MOUNT SINAI MEDICAL CENTER OF FLORIDA INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: MOUNT SINAI MEDICAL CENTER OF FLORIDA INC (EIN 59-0624424)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-14
IRS object ID: 202313189349305336
Schema version: 2022v5.0
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 H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-14T10:51:00-06:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	861065772	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DELOITTE TAX LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	7900 TYSONS ONE PLACE SUITE 800	AddressLine1Txt
City	MCLEAN	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	590624424	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MOUNT SINAI MEDICAL CENTER OF	BusinessNameLine1Txt
Business Name Line2	FLORIDA INC	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	MOUN	BusinessNameControlTxt
Phone	3056742032	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4300 ALTON ROAD	AddressLine1Txt
City	MIAMI BEACH	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33140	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ALEXANDER MENDEZ	PersonNm
Person Title	EXECUTIVE VP/CFO	PersonTitleTxt
Phone	3056742032	PhoneNum
Signature	2023-11-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	ALEXANDER	PersonFirstNm
Person Last	MENDEZ	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	RACHEL KAUFMAN	PreparerPersonNm
PTIN	P01485017	PTIN
Phone	7032511000	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	GINO SANTORIO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4300 ALTON ROAD	AddressLine1Txt
City	MIAMI BEACH	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33140	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$996,464,357	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MSMC.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1946	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE HIGH QUALITY HEALTH CARE TO OUR DIVERSE COMMUNITY ENHANCED THROUGH TEACHING, RESEARCH, CHARITY CARE AND FINANCIAL RESPONSIBILITY.	ActivityOrMissionDesc
Voting Members Governing Body	24	VotingMembersGoverningBodyCnt
Voting Members Independent	21	VotingMembersIndependentCnt
Total Employee	5469	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$189,661	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$11,472,724	PYContributionsGrantsAmt
CY Contributions Grants	$10,031,860	CYContributionsGrantsAmt
PY Program Service Revenue	$874,137,836	PYProgramServiceRevenueAmt
CY Program Service Revenue	$933,864,156	CYProgramServiceRevenueAmt
PY Investment Income	$1,866,267	PYInvestmentIncomeAmt
CY Investment Income	$3,071,245	CYInvestmentIncomeAmt
PY Other Revenue	$14,379,784	PYOtherRevenueAmt
CY Other Revenue	$21,598,767	CYOtherRevenueAmt
PY Total Revenue	$901,856,611	PYTotalRevenueAmt
CY Total Revenue	$968,566,028	CYTotalRevenueAmt
PY Grants And Similar Paid	$150,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$150,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$396,047,514	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$450,375,302	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$453,743,947	PYOtherExpensesAmt
CY Other Expenses	$482,128,120	CYOtherExpensesAmt
PY Total Expenses	$849,941,461	PYTotalExpensesAmt
CY Total Expenses	$932,653,422	CYTotalExpensesAmt
PY Revenues Less Expenses	$51,915,150	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$35,912,606	CYRevenuesLessExpensesAmt
Total Assets BOY	$992,427,664	TotalAssetsBOYAmt
Total Assets EOY	$944,774,202	TotalAssetsEOYAmt
Total Liabilities BOY	$691,221,466	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$626,418,321	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$301,206,198	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$318,355,881	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE HIGH QUALITY HEALTH CARE TO OUR DIVERSE COMMUNITY ENHANCED THROUGH TEACHING, RESEARCH, CHARITY CARE AND FINANCIAL RESPONSIBILITY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$621,711,651	ExpenseAmt
Grant	$150,000	GrantAmt
Revenue	$802,594,230	RevenueAmt
Desc	SAFETY NET HOSPITAL OPERATIONSIN 2022, MOUNT SINAI SERVED 25,134 INPATIENT ADMISSIONS, 260,158 OUTPATIENT ADMISSIONS, 54,398 EMERGENCY CARE VISITS IN ITS PRIMARY SERVICE AREA, 18,955 IN ITS SENIOR HEALTH TARGET AREA OF AVENTURA AND 36,572 IN ITS HIALEAH FREE STANDING EMERGENCY DEPARTMENT. MOUNT SINAI PERFORMED 13,848 SURGERIES MEETING SURGICAL CARE STANDARDS AND WELCOMED 2,278 INFANTS WITH HEALTHY BIRTH WEIGHTS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$50,775,351	ExpenseAmt
Revenue	$42,668,849	RevenueAmt
Desc	TEACHING & RESEARCHIN 2022, MOUNT SINAI RETAINED ITS OWN TEACHING FACULTY AND 13 ACCREDITED GRADUATE MEDICAL EDUCATION PROGRAMS, TEACHING 210 RESIDENTS AND FELLOWS. MOUNT SINAI PROVIDED A TEACHING CLINICAL ENVIRONMENT FOR PHYSICIANS TO BECOME BOARD CERTIFIED. ADDITIONALLY, TO MEET THE DEMANDS OF THE WORKFORCE, MOUNT SINAI TAUGHT 209 NURSING STUDENTS, 390 MEDICAL STUDENTS AND 117 ALLIED HEALTH STUDENTS FOR HEALTH CARE CAREERS. TO SUPPLEMENT THE ACADEMIC ENVIRONMENT IN 2022, MOUNT SINAI HAD 157 RESEARCH STUDIES APPROVED BY A NATIONAL REVIEW BOARD OR BY A MOUNT SINAI INSTITUTION PEER REVIEW BOARD. MOUNT SINAI HAD 110 CANCER STUDIES, 15 MEMORY DISORDER, 12 CARDIAC, AND 20 OTHER STUDIES.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$138,987,664	ExpenseAmt
Revenue	$88,601,077	RevenueAmt
Desc	PHYSICIAN NETWORK AND ACCESS TO CAREACCORDING TO THE 2017 UPDATE TO THE AAMC-COMMISSIONED STUDY OF PHYSICIAN SUPPLY AND DEMAND, PHYSICIAN DEMAND IS PROJECTED TO CONTINUE GROWING FASTER THAN THE SUPPLY. (THE COMPLEXITIES OF PHYSICIAN SUPPLY AND DEMAND: PROJECTIONS FROM 2015 TO 2030, IHS MARKET, FEBRUARY 17, 2017) THE STATE OF FLORIDA AGENCY FOR HEALTHCARE, AND THE STATEWIDE MEDICAID RESIDENCY PROGRAM SUPPORTED THE TEACHING OF SPECIALTY CLINICAL PROVIDERS. MOUNT SINAI PROVIDED BOTH ACCESS TO CARE AND SUPPORT FOR THE TEACHING OF 390 MEDICAL STUDENTS AND 210 RESIDENTS AND FELLOWS. MOUNT SINAI SERVICES 13 LOCATIONS IN TWO COUNTIES BY PROVIDING 277,230 PRIMARY OR SPECIALTY CARE VISITS. MOUNT SINAI HAS WIDENED ACCESS TO SPECIALTY CARE IN FLORIDA AND THE STATE MEDICAID PROGRAM.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$811,474,666	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (1)	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	671	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	5469	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	24	GoverningBodyVotingMembersCnt
Independent Voting Member	21	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LOURDES DIAZ	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3056742032	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4300 ALTON ROAD	AddressLine1Txt
City	MIAMI BEACH	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33140	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (49 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
GINO SANTORIO
PRESIDENT/CEO	60.50	1.00	Yes (X)	Yes (X)	$1,697,116	$0	$70,628
ROBERT POPPITI MD
PRES MED STAFF/TRUSTEE	50.00	0.00	Yes (X)		$50,000	$0	$0
PAUL BLOCH
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
NORMAN BRAMAN
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
WAYNE CHAPLIN
TRUSTEE	2.00	0.50	Yes (X)		$0	$0	$0
DAPHNA CRAMER
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
EDWARD DAUER MD
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
DAVID DEUTCH
SECRETARY	2.00	0.50	Yes (X)		$0	$0	$0
MARC FARBSTEIN
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
EUGENE FRENKEL
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
PHILLIP FROST MD
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
JACK GLOTTMANN
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
MARK HALPERN
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
MARK HILDEBRANDT
CHAIR	2.00	0.50	Yes (X)		$0	$0	$0
EDIE LAQUER
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
HOWARD LORBER
TRUSTEE (AS OF 1/22)	2.00	0.00	Yes (X)		$0	$0	$0
LAURANS MENDELSON
TRUSTEE	2.00	0.50	Yes (X)		$0	$0	$0
DAN OCH
TRUSTEE (AS OF 1/22)	2.00	0.00	Yes (X)		$0	$0	$0
SERGIO ROK
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
BRENT SAUNDERS
TRUSTEE (AS OF 1/22)	2.00	0.00	Yes (X)		$0	$0	$0
BARRY SIADAT
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
PAUL SINGERMAN
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
BARRY SKOLNICK
VICE CHAIR	2.00	0.50	Yes (X)		$0	$0	$0
JAMES TATE
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
ALEXANDER MENDEZ
EXECUTIVE VP/CFO	60.00	1.00		Yes (X)	$1,344,342	$0	$93,781
ROBERT GOLDSZER
SENIOR VP/CMO	57.00	3.00			$748,457	$0	$81,967	Yes (X)
THOMAS GILLETTE
SENIOR VP/CIO	60.00	0.00			$597,034	$0	$92,749	Yes (X)
ANGEL PALLIN
EXECUTIVE VP/COO	57.00	3.00			$614,195	$0	$96,309	Yes (X)
WAYNE CHUTKAN
SENIOR VP OF FINANCE	60.00	0.00			$540,033	$0	$96,531	Yes (X)
WENDY STUART
SENIOR VP/CNO	60.00	0.00			$495,143	$0	$68,433	Yes (X)
MERVYN MILLS
VP OF FINANCE	60.00	0.00			$395,924	$0	$79,002	Yes (X)
BENJAMIN DAVIS
SENIOR VP FACILITIES/RESOURCE MGMT.	60.00	0.00			$481,835	$0	$39,897	Yes (X)
CHARLENE WELKER
SENIOR VP, DONOR RELATIONS	60.00	0.00			$372,509	$0	$60,868	Yes (X)
ARNOLD JAFFEE
SENIOR VP/GEN COUNSEL	60.00	2.00			$327,928	$0	$87,496	Yes (X)
CATHY MCCLELLAN
VP RISK MGMT, INS. & PERF. IMP.	60.00	0.00			$273,199	$0	$69,287	Yes (X)
MARGIE STICKLES
VP, SURGICAL SERVICES	60.00	0.00			$283,924	$0	$57,236	Yes (X)
GUSTAVO TEJAS
VP CRITICAL CARE & EMG. SVCS.	60.00	0.00			$256,889	$0	$48,233	Yes (X)
ETHLING HERNANDEZ
VICE PRESIDENT	60.00	0.00			$269,382	$0	$43,251	Yes (X)
VANDANA PATHAK
VICE PRESIDENT (END 5/22)	60.00	0.00			$161,459	$0	$29,598	Yes (X)
LYNDA BARCELO
VICE PRESIDENT	45.00	15.00			$234,789	$0	$49,401	Yes (X)
JACLYN KAPLAN
VP, MARKETING & COMM. (AS OF 4/22)	60.00	0.00			$182,126	$0	$21,295	Yes (X)
SAMANTHA NAGY
VP, SUB ACUTE SERVICES (AS OF 4/22)	60.00	0.00			$164,188	$0	$22,464	Yes (X)
THRAS SKLAVOUNOS
VP, CARDIOVASCULAR SVCS (AS OF 5/22)	60.00	0.00			$182,388	$0	$87,158	Yes (X)
STEVE XYDAS EMPLOYED MD
CHIEF, CARDIOTHORACIC SURGERY	60.00	0.00			$2,448,653	$0	$88,809		Yes (X)
SAMUEL GOLDSMIT EMPLOYED MD
STAFF PHYSICIAN, NEUROSURGERY	60.00	0.00			$1,429,928	$0	$55,177		Yes (X)
ALLEN KANTROWITZ EMPLOYED MD
CHIEF, NEUROSURGERY	60.00	0.00			$1,030,068	$0	$33,798		Yes (X)
ROY WILLIAMS EMPLOYED MD
CHIEF, THORACIC SURGERY	60.00	0.00			$1,048,090	$0	$91,585		Yes (X)
FERNANDO SAFDIE EMPLOYED MD
ASSOC. DIR., THORACIC SURGERY	60.00	0.00			$1,014,086	$0	$66,801		Yes (X)
STEVEN SONENREICH
FORMER PRESIDENT/CEO	0.00	0.00			$1,005,929	$0	$73,459			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$17,649,614	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,705,213	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	690	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
HYPE IV THERAPY LLC
1500 NE MIAMI PLACE	MIAMI	FL	33132	NURSING LABOR	$17,117,437
RENOVO SOLUTIONS LLC
4 EXECUTIVE CIRCLE 185	IRVINE	CA	92616	HEALTHCARE TECHNOLOGY MANAGEMENT SOLUTIO	$5,783,666
AYA HEALTHCARE
DEPT 3519 PO BOX 123519	DALLAS	TX	753123519	NURSING LABOR	$5,680,032
CANNON DESIGN
DEPT CHICAGO 19824	PALATINE	IL	600559824	ARCHITECTS	$4,676,694
BRILLIANT HEALTHCARE TRAINING INC
C/O AMERICAN FUNDING SOLUTIONS PO	BLUE SPRINGS	MO	640140572	NURSING LABOR	$4,471,239

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	154	CntrctRcvdGreaterThan100KCnt
Related Organizations	$9,887,390	RelatedOrganizationsAmt
Government Grants	$139,050	GovernmentGrantsAmt
All Other Contributions	$5,420	AllOtherContributionsAmt
Total Contributions	$10,031,860	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENU	621300	$698,711,310	$698,711,310
MEDICARE/MEDICAID REVE	621300	$156,589,128	$156,589,128
GRANT REVENUE	900099	$56,783,752	$56,783,752
OTHER PATIENT REVENUE	621300	$20,403,464	$20,403,464
