2020-05-14T07:35:21-05:00 2019-06-30 ERNST & YOUNG US LLP 155 N Wacker Drive Chicago IL 60606 990 2018-07-01 361509000 Mount Sinai Hospital Medical Center % GARY KRUGEL MOUN 7732572937 CALIFORNIA AVENUE AT 15TH STREET CHICAGO IL 60608 GARY KRUGEL CFO 7732575800 2020-05-14 true JACOB Zehnder P01564049 3128792000 172.58.203.34 36964520201355000006 2020-05-14 P 6DFBA33F1DAEE8CAFFEB9AC40683ECF49AA6169A 743D44171E0061D7605C98F94D110C1DE6F9B21D 2018 2020-09-23 17:36:50Z KAREN TEITELBAUM CALIFORNIA AVENUE AT 15TH ST CHICAGO IL 60608 346598701 false X WWW.SINAI.ORG X 1918 IL SEE SCHEDULE O 27 26 2270 112 525971 445356 1889499 6150670 314216031 330134446 604139 4570642 17199764 5742943 333909433 346598701 800004 800004 0 0 124905587 114531127 0 0 0 217642228 207738325 343347819 323069456 -9438386 23529245 181826988 184050433 224564981 205361773 -42737993 -21311340 X SEE SCHEDULE O false false 193519093 800004 223205496 SEE SCHEDULE 27544192 0 110317108 SEE SCHEDULE O 7350372 0 73144 See Schedule O 228413657 true true false true false false false false false true true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false true true true true false false true X 0 0 true 2270 true true true false false false false false false false false false false false X 27 26 false false false false true true true true true false false true true true true true true true true true true CA IL X GARY KRUGEL 7732575964 CALIFORNIA AVENUE AT 15TH STREET CHICAGO IL 60608 Abraham Morgan Director 2.0 10.0 X 0 0 0 Albert Grace Director & Treasurer 2.0 10.0 X X 0 0 0 Alejandra Garza Director 2.0 10.0 X 0 0 0 Alex duBuclet Director 2.0 10.0 X 0 0 0 Alex Pissios Director 2.0 10.0 X 0 0 0 Anne Cohn Donnelly Director 2.0 10.0 X 0 0 0 Bettylu K Saltzman Director 2.0 10.0 X 0 0 0 Bob Wolfberg Director 2.0 10.0 X 0 0 0 David Smith Director 2.0 10.0 X 0 0 0 David Spielfogel Director 2.0 10.0 X 0 0 0 Karen Teitelbaum President & CEO 12.0 28.0 X X 1002129 0 13957 Katya Nuques Director 2.0 10.0 X 0 0 0 Keith Wakefield Director 2.0 10.0 X 0 0 0 Ken Avner Director 2.0 10.0 X 0 0 0 Laurie Hernandez Director & Vice Chair 2.0 10.0 X X 0 0 0 Lee Miller Director 2.0 10.0 X 0 0 0 Leslie D Davis Director 2.0 10.0 X 0 0 0 Leslie Mitchel-Bond Director 2.0 10.0 X 0 0 0 Mark Frisch Director 2.0 10.0 X 0 0 0 Michael Hayes Director 2.0 10.0 X 0 0 0 Robert S Markin Director & Chairman 2.0 10.0 X X 0 0 0 Roxanne Decyk Director & Secretary 2.0 10.0 X X 0 0 0 Immacula Wendt Sr Director 2.0 10.0 X 0 0 0 Tom Nodine Director 2.0 10.0 X 0 0 0 Vincent Williams Director 2.0 10.0 X 0 0 0 Vivian Funches Director 2.0 10.0 X 0 0 0 Wayne M Lerner Director 2.0 10.0 X 0 0 0 robert shakno director until 2/1/2019 2.0 10.0 X 0 0 0 jonathan jonas director until 10/8/2018 2.0 10.0 X 0 0 0 Loren Chandler CFO & COO until 3/1/19 12.0 28.0 X 662741 0 34276 Lori Pacura President, Acute Care Hospital 20.0 20.0 X 396440 0 24948 Matthew Doyle Interim CFO 12.0 28.0 X 84819 0 0 Jason N Spigner Chief Human Resources Officer 12.0 28.0 X 302068 0 13957 Maria Elena Lliescu Chief Medical Officer 20.0 20.0 X 0 662118 19448 Michele Mazurek Chief Nursing Officer- MSH 40.0 0.0 X 288181 0 14157 Rachel Dvorken General Counsel until 6/30/19 12.0 28.0 X 429495 0 5500 Gail Mahaffey Chief Development Officer 40.0 0.0 X 242306 0 6343 James Bicak VP - Facilities & Hospital Svs 40.0 0.0 X 284362 0 5500 Roberta Rakove VP - Government Affairs 40.0 0.0 X 296970 0 23900 Sharon Homan President - Sinai Urban Health 40.0 0.0 X 293441 