2022-05-13T10:17:58-05:00 2021-06-30 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2020-07-01 363166895 SINAI HEALTH SYSTEM SINA 7735422000 2750 WEST 15TH STREET CHICAGO IL 60608 GARY KRUGEL CFO 7735422000 2022-05-11 1 GARY KRUGEL 999009999 DAVID LOWENTHAL P00378651 3122071040 2022-05-11 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z KAREN TEITELBAUM 2750 WEST 15TH STREET CHICAGO IL 60608 93419606 0 X WWW.SINAICHICAGO.ORG X 1981 IL SINAI HEALTH SYSTEM'S MISSION IS TO IMPROVE THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. 26 25 476 41 0 0 14080365 17545442 67274174 74612998 1627 120324 790742 1140842 82146908 93419606 20630 18000 0 0 29906542 41610660 0 0 825103 43722441 40872701 73649613 82501361 8497295 10918245 238311110 281453478 98414831 136582484 139896279 144870994 X SINAI HEALTH SYSTEM'S MISSION IS TO IMPROVE THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. 0 0 28885272 18000 75753290 SINAI HEALTH SYSTEM IS THE PARENT ORGANIZATION AND PROVIDES ADMINISTRATIVE MANAGEMENT SUPPORT TO ITS AFFILIATED ORGANIZATIONS TO ENABLE THEM TO IMPROVE THE HEALTH AND COMMUNITIES IT SERVES. LOCATED ON THE WEST SIDE OF THE CITY OF CHICAGO AND SERVING A POPULATION BASE OF 1.5 MILLION PEOPLE IN ITS SERVICE AREA ZIP CODES, SINAI HEALTH SYSTEM (SINAI) CONSISTS OF SIX MEMBER ORGANIZATIONS. THEY ARE MOUNT SINAI HOSPITAL, HOLY CROSS HOSPITAL, SCHWAB REHABILITATION HOSPITAL, SINAI COMMUNITY INSTITUTE, SINAI MEDICAL GROUP, AND SINAI URBAN HEALTH INSTITUTE. SINAI ALSO HAS A NUMBER OF CLINICS THAT ARE LOCATED ON THE WEST AND SOUTH SIDES OF CHICAGO. SINAI HEALTH SYSTEM SERVES PRIMARILY AFRICAN-AMERICAN AND LATINO PATIENTS. SINAI'S PROGRAMS AND COMMUNITY OUTREACH ARE BASED ON SCIENTIFIC EPIDEMIOLOGICAL ASSESSMENTS OF LOCAL NEIGHBORHOODS DONE BY SINAI URBAN HEALTH INSTITUTE (SUHI). IN ADDITION TO THE WORK OF EPIDEMIOLOGISTS, SUHI COMMUNITY HEALTH EDUCATORS WORK WITH NEIGHBORHOOD GROUPS AND GO DOOR TO DOOR FOR FURTHER IDENTIFICATION OF INDIVIDUALS WITH CHRONIC DISEASE AND FOR INTERVENTION IN DISEASE PROCESSES. SUHI ALSO CONDUCTS HEALTH DISPARITIES RESEARCH, DEVELOPS INNOVATIVE COMMUNITY HEALTH INTERVENTIONS, DELIVERS COMMUNITY HEALTH WORKER TRAINING AND CONSULTATION, AND PROVIDES A BROAD SCOPE OF EVALUATION SERVICES. 1941418 550 SINAI URBAN HEALTH INSTITUTE (SUHI) WORKS IN PARTNERSHIP WITH COMMUNITY MEMBERS AND ORGANIZATIONS TO DOCUMENT DISPARITIES AND IMPROVE HEALTH IN SOME OF THE MOST VULNERABLE NEIGHBORHOODS IN THE CITY. SUHI CONDUCTS HEALTH DISPARITIES RESEARCH, DEVELOPS INNOVATIVE COMMUNITY HEALTH INTERVENTIONS, DELIVERS COMMUNITY HEALTH WORKER TRAINING AND CONSULTATION, AND PROVIDES A BROAD SCOPE OF EVALUATION SERVICES. CURRENTLY FUNDED INITIATIVES FOCUS ON ASTHMA, BREAST HEALTH, DIABETES AND VIOLENCE. 