MITRAL FOUNDATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MITRAL FOUNDATION (EIN 80-0468600)
Tax period
2011-01-01 to 2011-12-31
Filed
2013-01-30
IRS object ID
201330309349300773
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-01-30T17:10:53-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE STE 2600AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN800468600EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Mitral FoundationBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% STEPHEN HARVEYInCareOfName
Name ControlMITRNameControl
Phone2127313413Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11190 fifth avenueAddressLine1
Citynew yorkCity
StateNYState
ZIP Code10029ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEPHEN HARVERYName
TitleTREASURERTitle
Date Signed2013-01-30DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer Personstephen harveyNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1one gustave l levy placeAddressLine1
Citynew yorkCity
StateNYState
ZIP Code10029ZIPCode
FieldValueIRS element (for citing)
Gross Receipts30056GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitehttp://www.mitralfoundation.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2009YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionThe mitral Foundation is a supporting organization with the purpose to support the Mitral Valve Repair Reference Center at The Mount Sinai hospital.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year528959ContributionsGrantsPriorYear
Contributions Grants Current Year30056ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year473InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year529432TotalRevenuePriorYear
Total Revenue Current Year30056TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year65432GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1310710GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year125OtherExpensePriorYear
Other Expenses Current Year51478OtherExpensesCurrentYear
Total Expenses Prior Year65557TotalExpensesPriorYear
Total Expenses Current Year1362188TotalExpensesCurrentYear
Revenues Less Expenses Prior Year463875RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1332132RevenuesLessExpensesCY
Total Assets BOY1013005TotalAssetsBOY
Total Assets EOY0TotalAssetsEOY
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY319127TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1013005NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-319127NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MITRAL FOUNDATION IS A SUPPORTING ORGANIZATION WITH THE PURPOSE TO SUPPORT THE MITRAL VALVE REPAIR REFERENCE CENTER AT THE MOUNT SINAI HOSPITAL.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1359913Expense
Grants1310710Grants
Revenue0Revenue
DescriptionMitral Foundation is dedicated to advancing the understanding of mitral valve disease and support the Mitral Valve Repair Reference Center.Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense1359913TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSTEPHEN HARVEYNamePerson
Telephone Number2127313413TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1633 3RD AVENUE 10TH FLOOR - BOX 45AddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10017ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
David Adams MD 12
president1.0X0301450036141
Dennis Charney 12
director1.0X0120016939815
Valentin Fuster MD 1
director1.0X0101306443566
Wayne Keathley 1
director1.0X0123444546452
Stephen Harvey 1
Treasurer/director1.0X067083968426
Mark Kostegan fahp 1
Vice President/director1.0X082746642420
Jurgen Friedrich
Chairman/director1.0X000
Frederick Cummings Esq
Secretary/director1.0X
WOLFRAM HEISE MD
DIRECTOR1.0X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs7960483TotalReportableCompFrmRltdOrgs
Total Other Compensation276820TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions30056AllOtherContributions
Total Contributions30056TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column30056TotalRevenueColumn

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1310710Total
Program Services1310710ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total2275Total
Management And General2275ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total37000Total
Program Services37000ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total12203Total
Program Services12203ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1362188Total
Program Services1359913ProgramServices
Management And General2275ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1013005BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1013005BOY
EOY0EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY319127EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY319127EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1013005BOY
EOY-319127EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1013005BOY
EOY-319127EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1013005BOY
EOY0EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-1332132ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Written IRS DeterminationXWrittenIRSDetermination
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (2 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocAmountAmount
MOUNT SINAI SCHOOL OF MEDICINE
13617119702true$1,310,710
MOUNT SINAI HOSPITAL
13162409603true$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs2TotalNumberOfSupportedOrgs
Sum Of Amounts1310710SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements
EquipmentEquipment
Other Land BuildingsOtherLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO MT. SINAI SCHOOL OF MEDICINEDescription
Amount$319,127Amount
FieldValueIRS element (for citing)
Total Of Amounts319127TotalOfAmounts

