The Mount Sinai Hospital

“TRUSTEES EDGAR CULLMAN, JR. AND SUSAN CULLMAN - Family relationship, TRUSTEES MARC LIPSCHULTZ AND JOHN HESS - Business relationship, TRUSTEES KIMBERLY HARRIS AND RICHARD FRIEDMAN - Business relationship, TRUSTEES KIMBERLY HARRIS and Trustee John Hess - Business relationship, Trustee John Hess and Trustee Richard Friedman - Business relationship”

“Mount sinai hospitals group, inc. Is the sole member of the organization.”

“The member has the power to elect the members of the governing body of the organization.”

“The board of trustees of the organization cannot amend the bylaws without the consent of the member if such amendment removed any powers of the member.”

“Form 990 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. The same process was conducted by the finance department, the general counsel's office, and the audit and compliance department with respect to the questionnaires submitted by other officers and key employees. The audit and compliance committee of the board of trustees conducted a review of the tax return, with the participation of ey, the finance department, the general counsel's office, and the audit and compliance department. The audit committee approved the tax returns as presented. The audit committee's report of its review of the tax returns and its recommendation to file the returns were presented to, and accepted by, the executive committee of the board of trustees (executive committee). In addition to authorizing the filing of the tax returns, the executive committee directed that the returns, which will be filed on or before november 15, 2025, be provided to all trustees via the trustees' confidential website, and those returns were so provided before being filed.”

“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.”

“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 co”

“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 co”

“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.”

“Employees who received more than $100,000 in compensation direct hospital employees who receive more than $100,000 total 7,161. 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.”

“Dr. Davis receives no compensation for his service as a trustee. Reported amounts represent severance related to his prior role as Chief Executive Officer.”

“Other - Total Revenue: 43332747, Related or Exempt Function Revenue: 3785473, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 39547274;”

“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 35,689 individuals. The number of direct hospital employees is 19,716 individuals.”

“CLINICAL, ADMIN, RESEARCH - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 56771621, Fundraising Expenses: ; FREIGHT & DELIVERY - Total Expense: 1592164, Program Service Expense: 1381839, Management and General Expenses: 210325, Fundraising Expenses: ; TEMPORARY AGENCIES - Total Expense: 24431841, Program Service Expense: 21204395, Management and General Expenses: 3227446, Fundraising Expenses: ; PHYSICIANS FEES - Total Expense: 530262, Program Service Expense: 460214, Management and General Expenses: 70048, Fundraising Expenses: ; BILLING FEES - Total Expense: 7519015, Program Service Expense: 6525753, Management and General Expenses: 993262, Fundraising Expenses: ; STORAGE - Total Expense: 238663, Program Service Expense: 207136, Management and General Expenses: 31527, Fundraising Expenses: ; OTHER OUTSIDE SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 19110673, Fundraising Expenses: ;”

“Net Change in Captive Insurance Program - 3426218; Change in Postretirement Liability - 137255; Severance Costs - -2166446; Net periodic postretirement cost other than service cost - 67067; Transfer to St. Luke's Roosevelt Hospital Center - -XXX-XX-XXXX; Transfer to MSMC Residential Realty - -8368112; Reserve on amounts due from related organizations - -81300000; Total - -XXX-XX-XXXX;”

“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.”

“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.”