Form990
Click to see attachment
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Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
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MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 01-01-2021 , and ending 12-31-2021
BCheck if applicable:
CName of organization
THE MOUNT SINAI HOSPITAL
 
% MICHAEL PASTIER
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
ONE GUSTAVE L LEVY PLACE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NEW YORK, NY100296574
D Employer identification number

13-1624096
E Telephone number

G Gross receipts $ 3,561,894,186
F Name and address of principal officer:
STEPHEN HARVEY
150 EAST 42ND STREET 5TH FL
NEW YORK,NY10017
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
http://www.mountsinai.org
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1852
M State of legal domicile: NY
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: MOUNT SINAI PROVIDES COMPASSIONATE PATIENT CARE AND ADVANCED MEDICINE THROUGH EDUCATION, RESEARCH AND OUTREACH IN THE MANY DIVERSE COMMUNITIES IT SERVES.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 35
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 34
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 18,316
6 Total number of volunteers (estimate if necessary) ............. 6 582
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b  
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 340,882,925 125,934,560
9 Program service revenue (Part VIII, line 2g) ......... 2,706,009,009 3,084,638,403
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 96,552,628 89,143,266
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 148,428,238 262,157,037
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 3,291,872,800 3,561,873,266
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 127,719,257 161,671,182
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) 1,547,029,002 1,547,881,050
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet1,460,903    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 1,536,907,180 1,626,191,791
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 3,211,655,439 3,335,744,023
19 Revenue less expenses. Subtract line 18 from line 12....... 80,217,361 226,129,243
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 6,179,730,566 6,458,426,058
21 Total liabilities (Part X, line 26)............. 3,557,279,876 3,541,522,010
22 Net assets or fund balances. Subtract line 21 from line 20..... 2,622,450,690 2,916,904,048
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
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Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2021)
Form 990 (2021)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: MOUNT SINAI IS COMMITTED TO THE ADVANCEMENT OF THE ART AND SCIENCE OF MEDICINE THROUGH CLINICAL EXCELLENCE. THE CENTRAL MISSION CONSISTS OF HIGH-QUALITY PATIENT CARE AND TEACHING CONDUCTED IN AN ATMOSPHERE OF SOCIAL CONCERN AND SCHOLARLY INQUIRY INTO NATURE, CAUSATION, PREVENTION AND TREATMENT OF HUMAN DISEASE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 3,005,038,827 including grants of $ 161,671,182 ) (Revenue $ 3,087,706,091 )
The Mount Sinai Hospital provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of the Mount Sinai Hospital, it is recognized that not all individuals possess the ability to purchase essential medical services and healthcare education. As a matter of policy, the Hospital provides significant amounts of partially or totally uncompensated patient care. For accounting purposes, such uncompensated care is treated either as charity care or bad debt expense. The Hospital's charity care policy ensures the provision of quality health care to the community served while carefully considering the ability of the patient to pay. The policy has sliding fee schedules for inpatient, ambulatory and emergency services provided to the uninsured and under-insured patients who qualify. Patients are eligible for the charity care fee schedule if they meet certain income tests. Furthermore, as part of its charity care and financial aid policy, the Hospital obtains and uses additional financial information for uninsured or under-insured patients who have not supplied the requisite information to qualify for charity care. The additional information obtained is used by the Hospital to determine whether to qualify patients for charity care and/or financial aid in accordance with the Hospital's policies. For accounting and disclosure purposes, charity care is considered to be the difference between the Hospital's customary charges and the sliding charity care fee schedule rates. Since payment of this difference is not sought, charity care allowances are not reported as revenue. The Hospital's estimated costs for charity care were $45.5 million and $41.5 million for 2021 and 2020, respectively. The cost of charity includes the direct and indirect cost of providing charity care services. The cost is estimated by utilizing a ratio of cost to gross charges applied to the gross uncompensated charges associated with providing charity care. Funds received from the New York State Indigent Care Pool to offset charity services provided totaled approximately $13.3 million and $18.5 million for the years ended December 31, 2021 and 2020, respectively. The charity care component of the indigent care pool payments is estimated utilizing a ratio of charity care charges to total charity care and bad debt charges applied to the indigent care pool reimbursement and excludes amounts designated for teaching programs. Additionally, patients who do not qualify for sliding scale fees and all uninsured inpatients who do not qualify for Medicaid assistance are billed at the Hospital's rates. Uncollected balances for these patients are categorized as bad debts. Total uncompensated care as a result of bad debts for all patient services approximated $83.6 million in 2021 and $41.0 million in 2020. The Mount Sinai Hospital is the primary health care provider for the East Harlem Area of New York City. East Harlem is one of the poorest communities in the New York City region, and has been designated as a medically underserved area. A wide variety of programs and services are currently provided for the community which include: -Primary care -AIDS -Cardiovascular health -Cancer treatment -Maternal and infant health -Geriatrics -Ambulatory sensitive conditions (Asthma and Diabetes) -Adolescent health -Youth education -Volunteer services
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet3,005,038,827
Form 990 (2021)
Form 990 (2021)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XIIClick to see attachment......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....Click to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....Click to see attachment
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................Click to see attachment
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
Yes
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I .... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV..................... Click to see attachment
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
1,160
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
18,316
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. See instructions.
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
35
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
34
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
NY
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletMICHAEL PASTIER150 EAST 42ND STREET 5TH FL   New York,NY10017 (212) 731-3149
Form 990 (2021)
Form 990 (2021)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) KENNETH DAVIS MD......................................................................
CHIEF EXECUTIVE OFFICER
 20.5
.................
39.5 		    X       2,028,112 3,560,513 81,102
(2) SAMIN SHARMA MD......................................................................
PROFESSOR, CARDIOLOGY
 30.05
.................
29.95 		        X   1,073,038 4,031,620 39,707
(3) DENNIS CHARNEY MD 1......................................................................
PRESIDENT, ACADEMIC AFFAIRS
 20.87
.................
39.13 		    X       779,279 1,368,086 46,790
(4) MARGARET PASTUSZKO......................................................................
EVP, CHIEF INTEGRATION OFFICER
 20.87
.................
39.13 		    X       749,258 1,315,383 62,296
(5) JEREMY BOAL MD......................................................................
EVP, SYSTEM CMO
 21.04
.................
38.96 		    X       697,338 1,224,234 83,566
(6) ARTHUR KLEIN MD......................................................................
EVP, PRESIDENT OF HEALTH NTWK
 32.09
.................
27.91 		    X       1,073,407 816,394 39,104
(7) DAVID L REICH MD......................................................................
PRESIDENT AND COO
 60.0
.................
0.0 		    X       1,808,577 0 54,910
(8) BETH ESSIG ESQ......................................................................
EVP, GENERAL COUNSEL
 17.95
.................
42.05 		    X       595,689 1,097,090 29,282
(9) BURTON P DRAYER......................................................................
EVP, SYSTEM CCA
 0.5
.................
59.5 		    X       0 1,505,019 50,271
(10) JEFFREY SILBERSTEIN......................................................................
EVP, SYSTEM CAO
 20.59
.................
39.41 		    X       535,396 986,048 33,134
(11) STEPHEN HARVEY......................................................................
EVP, SYSTEM CFO
 19.17
.................
40.83 		    X       493,914 909,650 75,202
(12) Kelly Cassano DO START 121......................................................................
EVP, Sys Ambulatory Operation
 13.07
.................
46.93 		    X       263,614 1,083,185 39,143
(13) STEPHEN FURIA......................................................................
SR VP MOUNT SINAI HEALTH SYS
 36.24
.................
23.76 		        X   789,593 517,680 52,489
(14) MICHAEL PASTIER......................................................................
SVP, CHIEF FINANCIAL OFFICER
 31.59
.................
28.41 		    X       717,830 554,693 77,020
(15) VICKI LOPACHIN......................................................................
SVP, SYSTEM CMO
 33.8
.................
26.2 		        X   652,358 496,159 52,800
(16) SHIRISH HUPRIKAR......................................................................
PROFESSOR, INFECTIOUS DISEASE
 59.16
.................
0.84 		        X   817,926 11,614 58,763
(17) CAMERON HERNANDEZ......................................................................
EXECUTIVE DIRECTOR & COO MSHQ
 60.0
.................
0.0 		        X   788,783 0 57,245
Form 990 (2021)
Form 990 (2021)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(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) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) FRANK CINO........................................................................
SVP, SYSTEM CHIEF RISK OFFICER
 20.59
.......................39.41 		      X     233,760 430,519 59,050
(19) NIYUM GANDHI........................................................................
EVP, SYSTEM CFO (END 4/2021)
 21.36
.......................38.64 		    X       186,467 328,492 34,157
(20) DONALD T SCANLON........................................................................
FORMER OFFICER
 0.0
.......................0.0 		          X 41,182 73,818 0
(21) SUSAN R CULLMAN........................................................................
VICE CHAIRMAN/TRUSTEE
 2.0
.......................14.0 		X   X       0 0 0
(22) JOEL S EHRENKRANZ........................................................................
VICE CHAIRMAN/TRUSTEE
 2.0
.......................14.0 		X   X       0 0 0
(23) RICHARD A FRIEDMAN........................................................................
CO-CHAIRMAN OF BOARD/TRUSTEE
 2.0
.......................14.0 		X   X       0 0 0
(24) DONALD J GOGEL........................................................................
VICE CHAIRMAN/TRUSTEE
 2.0
.......................14.0 		X   X       0 0 0
(25) STEVEN HOCHBERG........................................................................
VICE CHAIRMAN/TRUSTEE
 2.0
.......................19.0 		X   X       0 0 0
(26) JOHN A LEVIN........................................................................
VICE CHAIRMAN/TRUSTEE
 2.0
.......................14.0 		X   X       0 0 0
(27) ERIC MINDICH........................................................................
VICE CHAIRMAN/TRUSTEE
 2.0
.......................14.0 		X   X       0 0 0
(28) MICHAEL MINIKES........................................................................
VICE CHAIR/TREASURER/TRUSTEE
 2.0
.......................23.0 		X   X       0 0 0
(29) JOEL I PICKET........................................................................
VICE CHAIRMAN/TRUSTEE
 2.0
.......................17.0 		X   X       0 0 0
(30) RICHARD RAVITCH........................................................................
VICE CHAIRMAN/TRUSTEE
 2.0
.......................17.0 		X   X       0 0 0
(31) JUDITH O RUBIN........................................................................
VICE CHAIRMAN/TRUSTEE
 2.0
.......................14.0 		X   X       0 0 0
(32) THOMAS W STRAUSS........................................................................
VICE CHAIRMAN/TRUSTEE
 2.0
.......................14.0 		X   X       0 0 0
(33) JAMES S TISCH........................................................................
CO-CHAIRMAN OF BOARD/TRUSTEE
 2.0
.......................14.5 		X   X       0 0 0
(34) ANDREW M ALPER........................................................................
TRUSTEE
 1.0
.......................5.0 		X           0 0 0
(35) FRANK BISIGNANO........................................................................
TRUSTEE
 1.0
.......................4.0 		X           0 0 0
(36) JEFF T BLAU........................................................................
VICE CHAIRMAN/TRUSTEE
 2.0
.......................17.0 		X   X       0 0 0
(37) HENRY M CALDERON........................................................................
TRUSTEE
 1.0
.......................4.0 		X           0 0 0
(38) EDGAR M CULLMAN JR........................................................................
TRUSTEE
 1.0
.......................4.0 		X           0 0 0
(39) JAMES E FLYNN........................................................................
TRUSTEE
 1.0
.......................6.0 		X           0 0 0
(40) DAVID S GOTTESMAN........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(41) JOHN B HESS........................................................................
VICE CHAIRMAN/TRUSTEE
 2.0
.......................14.0 		X   X       0 0 0
(42) JAMES KEMPNER........................................................................
TRUSTEE
 1.0
.......................5.0 		X           0 0 0
(43) MARC S LIPSCHULTZ........................................................................
TRUSTEE
 1.0
.......................5.0 		X           0 0 0
(44) JAMES NEARY........................................................................
VICE CHAIRMAN/TRUSTEE
 2.0
.......................14.0 		X   X       0 0 0
(45) ALICE NETTER........................................................................
TRUSTEE
 1.0
.......................5.0 		X           0 0 0
(46) BERNARD W NUSSBAUM........................................................................
TRUSTEE
 1.0
.......................6.0 		X           0 0 0
(47) LEWIS PELL........................................................................
TRUSTEE
 1.0
.......................4.0 		X           0 0 0
(48) ROBERT F SAVAGE JR........................................................................
TRUSTEE
 1.0
.......................4.0 		X           0 0 0
(49) DAVID WINDREICH........................................................................
TRUSTEE
 1.0
.......................5.0 		X           0 0 0
(50) JOHN S WINKLEMAN........................................................................
TRUSTEE
 1.0
.......................4.0 		X           0 0 0
(51) WILLIAM H WRIGHT II........................................................................
TRUSTEE
 1.0
.......................5.0 		X           0 0 0
(52) MICHAEL ZIMMERMAN........................................................................
TRUSTEE
 1.0
.......................3.0 		X           0 0 0
(53) BRAD KARP........................................................................
SECRETARY/TRUSTEE
 2.0
.......................14.0 		X   X       0 0 0
(54) ERIC FRIEDMAN........................................................................
TRUSTEE
 1.0
.......................6.0 		X           0 0 0
(55) KIMBERLEY HARRIS........................................................................
TRUSTEE
 1.0
.......................6.0 		X           0 0 0
(56) DENISE SAUL........................................................................
TRUSTEE
 1.0
.......................6.0 		X           0 0 0
(57) JAMES W CRYSTAL........................................................................
VICE CHAIRMAN
 2.0
.......................14.0 		    X       0 0 0
(58) BONNIE M DAVIS MD........................................................................
VICE CHAIRMAN
 2.0
.......................14.0 		    X       0 0 0
(59) GLENN DUBIN........................................................................
VICE CHAIRMAN
 2.0
.......................14.0 		    X       0 0 0
(60) HENRY R KRAVIS........................................................................
VICE CHAIRMAN
 2.0
.......................14.0 		    X       0 0 0
(61) HON ROBERT E RUBIN........................................................................
VICE CHAIRMAN
 2.0
.......................14.0 		    X       0 0 0
(62) CARL ICAHN........................................................................
VICE CHAIRMAN
 2.0
.......................14.0 		    X       0 0 0
(63) HAMILTON JAMES........................................................................
VICE CHAIRMAN
 2.0
.......................14.0 		    X       0 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 14,325,521 20,310,197 1,026,031
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet4,600
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
CROTHALL HEALTHCARE INC,
13028 COLLECTIONS CENTER DRIVE
CHICAGO,IL60693 		MANAGEMENT 41,111,176
healthcare risk advisors,
PO BOX 780543
PHILADELPHIA,PA19178 		CONSULTING 34,863,883
LABORATORY CORPORATION,
PO BOX 2240
BURLINGTON,NC272162240 		LAB SERVICES 66,301,597
RIGHTSOURCING INC,
PO BOX 515743
LOS ANGELES,CA900515118 		PERSONNEL 34,272,283
MCKESSON CORPORATION,
PO BOX 409521
ATLANTA,GA303849521 		BILLING 27,339,048
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet170
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c 244,337
d Related organizations1d 2,508,440
e Government grants (contributions)1e 4,805,977
f All other contributions, gifts, grants, and similar amounts not included above1f 118,375,806
g Noncash contributions included in lines 1a - 1f:$ 1g 834,203
h Total. Add lines 1a-1f.......MediumBullet 125,934,560
Program Service RevenueAmt Business Code
2a NET PATIENT SERVICE 621110 3,084,638,403 3,084,638,403    
b
c
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 3,084,638,403
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 24,450,266     24,450,266
4 Income from investment of tax-exempt bond proceedsMediumBullet 0      
5 Royalties...........MediumBullet 0      
(ii) Personal (i) Real
6a Gross rents     6a
b Less: rental expenses     6b
c Rental income or (loss) 0 0 6c
d Net rental income or (loss).......MediumBullet 0      
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   64,693,000 7a
b Less: cost or other basis and sales expenses     7b
c Gain or (loss)   64,693,000 7c
d Net gain or (loss).........MediumBullet 64,693,000     64,693,000
8a Gross income from fundraising events (not including $ 244,337of contributions reported on line 1c). See Part IV, line 18 ....
8a 6,900
b Less: direct expenses ... 8b 20,920
c Net income or (loss) from fundraising events..MediumBullet -14,020   -14,020
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a 0
b Less: direct expenses ... 9b 0
c Net income or (loss) from gaming activities..MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances ..
10a 0
b Less: cost of goods sold .. 10b 0
c Net income or (loss) from sales of inventory..MediumBullet 0      
Business Code Miscellaneous Revenue
11a CAFETERIA 722320 7,961,656     7,961,656
b 340B PHARMACY 621110 176,347,535     176,347,535
c FEMA FUNDS 621110 47,911,848     47,911,848
d All other revenue .... 29,950,018 3,067,688   26,882,330
e Total. Add lines 11a–11d ...... MediumBullet 262,171,057
12 Total revenue. See instructions.....MediumBullet 3,561,873,266 3,087,706,091   348,232,615
Form 990 (2021)
Form 990 (2021)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 161,671,182 161,671,182
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 0  
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. ............. 0  
4 Benefits paid to or for members ....... 0  
5 Compensation of current officers, directors, trustees, and key employees ........... 10,473,093 372,697 9,815,016 285,380
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 358,783   358,783  
7 Other salaries and wages........ 1,194,967,716 1,045,108,467 149,248,361 610,888
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 94,320,180 81,943,637 12,319,175 57,368
9 Other employee benefits ....... 152,145,287 132,060,622 19,960,502 124,163
10 Payroll taxes ........... 95,615,991 82,922,283 12,621,308 72,400
11 Fees for services (non-employees):        
a Management ...... 37,597,284 32,630,683 4,966,601  
b Legal ......... 2,883,291   2,872,175 11,116
c Accounting ........... 3,266,387   3,266,387  
d Lobbying ........... 607,487 607,487    
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 4,858,263 4,858,263    
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 419,964,530 364,487,216 55,477,314  
12 Advertising and promotion .... 16,734,936 14,441,379 2,198,071 95,486
13 Office expenses ....... 32,400,957 26,952,570 5,412,419 35,968
14 Information technology ...... 40,972,132 35,537,091 5,408,975 26,066
15 Royalties .. 0      
16 Occupancy ........... 68,188,020 59,057,602 8,988,949 141,469
17 Travel ............ 907,225 786,861 119,765 599
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0      
19 Conferences, conventions, and meetings .... 628,292 545,295 82,997  
20 Interest ........... 43,632,395 43,632,395    
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization .. 130,097,875 107,538,903 22,558,972  
23 Insurance ... 86,375,443 74,965,247 11,410,196  
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 720,738,690 720,738,690    
b DIETARY 16,338,584 14,180,257 2,158,327  
c
d
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 3,335,744,023 3,005,038,827 329,244,293 1,460,903
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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2021)
Form 990 (2021)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 153,975 1 497,258
2 Savings and temporary cash investments ......... 488,292,133 2 356,536,552
3 Pledges and grants receivable, net ...... 21,509,267 3 86,696,287
4 Accounts receivable, net ............. 386,830,468 4 434,418,698
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ........... 4,028,900 7 4,028,900
8 Inventories for sale or use ............ 58,395,375 8 81,105,125
9 Prepaid expenses and deferred charges ...... 6,675,401 9 7,088,959
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 2,762,697,630
b Less: accumulated depreciation 10b 1,720,166,173 1,032,480,059 10c 1,042,531,457
11 Investments—publicly traded securities . 1,665,799,336 11 1,582,282,715
12 Investments—other securities. See Part IV, line 11 ..... 853,786,000 12 1,132,859,000
13 Investments—program-related. See Part IV, line 11 .. 98,369,538 13 96,545,444
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 1,563,410,114 15 1,633,835,663
16 Total assets. Add lines 1 through 15 (must equal line 33)... 6,179,730,566 16 6,458,426,058
Liabilities 17 Accounts payable and accrued expenses ..... 391,707,999 17 469,659,298
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 69,592,089 19 60,294,774
20 Tax-exempt bond liabilities ......... 1,483,271,568 20 1,474,903,382
21 Escrow or custodial account liability. Complete Part IV of Schedule D 0 21 0
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 3,136,985 23 1,720,170
24 Unsecured notes and loans payable to unrelated third parties .. 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 1,609,571,235 25 1,534,944,386
26 Total liabilities. Add lines 17 through 25.. 3,557,279,876 26 3,541,522,010
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 2,428,053,178 27 2,635,710,000
28 Net assets with donor restrictions ........... 194,397,512 28 281,194,048
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 2,622,450,690 32 2,916,904,048
33 Total liabilities and net assets/fund balances ........ 6,179,730,566 33 6,458,426,058
Form 990 (2021)
Form 990 (2021)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
3,561,873,266
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
3,335,744,023
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
226,129,243
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
2,622,450,690
5
Net unrealized gains (losses) on investments ...............
5
59,254,148
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
9,069,967
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
2,916,904,048
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2021)
Form 990 (2021)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

