﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2023v6.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2025-05-15T14:34:41-05:00</ReturnTs>
    <TaxPeriodEndDt>2024-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>331498605</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>PLANTE &amp; MORAN PLLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>10 S RIVERSIDE PLAZA 9TH FLOOR</AddressLine1Txt>
        <CityNm>CHICAGO</CityNm>
        <StateAbbreviationCd>IL</StateAbbreviationCd>
        <ZIPCd>60606</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>361509000</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>MOUNT SINAI HOSPITAL MEDICAL CENTER</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>MOUN</BusinessNameControlTxt>
      <PhoneNum>7732572937</PhoneNum>
      <USAddress>
        <AddressLine1Txt>CALIFORNIA AVENUE AT 15TH STREET</AddressLine1Txt>
        <CityNm>CHICAGO</CityNm>
        <StateAbbreviationCd>IL</StateAbbreviationCd>
        <ZIPCd>60608</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>DIMAS ORTEGA</PersonNm>
      <PersonTitleTxt>DEPUTY CFO</PersonTitleTxt>
      <PhoneNum>7732572937</PhoneNum>
      <SignatureDt>2025-05-14</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>1</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>DAVID LOWENTHAL</PreparerPersonNm>
      <PTIN>P00378651</PTIN>
      <PhoneNum>3122071040</PhoneNum>
      <PreparationDt>2025-05-13</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2023</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="10">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>DR NGOZI O EZIKE MD</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>CALIFORNIA AVENUE AT 15TH STREET</AddressLine1Txt>
        <CityNm>CHICAGO</CityNm>
        <StateAbbreviationCd>IL</StateAbbreviationCd>
        <ZIPCd>60608</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>428262286</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.SINAICHICAGO.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1918</FormationYr>
      <LegalDomicileStateCd>IL</LegalDomicileStateCd>
      <ActivityOrMissionDesc>AS A MEMBER OF SINAI HEALTH SYSTEM, MOUNT SINAI HOSPITAL MEDICAL CENTER'S MISSION IS TO IMPROVE THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES BY PROVIDING COMPREHENSIVE MEDICAL, SURGICAL, PEDIATRIC, PSYCHIATRIC, AND INTENSIVE CARE SERVICES. THE VISION IS TO BE A NATIONAL MODEL FOR THE DELIVERY OF URBAN HEALTHCARE.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>25</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>24</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>1944</TotalEmployeeCnt>
      <TotalVolunteersCnt>137</TotalVolunteersCnt>
      <TotalGrossUBIAmt>286413</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>234699</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>35845179</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>16836407</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>386536016</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>404542985</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>262884</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>1548029</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>3724664</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>5334865</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>426368743</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>428262286</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>1158545</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>1098337</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>146627770</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>167537592</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>304491262</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>305212843</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>452277577</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>473848772</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-25908834</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-45586486</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>299437837</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>318160407</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>285179710</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>349491462</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>14258127</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>-31331055</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>AS A MEMBER OF SINAI HEALTH SYSTEM, MOUNT SINAI HOSPITAL MEDICAL CENTER'S MISSION IS TO IMPROVE THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES BY PROVIDING COMPREHENSIVE MEDICAL, SURGICAL, PEDIATRIC, PSYCHIATRIC, AND INTENSIVE CARE SERVICES. THE VISION IS TO BE A NATIONAL MODEL FOR THE DELIVERY OF URBAN HEALTHCARE.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>311489369</ExpenseAmt>
      <GrantAmt>1098337</GrantAmt>
      <RevenueAmt>264851426</RevenueAmt>
      <Desc>PATIENT CAREMOUNT SINAI HOSPITAL MEDICAL CENTER (MOUNT SINAI HOSPITAL OR MSH) IS A 319-LICENSED BED ACUTE CARE AND TEACHING HOSPITAL AFFILIATED WITH THE JEWISH FEDERATION OF METROPOLITAN CHICAGO. MSH IS AN INTEGRAL PART OF THE SINAI HEALTH SYSTEM'S CORE MISSION TO IMPROVE THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. FOUNDED IN 1919, MSH PROVIDES A SIGNIFICANT PORTION OF THE TOTAL MEDICAL SERVICES AVAILABLE TO WEST SIDE RESIDENTS. THESE SERVICES INCLUDE A FULL SPECTRUM OF CARE, INCLUDING MEDICAL, SURGICAL, PEDIATRIC, LEVEL III PERINATAL, INTENSIVE CARE, EMERGENCY, MATERNAL CHILD, AND PSYCHIATRIC SERVICES. THE HOSPITAL'S EMERGENCY DEPARTMENT IS ONE OF FOUR LEVEL I TRAUMA CENTERS IN CHICAGO.CHARITY CAREMOUNT SINAI HOSPITAL PROVIDED $24,395,816 OF CHARITY CARE AT COST TO PATIENTS WHO WERE UNABLE TO PAY FOR SERVICES. SINCE SO MANY OF OUR PATIENTS ARE UNINSURED OR OTHERWISE UNABLE TO AFFORD CARE, CHARITY CARE IS A VITAL PART OF OUR MISSION TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.COMMUNITY OUTREACHAS PART OF OUR MISSION TO IMPROVE THE HEALTH OF OUR COMMUNITIES, MSH HAS LAUNCHED SEVERAL INITIATIVES TO STUDY AND ADDRESS SPECIFIC HEALTH ISSUES. THE SINAI URBAN HEALTH INSTITUTE (SUHI) IS A NATIONALLY RECOGNIZED RESEARCH ORGANIZATION FUNDED AND OPERATED THROUGH MOUNT SINAI HOSPITAL. SUHI HAS PUBLISHED GROUNDBREAKING RESEARCH ON RACIAL DISPARITIES, HIV, SMOKING RATES, ASTHMA, DIABETES, BREAST CANCER, AND OTHER HEALTH THREATS FACING LOW-INCOME MINORITY POPULATIONS.ACCREDITATIONS AND CERTIFICATIONS:- PALLIATIVE MEDICINE PROGRAM RECOGNIZED FOR OUTSTANDING ACHIEVEMENT BY THE COLEMAN FOUNDATION- OUTPATIENT PSYCHIATRY PROGRAMS ACCREDITED BY CARF- NATIONAL EXCELLENCE IN HEALTHCARE 2014 AWARD WINNER FOR OVERALL QUALITY CARE FROM PROFESSIONAL RESEARCH CONSULTANTS- GET WITH THE GUIDELINES STROKE GOLD-PLUS QUALITY ACHIEVEMENT AWARD WINNER FROM THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION- ONCOLOGY PRACTICE INITIATIVE CERTIFICATION PROGRAM, AN AFFILIATED PROGRAM OF THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY- OB ULTRASOUND DEPARTMENT ACCREDITED BY THE AMERICAN INSTITUTE OF ULTRASOUND MEDICINE- MAMMOGRAPHY ACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY- THE JOINT COMMISSION GOLD SEAL OF APPROVAL- EMERGENCY DEPARTMENT APPROVED FOR PEDIATRICS CERTIFICATION (EDAP)- AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER- ACCREDITED CHEST PAIN CENTER BY THE SOCIETY OF CHEST PAIN CENTERSPRIMARY STROKE CENTER AWARDS:- INNOVATION IN QUALITY AWARD (ILLINOIS HOSPITAL ASSOCIATION)- ILLINOIS HOSPITAL ASSOCIATION PLEDGE QUALITY ACHIEVEMENT AWARD- DEAF ILLINOIS AWARD FOR BEST HEALTH SERVICES IN 2007, 2009 AND 2011- ORGAN AND TISSUE DONOR NETWORK'S GIFT OF HOPE SILVER MEDAL OF HONOR</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>53186342</ExpenseAmt>
        <RevenueAmt>142983128</RevenueAmt>
        <Desc>PATIENT SERVICE-THERAPY &amp; DIAGNOSTICSWITH AN AGING POPULATION, REACHING AND PROVIDING HEALTH CARE TO OUR SENIORS ON A TIMELY BASIS HAS BECOME CRITICAL. SINAI HOME HEALTH THROUGH ITS TRAINED NURSES KEEPS IN CONTACT WITH SENIORS THROUGH PERIODIC HOME VISITS. SUCH VISITS PROVIDE AN OPPORTUNITY TO DO A GENERAL CHECKUP ON THEIR HEALTH, ENSURE THE PATIENTS ARE TAKING THE PRESCRIBED MEDICATION AND TO DISCUSS THEIR HEALTH CONCERNS. THIS PROGRAM HAS BEEN WELL RECEIVED IN THE COMMUNITY. SINAI IS ALSO DEVELOPING A DEDICATED GERIATRIC SERVICE LINE IN ORDER TO PROVIDE SUPERIOR CONTINUITY OF CARE.FOR ONCOLOGY PATIENTS, THE SINAI HEALTH SYSTEM CANCER CARE CENTER WAS ESTABLISHED IN 2008. WITH THE SUPPORT OF THE COLEMAN FOUNDATION, AN INTEGRATED ONCOLOGY CENTER WAS CREATED THAT LINKS PHYSICIANS' OFFICES, A CHEMOTHERAPY CENTER AND AN INPATIENT UNIT ALL IN ONE AREA.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>14496640</ExpenseAmt>
        <RevenueAmt>1756883</RevenueAmt>
        <Desc>TEACHING &amp; RESEARCHMOUNT SINAI HOSPITAL PROVIDES UNDERGRADUATE TRAINING FOR MEDICAL STUDENTS IN SIX MAJOR SPECIALTIES - MEDICINE, SURGERY, OBSTETRICS/GYNECOLOGY, PEDIATRICS, PSYCHIATRY AND PHYSICAL MEDICINE AS WELL AS A NUMBER OF SUB-SPECIALTIES. THE HOUSE STAFF PROGRAM PROVIDES TRAINING FOR RESIDENTS AND FELLOWS IN MAJOR CLINICAL AREAS. IN 2008, RELATIONSHIPS WITH ACADEMIC MEDICAL CENTERS WERE EXPANDED THAT ENRICH THE PATIENT CARE RESOURCES AVAILABLE THROUGH AFFILIATIONS WITH NORTHWESTERN MEMORIAL HOSPITAL, THE UNIVERSITY OF CHICAGO MEDICAL CENTER, RUSH UNIVERSITY MEDICAL CENTER, THE UNIVERSITY OF ILLINOIS-CHICAGO AND ROSALIND FRANKLIN UNIVERSITY.RESEARCH PROGRAMS AT MOUNT SINAI HOSPITAL ARE ONGOING IN SEVERAL FIELDS INCLUDING CANCER DETECTION AND TREATMENT, CHILD ABUSE, TRAUMA AND EMERGENCY MEDICINE, PEDIATRIC HIV/AIDS, UROLOGY, RHEUMATOLOGY, HEMATOLOGY AND NEONATOLOGY.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <Desc>ANESTHESIA AND OTHERSTHE DEPARTMENT OF ANESTHESIA AT MOUNT SINAI HOSPITAL IS AN INTEGRAL PART OF THE SURGICAL SERVICES DEPARTMENT. ANESTHESIA SERVICES ARE PROVIDED BY A GROUP OF HIGHLY TRAINED ANESTHESIOLOGISTS AND CERTIFIED REGISTERED NURSE ANESTHETISTS SPECIFICALLY TRAINED IN ANESTHESIOLOGY PROVIDING GENERAL ANESTHESIA, REGIONAL ANESTHESIA, SEDATION AND PAIN MANAGEMENT PROCEDURES. WE COVER CASES INCLUDING OPEN HEART, NEUROSURGERY, NEONATAL, THORACIC AND PEDIATRIC.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalProgramServiceExpensesAmt>379172351</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>0</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>1</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">1</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">1</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>0</FundraisingActivitiesInd>
      <GamingActivitiesInd>0</GamingActivitiesInd>
      <OperateHospitalInd referenceDocumentId="RetDoc1041500001">1</OperateHospitalInd>
      <AuditedFinancialStmtAttInd referenceDocumentId="RetDoc2317200001">1</AuditedFinancialStmtAttInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc1041900001">1</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc1041900001">0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd referenceDocumentId="RetDoc1042800001">0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd referenceDocumentId="RetDoc1042800001">0</PYExcessBenefitTransInd>
      <LoanOutstandingInd referenceDocumentId="RetDoc1042800001">0</LoanOutstandingInd>
