2018-11-14T22:22:58-06:00 2017-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2017-01-01 136271888 The Mount Sinai Medical Center % STEPHEN HARVEY MOUN 6466054095 One Gustave L Levy Place New York NY 10029 DONALD SCANLON EVP,SYSTEM CFO & CCS 6466054002 2018-11-14 true Laura Kielczewski P00740769 2127733000 67.162.74.245 26308520183185000147 2018-11-14 P 050F75853A9F423F493495C03CDD05FDA32C01D0 42D26865FF540D3EA6F803EEB3CCA5BB79F92251 2017 2019-02-21 02:37:17Z Donald Scanlon ONE GUSTAVE L LEVY PLACE NEW YORK NY 100296574 2509517 false X n/a X 1967 NY THE MEDICAL CENTER SUPERVISES AND COORDINATES POLICIES AND FUND RAISING ACTIVITIES AND ADMINISTERS INVESTMENTS FOR ENTITIES OF THE MOUNT SINAI HEALTH SYSTEM, INC. 46 46 0 0 2035176 1808338 0 0 0 0 0 0 1335193 2509517 1335193 2509517 670420 474341 0 0 0 0 0 0 0 75810 59740 746230 534081 588963 1975436 1533335051 1742139596 1518371846 1727176391 14963205 14963205 PROVIDE FUNDRAISING, SUPPORT, AND MAINTAINS POOLED INVESTMENTS FOR ENTITIES OF THE MOUNT SINAI HEALTH SYSTEM, INC. false false 474341 474341 0 THE MEDICAL CENTER IS A COMMON MEMBER OF AN INVESTMENT IN 8 EAST 102ND STREET MANAGER LLC. ALL EARNINGS RELATED TO THIS INVESTMENT ARE DISTRIBUTED TO ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI TO PROVIDE STRATEGIC SUPPORT. 0 0 0 THE MEDICAL CENTER MAINTAINS INVESTMENTS IN A POOLED INVESTMENT PORTFOLIO FOR THE BENEFIT OF ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, MOUNT SINAI AUXILIARY BOARD, ST LUKE'S-ROOSEVELT HOSPITAL CENTER, BETH ISRAEL MEDICAL CENTER, NEW YORK EYE AND EAR INFIRMARY, AS WELL AS THE MEDICAL CENTER; COLLECTIVELY, THE MOUNT SINAI HEALTH SYSTEM. THESE PERMANENTLY RESTRICTED ASSETS ARE HELD IN PERPETUITY, BUT THE INCOME DERIVED FROM THESE ASSETS CAN BE USED OR EXPENDED, IN PART OR IN ENTIRETY, FOR EITHER SPECIFIED (GENERALLY, THE SCHOOL) OR UNSPECIFIED PURPOSES. THE INCOME EARNED FROM POOLED INVESTMENTS IS CONSOLIDATED IN THE SUPPORTED ENTITIES' RESPECTIVE STATEMENTS OF ACTIVITIES. 474341 true false false false false false false false false true false true false false true false true false false false true false false false false false false true false true false false false false false false false false false false false false false true true true false false true 0 0 0 true true false false false false false false false false false X 46 46 true false true false true true true true true false false true true true true true true false false false NY X STEPHEN HARVEY 6466054002 150 E 42ND ST 9TH FLOOR new york NY 10017 JAMES W CRYSTAL VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 BONNIE M DAVIS MD VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 GLENN DUBIN 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 BLAINE V FOGG SEC/VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 DONALD J GOGEL SENIOR VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 STEVEN HOCHBERG SENIOR VICE CHAIRMAN/TRUSTEE 2.0 18.0 X X 0 0 0 HENRY R KRAVIS VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 JOHN A LEVIN VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 PETER W MAY CHAIRMAN OF BOARD OF TRUSTEES 2.0 14.0 X X 0 0 0 MICHAEL MINIKES SNR VICE CHAIR/TREASURER/TRUST 2.0 21.0 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 HON ROBERT E RUBIN SENIOR VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 ANDREW M SAUL VICE CHAIRMAN/TRUSTEE 2.0 15.0 X X 0 0 0 THOMAS W STRAUSS VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 ANDREW M ALPER TRUSTEE 1.0 5.0 X 0 0 0 GLENN R AUGUST TRUSTEE 1.0 0.0 X 0 0 0 JEFF T BLAU TRUSTEE 1.0 9.0 X 0 0 0 THOMAS R BLOCK TRUSTEE 1.0 1.0 X 0 0 0 GERALD J CARDINALE TRUSTEE 1.0 0.0 X 0 0 0 EDITH W COOPER TRUSTEE (AS OF 2/17) 1.0 1.0 X 0 0 0 HENRY CORNELL TRUSTEE 1.0 0.0 X 0 0 0 EVA ANDERSSON DUBIN MD TRUSTEE 1.0 1.0 X 0 0 0 SONIA E GARDNER TRUSTEE 1.0 0.0 X 0 0 0 JOSHUA J HARRIS TRUSTEE 1.0 0.0 X 0 0 0 HAMILTON JAMES TRUSTEE 1.0 1.0 X 0 0 0 BRAD KARP TRUSTEE 1.0 1.0 X 0 0 0 THOMAS L KEMPNER JR TRUSTEE 1.0 1.0 X 0 0 0 MICHAEL KLEIN TRUSTEE 1.0 0.0 X 0 0 0 ERIC S LANE TRUSTEE 1.0 0.0 X 0 0 0 ANTON LEVY TRUSTEE (AS OF 4/17) 1.0 1.0 X 0 0 0 MARC S LIPSCHULTZ TRUSTEE 1.0 5.0 X 0 0 0 DANIEL S LOEB TRUSTEE 1.0 0.0 X 0 0 0 KENNETH B MEHLMAN TRUSTEE 1.0 0.0 X 0 0 0 NEIL S MITCHELL TRUSTEE 1.0 0.5 X 0 0 0 JOSHUA NASH TRUSTEE 1.0 0.0 X 0 0 0 BERNARD W NUSSBAUM TRUSTEE 1.0 6.0 X 0 0 0 PETER R ORSZAG TRUSTEE 1.0 0.0 X 0 0 0 ZIBBY OWENS TRUSTEE 1.0 1.0 X 0 0 0 JOSEPH J PLUMERI TRUSTEE 1.0 0.0 X 0 0 0 JOSHUA RUCH TRUSTEE (AS OF 2/17) 1.0 1.0 X 0 0 0 ERIC M RUTTENBERG TRUSTEE 1.0 1.0 X 0 0 0 ERIC WALDMAN TRUSTEE 1.0 0.0 X 0 0 0 DAVID WINDREICH TRUSTEE 1.0 5.0 X 0 0 0 DAVID M ZASLAV TRUSTEE 1.0 0.0 X 0 0 0 GALE A KROEGER TRUSTEE(EX-OFFICIO/AS OF 4/17) 1.0 2.0 X 0 0 0 JENNIFER PRICE TRUSTEE (RESIGNED 4/24/17) 1.0 1.0 X 0 0 0 SUSAN R CULLMAN VICE CHAIR 2.0 14.0 X 0 0 0 RICHARD A FRIEDMAN VICE CHAIRMAN 2.0 14.0 X 0 0 0 ERIC MINDICH VICE CHAIRMAN 2.0 14.0 X 0 0 0 JOEL I PICKET VICE CHAIRMAN 2.0 17.0 X 0 0 0 JAMES S TISCH SENIOR VICE CHAIRMAN 2.0 14.5 X 0 0 0 JEREMY BOAL MD 1 EVP,SYSTEM CMO 0.5 58.5 X 0 1852357 56741 DENNIS CHARNEY MD12 PRESIDENT, ACADEMIC AFFAIRS 0.5 58.5 X 0 2305996 45108 KENNETH DAVIS MD 16 PRESIDENT AND CEO 0.5 58.0 X 0 12390588 67326 BURTON P DRAYER 1 EVP, SYSTEM CCA 0.5 57.0 X 0 1504928 44800 BETH ESSIG ESQ 1 EVP, GENERAL COUNSEL 0.5 62.0 X 0 1225559 28777 STEPHEN HARVEY 1 SVP, FINANCE 0.5 56.5 X 0 728087 71705 ARTHUR KLEIN MD 1 EVP, PRESIDENT OF HEALTH NTWK 0.5 58.5 X 0 1491120 37661 MICHAEL PASTIER 1 SVP, FINANCE 0.5 21.0 X 0 991221 75309 MARGARET PASTUSZKO 1 EVP, SYSTEM CIO 0.5 56.0 X 0 1341518 66914 DONALD T SCANLON 1 EVP, SYSTEM CFO & CORP SERV 0.5 64.0 X 0 1867622 56750 JEFFREY SILBERSTEIN 1 EVP, SYSTEM CAO 0.5 56.0 X 0 1109694 31605 FRANK CINO 1 SVP, SYSTEM CHIEF RISK OFFICER 0.5 56.0 X 0 581582 53212 ELANA ABRAHAM 134 FORMER OFFICER 0.5 33.5 X 0 307778 51050 0 27698050 686958 0 true true false 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 EAST 102ND STREET MANAGER LLC TRANSFER OF EQUITY 525990 474341 474341 MISCELLANEOUS PARTNERSHIP INCOME 523000 2035176 2035176 2509517 2509517 2035176 474341 474341 474341 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2016 NYS CT-13 TAX 59740 59740 534081 474341 59740 0 0 0 14395809 9242804 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 267062981 329795462 1248039966 1398766655 0 0 0 0 3836295 4334675 1533335051 1742139596 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1518371846 1727176391 1518371846 1727176391 X 0 0 0 0 14963205 14963205 14963205 14963205 1533335051 1742139596 X 1975436 -1975436 X false true X true false X X X 5 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI 136171197 2 true 474341 0 THE MOUNT SINAI HOSPITAL 131624096 3 true 0 0 BETH ISRAEL MEDICAL CENTER 135564934 3 true 0 0 ST LUKE'S-ROOSEVELT HOSPITAL CENTER 132997301 3 true 0 0 NEW YORK EYE AND EAR INFIRMARY 135562304 3 true 0 0 5 474341 true false false false false false false false false false false false false false false true 14963205 14963205 14963205 14963205 14963205 14963205 14963205 14963205 14963205 14963205 0.00000 1.00000 0.00000 false false HEDGE FUND 1050193370 F PRIVATE EQUITY 348573285 F 1398766655 0 DUE TO ISMMS 1558959 DUE TO MSH 794661 SPLIT INTEREST AGREEMENT 1981054 POOLED INVESTMENTS HELD FOR ISMMS 748174848 POOLED INVESTMENTS HELD FOR MSH 866372478 POOLED INVESTMENTS HELD FOR MSA 3325575 POOLED INVESTMENTS HELD FOR SLR 45866777 POOLED INVESTMENTS HELD FOR BIMC 23556275 POOLED INVESTMENTS HELD FOR NYEE 35545764 1727176391 474341 474341 2035176 2035176 2509517 474341 474341 59740 59740 534081 PART V, LINE 4 THE MEDICAL CENTER'S ENDOWMENT FUNDS' INTENDED USE IS TO GENERATE INCOME FOR THE BENEFIT OF ITS SUPPORTED ORGANIZATIONS PER THE MEDICAL CENTER'S MISSION. ALL INVESTMENT INCOME, EXPENDITURES, AND SIMILAR ACTIVITY RELATING THE MEDICAL CENTER'S ENDOWMENTS ARE RECORDED ON ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI'S BOOKS. PART XI, LINE 4B UBTI INCOME FROM PARTNERSHIPS INVESTMENTS PART XII, LINE 4B 2016 NYS CT-13 TAX Central America and the Caribbean Investments 638728707 638728707 638728707 true false false false true false SCHEDULE F, PARTS I & IV PLEASE NOTE THAT THE INVESTMENT ACTIVITIES LISTED IN PART I ARE ALLOCATED TO AGREE TO THE AUDITED FINANCIAL STATEMENT REPORTING AS POOLED INVESTMENTS WHILE PART IV REPORTS ON FOREIGN FILINGS are FILED BY THE RESPECTIVE ORGANIZATION. true ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI 1 GUSTAVE L LEVY PLACE NEW YORK NY 10029 136171197 501(C)3 474341 EQUITY TRNSFR 8E 102ND ST STRATEGIC SUPPORT 1 PART I, LINE 2 THE MEDICAL CENTER'S GRANTS ARE MADE IN ACCORDANCE WITH ITS PURPOSE OF SUPPORTING THE CHARITABLE, SCIENTIFIC, RESEARCH, AND EDUCATIONAL MISSION OF THE ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI. false true false false false false false false false JEREMY BOAL MD 1 EVP,SYSTEM CMO 0 1000000 0 194000 0 658357 0 27000 0 29741 0 1909098 0 0 DENNIS CHARNEY MD12 PRESIDENT, ACADEMIC AFFAIRS 0 1000000 0 388000 0 917996 0 27000 0 18108 0 2351104 0 0 KENNETH DAVIS MD 16 PRESIDENT AND CEO 0 2400000 0 0 0 9990588 0 27000 0 40326 0 12457914 0 5187500 BURTON P DRAYER 1 EVP, SYSTEM CCA 0 300000 0 194000 0 1010928 0 27000 0 17800 0 1549728 0 0 BETH ESSIG ESQ 1 EVP, GENERAL COUNSEL 0 850000 0 316983 0 58576 0 27000 0 1777 0 1254336 0 0 STEPHEN HARVEY 1 SVP, FINANCE 0 456000 0 211809 0 60278 0 27000 0 44705 0 799792 0 0 ARTHUR KLEIN MD 1 EVP, PRESIDENT OF HEALTH NTWK 0 1000000 0 150000 0 341120 0 27000 0 10661 0 1528781 0 0 MICHAEL PASTIER 1 SVP, FINANCE 0 675000 0 205640 0 110581 0 27000 0 48309 0 1066530 0 0 MARGARET PASTUSZKO 1 EVP, SYSTEM CIO 0 785000 0 514100 0 42418 0 27000 0 39914 0 1408432 0 0 DONALD T SCANLON 1 EVP, SYSTEM CFO & CORP SERV 0 1030000 0 485000 0 352622 0 27000 0 29750 0 1924372 0 0 JEFFREY SILBERSTEIN 1 EVP, SYSTEM CAO 0 684000 0 334165 0 91529 0 27000 0 4605 0 1141299 0 0 FRANK CINO 1 SVP, SYSTEM CHIEF RISK OFFICER 0 385000 0 159230 0 37352 0 27000 0 26212 0 634794 0 0 ELANA ABRAHAM 134 FORMER OFFICER 0 264353 0 41266 0 2159 0 21148 0 29902 0 358828 0 0 Part VII, Section A & Schedule J Compensation Footnotes Officers of the Boards of Trustees hours reflect service to all related ORGANIZATIONS OF MOUNT SINAI HEALTH SYSTEM, INC. (1) Compensation and benefits are funded from The Mount Sinai Hospital and/or Icahn School of Medicine at Mount Sinai. (2) Employee has an outstanding loan reflected in Schedule L, Part II of Icahn School of Medicine at Mount Sinai's Form 990. (3) A portion of this compensation and benefits is attributable to her services provided to the Icahn School of Medicine at Mount Sinai. (4) Compensation is attributed to current services as a Non-Officer. (5) 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. (6) THE CHIEF EXECUTIVE OFFICER WAS THE SOLE PARTICIPANT IN THE ORGANIZATION'S SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AND WAS PAID OUT HIS ONE TIME SERP PAYMENT OF $8,300,000 IN 2017. THE TOTAL PAYMENT INCLUDES SERP CONTRIBUTIONS OF $2,075,000 AND $3,112,500 WHICH WERE PREVIOUSLY REPORTED ON THE 2015 AND 2016 FORM 990, RESPECTIVELY. THE BENEFITS EARNED UNDER THE SERP ARE DESIGNED TO FUND THE CEO'S EVENTUAL RETIREMENT. THE CEO HAS WORKED AT MOUNT SINAI FOR 39 YEARS; 15 YEARS AS CEO. SCHEDULE J, PART I, LINE 4B THE CHIEF EXECUTIVE OFFICER WAS THE SOLE PARTICIPANT IN THE ORGANIZATION'S SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AND WAS PAID OUT HIS ONE TIME SERP PAYMENT OF $8,300,000 IN 2017. THE TOTAL PAYMENT INCLUDES SERP CONTRIBUTIONS OF $2,075,000 AND $3,112,500 WHICH WERE PREVIOUSLY REPORTED ON THE 2015 AND 2016 FORM 990, RESPECTIVELY. THE BENEFITS EARNED UNDER THE SERP ARE DESIGNED TO FUND THE CEO'S EVENTUAL RETIREMENT. THE CEO HAS WORKED AT MOUNT SINAI FOR 39 YEARS; 15 YEARS AS CEO. PART I, LINE 5 NUMBER OF EMPLOYEES EMPLOYEES OF THE MOUNT SINAI HOSPITAL AND ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, INCLUDING THOSE WHO PROVIDE 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 HOSPITAL TAX IDENTIFICATION NUMBER IS 29,235. THE MEDICAL CENTER DOES NOT HAVE ANY EMPLOYEES AND RECEIVES SERVICES FROM EMPLOYEES OF ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI AND THE MOUNT SINAI HOSPITAL. PART IV, LINE 12A The organization obtained separate audited financials for its balance sheet. All of the Medical Centers net assets are permanently restricted and investment income pertaining to the investments held for the Medical Center is for the benefit of certain of its affiliates and is recognized by the respective affiliate. There were no other sources of income and expenses, other than related party activities reflected on Form 990 Parts VIII and IX and therefore, statement of activities and changes in net assets and cash flows are not presented in its audited financial statements. The organizations sources of income and expenses are included in the consolidated financial statements of its affiliates. PART VI, SECTION A, LINE 2 FAMILY/BUSINESS RELATIONSHIPS - TRUSTEES JUDITH RUBIN AND ROBERT E. RUBIN HAVE A FAMILY RELATIONSHIP. - TRUSTEE BONNIE DAVIS, M.D. AND OFFICER KENNETH DAVIS, M.D., HAVE A FAMILY RELATIONSHIP. - TRUSTEES DONALD GOGEL AND HENRY KRAVIS HAVE A BUSINESS RELATIONSHIP. - TRUSTEES KENNETH MEHLMAN AND HENRY KRAVIS HAVE A BUSINESS RELATIONSHIP. - TRUSTEES JOSEPH PLUMERI AND HENRY KRAVIS HAVE A BUSINESS RELATIONSHIP. - TRUSTEES JEFFREY BLAU AND HENRY KRAVIS HAVE A BUSINESS RELATIONSHIP. PART VI, SECTION A, LINE 4 THE CERTIFICATE OF INCORPORATION OF THE MOUNT SINAI MEDICAL CENTER, INC. WAS AMENDED TO (I) MODIFY THOSE ENTITIES IT IS ORGANIZED TO SUPPORT AND FOR WHOSE BENEFIT ITS PURPOSES SHALL BE BY ADDING ALL OF THE REMAINING CONSTITUENT ENTITIES OF THE MOUNT SINAI HEALTH SYSTEM TO THE MOUNT SINAI HOSPITAL AND ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI; (II) MODIFY ITS PURPOSES TO INCLUDE MAKING DONATIONS, GIFTS AND CONTRIBUTIONS TO THE ADDITIONAL SUPPORTED ENTITIES AND ADD MAKING GRANTS TO SUCH ENTITIES; AND (III) ADD AS AN ADDITIONAL PURPOSE SOLICITING CONTRIBUTIONS AND GRANTS FOR THE BENEFIT OF ALL OF THE CONSTITUENT ENTITIES OF THE MOUNT SINAI HEALTH SYSTEM AND RECEIVING, HOLDING, INVESTING, AND REINVESTING CERTAIN FUNDS AND ASSETS OF THOSE ENTITIES. GOVERNING DOCUMENTS - ON SEPTEMBER 26, 2017, THE BYLAWS FOR BETH ISRAEL MEDICAL CENTER, MOUNT SINAI HOSPITAL, NEW YORK EYE AND EAR INFIRMARY, ST LUKES-ROOSEVELT MEDICAL CENTER, MOUNT SINAI MEDICAL CENTER AND ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI WERE AMENDED TO (I) COMBINE THE GOVERNMENT AFFAIRS AND COMMUNITY AFFAIRS COMMITTEES AND (II) REVISE THE PUBLIC AFFAIRS AND MARKETING ADVISORY COMMITTEE. - THEN ON OCTOBER 23, 2017, BETH ISRAEL MEDICAL CENTER, MOUNT SINAI HOSPITAL, ST LUKES-ROOSEVELT MEDICAL CENTER, NEW YORK EYE AND EAR INFIRMARY, MOUNT SINAI HOSPITAL GROUP, ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI AND MOUNT SINAI MEDICAL CENTER BYLAWS WERE AMENDED TO: (I) CLARIFY THE ACTIVE PARENT ROLE OF MOUNT SINAI HOSPITALS GROUP, INC.; (II) CLARIFY THE ROLE OF HONORARY TRUSTEES; (III) REMOVE THE REQUIREMENT THAT EX OFFICIO TRUSTEES BE MEMBERS OF THE HOSPITAL STAFF; (IV) TO REMOVE, AS OF THE 2018 ANNUAL MEETING OF THE INSTITUTIONS BOARDS OF TRUSTEES, PROVISIONS THAT WILL HAVE EXPIRED AS OF SUCH DATE REGARDING IMPLEMENTATION OF THE MOUNT SINAI-CONTINUUM TRANSACTION; AND (V) MAKE OTHER NON-SUBSTANTIVE CHANGES TO THE BYLAWS. PART VI, SECTION A, LINE 6 Mount Sinai Health System, 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 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. 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. THE SAME PROCESS WAS CONDUCTED BY THE FINANCE DEPARTMENT, THE GENERAL COUNSEL'S OFFICE, THE AUDIT AND COMPLIANCE DEPARTMENT AND EY WITH RESPECT TO THE QUESTIONNAIRES SUBMITTED BY OTHER OFFICERS AND KEY EMPLOYEES. - THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES CONDUCTED A REVIEW OF THE ENTIRE TAX RETURN, WITH THE PARTICIPATION OF EY, THE FINANCE DEPARTMENT, THE GENERAL COUNSEL'S OFFICE, AND THE AUDIT AND COMPLIANCE DEPARTMENT. THE AUDIT COMMITTEE APPROVED THE TAX RETURNS AS PRESENTED. - THE AUDIT COMMITTEE'S REPORT OF ITS REVIEW OF THE TAX RETURNS AND ITS RECOMMENDATION TO FILE THE RETURNS WERE PRESENTED TO, AND ACCEPTED BY, THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES (THE EXECUTIVE COMMITTEE). - IN ADDITION TO AUTHORIZING THE FILING OF THE TAX RETURNS, THE EXECUTIVE COMMITTEE DIRECTED THAT THE RETURNS, WHICH WILL BE FILED ON OR BEFORE NOVEMBER 15, 2018, 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 CONFLICTS OF INTEREST POLICY COMPLIANCE WITH THE ORGANIZATION'S BUSINESS CONFLICTS OF INTEREST POLICY (THE POLICY) IS REQUIRED OF TRUSTEES, EMPLOYEES, MEDICAL STAFF AND NON-EMPLOYEE MEMBERS OF INSTITUTIONAL COMMITTEES AND INCLUDES AN ONGOING DUTY TO DISCLOSE POTENTIAL CONFLICTS. COMPLIANCE WITH THE POLICY IS MONITORED AND ENFORCED REGULARLY AND CONSISTENTLY. ALL DISCLOSURES WITH THE POTENTIAL FOR CONFLICT ARE REVIEWED BY AN APPROPRIATE COMMITTEE WHERE THEY ARE CAREFULLY EVALUATED. WHEN APPROPRIATE, A PLAN, WHICH MAY INVOLVE MEASURES INCLUDING, BUT NOT LIMITED TO, RECUSAL FROM PARTICIPATING IN AFFECTED TRANSACTIONS, IS DEVELOPED TO MANAGE THE POTENTIAL CONFLICT. PART VI, SECTION B, LINES 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 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 BOARDS 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. PART VI, SECTION C, LINE 19 Governing documents, conflict of interest policy available to the public The organization makes its Business Conflicts of Interest Policy available on its website (www.mountsinai.org) and makes its governing documents and financial statements available upon request. PART XI, LINE 9 Book to Tax Difference Resulting from UBTI generated through Partnership Investments (1,975,436) 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 true THE MOUNT SINAI CHILDREN'S CENTER FND ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 223059294 SUPPORT NY 501(C)(3) 12 TYPE I ISMMS true MSMC REALTY CORPORATION ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 133852596 REAL ESTATE NY 501(C)(3) 12 TYPE I SEE PART VII true MSMC RESIDENTIAL REALTY LLC 1425 MADISON AVENUE NEW YORK NY 10029 200244426 REAL ESTATE NY 501(C)(3) 12 TYPE I SEE PART VII true MOUNT SINAI DIAG & TREATMENT CENTER ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 450537391 DIAG CLINIC NY 501(C)(3) 3 MSH true MSMC RESIDENTIAL REALTY MANAGER INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 201289396 MGMT NY 501(C)(3) 12 TYPE II SEE PART VII true VALENTIN FUSTER MT SINAI FND SCI HLTH ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 800952088 SUPPORT NY 501(C)(3) 12 TYPE I ISMMS & MSH true MOUNT SINAI HEALTH SYSTEM INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 464248304 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 true ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 136171197 