HOLY CROSS HOSPITAL: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- HOLY CROSS HOSPITAL (EIN 36-2170133)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-05-14
- IRS object ID
- 202011359349300911
- Schema version
- 2018v3.3
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-05-14T07:35:20-05:00 | ReturnTs |
| Tax Period End | 2019-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 155 N WACKER DRIVE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | 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) |
|---|---|---|
| In Care Of | % Gary Krugel | InCareOfNm |
| 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 | 7738845153 | PhoneNum |
| Signature | 2020-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Morgan EADS | PreparerPersonNm |
| PTIN | P01866614 | PTIN |
| Phone | 3128792000 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 172.58.203.34 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 36964520201355000008 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2020-05-14 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 6DFBA33F1DAEE8CAFFEB9AC40683ECF49AA6169A | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 743D44171E0061D7605C98F94D110C1DE6F9B21D | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-09-23 17:36:50Z | 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 | $114,667,325 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.holycrosshospital.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1928 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O | ActivityOrMissionDesc |
| Voting Members Governing Body | 27 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 26 | VotingMembersIndependentCnt |
| Total Employee | 1206 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $812,504 | PYContributionsGrantsAmt |
| CY Contributions Grants | $529,834 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $121,763,523 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $111,653,604 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,052,934 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,912,637 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,847,496 | PYOtherRevenueAmt |
| CY Other Revenue | $571,250 | CYOtherRevenueAmt |
| PY Total Revenue | $126,476,457 | PYTotalRevenueAmt |
| CY Total Revenue | $114,667,325 | 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 | $66,388,038 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $64,266,449 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $59,046,689 | PYOtherExpensesAmt |
| CY Other Expenses | $74,474,016 | CYOtherExpensesAmt |
| PY Total Expenses | $125,434,727 | PYTotalExpensesAmt |
| CY Total Expenses | $138,740,465 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,041,730 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$24,073,140 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $160,086,159 | TotalAssetsBOYAmt |
| Total Assets EOY | $145,388,755 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $48,707,815 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $58,166,860 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $111,378,344 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $87,221,895 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE HOSPITAL IS A CATHOLIC HEALTH CARE ORGANIZATION SPONSORED BY THE SISTER 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 | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $118,772,540 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $111,653,604 | 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 45,650 PATIENTS PER YEAR AND 18,137 AMBULANCE VISITS. THE HOSPITAL IS A DISPROPORTIONATE SHARE HOSPITAL AND IS A VITAL SAFETY NET HOSPITAL. | Desc |
| Total Program Service Expenses | $118,772,540 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1206 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 27 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 26 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Gary Krugel | PersonNm |
| Phone | 7732575964 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 S CALIFORNIA AVE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60608 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (42 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Abraham Morgan | ||||||||||
| Director | 2.0 | 10.0 | Yes (X) | $0 | $0 | $0 | ||||
| Albert Grace | ||||||||||
| Director & Treasurer | 2.0 | 10.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| Alejandra Garza | ||||||||||
| Director | 2.0 | 10.0 | Yes (X) | $0 | $0 | $0 | ||||
| Alex duBuclet | ||||||||||
| Director | 2.0 | 10.0 | Yes (X) | $0 | $0 | $0 | ||||
| Alex Pissios | ||||||||||
| Director | 2.0 | 10.0 | Yes (X) | $0 | $0 | $0 | ||||
| Anne Cohn Donnelly | ||||||||||
| Director | 2.0 | 10.0 | Yes (X) | $0 | $0 | $0 | ||||
| Bettylu K Saltzman | ||||||||||