      <GrantToRelatedPersonInd referenceDocumentId="RetDoc1042800001">0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd referenceDocumentId="RetDoc1042800001">0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd referenceDocumentId="RetDoc1042800001">0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>1</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc1043400001">0</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc1043400001">1</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>1</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="RetDoc1043400001">1</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc1043400001">0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>0</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>1944</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>1</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>1</Form990TFiledInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>0</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>25</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>24</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>1</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>1</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>1</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>1</InvestmentInJointVentureInd>
      <WrittenPolicyOrProcedureInd>1</WrittenPolicyOrProcedureInd>
      <StatesWhereCopyOfReturnIsFldCd>IL</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>DIMAS ORTEGA</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>7732575964</PhoneNum>
        <USAddress>
          <AddressLine1Txt>1500 S CALIFORNIA AVENUE</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60608</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>NGOZI EZIKE MD</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <AverageHoursPerWeekRt>16.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>24.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>807320</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6600</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRIAN DOLAN</PersonNm>
        <TitleTxt>DIRECTOR &amp; CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN A MORALES</PersonNm>
        <TitleTxt>DIRECTOR &amp; VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALEJANDRA GARZA</PersonNm>
        <TitleTxt>DIRECTOR &amp; VICE CHAIR - THRU 08/24</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VIVIAN FUNCHES</PersonNm>
        <TitleTxt>DIRECTOR &amp; SECRETARY - BEG. 10/24</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LESLIE DAVIS</PersonNm>
        <TitleTxt>DIRECTOR &amp; SECRETARY - THRU 10/24</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KENNETH AVNER</PersonNm>
        <TitleTxt>DIRECTOR &amp; TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ONYINYECHI DANIEL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL R DAVENPORT MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROXANNE J DECYK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNE DONNELLY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EMILY DOSKOW</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FR WILLIAM GROGAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AVERY HART MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL J HAYES</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NAKISHA HOBBS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WAYNE M LERNER</PersonNm>
        <TitleTxt>DIRECTOR - THRU 10/2023</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARTLETT JOHNSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT MARKIN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRET MAXWELL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LEE MILLER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILBUR MILHOUSE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LESLIE MITCHEL-BOND</PersonNm>
        <TitleTxt>DIRECTOR - THRU 10/2023</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ABRAHAM MORGAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATYA NUQUES</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID SMITH</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RACHEL STERNBERG</PersonNm>
        <TitleTxt>DIRECTOR - THRU 10/2023</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VINCENT WILLIAMS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DIMAS ORTEGA</PersonNm>
        <TitleTxt>CFO, INTERIM 04/2023 THRU 01/2024</TitleTxt>
        <AverageHoursPerWeekRt>16.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>24.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>299388</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2988</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RUSSELL FIORELLA</PersonNm>
        <TitleTxt>SYSTEM CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>20.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>609509</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29236</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH CONNOLLY</PersonNm>
        <TitleTxt>GENERAL COUNSEL</TitleTxt>
        <AverageHoursPerWeekRt>16.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>24.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>425179</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3816</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ILIANA ANDREA MORA</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER - BEG 6/2023</TitleTxt>
        <AverageHoursPerWeekRt>16.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>24.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>307458</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24535</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JASON SPIGNER</PersonNm>
        <TitleTxt>CHIEF HUMAN RESOURCES OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>16.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>24.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>397577</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17135</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KENNETH SLAWKOWSKI</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>16.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>24.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>327264</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6548</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINA WAGENER</PersonNm>
        <TitleTxt>VP CLINICAL OPERATIONS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>322911</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16776</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH E REYNOSO</PersonNm>
        <TitleTxt>OR NURSE-PERIOPERATIVE ONLY</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>314448</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18561</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GINA WALTON</PersonNm>
        <TitleTxt>VICE PRESIDENT GME DIVERSITY</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>353307</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6600</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KAREN JANOUSEK</PersonNm>
        <TitleTxt>VP &amp; CHIEF HEALTH &amp; POPULATION</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>358675</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31692</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SAMEER SHAH</PersonNm>
        <TitleTxt>VP OPERATIONS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>366553</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4162</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KAREN TEITELBAUM</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO - THRU 12/2022</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>152527</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>440</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GARY KRUGEL</PersonNm>
        <TitleTxt>CFO - THRU 04/2023</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>190757</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8959</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID CAPONE</PersonNm>
        <TitleTxt>CFO, INTERIM - 01/2023 THRU 04/2023</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM FOLEY</PersonNm>
        <TitleTxt>COO, INTERIM - 10/2022 TO 10/2023</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>5232873</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>178048</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>376</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SODEXO</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 360170</AddressLine1Txt>
            <CityNm>PITTSBURGH</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>152516170</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FOOD SERVICES</ServicesDesc>
        <CompensationAmt>15650269</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>OWENS &amp; MINOR</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>935 MURFIELD DRIVE</AddressLine1Txt>
            <CityNm>HANOVER PARK</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60133</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>4696977</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NATIONAL GOVERNMENT SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 809199</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>606809199</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>1076698</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SENDRA SERVICE CORPORATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 957</AddressLine1Txt>
            <CityNm>MOKENA</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60448</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FACILITY CONTRACTORS</ServicesDesc>
        <CompensationAmt>855283</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDTRONIC USA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 1450</AddressLine1Txt>
            <CityNm>MINNEAPOLIS</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>554858723</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEALTHCARE TECHNOLOGY</ServicesDesc>
        <CompensationAmt>680743</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>30</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>14580697</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>2255710</AllOtherContributionsAmt>
      <TotalContributionsAmt>16836407</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE AND MEDICAID</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>232801305</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>232801305</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>135747328</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>135747328</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>13689036</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13689036</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CAFETERIA REVENUE</Desc>
        <BusinessCd>722514</BusinessCd>
        <TotalRevenueColumnAmt>1765100</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1765100</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PARKING GARAGE</Desc>
        <BusinessCd>812930</BusinessCd>
        <TotalRevenueColumnAmt>579348</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>579348</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>19960868</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>19960868</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>404542985</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1525136</TotalRevenueColumnAmt>
        <ExclusionAmt>1525136</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>694064</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>694064</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>694064</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>694064</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>22893</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>22893</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>22893</TotalRevenueColumnAmt>
        <ExclusionAmt>22893</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>MED STUDENT REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>4340599</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4340599</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>DAVITA INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>286413</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>286413</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>PURCHASED SERVICES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>13789</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13789</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>4640801</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>428262286</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>409591437</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>286413</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1548029</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>1098337</TotalAmt>
