MOUNT SINAI HOSPITAL: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: MOUNT SINAI HOSPITAL (EIN 13-1624096)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2026-03-26
IRS object ID: 202600859349301025
Schema version: 2024v5.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-03-26T12:51:33+00:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	ONE MANHATTAN WEST	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	100018604	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	131624096	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE MOUNT SINAI HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MOUN	BusinessNameControlTxt
Phone	2127313149	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE GUSTAVE L LEVY PLACE	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	100296574	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Bill Purnell	PersonNm
Person Title	SVP	PersonTitleTxt
Phone	6466054217	PhoneNum
Signature	2026-03-26	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Laura Mayo	PreparerPersonNm
PTIN	P01962945	PTIN
Phone	2127733000	PhoneNum
Preparation	2025-05-06	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Amended Return	Yes (X)	AmendedReturnInd

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Michael Pastier	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE GUSTAVE L LEVY PLACE	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	100296574	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$4,653,222,373	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTP://WWW.MOUNTSINAI.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1852	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	MOUNT SINAI PROVIDES COMPASSIONATE PATIENT CARE AND ADVANCED MEDICINE THROUGH EDUCATION, RESEARCH AND OUTREACH IN THE MANY DIVERSE COMMUNITIES IT SERVES.	ActivityOrMissionDesc
Voting Members Governing Body	31	VotingMembersGoverningBodyCnt
Voting Members Independent	30	VotingMembersIndependentCnt
Total Employee	19716	TotalEmployeeCnt
Total Volunteers	1182	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$35,720,315	PYContributionsGrantsAmt
CY Contributions Grants	$126,571,674	CYContributionsGrantsAmt
PY Program Service Revenue	$3,556,602,917	PYProgramServiceRevenueAmt
CY Program Service Revenue	$3,805,741,606	CYProgramServiceRevenueAmt
PY Investment Income	$92,239,671	PYInvestmentIncomeAmt
CY Investment Income	$86,068,721	CYInvestmentIncomeAmt
PY Other Revenue	$262,280,034	PYOtherRevenueAmt
CY Other Revenue	$634,822,634	CYOtherRevenueAmt
PY Total Revenue	$3,946,842,937	PYTotalRevenueAmt
CY Total Revenue	$4,653,204,635	CYTotalRevenueAmt
PY Grants And Similar Paid	$154,321,017	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$152,210,917	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,901,689,528	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$2,041,638,088	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,792,436	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,884,966,475	PYOtherExpensesAmt
CY Other Expenses	$2,345,044,962	CYOtherExpensesAmt
PY Total Expenses	$3,940,977,020	PYTotalExpensesAmt
CY Total Expenses	$4,538,893,967	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,865,917	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$114,310,668	CYRevenuesLessExpensesAmt
Total Assets BOY	$5,783,477,818	TotalAssetsBOYAmt
Total Assets EOY	$5,887,180,821	TotalAssetsEOYAmt
Total Liabilities BOY	$3,468,232,818	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$3,592,020,821	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,315,245,000	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,295,160,000	NetAssetsOrFundBalancesEOYAmt
Mission	MOUNT SINAI IS COMMITTED TO THE ADVANCEMENT OF THE ART AND SCIENCE OF MEDICINE THROUGH CLINICAL EXCELLENCE. THE CENTRAL MISSION CONSISTS OF HIGH-QUALITY PATIENT CARE AND TEACHING CONDUCTED IN AN ATMOSPHERE OF SOCIAL CONCERN AND SCHOLARLY INQUIRY INTO NATURE, CAUSATION, PREVENTION AND TREATMENT OF HUMAN DISEASE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$4,110,793,450	ExpenseAmt
Grant	$152,210,917	GrantAmt
Revenue	$3,809,527,079	RevenueAmt
Desc	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 $41.9 MILLION AND $46.3 MILLION FOR 2024 AND 2023, RESPECTIVELY. 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 $9.1 MILLION AND $8.8 MILLION FOR THE YEARS ENDED DECEMBER 31, 2024 AND 2023, 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 $91.0 MILLION IN 2024 AND $120.6 MILLION IN 2023. 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	Desc
Total Program Service Expenses	$4,110,793,450	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	846	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	19716	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	31	GoverningBodyVotingMembersCnt
Independent Voting Member	30	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MICHAEL PASTIER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2127313149	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	150 EAST 42ND STREET 5TH FL	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10017	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (57 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ANDREW SAUL
VICE CHAIRMAN/TRUSTEE	2.0	16.0	Yes (X)	Yes (X)	$0	$0	$0
BRAD KARP
SECRETARY/TRUSTEE	2.0	16.0	Yes (X)	Yes (X)	$0	$0	$0
DONALD J GOGEL
VICE CHAIRMAN/TRUSTEE	2.0	16.0	Yes (X)	Yes (X)	$0	$0	$0
ERIC MINDICH
VICE CHAIRMAN/TRUSTEE	2.0	16.0	Yes (X)	Yes (X)	$0	$0	$0
JAMES NEARY
VICE CHAIRMAN/TRUSTEE	2.0	16.0	Yes (X)	Yes (X)	$0	$0	$0
JAMES S TISCH
CO-CHAIRMAN OF BOARD/TRUSTEE	2.0	16.0	Yes (X)	Yes (X)	$0	$0	$0
JEFF T BLAU
VICE CHAIRMAN/TRUSTEE	2.0	16.0	Yes (X)	Yes (X)	$0	$0	$0
JOEL I PICKET
VICE CHAIRMAN/TRUSTEE	2.0	16.0	Yes (X)	Yes (X)	$0	$0	$0
JOEL S EHRENKRANZ
VICE CHAIRMAN/TRUSTEE	2.0	16.0	Yes (X)	Yes (X)	$0	$0	$0
JOHN A LEVIN
VICE CHAIRMAN/TRUSTEE	2.0	16.0	Yes (X)	Yes (X)	$0	$0	$0
JOHN B HESS
VICE CHAIRMAN/TRUSTEE	2.0	14.0	Yes (X)	Yes (X)	$0	$0	$0
JUDITH O RUBIN
VICE CHAIRMAN/TRUSTEE	2.0	16.0	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL MINIKES
VICE CHAIR/TREASURER/TRUSTEE	2.0	22.0	Yes (X)	Yes (X)	$0	$0	$0
RICHARD A FRIEDMAN
CO-CHAIRMAN OF BOARD/TRUSTEE	2.0	16.0	Yes (X)	Yes (X)	$0	$0	$0
STEVEN HOCHBERG
VICE CHAIRMAN/TRUSTEE	2.0	19.0	Yes (X)	Yes (X)	$0	$0	$0
SUSAN R CULLMAN
VICE CHAIRMAN/TRUSTEE	2.0	16.0	Yes (X)	Yes (X)	$0	$0	$0
THOMAS W STRAUSS
VICE CHAIRMAN/TRUSTEE	2.0	17.0	Yes (X)	Yes (X)	$0	$0	$0
ANDREW M ALPER
TRUSTEE	1.0	6.0	Yes (X)		$0	$0	$0
DAVID WINDREICH
TRUSTEE	1.0	6.0	Yes (X)		$0	$0	$0
EDGAR M CULLMAN JR
TRUSTEE	1.0	5.0	Yes (X)		$0	$0	$0
ERIC FRIEDMAN
TRUSTEE	1.0	7.0	Yes (X)		$0	$0	$0
FRANK BISIGNANO
TRUSTEE	1.0	5.0	Yes (X)		$0	$0	$0
HON ROBERT E RUBIN
VICE CHAIRMAN	2.0	16.0	Yes (X)		$0	$0	$0
JAMES KEMPNER
TRUSTEE	1.0	6.0	Yes (X)		$0	$0	$0
KENNETH DAVIS
Trustee and Former Officer	2.0	16.0	Yes (X)		$2,825,745	$4,579,246	$98,069
KIMBERLEY HARRIS
TRUSTEE	1.0	7.0	Yes (X)		$0	$0	$0
LEWIS PELL
TRUSTEE	1.0	5.0	Yes (X)		$0	$0	$0
MARC S LIPSCHULTZ
TRUSTEE	1.0	6.0	Yes (X)		$0	$0	$0
MICHAEL ZIMMERMAN
TRUSTEE	1.0	4.0	Yes (X)		$0	$0	$0
ROBERT F SAVAGE JR
TRUSTEE	1.0	5.0	Yes (X)		$0	$0	$0
WILLIAM H WRIGHT II
TRUSTEE	1.0	6.0	Yes (X)		$0	$0	$0
BETH ESSIG
EVP, GENERAL COUNSEL	20.8	39.2		Yes (X)	$680,287	$1,102,437	$58,108
BETH YAGODA
EVP, System Chief Administrative Officer	21.9	38.1		Yes (X)	$212,675	$344,649	$25,461
BONNIE M DAVIS
VICE CHAIRMAN	2.0	16.0		Yes (X)	$0	$0	$0
BRENDAN CARR 1
CHIEF EXECUTIVE OFFICER (START 1/1/24)	22.1	37.9		Yes (X)	$2,076,835	$3,365,606	$47,473
CARL ICAHN
VICE CHAIRMAN	2.0	16.0		Yes (X)	$0	$0	$0
DAVID L REICH
PRESIDENT AND SYSTEM CHIEF CLINICAL OFFICER	58.0	2.0		Yes (X)	$2,154,844	$0	$65,965
DENNIS CHARNEY 1
PRESIDENT, ACADEMIC AFFAIRS	21.8	38.3		Yes (X)	$984,219	$1,594,972	$57,057
EMMA PALMER
EVP, Chief of Staff & External Affairs	22.1	37.9		Yes (X)	$302,002	$489,407	$71,158
GLENN DUBIN
VICE CHAIRMAN	2.0	16.0		Yes (X)	$0	$0	$0
HAMILTON JAMES
VICE CHAIRMAN	2.0	16.0		Yes (X)	$0	$0	$0
HENRY R KRAVIS
VICE CHAIRMAN	2.0	16.0		Yes (X)	$0	$0	$0
JAMES W CRYSTAL
VICE CHAIRMAN	2.0	16.0		Yes (X)	$0	$0	$0
JEFFREY SILBERSTEIN
EVP, SYSTEM CAO	21.0	39.0		Yes (X)	$277,901	$1,178,604	$36,176
KELLY CASSANO
EVP, SYS AMBULATORY OPERATION	11.0	49.0		Yes (X)	$210,042	$982,805	$47,350
MARGARET PASTUSZKO
System President & Chief Operating Officer	20.6	39.4		Yes (X)	$873,895	$1,416,186	$72,844
MICHAEL PASTIER
SVP, CHIEF FINANCIAL OFFICER	33.4	26.7		Yes (X)	$814,878	$553,285	$88,291
STEPHEN HARVEY
EVP, SYSTEM CFO (END 12/31/24)	19.8	40.2		Yes (X)	$752,534	$1,219,514	$85,092
VINCENT TAMMARO
EVP, SYSTEM CFO (START 10/1/24)	21.8	38.3		Yes (X)	$259,130	$419,931	$9,991
FRANK CINO
SVP, SYSTEM CHIEF RISK OFFICER	22.1	37.9			$285,181	$462,148	$60,090	Yes (X)
CAMERON HERNANDEZ
EXECUTIVE DIRECTOR & COO MSHQ	60.0	0.0			$764,197	$0	$70,130		Yes (X)
JONATHAN KYRIACOU
CHIEF OPERATING OFFICER	60.0	0.0			$820,713	$0	$41,480		Yes (X)
SAMIN SHARMA
PROFESSOR, CARDIOLOGY	31.9	28.1			$1,139,259	$4,768,427	$43,309		Yes (X)
SCOTT PITTMAN
SR VP SYS CHIEF INVESTMENT OFF	31.4	28.6			$1,176,145	$1,072,268	$70,633		Yes (X)
SHIRISH HUPRIKAR
PROFESSOR, INFECTIOUS DISEASE	60.0	0.0			$798,675	$0	$71,784		Yes (X)
BURTON P DRAYER
FORMER OFFICER	0.0	0.0			$0	$310,000	$0			Yes (X)
JEREMY BOAL
FORMER OFFICER	0.0	0.0			$685,212	$1,110,417	$57,212			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$18,094,369	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$24,969,902	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,177,673	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	7161	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
LABORATORY CORPORATION
PO BOX 2240	BURLINGTON	NC	272162240	LAB SERVICES	$41,450,015
CROTHALL HEALTHCARE INC
13028 COLLECTIONS CENTER DRIVE	CHICAGO	IL	60693	MANAGEMENT	$36,291,035
ACCENTURE INTERNATIONAL LTD
PO BOX 29889	CHICAGO	IL	606755105	CONSULTING	$30,819,936
RIGHTSOURCING INC
PO BOX 515743	LOS ANGELES	CA	900515118	PERSONNEL	$30,776,514
SHIELDS HEALTH SOLUTIONS
PO BOX 844023	BOSTON	MA	02284	BILLING	$25,961,245