PARTNERSHIP INCOME	900099	$1,376,502	$1,376,502

Field	Value	IRS element (for citing)
Total Program Service Revenue	$933,864,156	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,602,855	TotalRevenueColumnAmt
Exclusion	$3,602,855	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,260,965	RealAmt
Personal	$11,880	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$4,489,752	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$1,228,787	RealAmt
Personal	$11,880	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,216,907	TotalRevenueColumnAmt
Unrelated Business Revenue	$189,661	UnrelatedBusinessRevenueAmt
Exclusion	-$1,406,568	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$22,802,499	SecuritiesAmt
Other	$74,468	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$23,348,167	SecuritiesAmt
Other	$60,410	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$545,668	SecuritiesAmt
Other	$14,058	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$531,610	TotalRevenueColumnAmt
Exclusion	-$531,610	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
EMERGENCY DEPARTMENT	621400	$5,499,996	$5,499,996
PHARMACY	621990	$3,765,900	$3,765,900
CAFETERIA	722514	$2,458,510	$2,458,510

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,091,268	TotalRevenueColumnAmt
Exclusion	$11,091,268	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$22,815,674	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$968,566,028	TotalRevenueColumnAmt
Related Or Exempt Func Income	$933,864,156	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$189,661	UnrelatedBusinessRevenueAmt
Exclusion	$24,480,351	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$150,000	TotalAmt
Program Services	$150,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$11,005,223	TotalAmt
Program Services	$9,332,429	ProgramServicesAmt
Management And General	$1,672,794	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$383,129,456	TotalAmt
Program Services	$324,896,932	ProgramServicesAmt
Management And General	$58,232,524	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$34,027,549	TotalAmt
Program Services	$28,855,634	ProgramServicesAmt
Management And General	$5,171,915	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$22,213,074	TotalAmt
Program Services	$18,836,864	ProgramServicesAmt
Management And General	$3,376,210	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$334,402	TotalAmt
Program Services	$50,826	ProgramServicesAmt
Management And General	$283,576	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,689,049	TotalAmt
Management And General	$1,689,049	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$553,300	TotalAmt
Management And General	$553,300	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$8,109,426	TotalAmt
Program Services	$8,109,426	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,489,980	TotalAmt
Management And General	$3,489,980	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$21,073,922	TotalAmt
Program Services	$18,173,391	ProgramServicesAmt
Management And General	$2,900,531	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$13,455,278	TotalAmt
Program Services	$11,410,183	ProgramServicesAmt
Management And General	$2,045,095	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$768,229	TotalAmt
Program Services	$651,464	ProgramServicesAmt
Management And General	$116,765	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,528,773	TotalAmt
Program Services	$1,296,412	ProgramServicesAmt
Management And General	$232,361	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$13,549,232	TotalAmt
Program Services	$11,489,857	ProgramServicesAmt
Management And General	$2,059,375	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$43,783,981	TotalAmt
Program Services	$37,129,166	ProgramServicesAmt
Management And General	$6,654,815	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$15,894,672	TotalAmt
Program Services	$13,478,809	ProgramServicesAmt
Management And General	$2,415,863	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$157,486,119	$156,988,284	$497,835
PROVISION FOR BAD DEBT	$141,778,887	$120,229,630	$21,549,257
SERVICE CONTRACTS/MAINT	$29,545,069	$25,054,455	$4,490,614
INDIGENT TAX	$7,605,270	$7,605,270	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$21,482,531	TotalAmt
Program Services	$17,735,634	ProgramServicesAmt
Management And General	$3,746,897	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$932,653,422	TotalAmt
Program Services	$811,474,666	ProgramServicesAmt
Management And General	$121,178,756	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$293,360,600	BOYAmt
EOY	$242,076,433	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,445,857	BOYAmt
EOY	$4,322,228	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$91,114,982	BOYAmt
EOY	$105,506,685	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,534,519	BOYAmt
EOY	$12,333,558	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,146,672	BOYAmt
EOY	$9,797,828	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$868,696,989	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$479,884,486	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$412,283,421	BOYAmt
EOY	$388,812,503	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$163,015,116	BOYAmt
EOY	$153,830,776	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$236,152	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$11,526,497	BOYAmt
EOY	$27,858,039	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$992,427,664	BOYAmt
EOY	$944,774,202	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$85,219,113	BOYAmt
EOY	$82,951,352	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$404,872,059	BOYAmt
EOY	$390,152,012	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$201,130,294	BOYAmt
EOY	$153,314,957	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$691,221,466	BOYAmt
EOY	$626,418,321	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	$301,206,198	BOYAmt
EOY	$318,355,881	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$301,206,198	BOYAmt
EOY	$318,355,881	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$992,427,664	BOYAmt
EOY	$944,774,202	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$35,912,606	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$2,991,589	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$15,771,334	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

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	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$397,424	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$14,089	OtherActivitiesAmt
Total Lobbying Expenditures	$411,513	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	MOUNT SINAI ENGAGES LOBBYIST TO WORK ON ITS BEHALF TO ENSURE CONTINUED STATE FUNDING TO SUPPORT PATIENT CARE PROGRAMS. A PERCENTAGE OF ANNUAL MEMBERSHIP DUES PAID TO SEVERAL HOSPITAL ORGANIZATIONS ($14,089) IS ATTRIBUTABLE TO LOBBYING EXPENSES AS WELL.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$120,740,000	BeginningYearBalanceAmt
Contributions	$30,216,000	ContributionsAmt
Investment Earnings Or Losses	$476,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$9,022,000	OtherExpendituresAmt
Administrative Expenses	$1,742,000	AdministrativeExpensesAmt
End Year Balance	$140,668,000	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$111,845,000	BeginningYearBalanceAmt
Contributions	$19,552,000	ContributionsAmt
Investment Earnings Or Losses	$445,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$10,503,000	OtherExpendituresAmt
Administrative Expenses	$599,000	AdministrativeExpensesAmt
End Year Balance	$120,740,000	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$107,821,000	BeginningYearBalanceAmt
Contributions	$13,410,000	ContributionsAmt
Investment Earnings Or Losses	$425,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$9,162,000	OtherExpendituresAmt
Administrative Expenses	$649,000	AdministrativeExpensesAmt
End Year Balance	$111,845,000	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$94,395,000	BeginningYearBalanceAmt
Contributions	$19,487,000	ContributionsAmt
Investment Earnings Or Losses	$356,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,472,000	OtherExpendituresAmt
Administrative Expenses	$945,000	AdministrativeExpensesAmt
End Year Balance	$107,821,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$69,744,000	BeginningYearBalanceAmt
Contributions	$43,482,000	ContributionsAmt
Investment Earnings Or Losses	$552,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$18,346,000	OtherExpendituresAmt
Administrative Expenses	$1,037,000	AdministrativeExpensesAmt
End Year Balance	$94,395,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.04900	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.95100	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,357,216	OtherCostOrOtherBasisAmt
Book Value	$8,357,216	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$613,512,840	OtherCostOrOtherBasisAmt
Depreciation	$299,555,009	DepreciationAmt
Book Value	$313,957,831	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$239,885,273	OtherCostOrOtherBasisAmt
Depreciation	$180,329,477	DepreciationAmt
Book Value	$59,555,796	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,941,660	OtherCostOrOtherBasisAmt
Book Value	$6,941,660	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$388,812,503	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
INDIGENT CARE ASSESSMENT	$9,380,855
OTHER CURRENT LIABILITIES	$21,991,589
SELF-INSURED CLAIMS RESERVE	$74,320,000
DUE TO THIRD PARTIES	$20,132,508
OTHER LONG-TERM LIABILITIES	$877,796
RIGHT-OF-USE FINANCE LIABILITY - SHORT-TERM	$8,479,907
RIGHT-OF-USE OPERATING LIABILITY - SHORT-TERM	$2,563,093
RIGHT-OF-USE FINANCE LIABILITY - LONG-TERM	$9,259,573
RIGHT-OF-USE OPERATING LIABILITY - LONG-TERM	$6,309,636

Field	Value	IRS element (for citing)
Total Liability	$153,314,957	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$811,289,666	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$2,991,589	NetUnrealizedGainsInvstAmt
Other Revenue	-$149,231,225	OtherRevenueAmt
Revenue Not Reported	-$152,222,814	RevenueNotReportedAmt
Revenue Subtotal	$963,512,480	RevenueSubtotalAmt
Other Revenues Not Included	$5,053,548	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$5,053,548	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$968,566,028	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$802,689,496	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$11,088,169	OtherExpensesIncludedAmt
Expenses Not Reported	$11,088,169	ExpensesNotReportedAmt
Expenses Subtotal	$791,601,327	ExpensesSubtotalAmt
Other Expenses Not Included	$141,052,095	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$141,052,095	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$932,653,422	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	THE FOUNDATION'S ENDOWMENT CONSISTS OF APPROXIMATELY 48 INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE ENDOWMENT CONSISTS OF DONOR-RESTRICTED FUNDS THAT HAVE BEEN LIMITED BY DONORS TO A SPECIFIC TIME PERIOD OR PURPOSE. AS REQUIRED BY GAAP, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. THE ENDOWMENT NET ASSET COMPOSITION BY FUND TYPE AS OF DECEMBER 31, 2022, IS COMPOSED OF THE FOLLOWING: TEMPORARILY RESTRICTED PERMANENTLY RESTRICTED ALZHEIMER'S PROGRAM 3,865,000 0 MSMC 50 YEARS 74,169,000 0 (PATIENT TOWER) LABOR & DELIVERY 11,824,000 0 SURGICAL ONCOLOGY 2,584,000 0 WITKOFF CENTER 10,004,000 0 AMBULATORY CENTER 8,000,000 0 BEHAVIORAL HEALTH 5,006,000 0 CANCER CENTER FACILITY 7,534,000 0 OTHER PROGRAMS 10,791,000 6,891,000 ___________ ____________ TOTAL FUNDS 133,777,000 6,891,000