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 instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
THE MOUNT SINAI HOSPITAL
 
Employer identification number

13-1624096
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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  
12
12
 
13
First 5 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
14
14
 
15
15
 
16a
b
17a
b
18
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) 2021

Schedule A (Form 990) 2021
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) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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 on 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.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
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.
1
 
 
2
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).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
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.
3b
 
 
c
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.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
b
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.
4b
 
 
c
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.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c 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).
5a
 
 
b
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?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
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.
6
 
 
7
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) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
9a
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.
9a
 
 
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined on 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.
9c
 
 
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
 
 
b
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) 2021

Schedule A (Form 990) 2021
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, 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.
1
 
 
2
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.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
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).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
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?
1
 
 
2
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).
2
 
 
3
By reason of the relationship described in line 2 above, 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.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
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.
2a
 
 
b
Did the activities described on line 2a, above 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.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
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?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
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.
3b
 
 
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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 0.015 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 0.035 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  
7
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
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 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity 		2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions 		8  
9 Distributable amount for 2021 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2021 		(iii)
Distributable
Amount for 2021
1 Distributable amount for 2021 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2021:
a From 2016.......  
b From 2017.......  
c From 2018.......  
d From 2019.......  
e From 2020.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2021 distributable amount  
i Carryover from 2016 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2021 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2021 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2021, 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 2021. 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 2022. Add lines
3j and 4c. 		 
8 Breakdown of line 7:
a Excess from 2017.....  
b Excess from 2018.....  
c Excess from 2019.....  
d Excess from 2020.....  
e Excess from 2021.....  
Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021
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) 2021


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Name of the organization
THE MOUNT SINAI HOSPITAL
 
Employer identification number

13-1624096
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




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
Special Rules
......... 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) (2021)
Schedule B (Form 990) (2021) Page 2
Name of organization
THE MOUNT SINAI HOSPITAL
  		Employer identification number
13-1624096
Part I
Contributors
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


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)
Schedule B (Form 990) (2021)
Page 3
Name of organization
THE MOUNT SINAI HOSPITAL
  		Employer identification number

13-1624096
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) (2021)
Schedule B (Form 990) (2021)
Page 4
Name of organization
THE MOUNT SINAI HOSPITAL
  		Employer identification number

13-1624096
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 $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use 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 (c) Use 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 (c) Use 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 (c) Use 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) (2021)
Additional Data


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SCHEDULE C
(Form 990)

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 BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
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
THE MOUNT SINAI HOSPITAL
 
Employer identification number

13-1624096
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

2
Political campaign activity expenditures. See instructions ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities. See instructions ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
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.
Cat. No. 50084S
Schedule C (Form 990) 2021

Schedule C (Form 990) 2021
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 Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(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? ...................................................................................................................

