2024-11-11T17:58:19+00:00 2023-12-31 346565596 ERNST & YOUNG US LLP ONE MANHATTAN WEST NEW YORK NY 100018604 990 2023-01-01 135564934 BETH ISRAEL MEDICAL CENTER BETH 6466054217 FIRST AVENUE AT 16TH STREET NEW YORK NY 10003 STEPHEN HARVEY EVP, SYSTEM CFO 6466054217 2024-11-12 true Nicole Sokolowski P01683199 2127733000 2024-11-12 2023 2024-10-15 13:58:12Z Mount Sinai Beth Israel STEPHEN HARVEY 150 EAST 42ND STREET NEW YORK NY 10017 1306655380 false X HTTP://WWW.mountsinai.org/locations/beth-israel X 1890 NY SERVES THE HEALTH CARE NEEDS OF THE NEW YORK COMMUNITY, WHILE ALSO PROVIDING CLINICAL EDUCATION AND ENGAGING IN CLINICAL RESEARCH. 29 29 6113 117 0 0 11835235 7937367 876450375 883952091 6533819 8100521 129225284 406445203 1024044713 1306435182 9366793 9784741 0 535944428 578679953 0 138114 631531550 627548028 1176842771 1216012722 -152798058 90422460 1264863588 1279634328 1564393915 1474800804 -299530327 -195166476 SINCE ITS FOUNDING, OVER 120 YEARS AGO, AS A MEDICAL DISPENSARY TO MEET THE NEEDS OF THE IMPOVERISHED AND UNDERSERVED JEWISH COMMUNITY OF THE LOWER EAST SIDE, BETH ISRAEL MEDICAL CENTER HAS BEEN COMMITTED TO THE CARE OF PERSONS OF ALL RACES, RELIGIONS AND CREEDS. NOW A MAJOR PROVIDER OF A FULL RANGE OF PRIMARY, SECONDARY AND HIGHLY SPECIALIZED TERTIARY HEALTH CARE SERVICES, THE MEDICAL CENTER REMAINS PROUD OF ITS HERITAGE AND THE ORIGINAL MISSION OF BETH ISRAEL MEDICAL CENTER. THE MISSION OF BETH ISRAEL MEDICAL CENTER IS TO PROVIDE COMPASSIONATE PATIENT CARE WITH SEAMLESS COORDINATION AND TO ADVANCE MEDICINE THROUGH UNRIVALED EDUCATION, RESEARCH, AND OUTREACH IN THE MANY DIVERSE COMMUNITIES WE SERVE. false false 1081904866 0 1280072803 PATIENT CARE: BETH ISRAEL MEDICAL CENTER PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF THE MEDICAL CENTER, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES AND FURTHER, THAT OUR MISSION, IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. BETH ISRAEL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AND THE UNINSURED AT BELOW COST. TO THE EXTENT REIMBURSEMENT IS BELOW COST, OR A PATIENT IS UNABLE TO PAY, BETH ISRAEL RECOGNIZED THESE AMOUNTS AS CHARITY CARE IN MEETING ITS MISSION TO THE COMMUNITY. IN ADDITION, CHARITY CARE IS ALSO PROVIDED THROUGH MANY FREE SERVICES AND PROGRAMS OFFERED THROUGHOUT THE YEAR, WHICH BETH ISRAEL BELIEVES SERVE A BONA FIDE COMMUNITY HEALTH NEED. IN ADDITION, THE HOSPITAL OPERATES TWO EMERGENCY ROOMS THAT ARE OPEN 24 HOURS, SEVEN DAYS A WEEK. THE KARPAS HEALTH INFORMATION CENTER (KHIC) CONSISTING OF 4 HEALTHCARE PROFESSIONALS PROVIDES HEALTH SCREENINGS, HEALTH INFORMATION AND HEALTH EDUCATION TO THE COMMUNITY. ITS REGULAR SERVICES INCLUDE FREE LECTURES, DISTRIBUTION OF FREE PUBLICATIONS, HEALTH SCREENINGS, PHYSICIANS REFERRALS, ETC. BIMC IS THE PRIMARY HEALTHCARE PROVIDER FOR THE LOWER EAST SIDE OF NEW YORK CITY. THE NEIGHBORHOOD IS THE POINT OF ENTRY FOR MANY NEW IMMIGRANTS TO THE UNITED STATES. THE NEIGHBORHOOD IS ALSO AFFLICTED WITH SEVERE SUBSTANCE ABUSE PROBLEMS AND THE RELATED HEALTH CRISIS, AIDS. IN RECOGNITION OF ITS RESPONSIBILITY TO THE COMMUNITY, BETH ISRAEL PROVIDES SERVICES IN VARIOUS LANGUAGES: ENGLISH, HEBREW, CHINESE AND SPANISH. 9784741 9784741 8716263 STUDENT FINANCIAL AID PROGRAM: TO PROVIDE FINANCIAL AID TO QUALIFYING NURSES ATTENDING BETH ISRAEL NURSING SCHOOL. 1091689607 true true false false false false false false true true false false true true false false true false false true false false false false false true true false true true false false false false false false true false true false false false true true true true false false true 622 0 true 6113 true false false false false false true true false false false false true false X 29 29 true false false false true true true true true false false true true true true true true true true false NY X DENIS DONEGAN 6466054217 150 EAST 42ND STREET 5TH FLOOR NEW YORK NY 10017 ANDREW SAUL VICE CHAIRMAN 2.0 16.0 X X 0 0 0 BRAD KARP TRUSTEE/SECRETARY 2.0 16.0 X X 0 0 0 DONALD J GOGEL TRUSTEE/VICE CHAIRMAN 2.0 16.0 X X 0 0 0 ERIC FRIEDMAN TRUSTEE 1.0 7.0 X X 0 0 0 ERIC MINDICH TRUSTEE/VICE CHAIRMAN 2.0 16.0 X X 0 0 0 JAMES NEARY TRUSTEE/VICE CHAIRMAN 2.0 16.0 X X 0 0 0 JAMES S TISCH TRUSTEE/CO-CHAIRMEN OF BOARD 2.0 16.0 X X 0 0 0 JEFF T BLAU TRUSTEE/VICE CHAIRMAN 2.0 19.0 X X 0 0 0 JOEL I PICKET TRUSTEE/VICE CHAIRMAN 2.0 19.0 X X 0 0 0 JOEL S EHRENKRANZ TRUSTEE/VICE CHAIRMAN 2.0 16.0 X X 0 0 0 JOHN A LEVIN TRUSTEE/VICE CHAIRMAN 2.0 16.0 X X 0 0 0 JOHN B HESS TRUSTEE/ VICE CHAIRMAN 2.0 16.0 X X 0 0 0 JUDITH O RUBIN TRUSTEE/VICE CHAIRMAN 2.0 16.0 X X 0 0 0 MICHAEL MINIKES VICE CHAIR/TREASURER/TRUSTEE 2.0 25.0 X X 0 0 0 RICHARD A FRIEDMAN CO-CHAIRMEN OF BOARD/TRUSTEE 2.0 16.0 X X 0 0 0 RICHARD RAVITCH TRUSTEE/VICE CHAIRMAN (END JUNE 2023) 2.0 19.0 X X 0 0 0 STEVEN HOCHBERG TRUSTEE/VICE CHAIRMAN 2.0 21.0 X X 0 0 0 SUSAN R CULLMAN TRUSTEE/VICE CHAIRMAN 2.0 16.0 X X 0 0 0 THOMAS W STRAUSS TRUSTEE/VICE CHAIRMAN 2.0 16.0 X X 0 0 0 ANDREW M ALPER TRUSTEE 1.0 6.0 X 0 0 0 DAVID WINDREICH TRUSTEE 1.0 6.0 X 0 0 0 EDGAR M CULLMAN JR TRUSTEE 1.0 5.0 X 0 0 0 FRANK BISIGNANO TRUSTEE 1.0 5.0 X 0 0 0 JAMES KEMPNER TRUSTEE 1.0 6.0 X 0 0 0 KIMBERLEY HARRIS TRUSTEE 1.0 7.0 X 0 0 0 LEWIS PELL TRUSTEE 1.0 5.0 X 0 0 0 MARC C LIPSCHULTZ TRUSTEE 1.0 6.0 X 0 0 0 MICHAEL ZIMMERMAN TRUSTEE 1.0 4.0 X 0 0 0 ROBERT F SAVAGE JR TRUSTEE 1.0 5.0 X 0 0 0 WILLIAM H WRIGHT II TRUSTEE 1.0 6.0 X 0 0 0 BETH ESSIG ESQ (2) EVP, GENERAL COUNSEL 6.1 53.9 X 204872 1617834 55465 BONNIE M DAVIS MD VICE CHAIRMAN 2.0 16.0 X 0 0 0 CARL ICAHN VICE CHAIRMAN 2.0 16.0 X 0 0 0 DENNIS CHARNEYMD(1)(2) PRESIDENT, ACADEMIC AFFAIRS 6.2 53.8 X 590442 4826453 54392 ELIZABETH SELLMAN (2) PRESIDENT 60.0 0.0 X 1243357 0 46386 GLENN DUBIN VICE CHAIRMAN 2.0 16.0 X 0 0 0 HAMILTON JAMES VICE CHAIRMAN 2.0 16.0 X 0 0 0 HENRY R KRAVIS VICE CHAIRMAN 2.0 16.0 X 0 0 0 HON ROBERT E RUBIN VICE CHAIRMAN 2.0 16.0 X 0 0 0 JAMES W CRYSTAL VICE CHAIRMAN 2.0 16.0 X 0 0 0 JEFFREY SILBERSTEIN (2) EVP, SYSTEM CAO 6.2 53.8 X 166812 1317279 34656 JEREMY BOAL MD (2) (END 122023) PRESIDENT, EVP, SYSTEM CMO 6.3 53.7 X 192404 1572767 89471 KELLY CASSANO D EVP, SYS AMBULATORY OPERATION 7.8 52.2 X 152567 1069557 45205 KENNETH DAVIS MD (2) CHIEF EXECUTIVE OFFICER 6.3 53.7 X 774272 6329140 96314 MARGARET PASTUSZKO (2) EVP, SYSTEM CIO 5.9 54.1 X 264195 2159608 69483 MICHAEL PASTIER SVP, CHIEF FINANCIAL OFFICER 9.8 50.2 X 244172 1145538 83500 SCOTT MICHAEL LORIN (2) PRESIDENT 60.0 0.0 X 1001078 0 36798 STEPHEN HARVEY EVP, SYSTEM CFO 5.8 54.2 X 227728 1798320 81824 FRANK CINO (2) SVP, SYSTEM CHIEF RISK OFFICER 6.5 53.5 X 86140 680231 57618 Christine Mahoney Senior Vice President 48.0 12.0 X 340425 85106 48968 Claudia Garcenot Vice President Nursing 60.0 0.0 X 348897 0 36948 ELVIS DELEON VP AMBULATORY OPERATIONS 60.0 0.0 X 625871 0 63473 JEMILAT SIJU VICE PRESIDENT NURSING 60.0 X 380662 0 59247 Joann Coffin Vice President 48.0 12.0 X 360952 90228 47707 ARTHUR KLEIN MD (2) FORMER OFFICER 0.0 0.0 X 93660 506340 0 BURTON P DRAYER (2) FORMER OFFICER 0.0 0.0 X 93717 656018 39269 7392223 23854419 1046724 1536 true true false LEND LEASE (US) CONSTRUCTION LMB INC 200 PARK AVE NEW YORK NY 10166 CONSTRUCTION SERVIC 16770532 GILBANE BUILDING COMPANY 7 JACKSON WALKWAY PROVIDENCE RI 02903 CONSTRUCTION SVC 16764973 CROTHALL HEALTHCARE INC 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 HOUSEKEEPING & ENVIR 14524780 RIGHTSOURCING INC PO BOX515743 LOS ANGELES CA 900515118 TEMPORARY STAFFING 14122400 HEALTHCARE RISK ADVISORS INC 111 WEST 33RD STREET 8TH FLOOR NEW YORK NY 10120 INSURANCE 11705997 149 6785711 1151656 7937367 PATIENT SERVICE REVENUE 621110 875235828 875235828 TUITION FEES / NURSING SCHOOL 611600 8716263 8716263 0 0 0 0 883952091 7612765 7612765 2064920 2064920 0 2064920 2064920 31064 676890 220198 31064 456692 487756 456692 31064 TRANSFER FROM THE MOUNT SINAI HOSPITAL 900099 269826000 269826000 CONTRACT PHARMACY REVENUE 900099 78432243 78432243 METHADONE MAINTENANCE TREATMENT PROGRAM 900099 9850395 9850395 46271645 46271645 0 0 404380283 1306435182 1288789066 0 9708749 X 9121000 9121000 663741 663741 5311552 5173438 138114 411738879 341785762 69953117 35400336 30798292 4602044 91143782 79295090 11848692 35085404 30524302 4561102 494571 494571 1841359 19374 1821985 58800 58800 102901 102901 210506105 210506105 0 0 37574094 30737511 6836583 18336676 18336676 37779257 35021648 2757609 1348006 1348006 231970 231970 11164156 9489533 1674623 78857825 78857825 24464872 24464872 MEDICAL SUPPLIES 168276136 168276136 BAD DEBT EXPENSE 17000197 17000197 OTHER 15009596 215489 14794107 PATIENT FOOD/NOURISHMENT 3670530 3670530 830977 830977 0 0 1216012722 1091689607 124185001 138114 50767458 27298391 12507785 13141794 91944830 103832655 0 0 0 0 9896451 10647842 1974031 4387624 2237804003 1483542852 728945844 754261151 8171060 9228865 16837407 16596528 33218745 36645433 310599977 303594045 1264863588 1279634328 161527212 142597140 0 0 1402866703 1332203664 1564393915 1474800804 X -335257270 -229868821 35726943 34702345 -299530327 -195166476 1264863588 1279634328 X 90422460 6128798 7812593 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12109113 100000 12209113 12109113 12109113 11934113 175000 12109113 23462513 11528400 11934113 24280893 62620 881000 23462513 0.0 1.0 0.0 false true true 12137298 12137298 1074682664 503511523 571171141 31700437 33272670 -1572233 1075011269 946364637 128646632 44272335 394022 43878313 754261151 SECURITY DEPOSIT 227879 SELF INSURANCE TRUST 62006700 REINSURANCE RECEIVABLES 91645000 OTHER ASSETS 37238064 RIGHT OF USE ASSETS 112476402 303594045 DEFERRED REVENUE 10388378 MALPRACTICE INSURANCE 41655790 THIRD PARTY LIABILITIES 164032744 DUE TO AFFILIATES 459515880 RETIRE OBLIG WORKMEN'S COMP 11259859 INSURED LIABILITIES 153651700 OTHER LIABILITIES 45062804 RIGHT OF USE LIABILITIES 446636509 1332203664 Schedule D, Part V, Line 4 Intended uses of endowment funds PERMANENTLY RESTRICTED NET ASSETS HAVE BEEN RESTRICTED BY DONORS TO BE MAINTAINED BY BIMC IN PERPETUITY AND THESE ENDOWMENT FUNDS ARE INCLUDED IN LONG-TERM INVESTMENTS. UNDER THE POLICIES ESTABLISHED AND APPROVED BY BIMC'S INVESTMENT COMMITTEE, DONOR-RESTRICTED ENDOWMENT FUNDS ARE INVESTED IN INCOME-GENERATING INVESTMENT VEHICLES TO GENERATE INCOME AND TO APPRECIATE AND PRESERVE CAPITAL. Central America and the Caribbean 0 0 Investments 24708264 0 0 0 0 0 0 24708264 0 24708264 false false true false false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual true true X true X true X true true true false true true 11179402 9000977 2178425 0.0018 271964076 187248127 84715949 0.0707 0 0.0 0 0 283143478 196249104 86894374 0.0725 1970095 1970095 0.0016 74496632 46190996 28305636 0.0236 505350402 386072564 119277838 0.0995 452880 452880 0 0.0 0 0.0 0 0 582270009 432716440 149553569 0.1247 0 0 865413487 628965544 236447943 0.1972 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 17000197 144238387 180110561 -35872174 X true true 2 1 BETH ISRAEL MANHATTAN FIRST AVENUE AT 16TH STREET NEW YORK NY 10003 https://www.mountsinai.org/locations/beth-israel 7002002H X X X X X A 2 BETH ISRAEL BROOKLYN 3201 KINGS HIGHWAY BROOKLYN NY 11234 WWW.MOUNTSINAI.ORG/LOCATIONS/BROOKLYN 7001041H X X X X A A 2 false false true X X X X X X X X X 23 true true false true X https://www.mountsinai.org/files/MSHealth/Assets/MSW/MSW-MSM-Implementation-Strategy-2023.pdf true 23 true HTTPS://www.mountsinai.org/files/MSHealth/Assets/MSW/MSW-MSM-Implementation-Strategy-2023.pdf false true X 100.0 400.0 X X X X true true X X X X true X HTTP://WWW.WEHEALNY.ORG/SERVICES/FINANCIALASSISTANCE/INDEX.HTML X HTTP://WWW.WEHEALNY.ORG/SERVICES/FINANCIALASSISTANCE/INDEX.HTML X HTTP://WWW.WEHEALNY.ORG/SERVICES/FINANCIALASSISTANCE/INDEX.HTML X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E FOR PURPOSES OF SCHEDULE H, PART V, SECTION C, THE DISCLOSURES RELATE TO BOTH BETH ISRAEL MANHATTAN AND BETH ISRAEL BROOKLYN. THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CNHA ARE PRIORITIZED ACCORDING TO THE COMMUNITY NEEDS. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - Beth Israel Medical Center. Schedule H Part V Line 5 THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH, THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. The input was gathered over a period from April to December 2033. The input was provided by individuals representing various organizations, including but not limited to: Asphalt Green; Assembly District 68; Catholic Charities Brooklyn and Queens; Charles B. Wang Community Health Center; Concrete Safaris; East Harlem Community Health Council; Educational Alliance; George Washington Carver Houses Tenant Association; Manhattan Community Board 3; Manhattan Community Board 8; Mount Sinai Beth Israel Community Advisory Board; Mount Sinai Brooklyn Hospital Staff; Mount Sinai Health System Staff Member; Mount Sinai Hospital Community Advisory Board; Mount Sinai Hospital Staff; Mount Sinai Queens Hospital Staff; New York Common Pantry; NYC Department of Health and Mental Hygiene; An Organization that chose to remain anonymous. These organizations and individuals represent medically underserved, low-income, or minority populations. The input gathered from these diverse sources helps ensure that the needs and concerns of these populations are considered in the hospital's planning and decision-making processes. Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - BETH ISRAEL MEDICAL CENTER. THE COMMUNITY HEALTH NEEDS ASSESSMENTS FOR BETH ISRAEL MEDICAL CENTER AND BETH ISRAEL BROOKLYN WERE CONDUCTED IN CONJUNCTION WITH EACH OTHER. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - Beth Israel Medical Center. The 2023 MSBI CHNA identified a number of significant health needs in the community. THE CHNA PROCESS CONSIDERED AND ASSESSED A WIDE RANGE OF PRIMARY AND SECONDARY DATA SOURCES INCLUDING STRUCTURED INTERVIEWS WITH PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY AND THOSE WITH EXPERTISE IN PUBLIC HEALTH, AND ASSESSMENTS AND STUDIES PREPARED BY OTHER ORGANIZATIONS. The hospital facility has identified several significant health needs in the community and has planned various actions to address these needs. Here are some of the key actions being taken: 1. Access to Mental Health Care and Poor Mental Health Status: The hospital is increasing access to mental health care through various programs, including residency and fellowship programs related to mental health care services, and the Mount Sinai-Behavioral Health Center, which provides a continuum of mental health, substance use, and primary care services. 2. Access to Primary Health Care Services by Individuals with Limited Resources: The hospital provides primary care at its campuses and through physician practices throughout Manhattan. It also offers virtual telehealth appointments and participates in Medicaid to provide health coverage to low-income individuals. 3. Chronic Diseases and Contributing Lifestyle Factors: The hospital offers a range of services to manage and reduce chronic diseases, including specialty care, health outreach programs, and the Mount Sinai Brooklyn-Infusion Center. 4. Socio-Economic, Racial, Cultural, Ethnic, and Linguistic Barriers to Care: The hospital provides social work services, language and communication access services, and participates in the Mount Sinai Health System Task Force to Address Racism. 5. Substance Use Disorder: The hospital offers comprehensive care for substance use disorders through the Addiction Institute of Mount Sinai (AIMS) and other related services. However, there are some significant needs that the hospital will not address directly due to various reasons, including resource constraints, lack of expertise, and the presence of other organizations addressing these needs. These needs include: 1. Aging Population: The hospital lacks core competencies in housing, transportation, and nutrition assistance, which are critical for supporting the aging population. 2. Environmental Determinants of Health: The hospital does not have expertise in addressing traffic, pollution, crime, and noise, which are significant environmental determinants of health. 3. Homelessness: The hospital lacks core competencies in providing short-term shelter and long-term housing. 4. Navigating a Changing Health Care Provider Environment: The hospital does not have proven interventions to assist in navigating the evolving healthcare provider options. 5. Poverty, Financial Hardship, and Basic Needs Insecurity: The hospital lacks core competencies in economic development. These reasons highlight the hospital's focus on leveraging its strengths and collaborating with other organizations to address the community's health needs effectively. 15 PHILLIPS AMBULATORY CARE CENTER 10 UNION SQUARE EAST NEW YORK NY 10003 HOSPITAL EXTENSION CLINIC BETH ISRAEL COMPREHENSIVE CANCER CENTER 325 WEST 15TH STREET NEW YORK NY 100115903 HOSPITAL EXTENSION CLINIC MMTP CLINICS 1825 PARK AVENUE NEW YORK NY 10035 HOSPITAL EXTENSION CLINIC MAX MELTZER HEALTH & SERVICE CENTER 94 EAST 1ST STREET NEW YORK NY 10009 HOSPITAL EXTENSION CLINIC BETH ISRAEL MED CTR #2 103 EAST 125TH STREET NEW YORK NY 10035 EXTENSION BETH ISRAEL MED CTR CUMBERLAND 98 FLATBUSH AVENUE BROOKLYN NY 11217 HOSPITAL EXTENSION CLINIC GOUVERNEUR CLINIC 109 DELANCEY ST NEW YORK NY 10002 HOSPITAL EXTENSION CLINIC HARLEM CLINICS #1 #3 #6 #7 103 EAST 125TH STREET NEW YORK NY 10035 HOSPITAL EXTENSION CLINIC BIMC GERIATRICS SENIOR HEALTH 275 EIGTH AVENUE NEW YORK NY 10011 HOSPITAL EXTENSION CLINIC VINCENT P DOLE CLINIC 25 12TH STREET BROOKLYN NY 11215 HOSPITAL EXTENSION CLINIC BETH ISRAEL MED CTR 1-E 2-F 3-G 429 2ND AVENUE NEW YORK NY 10010 HOSPITAL EXTENSION CLINIC BETH ISRAEL MED CTR 2-C 435 2ND AVENUE NEW YORK NY 10010 HOSPITAL EXTENSION CLINIC BETH ISRAEL MED CTR 3-C 433 2ND AVENUE NEW YORK NY 10010 HOSPITAL EXTENSION CLINIC BETH ISRAEL MED CTR 8 & 8-D 140 WEST 125TH STREET NEW YORK NY 10027 HOSPITAL EXTENSION CLINIC BETH ISRAEL MED CTR COOPER SQUARE 26 AVENUE A NEW YORK NY 10003 HOSPITAL EXTENSION CLINIC Schedule H, Part I, Line 7f BAD DEBT EXPENSE OF $17,000,197 WAS SUBTRACTED FROM TOTAL EXPENSES AS REPORTED ON FORM 990, PART IX, LINE 24, COLUMN (A) FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. Schedule H, Part I, Line 6a Community benefit report prepared by related organization THE COMMUNITY HEALTH NEEDS ASSESSMENTS FOR BETH ISRAEL MEDICAL CENTER AND BETH ISRAEL BROOKLYN WERE CONDUCTED IN CONJUNCTION WITH EACH OTHER Schedule H, Part I, Line 7g Subsidized Health Services ALL CLINICS INCLUDED AS SUBSIDIZED HEALTH SERVICES ARE CLINICS OF THE HOSPITAL. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE AMOUNTS REPORTED IN PART I, LINES 7A, 7B, 7F AND 7G WERE COMPUTED USING A RATIO OF COST TO CHARGES THAT WAS DERIVED FROM WORKSHEET 2 OF SCHEDULE H INSTRUCTIONS. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount WHEN A DISCOUNT IS PROVIDED ON A PATIENT ACCOUNT, THIS IS ACCOUNTED FOR AS A CHARITY ALLOWANCE. CONVERSELY, WHEN NO PAYMENT OR ONLY PARTIAL PAYMENT IS MADE ON A PATIENT ACCOUNT, THIS IS ACCOUNTED FOR AS BAD DEBT EXPENSE. BILLINGS RELATING TO SERVICES RENDERED ARE RECORDED AS NET PATIENT SERVICE REVENUE IN THE PERIOD IN WHICH THE SERVICE IS PERFORMED, NET OF CONTRACTUAL AND OTHER ALLOWANCES WHICH REPRESENT DIFFERENCES BETWEEN GROSS CHARGES AND THE ESTIMATED RECEIPTS UNDER SUCH PROGRAMS. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED. PATIENT ACCOUNTS RECEIVABLES ARE ALSO REDUCED FOR ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote IN ACCORDANCE WITH GAAP, THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS NO LONGER DISCLOSE BAD DEBT EXPENSE. THE ORGANIZATION DETERMINES BAD DEBT EXPENSE AS FOLLOWS: DEDUCTIBLES AND COPAYMENTS UNDER THIRD-PARTY PAYMENT PROGRAMS ARE THE PATIENT'S RESPONSIBILITY, AND BIMC CONSIDERS THESE AMOUNTS IN ITS DETERMINATION OF THE PROVISION FOR BAD DEBTS BASED ON COLLECTION EXPERIENCE. ACCOUNTS RECEIVABLES ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, BIMC ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE HOSPITAL USED THE MEDICARE PORTION OF ALL INPATIENT AND OUTPATIENT PROGRAMS THAT OPERATE AT A DEFICIT, CALCULATED USING ONLY RCC TO CALCULATE COST, FOR INCLUSION IN SUBSIDIZED HEALTH SERVICES ON SCHEDULE H, PART III, LINE 7 FOR COMMUNITY BENEFIT. THIS IS PARTIALLY OFFSET BY SURPLUSES GENERATED BY OTHER PAYORS FOR THOSE SAME PROGRAMS. THE METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON SCHEDULE H, PART III, SECTION B, LINE 6 IS OBTAINED FROM THE INSTITUTIONAL COST REPORT WHICH USES COST PER DAY TO CALCULATE ROOM AND BOARD COSTS AND RCC FOR ANCILLARY AND OUTPATIENT COSTS. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE OFFERED EXTENDED INTEREST FREE PAYMENT PLANS. IF A PATIENT DEFAULTS ON ITS PAYMENT AGREEMENT, THE PATIENT'S ACCOUNT WILL BE CONSIDERED DELINQUENT, AND WILL BE SUBJECT TO THE NORMAL COLLECTION PROCEDURES FOR ALL PATIENTS. HOWEVER, NO LEGAL ACTION MAY BE TAKEN UNTIL IT HAS BEEN DETERMINED THAT THE PATIENT HAS THE MEANS TO PAY OUTSTANDING BALANCES. IN NO SITUATION WILL THE HOSPITAL AUTHORIZE FORECLOSURE ON A PATIENT OR RESPONSIBLE PARTY'S PRIMARY RESIDENCE. Schedule H, Part V, Section B, Line 16a FAP website A - BETH ISRAEL MANHATTAN: Line 16a URL: HTTP://WWW.WEHEALNY.ORG/SERVICES/FINANCIALASSISTANCE/INDEX.HTML; Schedule H, Part V, Section B, Line 16b FAP Application website A - BETH ISRAEL MANHATTAN: Line 16b URL: HTTP://WWW.WEHEALNY.ORG/SERVICES/FINANCIALASSISTANCE/INDEX.HTML; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - BETH ISRAEL MANHATTAN: Line 16c URL: HTTP://WWW.WEHEALNY.ORG/SERVICES/FINANCIALASSISTANCE/INDEX.HTML; Schedule H, Part VI, Line 2 Needs assessment THE HOSPITAL COMPLETED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT DURING 2023. THROUGHOUT THIS PROCESS, THE HOSPITAL WORKED COLLABORATIVELY WITH A NUMBER OF COMMUNITY-BASED ORGANIZATIONS, HEALTH FACILITIES, LOCAL ELECTED OFFICIALS, AND NEW YORK CITY COMMUNITY ADVISORY BOARDS. THE HOSPITAL ALSO HAS ITS OWN INTERNAL ADVISORY BOARD/COUNCIL THAT IS MADE UP OF REPRESENTATIVES OF THESE COMMUNITY PARTNERS AND INTERESTED LOCAL RESIDENTS. THROUGH THEIR PARTICIPATION, THE HOSPITAL SOLICITS COMMENT ON THE HEALTH CARE NEEDS OF THE COMMUNITY, STRENGTHS AND WEAKNESSES OF THE HOSPITAL, AND ONSTRUCTIVE SUGGESTIONS FOR IMPROVEMENT. THESE COUNCILS ALSO PARTICIPATE IN CHOOSING THE HEALTH PRIORITIES OF THE COMMUNITY. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE INSTITUTION RECOGNIZES THAT MANY OF THE PATIENTS IT SERVES MAY NOT HAVE HEALTH INSURANCE OR THE FINANCIAL RESOURCES TO ACCESS QUALITY HEALTH CARE SERVICES WITHOUT FINANCIAL ASSISTANCE. ACCORDINGLY, THE INSTITUTION ADHERES TO ITS FINANCIAL ASSISTANCE POLICY, WHICH EXISTS IN ORDER TO ASSIST PATIENTS WITH GAINING ACCESS TO FINANCIAL ASSISTANCE. PATIENTS CAN OBTAIN INFORMATION ON HOSPITAL CHARGES AND ELIGIBILITY FOR GOVERNMENT OR HOSPITAL PROGRAMS PRIMARILY FROM THE HOSPITALS DEPARTMENT OF FINANCIAL COUNSELING. THE AVAILABILITY OF THE INSTITUTION'S FINANCIAL ASSISTANCE IS NOTED ON THE PATIENT'S BILL. ALSO, PATIENTS ARE ALERTED TO THE POLICY BY MULTI-LINGUAL SIGNAGE AND BROCHURES AT POINTS OF PATIENT SERVICE, INFORMATION DISTRIBUTED IN THE ADMISSION PACKAGE, AND THE INSTITUTION'S WEB SITE. ALL HOSPITAL STAFF ARE DIRECTED TO DISTRIBUTE STANDARD INFORMATION OR REFER INQUIRIES TO THE DEPARTMENT OF FINANCIAL COUNSELING OR WEBSITE. Schedule H, Part VI, Line 4 Community