PART X, LINE 2:	THE FOOTNOTE TO THE AUDITED FINANCIAL STATEMENTS FOR MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC. AND SUBSIDIARIES REGARDING ASC 740 READS AS FOLLOWS: THE MEDICAL CENTER IS A NOTFORPROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE IRC. THE IRC PROVIDES FOR TAXATION OF UNRELATED BUSINESS INCOME UNDER CERTAIN CIRCUMSTANCES. MANAGEMENT HAS CONCLUDED THAT THE MEDICAL CENTER HAS NO MATERIAL UNRELATED BUSINESS INCOME. THE MEDICAL CENTER FOLLOWS THE PROVISIONS OF ASC 740-15-2, INCOME TAXES, AND HAS DETERMINED THAT AS OF DECEMBER 31, 2022 AND 2021, THE MEDICAL CENTER HAD NO MATERIAL UNRECOGNIZED TAX BENEFITS. THE MEDICAL CENTER DOES NOT EXPECT THAT UNRECOGNIZED TAX BENEFITS WILL MATERIALLY INCREASE WITHIN THE NEXT 12 MONTHS. IN THE EVENT THE MEDICAL CENTER WERE TO RECOGNIZE INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IT WOULD BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AS INCOME TAX EXPENSE. TAX YEARS FROM 2017 THROUGH 2022 ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE TAXING AUTHORITIES. THERE ARE NO INCOME TAX EXAMINATIONS CURRENTLY IN PROCESS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBT -141,017,094. INCOME FROM MT SINAI MEDICAL OFFICE BLDG II, INC 153,906. INCOME FROM MSMC FOUNDATION -8,333,037. DEBT EXTINGUISHMENT -35,000.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	NET ASSETS RELEASED FROM RESTRICTION 9,536,403. RENTAL EXPENSES -4,489,752. INCOME FROM MIAMI JEWISH HOME HEALTH AGENCY 6,897.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	AMOUNTS REPORTED SEPARATELY 6,598,417. RENTAL EXPENSES 4,489,752.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBT 141,017,095. DEBT EXTINGUISHMENT 35,000.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA & THE CARIBBEAN	RegionTxt
Type Of Activities Conducted	PROGRAM SERVICES	TypeOfActivitiesConductedTxt
Specific Services Provided	INSURANCE PREMIUM	SpecificServicesProvidedTxt
Region Total Expenditures	$140,977	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	$140,977	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$140,977	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART III ACCOUNTING METHOD:
PART IV, LINE 3	MOUNT SINAI MEDICAL CENTER OF FLORDA, INC.'S INTEREST IN A FOREIGN CORPORATION IS A WHOLLY OWNED INTEREST IN MOUNT SINAI MEDICAL CENTER OF FLORIDA GUARANTEE CORPORATION, A CORPORATION INCORPORATED IN THE CAYMAN ISLANDS.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,897,578	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,942,684	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$41,954,894	NetCommunityBenefitExpnsAmt
Total Expense	0.05300	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,004,318	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,685,092	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,319,226	NetCommunityBenefitExpnsAmt
Total Expense	0.01050	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$58,335,681	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,096,346	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,239,335	NetCommunityBenefitExpnsAmt
Total Expense	0.01670	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$121,237,577	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$57,724,122	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$63,513,455	NetCommunityBenefitExpnsAmt
Total Expense	0.08020	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,207,265	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,207,265	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,790,277	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,126,170	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,664,107	NetCommunityBenefitExpnsAmt
Total Expense	0.04130	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$103,882,168	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$60,609,385	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,272,783	NetCommunityBenefitExpnsAmt
Total Expense	0.05470	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,430,412	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,362,058	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,068,354	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$151,700	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$151,700	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$157,461,822	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$79,097,613	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$78,364,209	NetCommunityBenefitExpnsAmt
Total Expense	0.09910	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$278,699,399	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$136,821,735	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$141,877,664	NetCommunityBenefitExpnsAmt
Total Expense	0.17930	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$411,513	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$411,513	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,952,782	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,952,782	NetCommunityBenefitExpnsAmt
Total Expense	0.01010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,364,295	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,364,295	NetCommunityBenefitExpnsAmt
Total Expense	0.01060	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$32,507,500	BadDebtExpenseAmt
Reimbursed By Medicare	$323,204,477	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$410,579,845	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$87,375,368	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	0	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 MEDICAL CENTER OF FL INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4300 ALTON ROAD	AddressLine1Txt
City	MIAMI BEACH	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33140	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MOUNT SINAI MEDICAL CENTER OF FL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	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	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.MSMC.COM/ABOUT-MSMC/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2020/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, PAGE 8	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
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 (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, PAGE 8	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, PAGE 8	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, PAGE 8	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 (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
None Made	Yes (X)	NoneMadeInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
MOUNT SINAI MEDICAL CENTER OF FL, INC.	PART V, SECTION B, LINE 5: PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT REQUIRES, IN IRC SECTION 501(R)(3), THAT WHEN ASSESSING COMMUNITY HEALTH NEEDS, MOUNT SINAI CONSULT WITH AND RECEIVE INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY. THIS INCLUDES, BUT IS NOT LIMITED TO, THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH AND AT A MINIMUM:1) AT LEAST ONE STATE, LOCAL, TRIBAL, OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT (OR EQUIVALENT DEPARTMENT OR AGENCY) WITH KNOWLEDGE, INFORMATION, OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY2) MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE COMMUNITY, OR INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF SUCH POPULATIONS3) WRITTEN COMMENTS RECEIVED ON THE HOSPITAL FACILITY'S MOST RECENTLY CONDUCTED CHNA AND MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY.TO RECEIVE THIS INPUT AND DATA, MOUNT SINAI SOUGHT INFORMATION FROM THE STATE REGIONAL HEALTHCARE PLANNING AGENCY, THE HEALTH COUNCIL OF SOUTH FLORIDA, AND THE LOCAL CITY OF MIAMI BEACH HEALTHCARE ADVISORY COMMITTEE. ADDITIONALLY, THE HOSPITAL MET WITH FOCUS GROUPS THAT REPRESENT EACH GEOGRAPHIC SERVICE AREA OF THE CITY, REPRESENTING A VARIETY OF INCOMES AND DEMOGRAPHICS. MOUNT SINAI SOUGHT INDIVIDUAL INPUT FROM NOTED AND LEADING MEMBERS OF THE HEALTHCARE INDUSTRY IN ITS PRIMARY SERVICE AREA INCLUDING MEDICAL PROVIDERS, SMALL AND LARGE ANCILLARY BUSINESS OWNERS, NURSING HOME STAFF AND RESIDENTS AND OTHER SPECIAL SENIOR HEALTH RELATED PROFESSIONS OR PATIENTS REPRESENTING THE UNINSURED AND NEW OR UNDOCUMENTED RESIDENTS. FOCUS MEETINGS WERE ALSO HELD IN ENGLISH AND SPANISH TO ACCOMMODATE THE BROAD NEED OF A MULTILINGUAL COMMUNITY.PUBLIC HEALTH EXPERT INPUT AND GUIDANCE COMMUNITY HEALTH ANALYSISTHE COMMUNITY HEALTH PRIORITIES ARE BASED ON AN ANALYSIS OF DEMOGRAPHIC, ENVIRONMENTAL, STATISTICAL, AND BEHAVIORAL PUBLIC HEALTH DATA ABOUT MIAMI-DADE COUNTY, AND WHEN POSSIBLE ABOUT MIAMI BEACH. THE DATA IS REVIEWED BY NUMEROUS STAFF MEMBERS AT MOUNT SINAI INCLUDING CLINICAL, RESEARCH AND COMMUNITY HEALTH WORKERS. MEMBERS OF THE COMMUNITY, NURSES AND PHYSICIANS AND BUSINESSES OWNERS PROVIDE INPUT.CITY OF MIAMI BEACH HEALTH ADVISORY COMMITTEE. MOUNT SINAI MAINTAINS A SEAT AND LEAD ROLE ON THE HEALTH ADVISORY COMMITTEE OF THE CITY OF MIAMI BEACH, ALONG WITH THE MIAMI BEACH COMMUNITY HEALTH CENTER AND THE HEALTH COUNCIL OF SOUTH FLORIDA. THE MIAMI BEACH HEALTH ADVISORY COMMITTEE IS A CITY COMMISSION APPOINTED BODY OF LOCAL REPRESENTATIVES THAT MEET TO ADDRESS MIAMI BEACH HEALTH ISSUES IN A PUBLICLY ADVERTISED MEETING FORUM. THIS ORGANIZATION SERVES THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS AMONGST OTHERS IN THE CITY.THE HEALTH COUNCIL OF SOUTH FLORIDA. MOUNT SINAI CONTRACTS WITH THE HEALTH COUNCIL OF SOUTH FLORIDA TO OBTAIN FEDERAL PREVENTION QUALITY INDICATOR DATA, WHICH TRACKS LOCAL HOSPITAL ADMISSIONS BY CHRONIC DISEASES AND CONDITIONS. MOUNT SINAI ALSO RECEIVES LEADING CAUSES OF DEATH DATA FOR THE MIAMI BEACH SERVICE AREA. THIS ORGANIZATION ALSO HAS MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE COMMUNITY AND SERVES THE SAME POPULATIONS. PUBLIC HEALTH AGENCIES FROM WHICH DATA OR INPUT WAS SOUGHT:- U.S. AGENCY FOR HEALTHCARE QUALITY & RESEARCH- CENTERS FOR DISEASE CONTROL & PREVENTION- NATIONAL COMMITTEE ON VITAL AND HEALTH STATISTICS- U.S. CENSUS BUREAU- TRUST FOR AMERICA'S HEALTH- KAISER FAMILY FOUNDATION- AGENCY FOR HEALTHCARE ADMINISTRATION- FLORIDA DEPARTMENT OF HEALTH- HEALTH COUNCIL OF SOUTH FLORIDA- MIAMI-DADE COUNTY HEALTH DEPARTMENT- FLORIDA HOSPITAL ASSOCIATION- MIAMI BEACH HEALTH ADVISORY COMMITTEE
MOUNT SINAI MEDICAL CENTER OF FL, INC.	PART V, SECTION B, LINE 7D: THE CHNA REPORT IS AVAILABLE VIA E-MAIL.