1060752 AIDS/HIV INITIATIVESSINAI PROVIDES SUPPORT FOR BOTH MEDICAL AND SOCIAL SUPPORT SERVICES FOR PERSONS LIVING WITH HIV. MEDICAL SERVICES INCLUDE OUTPATIENT AMBULATORY HEALTH, MENTAL HEALTH, PSYCHOSOCIAL SUPPORT, AND EARLY INTERVENTION SERVICES. SOCIAL SUPPORT SERVICES PROVIDE CASE MANAGEMENT FOR PERSONS LIVING WITH HIV. CASE MANAGERS SUPPORT PATIENTS THROUGH ISSUES RELATED TO THE SOCIAL DETERMINANTS OF HEALTH LIKE HOUSING, EMPLOYMENT, AND NUTRITION, AS WELL AS MEDICATION-RELATED ISSUES LIKE ADHERENCE. 31887442 1 1 0 1 0 0 0 0 0 0 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 303 0 1 476 1 0 0 0 0 0 0 0 0 0 0 0 0 X 26 25 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X GARY KRUGEL CFO 7732575964 CALIFORNIA AVENUE AT 15TH STREET CHICAGO IL 60608 KAREN TEITELBAUM PRESIDENT & CEO 13.00 27.00 X X 0 1046593 14136 VINCENT WILLIAMS DIRECTOR & CHAIR 2.00 10.00 X X 0 0 0 KENNETH AVNER DIRECTOR & VICE CHAIR 2.00 10.00 X X 0 0 0 BRIAN DOLAN DIRECTOR & TREASURER 2.00 10.00 X X 0 0 0 ANNE DONNELLY COHN DIRECTOR & SECRETARY 2.00 10.00 X X 0 0 0 LESLIE MITCHEL BOND DIRECTOR 2.00 10.00 X 0 0 0 ONYINYECHI DANIEL DIRECTOR 2.00 10.00 X 0 0 0 LESLIE DAVIS DIRECTOR 2.00 10.00 X 0 0 0 ROXANNE DECYK DIRECTOR 2.00 10.00 X 0 0 0 VIVIAN FUNCHES DIRECTOR 2.00 10.00 X 0 0 0 ALEJANDRA GARZA DIRECTOR 2.00 10.00 X 0 0 0 FR WILLIAM GROGAN DIRECTOR 2.00 10.00 X 0 0 0 MICHAEL HAYES DIRECTOR 2.00 10.00 X 0 0 0 NAKISHA HOBBS DIRECTOR 2.00 10.00 X 0 0 0 WAYNE LERNER DIRECTOR 2.00 10.00 X 0 0 0 ROBERT MARKIN DIRECTOR 2.00 10.00 X 0 0 0 BRET MAXWELL DIRECTOR 2.00 10.00 X 0 0 0 LEE MILLER DIRECTOR 2.00 10.00 X 0 0 0 STEPHEN MORALES DIRECTOR 2.00 10.00 X 0 0 0 ABRAHAM MORGAN DIRECTOR 2.00 10.00 X 0 0 0 CHERILYN MURER DIRECTOR 2.00 10.00 X 0 0 0 KATYA NUQUES DIRECTOR 2.00 10.00 X 0 0 0 ALEX PISSIOS DIRECTOR 2.00 10.00 X 0 0 0 DAVID SMITH DIRECTOR 2.00 10.00 X 0 0 0 RACHEL STERNBERG DIRECTOR 2.00 10.00 X 0 0 0 SR IMMACULA WENDT DIRECTOR 2.00 10.00 X 0 0 0 GARY KRUGEL CHIEF FINANCIAL OFFICER 13.00 27.00 X 0 501502 20766 AIRICA STEED CHIEF OPERATING OFFICER 13.00 27.00 X 0 659568 31069 ELIZABETH CONNOLLY GENERAL COUNSEL 13.00 27.00 X 0 362598 7733 VIVEK MEHTA - THRU 71520 CHIEF INFORMATION OFFICER 13.00 27.00 X 0 425042 0 DEBRA WESLEY PRESIDENT - SCI 20.00 20.00 X 0 380922 20143 HELEN MARGELLOS ANAST PRESIDENT, SINAI URBAN HEALTH INSTITUTE 40.00 0.00 X 267580 0 28971 JASON N SPIGNER CHIEF HUMAN RESOURCES OFFICER 13.00 27.00 X 0 452042 13983 JOY SHULRUFF LEGAL COUNSEL, HR OPERATIONS 