HOLY CROSS HOSPITAL: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- HOLY CROSS HOSPITAL (EIN 36-2170133)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-13
- IRS object ID
- 202211339349303506
- Schema version
- 2020v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-13T10:07:21-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 S RIVERSIDE PLAZA 9TH FLOOR | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362170133 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLY CROSS HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOLY | BusinessNameControlTxt |
| Phone | 7732572937 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2701 WEST 68TH STREET | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60629 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GARY KRUGEL | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7732572937 | PhoneNum |
| Signature | 2022-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | GARY | PersonFirstNm |
| Person Last | KRUGEL | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID LOWENTHAL | PreparerPersonNm |
| PTIN | P00378651 | PTIN |
| Phone | 3122071040 | PhoneNum |
| Preparation | 2022-05-11 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KAREN TEITELBAUM | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2701 WEST 68TH STREET | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60629 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $114,544,353 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SINAICHICAGO.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1928 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | AS A MEMBER OF SINAI HEALTH SYSTEM, HOLY CROSS HOSPITAL'S MISSION IS TO IMPROVE THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES BY PROVIDING EMERGENCY, MEDICAL, SURGICAL, AND PRIMARY CARE SERVICES. THE VISION IS TO BE A NATIONAL MODEL FOR THE DELIVERY OF URBAN HEALTHCARE. THE RELIGIOUS SPONSORS OF HOLY CROSS HOSPITAL ARE THE SISTERS OF ST CASMIR AND THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES ARE FOLLOWED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 26 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 25 | VotingMembersIndependentCnt |
| Total Employee | 984 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $17,353,861 | PYContributionsGrantsAmt |
| CY Contributions Grants | $26,203,840 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $98,892,624 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $86,356,090 | CYProgramServiceRevenueAmt |
| PY Investment Income | $526,377 | PYInvestmentIncomeAmt |
| CY Investment Income | $706,322 | CYInvestmentIncomeAmt |
| PY Other Revenue | $830,497 | PYOtherRevenueAmt |
| CY Other Revenue | $504,540 | CYOtherRevenueAmt |
| PY Total Revenue | $117,603,359 | PYTotalRevenueAmt |
| CY Total Revenue | $113,770,792 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $55,506,242 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $46,954,633 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $79,807,833 | PYOtherExpensesAmt |
| CY Other Expenses | $65,904,017 | CYOtherExpensesAmt |
| PY Total Expenses | $135,314,075 | PYTotalExpensesAmt |
| CY Total Expenses | $112,858,650 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$17,710,716 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $912,142 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $152,625,985 | TotalAssetsBOYAmt |
| Total Assets EOY | $142,348,563 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $82,772,293 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $71,292,950 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $69,853,692 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $71,055,613 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE HOSPITAL IS A CATHOLIC HEALTH CARE ORGANIZATION SPONSORED BY THE SISTERS OF ST. CASIMIR. BY OUR COMMITMENT TO WITNESS TO THE HEALING MISSION OF JESUS, WE CONTRIBUTE TO HEALTHY COMMUNITIES AND PROMOTE QUALITY HEALTH CARE TO ALL WITH COMPASSION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $95,062,874 | ExpenseAmt |
| Revenue | $86,356,090 | RevenueAmt |
| Desc | THE HOSPITAL IS A NOT-FOR-PROFIT CATHOLIC HOSPITAL THAT SERVES A LARGE AREA OF CHICAGO'S SOUTHWEST SIDE. LOCATED IN MARQUETTE PARK, THE HOSPITAL PROVIDES EMERGENCY, MEDICAL/SURGICAL, SPECIALTY, DIAGNOSTICS, BEHAVIORAL HEALTH AND PRIMARY CARE SERVICES TO COMMUNITIES THAT ARE HOME TO MOSTLY RACIALLY DIVERSE AND LOW-INCOME FAMILIES. THE EMERGENCY DEPARTMENT SEES APPROXIMATELY 34,170 PATIENTS PER YEAR AND 15,000 AMBULANCE VISITS. THE HOSPITAL IS A DISPROPORTIONATE SHARE HOSPITAL AND IS A VITAL SAFETY NET HOSPITAL. | Desc |
| Total Program Service Expenses | $95,062,874 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 984 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 26 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 25 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GARY KRUGEL CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7732575964 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 S CALIFORNIA AVENUE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60608 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| KAREN TEITELBAUM | |||||||||
| PRESIDENT & CEO | 6.00 | 34.00 | Yes (X) | Yes (X) | $0 | $1,046,593 | $14,136 | ||
| VINCENT WILLIAMS | |||||||||
| DIRECTOR & CHAIR | 2.00 | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| KENNETH AVNER | |||||||||
