2021-11-14T08:41:35-06:00 2020-12-31 ERNST & YOUNG US LLP 1 MANHATTAN WEST NEW YORK NY 10001 990 2020-01-01 131624096 THE MOUNT SINAI HOSPITAL % MICHAEL PASTIER MOUN 2127313149 ONE GUSTAVE L LEVY PLACE NEW YORK NY 100296574 STEPHEN HARVEY SVP,SYSTEM CFO 6466054002 2021-11-10 true STEPHEN HARVEY 999009999 NICOLE SOKOLOWSKI P01683199 2127733000 2 2020 2022-09-23 18:48:47Z STEPHEN HARVEY 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 3291872800 false X http://www.mountsinai.org X 1852 NY MOUNT SINAI PROVIDES COMPASSIONATE PATIENT CARE AND ADVANCED MEDICINE THROUGH EDUCATION, RESEARCH AND OUTREACH IN THE MANY DIVERSE COMMUNITIES IT SERVES. 36 36 18605 1066 7244 6244 40628514 340882925 2896336543 2706009009 75216726 96552628 114673840 148428238 3126855623 3291872800 107882984 127719257 0 0 1398522012 1547029002 0 0 1355705 1459173201 1536907180 2965578197 3211655439 161277426 80217361 5184954527 6179730566 2689774731 3557279876 2495179796 2622450690 X MOUNT SINAI IS COMMITTED TO THE ADVANCEMENT OF THE ART AND SCIENCE OF MEDICINE THROUGH CLINICAL EXCELLENCE. THE CENTRAL MISSION CONSISTS OF HIGH-QUALITY PATIENT CARE AND TEACHING CONDUCTED IN AN ATMOSPHERE OF SOCIAL CONCERN AND SCHOLARLY INQUIRY INTO NATURE, CAUSATION, PREVENTION AND TREATMENT OF HUMAN DISEASE. false false 2881213961 127719257 2708598468 The Mount Sinai Hospital provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of the Mount Sinai Hospital, it is recognized that not all individuals possess the ability to purchase essential medical services and healthcare education. As a matter of policy, the Hospital provides significant amounts of partially or totally uncompensated patient care. For accounting purposes, such uncompensated care is treated either as charity care or bad debt expense. The Hospital's charity care policy ensures the provision of quality health care to the community served while carefully considering the ability of the patient to pay. The policy has sliding fee schedules for inpatient, ambulatory and emergency services provided to the uninsured and under-insured patients who qualify. Patients are eligible for the charity care fee schedule if they meet certain income tests. Furthermore, as part of its charity care and financial aid policy, the Hospital obtains and uses additional financial information for uninsured or under-insured patients who have not supplied the requisite information to qualify for charity care. The additional information obtained is used by the Hospital to determine whether to qualify patients for charity care and/or financial aid in accordance with the Hospital's policies. For accounting and disclosure purposes, charity care is considered to be the difference between the Hospital's customary charges and the sliding charity care fee schedule rates. Since payment of this difference is not sought, charity care allowances are not reported as revenue. The Hospital's estimated costs for charity care were $41.5 million and $45.0 million for 2020 and 2019, respectively. The cost of charity includes the direct and indirect cost of providing charity care services. The cost is estimated by utilizing a ratio of cost to gross charges applied to the gross uncompensated charges associated with providing charity care. Funds received from the New York State Indigent Care Pool to offset charity services provided totaled approximately $18.5 million and $18.2 million for the years ended December 31, 2020 and 2019, respectively. The charity care component of the indigent care pool payments is estimated utilizing a ratio of charity care charges to total charity care and bad debt charges applied to the indigent care pool reimbursement and excludes amounts designated for teaching programs. Additionally, patients who do not qualify for sliding scale fees and all uninsured inpatients who do not qualify for Medicaid assistance are billed at the Hospital's rates. Uncollected balances for these patients are categorized as bad debts. Total uncompensated care as a result of bad debts for all patient services approximated $41.0 million in 2020 and $31.1 million in 2019. The Mount Sinai Hospital is the primary health care provider for the East Harlem Area of New York City. East Harlem is one of the poorest communities in the New York City region, and has been designated as a medically underserved area. A wide variety of programs and services are currently provided for the community which include: -Primary care -AIDS -Cardiovascular health -Cancer treatment -Maternal and infant health -Geriatrics -Ambulatory sensitive conditions (Asthma and Diabetes) -Adolescent health -Youth education -Volunteer services 2881213961 true true false true false false false false false true true true false true true false false true false false true false false false false false true true true false true true true false false false false false false false true false true false false false true true true true false false true 1044 0 true 18605 true true true false false false false false false false false false true false X 36 36 true false false false true true true true true false false true true true true true true true true false NY X MICHAEL PASTIER 2127313149 150 EAST 42ND STREET 5TH FL New York NY 10017 X KENNETH DAVIS MD CHIEF EXECUTIVE OFFICER 20.23 39.77 X 1891352 3390279 67768 SAMIN SHARMA MD PROFESSOR, CARDIOLOGY 29.87 30.13 X 1097319 3994044 39233 DONALD T SCANLON END 122020 EVP, FIANCE & CHIEF CORP SERV 18.08 41.92 X 751427 1346944 51432 DENNIS CHARNEY MD 1 PRESIDENT, ACADEMIC AFFAIRS 20.59 39.41 X 709184 1271225 46960 DAVID L REICH MD PRESIDENT AND COO 60.0 0.0 X 1814239 0 50503 JEREMY BOAL MD EVP, SYSTEM CMO 21.13 38.87 X 630371 1129950 83032 ARTHUR KLEIN MD EVP, PRESIDENT OF HEALTH NTWK 32.38 27.62 X 969690 737510 39343 MARGARET PASTUSZKO EVP, CHIEF INTEGRATION OFFICER 20.76 39.24 X 588518 1083883 61463 NIYUM GANDHI EVP, CHIEF POPULATION HEALH 34.43 25.57 X 901518 630113 46283 BURTON P DRAYER EVP, SYSTEM CCA 0.5 59.5 X 0 1508922 46566 BETH ESSIG ESQ EVP, GENERAL COUNSEL 18.12 41.88 X 524534 966042 30295 JEFFREY SILBERSTEIN EVP, SYSTEM CAO 20.59 39.41 X 430642 793120 33255 MICHAEL PASTIER SVP, CHIEF FINANCIAL OFFICER 30.62 29.1 X 621332 525248 78626 VICKI LOPACHIN SVP, SYSTEM CMO 33.8 26.2 X 608083 462485 41660 CARYN SCHWAB SVP, EXECUTIVE DIRECTOR MSHQ 60.0 0.0 X 792277 0 53000 FRANK CINO SVP, SYSTEM CHIEF RISK OFFICER 20.59 39.41 X 230882 425220 59025 SHIRISH HUPRIKAR PROFESSOR, INFECTIOUS DISEASE 59.16 0.84 X 619877 8802 59226 FRANCES CARTWRIGHT SVP, ADMINISTRATION 60.0 0.0 X 596982 0 46376 SUSAN R CULLMAN VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 JOEL S EHRENKRANZ VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 RICHARD A FRIEDMAN CO-CHAIRMAN OF BOARD/TRUSTEE 2.0 14.0 X X 0 0 0 DONALD J GOGEL VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 STEVEN HOCHBERG VICE CHAIRMAN/TRUSTEE 2.0 19.0 X X 0 0 0 JOHN A LEVIN VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 ERIC MINDICH VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 MICHAEL MINIKES VICE CHAIR/TREASURER/TRUSTEE 2.0 23.0 X X 0 0 0 JOEL I PICKET VICE CHAIRMAN/TRUSTEE 2.0 17.0 X X 0 0 0 RICHARD RAVITCH VICE CHAIRMAN/TRUSTEE 2.0 17.0 X X 0 0 0 JUDITH O RUBIN VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 THOMAS W STRAUSS VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 JAMES S TISCH CO-CHAIRMAN OF BOARD/TRUSTEE 2.0 14.5 X X 0 0 0 ANDREW M ALPER TRUSTEE 1.0 5.0 X 0 0 0 FRANK BISIGNANO TRUSTEE 1.0 4.0 X 0 0 0 JEFF T BLAU VICE CHAIRMAN/TRUSTEE 2.0 17.0 X X 0 0 0 HENRY M CALDERON TRUSTEE 1.0 4.0 X 0 0 0 EDGAR M CULLMAN JR TRUSTEE 1.0 4.0 X 0 0 0 JAMES E FLYNN TRUSTEE 1.0 6.0 X 0 0 0 DAVID S GOTTESMAN TRUSTEE 1.0 0.0 X 0 0 0 JOHN B HESS VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 JAMES KEMPNER TRUSTEE 1.0 5.0 X 0 0 0 MARC S LIPSCHULTZ TRUSTEE 1.0 5.0 X 0 0 0 JAMES NEARY VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 ALICE NETTER TRUSTEE 1.0 5.0 X 0 0 0 BERNARD W NUSSBAUM TRUSTEE 1.0 6.0 X 0 0 0 LEWIS PELL TRUSTEE 1.0 4.0 X 0 0 0 ROBERT F SAVAGE JR TRUSTEE 1.0 4.0 X 0 0 0 DAVID WINDREICH TRUSTEE 1.0 5.0 X 0 0 0 JOHN S WINKLEMAN TRUSTEE 1.0 5.0 X 0 0 0 WILLIAM H WRIGHT II TRUSTEE 1.0 5.0 X 0 0 0 MICHAEL ZIMMERMAN TRUSTEE 1.0 3.0 X 0 0 0 BRAD KARP SECRETARY/TRUSTEE 2.0 14.0 X X 0 0 0 ERIC FRIEDMAN