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1MOUNT SINAI SCHOOL OF MEDICINEBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1ONE GUSTAVE L LEVY PLAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10029ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient136171197EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant1310710AmountOfCashGrant
Purpose Of GrantFUNDING CAPITAL PROJECTSPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPart I, Line 2Identifier
ExplanationGrant is made to a related tax exempt organization and monitoring is not required because funds are used to further exempt purpose.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
David Adams MD 12
021209700028024030212100149310305064100
Dennis Charney 12
0600000028007803200910245000153150123998400
Valentin Fuster MD 1
0212097015000006509670212100223560105663000
Wayne Keathley 1
0694000042011601203290245000219520128089700
Stephen Harvey 1
04560000163379051460024500043926073926500
Mark Kostegan fahp 1
050000002100190117447024500017920086988600

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierPart VII, Section A & Schedule JIdentifier
Return ReferenceCompensation FootnotesReturnReference
Explanation(1)Compensation and benefits are funded from The Mount Sinai Hospital and/or Mount Sinai School of Medicine. (2)Employee has an outstanding loan reflected in Schedule L, Part II of Mount Sinai School of Medicine's Form 990.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990, PART I, LINE 5NUMBER OF EMPLOYEESMOUNT SINAI HOSPITAL OPERATES ALL PAYROLLS FOR RELATED ENTITIES AND ALL SALARIES ARE ALLOCATED BACK TO THE SEPARATE ENTITIES AND REPORTED AS IF PAID DIRECTLY BY THEM. THE HOSPITAL, MOUNT SINAI SCHOOL OF MEDICINE, ELMHURST HOSPITAL CENTER AND QUEENS HOSPITAL CENTER UTILIZE A COMMON PAYMASTER UNDER THE HOSPITAL'S TAX IDENTIFICATION NUMBER, WHICH ON A COMBINED BASIS COVERS 20,541 INDIVIDUALS. MITRAL FOUNDATION DOES NOT HAVE ANY EMPLOYEES AND RECEIVES SERVICES FROM EMPLOYEES OF MOUNT SINAI SCHOOL OF MEDICINE AND THE MOUNT SINAI HOSPITAL.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 PROVIDED TO GOVERNING BODYTHE 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 FINANCE DEPARTMENT, THE GENERAL COUNSEL'S OFFICE, THE COMPLIANCE DEPARTMENT AND E&Y REVIEWED THE RESPONSES PROVIDED BY TRUSTEES IN THE QUESTIONNAIRES AND ASSESSED ADDITIONAL PERTINENT FACTS GATHERED BY THE INSTITUTION IN ORDER TO EVALUATE THE APPLICABILITY OF IRS REPORTING REQUIREMENTS. THE FINANCE DEPARTMENT, THE GENERAL COUNSEL'S OFFICE, AND THE COMPLIANCE DEPARTMENT THEN RECOMENDED THE APPROPRIATE TRUSTEE DISCLOSURES THAT SHOULD BE MADE ON FORM 990. THESE RECOMMENDATIONS WERE REVIEWED AND APPROVED BY E&Y. *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, 2012, BE PROVIDED TO ALL TRUSTEES VIA THE TRUSTEES' CONFIDENTIAL WEBSITE, AND THOSE RETURNS WERE SO PROVIDED ON THAT WEBSITE PRIOR TO THE FILING OF THE RETURNS.
FORM 990, PART VI, SECTION B, LINE 12CMONITORING & ENFORCING COMPLIANCE WITH THE POLICYCOMPLIANCE WITH THE ORGANIZATION'S BUSINESS CONFLICTS OF INTEREST POLICY (THE "POLICY") IS REQUIRED OF TRUSTEES, EMPLOYEES, MEDICAL STAFF AND NON-EMPLOYEE MEMBERS OF INSTITUTIONAL COMMITTEES AND INCLUDES AN ONGOING DUTY TO DISCLOSE POTENTIAL CONFLICTS. COMPLIANCE WITH THE POLICY IS MONITORED AND ENFORCED REGULARLY AND CONSISTENTLY. ALL DISCLOSURES WITH THE POTENTIAL FOR CONFLICT ARE REVIEWED BY AN APPROPRIATE COMMITTEE WHERE THEY ARE CAREFULLY EVALUATED. WHEN APPROPRIATE, A PLAN, WHICH MAY INVOLVE MEASURES INCLUDING, BUT NOT LIMITED TO, RECUSAL FROM PARTICIPATING IN AFFECTED TRANSACTIONS, IS DEVELOPED TO MANAGE THE POTENTIAL CONFLICT.
FORM 990, PART VI, SECTION B, QUESTIONS 12-14THE BOARDS OF MSMC, MSSM AND MSH HAVE ADOPTED ALL POLICIES REFERRED TO IN FORM 990, PART VI, SECTION B QUESTIONS 12 TO 14, WHICH COVER ALL OWNED/CONTROLLED ENTITIES, INCLUDING MITRAL FOUNDATION.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLICTHE ORGANIZATION MAKES ITS BUSINESS CONFLICTS OF INTEREST POLICY AVAILABLE ON ITS WEBSITE (WWW.MOUNTSINAI.ORG) AND MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, Part VII, SEction A Devoted Hours to Related Organization *Dennis S. Charney, MD - 1 hour with MSMC, 55 hours with MSSM, *Wayne Keathley - 1 hour with MSMC, 55 hours with MSH *Stephen Harvey - 1 hour with MSMC, 55 hours with MSSM, 1 hour with MSMC Realty Corp. - 1 hour with MSMC Residential Realty *Mark Kostegan, FAHP - 1 hours with MSMC, 16.5 hours with MSH, 38.5 hours with MSSM *David Adams, MD - 55 Hours with MSSM *Valentin Fuster, MD - 55 Hours with MSSM

