TY 2018 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)
(1) MICHAEL ADLER...................................................................... TRUSTEE	2.00 ................. 0.00	X
(2) PAUL BLOCH...................................................................... TRUSTEE	2.00 ................. 0.00	X
(3) DAVID BLOOM...................................................................... TRUSTEE	2.00 ................. 0.00	X
(4) NORMAN BRAMAN...................................................................... TRUSTEE	2.00 ................. 0.00	X
(5) PAUL CHAPLIN MD...................................................................... TRUSTEE	2.00 ................. 0.50	X
(6) WAYNE CHAPLIN...................................................................... TRUSTEE	2.00 ................. 0.50	X
(7) DENIS COLE...................................................................... TRUSTEE	2.00 ................. 0.50	X
(8) EDWARD DAUER MD...................................................................... TRUSTEE	2.00 ................. 0.00	X
(9) DAVID DEUTCH...................................................................... TRUSTEE	2.00 ................. 0.50	X
(10) PHILLIP FROST MD...................................................................... TRUSTEE	2.00 ................. 0.00	X
(11) SETH GOTTLIEB MD...................................................................... PRESIDENT OF MEDICAL STAFF/TRUSTEE	50.00 ................. 0.00	X
(12) MARK HILDEBRANDT...................................................................... TRUSTEE	2.00 ................. 0.50	X
(13) SAMUEL JACOBSON...................................................................... TRUSTEE	2.00 ................. 0.00	X
(14) IRA LAMPERT...................................................................... TRUSTEE	2.00 ................. 0.50	X
(15) EDIE LAQUER...................................................................... TRUSTEE BEG 1/1/2018	2.00 ................. 0.00	X
(16) PETRA LEVIN...................................................................... TRUSTEE	2.00 ................. 0.00	X
(17) LAURANS MENDELSON...................................................................... TRUSTEE	2.00 ................. 0.50	X

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) JAY PARKER........................................................................ TRUSTEE	2.00 .......................0.50	X					0	0
(19) BONNIE SCHAEFER........................................................................ TRUSTEE	2.00 .......................1.00	X					0	0
(20) BARRY SIADAT........................................................................ TRUSTEE	2.00 .......................0.00	X					0	0
(21) BARRY SILVERMAN MD........................................................................ TRUSTEE	2.00 .......................0.00	X					0	0
(22) PAUL SINGERMAN........................................................................ TRUSTEE	2.00 .......................0.00	X					0	0
(23) BARRY SKOLNICK........................................................................ TRUSTEE BEG 1/1/2018	2.00 .......................0.00	X					0	0
(24) STEVEN D SONENREICH........................................................................ PRESIDENT/CEO	60.00 .......................1.50	X	X				2,222,050	77,763
(25) STANLEY TATE........................................................................ TRUSTEE	2.00 .......................0.00	X					0	0
(26) ALEXANDER A MENDEZ........................................................................ EXEC VP OF OPERATIONS/CFO	60.00 .......................1.00		X				1,280,314	75,973
(27) WAYNE CHUTKAN........................................................................ SENIOR VP OF FINANCE	60.00 .......................0.00			X			502,172	78,706
(28) BENJAMIN DAVIS........................................................................ VP FACILITIES/RESOURCE MGT	60.00 .......................0.00			X			367,849	39,733
(29) MONICA FELDER........................................................................ VICE PRESIDENT/CCO BEG 1/08/2018	60.00 .......................0.00			X			311,061	56,662
(30) JENNIFER FOREMAN........................................................................ VP OF HUMAN RESOURCES	60.00 .......................0.00			X			233,764	31,563
(31) THOMAS GILLETTE........................................................................ SENIOR VP/ CIO	60.00 .......................0.00			X			572,964	71,606
(32) ROBERT GOLDSZER........................................................................ SENIOR VP/ CMO	60.00 .......................0.00			X			713,528	73,843
(33) ARNOLD JAFFEE........................................................................ SENIOR VP/ GEN COUNSEL	60.00 .......................2.00			X			552,014	57,943
(34) CATHY MCCLELLAN........................................................................ VP RISK MANAGEMENT	60.00 .......................0.00			X			259,500	61,145
(35) MERVYN MILLS........................................................................ VP OF FINANCE	60.00 .......................0.00			X			367,997	65,189
(36) KAREN MOYER........................................................................ SENIOR VP/ CNO END 10/18/2018	60.00 .......................0.00			X			509,647	56,054
(37) ANGEL PALLIN........................................................................ SENIOR VP OF OPERATIONS	60.00 .......................0.00			X			499,782	60,903
(38) MARGIE STICKLES........................................................................ VP SURGICAL SERVICES BEG 4/23/2018	60.00 .......................0.00			X			156,875	42,658
(39) WENDY STUART........................................................................ SENIOR VP/CNO BEG 10/19/2018	60.00 .......................0.00			X			247,482	52,057
(40) CHARLENE J WELKER........................................................................ SENIOR VP OF SPECIALTY SVC	60.00 .......................0.00			X			359,726	58,942
(41) ROBERT BEASLEY EMPLOYED MD........................................................................ STAFF PHYSICIAN, INTERVENTIONAL RADIOLOGY	60.00 .......................0.00				X		805,915	75,514
(42) MIKE CUSNIR EMPLOYED MD........................................................................ CHIEF, HEMATOLOGY & ONCOLOGY	60.00 .......................0.00				X		814,159	57,272
(43) MICHAEL SCHWARTZ EMPLOYED MD........................................................................ MEDICAL CO-DIRECTOR, BREAST CANCER ONCOLOGY	60.00 .......................0.00				X		842,674	26,866
(44) ROY WILLIAMS EMPLOYED MD........................................................................ CHIEF, THORACIC SURGERY	60.00 .......................0.00				X		1,025,137	75,902
(45) STEVE XYDAS EMPLOYED MD........................................................................ CHIEF, CARDIOTHORACIC SURGERY	60.00 .......................0.00				X		1,960,554	77,256
(46) STEVEN FINE........................................................................ FORMER VP OF ADMINISTRATION	0.00 .......................0.00					X	168,206	0

(A) Name and business address	(B) Description of services	(C) Compensation
MCKESSON PO BOX 409521 ATLANTA,GA303849521	MEDICATION SUPPLIER	46,159,786
ROBINS & MORTON 423 SOUTH KELLER ROAD SUITE 200 ORLANDO,FL32810	GENERAL CONTRACTOR	45,151,145
BRASFIELD & GORRIE LLC 941 WEST MORSE BOULEVARD SUITE 200 WINTER PARK,FL32789	GENERAL CONTRACTOR	17,194,595
ALLEGIANCE CORPORATIONCARDINAL HEALTH M PO BOX 70539 CHICAGO,IL606730539	MEDICATION SUPPLIER	13,348,964
MEDTRONIC USA INC 710 MEDTRONIC PARKWAY NE MINNEAPOLIS,MN554325604	MEDICAL SUPPLIER	10,950,161
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 157

- 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.
right arrow

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

MOUNT SINAI MEDICAL CENTER OF
FLORIDA INC

Employer identification number

59-0624424

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 12, check only one box.)

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

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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. See section 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 in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

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

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. 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—2017. If the organization did not check a 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—2018. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. 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 VI 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) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. 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—2017. 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) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2018

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

MOUNT SINAI MEDICAL CENTER OF
FLORIDA INC

Employer identification number

59-0624424

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, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 its Form 990PF, Part I, line 2, to certify that it doesn't 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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization MOUNT SINAI MEDICAL CENTER OF FLORIDA INC

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization MOUNT SINAI MEDICAL CENTER OF FLORIDA INC		Employer identification number 59-0624424

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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization MOUNT SINAI MEDICAL CENTER OF FLORIDA INC			Employer identification number 59-0624424
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ 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) (2018)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

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

Name of the organization

MOUNT SINAI MEDICAL CENTER OF
FLORIDA INC

Employer identification number

59-0624424

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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

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 SchCMd Bullet

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 SchCMd Bullet

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) Total

2a	Lobbying nontaxable 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) 2018

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 on 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)? ........

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

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

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

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

Yes

257,500

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

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

Yes

172,220

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

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

429,720

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

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation

Schedule C (Form 990 or 990EZ) 2018

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," on 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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

MOUNT SINAI MEDICAL CENTER OF
FLORIDA INC

Employer identification number

59-0624424

Part I

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

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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" on 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 7/25/06, 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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 section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, 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" on 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 XIII, 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)

Revenue included on 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:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

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

Cat. No. 52283D

Schedule D (Form 990) 2018

Page 2

Part III

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

Using the organization’s acquisition, 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 XIII.

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

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

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	69,744,000	45,075,000	38,888,000	36,723,000	32,690,000
b	Contributions ...	43,482,000	27,505,000	8,706,000	4,545,000	5,659,000
c	Net investment earnings, gains, and losses	552,000	459,000	452,000	434,000	402,000
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	18,346,000	2,262,000	2,295,000	2,258,000	1,244,000
f	Administrative expenses ....	1,037,000	1,033,000	676,000	556,000	784,000
g	End of year balance ......	94,395,000	69,744,000	45,075,000	38,888,000	36,723,000

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

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

6.450 %

Temporarily restricted endowment SchDMd Bullet

93.550 %

The percentages on 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)

Yes

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

Yes

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

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	8,357,216		8,357,216
b	Buildings ....	371,176,326	209,021,839	162,154,487
c	Leasehold improvements
d	Equipment ....	189,477,064	127,767,545	61,709,519
e	Other .....	9,171,339		9,171,339
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				241,392,561

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. 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........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) INVESTMENTS IN AFFILIATES				2,190,288
(2) DEPOSITS				460,930
(3) BENEFICIAL INTEREST IN NET ASSETS OF MOUNT SINAI MEDICAL CENTER FOUNDATION				257,074,901
(4) CONSTRUCTION IN PROGRESS				208,475,124
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				468,201,243

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
INDIGENT CARE ASSESSMENT	8,742,026
OTHER CURRENT LIABILITIES	39,230,520
SELF-INSURED CLAIMS RESERVE	37,772,000
CAPITAL LEASE	42,663,717
DUE TO THIRD PARTIES	13,476,489
OTHER LONG-TERM LIABILITIES	408,923
DUE TO AFFILIATES	-209,545
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	142,084,130
2. Liability for uncertain tax positions. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	634,873,000
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	-63,760,450
e	Add lines 2a through 2d .....................			2e	-63,760,450
3	Subtract line 2e from line 1..................			3	698,633,450
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 XIII.) ...........	4b	26,231,268
c	Add lines 4a and 4b....................			4c	26,231,268
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	724,864,718

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	606,531,000
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 XIII.) ............	2d	2,159,550
e	Add lines 2a through 2d....................			2e	2,159,550
3	Subtract line 2e from line 1...................			3	604,371,450
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 XIII.) ............	4b	71,882,687
c	Add lines 4a and 4b.....................			4c	71,882,687
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	676,254,137

Part XIII

Supplemental Information

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART V, LINE 4:	THE FOUNDATION'S ENDOWMENT CONSISTS OF APPROXIMATELY 48 INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE ENDOWMENT CONSISTS OF DONOR-RESTRICTED FUNDS THAT HAVE BEEN LIMITED BY DONORS TO A SPECIFIC TIME PERIOD OR PURPOSE. AS REQUIRED BY GAAP, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. THE ENDOWMENT NET ASSET COMPOSITION BY FUND TYPE AS OF DECEMBER 31, 2018, IS COMPOSED OF THE FOLLOWING: TEMPORARILY RESTRICTED PERMANENTLY RESTRICTED ALZHEIMER'S PROGRAM 5,502,000 0 MSMC 50 YEARS (PATIENT TOWER) 68,021,000 0 MELANOMA RESEARCH 1,601,000 0 SURGICAL ONCOLOGY 2,376,000 0 CANCER RESEARCH 1,187,000 0 OTHER PROGRAMS 9,617,000 6,091,000 __________ _________ TOTAL FUNDS 88,304,000 6,091,000
PART X, LINE 2:	THE FOOTNOTE TO THE AUDITED FINANCIAL STATEMENTS FOR MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC. AND SUBSIDIARIES REGARDING FIN48 READS AS FOLLOWS: THE MEDICAL CENTER IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE IRC. THE IRC PROVIDES FOR TAXATION OF UNRELATED BUSINESS INCOME UNDER CERTAIN CIRCUMSTANCES. MANAGEMENT HAS CONCLUDED THAT THE MEDICAL CENTER HAS NO MATERIAL UNRELATED BUSINESS INCOME. THE MEDICAL CENTER FOLLOWS THE PROVISIONS OF ASC 740-15-2, INCOME TAXES, AND HAS DETERMINED THAT AS OF DECEMBER 31, 2018 AND 2017, THE MEDICAL CENTER HAD NO MATERIAL UNRECOGNIZED TAX BENEFITS. THE MEDICAL CENTER DOES NOT EXPECT THAT UNRECOGNIZED TAX BENEFITS WILL MATERIALLY INCREASE WITHIN THE NEXT TWELVE MONTHS. IN THE EVENT THE MEDICAL CENTER WERE TO RECOGNIZE INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IT WOULD BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AS INCOME TAX EXPENSE. TAX YEARS FROM 2013 THROUGH 2018 ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE TAXING AUTHORITIES. THERE ARE NO INCOME TAX EXAMINATIONS CURRENTLY IN PROCESS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBT -71,882,687. INCOME FROM MT SINAI MEDICAL OFFICE BLDG II, INC 136,740. UNREALIZED GAINS ON INVESTMENTS -233,509. CONTRIBUTIONS INCLUDED IN FORM 990 PART OF ASSETS RELEASED FROM RESTRICTION 8,219,006.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	CONTRIBUTIONS RELEASED FROM RESTRICTIONS FOR CAPITAL PURPOSES 27,995,000. EXPENSES NETTED AGAINST REVENUES -2,674,296. INCOME FROM MIAMI JEWISH HOME HEALTH AGENCY -70,328. INCOME FROM PREMIER HEALTHCARE ALLIANCE, L.P. 980,892.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	DISTRIBUTIONS FROM PREMIER HEALTHCARE ALLIANCE, L.P. -514,746. EXPENSE NETTED AGAINST REVENUE 2,674,296.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBT 71,882,687.

Schedule D (Form 990) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization
MOUNT SINAI MEDICAL CENTER OF
FLORIDA INC

Employer identification number

59-0624424

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. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(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 and investments in region
	CENTRAL AMERICA & THE CARIBBEAN	0	0	PROGRAM SERVICES	INSURANCE PREMIUM	415,168
















3a	Sub-total .....	0	0			415,168
b	Total from continuation sheets to Part I ...					0
c	Totals (add lines 3a and 3b)	0	0			415,168

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018

Schedule F (Form 990) 2018

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. Part II can be duplicated 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 non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	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 .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2018

Schedule F (Form 990) 2018Page 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.