0 22046 Sameer Shah Director of Pharmacy 40.0 0.0 X 209188 0 2771 Charles Weis Jr Former Officer 0.0 0.0 X 595275 0 16079 Bakul Patel Former Key Employee 0.0 0.0 X 200040 0 0 James Wilson Former Highest Comp Employee 0.0 0.0 X 233907 0 0 5521362 662118 202882 146 true true false Sodexo Inc Affiliates PO Box 70060 CHICAGO IL 60673 Food & Housekeep Srv 4979345 G4S Solutions USA Inc 1395 university blvd JUPITER IL 33458 security services 4458636 Renovo solutions llc 4 executive circle suite 185 IRVINE CA 92614 equip maint services 1497231 navigant healthcare cymetrix 150 n riverside plaza suite 2100 CHICAGO IL 60606 revenue cycle mgmt 1407961 CEP AMERICA 2100 POWELL STREET SUITE 400 EMERYVILLE CA 94608 physician services 1067789 48 1071093 5079577 6150670 PATIENT REVENUES 622110 314201812 314201812 PHARMACY 340B REVENUE 621399 7857595 7857595 INTERCO REVENUE 900009 1946291 1946291 CAFETERIA 722212 1637464 1637464 PARKING GARAGE 812930 779743 779743 3711541 3711541 330134446 2403269 2403269 0 0 604860 604860 0 604860 604860 2167373 2167373 2167373 2167373 0 0 0 0 0 0 0 0 0 PREMIER PURCHASING 525990 1123417 23490 1099927 MED STUDENT EDUCATION REVENUE 900099 3175383 3175383 INTEREST INCOME ACCESS LOAN 900099 50882 50882 788401 285920 502481 5138083 346598701 333595749 525971 6326311 800004 800004 0 0 0 4674516 4674516 153566 153566 95072586 93785939 1286647 757417 757417 6803858 6788746 15112 7069184 6973515 95669 237830 88585 149245 245484 245484 5507 5507 0 0 0 13116004 13116004 2385 2385 610189 481596 128593 4382651 8140 4374511 0 6366195 6366195 22260 10940 11320 0 41306 28805 12501 5108828 5108828 0 14879971 12740368 2139603 4803076 4803076 BAD DEBT 21554840 21554840 0 ICT PURCHASED SERVICES 35780602 11717536 24063066 DRUGS & MEDICAL SUPPLIES 32737106 32733304 3802 PROVIDER ASSESSMENT 16806451 16806451 51037640 10021467 41016173 323069456 228413657 94655799 0 1981964 0 2392690 1868507 0 0 66194898 63302132 0 0 0 0 2500000 2107470 2620631 2948266 951225 1166329 270224752 206350790 73045961 63873962 9322881 10493361 0 1642649 8424004 7703743 0 0 14392734 28944014 181826988 184050433 82935432 55498891 0 0 0 0 55851047 0 0 0 0 0 17113093 65896603 0 0 68665409 83966279 224564981 205361773 X -49260398 -22090452 6522405 779112 0 0 -42737993 -21311340 181826988 184050433 23529245 -2102592 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false false false false false false Schedule C, Part II-B, Line 1b 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 Roberta Rakove, Senior Vice President for 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. 5394140 27943 105110 3375220 15840 2136133 6073963 13364 472492 1165679 5394140 5272743 942646 141426 6073963 5134684 378800 240741 5272743 4724559 3159999 2749874 5134684 1.00000 false false 1725650 1725650 165798461 120864359 44934102 2922248 1357601 1564647 96839220 83686924 13152296 2939173 441906 2497267 63873962 DUE FROM RELATED PARTIES 21981752 OTHER RECEIVABLES 2999636 OTHER CURRENT ASSETS 2395560 OTHER LONG TERM ASSET 1567066 28944014 0 ACCRUED SELF INSURANCE 22276588 AMOUNTS DUE TO THIRD PARTIES 36247929 LT CAPITAL LEASE OBLIGATION 758179 CURRENT PORTION CAPITAL LEASE 1017690 CURRENT PORTION LONG TERM DEBT 184645 CURRENT PORTION SELF INSURANCE 11638842 DEFERRED LIABILITIES 1112739 OTHER CURRENT LIABILITIES 5993012 OTHER NON-CURRENT LIABILITIES 2950258 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 1786397 83966279 X Intended use of endowment funds FORM 