40.00 0.00 X 293104 0 0 DANIEL REGAN VP, COMMUNICATIONS PR AND MARKETING 40.00 0.00 X 224052 0 32107 ERIC LENZO VP, SPECIALTY HEALTH SERVICES 40.00 0.00 X 212116 0 33802 BRENT WALTER SPYRKA SYSTEM DIRECTOR, IS OPERATIONS 40.00 0.00 X 189236 0 14826 MENAI EDWARDS EXEC DIRECTOR, HR OPERATIONS & EMPLOYEE RELATIONS 40.00 0.00 X 188660 0 14414 1374748 3828267 231950 80 0 1 0 XTEND HEALTHCARE ADVANCE REVENUE 90 VOLUNTEER DR SUITE 150 HENDERSONVILLE TN 37075 REVENUE CYCLE MANAGEMENT 11664152 BOLDER HEALTHCARE SOLUTIONS INC 125 SOUTH CLARK STREET CHICAGO IL 60603 REVENUE CYCLE MANAGEMENT 2179035 PLANTE & MORAN PLLC 3000 TOWNCENTER DRIVE SUITE 100 SOUTHFIELD MI 48075 CONSULTING SERVICES 1250678 PREMIER INC 13034 BALLANTYNE CORPORATE PLACE CHARLOTTE NC 28277 CONSULTING SERVICES 1191264 PRESS GANEY ASSOCIATES INC ONE N FRANKLIN ST SUITE 1600 CHICAGO IL 606063494 PROFESSIONAL SERVICES 422194 50 127906 3182982 14234554 508718 17545442 INTERCOMPANY MANAGEMENT REIMBURSE 900099 74445695 74445695 OTHER PROGRAM SERVICE REVENUE 900099 167303 167303 74612998 120324 120324 REBATE REVENUE 900099 1140842 1140842 1140842 93419606 75753840 0 120324 X 18000 18000 306145 306145 35870859 5516801 29849116 504942 211756 35917 175839 3210541 1439491 1771050 2011359 413949 1597410 198866 198866 1483768 1483768 471464 471464 345020 215020 130000 19959465 19133854 551781 273830 61764 61564 200 1464689 1433857 14093 16739 8529018 1053382 7461998 13638 1176492 1176492 44397 43853 496 48 99793 99901 -311 203 128208 123473 4735 4189089 1084974 3104115 165574 165574 EQUIP RENTAL & REPAIR 929655 814585 115070 INTERCO PURCHASED SVCS 843209 30345 812864 DRUGS & MEDICAL SUPPLIE 134421 133201 1220 FOOD SUPPLIES & SERVICE 25952 24496 1456 621857 395816 215273 10768 82501361 31887442 49788816 825103 18936283 25568007 75993534 106162082 5277065 3628216 40380 396645 0 1374306 2652189 53709185 29759374 17507331 23949811 117739320 117739320 1086626 1713473 238311110 281453478 6212564 9107991 92202267 127474493 98414831 136582484 X 131160846 134750047 8735433 10120947 139896279 144870994 238311110 281453478 X 10918245 164939 -6108469 X 0 1 X 1 1 1 X X 4 MOUNT SINAI HOSPITAL MEDICAL CENTER 361509000 3 1 66437542 0 SCHWAB REHABILITATION HOSPITAL 362179802 3 1 8034365 0 SINAI COMMUNITY INSTITUTE 363932824 10 1 152469 0 HOLY CROSS HOSPITAL 362170133 3 1 18868258 0 4 93492634 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 SCHEDULE A, PART IV, SECTION A, LINE 1 SINAI HEALTH SYSTEM'S (SHS) ARTICLES OF INCORPORATION DESIGNATE ITS SUPPORTED ORGANIZATION BY CLASS AND PURPOSE, WHICH IS PERMISSIBLE UNDER SECTION 1.509(A)-4(C). PER THE ARTICLES