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	161	CntrctRcvdGreaterThan100KCnt
Fundraising	$70,051	FundraisingAmt
Government Grants	$106,979,396	GovernmentGrantsAmt
All Other Contributions	$19,522,227	AllOtherContributionsAmt
Noncash Contributions	$1,545,562	NoncashContributionsAmt
Total Contributions	$126,571,674	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE	Desc
Business	621110	BusinessCd
Total Revenue Column	$3,805,741,606	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,805,741,606	RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$3,805,741,606	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,639,071	TotalRevenueColumnAmt
Exclusion	-$1,639,071	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$87,707,792	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$87,707,792	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$87,707,792	TotalRevenueColumnAmt
Exclusion	$87,707,792	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$15,250	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$70,051	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$17,738	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,488	TotalRevenueColumnAmt
Exclusion	-$2,488	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
340B PHARMACY	621110	$571,176,444	$571,176,444
Insurance Incentive Payments	621110	$8,902,162	$8,902,162
Cafeteria	621110	$11,413,769	$11,413,769

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$43,332,747	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,785,473	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$39,547,274	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$634,825,122	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,653,204,635	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,809,527,079	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$717,105,882	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$152,210,917	TotalAmt
Program Services	$152,210,917	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$10,497,798	TotalAmt
Program Services	$444,162	ProgramServicesAmt
Management And General	$9,743,540	ManagementAndGeneralAmt
Fundraising	$310,096	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$267,466	TotalAmt
Management And General	$267,466	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,576,173,821	TotalAmt
Program Services	$1,374,771,465	ProgramServicesAmt
Management And General	$199,899,902	ManagementAndGeneralAmt
Fundraising	$1,502,454	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$108,332,988	TotalAmt
Program Services	$94,053,983	ProgramServicesAmt
Management And General	$14,161,008	ManagementAndGeneralAmt
Fundraising	$117,997	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$220,507,128	TotalAmt
Program Services	$191,537,766	ProgramServicesAmt
Management And General	$28,713,722	ManagementAndGeneralAmt
Fundraising	$255,640	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$125,858,887	TotalAmt
Program Services	$109,105,474	ProgramServicesAmt
Management And General	$16,606,558	ManagementAndGeneralAmt
Fundraising	$146,855	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$41,974,340	TotalAmt
Program Services	$36,429,530	ProgramServicesAmt
Management And General	$5,544,810	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$7,537,092	TotalAmt
Management And General	$7,537,092	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$3,537,011	TotalAmt
Management And General	$3,537,011	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$796,526	TotalAmt
Program Services	$796,526	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$4,432,391	TotalAmt
Program Services	$4,432,391	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$608,742,633	TotalAmt
Program Services	$528,327,731	ProgramServicesAmt
Management And General	$80,414,902	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$10,649,248	TotalAmt
Program Services	$9,146,115	ProgramServicesAmt
Management And General	$1,392,098	ManagementAndGeneralAmt
Fundraising	$111,035	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$26,205,384	TotalAmt
Program Services	$25,317,170	ProgramServicesAmt
Management And General	$811,817	ManagementAndGeneralAmt
Fundraising	$76,397	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$53,556,099	TotalAmt
Program Services	$46,445,164	ProgramServicesAmt
Management And General	$7,069,255	ManagementAndGeneralAmt
Fundraising	$41,680	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$66,927,339	TotalAmt
Program Services	$57,928,359	ProgramServicesAmt
Management And General	$8,817,071	ManagementAndGeneralAmt
Fundraising	$181,909	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,741,781	TotalAmt
Program Services	$3,241,464	ProgramServicesAmt
Management And General	$493,372	ManagementAndGeneralAmt
Fundraising	$6,945	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$908,056	TotalAmt
Program Services	$788,102	ProgramServicesAmt
Management And General	$119,954	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$43,694,241	TotalAmt
Program Services	$43,694,241	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$169,750,228	TotalAmt
Program Services	$140,315,538	ProgramServicesAmt
Management And General	$29,434,690	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$58,366,606	TotalAmt
Program Services	$50,656,377	ProgramServicesAmt
Management And General	$7,710,229	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$1,221,220,257	$1,221,220,257
DIETARY	$23,005,730	$19,930,718	$3,033,584	$41,428

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,538,893,967	TotalAmt
Program Services	$4,110,793,450	ProgramServicesAmt
Management And General	$425,308,081	ManagementAndGeneralAmt
Fundraising	$2,792,436	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$192,576	BOYAmt
EOY	$217,003	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$159,941,249	BOYAmt
EOY	$707,088,748	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$53,302,020	BOYAmt
EOY	$53,852,907	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$495,992,931	BOYAmt
EOY	$600,832,389	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$4,028,900	BOYAmt
EOY	$4,028,900	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$61,491,274	BOYAmt
EOY	$60,427,755	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,453,360	BOYAmt
EOY	$11,648,592	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$3,418,188,125	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,106,358,275	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,277,628,754	BOYAmt
EOY	$1,311,829,850	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$931,548,319	BOYAmt
EOY	$485,888,800	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,088,443,000	BOYAmt
EOY	$766,809,805	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$60,503,558	BOYAmt
EOY	$60,715,241	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,643,951,877	BOYAmt
EOY	$1,823,840,831	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,783,477,818	BOYAmt
EOY	$5,887,180,821	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$608,043,409	BOYAmt
EOY	$704,078,746	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$48,072,372	BOYAmt
EOY	$40,430,124	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,470,581,198	BOYAmt
EOY	$1,440,364,726	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$176,035,555	BOYAmt
EOY	$186,137,758	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,165,500,284	BOYAmt
EOY	$1,221,009,467	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,468,232,818	BOYAmt
EOY	$3,592,020,821	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,054,205,000	BOYAmt
EOY	$2,062,948,000	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$261,040,000	BOYAmt
EOY	$232,212,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,315,245,000	BOYAmt
EOY	$2,295,160,000	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,783,477,818	BOYAmt
EOY	$5,887,180,821	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$114,310,668	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$93,446,177	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$227,841,845	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$0	SubstantialContributorsTotAmt
Public Support Total170	$0	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$0	TotalSupportAmt
Gross Receipts Rltd Activities	$0	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0	PublicSupportCY170Pct

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$0	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0	PublicSupportCY509Pct
Public Support PY509	0	PublicSupportPY509Pct
Investment Income CY	0	InvestmentIncomeCYPct
Investment Income PY	0	InvestmentIncomePYPct

Distributable Amount DistributableAmountGrp

Field	Value	IRS element (for citing)
CY Adj Net Income Distributable	$0	CYAdjNetIncomeDistributableAmt
CY Pct85 Adjusted Net Income	$0	CYPct85AdjustedNetIncomeAmt
CY Total Min Ast Distributable	$0	CYTotalMinAstDistributableAmt
CY Greater Adjusted Minimum	$0	CYGreaterAdjustedMinimumAmt
CY Income Tax Imposed PY	$0	CYIncomeTaxImposedPYAmt
CY Distributable As Adjusted	$0	CYDistributableAsAdjustedAmt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$796,526	OtherActivitiesAmt
Total Lobbying Expenditures	$796,526	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	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: GREATER NEW YORK HOSPITAL ASSOCIATION $200,100 MOUNT SINAI HOSPITAL MANAGEMENT $43,556 HEALTH CARE ASSOCIATION OF NEW YORK STATE $48,134 American Hospital Association $36,960 HEP $467,776 TOTAL $796,526	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$261,040,000	BeginningYearBalanceAmt
Contributions	$25,262,117	ContributionsAmt
Other Expenditures	$54,090,117	OtherExpendituresAmt
End Year Balance	$232,212,000	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$290,728,000	BeginningYearBalanceAmt
Contributions	$35,540,330	ContributionsAmt
Other Expenditures	$65,228,330	OtherExpendituresAmt
End Year Balance	$261,040,000	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$281,194,048	BeginningYearBalanceAmt
Contributions	$63,893,371	ContributionsAmt
Other Expenditures	$54,359,419	OtherExpendituresAmt
End Year Balance	$290,728,000	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$194,397,512	BeginningYearBalanceAmt
Contributions	$122,213,689	ContributionsAmt
Other Expenditures	$35,417,153	OtherExpendituresAmt
End Year Balance	$281,194,048	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$200,359,827	BeginningYearBalanceAmt
Contributions	$28,522,029	ContributionsAmt
Other Expenditures	$34,484,344	OtherExpendituresAmt
End Year Balance	$194,397,512	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.5962	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.4038	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,717,974,054	OtherCostOrOtherBasisAmt
Depreciation	$912,160,874	DepreciationAmt
Book Value	$805,813,180	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,646,286,930	OtherCostOrOtherBasisAmt
Depreciation	$1,194,197,401	DepreciationAmt
Book Value	$452,089,529	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,310,466	OtherCostOrOtherBasisAmt
Book Value	$4,310,466	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,311,829,850	TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

Field	Value	IRS element (for citing)
Book Value	$766,809,805	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Securities	$766,809,805	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (15 entries)

DescDesc	Book ValueBookValueAmt
DUE TO RELATED ORGS	$1,126,553,040
DEFERRED FINANCING FEES	$8,908,821
457B PLAN	$33,627,441
DEPOSITS HELD BY THIRD PARTIES	$15,419,511
TENANT SECURITY DEPOSITS	$344,201
ROTATING RESIDENTS	$4,195,874
340B PHARMACY RECEIVABLE	$75,300,000
EMPLOYEE ADVANCES	$0
AMBULANCE CERTIFICATE LICENSE	$1,150,000
TIAA/GE ESCROW	$858,620
PROF LIAB INS REC	$80,568,000
OTHER RECEIVABLES	$163,978,263
PROF BILLING RECEIVABLE
RIGHT OF USE ASSETS	$308,060,130
ENDOSCOPY RECEIVABLE	$4,876,930

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,823,840,831	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (16 entries)

DescDesc	AmtAmt
Federal Income Taxes
POST RETIREMENT BENEFITS	$3,544,243
SELF INSURANCE TRUST	$338,651,086
PROFESSIONAL INSURANCE LIABILITY	$80,568,000
SIT LIABILITY	$0
PROTON LIABILITY	$9,575,214
MADISON AVENUE LIABILITY	$0
MALPRACTICE LIABILITY	$23,785,652
457B PLAN LIABILITY	$37,423,612
MOUNT SINAI PHARMACY PENSION PLAN	$3,825,341
AR CREDIT BALANCES	$24,985,904
DSRIP LIABILITY	$0
RENT SECURITY DEPOSITS	$344,201
PLANNED GIFT LIABILITY	$138,046
THIRD PARTIES LIABILITY	$336,608,039
OPERATING LEASE LIABILITY	$361,560,129

Field	Value	IRS element (for citing)
Total Liability	$1,221,009,467	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part V, Line 4 Intended uses of endowment funds

MOUNT SINAI HOSPITAL'S ENDOWMENT FUNDS ARE RESTRICTED TO INVESTMENTS IN PERPETUITY WITH THE INCOME EXPENDABLE TO SUPPORT PROGRAMS ACTIVITIES AS STIPULATED BY THE DONORS. THE HOSPITAL FOLLOWS THE REQUIREMENT OF THE UNIFORM MANAGEMENT OF INSTITUTIONAL FUNDS ACT ("UMIFA") AS THEY ARE RELATED TO ITS ENDOWMENT CONTRIBUTIONS. THE HOSPITAL HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS SUPPORTED BY ITS ENDOWMENT. UNDER THIS POLICY, AS APPROVED BY THE BOARD OF TRUSTEES, THE 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 DIVERSFIED MANNER TO ADHERE TO ESTABLISHED GUIDELINES.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

