2021-11-14T08:40:18-06:00 2020-12-31 ERNST & YOUNG US LLP 1 MANHATTAN WEST NEW YORK NY 10001 990 2020-01-01 135562304 New York Eye & Ear Infirmary % MICHAEL PASTIER NEWY 2129794320 310 East 14th Street New York NY 10003 STEPHEN HARVEY SVP,SYSTEM CFO 6466054002 2021-11-10 true STEPHEN HARVEY 999009999 Nicole M Sokolowski P01683199 2127733000 2 2020 2022-09-23 18:48:47Z NYEEI of Mount Sinai JAMES C TSAI MD 310 EAST 14TH STREET NEW YORK NY 10003 126044856 false X www.nyee.edu X 1820 NY TO PROVIDE PATIENT CARE AT THE HIGHEST QUALITY, MOST TECHNOLOGICALLY ADVANCED AND CONSISTENT MULTIDISCIPLINARY CARE. 33 33 811 63 0 5129710 11290731 147932989 105621604 4906619 3020213 5363194 6112308 163332512 126044856 0 0 0 0 71609565 71679716 0 0 182268 75153435 70447011 146763000 142126727 16569512 -16081871 192266223 181970505 81452315 87122575 110813908 94847930 X TO PROVIDE PATIENT CARE AT THE HIGHEST QUALITY, MOST TECHNOLOGICALLY ADVANCED AND CONSISTENT MULTIDISCIPLINARY CARE IN AN ENVIRONMENT WHERE THE SAFETY, DIGNITY AND COMFORT OF EACH PATIENT ARE PARAMOUNT. IN DELIVERING PATIENT CARE, NEW YORK EYE AND EAR INFIRMARY WILL STRIVE TO PROVIDE AN ERROR-FREE ENVIRONMENT. false false 126813226 0 107356661 THE HIGHEST QUALITY, MOST TECHNOLOGICALLY ADVANCED AND CONSISTENT MULTIDISCIPLINARY CARE IN A SAFE AND COMFORTABLE ENVIRONMENT PROVIDING AN ONGOING SERIES OF LECTURES, SEMINARS AND HEALTH SCREENINGS; DEVELOPMENT OF HIGHLY QUALIFIED, WELL TRAINED PHYSICIANS/SURGEONS THROUGH PROGRAMS OF RESIDENCY TRAINING. NEW YORK EYE AND EAR INFIRMARY PROVIDED THE FOLLOWING SERVICES TO RESIDENTS OF ITS LOCAL COMMUNITY IN 2020: 327 INPATIENT DISCHARGES 16,696 AMBULATORY SURGERY VISITS 32,675 REFERRED AMBULATORY PROCEDURES INCLUDING 2,508 FOR THE SLEEP CENTERS AND 58,489 OUTPATIENT CLINIC VISITS. IN ADDITION, PLEASE REFERENCE WWW.NYEE.EDU FOR OUR CAPABILITIES REPORT AND COMMUNITY INFORMATION REPORT LOCATED UNDER THE GENERAL INFORMATION SECTION OF THE WEBSITE. 126813226 true true false true false false false false false true true false false true true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 129 0 true 811 true false false false false false false false false false false true false X 33 33 true false false false true true true true true false false true true true true true true true true false NY X MICHAEL PASTIER 6466054094 150 E 42ND STREET - 5TH FLOOR NEW YORK NY 10017 KENNETH DAVIS MD CHIEF EXECUTIVE OFFICER 1.1 58.9 X 102992 5178639 67768 DONALD T SCANLON END 122020 EVP, FINANCE & CHIEF CORP SERV 1.1 58.9 X 40918 2057453 51432 DENNIS CHARNEY MD 1 PRESIDENT, ACADEMIC AFFAIRS 1.12 58.88 X 38618 1941791 46960 JEREMY BOAL MD EVP, SYSTEM CMO 1.15 58.85 X 34326 1725995 83032 ARTHUR KLEIN MD EVP, PRESIDENT OF HEALTH NTWK 0.5 59.5 X 0 1707200 39343 MARGARET PASTUSZKO EVP, SYSTEM CIO 1.26 58.74 X 35789 1636612 61463 NIYUM GANDHI EVP, CHIEF POPULATION HEALTH 0.5 59.5 X 0 1531631 46283 BURTON P DRAYER EVP, SYSTEM CCA 0.5 59.5 X 0 1508922 46566 BETH ESSIG ESQ EVP, GENERAL COUNSEL 1.1 58.9 X 31898 1458678 30295 JAMES TSAI MD MBA PRESIDENT 36.0 24.0 X 811262 531263 57964 JEFFREY SILBERSTEIN EVP, SYSTEM CAO 1.25 58.75 X 26189 1197573 33255 MICHAEL PASTIER SVP, CHIEF FINANCIAL OFFICER 1.88 58.12 X 38181 1108399 78626 FRANK CINO SVP, SYSTEM CHIEF RISK OFFICER 1.25 58.75 X 14041 642061 59025 CHRISTOPHER SPINA SVP, CHIEF OPERATING OFFICER 60.0 0.0 X 476089 0 55055 RAYMOND GEARITY DIRECTOR OF FACILITIES MGMT 60.0 0.0 X 219238 0 21865 KULWANTI BHAGWANDIN NURSING SUPERVISOR 60.0 0.0 X 207877 0 18518 PIK SHEN MUI DIRECTOR FINANCIAL PLANNING 60.0 0.0 X 190869 0 14488 JOHANNA BANNERT-SICA DIRECTOR OF PHARMACY 60.0 0.0 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PAYS DUES TO THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA), THE AMERICAN ASSOCIATION OF EYE AND EAR CENTERS OF EXCELLENCE (AAEEE) AND THE HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS). IN ACCORDANCE WITH SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY GNYHA, AAEEE AND HANYS, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. AHA $5,461 HANYS $5,071 7942779 100974 601155 638500 8006408 8064366 3250 379694 504531 7942779 7990879 66235 