2026-03-26T12:51:33+00:00 2024-12-31 346565596 ERNST & YOUNG US LLP ONE MANHATTAN WEST NEW YORK NY 100018604 990 2024-01-01 131624096 THE MOUNT SINAI HOSPITAL MOUN 2127313149 ONE GUSTAVE L LEVY PLACE NEW YORK NY 100296574 Bill Purnell SVP 6466054217 2026-03-26 true Laura Mayo P01962945 2127733000 2025-05-06 2024 2025-03-06 01:10:19Z X Michael Pastier ONE GUSTAVE L LEVY PLACE NEW YORK NY 100296574 4653222373 false X HTTP://WWW.MOUNTSINAI.ORG X 1852 NY MOUNT SINAI PROVIDES COMPASSIONATE PATIENT CARE AND ADVANCED MEDICINE THROUGH EDUCATION, RESEARCH AND OUTREACH IN THE MANY DIVERSE COMMUNITIES IT SERVES. 31 30 19716 1182 0 35720315 126571674 3556602917 3805741606 92239671 86068721 262280034 634822634 3946842937 4653204635 154321017 152210917 0 1901689528 2041638088 0 2792436 1884966475 2345044962 3940977020 4538893967 5865917 114310668 5783477818 5887180821 3468232818 3592020821 2315245000 2295160000 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. false false 4110793450 152210917 3809527079 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 4110793450 true true false true false false false false false true true true false true true true false true false false true false false false true false true true true false true true true false false false false false false false true false true false false false true true true true false false true X 846 0 true 19716 true false false false false false true true false false false false true false X 31 30 true false false false true true true true true false false false true true true true true true true true false false NY X MICHAEL PASTIER 2127313149 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 ANDREW SAUL VICE CHAIRMAN/TRUSTEE 2.0 16.0 X X 0 0 0 BRAD KARP SECRETARY/TRUSTEE 2.0 16.0 X X 0 0 0 DONALD J GOGEL VICE CHAIRMAN/TRUSTEE 2.0 16.0 X X 0 0 0 ERIC MINDICH VICE CHAIRMAN/TRUSTEE 2.0 16.0 X X 0 0 0 JAMES NEARY VICE CHAIRMAN/TRUSTEE 2.0 16.0 X X 0 0 0 JAMES S TISCH CO-CHAIRMAN OF BOARD/TRUSTEE 2.0 16.0 X X 0 0 0 JEFF T BLAU VICE CHAIRMAN/TRUSTEE 2.0 16.0 X X 0 0 0 JOEL I PICKET VICE CHAIRMAN/TRUSTEE 2.0 16.0 X X 0 0 0 JOEL S EHRENKRANZ VICE CHAIRMAN/TRUSTEE 2.0 16.0 X X 0 0 0 JOHN A LEVIN VICE CHAIRMAN/TRUSTEE 2.0 16.0 X X 0 0 0 JOHN B HESS VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 JUDITH O RUBIN VICE CHAIRMAN/TRUSTEE 2.0 16.0 X X 0 0 0 MICHAEL MINIKES VICE CHAIR/TREASURER/TRUSTEE 2.0 22.0 X X 0 0 0 RICHARD A FRIEDMAN CO-CHAIRMAN OF BOARD/TRUSTEE 2.0 16.0 X X 0 0 0 STEVEN HOCHBERG VICE CHAIRMAN/TRUSTEE 2.0 19.0 X X 0 0 0 SUSAN R CULLMAN VICE CHAIRMAN/TRUSTEE 2.0 16.0 X X 0 0 0 THOMAS W STRAUSS VICE CHAIRMAN/TRUSTEE 2.0 17.0 X X 0 0 0 ANDREW M ALPER TRUSTEE 1.0 6.0 X 0 0 0 DAVID WINDREICH TRUSTEE 1.0 6.0 X 0 0 0 EDGAR M CULLMAN JR TRUSTEE 1.0 5.0 X 0 0 0 ERIC FRIEDMAN TRUSTEE 1.0 7.0 X 0 0 0 FRANK BISIGNANO TRUSTEE 1.0 5.0 X 0 0 0 HON ROBERT E RUBIN VICE CHAIRMAN 2.0 16.0 X 0 0 0 JAMES KEMPNER TRUSTEE 1.0 6.0 X 0 0 0 KENNETH DAVIS Trustee and Former Officer 2.0 16.0 X 2825745 4579246 98069 KIMBERLEY HARRIS TRUSTEE 1.0 7.0 X 0 0 0 LEWIS PELL