Mount Sinai Health System Self Insurance Trust

“Conflict of interest policy mount sinai health system self insurance trust has adopted and implemented the conflict of interest policy of the mount sinai health system. Compliance with the organization's business conflicts of interest policy (the "policy") is required of trustees, employees, medical staff and non-employee members of institutional committees and includes an ongoing duty to disclose potential conflicts. Compliance with the policy is monitored and enforced regularly and consistently. All disclosures with the potential for conflict are reviewed by an appropriate committee where they are carefully evaluated. When appropriate, a plan, which may involve measures including, but not limited to, recusal from participating in affected transactions, is developed to manage the potential conflict.”

“The grantor, mount sinai health system, has the right to replace the trustee at any time upon (90) days prior notice, or upon shorter notice if acceptable to the trustee. Upon the resignation or removal of the trustee, the grantor has the authority to name a successor trustee who shall become a signatory to and be bound by the terms and provisions of the trust agreement as it may be amended contemporaneously with the appointment of a successor trustee.”

“Mount sinai health system controls the trust by virtue of its powers and status as the trust's grantor.”

“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. 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 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 17, 2025, be provided to all trustees via the trustees' confidential website, and those returns were so provided before being filed.”

“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.”