| DIRECTOR & VICE CHAIR | 2.00 | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BRIAN DOLAN | |||||||||
| DIRECTOR & TREASURER | 2.00 | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ANNE DONNELLY COHN | |||||||||
| DIRECTOR & SECRETARY | 2.00 | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LESLIE MITCHEL BOND | |||||||||
| DIRECTOR | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| ONYINYECHI DANIEL | |||||||||
| DIRECTOR | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| LESLIE DAVIS | |||||||||
| DIRECTOR | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| ROXANNE DECYK | |||||||||
| DIRECTOR | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| VIVIAN FUNCHES | |||||||||
| DIRECTOR | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| ALEJANDRA GARZA | |||||||||
| DIRECTOR | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| FR WILLIAM GROGAN | |||||||||
| DIRECTOR | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL HAYES | |||||||||
| DIRECTOR | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| NAKISHA HOBBS | |||||||||
| DIRECTOR | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| WAYNE LERNER | |||||||||
| DIRECTOR | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT MARKIN | |||||||||
| DIRECTOR | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| BRET MAXWELL | |||||||||
| DIRECTOR | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| LEE MILLER | |||||||||
| DIRECTOR | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| STEPHEN MORALES | |||||||||
| DIRECTOR | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| ABRAHAM MORGAN | |||||||||
| DIRECTOR | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| CHERILYN MURER | |||||||||
| DIRECTOR | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| KATYA NUQUES | |||||||||
| DIRECTOR | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| ALEX PISSIOS | |||||||||
| DIRECTOR | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID SMITH | |||||||||
| DIRECTOR | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| RACHEL STERNBERG | |||||||||
| DIRECTOR | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| SR IMMACULA WENDT | |||||||||
| DIRECTOR | 2.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| AIRICA STEED | |||||||||
| CHIEF OPERATING OFFICER | 6.00 | 34.00 | Yes (X) | $0 | $659,568 | $31,069 | |||
| GARY KRUGEL | |||||||||
| CHIEF FINANCIAL OFFICER | 6.00 | 34.00 | Yes (X) | $0 | $501,502 | $20,766 | |||
| VIVEK MEHTA - THRU 71520 | |||||||||
| CHIEF INFORMATION OFFICER | 6.00 | 34.00 | Yes (X) | $0 | $425,042 | $0 | |||
| DONNICA AUSTIN | |||||||||
| SITE PRESIDENT | 20.00 | 20.00 | Yes (X) | $370,305 | $0 | $7,898 | |||
| ELIZABETH CONNOLLY | |||||||||
| GENERAL COUNSEL | 6.00 | 34.00 | Yes (X) | $0 | $362,598 | $7,733 | |||
| LORI PACURA - THRU 11919 | |||||||||
| PRESIDENT, ACUTE CARE HOSPITALS | 20.00 | 20.00 | Yes (X) | $0 | $367,981 | $0 | |||
| RUSSELL FIORELLA | |||||||||
| SYSTEM CHIEF MEDICAL OFFICER | 20.00 | 20.00 | $0 | $665,362 | $36,368 | Yes (X) | |||
| JASON N SPIGNER | |||||||||
| CHIEF HUMAN RESOURCES OFFICER | 6.00 | 34.00 | $0 | $452,042 | $13,983 | Yes (X) | |||
| KENNETH SLAWKOWSKI | |||||||||
| VP, ENTERPRISE APP & IS GOVERNANCE | 40.00 | 0.00 | $203,897 | $0 | $18,912 | Yes (X) | |||
| MIREYA VERA | |||||||||
| DIRECTOR, COMMUNITY AND PATIENTS RELATIONS | 40.00 | 0.00 | $184,506 | $0 | $26,491 | Yes (X) | |||
| PATRICIA BRANCATO | |||||||||
| ASST CHIEF NURSING OFFICER HCH | 40.00 | 0.00 | $201,674 | $0 | $4,408 | Yes (X) | |||
| BOZENA SMYK | |||||||||
| ICU RN | 40.00 | 0.00 | $178,184 | $0 | $20,484 | Yes (X) | |||
| DENNIS RYAN | |||||||||
| VP, MISSION AND EXTERNAL AFFAIRS | 40.00 | 0.00 | $179,563 | $0 | $13,828 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,318,129 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,480,688 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $216,076 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 87 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CEP AMERICA | |||||
| 2100 POWELL STREET | EMERYVILLE | CA | 94608 | EMERGENCY ROOM PHYSICIANS | $2,360,334 |
| PROFESSIONAL CLINICAL LABORATORIES | |||||
| 26051 NETWORK PLACE | CHICAGO | IL | 60673 | LAB SERVICES | $2,258,854 |
| SODEXO INC & AFFILIATES | |||||
| 9801 WASHINGTONIAN BLVD | GAITHERSBURG | MD | 20878 | FOOD/HOUSEKEEPING SERVICES | $1,550,667 |
| RENOVO SOLUTIONS LLC | |||||
| 4 EXECUTIVE CIRCLE STE 185 | IRVINE | CA | 92614 | EQUIP MAINTENANCE SERVICES | $1,086,150 |
| CAREREV | |||||
| 13355 W WASHINGTON BLVD | LOS ANGELES | CA | 90066 | NURSE STAFFING AGENCY | $686,304 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 18 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $26,142,440 | GovernmentGrantsAmt |
| All Other Contributions | $61,400 | AllOtherContributionsAmt |
| Total Contributions | $26,203,840 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICARE & MEDICAID REVENUE | 622110 | $57,978,331 | $57,978,331 |
| PATIENT REVENUE | 622110 | $26,620,379 | $26,620,379 |
| PHARMACY | 621399 | $1,106,836 | $1,106,836 |
| INTERCOMPANY REVENUE | 900099 | $153,797 | $153,797 |
| PARKING GARAGE | 812930 | $37,409 | $37,409 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $459,338 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $459,338 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $86,356,090 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $523,573 | TotalRevenueColumnAmt |