OF INCORPORATION, SHS PROMOTES THE INTEREST OF ANY NOT-FOR-PROFIT AND FEDERALLY TAX-EXEMPT ORGANIZATION THAT IS AFFILIATED WITH SHS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 0 0 1 365020 365020 0 PART II-B, LINE 1: SINAI HEALTH SYSTEM ENGAGES IN EDUCATION AND OTHER ACTIVITIES TO INFORM FEDERAL, STATE, COUNTY AND CITY ELECTED AND ADMINISTRATIVE OFFICIALS REGARDING LEGISLATION AND POLICIES RELATED TO MEDICAID (SINAI'S MAJOR PAYER AND THE SAFETY NET OF MANY OF ITS PATIENTS), MEDICARE AND OTHER FUNDING SOURCES RELATED TO OUR ONGOING HEALTHCARE MISSION. THE SYSTEM LOBBYING ACTIVITIES ARE COORDINATED THROUGH MARA RUFF, VICE PRESIDENT EXTERNAL AFFAIRS SINAI HEALTH SYSTEM. LOBBYING IS CONDUCTED ON BEHALF OF THE ENTIRE SINAI SYSTEM, THEREFORE STATE LOBBYISTS ARE REGISTERED TO REPRESENT ALL ENTITIES WITHIN THE SINAI HEALTH SYSTEM. ALL LOBBYING EXPENSES INCURRED ARE PAID BY SINAI HEALTH SYSTEM. AT THE FEDERAL LEVEL, SINAI HEALTH SYSTEM DOES NOT CONTRACT EXCLUSIVE LOBBYISTS. SINAI DOES USE AN OUTSIDE FIRM TO ASSIST AT THE FEDERAL LEVEL WITH THE DEVELOPMENT OF GRANT PROPOSALS BUT THE FIRM DOES NOT OPERATE AS A LOBBYING ENTITY WITH SINAI. SINAI HEALTH SYSTEM COLLABORATES WITH THE AMERICAN HOSPITAL ASSOCIATION, THE ILLINOIS HOSPITAL ASSOCIATION, AMERICA'S ESSENTIAL HOSPITALS, AND THE JEWISH FEDERATION OF METROPOLITAN CHICAGO/JEWISH UNITED FUND. AT THE STATE AND FEDERAL LEVELS, SINAI UTILIZES THREE OUTSIDE LOBBYING FIRMS. 995035 995035 11734078 3575048 8159030 28950492 23017525 5932967 12029580 3166801 8862779 23949811 INVESTMENT IN HOLY CROSS HOSPITAL 117739320 C 117739320 DEFERRED LIABILITIES 838942 DEFERRED COMPENSATION 15526 DUE TO AFFILIATES 122746708 CURRENT PORTION CAPITAL LEASE 1089785 CAPITAL LEASE OBLIGATION 765635 OTHER CURRENT LIABILITIES 1458472 FICA DEFERRAL 559425 127474493 X PART X, LINE 2: 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, 2021 AND 2020, 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 2017. X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 KAREN TEITELBAUM PRESIDENT & CEO 0 953021 0 0 0 93572 0 5700 0 8436 0 1060729 0 0 AIRICA STEED CHIEF OPERATING OFFICER 0 505121 0 153727 0 720 0 5700 0 25369 0 690637 0 0 GARY KRUGEL CHIEF FINANCIAL OFFICER 0 428582 0 72200 0 720 0 0 0 20766 0 522268 0 0 JASON N SPIGNER CHIEF HUMAN RESOURCES OFFICER 0 331010 0 94952 0 26080 0 5700 0 8283 0 466025 0 0 VIVEK MEHTA - THRU 71520 CHIEF INFORMATION OFFICER 0 186084 0 101399 0 137559 0 0 0 0 0 425042 0 0 DEBRA WESLEY PRESIDENT - SCI 0 270246 0 76521 0 34155 0 8500 0 11643 0 401065 0 0 ELIZABETH CONNOLLY GENERAL COUNSEL 0 314295 0 47643 0 660 0 0 0 7733 0 370331 0 