TY 2011 Form 990

(A) Name and business address	(B) Description of services	(C) Compensation
sodexo inc affiliates PO Box 81049 WOBURN,MA018131049	management	15,388,230
VICTORY ENERGY OPERATION 10701 E 126TH STREET NORTH COLLINSVILLE,OK74021	CONTRACTOR	5,030,031
STRUCTURE TONE INC 770 BROADWAY 9TH FLOOR NEW YORK,NY10003	CONTRACTOR	4,268,075
HOLOGIC 24506 NETWORK PLACE CHICAGO,IL60673	MAINTENANCE	2,170,140
IBEX CONTRUCTION COMP LLC 1372 BROADWAY 15 FLOOR NEW YORK,NY10003	CONTRACTOR	1,287,950
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 60

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	27,230,030	27,230,030
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	10,649,777		9,962,233	687,544
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	628,451,186	552,892,563	74,800,995	757,628
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	43,431,418	37,887,870	5,475,399	68,149
9	Other employee benefits .......	92,841,916	80,704,315	11,965,699	171,902
10	Payroll taxes ...........	53,202,227	46,080,205	7,013,706	108,316
11	Fees for services (non-employees):
a	Management ......	15,756,067	13,674,562	2,081,505
b	Legal .........	1,967,504		1,962,555	4,949
c	Accounting ...........	622,500		622,500
d	Lobbying ...........	0
e	Professional fundraising. See Part IV, line 17..	0
f	Investment management fees ......	497,796	497,796
g	Other ..........	158,956,358	137,958,223	20,998,135
12	Advertising and promotion ....	4,923,851	4,168,874	634,530	120,447
13	Office expenses .......	15,837,139	14,493,353	729,569	614,217
14	Information technology ......	11,653,332	10,095,292	1,536,569	21,471
15	Royalties ..	0
16	Occupancy ...........	56,843,760	49,334,699	7,509,061
17	Travel ............	756,065	640,624	97,507	17,934
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	495,536	430,076	65,460
20	Interest ...........	15,076,288	15,076,288
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	84,028,801	69,458,207	14,570,594
23	Insurance ..............	33,877,602	29,402,371	4,475,231
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a	BAD DEBTS	8,804,027	8,804,027
b	DIETARY	11,344,873	9,843,017	1,498,171	3,685
c	STAFF SUPPORT	3,421,694	2,969,688	452,006
d	MEDICAL SUPPLIES	329,747,344	329,747,344
e
f	All other expenses
25	Total functional expenses. Add lines 1 through 24f	1,610,417,091	1,441,389,424	166,451,425	2,576,242
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	704,464	1	844,569
2	Savings and temporary cash investments .......	253,203,143	2	235,145,997
3	Pledges and grants receivable, net .........	23,194,341	3	20,767,203
4	Accounts receivable, net .........	185,516,479	4	200,800,109
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........	0	5	0
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........	0	6	0
7	Notes and loans receivable, net .............	2,222,910	7	2,319,246
8	Inventories for sale or use ..............	20,835,600	8	20,911,343
9	Prepaid expenses and deferred charges ............	1,193,415	9	2,616,055
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,300,186,083
b	Less: accumulated depreciation. .....	10b	822,743,971	406,445,111	10c	477,442,112
11	Investments—publicly traded securities ..........	702,711,568	11	749,184,088
12	Investments—other securities. See Part IV, line 11 ......	56,096,000	12	63,097,000
13	Investments—program-related. See Part IV, line 11 ..	49,669,404	13	62,500,371
14	Intangible assets .........	0	14	0
15	Other assets. See Part IV, line 11 ...........	125,009,176	15	404,568,560
16	Total assets. Add lines 1 through 15 (must equal line 34)...	1,826,801,611	16	2,240,196,653
	17	Accounts payable and accrued expenses .	202,400,133	17	212,814,957
18	Grants payable ..........	0	18	0
19	Deferred revenue ..........	27,103,477	19	27,517,346
20	Tax-exempt bond liabilities ..........	376,026,065	20	425,144,138
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	24,862,500	23	22,312,500
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....	374,931,837	25	625,964,582
26	Total liabilities. Add lines 17 through 25.....	1,005,324,012	26	1,313,753,523
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	643,955,368	27	763,859,330
28	Temporarily restricted net assets .....	103,101,000	28	86,709,913
29	Permanently restricted net assets .....	74,421,231	29	75,873,887
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	821,477,599	33	926,443,130
34	Total liabilities and net assets/fund balances .....	1,826,801,611	34	2,240,196,653

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization

The Mount Sinai Hospital

Employer identification number

13-1624096

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2011

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2011. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2010. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2011

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2011 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2010 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2010 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2011. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2010. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2011

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2011

Name of organization

The Mount Sinai Hospital

Employer identification number

13-1624096

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2, of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 2

Name of organization The Mount Sinai Hospital
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part I	Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 3

Name of organization The Mount Sinai Hospital
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part II	Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 4

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Name of organization
The Mount Sinai Hospital

Employer identification number

13-1624096

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

The Mount Sinai Hospital

Employer identification number

13-1624096

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2011

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2011

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Yes

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

632,797

Total. Add lines 1c through 1i ...............................

632,797

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2 are answered “No” OR (b) Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, Part II-A; line 5; and Part ll-B, line 1.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
Part II-B, Line I	Other Activities	The Mount Sinai Hospital pays dues to various organizations that lobby federal and state legislators on behalf of health care facilities, including the Mount Sinai Hospital. The portion of these dues by entity are summarized below: American Health Association $36,542 1199 sieu $294,306 Greater New York Hospital Association $17,748 Health Association of NYS (HANYS) $64,201 MOUNT SINAI HOSPITAL EXECUTIVES $220,000

Schedule C (Form 990 or 990EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

The Mount Sinai Hospital

Employer identification number

13-1624096

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958), relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2011

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back
1a	Beginning of year balance ....	177,522,231	161,021,859	149,259,087	150,601,021
b	Contributions ........	28,545,569	40,480,116	42,703,335	32,755,660
c	Net investment earnings, gains, and losses ...		0	0	0
d	Grants or scholarships .....		0	0	0
e	Other expenditures for facilities and programs ........	43,484,000	23,979,744	30,940,563	34,097,594
f	Administrative expenses ....		0	0	0
g	End of year balance ......	162,583,800	177,522,231	161,021,859	149,259,087

Provide the estimated percentage of the year end balance (line 1g) held as:

Board designated or quasi-endowment SchDMd Bullet

53.000 %

Permanent endowment SchDMd Bullet

47.000 %

Temporarily restricted endowment SchDMd Bullet

0 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	39,305,828		39,305,828
b	Buildings ................	266,009,987	195,554,283	70,455,704
c	Leasehold improvements ............
d	Equipment ................	994,870,268	627,189,688	367,680,580
e	Other .................
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				477,442,112

Schedule D (Form 990) 2011

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) DUE TO/FROM RELATED ORGS				110,569,547
(2) DEFERRED FINANCING FEES				9,558,322
(3) 457B PLAN				4,021,639
(4) DIAGNOSTIC & TREATMENT CTR				261,913
(5) ROTATING RESIDENTS				1,772,962
(6) TENANT SECURITY DEPOSITS				344,201
(7) DEPOSITS HELD BY THIRD PARTIES				25,873
(8) THIRD PARTIES REC POOL RELATED				27,064,638
(9) OTHER RECEIVABLES				2,002,262
(10) FICA RECEIVABLE				13,361,965
(11) PROF BILLING RECEIVABLE				2,842,346
(12) MEDICAID RETRO RECEIVABLE				14,472,492
(13) PROF LIAB INS REC				218,270,400
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				404,568,560

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Book value
Federal Income Taxes		0
POST RETIREMENT BENEFITS		18,966,973
THIRD PARTY LIABILITIES		326,948,835
RENT SECURITY DEPOSIT		344,201
AR CREDIT BALANCES		10,795,408
MALPRACTICE INSURANCE		28,180,596
PLANNED GIFT LIABILITY		785,444
RECRUITMENT LIABILITY		10,000,000
MULTISPECIALITY LIABILITY		78,326
NOTES PAYABLE TO FFH		7,554,099
PROMISSORY NOTES PAYABLE		976,334
457B PLAN LIABILITY		4,021,639
PROFESSIONAL LIABILITIES		218,270,400
DTC		-957,673
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		625,964,582
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2011

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1	1,718,489,805
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2	1,610,417,091
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3	108,072,714
4	Net unrealized gains (losses) on investments ..........................	4	-9,634,699
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV.) .................................	8	6,527,064
9	Total adjustments (net). Add lines 4 through 8 .........................	9	-3,107,635
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10	104,965,079