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) 2018 (b) 2019 (c) 2020 (d) 2021 (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) 2021


Schedule C (Form 990) 2021
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|No
(b)
Amount
1
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:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
No
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
607,487
j
Total. Add lines 1c through 1i ....................................................................................................
607,487
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
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
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
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."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
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? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures. See Instructions .........................................
5
 
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
Part II-B, Line 1 The Mount Sinai Hospital pays dues to various organizations that lobby federal and state legislators on behalf of health care facilities, including the Mount Sinai Hospital. The portion of these dues by entity are summarized below: American Hospital Association $30,143 Greater New York Hospital Association $250,781 1199 SIEU $255,486 MOUNT SINAI HOSPITAL MANAGEMENT $25,020 HEALTH CARE ASSOCIATION OF NEW YORK STATE $46,057 Total $607,487
Schedule C (Form 990) 2021


Additional Data


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SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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 instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
THE MOUNT SINAI HOSPITAL
 
Employer identification number

13-1624096
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" 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 ........    
5
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? ............
6
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? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
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)? .............................
9
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.
1a
If the organization elected, as permitted under FASB 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.
b
If the organization elected, as permitted under FASB 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 $  
2
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 FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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) 2021

Schedule D (Form 990) 2021
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?...
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
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  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
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 .... 194,397,512 200,359,827 194,414,697 188,170,369 163,604,424
b Contributions ... 122,213,689 28,522,029 39,384,906 38,418,298 57,906,527
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		35,417,153 34,484,344 33,439,776 32,173,970 33,340,582
f Administrative expenses ....          
g End of year balance ...... 281,194,048 194,397,512 200,359,827 194,414,697 188,170,369
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet69.430 %
b
Permanent endowment SchDMd Bullet30.570 %
c
Term endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
No
(ii) Related organizations .................
3a(ii)
 
No
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
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 .....   49,616,675 49,616,675
b Buildings ....   701,392,495 324,237,385 377,155,110
c Leasehold improvements        
d Equipment ....   1,958,463,731 1,395,928,788 562,534,943
e Other .....   53,224,729   53,224,729
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 1,042,531,457
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 3
Part VII
Investments - Other 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) POOLED INVESTMENTS		 1,132,859,000 F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 1,132,859,000
Part VIII
Investments - Program 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.)Small Bullet  
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)DUE TO/FROM RELATED ORGS 1,028,409,897
(2)DEFERRED FINANCING FEES 9,969,623
(3)457B PLAN 25,148,813
(4)ROTATING RESIDENTS 3,039,189
(5)TENANT SECURITY DEPOSITS 344,201
(6)AMBULANCE SERVICE LICENSE 1,150,000
(7)DEPOSITS HELD BY THIRD PARTIES 7,882,760
(8)340B PHARMACY RECEIVABLE 24,837,286
(9)PROF LIAB INS REC 142,484,400
(10)OTHER RECEIVABLES 27,689,896
(11)PROF BILLING RECEIVABLE 1,417,166
(12)HIC ESCROW RECEIVABLE 0
(13)SELF-INSURANCE TRUST RECEIVABL 712,085
(14)RIGHT OF USE ASSETS 360,750,347
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 1,633,835,663
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 0
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 1,534,944,386
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) 2021

Schedule D (Form 990) 2021
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  
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  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
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  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
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  
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  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
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  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
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 INTENDED USES OF ORGANIZATION'S ENDOWMENT FUNDS MOUNT SINAI HOSPITAL'S ENDOWMENT FUNDS ARE RESTRICTED TO INVESTMENTS IN PERPETUITY WITH THE INCOME EXPENDABLE TO SUPPORT PROGRAMS ACTIVITIES AS STIPULATED BY THE DONORS. THE HOSPITAL FOLLOWS THE REQUIREMENT OF THE UNIFORM MANAGEMENT OF INSTITUTIONAL FUNDS ACT ("UMIFA") AS THEY ARE RELATED TO ITS ENDOWMENT CONTRIBUTIONS. THE HOSPITAL HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS SUPPORTED BY ITS ENDOWMENT. UNDER THIS POLICY, AS APPROVED BY THE BOARD OF TRUSTEES, THE ENDOWMENT ASSETS ARE INVESTED IN A MANNER TO PROVIDE THAT SUFFICIENT ASSETS ARE AVAILABLE AS A SOURCE OF LIQUIDITY FOR THE INTENDED USE OF THE FUNDS, ACHIEVE THE OPTIMAL RETURN POSSIBLE WITH THE SPECIFIC PARAMETERS, AND PRUDENTLY INVEST ASSETS IN A HIGH-QUALITY DIVERSFIED MANNER TO ADHERE TO ESTABLISHED GUIDELINES.
Schedule D (Form 990) 2021


Additional Data


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SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image 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
2021
Open to Public Inspection
Name of the organization
THE MOUNT SINAI HOSPITAL
 
Employer identification number

13-1624096
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.
1
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? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
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 the region (d) Activities conducted in region (by type) (such as, 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 the region		 (f) Total expenditures
for and investments
in the region
Central America and the Caribbean 0 0 Program Services insurance 52,843,354
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .... 0 0 52,843,354
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b) 0 0 52,843,354
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2021
Schedule F (Form 990) 2021
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on 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 noncash
assistance 		(h) Description
of noncash
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 .......MediumBullet
 
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2021
Schedule F (Form 990) 2021Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on 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
noncash
assistance 		(g) Description
of noncash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2021
Schedule F (Form 990) 2021
Page 4
Part IV
Foreign Forms
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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). . . . . . . . . . . . . . . . . . . . . . . .
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). . . . . . . . . . . . . . . . . . . . . . . . . . . .
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) .
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2021
Schedule F (Form 990) 2021
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 I, Line 3 THE PRIMARY COVERAGE OF PROFESSIONAL AND GENERAL LIABILITY INCIDENTS HAS BEEN PROVIDED THROUGH PARTICIPATION IN A POOLED PROGRAM WITH CERTAIN HEALTH CARE FACILITIES (PRINCIPALLY HOSPITALS) AFFILIATED WITH THE FEDERATION OF JEWISH PHILANTHROPIES OF NEW YORK. THIS OCCURRENCE BASIS INSURANCE COVERAGE PARTICIPATION IS WITH THE CAPTIVE INSURANCE COMPANIES. THE CAPTIVE INSURANCE COMPANIES HAVE TWO OFFICES IN THE CARIBBEAN, SPECIFICALLY BERMUDA AND BARBADOS. THE COMPANIES WERE INCORPORATED IN BARBADOS AND BERMUDA IN 1992 AND 1986 RESPECTIVELY AND ARE LICENSED UNDER THE INSURANCE ACT OF BOTH COUNTRIES. SINCE THE HOSPITAL WAS A SHAREHOLDER OF THE CAPTIVE INSURANCE COMPANIES, THE HOSPITAL FOLLOWED THE EQUITY METHOD OF ACCOUNTING FOR ITS INTEREST IN THE INSURANCE COMPANIES ASSOCIATED WITH THE MEDICAL MALPRACTICE INSURANCE PROGRAM. ADDITIONALLY, FORMS 5471, INFORMATION RETURNS OF U. S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, HAS BEEN FILED WITH THE HOSPITAL'S 990T.
parts I & IV The investment activities listed in Part 1 are allocated to agree to the audited financial statement reporting as pooled investments while Part IV reports on foreign filings filed by the respective organization.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2021
Additional Data


Software ID:  
Software Version:  



SCHEDULE G (Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
THE MOUNT SINAI HOSPITAL
 
Employer identification number

13-1624096
Part I
Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.


(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total . . . . . . . . . . . . . . . . . . . . right arrow      
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990) 2021
Schedule G (Form 990) 2021
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.









VerticalRevenue
(a) Event #1

ACH LEGENDS
(event type) 		(b) Event #2

NYC TCS Marath
(event type) 		(c) Other events

2
(total number) 		(d) Total events
(add col. (a) through col. (c))

1
Gross receipts . . . . .
209,451
41,786
 
251,237

2
Less: Contributions . . . .
209,451
34,886
 
244,337
3 Gross income (line 1 minus
line 2) . . . . . .
 
6,900
 
6,900



VerticalDirectExpenses
4 Cash prizes . . . . .        
5 Noncash prizes . . . .        
6 Rent/facility costs . . . .        
7 Food and beverages . . .        
8 Entertainment . . . .        
9 Other direct expenses . . . 11,390 9,530   20,920
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 20,920
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow -14,020
Part III
Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue
(a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))

1
Gross revenue . . . . .
 
 
 
 
VerticalDirectExpenses

2
Cash prizes . . . . .
 
 
 
 

3
Noncash prizes . . . .
 
 
 
 

4
Rent/facility costs . . . .
 
 
 
 

5
Other direct expenses . . .
 
 
 
 


6

Volunteer labor . . . .
%
%
%


7
Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow
 

8
Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow
 

9
Enter the state(s) in which the organization conducts gaming activities:
a
Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .
b
If "Yes," explain:
 
Schedule G (Form 990) 2021
Schedule G (Form 990) 2021
Page 3
11
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? . . . . . . . . . . . . . . . . .
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
%
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? . . . . . . . . . . . . . . . . . . . . . . . .
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . . . . . . . . . . . . . . . . . . .
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.
Return Reference Explanation
Schedule G (Form 990) 2021
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet 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
2021
Open to Public Inspection
Name of the organization
THE MOUNT SINAI HOSPITAL
 
Employer identification number

13-1624096
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
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.
3
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.
a
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:
3a
Yes
 
%
b
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: . . . . . . . .
3b
Yes
 
%
c
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.
4
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"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
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? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (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) . . . 		    53,071,118 16,407,991 36,663,127 1.100 %
b Medicaid (from Worksheet 3, column a) . . . . .     878,675,609 518,304,852 360,370,757 10.800 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     931,746,727 534,712,843 397,033,884 11.900 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     37,856,431 4,805,977 33,050,455 0.990 %
f Health professions education (from Worksheet 5) . . .     264,793,013 100,058,426 164,734,587 4.940 %
g Subsidized health services (from Worksheet 6) . . . .     117,545,785   117,545,785 3.520 %
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     113,703   113,703 0 %
j Total. Other Benefits . .     420,308,932 104,864,403 315,444,530 9.450 %
k Total. Add lines 7d and 7j .     1,352,055,659 639,577,246 712,478,414 21.350 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support     120,909   120,909 1.400 %
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy     481,207   481,207  
8 Workforce development            
9 Other            
10 Total     602,116   602,116 1.400 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
65,597,069
3
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. ......
3
 
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
547,158,529
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
579,688,820
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-32,530,291
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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 .........................