TRUSTEE 1.0 5.0 X 0 0 0 MARC S LIPSCHULTZ TRUSTEE 1.0 6.0 X 0 0 0 MICHAEL ZIMMERMAN TRUSTEE 1.0 4.0 X 0 0 0 ROBERT F SAVAGE JR TRUSTEE 1.0 5.0 X 0 0 0 WILLIAM H WRIGHT II TRUSTEE 1.0 6.0 X 0 0 0 BETH ESSIG EVP, GENERAL COUNSEL 20.8 39.2 X 680287 1102437 58108 BETH YAGODA EVP, System Chief Administrative Officer 21.9 38.1 X 212675 344649 25461 BONNIE M DAVIS VICE CHAIRMAN 2.0 16.0 X 0 0 0 BRENDAN CARR 1 CHIEF EXECUTIVE OFFICER (START 1/1/24) 22.1 37.9 X 2076835 3365606 47473 CARL ICAHN VICE CHAIRMAN 2.0 16.0 X 0 0 0 DAVID L REICH PRESIDENT AND SYSTEM CHIEF CLINICAL OFFICER 58.0 2.0 X 2154844 0 65965 DENNIS CHARNEY 1 PRESIDENT, ACADEMIC AFFAIRS 21.8 38.3 X 984219 1594972 57057 EMMA PALMER EVP, Chief of Staff & External Affairs 22.1 37.9 X 302002 489407 71158 GLENN DUBIN VICE CHAIRMAN 2.0 16.0 X 0 0 0 HAMILTON JAMES VICE CHAIRMAN 2.0 16.0 X 0 0 0 HENRY R KRAVIS VICE CHAIRMAN 2.0 16.0 X 0 0 0 JAMES W CRYSTAL VICE CHAIRMAN 2.0 16.0 X 0 0 0 JEFFREY SILBERSTEIN EVP, SYSTEM CAO 21.0 39.0 X 277901 1178604 36176 KELLY CASSANO EVP, SYS AMBULATORY OPERATION 11.0 49.0 X 210042 982805 47350 MARGARET PASTUSZKO System President & Chief Operating Officer 20.6 39.4 X 873895 1416186 72844 MICHAEL PASTIER SVP, CHIEF FINANCIAL OFFICER 33.4 26.7 X 814878 553285 88291 STEPHEN HARVEY EVP, SYSTEM CFO (END 12/31/24) 19.8 40.2 X 752534 1219514 85092 VINCENT TAMMARO EVP, SYSTEM CFO (START 10/1/24) 21.8 38.3 X 259130 419931 9991 FRANK CINO SVP, SYSTEM CHIEF RISK OFFICER 22.1 37.9 X 285181 462148 60090 CAMERON HERNANDEZ EXECUTIVE DIRECTOR & COO MSHQ 60.0 0.0 X 764197 0 70130 JONATHAN KYRIACOU CHIEF OPERATING OFFICER 60.0 0.0 X 820713 0 41480 SAMIN SHARMA PROFESSOR, CARDIOLOGY 31.9 28.1 X 1139259 4768427 43309 SCOTT PITTMAN SR VP SYS CHIEF INVESTMENT OFF 31.4 28.6 X 1176145 1072268 70633 SHIRISH HUPRIKAR PROFESSOR, INFECTIOUS DISEASE 60.0 0.0 X 798675 0 71784 BURTON P DRAYER FORMER OFFICER 0.0 0.0 X 0 310000 0 JEREMY BOAL FORMER OFFICER 0.0 0.0 X 685212 1110417 57212 18094369 24969902 1177673 7161 true true false LABORATORY CORPORATION PO BOX 2240 BURLINGTON NC 272162240 LAB SERVICES 41450015 CROTHALL HEALTHCARE INC 13028 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 MANAGEMENT 36291035 ACCENTURE INTERNATIONAL LTD PO BOX 29889 CHICAGO IL 606755105 CONSULTING 30819936 RIGHTSOURCING INC PO BOX 515743 LOS ANGELES CA 900515118 PERSONNEL 30776514 SHIELDS HEALTH SOLUTIONS PO BOX 844023 BOSTON MA 02284 BILLING 25961245 161 70051 106979396 19522227 1545562 126571674 NET PATIENT SERVICE 621110 3805741606 3805741606 0 0 0 0 3805741606 -1639071 -1639071 0 0 87707792 0 0 0 87707792 87707792 87707792 15250 70051 17738 -2488 -2488 340B PHARMACY 621110 571176444 571176444 Insurance Incentive Payments 621110 8902162 8902162 Cafeteria 621110 11413769 11413769 43332747 3785473 0 39547274 634825122 4653204635 3809527079 0 717105882 X 152210917 152210917 10497798 444162 9743540 310096 267466 267466 1576173821 1374771465 199899902 1502454 108332988 94053983 14161008 117997 220507128 191537766 28713722 255640 125858887 109105474 16606558 146855 41974340 36429530 