2024-11-14T12:21:07+00:00 2023-12-31 346565596 ERNST & YOUNG US LLP ONE MANHATTAN WEST NEW YORK NY 100018604 990 2023-01-01 136271888 THE MOUNT SINAI MEDICAL CENTER MOUN 6466054095 ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 STEPHEN HARVEY EVP, SYSTEM CFO/CCS 6466054002 2024-11-14 true Nicole Sokolowski P01683199 2127733000 2024-11-13 2023 2024-10-15 13:58:12Z STEPHEN HARVEY ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 1001000 false X N/A X 1967 NY THE MEDICAL CENTER SUPERVISES AND COORDINATES POLICIES AND FUNDRAISING ACTIVITIES AND ADMINISTERS INVESTMENTS FOR ENTITIES OF THE MOUNT SINAI HEALTH SYSTEM, INC. 55 55 0 0 -2689363 0 91757 761190 0 0 0 1001000 5749237 -761190 5840994 1001000 0 0 0 0 0 0 0 0 30000 462722 30000 462722 5810994 538278 2341344251 2528989179 2326381046 2514025974 14963205 14963205 PROVIDE FUNDRAISING, SUPPORT, AND MAINTAINS POOLED INVESTMENTS FOR ENTITIES OF THE MOUNT SINAI HEALTH SYSTEM, INC. false false 0 0 0 THE MEDICAL CENTER IS A COMMON MEMBER OF AN INVESTMENT IN 8 EAST 102ND STREET MANAGER LLC. ALL EARNINGS RELATED TO THIS INVESTMENT ARE DISTRIBUTED TO ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI TO PROVIDE STRATEGIC SUPPORT. 0 0 0 THE MEDICAL CENTER MAINTAINS INVESTMENTS IN A POOLED INVESTMENT PORTFOLIO FOR THE BENEFIT OF ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, MOUNT SINAI AUXILIARY BOARD, ST LUKE'S-ROOSEVELT HOSPITAL CENTER, BETH ISRAEL MEDICAL CENTER, NEW YORK EYE AND EAR INFIRMARY, AS WELL AS THE MEDICAL CENTER; COLLECTIVELY, THE MOUNT SINAI HEALTH SYSTEM. THE MOUNT SINAI HEALTH SYSTEM'S PERMANENTLY RESTRICTED ASSETS ARE HELD IN PERPETUITY, BUT THE INCOME DERIVED FROM THESE ASSETS CAN BE USED OR EXPENDED, IN PART OR IN ENTIRETY, FOR EITHER SPECIFIED OR UNSPECIFIED PURPOSES OF THE RESPECTIVE ENTITY, IN ACCORDANCE WITH MOUNT SINAI'S POLICIES AND PROCEDURES GOVERNING THE MANAGEMENT OF INSTITUTIONAL FUNDS. IN ACCORDANCE WITH THE MOUNT SINAI HEALTH SYSTEM'S INVESTMENT POOL AGREEMENT, THE BOOK INCOME EARNED FROM POOLED INVESTMENTS IS CONSOLIDATED IN THE SUPPORTED ENTITIES' RESPECTIVE STATEMENTS OF ACTIVITIES. THE MEDICAL CENTER'S BOOK INCOME DERIVED FROM IT'S PERMANENTLY RESTRICTED ASSETS IS USED TO SUPPORT EITHER SPECIFIED (GENERALLY, THE SCHOOL) OR UNSPECIFIED PURPOSES. THE INVESTMENTS MAINTAINED BY THE MEDICAL CENTER IN THE POOLED INVESTMENT PORTFOLIO MAY GENERATE UNRELATED BUSINESS TAXABLE INCOME ("UBIT"); IN THE EVENT UBTI IS ASSESSED TO THE MEDICAL CENTER, AS THE LEGALLY NAMED ENTITY ON THE INVESTMENT (TYPICALLY A K-1 STATEMENT), THE MEDICAL CENTER REPORTS ALL OF THE UBIT ON ITS 990T AND REMITS THE APPROPRIATE TAX LIABILITY ESTIMATES TO THE IRS AND SETTLES ANY INCOME TAX EXPENSE WITH THE IRS WHEN THE MEDICAL CENTER'S 990T IS FILED FOR THE CORRESPONDING TAX YEAR. THE MEDICAL CENTER ALLOCATES THE INCOME TAX EXPENSE TO THE ENTITIES OF THE HEALTH SYSTEM BASED ON THE EARNINGS DERIVED ON THEIR PRORATA SHARE OF THE INVESTMENT POOL IN ACCORDANCE WITH THE MOUNT SINAI HEALTH SYSTEM'S INVESTMENT POOL AGREEMENT; NONE OF THE OTHER ENTITIES ARE REQUIRED TO REPORT ANY UBIT FROM THE POOLED INVESTMENTS MAINTAINED BY THE MEDICAL CENTER UNDER THE MOUNT SINAI HEALTH SYSTEM INVESTMENT POOL AGREEMENT. 