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        </NameOfContractor>
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            <City>NEW YORK</City>
            <State>NY</State>
            <ZIPCode>10036</ZIPCode>
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        </AddressOfContractor>
        <DescriptionOfServices>legal</DescriptionOfServices>
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        </NameOfContractor>
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            <City>HAUPPAUGE</City>
            <State>NY</State>
            <ZIPCode>11788</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>software maintenance</DescriptionOfServices>
        <Compensation>1835955</Compensation>
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            <City>FLORAL PARK</City>
            <State>NY</State>
            <ZIPCode>11001</ZIPCode>
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      </ForeignGrants>
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      <FeesForServicesLegal>
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        <ManagementAndGeneral>1575396</ManagementAndGeneral>
        <Fundraising>27756</Fundraising>
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      <FeesForServicesAccounting>
        <Total>735000</Total>
        <ManagementAndGeneral>735000</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
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      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
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        <ManagementAndGeneral>18096819</ManagementAndGeneral>
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      <Advertising>
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        <ProgramServices>318250235</ProgramServices>
        <ManagementAndGeneral>719253</ManagementAndGeneral>
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        <ManagementAndGeneral>1541357</ManagementAndGeneral>
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      <Royalties>
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      </Royalties>
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        <ManagementAndGeneral>76736</ManagementAndGeneral>
        <Fundraising>13624</Fundraising>
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      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>1668332</Total>
        <ProgramServices>1447945</ProgramServices>
        <ManagementAndGeneral>220387</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>19923541</Total>
        <ProgramServices>19923541</ProgramServices>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>74162020</Total>
        <ProgramServices>61302326</ProgramServices>
        <ManagementAndGeneral>12859694</ManagementAndGeneral>
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      <Insurance>
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      <OtherExpenses>
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        <Total>21574024</Total>
        <ProgramServices>21574024</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
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        <Fundraising>8067</Fundraising>
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      <OtherExpenses>
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      <OtherExpenses>
        <Description>LOSS ON REFUNDING OF DEBT</Description>
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      <FSAudited>true</FSAudited>
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    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
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      <TotalDirectLobbying />
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      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
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      <Form990ScheduleCPartIV>
        <Identifier>Part II-B, Line I</Identifier>
        <ReturnReference>Other Activities</ReturnReference>
        <Explanation>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 - $36,061 *Sieu &amp; Gnyha - $69,496 *Greater New York Hospital Association - $27,360 *Health Association of NYS (HANYS) - $60,864 *1199 SIEU - $210,460</Explanation>
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        <BookValue>69213090</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DEFERRED FINANCING FEES</Description>
        <BookValue>8224959</BookValue>
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      <OtherAssets>
        <Description>DEPOSITS HELD BY THIRD PARTIES</Description>
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      <OtherAssets>
        <Description>THIRD PARTIES REC POOL RELATED</Description>
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      <OtherAssets>
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      </OtherAssets>
      <OtherAssets>
        <Description>FICA RECEIVABLE</Description>
        <BookValue>13084302</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>PROF BILLING RECEIVABLE</Description>
        <BookValue>1929554</BookValue>
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      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>POST RETIREMENT BENEFITS</Description>
        <Amount>19328637</Amount>
      </OtherLiabilities>
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        <Description>RESERVE FOR SELF INS LIABILITY</Description>
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      </OtherLiabilities>
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      </OtherLiabilities>
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      <TotalRevenuePerForm990>1681597557</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>1538049000</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>31537467</OtherExpensesIncluded>
      <ExpensesNotRptdF990>31537467</ExpensesNotRptdF990>
      <ExpensesSubtotal>1506511533</ExpensesSubtotal>