The System evaluates tax positions taken or expected to be taken in the course of preparing the System's tax returns to determine whether the tax positions are "more likely than not" of being sustained by the applicable tax authority based upon the technical merits of the position. The System recognizes the effect of tax positions only if they are more likely than not of being sustained. This evaluation had no impact on the operations of the System as of and for the year ended December 31, 2024.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Program Services	TypeOfActivitiesConductedTxt
Specific Services Provided	INSURANCE	SpecificServicesProvidedTxt
Region Total Expenditures	$25,565,567	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$25,565,567	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$25,565,567	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN-Cash	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	United Airlines NYC Half 2024	Event1Nm
Gross Receipts Event1	$2,250	GrossReceiptsEvent1Amt
Charitable Contri Event1	$2,000	CharitableContriEvent1Amt
Gross Revenue Event1	$250	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$2,500	OtherDirectExpensesEvent1Amt
Event2	NYC TCS MARATH	Event2Nm
Gross Receipts Event2	$83,051	GrossReceiptsEvent2Amt
Charitable Contri Event2	$68,051	CharitableContriEvent2Amt
Gross Revenue Event2	$15,000	GrossRevenueEvent2Amt
Other Direct Expenses Event2	$15,238	OtherDirectExpensesEvent2Amt
Gross Revenue Other Events	$0	GrossRevenueOtherEventsAmt
Gross Receipts Total	$85,301	GrossReceiptsTotalAmt
Charitable Contributions Tot	$70,051	CharitableContributionsTotAmt
Gross Revenue Total Events	$15,250	GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events	$17,738	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$17,738	DirectExpenseSummaryEventsAmt
Net Income Summary	-$2,488	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$69,294,077	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,600,444	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,693,633	NetCommunityBenefitExpnsAmt
Total Expense	0.01161	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,215,042,253	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$650,344,065	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$564,698,188	NetCommunityBenefitExpnsAmt
Total Expense	0.12441	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,284,336,330	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$666,944,509	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$617,391,821	NetCommunityBenefitExpnsAmt
Total Expense	0.13602	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,978,662	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,867,736	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,110,926	NetCommunityBenefitExpnsAmt
Total Expense	0.00509	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$366,292,395	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$120,937,751	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$245,354,644	NetCommunityBenefitExpnsAmt
Total Expense	0.05406	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$172,074,282	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$172,074,282	NetCommunityBenefitExpnsAmt
Total Expense	0.03791	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,039	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$43,039	NetCommunityBenefitExpnsAmt
Total Expense	0.00001	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$567,388,378	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$126,805,487	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$440,582,891	NetCommunityBenefitExpnsAmt
Total Expense	0.09707	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,851,724,708	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$793,749,996	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,057,974,712	NetCommunityBenefitExpnsAmt
Total Expense	0.23309	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,363	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$45,363	NetCommunityBenefitExpnsAmt
Total Expense	0.00001	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$443,721	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$443,721	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$489,084	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$489,084	NetCommunityBenefitExpnsAmt
Total Expense	0.00011	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$65,294,863	BadDebtExpenseAmt
Reimbursed By Medicare	$586,893,764	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$633,666,828	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$46,773,064	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MOUNT SINAI HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE GUSTAVE L LEVY PLACE	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10029	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTP://WWW.MOUNTSINAI.ORG	WebsiteAddressTxt
State License	700202H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Emergency Room Other	Yes (X)	EmergencyRoomOtherInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MOUNT SINAI HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://MOUNTSINAI.ORG/LOCATIONS/MOUNT-SINAI/ABOUT/COMMUNITY	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://MOUNTSINAI.ORG/LOCATIONS/MOUNT-SINAI/ABOUT/COMMUNITY	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.HOSPITALASSISTANCE.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.HOSPITALASSISTANCE.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.HOSPITALASSISTANCE.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - The Mount Sinai Hospital. THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH, THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. Organizations Providing Community Input Fifteen interview sessions were held with 40 individuals representing 19 organizations. Organizations represented by these individuals are as follows: * Asphalt Green; * Assembly District 68; * Catholic Charities Brooklyn and Queens; * Charles B. Wang Community Health Center; * Concrete Safaris; * East Harlem Community Health Council; * Educational Alliance; * George Washington Carver Houses Tenant Association; * Manhattan Community Board 3; * Manhattan Community Board 8; * Mount Sinai Beth Israel Community Advisory Board; * Mount Sinai Brooklyn Hospital Staff; * Mount Sinai Health System Staff Member; * Mount Sinai Hospital Community Advisory Board; * Mount Sinai Hospital Staff; * Mount Sinai Queens Hospital Staff; * New York Common Pantry; * NYC Department of Health and Mental Hygiene; and * Organization that chose to remain anonymous. THIS CHNA RELIES ON MULTIPLE DATA SOURCES AND COMMUNITY INPUT GATHERED BETWEEN APRIL AND DECEMBER 2023.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - . THE COMMUNITY HEALTH NEEDS ASSESSMENTS FOR MOUNT SINAI HOSPITAL AND THE MOUNT SINAI HOSPITAL OF QUEENS WERE CONDUCTED IN CONJUNCTION WITH EACH OTHER.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - . Actions MSH intends to take, including programs and resources it plans to commit: Many intended activities of MSH are expected to impact multiple needs identified in the CHNA. These activities are as described below. Health professions education. The health professions education activities of MSH respond to both the current and future community health needs for chronic disease treatment and prevention. MSH actively participates in over 160 residency and fellowship programs. Participation in Medicaid. Medicaid provides health coverage to low-income individuals through federal and state funding. MSH participation in New York State Medicaid includes inpatient and outpatient services. MSH social workers help patients apply for Medicaid coverage. In 2021, the payments for services provided to Medicaid patients were approximately 59 percent of the cost to provide these services. Community Health Improvement Activities. MSH supports numerous activities to improve community health through grants and in-kind contributions. These activities include the following: * Health screenings; * Community affairs programming; * Health information distribution; * Funding of grants for community programs; * Patient transportation and recreation; and * Assistance with applications for Medicaid and other programs. Subsidized Health Services. MSH hospital provides numerous inpatient and outpatient service lines that operate as losses. MSH continues to provide these services because the health of community members would diminish because other providers would be unlikely to provide these services. Subsidized health services provided by MSH include the following: * Financial support to other Mount Sinai entities; and * Financial support to various primary care physician practices affiliated with the Icahn School of Medicine of Mount Sinai which provide care to community members. Health Care Services. A full range of health care services is available at the hospital campuses, outpatient facilities, and physician practices throughout the community. As part of the Mount Sinai Health System, patients have access to a full range of clinical care specialties and treatments, as well as facilitated clinical and academic relationships through the Mount Sinai Health Network. The quality of comprehensive care is enhanced through technological tools, including provider-to-provide communication with Mount Sinai Connect and online patient gateways with the MyMountSinai mobile phone application and MyChart desktop portal. The Mount Sinai Hospital \| 2023 CHNA Implementation Strategy Page 7 of 28 Mount Sinai Department of Health Education. The Mount Sinai Department of Health Education provides community-based health education programming, training, content development, and capacity building in partnership with schools, senior centers, and non-profit organizations. In partnership with the community, the department provides high-quality education and empowerment programming which addresses inequities and disparities that disproportionately impact marginalized groups. The department offers internal consulting for Mount Sinai Health System colleagues to work collaboratively to enhance efforts across the hospital system to provide maximum impact on individual, family, and community health. The department also offers programming for older adults, women and families in transitional housing settings, and groups operated by local community agencies. In addition to these programs, Mount Sinai has introduced new the following new programs to support the community: * The Public Health and Racial Justice Program, an award-winning education and empowerment program, was designed to introduce teenage girls of color to the field of public health through a racial justice lens; and * Youth Mental Health Programming was developed as a mental health program for youth of color in response to the changing social-emotional needs of adolescents since the COVID-19 pandemic and national conversation around racism. Center for Spirituality and Health. The Center for Spirituality and Health at Mount Sinai's Icahn School of Medicine is dedicated to providing compassionate patient care with seamless coordination and to advancing spiritual care through unrivaled education, research, and outreach. Chaplains help people of all faiths find meaning, healing, hope, and comfort while experiencing the challenges of life. Other activities of MSH impact needs that the hospital selected to focus its efforts during the 2024-2026 time period. These activities, described below, impact the following selected needs: A. Access to Mental Health Care and Poor Mental Health Status; B. Access to Primary Health Care Services by Individuals with Limited Resources; C. Chronic Diseases and Contributing Lifestyle Factors; D. Socio-Economic, Racial, Cultural, Ethnic, and Linguistic Barriers to Care; and E. Substance MSH is committed to serving the community by adhering to its mission, using its skills and capabilities, and remaining a strong organization to continue providing a wide range of community benefits. However, no entity can address all of the health needs present in its community. Reasons for not addressing a need include ones identified by the Internal Revenue Service (IRS): * Resource constraints, * Relative lack of expertise or competencies to effectively address the need, * A relatively low priority assigned to the need, * A lack of identified effective interventions to address the need, and/or * Initiatives provided other facilities or organizations in the community. The hospital evaluated the significant needs identified in the CHNA based on the IRS criteria. Based on these criteria, the hospital identified significant needs that it will not address with direct interventions, although planned interventions in the 2024-2026 time period may have indirect impact. These significant needs, discussed below, are as follows: A. Aging Population B. Environmental Determinants of Health C. Homelessness D. Navigating a Changing Health Care Provider Environment E. Poverty, Financial Hardship, and Basic Needs Insecurity F. Safe and Affordable Housing

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MT SINAI PSYCHIATRIC CONTINUING DAY TR	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	53-55 E 96TH STREET FL A B C 1F	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10029	ZIPCd