| Exclusion | $523,573 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $504,540 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $504,540 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $504,540 | TotalRevenueColumnAmt |
| Exclusion | $504,540 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $956,310 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $773,561 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $182,749 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $182,749 | TotalRevenueColumnAmt |
| Exclusion | $182,749 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $113,770,792 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $86,356,090 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,210,862 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $361,886 | TotalAmt |
| Management And General | $361,886 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,605,263 | TotalAmt |
| Program Services | $38,727,016 | ProgramServicesAmt |
| Management And General | $878,247 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $431,192 | TotalAmt |
| Program Services | $423,837 | ProgramServicesAmt |
| Management And General | $7,355 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,603,562 | TotalAmt |
| Program Services | $3,507,778 | ProgramServicesAmt |
| Management And General | $95,784 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,952,730 | TotalAmt |
| Program Services | $2,862,409 | ProgramServicesAmt |
| Management And General | $90,321 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $703,273 | TotalAmt |
| Management And General | $703,273 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,374 | TotalAmt |
| Management And General | $14,374 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,872 | TotalAmt |
| Management And General | $8,872 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,637,200 | TotalAmt |
| Program Services | $7,557,189 | ProgramServicesAmt |
| Management And General | $80,011 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $241 | TotalAmt |
| Management And General | $241 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $221,123 | TotalAmt |
| Program Services | $221,104 | ProgramServicesAmt |
| Management And General | $19 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,607,502 | TotalAmt |
| Program Services | $4,091 | ProgramServicesAmt |
| Management And General | $1,603,411 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,091,710 | TotalAmt |
| Management And General | $3,091,710 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,567 | TotalAmt |
| Program Services | $16,555 | ProgramServicesAmt |
| Management And General | $12 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$955 | TotalAmt |
| Program Services | -$980 | ProgramServicesAmt |
| Management And General | $25 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,908 | TotalAmt |
| Management And General | $53,908 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,350,602 | TotalAmt |
| Program Services | $5,061,430 | ProgramServicesAmt |
| Management And General | $1,289,172 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,527,056 | TotalAmt |
| Management And General | $2,527,056 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| INTERCO PURCHASED SVCS | $14,011,993 | $7,900,934 | $6,111,059 |
| PROVIDER ASSESSMENT | $7,523,525 | $7,523,525 | |
| BAD DEBT | $7,463,452 | $7,463,452 | |
| DRUGS AND MED SUPPLIES | $7,298,713 | $7,298,713 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,374,861 | TotalAmt |
| Program Services | $6,495,821 | ProgramServicesAmt |
| Management And General | $879,040 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,858,650 | TotalAmt |
| Program Services | $95,062,874 | ProgramServicesAmt |
| Management And General | $17,795,776 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,834,434 | BOYAmt |
| EOY | $2,268,257 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,585,687 | BOYAmt |
| EOY | $7,625,444 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $985 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,239,769 | BOYAmt |
| EOY | $10,933,728 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,426,495 | BOYAmt |
| EOY | $2,019,996 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,017,616 | BOYAmt |
| EOY | $2,512,369 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $138,578,756 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $60,041,914 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,416,792 | BOYAmt |
| EOY | $78,536,842 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,895,603 | BOYAmt |
| EOY | $3,439,680 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,208,604 | BOYAmt |
| EOY | $35,012,247 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,625,985 | BOYAmt |
| EOY | $142,348,563 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,604,415 | BOYAmt |
| EOY | $8,847,424 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,167,878 | BOYAmt |
| EOY | $62,445,526 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,772,293 | BOYAmt |
| EOY | $71,292,950 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,814,000 | BOYAmt |
| EOY | $70,977,222 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,692 | BOYAmt |
| EOY | $78,391 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,853,692 | BOYAmt |
| EOY | $71,055,613 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,625,985 | BOYAmt |