      <OtherExpensesNotIncluded>30215362</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>30215362</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>1536726895</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part V, Line 4</Identifier>
        <ReturnReference>Intended Uses of Organization's Endowment Funds</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8</Identifier>
        <ReturnReference>Reconciliation of Change in Net Assets</ReturnReference>
        <Explanation>*Net Change in Captive Insurance Program - $5,803,682 *Change in Postretirement Liability - ($2,282,060) TOTAL - $3,521,622</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line #2d</Identifier>
        <ReturnReference>Reconciliation of Revenue per AFS</ReturnReference>
        <Explanation>*Assets Released from Restrictions - $23,979,744 *Diagnostic &amp; Treatment Center - $14,610,815 TOTAL - $38,590,559</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line #4B</Identifier>
        <ReturnReference>Reconciliation of Revenue per AFS</ReturnReference>
        <Explanation>*All other Contributions - $49,301,000 *Investment Fees - $851,324 *Distribution from msmc residental realty, llc - $1,116,477 *third parties reimbursement settlement - $22,686,447 *gain on sale of interest in managed long term care organization - $7,708,707 *medical residents fica refund - $13,084,302 *rounding - $859 TOTAL - $94,749,116</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XIII, Line #2d</Identifier>
        <ReturnReference>Reconciliation of Expenses Per AFS</ReturnReference>
        <Explanation>*Diagnostic &amp; Treatment Center - $31,537,467 TOTAL - $31,537,467</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XIII, Line #4B</Identifier>
        <ReturnReference>Reconciliation of Expenese per AFS</ReturnReference>
        <Explanation>*loss of refunding and refinancing of debt - $9,470,515 *transfer to affiiates - $8,012,413 *Malpractice Insurance Interest Rate surplus - ($6,161,130) *Investment Fees - $851,324 *Contribution to Mt. Sinai DTC - $16,926,652 *transfer to the mount sinai school of medicine - $1,116,477 *Rounding - ($889) TOTAL - $30,215,362</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="IRS990ScheduleF">
      <GrantRecordsMaintained>true</GrantRecordsMaintained>
      <AcctsActvsOutUSTable>
        <Region>Central America and the Caribbean</Region>
        <NumberOfOffices>2</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>Program Services</TypeOfActivitiesConducted>
        <SpecificServicesProvided>insurance</SpecificServicesProvided>
        <TotalExpenditures>0</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>Central America and the Caribbean</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>Investments</TypeOfActivitiesConducted>
        <SpecificServicesProvided>investment</SpecificServicesProvided>
        <TotalExpenditures>181527645</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <SubtotalNumberOfOffices>2</SubtotalNumberOfOffices>
      <SubtotalNumberOfEmployees>0</SubtotalNumberOfEmployees>
      <TotalNumberOfOffices>2</TotalNumberOfOffices>
      <TotalNumberOfEmployees>0</TotalNumberOfEmployees>
      <SubtotalAmountSpent>181527645</SubtotalAmountSpent>
      <TotalAmountSpent>181527645</TotalAmountSpent>
      <TransferToForeignCorp>true</TransferToForeignCorp>
      <InterestInForeignTrust>false</InterestInForeignTrust>
      <OwnForeignCorp>true</OwnForeignCorp>
      <PassiveForeignInvestCo>false</PassiveForeignInvestCo>
      <ForeignPartnership>false</ForeignPartnership>
      <BoycottCountries>false</BoycottCountries>
      <Form990ScheduleFPartV>
        <Identifier>Part I, Line 2</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleFPartV>
    </IRS990ScheduleF>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent100>X</Pcent100>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent300>X</Pcent300>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>42740751</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>12829611</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>29911140</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01970</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>370009775</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>312239639</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>57770136</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03810</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>412750526</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>325069250</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>87681276</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05780</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>11546128</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>11546128</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00760</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>152087257</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>66284260</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>85802997</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05660</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>30576591</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>13649939</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>16926652</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01120</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>96248</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>96248</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>194306224</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>79934199</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>114372025</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07550</PercentOfTotalExpense>
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      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>607056750</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>405003449</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>202053301</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.13330</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <CommunitySupport>