| Director | 2.0 | 10.0 | Yes (X) | $0 | $0 | $0 | ||||
| Bob Wolfberg | ||||||||||
| Director | 2.0 | 10.0 | Yes (X) | $0 | $0 | $0 | ||||
| David Smith | ||||||||||
| Director | 2.0 | 10.0 | Yes (X) | $0 | $0 | $0 | ||||
| David Spielfogel | ||||||||||
| Director | 2.0 | 10.0 | Yes (X) | $0 | $0 | $0 | ||||
| Karen Teitelbaum | ||||||||||
| President & CEO | 9.0 | 31.0 | Yes (X) | $0 | $1,002,129 | $13,957 | Yes (X) | |||
| Katya Nuques | ||||||||||
| Director | 2.0 | 10.0 | Yes (X) | $0 | $0 | $0 | ||||
| Keith Wakefield | ||||||||||
| Director | 2.0 | 10.0 | Yes (X) | $0 | $0 | $0 | ||||
| Ken Avner | ||||||||||
| Director | 2.0 | 10.0 | Yes (X) | $0 | $0 | $0 | ||||
| Laurie Hernandez | ||||||||||
| Director & Vice Chair | 2.0 | 10.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| Lee Miller | ||||||||||
| Director | 2.0 | 10.0 | Yes (X) | $0 | $0 | $0 | ||||
| Leslie D Davis | ||||||||||
| Director | 2.0 | 10.0 | Yes (X) | $0 | $0 | $0 | ||||
| Leslie Mitchel-Bond | ||||||||||
| Director | 2.0 | 10.0 | Yes (X) | $0 | $0 | $0 | ||||
| Mark Frisch | ||||||||||
| Director | 2.0 | 10.0 | Yes (X) | $0 | $0 | $0 | ||||
| Michael Hayes | ||||||||||
| Director | 2.0 | 10.0 | Yes (X) | $0 | $0 | $0 | ||||
| Robert S Markin | ||||||||||
| Director & Chairman | 2.0 | 10.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| Roxanne Decyk | ||||||||||
| Director & Secretary | 2.0 | 10.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| Immacula Wendt Sr | ||||||||||
| Director | 2.0 | 10.0 | Yes (X) | $0 | $0 | $0 | ||||
| Tom Nodine | ||||||||||
| Director | 2.0 | 10.0 | Yes (X) | $0 | $0 | $0 | ||||
| Vincent Williams | ||||||||||
| Director | 2.0 | 10.0 | Yes (X) | $0 | $0 | $0 | ||||
| Vivian Funches | ||||||||||
| Director | 2.0 | 10.0 | Yes (X) | $0 | $0 | $0 | ||||
| Wayne M Lerner | ||||||||||
| Director | 2.0 | 10.0 | Yes (X) | $0 | $0 | $0 | ||||
| Robert Shakno | ||||||||||
| Director Until 2/1/19 | 2.0 | 10.0 | Yes (X) | $0 | $0 | $0 | ||||
| jonathan Jonas | ||||||||||
| Director Until 10/8/2018 | 2.0 | 10.0 | Yes (X) | $0 | $0 | $0 | ||||
| Loren Chandler | ||||||||||
| CFO & COO UNTIL 3/1/19 | 9.0 | 31.0 | $0 | $662,741 | $34,276 | Yes (X) | ||||
| Lori Pacura | ||||||||||
| President, Acute Care Hospital | 20.0 | 20.0 | $0 | $396,440 | $24,948 | Yes (X) | ||||
| Matthew Doyle | ||||||||||
| Interim CFO | 9.0 | 31.0 | $0 | $84,819 | $0 | Yes (X) | ||||
| Jason N Spigner | ||||||||||
| Chief Human Resources Officer | 9.0 | 31.0 | $0 | $302,068 | $13,957 | Yes (X) | ||||
| Maria Elena Lliescu | ||||||||||
| Chief Medical Officer | 20.0 | 20.0 | $0 | $662,118 | $19,448 | Yes (X) | ||||
| Rachel Dvorken | ||||||||||
| General Counsel until 6/30/19 | 9.0 | 31.0 | $0 | $429,495 | $5,500 | Yes (X) | ||||
| Deborah Davisson | ||||||||||
| Chief Nursing Officer | 40.0 | 0.0 | $231,772 | $0 | $716 | Yes (X) | ||||
| Donnica Austin | ||||||||||
| Vice President- Operations | 40.0 | 0.0 | $251,712 | $0 | $6,033 | Yes (X) | ||||
| James Richardson | ||||||||||
| Chief Medical Officer | 40.0 | 0.0 | $356,513 | $0 | $928 | Yes (X) | ||||
| Luis Marquez-Trevizo | ||||||||||
| Director- Imaging & Cardiology | 40.0 | 0.0 | $153,148 | $0 | $21,327 | Yes (X) | ||||
| Mireya Vera | ||||||||||
| Director -Community & Patients | 40.0 | 0.0 | $166,716 | $0 | $8,999 | Yes (X) | ||||
| Bakul Patel | ||||||||||
| FORMER KEY EMPLOYEE | 0.0 | 0.0 | $0 | $200,040 | $0 | Yes (X) | ||||
| Charles Weis Jr | ||||||||||
| FORMER OFFICER | 0.0 | 0.0 | $0 | $595,275 | $16,079 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,159,861 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,335,125 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $166,168 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 67 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CLUNE CONSTRUCTION | |||||
| 10 S RIVERSIDE ROAD | CHICAGO | IL | 60606 | Operational Services | $4,398,652 |
| SODEXO INC AFFILIATES | |||||
| 7100 COMMERCE WAY SUITE 280 | BRENTWOOD | TN | 37027 | food&Housekeeping sv | $2,833,385 |
| CEP AMERICA | |||||
| 2100 POWELL STREET SUITE 400 | EMERYVILLE | CA | 94608 | Emerg.Room Phys.SVcs | $1,408,715 |
| NAVIGANT HEALTHCARE CYMETRIX | |||||
| 4511 PAYSPHERE CIRCLE | CHICAGO | IL | 60674 | Revenue MGMT SVCS | $649,828 |
| RENOVO SOLUTIONS LLC | |||||
| 4 Executive Cir 185 | IRVINE | CA | 92614 | Maintenance SVcs | $627,308 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 15 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $529,834 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $529,834 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| MEDICARE & MEDICAID | 622110 | $68,892,402 | $68,892,402 | $0 | $0 |
| PATIENT REVENUES | 662110 | $42,104,076 | $42,104,076 | $0 | $0 |
| PHARMACY 340B REVENUES | 621399 | $93,573 | $93,573 | ||
| PARKING GARAGE | 812930 | $86,025 | $86,025 | ||