TRUSTEE 1.0 6.0 X 0 0 0 KIMBERLEY HARRIS TRUSTEE (EFF 1/2020) 1.0 6.0 X 0 0 0 DENISE SAUL TRUSTEE 1.0 6.0 X 0 0 0 JAMES W CRYSTAL VICE CHAIRMAN 2.0 14.0 X 0 0 0 BONNIE M DAVIS MD VICE CHAIRMAN 2.0 14.0 X 0 0 0 GLENN DUBIN VICE CHAIRMAN 2.0 14.0 X 0 0 0 HENRY R KRAVIS VICE CHAIRMAN 2.0 14.0 X 0 0 0 HON ROBERT E RUBIN VICE CHAIRMAN 2.0 14.0 X 0 0 0 CARL ICAHN VICE CHAIRMAN 2.0 14.0 X 0 0 0 HAMILTON JAMES VICE CHAIRMAN 2.0 14.0 X 0 0 0 13778227 18273787 934046 4093 false true false CROTHALL HEALTHCARE INC 13028 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 MANAGEMENT 40661370 healthcare risk advisors PO BOX 780543 PHILADELPHIA PA 19178 CONSULTING 27784353 LABORATORY CORPORATION PO BOX 2240 BURLINGTON NC 272162240 LAB SERVICES 30947829 RIGHTSOURCING INC PO BOX 515743 LOS ANGELES CA 900515118 PERSONNEL 20424132 MCKESSON CORPORATION PO BOX 409521 ATLANTA GA 303849521 BILLING 11455480 158 6331 166692 284374447 56335455 9544276 340882925 NET PATIENT SERVICE 621110 2706009009 2706009009 2706009009 35410628 7244 35403384 0 0 0 0 0 61142000 61142000 61142000 61142000 860 6331 0 860 860 0 0 0 0 0 0 CAFETERIA 722320 8025769 8025769 340B PHARMACY 621110 102343610 102343610 DELIVERY SYSTEM REFORM INCENTIVE PAYMENTS 621110 23130360 23130360 14927639 2589459 12338180 148427378 3291872800 2708598468 7244 242384163 127719257 127719257 0 0 0 10360388 372949 9723277 264162 279683 279683 1218205103 1065192103 152463892 549108 100759951 87534015 13174007 51929 124134494 107752643 16268936 112915 93289383 80908831 12314848 65704 29272854 25405910 3866944 3577635 3537846 39789 1669046 1669046 605836 605836 0 3032164 3032164 461117244 400203655 60913589 12737870 10988846 1672574 76450 25131603 19361026 5741593 28984 43463988 37710307 5739753 13928 0 85705869 74260882 11302987 142000 1531955 1329584 202371 0 679598 589823 89775 35748736 35748736 0 124878218 103224335 21653883 50138446 43515157 6623289 MEDICAL SUPPLIES 643619917 643619917 DIETARY 13996201 12137985 1847480 10736 3211655439 2881213961 329085773 1355705 1054179 153975 438188807 488292133 26417789 21509267 399283919 386830468 0 0 0 0 4028900 4028900 44964257 58395375 6992529 6675401 2640070325 1607590266 1044714115 1032480059 701885473 1665799336 778149843 853786000 90349643 98369538 0 0 1648925073 1563410114 5184954527 6179730566 341954153 391707999 0 0 56828572 69592089 1090548818 1483271568 0 0 0 0 6466310 3136985 0 0 1193976878 1609571235 2689774731 3557279876 X 2294819969 2428053178 200359827 194397512 2495179796 2622450690 5184954527 6179730566 X 80217361 48137965 -1084432 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 605836 605836 false Part II-B, Line 1 The Mount Sinai Hospital pays dues to various organizations that lobby federal and state legislators on behalf of health care facilities, including the Mount Sinai Hospital. The portion of these dues by entity are summarized below: American Hospital Association $28,831 Greater New York Hospital Association $253,700 1199 SIEU $255,486 MOUNT SINAI HOSPITAL MANAGEMENT $25,694 HEALTH CARE ASSOCIATION OF NEW YORK STATE $42,125 Total $605,836 200359827 28522029 34484344 194397512 194414697 39384906 33439776 200359827 188170369 38418298 32173970 194414697 163604424 57906527 33340582 188170369 154233139 37052615 27681330 163604424 0.55790 0.44210 false false 49616675 49616675 698331982 305967780 392364202 1851986315 1301622486 550363829 40135353 40135353 1032480059 POOLED INVESTMENTS 853786000 F 853786000 DUE TO/FROM RELATED ORGS 934512651 DEFERRED FINANCING FEES 10360010 457B PLAN 20900092 ROTATING RESIDENTS 3216870 TENANT SECURITY DEPOSITS 344201 AMBULANCE SERVICE LICENSE 1150000 DEPOSITS HELD BY THIRD PARTIES 6833196 340B PHARMACY RECEIVABLE 12455954 PROF LIAB INS REC 143059200 OTHER RECEIVABLES 13667323 PROF BILLING RECEIVABLE 1652002 HIC ESCROW RECEIVABLE 16284375 SELF-INSURANCE TRUST RECEIVABL 21393416 RIGHT OF USE ASSETS 377580824 1563410114 0 POST RETIREMENT BENEFITS 9203246 THIRD PARTY LIABILITIES 267216942 RENT SECURITY DEPOSIT 344201 AR CREDIT BALANCES 22301678 MALPRACTICE INSURANCE 23785652 PLANNED GIFT LIABILITY 67500 MOUNT SINAI PHARMACIST PENSION 20049828 457B PLAN LIABILITY 20900091 PROFESSIONAL LIABILITIES 143059200 DSRIP LIABILITY 12001621 SELF-INSURANCE TRUST 131340776 1514 MADISON AVENUE LIABILITY 700000 INTERCOMPANY RESERVES 184428977 LEASE PAYABLE 395486096 FICA DEFERRAL 96222343 MEDICARE ADVANCE PAYMENTS 282463084 1609571235 PART V, LINE 4 INTENDED USES OF ORGANIZATION'S ENDOWMENT FUNDS MOUNT SINAI HOSPITAL'S ENDOWMENT FUNDS ARE RESTRICTED TO INVESTMENTS IN PERPETUITY WITH THE INCOME EXPENDABLE TO SUPPORT PROGRAMS ACTIVITIES AS STIPULATED BY THE DONORS. THE HOSPITAL FOLLOWS THE REQUIREMENT OF THE UNIFORM MANAGEMENT OF INSTITUTIONAL FUNDS ACT ("UMIFA") AS THEY ARE RELATED TO ITS ENDOWMENT CONTRIBUTIONS. THE HOSPITAL HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS SUPPORTED BY ITS ENDOWMENT. UNDER THIS POLICY, AS APPROVED BY THE BOARD OF TRUSTEES, THE ENDOWMENT ASSETS ARE INVESTED IN A MANNER TO PROVIDE THAT SUFFICIENT ASSETS ARE AVAILABLE AS A SOURCE OF LIQUIDITY FOR THE INTENDED USE OF THE FUNDS, ACHIEVE THE OPTIMAL RETURN POSSIBLE WITH THE SPECIFIC PARAMETERS, AND PRUDENTLY INVEST ASSETS IN A HIGH-QUALITY DIVERSFIED MANNER TO ADHERE TO ESTABLISHED GUIDELINES. Central America and the Caribbean Program Services insurance 49469115 49469115 49469115 true false true false true false Part I, Line 3 THE PRIMARY COVERAGE OF PROFESSIONAL AND GENERAL LIABILITY INCIDENTS HAS BEEN PROVIDED THROUGH PARTICIPATION IN A POOLED PROGRAM WITH CERTAIN HEALTH CARE FACILITIES (PRINCIPALLY HOSPITALS) AFFILIATED WITH THE FEDERATION OF JEWISH PHILANTHROPIES OF NEW YORK. THIS OCCURRENCE BASIS INSURANCE COVERAGE PARTICIPATION IS WITH THE CAPTIVE INSURANCE COMPANIES. THE CAPTIVE INSURANCE COMPANIES HAVE TWO OFFICES IN THE CARIBBEAN, SPECIFICALLY BERMUDA AND BARBADOS. THE COMPANIES WERE INCORPORATED IN BARBADOS AND BERMUDA IN 1992 AND 1986 RESPECTIVELY AND ARE LICENSED UNDER THE INSURANCE ACT OF BOTH COUNTRIES. SINCE THE HOSPITAL WAS A SHAREHOLDER OF THE CAPTIVE INSURANCE COMPANIES, THE HOSPITAL FOLLOWED THE EQUITY METHOD OF ACCOUNTING FOR ITS INTEREST IN THE INSURANCE COMPANIES ASSOCIATED WITH THE MEDICAL MALPRACTICE INSURANCE PROGRAM. ADDITIONALLY, FORMS 5471, INFORMATION RETURNS OF U. S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, HAS BEEN FILED WITH THE HOSPITAL'S 990T. parts I & IV The investment activities listed in Part 1 are allocated to agree to the audited financial statement reporting as pooled investments while Part IV reports on foreign filings filed by the respective organization. true true X true X true X true true true false true true 62295576 28447713 33847863 0.01050 850509040 493171421 357337619 0.11130 912804616 521619134 391185482 0.12180 38633710 2692319 35941391 0.01120 288446715 90687640 197759075 0.06160 97236028 97236028 0.03030 195350 195350 0.00010 424511803 93379959 331131844 0.10320 1337316419 614999093 722317326 0.22500 196790 196790 0.00010 122226 122226 319016 319016 0.00010 false 21052202 496112333 608093928 -111981595 X true true 1 1 MOUNT SINAI HOSPITAL ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 HTTP://WWW.MOUNTSINAI.ORG 700202H X X X X X MOUNT SINAI HOSPITAL 1 false false true X X X X X X X X X 20 true true false true X SEE PART V, SECTION C X true 21 true SEE PART V, SECTION C false true X 100 400. X X X X true true X X X X true X www.hospitalassistance.org X www.hospitalassistance.org X www.hospitalassistance.org X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, LINE 3e THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CNHA ARE PRIORITIZED ACCORDING TO THE COMMUNITY NEEDS. SCHEDULE H, PART V, LINE 5 THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH, THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. INPUT WAS OBTAINED FROM Organizations Providing Community Input Twenty-one interview sessions were held with 55 individuals representing 24 organizations. COLLECTIVELY, THESE 24 ORGANIZATIONS SERVE A WIDE-RANGE OF COMMUNITY RESIDENTS; INDIVIDUALLY, THESE SERVE MEDICALLY UNDERSERVED COMMUNITIES (SUCH AS LGBTQ INDIVIDUALS, IMMIGRANT POPULATIONS, AND COMMUNITY MEMBERS WITH LIMITED ENGLISH PROFICIENCY), LOW-INCOME COMMUNITIES (NOTABLY CHILDREN AND SENIORS), AND MINORITY POPULATIONS (INCLUDING CHINESE AND