        <ProgramServicesAmt>1098337</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>3640409</TotalAmt>
        <ManagementAndGeneralAmt>3640409</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>130360802</TotalAmt>
        <ProgramServicesAmt>100286506</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30074296</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>732061</TotalAmt>
        <ProgramServicesAmt>547874</ProgramServicesAmt>
        <ManagementAndGeneralAmt>184187</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>24385708</TotalAmt>
        <ProgramServicesAmt>18250264</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6135444</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>8418612</TotalAmt>
        <ProgramServicesAmt>6300489</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2118123</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>3380264</TotalAmt>
        <ManagementAndGeneralAmt>3380264</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>15981</TotalAmt>
        <ManagementAndGeneralAmt>15981</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>17527663</TotalAmt>
        <ProgramServicesAmt>9296575</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8231088</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>1393</TotalAmt>
        <ManagementAndGeneralAmt>1393</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>852162</TotalAmt>
        <ProgramServicesAmt>477882</ProgramServicesAmt>
        <ManagementAndGeneralAmt>374280</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>25821</TotalAmt>
        <ProgramServicesAmt>22780</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3041</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>3943109</TotalAmt>
        <ProgramServicesAmt>2951023</ProgramServicesAmt>
        <ManagementAndGeneralAmt>992086</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>31128</TotalAmt>
        <ProgramServicesAmt>17639</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13489</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>84847</TotalAmt>
        <ProgramServicesAmt>80490</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4357</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>4471960</TotalAmt>
        <ProgramServicesAmt>3346815</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1125145</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>11285350</TotalAmt>
        <ProgramServicesAmt>8445956</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2839394</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>4746844</TotalAmt>
        <ProgramServicesAmt>3552538</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1194306</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>INTERCO PURCHASED SVCS</Desc>
        <TotalAmt>111287903</TotalAmt>
        <ProgramServicesAmt>83287866</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28000037</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>UNRELATED BUSINESS TAX</Desc>
        <TotalAmt>59290</TotalAmt>
        <ManagementAndGeneralAmt>59290</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DRUGS AND MED SUPPLIES</Desc>
        <TotalAmt>48376048</TotalAmt>
        <ProgramServicesAmt>48376048</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>43729062</TotalAmt>
        <ProgramServicesAmt>43729062</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>55394018</TotalAmt>
        <ProgramServicesAmt>49104207</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6289811</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>473848772</TotalAmt>
        <ProgramServicesAmt>379172351</ProgramServicesAmt>
        <ManagementAndGeneralAmt>94676421</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>4086784</BOYAmt>
        <EOYAmt>4162256</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>32384390</BOYAmt>
        <EOYAmt>42836858</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>3619547</BOYAmt>
        <EOYAmt>3933693</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>2081885</BOYAmt>
        <EOYAmt>3078431</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>303945010</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>240819080</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>63949754</BOYAmt>
        <EOYAmt>63125930</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>9634640</BOYAmt>
        <EOYAmt>9934163</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>1767557</BOYAmt>
        <EOYAmt>1909365</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>5491296</BOYAmt>
        <EOYAmt>5014127</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>176421984</BOYAmt>
        <EOYAmt>184165584</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>299437837</BOYAmt>
        <EOYAmt>318160407</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>66407914</BOYAmt>
        <EOYAmt>92656019</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>53912644</BOYAmt>
        <EOYAmt>51100987</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>164859152</BOYAmt>
        <EOYAmt>205734456</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>285179710</BOYAmt>
        <EOYAmt>349491462</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>10311617</BOYAmt>
        <EOYAmt>-36254741</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>3946510</BOYAmt>
        <EOYAmt>4923686</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>14258127</BOYAmt>
        <EOYAmt>-31331055</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>299437837</BOYAmt>
        <EOYAmt>318160407</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-45586486</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-2696</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>2097734</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>240741</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>272102</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>86748</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>1979625</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2107988</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>130184</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>92178</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>48260</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>2097734</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2319263</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-91216</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>96458</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>23601</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>2107988</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2038920</BeginningYearBalanceAmt>
        <ContributionsAmt>1260</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>442188</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>121488</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>41617</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>2319263</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2136133</BeginningYearBalanceAmt>
        <ContributionsAmt>167</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>71865</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>118813</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>50432</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>2038920</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>1.00000</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.00000</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.00000</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1725650</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1725650</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>175120048</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>142963579</DepreciationAmt>
        <BookValueAmt>32156469</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>2922248</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1777559</DepreciationAmt>
        <BookValueAmt>1144689</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>124177064</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>96077942</DepreciationAmt>
        <BookValueAmt>28099122</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>63125930</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM RELATED PARTIES</Desc>
        <BookValueAmt>164882710</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
        <BookValueAmt>591594</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DEPOSITS</Desc>
        <BookValueAmt>1661500</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>CAPITAL LEASES</Desc>
        <BookValueAmt>17029780</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>184165584</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>INTERCOMPANY PAYABLE</Desc>
        <Amt>68715684</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER ACCOUNTS PAYABLE</Desc>
        <Amt>67908612</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ADVANCE PAYMENTS</Desc>
        <Amt>6863495</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFFERED LIABILITIES</Desc>
        <Amt>28011179</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LONG TERM LIABILITIES</Desc>
        <Amt>6040375</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>COST REPORT SETTLEMENT PAYABLE</Desc>
        <Amt>28081132</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CHECKS ISSUED IN EXCESS OF CASH</Desc>
        <Amt>113979</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>205734456</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FUNDS ARE USED FOR GENERAL OPERATING PURPOSES. THE INTEREST FROM THE FUND IS UTILIZED FOR UNRESTRICTED PURPOSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MOUNT SINAI, SCHWAB, HOLY CROSS, SMG, AND SCI ARE EXEMPT FROM TAX UNDER THE PROVISIONS OF INTERNAL REVENUE CODE SECTION 501(C)(3). PRO IS A FOR-PROFIT SUBSIDIARY AND IS SUBJECT TO FEDERAL INCOME TAX ON ITS EARNINGS. U.S. GAAP REQUIRES MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATION AND RECOGNIZE A TAX LIABILITY IF THE CORPORATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CORPORATION, AND HAS CONCLUDED THAT, AS OF JUNE 30, 2024 AND 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE CORPORATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <FinancialAssistancePolicyInd>1</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>1</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>1</FPGReferenceFreeCareInd>
      <FreeCareOthPercentageGrp>
        <OtherInd>X</OtherInd>
        <FreeCareOtherPct>300.000000000000</FreeCareOtherPct>
      </FreeCareOthPercentageGrp>
      <FPGReferenceDiscountedCareInd>1</FPGReferenceDiscountedCareInd>
      <DiscountedCareOthPercentageGrp>
        <OtherInd>X</OtherInd>
        <DiscountedCareOtherPct>600.000000000000</DiscountedCareOtherPct>
      </DiscountedCareOthPercentageGrp>
      <FreeCareMedicallyIndigentInd>1</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>0</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>1</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>1</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>38221476</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>38221476</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.08330</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>193902766</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>245173796</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <UnreimbursedCostsGrp>
        <TotalCommunityBenefitExpnsAmt>11911666</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>7555233</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>4356433</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00950</TotalExpensePct>
      </UnreimbursedCostsGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>244035908</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>252729029</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>42577909</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.09280</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>7204614</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>7204614</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01570</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>14790588</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>3230239</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>11560349</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02520</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>48064575</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>48064575</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.10470</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <ResearchGrp>
        <TotalCommunityBenefitExpnsAmt>146925</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>146925</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00030</TotalExpensePct>
      </ResearchGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>1430961</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1430961</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00310</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>71637663</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>3230239</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>68407424</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.14900</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>315673571</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>255959268</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>110985333</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.24180</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <HealthImprovementAdvocacyGrp>
        <TotalCommunityBenefitExpnsAmt>1018609</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1018609</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00220</TotalExpensePct>
      </HealthImprovementAdvocacyGrp>
      <TotalCommuntityBuildingActyGrp>
        <TotalCommunityBenefitExpnsAmt>1018609</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1018609</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00220</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>1</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>14918026</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>1008850</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>17497697</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>12102470</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>5395227</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>MOUNT SINAI HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>CALIFORNIA AVE AT 15TH STREET</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60608</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.SINAICHICAGO.ORG</WebsiteAddressTxt>
        <StateLicenseNum>1871581314</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <ChildrensHospitalInd>X</ChildrensHospitalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>MOUNT SINAI HOSPITAL</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>0</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>0</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>TINYURL.COM/YW9JA4K4</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>0</StrategyPostedWebsiteInd>
        <StrategyAttachedInd referenceDocumentId="RetDoc2317300001">1</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>300.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>600.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>HTTPS://WWW.SINAICHICAGO.ORG/EN/PATIENTS-VISITORS/INSURANCE/</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>HTTPS://WWW.SINAICHICAGO.ORG/EN/PATIENTS-VISITORS/INSURANCE/</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>HTTPS://WWW.SINAICHICAGO.ORG/EN/PATIENTS-VISITORS/INSURANCE/</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicareInd>X</LookBackMedicareInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>MOUNT SINAI HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: MOUNT SINAI HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY. IN 2022 MOUNT SINAI HOSPITAL PARTNERED WITH THE ALLIANCE FOR HEALTH EQUITY TO CONDUCT A COMPREHENSIVE COMMUNITY INPUT PROCESS TO BETTER UNDERSTAND THE NEEDS AND ASSETS OF THE COMMUNITIES THAT MAKE UP THEIR PRIMARY SERVICE AREAS. SINAI HEALTH SYSTEM IS A MEMBER OF THE ALLIANCE FOR HEALTH EQUITY, WHICH HELPED TO CONDUCT A CITYWIDE CHNA FROM WHICH SHS GATHERED MOST OF OUR DATA. THE ALLIANCE FOR HEALTH EQUITY (ALLIANCE) IS A COLLABORATION OF 34 HOSPITALS, 7 HEALTH DEPARTMENTS, AND COMMUNITY-BASED ORGANIZATIONS ACROSS CHICAGO AND SUBURBAN COOK COUNTY WORKING TO IMPROVE HEALTH EQUITY, WELLNESS, AND QUALITY OF LIFE ACROSS 77 CHICAGO COMMUNITY AREAS AND 125 COOK COUNTY SUBURBAN MUNICIPALITIES. THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) SERVES AS THE ALLIANCE'S BACKBONE ORGANIZATION. THE PURPOSE OF THE ALLIANCE IS TO IMPROVE POPULATION AND COMMUNITY HEALTH BY: 1) PROMOTING HEALTH EQUITY; 2) SUPPORTING CAPACITY BUILDING, SHARED LEARNING, AND CONNECTING LOCAL INITIATIVES; 3) ADDRESSING SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH; 4) DEVELOPING BROAD CITY- AND COUNTY-WIDE INITIATIVES AND CREATING SYSTEMS; 5) ENGAGING COMMUNITY PARTNERS AND WORKING COLLABORATIVELY WITH COMMUNITY LEADERS; 6) DEVELOPING DATA SYSTEMS TO SUPPORT SHARED IMPACT MEASUREMENT AND COMMUNITY ASSESSMENT; AND 7) COLLABORATING ON POPULATION HEALTH POLICY AND ADVOCACY. IN LATE 2021, THE ALLIANCE GATHERED PRIMARY DATA FROM COMMUNITY MEMBERS (OVER 5,000 SURVEYS AND 43 FOCUS GROUPS CONDUCTED BY THE ALLIANCE WITH COMMUNITY MEMBER THROUGHOUT CHICAGO AND SUBURBAN COOK). THE SURVEYS WERE AVAILABLE ONLINE IN ENGLISH AND SPANISH. SURVEY QUESTIONS ASKED PARTICIPANTS ABOUT THE HEALTH STATUS OF THEIR COMMUNITIES, COMMUNITY STRENGTHS, OPPORTUNITIES FOR IMPROVEMENT, PRIORITY HEALTH NEEDS, AND COVID-19 IMPACTS. HOSPITALS, COMMUNITY-BASED ORGANIZATIONS, AND HEALTH DEPARTMENTS DISTRIBUTED THE SURVEYS TO GAIN INSIGHT FROM PRIORITY POPULATIONS THAT HAVE BEEN HISTORICALLY EXCLUDED IN ASSESSMENT PROCESSES. THE INTENTION OF THE COMMUNITY INPUT SURVEY WAS TO COMPLEMENT EXISTING SURVEYS SUCH AS THE HEALTHY CHICAGO SURVEY AND BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY / CDC PLACES.FOR THE FOCUS GROUPS, PARTICIPANTS WERE SELECTED TO REPRESENT COMMUNITIES THAT ARE HISTORICALLY MARGINALIZED AND SYSTEMICALLY EXCLUDED FROM ASSESSMENT AND DECISION-MAKING PROCESSES. THESE COMMUNITIES FACE AN UNEQUAL BURDEN OF HEALTH INEQUITIES. PARTICIPANTS WERE 14 YEARS OLD OR OLDER AND REPRESENTED A DIVERSE RANGE OF ETHNIC, RACIAL, RELIGIOUS, AND SOCIOECONOMIC BACKGROUNDS.FOCUS GROUP FACILITATORS ASKED PARTICIPANTS ABOUT COMMUNITY STRENGTHS, COMMUNITY HEALTH NEEDS, THE UNDERLYING ROOT CAUSES OF HEALTH NEEDS, COVID-19 IMPACTS, AND NEEDS RELATED TO PANDEMIC RECOVERY, SOLUTIONS TO IDENTIFIED HEALTH NEEDS, AND COMMUNICATION STRATEGIES. THESE GROUPS WERE HELD IN BOTH ENGLISH AND SPANISH, AS APPROPRIATE.AS PART OF ITS WORK TO IMPROVE COMMUNITY HEALTH, THE ALLIANCE CONDUCTS A COLLABORATIVE COUNTY AND CITYWIDE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE 2022 CHNA IS THE THIRD CONSECUTIVE COLLABORATIVE CHNA IN COOK COUNTY AND CHICAGO, AND WAS INTENTIONALLY BUILT ON THE SUCCESS OF PREVIOUS EFFORTS, INCLUDING 2016 AND 2019 COLLABORATIVE CHNAS, HEALTHY CHICAGO 2025, AND COOK COUNTY WEPLAN (2022). THE ALLIANCE WORKED CLOSELY WITH ITS STEERING COMMITTEE AND THE CITY AND COUNTY HEALTH DEPARTMENTS TO COMPILE, DESIGN, AND CREATE THE CHNA TO MEET REGULATORY REQUIREMENTS FOR NONPROFIT HOSPITALS.CHNA METHODOLOGY - PRIMARY AND SECONDARY DATA COLLECTION ALLIANCE COLLABORATIVE CHNA REPORT THE ALLIANCE COLLECTED PRIMARY DATA VIA FOUR METHODS: ALLIANCE FOR HEALTH EQUITY PARTNERS COLLECTED PRIMARY DATA THROUGH FOUR METHODS:- COMMUNITY INPUT SURVEYS;- COMMUNITY RESIDENT FOCUS GROUPS;- HEALTHCARE AND SOCIAL SERVICE PROVIDER FOCUS GROUPS; AND- REGIONAL STAKEHOLDER LISTENING SESSIONSALLIANCE PARTNERS AND STAKEHOLDERS IDENTIFIED, GATHERED, AND ANALYZED SECONDARY DATA FROM A VARIETY OF SOURCES. THE DATA WAS ORGANIZED INTO SIX CATEGORIES: SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH, HEALTHCARE DELIVERY AND CLINICAL CARE, HEALTH BEHAVIORS, BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE DISORDERS), MATERNAL AND CHILD HEALTH, AND HEALTH OUTCOMES (BIRTH OUTCOMES, MORBIDITY, AND MORTALITY). FOR COMPLETE INFORMATION ABOUT THE ALLIANCE, THE COLLABORATIVE CHNA PROCESS, AND DATA COLLECTION, SEE THE COLLABORATIVE CHNA REPORT AT HTTPS://ALLHEALTHEQUITY.ORG/PROJECTS/2022-CHNA-REPORT/MANY PEOPLE CONTRIBUTED TO THE CHNA REPORT, INCLUDING THE STAFF OF THE SINAI URBAN HEALTH INSTITUTE. THESE ARE ALL PEOPLE TRAINED IN PUBLIC HEALTH (MOST ARE GRADUATES OF SCHOOLS OF PUBLIC HEALTH WITH MPH OR PHD DEGREES). WE THUS BELIEVE THAT THE PUBLIC HEALTH CREDENTIALS OF THE AUTHORS OF THIS REPORT ARE SUBSTANTIAL AND NOTABLE.IN 2024, MOUNT SINAI HOSPITAL CONTINUED TO PARTNER WITH THE ALLIANCE IN PLANNING FOR THE COMPLETION OF ITS 2025 CHNA.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>MOUNT SINAI HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: EXPLANATION OF NEEDS ADDRESSED/NOT ADDRESSEDMOUNT SINAI HOSPITAL'S 2022 CHNA IDENTIFIED SIGNIFICANT HEALTH NEEDS AND BARRIERS TO CARE FACED BY THE COMMUNITIES SERVED BY MOUNT SINAI HOSPITAL. SUBSEQUENTLY, MOUNT SINAI HOSPITAL LEADERS, IN COLLABORATION WITH SINAI URBAN HEALTH INSTITUTE STAFF, DEVELOPED THE MOUNT SINAI HOSPITAL 2022 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). MOUNT SINAI HOSPITAL'S CHIP IS A COMMUNITY-CENTERED, THREE-YEAR PLAN THAT TACKLES THE HEALTH CHALLENGES IDENTIFIED IN THE CHNA. MOUNT SINAI HOSPITAL IS STRATEGICALLY ADDRESSING THE FIVE SIGNIFICANT HEALTH NEEDS IDENTIFIED FROM ITS CHNA BY TARGETING HEALTH STRATEGIES ASSOCIATED WITH EACH SIGNIFICANT HEALTH NEED. THE FOLLOWING ARE THE DESCRIPTION, GOAL, AND HEALTH STRATEGIES OF EACH SIGNIFICANT HEALTH NEED:- SOCIAL DETERMINANTS OF HEALTH: SOCIAL DETERMINANTS INCLUDE A BROAD RANGE OF FACTORS THAT ARE NOT TRADITIONALLY CONSIDERED "HEALTH-RELATED," BUT ARE CRITICALLY IMPORTANT TO ACHIEVING OPTIMAL WELLBEING. SOCIAL DETERMINANTS OF HEALTH INCLUDE FACTORS SUCH AS FINANCIAL SECURITY AND ECONOMIC OPPORTUNITY, HEALTHY FOOD ACCESS AND AFFORDABILITY, SAFE HOUSING, AND FREEDOM FROM INJUSTICE.- GOAL: LEVERAGE OUR COMMUNITY AND PROFESSIONAL PARTNERSHIPS TO COLLABORATIVELY ADDRESS THE SOCIAL DETERMINANTS OF HEALTH AND BUILD STRUCTURAL EQUITY ACROSS SYSTEMS.- HEALTH STRATEGIES: FOOD ACCESS; ECONOMIC VITALITY; ACCESSIBLE TRANSPORTATION; SAFE HOUSING; SCREENING FOR SOCIAL DETERMINANTS OF HEALTH.- COMMUNITY SAFETY: COMMUNITIES AND PEOPLE CANNOT THRIVE WHILE FEELING UNSAFE IN THEIR NEIGHBORHOODS. WITHIN THIS PRIORITY, MOUNT SINAI HOSPITAL SEEKS MULTISECTOR SOLUTIONS THAT CREATE SAFE COMMUNITIES, FREE FROM VIOLENCE, AND ALSO ADDRESS THE TRAUMA CAUSED BY PAST VIOLENCE.- GOAL: COLLABORATE, INITIATE, AND ACTIVATE VIOLENCE PREVENTION, TREATMENT, AND REHABILITATION SERVICES AND PROGRAMS TO ENSURE THE COMMUNITIES MOUNT SINAI SERVES ARE SAFE AND WELCOMING FOR EVERYONE.- HEALTH STRATEGIES: RESEARCH ACTIVISM; TRAUMA RESPONSE; PARTNERSHIPS FOR SAFE COMMUNITIES.- EQUITABLE HEALTH CARE ACROSS THE LIFESPAN: THIS PRIORITY FOCUSES ON ACCESS TO HIGH QUALITY PRIMARY AND SPECIALTY CARE, AS WELL AS ADEQUATE INSURANCE COVERAGE. WITHIN THIS AIM, WE WILL ENSURE THAT QUALITY, AGE- AND ABILITY-APPROPRIATE HEALTH CARE IS ACCESSIBLE TO ALL, REGARDLESS OF RACE, ETHNICITY, ZIP CODE, INCOME, INVOLVEMENT WITH THE JUSTICE SYSTEM, GENDER IDENTITY, SEXUAL ORIENTATION, OR CITIZENSHIP.