information WHEN IT WAS FOUNDED MORE THAN 120 YEARS AGO, THE MISSION WAS TO MEET THE NEEDS OF THE IMPOVERISHED AND UNDERSERVED JEWISH COMMUNITY OF THE LOWER EAST SIDE OF MANHATTAN. TODAY, ONE OF ITS TWO INPATIENT SITES STILL PRIMARILY SERVICES THE LOWER EASTSIDE OF MANHATTAN, WHILE THE OTHER PRIMARILY SERVICES BROOKLYN. THE RACIAL AND ETHNIC BACKGROUND OF PATIENTS IS DIVERSE, SERVICING PATIENTS OF ALL RACES AND RELIGIONS. IN MANHATTAN, AT THE MAIN CAMPUS OF BIMC, A GROWING PERCENTAGE OF ELDERLY, AND A SIGNIFICANT PORTION OF LOW-INCOME INDIVIDUALS ARE SERVED. Schedule H, Part VI, Line 5 Promotion of community health QUANTIFIABLE EXPENSES ASSOCIATED WITH IMPROVING THE GENERAL HEALTH OF THE COMMUNITY HAVE BEEN REPORTED IN PART I. THESE ACTIVITIES INCLUDE A WIDE ARRAY OF HOSPITAL SPONSORED COMMUNITY HEALTH EDUCATION AND SCREENING EVENTS. THE COMMUNITY IS NOTIFIED OF THESE EVENTS AND SCREENINGS BY VARIOUS MEANS: MAILINGS, ADVERTISING IN LOCAL NEWSPAPERS, FLYERS, AND THROUGH MAILINGS OF VARIOUS NYC COMMUNITY BOARDS. THE HOSPITAL WEBSITE OFFERS ON-LINE HEALTH EDUCATION AND PHYSICIAN REFERRAL. MULTI-LINGUAL EDUCATIONAL MATERIALS ARE PROVIDED FOR PATIENTS AND THE SURROUNDING DIVERSE ETHNIC COMMUNITIES. BIMC'S KARPAS HEALTH INFORMATION CENTER, LOCATED AT 18TH STREET AND FIRST AVENUE IN MANHATTAN, IS THE HOSPITAL'S WELCOMING FRONT DOOR AND A POINT OF ENTRY TO BIMC'S OUTSTANDING PHYSICIANS AND CLINICAL SERVICES. THE CENTER HAS PROVIDED THOUSANDS OF NEW YORKERS WITH EASILY ACCESSIBLE HEALTH INFORMATION. STAFFED BY HEALTH EDUCATORS, THE CENTER IS A RESOURCE CENTER THAT OFFERS AN EXTENSIVE HEALTH LIBRARY, WALK IN ASSISTANCE AND HELP WITH RESEARCH ON SPECIFIC HEALTH CONDITIONS - ALL FREE OF CHARGE. THE WELLNESS PROGRAMS ENABLE NEIGHBORS TO REMAIN SAFE, ACTIVE AND VITAL MEMBERS OF THE COMMUNITY. THE CENTER IS COMMITTED TO PROVIDING RESOURCES THAT ARE NURTURING TO THE MIND, BODY AND SPIRIT. THE CENTER REACHES INTO THE COMMUNITY AND SPONSORS SCREENING AND WELLNESS WORKSHOPS AND CLASSES THROUGHOUT MANHATTAN AND BROOKLYN. THESE PROGRAMS ARE DEVELOPED IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS AND DEDICATED TO IMPROVING HEALTH OUTCOMES FOR THE COMMUNITIES BIMC SERVES. BIMC IS ALSO COMMITTED TO PROVIDING CARE TO ITS COMMUNITY SENIORS: -BIMC MAINTAINS A FULL TIME NURSE TO MONITOR AND ADMINISTER PROGRAMS FOR THE HEALTH OF THE SENIOR POPULATION OF THE NATURALLY OCCURRING RETIREMENT COMMUNITY (NORC) AT CO-OP VILLAGE ON THE LOWER EAST SIDE OF MANHATTAN. -KARPAS HEALTH INFORMATION CENTER HAS A NURSE ASSIGNED TO THE SIROVICH SENIOR CENTER TO MONITOR THE HEALTH OF THEIR PARTICIPANTS AND ASSIST IN HOME VISITS OF THE MEMBERS OF THE COMMUNITY SIROVICH SERVES. -BETH ISRAEL BROOKLYN MAINTAINS A GERIATRIC SOCIAL WORKER THAT PROVIDES CAREGIVER SUPPORT AND COMMUNITY OUTREACH. BETH ISRAEL MEDICAL CENTER ALSO DISTRIBUTES A BI-ANNUAL NEWSLETTER THAT GIVES UPDATES ON SERVICES AVAILABLE AT THE HOSPITAL AS WELL AS TIPS FOR HEALTHY LIVING. Schedule H, Part VI, Line 6 Affiliated health care system AFFILIATED HEALTH CARE SYSTEM THE ORGANIZATION WORKS CLOSELY WITH ITS AFFILIATED HOSPITALS AS AN INTEGRATED HEALTH CARE PARTNERSHIP. LEADERSHIP IS COMMITTED TO WORKING WITH THE COMMUNITY AND WILL REMAIN COMMITTED TO ALLOCATING SUFFICIENT RESOURCES TO ENSURE THAT THE CLINICAL AND OUTREACH SERVICES OF EACH OF THE AFFILIATED HOSPITALS IS RESPONSIVE TO THE COMMUNITY HEALTH NEEDS BY PROVIDING HIGH QUALITY, ACCESSIBLE, AND COMPASSIONATE HEALTH CARE TO THE MAXIMUM EXTENT POSSIBLE. Schedule H, Part VI, Line 7 State filing of community benefit report NY true NURSING SCHOOL SCHOLARSHIPS 98 663741 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE US: EVERY STUDENT APPLYING FOR SCHOLARSHIP AID MUST FILE THE FAFSA (FREE APPLICATION FOR FEDERAL STUDENT AID) DOCUMENTING FINANCIAL NEED AND MUST SUBMIT AN APPLICATION FOR THE SCHOLARSHIP IN QUESTION. A SCHOLARSHIP APPLICATION PACKAGE IS SENT TO ALL NEW AND RETURNING STUDENTS EACH FALL THAT DETAILS THE CRITERIA. SCHOLARSHIPS MAY BE BASED ON FINANCIAL NEED, ACADEMIC ACHIEVEMENT, AND/ OR OTHER SPECIFIC DONOR-DIRECTED CRITERIA. THE SCHOLARSHIP COMMITTEE MEETS (AT A MINIMUM) AT THE BEGINNING OF EACH SEMESTER TO SELECT SCHOLARSHIP RECIPIENTS AND TO REVIEW STUDENTS WHO RECEIVED AN AWARD TO ENSURE THAT THEY CONTINUE TO MEET THE REQUIREMENTS. THE FINANCIAL AID OFFICE MAINTAINS RECORDS OF ALL FINANCIAL AID RECEIVED BY STUDENTS (INCLUDING SCHOLARSHIPS) FOR AT LEAST 3 YEARS AFTER THE STUDENT CEASES ENROLLMENT IN THE PROGRAM. X X X X true true false false false true true false false BURTON P DRAYER (2) FORMER OFFICER 0 0 0 0 93717 656018 2250 15750 2659 18610 98626 690378 0 0 ARTHUR KLEIN MD (2) FORMER OFFICER 0 0 0 0 93660 506340 0 0 0 0 93660 506340 0 0 KENNETH DAVIS MD (2) CHIEF EXECUTIVE OFFICER 403300 3296700 163500 1336500 207472 1695940 3597 29403 6901 56413 784770 6414956 0 0 SCOTT MICHAEL LORIN (2) PRESIDENT 825000 0 153945 0 22133 0 33000 0 3798 0 1037876 0 0 0 ELIZABETH SELLMAN (2) PRESIDENT 912916 0 268318 0 62123 0 33000 0 13386 0 1289743 0 0 0 DENNIS CHARNEYMD(1)(2) PRESIDENT, ACADEMIC AFFAIRS 119900 980100 33572 274428 436970 3571925 3597 29403 2332 19060 596371 4874916 0 0 MARGARET PASTUSZKO (2) EVP, SYSTEM CIO 190750 1559250 51407 420218 22038 180140 3597 29403 3977 32506 271769 2221517 0 0 JEREMY BOAL MD (2) (END 122023) PRESIDENT, EVP, SYSTEM CMO 99917 816749 0 0 92487 756018 3597 29403 6155 50316 202156 1652486 0 0 BETH ESSIG ESQ (2) EVP, GENERAL COUNSEL 151740 1198260 40894 322931 12238 96643 3709 29291 2525 19940 211106 1667065 0 0 STEPHEN HARVEY EVP, SYSTEM CFO 134880 1065120 43923 346852 48925 386348 3709 29291 5488 43336 236925 1870947 0 0 JEFFREY SILBERSTEIN (2) EVP, SYSTEM CAO 115997 916003 30292 239208 20523 162068 3709 29291 186 1470 170707 1348040 0 0 KELLY CASSANO D EVP, SYS AMBULATORY OPERATION 114750 735250 30925 198150 6892 136157 4455 28545 1648 10557 158670 1108659 0 0 MICHAEL PASTIER SVP, CHIEF FINANCIAL OFFICER 163401 766599 30440 142810 50331 236129 5798 27202 8873 41627 258843 1214367 0 0 FRANK CINO (2) SVP, SYSTEM CHIEF RISK OFFICER 67440 532560 15579 123021 3121 24650 3709 29291 2767 21851 92616 731373 0 0 ELVIS DELEON VP AMBULATORY OPERATIONS 460000 0 70840 0 95031 0 26400 0 37073 0 689344 0 0 0 JEMILAT SIJU VICE PRESIDENT NURSING 350000 0 26879 0 3783 0 26400 0 32847 0 439909 0 0 0 Joann Coffin Vice President 305600 76400 53531 13383 1821 445 21120 5280 17046 4261 399118 99769 0 0 Claudia Garcenot Vice President Nursing 311666 0 36960 0 271 0 24933 0 12015 0 385845 0 0 0 Christine Mahoney Senior Vice President 295000 73750 45424 11356 1 0 26400 6600 12774 3194 379599 94900 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment ARTHUR KLEIN RECEIVED $600,000 OF SEVERANCE PAYMENTS DURING 2023. JEREMY BOAL RECEIVED $148,883 OF SEVERANCE PAYMENTS DURING 2023. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE DEAN, DR. DENNIS CHARNEY, WAS THE SOLE PARTICPANT IN THE ORGANIZATION'S SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AND WAS PAID OUT HIS ONE TIME SERP PAYMENT OF $3,000,000 IN 2023. THE BENEFITS EARNED UNDER THE SERP ARE DESIGNED TO FUND THE DEAN'S EVENTUAL RETIREMENT. THE DEAN HAS WORKED AT MOUNT SINAI FOR 20 YEARS; 17 YEARS AS DEAN. Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization THE MOUNT SINAI HOSPITAL, A RELATED ORGANIZATION, ANSWERED YES TO QUESTIONS 6A AND 6B IN SCHEDULE J AS THE INSTITUTION UTILIZES AN INCENTIVE BASED BONUS PROGRAM FOR CERTAIN EMPLOYEES, INCLUDING SEVERAL OF THOSE EMPLOYEES LISTED IN SCHEDULE J. NET EARNINGS IS ONE OF SEVERAL METRICS UTILIZED BY THE INSTITUTION IN THE ANNUAL BONUS CALCULATION. OTHER METRICS UTILIZED IN THE INCENTIVE COMPENSATION MODEL INCLUDE THE ORGANIZATION'S PERFORMANCE ON THE JCAHO HOSPITAL CORE MEASURES, PATIENT SATISFACTION SCORES, AND OTHER ORGANIZATIONAL GOALS SUCH AS LENGTH OF STAY INITIATIVES. INDIVIDUALS THAT HAVE RESPONSIBILITIES IN RELATED ORGANIZATIONS TO THE HOSPITAL MAY HAVE INCENTIVES BASED ON THE PERFORMANCE OF THESE ORGANIZATIONS AS WELL AS THAT OF THE HOSPITAL. Schedule J, Part I, Line 6b Compensation contingent on net earnings of a related organization THE MOUNT SINAI HOSPITAL, A RELATED ORGANIZATION, ANSWERED YES TO QUESTIONS 6A AND 6B IN SCHEDULE J AS THE INSTITUTION UTILIZES AN INCENTIVE BASED BONUS PROGRAM FOR CERTAIN EMPLOYEES, INCLUDING SEVERAL OF THOSE EMPLOYEES LISTED IN SCHEDULE J. NET EARNINGS IS ONE OF SEVERAL METRICS UTILIZED BY THE INSTITUTION IN THE ANNUAL BONUS CALCULATION. OTHER METRICS UTILIZED IN THE INCENTIVE COMPENSATION MODEL INCLUDE THE ORGANIZATION'S PERFORMANCE ON THE JCAHO HOSPITAL CORE MEASURES, PATIENT SATISFACTION SCORES, AND OTHER ORGANIZATIONAL GOALS SUCH AS LENGTH OF STAY INITIATIVES. INDIVIDUALS THAT HAVE RESPONSIBILITIES IN RELATED ORGANIZATIONS TO THE HOSPITAL MAY HAVE INCENTIVES BASED ON THE PERFORMANCE OF THESE ORGANIZATIONS AS WELL AS THAT OF THE HOSPITAL. Schedule J, Part I PART VII, SECTION A & SCHEDULE J COMPENSATION FOOTNOTES OFFICERS OF THE BOARD OF TRUSTEES HOURS REFLECT SERVICE TO ALL RELATED ORGANIZATIONS OF MOUNT SINAI HEALTH SYSTEM. (1) EMPLOYEE HAS AN OUTSTANDING LOAN REFLECTED IN SCHEDULE L, PART II OF ICHAN SCHOOL OF MEDICINE AT MOUNT SINIAI'S FORM 990 (2) COMPENSATION AND BENEFITS ARE FUNDED FROM THE MOUNT SINAI HOSPITAL, ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, BETH ISRAEL MEDICAL CENTER, ST. LUKE'S-ROOSEVELT HOSPITAL CENTER, AND/OR