HISPANIC RESIDENTS). Organizations represented by these individuals are as follows: . Catholic Charities; . Children's Aid; . Hatzalah Lower East Side; . Icahn School of Medicine at Mount Sinai; . Lighthouse Guild; . Lower East Side Power Partnership; . Manhattan Community Board 3; . Manhattan Community Board 4; . Manhattan Community Board 6; . Manhattan Community Board 7; . Mount Sinai - Mount Sinai Queens - Community Advisory Board; . Mount Sinai Beth Israel Heritage Initiative; . Mount Sinai Brooklyn; . Mount Sinai Health System; . Mount Sinai Hospital; . Mount Sinai Morningside; . Mount Sinai Queens; . New York City Department of Health and Mental Hygiene; . Russian American Foundation; . Sharing & Caring; . Stuyvesant Town Peter Cooper Village Tenants Association; . The Mount Sinai Beth Israel Downtown Community Advisory Board; . The Mount Sinai Health System; and . The Mount Sinai Morningside/West Community Advisory Board Schedule H, Part V, Line 6a THE COMMUNITY HEALTH NEEDS ASSESSMENTS FOR Mount Sinai HOSPITAL AND THE Mount Sinai HOSPITAL OF QUEENS WERE CONDUCTED IN CONJUNCTION WITH EACH OTHER. SCHEDULE H, PART V, LINE 7A THE HOSPITAL'S CHNA IS AVAILABLE ON THE WEBSITE:https://www.mountsinai.org/files/MSHealth/Assets/MSH/MSH-MSQ- CHNA-2020.pdf SCHEDULE H, PART V, LINES 10A THE HOSPITAL'S IMPLEMENTATION STRATEGY IS AVAILABLE ON THE WEBSITE: https://www.mountsinai.org/files/MSHealth/Assets/MSH/ ImplementationStrategy-MSH-MSQ-180509-Final.pdf Schedule H, Part V, Line 11 The 2020 MSH CHNA identified a number of significant health needs in the community. The CHNA process considered and assessed a wide range of primary and secondary data sources including structured interviews with persons who represent the broad interests of the community and those with expertise in public health, and assessments and studies prepared by other organizations. The CHNA report identified twelve health needs as significant in the community, as listed below in alphabetical order. Significant Community Health Needs Identified in the 2020 CHNA: - Aging Population - Access to Mental Health Care and Poor Mental Health Status - Access to Primary Health Care Services by Individuals with Limited Resources - Chronic Diseases and Contributing Lifestyle Factors - COVID-19 Pandemic and Effects - Environmental Determinants of Health - Homelessness - Navigating a Changing Health Care Provider Environment - Poverty, Financial Hardship, and Basic Needs Insecurity - Safe and Affordable Housing - Socio-Economic, Racial, Cultural, Ethnic, and Linguistic Barriers to Care - Substance Abuse Many intended activities of MSH are expected to impact multiple needs identified in the CHNA. These activities are as described below. Health professions education The health professions education activities of MSH respond to both the current and future community health needs for chronic disease treatment and prevention. MSH actively participates in over 160 residency and fellowship programs. Participation in Medicaid. Medicaid provides health coverage to low-income individuals through federal and state funding. MSH participation in New York State Medicaid includes inpatient and outpatient services. In 2018, the payments for services provided to Medicaid patients were approximately 78 percent of the cost to provide these services. Community Health Improvement Activities. MSH supports numerous activities to improve community health through grants and in-kind contributions. These activities include the following: - Health screenings; - Community affairs programming; - Health information distribution; - Funding of grants for community programs; - Patient transportation and recreation; - Assistance with applications for Medicaid and other programs. Subsidized Health Services MSH hospital provides numerous inpatient and outpatient service lines that operate as losses. MSH continues to provide these services because the health of community members would diminish because other providers would be unlikely to provide these services. Subsidized health services provided by MSH include the following: - Financial support to Mount Sinai Beth Israel to provide care to community members; - Financial support to various primary care physician practices affiliated with the Icahn School of Medicine of Mount Sinai which provide care to community members; - Financial support of other Mount Sinai entities to develop programs to improve the health of community members. Health Care Services A full-range of health care services is available at the hospital campuses, outpatient facilities, and physician practices throughout the community. As part of the Mount Sinai Health System, integrated resources such as electronic health records facilitate the referral of patients to needed services provided by other Mount Sinai Health System hospitals and health professionals. Mount Sinai Department of Health Education The Mount Sinai Department of Health Education provides community-based health education programming in partnership with schools, senior centers, and non-profit organizations. The department offers onsite, school-based health education for students, parents, and staff, including mental health and sexual and reproductive The Mount Sinai Hospital | CHNA Implementation Strategy health curricula. It also offers programming for older adults, women and families in transitional housing settings, and groups operated by local community agencies. Karpas Health Information Center The Karpas Health Information Center provides wellness programs to enable residents remain safe, active, and vital members of the community. Staffed by health educators, Karpas is committed to providing resources that are nurturing to the mind, body, and spirit. Karpas health and wellness programs are established through partnerships with community-based organizations, and dedicated to improving health outcomes for the community. The Karpas Health Education and Community Outreach Department reaches into the community and sponsors screenings, health presentations, and wellness workshops throughout Manhattan and Brooklyn. Center for Spirituality and Health The Center for Spirituality and Health at Mount Sinai's Icahn School of Medicine is dedicated to providing compassionate patient care with seamless coordination and to advancing spiritual care through unrivaled education, research, and outreach. Chaplains help people of all faiths find meaning, healing, hope, and comfort while experiencing the challenges of life. Other activities of MSH impact needs that the hospital selected to focus its efforts during the 2021-2023 time period. These activities, described below, impact the following selected needs: A. Access to Mental Health Care and Poor Mental Health Status; B. Access to Primary Health Care Services by Individuals with Limited Resources; C. Chronic Diseases and Contributing Lifestyle Factors; D. COVID-19 Pandemic and Effects E. Socio-Economic, Racial, Cultural, Ethnic, and Linguistic Barriers to Care; and F. Substance Abuse Access to Mental Health Care and Poor Mental Health Status The 2020 MSH CHNA found that mental health status is poor for many residents because of the impact of the COVID-19 pandemic, day-to-day pressures, substance abuse, and psychiatric disorders. The supply of mental health providers is insufficient to meet the demand for mental health services. Planned activities to increase access to mental health care and improve the mental health status of community residents are described below. These activities are in addition to the MSH activities that impact multiple needs. Health professions education The health professions education activities of MSH respond to both the current and future community mental health needs. MSH actively participates in over 160 residency and fellowship programs. Residency and fellowship programs that are especially related to mental health care services are as follows: - Behavioral Neurology and Neuropsychiatry Fellowship; - Child and Adolescent Psychiatry Fellowship; - Geriatric Psychiatry Fellowship; - Psychiatry Residency; - Psychosomatic Medicine Fellowship; - T32 Clinical Neuroscience Research Fellowship; - Transgender Psychiatry Fellowship Program; - Triple Board Pediatrics, Psychiatry, and Child Psychiatry Combined Residency; and - VA