378618 371366 8064366 7292283 3725 925323 230452 7990879 7226036 120000 147308 201061 7292283 0.60320 0.39680 false false 2049967 2049967 99745662 75124463 24621199 10018229 8200063 1818166 118838151 106571733 12266418 3929182 3929182 44684932 REINSURANCE INSURANCE RECEIVAB 7940000 EST THIRD PARTIES SETTLEMENT 199797 OTHER ASSETS 1978077 RIGHT OF USE ASSETS 15732996 SELF INSURANCE TRUST 3935000 DUE FROM RELATED ORGS 1305941 31091811 0 ACCRUED PENSION PAYABLE 26786010 INSURED LIABILTIES 7940000 ASBESTOS REMOVAL LIABILITIES 2789812 EST THIRD PARTY SETTLEMENTS 5847845 LEASE PAYABLE 16170972 ESTIMATED SELF INSURANCE TRUST 3935000 FICA DEFERRAL 2078927 MEDICARE ADVANCE PAYMENTS 9000000 OTHER LIABILITIES 1545322 76093888 PART V, LINE 4 INTENDED USES OF ORGANIZATION'S ENDOWMENT FUNDS NEW YORK EYE AND EAR INFIRMARY'S ENDOWMENT FUNDS ARE RESTRICTED TO INVESTMENTS IN PERPETUITY WITH THE INCOME EXPENDABLE TO SUPPORT PROGRAM ACTIVITIES AS STIPULATED BY THE DONORS. THE HOSPITAL FOLLOWS THE REQUIREMENT OF THE UNIFORM PRUDENT MANAGEMENT OF INSTITUTIONAL FUNDS ACT ("UPMIFA") 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 DIVERSIFIED MANNER TO ADHERE TO ESTABLISHED GUIDELINES. true true X true X true X true true true false true true 3186715 2294726 891989 0.00630 42020222 23680783 18339440 0.12900 45206937 25975509 19231429 0.13530 25790 25790 0.00020 5890701 739903 5150797 0.03620 8033 7035 998 5924524 746938 5177585 0.03640 51131461 26722447 24409014 0.17170 3663 3663 0.00000 260 260 0.00000 3923 3923 0.00000 false 2952610 11790305 19208854 -7418549 X true true 1 1 NEW YORK EAR & EYE INFIRMARY 310 EAST 14TH STREET NEW YORK NY 10003 WWW.NYEE.EDU 7002026H X X X SPECIALTY EYE & EAR HOSPITAL NEW YORK EYE & EAR INFIRMARY 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 see PART V, SECTION C X see PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 3e THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CNHA ARE PRIORITIZED ACCORDING TO THE COMMUNITY NEEDS. SCHEDULE H, PART V, SECTION B, 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, SECTION B, LINE 6A NYEE COLLABORATED WITH THE MOUNT SINAI HEALTH SYSTEM AND ITS FOLLOWING HOSPITALS: MOUNT SINAI HOSPITAL & MOUNT SINAI QUEENS, MOUNT SINAI BETH ISRAEL HOSPITAL & MOUNT SINAI BROOKLYN, AND ST. LUKE'S HOSPITAL & MOUNT SINAI WEST. CHNAS FOR THESE HOSPITALS WERE DEVELOPED ALONGSIDE THE NYEE CHNA. SCHEDULE H, PART V, SECTION B, LINE 7A HTTPS://WWW.NYEE.EDU/files/MSHealth/Assets/NYEE/NYEE-CHNA-2020.pdf SCHEDULE H, PART V, SECTION B, LINE 10A https://www.nyee.edu/files/MSHealth/Assets/NYEE/ImplementationStrategy-NYE E.pdf SCHEDULE H, PART V, SECTION B, LINE 11 THE 2020 CHNA IDENTIFIED A NUMBER OF SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY. NYEE has a proud tradition of serving the community and providing significant resources towards community benefit activities. Over the next three years, the hospital plans to continue this commitment to meet health needs in the community. To develop the planned response to significant community health needs identified in the 2020 CHNA, the hospital reviewed the CHNA findings and applied the following criteria to determine the most appropriate needs for the hospital to address: - The extent to which the hospital has resources to address the need; - The extent to which the hospital has expertise or competencies to address the need; - The priority assigned to the need; - The availability of effective interventions that address the need; and - The extent of to which other hospital facilities and/or community organizations are addressing the issue. By applying these criteria, the hospital selected the following significant needs to focus its efforts during the 2021-2023 time period: - Aging Population; - Chronic Diseases and Contributing Lifestyle Factors; and - COVID-19 Pandemic and Effects. Many intended activities of NYEE 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 NYEE respond to both the current and future community health needs for chronic disease treatment and prevention. Participation in Medicaid. Medicaid provides health coverage to low-income individuals through federal and state