- GOAL: IMPROVE ACCESS TO HIGH QUALITY, PREVENTIVE SPECIALTY CARE THAT RESPECTFULLY RESPONDS TO THE UNIQUE NEEDS OF EVERY INDIVIDUAL ACROSS THEIR LIFESPAN BY OFFERING CULTURALLY RESPONSIVE CARE ALIGNED WITH ANTI-RACIST APPROACHES. - HEALTH STRATEGIES: COVERAGE; PRIMARY CARE EXPANSION AND PARTNERSHIP; INTEGRATED CARE; CULTURALLY-SENSITIVE CARE; CAREGIVER WELLNESS. - CHRONIC AND INFECTIOUS DISEASE: THIS PRIORITY AREA INCLUDES A FOCUS ON PREVENTING AND TREATING CARDIO METABOLIC DISEASE (HEART DISEASE, STROKE, AND DIABETES), CANCER, AND INFECTIOUS DISEASE (PREDOMINANTLY HIV AND HEPATITIS).- GOAL: PREVENT THE ONSET OF INFECTIOUS AND CHRONIC DISEASE AND PROVIDE EXCELLENCE IN SHORT AND LONG-TERM CARE AND DISEASE MANAGEMENT, THROUGH OUR SERVICES AND OUR PARTNERSHIPS.- HEALTH STRATEGIES: COMMUNITY-BASED PREVENTION; PREVENTIVE SERVICES; CARE CONTINUITY.- BEHAVIORAL HEALTH: WE CANNOT TREAT THE WHOLE PERSON WITHOUT ADDRESSING BEHAVIORAL HEALTH. IN THIS FOCUS AREA, WE WILL ADDRESS THE GREAT BURDEN OF MENTAL HEALTH AND SUBSTANCE USE DISORDERS WITHIN OUR COMMUNITIES, PROVIDING TIMELY AND CULTURALLY SENSITIVE CARE TO THOSE IN NEED.- GOAL: IMPROVE AWARENESS, ACCESS, AND LINKAGE TO BEHAVIORAL HEALTH SERVICES AND PROVIDE CULTURALLY SENSITIVE CARE TO ALL.- HEALTH STRATEGIES: CARE ACCESS AND LINKAGE; CULTURALLY-INFORMED BEHAVIORAL HEALTH CARE; TRANSFORM BEHAVIORAL HEALTH CARE DELIVERY. ONE SUCH PROGRAM INTEGRATES COMMUNITY HEALTH WORKERS (CHWS) INTO INPATIENT FLOORS, INCLUDING BEHAVIORAL HEALTH AT MSH. IN ADDITION TO FOR SCREENING FOR SOCIAL DETERMINANTS OF HEALTH (SDOH), CHWS PROVIDE LINKAGES TO PRIMARY CARE, SOCIAL WORK, AND RESOURCES. IN 2024, SUHI ESTABLISHED A NEW CHW CAREER PATHWAY FOCUSED ON BEHAVIORAL HEALTH (BH), AND NOW HAS ABOUT 3 BH CHWS WORKING ON INPATIENT FLOORS WITHIN SINAI CHICAGO.IN ADDITION TO PURSUING INNOVATIVE HEALTH CARE APPROACHES, MOUNT SINAI HOSPITAL'S APPROACHES ALSO INCLUDE COLLABORATION WITH COMMUNITY RESIDENTS AND ORGANIZATIONS AS WELL AS PARTNERS THROUGHOUT THE CITY TO ADDRESS THE UNIQUE NEEDS OF THE COMMUNITIES IT SERVES. IT IS OUR GOAL TO PROVIDE THE BEST CARE POSSIBLE TO ADDRESS THE NEEDS OF THE COMMUNITIES WE SERVE.IN TAX YEAR 2024, SINAI CHICAGO CONTINUED AN EXPANDED RESPONSE WITHIN CHRONIC AND INFECTIOUS DISEASE AS NECESSITATED BY THE COVID-19 PANDEMIC. SINAI CHICAGO HAS ADDRESSED THE CHALLENGES IN TREATMENT AND PREVENTION PRESENTED BY COVID-19 THROUGH THE ESTABLISHMENT OF EFFECTIVE, COMMUNITY-ENGAGED STRATEGIES TO ENHANCE COMMUNITY HEALTH. SINAI CHICAGO ENTITIES ARE PART OF MULTIPLE COLLABORATES AND PARTNERSHIPS REGARDING COVID-19 AND RESPONDING TO ITS AFTERMATH:SINAI URBAN HEALTH INSTITUTE (SUHI), THE COMMUNITY-ENGAGED RESEARCH ARM OF SINAI HEALTH SYSTEM (PARENT ORGANIZATION OF HOLY CROSS HOSPITAL) IS AN ORIGINAL MEMBER OF WHAT WAS INITIALLY CALLED "THE CHICAGOLAND METRO VACCINE CORPS PROGRAM AND IS NOW THE CHICAGOLAND VACCINE PARTNERSHIP, AN INITIATIVE MANAGED BY PARTNERS IN HEALTH, AND INCLUDING OVER 160 PARTNERS REPRESENTING PUBLIC HEALTH, HEALTH CARE, ACADEMIC, SOCIAL SERVICE, AND COMMUNITY SECTORS. THE GOAL OF THE VACCINE CORPS IS TO AMPLIFY "HYPER-LOCAL, COMMUNITY-LED, CULTURALLY RESPONSIVE STRATEGIES FOR EQUITABLE DISTRIBUTION OF THE COVID-19 VACCINES" THEREBY LEVERAGING COLLABORATION TO BETTER ADDRESS VACCINE HESITANCY AND TO INCREASE VACCINE UPTAKE AMONG THE COMMUNITIES MOST ADVERSELY AFFECTED BY COVID-19.- SUHI PARTNERED WITH CHICAGO DEPARTMENT OF PUBLIC HEALTH, CHICAGO COOK WORKFORCE PARTNERSHIP, THE UNIVERSITY OF ILLINOIS AT CHICAGO SCHOOL OF PUBLIC HEALTH, NORC AT THE UNIVERSITY OF CHICAGO, AND MALCOLM X COLLEGE TO TRAIN AND OVERSEE THE PROGRESS OF CHICAGO'S COMMUNITY-BASED CONTACT TRACING WORKFORCE IN 2020, WHICH TRANSITIONED TO A COVID-19 COMMUNITY RESPONSE CORPS IN 2021/2022, AND NOW HAS TRANSITIONED TO A COMMUNITY RESPONSE CORPS FOCUSED ON ADDRESSING THE CHRONIC PUBLIC HEALTH CRISES THAT CONTINUE TO PLAGUE MARGINALIZED COMMUNITIES SUCH AS HIGHER RATES OF POORLY CONTROLLED CHRONIC DISEASE, BEHAVIORAL HEALTH, AND SOCIAL DETERMINANTS OF HEALTH. SUHI'S ROLES INCLUDE THE PROVISION OF INITIAL TRAINING TO THE WORKFORCE, AND THE UPSKILLING OF THE CONTACT TRACERS/RESOURCE COORDINATORS AS COMMUNITY HEALTH WORKERS (CHWS) READY TO RESPOND TO OTHER HEALTH AND SOCIAL ISSUES NOW THAT THE ACUTE COVID-19 CRISIS HAS PASSED. SINAI COMMUNITY INSTITUTE (SCI) ALSO LED CONTRACT TRACING EFFORTS. NOW THAT WE ARE IN THE COVID RECOVERY PHASE, SUHI IS FURTHER SUPPORTING THE EXPANSION OF SPECIALIZED TRAINING FOR CHWS AND THEIR CONNECTION TO EMPLOYMENT. - SINAI PARTICIPATES IN THE CHICAGOLAND CEAL COVID COLLABORATIVE WHICH SEEKS TO IMPROVE COVID-19 VACCINATION AND ENGAGEMENT IN QUALITY THERAPEUTIC CARE AND TRIALS FOR LOW-INCOME BLACK AND LATINX COMMUNITIES IN THE CHICAGO AREA TO ENHANCE CURRENT AND FUTURE COVID-19 VACCINATION, PREVENTION, MITIGATION, AND RESPONSE EFFORTS. IN 2023, THE CEAL TEAM BEGAN EXPANDING TOWARDS OTHER HEALTH INEQUITIES THAT AFFECT THE COMMUNITIES THAT WERE DISPROPORTIONATELY AFFECTED BY COVID INCLUDING TRAINING CHWS TO BETTER RESPOND TO VACCINE HESITANCY OVERALL (NON-COVID SPECIFIC) AND DEVELOPING AND PILOTING A TRAINING FOR CHWS IN PUBLIC SAFETY.- SINAI PARTICIPATES IN THE RACIAL EQUITY RAPID RESPONSE TEAM (RERT) WHICH GATHERS COVID-19 RELATED DATA TO FURTHER ENABLE RESEARCH AND ANALYSIS IN PRIORITIZED COMMUNITIES.- SUHI'S HEALTH EQUITY AND ASSESSMENT RESEARCH TEAM WORKED WITH MATTER, OCC, P33; CCHHS, RUSH, ST. ANTHONY, UIC, UNIVERSITY OF CHICAGO; COMMUNITY HEALTH, A VARIETY OF FQHCS, AND HOWARD BROWN HEALTH CENTER TO CONTRIBUTE TO THE CHICAGOLAND COVID-19 COMMONS, A DATABASE THAT PROVIDED QUALIFIED RESEARCHERS WITH A COLLABORATIVE PLATFORM ENABLING DATA ANALYSIS TO IMPROVE OUR UNDERSTANDING OF THE VIRUS AND SUPPORT THE RAPID DEVELOPMENT OF SOLUTIONS. INTERNALLY, SINAI CREATED A MULTI-FACETED SYSTEM FOR SURVEILLANCE, INCIDENCE TRACKING, ORGANIZATION, DOCUMENTATION, AND REPORTING IN A RESOURCE CENTER WHICH OFFERED COVID-19 CLINICAL CARE GUIDELINES FOR MANAGEMENT, TRANSMISSIONS PRECAUTIONS, HOME CARE CLINICAL GUIDELINES, HOME CARE PATIENT INSTRUCTIONS, AND INSTRUCTIONS AND DOCUMENTATION DESIGNED TO MINIMIZE SPREAD INSIDE HOUSEHOLDS SUCH AS CLEANING AND DISINFECTION INSTRUCTIONS, HOW TO CARE FOR PERSONS WITH COVID-19, AND ADJUSTMENTS NEEDED IN DAILY LIFE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 3E AND 3G:</FormAndLineReferenceDesc>
        <ExplanationTxt>MOUNT SINAI HOSPITAL'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROVIDES A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA. THE COMMUNITY HEALTH PRIORITIES ARE CONSISTENT WITH THOSE BROUGHT FORWARD IN OUR 2019 CHNA AND CHIP PROCESSES, ALLOWING FOR STABILITY IN OUR STRATEGIC APPROACHES TO COMMUNITY HEALTH IMPROVEMENT OVER TIME. IN TAX YEAR 2024, WE HAVE CONTINUED TO LEVERAGE THE 2022 CHNA TO ENSURE MOUNT SINAI HOSPITAL IS RESPONSIVE TO THE HEALTH AND SOCIAL NEEDS OF THE POPULATIONS IT SERVES. WE HAVE ALSO BEGUN PLANS FOR THE 2025 CHNA AND CHIP.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, LINE 7A, CHNA WEBSITE:</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://WWW.SINAICHICAGO.ORG/EN/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS-CHNA-AND-COMMUNITY-HEALTH-IMPROVEMENT-PLAN-CHIP/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, LINE 10A, IMPLEMENTATION STRATEGY WEBSITE:</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://WWW.SINAICHICAGO.ORG/EN/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS-CHNA-AND-COMMUNITY-HEALTH-IMPROVEMENT-PLAN-CHIP/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 11 CONTINUED:</FormAndLineReferenceDesc>
        <ExplanationTxt>ADDITIONALLY, SUHI'S COMMUNITY HEALTH INNOVATION (CHI) TEAM INTEGRATED COMMUNITY HEALTH WORKERS (CHWS) INTO THE HEALTH SYSTEM TO ADDRESS PATIENT NEEDS ON INPATIENT UNITS AND TRANSITIONS HOME AFTER DISCHARGE. THROUGH THE CHWS ASSISTING PATIENTS PROGRAM, CHWS ADDRESS PATIENTS' EXPERIENCE, ASSESS PATIENTS' HEALTH RELATED SOCIAL NEEDS, FOLLOW UP WITH PATIENTS AFTER DISCHARGE, AND PROVIDE RESOURCES, LINKAGES, EDUCATION, SUPPORT, AND REFERRALS TO WRAP-AROUND SERVICES AS APPROPRIATE.SUHI, WITH ENLACE CHICAGO AND NORTH LAWNDALE COMMUNITY COORDINATION COUNCIL, CONVENES THE ONE LAWNDALE COMMUNITY HEALTH COLLECTIVE (OLCHC); A 40 ORGANIZATION AND 300 INDIVIDUAL STRONG COLLABORATIVE THAT SERVES RESIDENTS OF NORTH AND SOUTH LAWNDALE. OLCHC PARTNERED TO CREATE AN ACTIVE TRAINING AND SUPPORT NETWORK FOR COMMUNITY HEALTH WORKERS (CHWS); EQUIPPING CHWS AND THEIR ORGANIZATIONS WITH SKILLS TO HELP THEIR NEIGHBORS BETTER NAVIGATE HEALTH CARE; INCREASE ACCESS TO PREVENTIVE SERVICES, HEALTH , SOCIAL SERVICE, AND WELLNESS RESOURCES; AND INCREASE EDUCATION AND AWARENESS AROUND BEHAVIORAL HEALTH. SUHI'S POPULATION HEALTH CAREER PATHWAYS: ADVANCED CHW TRAINING AND WORKFORCE DEVELOPMENT PROGRAM PROVIDES COMMUNITY RESIDENTS WITH ADVANCED TRAINING IN THREE CHW PATHWAYS (HEALTH EDUCATION, BEHAVIORAL HEALTH, SYSTEM NAVIGATION), MENTORSHIP, TECHNICAL TRAINING, CAREER COACHING AND LINKAGES TO EMPLOYERS FOR POSSIBLE EMPLOYMENT.MOUNT SINAI HOSPITAL'S CHIP WAS INTEGRATED WITH THE CHIPS OF SCHWAB REHABILITATION HOSPITAL AND HOLY CROSS HOSPITAL TO DEVELOP A SYSTEM-WIDE SINAI CHICAGO CHIP. THE SINAI CHICAGO CHIP IS BEING CONVERTED TO A PUBLICLY AVAILABLE VERSION THAT WILL EVENTUALLY SIT ON THE SINAI CHICAGO WEBSITE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>2</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - HAWTHORNE MRI</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4701 W CERMAK</AddressLine1Txt>
            <CityNm>CICERO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60804</ZIPCd>
          </USAddress>
          <FacilityTxt>MAGNETIC RESONANCE IMAGING &amp; OB ULTRASOUND SERVICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - SINAI COMMUNITY PHARMACY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>CALIFORNIA AVE 15TH STREET</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60608</ZIPCd>
          </USAddress>
          <FacilityTxt>PHARMACY DRUGS AND PHARMACEUTICALS</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>RELATED ORGANIZATION COMMUNITY BENEFIT REPORT THE COMMUNITY BENEFIT REPORT FOR MOUNT SINAI HOSPITAL WAS FILED INDIVIDUALLY WITH THE STATE OF IL UNDER ITS FEIN 36-1509000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPLANATION OF COSTING METHODOLOGY THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED ON SCHEDULE H, PART I, LINES 7A AND 7B IS THE COST-TO-CHARGE RATIO PER THE JUNE 30, 2024 MEDICARE COST REPORT FILED. TRUE TOTAL COMMUNITY BENEFIT IS $218 MILLION:THE STATE OF ILLINOIS, THROUGH THE AFFORDABLE CARE ACT AND OTHER GOVERNMENT PROGRAMS, MAKE REGULAR PROVIDER TAX PAYMENTS AND OTHER SUPPLEMENTAL PAYMENTS INTENDED TO ASSIST SAFETY NET HOSPITALS IN PROVIDING VITAL SERVICES TO THE COMMUNITY. IN COMPLIANCE WITH REPORTING GUIDELINES, WE HAVE SHOWN THESE STATE SUPPLEMENT PAYMENTS AS REIMBURSEMENT FOR MEDICAID CHARGES, BUT IN DOING SO, IT MASKS THE TRUE BENEFIT MOUNT SINAI HOSPITAL BRINGS TO THE COMMUNITY. WITHOUT THESE SUPPLEMENTAL PAYMENTS, UNREIMBURSED MEDICAID COSTS [SCHEDULE H, LINE 7B] WOULD TOTAL $55,954,124,OR 12.19% OF TOTAL EXPENSE. WITHOUT THESE SUBSIDIES, THE HOSPITAL'S TOTAL BENEFIT TO THE COMMUNITY [SCHEDULE H, LINE 7K] WOULD BE $218,210,487 OR 47.55% OF TOTAL EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LN 7 COL(F):</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPLANATION OF BAD DEBT EXPENSEBAD DEBT EXPENSE WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN A, BUT WAS SUBTRACTED FROM THE TOTAL EXPENSES FOR PURPOSE OF CALCULATING THE PERCENTAGE IN THIS COLUMN. MOUNT SINAI'S BAD DEBT EXPENSE THIS YEAR WAS $18,211,067. ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS ESTIMATED AT $1,008,850. THIS ESTIMATE WAS ARRIVED AT BY APPLYING THE SELF PAY PAYER MIX PERCENTAGE TO THE TOTAL BAD DEBT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7A, 7B, 7C:</FormAndLineReferenceDesc>