Part III can be duplicated 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) 2018

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2018

Page 5

Part V

Supplemental Information
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).

ReturnReference	Explanation
PART IV, LINE 3	MOUNT SINAI MEDICAL CENTER OF FLORDA, INC.'S INTEREST IN A FOREIGN CORPORATION IS A WHOLLY OWNED INTEREST IN MOUNT SINAI MEDICAL CENTER OF FLORIDA GUARANTEE CORPORATION, A CORPORATION INCORPORATED IN THE CAYMAN ISLANDS.

Schedule F (Form 990) 2018

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" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

MOUNT SINAI MEDICAL CENTER OF
FLORIDA INC

Employer identification number

59-0624424

Part I

Financial Assistance 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) as a factor in determining 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 as a factor in determining 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 used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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, as a factor in determining 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

Financial Assistance and Means-Tested Government Programs		(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) . . .	25,285,614		25,285,614	4.180 %
b	Medicaid (from Worksheet 3, column a) . . . . .	15,243,442	8,166,823	7,076,619	1.170 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	38,554,156	27,372,147	11,182,009	1.850 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	79,083,212	35,538,970	43,544,242	7.200 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	2,977,561		2,977,561	0.490 %
f	Health professions education (from Worksheet 5) . . .	30,592,412	13,376,293	17,216,119	2.850 %
g	Subsidized health services (from Worksheet 6) . . . .	63,882,939	38,010,383	25,872,556	4.280 %
h	Research (from Worksheet 7) .	15,265,035	14,346,123	918,912	0.150 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	150,000		150,000	0.020 %
j	Total. Other Benefits . .	112,867,947	65,732,799	47,135,148	7.790 %
k	Total. Add lines 7d and 7j .	191,951,159	101,271,769	90,679,390	14.990 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

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
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	429,720	429,720	0.070 %
8	Workforce development	4,065,544	4,065,544	0.670 %
9	Other
10	Total	4,495,264	4,495,264	0.740 %

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. Explain in Part VI the methodology used by the organization to estimate this amount. ......

15,863,099

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

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

260,989,877

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

319,119,831

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

-58,129,954

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 .........................

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—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) 2018

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	MOUNT SINAI MEDICAL CENTER OF FL INC 4300 ALTON ROAD MIAMI BEACH,FL33140	X	X	X	X	X

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	MOUNT SINAI MEDICAL CENTER OF FL INC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.MSMC.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2018/

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.MSMC.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2018/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	MOUNT SINAI MEDICAL CENTER OF FL INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 200.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, PG 8

The FAP application form was widely available on a website (list url):

SEE PART V, PG 8

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, PG 8

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	MOUNT SINAI MEDICAL CENTER OF FL INC
Name of hospital facility or letter of facility reporting group

Yes

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 all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	MOUNT SINAI MEDICAL CENTER OF FL INC
Name of hospital facility or letter of facility reporting group