SCHOOL NY 501(C)(3) 2 MSHS true CONTINUUM HEALTH PARTNERS INC 150 East 42nd Street NEW YORK NY 10017 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 NEW YORK NY 10017 133838460 SURGICENTER NY 501(C)(3) 3 BIMC HOLDCO true BI NURSING HOME COMPANY 327 EAST 17TH STREET NEW YORK NY 10003 133627753 NURSING HOME NY 501(C)(3) 3 BIMC HOLDCO true EAST 17TH STREET PROPERTIES INC 150 East 42nd Street NEW YORK NY 10017 133547502 REAL ESTATE NY 501(C)(3) 10 BIMC HOLDCO true THE LONG ISLAND COLLEGE HOSPITAL 150 East 42nd Street NEW YORK NY 10017 111018985 HOSPITAL NY 501(C)(3) 3 CHP false ST LUKE'S-ROOSEVELT HOSPITAL CENTER 1111 AMSTERDAM AVENUE NEW YORK NY 10025 132997301 HOSPITAL NY 501(C)(3) 3 MSHG true AUGUSTUS & JAMES CORPORATION 150 East 42nd Street NEW YORK NY 10017 133392851 REAL ESTATE NY 501(C)(3) 12 Type I SLR true ST LUKE'S-ROOSEVELT INSTITUTE FOR HEALTH 1111 AMSTERDAM AVENUE NEW YORK NY 10025 132914343 RESEARCH NY 501(C)(3) 4 SLR true NEW YORK EYE AND EAR INFIRMARY 310 EAST 14TH STREET NEW YORK NY 10003 135562304 HOSPITAL NY 501(C)(3) 3 MSHG true NEW YORK EYE & EAR INFIRMARY FNDN 310 EAST 14TH STREET NEW YORK NY 10003 134012469 PRIVATE FDN NY 501(C)(3) PF NYEE true NYEEI HOUSING COMPANY INC 317-327 EAST 13TH STREET NEW YORK NY 10003 311696826 REAL ESTATE NY 501(C)(2) N/A NYEE true BETH ISRAEL MEDICAL CENTER FDN INC 150 East 42nd Street NEW YORK NY 10017 300571387 FUNDRAISING NY 501(C)(3) 7 BIMC true ST LUKE'S-ROOSEVELT HOSPITAL CENTER FDN 150 East 42nd Street NEW YORK NY 10017 300571390 FUNDRAISING NY 501(C)(3) 7 SLR true BETH ISRAEL MEDICAL CENTER FIRST AVENUE AT 16TH STREET NEW YORK NY 10003 135564934 HOSPITAL NY 501(C)(3) 3 MSHG true MOUNT SINAI HEALTH PARTNERS PC 150 EAST 42ND STREET 5TH FLR NEW YORK NY 10017 812057452 Healthcare NY 501(C)(3) 10 MSH true GREATER METROPOLITAN IPA II 150 East 42nd Street NEW YORK NY 10017 133977019 INACTIVE NY BIMCSLR C false GREATER METROPOLITAN IPA V 150 East 42nd Street NEW YORK NY 10017 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 NEW YORK NY 10017 133853145 MGMT SERVICES NY SLR C false WEST CARE MEDICAL PC 150 East 42nd Street NEW YORK NY 10017 133811203 INACTIVE NY SLR C false Mount Sinai HC Ventures 150 east 42nd street NEW YORK NY 10017 460953126 HEALTH CARE MGMT NY BIMC HOLDCO C false MOUNT SINAI GENOMICS INC 1425 MADISON AVE NEW YORK NY 10029 475349024 CLINICAL LAB DE ISMMS 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 false false false false false false true false false true false true true true false true false ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI I 2116667 COST ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI R 474341 COST ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI I 75196583 FMV THE MOUNT SINAI HOSPITAL I 126224233 FMV ST LUKE'S-ROOSEVELT HOSPITAL CENTER I 3304238 FMV BETH ISRAEL MEDICAL CENTER I 1843472 FMV NEW YORK EYE & EAR INFIRMARY FOUNDATION I 3880120 FMV Part ii, line 4, column f - MSMC REALTY CORPORATION direct controlling entity ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL AND 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 AND THE MSMC REALTY CORPORATION ARE ALL MEMBERS OF THIS ENTITY.