0 true true false false false false false false true false true false false true false true false false false true false false false false false false false false true false false false false false false false false false false false false false true true true false false true 0 0 0 true true false false false false false false false false false false false X 55 55 true false false false true true true true true false false true true true true true true false false false NY X STEPHEN HARVEY 6466054002 150 E 42ND ST 9TH FLOOR NEW YORK NY 10017 ANDREW M SAUL VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 BONNIE M DAVIS MD VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 BRAD KARP SECRETARY/TRUSTEE 2.0 14.0 X X 0 0 0 DONALD J GOGEL VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 HENRY R KRAVIS VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 HON ROBERT E RUBIN VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 JAMES S TISCH CO-CHAIRMEN 2.0 14.0 X X 0 0 0 JAMES W CRYSTAL VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 JEFF T BLAU VICE CHAIRMAN/TRUSTEE 2.0 17.0 X X 0 0 0 JOEL S EHRENKRANZ VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 JOHN A LEVIN VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 JUDITH O RUBIN VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 MICHAEL MINIKES VICE CHAIRMAN/TREASURER/TRUSTEE 2.0 23.0 X X 0 0 0 RICHARD A FRIEDMAN CO-CHAIRMEN 2.0 14.0 X X 0 0 0 RICHARD RAVITCH VICE CHAIRMAN/TRUSTEE (TERM END 6/23) 2.0 17.0 X X 0 0 0 STEVEN HOCHBERG VICE CHAIRMAN/TRUSTEE 2.0 19.0 X X 0 0 0 THOMAS W STRAUSS VICE CHAIRMAN/TRUSTEE 2.0 14.0 X X 0 0 0 ADAM SHAPIRO TRUSTEE 1.0 1.0 X 0 0 0 ALEJANDRO SANTO DOMINGO TRUSTEE 1.0 0.5 X 0 0 0 ANDREW M ALPER TRUSTEE 1.0 5.0 X 0 0 0 ANTON LEVY TRUSTEE 1.0 1.0 X 0 0 0 CAROLYN ROWAN TRUSTEE 1.0 1.0 X 0 0 0 DANIEL A NEFF TRUSTEE 1.0 1.0 X 0 0 0 DANIEL S LOEB TRUSTEE 1.0 0.0 X 0 0 0 DAVID M ZASLAV TRUSTEE 1.0 0.0 X 0 0 0 DAVID WINDREICH TRUSTEE 1.0 5.0 X 0 0 0 DINA POWELL MCCORMICK TRUSTEE 1.0 1.0 X 0 0 0 DOUG OSTROVER TRUSTEE 1.0 1.0 X 0 0 0 EDITH W COOPER TRUSTEE 1.0 1.0 X 0 0 0 ERIC J FRIEDMAN TRUSTEE 1.0 6.0 X 0 0 0 ERIC M RUTTENBERG TRUSTEE 1.0 1.0 X 0 0 0 ERIC S LANE TRUSTEE 1.0 0.0 X 0 0 0 ERIC WALDMAN TRUSTEE 1.0 0.0 X 0 0 0 EVA ANDERSSON DUBIN MD TRUSTEE 1.0 1.0 X 0 0 0 GERALD J CARDINALE TRUSTEE 1.0 0.0 X 0 0 0 GLENN R AUGUST TRUSTEE 1.0 0.0 X 0 0 0 HAMILTON JAMES VICE CHAIRMAN/TRUSTEE 2.0 14.0 X 0 0 0 HENRY CORNELL TRUSTEE 1.0 0.0 X 0 0 0 JOAN SOLOTAR TRUSTEE (AS OF 9/23) 1.0 1.0 X 0 0 0 JOANNA SIRULNICK TRUSTEE (EX-OFFICIO) 1.0 1.0 X 0 0 0 JOSEPH J PLUMERI TRUSTEE 1.0 0.0 X 0 0 0 JOSHUA NASH TRUSTEE 1.0 0.0 X 0 0 0 JOSHUA RUCH TRUSTEE 1.0 1.0 X 0 0 0 KENNETH B MEHLMAN TRUSTEE 1.0 0.0 X 0 0 0 KIMBERLEY D HARRIS TRUSTEE 1.0 6.0 X 0 0 0 LEE OLESKY TRUSTEE 1.0 1.0 X 0 0 0 MARC S LIPSCHULTZ TRUSTEE 1.0 5.0 X 0 0 0 MICHAEL KLEIN TRUSTEE 1.0 0.0 X 0 0 0 NATHAN HOFFMAN TRUSTEE 1.0 1.0 X 0 0 0 NEIL S MITCHELL TRUSTEE (TERM END 3/23) 1.0 0.5 X 0 0 0 NNAMDI OKIKE TRUSTEE 1.0 1.0 X 0 0 0 PETER R ORSZAG TRUSTEE 1.0 0.0 X 0 0 0 RAQUEL K GILINSKI TRUSTEE 1.0 1.0 X 0 0 0 SCOTT GOTTLIEB MD TRUSTEE 1.0 1.0 X 0 0 0 THOMAS L KEMPNER JR TRUSTEE 1.0 1.0 X 0 0 0 THOMAS R BLOCK TRUSTEE 1.0 1.0 X 0 0 0 ZIBBY OWENS TRUSTEE 1.0 1.0 X 0 0 0 BETH ESSIG (1) EVP, GENERAL COUNSEL 0.5 59.5 X 0 1822706 55465 CARL C ICAHN VICE CHAIRMAN 2.0 14.0 X 0 0 0 DENNIS CHARNEY MD (1) (2) PRESIDENT, ACADEMIC AFFAIRS 0.5 59.5 X 0 5416895 54392 ERIC MINDICH VICE CHAIRMAN 2.0 14.0 X 0 0 0 GLENN DUBIN VICE CHAIRMAN 2.0 14.0 X 0 0 0 JAMES NEARY VICE CHAIRMAN 2.0 14.0 X 0 0 0 JEFFREY SILBERSTEIN (1) EVP, SYSTEM CAO 0.5 59.5 X 0 1484091 34656 JEREMY BOAL (1) EVP, SYSTEM CHIEF CLINICAL OFF 0.5 59.5 X 0 1765171 89471 JOEL I PICKET VICE CHAIRMAN 2.0 17.0 X 0 0 0 JOHN HESS VICE CHAIRMAN 2.0 14.0 X 0 0 0 KENNETH DAVIS MD (1) PRESIDENT AND CEO 0.5 59.5 X 0 7103412 96314 MARGARET PASTUSZKO (1) PRESIDENT, SYSTEM COO 0.5 59.5 X 0 2423803 69483 MICHAEL PASTIER (1) SVP, CHIEF FINANCIAL OFFICER 0.5 59.5 X 0 1389710 83500 STEPHEN HARVEY (1) EVP, SYSTEM CFO 0.5 59.5 X 0 2026048 81824 SUSAN R CULLMAN VICE CHAIRMAN 2.0 14.0 X 0 0 0 FRANK CINO (1) SVP, SYSTEM CHIEF RISK