| EOY | $142,348,563 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $912,142 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $283,540 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $6,239 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,700,000 | OtherCostOrOtherBasisAmt |
| Book Value | $1,700,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $101,097,119 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,388,402 | DepreciationAmt |
| Book Value | $67,708,717 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $109,714 | OtherCostOrOtherBasisAmt |
| Depreciation | $61,841 | DepreciationAmt |
| Book Value | $47,873 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $35,671,923 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,591,671 | DepreciationAmt |
| Book Value | $9,080,252 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $78,536,842 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $33,777,631 |
| OTHER RECEIVABLES | $1,234,616 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $35,012,247 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATE | $27,999,173 |
| OTHER CURRENT LIABILITY | $2,193,648 |
| FICA DEFERRAL | $951,109 |
| OTHER NON-CURRENT LIABILITY | $2,383,000 |
| SELF INSURANCE | $963,917 |
| PROFESSIONAL LIABILITY | $12,684,869 |
| DEFERRED LIABILITY | $4,273,687 |
| DUE TO THIRD PARTY | $10,996,123 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $62,445,526 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,927,351 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,927,351 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06570 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $50,714,674 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $44,210,567 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,504,107 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06170 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,938,013 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,157,906 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $780,107 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00740 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $59,580,038 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $45,368,473 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,211,565 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13480 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $135,644 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $135,644 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,562 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $35,562 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,635,637 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,635,637 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03450 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,412 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,412 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,809,255 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,809,255 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03610 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $63,389,293 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $45,368,473 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,020,820 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.17090 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $7,463,451 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,688,124 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $14,823,057 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $16,398,811 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,575,754 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLY CROSS HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2750 W 68TH STREET | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60629 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.SINAICHICAGO.ORG | WebsiteAddressTxt |
| State License | 0000992 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLY CROSS HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, PAGE 8 | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, PAGE 8 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 600.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.SINAICHICAGO.ORG/EN/PATIENTS-VISITORS/INSURANCE/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.SINAICHICAGO.ORG/EN/PATIENTS-VISITORS/INSURANCE/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.SINAICHICAGO.ORG/EN/PATIENTS-VISITORS/INSURANCE/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| HOLY CROSS HOSPITAL | PART V, SECTION B, LINE 5: HOLY CROSS HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY. IN 2019 HOLY CROSS 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 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 37 HOSPITALS, 3 HEALTH DEPARTMENTS, AND COMMUNITY-BASED ORGANIZATIONS 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 2018/19, THE ALLIANCE FACILITATED 52 FOCUS GROUPS WITH COMMUNITY MEMBERS. FOCUS GROUP PARTICIPANTS WERE SELECTED TO REPRESENT MEDICALLY UNDERSERVED, LOW INCOME, MARGINALIZED AND MINORITY POPULATIONS. PRIORITY POPULATIONS INCLUDED VETERANS, INDIVIDUALS LIVING WITH MENTAL ILLNESS, COMMUNITIES OF COLOR, OLDER ADULTS, CAREGIVERS, TEENS AND YOUNG ADULTS, LGBTQ+ COMMUNITY MEMBERS, ADULTS AND TEENS EXPERIENCING HOMELESSNESS, FAMILIES WITH CHILDREN, FAITH COMMUNITIES, ADULTS WITH DISABILITIES, AND CHILDREN AND ADULTS LIVING WITH CHRONIC CONDITIONS SUCH AS DIABETES AND ASTHMA.THE PURPOSE OF THE FOCUS GROUPS WERE TO GAIN INSIGHT ON THE MOST PRESSING HEALTH CONDITIONS AFFECTING EACH COMMUNITY, THE BARRIERS TO OVERCOMING THOSE CONDITIONS, AND HOW A COMMUNITY HOSPITAL SUCH AS HOLY CROSS HOSPITAL MIGHT HELP IMPROVE THE COMMUNITY'S HEALTH. PARTICIPANTS WERE ALSO ASKED ABOUT UNDERLYING ROOT CAUSES OF HEALTH ISSUES THAT THEY SEE IN THEIR COMMUNITIES AND SPECIFIC STRATEGIES FOR ADDRESSING THOSE HEALTH NEEDS. 