2025-05-15T14:35:57-05:00 2024-06-30 331498605 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2023-07-01 363932824 SINAI COMMUNITY INSTITUTE INC SINA 7732572937 2653 W OGDEN AVE CHICAGO IL 60608 DIMAS ORTEGA DEPUTY CFO 7732572937 2025-05-14 1 1 DAVID LOWENTHAL P00378651 3122071040 2025-05-14 2023 2025-03-06 01:10:19Z DEBRA WESLEY 2653 W OGDEN AVE CHICAGO IL 60608 6743597 0 X WWW.SINAICHICAGO.ORG X 1993 IL AS A MEMBER OF SINAI HEALTH SYSTEM, SINAI COMMUNITY INSTITUTE, INC. IS A HEALTH AND SOCIAL SERVICES ORGANIZATION COMMITTED TO PROVIDING HOSPITAL AND HEALTH SYSTEM PUBLIC SOCIAL SERVICES AND RESOURCES THAT IMPROVE OUR COMMUNITY'S HEALTH STATUS. 25 24 135 10 0 0 5029193 5742436 836541 786730 0 0 193704 214431 6059438 6743597 0 0 0 0 3903270 3765075 0 0 0 3608855 4199817 7512125 7964892 -1452687 -1221295 7382758 7599619 11220038 9264295 -3837280 -1664676 X AS A MEMBER OF SINAI HEALTH SYSTEM, SINAI COMMUNITY INSTITUTE, INC. IS A HEALTH AND SOCIAL SERVICES ORGANIZATION COMMITTED TO PROVIDING HOSPITAL AND HEALTH SYSTEM PUBLIC SOCIAL SERVICES AND RESOURCES THAT IMPROVE OUR COMMUNITY'S HEALTH STATUS. 1 0 2977665 FAMILY SERVICESSINAI COMMUNITY INSTITUTE (SCI) PROVIDES FAMILY CASE MANAGEMENT LINKAGES TO SOCIAL AND HEALTH SERVICES PRIMARILY AVAILABLE FOR INFANTS AND PREGNANT WOMEN. BETTER BIRTH OUTCOMES PROVIDES HEALTH SERVICES TO PREGNANT WOMEN THAT ARE AT HIGH RISK. WOMEN, INFANTS AND CHILDREN (WIC) INCLUDES NUTRITION EDUCATION AND THE DISBURSEMENT OF FOOD VOUCHERS TO ELIGIBLE PARENTS, INFANTS AND CHILDREN UP TO 5 YEARS OF AGE, SERVING OVER 48,000 CLIENTS ANNUALLY. 930783 FAMILY EDUCATIONTHESE PROGRAMS OFFER TO PARENTS THE SKILLS, KNOWLEDGE AND RESOURCES THEY REQUIRE TO RAISE THEIR CHILDREN IN OUR COMPLEX COMMUNITY. THESE PROGRAMS ALSO OFFER COMMUNITY OUTREACH TO INCREASE THE NUMBER OF NORTH LAWNDALE CHILDREN UNDER AGE 5 RECOMMENDED TO RECEIVE IMMUNIZATIONS BEFORE ENTERING KINDERGARTEN. AFTER SCHOOL SERVICES PROGRAM TARGET THE COMMUNITY, CHALLENGING YOUTH ARE ASSISTED WITH HOMEWORK AND JOB READINESS. THE SUMMER PROGRAM EMPLOYS YOUTH FOR THE SUMMER FROM OUR UNEMPLOYED COMMUNITY. THE PROGRAM SERVES OVER 250 CLIENTS ANNUALLY. 1065618 HEALTHY CHICAGO EQUITY ZONEGRANT FUNDS ARE TO SUPPORT PUBLIC AND PRIVATE EVIDENCE-BASED INTERVENTIONS AND INNOVATIVE MODELS TO IMPROVE THE HEALTH OUTCOMES OF RACIAL AND ETHNIC MINORITY COMMUNITY, AND CONDUCT POLICY DEMONSTRATION WHICH COORDINATE INTEGRATED SERVICES, COMMUNITY OUTREACH AND SYSTEM NAVIGATION TO IMPROVE ACCESS TO CARE FOR MINORITIES AND DISENFRANCHISED COMMUNITIES. 1531592 711992 SOCIAL SERVICES, SENIOR SERVICES & OTHERSINAI COMMUNITY INSTITUTE PROVIDES OTHER PROGRAMS THAT SUPPORT HEALTHY MINISTRIES, HEALTHY COMMUNITIES (I.E. COVID-19 PROGRAMS), AND COMMUNITY INTERNSHIPS RANGING FROM GRAMMAR SCHOOL, TO HIGH SCHOOL STUDENTS AND TO COLLEGE GRADUATES. ADDITIONALLY, SENIOR SERVICES AND THE SENIOR CENTERS INCLUDES ADULT PROTECTIVE SERVICES WHICH PROVIDES HEALTH, SOCIAL AND ECONOMICAL SERVICES TO SENIORS AND DISABLED ADULTS. THESE PROGRAMS OFFER SOCIAL AND HEALTH RESOURCES TO ASSIST SENIORS WITH RETAINING INDEPENDENT AND HEALTHY LIFESTYLES AND IS ALSO AN INTENSIVE CARE ADVOCACY AND SUPPORT FOR AT RISK SENIOR. 