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......			1	1,693,803,000
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV.) ............	2d	40,060,156
e	Add lines 2a through 2d .....................			2e	40,060,156
3	Subtract line 2e from line 1.....................			3	1,653,742,844
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV.) ...........	4b	64,746,961
c	Add lines 4a and 4b.......................			4c	64,746,961
5	Total Revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	1,718,489,805

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............			1	1,614,567,000
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV.) ............	2d	31,876,661
e	Add lines 2a through 2d......................			2e	31,876,661
3	Subtract line 2e from line 1.....................			3	1,582,690,339
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV.) ............	4b	27,726,752
c	Add lines 4a and 4b.......................			4c	27,726,752
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	1,610,417,091

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
Part V, Line 4	Intended Uses of Organization's Endowment Funds	MOUNT SINAI HOSPITAL'S ENDOWMENT FUNDS ARE RESTRICTED TO INVESTMENT IN PERPETUITY WITH THE INCOME EXPENDABLE TO SUPPORT PROGRAM ACTIVITIES AS STIPULATED BY DONORS. THE HOSPITAL FOLLOWS THE REQUIREMENTS OF THE UNIFORM MANAGEMENT OF INSTITUTIONAL FUNDS ACT ("UMIFA") AS THEY ARE RELATED TO ITS ENDOWMENT CONTRIBUTIONS. THE HOSPITAL HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPTS TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS SUPPORTED BY ITS ENDOWMENT. UNDER THIS POLICY, AS APPROVED BY THE BOARD OF TRUSTEES, THE ENDOWMENT ASSETS ARE INVESTED IN A MANNER TO PROVIDE THAT SUFFICIENT ASSETS ARE AVAILABLE AS A SOURCE OF LIQUIDITY FOR THE INTENDED USE OF THE FUNDS, ACHIEVE THE OPTIMAL RETURN POSSIBLE WITH THE SPECIFIC PARAMETERS, PRUDENTLY INVEST ASSETS IN A HIGH-QUALITY DIVERSIFIED MANNER AND ADHERE TO ESTABLISHED GUIDELINES.
Part XI, Line 8	Reconciliation of Change in Net Assets	Net Change in Captive Insurance Program $6,301,789 Change in Postretirement Liability $225,373 ROUNDING ($98) TOTAL $6,527,064
Part XII, Line #2d	Reconciliation of Revenue per AFS	Assets Released from Restrictions $23,661,926 Diagnostic & Treatment Center $16,398,230 TOTAL $40,060,156
Part XII, Line #4B	Reconciliation of Revenue per AFS	All other Contributions $28,546,000 Investment Fees $497,796 Distribution from msmc residental realty, llc $612,318 third parties reimbursement settlement $34,812,866 medical residents fica refund $277,663 rounding $318 TOTAL $64,746,961
Part XIII, Line #2d	Reconciliation of Expenses Per AFS	Diagnostic & Treatment Center $31,876,661 TOTAL $31,876,661
Part XIII, Line #4B	Reconciliation of Expenese per AFS	transfer to affiiates $11,138,305 Investment Fees $497,796 Contribution to Mt. Sinai DTC $15,478,431 transfer to the mount sinai school of medicine $612,318 Rounding ($98) TOTAL $27,726,752

Schedule D (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization
The Mount Sinai Hospital

Employer identification number

13-1624096

Part I

General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants

and other assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? ..............................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other
assistance outside the United States.

Activites per Region. (Use Part V if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees or agents in region or independent contractors	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for region/investments in region
	Central America and the Caribbean	2	0	Program Services	insurance	37,185,163
	Central America and the Caribbean	0	0	Investments	INVESTMENTS	211,037,000















3a	Sub-total .....	2	0			248,222,163
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	2	0			248,222,163

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2011

Schedule F (Form 990) 2011

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,

Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet

Use Part V if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ..... MediumBullet

Enter total number of other organizations or entities ........................ MediumBullet

Schedule F (Form 990) 2011

Schedule F (Form 990) 2011Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Use Part V if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2011

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2011

Page 5

Part V

Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

Identifier	ReturnReference	Explanation
Part I, Line 2		The primary coverage of professional and general liability incidents has been provided through participation in a pooled program with certain other health care facilities (principally hospitals) affiliated with the Federation of Jewish Philanthropies of New York. This occurrence basis insurance coverage participation is with captive insurance companies and commercial insurance companies. The Captive Insurance companies have two offices in the Caribbean, specifically Bermuda and Barbados. The companies were incorporated in Bermuda and Barbados in 1982 and 1986 respectively and are licensed under the Insurance Act of both countries. Since the Hospital is a shareholder of the captive insurance companies, the Hospital follows the equity method of accounting for its interest in the insurance companies associated with its medical malpractice insurance program. Additionally, Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations, has been filed with the Hospital's 990T.
parts I & IV		PLEASE NOTE THAT THE INVESTMENT ACTIVITIES LISTED IN PART I ARE ALLOCATED TO AGREE TO THE AUDITED FINANCIAL STATEMENT REPORTING AS POOLED INVESTMENTS WHILE PART IV REPORTS ON FOREIGN FILINGS FILED BY THE RESPECTIVE ORGANIZATION.

Schedule F (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

The Mount Sinai Hospital

Employer identification number

13-1624096

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a....

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Did the organization use FPG to determine eligibility for providing discounted care? If "Yes," indicate which of the

following was the family income limit for eligibility for discounted care: ............

Yes

200% 250% 300% 350% 400% Other

If the organization did not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount?......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care?...............

Did the organization prepare a community benefit report during the tax year?...........

Yes

If "Yes," did the organization make it available to the public? ...............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Financial Assistance at cost (from Worksheet 1) ..	43,220,414	15,412,115	27,808,299	1.710 %
b Medicaid (from Worksheet 3, column a) .....	373,812,004	329,345,175	44,466,829	2.740 %
c Costs of other means-tested government programs (from Worksheet 3, column b) .	0	0	0	0 %
dTotal Financial Assistance and Means-Tested Government Programs .....	417,032,418	344,757,290	72,275,128	4.450 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	17,133,645	0	17,133,645	1.070 %
f Health professions education (from Worksheet 5) ..	167,522,124	70,277,040	97,245,084	5.990 %
g Subsidized health services (from Worksheet 6) ..	29,913,879	14,434,473	15,479,406	0.970 %
h Research (from Worksheet 7)	0	0	0	0 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) ....	303,391	0	303,391	0.020 %
jTotal Other Benefits ...	214,873,039	84,711,513	130,161,526	8.050 %
kTotal. Add lines 7d and 7j. ..	631,905,457	429,468,803	202,436,654	12.500 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2011

Schedule H (Form 990) 2011

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	145,936	145,936	0.010 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	193,829	193,829	0.010 %
8	Workforce development
9	Other
10	Total	339,765	339,765	0.020 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense........

10,767,785

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy .....

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

405,621,597

Enter Medicare allowable costs of care relating to payments on line 5.....

387,368,313

Subtract line 6 from line 5. This is the surplus or (shortfall)........

18,253,284

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures

(see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2011

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest) How many hospital facilities did the organization operate during the tax year?2 Name and address		Other (Describe)
1	Mount Sinai Hospital One Gustave L Levy Place new york,NY10029	X	X	X	X	X
2	mount sinai hospital of queens 25-10 30th avenue long island city,NY11102	X	X		X	X

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Mount Sinai Hospital

Name of Hospital Facility:

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet the community health needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. ....		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 100% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.% If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

mount sinai hospital of queens

Name of Hospital Facility:

Line Number of Hospital Facility (from Schedule H, Part V, Section A):2

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet the community health needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. ....		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 100% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.% If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?18
Name and address		Type of Facility (describe)
1	CENTER FOR ADVANCE MEDICINE 5 E 102ND STREET NEW YORK,NY10029	CLINIC
2	MOUNT SINAI ADOLESCENT HEALTH CENTER 320 E 94TH STREET NEW YORK,NY10029	CLINIC
3	MOUNT SINAI HOSPITAL KIDNEY CENTER 309 E 94TH STREET NEW YORK,NY10128	DIALYSIS CENTER
4	PSYCHIATRIC OUTPATIENT CLINIC 1160 FIFTH AVENUE NEW YORK,NY10029	CLINIC
5	JOSEPH H HAZAN AMB CARDIAC CENTER 5 E 98 STREET NEW YORK,NY10029	CLINIC
6	MT SINAI SPORTS THERAPY 625 MADISON AVENUE NEW YORK,NY10022	PHYSICAL THERAPY CLINIC
7	BAYARD RUSTIN EDUCATIONAL COMPLEX W 18TH STREET NEW YORK,NY10011	PART TIME CLINIC
8	PS 108 1615 MADISON AVENUE NEW YORK,NY10029	PART TIME CLINIC
9	JHS 117 ALTERNATIVE EDUCATIONAL COMPLEX 240 E 109TH STREET NEW YORK,NY10029	PART TIME CLINIC
10	PS 38 232 E 103RD STREET NEW YORK,NY10029	PART TIME CLINIC
11	JULIAN RICHMAN HIGH SCHOOL 317 E 67TH STREET NEW YORK,NY10021	PART TIME CLINIC
12	PS 83 MENDOZA SCHOOL 219 E 109TH STREET NEW YORK,NY10029	PART TIME CLINIC
13	MANHATTAN CENTER FOR MATH & SCIENCES FDR DRIVE 116TH STREET NEW YORK,NY10029	PART TIME CLINIC
14	PRIMARY CARE CENTER 31-06 21ST STREET ASTORIA,NY11102	CLINIC
15	MOUNT SINAI AMBULATORY CARE 1200 FIFTH AVENUE NEW YORK,NY10029	CLINIC
16	MOUNT SINAI COMPREHENSIVE HEALTH PGRM DT 26 WEST SEVENTH AVENUE NEW YORK,NY10011	CLINIC
17	MT SINAI PSYCHIATRIC CONTIN DAY TREAT 53-55 E 96TH STREET ABC 1ST FL NEW YORK,NY10029	CLINIC
18	MOUNT SINAI QUEENS PHYSICIAN ASSOCIATES 27-15 30TH AVENUE LONG ISLAND CITY,NY11102	CLINIC