9b

Yes

 
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) 2021
Schedule H (Form 990) 2021
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) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 MOUNT SINAI HOSPITAL
ONE GUSTAVE L LEVY PLACE
NEW YORK,NY10029
HTTP://WWW.MOUNTSINAI.ORG
700202H 		X X   X     X X    
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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 HOSPITAL
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): 		1
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 20
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 21
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2021
Schedule H (Form 990) 2021
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
MOUNT SINAI HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
www.hospitalassistance.org
b
www.hospitalassistance.org
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
MOUNT SINAI HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 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?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
MOUNT SINAI HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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, 20a, 20b, 20c, 20d, 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
SCHEDULE H, PART V, LINE 3e THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CNHA ARE PRIORITIZED ACCORDING TO THE COMMUNITY NEEDS. SCHEDULE H, PART V, LINE 5 THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH, THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. INPUT WAS OBTAINED FROM Organizations Providing Community Input Twenty-one interview sessions were held with 55 individuals representing 24 organizations. COLLECTIVELY, THESE 24 ORGANIZATIONS SERVE A WIDE-RANGE OF COMMUNITY RESIDENTS; INDIVIDUALLY, THESE SERVE MEDICALLY UNDERSERVED COMMUNITIES (SUCH AS LGBTQ INDIVIDUALS, IMMIGRANT POPULATIONS, AND COMMUNITY MEMBERS WITH LIMITED ENGLISH PROFICIENCY), LOW-INCOME COMMUNITIES (NOTABLY CHILDREN AND SENIORS), AND MINORITY POPULATIONS (INCLUDING CHINESE AND HISPANIC RESIDENTS). Organizations represented by these individuals are as follows: Catholic Charities; Children's Aid; Hatzalah Lower East Side; Icahn School of Medicine at Mount Sinai; Lighthouse Guild; Lower East Side Power Partnership; Manhattan Community Board 3; Manhattan Community Board 4; Manhattan Community Board 6; Manhattan Community Board 7; Mount Sinai - Mount Sinai Queens - Community Advisory Board; Mount Sinai Beth Israel Heritage Initiative; Mount Sinai Brooklyn; Mount Sinai Health System; Mount Sinai Hospital; Mount Sinai Morningside; Mount Sinai Queens; New York City Department of Health and Mental Hygiene; Russian American Foundation; Sharing & Caring; Stuyvesant Town Peter Cooper Village Tenants Association; The Mount Sinai Beth Israel Downtown Community Advisory Board; The Mount Sinai Health System; and The Mount Sinai Morningside/West Community Advisory Board This CHNA relies on multiple data sources and community input gathered between April and December 2020.
Schedule H, Part V, Line 6a THE COMMUNITY HEALTH NEEDS ASSESSMENTS FOR Mount Sinai HOSPITAL AND THE Mount Sinai HOSPITAL OF QUEENS WERE CONDUCTED IN CONJUNCTION WITH EACH OTHER. SCHEDULE H, PART V, LINE 7A THE HOSPITAL'S CHNA IS AVAILABLE ON THE WEBSITE: https://www.mountsinai.org/files/MSHealth/Assets/MSH/MSH-MSQ-CHNA-2020.pdf SCHEDULE H, PART V, LINES 10A THE HOSPITAL'S IMPLEMENTATION STRATEGY IS AVAILABLE ON THE WEBSITE: https://www.mountsinai.org/files/MSHealth/Assets/MSH/ ImplementationStrategy-MSH-MSQ-180509-Final.pdf
Schedule H, Part V, Line 11 The 2020 MSH CHNA identified a number of significant health needs in the community. The CHNA process considered and assessed a wide range of primary and secondary data sources including structured interviews with persons who represent the broad interests of the community and those with expertise in public health, and assessments and studies prepared by other organizations. The CHNA report identified twelve health needs as significant in the community, as listed below in alphabetical order. Significant Community Health Needs Identified in the 2020 CHNA: - Access to Mental Health Care and Poor Mental Health Status - Access to Primary Health Care Services by Individuals with Limited - Aging Population Resources - Chronic Diseases and Contributing Lifestyle Factors - COVID-19 Pandemic and Effects - Environmental Determinants of Health - Homelessness - Navigating a Changing Health Care Provider Environment - Poverty, Financial Hardship, and Basic Needs Insecurity - Safe and Affordable Housing - Socio-Economic, Racial, Cultural, Ethnic, and Linguistic Barriers to Care - Substance Abuse Many intended activities of MSH are expected to impact multiple needs identified in the CHNA. These activities are as described below. Health professions education The health professions education activities of MSH respond to both the current and future community health needs for chronic disease treatment and prevention. MSH actively participates in over 160 residency and fellowship programs. Participation in Medicaid. Medicaid provides health coverage to low-income individuals through federal and state funding. MSH participation in New York State Medicaid includes inpatient and outpatient services. In 2018, the payments for services provided to Medicaid patients were approximately 78 percent of the cost to provide these services. Community Health Improvement Activities. MSH supports numerous activities to improve community health through grants and in-kind contributions. These activities include the following: - Health screenings; - Community affairs programming; - Health information distribution; - Funding of grants for community programs; - Patient transportation and recreation; - Assistance with applications for Medicaid and other programs. Subsidized Health Services MSH hospital provides numerous inpatient and outpatient service lines that operate as losses. MSH continues to provide these services because the health of community members would diminish because other providers would be unlikely to provide these services. Subsidized health services provided by MSH include the following: - Financial support to Mount Sinai Beth Israel to provide care to community members; - Financial support to various primary care physician practices affiliated with the Icahn School of Medicine of Mount Sinai which provide care to community members; - Financial support of other Mount Sinai entities to develop programs to improve the health of community members. Health Care Services A full-range of health care services is available at the hospital campuses, outpatient facilities, and physician practices throughout the community. As part of the Mount Sinai Health System, integrated resources such as electronic health records facilitate the referral of patients to needed services provided by other Mount Sinai Health System hospitals and health professionals. Mount Sinai Department of Health Education The Mount Sinai Department of Health Education provides community-based health education programming in partnership with schools, senior centers, and non-profit organizations. The department offers onsite, school-based health education for students, parents, and staff, including mental health and sexual and reproductive The Mount Sinai Hospital | CHNA Implementation Strategy health curricula. It also offers programming for older adults, women and families in transitional housing settings, and groups operated by local community agencies. Karpas Health Information Center The Karpas Health Information Center provides wellness programs to enable residents remain safe, active, and vital members of the community. Staffed by health educators, Karpas is committed to providing resources that are nurturing to the mind, body, and spirit. Karpas health and wellness programs are established through partnerships with community-based organizations and dedicated to improving health outcomes for the community. The Karpas Health Education and Community Outreach Department reaches into the community and sponsors screenings, health presentations, and wellness workshops throughout Manhattan and Brooklyn. Center for Spirituality and Health The Center for Spirituality and Health at Mount Sinai's Icahn School of Medicine is dedicated to providing compassionate patient care with seamless coordination and to advancing spiritual care through unrivaled education, research, and outreach. Chaplains help people of all faiths find meaning, healing, hope, and comfort while experiencing the challenges of life. Other activities of MSH impact needs that the hospital selected to focus its efforts during the 2021-2023 time period. These activities, described below, impact the following selected needs: A. Access to Mental Health Care and Poor Mental Health Status; B. Access to Primary Health Care Services by Individuals with Limited Resources; C. Chronic Diseases and Contributing Lifestyle Factors; D. COVID-19 Pandemic and Effects E. Socio-Economic, Racial, Cultural, Ethnic, and Linguistic Barriers to Care; and F. Substance Abuse (A) Access to Mental Health Care and Poor Mental Health Status The 2020 MSH CHNA found that mental health status is poor for many residents because of the impact of the COVID-19 pandemic, day-to-day pressures, substance abuse, and psychiatric disorders. The supply of mental health providers is insufficient to meet the demand for mental health services. Planned activities to increase access to mental health care and improve the mental health status of community residents are described below. These activities are in addition to the MSH activities that impact multiple needs. Health professions education The health professions education activities of MSH respond to both the current and future community mental health needs. MSH actively participates in over 160 residency and fellowship programs. Residency and fellowship programs that are especially related to mental health care services are as follows: - Behavioral Neurology and Neuropsychiatry Fellowship; - Child and Adolescent Psychiatry Fellowship; - Geriatric Psychiatry Fellowship; - Psychiatry Residency; - Psychosomatic Medicine Fellowship; - T32 Clinical Neuroscience Research Fellowship; - Transgender Psychiatry Fellowship Program; - Triple Board Pediatrics, Psychiatry, and Child Psychiatry Combined Residency; and - VA Fellowship in Psychosis, Suicide, and Major Mental Illness. Mental Health Services Mental health care services are available at the hospital campuses, outpatient facilities, and physician practices throughout the community. As part of the Mount Sinai Health System, integrated resources such as electronic health records facilitate the referral of patients to needed services provided by other Mount Sinai Health System hospitals and health professionals. Specific mental health services available include ones discussed below. Mount Sinai's Department of Psychiatry The Mount Sinai Hospital's Department of Psychiatry, part of the Mount Sinai Behavioral Health System, is committed to improving mental and emotional health by providing outstanding inpatient and outpatient services for all ages. The department's multidisciplinary team of psychiatrists, psychologists, and social workers is committed to giving patients of all ages the tools and support they need to achieve their highest level of mental health. In addition to the outpatient clinic, two inpatient units, and dedicated emergency room, the Department of Psychiatry is home to a series of specialized treatment centers, which combine research, clinical service, and education into a comprehensive model of care for disorders ranging from Autism to Alzheimer's disease. Specific services include treatment for the following: - Alzheimer's disease; - Attention Deficit Hyperactivity Disorder (ADHD); - Autism Spectrum disorders; - Eating disorders; - Mood disorders (such as depression and bipolar disorder); - Obsessive-Compulsive Disorder (OCD); - Personality and Impulse Control disorders; - Post-Traumatic Stress Disorder (PTSD); - Schizophrenia; - Substance abuse; and - Tourette's Disorder. Promote Well-Being and Prevent Mental Disorders Behavioral Health is a comprehensive network located throughout the Mount Sinai Health System. The multidisciplinary team of psychiatrists, psychologists, counselors, social workers, registered nurses, and spiritual leaders are committed to giving patients of all ages the tools and support they need to achieve their highest level of mental health. B
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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?1
Name and address Type of Facility (describe)
1 MT SINAI PSYCHIATRIC CONTINUING DAY TR
53-55 E 96TH STREET FL A B C 1F
NEW YORK,NY10029 		OUTPATIENT CLINIC
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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
SCHEDULE H SUPPLEMENTAL INFORMATION Part I, Line 7 The Mount Sinai Hospital used the ratio of cost-to-charges methodology for costing purposes. The cost-to-charge ratio was derived utilizing Worksheet 2, Ratio of Patient Care Costs-to-Charges. Part I, Line 7G Included in subsidized health services is support for various primary care physician practices in the surrounding community. These practices are owned by The Icahn School of Medicine of Mount Sinai which is also a member of the Mount Sinai Health System. During 2021, the Hospital transferred $21.2 million to other Mount Sinai entities. These funds are used to develop programs to improve the community served.
Part II Community Building Expense The Hospital conducts various Community Building Activities during the year to promote the health of its community. The Hospital pays for several public service announcements that help promote population health in areas such as diabetes awareness, cardiac health, cancer, mental health, teen health, and HIV/AIDS. These announcements help to provide the public with information as to symptoms of various diseases and medical conditions so that they seek care before their medical condition reaches a more advanced stage. Additionally, the Hospital spends a significant amount on disaster preparedness each year. These expenditures ensure that the Hospital will be ready to handle a large scale disaster in the area and meet the medical needs of those that are impacted. This preparedness includes plans for handling large volumes of sick or injured people under various scenarios, such as when power is lost or transportation systems are shut down. Part III, Line 2 The Hospital's provision for bad debts is recorded in accordance with generally accepted accounting principles. The amount of the provision for bad debts is based upon management's assessment of historical and expected net collections, business and economic conditions, trends in Medicare and Medicaid health care coverage and other collection indicators. Part III, Line 3 Not applicable Part III, Line 4 Subsequent changes to the estimate of the transaction price (determined on a portfolio basis when applicable) are generally recorded as adjustments to patient service revenue in the period of the change. For the years ended December 31, 2021 and 2020, changes in the Hospital's estimates of implicit price concessions, discounts, contractual adjustments or other reductions to expected payments for performance obligations satisfied in prior years were not significant. Portfolio collection estimates are updated based on collection trends. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay (determined on a portfolio basis when applicable) are recorded as bad debt expense. Bad debt expense for the years ended December 31, 2021 and 2020, was not significant. Part III, Line 8 Medicare Allowable Costs were obtained from the Medicare cost report. The cost report utilizes a step-down methodology to allocate an institution's allowable costs by service and program. In addition, the hospital included the Medicare share of the loss for Health Professions Education (Schedule H, Part I, Line 7f), which amounted to $32.5 million in order to provide a more accurate reflection of the Hospital's Medicare financial results. Part III, Line 9b The Hospital's collection practices do not apply to charity care balances. Once an account or a portion thereof is deemed to be charity care, it is written off as such. As a result, there is no further collection effort on the account balance.