funding. NYEE participation in New York State Medicaid includes inpatient and outpatient services. In 2018, the payments for services provided to Medicaid patients were approximately 93 percent of the cost to provide these services. Community Health Improvement Activities. NYEE supports numerous activities to improve community health through grants and in-kind contributions. Community health improvement activities include facilitating support groups for head and neck cancer survivors as well as for individuals with macular degeneration, uveitis, and glaucoma. Subsidized Health Services. NYEE provides numerous inpatient and outpatient service lines that operate as losses. NYEE 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 NYEE focus on helping patients receive pharmaceutical products at no out-of-pocket cost. Health Care Services. A range of specialized health care services is available at the hospital, 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. Community Building. NYEE is involved in a wide array of activities to promote the health of the local community. Activities include specialty medical missions, vision screening in school and senior citizen center settings, participation in world voice screening day, charity walks, public service campaigns, health and wellness fairs, and audiology day. Spiritual Care. As NYEE is committed to healing the body, mind, and spirit, chaplains contribute to caring for the whole person. Spiritual care staff is interfaith and highly respectful of everyone's individual beliefs. Counseling is offered to help patients and their families find comfort and hope while experiencing challenges. Other activities of NYEE 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. Aging Population; B. Chronic Diseases and Contributing Lifestyle Factors; and C. COVID-19 Pandemic and Effects Aging Population The 2020 NYEE CHNA found that the population is aging and "aging in place." This growth will increase needed support for healthcare, housing, transportation, and nutrition assistance. Planned activities for healthcare directly and indirectly related to an aging population are described below. These activities are in addition to the NYEE activities that impact multiple needs. Specialty Medical Services. Specialty medical services provided by NYEE treat conditions and diseases that are more prevalent in older populations. Treatments for these conditions and diseases enable seniors to be healthier and live independently. NYEE specializes in vision and hearing services, as follows: - Eye Services. NYEE provides patients with comprehensive treatments to manage the full range of vision problems, including cataracts, glaucoma, corneal disease, eye trauma, uveitis, and retina conditions such as age-related macular degeneration; and - Ear Services. NYEE provides patients with comprehensive treatments to manage the full range of hearing problems through the contributions of highly specialized professionals, including otolaryngologists (ear, nose, and throat physicians), otologists-neurotologists, audiologists, speech-language pathologists, and early intervention specialists. Events. NYEE conducts special events throughout the year. Examples of special events include an annual Holiday Eyeglass Donations Drive, "Lunch & Learn" lectures and presentations at major organizations and associations to educate the public about preventing and treating eye disease as well as hearing/ENT and balance topics; corporate health fairs and events throughout the city; and tours of a local museum for people with low vision. Chronic Diseases and Contributing Lifestyle Factors The 2020 NYEE CHNA found that chronic diseases in the community include arthritis, asthma, cancers, cardiovascular disease, diabetes, hypertension, kidney disease, and pulmonary issues. Contributing lifestyle factors might also include poor nutrition, alcohol consumption, and physical inactivity. Planned activities to help reduce the incidence of and manage current chronic disease, including increasing healthy life factors, are described below. These activities are in addition to the NYEE activities that impact multiple