        <TotalCommunityBuildingExpense>310126</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>310126</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </CommunitySupport>
      <CoalitionBuilding>
        <TotalCommunityBuildingExpense>48571</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>48571</NetCommunityBuildingExpense>
      </CoalitionBuilding>
      <HealthImprovementAdvocacy>
        <TotalCommunityBuildingExpense>1109969</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>1109969</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00070</PercentOfTotalExpense>
      </HealthImprovementAdvocacy>
      <Total>
        <TotalCommunityBuildingExpense>1468666</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>1468666</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00090</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>8627457</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>399347738</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>360372933</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>38974805</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>20</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>Mount Sinai Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>One Gustave L Levy Place</AddressLine1>
          <City>new york</City>
          <State>NY</State>
          <ZIPCode>10029</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
        <ErOther>X</ErOther>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>2</FacilityNumber>
        <Name>
          <BusinessNameLine1>mount sinai adolescent health center</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>320 e 94th street</AddressLine1>
          <City>new york</City>
          <State>NY</State>
          <ZIPCode>10029</ZIPCode>
        </Address>
        <Other>clinic</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>3</FacilityNumber>
        <Name>
          <BusinessNameLine1>psychiatric outpatient clinic</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1160 fifth avenue</AddressLine1>
          <City>new york</City>
          <State>NY</State>
          <ZIPCode>10029</ZIPCode>
        </Address>
        <Other>clinic</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>4</FacilityNumber>
        <Name>
          <BusinessNameLine1>joseph h hazan amb cardiac center</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1160 FIFTH AVENUE</AddressLine1>
          <City>new york</City>
          <State>NY</State>
          <ZIPCode>10029</ZIPCode>
        </Address>
        <Other>clinic</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>5</FacilityNumber>
        <Name>
          <BusinessNameLine1>mount sinai sports therapy</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>625 madison avenue</AddressLine1>
          <City>new york</City>
          <State>NY</State>
          <ZIPCode>10022</ZIPCode>
        </Address>
        <Other>physical therapy clinic</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>6</FacilityNumber>
        <Name>
          <BusinessNameLine1>bayard rustin educational complex</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>w 18th st</AddressLine1>
          <City>new york</City>
          <State>NY</State>
          <ZIPCode>10011</ZIPCode>
        </Address>
        <Other>part time clinic</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>7</FacilityNumber>
        <Name>
          <BusinessNameLine1>ps 108</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1615 madison avenue</AddressLine1>
          <City>new york</City>
          <State>NY</State>
          <ZIPCode>10029</ZIPCode>
        </Address>
        <Other>part time clinic</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>8</FacilityNumber>
        <Name>
          <BusinessNameLine1>jhs 117 (alternative education complex)</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>240 e 109th street</AddressLine1>
          <City>new york</City>
          <State>NY</State>
          <ZIPCode>10029</ZIPCode>
        </Address>
        <Other>part time clinic</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>9</FacilityNumber>
        <Name>
          <BusinessNameLine1>ps 38</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>232 e 103rd street</AddressLine1>
          <City>new york</City>
          <State>NY</State>
          <ZIPCode>10029</ZIPCode>
        </Address>
        <Other>part time clinic</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>10</FacilityNumber>
        <Name>
          <BusinessNameLine1>JULIAN RICHMOND HIGH SCHOOL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>317 e 67th street</AddressLine1>
          <City>new york</City>
          <State>NY</State>
          <ZIPCode>10021</ZIPCode>
        </Address>
        <Other>part time clinic</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>11</FacilityNumber>
        <Name>
          <BusinessNameLine1>ps 83 mendoza school</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>219 e 109th street</AddressLine1>
          <City>new york</City>
          <State>NY</State>
          <ZIPCode>10029</ZIPCode>
        </Address>
        <Other>part time clinic</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>12</FacilityNumber>
        <Name>
          <BusinessNameLine1>manhattan center for math &amp; scienceS</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>fdr drive 116th street</AddressLine1>
          <City>new york</City>
          <State>NY</State>
          <ZIPCode>10029</ZIPCode>
        </Address>
        <Other>part time clinic</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>13</FacilityNumber>
        <Name>
          <BusinessNameLine1>mount sinai hospital of queens</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>25-10 30th avenue</AddressLine1>
          <City>long island city</City>
          <State>NY</State>
          <ZIPCode>11102</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
        <ErOther>X</ErOther>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>14</FacilityNumber>
        <Name>
          <BusinessNameLine1>primary care center</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>3006 crescent street</AddressLine1>