| CAFETERIA | 722514 | $10,358 | $10,358 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $467,170 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $467,170 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $111,653,604 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,911,437 | TotalRevenueColumnAmt |
| Exclusion | $1,911,437 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $571,250 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $571,250 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $571,250 | TotalRevenueColumnAmt |
| Exclusion | $571,250 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,200 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,200 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,200 | TotalRevenueColumnAmt |
| Exclusion | $1,200 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $114,667,325 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $111,653,604 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,483,887 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,663,960 | TotalAmt |
| Program Services | $49,229,911 | ProgramServicesAmt |
| Management And General | $1,434,049 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $384,804 | TotalAmt |
| Program Services | $373,912 | ProgramServicesAmt |
| Management And General | $10,892 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,440,127 | TotalAmt |
| Program Services | $9,440,127 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,777,558 | TotalAmt |
| Program Services | $3,670,634 | ProgramServicesAmt |
| Management And General | $106,924 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,982 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $131,982 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,226 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $18,226 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,909 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $1,909 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,020 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $85,020 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,275,673 | TotalAmt |
| Program Services | $7,275,673 | ProgramServicesAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $693 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $693 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $492,176 | TotalAmt |
| Program Services | $224,941 | ProgramServicesAmt |
| Management And General | $267,235 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,094,683 | TotalAmt |
| Program Services | $7,349 | ProgramServicesAmt |
| Management And General | $4,087,334 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,235,850 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $2,235,850 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,139 | TotalAmt |
| Program Services | $25,913 | ProgramServicesAmt |
| Management And General | $1,226 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$4,683 | TotalAmt |
| Program Services | -$4,883 | ProgramServicesAmt |
| Management And General | $200 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $241,339 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $241,339 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,165,106 | TotalAmt |
| Program Services | $6,161,991 | ProgramServicesAmt |
| Management And General | $1,003,115 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,343,843 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $2,343,843 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Bad debt | $18,007,215 | $18,007,215 | $0 | $0 |
| INTERCO PURCHASED SERVICES | $12,618,156 | $5,034,618 | $7,583,538 | $0 |
| Drugs & medical supplies | $9,188,857 | $9,188,857 | $0 | $0 |
| Provider assessment | $6,781,556 | $6,781,556 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,769,276 | TotalAmt |
| Program Services | $3,354,726 | ProgramServicesAmt |
| Management And General | $414,550 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,740,465 | TotalAmt |
| Program Services | $118,772,540 | ProgramServicesAmt |
| Management And General | $19,967,925 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,245 | BOYAmt |
| EOY | $2,093,271 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,934,242 | BOYAmt |
| EOY | $15,441,626 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $323,121 | BOYAmt |
| EOY | $301,210 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,651,716 | BOYAmt |
| EOY | $33,082,531 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,898,317 | BOYAmt |
| EOY | $1,721,541 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,903,368 | BOYAmt |
| EOY | $2,920,960 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $133,518,585 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $48,955,658 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,172,524 | BOYAmt |