Yes

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.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual 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? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
MOUNT SINAI MEDICAL CENTER OF FL, INC.	PART V, SECTION B, LINE 5: PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT REQUIRES, IN IRC SECTION 501(R)(3), THAT WHEN ASSESSING COMMUNITY HEALTH NEEDS, MOUNT SINAI CONSULT WITH AND RECEIVE INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY. THIS INCLUDES, BUT IS NOT LIMITED TO, THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH AND AT A MINIMUM:1) AT LEAST ONE STATE, LOCAL, TRIBAL, OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT (OR EQUIVALENT DEPARTMENT OR AGENCY) WITH KNOWLEDGE, INFORMATION, OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY2) MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE COMMUNITY, OR INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF SUCH POPULATIONS3) WRITTEN COMMENTS RECEIVED ON THE HOSPITAL FACILITY'S MOST RECENTLY CONDUCTED CHNA AND MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY.TO RECEIVE THIS INPUT AND DATA, MOUNT SINAI SOUGHT INFORMATION FROM THE STATE REGIONAL HEALTHCARE PLANNING AGENCY, THE HEALTH COUNCIL OF SOUTH FLORIDA, AND THE LOCAL CITY OF MIAMI BEACH HEALTHCARE ADVISORY COMMITTEE. ADDITIONALLY, THE HOSPITAL MET WITH FOCUS GROUPS THAT REPRESENT EACH GEOGRAPHIC SERVICE AREA OF THE CITY, REPRESENTING A VARIETY OF INCOMES AND DEMOGRAPHICS. MOUNT SINAI SOUGHT INDIVIDUAL INPUT FROM NOTED AND LEADING MEMBERS OF THE HEALTHCARE INDUSTRY IN ITS PRIMARY SERVICE AREA INCLUDING MEDICAL PROVIDERS, SMALL AND LARGE ANCILLARY BUSINESSES OWNERS, NURSING HOME STAFF AND RESIDENTS AND OTHER SPECIAL SENIOR HEALTH RELATED PROFESSIONS OR PATIENTS REPRESENTING THE UNINSURED AND NEW OR UNDOCUMENTED RESIDENTS. FOCUS MEETINGS WERE ALSO HELD IN ENGLISH AND SPANISH TO ACCOMMODATE THE BROAD NEED OF A MULTILINGUAL COMMUNITY.PUBLIC HEALTH EXPERT INPUT AND GUIDANCE COMMUNITY HEALTH ANALYSISTHE COMMUNITY HEALTH PRIORITIES ARE BASED ON AN ANALYSIS OF DEMOGRAPHIC, ENVIRONMENTAL, STATISTICAL, AND BEHAVIORAL PUBLIC HEALTH DATA ABOUT MIAMI-DADE COUNTY, AND WHEN POSSIBLE ABOUT MIAMI BEACH. THE DATA IS REVIEWED BY NUMEROUS STAFF MEMBERS AT MOUNT SINAI INCLUDING CLINICAL, RESEARCH AND COMMUNITY HEALTH WORKERS. MEMBERS OF THE COMMUNITY, NURSES AND PHYSICIANS AND BUSINESSES OWNERS PROVIDE INPUT.CITY OF MIAMI BEACH HEALTH ADVISORY COMMITTEE. MOUNT SINAI MAINTAINS A SEAT AND LEAD ROLE ON THE HEALTH ADVISORY COMMITTEE OF THE CITY OF MIAMI BEACH, ALONG WITH THE MIAMI BEACH COMMUNITY HEALTH CENTER AND THE HEALTH COUNCIL OF SOUTH FLORIDA. THE MIAMI BEACH HEALTH ADVISORY COMMITTEE IS A CITY COMMISSION APPOINTED BODY OF LOCAL REPRESENTATIVES THAT MEET TO ADDRESS MIAMI BEACH HEALTH ISSUES IN A PUBLICLY ADVERTISED MEETING FORUM. THIS ORGANIZATION SERVES THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS AMONGST OTHERS IN THE CITY.THE HEALTH COUNCIL OF SOUTH FLORIDA. MOUNT SINAI CONTRACTS WITH THE HEALTH COUNCIL OF SOUTH FLORIDA TO OBTAIN FEDERAL PREVENTION QUALITY INDICATOR DATA, WHICH TRACKS LOCAL HOSPITAL ADMISSIONS BY CHRONIC DISEASES AND CONDITIONS. MOUNT SINAI ALSO RECEIVES LEADING CAUSES OF DEATH DATA FOR THE MIAMI BEACH SERVICE AREA. THIS ORGANIZATION ALSO HAS MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE COMMUNITY AND SERVES THE SAME POPULATIONS. PUBLIC HEALTH AGENCIES FROM WHICH DATA OR INPUT WAS SOUGHT:- U.S. AGENCY FOR HEALTHCARE QUALITY & RESEARCH- CENTERS FOR DISEASE CONTROL & PREVENTION- NATIONAL COMMITTEE ON VITAL AND HEALTH STATISTICS- U.S. CENSUS BUREAU- TRUST FOR AMERICA'S HEALTH- KAISER FAMILY FOUNDATION- AGENCY FOR HEALTHCARE ADMINISTRATION- FLORIDA DEPARTMENT OF HEALTH- HEALTH COUNCIL OF SOUTH FLORIDA- MIAMI-DADE COUNTY HEALTH DEPARTMENT- FLORIDA HOSPITAL ASSOCIATION- MIAMI BEACH HEALTH ADVISORY COMMITTEE
MOUNT SINAI MEDICAL CENTER OF FL, INC.	PART V, SECTION B, LINE 7D: THE CHNA REPORT IS AVAILABLE VIA E-MAIL.
MOUNT SINAI MEDICAL CENTER OF FL, INC.	PART V, SECTION B, LINE 11: IN ITS CHNA, MOUNT SINAI IDENTIFIED FOUR COMMUNITY HEALTH NEEDS TO BE ADDRESSED WITHIN ITS PURVIEW AS AN ACUTE CARE ACADEMIC MEDICAL CENTER AND ACCESSIBLE TEACHING PHYSICIAN NETWORK THAT PROVIDES PRIMARY AND SPECIALTY CARE ON PAR WITH ALMOST ALL MEDICAID PLANS IN ITS REGION.THE FOUR COMMUNITY HEALTH PRIORITIES ARE:1) LEADING CAUSES OF DISEASE-RELATED DEATH2) ACCESS TO CARE3) ENVIRONMENTAL HEALTH-4) BEHAVIORAL HEALTHPRIORITY #1: LEADING CAUSES OF DISEASE-RELATED DEATHTHE TOP FIVE DISEASE-RELATED CAUSES OF DEATH IN MOUNT SINAI'S SERVICE AREA ARE HEART DISEASE, CANCER, STROKE, CHRONIC LOWER RESPIRATORY DISEASE, AND ALZHEIMER'S DISEASE.HEART DISEASE: MOUNT SINAI IS STRIVING TO MEET THE CARDIOVASCULAR HEALTH NEEDS WITHIN ITS PRIMARY SERVICE AREAS THROUGH THE COLUMBIA UNIVERSITY AFFILIATED MOUNT SINAI HEART INSTITUTE, 25 CARDIAC RESEARCH TRIALS AIMED AT BRINGING CUTTING-EDGE TREATMENTS TO PATIENTS, A NEW FREESTANDING EMERGENCY ROOM IN HIALEAH, AND A NEW STATE-OF-THE-ART EMERGENCY ROOM ON THE MAIN CAMPUS WHICH OPENED IN EARLY 2019. IN 2018, MOUNT SINAI HELD 61 FREE HEALTH LECTURES ON TOPICS SUCH AS CARDIOVASCULAR HEALTH, NUTRITION AND EXERCISE, STRESS MANAGEMENT, STROKE PREVENTION, ALZHEIMER'S DISEASE, THE OPIOID EPIDEMIC, AND CANCER PREVENTION AND EARLY DETECTION. THESE LECTURES WERE OFFERED THROUGHOUT MIAMI-DADE COUNTY AND IN MONROE COUNTY AND ATTENDED BY 2,739 PEOPLE. MOUNT SINAI ALSO OFFERED 83 BLOOD PRESSURE, GLUCOSE, AND/OR MELANOMA SCREENING EVENTS DURING 2018 WITH 2,414 IN ATTENDANCE. MOUNT SINAI HAS ALSO PARTNERED WITH SOUTH FLORIDA SENIORS IN ACTION IN THE FARM SHARE PROGRAM AIMED AT DISTRIBUTING FRESH, HEALTHY FOODS TO NEEDY FAMILIES THROUGHOUT ITS PRIMARY SERVICE AREAS. THESE MONTHLY EVENTS HELP MORE THAN 350 NEEDY FAMILIES EACH TIME.CANCER: IN ORDER TO MEET THE NEEDS OF PATIENTS WITH CANCER, MOUNT SINAI'S COMPREHENSIVE CANCER CENTER ON THE MAIN CAMPUS AND THE CANCER CARE AND DIAGNOSTIC CENTER IN AVENTURA USE A COLLABORATIVE APPROACH TO THE DIAGNOSIS AND TREATMENT OF CANCER. MOUNT SINAI OFFERS FREE OR DISCOUNTED SCREENING MAMMOGRAMS TO THE PUBLIC DURING MAY AND OCTOBER AND TO MIAMI-DADE PUBLIC SCHOOL TEACHERS AND STAFF IN NOVEMBER AT THE CCC AND AVENTURA BREAST CENTERS. PSA SCREENINGS ARE ALSO OFFERED FOR EARLY DETECTION OF PROSTATE CANCER. FREE LECTURES ON CANCER PREVENTION AND EARLY DETECTION ARE ALSO GIVEN THROUGHOUT MOUNT SINAI'S SERVICE AREA. MOUNT SINAI IS AT THE FOREFRONT AMONG CANCER INSTITUTIONS IN THE UNITED STATES WITH 136 ACTIVE CLINICAL CANCER TRIALS IN 2018. EMOTIONAL SUPPORT FOR PATIENTS AND FAMILIES IS ALSO IMPORTANT IN THE TREATMENT OF CANCER. MOUNT SINAI HOSTS SUPPORT AND ACTIVITY GROUPS FOR CANCER PATIENTS; AND FOR FAMILIES, CAREGIVER SUPPORT AND BEREAVEMENT GROUPS ARE ALSO AVAILABLE.STROKE:MOUNT SINAI'S COMPREHENSIVE STROKE CENTER OFFERS ROUND-THE-CLOCK CARE TO QUICKLY AND ACCURATELY DIAGNOSE AND TREAT STROKE PATIENTS. WITH ACCESS TO THE LATEST DIAGNOSTIC AND THERAPEUTIC TREATMENT ADVANCES, THE COMPREHENSIVE STROKE CENTER HAS THE WIDEST RANGE OF OPTIONS TO STOP A STROKE IN PROGRESS AND TO MINIMIZE POTENTIAL DAMAGE. THE EMERGENCY DEPARTMENTS AT MIAMI BEACH, AVENTURA, AND HIALEAH HAVE STATE-OF-THE-ART CT SCANNERS ALLOWING PHYSICIANS TO DIAGNOSE A STROKE QUICKLY. MOUNT SINAI ALSO OFFERS HEALTH SCREENINGS AND LECTURES THROUGHOUT MIAMI-DADE COUNTY TO ASSIST THE PUBLIC IN RECOGNIZING THE SIGNS OF STROKE AND IDENTIFY THEIR RISK FACTORS IN ORDER TO MAKE INFORMED DECISIONS ABOUT THEIR HEALTH.CHRONIC LOWER RESPIRATORY DISEASE ("CLRDS"): CLRDS AFFECTS THE AIRWAYS AND THE LUNGS. THE PULMONARY SPECIALISTS AT MOUNT SINAI'S LUNG CENTER PROVIDE A WIDE ARRAY OF CUTTING-EDGE CARE OPTIONS TO PATIENTS WITH PULMONARY DISORDERS SUCH AS COPD, ASTHMA, AND PULMONARY HYPERTENSION. SERVICES INCLUDE A FULLY ACCREDITED SLEEP LAB FOR EVALUATING AND TREATING SLEEP APNEA AND OTHER SLEEP DISORDERS, A PULMONARY FUNCTION LABORATORY OFFERING MULTIPLE DIAGNOSTIC TESTING OPTIONS FOR EVALUATING ADULTS AND CHILDREN WITH UNEXPLAINED SHORTNESS OF BREATH, AND A WEEKLY PULMONARY HYPERTENSION CLINIC WITH SOUTH FLORIDA'S ONLYMULTIDISCIPLINARY TEAM SPECIALIZED IN TREATING PULMONARY HYPERTENSION.ALZHEIMER'S DISEASE: THROUGH THE WEIN CENTER FOR ALZHEIMER'S DISEASE AND MEMORY DISORDERS, MOUNT SINAI IS ABLE TO OFFER PATIENTS AND CAREGIVERS A MULTIDISCIPLINARY APPROACH TO DIAGNOSIS AND TREATMENT OF ALZHEIMER'S AS WELL AS EDUCATION AND SUPPORT FOR THOSE FACING THE UNIQUE CHALLENGES OF CARING FOR AN INDIVIDUAL WITH ALZHEIMER'S DISEASE. THE WEIN CENTER IS A LEADING PARTICIPANT IN NATIONAL AND INTERNATIONAL CLINICAL TRIALS FOR TREATMENT AND PREVENTION OF ALZHEIMER'S DISEASE WITH PARTICIPATION IN 14 CLINICAL RESEARCH TRIALS IN 2018. TO FURTHER AID THE COMMUNITY, THE WEIN CENTER OFFERS FREE MEMORY SCREENINGS FOR INDIVIDUALS AGED 50 AND UP WHO MAY BE EXHIBITING SIGNS OF A MEMORY DISORDER. MOUNT SINAI OFFERS FREE LECTURES GIVEN BY OUR PHYSICIANS ON A VARIETY OF TOPICS RELATED TO ALZHEIMER'S DISEASE-IDENTIFYING ALZHEIMER'S RISK FACTORS, DIAGNOSIS AND TREATMENT OF THE DISEASE, AND ADVANCEMENTS IN RESEARCH. THROUGH THE WIEN CENTER, MOUNT SINAI OFFERS EDUCATIONAL WORKSHOPS, TRAINING OPPORTUNITIES, AND SUPPORT GROUPS FOR FAMILY MEMBERS AND CAREGIVERS OF INDIVIDUALS WITH ALZHEIMER'S DISEASE AND OTHER DEMENTIAS.PRIORITY #2: ACCESS TO CAREMOUNT SINAI IDENTIFIED THE FOLLOWING KEY AREAS THAT NEED ADDRESSING WITHIN THE PRIMARY SERVICE AREAS: BARRIERS TO CARE, PHYSICIAN SHORTAGE, SAFETY NET SERVICES FOR THE UNINSURED, AND MATERNITY AND PRENATAL MEDICINE. BARRIERS TO CARE: DURING MOUNT SINAI'S ASSESSMENT OF COMMUNITY NEEDS, THE MAIN BARRIERS TO CARE WITHIN THE PRIMARY SERVICE AREAS WERE DETERMINED TO BE (1) INCOME LEVEL AND INSURANCE COVERAGE, (2) TRANSPORTATION, (3) CULTURAL/ETHNIC FACTORS, AND (4) COORDINATION BETWEEN HEALTHCARE PROVIDERS. MOUNT SINAI OFFERS A NUMBER OF WAYS TO ASSIST PATIENTS IN OVERCOMING THESE BARRIERS. MOUNT SINAI ASSISTS PATIENTS WITH NO INSURANCE COVERAGE APPLY FOR MEDICAID OR MOUNT SINAI'S FINANCIAL ASSISTANCE PROGRAM. FOR PATIENTS WITH NO ACCESS TO A VEHICLE OR PUBLIC TRANSPORTATION, MOUNT SINAI ASSISTS IN COORDINATING TRANSPORTATION THROUGH INSURANCE PROVIDERS, LOCAL CHAPTERS OF THE AMERICAN CANCER SOCIETY, OR LOCAL PARATRANSIT SERVICES IN MIAMI-DADE AND BROWARD COUNTIES. MOUNT SINAI HAS WIDENED ACCESS TO CARE PRIMARY AND SPECIALTY CARE BY ITS EXPANSION OF SATELLITE CENTERS NOW OPEN THROUGHOUT MIAMI-DADE COUNTY AND IN MONROE COUNTY AND THE OPENING OF THE HIALEAH FREESTANDING EMERGENCY DEPARTMENT. IN 2018, MOUNT SINAI PROVIDED 193,000 PRIMARY AND SPECIALTY CARE VISITS AND EMERGENCY SERVICES FOR 53,013 VISITS IN MIAMI BEACH, 18,667 VISITS IN AVENTURA, AND 1,934 VISITS IN HIALEAH. FURTHER EXPANSION OF SERVICES WILL OCCUR IN 2019 WITH THE OPENING OF A NEW PATIENT TOWER AND STATE-OF-THE-ART EMERGENCY DEPARTMENT ON THE MAIN CAMPUS IN MIAMI BEACH. INPATIENT AND OUTPATIENT ADMISSIONS IN 2018 WERE 23,331 AND 217,700, RESPECTIVELY.PHYSICIAN SHORTAGE: MOUNT SINAI'S EFFORTS TO MEET PHYSICIAN WORKFORCE DEMANDS ARE ON-GOING. DURING 2018, MOUNT SINAI TAUGHT 513 MEDICAL STUDENTS. ADDITIONALLY, MOUNT SINAI HAS EXPANDED AND ADDED NEW GRADUATE MEDICAL EDUCATION PROGRAMS. AS OF JUNE 2016, THE ANESTHESIOLOGY RESIDENCY PROGRAM REACHED FULL CAPACITY AND NOW TRAINS 9 RESIDENTS PER YEAR. IN 2017, THE EXISTING UROLOGY AND SURGERY RESIDENCY PROGRAMS RECEIVED APPROVAL FOR EXPANSION, AND NEW RESIDENCY TRAINING PROGRAMS IN OBSTETRICS/GYNECOLOGY AND PSYCHIATRY BEGAN IN JULY 2018 WITH THE GOAL OF TRAINING 12 RESIDENTS PER YEARIN EACH PROGRAM. IN TOTAL, MOUNT SINAI TRAINED 163 RESIDENTS OR FELLOWS IN 16 ACCREDITED MEDICAL EDUCATION PROGRAMS DURING 2018. IN ADDITION TO EFFORTS TO MEET PHYSICIAN SHORTAGES, MOUNT SINAI PROVIDED A CLINICAL TEACHING ENVIRONMENT TO EDUCATE OTHER CRUCIAL COMPONENTS OF THE HEALTHCARE WORKFORCE NOT WITHIN A TRADITIONAL PHYSICIAN RESIDENCY PROGRAM. IN 2018, MOUNT SINAI TAUGHT 177 NURSING STUDENTS, 84 PHYSICIAN ASSISTANT STUDENTS, AND 140 ALLIED HEALTH STUDENTS FOR HEALTH CARE CAREERS.SAFETY NET SERVICES FOR THE UNINSURED: IN 2018, MOUNT SINAI PROVIDED $138,170,762 IN CHARITY AND UNCOMPENSATED CARE. ADDITIONALLY, MOUNT SINAI IS THE FUNCTIONAL PUBLIC HEALTH SYSTEM IN ITS PRIMARY SERVICE AREA, ALTHOUGH IT DOES NOT RECEIVE THE TAX REVENUE MEANT TO PROVIDE THESE SERVICES. IN ITS SERVICE AREA, MOUNT SINAI PROVIDES AS MUCH AS 75% OF THE CHARITY CARE, INDIGENT CARE, AND MEDICAID HOSPITAL SERVICES.MATERNITY AND PRENATAL MEDICINE:MOUNT SINAI COLLABORATES WITH THE MIAMI BEACH COMMUNITY HEALTH CENTER TO PROVIDE PREVENTATIVE AND ACUTE OB/GYN CARE FOR ALL INCOMES, RACES, AND ETHNICITIES REGARDLESS OF NATIONAL ORIGIN OR DOCUMENTATION. IN 2018, MOUNT SINAI WELCOMED 2,813 INFANTS TO THE COMMUNITY. MOUNT SINAI ALSO BEGAN A NEW ACGME-ACCREDITED RESIDENCY PROGRAM FOR OBSTETRICS AND GYNECOLOGY IN JULY 2018. WHEN AT ITS FULL CAPACITY, THE PROGRAM WILL TRAIN 12 RESIDENTS PER YEAR.
