CONTINUUM HEALTH PARTNERS, INC. 403(b) PLAN

SUMMARY PLAN DESCRIPTION

CONTINUUM HEALTH PARTNERS, INC. 403(b) PLAN

(Employer Contribution and Salary Reduction Contribution)

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TABLE OF CONTENTS

Page

INTRODUCTION .......................................................................................................................... 1

1. HOW DOES THE PLAN WORK? .................................................................................... 2

2. WHAT ARE THE ELIGIBILITY REQUIREMENTS TO PARTICIPATE IN THE PLAN?...................................................................................................................... 3

3. HOW DO I CONTRIBUTE TO THE PLAN? ................................................................... 4

4. HOW MUCH MAY YOU CONTRIBUTE TO THE PLAN? ........................................... 4

5. WHAT IF I EXCEED THE PERMITTED ELECTIVE DEFERRAL LIMIT? ................. 6

6. MUST I CONTRIBUTE TO THE PLAN? ........................................................................ 7

7. HOW MUCH WILL THE EMPLOYER CONTRIBUTE TO MY ACCOUNT? ....................................................................................................................... 7

8. MAY I MAKE ROLLOVER CONTRIBUTIONS TO THE PLAN? ................................ 8

9. WHAT DOES IT MEAN TO BE VESTED IN MY ACCOUNT? .................................... 8

10. WHAT IS A BREAK IN SERVICE? ................................................................................. 9

11. HOW ARE THE FUNDS IN MY ACCOUNT INVESTED?.......................................... 10

12. ARE THERE INVESTMENT CHARGES?..................................................................... 11

13. MAY I TRANSFER BETWEEN THE INVESTMENT FUNDS UNDER THE PLAN?...................................................................................................................... 12

14. HOW IS MY RETIREMENT BENEFIT DETERMINED? ............................................ 13

15. WHEN MAY I COMMENCE TO RECEIVE BENEFITS? ............................................ 13

16. IN WHAT FORM WILL I RECEIVE MY BENEFITS? ................................................. 15

17. WHAT OPTIONAL FORMS OF BENEFITS ARE AVAILABLE? .............................. 16

18. WHAT IF I DIE BEFORE COMMENCEMENT OF MY BENEFITS? ......................... 17

19. WHAT IF I DIE AFTER COMMENCEMENT OF MY BENEFITS? ............................ 19 i

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20. MAY I WITHDRAW ANY AMOUNTS FROM MY ACCOUNT WHILE I AM STILL EMPLOYED?............................................................................................... 19

21. MAY I BORROW FROM THE PLAN? .......................................................................... 21 22. WHAT ARE THE REQUIREMENTS FOR SPOUSAL CONSENT? ............................ 23 23. DO I STILL RECEIVE SOCIAL SECURITY BENEFITS IF I

PARTICIPATE IN THE PLAN?..................................................................................... 24 24. MAY I ASSIGN MY PLAN BENEFITS? ....................................................................... 25 25. IS THE PLAN AN EMPLOYMENT CONTRACT?....................................................... 25 26. MAY THE PLAN BE AMENDED OR TERMINATED?............................................... 26 27. ARE BENEFITS UNDER THE PLAN INSURED BY THE PENSION

BENEFIT GUARANTY CORPORATION? .................................................................. 26 28. WHAT FEDERAL INCOME TAXES ARE APPLICABLE TO THE PLAN? .............. 26 29. CLAIMS PROCEDURE................................................................................................... 26 30. REPRESENTATIVE RESPONSIBLE FOR PROVIDING INVESTMENT

INFORMATION............................................................................................................... 30 31. ADDITIONAL INFORMATION ON THE CONTINUUM HEALTH

PARTNERS, INC. 403(b) PLAN AS REQUIRED BY THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974................................................... 31 32. YOUR RIGHTS UNDER THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974.............................................................................................. 32

GLOSSARY................................................................................................................................. 35 EXHIBIT A.................................................................................................................................... 1

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INTRODUCTION The Continuum Health Partners, Inc. 403(b) Plan (the "Plan") is maintained to help you with your retirement by providing you and your Spouse and Beneficiaries with retirement income to supplement your other retirement savings and benefits from Social Security and to provide you with a means to save on a pre-tax basis for retirement by permitting you to make pre-tax Salary Reduction Contributions to the Plan.

This Summary Plan Description ("SPD") provides you with an explanation of your benefits under the Plan and the requirements to receive them. The Plan, which was effective as of January 1, 2005 is the resulting Plan of the merger of the St. Luke's ? Roosevelt Hospital Center Section 403(b) Tax Sheltered Annuity Plan and the Long Island College Hospital 403(b) Retirement Plan into the Beth Israel Medical Center Tax Deferred Annuity Retirement Plan. In connection with the combination of the Continuum hospitals with Mount Sinai Health System, Inc., Beth Israel assumed sponsorship of the Plan, effective January 1, 2014. The following pages will summarize the Plan's provisions in effect as of November 1, 2013 and as amended thereafter. If your Termination of Employment occurred prior to November 1, 2013, then please consult the plan document for the Plan in which you participated or the applicable SPD in effect at that time.

We urge you to read the following material carefully. We believe that you will find this SPD a valuable tool when you have questions about the Plan. Please keep this SPD handy for easy reference. If you have any questions, call the Benefits Office at (212) 523-5193. For definitions of the terms used in this SPD, see the Glossary.