NEW YOUR EYE AND EAR INFIRMARY. OTHER REPORTABLE COMPENSATION FOR OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES AS IDENTIFIED IN THE FORM 990, PART VII, AND LISTED ON SCHEDULE J MAY INCLUDE VARIOUS TYPES OF SUPPLEMENTAL WAGES. Dr Celina Dubin Glenn Dubin, Officer 40393 comp. as an employee false false true false Form 990, Part VI, Line 2 Family/business relationships amongst interested persons TRUSTEES EDGAR CULLMAN, JR. AND SUSAN CULLMAN - Family relationship, TRUSTEES STEVEN HOCHBERG AND JOEL PICKETT - Business relationship, TRUSTESS MARC LIPSHULTZ AND JOHN HESS - Business relationship, OFFICER KENNETH DAVIS, MD AND TRUSTEE BONNIE DAVIS, MD - Family relationship, TRUSTEES JOHN HESS AND RICHARD FRIEDMAN - Business relationship, TRUSTEES JOHN HESS AND KIMBERLY HARRIS - Business relationship, TRUSTEES RICHARD FRIEDMAN AND KIMBERLY HARRIS - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders MOUNT SINAI HOSPITALS GROUP, 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 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. THESE RECOMMENDATIONS WERE REVIEWED AND APPROVED BY EY. 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 (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 COMPLIANCE WITH THE ORGANIZATION'S BUSINESS CONFLICTS OF INTEREST POLICY (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 15a Process to establish compensation of top management official COMPLIANCE WITH THE ORGANIZATION'S BUSINESS CONFLICTS OF INTEREST POLICY (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. 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 CO-CHAIRMEN OF THE BOARD 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 15b Process to establish compensation of other employees SAME AS 15a Form 990, Part VI, Line 19 Required documents available to the public GOVERNING DOCUMENTS AND CONFLICTS 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 VIII, Line 11d Other Miscellaneous Revenue - Total Revenue: 46271645, Related or Exempt Function Revenue: 46271645, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees AGENCY NURSES AND TEMPS - Total Expense: 14567271, Program Service Expense: 14567271, Management and General Expenses: , Fundraising Expenses: ; COLLECTION AGENCY FEES - Total Expense: 2099241, Program Service Expense: 2099241, Management and General Expenses: , Fundraising Expenses: ; CONSULTING FEES - Total Expense: 10793018, Program Service Expense: 10793018, Management and General Expenses: , Fundraising Expenses: ; CONTRACT SERVICES - Total Expense: 18021539, Program Service Expense: 18021539, Management and General Expenses: , Fundraising Expenses: ; OTHER SERVICES - Total Expense: 32747649, Program Service Expense: 32747649, Management and General Expenses: , Fundraising Expenses: ; PHYSICIAN SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances COMPANIES-EQUITY METHOD - 10338340; ASSETS RELEASED FROM RESTRICTION - -2525747; Schedule F, Part V THE INVESTMENT ACTIVITIES LISTED IN PART 1 ARE REPORTED ON THE ACCRUAL METHOD OF ACCOUNTING. BETH ISRAEL COMPREHENSIVE CANCER CENTER 325 WEST 15TH STREET NEW YORK NY 10011 522228661 CANCER CENTER NY 0 0 BIMC NEW 171 WEST 79TH OWNERSHIP LLC 150 EAST 42ND STREET NEW YORK NY 10017 REAL ESTATE NY 0 1606599 BIMC CONTINUUM HEALTH PARTNERS INC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 133939476 HOLDING CO NY 501(c)(3) Type I N/A 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 5TH FL 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 HOM NY 501(c)(3) 3 BIMC HOLDCO true EAST 17TH STREET PROPERTIES INC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 133547502 REAL ESTATE NY 501(c)(3) 10 BIMC HOLDCO true THE LONG ISLAND COLLEGE HOSPITAL 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 111018985 HOSPITAL NY 501(c)(3) 3 CHP false ST LUKE'S-ROOSEVELT HOSPITAL 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BACHMANN-STRAUSS DYSTONIA FOUNDATION INC 150 EAST 42ND STREET NEW YORK NY 10017 133804248 FUNDRAISING NY 501(c)(3) Type II MSHS true MSS HEALTH PC 150 EAST 42ND STREET NEW YORK NY 10017 862530666 HEALTHCARE NJ 501(c)(3) 10 MSH true 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 5TH FL NEW YORK NY 10017 133853145 MGMT SERVICES NY SLR C Corporation false MOUNT SINAI HC VENTURES INC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10017 460953126 HEALTH CARE MGMT NY BIMC HOLDCO C Corporation false MSHS VACCINE COMPANY 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 false true false true false false false false true true true true false true true true true true true The Mount Sinai Hospital O 158200000 Cost The Mount Sinai Medical 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