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 2019 CHNA IS THE SECOND CONSECUTIVE COLLABORATIVE CHNA IN COOK COUNTY AND CHICAGO, AND WAS INTENTIONALLY BUILT ON THE SUCCESS OF PREVIOUS EFFORTS, INCLUDING THE 2016 COLLABORATIVE CHNA, HEALTHY CHICAGO 2.0 (2016), AND COOK COUNTY WEPLAN (2016). 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: 1) A 16-QUESTION COMMUNITY INPUT SURVEY ADMINISTERED TO OVER 5,900 ADULTS AGED 18 AND OVER; 2) 27 COMMUNITY RESIDENT FOCUS GROUPS AND 22 LEARNING MAP SESSIONS; 3) THREE HEALTH CARE AND SOCIAL SERVICE PROVIDER FOCUS GROUPS; AND, 4) TWO STAKEHOLDER ASSESSMENTS (FORCES OF CHANGE AND HEALTH EQUITY CAPACITY ASSESSMENTS) LED BY PARTNER HEALTH DEPARTMENTS. ALLIANCE 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, PHYSICAL ENVIRONMENT, HEALTH BEHAVIORS, HEALTH CARE AND CLINICAL CARE, BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE DISORDERS), 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 ALLHEALTHEQUITY.ORG/2019-CHNA-REPORTS/.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. |
| HOLY CROSS HOSPITAL | PART V, SECTION B, LINE 11: EXPLANATION OF NEEDS ADDRESSED/NOT ADDRESSEDHOLY CROSS HOSPITAL'S 2019 CHNA IDENTIFIED SIGNIFICANT HEALTH NEEDS AND BARRIERS TO CARE FACED BY THE COMMUNITIES SERVED BY HOLY CROSS HOSPITAL. SUBSEQUENTLY, HOLY CROSS HOSPITAL LEADERS, IN COLLABORATION WITH SINAI URBAN HEALTH INSTITUTE STAFF, DEVELOPED THE HOLY CROSS HOSPITAL 2019 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). HOLY CROSS HOSPITAL'S CHIP IS A COMMUNITY-CENTERED, THREE-YEAR PLAN THAT TACKLES THE HEALTH CHALLENGES IDENTIFIED IN THE CHNA. HOLY CROSS 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.- HEALTH STRATEGIES: FOOD ACCESS; ECONOMIC VITALITY; ACCESSIBLE TRANSPORTATION; SAFE HOUSING; FREEDOM FROM INJUSTICE.- COMMUNITY SAFETY: COMMUNITIES AND PEOPLE CANNOT THRIVE WHILE FEELING UNSAFE IN THEIR NEIGHBORHOODS. WITHIN THIS PRIORITY, WE WILL SEEK 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 THAT TIE TO SENATOR DURBIN'S CHICAGO HEAL INITIATIVE, AND WORK TO ENSURE OUR COMMUNITIES ARE SAFE AND WELCOMING FOR EVERYONE, REGARDLESS OF DOCUMENTATION STATUS.- HEALTH STRATEGIES: RESEARCH ACTIVISM; TRAUMA RESPONSE; PARTNERSHIPS FOR SAFE COMMUNITIES; WELCOMING IMMIGRANTS.- HEALTH CARE ACCESSIBILITY AND USE: THIS PRIORITY FOCUSES ON ACCESS TO 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 QUALITY, AGE- AND ABILITY-APPROPRIATE HEALTH CARE, REGARDLESS OF RACE, ETHNICITY, ZIP CODE, INCOME, JUSTICE SYSTEM INVOLVEMENT, GENDER IDENTITY, SEXUAL ORIENTATION, OR STATUS.- HEALTH STRATEGIES: COVERAGE; PRIMARY CARE EXPANSION AND PARTNERSHIP; INTEGRATED CARE; CULTURALLY-COMPETENT CARE; CAREGIVER WELLNESS.- CHRONIC AND INFECTIOUS DISEASE: THIS PRIORITY AREA INCLUDES A FOCUS ON PREVENTING AND TREATING CARDIOMETABOLIC 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 CARE WHEN COMMUNITY MEMBERS FALL ILL.- 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 CARE.- HEALTH STRATEGIES: CARE ACCESS AND LINKAGE; CULTURALLY-INFORMED BEHAVIORAL HEALTH CARE; TRANSFORM BEHAVIORAL HEALTH CARE DELIVERY. IN ADDITION TO PURSUING INNOVATIVE HEALTH CARE APPROACHES, HOLY CROSS 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 2020, SINAI CHICAGO EXPANDED ITS 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 COLLABORATIVES AND PARTNERSHIPS REGARDING COVID-19:- SUHI IS AN ORIGINAL MEMBER OF "THE CHICAGOLAND METRO VACCINE CORPS PROGRAM", AN INITIATIVE MANAGED BY PARTNERS IN HEALTH, AND INCLUDING OVER 100 PARTNERS REPRESENTING PUBLIC HEALTH, HEALTH CARE, ACADEMIC, SOCIAL SERVICE, AND COMMUNITY SECTORS. THE GOAL OF THE VACCINE CORPS IS TO COLLABORATE IN BETTER ADDRESSING VACCINE HESITANCY AND TO INCREASE VACCINE UPTAKE AMONG THE COMMUNITIES MOST ADVERSELY AFFECTED BY COVID-19. - SUHI PARTNERS 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. SUHI'S ROLES INCLUDE THE PROVISION OF INITIAL TRAINING TO THE WORKFORCE, AND THE UPSKILLING OF THE CONTACT TRACERS WITH SKILLS THAT PREPARE THEM FOR FUTURE CAREER OPPORTUNITIES ONCE THE COVID-19 CRISIS HAS PASSED. SINAI COMMUNITY INSTITUTE ALSO LED CONTRACT TRACING EFFORTS. - SINAI PARTICIPATES IN THE CHICAGOLAND 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 IN ORDER TO ENHANCE CURRENT AND FUTURE COVID-19 VACCINATION, PREVENTION, MITIGATION, AND RESPONSE EFFORTS. - SINAI HEALTH SYSTEM, OTHER MEMBERS OF SINAI, AND SINAI COMMUNITY INSTITUTE ARE ALSO WORKING WITH THE CITY OF CHICAGO TO BRING SAFE MOBILE DELIVERY AND ADMINISTRATION OF COVID-19 VACCINATIONS TO THE WEST SIDE AND NEAR SOUTH COMMUNITIES OF CHICAGO.- SINAI PARTICIPATED IN THE RACIAL EQUITY RAPID RESPONSE TEAM (RERT) WHICH GATHERED DATA TO FURTHER ENABLE RESEARCH AND ANALYSIS IN PRIORITIZED COMMUNITIES.- SINAI PARTICIPATED IN THE ILLINOIS COVID-19 YOUTH VACCINE AMBASSADOR PROGRAM. IN THIS PROGRAM, SUHI PARTICIPATES IN THE STEERING COMMITTEE, SUPPORTED RECRUITMENT FOR SUMMER 2021, DEVELOPED A YOUTH COMMUNITY ADVISORY COUNCIL, AND WILL PROVIDE EVALUATION.