2013-11-13T17:05:40-06:00 2012-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE INDIANAPOLIS IN 46204 990 2012-01-01 131624096 THE MOUNT SINAI HOSPITAL % MICHAEL PASTIER MOUN 2127313149 ONE GUSTAVE L LEVY PLACE Suite NEW YORK NY 100296574 MR DONALD SCANLON 2013-11-15 3176817000 2013-11-15 2012 2016-02-24 21:20:13Z DONALD SCANLON 633 THIRD AVE 10TH FL NEW YORK NY 10017 1849227785 false X http://www.mountsinai.org X 1852 NY SEE attachment 1 40 32 12669 1085 1027481 0 32506751 33969200 1646614636 1740077307 13529797 24372986 25838621 50234742 1718489805 1848654235 27230030 30035966 0 0 828576524 873835795 0 0 3692420 754610537 813432638 1610417091 1717304399 108072714 131349836 2240196653 2402315481 1313753523 1309023629 926443130 1093291852 X MOUNT SINAI IS COMMITTED TOWARDS THE ADVANCEMENT OF THE ART AND SCIENCE OF MEDICINE THROUGH CLINICAL EXCELLENCE. THE CENTRAL MISSION CONSISTS OF HIGH-QUALITY PATIENT CARE AND TEACHING CONDUCTED IN AN ATMOSPHERE OF SOCIAL CONCERN AND SCHOLARLY INQUIRY INTO NATURE, CAUSATION, PREVENTION AND TREATMENT OF HUMAN DISEASE. false false 1537254698 30035966 1773887617 The Mount Sinai Hospital provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of the Mount Sinai Hospital, it is recognized that not all individuals possess the ability to purchase essential medical services and healthcare education. As a matter of policy, the Hospital provides significant amounts of partially or totally uncompensated patient care. For accounting purposes, such uncompensated care is treated either as charity care or bad debt expense. The Hospital's charity care policy ensures the provision of quality health care to the community served while carefully considering the ability of the patient to pay. The policy has sliding fee schedules for inpatient, ambulatory and emergency services provided to the uninsured and under-insured patients who qualify. Patients are eligible for the charity care fee schedule if they meet certain income tests. Furthermore, as part of its charity care and financial aid policy, the Hospital obtains and uses additional financial information for uninsured or under-insured patients who have not supplied the requisite information to qualify for charity care. The additional information obtained is used by the Hospital to determine whether to qualify patients for charity care and/or financial aid in accordance with the Hospital's policies. For accounting and disclosure purposes, charity care is considered to be the difference between the Hospital's customary charges and the sliding charity care fee schedule rates. Since payment of this difference is not sought, charity care allowances are not reported as revenue. The Hospital's estimated costs for charity care were $38.8 million for 2012 and $31.8 million for 2011. The cost of charity includes the direct and indirect cost of providing charity care services. The cost is estimated by utilizing a ratio of cost to gross charges applied to the gross uncompensated charges associated with providing charity care. Funds received from the New York State Indigent Care Pool to offset charity services provided totaled approximately $17.5 million and $14.9 million for the years ended December 31, 2012 and 2011, respectively. The charity care component of the indigent care pool payments is estimated utilizing a ratio of charity care charges to total charity care and bad debt charges applied to the indigent care pool reimbursement and excludes amounts designated for teaching programs. Additionally, patients who do not qualify for sliding scale fees and all uninsured inpatients who do not qualify for Medicaid assistance are billed at the Hospital's rates. Uncollected balances for these patients are categorized as bad debts. Total uncompensated care as a result of bad debts for all patient services approximated $23.7 million in 2012 and $10.8 million in 2011. The Mount Sinai Hospital is the primary healthcare provider for the East Harlem Area of New York City. East Harlem is one of the poorest communities in the New York City region, and has been designated as a medically underserved area. A wide variety of programs and services are currently provided for the community which includes: -Primary care -AIDS -Cardiovascular health -Cancer treatment -Maternal and infant health -Geriatrics -Ambulatory sensitive conditions (Astma and Diabetes) -Adolescent health -Youth education -Volunteer services 0 0 0 1537254698 true true false true false false false false false true true true false true true false false true false false true false false false true false true true true false true true false false false false false false false false true true true false false false true true true true false false true 4551 0 true 12669 true true true false false false false false false false false false X 40 32 true false false false false false false true true false false true true true true true true true true false NY X MICHAEL PASTIER 2127313149 633 THIRD AVENUE 10FL New York NY 10017 peter w may 4.0 5.0 X X frederick a klingenstein 4.0 5.0 X X donald j gogel 4.0 5.0 X X michael minikes 4.0 6.0 X X robert e rubin 4.0 5.0 X X james s tisch 4.0 5.0 X X joel s ehrenkranz 4.0 5.0 X X ellen katz 4.0 5.0 X X henry r kravis 4.0 5.0 X X john a levin 4.0 5.0 X X eric mindich 4.0 5.0 X X andrew m saul 4.0 5.0 X X thomas w strauss 4.0 5.0 X X clifford h goldsmith 4.0 4.0 X X leon d black 2.0 0.0 X henry calderon 2.0 0.0 X peter a cohen 2.0 0.0 X edgar m cullman jr 2.0 0.0 X susan r cullman 2.0 0.0 X blaine v fogg 2.0 4.0 X david s gottesman 2.0 0.0 X judah gribetz 2.0 1.0 X andrew d heineman 2.0 3.0 X john b hess 2.0 0.0 X carl c icahn 2.0 2.0 X lewis p jones 2.0 2.0 X jo carole lauder 2.0 0.0 X patricia s levinson 2.0 2.0 X tony martell 2.0 0.0 X bernard w nussbaum 2.0 3.0 X judith o rubin 2.0 3.0 X eric m ruttenberg 2.0 3.0 X stephen l schwartz 2.0 2.0 X john s winkleman 2.0 3.0 X dr jephtha tausig-edwards 2.0 2.0 X Richard Ravitch 4.0 5.0 X X DR GILA LEITER 2.0 0.0 X DR DAVID L REICH 2.0 0.0 X Kenneth L Davis MD 26.5 28.5 X 1599911 1599911 57450 Wayne Keathley 53.0 2.0 X 1343848 0 50120 Michael Macdonald ESQ 27.0 28.0 X 480777 480777 61658 donald t scanlon 26.0 29.0 X 786032 786032 52084 jeffrey silberstein 27.0 28.0 X 514147 514147 41572 connie c klepper 27.0 28.0 X 352556 352556 40926 mark kostegan fahp 15.9 39.1 X 248202 579138 43526 jane maksoud 25.3 29.7 X 345245 389319 57157 michael mccarry 55.0 0.0 X 413333 0 33645 ira s nash md 49.0 6.0 X 228585 0 30092 michael pastier 48.0 7.0 X 710347 0 65411 carol porter 55.0 0.0 X 457030 0 37902 caryn schwab 55.0 0.0 X 491806 0 50123 margaret pastuszko 27.0 28.0 X 332349 332349 49668 m v benthuysen resign 28.0 27.0 X 228946 0 22823 jane whitney 28.1 26.9 X 182770 168710 39807 daryl Wilkerson 1 44.5 10.5 X 103284 25821 18486 elana abraham 2 40.5 14.5 X 242660 0 49393 JAMES W CRYSTAL 4.0 5.0 X GLENN DUBIN 4.0 5.0 X ERIN S DUPREE MD 52.2 2.8 X 501418 26390 39692 PATRICIA LAMB 49.5 5.5 X 133404 14822 9449 ALFRED R STERN 4.0 5.0 X frank cino MS CPA 33.5 2.5 X 277238 169920 46018 KUMAR