PART V, SECTION B, LINE 11 (CONTINUED):	PRIORITY #3: ENVIRONMENTAL HEALTHIN ITS 2018 COMMUNITY HEALTH NEEDS ASSESSMENT, MOUNT SINAI IDENTIFIED THREE MAIN CONCERNS IN RELATION TO ENVIRONMENTAL HEALTH: ULTRAVIOLET RADIATION AND SUN EXPOSURE, MOSQUITO-BORNE DISEASES, AND BEACH WATER QUALITY. TO ENCOURAGE SAFER SUN EXPOSURE, MOUNT SINAI HAS PROVIDED THE CITY OF MIAMI BEACH WITH SUNSCREEN DISPENSERS FOR ALL WHO VISIT MIAMI BEACH TO USE FOR FREE. THESE DISPENSERS CONTAIN A BROAD SPECTRUM, WATER-RESISTANT SPF 30 LOTION AND ARE PLACED AT PUBLIC POOLS, PARKS, AND BEACH ACCESS POINTS NEAR LIFEGUARD STANDS. REGARDING MOSQUITO-BORNE ILLNESSES AND BEACH WATER QUALITY: THERE ARE NO ACTIVE WARNINGS FOR ZIKA OR OTHER MOSQUITO-BORNE ILLNESSES OR FOR RED TIDE AND BLUE-GREEN ALGAE; THEREFORE, THESE CONCERNS HAVE A LOWER PRIORITY ASSIGNED BECAUSE THEY ARE BEING ADDRESSED AT THE COUNTY AND STATE LEVELS.PRIORITY #4: BEHAVIORAL HEALTHTWO PRIMARY AREAS OF CONCERN RELATED TO BEHAVIORAL HEALTH IDENTIFIED IN THE 2018 CHNA ARE MENTAL ILLNESS AND ADULT AUTISM.MENTAL ILLNESS: MENTAL HEALTH PLAYS A ROLE IN A PERSON'S ABILITY TO MAINTAIN THEIR PHYSICAL HEALTH. DEPRESSION CAN AFFECT THE ABILITY TO PARTICIPATE IN HEALTH-PROMOTING BEHAVIORS; AND PHYSICAL HEALTH PROBLEMS, SUCH AS CHRONIC DISEASE, CAN ALSO IMPACT MENTAL HEALTH AND DECREASE THE PARTICIPATION IN TREATMENT AND RECOVERY. TO ADDRESS THESE NEEDS, MOUNT SINAI OFFERS INPATIENT AND OUTPATIENT PSYCHIATRIC CARE ON ITS MAIN CAMPUS. FOR PATIENTS NEEDING MORE INTENSIVE OUTPATIENT THERAPY BUT DO NOT REQUIRE AN OVERNIGHT STAY IN THE HOSPITAL, MOUNT SINAI OFFERS A PARTIAL HOSPITALIZATION PROGRAM AND INTENSIVE OUTPATIENT PROGRAM.ADULT AUTISM: MOUNT SINAI IS STRIVING TO MEET THE NEEDS OF ADULTS IN THE COMMUNITY WITH AUTISM WITH THE MOUNT SINAI ADULT AUTISM CLINIC. THE STAFF HAS BEEN TRAINED BY THE CENTER FOR AUTISM AND RELATED DISABILITIES (CARD) TO MEET THE SPECIAL MEDICAL NEEDS OF ADULTS WITH ASD AND CAN HELP ADULTS TRANSITION FROM PEDIATRIC AUTISM SPECIALISTS TO OTHER FORMS OF HEALTH CARE. THE ADULT AUTISM CLINIC OFFERS PRIMARY AND SPECIALTY MEDICAL CARE, DIAGNOSTIC SERVICES, AND CARE MANAGEMENT AND SUPPORT FOR PATIENTS AND THEIR FAMILIES/CARETAKERS.COMMUNITY HEALTHCARE RESOURCES WITHIN THREE MILE RADIUS:MOUNT SINAI MEDICAL CENTER IS THE ONLY ACUTE CARE HOSPITAL LOCATED IN THE CITY OF MIAMI BEACH. THERE ARE FOUR PUBLIC HEALTH CENTERS, INCLUDING THREE FEDERALLY QUALIFIED HEALTH CENTERS: THE MIAMI BEACH COMMUNITY HEALTH CENTER (TWO LOCATIONS), CARE RESOURCE COMMUNITY HEALTH CENTER, AND THE BORINQUEN HEALTH CARE CENTER. FOR SUBSTANCE AND MENTAL HEALTH ISSUES, THERE ARE TWO RESIDENTIAL TREATMENT CENTERS. FOR GERIATRIC RESIDENTIAL SERVICES, THERE ARE FIVE NURSING HOMES AND FIVE ASSISTED LIVING FACILITIES.EMERGENCY SERVICES AND DISASTER RESPONSE:THE ISLAND GEOGRAPHY OF MIAMI BEACH AND CAUSEWAY VEHICLE ACCESS COUPLED WITH THE AREA'S INTERNATIONAL POPULARITY EMPHASIZES THE RESPONSIBILITY FOR MOUNT SINAI'S ROLE IN THE FIRST RESPONSE AND EMERGENCY MANAGEMENT NETWORKS FOR THE ISLAND COMMUNITIES. IN CONJUNCTION WITH THE CITY OF MIAMI BEACH AND THE STATE OF FLORIDA, MOUNT SINAI EMBARKED ON A $275 MILLION PROJECT TO BRING EMERGENCY SERVICES AND UPGRADED DISASTER RESPONSE HEALTH SERVICES TO THE BEACH. CONSTRUCTION WAS NEARLY COMPLETE AT THE END OF 2018, AND THE NEW EMERGENCY CENTER AND SURGICAL TOWER OPENED IN FEBRUARY 2019.MOUNT SINAI'S NEW TOWER HOUSES A 40,000 SQUARE FOOT EMERGENCY CENTER WITH MORE THAN 50 TREATMENT ROOMS ALONG WITH A CITY OF MIAMI BEACH COMMAND CENTER AND CRITICAL OPERATIONS HUB FOR ACTIVATION DURING TIMES OF EMERGENCY. THE COMMAND CENTER WILL PROVIDE JOINT EMERGENCY OPERATIONS FOR CITY STAFF, POLICE, FIRE, AND MEDICAL STAFF DURING A DECLARED COMMUNITY CRISIS. THE EMERGENCY DEPARTMENT WILL ESSENTIALLY TRIPLE THE SIZE OF THE EXISTING FACILITY. THE CURRENT EMERGENCY DEPARTMENT WAS OPENED IN 1972 AND BUILT AT A TIME WHEN THERE WERE THREE OTHER HOSPITALS ON MIAMI BEACH. IT WAS BUILT FOR 20,000 PATIENT VISITS A YEAR. MOUNT SINAI CURRENTLY DOES 50,000 PATIENT VISITS, AND THE NEW FACILITY CAN ACCOMMODATE 100,000 PATIENT VISITS.THE NEW SURGICAL TOWER INCLUDES 12 STATE-OF-THE-ART OPERATING ROOMS WHICH WILL PROVIDE PATIENTS WITH ACCESS TO NEW AND INNOVATIVE LIFESAVING PROCEDURES. THE SURGICAL SUITES ARE LOCATED ON THE SECOND FLOOR OF THE NEW TOWER WHILE THE MECHANICAL OPERATIONS ARE LOCATED ON THE THIRD FLOOR. THIS WILL RELOCATE CRITICAL SERVICES ABOVE THE FLOOD PLAN IN A SPECIAL HAZARD FLOOD ZONE. THE RAISED HEIGHT WILL HELP TO PROVIDE EMERGENCY SERVICES FOR THE STATE'S SECOND LARGEST TOURISM AREA, WHICH IS ALSO A HIGH VELOCITY HURRICANE ZONE.ADDITIONALLY, WORK WAS COMPLETED ON 12 NEW DUAL FUEL (DIESEL/NATURAL GAS) GENERATORS IN THE ENERGY CENTER WHICH WILL SUPPLY CRITICAL POWER TO THE MEDICAL CENTER.THERE ARE THREE BRANCHES OF POWER:1) LIFE SAFETY (I.E. EMERGENCY LIGHTING, FIRE ALARM DEVICES, AND FIRE PROTECTION SYSTEMS)2) CRITICAL (I.E. RED EMERGENCY OUTLETS)3) EQUIPMENT (I.E. UTILITY SYSTEMS, HVAC, ELEVATORS, ETC.)MOUNT SINAI ACTS AS A MEDICAL MANAGEMENT DISASTER SHELTER FOR OXYGEN AND ELECTRIC DEPENDENT RESIDENTS, INCLUDING THOSE IN INTENSIVE CARE THAT CANNOT EVACUATE. THE FACILITY REMAINS ACCESSIBLE DURING TIMES WHEN BRIDGES ARE IN LOCK DOWN BY PROVIDING SAFE HELIPAD SERVICE AND ACCESS BY BOAT. MOUNT SINAI ALSO SERVES AS A NATIONAL STOCKPILE DROP LOCATION FOR COUNTER-TERRORISM MEASURES. WITH THE ADDITION OF THE SURGICAL TOWER, EMERGENCY DEPARTMENT, AND POWER PLANT, MOUNT SINAI HAS, IN ESSENCE, CREATED A HURRICANE/STORM PROOF MEDICAL CENTER.CONSTRUCTION IN PROGRESS ACTIVITY FOR 2018 WAS APPROXIMATELY $193 MILLION FOR THE SURGICAL TOWER AND EMERGENCY CENTER.HIALEAH FREE-STANDING EMERGENCY DEPARTMENT AND MEDICAL OFFICES:MOUNT SINAI COMPLETED THE CONSTRUCTION OF ITS NEW FREE-STANDING EMERGENCY DEPARTMENT AND MEDICAL OFFICES IN HIALEAH. IT OPENED IN NOVEMBER 2018. THE 63,000 SQUARE FOOT BUILDING HOUSES AN EMERGENCY DEPARTMENT WITH 24 TREATMENT BAYS AND OFFERS PHYSICIAN AND CLINICAL OFFICE SPACES ON THE SECOND AND THIRD FLOORS.STATISTICS SHOW THAT RESIDENTS OF HIALEAH ARE PROGRESSIVELY LEAVING THEIR HOME ZIP CODE AREA TO SEEK EMERGENCY CARE ELSEWHERE. MOUNT SINAI'S 2015 COMMUNITY HEALTH NEEDS ASSESSMENT TARGETED THE NEED FOR HEART HOSPITALS AND EMERGENCY CARE. THE REPORT INDICATED THAT HOSPITALIZATIONS DUE TO CONGESTIVE HEART FAILURE WERE SUBSTANTIALLY HIGHER IN THE PRIMARY HIALEAH ZIP CODES AS COMPARED TO THE AVERAGE FOR MIAMI-DADE COUNTY. THE 2018 CHNA ALSO INDICATES THAT HEART DISEASE REMAINS A SIGNIFICANT RISK FACTOR IN THE PRIMARY HIALEAH ZIP CODES.THE ADDITION OF THIS FACILITY WILL PROVIDE HIALEAH RESIDENTS WITH ACCESS TO BETTER CARE CLOSE TO HOME.OTHER COMMUNITY HEALTH NEEDS:SPECIALIZED AIDS/HIV SERVICES ARE NOT WITH IN THE IMPLEMENTATION STRATEGY OF MOUNT SINAI; HOWEVER, WE DO HAVE A TEAM OF DOCTORS THAT PROVIDE THESE SERVICES. IN ADDITION TO MOUNT SINAI'S SPECIALIZED CARE, AIDS/HIV SERVICES ARE ALSO PROVIDED WITHIN THE SERVICE AREA BY THE MIAMI BEACH COMMUNITY HEALTH CENTERS, THE BORINQUEN HEALTH CARE CENTER, JACKSON MEMORIAL HEALTH CENTER, AND THE MIAMI-DADE COUNTY HEALTH DEPARTMENT'S OFFICE OF HIV/AIDS.
PART V, LINE 16A, FAP WEBSITE:	WWW.MSMC.COM/PATIENT-INFO/FINANCIAL-ASSISTANCE-INFORMATION
PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE	WWW.MSMC.COM/PATIENT-INFO/FINANCIAL-ASSISTANCE-INFORMATION
UPDATES TO ACCESSIBILITY OF FAP INFORMATION	DURING 2019, MSMC MADE CERTAIN UPDATES AND/OR CLARIFICATIONS WITH RESPECT TO ITS FINANCIAL ASSISTANCE POLICY ("FAP"), FAP APPLICATION, AND FAP PLAIN LANGUAGE SUMMARY TO CORRECT MINOR OMISSIONS OF SUCH INFORMATION AND TO MAKE SUCH INFORMATION MORE ACCESSIBLE TO THE PUBLIC. SUCH MINOR OMISSIONS WERE IDENTIFIED IN MARCH 2019 AND RELATE TO PERIODS FOR WHICH INTERNAL REVENUE CODE ("IRC") SECTION 501(R) WAS EFFECTIVE THROUGH THE DATE OF DISCOVERY. THE UPDATES/CLARIFICATIONS WERE MADE IN APRIL 2019. AT THE TIME OF DISCOVERY, MSMC HAD ONE HOSPITAL FACILITY LOCATED AT 4300 ALTON ROAD (THE "HOSPITAL"). THE UPDATES INCLUDE THE FOLLOWING:LIST OF MEDICAL PROVIDERS COVERED BY FAPFOR ANY PATIENT ADMITTED TO THE HOSPITAL THROUGH THE EMERGENCY ROOM, THE HOSPITAL, IN PRACTICE, HAS HISTORICALLY FOLLOWED ITS POLICY OF INFORMING PATIENTS OF THOSE PROVIDERS DELIVERING EMERGENCY OR MEDICALLY NECESSARY CARE, OTHER THAN THE HOSPITAL ITSELF, THAT ARE COVERED BY THE HOSPITAL'S FAP (AND THOSE PROVIDERS NOT COVERED BY THE FAP) BY PROVIDING THE LIST OF PROVIDERS TO PATIENTS. HOWEVER, THIS LIST WAS INADVERTENTLY OMITTED FROM THE FAP THAT WAS MADE WIDELY AVAILABLE TO THE PUBLIC. TO PROVIDE FURTHER CLARITY FOR THE PUBLIC REGARDING THIS INFORMATION, MSMC HAS ADDED THE LIST OF PROVIDERS COVERED UNDER THE FAP (AS WELL AS THOSE PROVIDERS NOT COVERED UNDER THE FAP) TO ITS WEBSITE, WHICH IS AVAILABLE AT HTTPS://WWW.MSMC.COM/INC/UPLOADS/2019/04/FINANCIAL-ASSISTANCE-POLICY-2019.PDF. FAP APPLICATIONTHE HOSPITAL HAS PIONEERED AN EFFICIENT AND CULTURALLY SENSITIVE FAP APPLICATION PROCESS THAT ADDRESSES THE KEY OBSTACLES OF FINANCIAL ANXIETY AND LACK OF FAMILIARITY OF THE AMERICAN HEALTHCARE SYSTEM BY APPLYING A PRESUMPTIVE APPLICATION PROCESS. THROUGH THIS PROCESS, PATIENTS ADMITTED TO THE HOSPITAL ARE VERBALLY SCREENED FOR FINANCIAL ASSISTANCE WITHOUT BEING REQUIRED TO APPLY ON A PAPER APPLICATION. INSTEAD, THE APPLICATION PROCESS BEGINS WITH A VERBAL COUNSELING SESSION. THIS SESSION IS RELATIONSHIP ORIENTED AND IT ALSO SERVES TO IDENTIFY LINGUISTIC, CULTURAL AND EDUCATIONAL ISSUES THAT MAY INHIBIT THE PATIENT'S ABILITY TO PROVIDE PROPER INFORMATION USING A PAPER-BASED INTAKE FORM. DUE TO THE NATURE OF THIS PROCESS, A WRITTEN FAP APPLICATION WAS NOT HISTORICALLY AVAILABLE ON THE HOSPITAL'S WEBSITE. HOWEVER, TO MAKE THE LIST OF INFORMATION REQUIRED UNDER THIS PROCESS MORE EASILY ACCESSIBLE AND TO RESPECT THE PRIVACY OF OUR PATIENTS, MSMC HAS CREATED A WRITTEN FAP APPLICATION FORM WHICH HAS BEEN POSTED TO MSMC'S WEBSITE AT HTTPS://WWW.MSMC.COM/INC/UPLOADS/2019/04/FINANCIAL-ASSISTANCE-APPLICATION-2019.PDF. ADDITIONALLY, THE FAP APPLICATION HAS BEEN TRANSLATED INTO SPANISH AND RUSSIAN, THE PRIMARY LANGUAGES SPOKEN BY LIMITED ENGLISH PROFICIENCY GROUPS CONSTITUTING OF THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE PATIENTS ADMITTED TO THE HOSPITAL. TRANSLATION OF FAP DOCUMENTS IN OTHER LANGUAGESTHE HOSPITAL DETERMINES THE PRIMARY AND PREFERRED LANGUAGE OF EACH PATIENT THROUGH THE REGISTRATION PROCESS AND HAS DETERMINED THAT THE PRIMARY LANGUAGES SPOKEN BY THE LOCAL POPULATIONS ADMITTED TO THE HOSPITAL ARE ENGLISH (APPROXIMATELY 140,000 OF THE PATIENTS ADMITTED TO THE HOSPITAL OR 77%), SPANISH (APPROXIMATELY 43,000 OF THE PATIENTS ADMITTED TO THE HOSPITAL OR 21%), AND RUSSIAN (APPROXIMATELY 1,000 OF THE PATIENTS ADMITTED TO THE HOSPITAL OR 1%). MANAGEMENT BELIEVES THAT THIS DATA IS REPRESENTATIVE OF THE POPULATION IS THE PRIMARY SERVICE AREA. COPIES OF THE FAP AND THE FAP PLAIN LANGUAGE SUMMARY HAVE HISTORICALLY BEEN MADE AVAILABLE FREE OF CHARGE IN ENGLISH AND SPANISH AT MSMC'S BUSINESS OFFICE, IN THE REGISTRATION AND ADMITTING DEPARTMENTS, AND UPON REQUEST IN ANY OTHER DEPARTMENT OR IN ANY OTHER PUBLIC SPACE. IN AN EFFORT TO MAKE SUCH INFORMATION MORE EASILY ACCESSIBLE TO THE PUBLIC, MSMC HAS POSTED THE FAP, FAP APPLICATION, AND FAP PLAIN LANGUAGE SUMMARY TO ITS WEBSITE AT HTTPS://WWW.MSMC.COM/PATIENT-INFO/FINANCIAL-ASSISTANCE-INFORMATION/. ADDITIONALLY, MSMC IS DEDICATED TO MEETING THE NEEDS OF NON-ENGLISH SPEAKING PATIENTS BY HAVING TRANSLATION SERVICES AVAILABLE THROUGH A TELEPHONE LANGUAGE SERVICE WHICH ASSISTS IN MEETING ANY LANGUAGE NEEDS THAT ARISE. TRANSLATION SERVICES ARE AVAILABLE UPON REQUEST AND CAN BE USED TO TRANSLATE THE APPLICABLE FAP INFORMATION INTO OTHER LANGUAGES SUCH AS FRENCH, GERMAN, YIDDISH, CREOLE, AND ITALIAN. MSMC HAS MINIMIZED THE LIKELIHOOD OF ANY FURTHER OMISSIONS OR ERRORS WITH RESPECT TO COMPLIANCE WITH IRC SECTION 501(R) BY PROVIDING ADDITIONAL CLARIFICATION AND MAKING ADDITIONAL INFORMATION MORE EASILY ACCESSIBLE TO THE PUBLIC AS PROMPTLY AS REASONABLY POSSIBLE AFTER DISCOVERY. THE MOUNT SINAI MEDICAL CENTER BUSINESS OFFICE IS RESPONSIBLE FOR COMPLIANCE WITH IRC SECTION 501(R).