| EOY | $84,562,927 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,289,505 | BOYAmt |
| EOY | $5,123,705 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $906,121 | BOYAmt |
| EOY | $140,984 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $160,086,159 | BOYAmt |
| EOY | $145,388,755 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,018,947 | BOYAmt |
| EOY | $12,409,847 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,688,868 | BOYAmt |
| EOY | $45,757,013 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,707,815 | BOYAmt |
| EOY | $58,166,860 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,378,344 | BOYAmt |
| EOY | $87,198,231 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $23,664 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,378,344 | BOYAmt |
| EOY | $87,221,895 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $160,086,159 | BOYAmt |
| EOY | $145,388,755 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$24,073,140 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$83,309 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Media Advertisements | $0 | MediaAdvertisementsAmt |
| Mailings Members | false | MailingsMembersInd |
| Mailings Members | $0 | MailingsMembersAmt |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Publications Or Broadcast | $0 | PublicationsOrBroadcastAmt |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $0 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $85,020 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Rallies Demonstrations | $0 | RalliesDemonstrationsAmt |
| Other Activities | false | OtherActivitiesInd |
| Other Activities | $0 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $85,020 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINES 1B & 1G | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION OF THE LOBBYING ACTIVITIES SINAI HEALTH SYSTEM ENGAGES IN EDUCATION AND OTHER ACTIVITIES TO INFLUENCE LEGISLATORS REGARDING FEDERAL AND STATE POLICIES PRIMARILY RELATED TO MEDICAID, SINAI'S MAJOR PAYER AND THE SAFETY NET OF MANY OF ITS PATIENTS. THE SYSTEM LOBBYING ACTIVITIES ARE COORDINATED THROUGH DENNIS RYAN, VICE PRESIDENT MISSION AND EXTERNAL AFFAIRS SINAI HEALTH SYSTEM. LOBBYING IS CONDUCTED ON BEHALF OF THE ENTIRE SINAI SYSTEM, THEREFORE REGISTERED STATE LOBBYISTS ARE REGISTERED TO REPRESENT ALL ENTITIES WITHIN THE SINAI HEALTH SYSTEM. ALL LOBBYING EXPENSES INCURRED ARE PAID BY SINAI HEALTH SYSTEM. AT THE FEDERAL LEVEL, SINAI HEALTH SYSTEM DOES NOT UTILIZE CONTRACT LOBBYISTS. SINAI DOES USE AN OUTSIDE FIRM TO ASSIST AT THE FEDERAL LEVEL WITH THE DEVELOPMENT OF GRANT PROPOSALS BUT THE FIRM DOES NOT OPERATE AS A LOBBYING ENTITY WITH SINAI. SINAI HEALTH SYSTEM COLLABORATES WITH THE AMERICAN HOSPITAL ASSOCIATION, THE ILLINOIS HOSPITAL ASSOCIATION, THE PREMIER HOSPITAL ALLIANCE, AMERICA'S ESSENTIAL HOSPITALS, AND THE JEWISH FEDERATION OF METROPOLITAN CHICAGO/JEWISH UNITED FUND. AT THE STATE LEVEL, SINAI UTILIZES THREE OUTSIDE LOBBYING FIRMS. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
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 | $70,367,515 | OtherCostOrOtherBasisAmt |
| Depreciation | $20,186,017 | DepreciationAmt |
| Book Value | $50,181,498 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Depreciation | $0 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $61,451,070 | OtherCostOrOtherBasisAmt |
| Depreciation | $28,769,641 | DepreciationAmt |
| Book Value | $32,681,429 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $84,562,927 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| Professional Liability | $11,993,218 |
| DUE TO AFFILIATE | $24,832,891 |
| Due to Third Party | $2,085,771 |
| Other Current Liability | $2,989,398 |
| Self Insurance | $1,322,735 |
| Other Non-Current Liability | $2,533,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $45,757,013 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE D, PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | FIN 48 (ASC 740) Footnote INCOME TAXES: MOUNT SINAI HOSPITAL Medical center, Schwab Rehabilitation Hospital and Care Network, HOLY CROSS HOSPITAL, Mount Sinai Community Foundation, AND Sinai Community Institute, Inc. ARE TAX-EXEMPT ORGANIZATIONS UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND EACH, AS REQUIRED, FILES A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. PROGRESS HEALTH, INC. FILES FEDERAL AND ILLINOIS FORMS 1120 (U.S. CORPORATION INCOME TAX RETURN) ANNUALLY. THE CORPORATION ADOPTED FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ISSUED GUIDANCE FOR UNCERTAINTY IN INCOME TAXES. THE GUIDANCE PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH SYSTEMS INCLUDE SUCH MATTERS AS THE FOLLOWING: THE TAX-EXEMPT STATUS OF EACH ENTITY, THE NATURE, CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (UBIT). UBIT IS REPORTED ON FORM 990T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50 PERCENT LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE CONSOLIDATED BALANCE SHEETS ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. AS OF JUNE 30, 2019 AND 2018, THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED AND RECORDED. FORMS 990 AND 1120 FILED BY THE CORPORATION ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) FOR UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. FORMS 990 AND 1120 FILED BY THE CORPORATION ARE NO LONGER SUBJECT TO EXAMINATION FOR THE YEARS ENDED JUNE 30, 2015 AND PRIOR. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600. | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,600,238 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,600,238 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02980 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $65,545,265 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $52,818,123 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,727,142 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10540 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,809,875 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,345,953 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,463,922 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02040 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $81,955,378 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $63,164,076 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,791,302 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.15560 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $213,533 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $213,533 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $133,171 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $133,171 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $193,414 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $193,414 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,505 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $24,505 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $564,623 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $564,623 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00470 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $82,520,001 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $63,164,076 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,355,925 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16030 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $18,007,215 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,673,472 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $29,437,890 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $27,006,187 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $2,431,703 | 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 (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | 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 | 2701 WEST 68TH STREET | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60629 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.sinai.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 | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | 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 (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part V, Section C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 600. | FPGFamilyIncmLmtDscntCarePct |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PT V, SEC C | 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 (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | 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 (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3E & 3g | Holy Cross Hospital's 2019 CHNA provides a prioritized description of the significant health needs of the community identified in the CHNA. schedule h, 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. Together, they 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. 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. 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. 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/ |
| SCHEDULE H, PART V, SECTION B, LINE 7A - CHNA WEBSITE | https://www.sinai.org/community-health-needs-assessments-chna-and- community-health-improvement-plan-chip SCHEDULE H, PART V, SECTION B, Line 10a - CHNA Implementation Strategy website https://www.sinai.org/community-health-needs-assessments-chna-and- community-health-improvement-plan-chip |