CHATANI 47.0 8.0 X 756312 113012 24547 David nierman md 55.0 0.0 X 462740 0 55464 ajoy sinha md 55.0 0.0 X 610224 0 31476 ROBERT CHASSIN 55.0 0.0 X 398204 0 34694 CAROLYN ALBANESE 55.0 0.0 X 373688 0 33992 CLAUDIA COLGAN RN 55.0 0.0 X 352282 26516 22407 Burton Drayer 134 5.0 50.0 X 0 1338924 37957 deborah Marin md 3 38.5 16.5 X 287023 123009 36814 13214361 7041353 1174353 2121 true true false ERNST YOUNG LLP 5 TIMES SQUARE NEW YORK NY 10036 ACCOUNTING 1052985 PROSKAUER ROSE LLP 11 TIMES SQUARE NEW YORK NY 100368299 LEGAL 1031195 EDWARD WILDMAN PALMER PO BOX 416395 NEW YORK NY 10003 LEGAL 1028370 NADASKAY KOPELSON ARCHITECTS 95 WASHINGTON STREET MORRISTOWN NJ 07960 ARCHITECTURE 764765 AKIN GUMP STRAUSS HAUER FELD 399 PARK AVENUE NEW YORK NY 10022 LEGAL 463388 45 2845372 3587005 2794452 24742371 693830 33969200 NET PATIENT SERVICE REVENUE 621110 1738334036 1738334036 LABORATORY SERVICES REVENUE 621500 1743271 1743271 1740077307 8972986 303705 8669281 0 0 0 0 0 15400000 15400000 15400000 15400000 291520 2845372 573550 -282030 -282030 0 0 CAFETERIA 722320 8535650 8535650 MEANINGFUL USE 900099 6539015 6539015 FICA RESIDENT REFUND 900099 21915698 21915698 13526409 5355597 -1019495 9190307 50516772 1848654235 1772144346 1027481 41513208 30035966 30035966 0 0 0 11392897 10839436 553461 0 659179717 579821917 78044935 1312865 48063263 41885743 6075272 102248 100018833 86883000 12892443 243390 55181085 47764550 7270074 146461 20383319 17689707 2693612 1955890 1690422 265468 698760 698760 376590 376590 0 978017 978017 168392496 146147847 22244649 4195192 3470198 528187 196807 12898005 11041984 1669719 186302 12639808 10947173 1666230 26405 0 55240819 47536393 7235347 469079 1034283 868550 132199 33534 0 485593 421447 64146 15986987 15986987 0 92980922 76858030 16122892 34187977 29671745 4516232 BAD DEBTS 22163986 22163986 DIETARY 11268208 9643938 1467870 156400 STAFF SUPPORT 3821773 3316917 504856 MEDICAL SUPPLIES 353744013 353744013 1717304399 1537254698 176357281 3692420 844569 375619 235145997 354100780 20767203 18861365 200800109 215644611 0 0 0 0 2319246 0 20911343 25801859 2616055 2005601 1442865843 889650206 477442112 553215637 749184088 347466495 63097000 461409000 62500371 71763672 0 0 404568560 351670842 2240196653 2402315481 212814957 225888281 0 0 27517346 30144633 425144138 406207675 0 0 0 0 22312500 19762500 0 6314165 625964582 620706375 1313753523 1309023629 X 763859330 932896973 86709913 84126615 75873887 76268264 926443130 1093291852 2240196653 2402315481 X 131349836 27248610 8250276 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false false false true 376590 376590 false false Part II-B, Line I Other Activities The Mount Sinai Hospital pays dues to various organizations that lobby federal and state legislators on behalf of health care facilities, including the Mount Sinai Hospital. The portion of these dues by entity are summarized below: American Health Association $123,014 1199 sieu $5,934 Greater New York Hospital Association $10,000 Health Association of NYS (HANYS) $220,548 MOUNT SINAI HOSPITAL EXECUTIVES $17,094 162583800 29683697 31872618 160394879 177522231 28545569 43484000 162583800 161021859 40480116 0 0 23979744 0 177522231 149259087 42703335 0 0 30940563 0 161021859 150601021 32755660 0 0 34097594 0 149259087 0.52000 0.48000 0.00000 false false 39305828 39305828 304445539 203125461 101320078 1062474300 686524745 375949555 36640176 36640176 553215637 HEDGE FUNDS 370853000 F PRIVATE INVESTMENTS 90556000 F 461409000 DUE TO/FROM RELATED ORGS 86838702 DEFERRED FINANCING FEES 8583142 457B PLAN 4935506 ROTATING RESIDENTS 2294541 TENANT SECURITY DEPOSITS 344201 DEPOSITS HELD BY THIRD PARTIES 2765873 THIRD PARTIES REC POOL RELATED 13367960 OTHER RECEIVABLES 2922181 FICA RECEIVABLE 3629266 PROF BILLING RECEIVABLE 3160270 PROF LIAB INS REC 222829200 351670842 0 POST RETIREMENT BENEFITS 20023681 THIRD PARTY LIABILITIES 328079766 RENT SECURITY DEPOSIT 344201 AR CREDIT BALANCES 11166074 MALPRACTICE INSURANCE 22490858 PLANNED GIFT LIABILITY 779563 RECRUITMENT LIABILITY 10000000 MULTISPECIALITY LIABILITY 57526 457B PLAN LIABILITY 4935506 PROFESSIONAL LIABILITIES 222829200 620706375 1796463000 41050250 41050250 1755412750 978017 92263468 93241485 1848654235 1717361000 30733966 30733966 1686627034 978017 29699348 30677365 1717304399 Part V, Line 4 Intended Uses of Organization's Endowment Funds MOUNT SINAI HOSPITAL'S ENDOWMENT FUNDS ARE RESTRICTED TO INVESTMENT IN PERPETUITY WITH THE INCOME EXPENDABLE TO SUPPORT PROGRAM ACTIVITIES AS STIPULATED BY DONORS. THE HOSPITAL FOLLOWS THE REQUIREMENTS OF THE UNIFORM MANAGEMENT OF INSTITUTIONAL FUNDS ACT ("UMIFA") AS THEY ARE RELATED TO ITS ENDOWMENT CONTRIBUTIONS. THE HOSPITAL HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPTS 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, PRUDENTLY INVEST ASSETS IN A HIGH-QUALITY DIVERSIFIED MANNER AND ADHERE TO ESTABLISHED GUIDELINES. Part XII, Line #2d Reconciliation of Revenue per AFS Assets Released from Restrictions $23,858,287 Diagnostic & Treatment Center $17,191,963 TOTAL $41,050,250 Part XII, Line #4B Reconciliation of Revenue per AFS All other Contributions $29,683,697 third parties reimbursement settlement $41,623,186 medical residents fica refund $21,915,698 DISTRIBUTION FROM MSMC RESIDENTIAL REALTY $60,374 8 East 102nd Street Manager LLC ($1,019,495) rounding $8 TOTAL $92,263,468 Part XIII, Line #2d Reconciliation of Expenses Per AFS Diagnostic & Treatment Center $30,733,966 TOTAL $30,733,966 Part XIII, Line #4B Reconciliation of Expenese per AFS transfer to affiiates $16,096,089 Contribution to Mt. Sinai DTC $13,542,003 GRANT TO ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI $60,374 Rounding $882 TOTAL $29,699,348 Central America and the Caribbean Program Services insurance 41908632 Central America and the Caribbean Investments investments 238508000 280416632 280416632 true false true false false false Part I, Line 2 The primary coverage of professional and general liability incidents has been provided through participation in a pooled program with certain other health care facilities (principally hospitals) affiliated with the Federation of Jewish Philanthropies of New York. This occurrence basis insurance coverage participation is with captive insurance companies and commercial insurance companies. The Captive Insurance companies have two offices in the Caribbean, specifically Bermuda and Barbados. The companies were incorporated in Bermuda and Barbados in 1982 and 1986 respectively and are licensed under the Insurance Act of both countries. Since the Hospital is a shareholder of the captive insurance companies, the Hospital follows the equity method of accounting for its interest in the insurance companies associated with its medical malpractice insurance program. Additionally, Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations, has been filed with the Hospital's 990T. 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. 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ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029