990, SCH D, PART V, LINE 4 THE FUNDS ARE USED FOR GENERAL OPERATING PURPOSES. THE INTEREST FROM THE FUND IS UTILIZED FOR UNRESTRICTED PURPOSES. FIN 48 (asc 740) Footnote Form 990, Schedule D, Part X, Line 2 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. true true X true X 300. true X 600. true true false true true 24695964 24695964 0.08190 200838592 214241939 0 0.00000 22217158 18701381 3515777 0.01170 247751714 232943320 28211741 0.09360 3479208 3479208 0.01150 8036568 2509712 5526856 0.01830 4144713 4144713 0.01370 1220648 1220648 0.00400 16881137 2509712 14371425 0.04750 264632851 235453032 42583166 0.14110 true 21554840 4806729 39655380 28223329 11432051 X true true 1 1 MOUNT SINAI HOSPITAL CALIFORNIA AVE AT 15TH STREET CHICAGO IL 60608 www.sinai.org 1871581314 X X X X MOUNT SINAI HOSPITAL 1 false false true X X X X X X X X X 19 true false false true X SEE PART V, SECTION C X true 19 true SEE PART V, SECTION C false true X 300. 600. X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X see pt V, sec C X X X X X X true X false X X X X true X false false Part V, Line 3E & 3g Mount Sinai Hospital's 2019 CHNA provides a prioritized description of the significant health needs of the community identified in the CHNA. PART V, LINE 5 - ACCOUNT INPUT FROM PERSON WHO REPRESENTS THE COMMUNITY Mount Sinai Hospital took into account input from persons who represent the community. In 2019 Mount Sinai Hospital partnered with the Alliance for Health Equity, a collaborative of 37 hospitals across Chicago and Suburban Cook County, to conduct a comprehensive community input process to better understand the needs and assets of the communities that make up 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 Mount Sinai 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/ Part V, Line 7a - CHNA website https://www.sinai.org/community-health-needs-assessments-chna-and- community-health-improvement-plan-chip Part V, Line 10a - CHNA Implementation Strategy website https://www.sinai.org/community-health-needs-assessments-chna-and- community-health-improvement-plan-chip PART V, LINE 11 - EXPLANATION OF NEEDS ADDRESSED/NOT ADDRESSED Mount Sinai Hospital completed its 2019 CHNA. The CHNA identified significant health needs and barriers to care faced by the communities served by Mount Sinai Hospital. Mount Sinai 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. Mount Sinai 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 Mount Sinai 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. Mount Sinai Hospital remains fully engaged in implementing the strategies and expects to substantially complete the identified plans by the time of the next CHNA. Part V, Section B, Line 16a, 16b, & 16c - Fap documents Website HTTPS://WWW.SINAI.ORG/FINANCIAL-ASSISTANCE-0 3 Hawthorne MRI 4701 W Cermak Cicero IL 60804 Magnetic Resonance Imaging & OB Ultrasound Service Sinai Community Pharmacy California Ave 15th Street Chicago IL 60608 Pharmacy Drugs and pharmacuticals Sinai Touhy Pharmacy LLC 2907 W Touhy Avenue Chicago IL 60645 Pharmacy Drugs and pharmacuticals 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 $76,830,226 or 25.6 percent of total expense. This would have increased the total net community benefit expense on line 7K, column (E) from $42,583,166 to $119,413,391 or 39.8 percent of total expense. Mount Sinai 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 $141,141,659 or 47.0%. This is computed by starting with the $42,583,166 on schedule H, adding the impact of the provider tax related items as discussed above of $73,860,226 and then adding the increase in the cost-of-charge ratio per Audited Financial Statements of $21,728,267. 