efile Public Visual Render
ObjectId: 202003189349307030 - Submission: 2020-11-13
TIN: 13-1624096
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
19
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
,
NY
10029
47-2915052
DSRIP PROGRAM
NY
116,775,875
62,575,110
MSH
(2)
MSHS 150 LLC
ONE GUSTAVE L LEVY PLACE
NEW YORK
,
NY
10029
000000000
SUPPORT
NY
1,660,790
1,660,790
MSH
(3)
MOUNT SINAI PROTON HOLDING COMPANY LLC
ONE GUSTAVE L LEVY PLACE
NEW YORK
,
NY
10029
27-4281194
INVESTMENT
NY
4,198
19,777,230
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
,
NY
10029
13-6271888
SUPPORT
NY
501(C)(3)
12 TYPE II
MSHS
No
(2)
MITRAL FOUNDATION
1190 FIFTH AVENUE
NEW YORK
,
NY
10029
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
,
NY
10029
22-3059294
SUPPORT
NY
501(C)(3)
12 TYPE I
ISMMS
No
(4)
MSMC REALTY CORPORATION
ONE GUSTAVE L LEVY PLACE
NEW YORK
,
NY
10029
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
,
NY
10029
20-0244426
REAL ESTATE
NY
501(C)(3)
12 TYPE I
SEE PART VII
Yes
(6)
MOUNT SINAI DIAG & TREATMENT CENTER
ONE GUSTAVE L LEVY PLACE
NEW YORK
,
NY
10029
45-0537391
DIAG CLINIC
NY
501(C)(3)
3
MSH
Yes
(7)
MSMC RESIDENTIAL REALTY MANAGER INC
ONE GUSTAVE L LEVY PLACE
NEW YORK
,
NY
10029
20-1289396
MGMT
NY
501(C)(3)
12 TYPE I
SEE PART VII
Yes
(8)
VALENTIN FUSTER MT SINAI FND SCI HLTH
ONE GUSTAVE L LEVY PLACE
NEW YORK
,
NY
10029
80-0952088
SUPPORT
NY
501(C)(3)
12 TYPE I
ISMMS & MSH
Yes
(9)
MOUNT SINAI HEALTH SYSTEM INC
ONE GUSTAVE L LEVY PLACE
NEW YORK
,
NY
10029
46-4248304
HOLDING CO
NY
501(C)(3)
12 TYPE II
NA
No
(10)
MOUNT SINAI HOSPITAL GROUP INC
ONE GUSTAVE L LEVY PLACE
NEW YORK
,
NY
10029
46-4242915
HOLDING CO
NY
501(C)(3)
12 TYPE II
MSHS
No
(11)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
ONE GUSTAVE L LEVY PLACE
NEW YORK
,
NY
10029
13-6171197
SCHOOL
NY
501(C)(3)
2
MSHS
No
(12)
CONTINUUM HEALTH PARTNERS INC
150 EAST 42ND STREET 5TH FLOOR
NEW YORK
,
NY
10019
13-3939476
HOLDING CO
NY
501(C)(3)
12 TYPE I
NA
No
(13)
BIMC HOLDING CORPORATION
FIRST AVENUE AT 16TH STREET
NEW YORK
,
NY
10003
13-3444730
HOLDING CO
NY
501(C)(3)
12 TYPE I
BIMC
Yes
(14)
MOUNT SINAI AMBULATORY VENTURES INC
150 EAST 42ND STREET 5TH FL
NEW YORK
,
NY
10019
13-3838460
SURGICENTER
NY
501(C)(3)
3
BIMC HOLDCO
Yes
(15)
BI NURSING HOME COMPANY
327 EAST 17TH STREET
NEW YORK
,
NY
10003
13-3627753
NURSING HOME
NY
501(C)(3)
3
BIMC HOLDCO
Yes
(16)
EAST 17TH STREET PROPERTIES INC
150 EAST 42ND STREET 5TH FL
NEW YORK
,
NY
10019
13-3547502
REAL ESTATE
NY
501(C)(3)
9
BIMC HOLDCO
Yes
(17)
THE LONG ISLAND COLLEGE HOSPITAL
150 EAST 42ND STREET 5TH FL
NEW YORK
,
NY
10019
11-1018985
HOSPITAL
NY
501(C)(3)
3
CHP
No
(18)
ST LUKE'S-ROOSEVELT HOSPITAL CENTER
1111 AMSTERDAM AVENUE
NEW YORK
,
NY
10025
13-2997301
HOSPITAL
NY
501(C)(3)
3
MSHG
Yes
(19)
AUGUSTUS & JAMES CORPORATION
150 EAST 42ND STREET5TH FLOOR
NEW YORK
,
NY
10019
13-3392851
REAL ESTATE
NY
501(C)(3)
12 TYPE I
SLR
Yes
(20)
ST LUKE'S-ROOSEVELT INSTITUTE FOR HEALTH
1111 AMSTERDAM AVENUE
NEW YORK
,
NY
10025
13-2914343
RESEARCH
NY
501(C)(3)
4
SLR
Yes
(21)
NEW YORK EYE AND EAR INFIRMARY
310 EAST 14TH STREET
NEW YORK
,
NY
10003
13-5562304
HOSPITAL
NY
501(C)(3)
3
MSHG
Yes
(22)
NEW YORK EYE & EAR INFIRMARY FNDN
310 EAST 14TH STREET
NEW YORK
,
NY
10003
13-4012469
PRIVATE FDN
NY
501(C)(3)
PF
NYEE
Yes
(23)
NYEEI HOUSING COMPANY INC
317-327 EAST 13TH STREET
NEW YORK
,
NY
10003
31-1696826
REAL ESTATE
NY
501(C)(2)
N/A
NYEE
Yes
(24)
BETH ISRAEL MEDICAL CENTER FDN INC
150 EAST 42ND STREET 5TH FLOOR
NEW YORK
,
NY
10019
30-0571387
FUNDRAISING
NY
501(C)(3)
7
BIMC
Yes
(25)
ST LUKE'S-ROOSEVELT HOSPITAL CENTER FDN
150 EAST 42ND STREET 5TH FLOOR
NEW YORK
,
NY
10019
30-0571390
FUNDRAISING
NY
501(C)(3)
7
SLR
Yes
(26)
BETH ISRAEL MEDICAL CENTER
FIRST AVENUE AT 16TH STREET
NEW YORK
,
NY
10003
13-5564934
HOSPIAL
NY
501(C)(3)
3
MSHG
Yes
(27)
FOJP SERVICE CORPORATION
28 EAST 28TH STREET
NEW YORK
,
NY
10016
13-2914141
INSURANCE
NY
501(C)(3)
11 TYPE III
NA
No
(28)
MOUNT SINAI HEALTH PARTNERS PC
150E 42ND STREET 5TH FLOOR
NEW YORK
,
NY
10017
81-2057452
HEALTHCARE
NY
501 (C) (3)
10
MSH
Yes
(29)
SOUTH NASSAU COMMUNITIES HOSPITAL INC
ONE HEALTHY WAY
OCEANSIDE
,
NY
115721551
11-1352310
HOSPITAL
NY
501(C)(3)
3
MSHG
No
(30)
Mount Sinai Health System Self Insurance
150 EAST 42ND STREET
NEW YORK
,
NY
10017
82-3994798
SUPPORT
NY
501(C)(3)
12 TYPE II
MSHS
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2019
Page 2
Schedule R (Form 990) 2019
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
,
NY
10019
13-3977019
INACTIVE
NY
BIMCSLR
c
No
(2)
GREATER METROPOLITAN IPA V
150 EAST 42ND STREET 5TH FL
NEW YORK
,
NY
10019
13-4141695
INACTIVE
NY
BIMCSLR
c
No
(3)
MANHATTAN MANAGEMENT SERVICES
1780 BROADWAY 7TH FL
NEW YORK
,
NY
10019
13-3618543
MGMT SERVICES
NY
SLR
c
No
(4)
SLR MANAGEMENT SERVICES
150 EAST 42ND STREET 5TH FL
NEW YORK
,
NY
10019
13-3853145
MGMT SERVICES
NY
SLR
c
No
(5)
WEST CARE MEDICAL PC
150 EAST 42ND STREET 5TH FL
NEW YORK
,
NY
10019
13-3811203
INACTIVE
NY
SLR
c
No
(6)
MOUNT SINAI HC VENTURES INC
150 EAST 42ND STREET 5TH FL
NEW YORK
,
NY
10019
46-0953126
HEALTH CARE MGMT
NY
BIMC HOLDCO
c
No
(7)
HIBER-CELL INC
850 NEW BURTON ROAD SUITE 201
DOVER
,
DE
19904
82-0608182
CLINICAL LAB
DE
ISMMS
C
No
(8)
AMATHUS THERAPEUTICS INC
1506 BOSTON PROVIDENCE HIGHWAY STE
NORWOOD
,
MA
02062
81-4373501
BIOTECH/PHARMA
MA
ISMMS
C
No
Schedule R (Form 990) 2019
Page 3
Schedule R (Form 990) 2019
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
No
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
No
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
58,458,000
cost
(2)
MSMC REALTY CORP
b
64,000
cost
(3)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
k
6,301,380
cost
(4)
MSMC REALTY CORP
k
2,383,000
COST
(5)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
n
9,549,508
COST
(6)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
o
32,197,797
COST
(7)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
P
317,049,180
cost
(8)
MSMC RESIDENTIAL REALTY CORP
P
5,609,000
cost
(9)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Q
1,957,622,000
cost
(10)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
I
1,433,333
cost
(11)
BETH ISREAL MEDICAL CENTER
O
18,444,507
cost
(12)
St Lukes-Roosevelt Hospital Center
O
91,009,561
cost
(13)
NEW YORK EYE AND EAR INFIRMARY
O
8,719,231
cost
(14)
MOUNT SINAI MEDICAL CENTER
I
149,356,186
cost
(15)
MOUNT SINAI MEDICAL CENTER
I
52,596
cost
(16)
MOUNT SINAI HEALTH SYSTEM
Q
51,513,406
COST
(17)
MOUNT SINAI HEALTH SYSTEM
B
25,666,745
FMV
(18)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
I
123,048
COST
(19)
MOUNT SINAI HEALTH PARTNERS PC
Q
4,012,968
COST
(20)
SOUTH NASSAU COMMUNITIES HOSPITAL
B
20,000,000
COST
Schedule R (Form 990) 2019
Page 4
Schedule R (Form 990) 2019
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) 2019
Page 5
Schedule R (Form 990) 2019
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) 2019
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