5544810 7537092 7537092 3537011 3537011 796526 796526 4432391 4432391 608742633 528327731 80414902 0 10649248 9146115 1392098 111035 26205384 25317170 811817 76397 53556099 46445164 7069255 41680 66927339 57928359 8817071 181909 3741781 3241464 493372 6945 908056 788102 119954 43694241 43694241 169750228 140315538 29434690 58366606 50656377 7710229 MEDICAL SUPPLIES 1221220257 1221220257 DIETARY 23005730 19930718 3033584 41428 0 0 0 0 4538893967 4110793450 425308081 2792436 192576 217003 159941249 707088748 53302020 53852907 495992931 600832389 0 0 0 0 4028900 4028900 61491274 60427755 6453360 11648592 3418188125 2106358275 1277628754 1311829850 931548319 485888800 1088443000 766809805 60503558 60715241 1643951877 1823840831 5783477818 5887180821 608043409 704078746 48072372 40430124 1470581198 1440364726 0 0 176035555 186137758 0 1165500284 1221009467 3468232818 3592020821 X 2054205000 2062948000 261040000 232212000 2315245000 2295160000 5783477818 5887180821 X 114310668 93446177 -227841845 X false true true true true X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 796526 796526 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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 261040000 25262117 54090117 232212000 290728000 35540330 65228330 261040000 281194048 63893371 54359419 290728000 194397512 122213689 35417153 281194048 200359827 28522029 34484344 194397512 0.5962 0.4038 0.0 false false 49616675 49616675 1717974054 912160874 805813180 1646286930 1194197401 452089529 4310466 4310466 1311829850 766809805 766809805 DUE TO RELATED ORGS 1126553040 DEFERRED FINANCING FEES 8908821 457B PLAN 33627441 DEPOSITS HELD BY THIRD PARTIES 15419511 TENANT SECURITY DEPOSITS 344201 ROTATING RESIDENTS 4195874 340B PHARMACY RECEIVABLE 75300000 EMPLOYEE ADVANCES 0 AMBULANCE CERTIFICATE LICENSE 1150000 TIAA/GE ESCROW 858620 PROF LIAB INS REC 80568000 OTHER RECEIVABLES 163978263 PROF BILLING RECEIVABLE RIGHT OF USE ASSETS 308060130 ENDOSCOPY RECEIVABLE 4876930 1823840831 Federal Income Taxes POST RETIREMENT BENEFITS 3544243 SELF INSURANCE TRUST 338651086 PROFESSIONAL INSURANCE LIABILITY 80568000 SIT LIABILITY 0 PROTON LIABILITY 9575214 MADISON AVENUE LIABILITY 0 MALPRACTICE LIABILITY 23785652 457B PLAN LIABILITY 37423612 MOUNT SINAI PHARMACY PENSION PLAN 3825341 AR CREDIT BALANCES 24985904 DSRIP LIABILITY 0 RENT SECURITY DEPOSITS 344201 PLANNED GIFT LIABILITY 138046 THIRD PARTIES LIABILITY 336608039 OPERATING LEASE LIABILITY 361560129 1221009467 X 0 0 0 0 0 0 0 0 0 0 0 0 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. Central America and the Caribbean 0 0 Program Services INSURANCE 25565567 0 0 0 0 0 0 25565567 0 25565567 false false true false false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Cash United Airlines NYC Half 2024 2250 2000 250 2500 NYC TCS MARATH 83051 68051 15000 15238 0 85301 70051 15250 17738 17738 -2488 true true X true X true X 69294077 16600444 52693633 0.01161 1215042253 650344065 564698188 0.12441 0 0.0 0 0 1284336330 666944509 617391821 0.13602 28978662 5867736 23110926 