2. Needs Assessment Federal regulations that govern the CHNA process allow hospital facilities to define the community they serve based on "all of the relevant facts and circumstances," including the "geographic location" served by the hospital facility, "target populations served" (e.g., children, women, or the aged), and/or the hospital facility's principal functions (e.g., focus on a particular specialty area or targeted disease). The community defined by MSH accounts for over 80 percent of the hospital's 2019 inpatient discharges. Secondary data from multiple sources were gathered and assessed. Considering a wide array of information is important when assessing community health needs to ensure the assessment captures a wide range of facts and perspectives and to increase confidence that significant community health needs have been identified accurately and objectively. Input from 55 individuals was received through key informant interviews. These informants represented the broad interests of the community and included individuals with special knowledge of or expertise in public health. In addition, data was gathered to evaluate the impact of various services and programs identified in the previous CHNA process. Certain community health needs were determined to be "significant" if there was negative variance from benchmarks or the need was identified by multiple key informants. A significant need was identified as a priority if it was identified as problematic in at least two of the following three data sources: 1. The most recently available secondary data regarding the community's health; 2. Take Care New York 2024, the New York City Department of Health and Mental Hygiene's "blueprint for advancing health equityCOVID-19 findings by the U.S. Centers for Disease Control and Prevention, and 3. Input from the key informants who participated in the interview process. Collaborating Organizations For this assessment, MSH collaborated with the Mount Sinai Health System and its following hospitals: Mount Sinai Beth Israel Hospital & Mount Sinai Brooklyn, Mount Sinai Morningside & Mount Sinai West, and New York Eye & Ear Hospital. CHNAs for these hospitals were developed alongside the MSH CHNA. This CHNA relies on multiple data sources and community input gathered between April and December 2020. A number of data limitations should be recognized when interpreting results. For example, some data (e.g., County Health Rankings, Behavioral Risk Factors Surveillance System, and others) exist only at a county-wide level of detail. Those data sources do not allow assessment of health needs at a more granular level of detail, such as by ZIP Code or census tract. Secondary data upon which this assessment relies measures community health in prior years. For example, the most recent mortality rates available for the region were data collected in 2017. The impacts of the most recent public policy developments, changes in the economy, and other community developments are not yet reflected in those data sets. The findings of this CHNA may differ from those of others conducted in the community. Differences in data sources, communities assessed (e.g., hospital service areas versus counties or cities), and prioritization processes can contribute to differences in findings. Twenty-one interview sessions were held with 55 individuals representing numerous organizations. Interviewees included: individuals with special knowledge of or experts in public health; local public health department representatives with information and expertise relevant to the health needs of the community; and individuals and organizations serving or representing medically underserved, low-income, and minority populations. The organizations that provided input are listed after the discussion of issues identified in the interviews. Interviews were conducted using a structured discussion guide. Informants were asked to discuss pre-COVID-19 community health issues and encouraged to think broadly about the social, behavioral, and other determinants of health. Interviewees were next asked to consider COVID-19-related issues associated with health status, health care access and services, chronic health conditions, populations with special needs, and health disparities. The frequency with which specific issues were mentioned and interviewees' perceptions of the severity (how serious or significant) and scope (how widespread) of each concern were assessed. The following health status issues and contributing factors were reported to be of greatest concern. Twenty-one interview sessions were held with 55 individuals representing 24 organizations. Organizations represented by these individuals are as follows: Catholic Charities; Children's Aid; Hatzalah Lower East Side; Icahn School of Medicine at Mount Sinai; Lighthouse Guild; Lower East Side Power Partnership; Manhattan Community Board 3; Manhattan Community Board 4; Manhattan Community Board 6; Manhattan Community Board 7; Mount Sinai - Mount Sinai Queens - Community Advisory Board; Mount Sinai Beth Israel Heritage Initiative; Mount Sinai Brooklyn; Mount Sinai Health System; Mount Sinai Hospital; Mount Sinai Morningside; Mount Sinai Queens; New York City Department of Health and Mental Hygiene; Russian American Foundation; Sharing & Caring; Stuyvesant Town Peter Cooper Village Tenants Association; The Mount Sinai Beth Israel Downtown Community Advisory Board; The Mount Sinai Health System; and The Mount Sinai Morningside/West Community Advisory Board Peter Cooper Village Tenants Association; The Mount Sinai Beth Israel Downtown Community Advisory Board; The Mount Sinai Health System; and The Mount Sinai Morningside/West Community Advisory Board
3. Patient education and eligibility for assistance All patients that do not have insurance are notified that financial assistance may be available for them. Prominently placed signs notify patients of the financial assistance policy and flyers summarizing the process are available in registration areas. The Hospital provides assistance with enrollment in Federal and State insurance programs including Medicare, Medicaid, Child Health Plus and Family Health Plus. If patients do not qualify for these programs they may qualify for financial assistance through the Hospital's Charity Care and Self Pay Discount Policy. Patient bills also provide information as to where a patient or the person responsible for the Hospital bill can call to receive financial assistance if they are not able to pay the Hospital's bill. Patients are provided with assistance through the Hospital's Financial Counseling Department (Mount Sinai patients only) or through its Resource Entitlement and Advocacy Program (REAP) Office. The REAP Office assists both Hospital patients and community members to obtain financial assistance for their medical expenses.
4. Community Information This section identifies and describes the community assessed by the Mount Sinai Hospital (MSH) and how it was determined. MSH's community is comprised of the entirety of New York City, including each of the five boroughs. The community is divided into neighborhoods utilized by the New York State Department of Health; with each of the 42 neighborhoods in New York City in the MSH community. Mount Sinai Hospital - Manhattan campus is located in the East Harlem neighborhood of Manhattan, and Mount Sinai - Queens campus is located in the neighborhood of Northwest Queens in Queens. New York City (the MSH community) was estimated to have a population of approximately 8.5 million persons in 2018. The community definition was validated based on the geographic origins of discharges from MS - Manhattan and MS - Queens. In 2019, the community collectively accounted for 80 percent of MSH's 65,756 inpatient discharges. In 2018, all of the boroughs had a higher proportion of women in the community. Manhattan had a lower proportion of residents aged 0 to 19 years, a higher proportion of those aged 20 to 44, and a higher proportion of those aged 65 and older than any other borough in New York City. The total population of all boroughs is expected to grow 2.6 percent from 2019 to 2024. All boroughs except Staten Island are expected to experience an increase in population among the 0-17, 35-64, and 65+ cohorts. Additionally, all boroughs are expected to experience a decrease in population in the 18-34 age cohort. The population aged 65 and older is expected to experience the highest growth rate in each of the boroughs. The proportion of the population 65 years of age and older varies by ZIP Code. The ZIP Codes of 11005 (Southeast Queens), 10022 (Gramercy Park - Murray), 10075 (Upper East Side), and 11360 (Flushing - Clearview had comparatively high proportions of this population cohort. New York City and the MSH community are very diverse. Black populations were most prevalent in the Bronx and Brooklyn. Queens had a higher proportion of Asian residents, while the Bronx had a higher proportion of Hispanic (or Latino) residents. The diversity of the community is important to recognize given the presence of health disparities and barriers to health care access experienced by different racial and ethnic groups. The percentage of Black residents is highest in the Brooklyn neighborhoods of East Flatbush, Flatbush, Bedford Stuyvesant-Crown Heights, and Canarsie-Flatlands. Asian residents are most concentrated in the Queens' neighborhoods of Flushing-Clearview, Bayside-Littleneck, and Fresh Meadows. Hispanic residents are most concentrated in the Bronx neighborhoods Hunts Point-Mott Haven, Crotona-Tremont, and Fordham-Bronx Park. .The Bronx, Brooklyn, Manhattan, and Queens compared unfavorably to New York State and the U.S. for the percentage of residents aged 25 and older who did not graduate high school. The Bronx was particularly unfavorable. . The Bronx compared unfavorably to New York State for the percentage of residents with a disability. . The percentage of residents who were linguistically isolated was higher than the state average in every borough in New York City except for Staten Island, and all were significantly higher than the United States average. Linguistic isolation is defined as the population aged five and older who speak a language other than English and speak English less than "very well."
5. Promotion of Community Health The Mount Sinai Hospital is dedicated to the health and well-being of its diverse communities. From free health screenings and counseling to exercise classes and home-based care, we offer a wealth of services and programs for people of all ages. We work closely with governing bodies, schools, religious organizations, and social service agencies to meet our community's needs. Our goal is to help you be your healthiest. We maintain solid partnerships with community-based health organizations. These partnerships continue to provide us with countless opportunities to expand and increase your access to quality care and wellness education. Our extensive work with community groups and city agencies to build programs such as Prescriptions for Good Health and Growing Up Healthy in East Harlem, a community-based study exploring environmental factors affecting the health of children, enables us to improve treatment approaches and allows us to help you to make better-informed decisions about your health. We maintain long-standing connections to our local, national, and global communities. The following programs highlight some of the extraordinary outreach services we offer our community. East Harlem Health Outreach Partnership (EHHOP): A student-run clinic at the Icahn School of Medicine at Mount Sinai provides affordable, high-quality, comprehensive care. Jack Martin Fund Clinic: A New York State Department of Health-designated AIDS center which provides screening and treatment for infectious diseases including tuberculosis and hepatitis C co-infection. Linkage House: A residence for the community's elderly, offering safe and affordable housing as well as access to quality health care and programs. Martha Stewart Center for Living at Mount Sinai: Providing elderly adults with access to medical care, healthy living activities, educational programs, and resources to support specific needs and interest. Mount Sinai Adolescent Health Center: Offering confidential, comprehensive medical, mental health, and prevention education services to young people between the ages of 10 and 22. Mount Sinai Comprehensive Health Program-Downtown: A full-service clinic in Chelsea offering HIV/AIDS testing, quality health care, and counseling. Mount Sinai Diabetes Center: The center designs personalized plans for treating and managing type 1, type 2, and pregnancy-associated diabetes. Mount Sinai Health Home: This free service for Medicaid patients, funded by the New York Department of Health, which coordinates health care services for its members. Mount Sinai Visiting Doctors Program: The largest academic home-visit program in the nation, providing superior home-based care to adults with complex and serious illnesses. Sexual Assault and Violence Intervention Program (SAVI): Offers free and confidential counseling, referrals, and support to survivors of sexual or domestic violence. The Department of Health Education: Works with schools and other community organizations to provide individuals and families, primarily in East Harlem, with the knowledge, skills, resources and support necessary to achieve excellent health and well-being. World Trade Center (WTC) Health Program: Offers monitoring, physical and mental health treatment, and medication at no cost to eligible WTC first responders, workers, and volunteers. The Mount Sinai Greenmarket is a partnership between The Mount Sinai Hospital and GrowNYC. Every Wednesday from 8 am to 5 pm, starting on June 24th through to November 25th, we invite shoppers to buy locally grown fresh fruits and vegetables and seasonal baked goods. Along with fresh produce, the Greenmarket offers: Discount coupons and promotions Healthy cooking demonstrations and recipe exchanges Free medical screenings Textile and rechargeable battery drop-off Food scrap collection We maintain a network of affiliations, alliances, and partnerships with governing bodies, schools, religious institutions, social agencies, Chambers of Commerce, and, of course, our neighbors themselves. Our mission is to increase access to quality care for medically underserved populations. We host a community roundtable every month to identify and address the needs of the East and Central Harlem communities. Approximately 80 community leaders, educators, elected officials, and community advisory board members attend these meetings. Representatives from the Mount Sinai Hospital also participate in regular community meetings with the following organizations: Abyssinian Development Corporation Boriken Neighborhood Health Center Bronx Aids Services Children's Aid Society Community Board No. 11-Manhattan, Health & Human Services Committee East Harlem Chamber of Commerce East Harlem HIV Care Network East Harlem Partnership for Cancer Greater Harlem Chamber of Commerce Jewish Home and Hospital Little Sisters of the Assumption Family Health Services New York Academy of Medicine New York City Housing Authority-Carver Houses Tenants Association and Johnson Tenants Association Settlement Health Association Union Settlement Association Yorkville Common Pantry
6. Part of an Affiliated Health Care System The Hospital is part of the Mount Sinai Health System (MSHS, "the System") that was formed on September 30, 2013. The Mount Sinai Health System includes the Hospital, the Icahn School of Medicine at Mount Sinai, Beth Israel Medical Center (BIMC), The St. Luke's-Roosevelt Hospital Center (SLR) and the New York Eye and Ear Infirmary (NYEEI). MSHS is an integrated health care system and academic medical center. The efforts of the Mount Sinai Hospital are provided in detail in the previous sections of Part VI. BIMC, SLR and NYEEI conduct similar community outreach activities in their respective communities. As a new system, MSHS plans to begin to work together to better coordinate its community outreach and health promotion activities so as to reach more of those in need and have a more profound impact on their health status.
7. Schedule H, Part VI, line 7 Community Benefit Report Mount Sinai files a community service plan in New York State.
Schedule H (Form 990) 2021
Additional Data