Schedule H (Form 990) 2011

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 9, 10, 11h, 13g, 15e, 16e, 17e, 18d, 19d, 20, and 21.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
SCHEDULE H SUPPLEMENTAL INFORMATION		Part I, Line 7 The Mount Sinai Hospital used the ratio of cost-to-charges methodology for costing purposes. The cost-to-charge ratio was derived utilizing Worksheet 2, Ratio of Patient Care Costs-to-Charges. Part I, Line 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 2011, the Hospital funded the MSDTC's operating loss of $15.5 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 $21.7 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. Part V, Line 18e The Hospital would follow up with phone calls and emails as part of the outreach effort to determine the patients eligibility under the facilitys FAP. Part V, Line 19d In accordance with State regulations, the Mount Sinai Hospital utilizes the contract of the payer with the largest volume as the basis for determining the maximum payment amount for FAP-eligible individuals. The rate for the services received based on this contract is then compared to the patients charges and the patient is then billed the lower of these two amounts less any applicable discounts based on their FAP-eligibility status.
2. Needs Assessment		A continuous community needs assessment process occurs in Manhattan and Western Queens through active membership/participation of administrative leaders, staff and faculty in over 20 community committees, coalitions and board; and through service and educational partnerships with community health, social service, civic organization and schools. The Department of Community and Government Affairs acts as a liaison for the Medical Center to health, social service and civic organizations, schools, coalition and community leaders in East and Central Harlem, the Upper West Side and in boroughs outside of Manhattan and Western Queens. Community and Government Affairs work closely with the Mount Sinai School of Medicine, Mount Sinai's Center for Multicultural and Community Affairs and the Department of Community and Preventive Medicine to assist other Medical Center departments that seek to implement community programs and research projects. The Mount Sinai Medical Center actively seeks the views of community residents, hospital consumers, health care providers, religious groups, community boards, elected officials, supports groups, and community health and human service professionals in identifying the need for services and public health priorities. The Mount Sinai Medical Center's public participation includes the following: Mount Sinai's Board of Trustees has established a Community Affairs committee whose members include senior management, health providers, and Trustees. A Trustee serves as a Community Advisory Board member to ensure board to board communications. The Board of Trustees meets quarterly to evaluate services and community needs. Mount Sinai's Community Advisory Board (CAB) members represent diverse socioeconomic and ethnic constituencies and representatives from the Medical Center leadership and departments. The CAB's goal is to ensure that the medical center is responsive to health care needs of consumers, with particular emphasis on the needs of East Harlem. The CAB meets monthly to evaluate services and community needs. The Tisch Cancer Institute has established a CAB to work in partnership with East and Central Harlem community residents and organizations to reduce the excess burden of cancer among its majority African-American and Hispanic residents to find ways to overcome cancer disparities. The CAB meets monthly to discuss community resources, strengths and interventions to improve the quality of cancer prevention, treatment and care. Mount Sinai has established and hosts a monthly Community Roundtable to keep its pulse on the needs of East Harlem and Central Harlem communities. Approximately 80 community leaders, educators, elected officials, and CAB members are in attendance at the monthly meetings. The Mount Sinai Medical Center representatives participate actively in monthly/quarterly meetings with the following organizations in its continuing efforts to discuss health care needs of the community. Abyssinian Development Corporation. * Boriken Neighborhood Health Center. * Bronx Aids Services. * Children's Aids Society. * Community Board No.11 - Manhattan, Health & Human Services Committee. * East Harlem Chamber of Commerce. * East Harlem HIV Care Network. * East Harlem Partnership for Cancer. * Greater Harlem Chamber of Commerce. * Little Sisters of the Assumption Family Health Services. * New York Academy of Medicine. * New York City Housing Authority - Carver Houses Tenants Association & Johnson Tenants Association. * Jewish Home and Hospital * Settlement Health Association. * Union Settlement Association. * Yorkville Common Pantry The Mount Sinai Hospital of Queens' public participation includes the following: Mount Sinai Hospital of Queens recently formed a CAB and serves the needs of a culturally diverse population with representatives from social and human service organizations, civic associations, public housing authority, and health care providers. The CAB meets quarterly to evaluate services and community needs. Mount Sinai Hospital of Queens conducts an annual Community Roundtable to inform and update participants on new programs and projects and facility improvements at the Hospital. The focus is also on engaging participants in a discussion of ways in which the Hospital can improve and better serve the needs of the community. The annual Pastoral Care Forum for clergy and other religious leaders in the community featured an educational session as well as an information-sharing component of services available in the community. Mount Sinai representatives participate actively in monthly/quarterly meetings with the following organizations in its continuing efforts to discuss health care needs of the community. * American Cancer Society. * Astoria Civic Association. * Catholic Charities of Brooklyn and Queens. * Community Boards No.1 & 2 - Queens. * Gateway to Health Sciences Secondary School. * Greek Orthodox Archdiocesan of America Hellenic Cultural Center. * HANAC. * Jacob Riis Neighborhood Settlement House. * Queens Chamber of Commerce. * New York City Housing Authority - Ravenswood Tenants Association * SHAREing and CAREing. * United Community Civic Association. * Visiting Nurse of New York. The Mount Sinai Medical Center discusses and analyzes the following demographic and socio-economic data with community partners as part of the community needs assessment process. 1. Utilization - Identify which services/programs have met or exceeded projected utilization 2. Patient satisfaction surveys - Analyze the hospitals' patient surveys to determine areas of needs identified by patients and their families 3. Local demand for services - Identify the services/programs with waiting lists, which demonstrate that the local demand for services exceeds capacity 4. Community need data - Determine the health of the community by examining the health statistics on the NYCDOHMH and NYSDOH websites; and determine the areas in which the target goals of Take Care New York are not met. Additionally, in assessing the communities' needs in conjunction with community partners, consumers, community boards, community leaders, and community health and human service professionals, the following questions are considered: 1. Is the cause of the illness, disease or health behavior preventable? 2. Does the hospital have existing resources, capacity, and processes to conduct outreach, provide screenings and treatment, measure, and evaluate set goals? 3. Was the health focus also identified by, discussed with, and determined as a priority in the health of the community by community partners, consumers, community health and human service professionals, NYCDOHMH, and the hospital's Community Advisory Board? Based on the information gathering process described above, the Hospital develops a community service plan that focuses on the health priorities for the surrounding community.
3. Patient education and eligibility for assistance		All patients that do not have insurance are notified that financial assistance may be available for them. Prominently placed signs notify patients of the financial assistance policy and flyers summarizing the process are available in registration areas. The Hospital provides assistance with enrollment in Federal and State insurance programs including Medicare, Medicaid, Child Health Plus and Family Health Plus. If patients do not qualify for these programs they may qualify for financial assistance through the Hospital's Charity Care and Self Pay Discount Policy. Patient bills also provide information as to where a patient or the person responsible for the Hospital bill can call to receive financial assistance if they are not able to pay the Hospital's bill. Patients are provided with assistance through the Hospital's Financial Counseling Department (Mount Sinai patients only) or through its Resource Entitlement and Advocacy Program (REAP) Office. The REAP Office assists both Hospital patients and community members to obtain financial assistance for their medical expenses.
4. Community Information		The Mount Sinai Medical Center serves patients in all five boroughs of New York City, Long Island, Westchester and Rockland counties, New Jersey and Connecticut. Mount Sinai is a regional and national referral center. The hospital defines New York County as the area used for community/local health planning for the purposes of the Community Service Plan. Census data were used to determine the service area of The Mount Sinai Medical Center. The total population of New York County in 2010 was 1,585,873 (increase of 3.2 percent from the 2000 Census). Approximately 52% of the New York County population in 2010 was of a minority population (18.5% African-American, 11.8% Asian and 21.7% "other" minority group members including individuals of 2+ races). There were 405,983 (25.6%) Hispanics, who can be of any race. New York County has eight federally-designated medically underserved areas. There are 20 hospitals, including specialty hospitals, serving this area. The U.S. Census identified that 282,285 members (17.8%) of the population were living at or below the Federal Poverty Level in 2010. It has been documented that individuals of minority and/or low-income status experience difficulties in accessing healthcare in some places. Mount Sinai serves residents of its service area without regard to any personal characteristics, including race/ethnicity or payer source. It is important to note the large minority population that Mount Sinai serves as most minority groups have been documented to suffer from cardiovascular disease at rates in excess of those of the White population. The Mount Sinai Medical Center has a strong history of serving traditionally underserved individuals throughout its service area, including Harlem and East Harlem communities surrounding the hospital. Mount Sinai provides the following health services to its community: * 67% of clinic visits are minority patients. * 53% of inpatient discharges are minority patients. * 85% of Emergency Department visits are minority patients. * More than 30% of inpatients reside in upper Manhattan. * Nearly 50% of outpatients reside in upper Manhattan. * More than 50% of Emergency Department patients reside in upper Manhattan. Reflective of the Hospitals location in the East Harlem neighborhood of New York County, approximately 45.5% and 53.5% of the hospital's inpatient discharges and outpatient visits, respectively, were from Medicaid patients. In many of the hospital's programs, over 60% of the patients have historically belonged to a minority group. The total number and percentage of individuals in the 45 and older age group in New York County is projected to grow dramatically from 2000 to 2015. The total number of individuals in this group is projected to increase from 534,263 individuals in 2000 to 694,295 individuals in 2015, representing a growth of 30.0% over this time period. This age group is projected to grow at a rate over seven times that of New York