANCE COMMITTEE CHAIRMAN, COMPLIANCE COMMITTEE CHAIRMAN, INVESTMENT COMMITTEE PRESIDENT, FOUNDATION CHAIRMAN, AUDIT COMMITTEE</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>CONFLICT OF INTEREST POLICY: MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC. AND SUBSIDIARIES (THE "MEDICAL CENTER") FORMALLY IMPLEMENTED A WRITTEN CONFLICT OF INTEREST POLICY (THE "POLICY") ON MARCH 2006 TO PROTECT THE MEDICAL CENTER AND ENSURE THAT THE DELIBERATIONS AND DECISIONS MADE ON BEHALF OF THE MEDICAL CENTER ARE MADE IN THE BEST INTEREST OF THE MEDICAL CENTER. THE TERM "CONFLICT OF INTEREST" AS DEFINED BY THIS POLICY REFERS TO SITUATIONS IN WHICH FINANCIAL OR OTHER PERSONAL CONSIDERATIONS MAY COMPROMISE, OR HAVE THE APPEARANCE OF COMPROMISING, THE JUDGMENT OF SOMEONE CHARGED WITH THE RESPONSIBILITY TO ACT ON BEHALF OF THE MEDICAL CENTER. THIS POLICY IS REVIEWED PERIODICALLY BUT NOT LESS THAN ONCE A YEAR BY THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES TO BETTER MEET ITS OBJECTIVES. IT IS INTENDED TO SUPPLEMENT BUT NOT REPLACE ANY APPLICABLE LAWS GOVERNING CONFLICTS OF INTEREST IN NONPROFIT AND CHARITABLE ORGANIZATIONS. PERSONS COVERED UNDER THIS POLICY INCLUDE: (1) ANY CURRENT OR FORMER TRUSTEE, OFFICER, OR MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS FOR THE MEDICAL CENTER; (2) MEMBERS OF MANAGEMENT AND ANY EMPLOYEE OF THE MEDICAL CENTER WHO: A) RECEIVES COMPENSATION FROM THE MEDICAL CENTER IN EXCESS OF $150,000 ANNUALLY, WHETHER AS A FULL- OR PART-TIME EMPLOYEE, INDEPENDENT CONTRACTOR, OR OTHERWISE, AND, B) HAS RESPONSIBILITIES, POWER OF INFLUENCE OVER AN ACTIVITY OF THE MEDICAL CENTER SIMILAR TO THAT OF AN OFFICER OR TRUSTEE AND WHICH REPRESENTS MORE THAN 10% OF THE ACTIVITIES, ASSETS, INCOME OR EXPENSES OF THE MEDICAL CENTER, AND C) IS ONE OF THE TWENTY EMPLOYEES WITH THE HIGHEST COMPENSATION FROM THE MEDICAL CENTER. (3) ANY PERSON(S) WHO SERVE AS A MEMBER OF THE MEDICAL CENTER'S MEDICAL STAFF AS A CHAIRPERSON OF A DEPARTMENT, CHIEF OF A CLINICAL SERVICE, OR MEMBER OF THE MEDICAL EXECUTIVE COMMITTEE. MONITORING AND COMPLIANCE: AN IMPORTANT STEP IN MONITORING AND ENFORCING COMPLIANCE WITH A CONFLICT OF INTEREST POLICY INCLUDES MANAGEMENT'S EDUCATION EFFORTS TO MAKE INTERESTED PERSONS AWARE OF THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. TO THAT END, MANAGEMENT HAS INCLUDED IN ITS CODE OF CONDUCT (THE "CODE") A SECTION ON CONFLICTS OF INTEREST WHICH HAS TO BE SIGNED AND RETURNED BY EVERY INTERESTED PERSON TO ACKNOWLEDGE AND ATTEST THAT THEY READ THE CODE INCLUDING THE CONFLICT OF INTEREST SECTION. ANNUALLY, INTEREST PERSONS ALSO RECEIVE A REFRESHER TRAINING SESSION ON ETHICS AND CONFLICTS OF INTEREST. IN ADDITION, THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES HAS CREATED A SUBCOMMITTEE ON CONFLICTS OF INTEREST ("CONFLICTS COMMITTEE") TO ADMINISTER AND MONITOR COMPLIANCE WITH THIS POLICY. THE CONFLICTS COMMITTEE REQUIRES A STATEMENT FROM EACH INTERESTED PERSON NOT LESS FREQUENTLY THAN ONCE A YEAR SETTING FORTH ALL BUSINESS AND OTHER AFFILIATIONS THAT RELATE IN ANY WAY TO THE BUSINESS AND OTHER ACTIVITIES OF THE MEDICAL CENTER. INTERNAL AUDIT COMPILES AND SUMMARIZES ALL THE DISCLOSURES RECEIVED FROM INTERESTED PERSONS