2022-11-05T18:09:54-05:00 2021-12-31 ERNST & YOUNG US LLP 1 MANHATTAN WEST NEW YORK NY 10001 990 2021-01-01 800468600 Mitral Foundation % STEPHEN HARVEY MITR 6466054002 1190 fifth avenue new york NY 10029 Stephen Harvey TREASURER 6466054002 2022-11-03 true Stephen Harvey 999009999 Nicole M Sokolowski P01683199 2127733000 2 2021 2022-09-23 18:48:47Z stephen harvey 150 E 42ND STREET new york NY 10017 1066598 false X http://www.mitralfoundation.org X 2009 NY THE MITRAL FOUNDATION IS A SUPPORTING ORGANIZATION WITH THE PURPOSE TO SUPPORT THE MITRAL VALVE REPAIR REFERENCE CENTER AT THE MOUNT SINAI HOSPITAL. 5 2 0 0 0 0 775873 430098 20150 636500 0 0 0 0 796023 1066598 272351 255820 0 0 286773 237545 0 0 0 484305 403278 1043429 896643 -247406 169955 1337191 1507146 0 0 1337191 1507146 THE MITRAL FOUNDATION IS A SUPPORTING ORGANIZATION WITH THE PURPOSE TO SUPPORT THE MITRAL VALVE REPAIR REFERENCE CENTER AT THE MOUNT SINAI HOSPITAL. false false 896643 255820 636500 Mitral Foundation is dedicated to advancing the understanding of mitral valve disease and support the Mitral Valve Repair Reference Center. 896643 true true false false false false false false false false false false false true false false false true false false false false false false false false false true false true false false false false false false false false false false false false false true true false false false true 0 0 0 false false false false false false false false false false false false X 5 2 false false false false false true false true true false false true true true true true true false false false NY X STEPHEN HARVEY 6466054002 150 EAST 42ND STREET - 9TH FLOOR NEW YORK NY 10017 DAVID H ADAMS MD 1 2 PRESIDENT 0.5 59.5 X X 0 6452377 47872 DENNIS CHARNEY MD 1 2 VICE PRESIDENT 0.5 59.5 X X 0 2147365 46790 MARK KOSTEGAN FAHP 1 VICE PRESIDENT FOR DEVELOPMENT 0.5 59.5 X 0 1840505 49837 STEPHEN HARVEY 1 TREASURER 0.5 59.5 X 0 1403564 75202 VALENTIN FUSTER MD 1 BOARD DIRECTOR 0.5 59.5 X 0 1312780 58645 JURGEN A FRIEDRICH CHAIRMAN/DIRECTOR 1.0 0.0 X X 0 0 0 FREDERICK SLAGLE SECRETARY 1.0 0.0 X X 0 0 0 FREDERICK R CUMMINGS JR ASSISTANT SECRETARY 1.0 0.0 X 0 0 0 0 13156591 278346 0 false true false NONE 0 430098 430098 WORKSHOP SERVICES 611710 636500 636500 636500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1066598 636500 255820 255820 0 0 0 0 0 195515 195515 10280 10280 19190 19190 12560 12560 275150 275150 0 0 0 0 0 0 96211 96211 4840 4840 0 0 6553 6553 5046 5046 0 7395 7395 0 0 0 0 MISCELLANEOUS 8083 8083 896643 896643 0 0 0 0 0 0 199022 179579 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1138169 1327567 1337191 1507146 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 0 0 1337191 1507146 1337191 1507146 1337191 1507146 169955 X false true X true false X X X 2 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI 136171197 2 true 255820 0 THE MOUNT SINAI HOSPITAL 131624096 3 true 0 0 2 255820 0 true false false false false false false false false false false false false false false true false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED DUE FROM ICAHN SCHOOL OF 1327567 1327567 true ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L LEVY PL NEW YORK NY 10029 136171197 501(C)(3) 255820 SUPPORT FOR MITRAL VALVE SIMULATION PRG 1 Part I, Line 2 Grant is made to a related tax exempt organization and monitoring is not required because funds are used to further exempt purpose. false false false false false false false false false DAVID H ADAMS MD 1 2 PRESIDENT 0 212097 0 500000 0 5740280 0 21209 0 26663 0 6500249 0 0 DENNIS CHARNEY MD 1 2 VICE PRESIDENT 0 1100000 0 380000 0 667365 0 29000 0 17790 0 2194155 0 0 VALENTIN FUSTER MD 1 BOARD DIRECTOR 0 212097 0 150000 0 950683 0 21209 0 37436 0 1371425 0 0 STEPHEN HARVEY 1 TREASURER 0 931666 0 342000 0 129898 0 29000 0 46202 0 1478766 0 0 MARK KOSTEGAN FAHP 1 VICE PRESIDENT FOR DEVELOPMENT 0 750000 0 923727 0 166778 0 29000 0 20837 0 1890342 0 0 Part VII, Section A & Schedule J Compensation