Field	Value	IRS element (for citing)
Facility	OUTPATIENT CLINIC	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part II	COMMUNITY BUILDING EXPENSE THE HOSPITAL CONDUCTS VARIOUS COMMUNITY BUILDING ACTIVITIES DURING THE YEAR TO PROMOTE THE HEALTH OF ITS COMMUNITY. THE HOSPITAL PAYS FOR SEVERAL PUBLIC SERVICE ANNOUNCEMENTS THAT HELP PROMOTE POPULATION HEALTH IN AREAS SUCH AS DIABETES AWARENESS, CARDIAC HEALTH, CANCER, MENTAL HEALTH, TEEN HEALTH, AND HIV/AIDS. THESE ANNOUNCEMENTS HELP TO PROVIDE THE PUBLIC WITH INFORMATION AS TO SYMPTOMS OF VARIOUS DISEASES AND MEDICAL CONDITIONS SO THAT THEY SEEK CARE BEFORE THEIR MEDICAL CONDITION REACHES A MORE ADVANCED STAGE. ADDITIONALLY, THE HOSPITAL SPENDS A SIGNIFICANT AMOUNT ON DISASTER PREPAREDNESS EACH YEAR. THESE EXPENDITURES ENSURE THAT THE HOSPITAL WILL BE READY TO HANDLE A LARGE SCALE DISASTER IN THE AREA AND MEET THE MEDICAL NEEDS OF THOSE THAT ARE IMPACTED. THIS PREPAREDNESS INCLUDES PLANS FOR HANDLING LARGE VOLUMES OF SICK OR INJURED PEOPLE UNDER VARIOUS SCENARIOS, SUCH AS WHEN POWER IS LOST OR TRANSPORTATION SYSTEMS ARE SHUT DOWN. 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.
Schedule H, Part VI, Line 5	second part continued Educating the Community about High Blood Pressure and Stroke, many people in our community have no idea their blood pressure is elevated, putting them at risk for heart attacks and strokes. We treat high blood pressure with lifestyle changes and, when necessary, medication. Experts across Mount Sinai Health System provide community education programs that consist of several different components including: information on what is a stroke and how it can impact your life, stroke warning signs, risk factors, stroke prevention tips, and controllable risk factors such as smoking, high blood pressure, obesity, high cholesterol, and poor diet. The Mount Sinai Alzheimer's Disease Research Center offers a wide range of services for individuals coping with memory loss. Our interdisciplinary team takes a compassionate, comprehensive approach-from diagnostic evaluation through treatment of memory loss-and provides support and education to the caregivers and families of our patients. Additionally, we conduct several types of clinical research. Our investigators focus not only on the treatment and prevention of Alzheimer's disease, but also on techniques to improve diagnosis and delay disease progression. The Addiction Institute of Mount Sinai can help if you or your loved one is facing the challenges of addiction. We provide comprehensive and personalized care. Our centers treat people with addictions to alcohol, substances, and behaviors such as compulsive eating or gambling. We offer services throughout New York City, in clinics associated with our centers. REACH (The Respectful and Equitable Access to Comprehensive Healthcare) provides a patient centered, harm reduction approach to primary care for persons who use alcohol and other drugs, and for individuals living with hepatitis C virus (HCV) infection. REACH offers overdose prevention services, access to buprenorphine, and other medicines to treat substance use disorders. New York Eye and Ear Infirmary of Mount Sinai (NYEE) offers support groups for select eye, ear, nose, and throat conditions. Macular Degeneration support group, members can discuss their experiences, share coping strategies, and provide emotional support to each other. LGB/TGNB Health at the Mount Sinai Health System is committed to meeting the special health care needs of lesbian, gay, bisexual, transgender and nonbinary (LGB/TGNB) community with respect and compassion. We provide a wide range of health, referral, and educational services that promote LGB/TGNB health equity and access to care. Mount Sinai has been consistently acknowledged as a Healthcare Equality Index Leader by the Human Rights Campaign Foundation for our efforts in caring for LGB/TGNB patients and recognizing the contributions of our LGB/TGNB employees. Our mission includes ensuring that our LGB/TGNB patients can access quality health care in a welcoming, supportive, affirming, and safe environment. Mount Sinai Department of Health Education provides community-based health education programming in partnership with schools, senior centers, and non-profit organizations. We offer onsite, school-based health education for students, parents, and staff, including mental health and sexual and reproductive health curricula. We also offer programming for older adults, women and families in transitional housing settings, and groups operated by local community agencies. Karpas Health Information Center provides wellness programs to enable our neighbors to remain safe, active, and vital members of our community. Staffed by health educators, we are committed to providing resources that are nurturing to the mind, body, and spirit. Karpas health and wellness programs are established through partnerships with community-based organizations, and dedicated to improving health outcomes for the communities we serve. The Center for Spirituality and Health at Mount Sinai's Icahn School of Medicine is dedicated to providing compassionate patient care with seamless coordination and to advancing spiritual care through unrivaled education, research, and outreach in the many diverse communities we serve. Language & Communication Access Services at Mount Sinai Health System provides interpretation and translation services to patients and/or family members who prefer to communicate in a language other than English. Assistive devices are also available to persons with disabilities to help them communicate with providers and staff during their visit. All services are provided free of charge. THE MOUNT SINAI GREENMARKET IS A PARTNERSHIP BETWEEN THE MOUNTSINAI HOSPITAL AND GROWNYC. EVERY WEDNESDAY FROM 8 AM TO 5 PM, STARTING IN JUNE THROUGH THE END OF NOVEMBER. WE INVITE SHOPPERS TO BUY LOCALLY GROWN FRESH FRUITS AND VEGETABLES AND SEASONAL BAKED GOODS. ALONG WITH FRESH PRODUCE, THE GREENMARKET OFFERS: DISCOUNT COUPONS AND PROMOTIONS HEALTHY COOKING DEMONSTRATIONS AND RECIPE EXCHANGES FREE MEDICAL SCREENINGS TEXTILE AND RECHARGEABLE BATTERY DROP-OFF FOOD SCRAP COLLECTION WE MAINTAIN A NETWORK OF AFFILIATIONS, ALLIANCES, AND PARTNERSHIPS WITH GOVERNING BODIES, SCHOOLS, RELIGIOUS INSTITUTIONS, SOCIAL AGENCIES, CHAMBERS OF COMMERCE, AND, OF COURSE, OUR NEIGHBORS THEMSELVES. OUR MISSION IS TO INCREASE ACCESS TO QUALITY CARE FOR MEDICALLY UNDERSERVED POPULATIONS. WE HOST A COMMUNITY ROUNDTABLE EVERY MONTH TO IDENTIFY AND ADDRESS THE NEEDS OF THE EAST AND CENTRAL HARLEM COMMUNITIES. APPROXIMATELY 80 COMMUNITY LEADERS, EDUCATORS, ELECTED OFFICIALS, AND COMMUNITY ADVISORY BOARD MEMBERS ATTEND THESE MEETINGS. REPRESENTATIVES FROM THE MOUNTSINAI HOSPITAL ALSO PARTICIPATE IN REGULAR COMMUNITY MEETINGS WITH THE FOLLOWING ORGANIZATIONS: ABYSSINIAN DEVELOPMENT CORPORATION BORIKEN NEIGHBORHOOD HEALTH CENTER BRONX AIDS SERVICES CHILDREN'S AID 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 JEWISH HOME AND HOSPITAL LITTLE SISTERS OF THE ASSUMPTION FAMILY HEALTH SERVICES NEW YORK ACADEMY OF MEDICINE NEW YORK CITY HOUSING AUTHORITY-CARVER HOUSES TENANTS ASSOCIATION AND JOHNSON TENANTS ASSOCIATION SETTLEMENT HEALTH ASSOCIATION UNION SETTLEMENT ASSOCIATION YORKVILLE COMMON PANTRY.
Schedule H, Part I, Line 7g Subsidized Health Services	ALL CLINICS INCLUDED AS SUBSIDIZED HEALTH SERVICES ARE CLINICS OF THE HOSPITAL. THE HOSPITAL USED THE MEDICARE PORTION OF ALL INPATIENT AND OUTPATIENT PROGRAMS THAT OPERATE AT A DEFICIT, CALCULATED USING INTERNAL DECISION SUPPORT SYSTEMS TO CALCULATE COST, FOR INCLUSION IN SUBSIDIZED HEALTH SERVICES IN SCHEDULE J, PART III, LINE 7 FOR COMMUNITY BENEFITS. THIS IS PARTIALLY OFFSET BY SURPLUS GENERATED BY OTHER PAYORS FOR THOSE SAME PROGRAMS. THE METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON SCHEDULE H, PART III, SECTION B, LINE 6 IS OBTAINED FROM THE INSTITUTIONAL COST REPORT WHICH USES COST PER DAY TO CALCULATE ROOM AND BOARD COSTS AND RCC FOR ANCILLARY AND OUTPATIENT COSTS.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	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.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	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.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE (DETERMINED ON A PORTFOLIO BASIS WHEN APPLICABLE) ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. FOR THE YEARS ENDED DECEMBER 31, 2024 AND 2023, CHANGES IN THE HOSPITAL'S ESTIMATES OF IMPLICIT PRICE CONCESSIONS, DISCOUNTS, CONTRACTUAL ADJUSTMENTS OR OTHER REDUCTIONS TO EXPECTED PAYMENTS FOR PERFORMANCE OBLIGATIONS SATISFIED IN PRIOR YEARS WERE NOT SIGNIFICANT. PORTFOLIO COLLECTION ESTIMATES ARE UPDATED BASED ON COLLECTION TRENDS. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY (DETERMINED ON A PORTFOLIO BASIS WHEN APPLICABLE) ARE RECORDED AS BAD DEBT EXPENSE. BAD DEBT EXPENSE FOR THE YEARS ENDED DECEMBER 31, 2024 AND 2023, WAS NOT SIGNIFICANT. A DESCRIPTION OF BAD DEBT EXPENSE CAN BE FOUND IN THE AUDITED FINANCIAL STATEMENT PAGE 16.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	MEDICARE ALLOWABLE COSTS 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 $52.8 MILLION IN ORDER TO PROVIDE A MORE ACCURATE REFLECTION OF THE HOSPITAL'S MEDICARE FINANCIAL RESULTS.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	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.
Schedule H, Part V, Section B, Line 16a FAP website	- MOUNT SINAI HOSPITAL: Line 16a URL: WWW.HOSPITALASSISTANCE.ORG;
Schedule H, Part V, Section B, Line 16b FAP Application website	- MOUNT SINAI HOSPITAL: Line 16b URL: WWW.HOSPITALASSISTANCE.ORG;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- MOUNT SINAI HOSPITAL: Line 16c URL: WWW.HOSPITALASSISTANCE.ORG;
Schedule H, Part VI, Line 2 Needs assessment	NEEDS ASSESSMENT Federal law requires that tax-exempt hospital facilities conduct a CHNA every three years and adopt an Implementation Strategy that addresses significant community health needs.1 Each tax-exempt hospital facility must conduct a CHNA that identifies the most significant health needs in the hospital's community. The regulations require that each hospital: * Take into account input from persons representing the broad interests of the community, including those knowledgeable about public health issues, and * Make the CHNA widely available to the public. The CHNA report must include certain information including, but not limited to: * A description of the community and how it was defined, * A description of the methodology used to determine the community health needs, and * A prioritized list of the community's health needs. Tax-exempt hospital organizations also are required to report information about the CHNA process and about community benefits they provide on IRS Form 990, Schedule H. As described in the instructions to Schedule H, community benefits are programs or activities that provide treatment and/or promote health and healing as a response to identified community needs. To be reported, community need for the activity or program must be established. Need can be established by conducting a Community Health Needs Assessment. Community benefit activities and programs also seek to achieve objectives, including: * Improving access to health services, * Enhancing public health, * Advancing increased general knowledge, and * Relieving government burden to improve health.2 CHNAs seek to identify significant health needs for particular geographic areas and populations by focusing on the following questions: * Who in the community is most vulnerable in terms of health status or access to care? * What are the unique health status and/or access needs for these populations? * Where do these people live in the community? * Why are these problems present? Federal regulations that govern the CHNA process allow hospital facilities to define the community they serve based on "all of the relevant facts and circumstances," including the "geographic location" served by the hospital facility, "target populations served" (e.g., children, women, or older adults), and/or the hospital facility's principal functions (e.g., focus on a particular specialty area or targeted disease)."3 The community defined by MSH accounts for over 79 percent of the hospital's 2022 inpatient discharges. Secondary data from multiple sources were gathered and assessed. Considering a wide array of Information is important when assessing community health needs to ensure the assessment captures a wide range of facts and perspectives. This assessment process increases confidence that significant community health needs have been identified accurately and objectively.4Input from 40 individuals was received through key informant interviews and from 112 community members. These informants represented the broad interests of the community and included individuals with special knowledge of or expertise in public health. In addition, data were gathered to evaluate the impact of various services and programs identified in the previous CHNA process. Certain community health needs were determined to be "significant" if there was negative variance from benchmarks or the need was identified by multiple key informants. A significant need was identified as a priority if it was identified as problematic in at least two of the following three data sources: 1. The most recently available secondary data regarding the community's health; 2. Take Care New York 2024, the New York City Department of Health and Mental Hygiene's "blueprint for advancing health equity/or the New York State Prevention Agenda 2019-2024; and 3. Input from the key informants who participated in the interview process. For this assessment, MSH collaborated with the Mount Sinai Health System and its following hospitals: Mount Sinai Beth Israel Hospital & Mount Sinai Brooklyn, Mount Sinai Morningside& Mount Sinai West, and New York Eye & Ear Hospital. CHNAs for these hospitals were developed alongside the MSH CHNA. This CHNA relies on multiple data sources and community input gathered between April and December 2023. A number of data limitations should be recognized when interpreting results. For example, some data (e.g., County Health Rankings, Behavioral Risk Factors Surveillance System, and others) exist only at a county-wide level of detail. Those data sources do not allow assessment of health needs at a more granular level of detail, such as by ZIP Code or census tract. Secondary data upon which this assessment relies measure community health in prior years. For example, the most recent mortality rates available for the region were data collected in 2017. The impacts of the most recent public policy developments, changes in the economy, and other community developments are not yet reflected in those data sets. The findings of this CHNA may differ from those of others conducted in the community. Differences in data sources, communities assessed (e.g., hospital service areas versus counties or cities), and prioritization processes can contribute to differences in findings. Key informant stakeholders were engaged by video conference calls, in-person meetings, and telephone calls in September through November 2023. The interviews were designed to obtain input on health needs from persons who represent the broad interests of the community served by Mount Sinai Hospital. Fifteen interview sessions were held with 40 individuals representing numerous organizations. Interviewees included: individuals with special knowledge of or experts in public health; local public health department representatives with information and expertise relevant to the health needs of the community; and individuals and organizations serving or representing medically underserved, low-income, and minority populations. The organizations that provided input are listed after the discussion of issues identified in the interviews. Interviews were conducted using a structured discussion guide. Informants were asked to discuss community health issues and encouraged to think broadly about the social, behavioral, and other determinants of health. Interviewees were asked to consider issues associated with health status, health care access and services, chronic health conditions, populations with special needs, and health disparities. The frequency with which specific issues were mentioned and interviewees' perceptions of the severity (how serious or significant) and scope (how widespread) of each concern were assessed. Fifteen interview sessions were held with 40 individuals representing 19 organizations. Organizations represented by these individuals are as follows: * Asphalt Green; * Assembly District 68; * Catholic Charities Brooklyn and Queens; * Charles B. Wang Community Health Center; * Concrete Safaris; * East Harlem Community Health Council; * Educational Alliance; * George Washington Carver Houses Tenant Association; * Manhattan Community Board 3; * Manhattan Community Board 8; * Mount Sinai Beth Israel Community Advisory Board; * Mount Sinai Brooklyn Hospital Staff; * Mount Sinai Health System Staff Member; * Mount Sinai Hospital Community Advisory Board; * Mount Sinai Hospital Staff; * Mount Sinai Queens Hospital Staff; * New York Common Pantry; * NYC Department of Health and Mental Hygiene; and * Organization that chose to remain anonymous.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	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.
Schedule H, Part VI, Line 4 Community information	COMMUNITY INFORMATION MSH's community is comprised of the entirety of New York City, including each of the five boroughs. The community is divided into neighborhoods utilized by the New York State Department of Health; with each of the 42 neighborhoods in New York City in the MSH community. Mount Sinai Hospital - Manhattan campus is located in the East Harlem neighborhood of Manhattan, and Mount Sinai-Queens campus is located in the neighborhood of Northwest Queens in Queens. New York City (the MSH community) was estimated to have a population of approximately 8.7 million persons in 2021. The community definition was validated based on the geographic origins of discharges from MS - Manhattan and MS - Queens. In 2022, the community collectively accounted for over 79 percent of MSH's 60732 inpatient discharges. In 2021, all of the boroughs had a higher proportion of women in the community. Manhattan had a lower proportion of residents aged 0 to 17 years, a higher proportion of those aged 18 to 44, and a higher proportion of those aged 65 and older than any other borough in New York City. The age distribution of community members varies by neighborhood. The proportion of the population 65 years of age and older varies by ZIP Code. The ZIP Codes of 11005 (Southeast Queens), 10022 (Gramercy Park-Murray), and 11360 (Flushing-Clearview) had comparatively high proportions of this population cohort. New York City and the MSH community are very diverse. Black populations were most prevalent in the Bronx and Brooklyn. Queens had a higher proportion of Asian residents, while the Bronx had a higher proportion of Hispanic (or Latino) residents. The diversity of the community is important to recognize given the presence of health disparities and barriers to health care access experienced by different racial and ethnic groups. The percentage of Black residents is highest in the neighborhoods of SE Queens, East Flatbush, Flatbush, Jamaica, and Canarsie-Flatlands. Asian residents are most concentrated in the neighborhoods of Flushing-Clearview, SE Queens, and West Queens. Hispanic residents are most concentrated in the neighborhoods of Fordham-Bronx Park, West Queens, and Hunts Point Mott Haven. * The Bronx, Brooklyn, Manhattan, and Queens compared unfavorably to New York State and the U.S. for the percentage of residents aged 25 and older who did not graduate high school. The Bronx was particularly unfavorable. * The Bronx compared unfavorably to New York State and the U.S. for the percentage of residents with a disability. * The percentage of residents who were linguistically isolated was higher than the state average in every borough in New York City except for Staten Island, and all were significantly higher than the United States average. Linguistic isolation is defined as the population aged five and older who speak a language other than English and speak English less than "very well." In New York State in 2017-2021, 22.5 percent of the population was foreign born compared to 13.6 percent in the U.S. as a whole. These New York residents were primarily from Latin America and Asia. Queens had the highest percentage of foreign-born residents in the community, at 47.0 percent. Queens also had the largest percentage of the population that was born in Asia at 18.4 percent. The Bronx had the highest percentage of residents born in Latin America at 26.0 percent.
Schedule H, Part VI, Line 5 Promotion of community health	PROMOTION OF COMMUNITY HEALTH THE MOUNT SINAI HOSPITAL IS DEDICATED TO THE HEALTH AND WELL-BEING OF ITS DIVERSE COMMUNITIES. FROM FREE HEALTH SCREENINGS AND COUNSELING TO EXERCISE CLASSES AND HOME-BASED CARE, WE OFFER A WEALTH OF SERVICES AND PROGRAMS FOR PEOPLE OF ALL AGES. WE WORK CLOSELY WITH GOVERNING BODIES, SCHOOLS, RELIGIOUS ORGANIZATIONS, AND SOCIAL SERVICE AGENCIES TO MEET OUR COMMUNITY'S NEEDS. OUR GOAL IS TO HELP YOU BE YOUR HEALTHIEST. WE MAINTAIN SOLID PARTNERSHIPS WITH COMMUNITY-BASED HEALTH ORGANIZATIONS. THESE PARTNERSHIPS CONTINUE TO PROVIDE US WITH COUNTLESS OPPORTUNITIES TO EXPAND AND INCREASE YOUR ACCESS TO QUALITY CARE AND WELLNESS EDUCATION. OUR EXTENSIVE WORK WITH COMMUNITY GROUPS AND CITY AGENCIES TO BUILD PROGRAMS SUCH AS PRESCRIPTIONS FOR GOOD HEALTH AND GROWING UP HEALTHY IN EAST HARLEM, A COMMUNITY-BASED STUDY EXPLORING ENVIRONMENTAL FACTORS AFFECTING THE HEALTH OF CHILDREN, ENABLES US TO IMPROVE TREATMENT APPROACHES AND ALLOWS US TO HELP YOU TO MAKE BETTER-INFORMED DECISIONS ABOUT YOUR HEALTH. WE MAINTAIN LONG-STANDING CONNECTIONS TO OUR LOCAL, NATIONAL, AND GLOBAL COMMUNITIES. THE FOLLOWING PROGRAMS HIGHLIGHT SOME OF THE EXTRAORDINARY OUTREACH SERVICES WE OFFER OUR COMMUNITY. The Breast Health Resource Program of the Dubin Breast Center is dedicated to meeting the emotional and practical needs of women and men with breast cancer. We offer 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. Women's Cancer Program at The Blavatnik Family Chelsea Medical Center at Mount Sinai is world-class care that is only minutes from your home or work. When you enter our treatment center, the atmosphere resembles a boutique hotel than a cancer center - it is welcoming, intimate, and comforting. Everything we do is on an outpatient basis, so you can go home the same day you are treated. To help ensure that we make an accurate diagnosis, we perform various tests and procedures ranging from a clinical physical breast examination to advanced digital tomosynthesis imaging and various types of biopsy. If you receive a breast cancer diagnosis, we have a team of specialists that can help design a treatment plan that works for you. Mount Mobile Mammography Van Program provides early breast cancer detection and screening services to women in medically underserved communities throughout the five boroughs of New York City. We provide free clinical breast examinations, breast health education, mammography screening and other diagnostic services at no cost to eligible patients. Dubin Breast Center of The Tisch Cancer Institute at Mount Sinai offers a full range of state-of-the-art breast health services as well as other specialized services including access to national breast cancer clinical trials, psychosocial counseling services, support programs for patients and families, genetic counseling and testing, nutritional counseling, wellness programs, and survivorship support. Ruttenberg Treatment Center of the Tisch Cancer Institute provides outpatient treatment services to our patients with solid tumor cancers such as lung cancer and prostate cancer, as well as blood cancers, including leukemia, lymphoma, and multiple myeloma. Our medical oncologists, nurses, and support staff work together to deliver quality care to you or your loved ones. Mount Sinai Queens Breast Cancer Program provides comprehensive clinical breast exams and mammograms to women 40 years of age and older. The program is available at no cost to women who are medically underserved or underinsured/uninsured in western Queens, through the New York State Cancer Services. The Woman to Woman program is managed by experienced social workers who collaborate closely with Mount Sinai's Division of Gynecologic Oncology and Social Work Services to support women who have been diagnosed with cervical, ovarian, uterine, vaginal, vulvar, or other cancers. We connect patients in our program with resources and assistance specific to their situation. Esperanza y Vida (Hope and Life) and the Witness Project of Harlem The Esperanza y Vida (Hope and Life) and the Witness Project of Harlem programs provide information to Latino and African American women about breast and cervical cancer prevention and early detection. Cancer Support Services at Mount Sinai Health System will help you manage the distress that may arise from physical symptoms, emotional issues, and spiritual concerns that you experience with cancer. Our goal is to provide the types of services that contribute to your positive outlook and your wellbeing. The Men's Health Program at the Mount Sinai Health System, we help you lead a longer, more productive and healthier life. We are dedicated to a comprehensive approach to men's health focusing on issues such as prostate cancer and sexual health but also supporting broader issues that are affected by mental health and lifestyle choices. We partner with various medical subspecialties as well as offer expertise in nutrition, exercise and holistic approaches to optimize health for men. Mount Sinai Robert F. Smith Mobile Prostate Cancer Screening Van was created to address the disproportionately high incidence of prostate cancer in the Black community-Black men are 70 percent more likely to develop high-risk prostate cancer and are also more than twice as likely to die of the disease, as white men. Skin Cancer Awareness Month Skin Cancer Awareness Month and Melanoma Monday, the Department of Dermatology will arm the public with vital tips on skin health prevention, along with free on-site skin The FAMILIA Project is our pioneering educational initiative providing early childhood heart-health intervention and education program for three- to five-year old preschoolers and their parents and caregivers. We focus on children attending participating New York City Head Start Centers in Harlem. This four-year project, aims to reduce the epidemic of childhood obesity and better understand how the intersection of a child's behavior, environment, and genetics may lead to heart disease, while refining our future prevention techniques. The Cardiovascular Disease Prevention Program is designed for people at risk of heart disease, who display evidence of heart disease, or who have already experienced a cardiac event such as heart attack or stroke. Because the majority of people with heart disease do not realize they have it, the program is open to anyone interested. Program features include behavioral risk assessment, medical risk assessment, lifestyle modifications, and development of a comprehensive, personalized treatment plan. Women's Heart NY is a multi-site comprehensive heart program designed specifically for women who are at risk for, or have a history of heart disease. We offer diagnostic tests and treatments for a wide spectrum of heart diseases, including coronary artery disease, valvular heart disease, arrhythmias, and failure. Go Red for Women's Health - February is "American Heart Month." Every year, Mount Sinai Heart celebrates by participating in the American Heart Association's Go Red for Women campaign, designed to raise awareness of heart disease among women. Our nurses, work with other departments in the Mount Sinai Health System to organize and host a "Go Red for Women" Community Heart Health Fair with free screenings. Mount Sinai Stroke Centers are dedicated to providing world-class care for both the treatment and prevention of stroke and other cardiovascular disorders. Experts across the Mount Sinai Health System are dedicated to community outreach and education, and provide a variety of opportunities for patients, families, and the public to learn about stroke care. The Mount Sinai Clinical Diabetes Institute provides highly specialized care for people with diabetes and related conditions. At Mount Sinai, our goal is to empower our patients. We offer a series of classes that help you take control of your disease. Our multicultural and multilingual nurses, nurse practitioners, and dietitians, all of whom are certified diabetes educators, teach our classes. Our curriculum helps you learn how to prevent complications, control your diabetes, and thrive.
Schedule H, Part VI, Line 6 Affiliated health care system	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). 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.
Schedule H, Part VI, Line 7 State filing of community benefit report	NY