X X X X X 2 MOUNT SINAI HOSPITAL OF QUEENS

25-10 30TH AVENUE LONG ISLAND CITY NY 11102

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5 E 102ND STREET NEW YORK NY 10029

CLINIC MOUNT SINAI ADOLESCENT HEALTH CENTER

320 E 94TH STREET NEW YORK NY 10029

CLINIC MOUNT SINAI HOSPITAL KIDNEY CENTER

309 E 94TH STREET NEW YORK NY 10128

DIALYSIS CENTER PSYCHIATRIC OUTPATIENT CLINIC

1160 FIFTH AVENUE NEW YORK NY 10029

CLINIC JOSEPH H HAZAN AMB CARDIAC CENTER

5 E 98 STREET NEW YORK NY 10029

CLINIC MT SINAI SPORTS THERAPY

625 MADISON AVENUE NEW YORK NY 10022

PHYSICAL THERAPY CLINIC BAYARD RUSTIN EDUCATIONAL COMPLEX

W 18TH STREET NEW YORK NY 10011

PART TIME CLINIC PS 108

1615 MADISON AVENUE NEW YORK NY 10029

PART TIME CLINIC JHS 117 ALTERNATIVE EDUCATIONAL COMPLEX

240 E 109TH STREET NEW YORK NY 10029

PART TIME CLINIC PS 38

232 E 103RD STREET NEW YORK NY 10029

PART TIME CLINIC JULIAN RICHMAN HIGH SCHOOL

317 E 67TH STREET NEW YORK NY 10021

PART TIME CLINIC PS 83 MENDOZA SCHOOL

219 E 109TH STREET NEW YORK NY 10029

PART TIME CLINIC MANHATTAN CENTER FOR MATH & SCIENCES

FDR DRIVE 116TH STREET NEW YORK NY 10029

PART TIME CLINIC PRIMARY CARE CENTER

31-06 21ST STREET ASTORIA NY 11102

CLINIC MOUNT SINAI AMBULATORY CARE

1200 FIFTH AVENUE NEW YORK NY 10029

CLINIC MOUNT SINAI COMPREHENSIVE HEALTH PGRM DT

26 WEST SEVENTH AVENUE NEW YORK NY 10011

CLINIC MT SINAI PSYCHIATRIC CONTIN DAY TREAT

53-55 E 96TH STREET ABC 1ST FL NEW YORK NY 10029

CLINIC MOUNT SINAI QUEENS PHYSICIAN ASSOCIATES

27-15 30TH AVENUE LONG ISLAND CITY NY 11102

CLINIC SCHEDULE H SUPPLEMENTAL INFORMATION Part I, Line 7 The Mount Sinai Hospital used the ratio of cost-to-charges methodology for costing purposes. The cost-to-charge ratio was derived utilizing Worksheet 2, Ratio of Patient Care Costs-to-Charges. PART I, LINE 7F BAD DEBT EXPENSES OF $22,163,986 FOR 2012 WERE INCLUDED IN TOTAL EXPENSES IN PART IX, LINE 25 AND EXCLUDED IN WORKSHEET 8, LINE 14 OF SCHEDULE H FOR PURPOSE OF COMPARISON YEAR OVER YEAR. Part I, Line 7G The Hospital reported its support for the Mount Sinai Diagnostic and Treatment Center (MSDTC) under Part I, Line 7g Subsidized Health Services. MSDTC is a separately licensed entity that operates a variety of diagnostic and treatment clinics in the Hospital's East Harlem service area. The Hospital provides sufficient funding for MSDTC so that it can meet its annual operating requirements. In 2012, the Hospital funded the MSDTC's operating loss of $13.5 million. Part II Community Building Expense The Mount Sinai Hospital expended funds on advocacy and community support during 2012. These activities represented efforts by the Hospital to improve the health of the community by advocating for enhanced services and public policies that would expand access to important medical and social services for its surrounding community. Additionally, the Hospital invested in emergency preparedness so as to ensure the provision of necessary medical services in the event of any situation that required emergency medical services for the members of the community. Part III Line 2 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. Additionally, patients who do not qualify for sliding scale fees and all uninsured inpatients who do not qualify for Medicaid assistance are billed at the Hospital's rates. Uncollected balances for these patients are categorized as bad debts. Part III, Line 4 The Mount Sinai Hospital reported bad debt as an expense in Part IX. However, in its audited financial statements, the Hospital reports bad debts as a reduction to revenue in accordance with Accounting Standards Update No. 2011-07, Presentation and Disclosure of Patient Service Revenue, Provision for Bad Debts, and the Allowance for Doubtful Accounts for Certain Health Care Entities. The Hospital's Accounts Receivable and Net Patient Service Revenue footnote includes the following disclosures in relation to bad debts: "Deductibles and copayments under third-party payment programs within the third-party payor amount above are the patient's responsibility and the Hospital considers these amounts in its determination of the provision for bad debts based on collection experience." "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." "Patients who do not qualify for sliding scale fees and all uninsured inpatients who do not qualify for Medicaid assistance are billed at the Hospital's rates. Uncollected balances for these patients are categorized as bad debts." Part III, Line 8 Schedule H, Part III, Section B. Medicare Line 6 (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 $23.4 million in order to provide a more accurate reflection of the Hospital's Medicare financial results. Part III, Line 9 The Hospital's collection practices do not apply to charity care balances. Once an account or a portion thereof is deemed to be charity care, it is written off as such. As a result, there is no further collection effort on the account balance. Part V, Section A. Hospital Facilities Mount Sinai Hospital and Mount Sinai Hospital of Queens both operate under the same Certificate Number 7002024H issued by the State of New York's Department of Health. We thereby consider them to be one hospital facility subject to Section 501(r) including its Community Health Needs Assessment requirement. Part V, Line 18E The Hospital would follow up with phone calls and emails as part of the outreach effort to determine the patients eligibility under the facilitys FAP. Part V, Line 20D In compliance with New York State Law, Mount Sinai uses the set contract rates of it highest volume commercial payer. 2. Needs Assessment A continuous community needs assessment process occurs in Manhattan and Western Queens through active membership/participation of administrative leaders, staff and faculty in over 20 community committees, coalitions and board; and through service and educational partnerships with community health, social service, civic organization and schools. The Department of Community and Government Affairs acts as a liaison for the Medical Center to health, social service and civic organizations, schools, coalition and community leaders in East and Central Harlem, the Upper West Side and in boroughs outside of Manhattan and Western Queens. Community and Government Affairs work closely with the Mount Sinai School of Medicine, Mount Sinai's Center for Multicultural and Community Affairs and the Department of Community and Preventive Medicine to assist other Medical Center departments that seek to implement community programs and research projects. The Mount Sinai Medical Center actively seeks the views of community residents, hospital consumers, health care providers, religious groups, community boards, elected officials, supports groups, and community health and human service professionals in identifying the need for services and public health priorities. The Mount Sinai Medical Center's public participation includes the following: * Mount Sinai's Board of Trustees has established a Community Affairs committee whose members include senior management, health providers, and Trustees. A Trustee serves as a Community Advisory Board member to ensure board to board communications. The Board of Trustees meets quarterly to evaluate services and community needs. * Mount Sinai's Community Advisory Board (CAB) members represent diverse socioeconomic and ethnic constituencies and representatives from the Medical Center leadership and departments. The CAB's goal is to ensure that the medical center is responsive to health care needs of consumers, with particular emphasis on the needs of East Harlem. The CAB meets monthly to evaluate services and community needs. * The Tisch Cancer Institute has established a CAB to work in partnership with East and Central Harlem community residents and organizations to reduce the excess burden of cancer among its majority African-American and Hispanic residents to find ways to overcome cancer disparities. The CAB meets monthly to discuss community resources, strengths and interventions to improve the quality of cancer prevention, treatment and care. * Mount Sinai has established and hosts a monthly Community Roundtable to keep its pulse on the needs of East Harlem and Central Harlem communities. Approximately 80 community leaders, educators, elected officials, and CAB members are in attendance at the monthly meetings. * The Mount Sinai Medical Center representatives participate actively in monthly/quarterly meetings with the following organizations in its continuing efforts to discuss health care needs of the community. * Abyssinian Development Corporation. * Boriken Neighborhood Health Center. * Bronx Aids Services. * Children's