needs. Health professions education. The health professions education activities of NYEE respond to both the current and future community health needs for chronic disease treatment and prevention. In addition to continuing medical education programs and the Jorge N. Buxton, MD, Microsurgical Education Center, NYEE actively participates in graduate medical education, including the following: - Ophthalmology Residency; - Otolaryngology Residency; and - Ophthalmic Subspecialty Fellowships, including cornea and external disease, glaucoma, retina, pediatric ophthalmology, uveitis, and ophthalmic reconstructive surgery. Chronic Disease Services. The hospital provides specialty care at its Manhattan campus, as well as the health system's physician practices throughout Manhattan. The hospital, together with The Mount Sinai Health System, is a leader in providing quality health care to its patients regardless of their ability to pay. Specific specialty health care services related to the management of chronic diseases include ones listed below. - Eye services, including services for cataracts, glaucoma, age-related macular degeneration, corneal disease, and retina conditions; - Ear, nose and throat services, including services for disorders of the ears, nose, throat, sinuses, head, and neck, such as thyroid and parathyroid tumors, sinus problems, voice and throat conditions, and hearing disorders; . Sleep services, including comprehensive diagnostic services for patients affected by sleep disorders, such as obstructive sleep apnea, snoring, insomnia, narcolepsy, periodic limb movement disorder, and daytime sleepiness; - Plastic and reconstructive surgery, including the newest technologies and multidisciplinary approaches; - Medical photography and imaging services, including advanced radiology, diagnostic imaging, and medical photography services, to provide physicians the critical information necessary to accurately diagnose conditions and determine the best treatments; - Otology clinic, including treatments for ear, nose, and throat disorders, such as sinus problems, ear infections, and swallowing disorders, by highly trained physicians and support staff; and - Eye clinic, including specialty care for eye injuries and infections. Research. NYEE works daily to uncover the next generation of medication treatments, surgical techniques, and prevention practices. Research resources include the Shelley and Steven Einhorn Clinical Research Center, the Eye and Vision Research Institute, and the Ophthalmic Innovation and Technology Program. Numerous clinical trials are available in both ophthalmology and otolaryngology to ensure patients have access to the new SCHEDULE H, PART V, SECTION B, LINE 16A, 16B, & 16C THE FAP, THE FAP APPLICATION, AND THE PLAIN LANGUAGE SUMMARY OF THE FAP ARE ALL AVAILABLE AT THE FOLLOWING LINK: www.hospitalassistance.org 8 NYEE - COLUMBUS CIRCLE 200 W 57TH STREET SUITE 1410 NEW YORK NY 10019 PHYSICIAN PRACTICE OFFICE NYEE - TRIBECA 77 WORTH STREET NEW YORK NY 10013 PHYSICIAN PRACTICE OFFICE NYEE - BAY RIDGE 9020 5TH AVENUE 3RD FLOOR BAY RIDGE NY 11209 PHYSICIAN PRACTICE OFFICE NYEE - MIDWOOD 1630 E 15TH STREET 203 BROOKLYN NY 11229 PHYSICIAN PRACTICE OFFICE NYEE - Williamsburg 101 BROADWAY 201 BROOKLYN NY 11249 PHYSICIAN PRACTICE OFFICE NYEE - MINEOLA 200 OLD COUNTRY ROAD 130 MINEOLA NY 11501 PHYSICIAN PRACTICE OFFICE NYEE - WHITE PLAINS 244 WESTCHESTER AVE 215 WHITE PLAINS NY 10604 PHYSICIAN PRACTICE OFFICE NYEE- 2nd Ave 380 2nd Avenue New York NY 10010 PHYSICIAN PRACTICE OFFICE PART I, LINE 6 DESCRIPTION AND AVAILABILITY OF ANNUAL COMMUNITY BENEFIT REPORT: NYEE PREPARED AN ANNUAL COMMUNITY BENEFIT REPORT (COMMUNITY SERVICE PLAN-CSP). THE CSP IS: A. SENT TO THE NYS DOH B. POSTED ON OUR WEBSITE (WWW.NYEE.EDU) C. AVAILABLE ON THE SITE FOR PATIENTS AND COMMUNITY MEMBERS D. INCLUDES A SUMMARY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), EXECUTIVE SUMMARY IS ALSO AVAILABLE. PART I, LINE 7 Financial and certain other Community Benefits at Cost: NYEE 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 VI (FOR PART I # 1, PAGE 1 ): 7A,7B,7C, 7D, 7E, 7F, 7G, 7H, 7I, 7J