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 Mount Sinai Hospital provided approximately $21 million in financial assistance to the patients it served this year, in addition to unreimbursed cost of $3.5 million to provide care for Medicare dual eligible and disabled patients. These shortfalls were offset by a $37 million Medicaid surplus. The Medicaid surplus was due to receipts of Provider Tax Revenues and other ACA payments. the Primary purpose of these supplemental payments was to offset the costs to provide care and other community services 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 expenses 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 is $4,806,729. Part iii, line 2 methodology used to estimate bad debt expense Mount Sinai 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 care 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 & Rational for including community benefit Mount Sinai Hospital first determines if a patient qualifies for charity care. If a patient is classified as charity care, they would not be included as bad debt. Some patients do not desire to complete the charity care applications and as such can be included in the bad debt amounts. One example of a patient population that does not complete charity care applications is undocumented workers. 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 was no shortfall this year. Mount Sinai 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 Provision On Collection Practices For Qualified Patients Mount Sinai Hospital's collection process includes both letters and calls to inform patients of their outstanding balances 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 In addition to the community and hospital/office-based healthcare surveys, focus groups, and data analyses described in the Community Health Needs Assessment plan for Mount Sinai Hospital, the Hospital utilizes the following channels to gain greater insight into the health needs of its communities: 1) Community and hospital/office-based health screenings. 2) Presentation of patients in the Emergency Department and needs noted during the visit. 3) Partnership activities with community-based organizations. Mount Sinai Hospital focused on the health and social services needs of the populations served. Mount Sinai Hospital begins outreach and assessment of community health by first evaluating which health conditions and diseases are prevalent among its inpatients and outpatients. Determination of prevalence then guides the design of community services and also assures there is no bias based on race, gender, or patient's ability to pay. Mount Sinai Hospital also works closely with other Sinai Health System entities, including Sinai Community Institute, Mount Sinai Community Foundation, and Sinai Urban Health Institute (SUHI), which partner with neighborhood groups and the community in various ways to understand health needs and improve overall wellbeing. In particular, SUHI recently conducted one of the largest community-driven, face-to-face health surveys ever conducted in Chicago (Sinai Community Health Survey 2.0, www.sinaisurvey.org). Mount Sinai Hospital shared the 2019 Community Health Needs Assessment findings with local residents and