Aids Society. * Community Board No.11 - Manhattan, Health & Human Services Committee. * East Harlem Chamber of Commerce. * East Harlem HIV Care Network. * East Harlem Partnership for Cancer. * Greater Harlem Chamber of Commerce. * Little Sisters of the Assumption Family Health Services. * New York Academy of Medicine. * New York City Housing Authority - Carver Houses Tenants Association & Johnson Tenants Association. * Jewish Home and Hospital * Settlement Health Association. * Union Settlement Association. * Yorkville Common Pantry The Mount Sinai Hospital of Queens' public participation includes the following: * Mount Sinai Hospital of Queens recently formed a CAB and serves the needs of a culturally diverse population with representatives from social and human service organizations, civic associations, public housing authority, and health care providers. The CAB meets quarterly to evaluate services and community needs. * Mount Sinai Hospital of Queens conducts an annual Community Roundtable to inform and update participants on new programs and projects and facility improvements at the Hospital. The focus is also on engaging participants in a discussion of ways in which the Hospital can improve and better serve the needs of the community. * The annual Pastoral Care Forum for clergy and other religious leaders in the community featured an educational session as well as an information-sharing component of services available in the community. * Mount Sinai representatives participate actively in monthly/quarterly meetings with the following organizations in its continuing efforts to discuss health care needs of the community. * American Cancer Society. * Astoria Civic Association. * Catholic Charities of Brooklyn and Queens. * Community Boards No.1 & 2 - Queens. * Gateway to Health Sciences Secondary School. * Greek Orthodox Archdiocesan of America Hellenic Cultural Center. * HANAC. * Jacob Riis Neighborhood Settlement House. * Queens Chamber of Commerce. * New York City Housing Authority - Ravenswood Tenants Association. * SHAREing and CAREing. * United Community Civic Association. * Visiting Nurse of New York. The Mount Sinai Medical Center discusses and analyzes the following demographic and socio-economic data with community partners as part of the community needs assessment process. 1. Utilization - Identify which services/programs have met or exceeded projected utilization 2. Patient satisfaction surveys - Analyze the hospitals' patient surveys to determine areas of needs identified by patients and their families 3. Local demand for services - Identify the services/programs with waiting lists, which demonstrate that the local demand for services exceeds capacity 4. Community need data - Determine the health of the community by examining the health statistics on the NYCDOHMH and NYSDOH websites; and determine the areas in which the target goals of Take Care New York are not met. Additionally, in assessing the communities' needs in conjunction with community partners, consumers, community boards, community leaders, and community health and human service professionals, the following questions are considered: 1. Is the cause of the illness, disease or health behavior preventable? 2. Does the hospital have existing resources, capacity, and processes to conduct outreach, provide screenings and treatment, measure, and evaluate set goals? 3. Was the health focus also identified by, discussed with, and determined as a priority in the health of the community by community partners, consumers, community health and human service professionals, NYCDOHMH, and the hospital's Community Advisory Board? Based on the information gathering process described above, the Hospital develops a community service plan that focuses on the health priorities for the surrounding community. 3. Patient education and eligibility for assistance All patients that do not have insurance are notified that financial assistance may be available for them. Prominently placed signs notify patients of the financial assistance policy and flyers summarizing the process are available in registration areas. The Hospital provides assistance with enrollment in Federal and State insurance programs including Medicare, Medicaid, Child Health Plus and Family Health Plus. If patients do not qualify for these programs they may qualify for financial assistance through the Hospital's Charity Care and Self Pay Discount Policy. Patient bills also provide information as to where a patient or the person responsible for the Hospital bill can call to receive financial assistance if they are not able to pay the Hospital's bill. Patients are provided with assistance through the Hospital's Financial Counseling Department (Mount Sinai patients only) or through its Resource Entitlement and Advocacy Program (REAP) Office. The REAP Office assists both Hospital patients and community members to obtain financial assistance for their medical expenses. 4. Community Information The Mount Sinai Medical Center serves patients in all five boroughs of New York City, Long Island, Westchester and Rockland counties, New Jersey and Connecticut. Mount Sinai is a regional and national referral center. The hospital defines New York County as the area used for community/local health planning for the purposes of the Community Service Plan. Census data were used to determine the service area of The Mount Sinai Medical Center. The total population of New York County in 2010 was 1,585,873 (increase of 3.2 percent from the 2000 Census). Approximately 52% of the New York County population in 2010 was of a minority population (18.5% African-American, 11.8% Asian and 21.7% "other" minority group members including individuals of 2+ races). There were 405,983 (25.6%) Hispanics, who can be of any race. New York County has eight federally-designated medically underserved areas. There are 20 hospitals, including specialty hospitals, serving this area. The U.S. Census identified that 282,285 members (17.8%) of the population were living at or below the Federal Poverty Level in 2010. It has been documented that individuals of minority and/or low-income status experience difficulties in accessing healthcare in some places. Mount Sinai serves residents of its service area without regard to any personal characteristics, including race/ethnicity or payer source. It is important to note the large minority population that Mount Sinai serves as most minority groups have been documented to suffer from cardiovascular disease at rates in excess of those of the White population. The Mount Sinai Medical Center has a strong history of serving traditionally underserved individuals throughout its service area, including Harlem and East Harlem communities surrounding the hospital. Mount Sinai provides the following health services to its community: * 67% of clinic visits are minority patients. * 53% of inpatient discharges are minority patients. * 85% of Emergency Department visits are minority patients. * More than 30% of inpatients reside in upper Manhattan. * Nearly 50% of outpatients reside in upper Manhattan. * More than 50% of Emergency Department patients reside in upper Manhattan. Reflective of the Hospitals location in the East Harlem neighborhood of New York County, approximately 45.5% and 53.5% of the hospital's inpatient discharges and outpatient visits, respectively, were from Medicaid patients. In many of the hospital's programs, over 60% of the patients have historically belonged to a minority group. The total number and percentage of individuals in the 45 and older age group in New York County is projected to grow dramatically from 2000 to 2015. The total number of individuals in this group is projected to increase from 534,263 individuals in 2000 to 694,295 individuals in 2015, representing a growth of 30.0% over this time period. This age group is projected to grow at a rate over seven times that of New York County from 2000 to 2015, and is at greater risk for cardiac problems than the general population. There were 217,265 individuals older than age 65 (comprising 13.7% of the population) residing within the service area in 2010. This population is projected to continue to grow to 242,281 individuals (comprising 15.1% of the population) by 2015, per the New York Statistical Information System from Cornell University. This age group is at greater risk for cancer than the general population. According to data from the New York State Department of Health (NYSDOH), infectious diseases, such as HIV, are more prevalent in the hospital's service area of New York County than in New York City and New York State overall. The HIV case rate from 2005 to 2007 in New York County was 72.9 