          <City>astoria</City>
          <State>NY</State>
          <ZIPCode>11102</ZIPCode>
        </Address>
        <Other>clinic</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>15</FacilityNumber>
        <Name>
          <BusinessNameLine1>Center for Advanced Medicine</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>5 e 102nd street</AddressLine1>
          <City>new york</City>
          <State>NY</State>
          <ZIPCode>10029</ZIPCode>
        </Address>
        <Other>clinic</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>16</FacilityNumber>
        <Name>
          <BusinessNameLine1>Mount Sinai Queens Physician Associates</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>27-15 30th avenue</AddressLine1>
          <City>long island city</City>
          <State>NY</State>
          <ZIPCode>11102</ZIPCode>
        </Address>
        <Other>clinic</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>17</FacilityNumber>
        <Name>
          <BusinessNameLine1>Mt Sinai Psy Continuing Day Treatment</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>53-55 east 96th street abc 1st</AddressLine1>
          <City>new york</City>
          <State>NY</State>
          <ZIPCode>10029</ZIPCode>
        </Address>
        <Other>clinic</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>18</FacilityNumber>
        <Name>
          <BusinessNameLine1>ambulatory care center</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1200 fifth avenue</AddressLine1>
          <City>new york</City>
          <State>NY</State>
          <ZIPCode>10029</ZIPCode>
        </Address>
        <Other>clinic</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>19</FacilityNumber>
        <Name>
          <BusinessNameLine1>mount sinai comprehensive health</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>26 west seventh avenue</AddressLine1>
          <City>new york</City>
          <State>NY</State>
          <ZIPCode>10011</ZIPCode>
        </Address>
        <Other>clinic</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>20</FacilityNumber>
        <Name>
          <BusinessNameLine1>mount sinai kidney center</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>309 east 94th street</AddressLine1>
          <City>new york</City>
          <State>NY</State>
          <ZIPCode>10029</ZIPCode>
        </Address>
        <Other>clinic</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Mount Sinai Hospital</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>mount sinai adolescent health center</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>2</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>psychiatric outpatient clinic</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>3</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>joseph h hazan amb cardiac center</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>4</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>mount sinai sports therapy</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>5</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>bayard rustin educational complex</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>6</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>ps 108</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>7</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>jhs 117 (alternative education complex)</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>8</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>ps 38</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>9</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>JULIAN RICHMOND HIGH SCHOOL</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>10</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>ps 83 mendoza school</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>11</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>manhattan center for math &amp; scienceS</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>12</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>mount sinai hospital of queens</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>13</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>primary care center</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>14</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Center for Advanced Medicine</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>15</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
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        <Explanation>The Mount Sinai Hospital used the ratio of cost-to-charges methodology for costing purposes for lines 7a, 7b and 7f. The cost-to-charge ratio was derived utilizing Worksheet 2, Ratio of Patient Care Costs-to-Charges. For lines 7e, 7g and 7i, the Hospital reported actual costs. 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 2010, the Hospital funded the MSDTC's operating loss of $16.9 million. Part III, Line 4 The Mount Sinai Hospital used the ratio of cost-to-charges methodology as derived from Worksheet 2, Ratio of Patient Care Costs-to-Charges to determine its bad debt expense at cost. Any discounts or other allowances are recorded as reductions to revenue and, therefore, excluded from bad debt expense. Similarly, charity care allowances that are determined based on a patient's ability to pay are excluded from bad debt expense. The Hospital's footnote disclosure on bad debt expense includes the following: "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 $17.7 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. 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 &amp; 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 &amp; 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 &amp; 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</Explanation>
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        <NamePerson>David nierman md</NamePerson>
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        <NamePerson>melissa pessin-minsley md</NamePerson>