TO FACILITATE THEIR REVIEW BY THE CONFLICTS COMMITTEE. THE CONFLICTS COMMITTEE INDIVIDUALLY DISCUSSES EACH DISCLOSURE TO EVALUATE WHETHER A CONFLICT OF INTEREST EXISTS AND DETERMINES THE APPROPRIATE COURSE OF ACTION TO TAKE. NEITHER THE BOARD NOR ANY COMMITTEE OF THE BOARD SHALL VOTE UPON ANY PROPOSED TRANSACTION OR ARRANGEMENT IN CONNECTION WITH A POTENTIAL CONFLICT OF INTEREST UNTIL SUCH TIME AS THE CONFLICTS COMMITTEE HAS DETERMINED WHETHER A CONFLICT OF INTEREST EXISTS. WHERE THE CONFLICTS COMMITTEE HAS CONCLUDED THAT A CONFLICT OF INTEREST EXISTS, THE CHAIRMAN OF THE CONFLICTS COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTEREST PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO A PROPOSED TRANSACTION, CONTRACT, OR ARRANGEMENT. IF THE CONFLICTS COMMITTEE DETERMINES THAT THE MEDICAL CENTER CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THEN THE MEDICAL CENTER SHALL NOT ENTER INTO THE TRANSACTION THAT INVOLVES THE CONFLICT OF INTEREST. IF A TRANSACTION OR ARRANGEMENT MORE ADVANTAGEOUS IS NOT REASONABLY ATTAINABLE UNDER THE CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THEN THE BOARD OR COMMITTEE, AS APPLICABLE, SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE MEDICAL CENTER'S BEST INTEREST AND WHETHER IT IS FAIR AND REASONABLE TO THE MEDICAL CENTER, AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. FAILURE BY AN INTEREST PERSON TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST UNDER THE CONFLICT OF INTEREST POLICY IS CONSIDERED A SERIOUS MATTER AND MAY CONSTITUTE "CAUSE" FOR REMOVAL OR TERMINATION OF A TRUSTEE, OFFICER, OR THE TERMINATION OF ANY CONTRACTUAL OR EMPLOYMENT RELATIONSHIP THE MEDICAL CENTER MAY HAVE WITH AN INTERESTED PERSON OR OTHER PARTY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>ON AN ANNUAL BASIS, THE MOUNT SINAI MEDICAL CENTER COMPENSATION COMMITTEE CONTRACTS WITH AN INDEPENDENT CONSULTANT TO PREPARE AN OPINION REGARDING THE REASONABLENESS AND COMPARABILITY OF THE TOTAL COMPENSATION PROVIDED TO ITS SENIOR OFFICERS AND KEY EMPLOYEES. THE COMPENSATION COMMITTEE INFORMS THE INDEPENDENT CONSULTANT THAT THE INDEPENDENT CONSULTANT'S OPINION WILL BE PART OF THE COMMITTEE'S PROCEDURE FOR ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS DESCRIBED IN THE INCOME TAX REGULATIONS. THE INDEPENDENT CONSULTANT'S DETERMINATION OF REASONABLENESS IS MADE AFTER A THOROUGH REVIEW OF ALL THE ELEMENTS OF THE TOTAL COMPENSATION COMPRISED OF: CASH COMPENSATION, HEALTH AND WELFARE BENEFITS, RETIREMENT BENEFITS, EXECUTIVE BENEFITS AND PERQUISITES, AND OTHER ELEMENTS OF COMPENSATION INCLUDING SEVERANCE ARRANGEMENTS. THE OPINION EXPRESSED BY THE INDEPENDENT CONSULTANT IS THEN PRESENTED TO THE MSMC COMPENSATION COMMITTEE IN A REPORT FORM FOR THEIR REVIEW. THE OPINION REPORT IS REFERRED TO BY THE COMPENSATION COMMITTEE WHEN DETERMINING AND APPROVING THE ANNUAL COMPENSATION FOR ITS SENIOR OFFICERS AND KEY EMPLOYEES. THE MSMC COMPENSATION COMMITTEE PRESENTS ITS DETERMINATION TO THE MSMC EXECUTIVE COMMITTEE FOR ITS FINAL APPROVAL.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>FORM 990, PART VI, SECTION C, LINE 19: DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>JOINT VENTURE PROCEDURE</Identifier>