Fellowship in Psychosis, Suicide, and Major Mental Illness. Mental Health Services Mental health care services are available at the hospital campuses, outpatient facilities, and physician practices throughout the community. As part of the Mount Sinai Health System, integrated resources such as electronic health records facilitate the referral of patients to needed services provided by other Mount Sinai Health System hospitals and health professionals. Specific mental health services available include ones discussed below. Mount Sinai's Department of Psychiatry The Mount Sinai Hospital's Department of Psychiatry, part of the Mount Sinai Behavioral Health System, is committed to improving mental and emotional health by providing outstanding inpatient and outpatient services for all ages. The department's multidisciplinary team of psychiatrists, psychologists, and social workers is committed to giving patients of all ages the tools and support they need to achieve their highest level of mental health. In addition to the outpatient clinic, two inpatient units, and dedicated emergency room, the Department of Psychiatry is home to a series of specialized treatment centers, which combine research, clinical service, and education into a comprehensive model of care for disorders ranging from Autism to Alzheimer's disease. Specific services include treatment for the following: - Alzheimer's disease; - Attention Deficit Hyperactivity Disorder (ADHD); - Autism Spectrum disorders; - Eating disorders; - Mood disorders (such as depression and bipolar disorder); - Obsessive-Compulsive Disorder (OCD); - Personality and Impulse Control disorders; - Post-Traumatic Stress Disorder (PTSD); - Schizophrenia; - Substance abuse; and - Tourette's Disorder. Promote Well-Being and Prevent Mental Disorders Behavioral Health is a comprehensive network located throughout the Mount Sinai Health System. The multidisciplinary team of psychiatrists, psychologists, counselors, social workers, registered nurses, and spiritual leaders are committed to giving patients of all ages the tools and support they need to achieve their highest level of mental health. By D 1 MT SINAI PSYCHIATRIC CONTINUING DAY TR 53-55 E 96TH STREET FL A B C 1F NEW YORK NY 10029 OUTPATIENT CLINIC SCHEDULE H SUPPLEMENTAL INFORMATION Part I, Line 7 The Mount Sinai Hospital used the ratio of cost-to-charges methodology for costing purposes. The cost-to-charge ratio was derived utilizing Worksheet 2, Ratio of Patient Care Costs-to-Charges. Part I, Line 7G Included in subsidized health services is support for various primary care physician practices in the surrounding community. These practices are owned by The Icahn School of Medicine of Mount Sinai which is also a member of the Mount Sinai Health System. During 2020, the Hospital transferred $23.3 million to other Mount Sinai entities. These funds are used to develop programs to improve the community served. Part II Community Building Expense The Hospital conducts various Community Building Activities during the year to promote the health of its community. The Hospital pays for several public service announcements that help promote population health in areas such as diabetes awareness, cardiac health, cancer, mental health, teen health, and HIV/AIDS. These announcements help to provide the public with information as to symptoms of various diseases and medical conditions so that they seek care before their medical condition reaches a more advanced stage. Additionally, the Hospital spends a significant amount on disaster preparedness each year. These expenditures ensure that the Hospital will be ready to handle a large scale disaster in the area and meet the medical needs of those that are impacted. This preparedness includes plans for handling large volumes of sick or injured people under various scenarios, such as when power is lost or transportation systems are shut down. Part III, Line 2 The Hospital's provision for bad debts is recorded in accordance with generally accepted accounting principles. The amount of the provision for bad debts is based upon management's assessment of historical and expected net collections, business and economic conditions, trends in Medicare and Medicaid health care coverage and other collection indicators. Part III, Line 3 Not applicable Part III, Line 4 The Hospital's footnote disclosure on bad debt expense includes the following: Deductibles and copayments under third-party payment programs are the patient's responsibility and the Hospital considers these amounts in its determination of the provision for bad debts based on collection experience. Accounts receivable are also reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Hospital analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. Part III, Line 8 Medicare Allowable Cost were obtained from the Medicare cost report. The cost report utilizes a step-down methodology to allocate an institution's allowable costs by service and program. In addition, the Hospital included the Medicare share of the loss for Health Professions Education (Schedule H, Part I, Line 7f), which amounted to $112.0 million in order to provide a more accurate reflection of the Hospital's Medicare financial results. Part III, Line 9b The Hospital's collection practices do not apply to charity care balances. Once an account or a portion thereof is deemed to be charity care, it is written off as such. As a result, there is no further collection effort on the account balance. 2. Needs Assessment Federal regulations that govern the CHNA process allow hospital facilities to define the community they serve based on "all of the relevant facts and circumstances," including the "geographic location" served by the hospital facility, "target populations served" (e.g., children, women, or the aged), and/or the hospital facility's principal functions (e.g., focus on a particular specialty area or targeted disease)."The community defined by MSH accounts for over 80 percent of the hospital's 2019 inpatient discharges. Secondary data from multiple sources were gathered and assessed. Considering a wide array of information is important when assessing community health needs to ensure the assessment captures a wide range of facts and perspectives and to increase confidence that significant community health needs have been identified accurately and objectively. Input from 55 individuals was received through key informant interviews. These informants represented the broad interests of the community and included individuals with special knowledge of or expertise in public health. In addition, data were gathered to evaluate the impact of various services and programs identified in the previous CHNA process. Certain community health needs were determined to be "significant" if there was negative variance from benchmarks or the need was identified by multiple key informants. A significant need was identified as a priority if it was identified as problematic in at least two of the following three data sources: 1. The most recently available secondary data regarding the community's health; 2. Take Care New York 2024, the New York City Department of Health and Mental Hygiene's "blueprint for advancing health equityCOVID-19 findings by the U.S. Centers for Disease Control and Prevention, and 3. Input from the key informants who participated in the interview process. Collaborating Organizations For this assessment, MSH collaborated with the Mount Sinai Health System and its following hospitals: Mount Sinai Beth Israel Hospital & Mount Sinai Brooklyn, Mount Sinai Morningside & Mount Sinai West, and New York Eye & Ear Hospital. CHNAs for these hospitals were developed alongside the MSH CHNA. This CHNA relies on multiple data sources and community input gathered between April and December 2020. A number of data limitations should be recognized when interpreting results. For example, some data (e.g., County Health Rankings, Behavioral Risk Factors Surveillance System, and others) exist only at a county-wide level of detail. Those data sources do not allow assessment of health needs at a more granular level of detail, such as by ZIP Code or census tract. Secondary data upon which this assessment relies measure community health in prior years. For example, the most recent mortality rates available for the region were data collected in 2017. The impacts of the most recent public policy developments, changes in the economy, and other community developments are not yet reflected in those data sets. The findings of this CHNA may differ from those of others conducted in the community. Differences in data sources, communities assessed (e.g., hospital service areas versus counties or cities), and prioritization processes can contribute to differences in findings. Twenty-one interview sessions were held with 55 individuals representing numerous organizations. Interviewees included: individuals with special knowledge of or experts in public health; local public health department representatives with information and expertise relevant to the health needs of the community; and individuals and organizations serving or representing medically underserved, low-income, and minority populations. The organizations that provided input are listed after the discussion of issues identified in the interviews. Interviews were conducted using a structured discussion guide. Informants were asked to discuss pre-COVID-19 community health issues and encouraged to think broadly about the social, behavioral, and other determinants of health. Interviewees were next asked to consider COVID-19-related issues associated with health status, health care access and services, chronic health conditions, populations with special needs, and health disparities. The frequency with which specific issues were mentioned and interviewees' perceptions of the severity (how serious or significant) and scope (how widespread) of each concern were assessed. The following health status issues and contributing factors were reported to be of greatest concern. Twenty-one interview sessions were held with 55 individuals representing 24 organizations. Organizations represented by these individuals are as follows: . Catholic Charities; . Children's Aid; . Hatzalah Lower East Side; . Icahn School of Medicine at Mount Sinai; . Lighthouse Guild; . Lower East Side Power Partnership; . Manhattan Community Board 3; . Manhattan Community Board 4; . Manhattan Community Board 6; . Manhattan Community Board 7; . Mount Sinai - Mount Sinai Queens - Community Advisory Board; . Mount Sinai Beth Israel Heritage Initiative; . Mount Sinai Brooklyn; . Mount Sinai Health System; . Mount Sinai Hospital; . Mount Sinai Morningside; . Mount Sinai Queens; . New York City Department of Health and Mental Hygiene; . Russian American Foundation; . Sharing & Caring; . Stuyvesant Town Peter Cooper Village Tenants Association; . The Mount Sinai Beth Israel Downtown Community Advisory Board; . The Mount Sinai Health System; and . The Mount Sinai Morningside/West Community Advisory Board 3. Patient education and eligibility for assistance All patients that do not have insurance are notified that financial assistance may be available for them. Prominently placed signs notify patients of the financial assistance policy and flyers summarizing the process are available in registration areas. The Hospital provides assistance with enrollment in Federal and State insurance programs including Medicare, Medicaid, Child Health Plus and Family Health Plus. If patients do not qualify for these programs they may qualify for financial assistance through the Hospital's Charity Care and Self Pay Discount Policy. Patient bills also provide information as to where a patient or the person responsible for the Hospital bill can call to receive financial assistance if they are not able to pay the Hospital's bill. Patients are provided with assistance through the Hospital's Financial Counseling Department (Mount Sinai patients only) or through its Resource Entitlement and Advocacy Program (REAP) Office. The REAP Office assists both Hospital patients and community members to obtain financial assistance for their medical expenses. 4. Community Information This section identifies and describes the community assessed by the Mount Sinai Hospital (MSH) and how it was determined. MSH's community is comprised of the entirety of New York City, including each of the five boroughs. The community is divided into neighborhoods utilized by the New York State Department of Health; with each of the 42 neighborhoods in New York City in the MSH community. Mount Sinai Hospital - Manhattan campus is located in the East Harlem neighborhood of Manhattan, and Mount Sinai - Queens campus is located in the neighborhood of Northwest Queens in Queens. New York City (the MSH community) was estimated to have a population of approximately 8.5 million persons in 2018. The community definition was validated based on the geographic origins of discharges from MS - Manhattan and MS - Queens. In 2019, the community collectively accounted for 80 percent of MSH's 65,756 inpatient discharges. In 2018, all of the boroughs had a higher proportion of women in the community. Manhattan had a lower proportion of residents aged 0 to 19 years, a higher proportion of those aged 20 to 44, and a higher proportion of those aged 65 and older than any other borough in New York City. The total population of all boroughs is expected to grow 2.6 percent from 2019 to 2024. All boroughs except Staten Island are expected to experience an increase in population among the 0-17, 35-64, and 65+ cohorts. Additionally, all boroughs are expected to experience a decrease in population in the 18-34 age cohort. The population aged 65 and older is expected to experience the highest growth rate in each of the boroughs. The proportion of the population 65 years of age and older varies by ZIP Code. The ZIP Codes of 11005 (Southeast Queens), 10022 (Gramercy Park-Murray), 10075 (Upper East Side), and 11360 (Flushing-Clearview had comparatively high proportions of this population cohort. New York City and the MSH community are very diverse. Black populations were most prevalent in the Bronx and Brooklyn. Queens had a higher proportion of Asian residents, while the Bronx had a higher proportion of Hispanic (or Latino) residents. The diversity of the community is important to recognize given the presence of health disparities and barriers to health care access experienced by different racial and ethnic groups. The percentage of Black residents is highest in the Brooklyn neighborhoods of East Flatbush, Flatbush, Bedford Stuyvesant-Crown Heights, and Canarsie-Flatlands. Asian residents are most concentrated in the Queens' neighborhoods of Flushing-Clearview, Bayside-Littleneck, and Fresh Meadows. Hispanic residents are most concentrated in the Bronx neighborhoods Hunts Point-Mott Haven, Crotona-Tremont, and Fordham-Bronx Park. . The Bronx, Brooklyn, Manhattan, and Queens compared unfavorably to New York State and the U.S. for the percentage of residents aged 25 and older who did not graduate high school. The Bronx was particularly unfavorable. . The Bronx compared unfavorably to New York State for the percentage of residents with a disability. . The percentage of residents who were linguistically isolated was higher than the state average in every borough in New York City except for Staten Island, and all were significantly higher than the United States average. Linguistic isolation is defined as the population aged five and older who speak a language other than English and speak English less than "very well." 5. Promotion of Community Health The Mount Sinai Hospital is dedicated to the health and well-being of its diverse communities. From free health screenings and counseling to exercise classes and home-based care, we offer a wealth of services and programs for people of all ages. We work closely with governing bodies, schools, religious organizations, and social service agencies to meet our community's needs. Our goal is to help you be your healthiest. We maintain solid partnerships with community-based health organizations. These partnerships continue to provide us with countless opportunities to expand and increase your access to quality care and wellness education. Our extensive work with community groups and city agencies to build programs such as Prescriptions for Good Health and Growing Up Healthy in East Harlem, a community-based study exploring environmental factors affecting the health of children, enables us to improve treatment approaches and allows us to help you to make better-informed decisions about your health. We maintain long-standing connections to our local, national, and global communities. The following programs highlight some of the extraordinary outreach services we offer our community. East Harlem Health Outreach Partnership (EHHOP): A student-run clinic at the Icahn School of Medicine at Mount Sinai provides affordable, high-quality, comprehensive care. Jack Martin Fund Clinic: A New York State Department of Health-designated AIDS center which provides screening and treatment for infectious diseases including tuberculosis and hepatitis C co-infection. Linkage House: A residence for the community's elderly, offering safe and affordable housing as well as access to quality health care and programs. Martha Stewart Center for Living at Mount Sinai: Providing elderly adults with access to medical care, healthy living activities, educational programs, and resources to support specific needs and interest. Mount Sinai Adolescent Health Center: Offering confidential, comprehensive medical, mental health, and prevention education services to young people between the ages of 10 and 22. Mount Sinai Comprehensive Health Program-Downtown: A full-service clinic in Chelsea offering HIV/AIDS testing, quality health care, and counseling. Mount Sinai Diabetes Center: The center designs personalized plans for treating and managing type 1, type 2, and pregnancy-associated diabetes. Mount Sinai Health Home: This free service for Medicaid patients, funded by the New York Department of Health, which coordinates health care services for its members. Mount Sinai Visiting Doctors Program: The largest academic home-visit program in the nation, providing superior home-based care to adults with complex and serious illnesses. Sexual Assault and Violence Intervention Program (SAVI): Offers free and confidential counseling, referrals, and support to survivors of sexual or domestic violence. The Department of Health Education: Works with schools and other community organizations to provide individuals and families, primarily in East Harlem, with the knowledge, skills, resources and support necessary to achieve excellent health and well-being. World Trade Center (WTC) Health Program: Offers monitoring, physical and mental health treatment, and medication at no cost to eligible WTC first responders, workers, and volunteers. The Mount Sinai Greenmarket is a partnership between The Mount Sinai Hospital and GrowNYC. Every Wednesday from 8 am to 5 pm, starting on June 24th through to November 25th, we invite shoppers to buy locally grown fresh fruits and vegetables and seasonal baked goods. Along with fresh produce, the Greenmarket offers: Discount coupons and promotions Healthy cooking demonstrations and recipe exchanges Free medical screenings Textile and rechargeable battery drop-off Food scrap collection We maintain a network of affiliations, alliances, and partnerships with governing bodies, schools, religious institutions, social agencies, Chambers of Commerce, and, of course, our neighbors themselves. Our mission is to increase access to quality care for medically underserved populations. We host a community roundtable every month to identify and address the needs of the East and Central Harlem communities. Approximately 80 community leaders, educators, elected officials, and community advisory board members attend these meetings. Representatives from the Mount Sinai Hospital also participate in regular community meetings with the following organizations: Abyssinian Development Corporation Boriken Neighborhood Health Center Bronx Aids Services Children's Aid Society Community Board No. 11-Manhattan, Health & Human Services Committee East Harlem Chamber of Commerce East Harlem HIV Care Network East Harlem Partnership for Cancer Greater Harlem Chamber of Commerce Jewish Home and Hospital Little Sisters of the Assumption Family Health Services New York Academy of Medicine New York City Housing Authority-Carver Houses Tenants Association and Johnson Tenants Association Settlement Health Association Union Settlement Association Yorkville Common Pantry 6. Part of an Affiliated Health Care System The Hospital is part of the Mount Sinai Health System (MSHS, "the System") that was formed on September 30, 2013. The Mount Sinai Health System includes the Hospital, the Icahn School of Medicine at Mount Sinai, Beth Israel Medical Center (BIMC), The St. Luke's-Roosevelt Hospital Center (SLR) and the New York Eye and Ear Infirmary (NYEEI). MSHS is an integrated health care system and academic medical center. The efforts of the Mount Sinai Hospital are provided in detail in the previous sections of Part VI. BIMC, SLR and NYEEI conduct similar community outreach activities in their respective communities. As a new system, MSHS plans to begin to work together to better coordinate its community outreach and health promotion activities so as to reach more of those in need and have a more profound impact on their health status. 7. Schedule H, Part VI, line 7 Community Benefit Report Mount Sinai files a community service plan in New York State. false ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L LEVY PL NEW YORK NY 10029 136171197 501(C)(3) 81378299 FUND PHYSICIAN PRACTICE PROJECT INSTITUTE FOR FAMILY HEALTH 1879 MADISON AVENUE NEW YORK NY 10029 133273402 501(C)(3) 1861462 COMMUNITY BENEFIT ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L LEVY PL NEW YORK NY 10029 136171197 501(C)(3) 131000 FUND STRATEGIC PROJECT MOUNT SINAI HEALTH SYSTEM ONE GUSTAVE L LEVY PL NEW YORK NY 10029 464248304 501(C)(3) 23348496 FUND OPERATING LOSS SOUTH NASSAU COMMUNITIES HOSPITAL INC ONE HEALTHY WAY OCEANSIDE NY 115721551 111352310 501(C)(3) 20000000 FUND CAPITAL PROJECT BRONXCARE 1650 Grand Concourse Bronx NY 10457 131974191 501(C)(3) 1000000 FUND STRATEGIC PROJECT 6 0 Part II, Line 1 The grant is to fund the operating loss of various off-site physician practices owned by the ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI. Detail review of the off-site physician practices financials are conducted. Part II, Line 2 The grant is to benefit the community and is funded to an exempt organization within the community. The entity is required to submit budget and reconciliations. Part II, Line 3 The grant is to fund the operating loss of its related organization, MOUNT SINAI HEALTH SYSTEM. NO MONITORING IS REQUIRED SINCE THE ENTITY IS A RELATED TAX EXEMPT ORGANIZATION. Part II, Line 4 THE GRANT IS TO FUND THE OPERATING LOSS OF ITS RELATED ORGANIZATION, BETH ISRAEL MEDICAL CENTER. NO MONITORING IS REQUIRED SINCE THE ENTITY IS A RELATED TAX EXEMPT ORGANIZATION. Part II, Line 5 The grant is to fund the operating loss of its related organization, MSMC Realty Corporation. NO MONITORING IS REQUIRED SINCE THE ENTITY IS A RELATED TAX EXEMPT ORGANIZATION. Part II, Line 6 The grant is to fund various strategic capital projects at South Nassau Communities Hospital. NO MONITORING IS REQUIRED SINCE THE ENTITY IS A RELATED TAX EXEMPT ORGANIZATION. Part II, Line 7 The grant is to benefit the community and is funded to an exempt organization within the community. The entity is required to submit budget and reconciliations. X X X X false false false false false true true false false JEREMY BOAL MD EVP, SYSTEM CMO 328258 588409 65902 118131 236211 423410 10206 18294 19528 35004 660105 1183248 0 0 DENNIS CHARNEY MD 1 PRESIDENT, ACADEMIC AFFAIRS 361084 647248 131805 236262 216295 387715 10206 18294 6611 11849 726001 1301368 0 0 KENNETH DAVIS MD CHIEF EXECUTIVE OFFICER 787820 1412180 537150 962850 566382 1015249 10206 18294 14062 25206 1915620 3433779 0 0 BURTON P DRAYER EVP, SYSTEM CCA 0 300000 0 200000 0 1008922 0 28500 0 18066 0 1555488 0 0 BETH ESSIG ESQ EVP, GENERAL COUNSEL 369015 679620 126285 232580 29234 53842 10029 18471 632 1163 535195 985676 0 0 ARTHUR KLEIN MD EVP, PRESIDENT OF HEALTH NTWK 520667 396000 78100 59400 370923 282110 16188 12312 6159 4684 992037 754506 0 0 MICHAEL PASTIER SVP, CHIEF FINANCIAL OFFICER 399164 337436 162570 137430 59598 50382 15444 13056 27163 22963 663939 561267 0 0 MARGARET PASTUSZKO EVP, CHIEF INTEGRATION OFFICER 357338 658115 182975 336988 48205 88780 10029 18471 11600 21363 610147 1123717 0 0 DAVID L REICH MD