County from 2000 to 2015, and is at greater risk for cardiac problems than the general population. There were 217,265 individuals older than age 65 (comprising 13.7% of the population) residing within the service area in 2010. This population is projected to continue to grow to 242,281 individuals (comprising 15.1% of the population) by 2015, per the New York Statistical Information System from Cornell University. This age group is at greater risk for cancer than the general population. According to data from the New York State Department of Health (NYSDOH), infectious diseases, such as HIV, are more prevalent in the hospital's service area of New York County than in New York City and New York State overall. The HIV case rate from 2005 to 2007 in New York County was 72.9 individuals per 100,000, which was significantly higher than that of New York City (46.0 persons per 100,000) and the State (24.3 persons per 100,000). The Mount Sinai Hospital of Queens defines its primary service area as the following zip codes that comprise Northwestern Queens: 11101, 11102, 11103, 11104, 11105 and 11106 known as Long Island City/Astoria. The secondary service area consists of zip codes that comprise Western Queens: 11368, 11369, 11370, 11372, 11373, 11377 and 11378. Those zip codes define the areas used for community/local health planning for the purposes of the Community Service Plan. The population of the primary service area of Northwestern Queens in 2008 was 231,440 while the population of the secondary service area of Western Queens was 464,497 for a total of 695,937 residents. Over half (51%) of the population (representing more than 100 cultural and ethnic groups) is foreign-born compared to only 36% for New York City as a whole. In Northwestern Queens, roughly one in five persons lives in poverty; one in five adults smoke and is less likely to quit than smokers in New York City overall; women are less likely to get a regular Pap test for cervical cancer than women in New York City as a whole; and the service area has the second highest proportion of uninsured adults among all New York City neighborhoods, with foreign-born residents more likely to be without health insurance than those born in the United States. The heart disease hospitalization rate in the primary service area has increased by more than 10% in the past 10 years. The poverty and language barriers in Western Queens inhibit access to inpatient care. Per the New York City Department of City Planning, Mount Sinai Hospital of Queens is located in Queens Community Board No.1 - Queens. In 2007, 24.2% of the residents lived below the poverty level. This percentage is much greater than the percentage of residents below the poverty level (12.2%) for the entire county. Overall, greater than 50% of the residents in Community Board No.1 - Queens do not speak English "very well", according to the US Census Bureau. Staff members at Mount Sinai Hospital of Queens speak approximately 50 languages, a statistic that is growing each year. This is reflective of the cultural diversity of the service area, which includes residents comprising greater than 100 cultural and ethnic groups.
5. Promotion of Community Health		As mentioned in the description of the Needs Assessment in Part VI.2, the Hospital has formed a Community Board to ensure that the Medical Center is able to work closely with the surrounding community to identify and respond to the healthcare needs of the community. The Mount Sinai Medical Center Community Advisory Board was formed as a committee of the Board of Trustees to review and comment on the Medical Center's service, educational and research programs. The Board's goal is to ensure that the medical center is responsive to the health care needs of consumers, with particular emphasis on the needs of East Harlem. The Community Advisory Board is a forum for articulating patient care and community health concerns and for evaluating the effectiveness of services on the community's health status, patients' rights, and the quality of services provided to consumers. Community Advisory Board members represent diverse socioeconomic and ethnic constituencies and representatives of Medical Center leadership and departments. A majority are consumers. A Trustee serves as a Community Advisory Board member to ensure board-to-board communications Based on the needs assessment and feedback the Hospital receives from groups like the Community Advisory Board, the Mount Sinai Hospital conducts a number of services and activities that are designed to promote and improve the health of individuals residing in the surrounding community. These services and activities help to inform people of healthy living habits and provide access to valuable health care services, including diagnostic screening services for at risk people. A brief description of each of these services and activities is provided below. * HouseCall is a newsletter developed and designed to introduce the Harlem community to the doctors, nurses, social workers, and other health professionals who serve the community. The publication includes extensive outpatient service information * Prescriptions for Healthy Living is a campaign launched in 2007 in which banners that stress the importance of taking control of health care and adopting a healthy lifestyle are placed throughout the community. * Good Health Is Precious brings health education and screening to community organizations, responding to a need for early detection. Mini health talks about asthma, cancer, cardiovascular health, chronic kidney disease, diabetes, mental health, nutrition and fitness, orthopedic care, palliative care, and women's health are available in English and Spanish. * The Greenmarket is a partnership between the Medical Center and the Council on the Environment of New York City that sells fresh fruit and vegetables in East Harlem each week. It also offers free medical screenings as well as demonstrations of healthy cooking. * Free Community Health Screenings. In the past year Mount Sinai faculty and staff sponsored and/or participated in thirty-six community health fairs and health screening programs, street festivals, children's festivals, health expos and information fairs, reaching over 25,000 people. Screening have been conducted to test blood pressure, glucose, cholesterol, vision, bone density, body mass index, kidney disease, and Hepatitis C at health fairs year-round. There are nearly 7000 screenings annually. * Support Groups are offered to patients and their families so that they can share their stories with others who have had similar experiences. * Workshops and seminars are important components of Mount Sinai's commitment to the community. Topics covered have included areas such as Power of Attorney, Living Wills and Advanced Directives: What You Need to Know, Men's Health Seminars, Women's Cardiovascular Health * Exercise and Education classes are offered weekly or bi-monthly. * Resource Entitlement Advocacy Program (REAP ) serves uninsured and underinsured community members and hospital patients who need assistance with entitlement issues. REAP enables them to get health insurance and gain access to health care. In addition, it helps them obtain income, home care, and nutrition support by working with community agencies. REAP also provides technical assistance regarding changes to entitlement programs such as welfare, Medicaid, Medicare, Family Health Plus, child health insurance, and other programs. * East Harlem Free Clinic, created and operated by the students of the Mount Sinai School of Medicine, provides free medical care to East Harlem residents. * The Medical Center provides HEART (Heart Failure Education and Rehabilitation Training), a congestive heart failure nurse-management program to improve patient self management and physician-initiated services for patients with heart failure in East and Central Harlem. Additionally, Mount Sinai offers a wide variety of community outreach programs that provide screening, educational and patient care. These programs are funded through operating revenues of the Hospital. Some of the programs provided by the Medical Center include: * The Jack Martin Fund Clinic is a New York State Department of Health Designated AIDS Center that provides primary and specialty care, urgent care, social services, and counseling to those who are infected; and preventive services to those at risk. * Mount Sinai Adolescent Health Center was the first primary care facility in New York City specifically designed to meet the health care needs of adolescents. Today, it is the largest, most comprehensive adolescent center in the United States, with a mission to help adolescents grow up happy, healthy, and well educated by preventing disease and promoting health. The Adolescent Health Center offers comprehensive medical, nutritional, exercise, and mental health services to teenagers concerned with eating disorders, becoming overweight or obese, and high cholesterol. * The Mount Sinai Diabetes Center provides inpatient and outpatient treatment and education to adults with type I or type II diabetes. The Diabetes Center works closely with Mount Sinai Internal Medicine Associates, whose patient population includes many patients from East and Central Harlem. The Diabetes Center sponsors community diabetes screenings in English and Spanish. * The Mount Sinai Emergency Department provides state-of-the-art emergency care for the residents of East Harlem and Northern Manhattan 24 hours/day 7 days/week and is a receiving hospital for the 911 ambulance system. It is organized into five treatment areas: Emergency Psychiatric Care, Adult Urgent Care, Chest Pain Unit, Adult Emergency Services, and Pediatric Emergency Services. On-site bilingual staff and social work services are available around the clock. Many initiatives have been introduced in response to community needs and concerns. * Martha Stewart Center for Living at Mount Sinai was established in 2007 as a state-of-the-art medical practice for the outpatient care of seniors, and will surely become a benchmark in geriatric patient care. The Center provides care for patients and training for physicians, and coordinates healthy-aging research and practices. * The Dubin Breast Center opened at the The Tisch Cancer Institute, providing patients with a multidisciplinary, comprehensive approach to breast cancer screening, treatment and survivorship in a serene setting. Dubin Breast Center offers state-of-the-art diagnostics, including 3-D mammography, and minimally invasive diagnostic procedures. Our highly skilled physicians are some of the most sought-after breast cancer experts in the country. Patients at the Dubin Breast Center have access to the latest approaches and techniques, such as seed localization. A team of breast cancer experts are specialized in the diagnosis and treatment of breast cancer patients and offer the most advanced services in breast cancer prevention, diagnosis, and treatment. * The Breast Health Resource Program (BHRP) is dedicated to meeting the emotional and practical needs of women and men with breast cancer. The program offers information, guidance, and critical support to patients from diagnosis through survivorship. Our clinical social workers offer highly individualized counseling to help manage the complex demands of a breast cancer diagnosis. The Breast Health Resource Program offers counseling, seminars, support groups, and a library of information about the latest breast cancer treatments * The Visiting Doctors Program at Mount Sinai provides hands-on, high quality medical care and social support to men and women with complex and serious illnesses who have difficulty leaving their homes. The program aims to help patients maximize their health and independence. The homebound population has traditionally been underserved by the medical community, but the Visiting Doctors Program works to fill that gap by providing ongoing primary medical care. Today, Visiting Doctors serves over 1,000 patients throughout Manhattan and is a national model for the care of this most vulnerable group. * The Mount Sinai
6. Part of an Affiliated Health Care System		Not Applicable 7. Community Benefit Report Mount Sinai files a community service plan in New York State.

Schedule H (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization
The Mount Sinai Hospital

Employer identification number
13-1624096

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) MOUNT SINAI DIAG & TREATMENT CTRONE GUSTAVE L LEVY PL New York,NY10029	45-0537391	501(C)(3)	15,479,407	fund operating loss
(2) MOUNT SINAI SCHOOL OF MEDICINEONE GUSTAVE L LEVY PL NEW YORK,NY10029	13-6171197	501(C)(3)	612,318	fund strategic project
(3) MOUNT SINAI SCHOOL OF MEDICINEONE GUSTAVE L LEVY PL NEW YORK,NY10029	13-6171197	501(c)(3)	11,138,305	FUND PHYSICIAN PRACTICES LOSS

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ......................... . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2011

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
Part I, Line 1		The grant is to fund the net deficit of its related organization's and no monitoring is required since the entity is a related tax exempt organization. Part I, Line 2 The grant is to fund various strategic programs to promote common mission of the Hospital and School of Medicine. PART I, LINE 3 The grant is to fund the operating loss of various off-site physician practices owned by the Mount Sinai School of Medicine.

Schedule I (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

The Mount Sinai Hospital

Employer identification number

13-1624096

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Yes

Any related organization? .........................

Yes

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2011

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1) Kenneth L Davis MD	(i) (ii)	522,500 522,500	630,175 630,175	125,347 125,347	12,250 12,250	14,885 14,885	1,305,157 1,305,157	0 0
(2) Wayne Keathley	(i) (ii)	694,000 0	420,116 0	120,329 0	24,500 0	21,952 0	1,280,897 0	0 0
(3) Burton Drayer 134	(i) (ii)	0 212,097	0 0	0 793,820	0 21,210	0 15,386	0 1,042,513	0 0
(4) Michael Macdonald ESQ	(i) (ii)	290,500 290,500	45,000 45,000	118,665 118,665	9,800 9,800	18,612 18,612	482,577 482,577	0 0
(5) deborah Marin md 3	(i) (ii)	227,500 97,500	0 0	28,353 64,803	17,150 7,350	7,645 3,277	280,648 172,930	0 0
(6) donald t scanlon	(i) (ii)	306,000 306,000	303,417 303,417	36,933 36,933	12,250 12,250	12,568 12,568	671,168 671,168	0 0
(7) jeffrey silberstein	(i) (ii)	312,000 312,000	128,369 128,369	38,556 38,556	12,250 12,250	8,385 8,385	499,560 499,560	0 0
(8) connie c klepper	(i) (ii)	173,417 173,417	121,367 121,367	15,842 15,842	9,800 9,800	4,528 4,528	324,954 324,954	0 0
(9) mark kostegan fahp	(i) (ii)	150,000 350,000	63,006 147,013	35,234 82,213	7,350 17,150	5,376 12,544	260,966 608,920	0 0
(10) jane maksoud	(i) (ii)	216,670 244,330	76,788 86,591	27,824 31,376	11,515 12,985	14,594 16,456	347,391 391,738	0 0
(11) michael mccarry	(i) (ii)	290,000 0	88,177 0	5,963 0	19,600 0	12,524 0	416,264 0	0 0
(12) ira s nash md	(i) (ii)	400,000 0	46,467 0	99,587 0	24,500 0	21,573 0	592,127 0	0 0
(13) michael pastier	(i) (ii)	421,000 0	163,379 0	36,937 0	19,600 0	40,852 0	681,768 0	0 0
(14) carol porter	(i) (ii)	305,000 0	95,045 0	51,813 0	24,500 0	17,426 0	493,784 0	0 0
(15) caryn schwab	(i) (ii)	406,000 0	32,676 0	50,374 0	19,600 0	29,044 0	537,694 0	0 0
(16) helen irving	(i) (ii)	158,918 0	0 0	3,452 0	13,072 0	6,429 0	181,871 0	0 0
(17) margaret pastuszko	(i) (ii)	195,500 195,500	99,099 99,099	6,710 6,710	9,800 9,800	13,944 13,944	325,053 325,053	0 0
(18) maureen van benthuysen	(i) (ii)	325,000 0	82,000 0	76,114 0	19,600 0	10,598 0	513,312 0	0 0
(19) jane whitney	(i) (ii)	125,667 116,000	43,968 40,586	3,368 3,109	10,054 9,280	9,464 8,736	192,521 177,711	0 0
(20) daryl Wilkerson 1	(i) (ii)	217,600 54,400	37,440 9,360	3,621 905	15,680 3,920	11,970 2,992	286,311 71,577	0 0
(21) elana abraham 2	(i) (ii)	226,841 0	0 0	1,599 0	19,499 0	29,264 0	277,203 0	0 0
(22) David nierman md	(i) (ii)	400,000 0	23,340 0	51,891 0	24,500 0	28,331 0	528,062 0	0 0
(23) ajoy sinha md	(i) (ii)	190,000 0	25,000 0	462,535 0	13,933 0	15,169 0	706,637 0	0 0
(24) jack nelson	(i) (ii)	290,000 43,333	34,800 5,200	162,078 24,219	4,833 722	13,668 2,042	505,379 75,516	0 0
(25) frank cino MS CPA	(i) (ii)	153,966 94,367	57,882 35,477	1,667 1,021	12,152 7,448	15,883 9,734	241,550 148,047	0 0
(26) KUMAR CHATANI	(i) (ii)	74,285 11,100	134,052 20,031	21,802 3,258	0 0	2,131 319	232,270 34,708	0 0
(27) KRISTEN MYERS	(i) (ii)	261,000 39,000	195,750 29,250	1,633 244	17,052 2,548	7,468 1,116	482,903 72,158	0 0
(28) ROBERT CHASSIN	(i) (ii)	284,808 0	86,000 0	13,260 0	19,600 0	12,280 0	415,948 0	0 0
(29) BERNARD BIVIANO MD	(i) (ii)	302,478 0	8,581 0	45,167 0	19,600 0	23,620 0	399,446 0	0 0

Schedule J (Form 990) 2011

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
Supplemental Information	Housing Allowance	Schedule J, Part I, line 1a 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 & 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 & 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.

Schedule J (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization
The Mount Sinai Hospital

Employer identification number
13-1624096

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	DORMITORY AUTHORITY OF THE STATE OF NEW YORK	14-6000293	649905Q58	06-10-2010	348,374,400	REFINANCE OUTSTANDING DEBT 5/18/00		X		X		X
B	DORMITORY AUTHORITY OF THE STATE OF NEW YORK	14-6000293	649906MB7	10-27-2011	60,064,208	CONSTRuct OF ALLOCABLE SHARE RESCH		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . .	0		0
2 Amount of bonds legally defeased . . . . . . . . . .	0		0
3 Total proceeds of issue . . . . . . . . . . . . .	348,374,400		66,086,084
4 Gross proceeds in reserve funds . . . . . . . .	32,949,850		4,248,750
5 Capitalized interest from proceeds . . . . . . . . . .	0		0
6 Proceeds in refunding escrows . . . . . . . . . . .	0		0
7 Issuance costs from proceeds . . . . . . . . . . .	950,618		1,074,778
8 Credit enhancement from proceeds . . . . . . . . . .	0		0
9 Working capital expenditures from proceeds . . . . . . .	0		0
10 Capital expenditures from proceeds . . . . . . . . . .	0		0
11 Other spent proceeds . . . . . . . . . . .	347,454,121		1,233,211
12 Other unspent proceeds . . . . . . . . . . .	0		0
13 Year of substantial completion . . . . . . . . . . .
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . .	X			X
15 Were the bonds issued as part of an advance refunding issue? . . . .		X		X
16 Has the final allocation of proceeds been made? . . . . . .	X			X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . .	X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2011

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . .		X		X
b If ‘Yes’ to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . .
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . .		X		X
d If ‘Yes’ to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0%		0%		%		%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	%		%		%		%
6 Total of lines 4 and 5 . . .. . . . . . . . .	%		%		%		%
7 Does the bond issue meet the private security or payment test? . . .	X		X
8 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?	X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .		X		X
2 Is the bond issue a variable rate issue?		X		X
3a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X
b Name of provider . . . . . . . .	0		0
c Term of hedge . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was a hedge terminated? . . . . .
4a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . .		X		X
b Name of provider . . . . . .	0		0
c Term of GIC . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . .
5 Were any gross proceeds invested beyond an available temporary period? . . . . . .		X		X
6 Did the bond issue qualify for an exception to rebate? .	X			X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X			X

Schedule K (Form 990) 2011

Page 3

Part V

Procedures To Undertake Corrective Action

Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? . . . . . . . . . . . . . . YesNo

Part VI

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
SEE SCHEDULE O	0

Schedule K (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

The Mount Sinai Hospital

Employer identification number

13-1624096

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2011

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) Hess Corporation	John Hess, Trustee	15,522,255	See part v		No
(2) XO Communications	Carl Icahn, Trustee	796,435	See part v		No
(3) ASAF RABINOVITZ	JOSEPH SHENKER, TRUSTEE	30,804	See part v		No
(4) dr Carolyn sicher	SUSAN CULLMAN/EDGAR, TRST	82,311	See part v		No
(5) Dr Elissa Gretz Friedman	Robert Friedman, trustee	71,943	See part v		No
(6) Dr Irwin Gribetz	Judah Gribetz, trustee	72,459	See part v		No
(7) kimberly harrison	clifford goldsmith,truste	105,307	See part v		No
(8) us foodservice	donald gogel, trustee	130,435	See part v		No
(9) karen kostegan	mark kostegan, officer	63,300	See part v		No
(10) ethylin wane jabs	douglas jabs, OFFICER	212,576	See part v		No
(11) francesco ramirez	margaret pastuszko,OFFICE	254,802	See part v		No
(12) och ziff capital management	david windreich, trustee	1,057,095	See part v		No
(13) BRIAN SCANLON	DONALD SCANLON, OFFICER	51,772	See part v		No
(14) GARY B DAVIS	DR. KENNETH DAVIS,OFFICER	29,218	SEE PART V		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation
Schedule L, Part IV, Column D	Business Transactions involving interested parties	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 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 Communication Following an extensive RFP and a multi-party competitive bidding process, as well as a review by a special board committee (which did not include Mr. Icahn) of the engagement process, the organization purchased communications services from XO Communications. Mr. Icahn is a greater-than-35% owner of XO Communications. 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: Dr. 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 has any involvement in decisions related to her employment. Name of Interested Person: Dr. 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: Dr. 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: Brian Scanlon OFFICER Donald Scanlon's son is an employee of the Hospital. Mr. Scanlon has no involvement in decisions related to his son's employment. Name of Interested Person: Ethylin Wane Jabs OFFICER 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 OFFICER 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: Asaf Rabinovitz Trustee Joseph Shenker's son-in-law is employed by Mount Sinai School of Medicine. Mr. Shenker has no involvement in decisions related to his son-in-law's employment. NAME OF INTERESTED PERSON: GARY B. DAVIS OFFICER DR. KENNETH DAVIS'S BROTHER IS AN EMPLOYEE OF THE HOSPITAL. DR. DAVIS HAS NO INVOLVEMENT IN DECISIONS RELATED TO HIS BROTHER'S EMPLOYMENT. *All reported amounts reflect aggregate 2011 spending for The Mount Sinai Hospital, Mount Sinai School of Medicine of New York University, and all related entities and organizations.

Schedule L (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

NonCash Contributions

Complete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

The Mount Sinai Hospital

Employer identification number

13-1624096

Part I

Types of Property

	(a) Check if applicable	(b) Number of Contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......	X		18,888	resale value
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	14	168,495	FMV
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( wine )	X	496	494,930	auction
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it

must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ............................

32a

If "Yes," describe in Part II.

If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) 2011

Page 2

Part II

Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33 and whether the organization is reporting in Part I, column (b) the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
Part I, Line 9	Securities - Publicly traded	18 SHARES OF APPLE STOCKS VALUED AT $6,451.20 RECEIVED ON 2/11/11 22 SHARES OF GOLDMAN SACH'S STOCKS VALUED AT $3,692.70 RECEIVED ON 2/17/11 2,930 SHARES OF DOMINOS PIZZA STOCKS VALUED AT $50,425.20 RECEIVED ON 3/1/11 600 SHARES OF CBI STOCKS VALUED AT $23,532 RECEIVED ON 5/12/11 9 SHARES OF GOLDMAN SACHS STOCKS VALUED AT $1,215.27 RECIEVED ON 6/6/11 700 SHARES OF BP AMOCO STOCKS VALUED AT $29,526.00 RECEIVED ON 6/24/11 1,600 SHARES OF GENERAL ELECTRIC STOCKS VALUED AT $29,120 RECEIVED ON 6/24/11 60 SHARES OF VIACOM STOCKS VALUED AT $2,524.20 RECEIVED ON 5/23/11 17 SHARES OF PROCTOR & GAMBLE STOCKS VALUED AT $1,044.82 RECEIVED ON 9/13/11 20 SHARES OF AMAZON STOCKS VALUED AT $3,560.00 RECEIVED ON 12/21/11 8 SHARES OF GOOGLE STOCKS VALUED AT $5,003.12 RECEIVED ON 12/21/11 108 SHARES OF TIME WARNER CABLE STOCKS VALUED AT $6,778.08 RECEIVED ON 12/21/11 77 SHARES OF PROCTOR AND GAMBLE STOCKS VALUED AT $5,065.75 RECEIVED ON 12/21/11 8 SHARES OF COCA COLA STOCKS VALUED AT $556.72 RECEIVED ON 12/23/11

Schedule M (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization

The Mount Sinai Hospital

Employer identification number

13-1624096

Identifier	Return Reference	Explanation
Supplemental Information	Part I, Line 5	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 21,220. The number of direct Hospital employees is 12,175. 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. (deceased) was the father of Trustees Susan Cullman and Edgar Cullman, Jr. Trustees Edgar Cullman, Sr. and Edgar Cullman, Jr. both had ownership interests in 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. 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 Kraviz 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 & Young, participated in the preparation of, and reviewed, all tax returns. A questionnaire was circulated to all trustees (i.e., directors), officers and key employees in order to elicit the information required to be reported on the tax returns. The Trustee Conflicts of Interest Review Committee reviewed the responses provided by trustees and certain officers in the questionnaires and assessed additional pertinent facts gathered by the institution in order to evaluate the applicability of IRS reporting requirements. The Review Committee then determined the appropriate trustee (and certain officer) disclosures that should be made on Form 990 based on the recommendations of the Finance Department, the General Counsel's office and the Compliance Department. These recommendations were reviewed and approved by E&Y. The same process was conducted by the Finance Department, the General Counsel's office, the Compliance Department and E&Y with respect to the questionnaires submitted by other officers and key employees The Audit and Compliance Committee of the Board of Trustees conducted a review of the entire tax return, with the participation of E&Y, the Finance Department, and the General Counsel's office. The Audit Committee approved the tax returns as presented. The Audit Committee's report of its review of the tax returns and its recommendation to file the returns were presented to, and accepted by, the Executive Committee of the Board of Trustees (the "Executive Committee"). In addition to authorizing the filing of the tax returns, the Executive Committee directed that the returns, which will be filed on or before November 15, 2012, be provided to all trustees via the trustees' confidential website, and those returns were so provided before being filed.
Part VI, Section B, Line 12C	Monitoring & enforcing compliance with the policy	Compliance with the Organization's Business Conflicts of Interest Policy (the "Policy") is required of trustees, employees, medical staff and non-employee members of institutional committees and includes an ongoing duty to disclose potential conflicts. Compliance with the Policy is monitored and enforced regularly and consistently. All disclosures with the potential for conflict are reviewed by an appropriate committee where they are carefully evaluated. When appropriate, a plan, which may involve measures including, but not limited to, recusal from participating in affected transactions, is developed to manage the potential conflict. Part VI, Section B, Lines 15A & 15 B Process for determination of compensation The Compensation, Employee Benefits and Employee Relations Committee of the Boards of Trustees (the "Compensation Committee") determines the compensation for the CEO and reviews and modifies or approves the CEO's recommendations for compensation for other officers and key employees, including physician leaders, who are or may be "disqualified persons" as that term is defined in IRC Section 4958. The Compensation Committees' operating procedures are designed to ensure that the compensation of all such officers and key employees is reasonable (i.e. the value of services is the amount that would ordinarily be paid for like services by like enterprises under like circumstances), and to follow the specific steps outlined in the IRC regulations for establishing the 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 2,074. 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 VII, SECTION A	Average Hours Devoted to Related Organizations	Burton P. Drayer, M.D. - 1 hour with MSMC and 55 hours with MSSM Connie C. Klepper - 27.5 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 Kristen Myers - 7.2 hours with MSSM Kumar Chatani - 7.2 hours with MSSM 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
PART XI, LINE 5	RECONCILIATION OF NET ASSETS	UNREALIZED GAIN (9,634,699) NET CHANGE IN INVESTMENT IN CAPTIVE INS PROGRAM 6,301,789 CHANGE IN POST RETIREMENT LIABILITY 225,373 ROUNDING 354 TOTAL (3,107,183)
SCHEDULE K SUPPLEMENTAL INFORMATION		PART II, LINE 3 ISSUE A TOTAL PROCEEDS PER TAX CERTIFICATE: 348,374,400 PLUS INVETMENT EARNINGS 30,339 = 348,404,739 PART II, LINE 3 ISSUE B TOTAL PROCEEDS PER TAX CERTIFICATE: 66,064,208 PLUS INVESTMENT EARNINGS 21,876 = 66,086,084
AMENDED RETURN		The Hospital amended the following lines to exclude a related party from unrelated business income from laboratory services: Part I Line 7a, Part III Line 4a (revenue), and Part VIII Line 2b (column c). The 2011 990T has also been amended.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

The Mount Sinai Hospital

Employer identification number

13-1624096

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) mount sinai proton holding company llc one gustave l levy place new york,NY10029 27-4281194	investment	NY	0	975,000	MSH

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) The Mount Sinai School of Medicine one Gustave L Levy Place new york,NY10029 13-6171197	school	NY	501(C)(3)	2	na		No
(2) Mount Sinai Medical Center one Gustave L Levy Place new york,NY10029 13-6271888	support	NY	501(C)(3)	11 type II	na		No
(3) MSMC Realty Corp one Gustave L Levy Place new york,NY10029 13-3852596	real estate	NY	501(C)(3)	11 type I	see part vii	Yes
(4) MSMC Residential Realty LLC 1425 madison avenue new york,NY10029 20-0244426	real estate	NY	501(C)(3)	11 type I	see part vii	Yes
(5) Mount Sinai Diagnostic & Treatment Ctr one Gustave L Levy Place new york,NY10029 45-0537391	op clinics	NY	501(C)(3)	3	MSH	Yes
(6) msmc residential realty managers inc 1425 madison avenue new york,NY10029 20-1289396	management	NY	501(C)(3)	11 type I	see part vii	Yes
(7) Mitral Foundation 555 Fifth AVenue 11th Floor New York,NY10029 80-0468600	support	NY	501(C)(3)	11 type I	MSSM	Yes
(8) the mount sinai children's center fnd one gustave l levy place new york,NY10029 20-1289396	fundraising	NY	501(C)(3)	11 type I	MSSM		No

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2011

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership

Schedule R (Form 990) 2011

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

j Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) Mount Sinai Diagnostic & Treatment Center	b	15,479,407	cost
(2) Mount Sinai School of Medicine	b	11,138,305	cost
(3) MSMC Realty Corp	c	3,054,445	cost
(4) mount sinai school of medicine	d	1,079,671	cost
(5) mount sinai diagnostic & treatment center	i	2,428,066	COST
(6) mount sinai school of medicine	j	8,051,106	COST
(7) mount sinai school of medicine	p	839,263,414	cost
(8) msmc realty corp	j	4,881,011	cost
(9) mount sinai school of medicine	o	142,812,916	cost
(10) 8 east 102nd street llc	R	3,210,516	cost
(11) msmc realty corp	q	520,000	cost
(12) mount sinai school of medicine	n	20,629,991	cost
(13) mount sinai school of medicine	m	19,040,232	cost
(14) msmc residential realty corp	c	612,318	cost
(15) msmc residential realty corp	o	4,421,496	cost
(16) mount sinai diagnostic & treament center	p	27,485,813	cost
(17) mount sinai school of medicine	B	612,318	cost

Schedule R (Form 990) 2011

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2011

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation
Part II, Line 3, column F	direct controlling entity	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.

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SEE attachment 1
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a).....	3	41
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	32
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...	5	12,175
6	Total number of volunteers (estimate if necessary) ....	6	1,372
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	1,559,387
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	53,940,888	32,506,751
9	Program service revenue (Part VIII, line 2g) .........	1,557,750,644	1,646,614,636
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	29,025,500	13,529,797
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	40,880,525	25,838,621
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	1,681,597,557	1,718,489,805
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	26,055,542	27,230,030
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	785,094,744	828,576,524
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 2,576,242
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	725,576,609	754,610,537
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,536,726,895	1,610,417,091
19	Revenue less expenses. Subtract line 18 from line 12.......	144,870,662	108,072,714
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,826,801,611	2,240,196,653
21	Total liabilities (Part X, line 26).............	1,005,324,012	1,313,753,523
22	Net assets or fund balances. Subtract line 21 from line 20.....	821,477,599	926,443,130

Sign Here

	Signature of officer	Date

	Type or print name and title.


4a	(Code: ) (Expenses $ 1,441,389,424 including grants of $ 27,230,030 ) (Revenue $ 1,653,737,392 )
	The Mount Sinai Hospital provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of the Mount Sinai Hospital, it is recognized that not all individuals possess the ability to purchase essential medical services and healthcare education. As a matter of policy, the Hospital provides significant amounts of partially or totally uncompensated patient care. For accounting purposes, such uncompensated care is treated either as charity care or bad debt expense. The Hospital's charity care policy ensures the provision of quality health care to the community served while carefully considering the ability of the patient to pay. The policy has sliding fee schedules for inpatient, ambulatory and emergency services provided to the uninsured and under-insured patients who qualify. Patients are eligible for the charity care fee schedule if they meet certain income tests. Furthermore, as part of its charity care and financial aid policy, the Hospital obtains and uses additional financial information for uninsured or under-insured patients who have not supplied the requisite information to qualify for charity care. The additional information obtained is used by the Hospital to determine whether to qualify patients for charity care and/or financial aid in accordance with the Hospital's policies. For accounting and disclosure purposes, charity care is considered to be the difference between the Hospital's customary charges and the sliding charity care fee schedule rates. Since payment of this difference is not sought, charity care allowances are not reported as revenue. The Hospital's estimated costs for charity care were $31.8 million for 2011 and $27.6 million for 2010. Additionally, patients who do not qualify for sliding scale fees and all uninsured inpatients who do not qualify for Medicaid assistance are billed at the Hospital's rates. Uncollected balances for these patients are categorized as bad debts. Total uncompensated care as a result of bad debts for all patient services approximated $10.8 million in 2011 and $22.5 million in 2010. The Mount Sinai Hospital is the primary healthcare provider for the East Harlem Area of New York City. East Harlem is one of the poorest communities in the New York City region, and has been designated as a medically underserved area. A wide variety of programs and services are currently provided for the community which includes: -Primary care -AIDS -Cardiovascular health -Cancer treatment -Maternal and infant health -Geriatrics -Ambulatory sensitive conditions (Astma and Diabetes) -Adolescent health -Youth education -Volunteer services

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ 0 including grants of $ 0 ) (Revenue $ 0 )
4e	Total program service expenses$ 1,441,389,424

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)
(A) Name and Title
(1) peter w may chairman of board of trustees	10.0	X	X
(2) frederick a klingenstein honorary chairman/trustee	10.0	X	X
(3) alfred r stern honorary chairman/trustee	10.0	X	X
(4) donald j gogel senior vice chairman/trustee	10.0	X	X
(5) michael minikes senior vice chairman/trustee	10.0	X	X
(6) robert e rubin senior vice chairman/trustee	10.0	X	X
(7) james s tisch senior vice chairman/trustee	10.0	X	X
(8) joel s ehrenkranz vice chairman/trustee	10.0	X	X
(9) ellen katz vice chair/secretary/trustee	10.0	X	X
(10) henry r kravis vice chairman/trustee	10.0	X	X
(11) john a levin vice chairman/trustee	10.0	X	X
(12) eric mindich vice chairman/trustee	10.0	X	X
(13) andrew m saul vice chairman/trustee	10.0	X	X
(14) thomas w strauss vice chairman/trustee	10.0	X	X
(15) edgar m cullman deceased 82811 honorary vice chairman/trustee	10.0	X	X
(16) clifford h goldsmith treasurer/trustee	10.0	X	X
(17) leon d black trustee	5.0	X

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)					(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) henry calderon trustee	5.0	X
(19) peter a cohen trustee	5.0	X
(20) edgar m cullman jr trustee	5.0	X
(21) susan r cullman trustee	5.0	X
(22) blaine v fogg trustee	5.0	X
(23) david s gottesman trustee	5.0	X
(24) judah gribetz trustee	5.0	X
(25) andrew d heineman trustee	5.0	X
(26) john b hess trustee	5.0	X
(27) carl c icahn trustee	5.0	X
(28) lewis p jones trustee	5.0	X
(29) jo carole lauder trustee	5.0	X
(30) patricia s levinson trustee	5.0	X
(31) tony martell trustee	5.0	X
(32) bernard w nussbaum trustee	5.0	X
(33) judith o rubin trustee	5.0	X
(34) eric m ruttenberg trustee	5.0	X
(35) stephen l schwartz trustee	5.0	X
(36) john s winkleman trustee	5.0	X
(37) dr steven b weinfeld trustee (ex-officio)	5.0	X
(38) dr jephtha tausig-edwards trustee (ex-officio)	5.0	X
(39) Dr Michael T Harris Trustee (Ex-Officio)	5.0	X
(40) Richard Ravitch VICE CHAIRMAN/Trustee	10.0	X	X
(41) JAMES W CRYSTAL VICE CHAIRMAN/TRUSTEE	10.0	X	X
(42) GLENN DUBIN VICE CHAIRMAN/TRUSTEE	10.0	X	X
(43) Kenneth L Davis MD CHIEF EXECUTIVE OFFICER	27.5		X				1,278,022	1,278,022	54,270
(44) Wayne Keathley President/COO	55.0		X				1,234,445	0	46,452
(45) Michael Macdonald ESQ Executive VP/General counsel	27.5		X				454,165	454,165	56,824
(46) donald t scanlon Executive VP & CFO	27.5		X				646,350	646,350	49,636
(47) jeffrey silberstein exec vp/chief admin officer	27.5		X				478,925	478,925	41,270
(48) connie c klepper Sr VP, Bus Dev & Managed Care	27.5		X				310,626	310,626	28,656
(49) mark kostegan fahp Sr VP, Development	16.5		X				248,240	579,226	42,420
(50) jane maksoud Sr VP, HR & Labor Relations	25.9		X				321,282	362,297	55,550
(51) michael mccarry Sr VP, Periop. Services	55.0		X				384,140	0	32,124
(52) ira s nash md senior vp/chief med officer	55.0		X				546,054	0	46,073
(53) michael pastier Sr VP, Finance/CFO	55.0		X				621,316	0	60,452
(54) carol porter senior vp/chief nurse officer	55.0		X				451,858	0	41,926
(55) caryn schwab Sr VP/Exec Dir, MSHQ	55.0		X				489,050	0	48,644
(56) helen irving vp, core services	55.0		X				162,370	0	19,501
(57) margaret pastuszko vp, business planning	27.5		X				301,309	301,309	47,488
(58) maureen van benthuysen sr vp, card. inst. & hosp. op.	55.0		X				483,114	0	30,198
(59) jane whitney vp/chief compliance officer	28.6		X				173,003	159,695	37,534
(60) daryl Wilkerson 1 vp, support services	44.5		X				258,661	64,665	34,562
(61) elana abraham 2 corporate treasurer	41.0		X				228,440	0	48,763
(62) jack nelson senior vp/chief info officer	47.8			X			486,878	72,752	21,265
(63) frank cino MS CPA vp, chief audit exec	34.1			X			213,515	130,865	45,217
(64) KUMAR CHATANI SENIOR VP, IT, & CIO	47.8			X			230,139	34,389	2,450
(65) David nierman md VP, Med Affairs/CMO, MSHQ	55.0				X		475,231	0	52,831
(66) ajoy sinha md chief, dept of orth sur & pres	55.0				X		677,535	0	29,102
(67) KRISTEN MYERS VP, MSMC-EPIC PROJECTS	48.0				X		458,383	68,494	28,184
(68) ROBERT CHASSIN SR DIRECTOR - BUS DEV NET OPS	55.0				X		384,068	0	31,880
(69) BERNARD BIVIANO MD dr surg critical care & periop	55.0				X		356,226	0	43,220
(70) Burton Drayer 134 former officer	5.0					X	0	1,005,917	36,596
(71) deborah Marin md 3 former officer	38.5					X	255,853	162,303	35,422

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	12,609,198	6,110,000	1,148,510

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		3,666,763
e	Government grants (contributions)1e		9,495,380

f	All other contributions, gifts, grants, and similar amounts not included above1f		19,344,608
g	Noncash contributions included in lines 1a-1f:$ 682,313
h	Total. Add lines 1a-1f.......			32,506,751
			Business Code
2a	NET PATIENT SERVICE REVENUE		621,110	1,645,264,416	1,645,264,416
b	LABORATORY SERVICES REVENUE		621,500	1,350,220		1,350,220
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			1,646,614,636
3	Investment income (including dividends, interest
	and other similar amounts).....			9,683,016		209,167	9,473,849
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties............			0
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	3,846,781
b	Less: cost or other basis and sales expenses
c	Gain or (loss)	3,846,781
d	Net gain or (loss)..........			3,846,781			3,846,781
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	CAFETERIA		722,320	8,723,678			8,723,678
b	GERIATRIC REVENUE		900,099	3,894,420	3,894,420
c	PRIVATE ROOMS		621,110	3,228,336	3,228,336
d	All other revenue ....			9,992,187			9,992,187
e	Total. Add lines 11a–11d ......			25,838,621
12	Total revenue. See Instructions....			1,718,489,805	1,652,387,172	1,559,387	32,036,495


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			704,464	1	844,569
2	Savings and temporary cash investments .......			253,203,143	2	235,145,997
3	Pledges and grants receivable, net .........			23,194,341	3	20,767,203
4	Accounts receivable, net .........			185,516,479	4	200,800,109
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........			0	5	0
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........			0	6	0
7	Notes and loans receivable, net .............			2,222,910	7	2,319,246
8	Inventories for sale or use ..............			20,835,600	8	20,911,343
9	Prepaid expenses and deferred charges ............			1,193,415	9	2,616,055
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,300,186,083
b	Less: accumulated depreciation. .....	10b	822,743,971	406,445,111	10c	477,442,112
11	Investments—publicly traded securities ..........			702,711,568	11	749,184,088
12	Investments—other securities. See Part IV, line 11 ......			56,096,000	12	63,097,000
13	Investments—program-related. See Part IV, line 11 ..			49,669,404	13	62,500,371
14	Intangible assets .........			0	14	0
15	Other assets. See Part IV, line 11 ...........			125,009,176	15	404,568,560
16	Total assets. Add lines 1 through 15 (must equal line 34)...			1,826,801,611	16	2,240,196,653
17	Accounts payable and accrued expenses .			202,400,133	17	212,814,957
18	Grants payable ..........			0	18	0
19	Deferred revenue ..........			27,103,477	19	27,517,346
20	Tax-exempt bond liabilities ..........			376,026,065	20	425,144,138
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			24,862,500	23	22,312,500
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....			374,931,837	25	625,964,582
26	Total liabilities. Add lines 17 through 25.....			1,005,324,012	26	1,313,753,523
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			643,955,368	27	763,859,330
28	Temporarily restricted net assets .....			103,101,000	28	86,709,913
29	Permanently restricted net assets .....			74,421,231	29	75,873,887
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			821,477,599	33	926,443,130
34	Total liabilities and net assets/fund balances .....			1,826,801,611	34	2,240,196,653

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................	Yes	No