OFFICER 0.5 59.5 X 0 766371 57618 0 24198207 622723 0 false true false 0 761190 761190 0 0 0 0 0 73000 -2689363 2762363 0 0 928000 928000 0 928000 928000 8 EAST 102ND STREET MANAGER LLC TRANSFER 525990 -761190 -761190 0 0 0 0 -761190 1001000 0 -2689363 2929173 X 0 0 71000 0 71000 0 STATE TAX 391722 391722 0 0 0 0 462722 0 462722 0 81627067 125566948 0 0 0 0 0 0 351595092 442266820 1904650218 1958449868 0 3471874 2705543 2341344251 2528989179 0 2326381046 2514025974 2326381046 2514025974 X 14963205 14963205 14963205 14963205 2341344251 2528989179 X 538278 305000 -843278 X false true X true false X X X 5 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI 136171197 2 true 0 0 THE MOUNT SINAI HOSPITAL 131624096 3 true 0 0 BETH ISRAEL MEDICAL CENTER 135564934 3 true 0 0 ST LUKE'S-ROOSEVELT HOSPITAL CENTER 132997301 3 true 0 0 NEW YORK EYE AND EAR INFIRMARY 135562304 3 true 0 0 5 0 0 true false false false false false false false false false false false false false false true Schedule A, Part I, Line 12g MOUNT SINAI MEDICAL CENTER ("MSMC") HAS A TYPE II RELATIONSHIP WITH THE MAJORITY OF ITS SUPPORTED ORGANIZATIONS. IT ALSO HAS A TYPE III RELATIONSHIP WITH THE ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI. THE TWO ORGANIZATIONS MAINTAIN A CLOSE AND CONTINUOUS WORKING RELATIONSHIP, WITH THE ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI HAVING A SIGNIFICANT VOICE IN ITS PORTION OF MSMC'S INVESTMENTS AND ASSETS AND THE INCOME FROM THOSE ASSETS IS TREATED AS THE INCOME OF THE ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI. ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ALSO HAS THE INFORMATION THAT A TYPE III SUPPORTING ORGANIZATION IS REQUIRED TO PROVIDE TO ITS SUPPORTED ORGANIZATIONS. THE CFO OF THE ICAHN SCHOOL OF MEDICINE IS ALSO AN OFFICER OF MSMC AND WAS AWARE OF THE AMOUNT AND TYPE OF SUPPORT PROVIDED BY MSMC, HAD A COPY OF MSMC'S FORM 990, AND HAD A COPY OF MSMC'S GOVERNING DOCUMENTS. THE CFO OF THE ICAHN SCHOOL OF MEDICINE WAS MADE AWARE OF THE REQUIRED INFORMATION BY A NOTICE WITH THAT INFORMATION SENT AS SOON AS THE MSMC 990 WAS COMPLETE. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14963205 14963205 14963205 14963205 14963205 14963205 14963205 14963205 14963205 14963205 0.0 1.0 0.0 false false HEDGE FUND 1126152516 F PRIVATE EQUITY 832297352 F 1958449868 DUE TO ISMMS 955648 DUE TO MSH 67902 SPLIT INTEREST AGREEMENT 1681993 POOLED INVESTMENTS HELD FOR ISMMS 937417071 POOLED INVESTMENTS HELD FOR MSH 1404026330 POOLED INVESTMENTS HELD FOR MSA 3637444 POOLED INVESTMENTS HELD FOR SLR 45683557 POOLED INVESTMENTS HELD FOR BIMC 22037044 POOLED INVESTMENTS HELD FOR NYEE 45945499 POOLED INVESTMENTS HELD FOR SNCH 52573486 2514025974 0 0 0 1001000 1001000 1001000 0 0 0 462722 462722 462722 Schedule D, Part V, Line 4 Intended uses of endowment funds THE MEDICAL CENTER'S ENDOWMENT FUNDS' INTENDED USE IS TO GENERATE INCOME FOR THE BENEFIT OF ITS SUPPORTED ORGANIZATIONS PER THE MEDICAL CENTER'S MISSION. IN 2023, ALL BOOK INVESTMENT INCOME, EXPENDITURES, AND SIMILAR ACTIVITY GENERATED BY THE MEDICAL CENTER'S ENDOWMENTS WERE DESIGNATED TO SUPPORT THE ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI AND ARE RECORDED ON THE SCHOOL'S BOOKS ACCORDINGLY. ALL UBTI GENERATED BY THE MOUNT SINAI HEALTH SYSTEMS'S POOLED INVESTMENTS IS REPORTED ON THE MEDICAL CENTER'S 990T OF THE CORRESPONDING TAX YEAR IN ACCORDANCE WITH THE MOUNT SINAI HEALTH SYSTEM'S INVESTMENT POOL AGREEMENT, FURTHER DESCRIBED IN FORM 990, PART III - PROGRAM SERVICE, LINE 4B. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements INTEREST AND DIVIDEND INCOME - 73000 NET REALIZED GAINS AND LOSSES ON SALES OF SECURITIES - 928000 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements STATE TAX - 391722 OTHER FEES AND EXPENSES - 71000 Central America and the Caribbean 0 0 Investments 1092230786 0 0 0 0 0 0 1092230786 0 1092230786 true false true true true false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual false false false false false false false false false KENNETH DAVIS MD (1) PRESIDENT AND CEO 0 3700000 0 1500000 0 1903412 0 33000 0 63314 0 7199726 0 0 DENNIS CHARNEY MD (1) (2) PRESIDENT, ACADEMIC AFFAIRS 0 1100000 0 308000 0 4008895 0 33000 0 21392 0 5471287 0 0 MARGARET PASTUSZKO (1) PRESIDENT, SYSTEM COO 0 1750000 0 471625 0 202178 0 33000 0 36483 0 2493286 0 0 JEREMY BOAL (1) EVP, SYSTEM CHIEF CLINICAL OFF 0 1065549 0 0 0 699622 0 33000 0 56471 0 1854642 0 0 BETH ESSIG (1) EVP, GENERAL COUNSEL 0 1350000 0 363825 0 108881 0 33000 0 22465 0 1878171 0 0 STEPHEN HARVEY (1) EVP, SYSTEM CFO 0 1200000 0 390775 0 435273 0 33000 0 48824 0 2107872 0 0 JEFFREY SILBERSTEIN (1) EVP, SYSTEM CAO 0 1032000 0 269500 0 182591 0 33000 0 1656 0 1518747 0 0 MICHAEL PASTIER (1) SVP, CHIEF FINANCIAL OFFICER 0 930000 0 173250 0 286460 0 33000 0 50500 0 1473210 0 0 FRANK CINO (1) SVP, SYSTEM CHIEF RISK OFFICER 0 600000 0 138600 0 27771 0 33000 0 24618 0 823989 0 0 PART VII, SECTION A & SCHEDULE J COMPENSATION FOOTNOTES OFFICERS OF THE BOARDS OF TRUSTEES HOURS REFLECT SERVICE TO ALL RELATED ORGANIZATIONS OF MOUNT SINAI HEALTH SYSTEM, INC. (1) COMPENSATION AND BENEFITS ARE FUNDED FROM THE MOUNT SINAI HOSPITAL AND/OR ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI. (2) EMPLOYEE HAS AN OUTSTANDING LOAN REFLECTED IN SCHEDULE L, PART II OF ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI'S FORM 990. (3) OTHER REPORTABLE COMPENSATION FOR OFFICERS, KEY EMPLOYEES, AND HIGHESTCOMPENSATED EMPLOYEES AS IDENTIFIED IN THE FORM 990, PART VII, AND LISTED ON SCHEDULE J MAY INCLUDE VARIOUS TYPES OF SUPPLEMENTAL WAGES. Form 990, Part I, Line 5 EMPLOYEES OF THE MOUNT SINAI HOSPITAL AND ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, INCLUDING THOSE WHO PROVIDE SERVICES AT ELMHURST HOSPITAL CENTER AND QUEENS HOSPITAL CENTER, UTILIZE A COMMON PAYMASTER UNDER THE HOSPITAL'S TAX IDENTIFICATION NUMBER. THE TOTAL NUMBER OF EMPLOYEES REPORTED UNDER THE HOSPITAL TAX IDENTIFICATION NUMBER IS 35,835. THE MEDICAL CENTER DOES NOT HAVE ANY EMPLOYEES AND RECEIVES SERVICES FROM EMPLOYEES OF ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI AND THE MOUNT SINAI HOSPITAL. Form 990, Part IV, Line 12a THE ORGANIZATION OBTAINED SEPARATE AUDITED FINANCIALS FOR ITS BALANCE SHEET. ALL OF THE MEDICAL CENTER'S NET ASSETS ARE PERMANENTLY RESTRICTED AND INVESTMENT INCOME PERTAINING TO THE INVESTMENTS HELD FOR THE MEDICAL CENTER IS FOR THE BENEFIT OF CERTAIN OF ITS AFFILIATES AND IS RECOGNIZED BY THE RESPECTIVE AFFILIATE. THERE WERE NO OTHER SOURCES OF INCOME AND EXPENSES, OTHER THAN RELATED PARTY ACTIVITIES REFLECTED ON FORM 990 PARTS VIII AND IX, AND THEREFORE, STATEMENT OF ACTIVITIES AND CHANGES IN NET ASSETS AND CASH FLOWS ARE NOT PRESENTED IN ITS AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION'S SOURCES OF INCOME AND EXPENSES ARE INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ITS AFFILIATES. Form 990, Part VI, Line 15 PROCESS FOR DETERMINATION OF COMPENSATION THE COMPENSATION, EMPLOYEE BENEFITS AND EMPLOYEE RELATIONS COMMITTEE OF THE BOARD OF TRUSTEES (THE "COMPENSATION COMMITTEE") DETERMINES THE COMPENSATION FOR THE CEO AND OTHER EXECUTIVES, INCLUDING PHYSICIAN LEADERS, WHO ARE OR MAY BE "DISQUALIFIED PERSONS" AS THAT TERM IS DEFINED IN IRC SECTION 4958. THE COMPENSATION COMMITTEE ALSO REVIEWS THE COMPENSATION OF OTHER SENIOR AND/OR HIGHLY COMPENSATED PERSONNEL. THE