1531592 711992 6505658 1 1 0 0 0 0 0 0 0 0 1 0 0 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 0 0 0 0 0 1 0 0 0 1 0 0 1 135 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 25 24 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X DIMAS ORTEGA 7732575964 1500 S CALIFORNIA AVENUE CHICAGO IL 60608 NGOZI EZIKE MD PRESIDENT & CEO 2.00 38.00 X X 0 807320 6600 BRIAN DOLAN DIRECTOR & CHAIRMAN 2.00 10.00 X X 0 0 0 STEPHEN A MORALES DIRECTOR & VICE CHAIR 2.00 10.00 X X 0 0 0 ALEJANDRA GARZA DIRECTOR & VICE CHAIR - THRU 08/24 2.00 10.00 X X 0 0 0 VIVIAN FUNCHES DIRECTOR & SECRETARY - BEG. 10/24 2.00 10.00 X X 0 0 0 LESLIE DAVIS DIRECTOR & SECRETARY - THRU 10/24 2.00 10.00 X X 0 0 0 KENNETH AVNER DIRECTOR & TREASURER 2.00 10.00 X X 0 0 0 ONYINYECHI DANIEL DIRECTOR 2.00 10.00 X 0 0 0 MICHAEL R DAVENPORT MD DIRECTOR 2.00 10.00 X 0 0 0 ROXANNE J DECYK DIRECTOR 2.00 10.00 X 0 0 0 ANNE DONNELLY DIRECTOR 2.00 10.00 X 0 0 0 EMILY DOSKOW DIRECTOR 2.00 10.00 X 0 0 0 FR WILLIAM GROGAN DIRECTOR 2.00 10.00 X 0 0 0 AVERY HART MD DIRECTOR 2.00 10.00 X 0 0 0 MICHAEL J HAYES DIRECTOR 2.00 10.00 X 0 0 0 NAKISHA HOBBS DIRECTOR 2.00 10.00 X 0 0 0 WAYNE M LERNER DIRECTOR - THRU 10/2023 2.00 10.00 X 0 0 0 BARTLETT JOHNSON 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 WILBUR MILHOUSE DIRECTOR 2.00 10.00 X 0 0 0 LESLIE MITCHEL-BOND DIRECTOR - THRU 10/2023 2.00 10.00 X 0 0 0 ABRAHAM MORGAN DIRECTOR 2.00 10.00 X 0 0 0 KATYA NUQUES DIRECTOR 2.00 10.00 X 0 0 0 DAVID SMITH DIRECTOR 2.00 10.00 X 0 0 0 RACHEL STERNBERG DIRECTOR - THRU 10/2023 2.00 10.00 X 0 0 0 VINCENT WILLIAMS DIRECTOR 2.00 10.00 X 0 0 0 DIMAS ORTEGA CFO, INTERIM -04/2023 THRU 01/2024 2.00 38.00 X 0 299388 2988 DEBRA WESLEY PRESIDENT - SCI 20.00 20.00 X 0 272281 21908 ELIZABETH CONNOLLY GENERAL COUNSEL 2.00 38.00 X 0 425179 3816 ILIANA ANDREA MORA CHIEF OPERATING OFFICER - BEG 6/23 2.00 38.00 X 0 307458 24535 JASON SPIGNER CHIEF HUMAN RESOURCES OFFICER 2.00 38.00 X 0 397577 17135 KENNETH SLAWKOWSKI CHIEF INFORMATION OFFICER 2.00 38.00 X 0 327264 6548 ANGELA BROWN EXEC. DIRECTOR, SINAI COMMUNITY INSTITUTE 40.00 0.00 X 163563 10725 7363 KIMBERLY MARIE WORDLAW NURSE 40.00 0.00 X 110399 0 10565 GARY KRUGEL CFO - THRU 04/2023 0.00 0.00 X 0 190757 8959 KAREN TEITELBAUM PRESIDENT & CEO - THRU 12/2022 0.00 0.00 X 0 152527 440 DAVID CAPONE CFO, INTERIM - 01/2023 THRU 04/2023 0.00 0.00 X 0 0 0 WILLIAM FOLEY COO, INTERIM - 10/2022 THRU 10/2023 0.00 0.00 X 0 0 0 273962 3190476 110857 2 1 1 0 ALLIED UNIVERSAL SECURITY SERVICES PO BOX 828854 PHILADELPHIA PA 191828854 SECURITY SERVICES 294618 PORTILLO CLEANING SERVICES 2217 WESTWOOD DR BERWYN IL 60162 CLEANING SERVICES 205242 2 5247861 494575 5742436 INTERCOMPANY RENT REV 531120 692203 692203 OTHER PROGRAM REVENUE 900099 94527 94527 786730 214431 0 214431 214431 214431 6743597 786730 0 214431 X 189402 189402 2734664 2671134 