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	false	GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
ONE GUSTAVE L LEVY PL	New York	NY	10029	136171197	501(C)(3)	$95,207,838	FUND PHYSICIAN PRACTICE PROJECT
MOUNT SINAI HEALTH SYSTEM
ONE GUSTAVE L LEVY PL	New York	NY	10029	464248304	501(C)(3)	$15,665,693	FUND OPERATING LOSS
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
ONE GUSTAVE L LEVY PL	New York	NY	10029	136171197	501(C)(3)	$38,919,000	FUND STRATEGIC PROJECT
INSTITUTE FOR FAMILY HEALTH
1879 MADISON AVENUE	New York	NY	10029	133273402	501(C)(3)	$2,127,386	COMMUNITY BENEFIT PROJECT
MSMC REALTY CORPORATION
ONE GUSTAVE L LEVY PL	New York	NY	10029	133852596	501(C)(3)	$291,000	FUND OPERATING LOSS

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule I, Part IV PART II, LINE 1	THE GRANT IS TO FUND THE OPERATING LOSS OF VARIOUS OFF-SITE PHYSICIAN PRACTICES OWNED BY THE ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI. DETAIL REVIEW OF THE OFF-SITE PHYSICIAN PRACTICES FINANCIALS ARE CONDUCTED.
Schedule I, Part IV PART II, LINE 2	THE GRANT IS TO FUND THE OPERATING LOSS OF ITS RELATED ORGANIZATION, MOUNT SINAI HEALTH SYSTEM. NO MONITORING IS REQUIRED SINCE THE ENTITY IS A RELATED TAX EXEMPT ORGANIZATION.
Schedule I, Part IV PART II, LINE 3	THE GRANT IS TO FUND VARIOUS STRATEGIC PROJECTS. NO MONITORING IS REQUIRED SINCE THE ENTITY IS A RELATED TAX EXEMPT ORGANIZATION.
Schedule I, Part IV PART II, LINE 4	THE GRANT IS TO BENEFIT THE COMMUNITY AND IS FUNDED TO AN EXEMPT ORGANIZATION WITHIN THE COMMUNITY. THE ENTITY IS REQUIRED TO SUBMIT BUDGET AND RECONCILIATIONS.
Schedule I, Part IV PART II, LINE 5	THE GRANT IS TO FUND THE OPERATING LOSS OF ITS RELATED ORGANIZATION, MSMC REALTY CORPORATION. NO MONITORING IS REQUIRED SINCE THE ENTITY IS A RELATED TAX EXEMPT ORGANIZATION.