        <ReturnReference>PART VI, SECTION B, LINE 16B</ReturnReference>
        <Explanation>IF THE HOSPITAL JOINS A PARTNERSHIP/JOINT VENTURE ARRANGMENT, ADMINISTRATION WILL PRESENT IT TO THE BOARD AND THE BOARD MUST APPROVE THE ACTION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVERAGE HOURS PER WEEK</Identifier>
        <ReturnReference>PART VII, SECTION A, LINE 1, COLUMN B</ReturnReference>
        <Explanation>THE OFFICERS LISTED ON PART VII, SECTION A, LINE 1(A), COLUMN B DEVOTED THEIR TIME TO THE ORGANIZATION AND RELATED ORGANIZATION AS FOLLOWS: MT SINAI MT SINAI MT SINAI MT SINAI MED CTR MED CTR MED CTR MEDICAL OF FL OF FL INSURANCE OFFICE FDN TRUST BLDG, II MICHAEL ADLER 1.0 0.5 0.0 0.0 PAUL CHAPLIN MD 1.0 2.0 0.0 0.0 WAYNE CHAPLIN 1.0 0.5 0.0 0.0 STANLEY COHEN 1.0 0.5 0.0 0.0 MARK HILDEBRANDT 1.0 1.0 0.0 0.0 IRA LAMPERT 1.0 0.5 0.0 0.0 LAURANS MENDELSON 1.0 0.5 0.0 0.0 SIDNEY PERTNOY 1.0 0.5 0.0 0.0 MARK REVITZ 1.0 0.5 0.0 0.0 HARRY SENDZISCHEW 1.0 0.5 0.0 0.0 STEVEN SONENREICH 40.0 0.5 0.5 0.5 ROBERT STONE 1.0 0.5 0.0 0.0 LEONARD WIEN 1.0 0.5 0.0 0.0 ALEXANDER MENDEZ 40.0 0.0 0.5 0.5 AMY B PERRY 40.0 0.0 0.0 0.5</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>INCOME FROM PREMIER PURCHASING PARTNERS -134,461. CHANGE IN THE BENEFICIAL INTEREST IN THE NET ASSETS OF MSMC FOUNDATION 4,423,000. CHANGE IN NET ASSETS OF MT SINAI MEDICAL OFFICE BLDG II 167. TOTAL TO FORM 990, PART XI, LINE 5: 4,288,706.</Explanation>
      </GeneralExplanation>
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        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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          <BusinessNameLine1>MT SINAI MEDICAL CTR OFFICE BUILDING II</BusinessNameLine1>
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        <AddressUS>
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          <City>MIAMI BEACH</City>
          <State>FL</State>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
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          <City>MIAMI BEACH</City>
          <State>FL</State>
          <ZIPCode>33140</ZIPCode>
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        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MT SINAI MED CTR OF FL GUARANTEE CORP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>PO BOX 1051 KY1-1102</AddressLine1>
          <Country>CJ</Country>
        </AddressForeign>
        <PrimaryActivity>INSURANCE</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>-109751</ShareOfTotalIncome>
        <ShareOfEOYAssets>29420259</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
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      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MOUNT SINAI MEDICAL CENTER FOUNDATION INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>3147343</AmountInvolved>
        <MethodOfAmtDetermination>FAIR MARKET VALUE</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MOUNT SINAI MEDICAL CENTER INSURANCE TRUST</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>7500000</AmountInvolved>
        <MethodOfAmtDetermination>FAIR MARKET VALUE</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>