| SCHEDULE H, PART V, SECTION B, LINE 11 | Explanation of needs addressed/not addressed Holy Cross Hospital completed its 2019 CHNA. The CHNA identified significant health needs and barriers to care faced by the communities served by Holy Cross Hospital. Holy Cross Hospital leaders developed an implementation plan and rollout strategy that aligns with the Hospital's strategic plan and will be implemented over the course of three years. Holy Cross Hospital is addressing the following significant health needs:- Social Determinants of Health - Community Safety - Health Care Accessibility and Use - Chronic and Infectious Disease - Behavioral Health Holy Cross Hospital has implemented projects such as providing community education around asthma, breast health, diabetes, maternal and child health, and violence prevention. In the Hospital, we have conducted HIV screening programs, worked on a quality improvement project to address COPD readmissions and assisted patients with social service needs. It is our goal to provide the best care possible to address the needs of our community. The CHNA and its implementation plan have assisted in guiding our work on how to address the needs of our community. Holy Cross Hospital remains fully engaged in implementing the strategies and expects to substantially complete the identified plans by the time of the next CHNA. |
| SCHEDULE H, PART V, SECTION B, LINE 16A, 16B & 16c - FAP DOCUMENTS WEBSITE | https://www.sinai.org/financial-assistance-0 |
| 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 | ST CASIMIR CLINIC AT HOLY CROSS HOSPITAL | 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 (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a | Related Organization Community Benefit Report The Community Benefit Report is prepared by parent corporation Sinai Health System (36-3166895). Part I, Line 7 Explanation of Costing Methodology The costing methodology used to calculate the amounts reported on Schedule H, Part I, lines 7a and 7b is the cost-to-charge ratio derived from the IRS's Schedule H, worksheet 2 instructions. 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 $24,486,176 or 20.3 percent of total expense. This would have increased the total net community benefit expense on line 7K, column (E) from $19,355,925 to $31,114,958 or 25.8 percent of total expense. Holy Cross Hospital's true community benefit is better represented by this percentage. If the hospital were to use cost-to-charge ratio per the Audited Financial Statements, without adjustments to revenues and expenses per the IRS's Schedule H, worksheet 2 instructions, and removed provider tax expenses, provider tax revenues and several supplemental payments from the calculation, total net community benefit expense on line 7K, column (E) would be $35,781,525 or 29.6%. This is computed by starting with the $19,355,925 on schedule H, adding the impact of the provider tax related items as discussed above of $11,759,034 and then adding the increase in the cost-of-charge ratio per Audited Financial Statements of $4,666,567. We believe this is a more realistic computation as the cost to charge will include all expenses related to providing services Medicaid patients. Part I, Line 7a,7b and 7c Net Community Benefit Expense for Financial Assistance, Medicaid, and other means-tested government programs Holy Cross Hospital provided approximately $3.6 million in financial assistance to the patients it served this year, in addition to a Medicaid shortfall of $12.7 million. Unreimbursed costs to provide care for Medicare dual eligible and disabled patients totaled $2.5 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 over $29 million in financial assistance, in addition to a Medicaid shortfall of $2.4 million. Unreimbursed costs to provide care for Medicare dual eligible and disabled patients totaled $6.3 million. Part I, Line 7, Column F Explanation of Bad Debt Expense Bad 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 at cost is $3,673,472. percentage in this column. Bad debt expense at cost is $3,673,472. |
| PART III, LINE 2 | METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSE Holy 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 althought they would likely qualify. Therefore the amounts are classified as bad debt. One example of a patient population that does not complete charity care applications is undocumented workers. Part III, Line 4 Bad Debt Expense The Corporation maintains allowances for uncollectible accounts for estimated losses resulting from a payor's inability to make payments on accounts. The Corporation estimates the allowance for uncollectible accounts based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in health care coverage, and other collection indicators. The Corporation recognizes a significant amount of patient service revenue at the time services are rendered even though the Corporation does not assess the patient's ability to pay at that time. As a result, the provision for bad debts is presented as a deduction from patient service revenue (net of contractual provisions and discounts). For uninsured patients that