FORM 990, PART III, LINE 4A |
MOUNT SINAI MEDICAL CENTER IS SOUTH FLORIDA'S LARGEST INDEPENDENT, NOT-FOR-PROFIT TEACHING HOSPITAL. MOUNT SINAI PROVIDES ACUTE AND EMERGENCY CARE AS WELL AS CARDIOVASCULAR, REHABILITATION, NEONATAL, MATERNITY AND PSYCHIATRIC SERVICES WHILE REMAINING DEDICATED TO GRADUATE MEDICAL EDUCATION AS ONE OF TEN STATUTORY TEACHING HOSPITALS IN FLORIDA. IN 2013, MOUNT SINAI INVESTED MORE THAN $20 MILLION IN ITS TEACHING PROGRAMS TO TRAIN APPROXIMATELY 160 RESIDENTS AND FELLOWS TO BE DOCTORS IN 19 MEDICAL SPECIALTIES. IN 2013, MOUNT SINAI ALSO TRAINED 290 UNDERGRADUATE MEDICAL STUDENTS, 273 NURSING STUDENTS, 85 PHYSICIAN ASSISTANTS AND 273 ALLIED HEALTH TRAINEES. MOUNT SINAI AFFILIATES WITH OVER 20 EDUCATIONAL INSTITUTIONS AND UNIVERSITIES AND MAINTAINS ITS OWN INDEPENDENT PHYSICIAN RESIDENCY PROGRAM. MOUNT SINAI IS LOCATED ON AND IS THE ONLY HOSPITAL AND EMERGENCY SERVICE PROVIDER ON THE NORTHEASTERN BARRIER ISLANDS OF MIAMI-DADE COUNTY. THESE ARE 32 MANMADE ISLANDS, WHICH FORM A GEOGRAPHIC ENCLAVE TOTALING 10.5 SQUARE LAND MILES. THE CITY OF MIAMI BEACH IS THE LARGEST CENSUS DESIGNATED PLACE ON THE BARRIER ISLANDS. NORTHEASTERN BARRIER ISLAND MUNICIPALITIES: MIAMI BEACH NORTH BAY VILLAGE SURFSIDE BAY HARBOR ISLANDS SUNNY ISLES BEACH INDIAN CREEK GOLDEN BEACH BAL HARBOR MIAMI ISLAND ACCORDING TO INPATIENT USE STATISTICS, APPROXIMATELY 31% OF MOUNT SINAI INPATIENT DISCHARGES WERE RESIDENTS FROM THE CITIES OF MIAMI BEACH. AN ADDITIONAL 19% WERE RESIDENTS FROM THE UPPER BARRIER ISLANDS AND FOUR OTHER NEIGHBORING MAINLAND ZIP CODES. THE REMAINING INPATIENT DISCHARGES WERE EVENLY DISTRIBUTED AMONG THE OTHER 90+ MIAMI-DADE COUNTY ZIP CODES AND OTHER STATES, COUNTIES, AND COUNTRIES. THIS REINFORCES MOUNT SINAI'S HISTORICAL ROLE AS SERVING GREATER MIAMI-DADE COUNTY WITH ITS CORE SPECIALTIES. THE COMMUNITY HEALTH PRIORITIES PRESENTED ARE BASED ON AN ANALYSIS OF DEMOGRAPHIC, ENVIRONMENTAL, STATISTICAL AND BEHAVIORAL PUBLIC HEALTH DATA. LEADING CAUSES OF DISEASE RELATED DEATH: HEART DISEASE CANCER STROKE CHRONIC OBSTRUCTIVE PULMONARY DISEASE MENTAL & BEHAVIORAL DISORDERS, INCLUDING ALZHEIMER'S DISEASE ENVIRONMENTAL HEALTH PRIORITIES: SUN / UV RADIATION DROWNING INJURY/DEATH POPULATION HEALTHCARE SERVICE PRIORITIES: ADDRESSING THE PHYSICIAN SHORTAGE SAFETY NET SERVICES FOR THE UNINSURED GERIATRIC MEDICINE MATERNITY & PRENATAL MEDICINE EMERGENCY MEDICAL SERVICES SPECIALTY COMMUNITY CARE - PREVENTATIVE, INTERVENTIONAL, AND NON ACUTE TREATMENT BEHAVIORAL HEALTH & OTHER PRIORITIES: NUTRITION & PHYSICAL ACTIVITY REDUCING TOBACCO & ALCOHOL USE AIDS/HIV PREVENTION & TREATMENT IMPLEMENTATION STRATEGY AS SOUTH FLORIDA'S LARGEST