Schedule H (Form 990) 2018

Page 9

Part VFacility Information (continued)

Section D. 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?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2018

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
PART I, LINE 7:	A RATIO OF PATIENT CARE COST TO PATIENT CARE CHARGES WAS APPLIED TO GROSS WRITE-OFFS TO ARRIVE AT AN ESTIMATED PROGRAM COST. ANY APPLICABLE PROGRAM REVENUES RECEIVED WERE OFFSET AGAINST GROSS COST TO ARRIVE AT THE NET COST OR SHORTFALL OF THE PROGRAM.
PART I, LINE 7G:	MOUNT SINAI'S TEACHING PHYSICIAN NETWORK IS A NOT FOR PROFIT CLINICAL PHYSICIAN AND PROVIDER NETWORK THAT OPERATES AT A LOSS. THE NETWORK PROVIDES A WIDE RANGE OF MEDICAID ELIGIBLE TREATMENT FOR UNDERSERVED PATIENTS. IT ALSO TRAINS PROVIDERS IN ADVANCED SPECIALTIES THAT ARE DOCUMENTED BY THE STATE OF THE FLORIDA TO BE IN SUPPLY-DEMAND DEFICIT. THE GOAL IS TO ALLEVIATE THE HEALTHCARE CRISIS FOR ALL RESIDENTS BUT ESPECIALLY FOR THE UNINSURED, UNDERINSURED AND MEDICAID PATIENTS. BECAUSE OF THE LACK OF CAPACITY, THE STATE OF FLORIDA HAS SHARED THE RESPONSIBILITY OF REMEDYING THE PHYSICIAN SHORTAGE WITH TEACHING HOSPITALS IN FLORIDA. MOUNT SINAI IS ONE OF TWO MIAMI-DADE COUNTY HOSPITALS THAT IS AN AHCA MEDICAID ESSENTIAL PROVIDER FOR ADULT CARE BECAUSE OF ITS ROLE IN TEACHING AND TRAINING FLORIDA'S HEALTHCARE WORKFORCE UNDER THE STATEWIDE MEDICAID RESIDENCY PROGRAM (SMRP).THE COMMUNITY BENEFIT METHOD FOR SUBSIDIZED HEALTH SERVICES IS TAKEN FROM THE PROFIT AND LOSS DETAIL FOR THE MOUNT SINAI TEACHING PHYSICIAN NETWORK. THE EXPENSES REPRESENT DIRECT CLINICAL EXPENSES WHICH GENERATE PRIMARY CARE AND SPECIALTY CARE PATIENT REVENUE IN MIAMI-DADE COUNTY AND MONROE COUNTY. THESE COSTS INCLUDE, BUT ARE NOT LIMITED TO PATIENT CARE SERVICES, UTILITIES, DEPARTMENTAL SUPPLIES AND OTHER EXPENSES ASSOCIATED WITH A MEDICAL OFFICE. THE METHODOLOGY USED IS A MORE ACCURATE COST ACCOUNTING THAN THE COST TO CHARGE RATIO BASED PRIMARILY ON INPATIENT AND OUTPATIENT HOSPITAL CARE.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY BUILDING ACTIVITIES:1. WORKFORCE DEVELOPMENT PROJECTS TO RECRUIT HEALTHCARE WORKERS, INCLUDING PHYSICIANS, NURSES AND ALLIED HEALTH PROFESSIONALS2. WORKFORCE HOUSING APPROVED BY THE CITY'S STATE HOUSING INITIATIVE PROGRAM (SHIP) AND THE FLORIDA HOUSING FINANCE CORPORATION (FHFC)
PART III, LINE 2:	A RATIO OF PATIENT CARE COST TO PATIENT CARE CHARGES WAS APPLIED TO BAD DEBT GROSS WRITE-OFFS TO ARRIVE AT AN ESTIMATED BAD DEBT EXPENSE AT COST.
PART III, LINE 4:	THE FOOTNOTE TO THE AUDITED FINANCIAL STATEMENTS FOR MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC. AND SUBSIDIARIES REGARDING BAD DEBT EXPENSE READS AS FOLLOWS:THE MEDICAL CENTER RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARDRATES FOR SERVICES PROVIDED (OR ON THE BASIS OF DISCOUNTED RATES, IF NEGOTIATED OR PROVIDED BY POLICY). CONSISTENT WITH ITS MISSION, THE MEDICAL CENTER PROVIDES CARE TO ITS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. HISTORICALLY, A SIGNIFICANT PORTION OF THE MEDICAL CENTER'S UNINSURED PATIENTS WILL BE UNABLE TO PAY FOR THE SERVICES PROVIDED. AS SUCH, THE MEDICAL CENTER RECORDS A SIGNIFICANT REDUCTION TO PATIENT SERVICE REVENUE FOR PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER INSURED BALANCES, SUCH AS COPAYS AND DEDUCTIBLES, IN THE PERIOD THE SERVICES ARE PROVIDED.THE MEDICAL CENTER ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN THE AMOUNTS BILLED TO THE PATIENT AND THE AMOUNTS THE MEDICAL CENTER EXPECTS TO COLLECT. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE.
PART III, LINE 8:	A RATIO OF PATIENT CARE COST TO PATIENT CARE CHARGES WAS APPLIED TO MEDICARE REVENUES AND ALLOWABLE COSTS TO ARRIVE AT AN ESTIMATED MEDICARE EXPENSE AT COST. THE HOSPITAL DOES NOT TREAT ANY MEDICARE SHORTFALL AMOUNTS AS COMMUNITY BENEFIT.
PART III, LINE 9B:	PATIENTS ARE FIRST SCREENED TO SEE IF THEY ARE ELIGIBLE FOR MEDICAID OR CHARITY WHEN THEY COME IN THROUGH THE ER. THE HOSPITAL DETERMINES WHICH PATIENTS QUALIFY FOR CHARITY BASED ON A VERIFIABLE PROCESS REQUIRED BY THE AGENCY HEALTH CARE ADMINISTRATION USING THE FOLLOWING CRITERIA:O PATIENT IS ELIGIBLE IF THE PATIENT'S FAMILY AGGREGATE INCOME DURING THE 12 MONTHS PRECEDING THE DETERMINATION DATE IS AT OR BELOW 200% OF THE THEN CURRENT FEDERAL POVERTY GUIDELINES.O IF PATIENT IS ELIGIBLE FOR CHARITY THE AMOUNT OF ELIGIBLE CHARGES ARE REDUCED ON A SLIDING SCALE BASED ON WHERE THEY FALL IN RELATION TO THE FEDERAL POVERTY GUIDELINES.O MEDICAID PATIENTS WITH BENEFITS EXHAUSTED MAY APPLY FOR CHARITY.O PATIENTS WITH DOCUMENTATION THAT A THIRD PARTY BENEFIT HAS BEEN DENIED OR EXHAUSTED MAY APPLY FOR CHARITY.ALL OPPORTUNITIES FOR PAYMENT OF HOSPITAL DEBT WILL BE INVESTIGATED PRIOR TO APPROVAL INCLUDING A COMPLETE REVIEW OF THE FINANCIAL INFORMATION PROVIDED IN THE UNCOMPENSATED CARE APPLICATION.THE BUSINESS OFFICE'S ROLE IN CHARITY CARE DEALS WITH THE FINAL REVIEW AND APPROVAL OF ELIGIBLE PATIENTS. BUSINESS OFFICE IS RESPONSIBLE FOR ADJUSTING ACCOUNT CHARGES/BALANCES AFTER REVIEWING SEARCH AMERICA'S RESULTS, AND/OR ANY RED FLAGS ON THE ACCOUNT THAT WOULD SUGGEST THE POSSIBILITY OF ALTERNATE METHODS OF PAYMENT. THESE PRACTICES SET FORTH IN THE POLICY WOULD ONLY APPLY TO PATIENTS WHO MAY QUALIFY FOR CHARITY CARE.
PART VI, LINE 2:	NEEDS ASSESSMENT:COMMUNITY HEALTH NEEDS WERE IDENTIFIED THROUGH A RECOGNIZED HEALTH PLANNING ASSESSMENT PROCESS. THE ASSESSMENT INCLUDED, BUT WAS NOT LIMITED TO, AN ANALYSIS OF DEMOGRAPHIC, ENVIRONMENTAL, STATISTICAL AND BEHAVIORAL PUBLIC HEALTH DATA, ORGANIZING PUBLIC DISCUSSIONS ON HEALTH TOPICS, AND CONDUCTING A SURVEY OF CURRENT HEALTH TOPICS TO EXPLORE THE HEALTH NEEDS OF THE PRIMARY, NEIGHBORING AND COUNTYWIDE SERVICE AREAS OF MOUNT SINAI MEDICAL CENTER.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:MOUNT SINAI'S COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIES INCREASING ACCESS TO CARE AND REMOVING CULTURAL BARRIERS TO CARE AS IMPORTANT GOALS. THE FINANCIAL ASSISTANCE POLICY / APPLICATION PROCESS IS ONE WAY THAT MOUNT SINAI HAS ADDRESSED THIS NEED. MOUNT SINAI HAS PIONEERED AN EFFICIENT AND CULTURALLY SENSITIVE FINANCIAL ASSISTANCE POLICY / APPLICATION PROCESS THAT ADDRESSES THE KEY OBSTACLES OF FINANCIAL ANXIETY AND LACK OF FAMILIARITY OF THE AMERICAN HEALTHCARE SYSTEM.MOUNT SINAI'S FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN-LANGUAGE SUMMARY ARE AVAILABLE ON MOUNT SINAI'S WEBSITE AT HTTPS://WWW.MSMC.COM/PATIENT-INFO/FINANCIAL-ASSISTANCE-INFORMATION AS WELL AS IN PERSON AT THE MOUNT SINAI BUSINESS OFFICE, IN THE REGISTRATION AND ADMITTING DEPARTMENTS, UPON REQUEST IN ANY OTHER DEPARTMENT OR IN ANY OTHER PUBLIC SPACE. MOUNT SINAI'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN-LANGUAGE SUMMARY ARE AVAILABLE FREE OF CHARGE IN ENGLISH, SPANISH, AND RUSSIAN, THE PRIMARY LANGUAGES SPOKEN BY THE LOCAL POPULATIONS AND, UPON REQUEST, CAN BE TRANSLATED INTO OTHER LANGUAGES SUCH AS FRENCH, GERMAN, YIDDISH, CREOLE AND ITALIAN, AS NEEDED.THIS APPLICATION PROCESS IS UNIQUE IN THAT IT DOES NOT REQUIRE AN UPFRONT PAPER DOCUMENT SUBMISSION, ALTHOUGH A WRITTEN APPLICATION IS MADE AVAILABLE ON OUR WEBSITE. A PROSPECTIVE APPLICANT SCHEDULES AN IN PERSON COUNSELING SESSION USING THE CONTACT INFORMATION AVAILABLE IN PLAIN LANGUAGE AT HTTPS://WWW.MSMC.COM/PATIENT-INFO/FINANCIAL-ASSISTANCE-INFORMATION. WHILE SCHEDULING THE MEETING, THE APPLICANT RECEIVES INFORMATION ALSO POSTED ONLINE ABOUT HELPFUL FINANCIAL DOCUMENTATION TO SHOW FINANCIAL STATUS THAT WILL BE REVIEWED AND INPUT INTO A MOUNT SINAI MEDICAL CENTER FINANCIAL ASSISTANCE FORM BY A MOUNT SINAI FINANCIAL ASSISTANT TOGETHER WITH THE APPLICANT AT THE FINANCIAL COUNSELING SESSION. FOR PATIENTS WITHOUT HEALTH INSURANCE, MOUNT SINAI WILL DETERMINE ELIGIBILITY USING PUBLIC INFORMATION ABOUT THE PATIENT'S AVAILABLE ASSETS, AND ALL OTHER FINANCIAL RESOURCES THAT THE PATIENT SUPPLIES AS WELL AS A REVIEW OF THE PATIENT'S ACCOUNT HISTORY. MOUNT SINAI WILL FIRST SCREEN FOR APPLICANT ELIGIBILITY FOR MEANS TESTED PROGRAMS AND LOCALLY AVAILABLE GRANTS. IF INELIGIBLE FOR THESE PROGRAMS, MOUNT SINAI PROVIDES AN AUTOMATIC REDUCTION TO GROSS CHARGES BASED UPON THE "LOOK BACK" METHOD. ALL PROSPECTIVE AND RETROSPECTIVE MEDICALLY NECESSARY PATIENT CARE WILL BE CONSIDERED, THOUGH CHARITY CARE IS FIRST FOCUSED ON PATIENTS WHOSE INCOME FOR THE 12 MONTHS PRECEDING THE DETERMINATION IS LESS THAN OR EQUAL TO 200 PERCENT OF THE FEDERAL POVERTY LEVEL FOR THE PATIENT'S FAMILY SIZE, UNLESS THE AMOUNT OF HOSPITAL CHARGES FROM THE PATIENT WILL OR DO EXCEED 25 PERCENT OF THE ANNUAL FAMILY INCOME. INDIVIDUALS MAY OBTAIN FREE, WRITTEN INFORMATION ON THE DETERMINATION OF AMOUNT OF FINANCIAL ASSISTANCE BY CONTACTING THE BUSINESS OFFICE AT (305) 674-2130, MONDAY-FRIDAY 9:00AM-4:00PM. MOUNT SINAI PROVIDES A RIGHT TO APPEAL AND RECEIVE ASSISTANCE IN ALL PARTS OF THE APPLICATION. THE PATIENT MUST WRITE A LETTER WHICH CAN BE POST MAILED OR EMAILED TO THE BUSINESS OFFICE DIRECTOR TO EXPLAIN WHY THE DECISION MADE BY MOUNT SINAI MEDICAL CENTER WAS INAPPROPRIATE. THE APPEAL LETTER WILL BE REVIEWED BY MOUNT SINAI MEDICAL CENTER AND A FINAL DECISION WILL BE SENT TO THE PATIENT WITHIN 30 DAYS OF THE RECEIPT OF THE REQUEST FOR APPEAL.
PART VI, LINE 4:	COMMUNITY INFORMATION:MOUNT SINAI IS THE ONLY ACUTE CARE HOSPITAL AND EMERGENCY CARE PROVIDER ON THE NORTHEASTERN BARRIER ISLANDS OF MIAMI-DADE COUNTY. MOUNT SINAI PRIMARILY SERVICES A DENSELY POPULATED DIVERSE URBAN AREA ENCOMPASSING THE BARRIER ISLAND CITIES OF MIAMI BEACH, SURFSIDE, NORTH BAY VILLAGE, BAL HARBOUR, AND BAY HARBOR ISLANDS. THE NEIGHBORING MAINLAND OR SECONDARY SERVICE AREA INCLUDES SECTIONS OF THE CITIES OF MIAMI, NORTH MIAMI, AND NORTH MIAMI BEACH. MOUNT SINAI'S HEALTH NEEDS TARGET AREAS INCLUDE SECTIONS OF THE UPPER BARRIER ISLAND CITY OF SUNNY ISLES BEACH AND THE MAINLAND CITIES OF AVENTURA, HIALEAH, AND CORAL GABLES. THERE ARE THREE DESIGNATED MEDICALLY UNDERSERVED AREAS IN THE PRIMARY SERVICE AREA REPRESENTED BY MUAS FEDERAL ID# 5031, 511 AND 7474.
PART VI, LINE 5:	AS SOUTH FLORIDA'S LARGEST INDEPENDENT TEACHING HOSPITAL, MOUNT SINAI'S NOT-FOR-PROFIT MISSION IS TO PROVIDE HIGH QUALITY HEALTH CARE TO OUR DIVERSE COMMUNITY ENHANCED THROUGH TEACHING, RESEARCH, CHARITY CARE, AND FINANCIAL RESPONSIBILITY. WE MAINTAIN OUR NOT FOR PROFIT MISSION USING A TWO-TIER STRATEGY, FOCUSING, FIRST, ON SAFETY NET SERVICES AND, SECOND, ON ADDRESSING HEALTH RISKS RELATED TO HEART DISEASE, CANCER, NEUROLOGICAL, PULMONARY AND OTHER DISEASES THAT POSE SERIOUS COMMUNITY HEALTH RISKS.THIS NOT FOR PROFIT COMMUNITY DRIVEN MISSION IS DETAILED FURTHER IN SCHEDULE O. WE HAVE BRIEFLY DISCUSSED IT BELOW.TIER ONE - PROVIDE A WIDE RANGE OF SAFETY NET SERVICES- TRAINING TO ADDRESS FLORIDA'S PHYSICIAN AND HEALTHCARE WORKER SHORTAGE - CHARITY CARE FOR THE UNINSURED AND UNDERINSURED- DISASTER FIRST RESPONSE HEALTH SERVICES AND REGIONAL LEADERSHIP- EMERGENCY MEDICAL SERVICES- ADULT PSYCHIATRIC AND BEHAVIORAL CARE- INTENSIVE GERIATRIC / SENIOR CARE- MATERNITY SERVICES AND NEONATAL EMERGENT CARE- HEALTH AND DISEASE PREVENTION EDUCATION- INTERVENTIONAL AND COMMUNITY HEALTH SCREENINGSTIER TWO - MISSION DRIVEN COMMUNITY HEALTH PRIORITIESMOUNT SINAI FOCUSES RESOURCES ON PROVIDING ACCESS TO CARE WHILE TREATING AND PREVENTING THE LEADING DISEASE RELATED CONDITIONS FOR ALL INCOMES IN THE COMMUNITY BY SUBSIDIZING A NONPROFIT TEACHING AND COMMUNITY PHYSICIAN NETWORK.TIER ONE - PROVIDE A WIDE RANGE OF SAFETY NET SERVICESTO ADDRESS FLORIDA'S PHYSICIAN AND HEALTHCARE WORKER SHORTAGE, MOUNT SINAI RETAINED ITS OWN TEACHING FACULTY AND 16 ACCREDITED GRADUATE MEDICAL EDUCATION PROGRAMS, TEACHING 163 RESIDENTS OR FELLOWS. MOUNT SINAI ALSO PROVIDED A TEACHING CLINICAL ENVIRONMENT FOR BOTH ITS ACUTE CARE AND SPECIALTY CARE PHYSICIAN TEACHING NETWORK FOR PHYSICIANS TO BECOME BOARD CERTIFIED AND TO EDUCATE THE OTHER CRUCIAL COMPONENTS OF THE HEALTHCARE WORKFORCE NOT WITHIN A TRADITIONAL CMS RESIDENCY PROGRAM. IN 2018, MOUNT SINAI TAUGHT 177 NURSING STUDENTS, 513 MEDICAL STUDENTS, AND 140 ALLIED HEALTH STUDENTS FOR HEALTH CARE CAREERS. IN 2018, MOUNT SINAI SERVED 23,331 INPATIENT ADMISSIONS AND 217,700 OUTPATIENT ADMISSIONS. TO ADDRESS CHARITY CARE FOR THE UNINSURED AND UNDERINSURED, MOUNT SINAI PROVIDED $138,170,762 IN CHARITY AND UNCOMPENSATED CARE IN 2018. ADDITIONALLY, IN ITS PRIMARY SERVICE AREA, MOUNT SINAI IS THE FUNCTIONAL PUBLIC HEALTH SYSTEM THOUGH IT DOES NOT RECEIVE THE TAX REVENUE MEANT TO PROVIDE THESE SERVICES. IN ITS SERVICE AREA, MOUNT SINAI PROVIDES THE OVERWHELMING MAJORITY, AS HIGH AS 65 TO 75%, OF THE CHARITY CARE, INDIGENT CARE, AND MEDICAID HOSPITAL SERVICES.TO PROVIDE DISASTER FIRST RESPONSE HEALTH SERVICES AND REGIONAL LEADERSHIP, IN CONJUNCTION WITH THE CITY OF MIAMI BEACH AND THE STATE OF FLORIDA, MOUNT SINAI HAS EMBARKED ON ITS $275 MILLION REGIONAL EMERGENCY SERVICES AND TOWER PROJECT. THIS PROJECT WILL PROVIDE A JOINT EMERGENCY OPERATIONS CENTER FOR THE CITY STAFF, POLICE, FIRE, AND MEDICAL STAFF DURING DECLARED COMMUNITY CRISIS. IT WILL RELOCATE OPERATING ROOMS ABOVE THE FLOOD PLAIN IN A SPECIAL HAZARD FLOOD ZONE, PROVIDE EMERGENCY CARE SERVICES FOR THE STATE'S SECOND LARGEST TOURISM AREA IN HIGH VELOCITY HURRICANE ZONE, PROVIDE A MEDICAL MANAGEMENT DISASTER SHELTER FOR OXYGEN AND ELECTRIC DEPENDENT RESIDENTS INCLUDING THOSE IN INTENSIVE CARE THAT CANNOT EVACUATE, ENSURE THAT ALL PATIENT CARE FOR REGIONAL FACILITY MEETS A MODERN LEVEL OF CARE, PROVIDE SAFE HELIPAD SERVICE AND BOAT ACCESS TO THE ISLAND WHEN BRIDGES ARE LOCKED DOWN AND SERVE AS A NATIONAL STOCKPILE DROP LOCATION FOR COUNTER TERRORISM MEASURES.TO ADDRESS THE NEED FOR EMERGENCY MEDICAL SERVICES AS THE SOLE HOSPITAL ON THE BARRIER ISLANDS OF MIAMI-DADE COUNTY, IN 2018, MOUNT SINAI PROVIDED EMERGENCY SERVICES FOR 53,013 VISITS IN THE PRIMARY SERVICE AREA OF MIAMI BEACH AND FOR AN ADDITIONAL 18,667 IN ITS SENIOR AND GERIATRIC TARGET AREA OF AVENTURA.TO ADDRESS INTENSIVE GERIATRIC/SENIOR CARE, MOUNT SINAI MAINTAINS THE WEIN CENTER FOR ALZHEIMER'S CARE, THE STATE OF FLORIDA'S LEADING MEMORY DISORDER CLINIC WITH OVER 2,400 VISITS ANNUALLY AND MEMORY DISORDER SCREENINGS. IT ALSO SERVES AS THE MIAMI-DADE COUNTY COORDINATOR FOR THE STATE-AUTHORIZED CAREGIVER SUPPORT AND SILVER ALERT PROGRAMS, AND PROVIDES INBOUND SENIOR VISITS THROUGH ITS STATE-AUTHORIZED GERIATRIC HOUSE CALL PROGRAM.TO ADDRESS MATERNITY SERVICES AND NEONATAL EMERGENT CARE, MOUNT SINAI PARTNERS WITH THE MIAMI BEACH COMMUNITY HEALTH CENTER TO PROVIDE PREVENTATIVE AND ACUTE OB/GYN CARE FOR ALL INCOMES, RACES, AND ETHNICITIES REGARDLESS OF NATIONAL ORIGIN OR DOCUMENTATION. IN 2018, MOUNT SINAI WELCOMED 2,813 INFANTS TO THE COMMUNITY.TO ADDRESS HEALTH EDUCATION AND COMMUNITY HEALTH SCREENINGS AND EDUCATION, MOUNT SINAI PROVIDED OVER 50 HEALTH EVENTS, 60 HEALTH LECTURES, AND 80 SCREENINGS.