do not qualify for charity care, the Corporation establishes an allowance to reduce the carrying value of such receivable to their accounts based upon historical write-off experience. After satisfaction of amounts due from insurance, the Corporation follows established guidelines for placing certain past-due balances with collection agencies, subject to the term of certain restrictions on collection efforts as determined by the Corporation. The Corporation generally does not charge interest on past due accounts. A significant portion of the Corporation's provision for doubtful accounts relates to self-pay patients, as well as co-payments and deductibles owed to the Corporation by patients with insurance. Part III, Line 8 Explanation of Shortfall as Community Benefit There is no shortfall this year. Holy Cross Hospital utilized the cost to charge ratio calculated using IRS Form 990, Schedule H, Worksheet 2 (Ratio of Patient Care Cost to Charges) to estimate cost to provide care to Medicare patients. Such cost is offset by Medicare receipts to determine shortfall. Part III, Line 9b Provisions on Collection practices for Qualified Patients Holy 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 the collection process. These resources include 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 Assessment Holy 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 and Greater Southwest Development Corporation. As a result of the partnership with community organizations, Holy Cross Hospital has become more accessible to community groups and residents. There has been as 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 connections with churches, schools, social service agencies and community organizations, Holy Cross Hospital 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. Unpaid Hospital staff have become 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 Assistance Holy 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 Information Holy 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. Approximately 50.1 % of Holy Cross Hospital's patients are Medicaid recipients and 5.1% are uninsured. Holy Cross Hospital treats more Medicaid patients than any other hospital in Illinois. Holy Cross has admitted over 4,400 Medicaid patients per year. Holy Cross has provided care through 213 births. Holy Cross Hospital Emergency Department had 45,654 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 health Holy Cross Hospital is part of Sinai Health System. The System has a volunteer board comprised of respected leaders in banking, finance, manufacturing, legal, health care and other industries. 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 four levels of behavioral health care where none previously existed. An adult acute Behavioral Health Unit, Crisis Stabilization Unit, Community Mental Health Center and patient day hospital care have all been instituted due to community need. - Community health outreach - The Hospital's representatives attend community group events and fairs. The Hospital provides 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 asking for assistance in having a speaker for their 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. Part VI, Line 6 Affiliated health care system roles and promotion Located 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.SINAI.ORG/. Part VI, Line 7 States Where Community Benefit Report Filed Illinois |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Bakul Patel | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $199,530 | $0 | $0 | $0 | $510 | $0 | $0 | $0 | $0 | $0 | $200,040 | $0 | $0 |
| Charles Weis Jr | ||||||||||||||
| FORMER OFFICER | $0 | $116,501 | $0 | $44,911 | $0 | $433,863 | $0 | $0 | $0 | $16,079 | $0 | $611,354 | $0 | $0 |
| Deborah Davisson | ||||||||||||||
| Chief Nursing Officer | $23,025 | $0 | $14,822 | $0 | $193,925 | $0 | $0 | $0 | $716 | $0 | $232,488 | $0 | $0 | $0 |
| Donnica Austin | ||||||||||||||
| Vice President- Operations | $232,679 | $0 | $16,468 | $0 | $2,565 | $0 | $3,992 | $0 | $2,041 | $0 | $257,745 | $0 | $0 | $0 |
| James Richardson | ||||||||||||||
| Chief Medical Officer | $43,488 | $0 | $23,400 | $0 | $289,625 | $0 | $0 | $0 | $928 | $0 | $357,441 | $0 | $0 | $0 |
| Jason N Spigner | ||||||||||||||
| Chief Human Resources Officer | $0 | $278,393 | $0 | $17,500 | $0 | $6,175 | $0 | $5,500 | $0 | $8,457 | $0 | $316,025 | $0 | $0 |
| Karen Teitelbaum | ||||||||||||||
| President & CEO | $0 | $793,750 | $0 | $0 | $0 | $208,379 | $0 | $5,500 | $0 | $8,457 | $0 | $1,016,086 | $0 | $0 |
| Loren Chandler | ||||||||||||||
| CFO & COO UNTIL 3/1/19 | $0 | $539,045 | $0 | $2,653 | $0 | $121,043 | $0 | $5,500 | $0 | $28,776 | $0 | $697,017 | $0 | $0 |
| Lori Pacura | ||||||||||||||
| President, Acute Care Hospital | $0 | $348,645 | $0 | $42,414 | $0 | $5,381 | $0 | $5,500 | $0 | $19,448 | $0 | $421,388 | $0 | $0 |