- 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. - SINAI IS PARTICIPATING IN THE VACCINE CORPS PARTNERSHIP (VCP). THE VCP PRACTICES A MULTI-DISCIPLINARY APPROACH TO UNDERSTANDING AND REDUCING HIGH RATES OF VACCINE HESITANCY AND DISPARITIES IN VACCINE ROLL-OUT, FUTURE RESEARCH, AND TO COORDINATING RESPONSES TO SERVING THESE IN THE WEST AND SOUTHWEST REGIONS OF CHICAGO.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. ADDITIONALLY, SUHI'S COMMUNITY HEALTH INNOVATION (CHI) TEAM WAS ENLISTED BY SINAI TO LINK COMMUNITY HEALTH WORKERS (CHWS) WITH SOCIAL WORKER REFERRALS FROM SINAI'S ERS OR INPATIENT UNITS TO HELP PERSONS DISCHARGED WITH A COVID-19 DIAGNOSIS. CHW'S FOLLOW UP WITH PATIENTS VIRTUALLY AND PROVIDE RESOURCES, LINKAGES, AND REFERRALS TO WRAP-AROUND SERVICES AS APPROPRIATE.HOLY CROSS HOSPITAL'S CHIP WAS INTEGRATED WITH THE CHIPS OF SCHWAB REHABILITATION HOSPITAL AND MOUNT SINAI HOSPITAL TO DEVELOP A SYSTEM-WIDE SINAI CHICAGO CHIP. THE SINAI CHICAGO CHIP IS AVAILABLE VIA SINAI CHICAGO WEBSITE AND PAPER COPY. FOR COMPLETE INFORMATION ABOUT THE 2019 SINAI CHICAGO CHIP, SEE HTTPS://WWW.SINAICHICAGO.ORG/EN/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS-CHNA-AND-COMMUNITY-HEALTH-IMPROVEMENT-PLAN-CHIP/. |
| PART V, SECTION B, LINE 3E AND 3G: | HOLY CROSS HOSPITAL'S 2019 CHNA PROVIDES A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA. |
| PART V, LINE 7A, CHNA WEBSITE: | HTTPS://WWW.SINAI.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS-CHNA-AND-COMMUNITY |
| PART V, LINE 10A, IMPLEMENTATION STRATEGY WEBSITE: | HTTPS://WWW.SINAI.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS-CHNA-AND-COMMUNITY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 - ST CASIMIR CLINIC AT HOLY CROSS HOSP | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2601 WEST MARQUETTE ROAD | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60629 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | OUTPATIENT BEHAVIOR HEALTH CLINIC | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A: | RELATED ORGANIZATION COMMUNITY BENEFIT REPORTTHE COMMUNITY BENEFIT REPORT IS PREPARED BY PARENT CORPORATION SINAI HEALTH SYSTEM (36-3166895). |
| PART I, LINE 7: | EXPLANATION OF COSTING METHODOLOGYTHE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED ON SCHEDULE H, PART I, LINES 7A AND 7B IS THE COST-TO-CHARGE RATIO PER AUDITED FINANCIAL STATEMENT. THE WORKSHEET 3 (SCHEDULE H, LINE 7B) INSTRUCTIONS REQUIRE INCLUDING THE PROVIDER TAX EXPENSES IN COLUMN (C), TOTAL COMMUNITY BENEFIT EXPENSE, AS WELL AS INCLUDING THE PROVIDER TAX REVENUE AND SEVERAL SUPPLEMENTAL PAYMENTS UNDER THE AFFORDABLE CARE ACT IN COLUMN (D), DIRECT OFFSETTING REVENUE. THE PROVIDER TAX REVENUE IS INTENDED TO ASSIST SAFETY NET HOSPITALS TO PROVIDE SERVICES TO THE COMMUNITY. WE BELIEVE THAT TO OFFSET MEDICAID SHORTFALL WITH THE NET INCOME DISTORTS THE RESULT. THEREFORE, WE ARE PROVIDING THE PERCENTAGES AS IF THE NET WERE NOT PRESENTED AS AN OFFSET. IN ADDITION, THE OTHER AFFORDABLE CARE ACT SUPPLEMENTAL PAYMENTS SHOULD ALSO NOT BE CONSIDERED IN THE CALCULATION. IF THESE ITEMS WERE REMOVED FROM THE CALCULATION, NET COMMUNITY BENEFIT EXPENSE ON LINE 7B, COLUMN (E) WOULD HAVE BEEN $19,996,389 OR 18.0 PERCENT OF TOTAL EXPENSE. THIS WOULD HAVE INCREASED THE TOTAL NET COMMUNITY BENEFIT EXPENSE ON LINE 7K, COLUMN (E) FROM $18,020,819 TO $31,513,101 OR 29.9 PERCENT OF TOTAL EXPENSE. HOLY CROSS HOSPITAL'S TRUE COMMUNITY BENEFIT IS BETTER REPRESENTED BY THIS PERCENTAGE. |
| PART I, LN 7 COL(F): | 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. BAD DEBT EXPENSE IS $7,463,451. ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS $1,688,124. |
| PART I, LINE 7A, 7B & 7C: | NET COMMUNITY BENEFIT EXPENSE FOR FINANCIAL ASSISTANCE, MEDICAID, ANDOTHER MEANS-TESTED GOVERNMENT PROGRAMSHOLY CROSS HOSPITAL PROVIDED APPROXIMATELY $6.9 MILLION IN FINANCIAL ASSISTANCE TO THE PATIENTS IT SERVED THIS YEAR, IN ADDITION TO A MEDICAID SHORTFALL OF $6.5 MILLION. UNREIMBURSED COSTS TO PROVIDE CARE FOR MEDICARE DUAL ELIGIBLE AND DISABLE PATIENTS TOTALED $2.7 MILLION. THE HOSPITAL RECEIVED PROVIDER TAX REVENUES AND OTHER ACA PAYMENTS TO OFFSET THE COSTS TO PROVIDE CARE FOR THE HOSPITAL'S DISPROPORTIONALLY HIGH MEDICAID AND FINANCIAL INDIGENT POPULATIONS.ON AN AGGREGATED BASIS, SINAI HEALTH SYSTEM PROVIDED $45.6 MILLION IN FINANCIAL ASSISTANCE, IN ADDITION TO A MEDICAID SHORTFALL OF $32.4 MILLION. UNREIMBURSED COSTS TO PROVIDE CARE FOR MEDICARE DUAL ELIGIBLE AND DISABLE PATIENTS TOTALED $11.1 MILLION. |
| PART III, LINE 2: | METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSEHOLY CROSS HOSPITAL ESTIMATES BAD DEBT EXPENSE BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH COVERAGE AND OTHER COLLECTION INDICATORS. MANAGEMENT ASSESSES THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE. |
| PART III, LINE 3: | METHODOLOGY OF ESTIMATED AMOUNT & RATIONALE FOR INCLUDING COMMUNITY BENEFIT HOLY CROSS 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. |
| PART III, LINE 4: | BAD DEBT EXPENSEACCOUNTS 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 THE YEAR ENDED JUNE 30, 2021, THE CORPORATION RECORDED APPROXIMATELY $24,272 OF IMPLICIT PRICE CONCESSIONS AS A DIRECT REDUCTION OF NET PATIENT SERVICE REVENUE THAT WOULD HAVE BEEN RECORDED AS PROVISION FOR BAD DEBTS PRIOR TO THE ADOPTION OF ASU NO. 2014-09. AT JUNE 30, 2021, THE CORPORATION RECORDED APPROXIMATELY $27,086 AS A DIRECT REDUCTION OF ACCOUNTS RECEIVABLE THAT WOULD HAVE BEEN REFLECTED AS ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS PRIOR TO THE ADOPTION OF ASU NO. 2014-09. |