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        <NamePerson>ajoy sinha md</NamePerson>
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        <NamePerson>bernard biviano</NamePerson>
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        <NamePerson>jack nelson</NamePerson>
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        <NamePerson>frank cino</NamePerson>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <Explanation>Schedule J, Part I, line 1a Housing Allowance Dr. Kenneth Davis receives a taxable housing allowance from the Mount Sinai Hospital and Mount Sinai School of Medicine as it is expected that he live in close proximity to the institution given his role as the Chief Executive. Form 990, Part VII, Section A &amp; Schedule J compensation footnotes Officers of the Board of Trustees hours reflect service to either/or, or all, the Mount Sinai Hospital, Mount Sinai School of Medicine, The Mount Sinai Medical Center, Inc. and all related entities. (1) Employee has an outstanding loan reflected in Schedule L, Part II of Mount Sinai School of Medicine's Form 990. (2) A portion of this compensation and benefits is attributable to her services provided to Mount Sinai School of Medicine. (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 &amp; 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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>dormitory authority of the state of new york</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>146000293</IssuerEIN>
        <CUSIPNumber>649905q58</CUSIPNumber>
        <DateIssued>2010-06-10</DateIssued>
        <IssuePrice>348374400</IssuePrice>
        <DescriptionOfPurpose>refinance outstanding debt</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>348374400</TotalProceeds>
        <IssuanceCostsFromProceeds>950618</IssuanceCostsFromProceeds>
        <OtherSpentProceeds>347423782</OtherSpentProceeds>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <Identifier>Supplemental Information</Identifier>
        <Explanation>In June 2010, the Hospital refunded and refinanced its outstanding Series 2000 bonds. The Series 2000 bonds has been issued for two purposes. One reason for these bonds was to refund outstanding 1992 bonds that had been issued to finance the construction of the new hospital building. the other purpose of the 2000 bonds was to finance projects the hospital had completed or was planning to undertake, including the purchase of MSH-Queens, renovation of the radiology department and various other construction projects.</Explanation>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Hess Corporation</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>John Hess, Trustee</Relationship>
        <AmountOfTransaction>22692660</AmountOfTransaction>
        <DescriptionOfTransaction>See part v</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>XO Communications</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Carl Icahn, Trustee</Relationship>
        <AmountOfTransaction>798333</AmountOfTransaction>
        <DescriptionOfTransaction>See part v</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>universal hospital service inc</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>john howard, trustee</Relationship>
        <AmountOfTransaction>127742</AmountOfTransaction>
        <DescriptionOfTransaction>See part v</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>dr Carolyn sicher</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>susan cullman/edgar, trus</Relationship>
        <AmountOfTransaction>88408</AmountOfTransaction>
        <DescriptionOfTransaction>See part v</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Dr Elissa Gretz Friedman</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Robert Friedman, trustee</Relationship>
        <AmountOfTransaction>118017</AmountOfTransaction>
        <DescriptionOfTransaction>See part v</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Dr Irwin Gribetz</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Judah Gribetz, trustee</Relationship>
        <AmountOfTransaction>72438</AmountOfTransaction>
        <DescriptionOfTransaction>See part v</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>kimberly harrison</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>clifford goldsmith,truste</Relationship>
        <AmountOfTransaction>86177</AmountOfTransaction>
        <DescriptionOfTransaction>See part v</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>us foodservice</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>donald gogel, trustee</Relationship>
        <AmountOfTransaction>286351</AmountOfTransaction>
        <DescriptionOfTransaction>See part v</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>karen kostegan</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>mark kostegan, officer</Relationship>
        <AmountOfTransaction>63940</AmountOfTransaction>
        <DescriptionOfTransaction>See part v</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>ethylin wane jabs</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>douglas jabs, key employ</Relationship>
        <AmountOfTransaction>212576</AmountOfTransaction>
        <DescriptionOfTransaction>See part v</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>francesco ramirez</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>margaret pastuszko,key em</Relationship>
        <AmountOfTransaction>255001</AmountOfTransaction>
        <DescriptionOfTransaction>See part v</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>och ziff capital management</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>david windreich, trustee</Relationship>
        <AmountOfTransaction>1851055</AmountOfTransaction>
        <DescriptionOfTransaction>See part v</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>BRIAN SCANLON</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DONALD SCANLON, KEY EM</Relationship>
        <AmountOfTransaction>51518</AmountOfTransaction>
        <DescriptionOfTransaction>See part v</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>Schedule L, Part IV, Column D</Identifier>