Footnotes OFFICERS OF THE BOARDS OF TRUSTEES HOURS REFLECT SERVICE TO ALL RELATED ORGANIZATIONS OF MOUNT SINAI HEALTH SYSTEM, INC. (1) COMPENSATION AND BENEFITS ARE FUNDED FROM THE MOUNT SINAI HOSPITAL, ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, BETH ISRAEL MEDICAL CENTER, ST. LUKE'S-ROOSEVELT HOSPITAL CENTER AND/OR NEW YORK EYE AND EAR INFIRMARY (2) Employee has an outstanding loan reflected in Schedule L, Part II of Icahn School of Medicine at Mount Sinai's Form 990. OTHER REPORTABLE COMPENSATION FOR OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES AS IDENTIFIED IN THE FORM 990, PART VII, AND LISTED ON SCHEDULE J MAY INCLUDE VARIOUS TYPES OF SUPPLEMENTAL WAGES. SCHEDULE J, PART I, LINE 3 THE MOUNT SINAI HOSPITAL, A RELATED ORGANIZATION, ESTABLISHES EXECUTIVE COMENSATION BY UTILIZING THE FOLLOWING METHODS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEYS/STUDIES, AND APPROVAL BY THE BOARD/COMPENSATION COMMITTEE. SCHEDULE J, PART I, LINES 6A & 6B THE MOUNT SINAI HOSPITAL, A RELATED ORGANIZATION, ANSWERED YES TO QUESTIONS 6A AND 6B IN SCHEDULE J AS THE INSTITUTION UTILIZES AN INCENTIVE BASED BONUS PROGRAM FOR CERTAIN EMPLOYEES, INCLUDING SEVERAL OF THOSE EMPLOYEES LISTED IN SCHEDULE J. NET EARNINGS IS ONE OF SEVERAL METRICS UTILIZED BY THE INSTITUTION IN THE ANNUAL BONUS CALCULATION. OTHER METRICS UTILIZED IN THE INCENTIVE COMPENSATION MODEL INCLUDE THE ORGANIZATION'S PERFORMANCE ON THE JCAHO HOSPITAL CORE MEASURES, PATIENT SATISFACTION SCORES, AND OTHER ORGANIZATIONAL GOALS SUCH AS LENGTH OF STAY INITIATIVES. INDIVIDUALS THAT HAVE RESPONSIBILITIES IN RELATED ORGANIZATIONS TO THE HOSPITAL MAY HAVE INCENTIVES BASED ON THE PERFORMANCE OF THESE ORGANIZATIONS AS WELL AS THAT OF THE HOSPITAL. PART I, LINE 5 Number of Employees Employees of The Mount Sinai Hospital and The Icahn School of Medicine at Mount Sinai, including employees providing services at Elmhurst Hospital Center and Queens Hospital Center, utilize a common paymaster under the Hospital's tax identification number. The total number of employees reported under The Mount Sinai Hospital's tax identification number with the common paymaster system is 32,749 individuals. In addition, The Mount Sinai Hospital operates payroll for some related entities, including the Mitral Foundation, as well as shared employee expense. All salaries are allocated back to the separate entities and reported as if paid directly by them. Part V Lines 1 and 2 & Part IX Lines 7-11 The organization does not pay any employees or independent contractors directly and therefore, does not issue any W-2s or 1099s. The payments are made by the Icahn School of Medicine at Mount Sinai, a related organization, and allocated to the organization. Part VI, Section A, Line 7a Persons with authority to elect members of the governing body Icahn School of Medicine at Mount Sinai has the power to appoint four (4) of the seven (7) members of the board of directors of the organization. Jurgen A. Friedrich has the authority to appoint the remaining three (3) members of the board of directors of the organization. PART VI, SECTION B, LINE 11B FORM 990 PROVIDED TO GOVERNING BODY The Finance Department gathered the relevant information and prepared the tax returns. * The Tax department of our outside auditors, Ernst & Young (EY), participated in the preparation of, and reviewed, all tax returns. * A questionnaire was circulated to all trustees (i.e., directors), officers and key employees in order to elicit the information required to be reported on the tax returns. * The Trustee Conflicts of Interest Review Committee reviewed the responses provided by trustees and certain officers in the questionnaires and assessed additional pertinent facts gathered by the institution in order to evaluate the applicability of IRS reporting requirements. The Review Committee then determined the appropriate trustee (and certain officer) disclosures that should be made on Form 990 based on the recommendations of the Finance