INDEPENDENT TEACHING HOSPITAL, MOUNT SINAI USES A TWO-TIER, THREE-YEAR STRATEGY TO MEET COMMUNITY HEALTH NEEDS. TIER ONE - PROVIDE A WIDE RANGE OF SAFETY NET SERVICES FIRST, MOUNT SINAI WILL CONTINUE TO PROVIDE A WIDE VARIETY OF COMMUNITY HEALTH SERVICES IN ITS ROLE AS A TEACHING AND COMMUNITY HOSPITAL, AND SOLE EMERGENCY SERVICES PROVIDER ON THE NORTHEASTERN BARRIER ISLANDS OF MIAMI DADE COUNTY. ADDRESS FLORIDA'S PHYSICIAN SHORTAGE; PROVIDE CHARITY CARE FOR THE UNINSURED; OPERATE EMERGENCY MEDICAL SERVICES; PROVIDE ADULT PSYCHIATRIC CARE; OFFER NATIONALLY RECOGNIZED GERIATRIC CARE; OPERATE MATERNITY SERVICES AND PRENATAL MEDICINE; PRESENT FREE HEALTH EDUCATION AND DISEASE PREVENTION LECTURES; CONDUCT FREE HEALTH SCREENINGS. TIER TWO - FOCUS CENTERS OF EXCELLENCE ON MISSION DRIVEN COMMUNITY HEALTH PRIORITIES SECOND, MOUNT SINAI WILL FOCUS RESOURCES ON THE LEADING DISEASE RELATED CONDITIONS THAT CAUSE FATALITIES AND OTHER IDENTIFIED LOCAL PRIORITY HEALTH CARE SERVICES AS APPROPRIATE FOR ITS TEACHING MISSION AND FISCAL RESPONSIBILITY. ADDRESS HEART DISEASE; ADDRESS CANCER; ADDRESS STROKE; ADDRESS CHRONIC OBSTRUCTIVE PULMONARY DISEASE; ADDRESS ALZHEIMER'S DISEASE ADDRESS COMMUNITY HEALTHCARE SERVICES COMMUNITY HEALTHCARE RESOURCES WITHIN THREE MILE RADIUS WITHIN THREE MILES OF MOUNT SINAI, THERE ARE NO OTHER ACUTE CARE HOSPITALS. THERE ARE 4 PUBLIC HEALTH CENTERS, INCLUDING THREE FEDERALLY QUALIFIED HEALTH CENTERS: THE MIAMI BEACH COMMUNITY HEALTH CENTER (TWO LOCATIONS) AND THE BORINQUEN HEALTH CARE CENTER. FOR SUBSTANCE AND MENTAL HEALTH ISSUES, THERE ARE 0 RESIDENTIAL TREATMENT CENTERS. FOR GERIATRIC RESIDENTIAL SERVICES, THERE ARE 3 NURSING HOMES AND 2 ASSISTED LIVING FACILITIES. COMMUNITY HEALTH NEEDS NOT WITHIN THE IMPLEMENTATION STRATEGY SPECIALIZED AIDS/HIV SERVICES ARE NOT WITHIN THE IMPLEMENTATION STRATEGY. THESE HEALTH SERVICES FOR THE UNINSURED OR UNDERINSURED ARE ALREADY PROVIDED BY THE MIAMI BEACH COMMUNITY HEALTH CENTERS, THE BORINQUEN HEALTH CARE CENTER AND JACKSON MEMORIAL HEALTH CENTER AND THE MIAMI-DADE COUNTY HEALTH DEPARTMENT/OFFICE OF HIV/AIDS. ONGOING GENERAL AND EXPERT COMMUNITY INPUT MOUNT SINAI IS COMMITTED TO RECEIVING INPUT TO BETTER ASSESS COMMUNITY HEALTH NEEDS. COMMUNITY HEALTH NEEDS SURVEY AS PART OF A THREE-YEAR STRATEGY, AN ONLINE HEALTH NEEDS ASSESSMENT SURVEY MODELED ON QUESTIONS USED BY THE NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION RISK FACTOR SURVEILLANCE SYSTEM WILL COLLECT INPUT FROM THOSE IN THE SERVICE AREA. THE SURVEY INSTRUMENT WILL BE PROMOTED THROUGH ADVERTISING AND MARKETING EFFORTS. HEALTH ADVISORY BOARD MOUNT SINAI MAINTAINS A SEAT AND LEAD ROLE ON THE HEALTH ADVISORY