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KENNETH DAVIS
Trustee and Former Officer	$0	$0	$0	$0	$2,825,745	$4,579,246	$13,165	$21,335	$24,258	$39,311	$2,863,168	$4,639,892	$0	$0
BURTON P DRAYER
FORMER OFFICER	$0	$310,000	$0	$0	$0	$0	$0	$0	$0	$0	$0	$310,000	$0	$0
JEREMY BOAL
FORMER OFFICER	$0	$0	$0	$0	$685,212	$1,110,417	$0	$0	$21,832	$35,380	$707,044	$1,145,797	$0	$0
BETH ESSIG
EVP, GENERAL COUNSEL	$515,160	$834,840	$120,805	$195,770	$44,322	$71,827	$13,165	$21,335	$9,009	$14,599	$702,461	$1,138,371	$0	$0
BETH YAGODA
EVP, System Chief Administrative Officer	$153,765	$271,235	$38,031	$61,631	$20,879	$11,783	$8,805	$14,268	$911	$1,477	$222,391	$360,394	$0	$0
BRENDAN CARR 1
CHIEF EXECUTIVE OFFICER (START 1/1/24)	$1,530,236	$2,479,817	$408,312	$661,688	$138,287	$224,101	$13,165	$21,335	$4,950	$8,023	$2,094,950	$3,394,964	$0	$0
DAVID L REICH
PRESIDENT AND SYSTEM CHIEF CLINICAL OFFICER	$1,700,000	$0	$300,160	$0	$154,684	$0	$34,500	$0	$31,465	$0	$2,220,809	$0	$0	$0
DENNIS CHARNEY 1
PRESIDENT, ACADEMIC AFFAIRS	$419,760	$680,240	$102,269	$165,731	$462,190	$749,001	$13,165	$21,335	$8,608	$13,949	$1,005,992	$1,630,256	$0	$0
EMMA PALMER
EVP, Chief of Staff & External Affairs	$243,270	$391,003	$55,754	$86,621	$2,978	$11,783	$13,165	$21,335	$13,989	$22,669	$329,156	$533,411	$0	$0
JEFFREY SILBERSTEIN
EVP, SYSTEM CAO	$186,689	$845,311	$44,743	$189,757	$46,469	$143,536	$6,583	$27,917	$320	$1,356	$284,804	$1,207,877	$0	$0
KELLY CASSANO
EVP, SYS AMBULATORY OPERATION	$162,180	$687,820	$38,031	$161,294	$9,831	$133,691	$6,583	$27,917	$2,452	$10,398	$219,077	$1,021,120	$0	$0
MARGARET PASTUSZKO
System President & Chief Operating Officer	$667,800	$1,082,200	$156,599	$253,776	$49,496	$80,210	$13,165	$21,335	$14,632	$23,712	$901,692	$1,461,233	$0	$0
MICHAEL PASTIER
SVP, CHIEF FINANCIAL OFFICER	$553,908	$376,092	$89,787	$60,963	$171,183	$116,230	$20,548	$13,952	$30,607	$23,184	$866,033	$590,421	$0	$0
STEPHEN HARVEY
EVP, SYSTEM CFO (END 12/31/24)	$457,920	$742,080	$129,754	$210,271	$164,860	$267,163	$12,593	$21,907	$19,306	$31,286	$784,433	$1,272,707	$0	$0
VINCENT TAMMARO
EVP, SYSTEM CFO (START 10/1/24)	$186,030	$301,470	$46,508	$75,367	$26,592	$43,094	$0	$0	$3,813	$6,178	$262,943	$426,109	$0	$0
FRANK CINO
SVP, SYSTEM CHIEF RISK OFFICER	$228,960	$371,040	$46,021	$74,579	$10,200	$16,529	$13,165	$21,335	$9,765	$15,825	$308,111	$499,308	$0	$0
CAMERON HERNANDEZ
EXECUTIVE DIRECTOR & COO MSHQ	$650,000	$0	$67,000	$0	$47,197	$0	$34,500	$0	$35,630	$0	$834,327	$0	$0	$0
JONATHAN KYRIACOU
CHIEF OPERATING OFFICER	$650,000	$0	$100,500	$0	$70,213	$0	$27,600	$0	$13,880	$0	$862,193	$0	$0	$0
SAMIN SHARMA
PROFESSOR, CARDIOLOGY	$108,901	$244,181	$159,450	$0	$870,908	$4,524,246	$11,296	$9,957	$11,723	$10,333	$1,162,278	$4,788,717	$0	$0
SCOTT PITTMAN
SR VP SYS CHIEF INVESTMENT OFF	$627,720	$572,280	$512,757	$467,471	$35,668	$32,517	$18,047	$16,453	$18,901	$17,232	$1,213,093	$1,105,953	$0	$0
SHIRISH HUPRIKAR
PROFESSOR, INFECTIOUS DISEASE	$708,225	$0	$90,450	$0	$0	$0	$34,500	$0	$37,284	$0	$870,459	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 4a Severance or change-of-control payment	DR. JEREMY BOAL RECEIVED $1,795,629 OF SEVERANCE PAYMENTS DURING 2024. DR. KENNETH DAVIS RECEIVED $7,404,991 OF SEVERANCE PAYMENTS DURING 2024.
Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization	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 THE 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.
Schedule J, Part I, Line 6b Compensation contingent on net earnings of a related organization	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 THE 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.
Schedule J, Part III COMPENSATION FOOTNOTES	OFFICERS OF THE BOARD OF TRUSTEES HOURS REFLECT SERVICE TO ALL RELATED ORGANIZATIONS OF MOUNT SINAI HEALTH SYSTEM, INC. (1) EMPLOYEE HAS AN OUTSTANDING LOAN REFLECTED IN SCHEDULE L, PART II OF THE ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI FORM 990. OTHER REPORTABLE COMPENSATION FOR OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES AS IDENTIFIED IN THE FORM 990, PART VII, AND LISTED ON SCHEDULE J MAY INCLUDE VARIOUS TYPES OF SUPPLEMENTAL WAGES.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	BUILD NYC RESOURCE CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	454040561	BondIssuerEIN
CUSIP	000000000	CUSIPNum
Bond Issued	2013-10-19	BondIssuedDt
Issue Price	$112,000,000	IssuePriceAmt
Purpose	CONSTRUCT QUEENS CAMPUS	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$112,234,322	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$387,324	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$109,884,316	CapitalExpendituresAmt
Other Spent Proceeds	$1,962,682	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2017	SubstantialCompletionYr
Refunding Tax Exempt Bonds	false	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Engage Bond Counsel Research	false	EngageBondCounselResearchInd
Private Bus Use By Others	0.0001	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.0	PrivateBusConcerningUBIPct
Total Private Business Use	0.0001	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropPct
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	false	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Term Of Hedge	0	TermOfHedgePct
Superintegrated Hedge	false	SuperintegratedHedgeInd
Hedge Terminated	false	HedgeTerminatedInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Term Of GIC	0	TermOfGICPct
Regulatory Safe Harbor Stsfd	false	RegulatorySafeHarborStsfdInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	false	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part VI PART II, LINE 7, ISSUE A	THE AMOUNT SHOWN IN FORM 8038 FOR ISSUE COSTS EXCEEDED BY $1,500 THE ACTUAL ISSUANCE COSTS PAID FROM BOND PROCEEDS AS A RESULT OF OVERESTIMATION IN THE FORM 8038 OF SOME OF THE ISSUANCE COSTS. THE NUMBER IN PART II, COLUMN C, ROW 7 IS THE ACTUAL ISSUANCE COSTS PAID FROM PROCEEDS.
Schedule K, Part VI PART III, LINE 3A	THE ORGANIZATION HAS ONE MANAGEMENT AGREEMENT. THAT AGREEMENT COMPLIES WITH REVENUE PROCEDURE 2017-13.
Schedule K, Part VI PART III, LINE 9	THE ORGANIZATION IS CONSIDERING DEVISING PROCEDURES TO ENSURE THAT IF ANY BONDS BECOME NON-QUALIFIED, THEY WILL BE REMEDIATED IN ACCORDANCE WITH REGULATION SECTIONS 1.141-12 AND 1.145-2.
Schedule K, Part VI PART IV, LINE 7	THE ORGANIZATION DIRECTED AND MONITORED INVESTMENTS BASED ON AN EXPECTED DRAW SCHEDULE AND TAKES SOLE RESPONSIBILITY FOR COMPLIANCE WITH THE REQUIREMENTS OF SECTION 148. SINCE THE DATE OF ISSUE OF THE BONDS, NO INVESTMENT YIELDS EXCEEDED THE BOND YIELD.
Schedule K, Part V	PART V: THE ORGANIZATION IS AWARE THAT A VOLUNTARY CLOSING AGREEMENT IS AVAILABLE IF A VIOLATION OF THE FEDERAL TAX REQUIREMENTS, SHOULD THEY OCCUR, CANNOT BE CORRECTED THROUGH SELF-REMEDIATION UNDER APPLICABLE REQUIREMENTS. THE ORGANIZATION IS CONSIDERING DEVELOPING PROCEDURES TO ENSURE THAT IN THE EVENT FEDERAL TAX VIOLATIONS OCCUR THAT CANNOT BE CORRECTED THROUGH SELF-REMEDIATION, SUCH VIOLATION WILL QUALIFY FOR RESOLUTION THROUGH THE VOLUNTARY CLOSING AGREEMENT PROGRAM.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Michael Pastier Jr
MICHAEL PASTIER, OFFICER	$82,163	COMP. AS AN EMPLOYEE	false
Dr Celina Dubin
GLEN DUBIN, Officer/Trustee	$91,686	COMP. AS AN EMPLOYEE	false
Brooke Gogel Weinberg
Donald Gogel, Officer/Trustee	$93,617	COMP. AS AN EMPLOYEE	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part IV, Column (d)	FormAndLineReferenceDesc
Explanation	FAMILY RELATIONSHIPS WITH INTERESTED PERSONS OFFICER MICHAEL PASTIER HAS A FAMILY RELATIONSHIP WITH MICHAEL PASTIER, JR WHO IS EMPLOYED AT THE MOUNT SINAI HOSPITAL. OFFICER/TRUSTEE GLENN DUBIN HAS A FAMILY RELATIONSHIP WITH CELINA DUBIN, WHO IS EMPLOYED AT THE MOUNT SINAI HOSPITAL. OFFICER/Trustee Donald Gogel HAS A FAMILY RELATIONSHIP WITH Brooke Gogel Weinberg, WHO IS EMPLOYED AT THE MOUNT SINAI HOSPITAL.	ExplanationTxt