Schedule H (Form 990) 2018

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

MOUNT SINAI MEDICAL CENTER OF
FLORIDA INC

Employer identification number

59-0624424

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 on 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 of 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
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used 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 on 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? .............

Yes

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

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

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

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

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

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

Were any amounts reported on 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" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

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

Cat. No. 50053T

Schedule J (Form 990) 2018

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 on 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 (E) amounts for that individual.

(A) Name and Title		(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 in column (B) reported as deferred on prior Form 990
(A) Name and Title		(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)
1STEVEN D SONENREICH PRESIDENT/CEO	(i) (ii)	961,679 ------------- 0	1,067,671 ------------- 0	192,700 ------------- 0	50,350 ------------- 0	27,413 ------------- 0	2,299,813 ------------- 0	0 ------------- 0
2ALEXANDER A MENDEZ EXEC VP OF OPERATIONS/CFO	(i) (ii)	660,322 ------------- 0	277,233 ------------- 0	342,759 ------------- 0	50,350 ------------- 0	25,623 ------------- 0	1,356,287 ------------- 0	0 ------------- 0
3WAYNE CHUTKAN SENIOR VP OF FINANCE	(i) (ii)	347,647 ------------- 0	78,287 ------------- 0	76,238 ------------- 0	50,350 ------------- 0	28,356 ------------- 0	580,878 ------------- 0	0 ------------- 0
4BENJAMIN DAVIS VP FACILITIES/RESOURCE MGT	(i) (ii)	260,574 ------------- 0	55,902 ------------- 0	51,373 ------------- 0	30,650 ------------- 0	9,083 ------------- 0	407,582 ------------- 0	0 ------------- 0
5MONICA FELDER VICE PRESIDENT/CCO BEG 1/08/2018	(i) (ii)	226,854 ------------- 0	0 ------------- 0	84,207 ------------- 0	50,350 ------------- 0	6,312 ------------- 0	367,723 ------------- 0	0 ------------- 0
6JENNIFER FOREMAN VP OF HUMAN RESOURCES	(i) (ii)	187,953 ------------- 0	10,000 ------------- 0	35,811 ------------- 0	18,311 ------------- 0	13,252 ------------- 0	265,327 ------------- 0	0 ------------- 0
7THOMAS GILLETTE SENIOR VP/ CIO	(i) (ii)	400,898 ------------- 0	87,270 ------------- 0	84,796 ------------- 0	44,350 ------------- 0	27,256 ------------- 0	644,570 ------------- 0	0 ------------- 0
8ROBERT GOLDSZER SENIOR VP/ CMO	(i) (ii)	429,040 ------------- 0	94,084 ------------- 0	190,404 ------------- 0	50,350 ------------- 0	23,493 ------------- 0	787,371 ------------- 0	0 ------------- 0
9ARNOLD JAFFEE SENIOR VP/ GEN COUNSEL	(i) (ii)	383,098 ------------- 0	82,047 ------------- 0	86,869 ------------- 0	31,850 ------------- 0	26,093 ------------- 0	609,957 ------------- 0	0 ------------- 0
10CATHY MCCLELLAN VP RISK MANAGEMENT	(i) (ii)	174,431 ------------- 0	43,260 ------------- 0	41,809 ------------- 0	50,350 ------------- 0	10,795 ------------- 0	320,645 ------------- 0	0 ------------- 0
11MERVYN MILLS VP OF FINANCE	(i) (ii)	256,083 ------------- 0	58,697 ------------- 0	53,217 ------------- 0	44,350 ------------- 0	20,839 ------------- 0	433,186 ------------- 0	0 ------------- 0
12KAREN MOYER SENIOR VP/ CNO END 10/18/2018	(i) (ii)	275,826 ------------- 0	108,853 ------------- 0	124,968 ------------- 0	50,350 ------------- 0	5,704 ------------- 0	565,701 ------------- 0	0 ------------- 0
13ANGEL PALLIN SENIOR VP OF OPERATIONS	(i) (ii)	349,270 ------------- 0	76,865 ------------- 0	73,647 ------------- 0	44,350 ------------- 0	16,553 ------------- 0	560,685 ------------- 0	0 ------------- 0
14MARGIE STICKLES VP SURGICAL SERVICES BEG 4/23/2018	(i) (ii)	102,655 ------------- 0	0 ------------- 0	54,220 ------------- 0	41,934 ------------- 0	724 ------------- 0	199,533 ------------- 0	0 ------------- 0
15WENDY STUART SENIOR VP/CNO BEG 10/19/2018	(i) (ii)	198,802 ------------- 0	8,019 ------------- 0	40,661 ------------- 0	31,850 ------------- 0	20,207 ------------- 0	299,539 ------------- 0	0 ------------- 0
16CHARLENE J WELKER SENIOR VP OF SPECIALTY SVC	(i) (ii)	247,989 ------------- 0	57,113 ------------- 0	54,624 ------------- 0	50,350 ------------- 0	8,592 ------------- 0	418,668 ------------- 0	0 ------------- 0
17ROBERT BEASLEY EMPLOYED MD STAFF PHYSICIAN, INTERVENTIONAL RADI	(i) (ii)	648,476 ------------- 0	150,000 ------------- 0	7,439 ------------- 0	50,350 ------------- 0	25,164 ------------- 0	881,429 ------------- 0	0 ------------- 0
18MIKE CUSNIR EMPLOYED MD CHIEF, HEMATOLOGY & ONCOLOGY	(i) (ii)	582,782 ------------- 0	231,107 ------------- 0	270 ------------- 0	44,350 ------------- 0	12,922 ------------- 0	871,431 ------------- 0	0 ------------- 0
19MICHAEL SCHWARTZ EMPLOYED MD MEDICAL CO-DIRECTOR, BREAST CANCER O	(i) (ii)	589,320 ------------- 0	250,000 ------------- 0	3,354 ------------- 0	0 ------------- 0	26,866 ------------- 0	869,540 ------------- 0	0 ------------- 0
20ROY WILLIAMS EMPLOYED MD CHIEF, THORACIC SURGERY	(i) (ii)	987,637 ------------- 0	21,504 ------------- 0	15,996 ------------- 0	49,036 ------------- 0	26,866 ------------- 0	1,101,039 ------------- 0	0 ------------- 0
21STEVE XYDAS EMPLOYED MD CHIEF, CARDIOTHORACIC SURGERY	(i) (ii)	1,446,402 ------------- 0	500,000 ------------- 0	14,152 ------------- 0	44,350 ------------- 0	32,906 ------------- 0	2,037,810 ------------- 0	0 ------------- 0
22STEVEN FINE FORMER VP OF ADMINISTRATION	(i) (ii)	0 ------------- 0	0 ------------- 0	168,206 ------------- 0	0 ------------- 0	0 ------------- 0	168,206 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

Page 3

Part III

Supplemental Information

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

Return Reference	Explanation
PART I, LINE 1A	GROSS-UP PAYMENTS FOR LIFE INSURANCE AND DISABILITY POLICIES WERE PROVIDED TO TWO OFFICERS AND FOURTEEN KEY EMPLOYEES. SUCH AMOUNTS WERE TREATED AS TAXABLE COMPENSATION AND INCLUDED IN THE W-2 WAGES FOR SUCH EMPLOYEES.
PART I, LINE 1B	THE DECISION-MAKING PROCESS FOR THE GROSS-UP PAYMENTS MADE PURSUANT TO THE LIFE INSURANCE AND DISABILITY POLICIES FOLLOWED THE SAME COMPENSATION PROCESS OUTLINED IN THE DISCLOSURE FOR FORM 990, PART VI, LINE 15, INCLUDING APPROVAL BY THE COMPENSATION COMMITTEE AND REVIEW BY AN INDEPENDENT CONSULTANT. APPROVAL FOR THE GROSS-UP PAYMENTS IS ALSO OUTLINED IN THE PLAN DOCUMENTS.
PART I, LINE 4B:	STEVEN FINE, FORMER KEY EMPLOYEE, RECIEVED A SEVERANCE PAYMENT OF $168,206 IN 2018.