| PART III, LINE 8: | EXPLANATION OF SHORTFALL AS COMMUNITY BENEFITHOLY CROSS 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. THE ORGANIZATION CONSIDERS THE SHORTFALL A COMMUNITY BENEFIT DUE TO ITS REPRESENTATION OF A COST OF A PORTION OF SERVICES PROVIDED TO THE COMMUNITY WITHOUT PAYMENT. |
| PART III, LINE 9B: | PROVISION ON COLLECTION PRACTICES FOR QUALIFIED PATIENTSHOLY CROSS HOSPITAL'S COLLECTION PROCESS INCLUDES BOTH LETTERS AND CALLS TO INFORM PATIENTS OF THEIR OUTSTANDING BALANCES AND 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 INCLUDE AMOUNTS THAT HAVE BEEN APPROVED AS CHARITY OR FINANCIAL ASSISTANCE. |
| PART VI, LINE 2: | NEEDS ASSESSMENTHOLY CROSS HOSPITAL USES VARIOUS METHODS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES. IMPORTANT INFORMATION IS GATHERED FROM THE CENSUS UPDATES, ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES, THE DEPARTMENT OF PUBLIC HEALTH, COOK COUNTY DEPARTMENT OF PUBLIC HEALTH, CITY OF CHICAGO DEPARTMENT OF PUBLIC HEALTH, CHURCHES, COMMUNITY ORGANIZATIONS AND ADVOCACY GROUPS. HOLY CROSS HOSPITAL HAS TAKEN LEADERSHIP ROLES IN PARTNERSHIP WITH SOUTHWEST ORGANIZING PROJECT, GREATER SOUTHWEST DEVELOPMENT CORPORATION, METROPOLITAN FAMILY SERVICES AND CATHOLIC CHARITIES CHICAGO. AS A RESULT OF THE PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS, HOLY CROSS HOSPITAL HAS BECOME MORE ACCESSIBLE TO COMMUNITY GROUPS AND RESIDENTS. THERE HAS BEEN AN INCREASED AWARENESS OF THE SERVICES PROVIDED BY THE HOSPITAL WHICH HAS RESULTED IN POSITIVE HEALTH OUTCOMES IN THE COMMUNITIES SERVED BY HOLY CROSS HOSPITAL. THROUGH A PARTNERSHIP DEVELOPED BY THE CITY OF CHICAGO DEPARTMENT OF PUBLIC HEALTH, FEDERALLY QUALIFIED HEALTH CENTERS, COMMUNITY INSTITUTIONS AND CHURCHES HELPED TO SUBSTANTIALLY LOWER THE IMPACT OF COVID IN SOME OF WHAT WERE THE INITIALLY HIGHEST TRANSMISSION RATES FOR COMMUNITIES IN THE STATE.THROUGH CONNECTIONS WITH CHURCHES, SCHOOLS, SOCIAL SERVICE AGENCIES AND COMMUNITY ORGANIZATIONS, HOLY CROSS HOSPITAL HAS INVESTED IN ADDRESSING ONE OR MORE SOCIAL DETERMINANTS OF HEALTH, SUCH AS HOUSING, VIOLENCE AND YOUTH SERVICES. COMMUNITY GROUPS HAVE REQUESTED THE HOSPITAL FOR HEALTH CARE PROFESSIONALS TO JOIN THEIR BOARDS AND ASSIST WITH THE DIRECTION OF THEIR ADVOCACY AND POLICIES. HOSPITAL STAFF HAVE BECOME UNPAID BOARD MEMBERS OF THESE ORGANIZATIONS, WHICH HAS HELPED THE HOSPITAL IDENTIFY THE NEEDS OF THE COMMUNITY AND IN TURN COMMUNICATE TO THE LEADERSHIP OF THESE ORGANIZATIONS THE RESOURCES THE HOSPITAL HAS TO SERVE THEM. |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEHOLY CROSS 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 SHALL 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. |
| PART VI, LINE 4: | COMMUNITY INFORMATIONHOLY CROSS HOSPITAL, AS A PART OF SINAI HEALTH SYSTEM, SERVES A DIVERSE POPULATION OF OVER 430,000 PEOPLE LOCATED ON THE SOUTHWEST SIDE OF CHICAGO. ONE OUTLYING FACILITY, SINAI'S TOUHY CLINIC ON THE NORTH SIDE OF CHICAGO, SEES REFUGEES FROM MANY NATIONS (FOR EXAMPLE SUDAN, IRAQ AND BURMA) AS WELL AS RESIDENT ORTHODOX JEWISH AND RUSSIAN POPULATIONS. OTHERWISE, SINAI HEALTH SYSTEM SERVES PRIMARILY AFRICAN-AMERICAN AND LATINO PATIENTS. APPROXIMATELY 47.2 % OF HOLY CROSS HOSPITAL'S PATIENTS ARE MEDICAID RECIPIENTS AND 5.6% ARE UNINSURED.HOLY CROSS HOSPITAL TREATS MORE MEDICAID PATIENTS THAN ANY OTHER HOSPITAL IN ILLINOIS. HOLY CROSS HAS ADMITTED OVER 2,627 MEDICAID PATIENTS PER YEAR. HOLY CROSS HOSPITAL EMERGENCY DEPARTMENT HAD 34,115 PATIENT VISITS.HOLY CROSS HOSPITAL'S MEDICAL INTERPRETER SERVICES SUPPORTS OVER 77 DIFFERENT LANGUAGES INCLUDING AMERICAN SIGN LANGUAGE, MAKING SINAI HEALTH SYSTEM A BEST PRACTICE MEDICAL INTERPRETER PROGRAM IN THE NATION FOR DEAF AND HARD OF HEARING PATIENTS AND THE LIMITED ENGLISH PROFICIENT PATIENTS. |
| PART VI, LINE 5: | PROMOTION OF COMMUNITY HEALTHHOLY CROSS HOSPITAL, A CATHOLIC HOSPITAL, IS A PART OF SINAI CHICAGO HEALTH SYSTEM. THE SYSTEM HAS A VOLUNTEER BOARD COMPRISED OF RESPECTED LEADERS IN BANKING, FINANCE, MANUFACTURING, LEGAL, HEALTH CARE AND OTHER INDUSTRIES. HOLY CROSS HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS FOR ALL DEPARTMENTS. HOLY CROSS HOSPITAL INVESTS ANY SURPLUS FUNDS INTO IMPROVING PATIENT CARE.HOLY CROSS ALSO PARTICIPATES IN THE FOLLOWING COMMUNITY BENEFIT PROGRAMS:- THROUGH SINAI HEALTH SYSTEM AFFILIATION, HOLY CROSS HOSPITAL HAS OPENED SEVERAL LEVELS OF BEHAVIORAL HEALTH CARE WHERE NONE PREVIOUSLY EXISTED. BEHAVIORAL HEALTH UNITS, A COMMUNITY MENTAL HEALTH CENTER AND AN ADDICTION TREATMENT CENTER HAVE BEEN INSTITUTED DUE TO COMMUNITY NEEDS.- SINAI CHICAGO HEALTH SYSTEM CENTERS FOR ADVANCED WOUND CARE AND DIABETES TREATMENT HAVE BEEN ESTABLISHED AT HOLY CROSS HOSPITAL.- COMMUNITY HEALTH OUTREACH THE HOSPITAL'S REPRESENTATIVES HOST AND ATTEND COMMUNITY GROUP EVENTS AND PARTICIPATE IN COMMUNITY HEALTH FAIRS. THE HOSPITAL HAS PROVIDED FREE HEALTH SCREENINGS AND HEALTH EDUCATION MATERIALS AT THESE EVENTS.- PARTICIPATION IN COMMUNITY HEALTH SPEAKERS BUREAU THE HOSPITAL'S HEALTH CARE PROFESSIONALS PARTICIPATE IN PROMOTING HEALTHY LIFESTYLES BY VOLUNTEERING TO BE SPEAKERS AS REQUESTED BY COMMUNITY AND CIVIC GROUPS AS FOR ASSISTANCE IN HAVING HEALTH PROFESSIONALS FOR PROGRAMS AND EVENTS.- HOLY CROSS HOSPITAL HOSTS A QUARTERLY OUTREACH COALITION CONNECTIVITY NETWORK (OCCN) FOR COMMUNITY HEALTH AND HUMAN SERVICES COLLABORATIVE EDUCATION, INTERFACE AND SERVICE DELIVERY.- HOLY CROSS HOSPITAL PARTNERS WITH THE SOUTHWEST ORGANIZING PROJECT'S SYSTEM OF CARE TO IMPROVE MENTAL HEALTH WRAP-AROUND CARE FOR YOUTH AND THE RECLAIMING SOUTHWEST CHICAGO CAMPAIGN TO PROVIDE INSTITUTIONAL SUPPORT FOR REBUILDING COMMUNITY THROUGH HOUSING DEVELOPMENT.- HOLY CROSS HOSPITAL IS A MEMBER OF THE SOUTHSIDE HEALTHCARE TRANSFORMATION PROJECT THAT THE STATE HAS DEVELOPED TO IMPROVE ACCESS AND IMPROVED HEALTH OUTCOMES FOR UNDERSERVED COMMUNITIES ON THE SOUTH SIDE OF CHICAGO.- HOLY CROSS HOSPITAL BEEN A PARTNER IN COMMUNITY INSTITUTIONAL RESPONSE TO DETECTION, TESTING, TREATMENT AND VACCINATION FOR COVID-19. |
