2017-11-10T09:40:15-06:00 2016-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 100366530 990 2016-01-01 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 2017-11-09 true Laura Kielczewski P00740769 2127733000 164.57.159.253 26308520173145000006 2017-11-10 P E8745CFFDD22622E06448A167E2A138A546ACE4A 050F75853A9F423F493495C03CDD05FDA32C01D0 2016 2021-01-29 14:40:06Z Donald Scanlon ONE GUSTAVE L LEVY PLACE NEW YORK NY 100296574 1335193 false X n/a X 1967 NY THE MEDICAL CENTER SUPERVISES AND COORDINATES POLICIES AND FUNDRAISING ACTIVITIES AND ADMINISTERS INVESTMENTS FOR ENTITIES OF THE MOUNT SINAI HEALTH SYSTEM, INC. 44 43 0 0 664773 587963 0 0 0 0 0 0 1991068 1335193 1991068 1335193 1147739 670420 0 0 0 0 0 0 0 0 75810 1147739 746230 843329 588963 1472528067 1533335051 1457564862 1518371846 14963205 14963205 PROVIDE FUNDRAISING, SUPPORT, AND MAINTAINS POOLED INVESTMENTS FOR ENTITIES OF THE MOUNT SINAI HEALTH SYSTEM, INC. false false 670420 670420 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. 670420 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 44 43 true false false 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 ANDREW M ALPER TRUSTEE 1.0 5.0 X 0 0 0 GLENN R AUGUST TRUSTEE 1.0 0.5 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 ANDREW BORROK TRUSTEE (RESIGNED MAY 2016) 1.0 0.0 X 0 0 0 GERALD J CARDINALE TRUSTEE 1.0 0.0 X 0 0 0 JAMES W CRYSTAL VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 BONNIE M DAVIS MD TRUSTEE 1.0 1.0 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 SONIA E GARDNER TRUSTEE 1.0 0.0 X 0 0 0 DONALD J GOGEL SENIOR VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 JUDAH GRIBETZ HONORARY TRUSTEE 1.0 7.0 X 0 0 0 GEORGE J GRUMBACH JR TRUSTEE 1.0 1.0 X 0 0 0 CARLA A HARRIS TRUSTEE (RESIGNED ARPIL 2016) 1.0 0.0 X 0 0 0 JOSHUA J HARRIS TRUSTEE 1.0 0.0 X 0 0 0 ELLEN KATZ HONORARY TRUSTEE 1.0 6.0 X 0 0 0 MICHAEL KLEIN TRUSTEE 1.0 0.0 X 0 0 0 FREDERICK KLINGENSTEIN HONORARY CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 HENRY R KRAVIS VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 ERIC S LANE TRUSTEE 1.0 0.0 X 0 0 0 JOHN A LEVIN VICE CHAIRMAN/TRUSTEE 2.0 14.0 X 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 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 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 JOSEPH J PLUMERI TRUSTEE 1.0 0.0 X 0 0 0 RICHARD RAVITCH VICE CHAIRMAN/TRUSTEE 2.0 17.0 X X 0 0 0 JUDITH O RUBIN TRUSTEE 1.0 6.0 X 0 0 0 HON ROBERT E RUBIN SENIOR VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 ERIC M RUTTENBERG TRUSTEE 1.0 1.0 X 0 0 0 ANDREW M SAUL VICE CHAIRMAN/TRUSTEE 2.0 15.0 X X 0 0 0 JOSEPH C SHENKER TRUSTEE (RESIGNED 4/18/16) 1.0 0.0 X 0 0 0 THOMAS W STRAUSS VICE CHAIRMAN/TRUSTEE 2.0 14.0 X 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 KENNETH B MEHLMAN TRUSTEE 1.0 0.0 X 0 0 0 EVA ANDERSSON DUBIN MD TRUSTEE 1.0 1.0 X 0 0 0 STEVEN HOCHBERG SENIOR VICE CHAIRMAN/TRUSTEE 2.0 18.0 X X 0 0 0 BRAD KARP TRUSTEE 1.0 1.0 X 0 0 0 JO CAROLE LAUDER HONORARY TRUSTEE 1.0 0.0 X 0 0 0 JENNIFER PRICE TRUSTEE (EX-OFFICIO) 1.0 1.0 X 0 0 0 HENRY CORNELL TRUSTEE 1.0 0.0 X 0 0 0 HAMILTON JAMES TRUSTEE 1.0 1.0 X 0 0 0 ELIZABETH RIGHT TRUSTEE 1.0 1.0 X 0 0 0 SRIPRAKASH LOHIA TRUSTEE 1.0 1.0 X 0 0 0 KENNETH DAVIS MD 1 PRESIDENT/CEO 0.5 58.0 X 0 4082072 3179412 DENNIS CHARNEY MD 12 PRESIDENT, ACADEMIC AFFAIRS 0.5 58.0 X 0 1799682 46678 BURTON DRAYER MD 1 EVP, SYSTEM CCAO 0.5 57.0 X 0 1505838 43395 DONALD T SCANLON 1 EVP, SYS CFO/CHIEF CORP SERV 0.5 69.0 X 0 1868167 59287 JEFFREY SILBERSTEIN 1 EVP, SYS CHIEF ADMIN OFFICER 0.5 56.0 X 0 1096069 59838 KUMAR CHATANI EVP, SYS CHIEF INFORMATION OFF 0.5 56.0 X 0 890693 47969 STEPHEN HARVEY 1 SVP, FINANCE 0.5 56.5 X 0 727583 70805 MICHAEL PASTIER 1 SVP, CHIEF FINANCIAL OFFICER 0.5 47.0 X 0 991970 74560 MARGARET PASTUSZKO 1 EVP, SYSTEM CS&I OFFICER 0.5 57.5 X 0 1185271 63386 JAMES S TISCH SENIOR VICE CHAIRMAN 2.0 14.5 X 0 0 0 GLENN DUBIN VICE CHAIRMAN/TRUSTEE 2.0 14.0 X 0 0 0 ERIC MINDICH VICE CHAIRMAN/TRUSTEE 2.0 14.0 X 0 0 0 ARTHUR KLEIN MD 1 EVP, PRES HEALTH NETWRK 0.5 60.0 X 0 1503499 38908 BETH ESSIG ESQ 1 EVP, GENERAL COUNSEL 0.5 68.0 X 0 1251507 27989 JEREMY BOAL MD 1 EVP, SYSTEM CHIEF MED OFFICER 0.5 57.5 X 0 1270161 59053 RICHARD A FRIEDMAN VICE CHAIRMAN/TRUSTEE 2.0 14.0 X 0 0 0 JOEL I PICKET VICE CHAIRMAN 2.0 17.0 X 0 0 0 SUSAN R CULLMAN VICE CHAIR 2.0 14.0 X 0 0 0 FRANK CINO 1 SVP, System Chief Risk Officer 0.5 56.0 X 0 551912 54109 ELANA ABRAHAM 13 FORMER OFFICER 0.5 33.5 X 0 272118 51454 MICHAEL MACDONALD 1 FORMER OFFICER 0.0 0.0 X 0 300000 0 0 19296542 3876843 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 670420 670420 MISCELLANEOUS PARTNERSHIP INCOME 523000 664773 664773 1335193 1335193 664773 670420 670420 670420 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 2015 NYS CT-13 TAX 75810 75810 746230 0 0 0 X 0 0 0 14395809 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 319615445 267062981 1148992842 1248039966 0 0 0 0 3919780 3836295 1472528067 1533335051 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1457564862 1518371846 1457564862 1518371846 X 0 0 0 0 14963205 14963205 14963205 14963205 1472528067 1533335051 X 588963 -588963 X false true X true false X X X 5 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI 136171197 2 true 670420 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 670420 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 1.00000 false false HEDGE FUND 995667005 F PRIVATE EQUITY 252372961 F 1248039966 0 DUE TO ISMMS 1249880 DUE TO MSH 693367 SPLIT INTEREST AGREEMENT 1893047 POOLED INVESTMENTS HELD FOR ISMMS 675120744 POOLED INVESTMENTS HELD FOR MSH 740518382 POOLED INVESTMENTS HELD FOR MSA 2955440 POOLED INVESTMENTS HELD FOR SLR 42562539 POOLED INVESTMENTS HELD FOR BIMC 21712803 POOLED INVESTMENTS HELD FOR NYEE 31665644 1518371846 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. Central America and the Caribbean Investments 569457156 569457156 569457156 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 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 670420 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. true true false false false false true false false KENNETH DAVIS MD 1 PRESIDENT/CEO 0 2400000 0 0 0 1682072 0 3139000 0 40412 0 7261484 0 0 DENNIS CHARNEY MD 12 PRESIDENT, ACADEMIC AFFAIRS 0 1000000 0 400000 0 399682 0 26500 0 20178 0 1846360 0 0 BURTON DRAYER MD 1 EVP, SYSTEM CCAO 0 300000 0 194000 0 1011838 0 26500 0 16895 0 1549233 0 0 DONALD T SCANLON 1 EVP, SYS CFO/CHIEF CORP SERV 0 1030000 0 485000 0 353167 0 26500 0 32787 0 1927454 0 0 JEFFREY SILBERSTEIN 1 EVP, SYS CHIEF ADMIN OFFICER 0 684000 0 334165 0 77904 0 26500 0 33338 0 1155907 0 0 KUMAR CHATANI EVP, SYS CHIEF INFORMATION OFF 0 540000 0 179935 0 170758 0 26500 0 21469 0 938662 0 0 STEPHEN HARVEY 1 SVP, FINANCE 0 456000 0 211809 0 59774 0 26500 0 44305 0 798388 0 0 MICHAEL PASTIER 1 SVP, CHIEF FINANCIAL OFFICER 0 675000 0 205640 0 111330 0 26500 0 48060 0 1066530 0 0 MARGARET PASTUSZKO 1 EVP, SYSTEM CS&I OFFICER 0 663600 0 514100 0 7571 0 21200 0 42186 0 1248657 0 0 FRANK CINO 1 SVP, System Chief Risk Officer 0 385000 0 159360 0 7552 0 21200 0 32909 0 606021 0 0 ELANA ABRAHAM 13 FORMER OFFICER 0 256653 0 0 0 15465 0 20532 0 30922 0 323572 0 0 MICHAEL MACDONALD 1 FORMER OFFICER 0 300000 0 0 0 0 0 0 0 0 0 300000 0 0 ARTHUR KLEIN MD 1 EVP, PRES HEALTH NETWRK 0 850000 0 590000 0 63499 0 26500 0 12408 0 1542407 0 0 BETH ESSIG ESQ 1 EVP, GENERAL COUNSEL 0 863076 0 326787 0 61644 0 26500 0 1489 0 1279496 0 0 JEREMY BOAL MD 1 EVP, SYSTEM CHIEF MED OFFICER 0 774996 0 335076 0 160089 0 26500 0 32553 0 1329214 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 Hospitaland/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. SCHEDULE J, PART I, LINE 4A SEVERANCE MICHAEL MACDONALD $300,000 Schedule J Part 1 Line 4B The Chief Executive Officer is the sole participant in the organization's first and only supplemental executive retirement plan ("SERP") and earned unvested benefits of $3,112,500 during 2016 which are reported on Schedule J Part II Col C. Benefits earned under the SERP are nonvested forms of deferred compensation that fund the employee's eventual retirement benefit. These benefits are provided in exchange for all the employee's years of service to the organization. The amounts are at risk and will not be paid unless and until the employee has provided substantial future services to the organization. Benefits under the SERP vest if the employee remains employed at the organization through January 1, 2018 and are forfeited on a pro rated basis if the employee is terminated for cause or by reason of death or disability by the organization or if the employee leaves the organization voluntarily prior to January 1, 2018. SCHEDULE J, PART I, LINES 6A & 6B THE MOUNT SINAI HOSPITAL, A RELATED ORGANIZATION, ANSWERED YES TO QUESTIONS 6A AND 6B IN SCHEDULE J AS THE INSTITUTION UTILIZES AN INCENTIVE BASED BONUS PROGRAM FOR CERTAIN EMPLOYEES,INCLUDING SEVERAL OF THOSE EMPLOYEES LISTED IN SCHEDULE J. NET EARNINGS IS ONE OF SEVERAL METRICS UTILIZED BY THE INSTITUTION IN THE ANNUAL BONUS CALCULATION. OTHER METRICS UTILIZED IN THE INCENTIVE COMPENSATION MODEL INCLUDE THE ORGANIZATION'S PERFORMANCE ON THE JCAHO HOSPITAL CORE MEASURES, PATIENT SATISFACTION SCORES, AND OTHER ORGANIZATIONAL GOALS SUCH AS LENGTH OF STAY INITIATIVES. INDIVIDUALS THAT HAVE RESPONSIBILITIES IN RELATED ORGANIZATIONS TO THE HOSPITAL MAY HAVE INCENTIVES BASED ON THE PERFORMANCE OF THESE ORGANIZATIONS AS WELL AS THAT OF THE HOSPITAL. PART I, LINE 5 NUMBER OF EMPLOYEES EMPLOYEES OF THE MOUNT SINAI HOSPITAL AND 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 27,375. 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 VI, SECTION A, LINE 2 FAMILY/BUSINESS RELATIONSHIPS *EMERITUS TRUSTEES HAVE NO VOTE ON THE MOUNT SINAI MEDICAL CENTERS BOARD. *OFFICER FREDERICK KLINGENSTEIN, TRUSTEE JUDAH GRIBETZ, AND TRUSTEE ELLEN P. KATZ ARE EMERITUS BOARD MEMBERS AND ARE THEREFORE NON-VOTING MEMBERS OF THE BOARD. *TRUSTEES ANDREW BORROK, CARLA A. HARRIS, AND JOSEPH C. SHENKER NO LONGER SERVED ON THE MOUNT SINAI MEDICAL CENTERS BOARD AS OF DECEMBER 31, 2016 AND NO LONGER HOLD A VOTE. *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. 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, 2017, 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 (588,963) 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 BETH ISRAEL AMBULATORY CARE SERVICES 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 false false ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI I 3067502 COST ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI R 670420 COST ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI I 16841296 FMV THE MOUNT SINAI HOSPITAL I 42919344 FMV ST LUKE'S-ROOSEVELT HOSPITAL CENTER I 1730654 FMV BETH ISRAEL MEDICAL CENTER I 1652742 FMV NEW YORK EYE & EAR INFIRMARY FOUNDATION I 2189134 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.