individuals per 100,000, which was significantly higher than that of New York City (46.0 persons per 100,000) and the State (24.3 persons per 100,000). The Mount Sinai Hospital of Queens defines its primary service area as the following zip codes that comprise Northwestern Queens: 11101, 11102, 11103, 11104, 11105 and 11106 known as Long Island City/Astoria. The secondary service area consists of zip codes that comprise Western Queens: 11368, 11369, 11370, 11372, 11373, 11377 and 11378. Those zip codes define the areas used for community/local health planning for the purposes of the Community Service Plan. The population of the primary service area of Northwestern Queens in 2008 was 231,440 while the population of the secondary service area of Western Queens was 464,497 for a total of 695,937 residents. Over half (51%) of the population (representing more than 100 cultural and ethnic groups) is foreign-born compared to only 36% for New York City as a whole. In Northwestern Queens, roughly one in five persons lives in poverty; one in five adults smoke and is less likely to quit than smokers in New York City overall; women are less likely to get a regular Pap test for cervical cancer than women in New York City as a whole; and the service area has the second highest proportion of uninsured adults among all New York City neighborhoods, with foreign-born residents more likely to be without health insurance than those born in the United States. The heart disease hospitalization rate in the primary service area has increased by more than 10% in the past 10 years. The poverty and language barriers in Western Queens inhibit access to inpatient care. Per the New York City Department of City Planning, Mount Sinai Hospital of Queens is located in Queens Community Board No.1 - Queens. In 2007, 24.2% of the residents lived below the poverty level. This percentage is much greater than the percentage of residents below the poverty level (12.2%) for the entire county. Overall, greater than 50% of the residents in Community Board No.1 - Queens do not speak English "very well", according to the US Census Bureau. Staff members at Mount Sinai Hospital of Queens speak approximately 50 languages, a statistic that is growing each year. This is reflective of the cultural diversity of the service area, which includes residents comprising greater than 100 cultural and ethnic groups. 5. Promotion of Community Health As mentioned in the description of the Needs Assessment in Part VI.2, the Hospital has formed a Community Board to ensure that the Medical Center is able to work closely with the surrounding community to identify and respond to the healthcare needs of the community. The Mount Sinai Medical Center Community Advisory Board was formed as a committee of the Board of Trustees to review and comment on the Medical Center's service, educational and research programs. The Board's goal is to ensure that the medical center is responsive to the health care needs of consumers, with particular emphasis on the needs of East Harlem. The Community Advisory Board is a forum for articulating patient care and community health concerns and for evaluating the effectiveness of services on the community's health status, patients' rights, and the quality of services provided to consumers. Community Advisory Board members represent diverse socioeconomic and ethnic constituencies and representatives of Medical Center leadership and departments. A majority are consumers. A Trustee serves as a Community Advisory Board member to ensure board-to-board communications. Based on the needs assessment and feedback the Hospital receives from groups like the Community Advisory Board, the Mount Sinai Hospital conducts a number of services and activities that are designed to promote and improve the health of individuals residing in the surrounding community. These services and activities help to inform people of healthy living habits and provide access to valuable health care services, including diagnostic screening services for at risk people. A brief description of each of these services and activities is provided below. * HouseCall is a newsletter developed and designed to introduce the Harlem community to the doctors, nurses, social workers, and other health professionals who serve the community. The publication includes extensive outpatient service information * Prescriptions for Healthy Living is a campaign launched in 2007 in which banners that stress the importance of taking control of health care and adopting a healthy lifestyle are placed throughout the community. * Good Health Is Precious brings health education and screening to community organizations, responding to a need for early detection. Mini health talks about asthma, cancer, cardiovascular health, chronic kidney disease, diabetes, mental health, nutrition and fitness, orthopedic care, palliative care, and women's health are available in English and Spanish. * The Greenmarket is a partnership between the Medical Center and the Council on the Environment of New York City that sells fresh fruit and vegetables in East Harlem each week. It also offers free medical screenings as well as demonstrations of healthy cooking. * Free Community Health Screenings. In the past year Mount Sinai faculty and staff sponsored and/or participated in thirty-six community health fairs and health screening programs, street festivals, children's festivals, health expos and information fairs, reaching over 25,000 people. Screening have been conducted to test blood pressure, glucose, cholesterol, vision, bone density, body mass index, kidney disease, and Hepatitis C at health fairs year-round. There are nearly 7,000 screenings annually. * Support Groups are offered to patients and their families so that they can share their stories with others who have had similar experiences. * Workshops and seminars are important components of Mount Sinai's commitment to the community. Topics covered have included areas such as Power of Attorney, Living Wills and Advanced Directives: What You Need to Know, Men's Health Seminars, Women's Cardiovascular Health * Exercise and Education classes are offered weekly or bi-monthly. * Resource Entitlement Advocacy Program (REAP ) serves uninsured and underinsured community members and hospital patients who need assistance with entitlement issues. REAP enables them to get health insurance and gain access to health care. In addition, it helps them obtain income, home care, and nutrition support by working with community agencies. REAP also provides technical assistance regarding changes to entitlement programs such as welfare, Medicaid, Medicare, Family Health Plus, child health insurance, and other programs. * East Harlem Free Clinic, created and operated by the students of the Mount Sinai School of Medicine, provides free medical care to East Harlem residents. * The Medical Center provides HEART (Heart Failure Education and Rehabilitation Training), a congestive heart failure nurse-management program to improve patient self management and physician-initiated services for patients with heart failure in East and Central Harlem. Additionally, Mount Sinai offers a wide variety of community outreach programs that provide screening, educational and patient care. These programs are funded through operating revenues of the Hospital. Some of the programs provided by the Medical Center include: * The Jack Martin Fund Clinic is a New York State Department of Health Designated AIDS Center that provides primary and specialty care, urgent care, social services, and counseling to those who are infected; and preventive services to those at risk. * Mount Sinai Adolescent Health Center was the first primary care facility in New York City specifically designed to meet the health care needs of adolescents. Today, it is the largest, most comprehensive adolescent center in the United States, with a mission to help adolescents grow up happy, healthy, and well educated by preventing disease and promoting health. The Adolescent Health Center offers comprehensive medical, nutritional, exercise, and mental health services to teenagers concerned with eating disorders, becoming overweight or obese, and high cholesterol. * The Mount Sinai Diabetes Center provides inpatient and outpatient treatment and education to adults with type I or type II diabetes. The Diabetes Center works closely with Mount Sinai Internal Medicine Associates, whose patient population includes many patients from East and Central Harlem. The Diabetes Center sponsors community diabetes screenings in English and Spanish. * The Mount Sinai Emergency Department provides state-of-the-art emergency care for the residents of East Harlem and