        <ExplanationTxt>MOUNT SINAI HOSPITAL PROVIDED APPROXIMATELY $38.2 MILLION IN FINANCIAL ASSISTANCE TO THE PATIENTS IT SERVED THIS YEAR, IN ADDITION TO UNREIMBURSED COST OF $4.4 MILLION TO PROVIDE CARE FOR MEDICARE-MEDICAID DUAL ELIGIBLE PATIENTS. THESE SHORTFALLS WERE OFFSET BY A $62.4 MILLION MEDICAID SURPLUS. THIS SURPLUS IS ATTRIBUTABLE TO RECEIPTS TOTALING $107 MILLION IN PROVIDER TAX REVENUES AND OTHER ACA PAYMENTS. THE PRIMARY PURPOSE OF THESE SUPPLEMENTAL PAYMENTS IS TO OFFSET THE COSTS OF PROVIDING CARE AND OTHER COMMUNITY SERVICES FOR THE HOSPITAL'S DISPROPORTIONALLY HIGH MEDICAID AND FINANCIAL INDIGENT POPULATIONS.ON AN AGGREGATED BASIS, THIS YEAR SINAI HEALTH SYSTEM PROVIDED $49.0 MILLION IN FINANCIAL ASSISTANCE, IN ADDITION TO A MEDICAID SHORTFALL OF $51.2 MILLION. UNREIMBURSED SYSTEM COSTS TO PROVIDE CARE FOR MEDICARE-MEDICAID DUAL ELIGIBLE PATIENTS TOTALED $6.4 MILLION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSE FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE CORPORATION RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>METHODOLOGY OF ESTIMATED AMOUNT &amp; RATIONALE FOR INCLUDING COMMUNITY BENEFITMOUNT SINAI HOSPITAL FIRST DETERMINES IF A PATIENT QUALIFIES FOR CHARITY CARE. IF A PATIENT IS CLASSIFIED AS CHARITY CARE, THEY WOULD NOT BE INCLUDED AS BAD DEBT. SOME PATIENTS DO NOT DESIRE TO COMPLETE THE CHARITY CARE APPLICATIONS AND AS SUCH CAN BE INCLUDED IN THE BAD DEBT AMOUNTS. ONE EXAMPLE OF A PATIENT POPULATION THAT DOES NOT COMPLETE CHARITY CARE APPLICATIONS IS UNDOCUMENTED WORKERS.COSTS OF PROVIDING ELIGIBLE CHARITY CARE ARE CALCULATED USING THE COST-TO-CHARGE RATIO PER THE JUNE 30, 2024 MEDICARE COST REPORT FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSETHE CORPORATION'S PATIENT ACCOUNTS RECEIVABLE BALANCE CONSISTS OF AMOUNTS DUE FROM ITS PATIENTS AND THIRD-PARTY PAYORS. ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF THE CORPORATION'S FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE CORPORATION'S ABILITY TO COLLECT OUTSTANDING AMOUNTS.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE CORPORATION RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.AN ALLOWANCE FOR CREDIT LOSSES IS ESTABLISHED FOR AMOUNTS EXPECTED TO BE UNCOLLECTIBLE OVER THE CONTRACTUAL LIFE OF THE RECEIVABLES. THE CORPORATION EVALUATES PATIENT RECEIVABLES TO DETERMINE THE ALLOWANCE FOR CREDIT LOSSES BASED ON SIMILAR RISK CHARACTERISTICS THAT EXIST WITHIN CERTAIN CLASSES OF PAYORS. THE CORPORATION CALCULATES THE ALLOWANCE USING AN EXPECTED LOSS MODEL THAT CONSIDERS THE CORPORATION'S ACTUAL HISTORICAL LOSS RATES ADJUSTED FOR CURRENT ECONOMIC CONDITIONS AND REASONABLE AND SUPPORTABLE FORECASTS. THE CORPORATION CONSIDERS MARKET TRENDS, FUTURE ECONOMIC CONDITIONS, AND CREDIT RATINGS OF ITS PAYORS WHEN MAKING ADJUSTMENTS FOR REASONABLE AND SUPPORTABLE FORECASTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR CREDIT LOSSES IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. RECOVERIES OF AMOUNTS PREVIOUSLY WRITTEN OFF ARE RECOGNIZED WHEN RECEIVED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPLANATION OF SHORTFALL AS COMMUNITY BENEFITTHERE WAS NO SHORTFALL THIS YEAR. MOUNT SINAI HOSPITAL UTILIZED THE COST TO CHARGE RATIO PER MEDICARE COST REPORT TO ESTIMATE COST TO PROVIDE CARE TO MEDICARE PATIENTS. SUCH COST IS OFFSET BY MEDICARE RECEIPTS TO DETERMINE SHORTFALL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVISION ON COLLECTION PRACTICES FOR QUALIFIED PATIENTS MOUNT SINAI HOSPITAL'S COLLECTION PROCESS INCLUDES BOTH LETTERS AND CALLS TO INFORM PATIENTS OF THEIR OUTSTANDING BALANCES TO EXPLAIN AVAILABLE PAYMENT OPTIONS. IF THE PATIENT IS UNINSURED, A DISCOUNT IS APPLIED TO THE PATIENT'S ACCOUNT IN ACCORDANCE WITH ILLINOIS PATIENT UNINSURED ACT. IN ADDITION, RESOURCES ARE MADE AVAILABLE TO PATIENTS THROUGHOUT COLLECTION PROCESS. THE RESOURCE INCLUDES A CHARITY PROGRAM TARGETED TO LOW INCOME INDIVIDUALS ALONG WITH PAYMENT PLANS THAT START AS LOW AS $25 A MONTH. THE DEBT COLLECTION PRACTICES ONLY APPLY TO CHARITY PATIENTS TO THE EXTENT OF COPAYMENTS OR PATIENT PORTION BALANCES AND NOT TO AMOUNTS THAT HAVE BEEN APPROVED AS CHARITY OR FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>NEEDS ASSESSMENTIN ADDITION TO THE COMMUNITY AND HOSPITAL/OFFICE-BASED HEALTHCARE SURVEYS, FOCUS GROUPS, AND DATA ANALYSES DESCRIBED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PLAN FOR MOUNT SINAI HOSPITAL, THE HOSPITAL UTILIZES THE FOLLOWING CHANNELS TO GAIN GREATER INSIGHT INTO THE HEALTH NEEDS OF ITS COMMUNITIES:1) COMMUNITY AND HOSPITAL/OFFICE-BASED HEALTH SCREENINGS. IN FY2024, THE COMMUNITY RELATIONS DEPARTMENT COORDINATED THE PARTICIPATION OF SINAI CHICAGO'S PROGRAMS AND DEPARTMENTS IN 158 HEALTH FAIRS, PRESENTATIONS, TRAININGS, VIRTUAL SESSIONS, AND OTHER COMMUNITY EVENTS, IN BENEFIT OF MORE THAN 70 PARTNERS IN SERVICE AREAS, AND MORE THAN 5,600 COMMUNITY MEMBERS. A TOTAL OF 814 COMMUNITY HEALTH SCREENINGS WERE PROVIDED (263 GLUCOSE, 226 CHOLESTEROL, AND 263 BLOOD PRESSURE.) MORE THAN 2,000 GIVEAWAYS AND MORE THAN 4,000 FLYERS WITH SINAI'S PROGRAMS AND SERVICES WERE DISTRIBUTED.2) PRESENTATION OF PATIENTS IN THE EMERGENCY DEPARTMENT AND NEEDS NOTED DURING THE VISIT.3) PARTNERSHIP ACTIVITIES WITH COMMUNITY-BASED ORGANIZATIONS. IN PARTICULAR, MOUNT SINAI HOSPITAL PARTNERED WITH THE ALLIANCE FOR HEALTH EQUITY, A COLLABORATIVE OF 37 HOSPITALS ACROSS CHICAGO AND SUBURBAN COOK COUNTY, TO CONDUCT A COMPREHENSIVE COMMUNITY INPUT PROCESS TO BETTER UNDERSTAND THE NEEDS AND ASSETS OF THE COMMUNITIES THAT MAKE UP ITS PRIMARY SERVICE AREAS. MOUNT SINAI HOSPITAL FOCUSED ON THE HEALTH AND SOCIAL SERVICES NEEDS OF THE POPULATIONS SERVED. MOUNT SINAI HOSPITAL BEGINS OUTREACH AND ASSESSMENT OF COMMUNITY HEALTH BY FIRST EVALUATING WHICH HEALTH CONDITIONS AND DISEASES ARE PREVALENT AMONG ITS INPATIENTS AND OUTPATIENTS. DETERMINATION OF PREVALENCE THEN GUIDES THE DESIGN OF COMMUNITY SERVICES AND ALSO ASSURES THERE IS NO BIAS BASED ON RACE, GENDER, OR PATIENT'S ABILITY TO PAY. MOUNT SINAI HOSPITAL ALSO WORKS CLOSELY WITH OTHER SINAI CHICAGO ENTITIES, INCLUDING SINAI COMMUNITY INSTITUTE (SCI), MOUNT SINAI COMMUNITY FOUNDATION, AND SINAI URBAN HEALTH INSTITUTE (SUHI), WHICH PARTNER WITH NEIGHBORHOOD GROUPS AND THE COMMUNITY IN VARIOUS WAYS TO UNDERSTAND HEALTH NEEDS AND IMPROVE OVERALL WELLBEING. DURING FY24, MOUNT SINAI HOSPITAL SHARED THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT FINDINGS AND THE SINAI'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) 2019-2022 WITH LOCAL RESIDENTS AND COMMUNITY GROUPS, FORGING INTERVENTIONAL PARTNERSHIPS. TOGETHER THEY CONFIRMED THE NEED FOR EDUCATION AND OTHER INTERVENTIONS FOR ASTHMA, OBESITY, DIABETES, AND BREAST CANCER. ADDITIONALLY, SUHI MANAGED VARIOUS COMMUNITY ADVISORY COMMITTEES COMPRISING RESIDENTS ACROSS MOUNT SINAI HOSPITAL'S SERVICE AREA TO GUIDE COMMUNITY-BASED INITIATIVES AND ASSESSMENTS. MOUNT SINAI HOSPITAL ALSO SUPPORTS SINAI COMMUNITY INSTITUTE, SUHI AND THE COMMUNITY RELATIONS DEPARTMENT BY SCHEDULING CLINICIANS AND HEALTH EDUCATORS TO PARTICIPATE IN HEALTH FAIRS, COMMUNITY FORUMS AND OTHER EDUCATIONAL EVENTS TO PROVIDE HEALTH SCREENINGS, AND EDUCATION ON PREVENTION. THESE FORUMS PROVIDE PARTICIPANTS WITH KNOWLEDGE ABOUT THE CHRONIC DISEASES THAT CAN AFFECT THEM AND ACTION PLANS FOR AVOIDING OR MANAGING THOSE DISEASES.4) PARTICIPATION IN COMMUNITY HEALTH IMPLEMENTATION PLANS. SINAI CHICAGO HAS A STRONG PRESENCE AT NETWORKS IN SERVICE AREAS THAT FOCUS ON WELLNESS. THE EVP FOR COMMUNITY OUTREACH CHAIRS THE HEALTH AND WELLNESS COMMITTEE OF THE NORTH LAWNDALE COMMUNITY COORDINATING COUNCIL (NLCCC), AND THE DIRECTOR OF COMMUNITY RELATIONS CO-CHAIRS THE HEALTH COMMITTEES OF THE MARSHALL SQUARE RESOURCE NETWORK (MSRN), AND THE BRIGHTON PARK NEIGHBORHOOD NETWORK (BPNN.) HE ALSO IS A MEMBER OF THE STRATEGY TEAM FOR THE SOUTH WEST ORGANIZING PROJECT (SWOP.) THESE FOUR COALITIONS CONVENE MORE THAN 40 AGENCIES EACH. OUR SUHI TEAM CO-LEADS THE EAST GARFIELD PARK BEST BABIES ZONE COMMUNITY ADVISORY TEAM, AND OUR SUHI AND SCI TEAMS LEAD THE COMMUNITY ALIGNMENT BOARDS FOR CHICAGO'S WEST AND SOUTHWEST SIDES FOR FAMILY CONNECTS CHICAGO (A POSTPARTUM HOME-VISITING PROGRAM). TEAM MEMBERS ALSO SIT ACROSS WORKGROUPS ON WEST SIDE UNITED A COMMUNITY-BASED INITIATIVE TO IMPROVE HEALTH EQUITY ON THE WEST SIDE OF THE CITY. THROUGH THE COMMUNITY RELATIONS DEPARTMENT, SINAI CHICAGO ALSO PARTICIPATES IN A TOTAL OF 20 NETWORKS, COALITIONS AND QUALITY OF LIFE PLANS IN NEIGHBORHOODS WITHIN THE MOUNT SINAI AND HOLY CROSS HOSPITALS SERVICE AREAS.5) SINAI CHICAGO IS A MEMBER OF THE CHICAGO LAWN + ASHBURN COLLABORATIVE, CONVENED BY THE SOUTH WEST ORGANIZING PROJECT (SWOP.) THIS COALITION STARTED AS A COVID-19 COLLABORATIVE WITH THE SUPPORT OF THE CHICAGO DEPARTMENT OF PUBLIC HEALTH (CDPH), EVOLVED INTO ONE OF THE HEALTHY CHICAGO EQUITY ZONES, AND BECAME THE HEALTHY SOUTHWEST INITIATIVE, A COALITION OF MORE THAN 30 AGENCIES, WHICH ADDRESS CHRONIC DISEASES, EQUITY, AND ACCESS TO HEALTHCARE ISSUES IN THE AREA, AS WELL AS THE UNDERLYING MEDICAL CONDITIONS THAT AFFECTED COVID-19 PATIENTS DURING THE PANDEMIC.6) THIS FY24, THE COMMUNITY RELATIONS TEAM CONTINUED THE COMMUNITY HEALTH WORKERS (CHW) INFORMATIONAL SESSIONS. THE GOAL OF THESE PRESENTATIONS IS TO PROVIDE AN OVERVIEW TO THE CHW TEAMS OF OUR PARTNERS ABOUT SINAI CHICAGO SERVICES, THE REFERRAL PROCESS, CHARITY CARE OPTIONS, AND FINANCIAL ASSISTANCE TO INDIVIDUALS WITH NO INSURANCE. COMMUNITY RELATIONS WORKS WITH THE SINAI CHICAGO BUSINESS DEVELOPMENT AND PROVIDER ENTERPRISES STRATEGY TEAM, THE PATIENT ACCESS/MSH ADMITTING DEPARTMENT, AND PARTNER ESPERANZA HEALTH CENTERS TO PUT TOGETHER THESE PRESENTATIONS/TRAININGS FOR CHWS. IN FY24 THE PROGRAM PROVIDED 3 PRESENTATIONS AND A TOUR TO 42 SWOP PUBLIC HEALTH AMBASSADORS (PHAS.)7) MSH, THROUGH THE COMMUNITY RELATIONS DEPARTMENT, HOSTS THE HEALTH MINISTRY PROGRAM, A SINAI COLLABORATION WITH CHURCHES IN THE SERVICE AREAS TO OFFER REFERRALS TO SERVICES, EDUCATION ON PREVENTION OF CHRONIC DISEASES, AND PARTICIPATION IN EVENTS. DURING FY24, SINAI PARTICIPATED IN 18 EVENTS WITH CHURCHES AND CONGREGATIONS TO PROVIDE INFORMATION SINAI'S SERVICES AND PROGRAMS, FOOD DISTRIBUTION, AND TO ASSIST CONGREGATION MEMBERS AND FAITH LEADERS WITH QUESTIONS ABOUT ACCESS TO HEALTHCARE. SINAI IS A MEMBER OF THE WEST SIDE PASTOR'S COALITION FOR AIDS AND INNER CITY HEALTH, THE BOARD OF CENTRO COMUNITARIO JUAN DIEGO, AND THE CHICAGO POLICE DEPARTMENT DISTRICTS 11TH AND 25TH FAITH BASE AND DOMESTIC VIOLENCE COMMITTEES, AND COLLABORATES WITH CATHOLIC CHARITIES INITIATIVES, AMONG OTHER FAITH NETWORKS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE MOUNT SINAI HOSPITAL INFORMS PATIENTS OF THE CHARITY CARE POLICY THROUGH SIGNAGE IN THE HOSPITAL, WRITTEN COMMUNICATION, STATEMENTS AND RELATED CORPORATION SINAI HEALTH SYSTEM WEBSITE. EACH HOSPITAL BILL, INVOICE, OR OTHER SUMMARY OF CHARGES TO AN UNINSURED PATIENT INCLUDE WITH IT, OR ON IT, A PROMINENT STATEMENT THAT AN UNINSURED PATIENT WHO MEETS CERTAIN INCOME REQUIREMENTS MAY QUALIFY FOR AN UNINSURED DISCOUNT ALONG WITH INFORMATION REGARDING HOW THE PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY INFORMATIONMOUNT SINAI HOSPITAL, AS A PART OF SINAI HEALTH SYSTEM, SERVES A DIVERSE POPULATION OF 870,000 PEOPLE LOCATED ON THE WEST AND SOUTHWEST SIDE OF CHICAGO. SINAI'S ANTILLAS CLINIC ON THE NORTHWEST SIDE OF CHICAGO, SEES REFUGEES FROM MANY NATIONS (FOR EXAMPLE SUDAN, IRAQ AND BURMA). OTHERWISE, SINAI HEALTH SYSTEM SERVES PRIMARILY AFRICAN-AMERICAN AND LATINO PATIENTS.OVER 61.3% OF MOUNT SINAI HOSPITAL'S PATIENTS ARE MEDICAID RECIPIENTS AND 12.1% ARE UNINSURED. MOUNT SINAI ADMITS 1,127 INPATIENTS TO SINAI CHILDREN'S HOSPITAL INCLUSIVE OF PEDIATRIC VISITS FOR ASTHMA AND DIABETES.SINAI'S NEONATAL INTENSIVE CARE UNIT CARED FOR 248 NEONATAL PATIENTS AND OBSTETRICS CARED FOR 1,462 MOTHERS. MOUNT SINAI HOSPITAL