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$490,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Cost	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$1,028,622	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	Gift Cards	Desc
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$26,940	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Cost	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I Explanations of reporting method for number of contributions	FormAndLineReferenceDesc
Explanation	Securities - Publicly traded - COLUMN B REPRESENTS NUMBER OF CONTRIBUTIONS. Clothing and household goods - COLUMN B REPRESENTS NUMBER OF CONTRIBUTIONS. Other - Gift Cards COLUMN B REPRESENTS NUMBER OF CONTRIBUTIONS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part V, Line 2a NUMBER OF EMPLOYEES	EMPLOYEES OF THE MOUNT SINAI HOSPITAL AND THE ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, INCLUDING EMPLOYEES PROVIDING SERVICES AT ELMHURST HOSPITAL CENTER AND QUEENS HOSPITAL CENTER, UTILIZE A COMMON PAYMASTER UNDER THE HOSPITAL'S TAX IDENTIFICATION NUMBER. THE TOTAL NUMBER OF EMPLOYEES REPORTED UNDER THE MOUNT SINAI HOSPITAL'S TAX IDENTIFICATION NUMBER WITH THE COMMON PAYMASTER SYSTEM IS 35,689 INDIVIDUALS. THE NUMBER OF DIRECT HOSPITAL EMPLOYEES IS 19,716 INDIVIDUALS.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	TRUSTEES EDGAR CULLMAN, JR. AND SUSAN CULLMAN - Family relationship, TRUSTEES MARC LIPSCHULTZ AND JOHN HESS - Business relationship, TRUSTEES KIMBERLY HARRIS AND RICHARD FRIEDMAN - Business relationship, TRUSTEES KIMBERLY HARRIS and Trustee John Hess - Business relationship, Trustee John Hess and Trustee Richard Friedman - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholders	MOUNT SINAI HOSPITALS GROUP, INC. IS THE SOLE MEMBER OF THE ORGANIZATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE MEMBER HAS THE POWER TO ELECT THE MEMBERS OF THE GOVERNING BODY OF THE ORGANIZATION.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	THE BOARD OF TRUSTEES OF THE ORGANIZATION CANNOT AMEND THE BYLAWS WITHOUT THE CONSENT OF THE MEMBER IF SUCH AMENDMENT REMOVED ANY POWERS OF THE MEMBER.
Form 990, Part VI, Line 11b Review of form 990 by governing body	FORM 990 PROVIDED TO GOVERNING BODY THE FINANCE DEPARTMENT GATHERED THE RELEVANT INFORMATION AND PREPARED THE TAX RETURNS. THE TAX DEPARTMENT OF OUR OUTSIDE AUDITORS, ERNST & YOUNG (EY), PARTICIPATED IN THE PREPARATION OF, AND REVIEWED, ALL TAX RETURNS. A QUESTIONNAIRE WAS CIRCULATED TO ALL TRUSTEES (I.E., DIRECTORS), OFFICERS AND KEY EMPLOYEES IN ORDER TO ELICIT THE INFORMATION REQUIRED TO BE REPORTED ON THE TAX RETURNS. THE TRUSTEE CONFLICTS OF INTEREST REVIEW COMMITTEE REVIEWED THE RESPONSES PROVIDED BY TRUSTEES AND CERTAIN OFFICERS IN THE QUESTIONNAIRES AND ASSESSED ADDITIONAL PERTINENT FACTS GATHERED BY THE INSTITUTION IN ORDER TO EVALUATE THE APPLICABILITY OF IRS REPORTING REQUIREMENTS. THE REVIEW COMMITTEE THEN DETERMINED THE APPROPRIATE TRUSTEE (AND CERTAIN OFFICER) DISCLOSURES THAT SHOULD BE MADE ON FORM 990 BASED ON THE RECOMMENDATIONS OF THE FINANCE DEPARTMENT, THE GENERAL COUNSEL'S OFFICE AND THE AUDIT AND COMPLIANCE DEPARTMENT. THESE RECOMMENDATIONS WERE REVIEWED AND APPROVED. THE SAME PROCESS WAS CONDUCTED BY THE FINANCE DEPARTMENT, THE GENERAL COUNSEL'S OFFICE, AND THE AUDIT AND COMPLIANCE DEPARTMENT WITH RESPECT TO THE QUESTIONNAIRES SUBMITTED BY OTHER OFFICERS AND KEY EMPLOYEES. THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES CONDUCTED A REVIEW OF THE TAX RETURN, WITH THE PARTICIPATION OF EY, THE FINANCE DEPARTMENT, THE GENERAL COUNSEL'S OFFICE, AND THE AUDIT AND COMPLIANCE DEPARTMENT. THE AUDIT COMMITTEE 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 (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, 2025, BE PROVIDED TO ALL TRUSTEES VIA THE TRUSTEES' CONFIDENTIAL WEBSITE, AND THOSE RETURNS WERE SO PROVIDED BEFORE BEING FILED.
Form 990, Part VI, Line 12c Conflict of interest policy	MONITORING & ENFORCING COMPLIANCE WITH THE POLICY. COMPLIANCE WITH THE ORGANIZATION'S BUSINESS CONFLICTS OF INTEREST POLICY (POLICY) IS REQUIRED OF TRUSTEES, EMPLOYEES, MEDICAL STAFF AND NON-EMPLOYEE MEMBERS OF INSTITUTIONAL COMMITTEES AND INCLUDES AN ONGOING DUTY TO DISCLOSE POTENTIAL CONFLICTS. COMPLIANCE WITH THE POLICY IS MONITORED AND ENFORCED REGULARLY AND CONSISTENTLY. ALL DISCLOSURES WITH THE POTENTIAL FOR CONFLICT ARE REVIEWED BY AN APPROPRIATE COMMITTEE WHERE THEY ARE CAREFULLY EVALUATED. WHEN APPROPRIATE, A PLAN, WHICH MAY INVOLVE MEASURES INCLUDING, BUT NOT LIMITED TO, RECUSAL FROM PARTICIPATING IN AFFECTED TRANSACTIONS, IS DEVELOPED TO MANAGE THE POTENTIAL CONFLICT.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	PROCESS FOR DETERMINATION OF COMPENSATION THE COMPENSATION, EMPLOYEE BENEFITS AND EMPLOYEE RELATIONS COMMITTEE OF THE BOARD OF TRUSTEES (COMPENSATION COMMITTEE) DETERMINES THE COMPENSATION FOR THE CEO AND OTHER EXECUTIVES, INCLUDING PHYSICIAN LEADERS, WHO ARE OR MAY BE DISQUALIFIED PERSONS AS THAT TERM IS DEFINED IN IRC SECTION 4958. THE COMPENSATION COMMITTEE ALSO REVIEWS THE COMPENSATION OF OTHER SENIOR AND/OR HIGHLY COMPENSATED PERSONNEL. THE COMPENSATION COMMITTEES' OPERATING PROCEDURES ARE DESIGNED TO ENSURE THAT THE COMPENSATION OF ALL SUCH OFFICERS AND KEY EMPLOYEES IS REASONABLE (I.E. THE VALUE OF SERVICES IS THE AMOUNT THAT WOULD ORDINARILY BE PAID FOR LIKE SERVICES BY LIKE ENTERPRISES UNDER LIKE CIRCUMSTANCES), AND WITH RESPECT TO DISQUALIFIED PERSONS TO FOLLOW THE SPECIFIC STEPS OUTLINED IN THE IRC REGULATIONS FOR ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS THAT A TRANSACTION IS NOT AN EXCESS BENEFIT TRANSACTION. THE COMPENSATION COMMITTEE CONSISTS EXCLUSIVELY OF INDEPENDENT TRUSTEES WITHOUT ANY CONFLICT OF INTEREST (AS DEFINED IN THE APPLICABLE IRC REGULATIONS) WITH REGARD TO THE COMPENSATION ARRANGEMENTS BEING REVIEWED OR APPROVED. THE ABSENCE OF ANY CONFLICT OF INTEREST WITH RESPECT TO ITEMS ON THAT 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. IN APPROPRIATE CIRCUMSTANCES FORMAL WRITTEN OPINIONS ARE OBTAINED FROM THE COMPENSATION CONSULTANT. WITH RESPECT TO EXECUTIVES AS THEY ARE DEFINED IN THE POLICY WHICH INCLUDES ALL OF THE INSTITUTION'S DISQUALIFIED PERSONS, THE COMPENSATION COMMITTEE RECEIVES AND REVIEWS THE COMPARABILITY DATA AND ANY ANALYSIS PROVIDED BY THE COMPENSATION CONSULTANT, AS WELL AS INFORMATION PROVIDED BY MANAGEMENT, OR IN THE CASE OF THE CEO, BY THE CHAIRMAN OF THE BOARD OF TRUSTEES, INCLUDING INFORMATION ABOUT THE INDIVIDUAL'S PERFORMANCE, AND FOR NEW EMPLOYEES, THE INDIVIDUAL'S JOB DESCRIPTION. WHEN A WRITTEN OPINION IS OBTAINED FROM THE COMPENSATION CONSULTANT, THAT WRITTEN OPINION IS ALSO REVIEWED BY THE COMPENSATION COMMITTEE. AFTER CONSIDERING ALL OF THE FACTS, THE COMPENSATION COMMITTEE THEN DETERMINES THE APPROPRIATE COMPENSATION IN RELATION TO THE COMPARABILITY DATA AND IN LIGHT OF THE WRITTEN OPINION, RECOMMENDATIONS OF THE COMPENSATION CONSULTANT. AS MORE FULLY SET FORTH IN THE COMPENSATION COMMITTEE'S OPERATING GUIDELINES, THE COMPENSATION COMMITTEE ALSO REVIEWS THE COMPENSATION ARRANGEMENTS FOR THOSE OTHER SENIOR MANAGEMENT AND/OR HIGHLY COMPENSATED PERSONNEL WHO ARE NOT EXECUTIVES. THE COMPENSATION COMMITTEE IS PROVIDED DETAILS OF THE COMPENSATION ARRANGEMENT OF THE INDIVIDUAL'S JOB AND JOB PERFORMANCE, THE BENCHMARK(S) USED AND, IN CERTAIN CASES, A DESCRIPTION OF THE ROLE OF THE COMPENSATION CONSULTANT AND A BRIEF DESCRIPTION OF WHY THE ARRANGEMENT IS APPROPRIATE. THE COMPENSATION COMMITTEE CONTEMPORANEOUSLY DOCUMENTS IN WRITTEN MINUTES THE TERMS OF THE TRANSACTION THAT WAS APPROVED AND THE DATE IT WAS APPROVED; THE MEMBERS OF THE COMPENSATION COMMITTEE WHO WERE PRESENT; THE DISCUSSION AT THE COMPENSATION COMMITTEE MEETING; THE COMPARABILITY DATA AND ANY OTHER INFORMATION OBTAINED AND RELIED ON; HOW THE COMPARABILITY DATA WAS OBTAINED; AND THE COMPENSATION 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 BEFORE THE LATER OF THE NEXT MEETING OF THE COMPENSATION COMMITTEE OR 60 DAYS AFTER THE FINAL ACTIONS OF THE COMPENSATION COMMITTEE ARE TAKEN WITH RESPECT TO THE COMPENSATION DECISIONS MADE. THE MINUTES ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE WITHIN A REASONABLE TIME THEREAFTER.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	PROCESS FOR DETERMINATION OF COMPENSATION THE COMPENSATION, EMPLOYEE BENEFITS AND EMPLOYEE RELATIONS COMMITTEE OF THE BOARD OF TRUSTEES (COMPENSATION COMMITTEE) DETERMINES THE COMPENSATION FOR THE CEO AND OTHER EXECUTIVES, INCLUDING PHYSICIAN LEADERS, WHO ARE OR MAY BE DISQUALIFIED PERSONS AS THAT TERM IS DEFINED IN IRC SECTION 4958. THE COMPENSATION COMMITTEE ALSO REVIEWS THE COMPENSATION OF OTHER SENIOR AND/OR HIGHLY COMPENSATED PERSONNEL. THE COMPENSATION COMMITTEES' OPERATING PROCEDURES ARE DESIGNED TO ENSURE THAT THE COMPENSATION OF ALL SUCH OFFICERS AND KEY EMPLOYEES IS REASONABLE (I.E. THE VALUE OF SERVICES IS THE AMOUNT THAT WOULD ORDINARILY BE PAID FOR LIKE SERVICES BY LIKE ENTERPRISES UNDER LIKE CIRCUMSTANCES), AND WITH RESPECT TO DISQUALIFIED PERSONS TO FOLLOW THE SPECIFIC STEPS OUTLINED IN THE IRC REGULATIONS FOR ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS THAT A TRANSACTION IS NOT AN EXCESS BENEFIT TRANSACTION. THE COMPENSATION COMMITTEE CONSISTS EXCLUSIVELY OF INDEPENDENT TRUSTEES WITHOUT ANY CONFLICT OF INTEREST (AS DEFINED IN THE APPLICABLE IRC REGULATIONS) WITH REGARD TO THE COMPENSATION ARRANGEMENTS BEING REVIEWED OR APPROVED. THE ABSENCE OF ANY CONFLICT OF INTEREST WITH RESPECT TO ITEMS ON THAT 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. IN APPROPRIATE CIRCUMSTANCES FORMAL WRITTEN OPINIONS ARE OBTAINED FROM THE COMPENSATION CONSULTANT. WITH RESPECT TO EXECUTIVES AS THEY ARE DEFINED IN THE POLICY WHICH INCLUDES ALL OF THE INSTITUTION'S DISQUALIFIED PERSONS, THE COMPENSATION COMMITTEE RECEIVES AND REVIEWS THE COMPARABILITY DATA AND ANY ANALYSIS PROVIDED BY THE COMPENSATION CONSULTANT, AS WELL AS INFORMATION PROVIDED BY MANAGEMENT, OR IN THE CASE OF THE CEO, BY THE CHAIRMAN OF THE BOARD OF TRUSTEES, INCLUDING INFORMATION ABOUT THE INDIVIDUAL'S PERFORMANCE, AND FOR NEW EMPLOYEES, THE INDIVIDUAL'S JOB DESCRIPTION. WHEN A WRITTEN OPINION IS OBTAINED FROM THE COMPENSATION CONSULTANT, THAT WRITTEN OPINION IS ALSO REVIEWED BY THE COMPENSATION COMMITTEE. AFTER CONSIDERING ALL OF THE FACTS, THE COMPENSATION COMMITTEE THEN DETERMINES THE APPROPRIATE COMPENSATION IN RELATION TO THE COMPARABILITY DATA AND IN LIGHT OF THE WRITTEN OPINION, RECOMMENDATIONS OF THE COMPENSATION CONSULTANT. AS MORE FULLY SET FORTH IN THE COMPENSATION COMMITTEE'S OPERATING GUIDELINES, THE COMPENSATION COMMITTEE ALSO REVIEWS THE COMPENSATION ARRANGEMENTS FOR THOSE OTHER SENIOR MANAGEMENT AND/OR HIGHLY COMPENSATED PERSONNEL WHO ARE NOT EXECUTIVES. THE COMPENSATION COMMITTEE IS PROVIDED DETAILS OF THE COMPENSATION ARRANGEMENT OF THE INDIVIDUAL'S JOB AND JOB PERFORMANCE, THE BENCHMARK(S) USED AND, IN CERTAIN CASES, A DESCRIPTION OF THE ROLE OF THE COMPENSATION CONSULTANT AND A BRIEF DESCRIPTION OF WHY THE ARRANGEMENT IS APPROPRIATE. THE COMPENSATION COMMITTEE CONTEMPORANEOUSLY DOCUMENTS IN WRITTEN MINUTES THE TERMS OF THE TRANSACTION THAT WAS APPROVED AND THE DATE IT WAS APPROVED; THE MEMBERS OF THE COMPENSATION COMMITTEE WHO WERE PRESENT; THE DISCUSSION AT THE COMPENSATION COMMITTEE MEETING; THE COMPARABILITY DATA AND ANY OTHER INFORMATION OBTAINED AND RELIED ON; HOW THE COMPARABILITY DATA WAS OBTAINED; AND THE COMPENSATION 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 BEFORE THE LATER OF THE NEXT MEETING OF THE COMPENSATION COMMITTEE OR 60 DAYS AFTER THE FINAL ACTIONS OF THE COMPENSATION COMMITTEE ARE TAKEN WITH RESPECT TO THE COMPENSATION DECISIONS MADE. THE MINUTES ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE WITHIN A REASONABLE TIME THEREAFTER.