AND 7K. A.FINANCIAL ASSISTANCE AT COST: SEE WORKSHEET 1. B.MEDICAID: SEE WORKSHEET 3. C.FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS ARE THE SUM OF A AND B D.COMMUNITY HEALTH IMPROVEMENT SERVICES (CHIS); SUPPORT GROUPS FOR HEAD AND NECK CANCER SURVIVORS AS WELL AS FOR INDIVIDUALS WITH MACULAR DEGENERATION, UVEITIS, AND GLAUCOMA. E.HEALTH PROFESSIONS EDUCATION; GME (INTERNS, RESIDENTS AND FELLOWS); CONTINUING MEDICAL EDUCATION AND COMMUNITY HEALTH EDUCATIONLECTURES. WE FOLLOWED THE INSTRUCTION DIVIDING THE RESULT (E) BY THE EXPENSE FROM PART IX, LINE 25 OF COLUMN A, REGARDING THE HEALTH PROFESSIONS EDUCATION TRAINING. F.SUBSIDIZED HEALTH SERVICES: WE PROVIDED PHARMACEUTICALS TO NEEDY PATIENTS AND TO OTHERS FOR FREE OR AT DISCOUNTED PRICES. G.RESEARCH TOTALS FOR SUBSIDIZED CLINICAL TRIALS OPEN TO THE COMMUNITY. ALL WERE INSTITUTIONAL REVIEW BOARD (IRB) PROTOCOLS APPROVED FOR THE PROTECTION OF HUMAN SUBJECTS. ALL COSTS ARE NET-(TOTAL EXPENSE MINUS REVENUE). SUBSIDIZED HEALTH SERVICES PERTAIN TO PHARMACEUTICALS GIVEN TO PATIENTS WITHOUT CHARGES. H.N/A I.TOTAL: OTHER BENEFITS (SEE PAGE 1). J.TOTAL: LINES 7D AND 7. PART II, LINE 3 DESCRIPTION OF COMMUNITY SUPPORT, COMMUNITY BUILDING ACTIVITIES AND COMMUNITY HEALTH IMPROVEMENT SERVICES Low Vision Service NYEE is in partnership with Lavelle Fund for the Blind to expand low vision services for patients living with irreversible vision loss. The program will strengthen services for patients with irreversible vision loss by launching a sustainable cross-referral service between NYEE's Low Vision Optometry Clinic and NYC vision rehabilitation agencies such as VISIONS, and a low vision optical shop and technology center adjacent to the Low Vision Optometry Clinic. Staff and volunteers will receive training in the available low vision and vision rehabilitation resources to better serve our patient population in understanding skills of daily living, safe mobility in the home and community, and learning to use adaptive communication skills and computer technology. Vision Rehabilitation Program NYEE's Low Vision Service is a member of the Lighthouse Guild Vision Rehabilitation Network. As part of the Network, NYEE has access to an online program that helps ophthalmologists, and ophthalmology residents understand how to effectively incorporate vision rehabilitation into patient care. The training program will help identify patients with low vision, assess their low vision needs, and refer patients to vision rehabilitation and other nonmedical vision services. Patients will benefit from low vision evaluations/exams, basic interventions that can improve performance in daily activities, behavioral health services, rehabilitation strategies, and adaptive technology options. In addition, the Network will capture data that will generate research into how to best and most cost effectively provide vision rehabilitation services nationwide. Children's Hearing Program at the Ear Institute of New York Eye and Ear Infirmary of Mount Sinai Early Hearing Detection and Intervention Program The Ear Institute at NYEE participates in New York State Early Hearing Detection and Intervention program (NY EHDI) supports the US Surgeon General's Healthy People 2020 goal ENT - VSL: increase the proportion of newborns who are screened for hearing loss by no later than age 1 month, have audiologic evaluation by age 3 months, and are enrolled in appropriate intervention services no later than age 6 months. Universal newborn hearing screening is a component of the NY EHDI program. The Institute is one of the qualified outpatient infant screening center to administer a full infant diagnostic hearing assessment, if the infant fails a second screening. If hearing loss is detected, infants are referred to the Ear Institute's Early Intervention Program for appropriate intervention services. Early Intervention Program Children under 3 years old and their families can take advantage of our Early Intervention Program(EIP), funded and regulated by the New York State Department of Health, and New York City Department of Mental Health, Mental Retardation, and Alcoholism Services. EIP