community groups, forging interventional partnerships. Together they confirmed the need for education and other interventions for asthma, obesity, diabetes, and breast cancer. Mount Sinai Hospital also supports Sinai Community Institute and SUHI by scheduling clinicians and health educators to participate in health fairs, community forums and other educational events to provide health screenings, and education on prevention. These forums arm participants with knowledge about the chronic diseases that can affect them and action plans for avoiding or managing those diseases. Part VI, Line 3 Patient Education of Eligibility for Assistance Mount Sinai Hospital informs patients of the charity care policy through signage in the Hospital, written communication, statements and related corporation Sinai Health System website. Each hospital bill, invoice, or other summary of charges to an uninsured patient include with it, or on it, a prominent statement that an uninsured patient who meets certain income requirements may qualify for an uninsured discount along with information regarding how the patient may apply for financial assistance. PART VI, LINE 4 COMMUNITY INFORMATION Mount Sinai Hospital, as a part of Sinai Health System, serves a diverse population of 1 million people located on the west and southwest side of Chicago. Over 65.7% of Mount Sinai hospital's patients are Medicaid recipients and 4.6% are uninsured. Mount Sinai admits 1,694 inpatients to Sinai Children's Hospital inclusive of pediatric visits for asthma and diabetes. Sinai's Neonatal Intensive Care Unit cared for 281 neonatal patients and Obstetrics cared for 1,737 mothers. Mount Sinai Hospital Emergency Department had 40,826 patient visits. Mount Sinai 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. Mount Sinai Hospital treats more Medicaid patients than any other hospital in Illinois. PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH Mount Sinai 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. Mount Sinai Hospital extends medical staff privileges to all qualified physicians for all departments. Mount Sinai Hospital invests any surplus funds into improving patient care. PART VI, LINE 6 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 true ACCESS COMMUNITY HEALTH NETWORK 1501 S CALIFORNIA AVE CHICAGO IL 60608 363317058 501(c)(3) 800004 OPERATING SUPPORT 1 0 PROCEDUREs FOR MONITORING USE OF GRANTS FUNDS U.S PART I, LINE 2 THIS IS AN EXTENSION OF OUR MISSION TO HELP ACCESS COMMUNITY HEALTH NETWORK PROVIDE SERVICES TO THE UNDERSERVED AND UNINSURED INDIVIDUALS WITHIN OUR PRIMARY SERVICE AREA. ALL AWARDED GRANT USAGE IS MONITORED ANNUALLY. THE RECIPIENT REPORTS TO SINAI HELATH SYSTEM THE ALLOCATIONS AND EXPENDITURES OF THE APPLICATION AND USAGE OF DISBURSED GRANT AWARDS. X true true true true false false false false false true false Bakul Patel Former Key Employee 199530 0 0 0 510 0 0 0 0 0 200040 0 0 0 Charles Weis Jr Former Officer 116501 0 44911 0 433863 0 0 0 16079 0 611354 0 0 0 Gail Mahaffey Chief Development Officer 192711 0 46962 0 2633 0 0 0 6343 0 248649 0 0 0 James Bicak VP - Facilities & Hospital Svs 257984 0 22767 0 3611 0 5500 0 0 0 289862 0 0 0 James Wilson Former Highest Comp Employee 0 0 15899 0 218008 0 0 0 0 0 233907 0 0 0 Jason N Spigner Chief Human Resources Officer 278393 0 17500 0 6175 0 5500 0 8457 0 316025 0 0 0 Karen Teitelbaum President & CEO 793750 0 0 0 208379 0 5500 0 8457 0 1016086 0 0 0 Loren Chandler CFO & COO