COMPENSATION COMMITTEES' OPERATING PROCEDURES ARE DESIGNED TO ENSURE THAT THE COMPENSATION OF ALL SUCH OFFICERS AND KEY EMPLOYEES IS REASONABLE (I.E. THE VALUE OF SERVICES IS THE AMOUNT THAT WOULD ORDINARILY BE PAID FOR LIKE SERVICES BY LIKE ENTERPRISES UNDER LIKE CIRCUMSTANCES), AND WITH RESPECT TO "DISQUALIFIED PERSONS" TO FOLLOW THE SPECIFIC STEPS OUTLINED IN THE IRC REGULATIONS FOR ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS THAT A TRANSACTION IS NOT AN EXCESS BENEFIT TRANSACTION. THE COMPENSATION COMMITTEE CONSISTS EXCLUSIVELY OF INDEPENDENT TRUSTEES WITHOUT ANY CONFLICT OF INTEREST (AS DEFINED IN THE APPLICABLE IRC REGULATIONS) WITH REGARD TO THE COMPENSATION ARRANGEMENTS BEING REVIEWED OR APPROVED. THE ABSENCE OF ANY CONFLICT OF INTEREST WITH RESPECT TO ITEMS ON THAT MEETING'S AGENDA IS CONFIRMED AT THE BEGINNING OF EACH MEETING OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE SELECTS AND ENGAGES AN INDEPENDENT, QUALIFIED COMPENSATION CONSULTANT WHICH PERFORMS SUCH VALUATIONS ON A REGULAR BASIS TO PROVIDE APPROPRIATE COMPARABILITY DATA. COMPARABILITY DATA INCLUDES, BUT IS NOT LIMITED TO, COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR FUNCTIONALLY COMPARABLE POSITIONS; THE AVAILABILITY OF SIMILAR SERVICES IN MOUNT SINAI'S GEOGRAPHIC AREA; CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; CUSTOMIZED SURVEYS IN SPECIFIC CIRCUMSTANCES, AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE DISQUALIFIED PERSON. THE SOURCES OF THE COMPARABILITY DATA USED BY THE COMPENSATION CONSULTANT ARE PROVIDED TO THE COMPENSATION COMMITTEE. IN APPROPRIATE CIRCUMSTANCES FORMAL WRITTEN OPINIONS ARE OBTAINED FROM THE COMPENSATION CONSULTANT. WITH RESPECT TO "EXECUTIVES" AS THEY ARE DEFINED IN THE POLICY WHICH INCLUDES ALL OF THE INSTITUTION'S "DISQUALIFIED PERSONS," THE COMPENSATION COMMITTEE RECEIVES AND REVIEWS THE COMPARABILITY DATA AND ANY ANALYSIS PROVIDED BY THE COMPENSATION CONSULTANT, AS WELL AS INFORMATION PROVIDED BY MANAGEMENT, OR IN THE CASE OF THE CEO, BY THE CHAIRMAN OF THE BOARDS OF TRUSTEES, INCLUDING INFORMATION ABOUT THE INDIVIDUAL'S PERFORMANCE, AND FOR NEW EMPLOYEES, THE INDIVIDUAL'S JOB DESCRIPTION. WHEN A WRITTEN OPINION IS OBTAINED FROM THE COMPENSATION CONSULTANT, THAT WRITTEN OPINION IS ALSO REVIEWED BY THE COMPENSATION COMMITTEE. AFTER CONSIDERING ALL OF THE FACTS, THE COMPENSATION COMMITTEE THEN DETERMINES THE APPROPRIATE COMPENSATION IN RELATION TO THE COMPARABILITY DATA AND IN LIGHT OF THE WRITTEN OPINION, RECOMMENDATIONS OF THE COMPENSATION CONSULTANT. AS MORE FULLY SET FORTH IN THE COMPENSATION COMMITTEE'S OPERATING GUIDELINES, THE COMPENSATION COMMITTEE ALSO REVIEWS THE COMPENSATION ARRANGEMENTS FOR THOSE OTHER SENIOR MANAGEMENT AND/OR HIGHLY COMPENSATED PERSONNEL WHO ARE NOT "EXECUTIVES." THE COMPENSATION COMMITTEE IS PROVIDED DETAILS OF THE COMPENSATION ARRANGEMENT OF THE INDIVIDUAL'S JOB AND JOB PERFORMANCE, THE BENCHMARK(S) USED AND, IN CERTAIN CASES, A DESCRIPTION OF THE ROLE OF THE COMPENSATION CONSULTANT AND A BRIEF DESCRIPTION OF WHY THE ARRANGEMENT IS APPROPRIATE. THE COMPENSATION COMMITTEE CONTEMPORANEOUSLY DOCUMENTS IN WRITTEN MINUTES THE TERMS OF THE TRANSACTION THAT WAS APPROVED AND THE DATE IT WAS APPROVED; THE MEMBERS OF THE COMPENSATION COMMITTEE WHO WERE PRESENT; THE DISCUSSION AT THE COMPENSATION COMMITTEE MEETING; THE COMPARABILITY DATA AND ANY OTHER INFORMATION OBTAINED AND RELIED ON; HOW THE COMPARABILITY DATA WAS OBTAINED; AND THE COMPENSATION COMMITTEE'S BASIS FOR THE DECISIONS, IF THE APPROVED COMPENSATION IS OUTSIDE THE RANGE OF COMPARABILITY DATA. THESE MINUTES ARE PREPARED BEFORE THE LATER OF THE NEXT MEETING OF THE COMPENSATION COMMITTEE OR 60 DAYS AFTER THE FINAL ACTIONS OF THE COMPENSATION COMMITTEE ARE TAKEN WITH RESPECT TO THE COMPENSATION DECISIONS MADE. THE MINUTES ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE WITHIN A REASONABLE TIME THEREAFTER. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons TRUSTEE BONNIE DAVIS, M.D. AND OFFICER KENNETH DAVIS, M.D. - Family relationship, TRUSTEES JUDITH RUBIN AND ROBERT E. RUBIN - Family relationship, TRUSTEES ANDREW ALPER AND PETER ORSZAG - Business relationship, TRUSTEES ANTON LEVY AND ROBERT RUBIN - Business relationship, TRUSTEES GLENN AUGUST AND MICHAEL KLEIN - Business relationship, TRUSTEES HENRY KRAVIS AND KENNETH MEHLMAN - Business relationship, TRUSTEES HENRY KRAVIS AND JOSEPH PLUMERI - Business relationship, TRUSTEES KIMBERLEY HARRIS AND RICHARD FRIEDMAN - Business relationship, TRUSTEES DOUG OSTROVER AND MARC LIPSCHULTZ - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders MOUNT SINAI HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THE ORGANIZATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE MEMBER HAS THE POWER TO ELECT THE MEMBERS OF THE GOVERNING BODY OF THE ORGANIZATION. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE MEMBER HAS THE POWER TO ELECT THE MEMBERS OF THE GOVERNING BODY OF THE ORGANIZATION. IN ADDITION, THE BOARD OF TRUSTEES OF THE ORGANIZATION CANNOT AMEND THE BYLAWS WITHOUT THE CONSENT OF THE MEMBER IF SUCH AMENDMENT REMOVED ANY POWERS OF THE MEMBER. Form 990, Part VI, Line 11b Review of form 990 by governing body FORM 990 PROVIDED TO GOVERNING BODY THE FINANCE DEPARTMENT GATHERED THE RELEVANT INFORMATION AND PREPARED THE TAX RETURNS - THE TAX DEPARTMENT OF OUR OUTSIDE AUDITORS, ERNST & YOUNG (EY), PARTICIPATED IN THE PREPARATION OF, AND REVIEWED, ALL TAX RETURNS. - A QUESTIONNAIRE WAS CIRCULATED TO ALL TRUSTEES (I.E., DIRECTORS), OFFICERS AND KEY EMPLOYEES IN ORDER TO ELICIT THE INFORMATION REQUIRED TO BE REPORTED ON THE TAX RETURNS. - THE TRUSTEE CONFLICTS OF INTEREST REVIEW COMMITTEE REVIEWED THE RESPONSES PROVIDED BY TRUSTEES AND CERTAIN OFFICERS IN THE QUESTIONNAIRES AND ASSESSED ADDITIONAL PERTINENT FACTS GATHERED BY THE INSTITUTION IN ORDER TO EVALUATE THE APPLICABILITY OF IRS REPORTING REQUIREMENTS. THE REVIEW COMMITTEE THEN DETERMINED THE APPROPRIATE TRUSTEE (AND CERTAIN OFFICER) DISCLOSURES THAT SHOULD BE MADE ON FORM 990 BASED ON THE RECOMMENDATIONS OF THE FINANCE DEPARTMENT, THE GENERAL COUNSEL'S OFFICE AND THE AUDIT AND COMPLIANCE DEPARTMENT. THE SAME PROCESS WAS CONDUCTED BY THE FINANCE DEPARTMENT, THE GENERAL COUNSEL'S OFFICE, THE AUDIT AND COMPLIANCE DEPARTMENT AND EY WITH RESPECT TO THE QUESTIONNAIRES SUBMITTED BY OTHER OFFICERS AND KEY EMPLOYEES. - THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES CONDUCTED A REVIEW OF THE TAX RETURN, WITH THE PARTICIPATION OF EY, THE FINANCE DEPARTMENT, THE GENERAL COUNSEL'S OFFICE, AND THE AUDIT AND COMPLIANCE DEPARTMENT. THE AUDIT COMMITTEE APPROVED THE TAX RETURNS AS PRESENTED. - THE AUDIT COMMITTEE'S REPORT OF ITS REVIEW OF THE TAX RETURNS AND ITS RECOMMENDATION TO FILE THE RETURNS WERE PRESENTED TO, AND ACCEPTED BY, THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES (THE EXECUTIVE COMMITTEE). - IN ADDITION TO AUTHORIZING THE FILING OF THE TAX RETURNS, THE EXECUTIVE COMMITTEE DIRECTED THAT THE RETURNS, WHICH WILL BE FILED ON OR BEFORE NOVEMBER 15, 2024, BE PROVIDED TO ALL TRUSTEES VIA THE TRUSTEES' CONFIDENTIAL WEBSITE, AND THOSE RETURNS WERE SO PROVIDED BEFORE BEING FILED. Form 990, Part VI, Line 12c Conflict of interest policy MONITORING & ENFORCING COMPLIANCE WITH CONFLICTS OF INTEREST POLICY COMPLIANCE WITH THE ORGANIZATION'S BUSINESS CONFLICTS OF INTEREST POLICY (THE POLICY) IS REQUIRED OF