| PART VI, LINE 6: | 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/. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | IL |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KAREN TEITELBAUM | ||||||||||||||
| PRESIDENT & CEO | $0 | $953,021 | $0 | $0 | $0 | $93,572 | $0 | $5,700 | $0 | $8,436 | $0 | $1,060,729 | $0 | $0 |
| RUSSELL FIORELLA | ||||||||||||||
| SYSTEM CHIEF MEDICAL OFFICER | $0 | $586,362 | $0 | $73,663 | $0 | $5,337 | $0 | $17,053 | $0 | $19,315 | $0 | $701,730 | $0 | $0 |
| AIRICA STEED | ||||||||||||||
| CHIEF OPERATING OFFICER | $0 | $505,121 | $0 | $153,727 | $0 | $720 | $0 | $5,700 | $0 | $25,369 | $0 | $690,637 | $0 | $0 |
| GARY KRUGEL | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $0 | $428,582 | $0 | $72,200 | $0 | $720 | $0 | $0 | $0 | $20,766 | $0 | $522,268 | $0 | $0 |
| JASON N SPIGNER | ||||||||||||||
| CHIEF HUMAN RESOURCES OFFICER | $0 | $331,010 | $0 | $94,952 | $0 | $26,080 | $0 | $5,700 | $0 | $8,283 | $0 | $466,025 | $0 | $0 |
| VIVEK MEHTA - THRU 71520 | ||||||||||||||
| CHIEF INFORMATION OFFICER | $0 | $186,084 | $0 | $101,399 | $0 | $137,559 | $0 | $0 | $0 | $0 | $0 | $425,042 | $0 | $0 |
| DONNICA AUSTIN | ||||||||||||||
| SITE PRESIDENT | $324,674 | $0 | $43,986 | $0 | $1,645 | $0 | $5,700 | $0 | $2,198 | $0 | $378,203 | $0 | $0 | $0 |
| ELIZABETH CONNOLLY | ||||||||||||||
| GENERAL COUNSEL | $0 | $314,295 | $0 | $47,643 | $0 | $660 | $0 | $0 | $0 | $7,733 | $0 | $370,331 | $0 | $0 |
| LORI PACURA - THRU 11919 | ||||||||||||||
| PRESIDENT, ACUTE CARE HOSPITALS | $0 | $0 | $0 | $36,650 | $0 | $331,331 | $0 | $0 | $0 | $0 | $0 | $367,981 | $0 | $0 |
| KENNETH SLAWKOWSKI | ||||||||||||||
| VP, ENTERPRISE APP & IS GOVERNANCE | $171,439 | $0 | $31,446 | $0 | $1,012 | $0 | $4,146 | $0 | $14,766 | $0 | $222,809 | $0 | $0 | $0 |
| MIREYA VERA | ||||||||||||||
| DIRECTOR, COMMUNITY AND PATIENTS REL | $170,632 | $0 | $12,554 | $0 | $1,320 | $0 | $3,798 | $0 | $22,693 | $0 | $210,997 | $0 | $0 | $0 |
| PATRICIA BRANCATO | ||||||||||||||
| ASST CHIEF NURSING OFFICER HCH | $187,792 | $0 | $12,524 | $0 | $1,358 | $0 | $4,022 | $0 | $386 | $0 | $206,082 | $0 | $0 | $0 |
| BOZENA SMYK | ||||||||||||||
| ICU RN | $167,094 | $0 | $10,860 | $0 | $230 | $0 | $3,689 | $0 | $16,795 | $0 | $198,668 | $0 | $0 | $0 |
| DENNIS RYAN | ||||||||||||||
| VP, MISSION AND EXTERNAL AFFAIRS | $154,231 | $0 | $22,046 | $0 | $3,286 | $0 | $3,712 | $0 | $10,116 | $0 | $193,391 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 LORI PACURA $331,331 SALLIE HAZELRIGG $ 76,500 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: KAREN TEITELBAUM $76,664 JASON SPRIGNER $19,160 |
| 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | EXPLANATION OF DELEGATED BOARD AUTHORITY TO COMMITTEE THE EXECUTIVE COMMITTEE SHALL CONSIST 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 SHALL HAVE THE POWER TO TRANSACT REGULAR BUSINESS OF THE CORPORATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD, SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD OR 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 | DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS SINAI HEALTH SYSTEM (EIN 36-3166895) IS THE SOLE MEMBER OF HOLY CROSS HOSPITAL. |
| 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 BOARD RECRUITMENT, EDUCATION AND NOMINATING COMMITTEE. 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 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 XI, LINE 9: | NET ASSETS RELEASED FROM RESTRICTIONS 6,239. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SINAI HEALTH SYSTEM | |||||||||||
| 15TH STREET CALIFORNIA AVE | CHICAGO | IL | 60608 | 363166895 | PARENT CORP | IL | 501(C)(3) | 12B TYPE II | N/A | 0 | |
| MT SINAI HOSPITAL MEDICAL CENTER | |||||||||||
| 15TH STREET CALIFORNIA AVE | CHICAGO | IL | 60608 | 361509000 | HEALTHCARE | IL | 501(C)(3) | 3 | Yes (1) | SINAI HEALTH SYSTEM | |
| SCHWAB REHABILITATION HOSPITAL & CARE | |||||||||||
| 1401 S CALIFORNIA AVENUE | CHICAGO | IL | 60608 | 362179802 | HEALTHCARE | IL | 501(C)(3) | 3 | Yes (1) | SINAI HEALTH SYSTEM | |
| MOUNT SINAI COMMUNITY FOUNDATION | |||||||||||
| 2760 W 15TH PL 7TH FLR | CHICAGO | IL | 60608 | 363305449 | HEALTHCARE | IL | 501(C)(3) | 12A TYPE I | Yes (1) | SINAI HEALTH SYSTEM | |
| SINAI COMMUNITY INSTITUTE | |||||||||||
| 2653 WEST OGDEN AVE | CHICAGO | IL | 60608 | 363932824 | HEALTHCARE | IL | 501(C)(3) | 10 | Yes (1) | SINAI HEALTH SYSTEM | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| PROGRESS HEALTH INC | |||||||||
| 2701 WEST 68TH STREET | CHICAGO | IL | 60629 | 364109153 | MGMT SERVICES | IL | N/A | C | 0 |
| SINAI COMMUNITY PHARMACY | |||||||||
| CALIFORNIA AVE AND 15TH STREET | CHICAGO | IL | 60608 | 363383231 | PHARMACY | IL | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |