Director of Tax-Financial Administration-Corporate-Full Time-Day
Mount Sinai Medical Center, New York, NY, United States
Description
Director of Tax-Financial Administration-Corporate-Full Time-Day
The Director of Tax is responsible for the preparation, review, and filing of all federal and state tax compliance filings for the hospital system and its related entities. This position reports directly to the VP of Finance.
The primary responsibility of this role is the direct preparation and coordination of IRS Forms 990 (including all required schedules), Form 990-T (if applicable), and state charitable filings including CHAR500. The Director will actively gather data, prepare workpapers, draft disclosures, and work closely with external tax advisors to ensure complete and accurate reporting.
This role requires strong technical expertise in nonprofit healthcare tax reporting and the ability to manage multi-entity structures within a hospital system.
Responsibilities Primary Tax Filings
Prepare and/or directly review IRS Form 990 for the hospital and all related entities.
Prepare detailed supporting workpapers for all 990 schedules.
Coordinate preparation of Form 990-T and analyze unrelated business income activities.
Draft narrative responses and governance disclosures.
Ensure consistency between audited financial statements and Form 990 reporting.
State & Charitable Filings
Prepare and file CHAR500 and other required state charitable registrations.
Manage multi-state charitable reporting requirements.
Monitor compliance with state filing deadlines and renewal requirements.
Healthcare-Specific Tax Matters
Analyze physician arrangements and joint ventures for tax reporting implications.
Review grant revenue and restricted funding disclosures.
Support community benefit reporting and reconciliation to financial statements.
External Coordination
Review draft returns prepared by outside firms.
Respond to IRS and state tax authority inquiries.
Support annual financial statement audit in areas related to tax disclosures.
Internal Controls & Process Management
Develop and maintain a tax compliance calendar.
Create standardized data collection templates for departments.
Establish and maintain internal controls over tax reporting processes.
Document procedures for recurring tax filings.
Advisory & Strategic Support
Advise the VP of Finance on tax implications of new service lines, affiliations, acquisitions, and grant-funded programs.
Support board-level reporting related to tax compliance and governance matters.
Stay current on changes in nonprofit healthcare tax law and reporting requirements.
Qualifications
Education:
Bachelor's degree in Finance or Business-related field; Master's preferred. CPA a plus.
Experience:
7 years of progressively responsible experience in finance or accounting that includes experiences in budgeting, financial forecasting, financial modeling, planning, organizing and managing multiple financial activities. Direct, hands‑on experience preparing Form 990 for hospitals or large nonprofit organizations. Demonstrated experience preparing CHAR500 and multi‑state charitable filings. Strong knowledge of nonprofit healthcare tax regulations.
Non-Bargaining Unit, 511 - Financial Administration - MSH, Mount Sinai Hospital
Employer Description Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.
At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well‑being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.
About the Mount Sinai Health System Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high‑quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint‑venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children’s Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.
Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.
Compensation The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $153,723 - $230,584 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
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The primary responsibility of this role is the direct preparation and coordination of IRS Forms 990 (including all required schedules), Form 990-T (if applicable), and state charitable filings including CHAR500. The Director will actively gather data, prepare workpapers, draft disclosures, and work closely with external tax advisors to ensure complete and accurate reporting.
This role requires strong technical expertise in nonprofit healthcare tax reporting and the ability to manage multi-entity structures within a hospital system.
Responsibilities Primary Tax Filings
Prepare and/or directly review IRS Form 990 for the hospital and all related entities.
Prepare detailed supporting workpapers for all 990 schedules.
Coordinate preparation of Form 990-T and analyze unrelated business income activities.
Draft narrative responses and governance disclosures.
Ensure consistency between audited financial statements and Form 990 reporting.
State & Charitable Filings
Prepare and file CHAR500 and other required state charitable registrations.
Manage multi-state charitable reporting requirements.
Monitor compliance with state filing deadlines and renewal requirements.
Healthcare-Specific Tax Matters
Analyze physician arrangements and joint ventures for tax reporting implications.
Review grant revenue and restricted funding disclosures.
Support community benefit reporting and reconciliation to financial statements.
External Coordination
Review draft returns prepared by outside firms.
Respond to IRS and state tax authority inquiries.
Support annual financial statement audit in areas related to tax disclosures.
Internal Controls & Process Management
Develop and maintain a tax compliance calendar.
Create standardized data collection templates for departments.
Establish and maintain internal controls over tax reporting processes.
Document procedures for recurring tax filings.
Advisory & Strategic Support
Advise the VP of Finance on tax implications of new service lines, affiliations, acquisitions, and grant-funded programs.
Support board-level reporting related to tax compliance and governance matters.
Stay current on changes in nonprofit healthcare tax law and reporting requirements.
Qualifications
Education:
Bachelor's degree in Finance or Business-related field; Master's preferred. CPA a plus.
Experience:
7 years of progressively responsible experience in finance or accounting that includes experiences in budgeting, financial forecasting, financial modeling, planning, organizing and managing multiple financial activities. Direct, hands‑on experience preparing Form 990 for hospitals or large nonprofit organizations. Demonstrated experience preparing CHAR500 and multi‑state charitable filings. Strong knowledge of nonprofit healthcare tax regulations.
Non-Bargaining Unit, 511 - Financial Administration - MSH, Mount Sinai Hospital
Employer Description Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.
At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well‑being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.
About the Mount Sinai Health System Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high‑quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint‑venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children’s Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.
Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.
Compensation The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $153,723 - $230,584 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
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