provides free speech pathology and audiology services to eligible children. If your infant or toddler is developing slower than normal in one or more areas-such as speech, motor function, or physical development (including hearing or vision) -they may be eligible for this program. The Ear Institute serves children from the five boroughs of New York City, and assist in referrals to EIP statewide. We can provide children with a free evaluation (in their native language) to determine eligibility for EIP. We have especially geared our program to parents, helping them to understand their child's auditory problem and what they need to do on a regular basis at home to enhance their child's speech and language development. Macular Degeneration Support Group offers members a forum to discuss their experiences, share coping strategies, and provide emotional support to each other. NYEE's doctors and patient care staff provide information about new technologies, research into the condition, and nutrition guidance. Cochlear Implant Support Group for Ear Institute Patients helps recipients of cochlear implants (CI) share experiences and insights with other cochlear implant users, get help adjusting to life with CI's, and gain the most from living with their device. PART II, LINE 4 ENVIRONMENTAL IMPROVEMENTS AND EMERGENCY PREPAREDNESS PART III, LINE 2 NYEE'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 NYEE'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 Infirmary 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 $7.4 million in order to provide a more accurate reflection of the Hospital's Medicare financial results. PART III, LINE 9B THE INFIRMARY'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. PART VI, LINE 2 - NEEDS ASSESSMENT IN ADDITION TO THE CHNA REPORTED IN PART V, NYEE ASSESSED THE COMMUNITY HEALTH NEEDS BY COMPILING THE COMMUNITY SERVICE AND PREVENTION PLAN. NYEE EXAMINED DISTINCT CONSTITUENCIES FOR SERVICING OF BOTH SHORT AND LONG TERM SPECIALTY CARE HEALTH NEEDS. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE FULL-TIME MEDICAID ENROLLMENT COUNSELORS ARE AVAILABLE ON PREMISE IN ADDITION TO AN ASSISTANT MANAGER WHOSE SOLE RESPONSIBILITY IS TO ASSIST PATIENTS UPON ARRIVAL AND MAKE ELIGIBILITY FOR FINANCIAL ASSISTANCE KNOWN TO THEM. IN ACCORDANCE WITH NYS LAW, WE SUPPLY INFORMATION REGARDING MEDICAID APPLICATION. NYEE HAS A ROBUST FINANCIAL COUNSELING DEPARTMENT FOR MEDICAID, NYS HEALTH EXCHANGE AND CHARITY CARE. THE CHARITY CARE POLICY IS AVAILABLE IN FOUR LANGUAGES ON OUR WEBSITE, THROUGHOUT THE INSTITUTION AND IS AVAILABLE TO ALL PATIENTS UPON REQUESTS. THE NYEE INDIGENT CARE POLICY ASSISTS INDIGENT AND UNINSURED PATIENTS TO RECEIVE QUALITY HEALTH CARE SERVICES PROVIDED BY NYEE. FEE DISCOUNT INFORMATION MATERIAL IS AVAILABLE IN VENUES IN MULTIPLE LOCATIONS IN THE HOSPITAL. PART VI, LINE 4 - COMMUNITY INFORMATION This section identifies and describes the community assessed by New York Eye and Ear Infirmary (NYEE) and how it was determined. NYEE'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 NYEE community. The hospital is located in the Lower East Side neighborhood of Manhattan. The NYEE 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 NYEE, as well as ambulatory surgery visits. In 2019, the community collectively accounted for 56 percent of NYEE'466 inpatient discharges and 80 percent of NYEE's 24,719 ambulatory surgery. PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH Planned activities to help reduce the incidence of and manage current chronic disease, including increasing healthy life factors, are described below. These activities are in addition to the NYEE activities that impact multiple needs. Health professions education. The health professions education activities of NYEE respond to both the current and future community health needs for chronic disease treatment and prevention. In addition to continuing medical education programs and the Jorge N. Buxton, MD, Microsurgical Education Center, NYEE actively participates in graduate medical education, including the following: - Ophthalmology Residency; - Otolaryngology Residency; and - Ophthalmic