MOUNT SINAI MEDICAL CENTER OF FL, INC.	PART V, SECTION B, LINE 11: IN 2022, MEDICAL CENTER OPERATIONS BEGAN TO NORMALIZE AFTER THE EFFECTS OF THE COVID-19 PANDEMIC. MOUNT SINAI ONCE AGAIN BEGAN TO OFFER FREE HEALTH LECTURES (LIVE AND VIRTUAL) ON TOPICS SUCH AS CARDIOVASCULAR HEALTH, UROLOGY, NUTRITION AND EXERCISE AND CANCER DEVELOPMENTS. THESE LECTURES WERE OFFERED THROUGHOUT MIAMI-DADE COUNTY AND IN MONROE COUNTY. MOUNT SINAI ALSO OFFERED BLOOD PRESSURE, GLUCOSE, AND/OR MELANOMA SCREENING EVENTS ALTHOUGH MORE LIMITED THAN IN PRIOR YEARS.MOUNT SINAI CONTINUED TO FOCUS ON THE CHNA AND THE THREE COMMUNITY HEALTH NEEDS TO BE ADDRESSED WITHIN ITS PURVIEW AS AN ACUTE CARE ACADEMIC MEDICAL CENTER AND ACCESSIBLE TEACHING PHYSICIAN NETWORK THAT PROVIDES PRIMARY AND SPECIALTY CARE ON PAR WITH ALMOST ALL MEDICAID PLANS IN ITS REGION.THE THREE COMMUNITY HEALTH PRIORITIES ARE:1) LEADING CAUSES OF DISEASE-RELATED DEATH2) ACCESS TO CARE3) BEHAVIORAL HEALTHPRIORITY #1: LEADING CAUSES OF DISEASE-RELATED DEATHTHE TOP FIVE DISEASE-RELATED CAUSES OF DEATH IN MOUNT SINAI'S SERVICE AREA ARE HEART DISEASE, CANCER, STROKE, CHRONIC LOWER RESPIRATORY DISEASE, AND ALZHEIMER'S DISEASE.HEART DISEASE: MOUNT SINAI IS STRIVING TO MEET THE CARDIOVASCULAR HEALTH NEEDS WITHIN ITS PRIMARY SERVICE AREAS THROUGH THE COLUMBIA UNIVERSITY AFFILIATED MOUNT SINAI HEART INSTITUTE AND PARTICIPATING IN CARDIAC RESEARCH TRIALS AIMED AT BRINGING CUTTING-EDGE TREATMENTS TO PATIENTS.CANCER:IN ORDER TO MEET THE NEEDS OF PATIENTS WITH CANCER, MOUNT SINAI'S COMPREHENSIVE CANCER CENTER ON THE MAIN CAMPUS AND THE CANCER CARE AND DIAGNOSTIC CENTER IN AVENTURA USE A COLLABORATIVE APPROACH TO THE DIAGNOSIS AND TREATMENT OF CANCER. MOUNT SINAI OFFERS FREE OR DISCOUNTED SCREENING MAMMOGRAMS TO THE PUBLIC DURING MAY AND OCTOBER AT THE CCC AND AVENTURA BREAST CENTERS. FREE LECTURES ON CANCER PREVENTION AND EARLY DETECTION ARE GIVEN THROUGHOUT MOUNT SINAI'S SERVICE AREA. MOUNT SINAI IS AT THE FOREFRONT AMONG CANCER INSTITUTIONS IN THE UNITED STATES WITH ACTIVE CLINICAL CANCER TRIALS. EMOTIONAL SUPPORT FOR PATIENTS AND FAMILIES IS ALSO IMPORTANT IN THE TREATMENT OF CANCER. MOUNT SINAI HOSTS SUPPORT AND ACTIVITY GROUPS FOR CANCER PATIENTS; AND FOR FAMILIES, CAREGIVER SUPPORT AND BEREAVEMENT GROUPS ARE ALSO AVAILABLE.STROKE:MOUNT SINAI'S COMPREHENSIVE STROKE CENTER OFFERS ROUND-THE-CLOCK CARE TO QUICKLY AND ACCURATELY DIAGNOSE AND TREAT STROKE PATIENTS. WITH ACCESS TO THE LATEST DIAGNOSTIC AND THERAPEUTIC TREATMENT ADVANCES, THE COMPREHENSIVE STROKE CENTER HAS THE WIDEST RANGE OF OPTIONS TO STOP A STROKE IN PROGRESS AND TO MINIMIZE POTENTIAL DAMAGE. THE EMERGENCY DEPARTMENTS AT MIAMI BEACH, AVENTURA, AND HIALEAH HAVE STATE-OF-THE-ART CT SCANNERS ALLOWING PHYSICIANS TO DIAGNOSE A STROKE QUICKLY. MOUNT SINAI ALSO OFFERS HEALTH SCREENINGS AND LECTURES THROUGHOUT MIAMI-DADE COUNTY TO ASSIST THE PUBLIC IN RECOGNIZING THE SIGNS OF STROKE AND IDENTIFYING THEIR RISK FACTORS IN ORDER TO MAKE INFORMED DECISIONS ABOUT THEIR HEALTH.CHRONIC LOWER RESPIRATORY DISEASE ("CLRDS"): CLRDS AFFECTS THE AIRWAYS AND THE LUNGS. THE PULMONARY SPECIALISTS AT MOUNT SINAI'S LUNG CENTER PROVIDE A WIDE ARRAY OF CUTTING-EDGE CARE OPTIONS TO PATIENTS WITH PULMONARY DISORDERS SUCH AS COPD, ASTHMA, AND PULMONARY HYPERTENSION. SERVICES INCLUDE A FULLY ACCREDITED SLEEP LAB FOR EVALUATING AND TREATING SLEEP APNEA AND OTHER SLEEP DISORDERS, A PULMONARY FUNCTION LABORATORY OFFERING MULTIPLE DIAGNOSTIC TESTING OPTIONS FOR EVALUATING ADULTS AND CHILDREN WITH UNEXPLAINED SHORTNESS OF BREATH, AND A WEEKLY PULMONARY HYPERTENSION CLINIC WITH SOUTH FLORIDA'S ONLY MULTIDISCIPLINARY TEAM SPECIALIZING IN TREATING PULMONARY HYPERTENSION.ALZHEIMER'S DISEASE: THROUGH THE WEIN CENTER FOR ALZHEIMER'S DISEASE AND MEMORY DISORDERS, MOUNT SINAI IS ABLE TO OFFER PATIENTS AND CAREGIVERS A MULTIDISCIPLINARY APPROACH TO DIAGNOSIS AND TREATMENT OF ALZHEIMER'S AS WELL AS EDUCATION AND SUPPORT FOR THOSE FACING THE UNIQUE CHALLENGES OF CARING FOR AN INDIVIDUAL WITH ALZHEIMER'S DISEASE. THE WEIN CENTER IS A LEADING PARTICIPANT IN NATIONAL AND INTERNATIONAL CLINICAL TRIALS FOR TREATMENT AND PREVENTION OF ALZHEIMER'S DISEASE, AS WELL AS MAINTAINING THE STATES BRAIN BANK. TO FURTHER AID THE COMMUNITY, THE WEIN CENTER OFFERS FREE MEMORY SCREENINGS FOR INDIVIDUALS AGED 50 AND UP WHO MAY BE EXHIBITING SIGNS OF A MEMORY DISORDER. MOUNT SINAI OFFERS FREE LECTURES GIVEN BY OUR PHYSICIANS ON A VARIETY OF TOPICS RELATED TO ALZHEIMER'S DISEASE-IDENTIFYING ALZHEIMER'S RISK FACTORS, DIAGNOSIS AND TREATMENT OF THE DISEASE, AND ADVANCEMENTS IN RESEARCH. THROUGH THE WIEN CENTER, MOUNT SINAI OFFERS EDUCATIONAL WORKSHOPS, TRAINING OPPORTUNITIES, AND SUPPORT GROUPS FOR FAMILY MEMBERS AND CAREGIVERS OF INDIVIDUALS WITH ALZHEIMER'S DISEASE AND OTHER DEMENTIAS.PRIORITY #2: ACCESS TO CAREMOUNT SINAI IDENTIFIED THE FOLLOWING KEY AREAS THAT NEED ADDRESSING WITHIN THE PRIMARY SERVICE AREAS: BARRIERS TO CARE, PHYSICIAN SHORTAGE, SAFETY NET SERVICES FOR THE UNINSURED, AND MATERNITY AND PRENATAL MEDICINE. BARRIERS TO CARE: DURING MOUNT SINAI'S ASSESSMENT OF COMMUNITY NEEDS, THE MAIN BARRIERS TO CARE WITHIN THE PRIMARY SERVICE AREAS WERE DETERMINED TO BE (1) INCOME LEVEL AND INSURANCE COVERAGE, (2) TRANSPORTATION, (3) CULTURAL/ETHNIC FACTORS, AND (4) COORDINATION BETWEEN HEALTHCARE PROVIDERS. MOUNT SINAI OFFERS A NUMBER OF WAYS TO ASSIST PATIENTS IN OVERCOMING THESE BARRIERS. MOUNT SINAI ASSISTS PATIENTS WITH NO INSURANCE COVERAGE APPLY FOR MEDICAID OR MOUNT SINAI'S FINANCIAL ASSISTANCE PROGRAM. FOR PATIENTS WITH NO ACCESS TO A VEHICLE OR PUBLIC TRANSPORTATION, MOUNT SINAI ASSISTS IN COORDINATING TRANSPORTATION THROUGH INSURANCE PROVIDERS, LOCAL CHAPTERS OF THE AMERICAN CANCER SOCIETY, OR LOCAL PARATRANSIT SERVICES IN MIAMI-DADE AND BROWARD COUNTIES. MOUNT SINAI HAS WIDENED ACCESS TO PRIMARY AND SPECIALTY CARE BY ITS EXPANSION OF SATELLITE CENTERS NOW OPEN THROUGHOUT MIAMI-DADE COUNTY AND IN MONROE COUNTY AND THE OPENING OF THE HIALEAH FREESTANDING EMERGENCY DEPARTMENT. IN 2022, MOUNT SINAI PROVIDED PRIMARY AND SPECIALTY CARE VISITS AND EMERGENCY SERVICES IN MIAMI BEACH, AVENTURA AND HIALEAH.PHYSICIAN SHORTAGE: MOUNT SINAI'S EFFORTS TO MEET PHYSICIAN WORKFORCE DEMANDS ARE ON-GOING. DURING 2022, MOUNT SINAI TAUGHT 335 MEDICAL STUDENTS. IN TOTAL, MOUNT SINAI TRAINED 207 RESIDENTS OR FELLOWS IN 19 (15 ACCREDITED, 4 NON-ACCREDITED) MEDICAL EDUCATION PROGRAMS DURING 2022. IN ADDITION TO EFFORTS TO MEET PHYSICIAN SHORTAGES, MOUNT SINAI PROVIDED A CLINICAL TEACHING ENVIRONMENT TO EDUCATE OTHER CRUCIAL COMPONENTS OF THE HEALTHCARE WORKFORCE NOT WITHIN A TRADITIONAL PHYSICIAN RESIDENCY PROGRAM. IN 2022, MOUNT SINAI TAUGHT NURSING STUDENTS AND ALLIED HEALTH STUDENTS FOR HEALTH CARE CAREERS.SAFETY NET SERVICES FOR THE UNINSURED:IN 2022, MOUNT SINAI PROVIDED $200,178,650 IN CHARITY AND UNCOMPENSATED CARE. ADDITIONALLY, MOUNT SINAI IS THE ONLY HOSPITAL PROVIDER IN THE PRIMARY SERVICE AREA.MATERNITY AND PRENATAL MEDICINE:MOUNT SINAI COLLABORATES WITH THE MIAMI BEACH COMMUNITY HEALTH CENTER TO PROVIDE PREVENTATIVE AND ACUTE OB/GYN CARE FOR ALL INCOMES, RACES, AND ETHNICITIES REGARDLESS OF NATIONAL ORIGIN OR DOCUMENTATION. IN 2022, MOUNT SINAI WELCOMED 2,278 INFANTS TO THE COMMUNITY.
PART V, SECTION B, LINE 11 (CONTINUED):	PRIORITY #3: BEHAVIORAL HEALTHTWO PRIMARY AREAS OF CONCERN RELATED TO BEHAVIORAL HEALTH ARE MENTAL ILLNESS AND ADULT AUTISM.MENTAL ILLNESS: MENTAL HEALTH PLAYS A ROLE IN A PERSON'S ABILITY TO MAINTAIN THEIR PHYSICAL HEALTH. DEPRESSION CAN AFFECT THE ABILITY TO PARTICIPATE IN HEALTH-PROMOTING BEHAVIORS; AND PHYSICAL HEALTH PROBLEMS, SUCH AS CHRONIC DISEASE, CAN ALSO IMPACT MENTAL HEALTH AND DECREASE THE PARTICIPATION IN TREATMENT AND RECOVERY. TO ADDRESS THESE NEEDS, MOUNT SINAI OFFERS INPATIENT AND OUTPATIENT PSYCHIATRIC CARE ON ITS MAIN CAMPUS. FOR PATIENTS NEEDING MORE INTENSIVE OUTPATIENT THERAPY BUT DO NOT REQUIRE AN OVERNIGHT STAY IN THE HOSPITAL, MOUNT SINAI OFFERS A PARTIAL HOSPITALIZATION PROGRAM AND INTENSIVE OUTPATIENT PROGRAM.ADULT AUTISM: MOUNT SINAI IS STRIVING TO MEET THE NEEDS OF ADULTS IN THE COMMUNITY WITH AUTISM WITH THE MOUNT SINAI ADULT AUTISM CLINIC. THE STAFF HAS BEEN TRAINED BY THE CENTER FOR AUTISM AND RELATED DISABILITIES (CARD) TO MEET THE SPECIAL MEDICAL NEEDS OF ADULTS WITH ASD AND CAN HELP ADULTS TRANSITION FROM PEDIATRIC AUTISM SPECIALISTS TO OTHER FORMS OF HEALTH CARE. THE ADULT AUTISM CLINIC OFFERS PRIMARY AND SPECIALTY MEDICAL CARE, DIAGNOSTIC SERVICES, AND CARE MANAGEMENT AND SUPPORT FOR PATIENTS AND THEIR FAMILIES/CARETAKERS.COMMUNITY HEALTHCARE RESOURCES WITHIN THREE MILE RADIUS:MOUNT SINAI MEDICAL CENTER IS THE ONLY ACUTE CARE HOSPITAL LOCATED IN THE CITY OF MIAMI BEACH. THERE ARE FOUR PUBLIC HEALTH CENTERS, INCLUDING THREE FEDERALLY QUALIFIED HEALTH CENTERS: THE MIAMI BEACH COMMUNITY HEALTH CENTER (TWO LOCATIONS), CARE RESOURCE COMMUNITY HEALTH CENTER, AND THE BORINQUEN HEALTH CARE CENTER. FOR SUBSTANCE AND MENTAL HEALTH ISSUES, THERE ARE TWO RESIDENTIAL TREATMENT CENTERS. FOR GERIATRIC RESIDENTIAL SERVICES, THERE ARE FIVE NURSING HOMES AND FIVE ASSISTED LIVING FACILITIES.EMERGENCY SERVICES AND DISASTER RESPONSE:THE ISLAND GEOGRAPHY OF MIAMI BEACH AND CAUSEWAY VEHICLE ACCESS COUPLED WITH THE AREA'S INTERNATIONAL POPULARITY EMPHASIZES THE RESPONSIBILITY FOR MOUNT SINAI'S ROLE IN THE FIRST RESPONSE AND EMERGENCY MANAGEMENT NETWORKS FOR THE ISLAND COMMUNITIES. IN CONJUNCTION WITH THE CITY OF MIAMI BEACH AND THE STATE OF FLORIDA, MOUNT SINAI COMPLETED A $275 MILLION PROJECT TO BRING EMERGENCY SERVICES AND UPGRADED DISASTER RESPONSE HEALTH SERVICES TO THE BEACH. THE NEW EMERGENCY CENTER AND SURGICAL TOWER OPENED IN FEBRUARY 2019.MOUNT SINAI'S NEW TOWER HOUSES A 40,000 SQUARE FOOT EMERGENCY CENTER WITH MORE THAN 50 TREATMENT ROOMS ALONG WITH A CITY OF MIAMI BEACH COMMAND CENTER AND CRITICAL OPERATIONS HUB FOR ACTIVATION DURING TIMES OF EMERGENCY. THE COMMAND CENTER WILL PROVIDE JOINT EMERGENCY OPERATIONS FOR CITY STAFF, POLICE, FIRE, AND MEDICAL STAFF DURING A DECLARED COMMUNITY CRISIS. THE EMERGENCY DEPARTMENT WILL ESSENTIALLY TRIPLE THE SIZE OF THE EXISTING FACILITY. THE CURRENT EMERGENCY DEPARTMENT WAS OPENED IN 1972 AND BUILT AT A TIME WHEN THERE WERE THREE OTHER HOSPITALS ON MIAMI BEACH. IT WAS BUILT FOR 20,000 PATIENT VISITS A YEAR. MOUNT SINAI CURRENTLY DOES 50,000 PATIENT VISITS, AND THE NEW FACILITY CAN ACCOMMODATE 100,000 PATIENT VISITS.THE NEW SURGICAL TOWER INCLUDES 12 STATE-OF-THE-ART OPERATING ROOMS WHICH WILL PROVIDE PATIENTS WITH ACCESS TO NEW AND INNOVATIVE LIFESAVING PROCEDURES. THE SURGICAL SUITES ARE LOCATED ON THE SECOND FLOOR OF THE NEW TOWER WHILE THE MECHANICAL OPERATIONS ARE LOCATED ON THE THIRD FLOOR. THIS WILL RELOCATE CRITICAL SERVICES ABOVE THE FLOOD PLAN IN A SPECIAL HAZARD FLOOD ZONE. THE RAISED HEIGHT WILL HELP TO PROVIDE EMERGENCY SERVICES FOR THE STATE'S SECOND LARGEST TOURISM AREA, WHICH IS ALSO A HIGH VELOCITY HURRICANE ZONE.ADDITIONALLY, WORK WAS COMPLETED ON 12 NEW DUAL FUEL (DIESEL/NATURAL GAS) GENERATORS IN THE ENERGY CENTER WHICH WILL SUPPLY CRITICAL POWER TO THE MEDICAL CENTER.THERE ARE THREE BRANCHES OF POWER:1) LIFE SAFETY (I.E. EMERGENCY LIGHTING, FIRE ALARM DEVICES, AND FIRE PROTECTION SYSTEMS)2) CRITICAL (I.E. RED EMERGENCY OUTLETS)3) EQUIPMENT (I.E. UTILITY SYSTEMS, HVAC, ELEVATORS, ETC.)MOUNT SINAI ACTS AS A MEDICAL MANAGEMENT DISASTER SHELTER FOR OXYGEN AND ELECTRIC DEPENDENT RESIDENTS, INCLUDING THOSE IN INTENSIVE CARE THAT CANNOT EVACUATE. THE FACILITY REMAINS ACCESSIBLE DURING TIMES WHEN BRIDGES ARE IN LOCK DOWN BY PROVIDING SAFE HELIPAD SERVICE AND ACCESS BY BOAT. MOUNT SINAI ALSO SERVES AS A NATIONAL STOCKPILE DROP LOCATION FOR COUNTER-TERRORISM MEASURES. WITH THE ADDITION OF THE SURGICAL TOWER, EMERGENCY DEPARTMENT, AND POWER PLANT, MOUNT SINAI HAS, IN ESSENCE, CREATED A HURRICANE/STORM PROOF MEDICAL CENTER.HIALEAH FREE-STANDING EMERGENCY DEPARTMENT AND MEDICAL OFFICES:MOUNT SINAI COMPLETED THE CONSTRUCTION OF ITS NEW FREE-STANDING EMERGENCY DEPARTMENT AND MEDICAL OFFICES IN HIALEAH. IT OPENED IN NOVEMBER 2018. THE 63,000 SQUARE FOOT BUILDING HOUSES AN EMERGENCY DEPARTMENT WITH 24 TREATMENT BAYS AND OFFERS PHYSICIAN AND CLINICAL OFFICE SPACES ON THE SECOND AND THIRD FLOORS.STATISTICS SHOW THAT RESIDENTS OF HIALEAH ARE PROGRESSIVELY LEAVING THEIR HOME ZIP CODE AREA TO SEEK EMERGENCY CARE ELSEWHERE. MOUNT SINAI'S 2015 COMMUNITY HEALTH NEEDS ASSESSMENT TARGETED THE NEED FOR HEART HOSPITALS AND EMERGENCY CARE. THE REPORT INDICATED THAT HOSPITALIZATIONS DUE TO CONGESTIVE HEART FAILURE WERE SUBSTANTIALLY HIGHER IN THE PRIMARY HIALEAH ZIP CODES AS COMPARED TO THE AVERAGE FOR MIAMI-DADE COUNTY. HEART DISEASE REMAINS A SIGNIFICANT RISK FACTOR IN THE PRIMARY HIALEAH ZIP CODES.THE ADDITION OF THIS FACILITY WILL PROVIDE HIALEAH RESIDENTS WITH ACCESS TO BETTER CARE CLOSE TO HOME.OTHER COMMUNITY HEALTH NEEDS:SPECIALIZED AIDS/HIV SERVICES ARE NOT WITHIN THE IMPLEMENTATION STRATEGY OF MOUNT SINAI; HOWEVER, WE DO HAVE A TEAM OF DOCTORS THAT PROVIDE THESE SERVICES. IN ADDITION TO MOUNT SINAI'S SPECIALIZED CARE, AIDS/HIV SERVICES ARE ALSO PROVIDED WITHIN THE SERVICE AREA BY THE MIAMI BEACH COMMUNITY HEALTH CENTERS, THE BORINQUEN HEALTH CARE CENTER, JACKSON MEMORIAL HEALTH CENTER, AND THE MIAMI-DADE COUNTY HEALTH DEPARTMENT'S OFFICE OF HIV/AIDS.