until 3/1/19 539045 0 2653 0 121043 0 5500 0 28776 0 697017 0 0 0 Lori Pacura President, Acute Care Hospital 348645 0 42414 0 5381 0 5500 0 19448 0 421388 0 0 0 Maria Elena Lliescu Chief Medical Officer 0 618368 0 40714 0 3036 0 0 0 19448 0 681566 0 0 Michele Mazurek Chief Nursing Officer- MSH 271956 0 14455 0 1770 0 5500 0 8657 0 302338 0 0 0 Rachel Dvorken General Counsel until 6/30/19 332442 0 0 0 97053 0 5500 0 0 0 434995 0 0 0 Roberta Rakove VP - Government Affairs 245918 0 44003 0 7049 0 5500 0 18400 0 320870 0 0 0 Sharon Homan President - Sinai Urban Health 249172 0 42401 0 1868 0 5500 0 16546 0 315487 0 0 0 Sameer Shah Director of Pharmacy 199404 0 8631 0 1153 0 1931 0 840 0 211959 0 0 0 Form 990, schedule j, part i, line 1 THE SINAI HEALTH SYSTEM, FOR BUSINESS PURPOSES IS A CORPORATE MEMBER OF THE STANDARD CLUB. THE MEMBERSHIP PROVIDED TO KAREN TEITELBAUM IS TREATED BY THE SINAI HEALTH SYSTEM AS A WORKING CONDITION FRINGE BENEFIT AND IS, THEREFORE, EXCLUDED FROM THE INDIVIDUAL'S TAXABLE INCOME. 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. Form 990, schedule j, part i, line 4a SEVERANCE PAYMENTS THE ORGANIZATION PAID SEVERANCE IN THE FORM OF WAGE CONTINUATION TO CHARLES WEIS, JR. IN THE AMOUNT OF $275,495 AND TO JAMES WILSON IN THE AMOUNT OF $218,008. 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. CY18 PAYMENTS INCREAS IN VALUE OF THE BENEFIT NOT VESTED IN CY18 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. Form 990, part i, line 1 DESCRIBE THE ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES AS A MEMBER OF SINAI HEALTH SYSTEM, MOUNT SINAI HOSPITAL MEDICAL CENTER'S MISSION IS TO IMPROVE THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES BY PROVIDING COMPREHENSIVE MEDICAL, SURGICAL, PEDIATRIC, PSYCHIATRIC, AND INTENSIVE CARE SERVICES. THE VISION IS TO BE A NATIONAL MODEL FOR THE DELIVERY OF URBAN HEALTHCARE. FORM 990, PART III, LINE 1 BRIEFLY DESCRIBE THE ORGANIZATION'S MISSION AS A MEMBER OF SINAI HEALTH SYSTEM, MOUNT SINAI HOSPITAL MEDICAL CENTER'S MISSION IS TO IMPROVE THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES BY PROVIDING COMPREHENSIVE MEDICAL, SURGICAL, PEDIATRIC, PSYCHIATRIC, AND INTENSIVE CARE SERVICES. THE VISION IS TO BE A NATIONAL MODEL FOR THE DELIVERY OF URBAN HEALTHCARE. FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS PATIENT CARE MOUNT SINAI HOSPITAL MEDICAL CENTER (MOUNT SINAI HOSPITAL or MSH) IS A 288-LICENSED BED ACUTE CARE AND TEACHING HOSPITAL AFFILIATED WITH THE JEWISH FEDERATION OF METROPOLITAN CHICAGO. MSH IS AN INTEGRAL PART OF THE SINAI HEALTH SYSTEM'S CORE MISSION TO IMPROVE THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. FOUNDED IN 1919, MSH PROVIDES A SIGNIFICANT PORTION OF THE TOTAL MEDICAL SERVICES AVAILABLE TO WEST SIDE RESIDENTS. THESE SERVICES INCLUDE A FULL SPECTRUM OF CARE, INCLUDING MEDICAL, SURGICAL, PEDIATRIC, LEVEL III PERINATAL, INTENSIVE CARE, EMERGENCY, MATERNAL CHILD, AND PSYCHIATRIC SERVICES. THE HOSPITAL'S EMERGENCY DEPARTMENT IS ONE OF FOUR LEVEL I TRAUMA CENTERS IN CHICAGO. CHARITY CARE MOUNT SINAI HOSPITAL PROVIDED $21,052,899 OF CHARITY CARE AT COST TO PATIENTS WHO WERE UNABLE TO PAY FOR SERVICES. SINCE SO MANY OF OUR PATIENTS ARE UNINSURED OR OTHERWISE UNABLE TO AFFORD CARE, CHARITY CARE IS A VITAL PART OF OUR MISSION TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. COMMUNITY OUTREACH AS PART OF OUR MISSION TO IMPROVE THE HEALTH OF OUR COMMUNITIES, msh HAS LAUNCHED SEVERAL INITIATIVES TO STUDY AND ADDRESS SPECIFIC HEALTH ISSUES. THE SINAI URBAN HEALTH INSTITUTE (SUHI) IS A NATIONALLY RECOGNIZED RESEARCH ORGANIZATION FUNDED AND OPERATED THROUGH MOUNT SINAI HOSPITAL. SUHI HAS PUBLISHED GROUNDBREAKING RESEARCH ON RACIAL DISPARITIES, HIV, SMOKING RATES, ASTHMA, DIABETES, BREAST CANCER, AND OTHER HEALTH THREATS FACING LOW-INCOME MINORITY POPULATIONS. FORM 990, PART III, LINE 4B PROGRAM SERVICE ACCOMPLISHMENTS PATIENT SERVICE-THERAPY & DIAGNOSTICS WITH AN AGING POPULATION, REACHING AND PROVIDING HEALTH CARE TO OUR SENIORS ON A TIMELY BASIS HAS BECOME CRITICAL. SINAI HOME HEALTH THROUGH ITS TRAINED NURSES KEEPS IN CONTACT WITH SENIORS THROUGH PERIODIC HOME VISITS. SUCH VISITS PROVIDE AN OPPORTUNITY TO DO A GENERAL CHECKUP ON THEIR HEALTH, ENSURE THE PATIENTS ARE TAKING THE PRESCRIBED MEDICATION AND TO DISCUSS THEIR HEALTH CONCERNS. THIS PROGRAM HAS BEEN WELL RECEIVED IN THE COMMUNITY. SINAI IS ALSO DEVELOPING A DEDICATED GERIATRIC SERVICE LINE IN ORDER TO PROVIDE SUPERIOR CONTINUITY OF CARE. FOR ONCOLOGY PATIENTS, THE SINAI HEALTH SYSTEM CANCER CARE CENTER WAS ESTABLISHED IN 2008. WITH THE SUPPORT OF THE COLEMAN FOUNDATION, AN INTEGRATED ONCOLOGY CENTER WAS CREATED THAT LINKS PHYSICIANS' OFFICES, A CHEMOTHERAPY CENTER AND AN INPATIENT UNIT ALL IN ONE AREA. FORM 990, PART III, LINE 4C PROGRAM SERVICE ACCOMPLISHMENTS TEACHING & RESEARCH MOUNT SINAI HOSPITAL PROVIDES UNDERGRADUATE TRAINING FOR MEDICAL STUDENTS IN SIX MAJOR SPECIALTIES - MEDICINE, SURGERY, OBSTETRICS/GYNECOLOGY, PEDIATRICS, PSYCHIATRY AND PHYSICAL MEDICINE AS WELL AS A NUMBER OF SUB-SPECIALTIES. THE HOUSE STAFF PROGRAM PROVIDES TRAINING FOR RESIDENTS AND FELLOWS IN MAJOR CLINICAL AREAS. IN 2008, RELATIONSHIPS WITH ACADEMIC MEDICAL CENTERS WERE EXPANDED THAT ENRICH THE PATIENT CARE RESOURCES AVAILABLE THROUGH AFFILIATIONS WITH NORTHWESTERN MEMORIAL HOSPITAL, THE UNIVERSITY OF CHICAGO MEDICAL CENTER, RUSH UNIVERSITY MEDICAL CENTER, THE UNIVERSITY OF ILLINOIS-CHICAGO AND ROSALIND FRANKLIN UNIVERSITY. RESEARCH PROGRAMS AT MOUNT SINAI HOSPITAL ARE ONGOING IN SEVERAL FIELDS INCLUDING CANCER DETECTION AND TREATMENT, CHILD ABUSE, TRAUMA AND EMERGENCY MEDICINE, PEDIATRIC HIV/AIDS, UROLOGY, RHEUMATOLOGY, HEMATOLOGY AND NEONATOLOGY. FORM 990, PART III, LINE 4D PROGRAM SERVICE ACCOMPLISHMENTS AN OVERVIEW OF MOUNT SINAI HOSPITAL PERFORMANCE DURING FISCAL YEAR 2019 IS GIVEN BELOW: - PATIENT DAYS: 57,138 - AVERAGE LENGTH OF STAY: 4.63 DAYS - EMERGENCY ROOM VISITS: 40,826 - OUTPATIENT SURGERIES: 4,367 - CHARITY CARE (AT COST): $21,052,899 ACCREDITATIONS AND CERTIFICATIONS: - PALLIATIVE MEDICINE PROGRAM RECOGNIZED FOR OUTSTANDING ACHIEVEMENT BY THE COLEMAN FOUNDATION - OUTPATIENT PSYCHIATRY PROGRAMS ACCREDITED BY CARF - NATIONAL EXCELLENCE IN HEALTHCARE 2014 AWARD WINNER FOR OVERALL QUALITY CARE FROM PROFESSIONAL RESEARCH CONSULTANTS - GET WITH THE GUIDELINES STROKE GOLD-PLUS QUALITY ACHIEVEMENT AWARD WINNER FROM THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION - ONCOLOGY PRACTICE INITIATIVE CERTIFICATION PROGRAM, AN AFFILIATED PROGRAM OF THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY - OB ULTRASOUND DEPARTMENT ACCREDITED BY THE AMERICAN INSTITUTE OF ULTRASOUND MEDICINE - MAMMOGRAPHY ACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY - THE JOINT COMMISSION GOLD SEAL OF APPROVAL - EMERGENCY DEPARTMENT APPROVED FOR PEDIATRICS CERTIFICATION (EDAP) - AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER - ACCREDITED CHEST PAIN CENTER