Subspecialty Fellowships, including cornea and external disease, glaucoma, retina, pediatric ophthalmology, uveitis, and ophthalmic reconstructive surgery. Chronic Disease Services. The hospital provides specialty care at its Manhattan campus, as well as the health system's physician practices throughout Manhattan. The hospital, together with The Mount Sinai Health System, is a leader in providing quality health care to its patients regardless of their ability to pay. Specific specialty health care services related to the management of chronic diseases include ones listed below. - Eye services, including services for cataracts, glaucoma, age-related macular degeneration, corneal disease, and retina conditions; - Ear, nose and throat services, including services for disorders of the ears, nose, throat, sinuses, head, and neck, such as thyroid and parathyroid tumors, sinus problems, voice and throat conditions, and hearing disorders; - Sleep services, including comprehensive diagnostic services for patients affected by sleep disorders, such as obstructive sleep apnea, snoring, insomnia, narcolepsy, periodic limb movement disorder, and daytime sleepiness; - Plastic and reconstructive surgery, including the newest technologies and multidisciplinary approaches; - Medical photography and imaging services, including advanced radiology, diagnostic imaging, and medical photography services, to provide physicians the critical information necessary to accurately diagnose conditions and determine the best treatments; - Otology clinic, including treatments for ear, nose, and throat disorders, such as sinus problems, ear infections, and swallowing disorders, by highly trained physicians and support staff; and - Eye clinic, including specialty care for eye injuries and infections. Research. NYEE works daily to uncover the next generation of medication treatments, surgical techniques, and prevention practices. Research resources include the Shelley and Steven Einhorn Clinical Research Center, the Eye and Vision Research Institute, and the Ophthalmic Innovation and Technology Program. Numerous clinical trials are available in both ophthalmology and otolaryngology to ensure patients have access to the newest available therapies. Research activities are subject to MSHS's ethical and legal requirements for the conduct and oversight of human research. Support Groups. NYEE offers support groups so patients can share their stories, ask questions, and find out about useful resources. Support groups are facilitated by NYEE professionals, including nurses and social workers. Specific support groups include the following: - Ophthalmology Support Groups; - Macular Degeneration Support Groups; - Uveitis Support Groups; - Ocular Cancer Support Groups; - Otolaryngology Support Groups; - Head and Neck Cancer Support Group; and - Cochlear Implant Support Groups for Ear Institute patients. Social Work Services. NYEE Social Workers help patients understand and cope with issues related to treatments, work with the medical team to create a safe discharge plans, and link patients with other community resources. Language & Communication Access Services. Language & Communication Access Services provide over the phone and in-person interpreter services, 24 hours a day, at no cost to patients. Included in translation services are sign language interpreters and telecommunication devices for the deaf (TDD). Phone interpretation services are available in over 200 languages, and video remote interpretation services are available in 35 languages. The New York State Patients' Bill of Rights is available in Braille as well as in English and Spanish on closed-circuit television. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM THE ORGANIZATION WORKS CLOSELY WITH ITS AFFILIATED HOSPITALS AS AN INTEGRATED HEALTH CARE PARTNERSHIP. LEADERSHIP IS COMMITTED TO WORKING WITH THE COMMUNITY AND WILL REMAIN COMMITTED TO ALLOCATING SUFFICIENT RESOURCES TO ENSURE THAT THE CLINICAL AND OUTREACH SERVICES OF EACH OF THE AFFILIATED HOSPITALS IS RESPONSIVE TO THE COMMUNITY HEALTH NEEDS BY PROVIDING HIGH QUALITY, ACCESSIBLE, AND COMPASSIONATE HEALTH CARE TO THE MAXIMUM EXTENT POSSIBLE. PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT NEW YORK X X X X false false false false false true true false false JEREMY BOAL MD EVP, SYSTEM CMO 17875 898792 3589 180444 12862 646759 556 27944 1063 53469 35945 1807408 0 0 DENNIS CHARNEY MD 1 PRESIDENT, ACADEMIC AFFAIRS 19662 988670 7177 360890 11779 592231 556 27944 360 18100 39534 1987835 0 0 KENNETH DAVIS MD CHIEF EXECUTIVE OFFICER 42900 2157100 29250 1470750 30842 1550789 556 27944 766 38502 104314 5245085 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 22441 1026194 7680 351185 1777 81299 610 27890 38 1757 32546 1488325 0 0 ARTHUR KLEIN MD EVP, PRESIDENT OF HEALTH NTWK 0 916667 0 137500 0 653033 0 28500 0 10843 0 1746543 0 0 MARGARET PASTUSZKO EVP, SYSTEM CIO 21731 993722 11127 508836 2931 134054 610 27890 705 32258 37104 1696760 0 0 DONALD T SCANLON END 122020 EVP, FINANCE & CHIEF CORP SERV 21450 1078550 9106 457879 10362 521024 556 27944 447 22485 41921 2107882 0 0 JEFFREY SILBERSTEIN EVP, SYSTEM CAO 17346 793204 6206 283794 2637 120575 610 27890 102 4653 26901 1230116 0 0 JAMES TSAI MD MBA PRESIDENT 480000 320000 180000 120000 151262 91263 17100 11400 17678 11786 846040 554449 0 0 FRANK CINO SVP, SYSTEM CHIEF RISK OFFICER 10447 477719 3424 156576 170 7766 610 27890 653 29872 15304 699823 0 0 JOHANNA BANNERT-SICA DIRECTOR OF PHARMACY 177318 0 4000 0 0 0 0 0 4829 0 186147 0 0 0 KULWANTI BHAGWANDIN NURSING SUPERVISOR 202877 0 5000 0 0 0 0 0 18518 0 226395 0 0 0 RAYMOND GEARITY DIRECTOR OF FACILITIES MGMT 219238 0 0 0 0 0 0 0 21865 0 241103 0 0 0 CHRISTOPHER SPINA SVP, CHIEF OPERATING OFFICER 400000 0 60000 0 16089 0 28500 0 26555 0 531144 0 0 0 PIK SHEN MUI DIRECTOR FINANCIAL PLANNING 190869 0 0 0 0 0 0 0 14488 0 205357 0 0 0 NIYUM GANDHI EVP, CHIEF POPULATION HEALTH 776208 0 636292 0 119131 0 28500 0 17783 0 1577914 0 0 MICHAEL PASTIER SVP, CHIEF FINANCIAL OFFICER 24529 712071 9990 290010 3662 106318 949 27551 1669 48457 40799 1184407 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 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. ORGANIZATIONS TO THE HOSPITAL MAY HAVE INCENTIVES BASED ON THE PERFORMANCE OF THESE ORGANIZATIONS AS WELL AS THAT OF THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 2 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 Lipshultz and John Hess have a business relationship. Officers Bonnie Davis and Kenneth Davis, MD have a family 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 Dennis Charney, MD and Trustee David Windreich have a business relationship. FORM 990, PART VI, SECTION A, LINE 6 MOUNT SINAI HOSPITALS GROUP, INC. IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A The Member has the power to elect the members of the governing body of the organization. FORM 990, PART VI, SECTION A, LINE 7B The Member has the power to elect the members of the governing body of the organization. In addition, the Board of Trustees of the organization cannot amend the bylaws without the consent of the Member if such amendment removed any powers of the Member. FORM 990, PART VI, 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. FORM 990, PART VI, 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. FORM 990, PART VI, LINE 15A & 15B PROCESS FOR DETERMINATION OF COMPENSATION The Compensation, Employee Benefits and Employee Relations Committee of the Board of Trustees (the "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 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. FORM 990, PART VI, 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. FORM 990, PART XI, LINE 9 PENSION RELATED CHANGES $(3,771,637) CHANGE IN POST RETIREMENT LIABILITY $2,796,000 SEVERANCE COSTS $(1,479,470) ------------- TOTAL $(2,455,107) FORM 990 PART IX LINE 11G DESCRIPTION:CARTS TOTAL FEES:11829610 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:9425378 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 true 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 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Part II, Line 6, 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 8, 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.