PRESIDENT AND COO 1475000 0 200000 0 139239 0 28500 0 22003 0 1864742 0 0 0 DONALD T SCANLON END 122020 EVP, FIANCE & CHIEF CORP SERV 393910 706090 167227 299758 190290 341096 10206 18294 8212 14720 769845 1379958 0 0 JEFFREY SILBERSTEIN EVP, SYSTEM CAO 285233 525317 102051 187949 43358 79854 10029 18471 1673 3082 442344 814673 0 0 FRANK CINO SVP, SYSTEM CHIEF RISK OFFICER 171786 316380 56304 103696 2792 5144 10029 18471 10742 19783 251653 463474 0 0 NIYUM GANDHI EVP, CHIEF POPULATION HEALH 456876 319332 374521 261771 70121 49010 16775 11725 10467 7316 928760 649154 0 0 VICKI LOPACHIN SVP, SYSTEM CMO 427420 325080 136320 103680 44343 33725 16188 12312 7475 5685 631746 480482 0 0 CARYN SCHWAB SVP, EXECUTIVE DIRECTOR MSHQ 440000 0 300000 0 52277 0 22800 0 30200 0 845277 0 0 0 SAMIN SHARMA MD PROFESSOR, CARDIOLOGY 105820 106712 0 0 991499 3887332 10582 10671 8952 9028 1116853 4013743 0 0 SHIRISH HUPRIKAR PROFESSOR, INFECTIOUS DISEASE 542300 7700 64090 910 13487 192 28101 399 30296 430 678274 9631 0 0 FRANCES CARTWRIGHT SVP, ADMINISTRATION 465625 0 92000 0 39357 0 28500 0 17876 0 643358 0 0 0 Supplemental Information COMPENSATION FOOTNOTES OFFICERS OF THE BOARD OF TRUSTEES HOURS REFLECT SERVICE TO ALL RELATED ORGANIZATIONS OF MOUNT SINAI HEALTH SYSTEM, INC. (1) EMPLOYEE HAS AN OUTSTANDING LOAN REFLECTED IN SCHEDULE L, PART II OF THE ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI FORM 990. OTHER REPORTABLE COMPENSATION FOR OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES AS IDENTIFIED IN THE FORM 990, PART VII, AND LISTED ON SCHEDULE J MAY INCLUDE VARIOUS TYPES OF SUPPLEMENTAL WAGES. SCHEDULE J, PART I, LINES 6A & 6B THE HOSPITAL ANSWERED YES TO QUESTIONS 6A AND 6B IN SCHEDULE J AS THE INSTITUTION UTILIZES AN INCENTIVE BASED BONUS PROGRAM FOR CERTAIN EMPLOYEES, INCLUDING SEVERAL OF THOSE EMPLOYEES LISTED IN SCHEDULE J. NET EARNINGS IS ONE OF THE SEVERAL METRICS UTILIZED BY THE INSTITUTION IN THE ANNUAL BONUS CALCULATION. OTHER METRICS UTILIZED IN THE INCENTIVE COMPENSATION MODEL INCLUDE THE ORGANIZATION'S PERFORMANCE ON THE JCAHO HOSPITAL CORE MEASURES, PATIENT SATISFACTION SCORES, AND OTHER ORGANIZATIONAL GOALS SUCH AS LENGTH OF STAY INITIATIVES. INDIVIDUALS THAT HAVE RESPONSIBILITIES IN RELATED ORGANIZATIONS TO THE HOSPITAL MAY HAVE INCENTIVES BASED ON THE PERFORMANCE OF THESE ORGANIZATIONS AS WELL AS THAT OF THE HOSPITAL. A BUILD NYC RESOURCE CORPORATION 454040561 999999999 2013-12-19 112000000 CONSTRUCT QUEENS CAMPUS false false false A 0 0 112234190 0 0 0 387324 0 0 109884316 934270 1028280 2017 false false true true A false false true true false 0.00100 0.00000 0.00100 false false false true A false false false false 0 false 0 false A true Part II, Line 7, Issue A The amount shown in Form 8038 for issue costs exceeded by $1,500 the actual issuance costs paid from bond proceeds as a result of overestimation in the Form 8038 of some of the issuance costs. The number in Part II, Column C, row 7 is the actual issuance costs paid from proceeds. Part III, Line 3A The organization has one management agreement. That agreement complies with Revenue Procedure 97-13 and is not subject to Revenue Procedure 2017-13. PART III, LINE 9 THE ORGANIZATION IS CONSIDERING DEVISING PROCEDURES TO ENSURE THAT IF ANY BONDS BECOME NON-QUALIFIED, THEY WILL BE REMEDIATED IN ACCORDANCE WITH REGULATED SECTIONS 1.141-12 AND 1.145.2. Part IV, Line 7 The organization directed and monitored investments based on an expected draw schedule and takes sole responsibility for compliance with the requirements of Section 148. Since the date of issue of the bonds, no investment yields exceeded the bond yield. Part V The organization is aware that a voluntary closing agreement is available if a violation of the Federal tax requirements, should they occur, cannot be corrected through self-remediation under applicable requirements. The organization is considering developing procedures to ensure that in the event federal tax violations occur that cannot be corrected through self-remediation, such violation will qualify for resolution through the voluntary closing agreement program. BRIAN SCANLON DONALD SCANLON, OFFICER 94984 COMP. AS AN EMPLOYEE false DAVID SCANLON DONALD SCANLON, OFFICER 80158 COMP. AS AN EMPLOYEE false JOSHUA FRIEDMAN RICHARD FRIEDMAN, OFFICER 44194 COMP. AS AN EMPLOYEE false Michael Pastier Jr Michael Pastier, Officer 60347 COMP. AS AN EMPLOYEE false Schedule L, Part IV, Column D FAMILY RELATIONSHIPS WITH INTERESTED PERSONS Officer Donald Scanlon has a family relationship with Brian & David Scanlon who are employed at The Mount Sinai Hospital. Officer Richard Friedman has a family relationship with Joshua Friedman who is employed at The Mount Sinai Hospital. Officer Michael Pastier has a family relationship with Michael Pastier, Jr who is employed at the Mount Sinai Hospital. X 9238417 resale value X 7 311620 FMV false true false PART 1 LINE 9 COLUMN B REPRESENTS NUMBER OF CONTRIBUTIONS. FORM 990 SUPPLEMENTAL INFORMATION 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 31,959 individuals. The number of direct Hospital employees is 18,605 individuals. Part VI, Section A, Line 2 Family/Business Relationships Trustees Edgar Cullman, Jr. and Susan Cullman have a family relationship. Trustees Steven Hochberg and James Flynn have a business relationship. Trustees Steven Hochberg and Joel Picket have a business relationship. Trustees Marc Lipschultz and John Hess have a business relationship. Officers Kenneth Davis, MD and Dennis Charney, MD have a business relationship. Officer Kenneth Davis, MD and Trustee David Windreich have a business relationship. Officer Kenneth Davis, MD and Officer Bonnie Davis have a family relationship. Officer Dennis Charney, MD and Trustee David Windreich have a business relationship. Part VI, Section A, Line 6 Mount Sinai Hospitals Group, Inc. is the Sole Member of the organization. Part VI, Section A, Line 7a The Member has the power to elect the members of the governing body of the organization. Part VI, Section A, Line 7b The Board of Trustees of the organization cannot amend the bylaws without the consent of the Member if such amendment removed any powers of the Member. The consent of the Member if such amendment removed any powers of the Member. 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 (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, 2021, 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 (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, Line 15A & 15B Process for determination of compensation The Compensation, Employee Benefits and Employee Relations Committee of the Board of Trustees (Compensation Committee) determines the compensation for the CEO and other executives, including physician leaders, who are or may be disqualified persons as that term is defined in IRC Section 4958. The Compensation Committee also reviews the compensation of other senior and/or highly compensated personnel. The Compensation Committees' Operating Procedures are designed to ensure that the compensation of all such officers and key employees is reasonable (i.e. the value of services is the amount that would ordinarily be paid for like services by like enterprises under like circumstances), and with respect to disqualified persons to follow the specific steps outlined in the IRC regulations for establishing the rebuttable presumption of reasonableness that a transaction is not an excess benefit transaction. The Compensation Committee consists exclusively of independent trustees without any conflict of interest (as defined in the applicable IRC regulations) with regard to the compensation arrangements being reviewed or approved. The absence of any conflict of interest with respect to items on that meeting's agenda is confirmed at the beginning of each meeting of the Compensation Committee. The Compensation Committee selects and engages an independent, qualified compensation consultant which performs such valuations on a regular basis to provide appropriate comparability data. Comparability data includes, but is not limited to, compensation levels paid by similarly situated organizations, both taxable and tax-exempt, for functionally comparable positions; the availability of similar services in Mount Sinai's geographic area; current compensation surveys