Form 990, Part VI, Line 19 Required documents available to the public	GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE ORGANIZATION MAKES ITS BUSINESS CONFLICTS OF INTEREST POLICY AVAILABLE ON ITS WEBSITE (WWW.MOUNTSINAI.ORG) AND MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
Form 990, Part VII, Section A, Line 2	EMPLOYEES WHO RECEIVED MORE THAN $100,000 IN COMPENSATION DIRECT HOSPITAL EMPLOYEES WHO RECEIVE MORE THAN $100,000 TOTAL 7,161. 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.
Form 990, Part VII, Section A	Dr. Davis receives no compensation for his service as a trustee. Reported amounts represent severance related to his prior role as Chief Executive Officer.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Other - Total Revenue: 43332747, Related or Exempt Function Revenue: 3785473, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 39547274;
Form 990, Part IX, Line 11g Other Fees	CLINICAL, ADMIN, RESEARCH - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 56771621, Fundraising Expenses: ; FREIGHT & DELIVERY - Total Expense: 1592164, Program Service Expense: 1381839, Management and General Expenses: 210325, Fundraising Expenses: ; TEMPORARY AGENCIES - Total Expense: 24431841, Program Service Expense: 21204395, Management and General Expenses: 3227446, Fundraising Expenses: ; PHYSICIANS FEES - Total Expense: 530262, Program Service Expense: 460214, Management and General Expenses: 70048, Fundraising Expenses: ; BILLING FEES - Total Expense: 7519015, Program Service Expense: 6525753, Management and General Expenses: 993262, Fundraising Expenses: ; STORAGE - Total Expense: 238663, Program Service Expense: 207136, Management and General Expenses: 31527, Fundraising Expenses: ; OTHER OUTSIDE SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 19110673, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Net Change in Captive Insurance Program - 3426218; Change in Postretirement Liability - 137255; Severance Costs - -2166446; Net periodic postretirement cost other than service cost - 67067; Transfer to St. Luke's Roosevelt Hospital Center - -XXX-XX-XXXX; Transfer to MSMC Residential Realty - -8368112; Reserve on amounts due from related organizations - -81300000; Total - -XXX-XX-XXXX;
Schedule F, Part I, Line 3	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 WAS A SHAREHOLDER OF THE CAPTIVE INSURANCE COMPANIES, THE HOSPITAL FOLLOWED 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.
Schedule F, Part I	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.
Form 990, Box B Amended Return	THE ORGANIZATION FILED AN AMENDED RETURN TO ATTACH THE MOUNT SINAI HEALTH SYSTEM, INC. AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDING 12/31/2024.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Address Line2USAddress/AddressLine2Txt
MOUNT SINAI PPS LLC
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	472915052	DSRIP PROGRAM	NY	$0	$0	MSH
MSHS 150 LLC
2711 Centerville Rd	Wilmington	DE	19808		SUPPORT	DE	$1,298,203	$1,298,203	MSH	Suite 400
MOUNT SINAI PROTON HOLDING COMPANY LLC
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	274281194	INVESTMENT	NY	-$13,011,841	-$21,620,441	MSH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (31 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Address Line2USAddress/AddressLine2Txt
THE MOUNT SINAI MEDICAL CENTER INC
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	136271888	SUPPORT	NY	501(c)(3)	Type II	MSHS	false
MITRAL FOUNDATION
1190 FIFTH AVENUE	NEW YORK	NY	10029	800468600	RESEARCH	NY	501(c)(3)	Type I	ISMMS	false
THE MOUNT SINAI CHILDREN'S CENTER FND
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	223059294	SUPPORT	NY	501(c)(3)	Type I	ISMMS	false
MSMC REALTY CORPORATION
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	133852596	REAL ESTATE	NY	501(c)(3)	Type I	ISMMS MSH & MSMC REAL CORP	Yes (true)
MSMC RESIDENTIAL REALTY LLC
1425 MADISON AVENUE	NEW YORK	NY	10029	200244426	REAL ESTATE	NY	501(c)(3)	Type I	ISMMS MSH & MSMC REAL CORP	Yes (true)
MSMC RESIDENTIAL REALTY MANAGER INC
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	201289396	MGMT	NY	501(c)(3)	Type II	ISMMS MSH & MSMC REAL CORP	Yes (true)
VALENTIN FUSTER MT SINAI FND SCI HLTH
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	800952088	SUPPORT	NY	501(c)(3)	Type I	ISMMS & MSH	Yes (true)
MOUNT SINAI HEALTH SYSTEM INC
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	464248304	HOLDING CO	NY	501(c)(3)	Type II		false
MOUNT SINAI HOSPITAL GROUP INC
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	464242915	HOLDING CO	NY	501(c)(3)	Type II	MSHS	false
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	136171197	SCHOOL	NY	501(c)(3)	2	MSHS	false
CONTINUUM HEALTH PARTNERS INC
150 EAST 42ND STREET	NEW YORK	NY	10019	133939476	HOLDING CO	NY	501(c)(3)	Type I		false	5TH FLOO
BIMC HOLDING CORPORATION
FIRST AVENUE AT 16TH STREET	NEW YORK	NY	10003	133444730	HOLDING CO	NY	501(c)(3)	Type I	BIMC	Yes (true)
MOUNT SINAI AMBULATORY VENTURES INC
150 EAST 42ND STREET	NEW YORK	NY	10019	133838460	SURGICENTER	NY	501(c)(3)	3	MSHS	Yes (true)	5TH FL
BI NURSING HOME COMPANY
327 EAST 17TH STREET	NEW YOR	NY	10003	133627753	NURSING HOME	NY	501(c)(3)	3	BIMC HOLDCO	Yes (true)
EAST 17TH STREET PROPERTIES INC
150 EAST 42ND STREET	NEW YORK	NY	10019	133547502	REAL ESTATE	NY	501(c)(3)	10	BIMC HOLDCO	Yes (true)	5TH FL
THE LONG ISLAND COLLEGE HOSPITAL
150 EAST 42ND STREET	NEW YORK	NY	10019	111018985	HOSPITAL	NY	501(c)(3)	3	CHP	false	5TH FL
ST LUKE'S-ROOSEVELT HOSPITAL CENTER
1111 AMSTERDAM AVENUE	NEW YORK	NY	10025	132997301	HOSPITAL	NY	501(c)(3)	3	MSHG	Yes (true)
AUGUSTUS & JAMES CORPORATION
150 EAST 42ND STREET	NEW YORK	NY	10019	133392851	REAL ESTATE	NY	501(c)(3)	Type I	SLR	Yes (true)	5TH FLOOR
ST LUKE'S-ROOSEVELT INSTITUTE FOR HEALTH
1111 AMSTERDAM AVENUE	NEW YORK	NY	10025	132914343	RESEARCH	NY	501(c)(3)	4	SLR	Yes (true)
NEW YORK EYE AND EAR INFIRMARY
310 EAST 14TH STREET	NEW YORK	NY	10003	135562304	HOSPITAL	NY	501(c)(3)	3	MSHG	Yes (true)
NYEEI HOUSING COMPANY INC
317-327 EAST 13TH STREET	NEW YORK	NY	10003	311696826	REAL ESTATE	NY	501(c)(2)		NYEE	Yes (true)
BETH ISRAEL MEDICAL CENTER FDN INC
150 EAST 42ND STREET	NEW YORK	NY	10019	300571387	FUNDRAISING	NY	501(c)(3)	7	BIMC	Yes (true)	5TH FLOO
ST LUKE'S-ROOSEVELT HOSPITAL CENTER FDN
150 EAST 42ND STREET	NEW YORK	NY	10019	300571390	FUNDRAISING	NY	501(c)(3)	7	SLR	Yes (true)	5TH FLOO
BETH ISRAEL MEDICAL CENTER
FIRST AVENUE AT 16TH STREET	NEW YORK	NY	10003	135564934	HOSPITAL	NY	501(c)(3)	3	MSHG	Yes (true)
MOUNT SINAI HEALTH PARTNERS PC
150E 42ND STREET 5TH FLOOR	NEW YORK	NY	10017	812057452	HEALTHCARE	NY	501(c)(3)	10	MSH	Yes (true)
SOUTH NASSAU COMMUNITIES HOSPITAL INC
ONE HEALTHY WAY	OCEANSIDE	NY	11572	111352310	HOSPITAL	NY	501(c)(3)	3	MSHG	false
MOUNT SINAI HEALTH SYSTEM SELF INSURANCE
150 EAST 42ND STREET	NEW YORK	NY	10017	823994798	SUPPORT	NY	501(c)(3)	Type II	MSHS	false
EAST 98TH STREET COMMUNITY SERVICES INC
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	822536805	AMB SRGY CNTE	NY	501(c)(3)	3	MSHS	Yes (true)
BACHMANN-STRAUSS DYSTONIA FOUNDATION INC
150 EAST 42ND STREET	NEW YORK	NY	10017	133804248	FUNDRAISING	NY	501(c)(3)	Type II	MSHS	Yes (true)
CARE CONTINUUM VENTURES INC
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	863155355	SUPPORT	NY	501(c)(3)	Type II	MSHS	Yes (true)
MSS HEALTH PC
150 EAST 42ND STREET 5E-32	NEW YORK	NY	10017	862530666	HEALTHCARE	NJ	501(c)(3)	10	MSH	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
MANHATTAN MANAGEMENT SERVICES
1780 BROADWAY	7TH FL	NEW YORK	NY	10019	133618543	MGMT SERVICES	NY	SLR	C Corporation	false
SLR MANAGEMENT SERVICES
150 EAST 42ND STREET	5TH FL	NEW YORK	NY	10019	133853145	MGMT SERVICES	NY	SLR	C Corporation	false
MOUNT SINAI HC VENTURES INC
150 EAST 42ND STREET	5TH FL	NEW YORK	NY	10019	460953126	HEALTH CARE MGMT	NY	BIMC HOLDCO	C Corporation	false
MSHS VACCINE COMPANY
12209 ORANGE STREET		WILMINGTON	DE	19801	874250003	CLINICAL LAB	DE	ismms	C Corporation	false
KANTARO BIOSCIENCES LLC
1460 BROADWAY		NEW YORK	NY	10036	851089445	CLINICAL LAB	NY	ISMMS	C Corporation	false

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

Transactions Related Org TransactionsRelatedOrgGrp (17 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
B	$90,988,000	cost
MSMC REALTY CORP
C	$291,000	cost
MSMC REALTY CORP
K	$1,144,000	cost
MSMC REALTY CORP
C	$8,368,000	cost
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
O	$38,043,775	cost
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
P	$429,762,461	cost
MSMC RESIDENTIAL REALTY CORP
P	$7,126,000	cost
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Q	$2,665,949,000	cost
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
S	$559,300	cost
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
I	$839,667	cost
MOUNT SINAI MEDICAL CENTER
I	$523,831,207	cost
MOUNT SINAI MEDICAL CENTER
I	$152,337	cost
MOUNT SINAI HEALTH SYSTEM
Q	$80,631,280	cost
MOUNT SINAI HEALTH SYSTEM
B	$14,822,288	cost
MOUNT SINAI HEALTH PARTNERS PC
Q	$203,000	cost
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
B	$42,105,486	cost
ST LUKES-ROOSEVELT HOSPITAL CENTER
B	$139,637,000	cost