EMERGENCY DEPARTMENT HAD 38,155 PATIENT VISITS.MOUNT SINAI HOSPITAL HAS A ROBUST INTERPRETER SERVICES DEPARTMENT TO SERVICE OUR MULTICULTURAL PATIENT POPULATION. WE PROVIDE IN PERSON INTERPRETERS, VIDEO REMOTE AND OVER-THE PHONE INTERPRETERS THAT ARE AVAILABLE 7 DAYS A WEEK TO ENSURE CULTURALLY APPROPRIATE CARE IN OVER 240 DIFFERENT LANGUAGES INCLUDING AMERICAN SIGN LANGUAGE. WE SERVE THE DEAF COMMUNITY HELPING THEM TO CONNECT TO HOSPITAL COMMUNITY RESOURCES, MAKING SINAI HEALTH SYSTEM A BEST IN CLASS MEDICAL INTERPRETER PROGRAM IN THE NATION FOR DEAF AND HARD OF HEARING PATIENTS, AND PATIENTS WHO SPEAK LITTLE OR NO ENGLISH. TO ENSURE PATIENTS UNDERSTAND, WE ALSO PROVIDE TRANSLATION OF WRITTEN DOCUMENTS. MOUNT SINAI HOSPITAL TREATS MORE MEDICAID PATIENTS THAN ANY OTHER HOSPITAL IN ILLINOIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>PROMOTION OF COMMUNITY HEALTH MOUNT SINAI HOSPITAL IS A PART OF SINAI HEALTH SYSTEM. THE SYSTEM HAS A VOLUNTEER BOARD COMPRISED OF RESPECTED LEADERS IN BANKING, FINANCE, MANUFACTURING, LEGAL, HEALTH CARE AND OTHER INDUSTRIES. MOUNT SINAI HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS FOR ALL DEPARTMENTS. MOUNT SINAI HOSPITAL INVESTS ANY SURPLUS FUNDS INTO IMPROVING PATIENT CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>AFFILIATED HEALTH CARE SYSTEM ROLES AND PROMOTIONLOCATED ON CHICAGO'S WEST AND SOUTHWEST SIDE, SINAI HEALTH SYSTEM IS COMPRISED OF MOUNT SINAI HOSPITAL, HOLY CROSS HOSPITAL, SCHWAB REHABILITATION HOSPITAL, SINAI CHILDREN'S HOSPITAL, SINAI COMMUNITY INSTITUTE, SINAI MEDICAL GROUP, AND SINAI URBAN HEALTH INSTITUTE. THE ENTITIES OF SINAI HEALTH SYSTEM COLLECTIVELY DELIVER A FULL RANGE OF QUALITY INPATIENT AND OUTPATIENT SERVICES, AS WELL AS A LARGE NUMBER OF INNOVATIVE, COMMUNITY-BASED HEALTH, RESEARCH AND SOCIAL SERVICE PROGRAMS. WE FOCUS OUR COLLECTIVE DEPTH OF EXPERTISE AND PASSION TO IMPROVE THE HEALTH OF THE 1.5 MILLION PEOPLE WHO LIVE IN OUR DIVERSE SERVICE AREA. WITH OUR TEAM OF DEDICATED CAREGIVERS, SINAI HEALTH SYSTEM IS COMMITTED TO BUILDING STRONGER, HEALTHIER COMMUNITIES.FOR MORE INFORMATION ON SINAI HEALTH SYSTEM, VISIT HTTP://WWW.SINAICHICAGO.ORG/.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>IL</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ACCESS COMMUNITY HEALTH NETWORK</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1501 S CALIFORNIA AVE</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60608</ZIPCd>
        </USAddress>
        <RecipientEIN>363317058</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>800004</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>OPERATING SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LAWNDALE CHRISTIAN HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4696 PAYSHERE CIRCLE</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60674</ZIPCd>
        </USAddress>
        <RecipientEIN>363308953</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>298333</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>OPERATING SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>2</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS IS AN EXTENSION OF OUR MISSION TO HELP ACCESS COMMUNITY HEALTH NETWORK AND LAWNDALE CHRISTIAN HEALTH CENTER PROVIDE SERVICES TO THE UNDERSERVED AND UNINSURED INDIVIDUALS WITHIN OUR PRIMARY SERVICE AREA. ALL AWARDED GRANT USAGE IS MONITORED ANNUALLY. THE RECIPIENT REPORTS TO SINAI HELATH SYSTEM THE ALLOCATIONS AND EXPENDITURES OF THE APPLICATION AND USAGE OF DISBURSED GRANT AWARDS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NGOZI EZIKE MD</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>795498</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>11822</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6600</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>813920</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RUSSELL FIORELLA</PersonNm>
        <TitleTxt>SYSTEM CHIEF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>608102</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1407</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6600</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22636</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>638745</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELIZABETH CONNOLLY</PersonNm>
        <TitleTxt>GENERAL COUNSEL</TitleTxt>
        <BaseCompensationFilingOrgAmt>400931</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>24248</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3659</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>157</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>428995</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JASON SPIGNER</PersonNm>
        <TitleTxt>CHIEF HUMAN RESOURCES OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>366745</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>30832</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6600</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10535</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>414712</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAREN JANOUSEK</PersonNm>
        <TitleTxt>VP &amp; CHIEF HEALTH &amp; POPULATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>357955</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>720</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6600</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25092</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>390367</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SAMEER SHAH</PersonNm>
        <TitleTxt>VP OPERATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>365667</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>886</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3442</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>720</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>370715</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GINA WALTON</PersonNm>
        <TitleTxt>VICE PRESIDENT GME DIVERSITY</TitleTxt>
        <BaseCompensationFilingOrgAmt>345856</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>7451</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6600</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>359907</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTINA WAGENER</PersonNm>
        <TitleTxt>VP CLINICAL OPERATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>306286</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>16625</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6211</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10565</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>339687</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KENNETH SLAWKOWSKI</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>323488</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3776</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6548</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>333812</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELIZABETH E REYNOSO</PersonNm>
        <TitleTxt>OR NURSE-PERIOPERATIVE ONLY</TitleTxt>
        <BaseCompensationFilingOrgAmt>314088</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>360</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>1750</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16811</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>333009</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ILIANA ANDREA MORA</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER - BEG 6/2023</TitleTxt>
        <BaseCompensationFilingOrgAmt>307098</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>360</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24535</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>331993</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DIMAS ORTEGA</PersonNm>
        <TitleTxt>CFO, INTERIM 04/2023 THRU 01/2024</TitleTxt>
        <BaseCompensationFilingOrgAmt>298557</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>831</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2988</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>302376</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GARY KRUGEL</PersonNm>
        <TitleTxt>CFO - THRU 04/2023</TitleTxt>
        <BaseCompensationFilingOrgAmt>158609</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>32148</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3215</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>5744</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>199716</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAREN TEITELBAUM</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO - THRU 12/2022</TitleTxt>
        <BaseCompensationFilingOrgAmt>18755</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>133772</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>440</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>152967</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>METHODS USED BY RELATED ORG TO ESTABLISH CEO COMPENSATION THE ORGANIZATION PAYS OUT COMPENSATION BASED ON THE FOLLOWING PROCEDURES AND GUIDELINES: SINAI HEALTH SYSTEM (SHS) HAS A HUMAN RESOURCES COMMITTEE TO SUPPORT THE ORGANIZATIONAL PERFORMANCE OF SINAI HEALTH SYSTEMS AND ITS RELATED ENTITIES THROUGH THE ALIGNMENT OF EXECUTIVE COMPENSATION WITH SYSTEM STRATEGIES AND PROGRAMS AND ENSURE COMPLIANCE WITH APPLICABLE LAW. THE VOTING MEMBERS OF THE COMMITTEE ARE INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE ESTABLISHES DETAILED GOALS ANNUALLY OR MORE FREQUENTLY AS CIRCUMSTANCES REQUIRE. THE COMMITTEE ESTABLISHES DETAILED GOALS ANNUALLY FOR THE PRESIDENT AND CEO AND OTHER EXECUTIVES, AND REVIEWS PERFORMANCE AGAINST THESE GOALS ON AN ANNUAL BASIS. THE COMMITTEE ANNUALLY ENGAGES AN OUTSIDE INDEPENDENT COMPENSATION CONSULTANT TO BENCHMARK THE SALARIES AND BENEFITS OF THE ORGANIZATION'S ASSISTANT VICE PRESIDENT AND ABOVE. COMPENSATION IS BASED ON: A) DETAILED WRITTEN PERFORMANCE OF THE PRESIDENT AND CEO; B) EACH ELEMENT OF COMPENSATION, DATA OF THE COMPENSATION PROGRAM IN EFFECT FOR CEOS OF COMPARABLE ORGANIZATIONS; AND C) ANNUAL REVIEW OF CEO PERFORMANCE CONDUCTED AGAINST SHS ESTABLISHED GOALS. THE COMMITTEE MAINTAINS WRITTEN MINUTES WHICH ARE MAINTAINED IN EXECUTIVE ADMINISTRATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN MOUNT SINAI HOSPITAL'S (MSH) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WAS ESTABLISHED AS A NON-QUALIFIED RETIREMENT PLAN FOR ITS KEY EMPLOYEES, SPECIFICALLY THE CHIEF EXECUTIVE STAFF. THIS PLAN PROVIDES ADDED BENEFITS THAT MAY BE ABOVE AND BEYOND THOSE THRESHOLDS COVERED IN OTHER TRADITIONAL RETIREMENT PLANS. MSH'S SERP IS ENTIRELY FUNDED BY THE EMPLOYER, MSH. THE MSH COMPENSATION COMMITTEE REVIEWS AND APPROVES ACCEPTANCE AND/OR MODIFICATIONS TO THE SERP PLAN. THE MSH'S SERP PLAN OUTLINES THE ANNUAL EARNINGS PER THE INDIVIDUAL PARTICIPANTS AS WELL AS THE TIME FRAMES OF VESTMENT PER THOSE RESPECTIVE INDIVIDUALS. THE PLAN VESTS UPON TWO YEARS OF SERVICE OR ATTAINMENT OF AGE 65. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN AND RECEIVED A DISTRIBUTION FROM OR HAD AMOUNTS VEST IN THE PLAN: ELIZABETH CONNOLLY $25,825 JASON SPIGNER $25,243 NGOZI EZIKE, M.D. PARTICIPATED IN THE PLAN BUT WAS NOT YET ELIGIBLE FOR CONTRIBUTIONS AND DID NOT RECEIVE ANY DISTRIBUTIONS OR HAVE ANY AMOUNTS VEST IN THE PLAN DURING THE CALENDAR YEAR 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>NON-FIXED PAYMENTS SINAI HEALTH SYSTEM HAS A HUMAN RESOURCES COMMITTEE TO SUPPORT THE ORGANIZATIONAL PERFORMANCE OF SINAI HEALTH SYSTEMS AND ITS RELATED ENTITIES THROUGH THE ALIGNMENT OF EXECUTIVE COMPENSATION WITH SYSTEM STRATEGIES AND PROGRAMS AND ENSURE COMPLIANCE WITH APPLICABLE LAW. THE VOTING MEMBERS OF THE COMMITTEE ARE INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE ESTABLISHES DETAILED GOALS ANNUALLY OR MORE FREQUENTLY AS CIRCUMSTANCES REQUIRE. THE COMMITTEE ESTABLISHES DETAILED GOALS ANNUALLY FOR THE PRESIDENT AND CEO AND OTHER EXECUTIVES, AND REVIEWS PERFORMANCE AGAINST THESE GOALS ON AN ANNUAL BASIS. THE COMMITTEE ANNUALLY ENGAGES AN OUTSIDE INDEPENDENT COMPENSATION CONSULTANT TO BENCHMARK THE SALARIES AND BENEFITS OF THE ORGANIZATION'S ASSISTANT VICE PRESIDENT AND ABOVE. COMPENSATION IS BASED ON DETAILED WRITTEN PERFORMANCE OF THE PRESIDENT AND CEO, EACH ELEMENT OF COMPENSATION, DATA OF COMPENSATION PROGRAM IN EFFECT FOR CEOS OF COMPARABLE ORGANIZATIONS, AND CONDUCTS AN ANNUAL REVIEW OF CEO PERFORMANCE AGAINST ESTABLISHED GOALS. THE COMMITTEE MAINTAINS WRITTEN MINUTES WHICH ARE MAINTAINED IN EXECUTIVE ADMINISTRATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>DCCS CONSULTING LLC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>INTERIM CFO, DAVID CAPONE, OWNS MORE THAN 35% OF DCCS CONSULTING, LLC.</RelationshipDescriptionTxt>