PART V, SECTION B, LINE 10A, IMPLEMENTATION STRATEGY WEBSITE	WWW.MSMC.COM/ABOUT-MSMC/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2020/
PART V, LINE 16A, FAP WEBSITE:	WWW.MSMC.COM/PATIENT-INFO/FINANCIAL-ASSISTANCE-INFORMATION
PART V, LINE 16B, FAP APPLICATION:	WWW.MSMC.COM/PATIENT-INFO/FINANCIAL-ASSISTANCE-INFORMATION
PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE	WWW.MSMC.COM/PATIENT-INFO/FINANCIAL-ASSISTANCE-INFORMATION

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	A RATIO OF PATIENT CARE COST TO PATIENT CARE CHARGES WAS APPLIED TO GROSS WRITE-OFFS TO ARRIVE AT AN ESTIMATED PROGRAM COST. ANY APPLICABLE PROGRAM REVENUES RECEIVED WERE OFFSET AGAINST GROSS COST TO ARRIVE AT THE NET COST OR SHORTFALL OF THE PROGRAM.
PART I, LINE 7G:	MOUNT SINAI'S TEACHING PHYSICIAN NETWORK IS A NOT FOR PROFIT CLINICAL PHYSICIAN AND PROVIDER NETWORK THAT OPERATES AT A LOSS. THE NETWORK PROVIDES A WIDE RANGE OF MEDICAID ELIGIBLE TREATMENT FOR UNDERSERVED PATIENTS. IT ALSO TRAINS PROVIDERS IN ADVANCED SPECIALTIES THAT ARE DOCUMENTED BY THE STATE OF THE FLORIDA TO BE IN SUPPLY-DEMAND DEFICIT. THE GOAL IS TO ALLEVIATE THE HEALTHCARE CRISIS FOR ALL RESIDENTS BUT ESPECIALLY FOR THE UNINSURED, UNDERINSURED AND MEDICAID PATIENTS. BECAUSE OF THE LACK OF CAPACITY, THE STATE OF FLORIDA HAS SHARED THE RESPONSIBILITY OF REMEDYING THE PHYSICIAN SHORTAGE WITH TEACHING HOSPITALS IN FLORIDA. MOUNT SINAI IS ONE OF TWO MIAMI-DADE COUNTY HOSPITALS THAT IS AN AHCA MEDICAID ESSENTIAL PROVIDER FOR ADULT CARE BECAUSE OF ITS ROLE IN TEACHING AND TRAINING FLORIDA'S HEALTHCARE WORKFORCE UNDER THE STATEWIDE MEDICAID RESIDENCY PROGRAM (SMRP).THE COMMUNITY BENEFIT METHOD FOR SUBSIDIZED HEALTH SERVICES IS TAKEN FROM THE PROFIT AND LOSS DETAIL FOR THE MOUNT SINAI TEACHING PHYSICIAN NETWORK. THE EXPENSES REPRESENT DIRECT CLINICAL EXPENSES WHICH GENERATE PRIMARY CARE AND SPECIALTY CARE PATIENT REVENUE IN MIAMI-DADE COUNTY AND MONROE COUNTY. THESE COSTS INCLUDE, BUT ARE NOT LIMITED TO PATIENT CARE SERVICES, UTILITIES, DEPARTMENTAL SUPPLIES AND OTHER EXPENSES ASSOCIATED WITH A MEDICAL OFFICE. THE METHODOLOGY USED IS A MORE ACCURATE COST ACCOUNTING THAN THE COST TO CHARGE RATIO BASED PRIMARILY ON INPATIENT AND OUTPATIENT HOSPITAL CARE.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 141,778,886.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY BUILDING ACTIVITIES:1. WORKFORCE DEVELOPMENT PROJECTS TO RECRUIT HEALTHCARE WORKERS, INCLUDING PHYSICIANS, NURSES AND ALLIED HEALTH PROFESSIONALS2. WORKFORCE HOUSING APPROVED BY THE CITY'S STATE HOUSING INITIATIVE PROGRAM (SHIP) AND THE FLORIDA HOUSING FINANCE CORPORATION (FHFC)
PART III, LINE 2:	A RATIO OF PATIENT CARE COST TO PATIENT CARE CHARGES WAS APPLIED TO BAD DEBT GROSS WRITE-OFFS TO ARRIVE AT AN ESTIMATED BAD DEBT EXPENSE AT COST.
PART III, LINE 4:	THE FOOTNOTE TO THE AUDITED FINANCIAL STATEMENTS FOR MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC. AND SUBSIDIARIES REGARDING BAD DEBT EXPENSE READS AS FOLLOWS:THE MEDICAL CENTER RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED (OR ON THE BASIS OF DISCOUNTED RATES, IF NEGOTIATED OR PROVIDED BY POLICY). CONSISTENT WITH ITS MISSION, THE MEDICAL CENTER PROVIDES CARE TO ITS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. HISTORICALLY, A SIGNIFICANT PORTION OF THE MEDICAL CENTER'S UNINSURED PATIENTS WILL BE UNABLE TO PAY FOR THE SERVICES PROVIDED. AS SUCH, THE MEDICAL CENTER RECORDS A SIGNIFICANT REDUCTION TO PATIENT SERVICE REVENUE FOR PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER INSURED BALANCES, SUCH AS COPAYS AND DEDUCTIBLES, IN THE PERIOD THE SERVICES ARE PROVIDED.THE MEDICAL CENTER ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN THE AMOUNTS BILLED TO THE PATIENT AND THE AMOUNTS THE MEDICAL CENTER EXPECTS TO COLLECT. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE.
PART III, LINE 8:	A RATIO OF PATIENT CARE COST TO PATIENT CARE CHARGES WAS APPLIED TO MEDICARE REVENUES AND ALLOWABLE COSTS TO ARRIVE AT AN ESTIMATED MEDICARE EXPENSE AT COST. THE HOSPITAL DOES NOT TREAT ANY MEDICARE SHORTFALL AMOUNTS AS COMMUNITY BENEFIT.
PART III, LINE 9B:	PATIENTS ARE FIRST SCREENED TO SEE IF THEY ARE ELIGIBLE FOR MEDICAID OR CHARITY WHEN THEY COME IN THROUGH THE ER. THE HOSPITAL DETERMINES WHICH PATIENTS QUALIFY FOR CHARITY BASED ON A VERIFIABLE PROCESS REQUIRED BY THE AGENCY HEALTH CARE ADMINISTRATION USING THE FOLLOWING CRITERIA:- PATIENT IS ELIGIBLE IF THE PATIENT'S FAMILY AGGREGATE INCOME DURING THE 12 MONTHS PRECEDING THE DETERMINATION DATE IS AT OR BELOW 200% OF THE THEN CURRENT FEDERAL POVERTY GUIDELINES.- IF PATIENT IS ELIGIBLE FOR CHARITY THE AMOUNT OF ELIGIBLE CHARGES ARE REDUCED ON A SLIDING SCALE BASED ON WHERE THEY FALL IN RELATION TO THE FEDERAL POVERTY GUIDELINES.-MEDICAID PATIENTS WITH BENEFITS EXHAUSTED MAY APPLY FOR CHARITY.- PATIENTS WITH DOCUMENTATION THAT A THIRD PARTY BENEFIT HAS BEEN DENIED OR EXHAUSTED MAY APPLY FOR CHARITY.ALL OPPORTUNITIES FOR PAYMENT OF HOSPITAL DEBT WILL BE INVESTIGATED PRIOR TO APPROVAL INCLUDING A COMPLETE REVIEW OF THE FINANCIAL INFORMATION PROVIDED IN THE UNCOMPENSATED CARE APPLICATION.THE BUSINESS OFFICE'S ROLE IN CHARITY CARE DEALS WITH THE FINAL REVIEW AND APPROVAL OF ELIGIBLE PATIENTS. BUSINESS OFFICE IS RESPONSIBLE FOR ADJUSTING ACCOUNT CHARGES/BALANCES AFTER REVIEWING SEARCH AMERICA'S RESULTS, AND/OR ANY RED FLAGS ON THE ACCOUNT THAT WOULD SUGGEST THE POSSIBILITY OF ALTERNATE METHODS OF PAYMENT. THESE PRACTICES SET FORTH IN THE POLICY WOULD ONLY APPLY TO PATIENTS WHO MAY QUALIFY FOR CHARITY CARE.