Northern Manhattan 24 hours/day 7 days/week and is a receiving hospital for the 911 ambulance system. It is organized into five treatment areas: Emergency Psychiatric Care, Adult Urgent Care, Chest Pain Unit, Adult Emergency Services, and Pediatric Emergency Services. On-site bilingual staff and social work services are available around the clock. Many initiatives have been introduced in response to community needs and concerns. * Martha Stewart Center for Living at Mount Sinai was established in 2007 as a state-of-the-art medical practice for the outpatient care of seniors, and will surely become a benchmark in geriatric patient care. The Center provides care for patients and training for physicians, and coordinates healthy-aging research and practices. * The Dubin Breast Center opened at the The Tisch Cancer Institute, providing patients with a multidisciplinary, comprehensive approach to breast cancer screening, treatment and survivorship in a serene setting. Dubin Breast Center offers state-of-the-art diagnostics, including 3-D mammography, and minimally invasive diagnostic procedures. Our highly skilled physicians are some of the most sought-after breast cancer experts in the country. Patients at the Dubin Breast Center have access to the latest approaches and techniques, such as seed localization. A team of breast cancer experts are specialized in the diagnosis and treatment of breast cancer patients and offer the most advanced services in breast cancer prevention, diagnosis, and treatment. * The Breast Health Resource Program (BHRP) is dedicated to meeting the emotional and practical needs of women and men with breast cancer. The program offers information, guidance, and critical support to patients from diagnosis through survivorship. Our clinical social workers offer highly individualized counseling to help manage the complex demands of a breast cancer diagnosis. The Breast Health Resource Program offers counseling, seminars, support groups, and a library of information about the latest breast cancer treatments * The Visiting Doctors Program at Mount Sinai provides hands-on, high quality medical care and social support to men and women with complex and serious illnesses who have difficulty leaving their homes. The program aims to help patients maximize their health and independence. The homebound population has traditionally been underserved by the medical community, but the Visiting Doctors Program works to fill that gap by providing ongoing primary medical care. Today, Visiting Doctors serves over 1,000 patients throughout Manhattan and is a national model for the care of this most vulnerable group. * The Mount Sina 6. Part of an Affiliated Health Care System NOT APPLICABLE 7. Community Benefit Report Mount Sinai files a community service plan in New York State. true MOUNT SINAI DIAG & TREATMENT CENTER ONE GUSTAVE L LEVY PL New York NY 10029 450537391 501(C)(3) 13542003 cost fund operating loss ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L LEVY PL NEW YORK NY 10029 136171197 501(C)(3) 60374 cost FUND PHYSICIAN PRACTICE ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L LEVY PL NEW YORK NY 10029 136171197 501(c)(3) 16096089 COST FUND PHYSICIAN PRACTICE INSTITUTE FOR FAMILY HEALTH ONE GUSTAVE L LEVY PL NEW YORK NY 10029 133273402 501(C)(3) 337500 COST COMMUNITY BENEFIT 3 Part II, Line 1 The grant is to fund the net deficit of its related organization's and no monitoRing is required since the entity is a related tax exempt organization. Part II, Line 2 The grant is to fund various strategic programs to promote common mission of the Hospital and ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI. PART II, LINE 3 The grant is to fund the operating loss of various off-site physician practices owned by the ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI. PART II, LINE 2 THE GRANT IS TO BENEFIT THE COMMUNITY AND IS FUNDED TO A EXEMPT ORGANIZATION WITHIN THE COMMUNITY. THE ENTITY IS REQUIRED TO SUBMIT BUDGET AND RECONCILIATIONS. X X X X false false false false false true true false false Kenneth L Davis MD 735500 735500 750000 750000 114411 114411 12500 12500 16225 16225 1628636 1628636 0 0 Wayne Keathley 806000 0 400000 0 137848 0 25000 0 25120 0 1393968 0 0 0 Burton Drayer 134 0 212097 0 250000 0 876827 0 21210 0 16747 0 1376881 0 0 Michael Macdonald ESQ 290500 290500 71309 71309 118968 118968 10000 10000 20829 20829 511606 511606 0 deborah Marin md 3 227500 97500 0 0 59523 25509 17500 7500 8270 3544 312793 134053 0 0 donald t scanlon 396000 396000 325000 325000 65032 65032 12500 12500 13542 13542 812074 812074 0 0 jeffrey silberstein 342000 342000 128369 128369 43778 43778 12500 12500 8286 8286 534933 534933 0 0 connie c klepper 213000 213000 121367 121367 18189 18189 10000 10000 10463 10463 373019 373019 0 0 mark kostegan fahp 150000 350000 63006 147013 35196 82125 7500 17500 5558 12968 261260 609606 0 0 jane maksoud 238760 269240 75200 84800 31285 35279 11750 13250 15114 17043 372109 419612 0 0 michael mccarry 290000 0 117500 0 5833 0 20000 0 13645 0 446978 0 0 0 ira s nash md 169743 0 0 0 58842 0 18618 0 11474 0 258677 0 0 0 michael pastier 508000 0 145698 0 56649 0 25000 0 40411 0 775758 0 0 0 carol porter 335000 0 78000 0 44030 0 25000 0 12902 0 494932 0 0 0 caryn schwab 406000 0 36018 0 49788 0 20000 0 30123 0 541929 0 0 0 margaret pastuszko 216875 216875 115000 115000 474 474 10000 10000 14834 14834 357183 357183 0 0 m v benthuysen resign 187500 0 0 0 41446 0 16300 0 6523 0 251769 0 0 0 jane whitney 160680 148320 19549 18045 2541 2345 10400 9600 10300 9507 203470 187817 0 0 elana abraham 2 233248 0 7500 0 1912 0 19934 0 29459 0 292053 0 0 0 David nierman md 400000 0 25727 0 37013 0 25000 0 30464 0 518204 0 0 0 ajoy sinha md 190000 0 0 0 420224 0 15200 0 16276 0 641700 0 0 0 frank cino MS CPA 201810 123690 60140 36860 15288 9370 12400 7600 16131 9887 305769 187407 0 0 KUMAR CHATANI 391500 58500 235263 35154 129549 19358 6525 975 14831 2216 777668 116203 0 0 ROBERT CHASSIN 300000 0 86000 0 12204 0 20000 0 14694 0 432898 0 0 0 ERIN S DUPREE MD 241157 12693 129527 6817 130734 6880 23750 1250 13957 735 539125 28375 0 0 PATRICIA LAMB 87473 9719 22500 2500 23431 2603 0 0 8504 945 141908 15767 0 0 CAROLYN ALBANESE 305010 0 48071 0 20607 0 20000 0 13992 0 407680 0 0 0 CLAUDIA COLGAN RN 279930 21070 55800 4200 16552 1246 18600 1400 2238 169 373120 28085 0 0 Supplemental Information Form 990, Part VII, Section A & Schedule J compensation footnotes Officers of the Board of Trustees hours reflect service to either/or, or all, the Mount Sinai Hospital, ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI, The Mount Sinai Medical Center, Inc. and all related entities. (1) Employee has an outstanding loan reflected in Schedule L, Part II of THE ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI Form 990. (2) A portion of this compensation and benefits is attributable to her services provided to ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI. (3) Compensation is attributed to current services as a Non-Officer. (4) A portion of this compensation and benefits is attributable to his services provided to The Mount Sinai Hospital. Schedule J, Part I, Lines 6A & 6B The Hospital answered yes to questions 6A and 6B in Schedule J as the institution utilizes an incentive based bonus program for certain employees, including several of those employees listed in Schedule J. Net earnings is one of several metrics utilized by the institution in the annual bonus calculation. Other metrics utilized in the incentive compensation model include the organization's performance on the JCAHO Hospital Core Measures, patient satisfaction scores, and other organizational goals such as length of stay initiatives. Individuals that have responsibilities in related organizations to the Hospital may have incentives based on the performance of these organizations as well as that of the Hospital. A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649905Q58 2010-06-10 348374400 REFINANCE OUTSTANDING DEBT 5/18/00 false false false B DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 649906MB7 2011-10-27 60064208 CONSTRuct OF ALLOCABLE SHARE RESCH false false false A 0 0 348437476 32949850 0 0 950618 0 0 0 347454121 0 true false true true B 0 0 66127651 4248750 2936559 0 1074778 0 0 42853353 1233211 13781000 2013 false false false true A 0 B false false true true false 0 false false false false A false true false false 0 false 0 false false B false true false false 0 false 0 false false A false B false SCHEDULE K SUPPLEMENTAL INFORMATION 0 PART III, LINE 3A THE ORGANIZATION HAS ONE MANAGEMENT AGREEMENT WHICH COMPLIES WITH REVENUE PROCEDURE 97-13. PART II, LINE 3 ISSUE A TOTAL PROCEEDS