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Mount Sinai School of Medicine
One Gustave L Levy Placenew yorkNY10029136171197schoolNY501(C)(3)2nafalse
the Mount sinai hospital
one gustave l levy placenew yorkNY10029131624096hospitalNY501(C)(3)3nafalse
THE MOUNT SINAI CHILDREN'S CENTER FND
one gustave l levy placeNEW YORKNY10029223059294SUPPORTNY501(C)(3)11 TYPE Imssmtrue
MOUNT SINAI MEDICAL CENTER
one gustave l levy placeNEW YORKNY10029136271888SUPPORTNY501(C)(3)11 TYPE IINAfalse
MSMC REALTY CORPORATION
one gustave l levy placeNEW YORKNY10029133852596REAL ESTATENY501(C)(3)11 TYPE ISEE PART VIItrue
MSMC RESIDENTIAL REALTY LLC
1425 MADISON AVENUENEW YORKNY10029200244426REAL ESTATENM501(C)(3)11 TYPE ISEE PART VIItrue
MOUNT SINAI DIAGNOSTIC & TREATMENT CTR
one gustave l levy placeNEW YORKNY10029450537391DIAG CLINICNY501(C)(3)3mshtrue
MSMC RESIDENTIAL REALTY MGMT
1425 MADISON AVENUENEW YORKNY10029201289396MANAGEMENTNY501(C)(3)11 TYPE ISEE PART VIItrue
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1Mount Sinai School of MedicineBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypebTransactionType
Amount Involved1310710AmountInvolved
Method Of Amt DeterminationCOSTMethodOfAmtDetermination

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierPART II, LINE 5, COLUMN FIdentifier
Return ReferenceDIRECT CONTROLLING ENTITYReturnReference
ExplanationTHE MOUNT SINAI SCHOOL OF MEDICINE, THE MOUNT SINAI HOSPITAL, AND THE MOUNT SINAI MEDICAL CENTER ARE MEMBERS OF THIS ENTITY. PART II, LINE 6, COLUMN F DIRECT CONTROLLING ENTITY THE MOUNT SINAI SCHOOL OF MEDICINE, THE MOUNT SINAI HOSPITAL, THE MSMC REALTY CORPORATION, AND THE MSMC RESIDENTIAL REALTY MANAGER LLC ARE ALL MEMBERS OF THIS ENTITY. PART II, LINE 6, COLUMN F DIRECT CONTROLLING ENTITY THE MOUNT SINAI SCHOOL OF MEDICINE, THE MOUNT SINAI HOSPITAL, AND THE MSMC REALTY CORPORATION ARE ALL MEMBERS OF THIS ENTITY.Explanation

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