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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
THE MOUNT SINAI HOSPITAL
 
Employer identification number
13-1624096
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI
ONE GUSTAVE L LEVY PL
NEW YORK,NY10029 		13-6171197 501(C)(3) 83,565,311       FUND PHYSICIAN PRACTICE PROJECT
(2) INSTITUTE FOR FAMILY HEALTH
1879 MADISON AVENUE
NEW YORK,NY10029 		13-3273402 501(C)(3) 3,610,425       COMMUNITY BENEFIT
(3) MOUNT SINAI HEALTH SYSTEM
ONE GUSTAVE L LEVY PL
NEW YORK,NY10029 		46-4248304 501(C)(3) 21,187,142       FUND OPERATING LOSS
(4) SOUTH NASSAU COMMUNITIES HOSPITAL INC
ONE HEALTHY WAY
OCEANSIDE,NY115721551 		11-1352310 501(C)(3) 20,000,000       FUND CAPITAL PROJECT
(5) ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI
ONE GUSTAVE L LEVY PL
New York,NY10029 		13-6171197 501(C)(3) 33,308,304       FUND STRATEGIC PROJECTS
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
5
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2021

Schedule I (Form 990) 2021
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
Part II, Line 1 The grant is to fund the operating loss of various off-site physician practices owned by the ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI. Detail review of the off-site physician practices financials are conducted.
Part II, Line 2 The grant is to benefit the community and is funded to an exempt organization within the community. The entity is required to submit budget and reconciliations.
Part II, Line 3 THE GRANT IS TO FUND THE OPERATING LOSS OF ITS RELATED ORGANIZATION, MOUNT SINAI HEALTH SYSTEM. NO MONITORING IS REQUIRED SINCE THE ENTITY IS A RELATED TAX EXEMPT ORGANIZATION.
Part II, Line 4 The grant is to fund various strategic capital projects at South Nassau Communities Hospital. NO MONITORING IS REQUIRED SINCE THE ENTITY IS A RELATED TAX EXEMPT ORGANIZATION.
PART II, LINE 5 The grant is to fund various strategic projects. NO MONITORING IS REQUIRED SINCE THE ENTITY IS A RELATED TAX EXEMPT ORGANIZATION.
Schedule I (Form 990) 2021



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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
2021
Open to Public Inspection
Name of the organization
THE MOUNT SINAI HOSPITAL
 
Employer identification number

13-1624096
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
If any of the boxes on 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 .....
1b
 
 
2
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 on Line 1a? ....
2
 
 
3
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.
4
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:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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.
5
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:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
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:
a
The organization? ..................
6a
Yes
 
b
Any related organization? ......................
6b
Yes
 
If "Yes," on line 6a or 6b, describe in Part III.
7
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 ............
7
 
No
8
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 ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2021

Schedule J (Form 990) 2021
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, 1099-MISC compensation, and/or 1099-NEC (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
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1JEREMY BOAL MD
EVP, SYSTEM CMO 		(i)

(ii)		 371,972
-------------
653,027 		68,951
-------------
121,049 		256,415
-------------
450,158 		10,524
-------------
18,476 		19,802
-------------
34,764 		727,664
-------------
1,277,474 		0
-------------
0
2DENNIS CHARNEY MD 1
PRESIDENT, ACADEMIC AFFAIRS 		(i)

(ii)		 399,190
-------------
700,810 		137,902
-------------
242,098 		242,187
-------------
425,178 		10,524
-------------
18,476 		6,456
-------------
11,334 		796,259
-------------
1,397,896 		0
-------------
0
3KENNETH DAVIS MD
CHIEF EXECUTIVE OFFICER 		(i)

(ii)		 870,960
-------------
1,529,040 		544,350
-------------
955,650 		612,802
-------------
1,075,823 		10,524
-------------
18,476 		18,908
-------------
33,194 		2,057,544
-------------
3,612,183 		0
-------------
0
4BURTON P DRAYER
EVP, SYSTEM CCA 		(i)

(ii)		 0
-------------
300,000 		0
-------------
200,000 		0
-------------
1,005,019 		0
-------------
29,000 		0
-------------
21,271 		0
-------------
1,555,290 		0
-------------
0
5BETH ESSIG ESQ
EVP, GENERAL COUNSEL 		(i)

(ii)		 422,280
-------------
777,720 		140,408
-------------
258,592 		33,001
-------------
60,778 		10,205
-------------
18,795 		99
-------------
183 		605,993
-------------
1,116,068 		0
-------------
0
6ARTHUR KLEIN MD
EVP, PRESIDENT OF HEALTH NTWK 		(i)

(ii)		 852,000
-------------
648,000 		142,000
-------------
108,000 		79,407
-------------
60,394 		16,472
-------------
12,528 		5,739
-------------
4,365 		1,095,618
-------------
833,287 		0
-------------
0
7MICHAEL PASTIER
SVP, CHIEF FINANCIAL OFFICER 		(i)

(ii)		 524,613
-------------
405,387 		120,576
-------------
93,174 		72,641
-------------
56,132 		16,359
-------------
12,641 		27,088
-------------
20,932 		761,277
-------------
588,266 		0
-------------
0
8MARGARET PASTUSZKO
EVP, CHIEF INTEGRATION OFFICER 		(i)

(ii)		 512,596
-------------
899,904 		170,438
-------------
299,218 		66,224
-------------
116,261 		10,524
-------------
18,476 		12,083
-------------
21,213 		771,865
-------------
1,355,072 		0
-------------
0
9DAVID L REICH MD
PRESIDENT AND COO 		(i)

(ii)		 1,475,000
-------------
0 		190,000
-------------
0 		143,577
-------------
0 		29,000
-------------
0 		25,910
-------------
0 		1,863,487
-------------
0 		0
-------------
0
10JEFFREY SILBERSTEIN
EVP, SYSTEM CAO 		(i)

(ii)		 363,161
-------------
668,839 		117,007
-------------
215,493 		55,228
-------------
101,716 		10,205
-------------
18,795 		1,455
-------------
2,679 		547,056
-------------
1,007,522 		0
-------------
0
11FRANK CINO
SVP, SYSTEM CHIEF RISK OFFICER 		(i)

(ii)		 177,709
-------------
327,290 		53,577
-------------
98,673 		2,474
-------------
4,556 		10,205
-------------
18,795 		10,575
-------------
19,475 		254,540
-------------
468,789 		0
-------------
0
12NIYUM GANDHI
EVP, SYSTEM CFO (END 4/2021) 		(i)

(ii)		 144,840
-------------
255,160 		0
-------------
0 		41,627
-------------
73,332 		10,501
-------------
18,499 		1,867
-------------
3,290 		198,835
-------------
350,281 		0
-------------
0
13VICKI LOPACHIN
SVP, SYSTEM CMO 		(i)

(ii)		 475,699
-------------
361,800 		135,575
-------------
103,113 		41,084
-------------
31,246 		16,472
-------------
12,528 		13,518
-------------
10,282 		682,348
-------------
518,969 		0
-------------
0
14CAMERON HERNANDEZ
EXECUTIVE DIRECTOR & COO MSHQ 		(i)

(ii)		 650,000
-------------
0 		95,000
-------------
0 		43,783
-------------
0 		29,000
-------------
0 		28,245
-------------
0 		846,028
-------------
0 		0
-------------
0
15SAMIN SHARMA MD
PROFESSOR, CARDIOLOGY 		(i)

(ii)		 106,436
-------------
106,096 		0
-------------
0 		966,602
-------------
3,925,524 		10,644
-------------
10,609 		9,242
-------------
9,212 		1,092,924
-------------
4,051,441 		0
-------------
0
16SHIRISH HUPRIKAR
PROFESSOR, INFECTIOUS DISEASE 		(i)

(ii)		 665,550
-------------
9,450 		126,455
-------------
1,795 		25,921
-------------
369 		28,594
-------------
406 		29,346
-------------
417 		875,866
-------------
12,437 		0
-------------
0
17STEPHEN FURIA
SR VP MOUNT SINAI HEALTH SYS 		(i)

(ii)		 504,440
-------------
330,726 		197,508
-------------
129,492 		87,645
-------------
57,462 		17,516
-------------
11,484 		14,187
-------------
9,302 		821,296
-------------
538,466 		0
-------------
0
18STEPHEN HARVEY
EVP, SYSTEM CFO 		(i)

(ii)		 327,853
-------------
603,813 		120,350
-------------
221,650 		45,711
-------------
84,187 		10,495
-------------
18,505 		16,258
-------------
29,944 		520,667
-------------
958,099 		0
-------------
0
19DONALD T SCANLON
FORMER OFFICER 		(i)

(ii)		 41,182
-------------
73,818 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		41,182
-------------
73,818 		0
-------------
0
20Kelly Cassano DO START 121
EVP, Sys Ambulatory Operation 		(i)

(ii)		 175,618
-------------
616,883 		75,926
-------------
266,699 		12,070
-------------
199,603 		6,426
-------------
22,574 		2,248
-------------
7,895 		272,288
-------------
1,113,654 		0
-------------
0
Schedule J (Form 990) 2021

Schedule J (Form 990) 2021
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
Supplemental Information COMPENSATION FOOTNOTES OFFICERS OF THE BOARD OF TRUSTEES HOURS REFLECT SERVICE TO ALL RELATED ORGANIZATIONS OF MOUNT SINAI HEALTH SYSTEM, INC. (1) EMPLOYEE HAS AN OUTSTANDING LOAN REFLECTED IN SCHEDULE L, PART II OF THE ICHAN SCHOOL OF MEDICINE AT MOUNT SINAI FORM 990. OTHER REPORTABLE COMPENSATION FOR OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES AS IDENTIFIED IN THE FORM 990, PART VII, AND LISTED ON SCHEDULE J MAY INCLUDE VARIOUS TYPES OF SUPPLEMENTAL WAGES. SCHEDULE J, PART I, LINES 6A & 6B THE HOSPITAL ANSWERED YES TO QUESTIONS 6A AND 6B IN SCHEDULE J AS THE INSTITUTION UTILIZES AN INCENTIVE BASED BONUS PROGRAM FOR CERTAIN EMPLOYEES, INCLUDING SEVERAL OF THOSE EMPLOYEES LISTED IN SCHEDULE J. NET EARNINGS IS ONE OF THE SEVERAL METRICS UTILIZED BY THE INSTITUTION IN THE ANNUAL BONUS CALCULATION. OTHER METRICS UTILIZED IN THE INCENTIVE COMPENSATION MODEL INCLUDE THE ORGANIZATION'S PERFORMANCE ON THE JCAHO HOSPITAL CORE MEASURES, PATIENT SATISFACTION SCORES, AND OTHER ORGANIZATIONAL GOALS SUCH AS LENGTH OF STAY INITIATIVES. INDIVIDUALS THAT HAVE RESPONSIBILITIES IN RELATED ORGANIZATIONS TO THE HOSPITAL MAY HAVE INCENTIVES BASED ON THE PERFORMANCE OF THESE ORGANIZATIONS AS WELL AS THAT OF THE HOSPITAL.
Schedule J (Form 990) 2021

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet 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.
SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
THE MOUNT SINAI HOSPITAL
 
Employer identification number
13-1624096
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A BUILD NYC RESOURCE CORPORATION
  		45-4040561 999999999 10-19-2013 112,000,000 CONSTRUCT QUEENS CAMPUS   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 0      
2 Amount of bonds legally defeased .............. 0      
3 Total proceeds of issue .................. 112,234,315      
4 Gross proceeds in reserve funds ............. 0      
5 Capitalized interest from proceeds ............. 0      
6 Proceeds in refunding escrows ............... 0      
7 Issuance costs from proceeds ............... 387,324      
8 Credit enhancement from proceeds ............. 0      
9 Working capital expenditures from proceeds ............. 0      
10 Capital expenditures from proceeds ............. 109,884,316      
11 Other spent proceeds ............. 934,270      
12 Other unspent proceeds ............. 1,028,405      
13 Year of substantial completion ............. 2017
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........ 		  X            
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........ 		  X            
16 Has the final allocation of proceeds been made? .......... X              
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X              
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
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            
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? X              
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 ....SchKMediumBullet 0.010 %      
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 ......... SchKMediumBullet 0 %      
6 Total of lines 4 and 5 ............. 0.010 %      
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? .............   X            
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            
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......                
b Exception to rebate? ........                
c No rebate due? .........   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            
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X            
b Name of provider .......... 0
  		 