        <TransactionAmt>435844</TransactionAmt>
        <TransactionDesc>THE FILING ORGANIZATION MADE PAYMENTS TO DCCS CONSULTING LLC FOR INDIVIDUALS PROVIDING SERVICES AS INTERIM CFO, INTERIM COO AND OTHER CONSULTING SERVICES.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPLANATION OF DELEGATED BOARD AUTHORITY TO COMMITTEE THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE BOARD (I.E., THE CHAIR, VICE CHAIR(S), SECRETARY, TREASURER, PREVIOUS CHAIR (IF APPLICABLE) AND PRESIDENT AND CEO OF THE HEALTH SYSTEM) , AND MAY INCLUDE ADDITIONAL MEMBERS AS DETERMINED BY THE BOARD CHAIR. THE EXECUTIVE COMMITTEE HAS THE POWER TO TRANSACT ALL REGULAR BUSINESS OF SINAI HEALTH SYSTEM DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD, SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD OR BY LAW. WHEN ACTION IS TAKEN BY THE EXECUTIVE COMMITTEE, IT WILL BE REPORTED TO THE BOARD AT THE NEXT MEETING OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPLANATION OF CLASSES OF MEMBERS OR SHAREHOLDERS THERE ARE TWO CLASSES OF MEMBERS: THE SOLE CORPORATE MEMBER AND INDIVIDUAL MEMBERS. THE SOLE CORPORATE MEMBER OF THE CORPORATION IS SINAI HEALTH SYSTEM (EIN: 36-3166895), AN ILLINOIS NOT-FOR-PROFIT CORPORATION. IN ADDITION, EVERY MEMBER OF THE JEWISH FEDERATION OF METROPOLITAN CHICAGO SHALL BE AN INDIVIDUAL MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>HOW MEMBERS OR SHAREHOLDERS ELECT GOVERNING BODY DIRECTORS ARE ELECTED BY THE SOLE CORPORATE MEMBER, SINAI HEALTH SYSTEM, FOR A TERM OF 3 YEARS FROM AMONG THOSE PERSONS NOMINATED BY THE SINAI HEALTH SYSTEM GOVERNANCE COMMITTEE. THE GOVERNANCE COMMITTEE SHALL BE RESPONSIBLE FOR SELECTING AND REVIEWING PROSPECTIVE CANDIDATES FOR ELECTION TO THE BOARD OF DIRECTORS, COMMUNICATING EXPECTATIONS OF INDIVIDUAL BOARD MEMBERS, AND RECRUITING PROSPECTIVE BOARD MEMBERS WITH A FOCUS ON DIVERSITY, EXPERIENCE, AND EXPERTISE. ALL PROSPECTIVE DIRECTORS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM AS PART OF THE APPLICATION PROCESS, AND ANNUALLY THEREAFTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>DECISIONS OF GOVERNING BODY APPROVAL BY MEMBERS OR SHAREHOLDERS THE SOLE CORPORATE MEMBER, WORKING CLOSELY WITH THE CORPORATION'S BOARD OF DIRECTORS, HAS CERTAIN RESERVED POWERS OVER SIGNIFICANT CORPORATE ACTIONS, INCLUDING MATTERS SUCH AS APPOINTMENT OF CORPORATE OFFICERS, AMENDMENT OF GOVERNING DOCUMENTS, APPROVAL OF A MERGER, CONSOLIDATION OR DISSOLUTION, APPROVAL OF BUDGETS AND STRATEGIC PLANS, APPROVAL OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS FOR THE ORGANIZATION, AND APPROVAL OF NON-BUDGETED LONG-TERM DEBT. THE SOLE CORPORATE MEMBER ALSO ENSURES THAT THE CORPORATION IS IN COMPLIANCE WITH ITS STATED CORPORATE AND CHARITABLE PURPOSE AND MISSION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 REVIEW PROCESS THE FORM 990 INFORMATION WAS INITIALLY PROVIDED BY THE FINANCE STAFF WITH MULTI-DISCIPLINARY INPUT FROM PUBLIC AFFAIRS, CORPORATE COMPLIANCE AND OTHER APPROPRIATE STAFF OF THE ORGANIZATION. THE FORM 990 WAS THEN PREPARED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM AND REVIEWED BY SENIOR FINANCE STAFF AND OTHER MEMBERS OF SENIOR LEADERSHIP. PRIOR TO THE FILING, THE FORM 990 WAS MADE AVAILABLE TO THE FULL BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST THE CONFLICT OF INTEREST DISCLOSURE FORM IS COMPLETED AND SIGNED ANNUALLY BY ALL BOARD MEMBERS AND OTHER EMPLOYEES WHO ARE IN A POSITION TO INFLUENCE PURCHASING DECISIONS, AFFILIATIONS OR REFERRALS, HIRING DECISIONS OR CONTRACTS. CONFLICTS DISCLOSED ON THE CONFLICT OF INTEREST DISCLOSURE FORM ARE TAKEN INTO CONSIDERATION WHEN MAKING BOARD COMMITTEE ASSIGNMENTS. IN ADDITION, INDIVIDUALS WHO HAVE A CONFLICT OF INTEREST MUST ABSTAIN FROM PARTICIPATING IN DECISIONS AFFECTING THE INTERESTED PARTIES AND MAKE IT CLEAR WHY THEY ARE ABSTAINING. IF THE POTENTIAL FOR CONFLICT OF INTEREST EXISTS, EMPLOYEES AND PHYSICIANS ARE REQUIRED TO DISCUSS THE SITUATION WITH MANAGEMENT. THE SINAI HEALTH SYSTEM CHIEF EXECUTIVE OFFICER AND CHAIR OF THE AUDIT AND COMPLIANCE COMMITTEE DISCUSS ANY POTENTIAL CONFLICTS WITH THE CHAIRMAN OF THE BOARD OF DIRECTORS. BOARD MEMBERS OF THE SINAI HEALTH SYSTEM OR ANY OF ITS ENTITIES ARE REQUIRED TO REPORT POTENTIAL CONFLICTS TO THE CHIEF COMPLIANCE OFFICER WHO WILL REVIEW POTENTIAL CONFLICTS WITH THE SINAI HEALTH SYSTEM CHIEF EXECUTIVE OFFICER AND CHAIRMAN OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION REVIEW &amp; APPROVAL PROCESS - OFFICERS &amp; KEY EMPLOYEES SINAI HEALTH SYSTEM HAS A HUMAN RESOURCES COMMITTEE THAT APPROVES ALL EXECUTIVE COMPENSATION ARRANGEMENTS, INCLUDING INCENTIVE COMPENSATION. SINAI HEALTH SYSTEM'S HUMAN RESOURCES COMMITTEE SUPPORTS THE ORGANIZATIONAL PERFORMANCE OF SINAI HEALTH SYSTEM AND ITS RELATED ENTITIES THROUGH THE ALIGNMENT OF EXECUTIVE COMPENSATION WITH SYSTEM STRATEGIES AND PROGRAMS, AND ENSURES COMPLIANCE WITH APPLICABLE LAW. THE VOTING MEMBERS OF THE COMMITTEE ARE INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE MEETS TWICE ANNUALLY OR MORE FREQUENTLY AS CIRCUMSTANCES REQUIRE. THE COMMITTEE ESTABLISHES DETAILED GOALS ANNUALLY FOR THE PRESIDENT AND CEO AND OTHER EXECUTIVES, AND REVIEWS PERFORMANCE AGAINST THESE GOALS ON AN ANNUAL BASIS. THE COMMITTEE ANNUALLY ENGAGES AN OUTSIDE, INDEPENDENT COMPENSATION CONSULTANT TO BENCHMARK THE SALARIES AND BENEFITS OF THE ORGANIZATION'S ASSISTANT VICE PRESIDENTS AND ABOVE, AS WELL AS A FEW DIRECTORS. COMPENSATION IS BASED ON DETAILED WRITTEN PERFORMANCE APPRAISALS AND EXTERNAL MARKET DATA. IN AN EXECUTIVE SESSION, THE COMMITTEE REVIEWS THE PERFORMANCE OF THE PRESIDENT AND CEO, EACH ELEMENT OF COMPENSATION, DATA OF COMPENSATION PROGRAMS IN EFFECT FOR CEOS OF COMPARABLE ORGANIZATIONS, AND CONDUCTS AN ANNUAL REVIEW OF CEO PERFORMANCE AGAINST ESTABLISHED GOALS. THE COMMITTEE MAINTAINS WRITTEN MINUTES WHICH ARE MAINTAINED IN EXECUTIVE ADMINISTRATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER DOCUMENTS PUBLICLY AVAILABLE GOVERNING DOCUMENTS, CONFLICT OF INTEREST AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 24E</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVIDER ASSESSMENT: PROGRAM SERVICE EXPENSES 23,394,763. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,394,763. LABORATORY SERVICES: PROGRAM SERVICE EXPENSES 14,053,919. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,053,919. EQUIPMENT RENTAL &amp; REPAIR: PROGRAM SERVICE EXPENSES 4,286,859. MANAGEMENT AND GENERAL EXPENSES 3,422,604. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,709,463. OTHER EXPENSES: PROGRAM SERVICE EXPENSES 3,771,462. MANAGEMENT AND GENERAL EXPENSES 1,664,665. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,436,127. FOOD SUPPLIES AND SERVICES: PROGRAM SERVICE EXPENSES 1,975,806. MANAGEMENT AND GENERAL EXPENSES 664,234. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,640,040. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,601,231. MANAGEMENT AND GENERAL EXPENSES 538,308. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,139,539. PHYSICIANS BUSINESS ALLOWANCE: PROGRAM SERVICE EXPENSES 20,167. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,167.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MOUNT SINAI COMMUNITY FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2760 W 15TH PL 7TH FLR</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60608</ZIPCd>
        </USAddress>
        <EIN>333305449</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 A TYPE I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SINAI HEALTH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SINAI COMMUNITY INSTITUTE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2653 WEST OGDEN AVE</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60608</ZIPCd>
        </USAddress>
        <EIN>363932824</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SINAI HEALTH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SCHWAB REHAB HOSPITAL &amp; CARE NETWORK</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1401 S CALIFORNIA AVENUE</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60608</ZIPCd>
        </USAddress>
        <EIN>362179802</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SINAI HEALTH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SINAI HEALTH SYSTEM</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>15TH STREET CALIFORNIA AVE</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60608</ZIPCd>
        </USAddress>
        <EIN>363166895</EIN>
        <PrimaryActivitiesTxt>PARENT CORP</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12B TYPE II</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOLY CROSS HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2701 WEST 68TH ST</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60629</ZIPCd>
        </USAddress>
        <EIN>362170133</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SINAI HEALTH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MOUNT SINAI HOSPITAL MEDICAL CENTER ENDOWMENT FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>30 SOUTH WELLS NO 4049</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60606</ZIPCd>
        </USAddress>
        <EIN>364310820</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 A TYPE I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MOUNT SINAI HOSPITAL MEDICAL CENTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HAWTHORNE WORKS MED IMAGING</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>8930 WAUKEGAN RD</AddressLine1Txt>
          <CityNm>MORTON GROVE</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60053</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>IMAGING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MOUNT SINAI HOSPITAL MEDICAL CENTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>76567</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>158991</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>1</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.51000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PROGRESS HEALTH INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2701 WEST 68TH STREET</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60269</ZIPCd>
        </USAddress>
        <EIN>364109153</EIN>
        <PrimaryActivitiesTxt>MGMT SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SINAI COMMUNITY PHARMACY</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>CALIFORNIA AVE AND 15TH STREET</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60609</ZIPCd>
        </USAddress>
        <EIN>363832319</EIN>
        <PrimaryActivitiesTxt>PHARMACY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MOUNT SINAI HOSPITAL MEDICAL CENTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>23526</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>1306672</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>1</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HAWTHORNE WORKS MED IMAGING</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>F</TransactionTypeTxt>
        <InvolvedAmt>130000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>