0 HELEN MARGELLOS ANAST PRESIDENT, SINAI URBAN HEALTH INSTIT 191082 0 71032 0 5466 0 5700 0 23271 0 296551 0 0 0 JOY SHULRUFF LEGAL COUNSEL, HR OPERATIONS 292779 0 0 0 325 0 0 0 0 0 293104 0 0 0 DANIEL REGAN VP, COMMUNICATIONS PR AND MARKETING 197840 0 25318 0 894 0 4338 0 27769 0 256159 0 0 0 ERIC LENZO VP, SPECIALTY HEALTH SERVICES 197493 0 13977 0 646 0 4497 0 29305 0 245918 0 0 0 BRENT WALTER SPYRKA SYSTEM DIRECTOR, IS OPERATIONS 175003 0 12919 0 1314 0 3484 0 11342 0 204062 0 0 0 MENAI EDWARDS EXEC DIRECTOR, HR OPERATIONS & EMPLO 174499 0 12831 0 1330 0 3849 0 10565 0 203074 0 0 0 PART I, LINE 1A THE SINAI HEALTH SYSTEM, FOR BUSINESS PURPOSES IS A CORPORATE MEMBER OF THE STANDARD CLUB. THE MEMBERSHIP PROVIDED TO KAREN TEITELBAUM IS TREATED BY THE SINAI HEALTH SYSTEM AS A WORKING CONDITION FRINGE BENEFIT AND IS, THEREFORE, EXCLUDED FROM THE INDIVIDUAL'S TAXABLE INCOME. PART I, LINE 3 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 IS CONDUCTED AGAINST SHS ESTABLISHED GOALS. THE COMMITTEE MAINTAINS WRITTEN MINUTES WHICH ARE MAINTAINED IN EXECUTIVE ADMINISTRATION. PART I, LINES 4A-B SEVERANCE PAYMENTS THE ORGANIZATION PAID SEVERANCE IN THE FORM OF WAGE CONTINUATION TO THE FOLLOWING INDIVIDUALS: VIVEK MEHTA $137,169 SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN SINAI HEALTH SYSTEM'S (SHS) 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. SHS'S SERP IS ENTIRELY FUNDED BY THE EMPLOYER, SHS. THE SHS COMPENSATION COMMITTEE REVIEWS AND APPROVES ACCEPTANCE AND/OR MODIFICATIONS TO THE SERP PLAN. THE SHS'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: KAREN TEITELBAUM $76,664 JASON SPRIGNER $19,160 DEBRA WESLEY $23,084 PART I, LINE 7 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. X 3 508718 FMV 0 1 0 PART I, COLUMN (B): THE NUMBER OF CONTRIBUTIONS COLUMN REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART VI, SECTION A, LINE 1 EXPLANATION OF DELEGATED BOARD AUTHORITY TO COMMITTEE THE EXECUTIVE COMMITTEE CONSISTS OF THE BOARD CHAIR, VICE CHAIR(S), SECRETARY, TREASURER AND PRESIDENT, AND MAY HAVE ADDITIONAL BOARD MEMBERS AS DETERMINED BY THE BOARD CHAIRPERSON. THE EXECUTIVE COMMITTEE HAS THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE 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. FORM 990, PART VI, SECTION B, LINE 11B 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. FORM 990, PART VI, SECTION B, LINE 12C 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. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION REVIEW & APPROVAL PROCESS - OFFICERS & 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. FORM 990, PART VI, SECTION C, LINE 19 OTHER DOCUMENTS PUBLICLY AVAILABLE GOVERNING DOCUMENTS, CONFLICT OF INTEREST AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G DEVELOPMENT: PROGRAM SERVICE EXPENSES 117,572. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 273,830. TOTAL EXPENSES 391,402. HUMAN RESOURCES: PROGRAM SERVICE EXPENSES 515,403. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 515,403. ORGANIZATIONAL STRATEGY: PROGRAM SERVICE EXPENSES 3,108,198. MANAGEMENT AND GENERAL EXPENSES 111,598. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,219,796. QUALITY IMPROVEMENT: PROGRAM SERVICE EXPENSES 283,329. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 283,329. REVENUE CYCLE MANAGEMENT: PROGRAM SERVICE EXPENSES 11,644,383. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,644,383. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 3,464,969. MANAGEMENT AND GENERAL EXPENSES 440,183. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,905,152. FORM 990, PART XI, LINE 9: NET ASSETS RELEASED FROM RESTRICTION -6,108,469. SINAI COMMUNITY INSTITUTE 2653 WEST OGDEN AVE CHICAGO IL 60608 363933824 HEALTHCARE IL 501(C)(3) 10 SINAI HEALTH SYSTEM 1 SCHWAB REHABILITATION HOSPITAL & CARE 1401 S CALIFORNIA AVE CHICAGO IL 60608 362179802 HEALTHCARE IL 501(C)(3) 3 SINAI HEALTH SYSTEM 1 HOLY CROSS HOSPITAL 2701 WEST 68TH STREET CHICAGO IL 60629 362170133 HEALTHCARE IL 501(C)(3) 3 SINAI HEALTH SYSTEM 1 MOUNT SINAI HOSPITAL MEDICAL CENTER CALIFORNIA AT 15TH STREET CHICAGO IL 60608 361509000 HEALTHCARE IL 501(C)(3) 3 SINAI HEALTH SYSTEM 1 MOUNT SINAI COMMUNITY FOUNDATION 2760 W 15TH PL 7TH FLOOR CHICAGO IL 60608 363305449 HEALTHCARE IL 501(C)(3) 12 TYPE 1 SINAI HEALTH SYSTEM 1 HAWTHORNE WORKS MED IMAGING LLC 8930 WAUKEGAN RD MORTON GROVE IL 60053 203364703 IMAGING IL MOUNT SINAI HOSPITAL MEDICAL CENTER RELATED 66018 263045 0 0 0.51000 PROGRESS HEALTH INC 2701 W 68TH STREET CHICAGO IL 60608 364109153 MGMT SERVICES IL SINAI HEALTH SYSTEM C 6504505 2618048 1.00000 1 SINAI COMMUNITY PHARMACY CALIFORNIA AVE AT 15TH STREET CHICAGO IL 60608 363832319 PHARMACY IL MOUNT SINAI HOSPITAL MEDICAL CENTER C 1672495 919500 1.00000 1 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 MOUNT SINAI HOSPITAL MEDICAL CENTER D 113506 COST HOLY CROSS HOSPITAL D 28377 COST MOUNT SINAI HOSPITAL MEDICAL CENTER J 117996 COST SINAI COMMUNITY INSTITUTE J 68799 COST MOUNT SINAI HOSPITAL MEDICAL CENTER Q 43035888 COST SCHWAB REHABILITATION HOSPITAL & CARE Q 5696768 COST SINAI COMMUNITY INSTITUTE Q 711758 COST MOUNT SINAI COMMUNITY FOUNDATION Q 7759022 COST HOLY CROSS HOSPITAL Q 16301726 COST PROGRESS HEALTH INC Q 1326673 COST