  		 
  		 
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X            
b Name of provider .......... 0
  		 
  		 
  		 
 
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            
7 Has the organization established written procedures to monitor the requirements of section 148? ...                
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              
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
Part II, LINE 7, ISSUE A: The amount shown in Form 8038 for issue costs exceeded by $1,500 the actual issuance costs paid from bond proceeds as a result of overestimation in the Form 8038 of some of the issuance costs. The number in Part II, Column C, row 7 is the actual issuance costs paid from proceeds. Part III, Line 3A: The organization has one management agreement. That agreement complies with Revenue Procedure 97-13 and is not subject to Revenue Procedure 2017-13. Part III, Line 9: The organization is considering devising procedures to ensure that if any bonds become non-qualified, they will be remediated in accordance with regulation sections 1.141-12 and 1.145-2. Part IV, Line 7: The organization directed and monitored investments based on an expected draw schedule and takes sole responsibility for compliance with the requirements of Section 148. Since the date of issue of the bonds, no investment yields exceeded the bond yield. Part V: The organization is aware that a voluntary closing agreement is available if a violation of the Federal tax requirements, should they occur, cannot be corrected through self-remediation under applicable requirements. The organization is considering developing procedures to ensure that in the event federal tax violations occur that cannot be corrected through self-remediation, such violation will qualify for resolution through the voluntary closing agreement program.
Schedule K (Form 990) 2021

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Schedule L
(Form 990)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet 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.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
THE MOUNT SINAI HOSPITAL
 
Employer identification number

13-1624096
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 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 (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
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?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
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) 2021
Schedule L (Form 990) 2021
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?
Yes No
(1) BRIAN SCANLON DONALD SCANLON, OFFICER 109,088 COMP. AS AN EMPLOYEE   No
(2) DAVID SCANLON DONALD SCANLON, OFFICER 78,548 COMP. AS AN EMPLOYEE   No
(3) Michael Pastier Jr Michael Pastier, Officer 61,545 COMP. AS AN EMPLOYEE   No
(4) Brooke Gogel Weinberg Donald Gogel, Officer 34,191 COMP. AS AN EMPLOYEE   No
(5) Jessica Kempner Thomas Kempner, Trustee 75,411 COMP. AS AN EMPLOYEE   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L, Part IV, Column D FAMILY RELATIONSHIPS WITH INTERESTED PERSONS Former Officer Donald Scanlon has a family relationship with Brian & David Scanlon who are employed at The Mount Sinai Hospital. Officer Michael Pastier has a family relationship with Michael Pastier, Jr who is employed at the Mount Sinai Hospital. Officer Donald Gogel has a family relationship with Brooke Gogel Weinberg who is employed at the Mount Sinai Hospital. Trustee Thomas Kempner has a family relationship with Jessica Kempner who is employed at the Mount Sinai Hospital.
Schedule L (Form 990) 2021


Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large imageGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
THE MOUNT SINAI HOSPITAL
 
Employer identification number

13-1624096
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		X 21,200 resale value
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 10 813,003 FMV
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( )
26 Other Right pointing arrow large image ( )
27 Other Right pointing arrow large image ( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2021)
Schedule M (Form 990) (2021)
Page 2
Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
PART 1 LINE 9 COLUMN B REPRESENTS NUMBER OF CONTRIBUTIONS.
Schedule M (Form 990) (2021)

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990)

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
2021
Open to Public
Inspection
Name of the organization
THE MOUNT SINAI HOSPITAL
 
Employer identification number

13-1624096
Return Reference Explanation
Part I, Line 5 Number of Employees Employees of The Mount Sinai Hospital and The Icahn School of Medicine at Mount Sinai, including employees providing services at Elmhurst Hospital Center and Queens Hospital Center, utilize a common paymaster under the Hospital's tax identification number. The total number of employees reported under The Mount Sinai Hospital's tax Identification number with the common paymaster system is 32,749 individuals. The number of direct Hospital employees is 18,316 individuals.
Part VI, Section A, Line 2 Family/Business Relationships Officer Dennis Charney, MD and Trustee David Windreich have a business relationship. Trustees Edgar Cullman, Jr. and Susan Cullman have a family relationship. Trustees Jeff Blau and Richard Friedman have a business relationship. Trustees Marc Lipschultz and John Hess have a business relationship. Officers Kenneth Davis, MD and Dennis Charney, MD have a business relationship. Officer Kenneth Davis, MD and Trustee David Windreich have a business relationship. Officer Kenneth Davis, MD and Officer Bonnie Davis have a family relationship. Trustees Steven Hochberg and James Flynn have a business relationship. Trustees Steven Hochberg and Joel Picket have a business relationship.
Part VI, Section A, Line 6 Mount Sinai Hospitals Group, Inc. is the Sole Member of the organization.
Part VI, Section A, Line 7a The Member has the power to elect the members of the governing body of the organization.
Part VI, Section A, Line 7b The Board of Trustees of the organization cannot amend the bylaws without the consent of the Member if such amendment removed any powers of the Member.
Part VI, SECTION B, Line 11B Form 990 provided to governing body The Finance Department gathered the relevant information and prepared the tax returns. The Tax department of our outside auditors, Ernst & Young (EY), participated in the preparation of, and reviewed, all tax returns. A questionnaire was circulated to all trustees (i.e., directors), officers and key employees in order to elicit the information required to be reported on the tax returns. The Trustee Conflicts of Interest Review Committee reviewed the responses provided by trustees and certain officers in the questionnaires and assessed additional pertinent facts gathered by the institution in order to evaluate the applicability of IRS reporting requirements. The Review Committee then determined the appropriate trustee (and certain officer) disclosures that should be made on Form 990 based on the recommendations of the Finance Department, the General Counsel's office and the Audit and Compliance Department. These recommendations were reviewed and approved by EY. The same process was conducted by the Finance Department, the General Counsel's office, the Audit and Compliance Department and EY with respect to the questionnaires submitted by other officers and key employees. The Audit and Compliance Committee of the Board of Trustees conducted a review of the entire tax return, with the participation of EY, the Finance Department, the General Counsel's office, and the Audit and Compliance Department. The Audit Committee approved the tax returns as presented. The Audit Committee's report of its review of the tax returns and its recommendation to file the returns were presented to, and accepted by, the Executive Committee of the Board of Trustees (Executive Committee). In addition to authorizing the filing of the tax returns, the Executive Committee directed that the returns, which will be filed on or before November 15, 2022, be provided to all trustees via the trustees' confidential website, and those returns were so provided before being filed.
Part VI, Section B, Line 12C Monitoring & enforcing compliance with the policy. Compliance with the Organization's Business Conflicts of Interest Policy (Policy) is required of trustees, employees, medical staff and non-employee members of institutional committees and includes an ongoing duty to disclose potential conflicts. Compliance with the Policy is monitored and enforced regularly and consistently. All disclosures with the potential for conflict are reviewed by an appropriate committee where they are carefully evaluated. When appropriate, a plan, which may involve measures including, but not limited to, recusal from participating in affected transactions, is developed to manage the potential conflict.
Part VI, Section B, Line 15A & 15B Process for determination of compensation The Compensation, Employee Benefits and Employee Relations Committee of the Board of Trustees (Compensation Committee) determines the compensation for the CEO and other executives, including physician leaders, who are or may be disqualified persons as that term is defined in IRC Section 4958. The Compensation Committee also reviews the compensation of other senior and/or highly compensated personnel. The Compensation Committees' Operating Procedures are designed to ensure that the compensation of all such officers and key employees is reasonable (i.e. the value of services is the amount that would ordinarily be paid for like services by like enterprises under like circumstances), and with respect to disqualified persons to follow the specific steps outlined in the IRC regulations for establishing the rebuttable presumption of reasonableness that a transaction is not an excess benefit transaction. The Compensation Committee consists exclusively of independent trustees without any conflict of interest (as defined in the applicable IRC regulations) with regard to the compensation arrangements being reviewed or approved. The absence of any conflict of interest with respect to items on that meeting's agenda is confirmed at the beginning of each meeting of the Compensation Committee. The Compensation Committee selects and engages an independent, qualified compensation consultant which performs such valuations on a regular basis to provide appropriate comparability data. Comparability data includes, but is not limited to, compensation levels paid by similarly situated organizations, both taxable and tax-exempt, for functionally comparable positions; the availability of similar services in Mount Sinai's geographic area; current compensation surveys compiled by independent firms; customized surveys in specific circumstances, and actual written offers from similar institutions competing for the services of the disqualified person. The sources of the comparability data used by the compensation consultant are provided to the Compensation Committee. In appropriate circumstances formal written opinions are obtained from the Compensation Consultant. With respect to Executives as they are defined in the policy which includes all of the institution's disqualified persons, the Compensation Committee receives and reviews the comparability data and any analysis provided by the Compensation Consultant, as well as information provided by management, or in the case of the CEO, by the Chairman of the Board of Trustees, including information about the individual's performance, and for new employees, the individual's job description. When a written opinion is obtained from the Compensation Consultant, that written opinion is also reviewed by the Compensation Committee. After considering all of the facts, the Compensation Committee then determines the appropriate compensation in relation to the comparability data and in light of the written opinion, recommendations of the Compensation Consultant. As more fully set forth in the Compensation Committee's Operating Guidelines, the Compensation Committee also reviews the compensation arrangements for those other senior management and/or highly compensated personnel who are not Executives. The Compensation Committee is provided details of the compensation arrangement of the individual's job and job performance, the benchmark(s) used and, in certain cases, a description of the role of the Compensation Consultant and a brief description of why the arrangement is appropriate. The Compensation Committee contemporaneously documents in written minutes the terms of the transaction that was approved and the date it was approved; the members of the Compensation Committee who were present; the discussion at the Compensation Committee meeting; the comparability data and any other information obtained and relied on; how the comparability data was obtained; and the Compensation Committee's basis for the decisions, if the approved compensation is outside the range of comparability data. These minutes are prepared before the later of the next meeting of the Compensation Committee or 60 days after the final actions of the Compensation Committee are taken with respect to the compensation decisions made. The minutes are reviewed and approved by the Compensation Committee within a reasonable time thereafter before the later of the next meeting of the Compensation Committee or 60 days after the final actions of the Compensation Committee are taken with respect to the compensation decisions made. The minutes are reviewed and approved by the Compensation Committee within a reasonable time thereafter.
Part VI, Section C, Line 19 Governing documents and conflict of interest policy available to the public. The organization makes its Business Conflicts of Interest Policy available on its website (www.mountsinai.org) and makes its governing documents and financial statements available upon request.
Part VII, Line 2 Employees who received more than $100,000 in compensation Direct Hospital employees who receive more than $100,000 total 4,093. This excludes employees of the other entities for which the Hospital operates as the paymaster as described in the Schedule O explanation for IRS Form 990, Core Form Part I, Line 5.
Part XI, Line 9 NET CHANGE IN CAPTIVE INSURANCE PROGRAM $10,289,950 CHANGE IN POST RETIREMENT LIABILITY (51,613) Net Periodic postretirement cost other than service cost (690,000) Severance costs (478,370) TOTAL $9,069,967
FORM 990 PART IX LINE 11G DESCRIPTION:CLINICAL, ADMIN, RESEARCH, ETC TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11G DESCRIPTION:FREIGHT & DELIVERY TOTAL FEES:2623466
FORM 990 PART IX LINE 11G DESCRIPTION:TEMPORARY AGENCIES TOTAL FEES:31203275
FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:465919
FORM 990 PART IX LINE 11G DESCRIPTION:AMBULANCE SERVICES TOTAL FEES:3610424
FORM 990 PART IX LINE 11G DESCRIPTION:ORGAN TRANSPORT TOTAL FEES:2533563
FORM 990 PART IX LINE 11G DESCRIPTION:UNOS REGISTRATION FEES TOTAL FEES:629285
FORM 990 PART IX LINE 11G DESCRIPTION:STORAGE TOTAL FEES:445790
FORM 990 PART IX LINE 11G DESCRIPTION:OTHER OUTSIDE SERVICES TOTAL FEES:73109137
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
THE MOUNT SINAI HOSPITAL
 
Employer identification number

13-1624096
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) Mount Sinai PPS LLC
ONE GUSTAVE L LEVY PLACE
NEW YORK,NY10029
47-2915052 		DSRIP PROGRAM NY 2,471,495 12,818,116 MSH
 
(2) MSHS 150 LLC
ONE GUSTAVE L LEVY PLACE
NEW YORK,NY10029
000000000 		SUPPORT NY 1,822,111 1,822,111 MSH
 
(3) MOUNT SINAI PROTON HOLDING COMPANY LLC
ONE GUSTAVE L LEVY PLACE
NEW YORK,NY10029
27-4281194 		INVESTMENT NY -2,036,893 5,336,967 MSH
 






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


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)THE MOUNT SINAI MEDICAL CENTER INC
ONE GUSTAVE L LEVY PLACE

NEW YORK,NY10029
13-6271888 		SUPPORT NY 501(C)(3) 12 TYPE II MSHS
 
 
No
(2)MITRAL FOUNDATION
1190 FIFTH AVENUE

NEW YORK,NY10029
80-0468600 		RESEARCH NY 501(C)(3) 12 TYPE I ISMMS
 
 
No
(3)THE MOUNT SINAI CHILDREN'S CENTER FND
ONE GUSTAVE L LEVY PLACE

NEW YORK,NY10029
22-3059294 		SUPPORT NY 501(C)(3) 12 TYPE I ISMMS
 
 
No
(4)MSMC REALTY CORPORATION
ONE GUSTAVE L LEVY PLACE

NEW YORK,NY10029
13-3852596 		REAL ESTATE NY 501(C)(3) 12 TYPE I SEE PART VII
 
Yes
 
(5)MSMC RESIDENTIAL REALTY LLC
1425 MADISON AVENUE

NEW YORK,NY10029
20-0244426 		REAL ESTATE NY 501(C)(3) 12 TYPE I SEE PART VII
 
Yes
 
(6)MSMC RESIDENTIAL REALTY MANAGER INC
ONE GUSTAVE L LEVY PLACE

NEW YORK,NY10029
20-1289396 		MGMT NY 501(C)(3) 12 TYPE I SEE PART VII
 
Yes
 
(7)VALENTIN FUSTER MT SINAI FND SCI HLTH
ONE GUSTAVE L LEVY PLACE

NEW YORK,NY10029
80-0952088 		SUPPORT NY 501(C)(3) 12 TYPE I ISMMS & MSH
 
Yes
 
(8)MOUNT SINAI HEALTH SYSTEM INC
ONE GUSTAVE L LEVY PLACE

NEW YORK,NY10029
46-4248304 		HOLDING CO NY 501(C)(3) 12 TYPE II NA
 
 
No
(9)MOUNT SINAI HOSPITAL GROUP INC
ONE GUSTAVE L LEVY PLACE

NEW YORK,NY10029
46-4242915 		HOLDING CO NY 501(C)(3) 12 TYPE II MSHS
 
 
No
(10)ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
ONE GUSTAVE L LEVY PLACE

NEW YORK,NY10029
13-6171197 		SCHOOL NY 501(C)(3) 2 MSHS
 
 
No
(11)CONTINUUM HEALTH PARTNERS INC
150 EAST 42ND STREET 5TH FLOOR

NEW YORK,NY10019
13-3939476 		HOLDING CO NY 501(C)(3) 12 TYPE I NA
 
 
No
(12)BIMC HOLDING CORPORATION
FIRST AVENUE AT 16TH STREET

NEW YORK,NY10003
13-3444730 		HOLDING CO NY 501(C)(3) 12 TYPE I BIMC
 
Yes
 
(13)MOUNT SINAI AMBULATORY VENTURES INC
150 EAST 42ND STREET 5TH FL

NEW YORK,NY10019
13-3838460 		SURGICENTER NY 501(C)(3) 3 BIMC HOLDCO
 
Yes
 
(14)BI NURSING HOME COMPANY
327 EAST 17TH STREET

NEW YORK,NY10003
13-3627753 		NURSING HOME NY 501(C)(3) 3 BIMC HOLDCO
 
Yes
 
(15)EAST 17TH STREET PROPERTIES INC
150 EAST 42ND STREET 5TH FL

NEW YORK,NY10019
13-3547502 		REAL ESTATE NY 501(C)(3) 9 BIMC HOLDCO
 
Yes
 
(16)THE LONG ISLAND COLLEGE HOSPITAL
150 EAST 42ND STREET 5TH FL

NEW YORK,NY10019
11-1018985 		HOSPITAL NY 501(C)(3) 3 CHP
 
 
No
(17)ST LUKE'S-ROOSEVELT HOSPITAL CENTER
1111 AMSTERDAM AVENUE

NEW YORK,NY10025
13-2997301 		HOSPITAL NY 501(C)(3) 3 MSHG
 
Yes
 
(18)AUGUSTUS & JAMES CORPORATION
150 EAST 42ND STREET5TH FLOOR

NEW YORK,NY10019
13-3392851 		REAL ESTATE NY 501(C)(3) 12 TYPE I SLR
 
Yes
 
(19)ST LUKE'S-ROOSEVELT INSTITUTE FOR HEALTH
1111 AMSTERDAM AVENUE

NEW YORK,NY10025
13-2914343 		RESEARCH NY 501(C)(3) 4 SLR
 
Yes
 
(20)NEW YORK EYE AND EAR INFIRMARY
310 EAST 14TH STREET

NEW YORK,NY10003
13-5562304 		HOSPITAL NY 501(C)(3) 3 MSHG
 
Yes
 
(21)NEW YORK EYE & EAR INFIRMARY FNDN
310 EAST 14TH STREET

NEW YORK,NY10003
13-4012469 		PRIVATE FDN NY 501(C)(3) PF NYEE
 
Yes
 
(22)NYEEI HOUSING COMPANY INC
317-327 EAST 13TH STREET

NEW YORK,NY10003
31-1696826 		REAL ESTATE NY 501(C)(2) N/A NYEE
 
Yes
 
(23)BETH ISRAEL MEDICAL CENTER FDN INC
150 EAST 42ND STREET 5TH FLOOR

NEW YORK,NY10019
30-0571387 		FUNDRAISING NY 501(C)(3) 7 BIMC
 
Yes
 
(24)ST LUKE'S-ROOSEVELT HOSPITAL CENTER FDN
150 EAST 42ND STREET 5TH FLOOR

NEW YORK,NY10019
30-0571390 		FUNDRAISING NY 501(C)(3) 7 SLR
 
Yes
 
(25)BETH ISRAEL MEDICAL CENTER
FIRST AVENUE AT 16TH STREET

NEW YORK,NY10003
13-5564934 		HOSPIAL NY 501(C)(3) 3 MSHG
 
Yes
 
(26)MOUNT SINAI HEALTH PARTNERS PC
150E 42ND STREET 5TH FLOOR

NEW YORK,NY10017
81-2057452 		HEALTHCARE NY 501 (C) (3) 10 MSH
 
Yes
 
(27)SOUTH NASSAU COMMUNITIES HOSPITAL INC
ONE HEALTHY WAY

OCEANSIDE,NY11572
11-1352310 		HOSPITAL NY 501(C)(3) 3 MSHG
 
 
No
(28)Mount Sinai Health System Self Insurance
150 EAST 42ND STREET

NEW YORK,NY10017
82-3994798 		SUPPORT NY 501(C)(3) 12 TYPE II MSHS
 
 
No
(29)EAST 98TH STREET COMMUNITY SERVICES INC
One Gustave L Levy Place

New York,NY10029
82-2536805 		AMB SRGY CNTE NY 501(C)(3) 3 ISMMS
 
Yes
 
(30)BACHMANN-STRAUSS DYSTONIA FOUNDATION INC
150 East 42nd Street

New York,NY10017
13-3804248 		FUNDRAISING NY 501(c)(3) 7 MSHS
 
Yes
 
(31)CARE CONTINUUM VENTURES INC
ONE GUSTAVE L LEVY PLACE

New York,NY10029
86-3155355 		support NY 501(c)(3) 12 TYPE II MSHS
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(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?



 		(k)
Percentage
ownership
Yes No 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?
Yes No
(1) GREATER METROPOLITAN IPA II

150 EAST 42D STREET 5TH FL
NEW YORK,NY10019
13-3977019 		INACTIVE NY BIMCSLR
  		c         No
(2) GREATER METROPOLITAN IPA V

150 EAST 42ND STREET 5TH FL
NEW YORK,NY10019
13-4141695 		INACTIVE NY BIMCSLR
  		c         No
(3) MANHATTAN MANAGEMENT SERVICES

1780 BROADWAY 7TH FL
NEW YORK,NY10019
13-3618543 		MGMT SERVICES NY SLR
  		c         No
(4) SLR MANAGEMENT SERVICES

150 EAST 42ND STREET 5TH FL
NEW YORK,NY10019
13-3853145 		MGMT SERVICES NY SLR
  		c         No
(5) WEST CARE MEDICAL PC

150 EAST 42ND STREET 5TH FL
NEW YORK,NY10019
13-3811203 		INACTIVE NY SLR
  		c         No
(6) MOUNT SINAI HC VENTURES INC

150 EAST 42ND STREET 5TH FL
NEW YORK,NY10019
46-0953126 		HEALTH CARE MGMT NY BIMC HOLDCO
  		c         No
(7) HIBER-CELL INC

850 NEW BURTON ROAD SUITE 201
DOVER,DE19904
82-0608182 		CLINICAL LAB DE ISMMS
  		C         No
(8) AMATHUS THERAPEUTICS INC

1506 BOSTON PROVIDENCE HIGHWAY STE
NORWOOD,MA02062
81-4373501 		BIOTECH/PHARMA MA ISMMS
  		C         No
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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
No
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 .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
Yes
 
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
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) ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

 b 83,607,000 cost
(2) MSMC REALTY CORP

 c 2,508,441 cost
(3) ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

 k 5,761,368 cost
(4) MSMC REALTY CORP

 k 2,223,063 cost
(5) ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

 o 31,681,250 COST
(6) ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

 P 305,343,671 cost
(7) MSMC RESIDENTIAL REALTY CORP

 P 6,325,000 cost
(8) ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

 Q 2,141,821,391 cost
(9) ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

 s 473,886 cost
(10) BETH ISREAL MEDICAL CENTER

 O 30,480,209 cost
(11) St Lukes-Roosevelt Hospital Center

 O 121,111,687 cost
(12) NEW YORK EYE AND EAR INFIRMARY

 O 15,881,355 cost
(13) MOUNT SINAI MEDICAL CENTER

 I 242,146,268 cost
(14) MOUNT SINAI MEDICAL CENTER

 I 42,071 cost
(15) MOUNT SINAI HEALTH SYSTEM

 Q 62,605,651 COST
(16) MOUNT SINAI HEALTH SYSTEM

 B 18,955,336 FMV
(17) ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

 I 1,306,667 COST
(18) MOUNT SINAI HEALTH PARTNERS PC

 Q 3,105,190 COST
(19) SOUTH NASSAU COMMUNITIES HOSPITAL

 B 20,000,000 COST
(20) ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

 B 33,308,304 COST
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Part II, Line 4, column F - MSMC REALTY CORPORATION DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, MOUNT SINAI MEDICAL CENTER ARE ALL MEMBERS OF THIS ENTITY. Part II, Line 5, column F MSMC RESIDENTIAL REALTY LLC DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, THE MSMC REALTY CORPORATION AND THE MSMC RESIDENTIAL REALTY MANAGER, INC. ARE ALL MEMBERS OF THIS ENTITY. Part II, Line 7, column F MSMC RESIDENTIAL REALTY MANAGER, INC DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, THE MSMC REALTY CORPORATION ARE ALL MEMBERS OF THIS ENTITY.
Schedule R (Form 990) 2021

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