BY THE SOCIETY OF CHEST PAIN CENTERS PRIMARY STROKE CENTER AWARDS: - INNOVATION IN QUALITY AWARD (ILLINOIS HOSPITAL ASSOCIATION) - ILLINOIS HOSPITAL ASSOCIATION PLEDGE QUALITY ACHIEVEMENT AWARD - DEAF ILLINOIS AWARD FOR BEST HEALTH SERVICES IN 2007, 2009 AND 2011 - ORGAN AND TISSUE DONOR NETWORK'S GIFT OF HOPE SILVER MEDAL OF HONOR FORM 990, PART V, LINE 1A FORM 1096 TRANSMITTAL OF U.S. INFORMATION RETURNS MOUNT SINAI 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 MOUNT SINAI HOSPITAL. FORM 990, PART VI, LINE 1A EXPLANATION OF DELEGATED BOARD AUTHORITY TO 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 EXPLANATION OF CLASSES OF MEMBERS OR SHAREHOLDERS THERE ARE TWO CLASSES OF MEMBERS: THE SOLE CORPORATE MEMBER AND INDIVIDUAL MEMBERS. THE SOLE CORPORATE MEMBER OF THE CORPORATION IS SINAI HEALTH SYSTEM (EIN: 36-3166895), AN ILLINOIS NOT-FOR-PROFIT CORPORATION. IN ADDITION, EVERY MEMBER OF THE JEWISH FEDERATION OF METROPOLITAN CHICAGO SHALL BE AN INDIVIDUAL MEMBER. 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 EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTS 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, LINES 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 OTHER DOCUMENTS PUBLICLY AVAILABLE GOVERNING DOCUMENTS, CONFLICT OF INTEREST AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990 PART IX LINE 24 - OTHER EXPENSES DESCRIPTION:RESERVE FOR INTERCO ALLOWANCE TOTAL EXPENSES:39272926 MANAGEMENT AND GENERAL:39272926 FORM 990 PART IX LINE 24 - OTHER EXPENSES DESCRIPTION:ALL OTHER EXPENSES TOTAL EXPENSES:11764714 PROGRAM SERVICES:10021467 MANAGEMENT AND GENERAL:1743247 SINAI TOUHY PHARMACY LLC 2907 W TOUHY AVE CHICAGO IL 60645 363305449 PHARMACY IL -45000 117000 MT SINAI HOS MOUNT SINAI COMMUNITY FOUNDATION 2760 W 15TH PL 7TH FL CHICAGO IL 60608 333305449 HEALTHCARE IL 501(c)(3) 12A TYPE I SINAI HEALTH true SINAI COMMUNITY INSTITUE 2653 WEST OGDEN AVE CHICAGO IL 60608 363932824 HEALTHCARE IL 501(c)(3) 10 SINAI HEALTH true SCHWAB REHAB HOSPITAL & CARE network CALIFORNIA AVE AT 15TH PLACE CHICAGO IL 60608 362179802 HEALTHCARE IL 501(c)(3) 3 SINAI HEALTH true SINAI HEALTH SYSTEM CALIFORNIA AVE AT 15TH PL CHICAGO IL 60608 363166895 PARENT CORP IL 501(c)(3) 12B TYPE II NA false HOLY CROSS HOSPITAL 2701 WEST 68TH ST CHICAGO IL 60629 362170133 HEALTHCARE IL 501(c)(3) 3 SINAI HEALTH true MT SINAI HOSP MED CNT ENDOWMENT FNDTN 30 SOUTH WELLS NO 4049 CHICAGO IL 60606 364310820 HEALTHCARE IL 501(c)(3) 12A TYPE I SINAI HEALTH true Hawthorne Works Med Imaging 8930 Waukegan Rd ste 130 morton grove IL 60053 361509000 IMAGING IL MT SINAI HSPTL RELATED 144477 242476 false 0 true 0.51000 PROGRESS HEALTH INC 2701 W 68TH STREET CHICAGO IL 60629 364109153 MGMT SERVICES IL SINAI HLTH SYS C Corp 0 0 false Sinai Community Pharmacy CALIFORNIA AVE 15TH STREET CHICAGO IL 60608 363832319 PHARMACY IL MT SINAI HOSp C Corp -58510 128450 1.00000 true false false false true false false false false false true true false true false false false true false true SCHWAB REHABILITATION HOSPITAL & CARE NETWORK d 730402 COST SCHWAB REHABILITATION HOSPITAL & CARE NETWORK j 50037 COST SCHWAB REHABILITATION HOSPITAL & CARE NETWORK q 2717078 COST Holy Cross Hospital d 807549 COST Holy Cross Hospital q 1508413 cost Medical District Home Dialysis llc q 54203 cost Mount Sinai Community Foundation j 503873 cost Mount Sinai Community Foundation m 19791120 cost Progress Health q 122112 cost Sinai Community Institute k 373965 cost