0.00509 366292395 120937751 245354644 0.05406 172074282 172074282 0.03791 0 0.0 43039 43039 0.00001 0 0 567388378 126805487 440582891 0.09707 0 0 1851724708 793749996 1057974712 0.23309 0 0.0 0 0.0 45363 45363 0.00001 0 0.0 0 0.0 0 0.0 443721 443721 0.00010 0 0.0 0 0.0 0 0 489084 0 489084 0.00011 false 65294863 586893764 633666828 -46773064 X true true 1 1 MOUNT SINAI HOSPITAL ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 HTTP://WWW.MOUNTSINAI.ORG 700202H X X X X X MOUNT SINAI HOSPITAL 1 false false true X X X X X X X X X 24 true true false true X HTTPS://MOUNTSINAI.ORG/LOCATIONS/MOUNT-SINAI/ABOUT/COMMUNITY X true 24 true HTTPS://MOUNTSINAI.ORG/LOCATIONS/MOUNT-SINAI/ABOUT/COMMUNITY false true X 100.0 400.0 X X X X true true X X X X true X WWW.HOSPITALASSISTANCE.ORG X WWW.HOSPITALASSISTANCE.ORG X WWW.HOSPITALASSISTANCE.ORG X X X X X X true X false X X X X true X false false 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 1 MT SINAI PSYCHIATRIC CONTINUING DAY TR 53-55 E 96TH STREET FL A B C 1F NEW YORK NY 10029 OUTPATIENT CLINIC Schedule H, 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 false ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L LEVY PL New York NY 10029 136171197 501(C)(3) 95207838 FUND PHYSICIAN PRACTICE PROJECT MOUNT SINAI HEALTH SYSTEM ONE GUSTAVE L LEVY PL New York NY 10029 464248304 501(C)(3) 15665693 FUND OPERATING LOSS ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L LEVY PL New York NY 10029 136171197 501(C)(3) 38919000 FUND STRATEGIC PROJECT INSTITUTE FOR FAMILY HEALTH 1879 MADISON AVENUE New York NY 10029 133273402 501(C)(3) 2127386 COMMUNITY BENEFIT PROJECT MSMC REALTY CORPORATION ONE GUSTAVE L LEVY PL New York NY 10029 133852596 501(C)(3) 291000 FUND OPERATING LOSS 5 0 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. X X X X true false false false false true true false false KENNETH DAVIS Trustee and Former Officer 0 0 0 0 2825745 4579246 13165 21335 24258 39311 2863168 4639892 0 0 BURTON P DRAYER FORMER OFFICER 0 310000 0 0 0 0 0 0 0 0 0 310000 0 0 JEREMY BOAL FORMER OFFICER 0 0 0 0 685212 1110417 0 0 21832 35380 707044 1145797 0 0 BETH ESSIG EVP, GENERAL COUNSEL 515160 834840 120805 195770 44322 71827 13165 21335 9009 14599 702461 1138371 0 0 BETH YAGODA EVP, System Chief Administrative Officer 153765 271235 38031 61631 20879 11783 8805 14268 911 1477 222391 360394 0 0 BRENDAN CARR 1 CHIEF EXECUTIVE OFFICER (START 1/1/24) 1530236 2479817 408312 661688 138287 224101 13165 21335 4950 8023 2094950 3394964 0 0 DAVID L REICH PRESIDENT AND SYSTEM CHIEF CLINICAL OFFICER 1700000 0 300160 0 154684 0 34500 0 31465 0 2220809 0 0 0 DENNIS CHARNEY 1 PRESIDENT, ACADEMIC AFFAIRS 419760 680240 102269 165731 462190 749001 13165 21335 8608 13949 1005992 1630256 0 0 EMMA PALMER EVP, Chief of Staff & External Affairs 243270 391003 55754 86621 2978 11783 13165 21335 13989 22669 329156 533411 0 0 JEFFREY SILBERSTEIN EVP, SYSTEM CAO 186689 845311 44743 189757 46469 143536 6583 27917 320 1356 284804 1207877 0 0 KELLY CASSANO EVP, SYS AMBULATORY OPERATION 162180 687820 38031 