        <ReturnReference>Business Transactions involving interested parties</ReturnReference>
        <Explanation>Name of Interested Person: US Foodservice Mount Sinai purchases a portion of its food from US Foodservice. All such purchases are made under a group purchasing organization (GPO) arrangement that has been negotiated with US Foodservice. These GPO prices are available to Mount Sinai and all other members of the local healthcare association. Mr. Gogel is the CEO of a firm that is indirectly a greater-than-35% owner of US Foodservice. Name of Interested Person: Hess Corporation Following an objective, competitive multi-party bidding process, the organization purchased natural gas, electricity and fuel oil from Hess Corporation. Mr. Hess is Chairman of the Board and Chief Executive Officer of, and has a financial interest in, 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 the Chairman of 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: Universal Hospital Service, Inc. Trustee John Howard is a director of Universal Hospital Service, Inc. which does business with The Mount Sinai Hospital following an objective, competitive multi-party bidding process. Name of Interested Person: Carolyn Sicher Trustee Susan Cullman's daughter (who is also Trustee Edgar Cullman, Sr.'s granddaughter) is employed by Mount Sinai School of Medicine. Neither Ms. Cullman nor Mr. Cullman have any involvement in decisions related to her employment. Name of Interested Person: Elissa Gretz Friedman Trustee Robert Friedman's wife is employed by Mount Sinai School of Medicine. 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 Mount Sinai School of Medicine. 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 Mount Sinai School of Medicine. 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 School of Medicine. 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 School of Medicine. Mr. Jabs has no involvement in decisions related to his wife's employment. Name of Interested Person: Francesco Ramirez Key employee Margaret Pastuszko's spouse is an employee of the School of Medicine. Mrs. Pastuszko has no involvement in decisions related to her husband's employment. Name of Interested Person: Brian Scanlon Key Employee Donald Scanlons son is an employee of the Hospital. Mr. Scanlon has no involvement in the decisions related to his sons employment. *All reported amounts reflect aggregate 2010 spending for The Mount Sinai Hospital, Mount Sinai School of Medicine, and all related entities and organizations.</Explanation>
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    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
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      <ArtHistoricalTreasures />
      <ArtFractionalInterest />
      <BooksAndPublications />
      <ClothingAndHouseholdGoods>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NoncashContribsRptdF990>16254</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>resale value</MethodOfDeterminingRevenues>
      </ClothingAndHouseholdGoods>
      <CarsAndOtherVehicles />
      <BoatsAndPlanes />
      <IntellectualProperty />
      <SecuritiesPubliclyTraded>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>21</NumberOfContributions>
        <NoncashContribsRptdF990>1161408</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </SecuritiesPubliclyTraded>
      <SecuritiesCloselyHeldStock />
      <SecuritiesPrtnrshpTrustIntrsts />
      <SecuritiesMiscellaneous />
      <QualifiedContribHistStruct />
      <QualifiedContribOther />
      <RealEstateResidential />
      <RealEstateCommercial />
      <RealEstateOther />
      <Collectibles />
      <FoodInventory />
      <DrugsAndMedicalSupplies />
      <Taxidermy />
      <HistoricalArtifacts />
      <ScientificSpecimens />
      <ArchaeologicalArtifacts />
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>wine</Description>
        <NumberOfContributions>2</NumberOfContributions>
        <NoncashContribsRptdF990>402100</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>auction</MethodOfDeterminingRevenues>
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      <NumberOf8283Received>2</NumberOf8283Received>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>true</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
      <Form990ScheduleMPartII>
        <Identifier>Part I, Line 9</Identifier>
        <ReturnReference>Securities - Publicly traded</ReturnReference>
        <Explanation>*159 Shares of ishares trust msci stock valued at $10,021.77 received on 12/10/10. *37 shares of kimberly-clark (kmb) stock valued at $2,456.02 received on 9/23/10. *660 shares of BP Amoco (BP) valued at $25,086.60 on 9/15/10. *420 shares of Johnson &amp; Johnson stock valued at $25,548.60 received on 9/15/10. *1,150 shares of Conocophillips stock valued at $60,570.50 on 1/22/10. *950 shares of Johnson &amp; Johnson stock valued at $59,964 received on 2/4/10. *700 shares of British Petroleum (BP) valued at $26,467 received on 7/16/10. *415 shares of Johnson &amp; Johnson (JNJ) stock valued at $24,783.80 received on 7/16/10. *939 shares of Conocophillips stock valued at $50,931.31 on 7/26/10. *35 shares of Alcon stock valued at $5,475.05 received on 2/8/10. *36 shares of Apple stock valued at $7,053.84 recevied on 2/8/10. *179 shares of Microsoft stock valued at $5,012 received on 12/29/10. *6,000 shares of Philip Morris (PM) stock valued at $223,920 received on 6/2/10. *1263 shares of Kraft food (kft) with a total value of $40,289.70 received on 12/23/10. *4,015 shares of Altria Group stock valued at $100,174 received on 12/23/10. *4,015 shares of Philip Morris (PM) stock valued at $235,359.30 received on 12/23/10. *248 shares of texas instrument stock valued at $3,926.52 received on 5/25/10. *78 shares of Coco cola stock valued at $3,926.52 received on 5/25/10. *120 shares of fortune brankd stock valued at $7,402.80 received on 12/15/10. *3,509 shares of Clear Channel stock valued at $50,003.25 received on 12/30/10. *2,600 shares of devon energy stock valued at $191,022 received on 12/20/10.</Explanation>