63530 23544 21507 2037 328382 299977 28405 489083 446777 42306 12678 12678 2066 2066 1730841 1581123 149718 74040 61182 12858 25559 25559 320124 240093 80031 34367 33919 448 3136 3036 100 417640 417640 353191 322640 30551 13819 12624 1195 INTERCO PURCHASED SVCS 846301 647851 198450 OTHER EXPENSES 154482 123437 31045 FOOD SUPPLIES & SERVICE 106193 2445 103748 EQUIP RENTAL & REPAIR 95855 2044 93811 9525 10310 -785 7964892 6505658 1459234 0 339318 329116 683959 1131588 5569 12435 11068066 5680200 5733706 5387866 620206 738614 7382758 7599619 461758 368786 27238 354317 363190 8069124 7305752 2307601 1226567 11220038 9264295 X -4075026 -2387460 237746 722784 -3837280 -1664676 7382758 7599619 X -1221295 3393900 X 0 1 X 1 1 1 X 4044570 3575907 4435462 5029193 5742436 22827568 521067 600573 783934 836541 786730 3528845 4565637 4176480 5219396 5865734 6529166 26356413 0 473612 529010 593258 717494 624767 2938141 473612 529010 593258 717494 624767 2938141 23418272 179879 278955 326299 198141 214431 1197705 179879 278955 326299 198141 214431 1197705 4745516 4455435 5545695 6063875 6743597 27554118 0.84990 0.81470 0.04350 0.05330 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 20400 20400 10202585 4945505 5257080 845081 734695 110386 5387866 DUE FROM RELATED PARTIES 738614 738614 DUE TO RELATED PARTIES 778621 OTHER LIABILITIES 389214 DEFERRED LIABILITIES 58732 1226567 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, 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. 0 1 0 0 0 0 0 0 0 NGOZI EZIKE MD PRESIDENT & CEO 0 795498 0 0 0 11822 0 6600 0 0 0 813920 0 0 ELIZABETH CONNOLLY GENERAL COUNSEL 0 400931 0 0 0 24248 0 3659 0 157 0 428995 0 0 JASON SPIGNER CHIEF HUMAN RESOURCES OFFICER 0 366745 0 0 0 30832 0 6600 0 10535 0 414712 0 0 KENNETH SLAWKOWSKI CHIEF INFORMATION OFFICER 0 323488 0 0 0 3776 0 6548 0 0 0 333812 0 0 ILIANA ANDREA MORA CHIEF OPERATING OFFICER - BEG 6/23 0 307098 0 0 0 360 0 0 0 24535 0 331993 0 0 DIMAS ORTEGA CFO, INTERIM -04/2023 THRU 01/2024 0 298557 0 0 0 831 0 2988 0 0 0 302376 0 0 DEBRA WESLEY PRESIDENT - SCI 0 257702 0 0 0 14579 0 5373 0 16535 0 294189 0 0 GARY KRUGEL CFO - THRU 04/2023 0 158609 0 0 0 32148 0 3215 0 5744 0 199716 0 0 ANGELA BROWN EXEC. DIRECTOR, SINAI COMMUNITY INST 158881 10725 0 0 4682 0 0 0 7363 0 170926 10725 0 0 KAREN TEITELBAUM PRESIDENT & CEO - THRU 12/2022 0 18755 0 0 0 133772 0 0 0 440 0 152967 0 0 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 THAT 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 ORGANIZTIONS; AND C) ANNUAL REVIEW OF CEO PERFORMANCE CONDUCTED AGAINST SHS ESTABLISHED GOALS. THE COMMITTEE MAINTAINS WRITTEN MINUTES WHICH ARE MAINTAINED IN EXECUTIVE ADMINISTRATION. PART I, LINE 4B 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: 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. PART I, LINE 7 NON-FIXED PAYMENTS SINAI HEALTH SYSTEM HAS A HUMAN RESOURCES COMMITTEE TO SUPPORT THE ORANIZATIONAL PERFORMANCE OF SINAI HEALTH SYSTEMS AND ITS RELATED ENTITTIES THROUGH THE ALIGHMENT OF EXECUTIVE COMPENSATION WITH SYSTEM STRATEGIES AND PROGRAMS THAT ENSURE COMPLIANCE WITH APPLICABLE LAW. THE VOTING MEMBERS OF THE COMMITTEE ARE INDEPENDENT MEMBERS OF THE BOARD OF DIRETORS. 