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There are several documents which officially control the provisions of the Plan and spell out the exact terms of your rights. The primary document is Continuum Health Partners, Inc. 403(b) Plan which will be referred to as the "Plan" in this booklet. In addition, there are contracts and/or agreements with certain funding agents, including Fidelity Investments Institutional Services Company, Inc. ("Fidelity") pursuant to which contributions under the Plan are invested.

Beth Israel as the Plan Administrator, has appointed a Committee (the "Committee") to administer the Plan on its behalf. The Committee will exercise supervisory control over the Plan's operation, including determination of the eligibility of employees to receive benefits, computation of the amount of benefit payments, and authorization for payment of such benefits.

This Summary Plan Description ("SPD") sets forth the provisions of the Plan in effect as of January 1, 2005 and thereafter. The primary purpose of this SPD is to provide you with a non-technical explanation of the most important features of the Plan. However, if there is any inconsistency between the Plan document and this SPD the provisions of the Plan document will govern. We urge you to read this SPD carefully so that you will understand the Plan as it applies to you and your family. We suggest that you keep this SPD handy for easy reference.

1. HOW DOES THE PLAN WORK? If you are an Employee, you are permitted to contribute, on a voluntary basis, a

percentage of your Compensation pursuant to a Salary Reduction Agreement to the Account

maintained for you by a Funding Agent. In addition, the Employer may contribute on your

behalf to the Plan. You may enroll in the Plan by visiting plan.CHP or calling

Fidelity at 1-800-343-0860 and completing the necessary salary reduction process.

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Upon your retirement, the benefit you will receive will be based upon the amount in your Account and the payment option you select.

2. WHAT ARE THE ELIGIBILITY REQUIREMENTS TO PARTICIPATE IN THE PLAN? All Employees, other than leased employees, are permitted (but not required) to make

Salary Reduction Contributions to the Plan immediately following their initial date of employment. Independent contractors and agents are not considered employees for this purpose.

During any period that you are classified as either an independent contractor or you provide services to the Employer through another entity, you will not be eligible to participate in this Plan (even if you are later retroactively reclassified as an employee during all or any part of such period pursuant to applicable law or otherwise).

In addition, if you are considered an Eligible Employee, you will also be eligible to receive Employer Contributions as described in Question 7, commencing with the first of the month coinciding with or immediately following your completion of one (1) Year of Service. If you are a member of the Special and Superior Officers Benevolent Association, you will be eligible to receive Employer Contributions as described in Question 7 commencing with the first day of the month following your one year anniversary of continuous employment (excluding any period during which you are on a leave of absence) with St. Luke's Roosevelt Hospital Center. If you are an Eligible Employee who was hired between April 30, 2010 and December 31, 2010 and you were employed by St. Vincent's Catholic Medical Center, Aptium W. New York, Inc. or Radiology Oncology Medical Practice of St. Vincent's, PC on April 29, 2010, you became

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eligible to receive Employer Contributions as described in Question 7 after you completed one Hour of Service.

To participate in the Plan, you must follow the enrollment procedures of the applicable Funding Agent.

3. HOW DO I CONTRIBUTE TO THE PLAN? To make contributions to the Plan, you must enter into a Salary Reduction Agreement

with the Employer authorizing the Employer to reduce your Compensation on a pre-tax basis and specifying the amount of the reduction (referred to as "Salary Reduction Contributions") to be contributed on your behalf to the Account maintained for you by a Funding Agent. The Funding Agent will provide you with the appropriate procedure for entering into a Salary Reduction Agreement. You may enter into a new Salary Reduction Agreement at any time, to be effective as of the first day of the following payroll period (in accordance with notice procedures established by the Employer). Subject to certain legal limitations, Salary Reduction Contributions are not treated as income for federal income tax purposes until such later time as you receive them.

4. HOW MUCH MAY YOU CONTRIBUTE TO THE PLAN? There are several legal limits on the maximum amount that you may contribute to the

Plan. The Code limits the amount you may contribute to the Plan on a pre-tax basis pursuant to a Salary Reduction Agreement in any calendar year. For 2014, the limit is $17,500 and will be adjusted by the Secretary of the Treasury for cost of living from time to time. If you also make other salary deferrals under any other 403(b) or 401(k) plan (whether maintained by the

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Employer or another employer), such amounts will reduce the amount of your permitted Salary Reduction Contributions under the Plan.

In addition, if you have attained (or will attain) age 50 before the end of the applicable Plan Year and you are fully contributing to the Plan such that you will reach the maximum permitted elective deferral to the Plan for the applicable Plan Year, you will be eligible to make a catch-up contribution beyond the permitted elective deferral limit. For 2014, this additional amount will be $5,500 and will be adjusted by the Secretary of the Treasury for cost of living from time to time. Such catch-up contribution will not be taken into account in calculating your Section 415 Limitation (described below).

If you have completed 15 Years of Service with the Employer, then the permitted annual contribution amount may be increased by as much as $3,000. The amount that you may contribute in excess of the permitted elective deferral limit is the least of: (i) $3,000; (ii) $15,000 minus all amounts in excess of the permitted elective deferral limit that were allowed to be excluded from gross income in prior years due to this provision; or (iii) $5,000 multiplied by your years of service, minus all prior calendar year elective contributions.

You may not contribute an amount pursuant to a Salary Reduction Agreement that together with contributions by any employer would exceed the Section 415 Limitation, which is the lesser of $51,000 (as adjusted) or one hundred percent (100%) of your taxable gross earnings during the calendar year.

There are special rules for combining limitations if you participate in any other pension plan of the Employer or any other organization. In addition, in certain instances you may vary

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