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    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part I, Line 5</ReturnReference>
        <Explanation>Number of Employees All employees of The Hospital and Mount Sinai School of Medicine, 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 20,541. The number of direct Hospital employees is 11,698. Part VI, Section A, 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 Edgar Cullman, Jr. and Susan Cullman are siblings. *Trustee Edgar Cullman, Sr. was the father of Trustees Susan Cullman and Edgar Cullman, Jr. *Trustees Edgar Cullman, Sr. and Edgar Cullman, Jr. were managing members of the same firm. *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. *Trustee Blaine Fogg is a member of the Board of Directors of a corporation of which Trustee Harvey Blau is Chairman of the Board. *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. 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 &amp; 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 Counsels office and the Compliance Department. These recommendations were reviewed and approved by E&amp;Y. The same process was conducted by the Finance Department, the General Counsels office, the Compliance Department and E&amp;Y with respect to the questionnaires submitted by 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&amp;Y, the Finance Department, the general counsel's office, and the Audit and compliance Committee approved the tax returns as presented. *The Audit and Compliance 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 &amp; 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, Line 15A &amp; 15B 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 presumption of reasonableness. 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 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 the geographic area; current compensation surveys compiled by independent firms; and actual written offers from similar institutions competing for the services of the disqualified person. The Compensation Committee reviews and evaluates the comparability data and any analysis provided by the consultant and decides whether to rely on the data provided. 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, and the CEO's 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 executive staff in executive session (i.e. without staff present). The Compensation Committee contemporaneously documents in written minutes its decisions, the process used in reaching the decisions, the comparability data relied on in making the decisions, and the Compensation Committee's rationale for the decisions (when one is called for). 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 1,713. 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 5 Reconciliation of net assets Unrealized gain - $27,043,518 Net change in investment in captive Ins Program - $5,803,682 Change in Post retirement liability - ($2,282,060) Rounding - ($662) TOTAL - $30,564,478</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Part VII, Section A</Identifier>
        <ReturnReference>Average Hours Devoted to Related Organizations</ReturnReference>
        <Explanation>*Burton P. Drayer, M.D. - 1 hour with MSMC and 55 hours with MSSM *Deborah Marin, M.D. - 16.5 hours with MSSM *Donald T. Scanlon - 27.5 hours with MSSM, 1 hour with MSMC Realty, 1 hour with MSMC RES REALTY, and 1 hour with MSMC *Frank Cino - 20.9 hours with MSSM and 1 hour with MSMC *Jack Nelson - 7.2 hours with MSSM and 1 hour with MSMC *Jane Maksoud - 29.1 hours with MSSM and 1 hour with MSMC *Jane Whitney - 26.4 hours with MSSM and 1 hour with MSMC *Jeffrey Silberstein, MBA - 27.5 hours with MSSM and 1 hour with MSMC *Kenneth L. Davis, M.D. - 27.5 hours with MSSM, 1 hour with MSMC Realty, and 1 hour with MSMC *Mark Kostegan FAHP - 38.5 hours with MSSM, 1 hour with MSMC, and 1 hour with Mitral Foundation *Maureen Van Benthuysen - 27 hours with MSDTC *Michael Macdonald - 27.5 hours with MSSM and 1 hour with MSMC *Margaret Pastuszko - 27.5 hours with MSSM and 1 hour with MSMC *Elana Abraham - 14 hours with MSSM and 1 hour with MSMC *Wayne Keathley - 1 hour with Mitral Foundation and 1 hour with MSMC *Ira Nash, MD - 5 hours with MSDTC and 1 hour with MSMC *Michael Pastier - 5 hours with MSDTC, 1 hour with MSMC Residential Realty and 1 hour with MSMC *Daryl Wilkerson - 10.5 hours with MSSM *David Nierman - 0 hours to related party</Explanation>
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        <TransactionType>n</TransactionType>
        <AmountInvolved>19599623</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>mount sinai school of medicine</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>m</TransactionType>
        <AmountInvolved>20502890</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>msmc residential realty corp</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>c</TransactionType>
        <AmountInvolved>1116477</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>msmc residential realty corp</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>o</TransactionType>
        <AmountInvolved>4144798</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>mount sinai diagnostic &amp; treament center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>26981010</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>the mount sinai children's center fnd inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>c</TransactionType>
        <AmountInvolved>2500000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <Form990ScheduleRPartVII>
        <Identifier>Part II, Line 3, column F</Identifier>
        <ReturnReference>direct controlling entity</ReturnReference>
        <Explanation>the mount sinai school of medicine, the mount sinai hospital, and the mount sinai medical center are all members of this entity. Part II, Line 4, 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>
      </Form990ScheduleRPartVII>
    </IRS990ScheduleR>
  </ReturnData>
</Return>