Schedule J (Form 990) 2018

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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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
MOUNT SINAI MEDICAL CENTER OF
FLORIDA INC

Employer identification number
59-0624424

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	CITY OF MIAMI BEACH HEALTH FACILITIES AUTHORITY	65-0372870	593211DY8	09-11-2012	141,194,667	CURRENT REFUND BONDS ISSUED 12/22/98 & 5/24/01		X		X		X
B	CITY OF MIAMI BEACH HEALTH FACILITIES AUTHORITY	65-0372870	593211EZ4	09-04-2014	181,289,212	CURRENT REFUND BOND ISSUED 4/28/04 & CAPITAL IMPROVEMENTS		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	37,600,000		4,615,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	141,194,667		181,914,236
4 Gross proceeds in reserve funds .............	12,472,532		873,185
5 Capitalized interest from proceeds .............			2,358,111
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............			110,221,427
11 Other spent proceeds .............	141,194,667		69,334,698
12 Other unspent proceeds .............
13 Year of substantial completion .............			2019
	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
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X

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

Cat. No. 50193E

Schedule K (Form 990) 2018

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
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
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 ....
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
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 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

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X	X
b Exception to rebate? ........		X		X
c No rebate due? .........	X			X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2018

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X	X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
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?	X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
PART II, LINE 4, COL A	THE AMOUNT SHOWN HERE CONSISTS OF $11,308,085 IN A DEBT SERVICE RESERVE FUND, PLUS $1,164,447 OF DEBT SERVICE FUND DEPOSITS.
PART II, LINE 4, COL B	THE AMOUNT SHOWN HERE CONSISTS SOLELY OF DEBT SERVICE FUND DEPOSITS.
PART II, LINE 3, COL B	DIFFERENCES BETWEEN THE AMOUNT SHOWN HERE AND THE ISSUE PRICE REPORTED IN PART I, COLUMN (E) ARE DUE TO ACCUMULATED INTEREST EARNINGS.
PART IV, LINE 2C, COL A	REBATE COMPUTATION DATE: SEPTEMBER 10, 2017
PART IV, LINE 6, COL B	SUCH AMOUNTS WERE APPROPRIATELY YIELD RESTRICTED.

Schedule K (Form 990) 2018

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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, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

MOUNT SINAI MEDICAL CENTER OF
FLORIDA INC

Employer identification number

59-0624424

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) 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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by 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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

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






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

Part III

Grants or Assistance Benefiting 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 assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2018

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) SETH GOTTLIEB MD FCCP PA	SEE PART V	265,283	SERVICES		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
PART IV, COLUMN B	SETH GOTTLIEB M.D. : SETH GOTTLIEB, M.D., BOARD MEMBER OF MSMC, IS PRESIDENT OF SETH GOTTLIEB M.D. FCCP PA, WHICH PROVIDES MICU SERVICES TO THE HOSPITAL AT FAIR MARKET VALUE.

Schedule L (Form 990 or 990-EZ) 2018

Additional Data

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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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

MOUNT SINAI MEDICAL CENTER OF
FLORIDA INC

Employer identification number

59-0624424

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 2	TRUSTEES WAYNE CHAPLIN AND PAUL CHAPLIN HAVE A BUSINESS AND FAMILY RELATIONSHIP. TRUSTEES MARK H. HILDEBRANDT AND LAURANS A. MENDELSON HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11B	THE PROCESS FOR REVIEW OF THE FORM 990 BY MEMBERS OF THE GOVERNING BODY AND MANAGEMENT IS AS FOLLOWS: THE MEMBERS OF THE GOVERNING BODY, MANAGEMENT, AND THE INDEPENDENT TAX CONSULTANTS WILL MEET AND REVIEW IN DETAIL THE COMPLETED FORM 990. A FINAL DRAFT OF FORM 990 IS PROVIDED TO ALL VOTING MEMBERS OF THE ORGANIZATION BEFORE THE FINAL FORM IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY: MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC. AND SUBSIDIARIES (THE "MEDICAL CENTER") FORMALLY IMPLEMENTED A WRITTEN CONFLICT OF INTEREST POLICY (THE "POLICY") IN MARCH 2006 TO PROTECT THE MEDICAL CENTER AND ENSURE THAT THE DELIBERATIONS AND DECISIONS MADE ON BEHALF OF THE MEDICAL CENTER ARE MADE IN THE BEST INTEREST OF THE MEDICAL CENTER. THE TERM "CONFLICT OF INTEREST" AS DEFINED BY THIS POLICY REFERS TO SITUATIONS IN WHICH FINANCIAL OR OTHER PERSONAL CONSIDERATIONS MAY COMPROMISE, OR HAVE THE APPEARANCE OF COMPROMISING, THE JUDGMENT OF SOMEONE CHARGED WITH THE RESPONSIBILITY TO ACT ON BEHALF OF THE MEDICAL CENTER. THIS POLICY IS REVIEWED PERIODICALLY BUT NOT LESS THAN ONCE A YEAR BY THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES TO BETTER MEET ITS OBJECTIVES. IT IS INTENDED TO SUPPLEMENT BUT NOT REPLACE ANY APPLICABLE LAWS GOVERNING CONFLICTS OF INTEREST IN NONPROFIT AND CHARITABLE ORGANIZATIONS. PERSONS COVERED UNDER THIS POLICY INCLUDE: (1) ANY CURRENT OR FORMER TRUSTEE, OFFICER, OR MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS FOR THE MEDICAL CENTER; (2) MEMBERS OF MANAGEMENT AND ANY EMPLOYEE OF THE MEDICAL CENTER WHO: A) RECEIVES COMPENSATION FROM THE MEDICAL CENTER IN EXCESS OF $150,000 ANNUALLY, WHETHER AS A FULL- OR PART-TIME EMPLOYEE, INDEPENDENT CONTRACTOR, OR OTHERWISE, AND, B) HAS RESPONSIBILITIES, POWER OF INFLUENCE OVER AN ACTIVITY OF THE MEDICAL CENTER SIMILAR TO THAT OF AN OFFICER OR TRUSTEE AND WHICH REPRESENTS MORE THAN 10% OF THE ACTIVITIES, ASSETS, INCOME OR EXPENSES OF THE MEDICAL CENTER, AND C) IS ONE OF THE TWENTY EMPLOYEES WITH THE HIGHEST COMPENSATION FROM THE MEDICAL CENTER. (3) ANY PERSON(S) WHO SERVE AS A MEMBER OF THE MEDICAL CENTER'S MEDICAL STAFF AS A CHAIRPERSON OF A DEPARTMENT, CHIEF OF A CLINICAL SERVICE, OR MEMBER OF THE MEDICAL EXECUTIVE COMMITTEE. MONITORING AND COMPLIANCE: AN IMPORTANT STEP IN MONITORING AND ENFORCING COMPLIANCE WITH A CONFLICT OF INTEREST POLICY INCLUDES MANAGEMENT'S EDUCATION EFFORTS TO MAKE INTERESTED PERSONS AWARE OF THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. TO THAT END, MANAGEMENT HAS INCLUDED IN ITS CODE OF CONDUCT (THE "CODE") A SECTION ON CONFLICTS OF INTEREST WHICH HAS TO BE SIGNED AND RETURNED BY EVERY INTERESTED PERSON TO ACKNOWLEDGE AND ATTEST THAT THEY READ THE CODE INCLUDING THE CONFLICT OF INTEREST SECTION. ANNUALLY, INTERESTED PERSONS ALSO RECEIVE A REFRESHER TRAINING SESSION ON ETHICS AND CONFLICTS OF INTEREST. IN ADDITION, THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES HAS CREATED A SUBCOMMITTEE ON CONFLICTS OF INTEREST ("CONFLICTS COMMITTEE") TO ADMINISTER AND MONITOR COMPLIANCE WITH THIS POLICY. THE CONFLICTS COMMITTEE REQUIRES A STATEMENT FROM EACH INTERESTED PERSON NOT LESS FREQUENTLY THAN ONCE A YEAR SETTING FORTH ALL BUSINESS AND OTHER AFFILIATIONS THAT RELATE IN ANY WAY TO THE BUSINESS AND OTHER ACTIVITIES OF THE MEDICAL CENTER. INTERNAL AUDIT COMPILES AND SUMMARIZES ALL THE DISCLOSURES RECEIVED FROM INTERESTED PERSONS TO FACILITATE THEIR REVIEW BY THE CONFLICTS COMMITTEE. THE CONFLICTS COMMITTEE INDIVIDUALLY DISCUSSES EACH DISCLOSURE TO EVALUATE WHETHER A CONFLICT OF INTEREST EXISTS AND DETERMINES THE APPROPRIATE COURSE OF ACTION TO TAKE. NEITHER THE BOARD NOR ANY COMMITTEE OF THE BOARD SHALL VOTE UPON ANY PROPOSED TRANSACTION OR ARRANGEMENT IN CONNECTION WITH A POTENTIAL CONFLICT OF INTEREST UNTIL SUCH TIME AS THE CONFLICTS COMMITTEE HAS DETERMINED WHETHER A CONFLICT OF INTEREST EXISTS. WHERE THE CONFLICTS COMMITTEE HAS CONCLUDED THAT A CONFLICT OF INTEREST EXISTS, THE CHAIRMAN OF THE CONFLICTS COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO A PROPOSED TRANSACTION, CONTRACT, OR ARRANGEMENT. IF THE CONFLICTS COMMITTEE DETERMINES THAT THE MEDICAL CENTER CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THEN THE MEDICAL CENTER SHALL NOT ENTER INTO THE TRANSACTION THAT INVOLVES THE CONFLICT OF INTEREST. IF A TRANSACTION OR ARRANGEMENT MORE ADVANTAGEOUS IS NOT REASONABLY ATTAINABLE UNDER THE CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THEN THE BOARD OR COMMITTEE, AS APPLICABLE, SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE MEDICAL CENTER'S BEST INTEREST AND WHETHER IT IS FAIR AND REASONABLE TO THE MEDICAL CENTER, AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. FAILURE BY AN INTERESTED PERSON TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST UNDER THE CONFLICT OF INTEREST POLICY IS CONSIDERED A SERIOUS MATTER AND MAY CONSTITUTE "CAUSE" FOR REMOVAL OR TERMINATION OF A TRUSTEE, OFFICER, OR THE TERMINATION OF ANY CONTRACTUAL OR EMPLOYMENT RELATIONSHIP THE MEDICAL CENTER MAY HAVE WITH AN INTERESTED PERSON OR OTHER PARTY.
FORM 990, PART VI, SECTION B, LINE 15	ON AN ANNUAL BASIS, THE MOUNT SINAI MEDICAL CENTER COMPENSATION COMMITTEE CONTRACTS WITH AN INDEPENDENT CONSULTANT TO PREPARE AN OPINION REGARDING THE REASONABLENESS AND COMPARABILITY OF THE TOTAL COMPENSATION PROVIDED TO ITS SENIOR OFFICERS AND KEY EMPLOYEES. THE COMPENSATION COMMITTEE INFORMS THE INDEPENDENT CONSULTANT THAT THE INDEPENDENT CONSULTANT'S OPINION WILL BE PART OF THE COMMITTEE'S PROCEDURE FOR ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS DESCRIBED IN THE INCOME TAX REGULATIONS. THE INDEPENDENT CONSULTANT'S DETERMINATION OF REASONABLENESS IS MADE AFTER A THOROUGH REVIEW OF ALL THE ELEMENTS OF THE TOTAL COMPENSATION COMPRISED OF: CASH COMPENSATION, HEALTH AND WELFARE BENEFITS, RETIREMENT BENEFITS, EXECUTIVE BENEFITS AND PERQUISITES, AND OTHER ELEMENTS OF COMPENSATION INCLUDING SEVERANCE ARRANGEMENTS. THE OPINION EXPRESSED BY THE INDEPENDENT CONSULTANT IS THEN PRESENTED TO THE MSMC COMPENSATION COMMITTEE IN A REPORT FORM FOR THEIR REVIEW. THE OPINION REPORT IS REFERRED TO BY THE COMPENSATION COMMITTEE WHEN DETERMINING AND APPROVING THE ANNUAL COMPENSATION FOR ITS SENIOR OFFICERS AND KEY EMPLOYEES. THE EXECUTIVE BOARD OF TRUSTEES OF MSMC HAS AUTHORIZED ITS COMPENSATION COMMITTEE TO SET ANNUAL COMPENSATION FOR MSMC'S SENIOR OFFICERS AND KEY EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:	INCOME FROM PREMIER HEALTHCARE ALLIANCE, L.P. -466,146. INCOME FROM MIAMI JEWISH HOME HEALTH AGENCY 70,328. CHANGE IN THE BENEFICIAL INTEREST IN THE NET ASSETS OF MSMC FOUNDATION 34,796,000. AMOUNT REPORTED SEPARATELY -9,176. NET ASSETS TRANSFERRED FROM MSMC FDN -26,873,878.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