TRUSTEES, EMPLOYEES, MEDICAL STAFF AND NON-EMPLOYEE MEMBERS OF INSTITUTIONAL COMMITTEES AND INCLUDES AN ONGOING DUTY TO DISCLOSE POTENTIAL CONFLICTS. COMPLIANCE WITH THE POLICY IS MONITORED AND ENFORCED REGULARLY AND CONSISTENTLY. ALL DISCLOSURES WITH THE POTENTIAL FOR CONFLICT ARE REVIEWED BY AN APPROPRIATE COMMITTEE WHERE THEY ARE CAREFULLY EVALUATED. WHEN APPROPRIATE, A PLAN, WHICH MAY INVOLVE MEASURES INCLUDING, BUT NOT LIMITED TO, RECUSAL FROM PARTICIPATING IN AFFECTED TRANSACTIONS, IS DEVELOPED TO MANAGE THE POTENTIAL CONFLICT. Form 990, Part VI, Line 19 Required documents available to the public 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. Form 990, Part IX, Line 11g Other Fees OTHER FEES AND EXPENSES - Total Expense: 71000, Program Service Expense: , Management and General Expenses: 71000, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances BOOK TO TAX DIFFERENCE RESULTING FROM UBTI GENERATED THROUGH PARTNERSHIP INVESTMENTS - -843278; Schedule F, Part I PARTS IV PLEASE NOTE THAT THE INVESTMENT ACTIVITIES LISTED IN PART I ARE ALLOCATED TO AGREE TO THE AUDITED FINANCIAL STATEMENT REPORTING AS POOLED INVESTMENTS WHILE PART IV REPORTS ON FOREIGN FILINGS ARE FILED BY THE RESPECTIVE ORGANIZATION. THE MOUNT SINAI HOSPITAL ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 131624096 HOSPITAL NY 501(c)(3) 3 MSHG true MITRAL FOUNDATION 1190 FIFTH AVENUE NEW YORK NY 10029 800468600 RESEARCH NY 501(c)(3) Type I ISMMS true THE MOUNT SINAI CHILDREN'S CENTER FND ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 223059294 SUPPORT NY 501(c)(3) Type I ISMMS true MSMC REALTY CORPORATION ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 133852596 REAL ESTATE NY 501(c)(3) Type I SEE PART VII true MSMC RESIDENTIAL REALTY LLC 1425 MADISON AVENUE NEW YORK NY 10029 200244426 REAL ESTATE NY 501(c)(3) Type I SEE PART VII true MSMC RESIDENTIAL REALTY MANAGER INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 201289396 MGMT NY 501(c)(3) Type II SEE PART VII true VALENTIN FUSTER MT SINAI FND SCI HLTH ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 800952088 SUPPORT NY 501(c)(3) Type I ISMMS true MOUNT SINAI HEALTH SYSTEM INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 464248304 HOLDING CO NY 501(c)(3) Type II NA false MOUNT SINAI HOSPITALS GROUP INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 464242915 HOLDING CO NY 501(c)(3) Type II MSHS true ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 136171197 SCHOOL NY 501(c)(3) 2 MSHS true CONTINUUM HEALTH PARTNERS INC 150 EAST 42ND STREET NEW YORK NY 10017 133939476 HOLDING CO NY 501(c)(3) Type I NA false BIMC HOLDING CORPORATION FIRST AVENUE AT 16TH STREET NEW YORK NY 10003 133444730 HOLDING CO NY 501(c)(3) Type I BIMC true MOUNT SINAI AMBULATORY VENTURES INC 150 EAST 42ND STREET NEW YORK NY 10017 133838460 SURGICENTER NY 501(c)(3) 3 MSHS true BI NURSING HOME COMPANY 327 EAST 17TH STREET NEW YORK NY 10003 133627753 NURSING HOME NY 501(c)(3) 3 BIMC HOLDCO true EAST 17TH STREET PROPERTIES INC 150 EAST 42ND STREET NEW YORK NY 10017 133547502 REAL ESTATE NY 501(c)(3) 10 BIMC HOLDCO true THE LONG ISLAND COLLEGE HOSPITAL 150 EAST 42ND STREET NEW YORK NY 10017 111018985 HOSPITAL NY 501(c)(3) 3 CHP false ST LUKE'S-ROOSEVELT HOSPITAL CENTER 1111 AMSTERDAM AVENUE NEW YORK NY 10025 132997301 HOSPITAL NY 501(c)(3) 3 MSHG true AUGUSTUS & JAMES CORPORATION 150 EAST 42ND STREET NEW YORK NY 10017 133392851 REAL ESTATE NY 501(c)(3) Type I SLR true ST LUKE'S-ROOSEVELT INSTITUTE FOR HEALTH 1111 AMSTERDAM AVENUE NEW YORK NY 10025 132914343 RESEARCH NY 501(c)(3) 4 SLR true NEW YORK EYE AND EAR INFIRMARY 310 EAST 14TH STREET NEW YORK NY 10003 135562304 HOSPITAL NY 501(c)(3) 3 