| Luis Marquez-Trevizo | ||||||||||||||
| Director- Imaging & Cardiology | $146,513 | $0 | $6,210 | $0 | $425 | $0 | $1,617 | $0 | $19,710 | $0 | $174,475 | $0 | $0 | $0 |
| Maria Elena Lliescu | ||||||||||||||
| Chief Medical Officer | $0 | $618,368 | $0 | $40,714 | $0 | $3,036 | $0 | $0 | $0 | $19,448 | $0 | $681,566 | $0 | $0 |
| Mireya Vera | ||||||||||||||
| Director -Community & Patients | $156,913 | $0 | $8,761 | $0 | $1,042 | $0 | $2,939 | $0 | $6,060 | $0 | $175,715 | $0 | $0 | $0 |
| Rachel Dvorken | ||||||||||||||
| General Counsel until 6/30/19 | $0 | $332,442 | $0 | $0 | $0 | $97,053 | $0 | $5,500 | $0 | $0 | $0 | $434,995 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE J, 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 CONDUCTED AGAINST SHS ESTABLISHED GOALS. THE COMMITTEE MAINTAINS WRITTEN MINUTES WHICH ARE MAINTAINED IN EXECUTIVE ADMINISTRATION. MAINTAINED IN EXECUTIVE ADMINISTRATION. |
| FORM 990, SCHEDULE J, PART I, LINE 4A | THE ORGANIZATION PAID SEVERANCE IN THE FORM OF WAGE CONTINUATION TO JAMES RICHARDSON IN THE AMOUNT OF $289,625 AND TO DEBORAH DAVISSON IN THE AMOUNT OF $193,820. ADDITIONALLY, MOUNT SINAI HOSPIAL, A RELATED ORGANIZATION, PAID SEVERANCE IN THE FORM OF WAGE CONTINUATION TO Charles WEIS, JR. IN THE AMOUNT OF $275,495. FORM 990, SCHEDULE J, 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. CY2018 INCREASE IN VALUE OF THE BENEFIT PAYMENTS NOT VESTED in cy2018 LOREN F CHANDLER $111,495 $932 RACHEL DVORKEN $93,684 $828 CHARLES WEIS JR $157,939 $0 KAREN TEITELBAUM $192,191 $1,234 |
| FORM 990, SCHEDULE J, 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 (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 1 | MISSION STATEMENT 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. FORM 990, PART V, LINE 1A FORM 1096 TRANSMITTAL OF U.S. INFORMATION RETURNS HOLY CROSS HOSPITAL REPORTS ZERO ON FORM 990, PART V, QUESTION 1A AS IT IS NOT REQUIRED TO FILE FORM 1096, TRANSMITTAL OF U.S. INFORMATION RETURNS. ALL OF THE CORPORATION'S ACCOUNTS PAYABLE REPORTABLE ON FORM 1096 ARE PAID BY SINAI HEALTH SYSTEM, WHICH ISSUES ALL FORMS 1099, AND THE EXPENSE IS TRANSFERRED TO HOLY CROSS HOSPITAL. |
| FORM 990, PART VI, LINE 1A | BOARD DELEGATING POWERS TO EXECUTIVE COMMITTEE THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE BOARD CHAIR, VICE CHAIR(S), SECRETARY, TREASURER AND PRESIDENT. 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, Line 6 | DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS Sinai Health System (EIN 36-3166895) is the sole corporate member of Holy Cross Hospital. |
| Form 990, Part VI, 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, 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, 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 ERNST & YOUNG, LLP 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, Line 12c | DESCRIBE THE 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. 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, LINE 15A & 15B | 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, Line 19 | THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC Governing documents, conflict of interest and financial statements are made available upon request. |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| SINAI HEALTH SYSTEM | ||||||||||
| 15TH STREET CALIFORNIA AVE | CHICAGO | IL | 60608 | 363166895 | PARENT CORP | IL | 501(c)(3) | 12b TYPE II | NA | false |
| MT SINAI HOSPITAL MEDICAL CENTER | ||||||||||
| 15TH STREET CALIFORNIA AVE | CHICAGO | IL | 60608 | 361509000 | HEALTHCARE | IL | 501(c)(3) | 3 | SINAI HEALTH | Yes (true) |
| SCHWAB REHABILITATION HOSPITAL & CARE | ||||||||||
| 1401 S CALIFORNIA AVENUE | CHICAGO | IL | 60608 | 362179802 | HEALTHCARE | IL | 501(c)(3) | 3 | SINAI HEALTH | Yes (true) |
| MOUNT SINAI COMMUNITY FOUNDATION | ||||||||||
| 2760 W 15TH PL 7TH FLR | CHICAGO | IL | 60608 | 363305449 | HEALTHCARE | IL | 501(c)(3) | 12a TYPE I | SINAI HEALTH | Yes (true) |
| SINAI COMMUNITY INSTITUTE | ||||||||||
| 2653 WEST OGDEN AVE | CHICAGO | IL | 60608 | 363932824 | HEALTHCARE | IL | 501(c)(3) | 10 | SINAI HEALTH | Yes (true) |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PROGRESS HEALTH INC | ||||||||||||
| 2701 W 68TH STREET | CHICAGO | IL | 60629 | 364109153 | MGMT SERVICES | IL | HCH | C CORP | -$966,000 | $406,000 | 1.00000 | Yes (true) |
| SINAI COMMUNITY PHARMACY | ||||||||||||
| CALIFORNIA AVENUE 15TH STREET | CHICAGO | IL | 60608 | 363832319 | PHARMACY | IL | NA | C Corp | false | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MOUNT SINAI HOSPITAL MEDICAL CENTER | ||
| p | $1,508,413 | COST |
| MOUNT SINAI COMMUNITY FOUNDATION | ||
| p | $3,642,237 | COST |
| MOUNT SINAI HOSPITAL MEDICAL CENTER | ||
| e | $807,549 | COST |
| MOUNT SINAI COMMUNITY FOUNDATION | ||
| e | $75,264 | COST |