compiled by independent firms; customized surveys in specific circumstances, and actual written offers from similar institutions competing for the services of the disqualified person. The sources of the comparability data used by the compensation consultant are provided to the Compensation Committee. In appropriate circumstances formal written opinions are obtained from the Compensation Consultant. With respect to Executives as they are defined in the policy which includes all of the institution's disqualified persons, the Compensation Committee receives and reviews the comparability data and any analysis provided by the Compensation Consultant, as well as information provided by management, or in the case of the CEO, by the Chairman of the Board of Trustees, including information about the individual's performance, and for new employees, the individual's job description. When a written opinion is obtained from the Compensation Consultant, that written opinion is also reviewed by the Compensation Committee. After considering all of the facts, the Compensation Committee then determines the appropriate compensation in relation to the comparability data and in light of the written opinion, recommendations of the Compensation Consultant. As more fully set forth in the Compensation Committee's Operating Guidelines, the Compensation Committee also reviews the compensation arrangements for those other senior management and/or highly compensated personnel who are not Executives. The Compensation Committee is provided details of the compensation arrangement of the individual's job and job performance, the benchmark(s) used and, in certain cases, a description of the role of the Compensation Consultant and a brief description of why the arrangement is appropriate. The Compensation Committee contemporaneously documents in written minutes the terms of the transaction that was approved and the date it was approved; the members of the Compensation Committee who were present; the discussion at the Compensation Committee meeting; the comparability data and any other information obtained and relied on; how the comparability data was obtained; and the Compensation Committee's basis for the decisions, if the approved compensation is outside the range of comparability data. These minutes are prepared before the later of the next meeting of the Compensation Committee or 60 days after the final actions of the Compensation Committee are taken with respect to the compensation decisions made. The minutes are reviewed and approved by the Compensation Committee within a reasonable time thereafter before the later of the next meeting of the Compensation Committee or 60 days after the final actions of the Compensation Committee are taken with respect to the compensation decisions made. The minutes are reviewed and approved by the Compensation Committee within a reasonable time thereafter. Part VI, Section C, Line 19 Governing documents and conflict of interest policy available to the public. The organization makes its Business Conflicts of Interest Policy available on its website (www.mountsinai.org) and makes its governing documents and financial statements available upon request. Part VII, Line 2 Employees who received more than $100,000 in compensation Direct Hospital employees who receive more than $100,000 total 4,093. This excludes employees of the other entities for which the Hospital operates as the paymaster as described in the Schedule O explanation for IRS Form 990, Core Form Part I, Line 5. Part XI, Line 9 NET CHANGE IN CAPTIVE INSURANCE PROGRAM $16,592,536 CHANGE IN POST RETIREMENT LIABILITY (952,958) Loss on extinguishment of debt (5,341,949) Net Periodic postretirement cost other than service cost (155,000) Severance costs (11,224,751) Rounding (2,310) TOTAL $(1,084,432) FORM 990 PART IX LINE 11G DESCRIPTION:CLINICAL, ADMIN, RESEARCH, ETC TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:FREIGHT & DELIVERY TOTAL FEES:6507250 FORM 990 PART IX LINE 11G DESCRIPTION:TEMPORARY AGENCIES TOTAL FEES:20282762 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:385024 FORM 990 PART IX LINE 11G DESCRIPTION:AMBULANCE SERVICES TOTAL FEES:2925155 FORM 990 PART IX LINE 11G DESCRIPTION:ORGAN TRANSPORT TOTAL FEES:2094071 FORM 990 PART IX LINE 11G DESCRIPTION:UNOS REGISTRATION FEES TOTAL FEES:591613 FORM 990 PART IX LINE 11G DESCRIPTION:STORAGE TOTAL FEES:979811 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER OUTSIDE SERVICES TOTAL FEES:106004532 Mount Sinai PPS LLC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 472915052 DSRIP PROGRAM NY 25205273 12001621 MSH MSHS 150 LLC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 000000000 SUPPORT NY 1915368 1915368 MSH MOUNT SINAI PROTON HOLDING COMPANY LLC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 274281194 INVESTMENT NY 6053 6438825 MSH 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 MITRAL FOUNDATION 1190 FIFTH AVENUE NEW YORK NY 10029 800468600 RESEARCH NY 501(C)(3) 12 TYPE I ISMMS false THE MOUNT SINAI CHILDREN'S CENTER FND ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 223059294 SUPPORT NY 501(C)(3) 12 TYPE I ISMMS false 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 I 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 HOLDING CO NY 501(C)(3) 12 TYPE II NA false MOUNT SINAI HOSPITAL GROUP INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 464242915 HOLDING CO NY 501(C)(3) 12 TYPE II MSHS false ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 136171197 SCHOOL NY 501(C)(3) 2 MSHS false CONTINUUM HEALTH PARTNERS INC 150 EAST 42ND STREET 5TH FLOOR NEW YORK NY 10019 133939476 HOLDING CO NY 501(C)(3) 12 TYPE I NA false BIMC HOLDING CORPORATION FIRST AVENUE AT 16TH STREET NEW YORK NY 10003 133444730 HOLDING CO NY 501(C)(3) 12 TYPE I BIMC true MOUNT SINAI AMBULATORY VENTURES INC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10019 133838460 SURGICENTER NY 501(C)(3) 3 BIMC HOLDCO true BI 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GREATER METROPOLITAN IPA II 150 EAST 42D STREET 5TH FL NEW YORK NY 10019 133977019 INACTIVE NY BIMCSLR c false GREATER METROPOLITAN IPA V 150 EAST 42ND STREET 5TH FL NEW YORK NY 10019 134141695 INACTIVE NY BIMCSLR c false MANHATTAN MANAGEMENT SERVICES 1780 BROADWAY 7TH FL NEW YORK NY 10019 133618543 MGMT SERVICES NY SLR c false SLR MANAGEMENT SERVICES 150 EAST 42ND STREET 5TH FL NEW YORK NY 10019 133853145 MGMT SERVICES NY SLR c false WEST CARE MEDICAL PC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10019 133811203 INACTIVE NY SLR c false MOUNT SINAI HC VENTURES INC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10019 460953126 HEALTH CARE MGMT NY BIMC HOLDCO c false HIBER-CELL INC 850 NEW BURTON ROAD SUITE 201 DOVER DE 19904 820608182 CLINICAL LAB DE ISMMS C false AMATHUS THERAPEUTICS INC 1506 BOSTON PROVIDENCE HIGHWAY STE NORWOOD MA 02062 814373501 BIOTECH/PHARMA MA ISMMS C false false true true false false false false false true false true false false true true true true true true ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI b 81400000 cost MSMC REALTY CORP c 166692 cost ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI k 6039468 cost MSMC REALTY CORP k 2394000 COST ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI o 31391940 COST ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI P 321347026 cost MSMC RESIDENTIAL REALTY CORP P 6138000 cost ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI Q 2013505000 cost ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI s 130805 cost BETH ISREAL MEDICAL CENTER O 40606990 cost St Lukes-Roosevelt Hospital Center O 134149197 cost NEW YORK EYE AND EAR INFIRMARY O 11326476 cost MOUNT SINAI MEDICAL CENTER I 141270034 cost MOUNT SINAI MEDICAL CENTER I 62878 cost MOUNT SINAI HEALTH SYSTEM Q 50961220 COST MOUNT SINAI HEALTH SYSTEM B 21779308 FMV ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI I 4600000 COST MOUNT SINAI HEALTH PARTNERS PC Q 3879850 COST SOUTH NASSAU COMMUNITIES HOSPITAL B 20000000 COST Part II, Line 4, column F - MSMC REALTY CORPORATION DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, MOUNT SINAI MEDICAL CENTER ARE ALL MEMBERS OF THIS ENTITY. 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, THE MSMC REALTY CORPORATION ARE ALL MEMBERS OF THIS ENTITY.