PER TAX CERTIFICATE $348,374,400 PLUS INVESTMENT EARNINGS $63,076 = $348,437,476. PART II, LINE 3 ISSUE B TOTAL PROCEEDS PER TAX CERTIFICATE $66,064,208 PLUS INVESTMENT EARNINGS $66,443 = $66,127,651. PART III, LINE 9 THE ORGANIZATION IS CONSIDERING DEVISING PROCEDURES TO ENSURE THAT IF ANY BONDS BECOME NONQUALIFIED, THEY WILL BE REMEDIATED IN ACCORDANCE WITH REGULATIONS SECTIONS 1.141-12 AND 1.145-2. PART IV, LINE 7 THE BOND ISSUER (INDICATED IN PART I, COLUMN A) DIRECTS AND MONITORS INVESTMENTS AND TAKES SOLE RESPONSIBILITY FOR COMPLIANCE WITH THE REQUIREMENTS OF SECTION 148. THE ORGANIZATION DOES NOT DIRECT THE INVESTMENT OF BOND PROCEEDS. PART V THE ORGANIZATION IS AWARE THAT A VOLUNTARY CLOSING AGREEMENT PROGRAM IS AVAILABLE IF A VIOLATION OF THE FEDERAL TAX REQUIREMENTS, SHOULD THEY OCCUR, CANNOT BE CORRECTED THROUGH SELF-REMEDIATION UNDER APPLICABLE REGULATIONS. The organization IS CONSIDERING DEVISING procedures to ensure that in the event federal tax violations occur that cannot be corrected through self-remediation, such violations will qualify for resolution through the voluntary closing agreement program. Hess Corporation John Hess, Trustee 20525024 See part v false XO Communications Carl Icahn, Trustee 865613 See part v false dr Carolyn sicher SUSAN CULLMAN, trustee 28928 See part v false Dr Elissa Gretz Friedman Robert Friedman, trustee 15058 See part v false Dr Irwin Gribetz Judah Gribetz, trustee 72720 See part v false kimberly harrison clifford goldsmith, trust 106119 See part v false us foods GOGEL & KRAVIS, TRUSTEES 826420 See part v false OCH ZIFF CAPITAL MANAGEMENT DAVID WINDREICH, TRUSTEE 3392610 See part v false KAREN KOSTEGAN MARK KOSTEGAN, OFFICER 41519 See part v false ETHYLIM WANE JABS DOUGLAS JABS, OFFICER 190464 See part v false BRIAN SCANLON DONALD SCANLON, OFFICER 53981 See part v false GARY B DAVIS DR. KENNETH DAVIS,OFFICER 147725 SEE PART V false AVENUE CAPITAL GARDNER & LARSY, TRUSTEES 230295 SEE PART V false RELATED MANAGEMENT COMPANY LP JEFF BLAU, TRUSTEE 2029382 SEE PART V false MARGARET RUTTENBERG ERIC RUTTENBERG, TRUSTEE 23733 SEE PART V false Schedule L, Part IV, Column D Business Transactions involving interested parties NAME OF INTERESTED PERSON: US FOODS: MOUNT SINAI PURCHASES A PORTION OF ITS FOOD FROM US FOODS. ALL SUCH PURCHASES ARE MADE UNDER A GROUP PURCHASING ORGANIZATION (GPO) ARRANGEMENT THAT HAS BEEN NEGOTIATED WITH US FOODS. THESE GPO PRICES ARE AVAILABLE TO MOUNT SINAI AND ALL OTHER MEMBERS OF THE LOCAL HEALTHCARE ASSOCIATION. MR. GOGEL AND MR. KRAVIS ARE CEOS OF FIRMS THAT ARE INDIRECTLY A GREATER-THAN-35% OWNER OF US FOODS. NEITHER MR. GOGEL NOR MR. KRAVIS WERE INVOLVED IN DECISIONS RELATED TO THE ORGANIZATION'S PURCHASES FROM U.S. FOODS. NAME OF INTERESTED PERSON: HESS CORPORATION: FOLLOWING AN OBJECTIVE, COMPETITIVE MULTI-PARTY BIDDING PROCESS (IN WHICH MR. HESS WAS UNINVOLVED), THE ORGANIZATION PURCHASED NATURAL GAS AND FUEL OIL FROM HESS CORPORATION. MR. HESS IS CHIEF EXECUTIVE OFFICER OF, AND HAS A FINANCIAL INTEREST IN, HESS CORPORATION AND REMAINS UNINVOLVED IN THE ORGANIZATION'S DECISIONS RELATED TO HESS CORPORATION. NAME OF INTERESTED PERSON: XO COMMUNICATIONS: FOLLOWING AN EXTENSIVE RFP AND A MULTI-PARTY COMPETITIVE BIDDING PROCESS, AS WELL AS A REVIEW BY A SPECIAL BOARD COMMITTEE (WHICH DID NOT INCLUDE MR. ICAHN) OF THE ENGAGEMENT PROCESS, THE ORGANIZATION PURCHASED COMMUNICATIONS SERVICES FROM XO COMMUNICATIONS. MR. ICAHN IS A GREATER-THAN-35% OWNER OF XO COMMUNICATIONS. MR. ICAHN REMAINS UNINVOLVED IN THE ORGANIZATION'S DECISIONS RELATED TO XO COMMUNICATIONS. NAME OF INTERESTED PERSON: OCH ZIFF CAPITAL MANAGEMENT: MR. WINDREICH IS A DIRECTOR OF OCH ZIFF CAPITAL MANAGEMENT ("OCH ZIFF"), WHICH MANAGES INVESTMENT CAPITAL FOR THE ORGANIZATION. MR. WINDREICH HAS NO INVOLVEMENT IN THE ORGANIZATION'S INVESTMENT DECISIONS OR ITS INVOLVEMENT WITH OCH ZIFF. THE FEES CHARGED BY OCH ZIFF TO THE ORGANIZATION ARE IN LINE WITH INDUSTRY STANDARDS AND ARE THE SAME AS THE FEES CHARGED TO OTHER INVESTORS IN THE SAME FUND. NAME OF INTERESTED PERSON: AVENUE CAPITAL: TRUSTEES SONIA GARDNER AND MARC LASRY ARE 100% OWNERS OF AVENUE CAPITAL WHICH MANAGED INVESTMENT CAPITAL FOR THE ORGANIZATION DURING CALENDAR YEAR 2012. THE FEES CHARGED BY AVENUE CAPITAL TO THE ORGANIZATION ARE IN LINE WITH INDUSTRY STANDARDS AND ARE THE SAME AS THE FEES CHARGED TO OTHER INVESTORS IN THE SAME FUND. NEITHER MS. GARDNER NOR MR. LASRY WERE INVOLVED IN THE ORGANIZATION'S DECISIONS RELATED TO AVENUE CAPITAL. NAME OF INTERESTED PERSON: RELATED MANAGEMENT COMPANY, L.P.: FOLLOWING AN EXTENSIVE RFP AND A MULTI-PARTY COMPETITIVE BIDDING PROCESS, AS WELL AS A REVIEW BY A SPECIAL BOARD COMMITTEE (WHICH DID NOT INCLUDE MR. BLAU) OF THE ENGAGEMENT PROCESS, THE ORGANIZATION PURCHASED CONSULTING AND MANAGEMENT SERVICES FROM RELATED MANAGEMENT COMPANY, L.P. ("RMC"). MR. BLAU IS A DIRECTOR OF RMC. MR. BLAU REMAINS UNINVOLVED IN THE ORGANIZATION'S DECISIONS REGARDING RELATED MANAGEMENT COMPANY, L.P. NAME OF INTERESTED PERSON: CAROLYN SICHER: TRUSTEE SUSAN CULLMAN'S DAUGHTER IS EMPLOYED BY THE ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI. MS. CULLMAN HAS NO INVOLVEMENT IN DECISIONS RELATED TO HER EMPLOYMENT. NAME OF INTERESTED PERSON: ELISSA GRETZ FRIEDMAN: TRUSTEE ROBERT FRIEDMAN'S WIFE IS EMPLOYED BY THE ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI. MR. FRIEDMAN HAS NO INVOLVEMENT IN DECISIONS RELATED TO HIS WIFE'S EMPLOYMENT. NAME OF INTERESTED PERSON: KIMBERLY HARRISON: TRUSTEE CLIFFORD GOLDSMITH'S GRANDDAUGHTER IS EMPLOYED BY THE ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI. MR. GOLDSMITH HAS NO INVOLVEMENT IN DECISIONS RELATED TO HIS GRANDDAUGHTER'S EMPLOYMENT. NAME OF INTERESTED PERSON: IRWIN GRIBETZ: TRUSTEE JUDAH GRIBETZ'S BROTHER IS EMPLOYED BY THE ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI. MR. GRIBETZ HAS NO INVOLVEMENT IN DECISIONS RELATED TO HIS BROTHER'S EMPLOYMENT. NAME OF INTERESTED PERSON: KAREN KOSTEGAN: OFFICER MARK KOSTEGAN'S SPOUSE IS AN EMPLOYEE OF THE ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI. MR. KOSTEGAN HAS NO INVOLVEMENT IN DECISIONS RELATED TO HIS WIFE'S EMPLOYMENT. NAME OF INTERESTED PERSON: ETHYLIN WANE JABS: KEY EMPLOYEE DOUGLAS JABS' SPOUSE IS AN EMPLOYEE OF THE ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI. MR. JABS HAS NO INVOLVEMENT IN DECISIONS RELATED TO HIS WIFE'S EMPLOYMENT. NAME OF INTERESTED PERSON: BRIAN SCANLON: OFFICER DONALD SCANLON'S SON IS AN EMPLOYEE OF THE MOUNT SINAI HOSPITAL. MR. SCANLON HAS NO INVOLVEMENT IN DECISIONS RELATED TO HIS SON'S EMPLOYMENT. NAME OF INTERESTED PERSON: GARY B. DAVIS: OFFICER DR. KENNETH DAVIS'S BROTHER IS AN EMPLOYEE OF THE HOSPITAL. DR. DAVIS HAS NO INVOLVEMENT IN DECISIONS RELATED TO HIS BROTHER'S EMPLOYMENT. NAME OF INTERESTED PERSON: MARGARET RUTTENBERG: TRUSTEE ERIC RUTTENBERG'S SISTER-IN-LAW IS AN EMPLOYEE OF THE ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI. MR. RUTTENBERG HAS NO INVOLVEMENT IN DECISIONS RELATED TO HIS SISTER-IN-LAW'S EMPLOYMENT. *ALL REPORTED AMOUNTS REFLECT AGGREGATE 2012 SPENDING FOR THE MOUNT SINAI HOSPITAL, ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI MEDICAL CENTER, INC., AND ALL RELATED ENTITIES AND ORGANIZATIONS. X 5105 resale value X 30 327625 FMV X 496 BOTTLE WINE 65 361100 auction false true false Part I, Line 9 Securities - Publicly traded 64 SHARES OF SPRD GOLD STOCKS VALUED AT $10,040.96 RECEIVED ON 1/9/12. 900 SHARES OF METHANEX CORPORATION STOCKS VALUED AT $25,974 RECEIVED ON 2/3/12. 325 SHARES OF VANGUARD MID-CAP STOCKS VALUED AT $25,096.50 RECEIVED ON 7/2/12. 330 SHARES OF VANGUARD SMALL CAP STOCKS VALUED AT $25,169.10 RECEIVED ON 7/2/12. 16 SHARES OF APPLE STOCKS VALUED AT $9,639.04 RECEIVED ON 7/11/12. 86 SHARES OF AMERICAN TOWER STOCKS VALUED AT $5,995.92 RECEIVED ON 7/11/12. 54 SHARES OF CROWN CASTLE STOCKS VALUED AT $3,187.62 RECEIVED ON 7/11/12. 15 SHARES OF EQUINIX STOCKS VALUED AT $2,499.45 RECEIVED ON 7/11/12. 5 SHARES OF MASTERCARD STOCKS VALUED AT $2,082.90 RECEIVED ON 7/11/12. 77 SHARES OF ORACLE STOCKS VALUED AT $2,242.24 RECEIVED ON 7/11/12. 50 SHARES OF AMERICAN TOWER CORPORATION STOCKS VALUED AT $3,476.50 RECEIVED ON 8/28/12. 75 SHARES OF BROOKFIELD INFRASTRUCTURE STOCKS VALUED AT $2,662.50 RECEIVED ON 8/28/12. 323 SHARES OF ENBRIDGE ENERGY STOCKS VALUED AT $9,974.24 RECEIVED ON 8/28/12. 125 SHARES OF GOLUB CAPITAL BDC STOCKS VALUED AT $1,933.75 RECEIVED ON 8/28/12. 75 SHARES OF ITC HOLDINGS STOCKS VALUED AT $5,432.25 RECEIVED ON 8/28/12. 115 SHARES OF KINDER MORGAN MANAGEMENT STOCKS VALUED AT $8,470.90 RECEIVED ON 8/28/12. 75 SHARES OF NEW MOUNTAIN FINANCE STOCKS VALUED AT $1,105.50 RECEIVED ON 8/28/12. 75 SHARES OF NEXTERA ENERGY STOCKS VALUED AT $5,122.50 RECEIVED ON 8/28/12. 