PART VI, LINE 2:	NEEDS ASSESSMENT:COMMUNITY HEALTH NEEDS WERE IDENTIFIED THROUGH A RECOGNIZED HEALTH PLANNING ASSESSMENT PROCESS. THE ASSESSMENT INCLUDED, BUT WAS NOT LIMITED TO, AN ANALYSIS OF DEMOGRAPHIC, ENVIRONMENTAL, STATISTICAL AND BEHAVIORAL PUBLIC HEALTH DATA, ORGANIZING PUBLIC DISCUSSIONS ON HEALTH TOPICS, AND CONDUCTING A SURVEY OF CURRENT HEALTH TOPICS TO EXPLORE THE HEALTH NEEDS OF THE PRIMARY, NEIGHBORING AND COUNTYWIDE SERVICE AREAS OF MOUNT SINAI MEDICAL CENTER.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:MOUNT SINAI'S COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIES INCREASING ACCESS TO CARE AND REMOVING CULTURAL BARRIERS TO CARE AS IMPORTANT GOALS. THE FINANCIAL ASSISTANCE POLICY / APPLICATION PROCESS IS ONE WAY THAT MOUNT SINAI HAS ADDRESSED THIS NEED. MOUNT SINAI HAS PIONEERED AN EFFICIENT AND CULTURALLY SENSITIVE FINANCIAL ASSISTANCE POLICY / APPLICATION PROCESS THAT ADDRESSES THE KEY OBSTACLES OF FINANCIAL ANXIETY AND LACK OF FAMILIARITY OF THE AMERICAN HEALTHCARE SYSTEM.MOUNT SINAI'S FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN-LANGUAGE SUMMARY ARE AVAILABLE ON MOUNT SINAI'S WEBSITE AT HTTPS://WWW.MSMC.COM/PATIENT-INFO/FINANCIAL-ASSISTANCE-INFORMATION AS WELL AS IN PERSON AT THE MOUNT SINAI BUSINESS OFFICE, IN THE REGISTRATION AND ADMITTING DEPARTMENTS, UPON REQUEST IN ANY OTHER DEPARTMENT OR IN ANY OTHER PUBLIC SPACE. MOUNT SINAI'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN-LANGUAGE SUMMARY ARE AVAILABLE FREE OF CHARGE IN ENGLISH, SPANISH, AND RUSSIAN, THE PRIMARY LANGUAGES SPOKEN BY THE LOCAL POPULATIONS AND, UPON REQUEST, CAN BE TRANSLATED INTO OTHER LANGUAGES SUCH AS FRENCH, GERMAN, YIDDISH, CREOLE AND ITALIAN, AS NEEDED.THIS APPLICATION PROCESS IS UNIQUE IN THAT IT DOES NOT REQUIRE AN UPFRONT PAPER DOCUMENT SUBMISSION, ALTHOUGH A WRITTEN APPLICATION IS MADE AVAILABLE ON OUR WEBSITE. A PROSPECTIVE APPLICANT SCHEDULES AN IN PERSON COUNSELING SESSION USING THE CONTACT INFORMATION AVAILABLE IN PLAIN LANGUAGE AT HTTPS://WWW.MSMC.COM/PATIENT-INFO/FINANCIAL-ASSISTANCE-INFORMATION. WHILE SCHEDULING THE MEETING, THE APPLICANT RECEIVES INFORMATION ALSO POSTED ONLINE ABOUT HELPFUL FINANCIAL DOCUMENTATION TO SHOW FINANCIAL STATUS THAT WILL BE REVIEWED AND INPUT INTO A MOUNT SINAI MEDICAL CENTER FINANCIAL ASSISTANCE FORM BY A MOUNT SINAI FINANCIAL ASSISTANT TOGETHER WITH THE APPLICANT AT THE FINANCIAL COUNSELING SESSION. FOR PATIENTS WITHOUT HEALTH INSURANCE, MOUNT SINAI WILL DETERMINE ELIGIBILITY USING PUBLIC INFORMATION ABOUT THE PATIENT'S AVAILABLE ASSETS, AND ALL OTHER FINANCIAL RESOURCES THAT THE PATIENT SUPPLIES AS WELL AS A REVIEW OF THE PATIENT'S ACCOUNT HISTORY. MOUNT SINAI WILL FIRST SCREEN FOR APPLICANT ELIGIBILITY FOR MEANS TESTED PROGRAMS AND LOCALLY AVAILABLE GRANTS. IF INELIGIBLE FOR THESE PROGRAMS, MOUNT SINAI PROVIDES AN AUTOMATIC REDUCTION TO GROSS CHARGES BASED UPON THE "LOOK BACK" METHOD. ALL PROSPECTIVE AND RETROSPECTIVE MEDICALLY NECESSARY PATIENT CARE WILL BE CONSIDERED, THOUGH CHARITY CARE IS FIRST FOCUSED ON PATIENTS WHOSE INCOME FOR THE 12 MONTHS PRECEDING THE DETERMINATION IS LESS THAN OR EQUAL TO 200 PERCENT OF THE FEDERAL POVERTY LEVEL FOR THE PATIENT'S FAMILY SIZE, UNLESS THE AMOUNT OF HOSPITAL CHARGES FROM THE PATIENT WILL OR DO EXCEED 25 PERCENT OF THE ANNUAL FAMILY INCOME. INDIVIDUALS MAY OBTAIN FREE, WRITTEN INFORMATION ON THE DETERMINATION OF AMOUNT OF FINANCIAL ASSISTANCE BY CONTACTING THE BUSINESS OFFICE AT (305) 674-2130, MONDAY-FRIDAY 9:00AM-4:00PM. MOUNT SINAI PROVIDES A RIGHT TO APPEAL AND RECEIVE ASSISTANCE IN ALL PARTS OF THE APPLICATION. THE PATIENT MUST WRITE A LETTER WHICH CAN BE POST MAILED OR EMAILED TO THE BUSINESS OFFICE DIRECTOR TO EXPLAIN WHY THE DECISION MADE BY MOUNT SINAI MEDICAL CENTER WAS INAPPROPRIATE. THE APPEAL LETTER WILL BE REVIEWED BY MOUNT SINAI MEDICAL CENTER AND A FINAL DECISION WILL BE SENT TO THE PATIENT WITHIN 30 DAYS OF THE RECEIPT OF THE REQUEST FOR APPEAL.
PART VI, LINE 4:	COMMUNITY INFORMATION:MOUNT SINAI IS THE ONLY ACUTE CARE HOSPITAL AND EMERGENCY CARE PROVIDER ON THE NORTHEASTERN BARRIER ISLANDS OF MIAMI-DADE COUNTY. MOUNT SINAI PRIMARILY SERVICES A DENSELY POPULATED DIVERSE URBAN AREA ENCOMPASSING THE BARRIER ISLAND CITIES OF MIAMI BEACH, SURFSIDE, NORTH BAY VILLAGE, BAL HARBOUR, AND BAY HARBOR ISLANDS. THE NEIGHBORING MAINLAND OR SECONDARY SERVICE AREA INCLUDES SECTIONS OF THE CITIES OF MIAMI, NORTH MIAMI, AND NORTH MIAMI BEACH. MOUNT SINAI'S HEALTH NEEDS TARGET AREAS INCLUDE SECTIONS OF THE UPPER BARRIER ISLAND CITY OF SUNNY ISLES BEACH AND THE MAINLAND CITIES OF AVENTURA, HIALEAH, AND CORAL GABLES. THERE ARE THREE DESIGNATED MEDICALLY UNDERSERVED AREAS IN THE PRIMARY SERVICE AREA REPRESENTED BY MUAS FEDERAL ID# 5031, 511 AND 7474.
PART VI, LINE 5:	AS SOUTH FLORIDA'S LARGEST INDEPENDENT TEACHING HOSPITAL, MOUNT SINAI'S NOT-FOR-PROFIT MISSION IS TO PROVIDE HIGH QUALITY HEALTH CARE TO OUR DIVERSE COMMUNITY ENHANCED THROUGH TEACHING, RESEARCH, CHARITY CARE, AND FINANCIAL RESPONSIBILITY. WE MAINTAIN OUR NOT FOR PROFIT MISSION USING A TWO-TIER STRATEGY, FOCUSING, FIRST, ON SAFETY NET SERVICES AND, SECOND, ON ADDRESSING HEALTH RISKS RELATED TO HEART DISEASE, CANCER, NEUROLOGICAL, PULMONARY AND OTHER DISEASES THAT POSE SERIOUS COMMUNITY HEALTH RISKS.THIS NOT FOR PROFIT COMMUNITY DRIVEN MISSION IS DETAILED FURTHER IN SCHEDULE O. WE HAVE BRIEFLY DISCUSSED IT BELOW.TIER ONE - PROVIDE A WIDE RANGE OF SAFETY NET SERVICES- TRAINING TO ADDRESS FLORIDA'S PHYSICIAN AND HEALTHCARE WORKER SHORTAGE - CHARITY CARE FOR THE UNINSURED AND UNDERINSURED- DISASTER FIRST RESPONSE HEALTH SERVICES AND REGIONAL LEADERSHIP- EMERGENCY MEDICAL SERVICES- ADULT PSYCHIATRIC AND BEHAVIORAL CARE- INTENSIVE GERIATRIC / SENIOR CARE- MATERNITY SERVICES AND NEONATAL EMERGENT CARE- HEALTH AND DISEASE PREVENTION EDUCATION- INTERVENTIONAL AND COMMUNITY HEALTH SCREENINGSTIER TWO - MISSION DRIVEN COMMUNITY HEALTH PRIORITIESMOUNT SINAI FOCUSES RESOURCES ON PROVIDING ACCESS TO CARE WHILE TREATING AND PREVENTING THE LEADING DISEASE RELATED CONDITIONS FOR ALL INCOMES IN THE COMMUNITY BY SUBSIDIZING A NONPROFIT TEACHING AND COMMUNITY PHYSICIAN NETWORK.TIER ONE - PROVIDE A WIDE RANGE OF SAFETY NET SERVICESTO ADDRESS FLORIDA'S PHYSICIAN AND HEALTHCARE WORKER SHORTAGE, MOUNT SINAI RETAINED ITS OWN TEACHING FACULTY AND 15 ACCREDITED AND 4 NON-ACCREDITED GRADUATE MEDICAL EDUCATION PROGRAMS, TEACHING 207 RESIDENTS OR FELLOWS. MOUNT SINAI ALSO PROVIDED A TEACHING CLINICAL ENVIRONMENT FOR BOTH ITS ACUTE CARE AND SPECIALTY CARE PHYSICIAN TEACHING NETWORK FOR PHYSICIANS TO BECOME BOARD CERTIFIED AND TO EDUCATE THE OTHER CRUCIAL COMPONENTS OF THE HEALTHCARE WORKFORCE NOT WITHIN A TRADITIONAL CMS RESIDENCY PROGRAM. IN 2022, MOUNT SINAI TAUGHT NURSING STUDENTS, MEDICAL STUDENTS, AND ALLIED HEALTH STUDENTS FOR HEALTH CARE CAREERS. IN 2022, MOUNT SINAI SERVED 25,134 INPATIENT ADMISSIONS AND 260,158 OUTPATIENT ADMISSIONS.TO ADDRESS CHARITY CARE FOR THE UNINSURED AND UNDERINSURED, MOUNT SINAI PROVIDED $200,178,650 IN CHARITY AND UNCOMPENSATED CARE IN 2022. ADDITIONALLY, IN ITS PRIMARY SERVICE AREA, MOUNT SINAI IS THE ONLY PROVIDER OF MEDICAID HOSPITAL SERVICES.TO PROVIDE DISASTER FIRST RESPONSE HEALTH SERVICES AND REGIONAL LEADERSHIP, IN CONJUNCTION WITH THE CITY OF MIAMI BEACH AND THE STATE OF FLORIDA, MOUNT SINAI HAS COMPLETED A $275 MILLION REGIONAL EMERGENCY SERVICES AND TOWER PROJECT. THIS PROJECT WILL PROVIDE A JOINT EMERGENCY OPERATIONS CENTER FOR THE CITY STAFF, POLICE, FIRE, AND MEDICAL STAFF DURING DECLARED COMMUNITY CRISIS. IT WILL RELOCATE OPERATING ROOMS ABOVE THE FLOOD PLAIN IN A SPECIAL HAZARD FLOOD ZONE, PROVIDE EMERGENCY CARE SERVICES FOR THE STATE'S SECOND LARGEST TOURISM AREA IN HIGH VELOCITY HURRICANE ZONE, PROVIDE A MEDICAL MANAGEMENT DISASTER SHELTER FOR OXYGEN AND ELECTRIC DEPENDENT RESIDENTS INCLUDING THOSE IN INTENSIVE CARE THAT CANNOT EVACUATE, ENSURE THAT ALL PATIENT CARE FOR REGIONAL FACILITY MEETS A MODERN LEVEL OF CARE, PROVIDE SAFE HELIPAD SERVICE AND BOAT ACCESS TO THE ISLAND WHEN BRIDGES ARE LOCKED DOWN AND SERVE AS A NATIONAL STOCKPILE DROP LOCATION FOR COUNTER TERRORISM MEASURES.TO ADDRESS THE NEED FOR EMERGENCY MEDICAL SERVICES AS THE SOLE HOSPITAL ON THE BARRIER ISLANDS OF MIAMI-DADE COUNTY, IN 2022, MOUNT SINAI PROVIDED EMERGENCY SERVICES FOR 54,398 VISITS IN THE PRIMARY SERVICE AREA OF MIAMI BEACH AND FOR AN ADDITIONAL 18,955 IN ITS SENIOR AND GERIATRIC TARGET AREA OF AVENTURA AND 36,572 VISITS IN HIALEAH.TO ADDRESS INTENSIVE GERIATRIC/SENIOR CARE, MOUNT SINAI MAINTAINS THE WEIN CENTER FOR ALZHEIMER'S CARE, THE STATE OF FLORIDA'S LEADING MEMORY DISORDER CLINIC. IT ALSO SERVES AS THE MIAMI-DADE COUNTY COORDINATOR FOR THE STATE-AUTHORIZED CAREGIVER SUPPORT AND SILVER ALERT PROGRAMS, AND PROVIDES INBOUND SENIOR VISITS THROUGH ITS STATE-AUTHORIZED GERIATRIC HOUSE CALL PROGRAM.TO ADDRESS MATERNITY SERVICES AND NEONATAL EMERGENT CARE, MOUNT SINAI PARTNERS WITH THE MIAMI BEACH COMMUNITY HEALTH CENTER TO PROVIDE PREVENTATIVE AND ACUTE OB/GYN CARE FOR ALL INCOMES, RACES, AND ETHNICITIES REGARDLESS OF NATIONAL ORIGIN OR DOCUMENTATION. IN 2022, MOUNT SINAI WELCOMED 2,278 INFANTS TO THE COMMUNITY.TO ADDRESS HEALTH EDUCATION AND COMMUNITY HEALTH SCREENINGS AND EDUCATION, MOUNT SINAI PROVIDES COMMUNITY HEALTH LECTURES AND MEDICAL SCREENINGS.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MIAMI BEACH COMMUNITY HEALTH CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11645 BISCAYNE BLVD SUITE 207	AddressLine1Txt
City	MIAMI	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33181	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	591829984	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$150,000	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Purpose Of Grant	ASSIST THE CITY WITH PROVIDING PRIMARY CARE	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	MOUNT SINAI OVERSEES THE SCHEDULING AND CLINICAL OPPORTUNITIES PROVIDED TO RESIDENTS WHILE SERVING THE PATIENTS AT THE COMMUNITY HEALTH CENTER.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 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
STEVE XYDAS EMPLOYED MD
CHIEF, CARDIOTHORACIC SURGERY	$1,946,583	$0	$500,000	$0	$2,070	$0	$47,350	$0	$41,459	$0	$2,537,462	$0	$0	$0
GINO SANTORIO
PRESIDENT/CEO	$1,464,761	$0	$218,750	$0	$13,605	$0	$27,850	$0	$42,778	$0	$1,767,744	$0	$0	$0
SAMUEL GOLDSMIT EMPLOYED MD
STAFF PHYSICIAN, NEUROSURGERY	$815,110	$0	$600,000	$0	$14,818	$0	$48,350	$0	$6,827	$0	$1,485,105	$0	$0	$0
ALEXANDER MENDEZ
EXECUTIVE VP/CFO	$686,702	$0	$294,116	$0	$363,524	$0	$54,850	$0	$38,931	$0	$1,438,123	$0	$0	$0
ROY WILLIAMS EMPLOYED MD
CHIEF, THORACIC SURGERY	$941,494	$0	$88,463	$0	$18,133	$0	$51,536	$0	$40,049	$0	$1,139,675	$0	$0	$0
FERNANDO SAFDIE EMPLOYED MD
ASSOC. DIR., THORACIC SURGERY	$762,338	$0	$250,068	$0	$1,680	$0	$27,850	$0	$38,951	$0	$1,080,887	$0	$0	$0
STEVEN SONENREICH
FORMER PRESIDENT/CEO	$845,517	$0	$0	$0	$160,412	$0	$47,500	$0	$25,959	$0	$1,079,388	$0	$0	$0
ALLEN KANTROWITZ EMPLOYED MD
CHIEF, NEUROSURGERY	$830,317	$0	$188,945	$0	$10,806	$0	$12,750	$0	$21,048	$0	$1,063,866	$0	$0	$0
ROBERT GOLDSZER
SENIOR VP/CMO	$451,804	$0	$99,814	$0	$196,839	$0	$54,850	$0	$27,117	$0	$830,424	$0	$0	$0
ANGEL PALLIN
EXECUTIVE VP/COO	$389,038	$0	$130,633	$0	$94,524	$0	$54,850	$0	$41,459	$0	$710,504	$0	$0	$0
THOMAS GILLETTE
SENIOR VP/CIO	$411,736	$0	$92,585	$0	$92,713	$0	$54,850	$0	$37,899	$0	$689,783	$0	$0	$0
WAYNE CHUTKAN
SENIOR VP OF FINANCE	$367,973	$0	$83,055	$0	$89,005	$0	$54,850	$0	$41,681	$0	$636,564	$0	$0	$0
WENDY STUART
SENIOR VP/CNO	$314,278	$0	$105,000	$0	$75,865	$0	$34,350	$0	$34,083	$0	$563,576	$0	$0	$0
BENJAMIN DAVIS
SENIOR VP FACILITIES/RESOURCE MGMT.	$331,682	$0	$63,337	$0	$86,816	$0	$32,650	$0	$7,247	$0	$521,732	$0	$0	$0
MERVYN MILLS
VP OF FINANCE	$270,761	$0	$62,272	$0	$62,891	$0	$48,350	$0	$30,652	$0	$474,926	$0	$0	$0
CHARLENE WELKER
SENIOR VP, DONOR RELATIONS	$254,286	$0	$60,592	$0	$57,631	$0	$54,850	$0	$6,018	$0	$433,377	$0	$0	$0
ARNOLD JAFFEE
SENIOR VP/GEN COUNSEL	$244,522	$0	$60,000	$0	$23,406	$0	$47,850	$0	$39,646	$0	$415,424	$0	$0	$0
CATHY MCCLELLAN
VP RISK MGMT, INS. & PERF. IMP.	$180,648	$0	$45,895	$0	$46,656	$0	$54,850	$0	$14,437	$0	$342,486	$0	$0	$0
MARGIE STICKLES
VP, SURGICAL SERVICES	$190,411	$0	$47,380	$0	$46,133	$0	$54,850	$0	$2,386	$0	$341,160	$0	$0	$0
ETHLING HERNANDEZ
VICE PRESIDENT	$215,638	$0	$53,000	$0	$744	$0	$22,050	$0	$21,201	$0	$312,633	$0	$0	$0
GUSTAVO TEJAS
VP CRITICAL CARE & EMG. SVCS.	$207,011	$0	$48,000	$0	$1,878	$0	$34,350	$0	$13,883	$0	$305,122	$0	$0	$0
LYNDA BARCELO
VICE PRESIDENT	$186,609	$0	$48,000	$0	$180	$0	$27,850	$0	$21,551	$0	$284,190	$0	$0	$0
THRAS SKLAVOUNOS
VP, CARDIOVASCULAR SVCS (AS OF 5/22)	$167,102	$0	$6,750	$0	$8,536	$0	$54,501	$0	$32,657	$0	$269,546	$0	$0	$0
JACLYN KAPLAN
VP, MARKETING & COMM. (AS OF 4/22)	$174,454	$0	$7,500	$0	$172	$0	$21,084	$0	$211	$0	$203,421	$0	$0	$0
VANDANA PATHAK
VICE PRESIDENT (END 5/22)	$85,496	$0	$52,000	$0	$23,963	$0	$20,500	$0	$9,098	$0	$191,057	$0	$0	$0
SAMANTHA NAGY
VP, SUB ACUTE SERVICES (AS OF 4/22)	$156,612	$0	$7,500	$0	$76	$0	$15,849	$0	$6,615	$0	$186,652	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	GROSS-UP PAYMENTS FOR DISABILITY INSURANCE POLICIES WERE PROVIDED TO ONE OFFICER, ONE FORMER OFFICER, AND ELEVEN KEY EMPLOYEES. GROSS-UP PAYMENTS FOR LIFE INSURANCE POLICIES WERE PROVIDED TO ONE OFFICER, ONE FORMER OFFICER, AND TEN KEY EMPLOYEES. SUCH AMOUNTS WERE TREATED AS TAXABLE COMPENSATION AND INCLUDED IN THE W-2 WAGES FOR SUCH EMPLOYEES.
PART I, LINE 1B	THE DECISION-MAKING PROCESS FOR THE GROSS-UP PAYMENTS MADE PURSUANT TO THE LIFE INSURANCE AND DISABILITY POLICIES FOLLOWED THE SAME COMPENSATION PROCESS OUTLINED IN THE DISCLOSURE FOR FORM 990, PART VI, LINE 15, INCLUDING APPROVAL BY THE COMPENSATION COMMITTEE AND REVIEW BY AN INDEPENDENT CONSULTANT. APPROVAL FOR THE GROSS-UP PAYMENTS IS ALSO OUTLINED IN THE PLAN DOCUMENTS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF MIAMI BEACH HEALTH FACILITIES AUTHORITY
A	650372870	593211EZ4	2014-09-04	$181,289,212	CURRENT REFUND BOND ISSUED 4/28/04 & CAPITAL IMPROVEMENTS	0	0	0
CITY OF MIAMI BEACH HEALTH FACILITIES AUTHORITY
B	650372870	000000000	2021-02-25	$31,775,000	CURRENT REFUND BONDS ISSUED 9/4/2014	0	0	0
CITY OF MIAMI BEACH HEALTH FACILITIES AUTHORITY
C	650372870	593211FQ3	2021-09-21	$162,464,714	CONSTRUCT OUTPATIENT ONCOLOGY CENTER	0	0	0
CITY OF MIAMI BEACH HEALTH FACILITIES AUTHORITY
D	650372870	000000000	2022-11-15	$63,980,000	CURRENT REFUND BONDS ISSUED 2/25/2021	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	UnspentUnspentAmt
A	$41,245,000	$181,914,236	$810,491	$2,358,111	$110,221,427	$69,334,698	2019	Yes (1)	0	Yes (1)	Yes (1)
B		$31,775,000	$8,555			$31,452,030		Yes (1)	0	Yes (1)	Yes (1)	$322,970
C		$163,202,978		$6,122,945	$4,428,503			0	0	0	Yes (1)	$1,809,201	$150,842,329
D		$63,980,000				$63,980,000		0	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)
C	0		Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	0	Yes (1)	Yes (1)
B	Yes (1)	0	Yes (1)	0	Yes (1)
C	Yes (1)	0	0	0	Yes (1)
D	Yes (1)	0	Yes (1)	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: CITY OF MIAMI BEACH HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/14/2019
SCHEDULE K, PART II, LINE 4, COLUMNS A AND B:	THE AMOUNT SHOWN HERE CONSISTS SOLELY OF DEBT SERVICE FUND DEPOSITS.
SCHEDULE K, PART II, LINE 3, COLUMNS A AND C:	DIFFERENCES BETWEEN THE AMOUNT SHOWN HERE AND THE ISSUE PRICE REPORTED IN PART I, COLUMN (E) ARE DUE TO ACCUMULATED INTEREST EARNINGS.
SCHEDULE K, PART II, LINES 14 AND 15, COLUMN D:	THE FORM 8038 FILED FOR THIS ISSUE ERRONEOUSLY REPORTED IT AS HAVING REFUNDED TAX-EXEMPT BONDS, BUT THE REFUNDED DEBT WAS TAXABLE.
PART IV, LINE 6, COLUMN A:	SUCH AMOUNTS WERE APPROPRIATELY YIELD RESTRICTED.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
CAROL HERNANDEZ
MSMC EMPLOYEE & SISTER OF ETHLING HERNANDEZ, MSMC KEY EMPLOYEE	$113,998	ETHLING HERNANDEZ'S SISTER, CAROL HERNANDEZ, WAS AN EMPLOYEE OF THE HOSPITAL AND IN 2022 SHE EARNED WAGES IN THE AMOUNT OF $113,998.	0
ALEXANDER TORRES
MSMC EMPLOYEE & BROTHER-IN-LAW OF ETHLING HERNANDEZ, MSMC KEY EMPLOYEE	$68,023	ETHLING HERNANDEZ'S BROTHER-IN-LAW, ALEXANDER TORRES, WAS AN EMPLOYEE OF THE HOSPITAL AND IN 2022 HE EARNED WAGES IN THE AMOUNT OF $68,023.	0
DR PAUL CHAPLIN
MSMC EMPLOYEE & BROTHER OF WAYNE CHAPLIN, MSMC BOARD MEMBER	$36,779	WAYNE CHAPLIN'S BROTHER, DR. PAUL CHAPLIN, WAS AN EMPLOYEE OF THE HOSPITAL AND IN 2022 HE EARNED WAGES IN THE AMOUNT OF $36,779.	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	TRUSTEES MARK H. HILDEBRANDT AND LAURANS A. MENDELSON HAVE A BUSINESS RELATIONSHIP. TRUSTEES SERGIO ROK AND JAMES TATE HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 4	THE FOLLOWING CHANGES WERE MADE TO THE BYLAWS IN 2022 THAT CHANGED THE AUTHORITY OR DUTIES OF THE VARIOUS BOARD MEMBERS AND OFFICERS OF MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC.: - LIMITATION ON THE POWER OF THE CHAIR OR VICE CHAIR OF THE EXECUTIVE BOARD OF TRUSTEES BY REMOVING THEIR POWER TO UNILATERALLY EXTEND THE TERM OF A BOARD COMMITTEE MEMBER. - ADDITION TO THE POWER OF THE CHAIR OF THE EXECUTIVE BOARD ALLOWING THEM TO REMOVE A BOARD COMMITTEE CHAIR (WITH OR WITHOUT CAUSE) FOLLOWING CONSULTATION WITH THE VICE CHAIR OF THE EXECUTIVE BOARD OF TRUSTEES. ADDITIONALLY, ANY COMMITTEE MEMBER WOULD BE ALLOWED TO RESIGN BY TENDERING A WRITTEN RESIGNATION TO THE EXECUTIVE BOARD CHAIR OR VICE CHAIR.
FORM 990, PART VI, SECTION B, LINE 11B	THE PROCESS FOR REVIEW OF THE FORM 990 BY MEMBERS OF THE GOVERNING BODY AND MANAGEMENT IS AS FOLLOWS: THE MEMBERS OF THE GOVERNING BODY AND MANAGEMENT WILL MEET AND REVIEW IN DETAIL THE COMPLETED FORM 990. A FINAL DRAFT OF FORM 990 IS PROVIDED TO ALL VOTING MEMBERS OF THE ORGANIZATION BEFORE THE FINAL FORM IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY: MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC. AND SUBSIDIARIES (THE "MEDICAL CENTER") FORMALLY IMPLEMENTED A WRITTEN CONFLICT OF INTEREST POLICY (THE "POLICY") IN MARCH 2006 TO PROTECT THE MEDICAL CENTER AND ENSURE THAT THE DELIBERATIONS AND DECISIONS MADE ON BEHALF OF THE MEDICAL CENTER ARE MADE IN THE BEST INTEREST OF THE MEDICAL CENTER. THE TERM "CONFLICT OF INTEREST" AS DEFINED BY THIS POLICY REFERS TO SITUATIONS IN WHICH FINANCIAL OR OTHER PERSONAL CONSIDERATIONS MAY COMPROMISE, OR HAVE THE APPEARANCE OF COMPROMISING, THE JUDGMENT OF SOMEONE CHARGED WITH THE RESPONSIBILITY TO ACT ON BEHALF OF THE MEDICAL CENTER. THIS POLICY IS REVIEWED PERIODICALLY BUT NOT LESS THAN ONCE A YEAR BY THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES TO BETTER MEET ITS OBJECTIVES. IT IS INTENDED TO SUPPLEMENT BUT NOT REPLACE ANY APPLICABLE LAWS GOVERNING CONFLICTS OF INTEREST IN NONPROFIT AND CHARITABLE ORGANIZATIONS. PERSONS COVERED UNDER THIS POLICY INCLUDE: (1) ANY CURRENT OR FORMER TRUSTEE, OFFICER, OR MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS FOR THE MEDICAL CENTER; (2) MEMBERS OF MANAGEMENT AND ANY EMPLOYEE OF THE MEDICAL CENTER WHO: A) RECEIVES COMPENSATION FROM THE MEDICAL CENTER IN EXCESS OF $150,000 ANNUALLY, WHETHER AS A FULL- OR PART-TIME EMPLOYEE, INDEPENDENT CONTRACTOR, OR OTHERWISE, AND, B) HAS RESPONSIBILITIES, POWER OF INFLUENCE OVER AN ACTIVITY OF THE MEDICAL CENTER SIMILAR TO THAT OF AN OFFICER OR TRUSTEE AND WHICH REPRESENTS MORE THAN 10% OF THE ACTIVITIES, ASSETS, INCOME OR EXPENSES OF THE MEDICAL CENTER, AND C) IS ONE OF THE TWENTY EMPLOYEES WITH THE HIGHEST COMPENSATION FROM THE MEDICAL CENTER. (3) ANY PERSON(S) WHO SERVE AS A MEMBER OF THE MEDICAL CENTER'S MEDICAL STAFF AS A CHAIRPERSON OF A DEPARTMENT, CHIEF OF A CLINICAL SERVICE, OR MEMBER OF THE MEDICAL EXECUTIVE COMMITTEE. MONITORING AND COMPLIANCE: AN IMPORTANT STEP IN MONITORING AND ENFORCING COMPLIANCE WITH A CONFLICT OF INTEREST POLICY INCLUDES MANAGEMENT'S EDUCATION EFFORTS TO MAKE INTERESTED PERSONS AWARE OF THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. TO THAT END, MANAGEMENT HAS INCLUDED IN ITS CODE OF CONDUCT (THE "CODE") A SECTION ON CONFLICTS OF INTEREST WHICH HAS TO BE SIGNED AND RETURNED BY EVERY INTERESTED PERSON TO ACKNOWLEDGE AND ATTEST THAT THEY READ THE CODE INCLUDING THE CONFLICT OF INTEREST SECTION. ANNUALLY, INTERESTED PERSONS ALSO RECEIVE A REFRESHER TRAINING SESSION ON ETHICS AND CONFLICTS OF INTEREST. IN ADDITION, THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES HAS CREATED A SUBCOMMITTEE ON CONFLICTS OF INTEREST ("CONFLICTS COMMITTEE") TO ADMINISTER AND MONITOR COMPLIANCE WITH THIS POLICY. THE CONFLICTS COMMITTEE REQUIRES A STATEMENT FROM EACH INTERESTED PERSON NOT LESS FREQUENTLY THAN ONCE A YEAR SETTING FORTH ALL BUSINESS AND OTHER AFFILIATIONS THAT RELATE IN ANY WAY TO THE BUSINESS AND OTHER ACTIVITIES OF THE MEDICAL CENTER. INTERNAL AUDIT COMPILES AND SUMMARIZES ALL THE DISCLOSURES RECEIVED FROM INTERESTED PERSONS TO FACILITATE THEIR REVIEW BY THE CONFLICTS COMMITTEE. THE CONFLICTS COMMITTEE INDIVIDUALLY DISCUSSES EACH DISCLOSURE TO EVALUATE WHETHER A CONFLICT OF INTEREST EXISTS AND DETERMINES THE APPROPRIATE COURSE OF ACTION TO TAKE. NEITHER THE BOARD NOR ANY COMMITTEE OF THE BOARD SHALL VOTE UPON ANY PROPOSED TRANSACTION OR ARRANGEMENT IN CONNECTION WITH A POTENTIAL CONFLICT OF INTEREST UNTIL SUCH TIME AS THE CONFLICTS COMMITTEE HAS DETERMINED WHETHER A CONFLICT OF INTEREST EXISTS. WHERE THE CONFLICTS COMMITTEE HAS CONCLUDED THAT A CONFLICT OF INTEREST EXISTS, THE CHAIRMAN OF THE CONFLICTS COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO A PROPOSED TRANSACTION, CONTRACT, OR ARRANGEMENT. IF THE CONFLICTS COMMITTEE DETERMINES THAT THE MEDICAL CENTER CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THEN THE MEDICAL CENTER SHALL NOT ENTER INTO THE TRANSACTION THAT INVOLVES THE CONFLICT OF INTEREST. IF A TRANSACTION OR ARRANGEMENT MORE ADVANTAGEOUS IS NOT REASONABLY ATTAINABLE UNDER THE CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THEN THE BOARD OR COMMITTEE, AS APPLICABLE, SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE MEDICAL CENTER'S BEST INTEREST AND WHETHER IT IS FAIR AND REASONABLE TO THE MEDICAL CENTER, AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. FAILURE BY AN INTERESTED PERSON TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST UNDER THE CONFLICT OF INTEREST POLICY IS CONSIDERED A SERIOUS MATTER AND MAY CONSTITUTE "CAUSE" FOR REMOVAL OR TERMINATION OF A TRUSTEE, OFFICER, OR THE TERMINATION OF ANY CONTRACTUAL OR EMPLOYMENT RELATIONSHIP THE MEDICAL CENTER MAY HAVE WITH AN INTERESTED PERSON OR OTHER PARTY.
FORM 990, PART VI, SECTION B, LINE 15	ON AN ANNUAL BASIS, THE MOUNT SINAI MEDICAL CENTER COMPENSATION COMMITTEE CONTRACTS WITH AN INDEPENDENT CONSULTANT TO PREPARE AN OPINION REGARDING THE REASONABLENESS AND COMPARABILITY OF THE TOTAL COMPENSATION PROVIDED TO ITS SENIOR OFFICERS AND KEY EMPLOYEES. THE COMPENSATION COMMITTEE INFORMS THE INDEPENDENT CONSULTANT THAT THE INDEPENDENT CONSULTANT'S OPINION WILL BE PART OF THE COMMITTEE'S PROCEDURE FOR ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS DESCRIBED IN THE INCOME TAX REGULATIONS. THE INDEPENDENT CONSULTANT'S DETERMINATION OF REASONABLENESS IS MADE AFTER A THOROUGH REVIEW OF ALL THE ELEMENTS OF THE TOTAL COMPENSATION COMPRISED OF: CASH COMPENSATION, HEALTH AND WELFARE BENEFITS, RETIREMENT BENEFITS, EXECUTIVE BENEFITS AND PERQUISITES, AND OTHER ELEMENTS OF COMPENSATION INCLUDING SEVERANCE ARRANGEMENTS. THE OPINION EXPRESSED BY THE INDEPENDENT CONSULTANT IS THEN PRESENTED TO THE MSMC COMPENSATION COMMITTEE IN A REPORT FORM FOR THEIR REVIEW. THE OPINION REPORT IS REFERRED TO BY THE COMPENSATION COMMITTEE WHEN DETERMINING AND APPROVING THE ANNUAL COMPENSATION FOR ITS SENIOR OFFICERS AND KEY EMPLOYEES. THE EXECUTIVE BOARD OF TRUSTEES OF MSMC HAS AUTHORIZED ITS COMPENSATION COMMITTEE TO SET ANNUAL COMPENSATION FOR MSMC'S SENIOR OFFICERS AND KEY EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:	INCOME FROM MIAMI JEWISH HOME HEALTH AGENCY -6,897. AMOUNT REPORTED SEPARATELY -6,305,918. NET ASSETS TRANSFERRED FROM MSMC FDN -9,536,403. INCOME FROM MOB 153,906. INCOME FROM ELDERCARE -721,737. NET ASSETS RELEASED FROM RESTRICTION 645,715.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (20 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Direct Controlling NADirectControllingNACd
NEUROSURG LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	202098546	BILLING	FL	$0	$0	N/A
MSMC ONCOLOGY LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	454999975	BILLING	FL	$0	$0	N/A
MSMC INTERVENTIONAL LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	460759101	BILLING	FL	$0	$0	N/A
MOUNT SINAI CORAL WAY LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	454560957	BILLING	FL	$0	$0	N/A
MSMC NEONATOLOGY LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	461533688	BILLING	FL	$0	$0	N/A
MOUNT SINAI CARDIO-PRICARE LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	261408014	BILLING	FL	$0	$0	N/A
MT SINAI MEDICAL CTR PHYSICIAN PRACTICES
4300 ALTON ROAD	MIAMI BEACH	FL	33140	203295727	BILLING	FL	$0	$0	N/A
MT SINAI MEDICAL CTR SURGICAL ONCOLOGY LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	262938215	BILLING	FL	$0	$0	N/A
MT SINAI MEDICAL CTR UROLOGY LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	262893302	BILLING	FL	$0	$0	N/A
MT SINAI MEDICAL CTR CARDIOLOGY LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	264069086	BILLING	FL	$0	$0	N/A
MOUNT SINAI INTENSIVISTS LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	263932464	BILLING	FL	$0	$0	N/A
MT SINAI CARDIOTHORACIC SURGERY LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	263594843	BILLING	FL	$0	$0	N/A
MT SINAI MED CTR EMERGENCY PHYSICIANS LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	451155342	BILLING	FL	$0	$0	N/A
PHYSICIAN PRACTICES OF MSMC LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	451154796	BILLING	FL	$0	$0	N/A
RADIOLOGY OF MSMC LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	453583216	BILLING	FL	$0	$0	N/A
MOUNT SINAI HEALTH LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	465582875	BILLING	FL	$0	$0	N/A
CARDIOLOGY OF THE FLORIDA KEYS LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	474507034	BILLING	FL	$0	$0	N/A
MOUNT SINAI MENTAL HEALTH LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	825389789	BILLING	FL	$0	$0	N/A
MOUNT SINAI VASCULAR INSTITUTE LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	863355115	BILLING	FL	$0	$0	N/A
MSMC OF THE FLORIDA KEYS LLC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	882747131	BILLING	FL	$0	$0	N/A

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 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
MT SINAI MEDICAL CENTER FOUNDATION INC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	591711400	FOUNDATION	FL	501(C)(3)	LINE 7	MT SINAI MEDICAL CENTER OF FLORIDA INC	Yes (1)
MT SINAI MEDICAL CENTER INSURANCE TRUST
4300 ALTON ROAD	MIAMI BEACH	FL	33140	591830065	TRUST	FL	501(C)(3)	LINE 12B, II	MT SINAI MEDICAL CENTER OF FLORIDA INC	Yes (1)
MT SINAI MEDICAL CTR OFFICE BUILDING II
4300 ALTON ROAD	MIAMI BEACH	FL	33140	205737392	TITLE LEASE	FL	501(C)(2)	N/A	MT SINAI MEDICAL CENTER OF FLORIDA INC	Yes (1)
MT SINAI ELDERCARE INC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	861888783	ELDERLY PATIENT CARE	FL	501(C)(3)	LINE 10	MT SINAI MEDICAL CENTER OF FLORIDA INC	Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt
RIGHT CHOICE MANAGEMENT SERVICES INC
4300 ALTON ROAD	MIAMI BEACH	FL	33140	650728277	MGMT SERVICES	FL	N/A	S	1.00000	Yes (1)
MT SINAI MED CTR OF FL GUARANTEE CORP
					INSURANCE		N/A	C	1.00000	Yes (1)	PO BOX 1051 KY1-1102	CJ	CJ	-$110,554	$9,515,362

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MOUNT SINAI MEDICAL CENTER FOUNDATION INC
C	$9,887,390	FAIR MARKET VALUE
MOUNT SINAI MEDICAL CENTER INSURANCE TRUST
R	$17,050,000	FAIR MARKET VALUE
MOUNT SINAI ELDERCARE INC
R	$4,588,194	FAIR MARKET VALUE