MSHG true NEW YORK EYE & EAR INFIRMARY FNDN 310 EAST 14TH STREET NEW YORK NY 10003 134012469 PRIVATE FDN NY 501(c)(3) NYEE true NYEEI HOUSING COMPANY INC 317-327 EAST 13TH STREET NEW YORK NY 10003 311696826 REAL ESTATE NY 501(c)(2) NYEE true BETH ISRAEL MEDICAL CENTER FDN INC 150 EAST 42ND STREET NEW YORK NY 10017 300571387 FUNDRAISING NY 501(c)(3) 7 BIMC true ST LUKE'S-ROOSEVELT HOSPITAL CENTER FDN 150 EAST 42ND STREET NEW YORK NY 10017 300571390 FUNDRAISING NY 501(c)(3) 7 SLR true BETH ISRAEL MEDICAL CENTER FIRST AVENUE AT 16TH STREET NEW YORK NY 10003 135564934 HOSPITAL NY 501(c)(3) 3 MSHG true MOUNT SINAI HEALTH PARTNERS PC 150 EAST 42ND STREET 5TH FLR NEW YORK NY 10017 812057452 HEALTHCARE NY 501(c)(3) 10 MSH true SOUTH NASSAU COMMUNITIES HOSPITAL INC ONE HEALTHY WAY OCEANSIDE NY 11572 111352310 HOSPITAL NY 501(c)(3) 3 MSHG false MOUNT SINAI SELF INSURANCE TRUST 150 EAST 42ND STREET NEW YORK NY 10017 823994798 SUPPORT NY 501(c)(3) Type II MSHS false EAST 98TH STREET COMMUNITY SERVICES INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 822536805 AMB SRGY CNTR NY 501(c)(3) 3 MSHS true BACHMANN-STRAUSS DYSTONIA FOUNDATION INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10017 133804248 FUNDRAISING NY 501(c)(3) 7 MSHS true CARE CONTINUUM VENTURES INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 863155355 SUPPORT NY 501(c)(3) Type II MSHS true MSS HEALTH PC 150 EAST 42ND STREET 5E-32 NEW YORK NY 10017 862530666 HEALTHCARE NJ 501(c)(3) 10 MSH true MONASHEES CO-INVESTMENT FUND LLC 635 CAMPBELL TECHNOLOGY PARKWAY CAMPBELL CA 95008 881362594 INVESTMENTS CA MSMC N/A 0 3384902 false 0 false MANHATTAN MANAGEMENT SERVICES 1780 BROADWAY 7TH FL NEW YORK NY 10019 133618543 MGMT SERVICES NY SLR C Corporation false SLR MANAGEMENT SERVICES 150 EAST 42ND STREET NEW YORK NY 10017 133853145 MGMT SERVICES NY SLR C Corporation false MOUNT SINAI HC VENTURES 150 EAST 42ND STREET NEW YORK NY 10017 460953126 HEALTH CARE MGMT NY BIMC HOLDCO C Corporation false MSHS VACCINE COMPANY dba CastleVax 1209 ORANGE STREET WILMINGTON DE 19801 874250003 CLINICAL LAB DE ISMMS C Corporation false KANTARO BIOSCIENCES LLC 1460 BROADWAY NEW YORK NY 10036 851089445 CLINICAL LAB NY ISMMS C Corporation false PROHEALTH MOUNT SINAI MSO LLC 2322 30TH AVE ASTORIA NY 111023255 844995364 MGMT SERVICES NY MS NETWORK C Corporation false ACCOLADE PARTNERS DIGITAL EVOLUTION FEEDER LP 190 ELGIN AVENUE GEORGE TOWN GRAND CAYMAN CJ KY19001 981642598 INVESTMENTS CJ MSMC C Corporation 0 0 false false false false false false false false false true false false true false true true true false false true ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI S 761190 COST ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI I 534125 COST ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI I 71379210 FMV THE MOUNT SINAI HOSPITAL I 61295065 FMV THE MOUNT SINAI HOSPITAL I 652098 FMV ST LUKE'S-ROOSEVELT HOSPITAL CENTER I 250063 FMV BETH ISRAEL MEDICAL CENTER I 22758 FMV NEW YORK EYE & EAR INFIRMARY FOUNDATION I 3505036 FMV SOUTH NASSAU COMMUNITIES HOSPITAL I 52573486 FMV Schedule R, Part II, Column (f) LINE 4 - MSMC REALTY CORPORATION DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL AND THE MOUNT SINAI MEDICAL CENTER ARE ALL MEMBERS OF THIS ENTITY. Schedule R, Part II, Column (f) LINE 5 - MSMC RESIDENTIAL REALTY LLC DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, THE MSMC REALTY CORPORATION AND THE MSMC RESIDENTIAL REALTY MANAGER, INC. ARE ALL MEMBERS OF THIS ENTITY. Schedule R, Part II, Column (f) LINE 6 - MSMC RESIDENTIAL REALTY MANAGER, INC DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL AND THE MSMC REALTY CORPORATION ARE ALL MEMBERS OF THIS ENTITY.