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 ORGANIZTION'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 ORGANIZATION, AND AN ANNUAL REVIEW OF CEO PERFORMANCE AGAINST ESTABLISHED GOALS IS CONDUCTED. THE COMMITTEE MAINTAINS WRITTEN MINUTES WHICH ARE MAINTAINED IN EXECUTIVE ADMINSTRATION. FORM 990, PART III, LINE 2 HEALTHY CHICAGO EQUITY ZONES (HCEZ) IS A PROGRAM OF THE CHICAGO DEPARTMENT OF PUBLIC HEALTH THAT ORGANIZES LOCAL, COMMUNITY-LED EFFORTS TO ADVANCE HEALTH AND RACIAL EQUITY. THE CITY OF CHICAGO IS DIVIDED INTO SIX GEOGRAPHIC ZONES, EACH OF WHICH HAS AWARD A REGIONAL LEAD WHO WILL WORK COLLABORATIVELY ALONGSIDE COMMUNITY LEADERS TO IDENTIFY AND CONFRONT THE SOCIAL AND ENVIRONMENTAL ISSUES THAT CONTRIBUTE TO HEALTH AND RACIAL INEQUITY. SINAI COMMUNITY INSTITUTE ACTS AS A REGIONAL LEAD ORGANIZATION FOR THE HCEZ IN THE WEST REGION. FORM 990, PART VI, SECTION A, LINE 1A EXPLANATION OF DELEGATED BOARD AUTHORITY TO COMMITTEE THE EXECUTIVE COMMITTEE CONSISTS OF THE BOARD CHAIR, VICE CHAIR(S), SECRETARY, TREASURER AND PRESIDENT, AND ANY OTHER MEMBERS DESIGNATED BY THE BOARD CHAIR. 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 A, LINE 6 EXPLANATION OF CLASSES OF MEMBERS OR SHAREHOLDERS THE SOLE CORPORATE MEMBER OF THE CORPORATION SHALL BE SINAI HEALTH SYSTEM, AN ILLINOIS NOT- FOR- PROFIT CORPORATION. THE SOLE CORPORATE MEMBER HAS CERTAIN DELEGATED POWERS SET FORTH IN THE CORPORATE BYLAWS. FORM 990, PART VI, SECTION A, LINE 7A 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. FORM 990, PART VI, SECTION A, LINE 7B 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. 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 INTOCONSIDERATION 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 OUTSIDE SERVICE FEES: PROGRAM SERVICE EXPENSES 1,581,123. MANAGEMENT AND GENERAL EXPENSES 149,718. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,730,841. FORM 990, PART XI, LINE 9: CHANGE IN BAD DEBT ADJUSTMENT 3,393,900. MOUNT SINAI COMMUNITY FOUNDATION 2750 W 15TH PL 7TH FLR CHICAGO IL 60608 363305449 HEALTHCARE IL 501(C)(3) 12A TYPE I SINAI HEALTH SYSTEM 0 SCHWAB REHABILITATION HOSPITAL & CARE 1401 S CALIFORNIA AVE CHICAGO IL 60608 362179802 HEALTHCARE IL 501(C)(3) 3 SINAI HEALTH SYSTEM 0 MOUNT SINAI HOSPITAL MEDICAL CENTER CALIFORNIA AVE AT 15TH STREET CHICAGO IL 60608 361509000 HEALTHCARE IL 501(C)(3) 3 SINAI HEALTH SYSTEM 0 HOLY CROSS HOSPITAL 2701 W 68TH STREET CHICAGO IL 60629 362170133 HEALTHCARE IL 501(C)(3) 3 SINAI HEALTH SYSTEM 0 SINAI HEALTH SYSTEM 2750 W 15TH STREET CHICAGO IL 60608 363166895 PARENT CORP IL 501(C)(3) 12B TYPE II N/A 0 PROGRESS HEALTH INC 2701 W 68TH STREET CHICAGO IL 60629 364109153 MGMT SERVICES IL N/A C 0 SINAI COMMUNITY PHARMACY CALIFORNIA AVENUE 15TH STREET CHICAGO IL 60608 363632319 PHARMACY IL N/A C 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0