885 SHARES OF PHILLIP MORRIS STOCKS VALUED AT $80,101.35 RECEIVED ON 8/28/12. 50 SHARES OF SEASPAN CORPORATION PREFERRED STOCKS VALUED AT $1,389.50 RECEIVED ON 8/28/12. 50 SHARES OF TARGA RESCOURCE CORPORATION STOCKS VALUED AT $2,266 RECEIVED ON 8/28/12. 250 SHARES OF TEEKAY OFFSHORE STOCKS VALUED AT $7,150 RECEIVED ON 8/28/12. 20 SHARES OF VORNADO REALTY TRUST STOCKS VALUED AT 1,633.40 RECEIVED ON 8/28/12. 37 SHARES OF SUNCOR ENERGY STOCKS VALUED AT $1,241.35 RECEIVED ON 9/20/12. 70 SHARES OF EXELON CORPORATION STOCKS VALUED AT $2,523.50 RECEIVED ON 10/9/12. 345 SHARES OF SUNTRUST STOCKS VALUED AT $9,977.40 RECEIVED ON 10/16/12. 1,000 SHARES OF GRIFFIN LAND & NURSERIES STOCKS VALUED AT $28,750 RECEIVED ON 11/6/12. 1,290 SHARES OF GRIFFIN LAND & NURSERIES STOCKS VALUED AT $37,087.50 RECEIVED ON 11/6/12. 17 SHARES OF COPART STOCKS VALUED AT $515.50 RECEIVED ON 12/20/12. 57 SHARES OF EXXON MOBIL STOCKS VALUED AT $4,883.76 RECEIVED ON 12/28/12. PART I, LINE 5 NUMBER OF EMPLOYEES All employees of The 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 21,829. The number of direct Hospital employees is 12,669. PART VI, LINE 2 FAMILY/BUSINESS RELATIONSHIPS TRUSTEES LEON BLACK AND JOSHUA HARRIS ARE MANAGING PARTNERS OF THE SAME FIRM. TRUSTEES JAMES CRYSTAL AND JEAN CRYSTAL ARE MARRIED TO EACH OTHER. TRUSTEES CARL ICAHN AND GAIL GOLDEN-ICAHN ARE MARRIED TO EACH OTHER AND MRS. GOLDEN-ICAHN IS AN EMPLOYEE OF AN ORGANIZATION OF WHICH MR. ICAHN IS A DIRECTOR. TRUSTEES EDGAR CULLMAN, JR. AND SUSAN CULLMAN ARE SIBLINGS. TRUSTEE BONNIE DAVIS, M.D. IS MARRIED TO KENNETH DAVIS, M.D., WHO IS PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE MOUNT SINAI MEDICAL CENTER. TRUSTEES SONIA GARDNER AND MARC LASRY ARE SIBLINGS AND ARE ALSO CO-OWNERS OF THE SAME FIRM. TRUSTEES MICHAEL GROSS AND VICKI GROSS ARE MARRIED TO EACH OTHER. TRUSTEE MARC LIPSCHULTZ IS A MEMBER OF A FIRM OF WHICH TRUSTEE HENRY KRAVIS IS CO-CEO. TRUSTEES JUDITH RUBIN AND HON. ROBERT RUBIN ARE MARRIED TO EACH OTHER. TRUSTEES PETER COHEN AND TOM STRAUSS ARE OFFICERS OF THE SAME FIRM. TRUSTEES DONALD GOGEL AND HENRY KRAVIS ARE CEO'S OF FIRMS THAT ARE EACH INDIRECTLY A GREATER-THAN 35% OWNER OF US FOODS. Part VI, Section B, Line 11B Form 990 Provided to governing body The Finance Department gathered the relevant information and prepared the tax returns * Our outside auditors, Ernst & Young, 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 Compliance Department. These recommendations were reviewed and approved by E&Y. The same process was conducted by the Finance Department, the General Counsel's office, the Compliance Department and E&Y 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 E&Y, the Finance Department, and the General Counsel's office. 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, 2011, be provided to all trustees via the trustees' confidential website, and those returns were so provided before being filed. Part VI, Section B, Line 12C Monitoring & enforcing compliance with the policy Compliance with the Organization's Business Conflicts of Interest Policy (the "Policy") is required of trustees, employees, medical staff and non-employee members of institutional committees and includes an ongoing duty to disclose potential conflicts. Compliance with the Policy is monitored and enforced regularly and consistently. All disclosures with the potential for conflict are reviewed by an appropriate committee where they are carefully evaluated. When appropriate, a plan, which may involve measures including, but not limited to, recusal from participating in affected transactions, is developed to manage the potential conflict. Part VI, Section B, LineS 15A & 15 B Process for determination of compensation The Compensation, Employee Benefits and Employee Relations Committee of the Boards of Trustees (the "Compensation Committee") determines the compensation for the CEO and reviews and modifies or approves the CEO's recommendations for compensation for other officers and key employees, including physician leaders, who are or may be "disqualified persons" as that term is defined in IRC Section 4958. 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 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. The Compensation Committee receives and reviews the comparability data and any analysis provided by the 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 CEO's performance. For the CEO, the Committee then determines an appropriate level of total compensation in relation to the comparability data. For the other executives and key employees, the Committee also reviews the position description, the credentials of the incumbent or the candidate for the position, an incumbent's performance appraisal, and the CEO's (or Chairman of the Board's, with respect to the CEO) recommendation, in relation to the comparability data, and decides whether to approve the recommended compensation or to modify it. The Compensation Committee discusses and votes on the compensation arrangements for the CEO, CFO and other senior executive staff members in executive session. 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 during debate on the transaction that was approved and those who voted on it; the comparability data and information from management obtained and relied on, and 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 VII, Line 2 Employees who received more than $100,000 in compensation Direct Hospital employees who receive more than $100,000 total 2,121. This excludes employees of the other entities for which the Hospital operates as the paymaster as described in the Schedule O explanation for IRS Form 990, Core Form Part I, Line 5. PART XI, LINE 9 RECONCILIATION OF NET ASSETS NET CHANGE IN CAPTIVE INSURANCE PROGRAM: $8,470,179 CHANGE IN POST RETIREMENT LIABILITY: ($1,239,812) 8 EAST 102ND STREET MANAGER LLC: $1,019,495 ROUNDING: $414 TOTAL: $8,250,276 mount sinai proton holding company llc one gustave l levy place new york NY 10029 274281194 investment NY 793126 MSH ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI one Gustave L Levy Place new york NY 10029 136171197 school NY 501(c)(3) 2 na false Mount Sinai Medical Center one Gustave L Levy Place new york NY 10029 136271888 support NY 501(c)(3) 11 type II na false MSMC Realty Corp one Gustave L Levy Place new york NY 10029 133852596 real estate NY 501(c)(3) 11 type I see part vii true MITRAL FOUNDATION 555 5th avenue new york NY 10029 800468600 RESEARCH NY 501(c)(3) 11 type I ismms true msmc residential realty llc 1425 madison avenue new york NY 10029 200244426 real estate NY 501(c)(3) 11 type i see part vii true mount sinai diagnostic & treatment ctr one gustave l levy place new york NY 10029 450537391 diag clinic NY 501(c)(3) 3 msh true msmc residential realty manager inc 1425 madison avenue New York NY 10029 201289396 Real Est Mgmt NY 501(c)(3) 11 type I see part vii true THE CHILDREN'S CENTER FOUNDATION one gustave l levy place new york NY 10029 201289396 Support NY 501(c)(3) 11 type I ISMMS false false true true false true false false false true true true false true true true true true true false Mount Sinai Diagnostic & Treatment Center b 13542003 cost ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI b 60374 cost ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI b 16096089 cost MSMC REALTY CORP C 3526631 cost MSMC RESIDENTIAL REALTY CORP C 60374 COST ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI e 4748162 COST mount sinai diagnostic & treament center I 2891179 cost ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI k 8051106 cost MSMC REALTY CORP K 4794720 cost ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI M 12248249 cost ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI n 21684809 cost ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI P 163036250 cost msmc residential realty corp P 4626489 cost ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI Q 896106814 cost mount sinai diagnostic & treament center Q 26287917 cost MSMC REALTY CORP R 505000 cost ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI H 49175533 cost Part II, Line 3, column F direct controlling entity THE ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, AND THE MOUNT SINAI MEDICAL CENTER ARE ALL MEMBERS OF THIS ENTITY. PART II, LINE 5, COLUMN F DIRECT CONTROLLING ENTITY THE ICHAN SCHOOL OF MEDCINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, THE MSMC REALTY CORPORATION, AND THE MSMC RESIDENTIAL REALTY MANAGERS LLC ARE ALL MEMBERS OF THIS ENTITY. PART II, LINE 7, COLUMN F DIRECT CONTROLLING ENTITY THE ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, AND THE MSMC REALTY CORPORATION ARE ALL MEMBERS OF THIS ENTITY.