161294 9831 133691 6583 27917 2452 10398 219077 1021120 0 0 MARGARET PASTUSZKO System President & Chief Operating Officer 667800 1082200 156599 253776 49496 80210 13165 21335 14632 23712 901692 1461233 0 0 MICHAEL PASTIER SVP, CHIEF FINANCIAL OFFICER 553908 376092 89787 60963 171183 116230 20548 13952 30607 23184 866033 590421 0 0 STEPHEN HARVEY EVP, SYSTEM CFO (END 12/31/24) 457920 742080 129754 210271 164860 267163 12593 21907 19306 31286 784433 1272707 0 0 VINCENT TAMMARO EVP, SYSTEM CFO (START 10/1/24) 186030 301470 46508 75367 26592 43094 0 0 3813 6178 262943 426109 0 0 FRANK CINO SVP, SYSTEM CHIEF RISK OFFICER 228960 371040 46021 74579 10200 16529 13165 21335 9765 15825 308111 499308 0 0 CAMERON HERNANDEZ EXECUTIVE DIRECTOR & COO MSHQ 650000 0 67000 0 47197 0 34500 0 35630 0 834327 0 0 0 JONATHAN KYRIACOU CHIEF OPERATING OFFICER 650000 0 100500 0 70213 0 27600 0 13880 0 862193 0 0 0 SAMIN SHARMA PROFESSOR, CARDIOLOGY 108901 244181 159450 0 870908 4524246 11296 9957 11723 10333 1162278 4788717 0 0 SCOTT PITTMAN SR VP SYS CHIEF INVESTMENT OFF 627720 572280 512757 467471 35668 32517 18047 16453 18901 17232 1213093 1105953 0 0 SHIRISH HUPRIKAR PROFESSOR, INFECTIOUS DISEASE 708225 0 90450 0 0 0 34500 0 37284 0 870459 0 0 0 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. A BUILD NYC RESOURCE CORPORATION 454040561 000000000 2013-10-19 112000000 CONSTRUCT QUEENS CAMPUS false false false A 0 0 112234322 0 0 0 387324 0 0 109884316 1962682 0 2017 false false true true A false false true true false false 0.0001 0.0 0.0001 false false 0 false false A false false false false false false 0 false false false 0 false false true A false 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. Michael Pastier Jr MICHAEL PASTIER, OFFICER 82163 COMP. AS AN EMPLOYEE false Dr Celina Dubin GLEN DUBIN, Officer/Trustee 91686 COMP. AS AN EMPLOYEE false Brooke Gogel Weinberg Donald Gogel, Officer/Trustee 93617 COMP. AS AN EMPLOYEE false Schedule L, Part IV, Column (d) 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. X 490000 Cost 2 1028622 Market value X Gift Cards 2 26940 Cost false true false Schedule M, Part I Explanations of reporting method for number of contributions 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. 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. 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 Suite 400 Wilmington DE 19808 SUPPORT DE 1298203 1298203 MSH MOUNT SINAI PROTON HOLDING COMPANY LLC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 274281194 INVESTMENT NY -13011841 -21620441 MSH 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 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 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 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 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 5TH FLOO NEW YORK NY 10019 133939476 HOLDING CO NY 501(c)(3) Type I false BIMC HOLDING CORPORATION FIRST AVENUE AT 16TH STREET NEW YORK NY 10003 133444730 HOLDING CO NY 501(c)(3) Type I BIMC true MOUNT SINAI AMBULATORY VENTURES