MOUNT SINAI MEDICAL CENTER OF
FLORIDA INC

Employer identification number

59-0624424

Part I

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

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(f) Direct controlling entity
(1) NEUROSURG LLC 4300 ALTON ROAD MIAMI BEACH,FL33140 20-2098546	BILLING	FL	N/A
(2) MSMC ONCOLOGY LLC 4300 ALTON ROAD MIAMI BEACH,FL33140 45-4999975	BILLING	FL	N/A
(3) MSMC INTERVENTIONAL LLC 4300 ALTON ROAD MIAMI BEACH,FL33140 46-0759101	BILLING	FL	N/A
(4) MOUNT SINAI CORAL WAY LLC 4300 ALTON ROAD MIAMI BEACH,FL33140 45-4560957	BILLING	FL	N/A
(5) MSMC NEONATOLOGY LLC 4300 ALTON ROAD MIAMI BEACH,FL33140 46-1533688	BILLING	FL	N/A
(6) MOUNT SINAI CARDIO-PRICARE LLC 4300 ALTON ROAD MIAMI BEACH,FL33140 26-1408014	BILLING	FL	N/A
(7) MT SINAI MEDICAL CTR PHYSICIAN PRACTICES 4300 ALTON ROAD MIAMI BEACH,FL33140 20-3295727	BILLING	FL	N/A
(8) MT SINAI MEDICAL CTR SURGICAL ONCOLOGY LLC 4300 ALTON ROAD MIAMI BEACH,FL33140 26-2938215	BILLING	FL	N/A
(9) MT SINAI MEDICAL CTR UROLOGY LLC 4300 ALTON ROAD MIAMI BEACH,FL33140 26-2893302	BILLING	FL	N/A
(10) MT SINAI MEDICAL CTR CARDIOLOGY LLC 4300 ALTON ROAD MIAMI BEACH,FL33140 26-4069086	BILLING	FL	N/A
(11) MOUNT SINAI INTENSIVISTS LLC 4300 ALTON ROAD MIAMI BEACH,FL33140 26-3932464	BILLING	FL	N/A
(12) MT SINAI CARDIOTHORACIC SURGERY LLC 4300 ALTON ROAD MIAMI BEACH,FL33140 26-3594843	BILLING	FL	N/A
(13) MT SINAI MED CTR EMERGENCY PHYSICIANS LLC 4300 ALTON ROAD MIAMI BEACH,FL33140 45-1155342	BILLING	FL	N/A
(14) PHYSICIAN PRACTICES OF MSMC LLC 4300 ALTON ROAD MIAMI BEACH,FL33140 45-1154796	BILLING	FL	N/A
(15) RADIOLOGY OF MSMC LLC 4300 ALTON ROAD MIAMI BEACH,FL33140 45-3583216	BILLING	FL	N/A
(16) MOUNT SINAI HEALTH LLC 4300 ALTON ROAD MIAMI BEACH,FL33140 46-5582875	BILLING	FL	N/A
(17) CARDIOLOGY OF THE FLORIDA KEYS LLC 4300 ALTON ROAD MIAMI BEACH,FL33140 47-4507034	BILLING	FL	N/A
(18) MOUNT SINAI MENTAL HEALTH LLC 4300 ALTON ROAD MIAMI BEACH,FL33140 82-5389789	BILLING	FL	N/A

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 entity?
(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)MT SINAI MEDICAL CENTER FOUNDATION INC 4300 ALTON ROAD MIAMI BEACH,FL33140 59-1711400	FOUNDATION	FL	501(C)(3)	LINE 7	MT SINAI MEDICAL CENTER OF FLORIDA INC	Yes
(2)MT SINAI MEDICAL CENTER INSURANCE TRUST 4300 ALTON ROAD MIAMI BEACH,FL33140 59-1830065	TRUST	FL	501(C)(3)	LINE 12B, II	MT SINAI MEDICAL CENTER OF FLORIDA INC	Yes
(3)MT SINAI MEDICAL CTR OFFICE BUILDING II 4300 ALTON ROAD MIAMI BEACH,FL33140 20-5737392	TITLE LEASE	FL	501(C)(2)	N/A	MT SINAI MEDICAL CENTER OF FLORIDA INC	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2018

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 V-UBI 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 V-UBI 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	(i) Section 512(b)(13) controlled entity?
(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		Yes	No
(1) RIGHT CHOICE MANAGEMENT SERVICES INC 4300 ALTON ROAD MIAMI BEACH,FL33140 65-0728277	MGMT SERVICES	FL	N/A	S			100.000 %	Yes
(2) MT SINAI MED CTR OF FL GUARANTEE CORP PO BOX 1051 KY1-1102 CJ	INSURANCE	CJ	N/A	C	-405,243	9,910,793	100.000 %	Yes

Schedule R (Form 990) 2018

Page 3

Part V

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

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

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, or (iv) rent from a controlled entity .....................

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

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

Yes

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

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

f Dividends from related organization(s) ............................

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

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

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

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

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

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

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

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

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

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

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

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

Yes

s 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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) MOUNT SINAI MEDICAL CENTER FOUNDATION INC	C	36,141,142	FAIR MARKET VALUE
(2) MOUNT SINAI MEDICAL CENTER INSURANCE TRUST	R	19,125,000	FAIR MARKET VALUE

Schedule R (Form 990) 2018

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 V-UBI 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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2018

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE HIGH QUALITY HEALTH CARE TO OUR DIVERSE COMMUNITY ENHANCED THROUGH TEACHING, RESEARCH, CHARITY CARE AND FINANCIAL RESPONSIBILITY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	25
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	23
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	5,008
6	Total number of volunteers (estimate if necessary) .............	6	380
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	176,710
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	975,790	36,141,142
9	Program service revenue (Part VIII, line 2g) .........	643,426,909	666,046,812
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	3,046,407	4,189,196
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	22,240,820	18,487,568
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	669,689,926	724,864,718
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
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)	308,549,933	312,839,410
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	343,963,454	363,414,727
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	652,513,387	676,254,137
19	Revenue less expenses. Subtract line 18 from line 12.......	17,176,539	48,610,581
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	953,704,807	1,014,629,732
21	Total liabilities (Part X, line 26).............	489,440,234	494,470,960
22	Net assets or fund balances. Subtract line 21 from line 20.....	464,264,573	520,158,772

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 459,295,484 including grants of $ ) (Revenue $ 565,212,358 )
	SAFETY NET HOSPITAL OPERATIONSIN 2018, MOUNT SINAI SERVED 23,331 INPATIENT ADMISSIONS, 217,700 OUTPATIENT ADMISSIONS, 53,013 EMERGENCY CARE VISITS IN ITS PRIMARY SERVICE AREA AND 18,667 IN ITS SENIOR HEALTH TARGET AREA OF AVENTURA. MOUNT SINAI PERFORMED 13,404 SURGERIES MEETING SURGICAL CARE STANDARDS AND WELCOMED 2,813 INFANTS WITH HEALTHY BIRTH WEIGHTS. SHORT TERM GOALS: ADDRESS THE LEADING CAUSES OF DEATH THROUGH TERTIARY PATIENT SERVICE.LONG TERM GOALS:OFFER DIAGNOSTIC AND OUTPATIENT CARE TO PREVENT OR TREAT THE TOP LEADING CAUSES OF DEATH.

4b	(Code: ) (Expenses $ 44,458,642 including grants of $ ) (Revenue $ 43,177,306 )
	TEACHING & RESEARCHIN 2018, MOUNT SINAI RETAINED ITS OWN TEACHING FACULTY AND 16 ACCREDITED GRADUATE MEDICAL EDUCATION PROGRAMS, TEACHING 163 RESIDENTS AND FELLOWS. MOUNT SINAI PROVIDED A TEACHING CLINICAL ENVIRONMENT FOR PHYSICIANS TO BECOME BOARD CERTIFIED. ADDITIONALLY, TO MEET THE DEMANDS OF THE WORKFORCE, MOUNT SINAI TAUGHT 177 NURSING STUDENTS, 513 MEDICAL STUDENTS AND 140 ALLIED HEALTH STUDENTS FOR HEALTH CARE CAREERS. TO SUPPLEMENT THE ACADEMIC ENVIRONMENT IN 2018, MOUNT SINAI HAD 194 RESEARCH STUDIES APPROVED BY A NATIONAL REVIEW BOARD OR BY A MOUNT SINAI INSTITUTION PEER REVIEW BOARD. MOUNT SINAI HAD 136 CANCER STUDIES, 25 CARDIAC, AND 33 OTHER STUDIES.SHORT TERM GOALS: ENHANCED PATIENT CARE THROUGH INNOVATIVE CLINICAL CARE, TEACHING AND RESEARCH.LONG TERM GOALS:EXPAND TEACHING INTO THE MOST NEEDED AREAS IN THE COMMUNITY AS DECIDED BY THE STATE OF FLORIDA AND LEADING HEALTH EXPERTS.PROGRAM: ACADEMIC MEDICAL CENTER EXPENSES REVENUETEACHING 30,592,412 29,402,278 EXPENSES REVENUERESEARCH 13,866,230 13,775,028

4c	(Code: ) (Expenses $ 87,593,560 including grants of $ ) (Revenue $ 57,635,544 )
	PHYSICIAN NETWORK AND ACCESS TO CAREACCORDING TO THE 2017 UPDATE TO THE AAMC-COMMISSIONED STUDY OF PHYSICIAN SUPPLY AND DEMAND, PHYSICIAN DEMAND IS PROJECTED TO CONTINUE GROWING FASTER THAN THE SUPPLY. (THE COMPLEXITIES OF PHYSICIAN SUPPLY AND DEMAND: PROJECTIONS FROM 2015 TO 2030, IHS MARKIT, FEBRUARY 17, 2017) THE STATE OF FLORIDA AGENCY FOR HEALTHCARE, AND THE STATEWIDE MEDICAID RESIDENCY PROGRAM SUPPORTED THE TEACHING OF SPECIALTY CLINICAL PROVIDERS. MOUNT SINAI PROVIDED BOTH ACCESS TO CARE AND SUPPORT FOR THE TEACHING OF 513 MEDICAL STUDENTS AND 163 RESIDENTS AND FELLOWS IN 13 LOCATIONS IN TWO COUNTIES. BY PROVIDING NEARLY 194,000 PRIMARY OR SPECIALTY CARE VISITS, MOUNT SINAI HAS WIDENED ACCESS TO SPECIALTY CARE IN FLORIDA AND THE STATE MEDICAID PROGRAM.SHORT TERM GOALS: ADDRESS THE PHYSICIAN SHORTAGE THROUGH TEACHING ACTIVITIES IN A PREVENTATIVE SETTING, PROVIDING ACCESS TO A WIDE SPECIALTY NETWORK THAT ACCEPTS MOST MEDICAID PLANS.LONG TERM GOALS:EXPANSION OF THE GME PROGRAM TO INCLUDE SHORTAGE AREAS SUCH OB/GYN AND SPECIALTY PHYSICIAN ACCESS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses591,347,686

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	14,773,370	0	1,273,550

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	36,141,142
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		36,141,142

		Business Code
2a	PATIENT SERVICE REVENU	621300	479,245,385	479,245,385
b	MEDICARE/MEDICAID REVE	621300	143,347,441	143,347,441
c	GRANT REVENUE	900099	41,942,050	41,942,050
d	PARTNERSHIP INCOME	900099	1,253,548	1,231,944	21,604
e	OTHER PATIENT REVENUE	621300	258,388	258,388
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		666,046,812

3 Investment income (including dividends, interest, and othersimilar amounts) ......			4,205,235			4,205,235
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents	17,820	9,219,657
b	Less: rental expenses	0	4,807,262
c	Rental income or (loss)	17,820	4,412,395
d	Net rental income or (loss)......			4,430,215		155,106	4,275,109
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	100,399	24,698,656
b	Less: cost or other basis and sales expenses	0	24,815,094
c	Gain or (loss)	100,399	-116,438
d	Net gain or (loss).....			-16,039			-16,039
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..
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..
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..
Business Code			Miscellaneous Revenue
11a	EMERGENCY DEPARTMENT		621990	5,249,996			5,249,996
b	CAFETERIA		722210	2,808,281			2,808,281
c	PARKING		812930	1,264,438			1,264,438
d	All other revenue ....			4,734,638			4,734,638
e	Total. Add lines 11a–11d ......			14,057,353
12	Total revenue. See Instructions......			724,864,718	666,025,208	176,710	22,521,658

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21
2	Grants and other assistance to domestic individuals. See Part IV, line 22
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	9,156,725		9,156,725
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	261,811,294	229,443,311	32,367,983
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......	24,628,257	20,854,080	3,774,177
10	Payroll taxes ...........	17,243,134	14,600,696	2,642,438
11	Fees for services (non-employees):
a	Management ......	409,732	62,790	346,942
b	Legal .........	935,760		935,760
c	Accounting ...........	566,700		566,700
d	Lobbying ...........	429,720		429,720
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	6,338,131	6,338,131
12	Advertising and promotion ....	2,457,765		2,457,765
13	Office expenses .......	12,886,671	11,083,571	1,803,100
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	15,583,306	13,195,230	2,388,076
17	Travel ............	1,054,963	893,294	161,669
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,880,558	1,592,370	288,188
20	Interest ...........	6,415,036	5,431,959	983,077
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	34,664,221	29,352,075	5,312,146
23	Insurance ...	28,020,852	23,726,774	4,294,078
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	131,309,836	131,687,210	-377,374
b	PROVISION FOR BAD DEBT	71,882,687	60,866,968	11,015,719
c	SERVICE CONTRACTS/MAINT	26,910,065	22,822,554	4,087,511
d	CONSULTANT FEES	6,457,127	5,467,599	989,528
e	All other expenses	15,211,597	13,929,074	1,282,523
25	Total functional expenses. Add lines 1 through 24e	676,254,137	591,347,686	84,906,451	0
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).

1	Cash–non-interest-bearing ........				1	0
2	Savings and temporary cash investments .........			288,689,768	2	194,204,543
3	Pledges and grants receivable, net ......			4,645,477	3	1,469,835
4	Accounts receivable, net .............			71,022,786	4	74,033,592
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
					6
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........			9,588,261	8	10,801,722
9	Prepaid expenses and deferred charges ......			10,523,761	9	10,771,601
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	578,181,945
b	Less: accumulated depreciation	10b	336,789,384	184,384,365	10c	241,392,561
11	Investments—publicly traded securities .			13,466,302	11	13,754,635
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			371,384,087	15	468,201,243
16	Total assets. Add lines 1 through 15 (must equal line 34)...			953,704,807	16	1,014,629,732

17	Accounts payable and accrued expenses .....	62,967,097	17	75,092,538
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	285,911,224	20	276,411,696
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..	882,596	23	882,596
24	Unsecured notes and loans payable to unrelated third parties ..		24
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	139,679,317	25	142,084,130
26	Total liabilities. Add lines 17 through 25..	489,440,234	26	494,470,960

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	244,363,613	27	265,461,812
28	Temporarily restricted net assets ...........	211,067,000	28	254,696,960
29	Permanently restricted net assets	8,833,960	29	0
	Organizations that do not follow SFAS 117 (ASC 958), 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 ...........	464,264,573	33	520,158,772
34	Total liabilities and net assets/fund balances ........	953,704,807	34	1,014,629,732

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, Return by a U.S. Transferor of Property to a Foreign Corporation (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 separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	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, Information 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 separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No