Department, the General Counsel's office and the Audit and Compliance Department. These recommendations were reviewed and approved by EY. The same process was conducted by the Finance Department, the General Counsel's office, the Audit and Compliance Department and EY with respect to the questionnaires submitted by other officers and key employees. * The Audit and Compliance Committee of the Board of Trustees conducted a review of the entire tax return, with the participation of EY, the Finance Department, the General Counsel's office, and the Audit and Compliance Department. The Audit Committee approved the tax returns as presented. * The Audit Committee's report of its review of the tax returns and its recommendation to file the returns were presented to, and accepted by, the Executive Committee of the Board of Trustees (the Executive Committee). * In addition to authorizing the filing of the tax returns, the Executive Committee directed that the returns, which will be filed on or before November 15, 2022, be provided to all trustees via the trustees' confidential website, and those returns were so provided before being filed. PART VI, SECTION B, LINE 12C Monitoring & enforcing compliance with the policy Compliance with the Organization's Business Conflicts of Interest Policy (the Policy) is required of trustees, employees, medical staff and non-employee members of institutional committees and includes an ongoing duty to disclose potential conflicts. Compliance with the Policy is monitored and enforced regularly and consistently. All disclosures with the potential for conflict are reviewed by an appropriate committee where they are carefully evaluated. When appropriate, a plan, which may involve measures including, but not limited to, recusal from participating in affected transactions, is developed to manage the potential conflict. PART VI, SECTION B, QUESTIONS 12-14 The boards of the Mount Sinai Medical Center, Icahn School of Medicine at Mount Sinai and The Mount Sinai Hospital have adopted all policies referred to in form 990, Part VI, Section B questions 12 to 14, which would apply to all owned/controlled entities, including Mitral Foundation. PART VI, SECTION C, LINE 19 Governing documents, conflict of interest policy available to the public The organization makes its Business Conflicts of Interest Policy available on its website (www.mountsinai.org) and makes its governing documents and financial statements available upon request. THE MOUNT SINAI MEDICAL CENTER INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 136271888 SUPPORT NY 501(C)(3) 12 TYPE II MSHS false THE MOUNT SINAI HOSPITAL ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 131624096 HOSPITAL NY 501(C)(3) 3 MSHG false THE MOUNT SINAI CHILDREN'S CENTER FND ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 223059294 SUPPORT NY 501(C)(3) 12 TYPE I ISMMS true MSMC REALTY CORPORATION ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 133852596 REAL ESTATE NY 501(C)(3) 12 TYPE I SEE PART VII true MSMC RESIDENTIAL REALTY LLC 1425 MADISON AVENUE NEW YORK NY 10029 200244426 REAL ESTATE NY 501(C)(3) 12 TYPE I SEE PART VII true MSMC RESIDENTIAL REALTY MANAGER INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 201289396 MGMT NY 501(C)(3) 12 TYPE II SEE PART VII true VALENTIN FUSTER MT SINAI FND SCI HLTH ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 800952088 SUPPORT NY 501(C)(3) 12 TYPE I ISMMS & MSH true MOUNT SINAI HEALTH SYSTEM INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 464248304 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PART II, LINE 5, COLUMN F - MSMC RESIDENTIAL REALTY LLC DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, THE MSMC REALTY CORPORATION AND THE MSMC RESIDENTIAL REALTY MANAGER, INC. ARE ALL MEMBERS OF THIS ENTITY. PART II, LINE 7, COLUMN F - MSMC RESIDENTIAL REALTY MANAGER, INC DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL AND THE MSMC REALTY CORPORATION ARE ALL MEMBERS OF THIS ENTITY.