INC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10019 133838460 SURGICENTER NY 501(c)(3) 3 MSHS true BI NURSING HOME COMPANY 327 EAST 17TH STREET NEW YOR NY 10003 133627753 NURSING HOME NY 501(c)(3) 3 BIMC HOLDCO true EAST 17TH STREET PROPERTIES INC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10019 133547502 REAL ESTATE NY 501(c)(3) 10 BIMC HOLDCO true THE LONG ISLAND COLLEGE HOSPITAL 150 EAST 42ND STREET 5TH FL NEW YORK NY 10019 111018985 HOSPITAL NY 501(c)(3) 3 CHP false ST LUKE'S-ROOSEVELT HOSPITAL CENTER 1111 AMSTERDAM AVENUE NEW YORK NY 10025 132997301 HOSPITAL NY 501(c)(3) 3 MSHG true AUGUSTUS & JAMES CORPORATION 150 EAST 42ND STREET 5TH FLOOR NEW YORK NY 10019 133392851 REAL ESTATE NY 501(c)(3) Type I SLR true ST LUKE'S-ROOSEVELT INSTITUTE FOR HEALTH 1111 AMSTERDAM AVENUE NEW YORK NY 10025 132914343 RESEARCH NY 501(c)(3) 4 SLR true NEW YORK EYE AND EAR INFIRMARY 310 EAST 14TH STREET NEW YORK NY 10003 135562304 HOSPITAL NY 501(c)(3) 3 MSHG true NYEEI HOUSING COMPANY INC 317-327 EAST 13TH STREET NEW YORK NY 10003 311696826 REAL ESTATE NY 501(c)(2) NYEE true BETH ISRAEL MEDICAL CENTER FDN INC 150 EAST 42ND STREET 5TH FLOO NEW YORK NY 10019 300571387 FUNDRAISING NY 501(c)(3) 7 BIMC true ST LUKE'S-ROOSEVELT HOSPITAL CENTER FDN 150 EAST 42ND STREET 5TH FLOO NEW YORK NY 10019 300571390 FUNDRAISING NY 501(c)(3) 7 SLR true BETH ISRAEL MEDICAL CENTER FIRST AVENUE AT 16TH STREET NEW YORK NY 10003 135564934 HOSPITAL NY 501(c)(3) 3 MSHG true MOUNT SINAI HEALTH PARTNERS PC 150E 42ND STREET 5TH FLOOR NEW YORK NY 10017 812057452 HEALTHCARE NY 501(c)(3) 10 MSH 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 true BACHMANN-STRAUSS DYSTONIA FOUNDATION INC 150 EAST 42ND STREET NEW YORK NY 10017 133804248 FUNDRAISING NY 501(c)(3) Type II MSHS true CARE CONTINUUM VENTURES INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 863155355 SUPPORT NY 501(c)(3) Type II MSHS true MSS HEALTH PC 150 EAST 42ND STREET 5E-32 NEW YORK NY 10017 862530666 HEALTHCARE NJ 501(c)(3) 10 MSH true 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 false true true false false false false false true true false false true true true true true true ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI B 90988000 cost MSMC REALTY CORP C 291000 cost MSMC REALTY CORP K 1144000 cost MSMC REALTY CORP C 8368000 cost ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI O 38043775 cost ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI P 429762461 cost MSMC RESIDENTIAL REALTY CORP P 7126000 cost ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI Q 2665949000 cost ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI S 559300 cost ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI I 839667 cost MOUNT SINAI MEDICAL CENTER I 523831207 cost MOUNT SINAI MEDICAL CENTER I 152337 cost MOUNT SINAI HEALTH SYSTEM Q 80631280 cost MOUNT SINAI HEALTH SYSTEM B 14822288 cost MOUNT SINAI HEALTH PARTNERS PC Q 203000 cost ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI B 42105486 cost ST LUKES-ROOSEVELT HOSPITAL CENTER B 139637000 cost