BOARD OF THE CITY OF MIAMI BEACH, ALONG WITH THE MIAMI BEACH COMMUNITY HEALTH CENTER AND HEALTH COUNCIL SOUTH FLORIDA. THIS IS A BODY OF LOCAL REPRESENTATIVES THAT MEET TO ADDRESS THE DEMOGRAPHIC AND HEALTH ISSUES ILLUSTRATED IN THIS REPORT IN PUBLICLY ADVERTISED FORUM FOR ALL PERSONS. COMMUNITY COMMENT ON THIS HEALTH NEEDS ASSESSMENT THIS REPORT WILL BE MADE WIDELY AVAILABLE. PUBLIC COMMENT CAN BE ADDRESSED TO THE MOUNT SINAI MEDICAL CENTER PLANNING DEPARTMENT, 4300 ALTON ROAD, MIAMI BEACH, FLORIDA 33140. |
FORM 990, PART VI, SECTION A, LINE 2 |
TRUSTEES WAYNE CHAPLIN AND PAUL CHAPLIN HAVE A BUSINESS AND FAMILY RELATIONSHIP. TRUSTEES PAUL CHAPLIN AND JAVIER HOLTZ HAVE A BUSINESS RELATIONSHIP. TRUSTEES MARK H. HILDEBRANDT AND LAURANS A. MENDELSON HAVE A BUSINESS RELATIONSHIP. |
FORM 990, PART VI, SECTION B, LINE 11 |
THE PROCESS FOR REVIEW OF THE FORM 990 BY MEMBERS OF THE GOVERNING BODY AND MANAGEMENT IS AS FOLLOWS: THE MEMBERS OF THE GOVERNING BODY, MANAGEMENT, AND THE INDEPENDENT TAX CONSULTANTS WILL MEET AND REVIEW IN DETAIL THE COMPLETED FORM 990. THE FOLLOWING MEMBERS OF THE GOVERNING BODY PERFORMED THE REVIEW ALONG WITH EXECUTIVE MANAGEMENT COMPOSED OF THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER, AND INDEPENDENT TAX CONSULTANTS: CHAIRMAN OF THE BOARD, VICE-CHAIRMAN OF THE BOARD CHAIRMAN, FINANCE COMMITTEE CHAIRMAN, AUDIT COMMITTEE CHAIRMAN, COMPLIANCE COMMITTEE CHAIRMAN, INVESTMENT COMMITTEE PRESIDENT, FOUNDATION |
FORM 990, PART VI, SECTION B, LINE 12C |
CONFLICT OF INTEREST POLICY: MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC. AND SUBSIDIARIES (THE "MEDICAL CENTER") FORMALLY IMPLEMENTED A WRITTEN CONFLICT OF INTEREST POLICY (THE "POLICY") ON MARCH 2006 TO PROTECT THE MEDICAL CENTER AND ENSURE THAT THE DELIBERATIONS AND DECISIONS MADE ON BEHALF OF THE MEDICAL CENTER ARE MADE IN THE BEST INTEREST OF THE MEDICAL CENTER. THE TERM "CONFLICT OF INTEREST" AS DEFINED BY THIS POLICY REFERS TO SITUATIONS IN WHICH FINANCIAL OR OTHER PERSONAL CONSIDERATIONS MAY COMPROMISE, OR HAVE THE APPEARANCE OF COMPROMISING, THE JUDGMENT OF SOMEONE CHARGED WITH THE RESPONSIBILITY TO ACT ON BEHALF OF THE MEDICAL CENTER. THIS POLICY IS REVIEWED PERIODICALLY BUT NOT LESS THAN ONCE A YEAR BY THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES TO BETTER MEET ITS OBJECTIVES. IT IS INTENDED TO SUPPLEMENT BUT NOT REPLACE ANY APPLICABLE LAWS GOVERNING CONFLICTS OF INTEREST IN NONPROFIT AND CHARITABLE ORGANIZATIONS. PERSONS COVERED UNDER THIS POLICY INCLUDE: (1) ANY CURRENT OR FORMER TRUSTEE, OFFICER, OR MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS FOR THE MEDICAL CENTER; (2) MEMBERS OF MANAGEMENT AND ANY EMPLOYEE OF THE MEDICAL CENTER WHO: A) RECEIVES COMPENSATION FROM THE MEDICAL CENTER IN EXCESS OF $150,000 ANNUALLY, WHETHER AS A FULL- OR PART-TIME EMPLOYEE, INDEPENDENT CONTRACTOR, OR OTHERWISE, AND, B) HAS RESPONSIBILITIES, POWER OF INFLUENCE OVER AN ACTIVITY OF THE MEDICAL CENTER SIMILAR TO THAT OF AN OFFICER OR TRUSTEE AND WHICH REPRESENTS MORE THAN 10% OF THE ACTIVITIES, ASSETS, INCOME OR EXPENSES OF THE MEDICAL CENTER, AND C) IS ONE OF THE TWENTY EMPLOYEES WITH THE HIGHEST COMPENSATION FROM THE MEDICAL CENTER. (3) ANY PERSON(S) WHO SERVE AS A MEMBER OF THE MEDICAL CENTER'S MEDICAL STAFF AS A CHAIRPERSON OF A DEPARTMENT, CHIEF OF A CLINICAL SERVICE, OR MEMBER OF THE MEDICAL EXECUTIVE COMMITTEE. MONITORING AND COMPLIANCE: AN IMPORTANT STEP IN MONITORING AND ENFORCING COMPLIANCE WITH A CONFLICT OF INTEREST POLICY INCLUDES MANAGEMENT'S EDUCATION EFFORTS TO MAKE INTERESTED PERSONS AWARE OF THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. TO THAT END, MANAGEMENT HAS INCLUDED IN ITS CODE OF CONDUCT (THE "CODE") A SECTION ON CONFLICTS OF INTEREST WHICH HAS TO BE SIGNED AND RETURNED BY EVERY INTERESTED PERSON TO ACKNOWLEDGE AND ATTEST THAT THEY READ THE CODE INCLUDING THE CONFLICT OF INTEREST SECTION. ANNUALLY, INTERESTED PERSONS ALSO RECEIVE A REFRESHER TRAINING SESSION ON ETHICS AND CONFLICTS OF INTEREST. IN ADDITION, THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES HAS CREATED A SUBCOMMITTEE ON CONFLICTS OF INTEREST ("CONFLICTS COMMITTEE") TO ADMINISTER AND MONITOR COMPLIANCE WITH THIS POLICY. THE CONFLICTS COMMITTEE REQUIRES A STATEMENT FROM EACH INTERESTED PERSON NOT LESS FREQUENTLY THAN ONCE A YEAR SETTING FORTH ALL BUSINESS AND OTHER AFFILIATIONS THAT RELATE IN ANY WAY TO THE BUSINESS AND OTHER ACTIVITIES OF THE MEDICAL CENTER. INTERNAL AUDIT COMPILES AND SUMMARIZES ALL THE DISCLOSURES RECEIVED FROM INTERESTED PERSONS TO FACILITATE THEIR REVIEW BY THE CONFLICTS COMMITTEE. THE CONFLICTS COMMITTEE INDIVIDUALLY DISCUSSES EACH DISCLOSURE TO EVALUATE WHETHER A CONFLICT OF INTEREST EXISTS AND DETERMINES THE APPROPRIATE COURSE OF ACTION TO TAKE. NEITHER THE BOARD NOR ANY COMMITTEE OF THE BOARD SHALL VOTE UPON ANY PROPOSED TRANSACTION OR ARRANGEMENT IN CONNECTION WITH A POTENTIAL CONFLICT OF INTEREST UNTIL SUCH TIME AS THE CONFLICTS COMMITTEE HAS DETERMINED WHETHER A CONFLICT OF INTEREST EXISTS. WHERE THE CONFLICTS COMMITTEE HAS CONCLUDED THAT A CONFLICT OF INTEREST EXISTS, THE CHAIRMAN OF THE CONFLICTS COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO A PROPOSED TRANSACTION, CONTRACT, OR ARRANGEMENT. IF THE CONFLICTS COMMITTEE DETERMINES THAT THE MEDICAL CENTER CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THEN THE MEDICAL CENTER SHALL NOT ENTER INTO THE TRANSACTION THAT INVOLVES THE CONFLICT OF INTEREST. IF A TRANSACTION OR ARRANGEMENT MORE ADVANTAGEOUS IS NOT REASONABLY ATTAINABLE UNDER THE CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THEN THE BOARD OR COMMITTEE, AS APPLICABLE, SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE MEDICAL CENTER'S BEST INTEREST AND WHETHER IT IS FAIR AND REASONABLE TO THE MEDICAL CENTER, AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. FAILURE BY AN INTERESTED PERSON TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST UNDER THE CONFLICT OF INTEREST POLICY IS CONSIDERED A SERIOUS MATTER AND MAY CONSTITUTE "CAUSE" FOR REMOVAL OR TERMINATION OF A TRUSTEE, OFFICER, OR THE TERMINATION OF ANY CONTRACTUAL OR EMPLOYMENT RELATIONSHIP THE MEDICAL CENTER MAY HAVE WITH AN INTERESTED PERSON OR OTHER PARTY. |
FORM 990, PART VI, SECTION B, LINE 15 |
ON AN ANNUAL BASIS, THE MOUNT SINAI MEDICAL CENTER COMPENSATION COMMITTEE CONTRACTS WITH AN INDEPENDENT CONSULTANT TO PREPARE AN OPINION REGARDING THE REASONABLENESS AND COMPARABILITY OF THE TOTAL COMPENSATION PROVIDED TO ITS SENIOR OFFICERS AND KEY EMPLOYEES. THE COMPENSATION COMMITTEE INFORMS THE INDEPENDENT CONSULTANT THAT THE INDEPENDENT CONSULTANT'S OPINION WILL BE PART OF THE COMMITTEE'S PROCEDURE FOR ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS DESCRIBED IN THE INCOME TAX REGULATIONS. THE INDEPENDENT CONSULTANT'S DETERMINATION OF REASONABLENESS IS MADE AFTER A THOROUGH REVIEW OF ALL THE ELEMENTS OF THE TOTAL COMPENSATION COMPRISED OF: CASH COMPENSATION, HEALTH AND WELFARE BENEFITS, RETIREMENT BENEFITS, EXECUTIVE BENEFITS AND PERQUISITES, AND OTHER ELEMENTS OF COMPENSATION INCLUDING SEVERANCE ARRANGEMENTS. THE OPINION EXPRESSED BY THE INDEPENDENT CONSULTANT IS THEN PRESENTED TO THE MSMC COMPENSATION COMMITTEE IN A REPORT FORM FOR THEIR REVIEW. THE OPINION REPORT IS REFERRED TO BY THE COMPENSATION COMMITTEE WHEN DETERMINING AND APPROVING THE ANNUAL COMPENSATION FOR ITS SENIOR OFFICERS AND KEY EMPLOYEES. THE EXECUTIVE BOARD OF TRUSTEES OF MSMC HAS AUTHORIZED ITS COMPENSATION COMMITTEE TO SET ANNUAL COMPENSATION FOR MSMC'S SENIOR OFFICERS AND KEY EMPLOYEES. |
FORM 990, PART VI, SECTION C, LINE 19 |
DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST. |
PART VI, SECTION B, LINE 16B |
IF THE HOSPITAL JOINS A PARTNERSHIP/JOINT VENTURE ARRANGEMENT, ADMINISTRATION WILL PRESENT IT TO THE BOARD AND THE BOARD MUST APPROVE THE ACTION. |
FORM 990, PART XI, LINE 9: |
INCOME FROM PREMIER PURCHASING PARTNERS -22,540. CHANGE IN THE BENEFICIAL INTEREST IN THE NET ASSETS OF MSMC FOUNDATION 14,662,000. AMOUNTS REPORTED SEPARATELY -329. |